TH190 Claims

09175574614
09957649018 ms michelle
( officer re their insurance)
STATEMENT OF ACCOUNT
VAT Reg. TIN 000-491-813-000
SA NO. 220077427
LINE
AUTO INSURANCE
PRIVATE CAR PREMIUM PHP 17,731.11
POLICY NO. MC-PVC-MKT-0004305 VAT 2,127.73
DOC STAMPS 2,216.50
FIRE SERVICE TAX 0.00
TERM FROM DEC 10, 2021 12:00 PM LOCAL GOV'T TAX 35.46
TO MAY 01, 2023 12:00 PM 0.00
PREMIUM TAX
ISSUE DATE MAR 10, 2022 0.00
OTHER CHARGES
INTERMEDIARY 80000 TOTAL AMOUNT DUE PHP 22,110.80
INSURED : SMEDD CORP.

9TH FLOOR SM MALL OF ASIA ARENA ANNEX BUILDING
MALL OF ASIA COMPLEX (MOA) PASAY METRO MANILA
1300
TIN : 000000000000
BUSINESS STYLE :
TOTAL SUM INSURED : PHP 3,300,000.00

ITEM INSURED : 2020 MITSUBISHI MIRAGE G4 GLX 1.2G CVT
PLATE NO. : NFQ2634
COC NO. : -
MORTGAGEE : NIL
COVERAGE CODE TSI
O/D 450,000.00
THEFT 450,000.00
EXBI 500,000.00
PD 500,000.00
APA 500,000.00
MR 100,000.00
AON 450,000.00
RSCC 450,000.00
PV 450,000.00
INVOICE NO. : MC0458
BIR Permit No. : 0412-116-00191CBA/AR

Inclusive Series: 120000001-999999999
Date Issued : 04/02/2012
This Statement of Account must not be considered as a receipt. Official Receipt will be issued to you upon payment of this
account. If payment is made to our representative, demand for a Provisional Receipt and if our Official Receipt is not received
by you within 7 days please notify us. If payment is made to our office, demand for an OFFICIAL RECEIPT.
REMINDER : In compliance with Revenue Regulation Nos. 9-2000 and 15-2001 as issued by the Bureau of Internal Revenue,
and Circular Letter No. 7-2002 as issued by the Insurance Commission, Documentary Stamp Tax (DST) shall be due upon
issuance of the Policy identified in this Statement, even if said Policy is subsequently cancelled or not taken up by the Insured.
No refund on DST shall be entertained.
THIS IS COMPUTER GENERATED.
Prudential Guarantee and Assurance, Inc. COYIUTO HOUSE 119 C. Palanca St., Legaspi Village, Makati City, 1229 Philippines Tel. Nos.: (632) 8810-4916 / 8878-3000 / 8651-9500
Fax: (632) 8819-2991 customercare@prudentialguarantee.com | www.prudentialguarantee.com
W
W
G POLICY SCHEDULE
LINE & SUBLINE PREMIUM 17,731.11
AUTO INSURANCE DOC STAMPS 2,216.50
PRIVATE CAR PREMIUM TAX 0.00
FIRE SERVICE TAX 0.00
POLICY NO. MC-PVC-MKT-0004305 VALUE ADDED TAX 2,127.73
LOCAL GOV'T TAX 35.46
TERM FROM DEC 10, 2021 12:00 PM OTHER CHARGES 0.00
TO MAY 01, 2023 12:00 PM
ISSUE DATE MAR 10, 2022 AMOUNT DUE 22,110.80
INTERMEDIARY 80000 CURRENCY PHILIPPINE PESO

INSURED : SMEDD CORP.
9TH FLOOR SM MALL OF ASIA ARENA ANNEX BUILDING
MALL OF ASIA COMPLEX (MOA) PASAY METRO MANILA
1300
RENEWING POLICY NO. MC-CMV-MKT-0015632
1 2020 MITSUBISHI MIRAGE G4 GLX 1.2G CVT
PLATE NO. : NFQ2634 DEDUCTIBLE : 2,250.00
SERIAL NO. : PAEA13RJLLA018830 TOWING : 100.00
MOTOR NO. : 3A92UJT6075 REPAIR LIMIT : 2,350.00
COLOR : COOL SILVER
SEATING CAP. : 5
ACCESSORIES DESCRIPTION VALUE
AIRCONDITIONER FACTORY BUILT-IN
STEREO SYSTEM STD. FACTORY AUDIO SET-UP
ONE SET MAGWHEELS (5PCS.) FACTORY BUILT-IN
A I P : ENROLLED
SCHEDULE OF RATES AND PREMIUMS :

