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efta-efta00285870DOJ Data Set 9OtherContract Number MP2827170
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Unknown
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DOJ Data Set 9
Reference
efta-efta00285870
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4
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Contract Number MP2827170
DARREN K INDYKE PLLC
56113
MERCEDES-BENZ MANHATTAN. INC.
Purchaser Last Name
575 LEXINGTON AVE FL 4
First
Dealer Code
Dealer Name
MERCEDES-BENZ MANHATTAN. INC.
Address
NEW YORK
NY
100226146
D/B/A
NEW YORK
NY
City
State
Zip
Phone
Dealer City
State
Lienholder Name
Address
ML350W4
City
State
Zip
ML350W4/2015
Phone
New Vehicle Retail Date
Model
Model Year
Vehicle Identification Number
Original New Vehicle In-Service/Warranty Start Date:
Month
Day
Year
Current Mileage
12
Agreement Type/Term*
Premier40K NPPMS- Purchase Price $ 1,825.00
4YR
Agreement End Date:
Month
Day
Year
05/15.12015
Customer Signature
+ Sales Tax $ 161.97
= Total Purchase Price $ 1,986.97
THERESA INGANNAMORTE
05/15:2015
Date
Dealer Representative Signature
Rep Name
Date
V This checkmark indicates you are providing the equivalent of your signature and indicating your intent to enter into this agreement upon acceptance.
seder
it au application for earerage whleteltialtieftWappnoval and seavittryMereedas-Bette USAILC(MBUSA). This Mercedes-Betz Prepaid tialmetanee Amman la as S&ed Aare betweee the Podium sod MBUSA.
Order to claim benefits under the terms of the Mercedes•Benz Prepaid Maintenance agreement. follow the terms set forth below. You hereby declare that you have fully read the terms of the Mercedes. Benz Prepaid Maintenance agmemeni:n
understand and accept all ol the pronnons therein. There have been no other oral or written agreements regarding the Mercedes-Benz Prepaid Maintenance agreement tor the vehicle other than those expressly contained in the Mercedes-Benz
Ptlaintenance Agreement. The purchase ol this Prepaid Maintenance Agreement is not required in order to purchase or obtain financing for a motor vehicle.
ASDO.PPM.FIEV*1-08.2014.Drstnbution: I:
older. Dealer Fib. Customer
EFTA00285870
MERCEDES-BENZ PREMIER PREPAID MAINTENANCE AGREEMENT
GENERAL PROVISIONS:
(INITIAL)
Agreement Territory. Term and Mileage Expiration - The Mercedes-Benz Prepaid
Maintenance Agreement (this "Agreement") applies to service occurring only within
the United States and Puerto Rico. Regardless of the date of this Agreement
purchase, the mileage and time duration term of this Agreement begins on the date
this Agreement commences, as indicated on page I. This Agreement expires after all
covered provisions of this Agreement have been fulfilled (1 service interval per
every 10,000 miles) or 90 days after the Agreement end date, whichever occurs first.
This Agreement must be purchased prior to the occurrence of 10,000 total miles or
the performance of the first factory-required service interval (whichever occurs first).
NATURE OF AGREEMENT:
(INITIAL)
The Purchaser agrees and understands that this Agreement is NOT A POLICY OF
INSURANCE.
DEFINITION OF TERMS:
Maintenance Booklet:
Manufacturer's manual containing maintenance work
information utilized for a vehicle's specific model, age or mileage.
Any Authorized Mercedes-Benz Passenger Vehicle Dealer. Any authorized
Mercedes-Benz Dealer in the United States and Puerto Rico of the owner's choice
can perform Mercedes-Benz Prepaid Maintenance services. The vehicle should be
delivered to the authorized Dealer during normal service hours. A reasonable time
should be allowed after taking the vehicle to the authorized Dealer for performance
of the service.
Private Party Purchaser: means a purchaser of the vehicle other than a Motor Vehicle
Dealer or Authorized Mercedes-Benz Dealer, or a person actively engaged in the
business of buying, selling or exchanging vehicles.
No Charge: Mercedes-Benz Prepaid Maintenance services will be provided at no
charge for parts, labor or diagnostic operations which are directly related to the
Agreement coverage.
Vehicle: The vehicle specified on page 1; which cannot be used for for-hire,
emergency, law enforcement or commercial rental purposes.
Mercedes-Benz USA LLC (MBUSA) We, Us, Our: The party obligated to provide
the services under this Agreement. One Mercedes Drive, Montvale, N.J. 07645 I -
800-FOR-MERCEDES (1-800-367.6372).
