EFTA00285870.pdf

Contract Number MP2827170 DARREN K INDYKE PLLC 56113 MERCEDES-BENZ MANHATTAN. INC. Purchaser Last Name First Dealer Code Dealer Name 575 LEXINGTON AVE FL 4 MERCEDES-BENZ MANHATTAN. INC. Address D/B/A NEW YORK NY 100226146 NEW YORK NY City State Zip Phone Dealer City State Lienholder Name Address City State Zip Phone ML350W4 ML350W4/2015 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 + Sales Tax $ 161.97 = Total Purchase Price $ 1,986.97 4YR Agreement End Date: Month Day Year 05/15.12015 THERESA INGANNAMORTE 05/15:2015 Customer Signature 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. it au application for earerage whleteltialtieftWappnoval and seavittryMereedas-Bette USAILC(MBUSA). This Mercedes-BetzPrepaid tialmetanee Amman la as S&ed Aare betweee the Podium sodMBUSA. Order seder 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 LIMITS OF LIABILITY: (INITIAL) The performance of work for prescribed maintenance services as stated under this GENERAL PROVISIONS: (INITIAL) MERCEDES-BENZ PREMIER PREPAID MAINTENANCE AGREEMENT is the Agreement Territory. Term and Mileage Expiration - The Mercedes-Benz Prepaid only remedy available under this Agreement. LIMITATION OF LIABILITY: Maintenance Agreement (this "Agreement") applies to service occurring only within MBUSA WILL NOT BE LIABLE FOR INCIDENTAL OR CONSEQUENTIAL the United States and Puerto Rico. Regardless of the date of this Agreement LOSS OR DAMAGE UNDER THIS AGREEMENT INCLUDING, BUT NOT purchase, the mileage and time duration term of this Agreement begins on the date LIMITED TO, LIABILITY FOR INJURY, LOSS OF LIFE, PROPERTY this Agreement commences, as indicated on page I. This Agreement expires after all DAMAGE, LOSS OF USE, LOSS OF TIME, INCONVENIENCE OR covered provisions of this Agreement have been fulfilled (1 service interval per COMMERCIAL LOSS, OR BREACH OF IMPLIED OR EXPRESSED every 10,000 miles) or 90 days after the Agreement end date, whichever occurs first. WARRANTIES. ANY AND ALL SUCH LIABILITY IS EXPRESSLY This Agreement must be purchased prior to the occurrence of 10,000 total miles or EXCLUDED. Some states do not permit the exclusions or limitations of incidental or the performance of the first factory-required service interval (whichever occurs first). consequential damages, so these limitations may not apply to you. PURCHASER FURTHER AGREES AND UNDERSTANDS THAT THE LIABILITY OF NATURE OF AGREEMENT: (INITIAL) MBUSA UNDER THIS AGREEMENT OR OTHERWISE FOR ANY ONE The Purchaser agrees and understands that this Agreement is NOT A POLICY OF MAINTENANCE SERVICE INTERVAL SHALL NOT EXCEED THE RETAIL INSURANCE. VALUE OF THE REQUIRED MAINTENANCE SERVICE INTERVAL AS RECOMMENDED BY MBUSA IN THE "MAINTENANCE BOOKLET." THE DEFINITION OF TERMS: MAXIMUM LIABILITY OF MBUSA FOR THE ENTIRE TERM OF THIS Maintenance Booklet: Manufacturer's manual containing maintenance work AGREEMENT SHALL NOT EXCEED THE AGGREGATE RETAIL VALUE OF information utilized for a vehicle's specific model, age or mileage. ALL REQUIRED MAINTENANCE SERVICES AS RECOMMENDED BY Any Authorized Mercedes-Benz Passenger Vehicle Dealer. Any authorized MBUSA IN THE "MAINTENANCE BOOKLET' THAT OCCURS DURING THE Mercedes-Benz Dealer in the United States and Puerto Rico of the owner's choice TERM OF THIS AGREEMENT, AS SELECTED ON PAGE 1. can perform Mercedes-Benz Prepaid Maintenance services. The vehicle should be delivered to the authorized Dealer during normal service hours. A reasonable time AGREEMENT COVERAGE: (INITIAL) should be allowed after taking the vehicle to the authorized Dealer for performance This Agreement provides specific term coverage for the specified years or mileage, of the service. (whichever occurs first) as defined on page I. The agreement type/term dictates the Private Party Purchaser: means a purchaser of the vehicle other than a Motor Vehicle number of service intervals included; 2 year/20,000 mile plan covers 2 service Dealer or Authorized Mercedes-Benz Dealer, or a person actively engaged in the intervals, the 3 year/30,000 mile plan covers 3 service intervals, and the 4 year/40,000 business of buying, selling or exchanging vehicles. mile plan covers 4 service intervals. The plan covers routine ("required") maintenance No Charge: Mercedes-Benz Prepaid Maintenance services will be provided at no services; and wiper blade inserts. Most routine services are required to be performed at charge for parts, labor or diagnostic operations which are directly related to the service intervals occurring every 10,000 miles or 12 months, whichever occurs first, Agreement coverage. from the vehicle's original in-warranty date and is applicable to normal vehicle use. It Vehicle: The vehicle specified on page 1; which cannot be used for for-hire, is required that such routine maintenance services be performed as close to the 10,000 emergency, law enforcement or commercial rental purposes. mile service intervals as possible. Failure to do so may result in services being denied. Mercedes-Benz USA LLC (MBUSA) We, Us, Our: The party obligated to provide The term of this specific Agreement is defined on page I. All service-related functions the services under this Agreement. One Mercedes Drive, Montvale, N.J. 07645 I - will be performed by personnel of any authorized Mercedes-Benz dealership in the 800-FOR-MERCEDES (1-800-367.6372). 