COVERAGE SUM INSURED PREMIUMS
SEC III -OWN DAMAGE 450,000.00
THEFT 450,000.00
SEC IV-A-EXCESS BODILY INJURY 500,000.00
SEC IV-B-PROPERTY DAMAGE 500,000.00
AUTO PERSONAL ACCIDENT 500,000.00
MEDICAL REIMBURSEMENT 100,000.00
ACTS OF NATURE 450,000.00
RIOT, STRIKE, CIVIL COMMOTION 450,000.00
POLITICAL VIOLENCE 450,000.00
17,731.11
* - * - * - * - *
GENERAL INFORMATION:
/AJMUNDO
WARRANTIES AND CLAUSES AT THE TIME OF ISSUE:

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ATTACHED TO AND FORMING PART OF POLICY NO. MC-PVC-MKT-0004305 Page 2 of 17
BDOI EMPV PROGRAM FOR BDO SM EMPLOYEES AND AFFINITY
IN WITNESS WHEREOF, the Company has caused this policy to be signed by its duly
authorized officer/representative at Makati City on March 10, 2022.

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BDOI EMPV PROGRAM FOR BDO SM EMPLOYEES AND AFFINITY

WARRANTIES AND CLAUSES AT THE TIME OF ISSUE:
ACCESSORIES CLAUSE
MOTOR VEHICLE ACCESSORY CLAUSE
DRUNKEN DRIVER CLAUSE
DATE RECOGNITION CLAUSE
ACTS OF NATURE CLAUSE
AIRBAG CLAUSE
IMPORTATION CLAUSE
PAIR AND SET ENDORSEMENT
DEDUCTIBLE CLAUSE
ACCIDENTAL DEATH WORDINGS
AUTO PERSONAL ACCIDENT ENDORSEMENT W/ MEDICAL REIMBURSEMENT
IMPORTED CAR SPARE PARTS ENDORSEMENT
SECTIONS I & II DELETED
STRIKE, RIOT AND CIVIL COMMOTION
SUBJECT TO ACTS OF GOD
WAIVER OF DEPRECIATION - FOR VEHICLES UP TO FIVE(5) YEARS OLD, NO
DEPRECIATION SHALL APPLY IN TH EVENT FOR THE COST OF BRAND
NEW/ REPLACEMENT PART(S) TO REPLACE THE DAMAGED PART(S) OF
THE INSURED VEHICLE
LOCKED-IN VALUE ENDORSEMENT
CANCELLATION CLAUSE - 30 DAYS
CASA REPAIR CLAUSE - FOR VEHICLES UP TO 12 YEARS OF AGE
POLITICAL VIOLENCE CLAUSE - COVERS MATERIAL DAMAGE INCLUDING:
1. THIRD PARTY LIABILITY (BODILY INJURY/PROPERTY DAMAGE)
- PHP 100,000.00 PER PERSON
2. AUTO PERSONAL ACCIDENT COVER - PHP 75,000.00 PER PERSON
EXTENSION OF COVER
1. ROADSIDE ASSISTANCE:
1. Towing of the covered vehicle

2. Removal of the covered vehicle
For numbers 1 & 2:

The beneficiary is entitled of three (3) events per year. IN case of
road, accident, this limit will not apply. Vehicle will always be
delivered to the nearest accredited repair shop.
3. Fuel Delivery

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4. Battery boosting / jump starting

5. Locksmith service
6. Tire replacement
7. Stay or travelling expenses of the beneficiary due to the
immobilization of the covered vehicle. In the event of
immobilization of the covered vehicle due to breakdown
and repair time is longer than 48 hours.
8. Hospital Admission Assistance
9. Ambulance Coordination Assistance
10. Relay of Urgent Messages
11. Accident Coordination
12. Claims Procedure
13. Claims Requirements
14. Accredited Repair Shops
15. Accredited Adjusters
16. 24/7 Traffic Information and Road Condition (Metro Manila)
17. Nearest Gasoline Stations
18. Emergency Numbers (Police, Hospitals, Fire Stations, etc.)
19. Weather Information
Exclusions in
Towing Services: The Roadside Assistance Program will not be liable to provide
any assistance that arises directly or indirectly from:
a. Fraudulent acts by any member or any other person seeking

services under program
b. Consequential loss of any kind
c. Extraordinary phenomena such as floods, earthquake, volcanic
eruption, unusual cyclone storms, falling of astral bodies,
or meteorites, unless the extraordinary phenomena subsides
the roads become passable, service may be rendered as long
as it will not cause damage to the tow truck and or endanger
the lives of its service crew
d. Terrorism, mutinies or riots
e. Actions by the armed forces, or security forces, or other
organizations
f. Nuclear radio activity
g. The participation of the member in: competition sports
wagers or challenges competition, rallies or contest
criminal conduct
h. The participation of the member in risk activities such a
motor sports
i. The deliberate act of the member