LIMITS OF LIABILITY:
(INITIAL)
The performance of work for prescribed maintenance services as stated under this
MERCEDES-BENZ PREMIER PREPAID MAINTENANCE AGREEMENT is the
only remedy available under this Agreement. LIMITATION OF LIABILITY:
MBUSA WILL NOT BE LIABLE FOR INCIDENTAL OR CONSEQUENTIAL
LOSS OR DAMAGE UNDER THIS AGREEMENT INCLUDING, BUT NOT
LIMITED TO, LIABILITY FOR INJURY, LOSS OF LIFE, PROPERTY
DAMAGE, LOSS OF USE, LOSS OF TIME, INCONVENIENCE OR
COMMERCIAL LOSS, OR BREACH OF IMPLIED OR EXPRESSED
WARRANTIES. ANY AND ALL SUCH LIABILITY IS EXPRESSLY
EXCLUDED. Some states do not permit the exclusions or limitations of incidental or
consequential damages, so these limitations may not apply to you. PURCHASER
FURTHER AGREES AND UNDERSTANDS THAT THE LIABILITY OF
MBUSA UNDER THIS AGREEMENT OR OTHERWISE FOR ANY ONE
MAINTENANCE SERVICE INTERVAL SHALL NOT EXCEED THE RETAIL
VALUE OF THE REQUIRED MAINTENANCE SERVICE INTERVAL AS
RECOMMENDED BY MBUSA IN THE "MAINTENANCE BOOKLET." THE
MAXIMUM LIABILITY OF MBUSA FOR THE ENTIRE TERM OF THIS
AGREEMENT SHALL NOT EXCEED THE AGGREGATE RETAIL VALUE OF
ALL REQUIRED MAINTENANCE SERVICES AS RECOMMENDED BY
MBUSA IN THE "MAINTENANCE BOOKLET' THAT OCCURS DURING THE
TERM OF THIS AGREEMENT, AS SELECTED ON PAGE 1.
AGREEMENT COVERAGE:
(INITIAL)
This Agreement provides specific term coverage for the specified years or mileage,
(whichever occurs first) as defined on page I. The agreement type/term dictates the
number of service intervals included; 2 year/20,000 mile plan covers 2 service
intervals, the 3 year/30,000 mile plan covers 3 service intervals, and the 4 year/40,000
mile plan covers 4 service intervals. The plan covers routine ("required") maintenance
services; and wiper blade inserts. Most routine services are required to be performed at
service intervals occurring every 10,000 miles or 12 months, whichever occurs first,
from the vehicle's original in-warranty date and is applicable to normal vehicle use. It
is required that such routine maintenance services be performed as close to the 10,000
mile service intervals as possible. Failure to do so may result in services being denied.
The term of this specific Agreement is defined on page I. All service-related functions
will be performed by personnel of any authorized Mercedes-Benz dealership in the
United States or Puerto Rico. MBUSA reserves the right to make changes to service
requirements. THIS AGREEMENT DOES NOT INCLUDE ANY REPLACEMENT
OF PARTS OR ADDITIONAL DEALER-RECOMMENDED SERVICE NOT
SPECIFICALLY IDENTIFIED HEREIN. THIS AGREEMENT DOES NOT COVER
MAINTENANCE, SERVICE OR REPLACEMENT OF/TO THE LITHIUM ION
BATTERY OR ELECTRIC POWERTRAIN, OR ANY COMPONENTS THEREOF,
FOR ELECTRIC-DRIVE VEHICLES.
ASBO-PPM—REV01-012014-Dianbacion: Lientiolder. Ocala File.Cusscener
EFTA00285871
AGREEMENT COVERAGE (CONT.):
(INITIAL)
MERCEDES-BENZ
PREPAID
MAINTENANCE
AGREEMENT
Required services covered as defined and listed below (Intervals in the thmi.ands)
EXCLUSIONS:
(INITIAL)
All Models
2k
10k
20k 30k
40k
Synthetic motor oil and filter replacement
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
Cabin dust/combination filter replacement
Brake fluid change
Fluid levels check and correction
Multipoint inspection
Wiper blade sets
Specific NAG Model Services
Rear axle oil change
V
V
V
V
V
Engine air filter replacement
Transmission oil and filter replacement
V12 AMG coolant service
Specific OA & GLA (AMG Models) Services
Rear axle oil change
V
V
V
V
V
V
V
Engine air filter replacement
Transmission oil and filter replacement
Hole: Above services may vary according to model and engine
Mercedes-Benz Electric Models
10k 20k 30k 40k
Combination filter replacement
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
Brake fluid change
Fluid levels check and correction
Multipoint inspection
Wiper Blade sets
The following are not covered by this Agreement:
1. ALL ITEMS OR COSTS NOT SPECIFICALLY IDENTIFIED AS
COVERED BY THIS AGREEMENT AND WHICH ARE NOT LISTED
IN YOUR "MAINTENANCE BOOKLET."
2. ELECTRIC-DRIVE VEHICLES: Maintenance, service or replacement of/to
the lithium ion battery or electric powertrain, or any components thereof.
3. SERVICE AT NON-AUTHORIZED DEALERS: Otherwise covered
maintenance services when the prescribed service is not performed by an
authorized Mercedes-Benz dealership.
4. CONSEQUENTIAL DAMAGES: Any consequential or secondary damages
that may be suffered as a result of the need to repair or replace a part
except to the extent coverage of such damage is required by the state whose
law governs this Agreement.