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) The following are not covered by this Agreement: 1. ALL ITEMS OR COSTS NOT SPECIFICALLY IDENTIFIED AS All Models 2k 10k 20k 30k 40k COVERED BY THIS AGREEMENT AND WHICH ARE NOT LISTED Synthetic motor oil and filter replacement V V V V IN YOUR "MAINTENANCE BOOKLET." Cabin dust/combination filter replacement V V 2. ELECTRIC-DRIVE VEHICLES: Maintenance, service or replacement of/to Brake fluid change V V the lithium ion battery or electric powertrain, or any components thereof. Fluid levels check and correction V V V V 3. SERVICE AT NON-AUTHORIZED DEALERS: Otherwise covered Multipoint inspection V V V V maintenance services when the prescribed service is not performed by an Wiper blade sets V V V V authorized Mercedes-Benz dealership. Specific NAG Model Services 4. CONSEQUENTIAL DAMAGES: Any consequential or secondary damages Rear axle oil change V V that may be suffered as a result of the need to repair or replace a part Engine air filter replacement V except to the extent coverage of such damage is required by the state whose Transmission oil and filter replacement V law governs this Agreement. V12 AMG coolant service V 5. ALTERED ODOMETER: Any vehicle on which the odometer has been Specific OA & GLA (AMG Models) Services altered and the actual mileage cannot be determined. Rear axle oil change V V 6. LIABILITY FROM USE OF THE VEHICLE: Liability for damage to Engine air filter replacement V V V V property or injury or death of any person arising out of the operation, Transmission oil and filter replacement V maintenance or use of the vehicle whether or not related to the prescribed Hole: Above services may vary according to model and engine services. 7. TAXES: Any and all taxes required on Agreement services, except where prescribed by law. Mercedes-Benz Electric Models 10k 20k 30k 40k 8. Claims where the procedures for obtaining the prescribed service, as Combination filter replacement V V described under section "How to Obtain Service," below, are not followed. Brake fluid change V V 9. Any repairs to or mechanical breakdowns of the vehicle, whether associated Fluid levels check and correction V V V V with or not associated with a prescribed service. Multipoint inspection V V V V 10. Loss of use of the vehicle. Wiper Blade sets V V V V 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) STATE AMENDMENTS: (INITIAL) 1. Contact your Selling Dealer, or any authorized Mercedes-Benz dealership If you purchased this Agreement in any of the following states, this Agreement is a) Schedule a maintenance appointment for the appropriate service. amended as indicated below: b) Bring the vehicle along with the "Maintenance Booklet" and Mercedes- Benz Vehicle Maintenance Agreement to your Selling Dealer, or any California: authorized Mercedes-Benz dealership. The Purchaser may cancel this Agreement at any time by submitting a written c) Sign the repair order upon completion of all required services. cancellation request to the Selling Dealer or any Authorized Mercedes-Benz Dealer. 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, If the Purchaser elects to cancel this Agreement within 60 days of the effective date please call the Mercedes-Benz Customer Assistance Center toll-free at (800) FOR- and has not received any service under this Agreement, the Selling Dealer will within MERCEDES (800-367-6372). 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 ALL OBLIGATIONS OF THE PROVIDER UNDER THIS AGREEMENT shall issue to the Purchaser within 30 days of cancellation a refund equal to the ARE BACKED BY THE FULL FAITH AND CREDIT OF THE PROVIDER, Purchase Price minus the cost of any services received under this Agreement. MBUSA. If the Purchaser elects to cancel this Agreement more than 60 days after the effective NOTICE: date, the Selling Dealer shall issue to the Purchaser within 30 days of cancellation a If a dealership has failed to perform requested services as described in the Mercedes- refund equal to the Purchase Price minus the cost of any services received under this Benz" Maintenance Booklet" please refer to the consumer information section of the Agreement. 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 MBUSA reserves the right to cancel this Agreement at any time for Purchaser non- guidelines stated herein. 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 TRANSFER: (INITIAL) cancellation, and this Agreement will terminate 5 days after the postmarked date of This Agreement's benefits may only be transferred by the original purchaser to a the cancellation notice. The Selling Dealer shall then issue to the Purchaser within 30 Private Party Purchaser (the approved transferee) to whom you sell the vehicle. This days of cancellation a refund equal to the Purchase Price minus any services received can be done only if the Private Party Purchaser presents the Selling Dealer, or any under this Agreement. authorized Mercedes-Benz dealership, with proof of ownership for the vehicle and a copy of this Agreement. THIS AGREEMENT MAY NOT BE TRANSFERRED TO MBUSA reserves the right to cancel this Agreement at any time for the Purchaser's ANOTHER VEHICLE. 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 CANCELLATION: (INITIAL) days of cancellation a refund equal to the Purchase Price minus any services received Subject to any specific exclusions or limitations under State law, this Agreement under this Agreement. cannot be cancelled by the purchaser and is non-refundable. 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