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j. Illness or pathological states produced by voluntary

consumption of alcohol, drugs, toxic substances, narcotics
or medicines acquired without legal prescription
k. Suicide or attempted suicide, mental illness, pregnancy,
abortion or childbirth, preventive medical check-ups,
thermal treatments, aesthetics surgery, Acquired Immune
Deficiency Syndrome (AIDS) and trips whose objective is
receiving medical treatment or surgery
l. Labor related accidents or illness suffered during the
professional activity qualified as risk activity
m. The roadside assistance Program will not be liable to
provide any assistance in case the driver of the vehicle
m.1 is under the influence of drugs, toxic or narcotic
alcohol level exceeds than permitted by the law
m.2 is not in possession of a valid and subsisting driver's
license corresponding to the class of vehicle being
driven
n. The Roadside Assistance Program will not be liable for the
cost of any repairs to the vehicle
2. LEGAL ASSISTANCE FOR COMPREHENSIVE PACKAGES
3. BAIL BOND - PGA shall pay the cost of bail bond if required by the court in
connection with an incident involving insured vehicle up to maximum of
Php10,000.00 which subject to reimbursement from Prudential Guarantee and
Insurance, Inc. upon presentation of Official Receipt(s). Succeeding
renewal will be for the account of the Assured.
4. SECURITY GLASS ETCHING - For PC/AUV/SUV within 8 years of age. This benefit
is only available once premium has been paid and remitted to Prudential
Guarantee and Assurance, Inc. This is non-transferable and non-convertible
to cash. Limited within Metro Manila.
5. PSYCHOLOGICAL TESTING FOR FAMILY DRIVERS - Within Metro Manila Only
6. LOSS OF USE/TRANSPORTATION ALLOWANCE ENDORSEMENT: While the unit is being

repaired, subject to Php500.00 per day maximum of 7 days subject to
submission of original Official Receipts. In lieu of OR's settlement to be
based on the reasonable amount of transportation fare consumed by the
Insured by submitting a Summary of Expenses
Aggregate limit of Php3,500.00
Allowance Starts:
From the date of Letter of Authority to repair was issued and

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subject vehicle is surrendered to any authorized repair shop

In the date company has declared and scheduled vehicle a
constructive total loss
In case of theft, the day, following the report of such theft
to the Philippine National Police.
In lieu of Receipts, Reimbursement forms may be provided.
7. NATIONWIDE CLAIMS SERVICING THROUGH OUR BRANCHES NATIONWIDE.
8. PGA WILL PROVIDE CALL CENTER FOR BDO EMPLOYEES
9. FREE AUTO PERSONAL ACCIDENT INSURANCE COVERAGE PER SEAT/(PA RIDER) - UP TO

MAXIMUM SEATING CAPACITY: Php100,000.00 Per Seat; Excluding Motorcycles
Accidental Death and Disablement - Php100,000.00
Unprovoked Murder and Assault - Php100,000.00
Medical Reimbursement - Php10,000.00
Burial Benefit Expense - Php10,000.00
10. FREE NAMED PERSONAL ACCIDENT INSURANCE FOR REGISTERED OWNER/AUTHORIZED

DRIVER - Php100,000.00 for Accidental Death only on 24 hour worldwide over
basis.
This cover only responds if a named user for a company vehicle is declared.
11. NO PARTICIPATION DEDUCTED FROM THE CLAIM SETTLEMENT for recovery cases when
the Insured's vehicle is damaged by a third party.
IMPORTANT CONDITIONS:
Police Report or Traffic Incident Report Form must clearly show/
establish that 3rd party is at fault and not contesting liability.
3rd Party at fault is IDENTIFIED by submitting copy of Driver's License
and OR/CR
Affidavit is acceptable as long as there's supporting document from a
reliable Witness (i.e. Guard on Duty) and 3rd Party is again
IDENTIFIED and accept liability.
12. ACCEPTANCE OF VEHICLE BEYOND 12 YEARS OLD - in an event of claim, subject

to Cash Settlement if parts are no longer available.
13. INTER-ISLAND CONCEYANCE - own damage caused by accidental collision is

extended during inter-island transit subject to Insured's formal
declaration of the policy FMV to the shipper and 30 days prior notice and
approval to the insured.

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14. AUTOMATIC INCLUSION CLAUSE FOR ADDITIONAL ACCESSORY/IES - 45 days, subject

to declaration and submission of invoice showing complete description and
purchase price of accessories prior to approval by PGA. Subject to payment
of additional premium.
15. STANDARD ACCESSORY/IES ARE AUTOMATICALLY COVERED WHETHER DECLARED OR NOT.

