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MAKATI FINANCE CORPORATION

SAMPLE TEMPLATE FOR LOCK-IN INSURANCE

Bodily Property
Acts of
OD/Theft Injury Damage
Nature
100K 100 K

MODEL SRP
VESPA S 125 500,000 12,500.00 2,500.00 105.00 555.00
1st YEAR

COMPRE
Compre
& CTPL
Basic Doc Total CTPL OD/Theft
UPPA EVAT LGT AMOUNT
Premium Stamps Amount price Overate
DUE (with
Due
AON)

250.00 15,910.00 1,909.20 1,988.75 31.82 19,839.77 770.40 20,610.17 3,750.00


DUE TO
BI/PD/ STANDAR
AON CTPL Total Comm Net COMMISS
UPPA D OD/Theft
Overate Comm Comm Tax Comm ION
Comm INSURAN
CE
SRP
500.00 57.74 215.00 272.74 40.91 231.83 4,481.83 16,128.34 450,000.00 11,250.00
2nd YEAR

Compre
Bodily Property
Acts of Basic Doc Total
Injury Damage UPPA EVAT LGT No CTPL
Nature Premium Stamps Amount
100K 100 K
Due

2,250.00 105.00 555.00 250.00 14,410.00 1,729.20 1,801.25 28.82 17,969.27 0.00
R

COMPRE DUE TO
AMOUNT BI/PD/ STANDAR
OD/Theft AON CTPL Total Comm Net COMMISS
DUE (with UPPA D
Overate Overate Comm Comm Tax Comm ION
AON, NO Comm INSURAN
CTPL) CE

17,969.27 3,375.00 450.00 0.00 215.00 215.00 32.25 182.75 4,007.75 13,961.52
Bodily Property
Acts of Basic
OD/Theft Injury Damage UPPA EVAT
Nature Premium
100K 100 K

SRP
405,000.00 10,125.00 2,025.00 105.00 555.00 250.00 13,060.00 1,567.20
3rd YEAR

COMPRE
Compre
AMOUNT BI/PD/
Doc Total CTPL OD/Theft AON CTPL Total
LGT DUE (with UPPA
Stamps Amount price Overate Overate Comm Comm
AON, NO Comm
Due
CTPL)

1,632.50 26.12 16,285.82 0.00 16,285.82 3,037.50 405.00 0.00 215.00 215.00
DUE TO
STANDAR Bodily Property
Comm Net COMMISS Acts of
D OD/Theft Injury Damage
Tax Comm ION Nature
INSURAN 100K 100 K
CE
SRP
32.25 182.75 3,625.25 12,660.57 364,500.00 9,112.50 1,822.50 105.00 555.00
4th YEAR

COMPRE
Compre
AMOUNT
Basic Doc Total CTPL OD/Theft
UPPA EVAT LGT DUE (with
Premium Stamps Amount price Overate
AON, No
Due
CTPL)

250.00 11,845.00 1,421.40 1,480.63 23.69 14,770.72 0.00 14,770.72 2,733.75


DUE TO
BI/PD/ STANDAR
AON CTPL Total Comm Net COMMISS
UPPA D OD/Theft
Overate Comm Comm Tax Comm ION
Comm INSURAN
CE
SRP
364.50 0.00 215.00 215.00 32.25 182.75 3,281.00 11,489.72 328,050.00 8,201.25
5th YEAR

Compre
Bodily Property
Acts of Basic Doc Total CTPL
Injury Damage UPPA EVAT LGT
Nature Premium Stamps Amount price
100K 100 K
Due

1,640.25 105.00 555.00 250.00 10,751.50 1,290.18 1,343.94 21.50 13,407.12 0.00
EAR

COMPRE DUE TO
AMOUNT BI/PD/ STANDAR
OD/Theft AON CTPL Total Comm Net COMMISS
DUE (with UPPA D
Overate Overate Comm Comm Tax Comm ION
AON, No Comm INSURAN
CTPL) CE

13,407.12 2,460.38 328.05 0.00 215.00 215.00 32.25 182.75 2,971.18 10,435.95

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