Warranties and Clauses

Printed: 07/28/1615:29

ATTACHED TO AND FORMING PART OF THE VISAYAN SURETY & INSURANCE CORPORATION
POLICY NO.: GPA-HO-003527

YOUR PROTEK
BURIAL ASSIST
1.) A Double Indemnity Insurance Just For You because
We Care, We Ensure, We Protek
24/7, 365 days a year
At home or at work, anywhere in the world

2.) COVERAGE:
ACCIDENTAL DEATH
- Pays 100% of the sum insured.
PLUS BURIAL ASSISTANCE
- pays 100 % of the Burial Assistance Benefit
In case of Natural Death pays up to 100% of Burial assistance Benefit only
** Group Sales Only/No individual Selling
3.) SCHEDULE OF BENEFITS
PLAN A PLAN B PLAN C
AD & D
Accidental Death & Disablement) P 25, 000.00 P 50,000.00 P 100,000.00
Burial Assistance Expense P 25, 000.00 P 50, 000.00 P 100,000.00
Annual Premium Inclusive of Taxes Php 100.00 Php200.00 Php1,000.00

Plan A& B for C and D Market

Plan C is sold to A& B Market

4.)ELIGIBILITY
- 18 TO 60 YEARS OLD RENEWABLE UNTIL 65 YEARS OLD

WHO CAN BE COVERED?

ALL DRIVERS, EXCEPT RACERS, HABAL-HABAL AND PEDICAB DRIVERS
CONSTRUCTION WORKERS
INDUSTRIAL WORKERS
UTILITY WORKERS, HELPERS
OCW?S LAND BASE
OFFICE STAFFS, GOV OR PRIVATE
SALES MEN & LADIES, HELPERS
SELF-EMPLOYED, VENDORS
SMALL & MED ENTREPRENEURS

5.) EXCLUSIONS
WAR, INVASION, HOSTILITIES AND OTHER FOREIGN ENEMY ACTS
SUICIDE OR ATTEMPTED SUICIDE
POISON OR ANY POISONOUS SUBSTANCES ACCIDENTALLY OR OTHERWISE TAKEN,
ADMINISTERED, ABSORBED OR INHALED

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ATTACHED TO AND FORMING PART OF THE VISAYAN SURETY & INSURANCE CORPORATION
POLICY NO.: GPA-HO-003527

ACCIDENT BURIAL EXPENSE BENEFIT

It is hereby declared and agreed that, if injury should result to accidental death of the Insured Person, the
Company will, in addition to all other benefits payable under this Policy, pay for all actual burial expenses
incurred, but not exceeding the maximum amount of (PHP50,000.00/ PERSON) However, if injury should result
in death due to Murder and/or Assault, the Company is not liable to pay such burial expense incurred by the
insured person.

Aggregate Limit of Indemnity

The insurance Company shall not be liable for any amount in excess of th Aggregate Limit of Indemnity stated in
the Schedule with respect to any one accident. If the aggregate amount of all indemnities otherwise payable by
reason of coverage provided under the policy exceeds the Aggregate Limit of Indemnity, the Insurance
Company shall not be liable as respect each Insured Person for a greater proportion of the indemnity otherwise
payable than the Aggregate Limit of Indemnity bears to the aggregate amount of all indemnities otherwise
payable.

Nothing herein contained shall be held to vary, alter, waived or change any of the terms, limits or conditions of
the policy except as herein set forth.

DOCUMENTARY STAMPS ADVISORY

Please be advised that effective October 1, 2001, the BUREAU OF INTERNAL REVENUE under Revenue
Regulations Number 15-2001, has implemented the use of " ON-LINE ELECTRONIC DOCUMENTARY STAMP
TAX (DST)," among Insurance Companies.

In view of the above, the Documentary Stamp Tax (DST) becomes immediately due once a policy is issued. In
effect when a policy is cancelled, the liability for DST still exists and the same should be chargeable to the
insured.

POLITICAL RISK EXCLUSION CLAUSE

The policy shall not respond to losses due to the following:

Any loss or damage occasioned by or through or in consequence directly or indirectly, of any of the following
occurrences, namely:

1. War, invasion, act of foreign enemy, hostilities or warlike operations (whether war be declared or not), civil
war
2. Permanent or temporary dispossession resulting from confiscation by any lawfully constituted authority
3. Mutiny, civil commotion assuming the proportions of or amounting to a popular rising, military rising,
insurrection, rebellion, revolution, military or usurped power, martial law or state of siege or any of the events or
causes which determine the proclamation or maintenance 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.

TERRORISM EXCLUSION CLAUSE

Notwithstanding any provision to the contrary within this insurance or any endorsement thereto, it is agreed that
this insurance excludes loss, damage, cost or expense of whatsoever nature directly or indirectly caused by,
resulting from or in connection with any act of terrorism regardless of any other cause or event contributing
concurrently or in any other sequence to the loss.

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ATTACHED TO AND FORMING PART OF THE VISAYAN SURETY & INSURANCE CORPORATION
POLICY NO.: GPA-HO-003527
For the purpose of this endorsement an act of terrorism means an act, including but not limited to the use of
force or violence and/or the threat thereof, of any 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 endorsement 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.

In the Underwriters allege that by reason of this exclusion, any loss, damage, cost or expense is not covered by
this insurance the burden or proving the contrary shall be upon the Assured.

In the event any portion of this endorsement is found to be invalid or unenforceable, the remainder shall remain
in full force

WAR AND TERRORISM EXCLUSION ENDORSEMENT

Notwithstanding any provision to the contrary within this insurance or any endorsement thereto it is agreed that
the insurance excludes loss, or damage, cost or expense of whatsoever nature directly or indirectly caused by,
resulting from or in connection with any of the following regardless or any other cause or event contributing
concurrently or in any other sequence to the loss:

1) war, invasion, acts of foreign enemies, hostilities or warlike operations (whether war
be declared or not), civil war, rebellion, revolution, insurrection, civil commotion
assuming the proportions of or amounting to an uprising, military or usurped power; or

2) any act of terrorism.

For the purpose of this endorsement an act of terrorism means an act, including but not limited to the used of
force or violence and/or the threat thereof, of any 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 endorsement 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 (1) and/or (2) above.

If the Underwriters allege that by reason of this exclusion, any loss, damage, cost or expense is not covered by
this insurance the burden of proving the contrary shall be upon the Assured.

In the event any portion of this endorsement is found to be invalid or unenforceable, the remainder shall remain
in full force and effect.

Conforme: KENNARD SECURITY AGENC VISAYAN SURETY & INSURANCE CORPORATION

ASSURED
Rachel M. Lacuesta
Examined By: SHA Branch Manager
Authorized Signatory