This will cover built-in accessories provided in the model of the vehicle
upon release from the dealer as provided in the delivery receipts. The
amount compensable shall be subject to the actual cost at the time of loss
with no depreciation, except for external accessories.
16. ACCESSORIES CLAUSE - non-standard accessories are subject to declaration

and approval of PGA and subject to submission of complete description,
purchase price of accessories and payment of additional premium.
17. AUTOMATIC COVERAGE FOR NON-BUILT IN ACCESSORIES - up to Php25,000.00, in

the event of inadvertent non-declaration of the said accessories, anything
in excess is not covered unless declared and is subject to additional
premium. The amount compensable shall be subject to the actual cost at the
time of loss with no depreciation, except for external accessories.
18. AUTOMATIC EXTENSION OF PERIOD - within 45 days from the date of expiry
subject to pro-rata premium based on expiring terms.
19. LOCKED IN VALUE FROM INCEPTION FOR THE DURATION OF THE POLICY - if the
vehicle is declared total loss, the amount of settlement shall be the value
stated in the policy less deductible. This shall be applicable only when
Prudential Guarantee and Assurance, Inc.'s FMV is used upon issuance of the
policy.
20. NON-AVAILABILITY OF PARTS WILL BE SUBJECT TO CASH SETTLEMENT based on

available canvassed price. This applies also to vehicles which do not have
dealership in the country and also to imported grey-market vehicles
(sourced from Subic, Port Irene, Cagayan, Cebu and Davao).
21. DEPRECIATION - per policy conditions as it may apply. However, damage to

windshield (Glass Panels) is subject zero depreciation (Front and Rear) and
may be replaced by the Insured immediately, subject to reimbursement and
submission of claims documents, original receipt and pictures of damaged
glass panels that are still installed in the unit.
22. ALUMINUM PARTS CLAUSE (FOR COMMERCIAL VEHICLE ONLY) - which reads: "It is
hereby declared and agreed, that the company shall not be liable to pay for

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loss or damage under this policy on the first 40% of any one claim on the
aluminum parts of the vehicle insured therein.
DEDUCTIBLES
for Private Car(Sedan,AUV,SUV)

- .5% of sum insured, minimum of Php 2,000.00 each and every loss.
for Commercial Vehicle (FB body/Van/L300 and the likes but for private use)
- 1% of sum insured, minimum of Php 3,000 each and every loss.
For Motorcycle
- 1% of sum insured, minimum of Php 500.00 each and every loss; 25% if due
to Theft
ACCESSORIES CLAUSE
It is hereby declared and agreed that the company will not be liable for any claim
under this policy in respect of loss and damage to accessories of the vehicle/s
such as air-conditioning units, radios (other than the standard factory equipment)
and any other non-factory fitted accessories unless such accessories are
specifically declared to the company and noted in the policy with individual sums
insured applicable to each item.
AIRBAG CLAUSE
The Company will pay and/or replace the airbags including the cost of re-
installation following its deployment or discharge consequent upon a sudden and
accidental impact to the insured vehicle provided that due to such impact the said
vehicle sustained damages that are compensable under Section III of the Policy.
The Company, however, will not pay for claims in respect of damage to the airbags
nor for the cost of its re-installation as a result of the following:
a. faulty (I) design, (II) manufacture, or (III) installation regardless of

whether the scheduled vehicle is damaged at the same time;
b. discharge or deployment of airbags while the scheduled vehicle is undergoing
repairs
AUTO PERSONAL ACCIDENT ENDORSEMENT W/ MEDICAL REIMBURSEMENT

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In consideration of the payment of an additional premium, It is hereby understood

and agreed that the company undertakes to pay compensation on the scale provided
below for bodily injury as hereinafter defined sustained by
ONE AUTHORIZED DRIVER AND DECLARED PASSENGERS

(BASED ON SEATING CAPACITY)
In the motor vehicle herein insured while driving, mounting into, dismounting from
or travelling in the motor vehicle, and caused by violent accidental external and
visible means which independently of any other cause (excepting medical or
surgical treatment consequently upon such injury) shall within three calendar
months of the occurrence of such injury result in:
SCALE OF
COMPENSATION
(1) Death --------------------------------------------------- P 100,000.00/person
(2) Total and irrecoverable loss of all sight in both eyes -- P 100,000.00/person
(3) Total loss by physical severance at or above the wrist

or ankle of one hand or one foot together with the
total irrecoverable loss of all sight in one eye -------- P 100,000.00/person

or ankle of both hands or feet or of one hand together
with one foot ------------------------------------------- P 100,000.00/person
(5) Total irrecoverable loss of all sight in one eye -------- P 50,000.00/person

or ankle at one hand or one foot ------------------------ P 50,000.00/person
(7) Medical expenses payment -------------------------------- P 10,000.00/person
Provided always that:
(a) Compensation shall be payable under one only of items (1) to (7) above in
respect of any such driver arising out of any one occurrence and the total
liability of the company shall not in that aggregate exceed the sum of
P 100,000.00 during any one period of insurance.
(b) No compensation shall be payable in respect of death or injury directly or

indirectly wholly or in part arising or resulting from or traceable to (1)