5. ALTERED ODOMETER: Any vehicle on which the odometer has been
altered and the actual mileage cannot be determined.
6. LIABILITY FROM USE OF THE VEHICLE: Liability for damage to
property or injury or death of any person arising out of the operation,
maintenance or use of the vehicle whether or not related to the prescribed
services.
7. TAXES: Any and all taxes required on Agreement services, except where
prescribed by law.
8. Claims where the procedures for obtaining the prescribed service, as
described under section "How to Obtain Service," below, are not followed.
9. Any repairs to or mechanical breakdowns of the vehicle, whether associated
with or not associated with a prescribed service.
10. Loss of use of the vehicle.
11. Damages arising from the failure to have prescribed maintenance
performed in accordance with required maintenance schedule.
ASB0-PPM—REVel-Ce120I4-Diandation: Lientmider. ()cola File.Custcener
EFTA00285872
HOW TO OBTAIN SERVICE:
(INITIAL)
1. Contact your Selling Dealer, or any authorized Mercedes-Benz dealership
a) Schedule a maintenance appointment for the appropriate service.
b) Bring the vehicle along with the "Maintenance Booklet" and Mercedes-
Benz Vehicle Maintenance Agreement to your Selling Dealer, or any
authorized Mercedes-Benz dealership.
c) Sign the repair order upon completion of all required services.
d) Pay for any non-covered service and/or parts and taxes, if applicable.
2. If you require assistance in locating an authorized Mercedes-Benz dealership,
please call the Mercedes-Benz Customer Assistance Center toll-free at (800) FOR-
MERCEDES (800-367-6372).
ALL OBLIGATIONS OF THE PROVIDER UNDER THIS AGREEMENT
ARE BACKED BY THE FULL FAITH AND CREDIT OF THE PROVIDER,
MBUSA.
NOTICE:
If a dealership has failed to perform requested services as described in the Mercedes-
Benz" Maintenance Booklet" please refer to the consumer information section of the
vehicle's Operator's Manual or the Service & Warranty Information Booklet. This
Agreement may be cancelled by MBUSA if the vehicle does not meet the eligibility
guidelines stated herein.
TRANSFER:
(INITIAL)
This Agreement's benefits may only be transferred by the original purchaser to a
Private Party Purchaser (the approved transferee) to whom you sell the vehicle. This
can be done only if the Private Party Purchaser presents the Selling Dealer, or any
authorized Mercedes-Benz dealership, with proof of ownership for the vehicle and a
copy of this Agreement. THIS AGREEMENT MAY NOT BE TRANSFERRED TO
ANOTHER VEHICLE.
CANCELLATION:
(INITIAL)
Subject to any specific exclusions or limitations under State law, this Agreement
cannot be cancelled by the purchaser and is non-refundable.
STATE AMENDMENTS:
(INITIAL)
If you purchased this Agreement in any of the following states, this Agreement is
amended as indicated below:
California:
The Purchaser may cancel this Agreement at any time by submitting a written
cancellation request to the Selling Dealer or any Authorized Mercedes-Benz Dealer.
If the Purchaser elects to cancel this Agreement within 60 days of the effective date
and has not received any service under this Agreement, the Selling Dealer will within
30 days of cancellation issue to the Purchaser a full refund equal to the Purchase
Price. If the Purchaser has received service under this Agreement, the Selling Dealer
shall issue to the Purchaser within 30 days of cancellation a refund equal to the
Purchase Price minus the cost of any services received under this Agreement.
If the Purchaser elects to cancel this Agreement more than 60 days after the effective
date, the Selling Dealer shall issue to the Purchaser within 30 days of cancellation a
refund equal to the Purchase Price minus the cost of any services received under this
Agreement.
MBUSA reserves the right to cancel this Agreement at any time for Purchaser non-
payment. If the Purchaser fails to pay as required, MBUSA may terminate this
Agreement by mailing to the Purchaser a written notice stating the grounds for
cancellation, and this Agreement will terminate 5 days after the postmarked date of
the cancellation notice. The Selling Dealer shall then issue to the Purchaser within 30
days of cancellation a refund equal to the Purchase Price minus any services received
under this Agreement.
MBUSA reserves the right to cancel this Agreement at any time for the Purchaser's
fraud or material misrepresentation. MBUSA may terminate this Agreement by
mailing to the Purchaser a written notice stating the specific nature of the fraud or
misrepresentation. The Selling Dealer shall then issue to the Purchaser within 30
days of cancellation a refund equal to the Purchase Price minus any services received
under this Agreement.
If any promise made in this Agreement has been denied or has not been honored
within 60 days after your request, you may contact the California Department of
Insurance at 1.800.927-4357.
ASBO-PPM—REV01-012014-Dianbacion: Lientiolder. Ocala File.Cusscener
EFTA00285873
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Phone
(800-367-6372Phone
1-800-367.6372Phone
1.800.927-4357Phone
2827170SWIFT/BIC
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