F-S&U-09

Revision 03
Revision Date : February 09, 2020

INSURANCE QUOTATION

DATE: May 5, 2023

Dear Sir/Madam:

We are pleased to submit hereunder for your consideration our Insurance Proposal. Details are as follows:

ASSURED :
SPS. JOHN CAÑALETE OCULARES AND GERALYN FERNANDEZ OCULARES

LOCATION OF RISK : LOT 13 BLOCK 1 ALICANTE STREET VISTA VERDE EXECUTIVE VILLAGE SAN ISIDRO CAINTA RIZAL

PROPERTY INSURED : BUILDING ONLY (EXCLUDING FOUNDATION)

OCCUPANCY / NATURE : RESIDENTIAL

PERIOD OF INSURANCE : TBA (NO RETROACTIVE DATE)

TOTAL SUM INSURED : BUILDING PHP 1,893,572.00

TOTAL SUM INSURED PHP 1,893,572.00

COVERAGE / PERILS : FIRE AND LIGHTNING, EARTHQUAKE, TYPHOON, EXTENDED COVERAGE, RIOT, STRIKES AND MALICIOUS DAMAGE

DEDUCTIBLE FOR UNIT : F/L - NIL

Earthquake – Insured shall bear that portion of the loss or damage caused by earthquake to
each affected item of insured property equivalent to 2% of its actual cash value at the time of
loss, for each claim or series of claims arising out of one occurrence. For the purpose of this
clause, the following shall be considered as separate items of insured property, regardless
of what is indicated in the policy schedule:
1) Each building, including machinery, equipment and fixtures normal to its operation;
2) All machinery and equipment contained in each building;
3) All stocks in trade (raw materials, work-in-process, supplies and finished goods),
contained in each building;
4) All other contents contained in each building;

Typhoon – Insured shall bear that portion of the loss or damage caused by typhoon to each
affected item of insured property equivalent to 2% of its actual cash value at the time of loss,
for each claim or series of claims arising out of any one typhoon occurrence, the duration
and extent of which shall be limited to 168 consecutive hours. For the purpose of this clause,
the following shall be considered as separate items of insured property, regardless of what
is indicated in the policy schedule:
1) Each building, including machinery, equipment and fixtures normal to its operation;
2) All machinery and equipment contained in each building;
3) All stocks in trade (raw materials, work-in-process, supplies and finished goods),
contained in each building;
4) All other contents contained in each building;

Extended Cover - DEDUCTIBLE APPLICABLE TO EXPLOSION, AIRCRAFT, VEHICLE, AND SMOKE

It is understood and agreed that the Insured shall bear the first 1%
of the sum insured on the affected item(s) under this endorsement but
not less than Php1, 000.00 nor more that Php500, 000.00 on any
material damage loss from any of the above mentioned perils.

CLAUSES / WARRANTIES : Date Recognition Exclusion Clause or Millenium

War and Terrorism Exclusion
Property Cyber and Data Exclusion Clause or LMA 5401
Communicable Disease Exclusion Clause LMA5394
Political
Institute Risks Exclusion
Radioactive Contamination, Chemical Biological, Biochemical Electromagnetic Weapons
Exclusion Clause CL370
Sanctions Limitations & Exclusion Clause (LMA 3100)

NET PREMIUM 3,976.50

DOC. STAMPS 497.50
EVAT 477.18
FST 62.11
LOC GOV'T TAX 7.95
TOTAL PREMIUM DUE 5,021.24

VALIDITY OF QUOTATION : 30 DAYS

OTHER INFORMATION :

We hope that you find the foregoing acceptable and shall look forward to hearing from you soon. Should you have any further
inquiries, please do not hesitate to call the undersigned.
In the meantime, we look forward receiving your confirmation of our proposal by affixing your signature below.

Very truly yours,

JOHN GUILLER PANGANIBAN

SALES ASSISTANT
BPI CORPORATE DIVISION
BPI/MS INSURANCE CORPORATION

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 F-S&U-09
Revision 03
Revision Date : February 09, 2020

INSURANCE QUOTATION

CONFORME:

______________________________
PRINTED NAME & SIGNATURE
DATE & TIME

It is understood that upon the issuance of the policy, no payment for Documentary Stamp Tax will be refunded as a result
of the cancellation or endorsement of the policy or a reduction in the premium due for whatever reason.

Client Identification including ID documents are requirement for submission under the Know Your Customer (KYC) of the
Philippine Anti-Money Laundering Act (AMLA) compliance for all individual and corporate clients.

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