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intentional self injury suicide (whether felonious or not) or attempted

suicide physical defect or infirmity or (2) an accident happening whilst such
driver is under the influence of intoxicating liquor or drugs.
(c) Such compensation shall be payable only with the approval of the insured and
directly to the injured driver or his legal personal representatives whose
receipt shall be a full discharge in respect of the injury to such person.
Subject otherwise to the terms and conditions of the policy.
DRUNKEN DRIVER CLAUSE
It is hereby understood and agreed that the company shall not indemnify the
Insured in respect of claim/s arising from accidents while the driver of the
insured vehicle is under the influence of intoxicated liquor, drugs, chemical and
the like.
This exclusion will not apply to damages or injuries sustained by third parties
resulting from the accident.
IMPORTED CAR SPARE PARTS ENDORSEMENT
It is hereby declared and agreed that the condition 6 under Section III - loss or
damage of this policy is deemed deleted and replaced by the following:
In the event of loss or damage to the scheduled vehicle or its accessories or

spare parts necessitating the supply of a part not obtainable from stock held in
the Philippines, or in the event of the company exercising the option to pay in
cash the amount of loss or damage, the liability of the company in respect of any
such part shall be limited to:
a) The price quoted in the latest catalogue or price list issued by the
manufacturer or his agents for the Philippines;
b) Freight expenses and all other expenses for the importation of such spare
parts shall be the responsibility and for the account of the assured.
It is further declared and agreed that the company is not liable for the delay of
repair due to non-availability of necessary spare parts.
Except as varied by this endorsement, all other terms and conditions remain
unaltered.

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PAIR AND SET ENDORSEMENT
It is hereby declared and agreed that the above-mentioned policy is amended as

follows:
Pair and Set Endorsement
It is understood and agreed that in the event of loss or damage to any accessory
or accessories, spare part or spare parts forming part of a pair or set, the
measure of loss or damage to such accessory or spare part shall be its reasonable
and fair proportion to the total value of the pair or set, giving consideration to
the importance of said accessories or spare parts, but in no event shall such loss
or damage be construed to mean a total loss of the pair or set.
Except as herein stated, all other terms and conditions remain unaltered.
POLITICAL VIOLENCE CLAUSE
Insuring Clause:
The Company agrees, notwithstanding what is stated in the printed conditions of
the Policy to the contrary, that this Clause will indemnify the Insured for its
ascertained Net Loss for any one Occurrence up to but not exceeding the Policy
Limit against physical loss or physical damage to the insured vehicle which
belongs to the Insured or for which the Insured is legally responsible, directly
caused by one or more of the following perils occurring during the Policy Period:
1. Act of Terrorism;
2. Sabotage;
3. Insurrection, Revolution or Rebellion;
4. Mutiny and/or Coup d'Etat;
5. War and/or Civil War
6. Counter-Insurgency (provided there is no prior physical loss or physical
damage to the insured vehicle directly caused by Perils 1-5)
Further, this Clause shall cover the physical loss or physical damage to the
Insured Vehicle which belongs to the Insured or for which the insured is legally
responsible, directly caused by the actions of the government of a state (or its
Military Authority) where the Insured Vehicle is located, in suppressing,
controlling or minimizing the consequences of an act or series of Acts of
Terrorism (Peril 1) and/or Sabotage (Peril 2), as insured by this Clause. The
Company will only provide this cover if such damage is directly caused by the
actions of the government of a state (or its Military Authority) where the
Insured Vehicle is located and such damage takes place during the occurrence of an

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Act or Series of Acts of Terrorism and/or Sabotage.
If the Insured is eligible for indemnity under any government compensation plan or
other similar scheme in respect of the damage described above, this Clause shall
be in excess of any recovery due from such plan or scheme.
Extensions:
a) Sub-limit of PHP 100,000.00 per person in respect of Terrorism Third Party
Liability not to exceed the policy aggregate limit stated.
b) Sub-limit of PHP 75,000.00 per person in respect of Auto Personal Accident
not to exceed the policy aggregate limit stated.
Definitions:
"Act of Terrorism" shall mean an act or series of acts, including the use of force
or violence, of any person or group(s) of persons, whether acting alone or on
behalf of or in connection with any organization(s), committed for political,
religious or ideological purposes including the intention to influence any
government and/or to put the public in fear for such purposes.
"Sabotage" shall mean willful physical damage or destruction perpetrated for

political reasons by known or unknown person(s).
"Insurrection, Revolution and Rebellion" shall mean a deliberate, organized and

open resistance, by force and arms, to the laws or operations of a sovereign
government, committed by its citizens or subjects and/or a rising against a
sovereign government or other authority.
"Mutiny" shall mean a willful resistance by members of legally armed or peace-

keeping forces to a superior officer.
"Coup d'Etat" shall mean the sudden, violent and illegal overthrow of a sovereign
government or any attempt at such overthrow.
"War" shall mean a contest by force between two or more sovereign nations, carried
on for any purpose, armed conflict of sovereign powers and/or declared or
undeclared and open hostilities between sovereign nations.
"Civil War" shall mean an internecine war, or a war carried on between or

among opposing citizens of the same country or nation.
"Counter-Insurgency" shall mean any action by a Military Authority (whether or not

the action(s) has the full consent of the government of the country where the loss

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occurs) taken against the activities of any guerrillas, revolutionaries or person

or group(s) of persons, whether acting alone or on behalf of or in connection with
any organization(s), committing acts of force or violence, committed for
political, religious or ideological purposes including the intention to influence
any government.
"Vehicle" means a vehicle fit for operations with a valid license, and registered
in the Philippines under a comprehensive Insurance policy issued by the company.
"Military Authority" shall mean a military or security authority operating on

behalf of a state recognized by the United Nations.
"Net Loss" shall, in respect of Insured Vehicle, mean the reasonable cost of
repairing, replacing or reinstating (whichever is the least) to a condition
substantially the same as but not better than the condition of the Insured Vehicle
immediately prior to the loss subject to the repairing, replacing or reinstating
being carried out and subject to the following provisions:
1. The repairs, replacement or reinstatement (all hereinafter referred to as
"replacement") must be executed with due diligence and dispatch;
2. If the Insured Vehicle is not repaired, replaced or reinstated within a
reasonable period of time, the Company shall pay the Actual Cash Value;
3. All amounts shall be calculated at the date of loss and in no event shall
the Company be liable for more than the Policy Limit.
This Clause Does Not Indemnify Against:

1. Loss or damage arising directly or indirectly from nuclear detonation,
nuclear reaction, nuclear radiation or radioactive contamination, however
such nuclear detonation, nuclear reaction, nuclear radiation or nuclear
contamination may have been caused nor from any loss or damage directly or
indirectly caused by or contributed to from any nuclear waste or the
radioactive, toxic, explosive or other hazardous properties of any explosive
nuclear assembly or nuclear component thereof.
2. Loss or damage directly or indirectly caused by seizure, confiscation,
nationalization, requisition, expropriation, detention, legal or illegal
occupation of any insured vehicle hereunder, embargo, condemnation, nor loss
or damage to the insured vehicle by law, order, decree or regulation of any
governing authority, nor for loss or damage arising from acts of contraband
or illegal transportation or illegal trade.
3. Any loss arising from War (whether before or after the outbreak of
hostilities) between any two or more of the following: China, France, the
Russian Federation, the United Kingdom and the United States of America.
4. Delay, loss of market, loss of income, loss of use, denial of access,
cancellation of business, depreciation, reduction in functionality, and

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increased cost of working.

5. Consequential loss or damage howsoever arising.
6. Third party liability howsoever arising except those arising by seizure or
legal or illegal occupation caused directly by an Act of Terrorism.
7. Loss or damage directly or indirectly arising from or in consequence of the
discharge of pollutants or contaminants, which pollutants or contaminants
shall include but not be limited to any solid, liquid, gaseous or thermal
irritant, contaminant of toxic or hazardous substance or any substance the
presence, existence or release or of which endangers or threatens to
endanger the health, safety or welfare of persons or the environment.
8. Loss or damage directly or indirectly caused by chemical or biological
release or exposure of any kind, nor any loss or damage directly or
indirectly caused by any chemical, biological, bio-chemical or
electromagnetic weapon.
9. Loss or damage directly or indirectly caused by electronic means including
computer hacking or the introduction of any form of computer virus (save
where a mobile phone is used as a remote trigger device in order to cause
physical loss or physical damage insured hereunder).
10. Loss, damage, destruction, distortion, erasure, corruption or alteration of
Electronic Data.
11. Loss or damage or increased cost directly or indirectly occasioned by any
public or civil authority's enforcement of any ordinance, law, order decree
or regulation.
12. Loss or damage directly or indirectly caused by cessation, fluctuation,
variation in, or insufficiency of, water, gas or electricity supplies and/or
telecommunications or any other type of service or utilities.
13. Loss or damage or increased cost directly or indirectly the result of threat
or hoax.
14. Loss or damage directly or indirectly caused by looting, pillaging,
mysterious or unexplained disappearance of vehicle insured hereunder or
directly or indirectly caused by any person taking part in any such
activity.
15. Loss or damage directly or indirectly caused by the suspension, lapse or
cancellation of any lease, license, contract or order (including non-
completion of any order).
16. Any infidelity, fraudulent, dishonest or criminal act by any director,
officer or trustee of the Insured whether acting alone or in collusion with
others.
17. Any loss due to fines or damages for breach of contract or penalties of
whatever nature.
18. Loss or damage caused by, connected to, relating to or howsoever arising
from exposure to or the existence of asbestos or asbestos containing
materials or products (including for the avoidance of doubt the cost of

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removal of asbestos or materials or products containing asbestos).

19. Loss or damage caused by insects or vermin.
20. Any debt, insolvency or commercial failure, whether to provide bond or
security or otherwise, or any other financial cause of any party or person
whatsoever.
Conditions Applicable:
Occurrence
Occurrence shall mean any one loss and/or series of losses arising out of and
directly occasioned by one act or series of acts for the same purpose or cause.
The duration and extent of any one occurrence shall be limited to all losses
sustained by the Insured in respect of vehicle insured herein during any period of
72 consecutive hours arising out of the same purpose or cause. However, no such
period of 72 consecutive hours may extend beyond the expiration of this Policy
unless the Insured vehicle shall first sustain direct physical damage prior to
expiration and within said period of 72 consecutive hours nor shall any period of
72 consecutive hours commence prior to the attachment of this Policy.
Proof of Loss
The Insured shall render a signed and sworn proof of loss within 30 days after the
occurrence of such loss (unless such period shall be extended with the written
agreement of the Company) stating the time, place and cause of loss, the interest
of the Insured and all others in the vehicle insured, the Declared Value and the
amount of loss or damage thereto. If the Company has not received such proof of
loss within 6 months after the occurrence of the covered peril, it shall be
discharged from all liability in relation to such loss.
False and Fraudulent Claims

If the Insured shall make any claim knowing the same to be false or fraudulent, as
regards amount or otherwise, this Policy shall become void and all claims
hereunder shall be forfeited.
Misrepresentation
If the Insured has concealed or misrepresented any material fact or circumstance
relating to this Insurance, this Insurance shall become void. If the Insured is
unsure what constitutes material fact(s) or circumstance(s), they should consult
their broker or agent.
Notification of Loss or Damage

It is a condition precedent to Underwriters' liability that in the event of loss
or damage or circumstances arising that may give rise to a claim under this
insurance notice is to be given to Underwriters as soon as reasonably possible but

POLICY SCHEDULE
no later than 15 days after the occurrence of said loss or damage.
NOTHING HEREIN CONTAINED SHALL be held to vary, alter, waive or change any of the
terms, limits or conditions of this Policy except as herein provided.
SECTIONS I & II DELETED
STRIKE, RIOT AND CIVIL COMMOTION
It is hereby declared and agreed that the indemnity provided by this policy shall
be extended to cover loss or damage due to strike, riot and civil commotion which
for the purpose of this endorsement shall mean loss of or damage to the property
insured directly caused by:
a. The act of any person taking part together with others in any disturbance of
the public peace (whether in connection with a strike or lock-out or not)
b. The action of any constituted authority in suppressing or attempting to
suppress any such disturbance or in minimizing the consequences of any such
disturbance
c. The willful act of any striker or locked-out worker done in furtherance of a
strike or in resistance to a lockout; and
d. The action of any lawful constituted authority in preventing or attempting
to prevent any such act or in minimizing the consequences of any such act.
Provided further that the Company shall not be liable for loss, damage or
liability occasioned directly or indirectly by through or in consequence of any of
the following occurrences namely:
1. War, invasion, act of foreign enemy, hostilities or war-like operations

(whether war be declared or not), civil war
2. Mutiny, civil commotion assuming the proportion of or amounting to a popular
uprising, insurrection, rebellion, revolution, military or usurped power;
and
3. Acts of persons operating on behalf of or in connection with any political
organization, martial law or stage of siege or any events, which determine
the proclamation of martial law or state of siege.
4. Acts of terrorism committed by a person or persons acting on behalf of or in
connection with any organization.
For this purpose, an act of terrorism shall mean an act, including but not
limited to the use of force or violence and/or the threat thereof, of any

POLICY SCHEDULE
person or group(s) of persons, whether acting alone or on behalf of or in

connection with any organization(s) or government(s), committed for
political, religious, ideological, or similar purposes including the
intention to influence any government and/or to put the public, or any
section of the public, in fear.
This also excludes loss, damage, cost or expense of whatsoever nature

directly or indirectly caused by, resulting from or in connection with any
action taken in controlling, preventing, suppressing or in any way relating
to any act of terrorism.
SUBJECT TO ACTS OF GOD
It is hereby understood and agreed that the word "flood, typhoon, hurricane,
volcanic eruption, earthquake or other convulsion of nature" in the general
exceptions of this policy are deemed deleted.


TH190 Claims

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TH190 Claims

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09175574614

INSURED : SMEDD CORP.

TOTAL SUM INSURED : PHP 3,300,000.00

INVOICE NO. : MC0458

BIR Permit No. : 0412-116-00191CBA/AR

INTERMEDIARY 80000 CURRENCY PHILIPPINE PESO

SCHEDULE OF RATES AND PREMIUMS :

THIS IS COMPUTER GENERATED.

BDOI EMPV PROGRAM FOR BDO SM EMPLOYEES AND AFFINITY

THIS IS COMPUTER GENERATED.

BDOI EMPV PROGRAM FOR BDO SM EMPLOYEES AND AFFINITY

1. Towing of the covered vehicle

For numbers 1 & 2:

THIS IS COMPUTER GENERATED.

4. Battery boosting / jump starting

a. Fraudulent acts by any member or any other person seeking

THIS IS COMPUTER GENERATED.

j. Illness or pathological states produced by voluntary

2. LEGAL ASSISTANCE FOR COMPREHENSIVE PACKAGES

5. PSYCHOLOGICAL TESTING FOR FAMILY DRIVERS - Within Metro Manila Only

6. LOSS OF USE/TRANSPORTATION ALLOWANCE ENDORSEMENT: While the unit is being

THIS IS COMPUTER GENERATED.

subject vehicle is surrendered to any authorized repair shop

7. NATIONWIDE CLAIMS SERVICING THROUGH OUR BRANCHES NATIONWIDE.

8. PGA WILL PROVIDE CALL CENTER FOR BDO EMPLOYEES

9. FREE AUTO PERSONAL ACCIDENT INSURANCE COVERAGE PER SEAT/(PA RIDER) - UP TO

10. FREE NAMED PERSONAL ACCIDENT INSURANCE FOR REGISTERED OWNER/AUTHORIZED

12. ACCEPTANCE OF VEHICLE BEYOND 12 YEARS OLD - in an event of claim, subject

13. INTER-ISLAND CONCEYANCE - own damage caused by accidental collision is

THIS IS COMPUTER GENERATED.

14. AUTOMATIC INCLUSION CLAUSE FOR ADDITIONAL ACCESSORY/IES - 45 days, subject

15. STANDARD ACCESSORY/IES ARE AUTOMATICALLY COVERED WHETHER DECLARED OR NOT.

16. ACCESSORIES CLAUSE - non-standard accessories are subject to declaration

17. AUTOMATIC COVERAGE FOR NON-BUILT IN ACCESSORIES - up to Php25,000.00, in

20. NON-AVAILABILITY OF PARTS WILL BE SUBJECT TO CASH SETTLEMENT based on

21. DEPRECIATION - per policy conditions as it may apply. However, damage to

THIS IS COMPUTER GENERATED.

for Private Car(Sedan,AUV,SUV)

a. faulty (I) design, (II) manufacture, or (III) installation regardless of

AUTO PERSONAL ACCIDENT ENDORSEMENT W/ MEDICAL REIMBURSEMENT

THIS IS COMPUTER GENERATED.

In consideration of the payment of an additional premium, It is hereby understood

ONE AUTHORIZED DRIVER AND DECLARED PASSENGERS

(1) Death --------------------------------------------------- P 100,000.00/person

(3) Total loss by physical severance at or above the wrist

(4) Total loss by physical severance at or above the wrist

(6) Total loss by physical severance at or above the wrist

(7) Medical expenses payment -------------------------------- P 10,000.00/person

Provided always that:

(b) No compensation shall be payable in respect of death or injury directly or

THIS IS COMPUTER GENERATED.

intentional self injury suicide (whether felonious or not) or attempted

Subject otherwise to the terms and conditions of the policy.

DRUNKEN DRIVER CLAUSE

IMPORTED CAR SPARE PARTS ENDORSEMENT

In the event of loss or damage to the scheduled vehicle or its accessories or

THIS IS COMPUTER GENERATED.

PAIR AND SET ENDORSEMENT

It is hereby declared and agreed that the above-mentioned policy is amended as

POLITICAL VIOLENCE CLAUSE

THIS IS COMPUTER GENERATED.

Act or Series of Acts of Terrorism and/or Sabotage.

"Sabotage" shall mean willful physical damage or destruction perpetrated for