Unit 200, 2nd Floor, Valero Plaza, 124 Valero Street, Salcedo Village, Makati City 1227

(+632) 8 817-2002 to 05 Marketing – 0929 313 0246

[email protected] Underwriting – 0956 175 3729
www.bethelgen.com Claims – 0907 087 4509

December 27, 2024

Attention : MS. JANE MANIBO

Subject : MOTORCAR INSURANCE PROGRAM

Thank you for giving BETHEL GENERAL INSURANCE AND SURETY CORPORATION, an opportunity to provide you with a proposal for your car insurance requirements. Please
see below information for your comments and approval as follow:

Form : Bethel Gen. Motor Car Insurance Policy

SUV/WAGON

Insured : KATRINA M. AIDA

Policy Number :
TIN/Reference/Renewal : 0

Mailing Address : 888 BLDG FIELD RES A SANTOS AVE SAN DIONISIO
CITY OF PARANAQUE
TBA

Property Insured : 2016 TOYOTA FORTUNER 4X2 SUV

Effectivity Date : From: December 27, 2024 365 days

To: December 27, 2025 ###########
UNIT DETAILS
Plate Number : TBA Mortgagee / Bank GLOBAL DOMINION
Engine Number : 2KDS590262 MV File Number 1301-00000514595
Chassis Number : MHFZR69G003138043 Additional Accessories Standard Built-In
Color : DARK STEEL MICA -

With Acts of Nature

Insured Peril Limit of Liability
COVERAGE Premium
-
Own Damage / Theft Php 820,000.00 18,040.00
Excess Third Party Liability for Bodily Injury Php 200,000.00 420.00
Third Party Liability for Property Damage Php 200,000.00 1,245.00
Auto Personal Accident 50,000.00 each for 7 pax Php 350,000.00 350.00
Acts of Nature Php 820,000.00 1,640.00
Extension of Cover:
FREE
FREE
Basic Premium 21,695.00
Documentary Stamps 2,711.88
Value Added Tax 2,603.40
Local Government Tax 43.39
IBERO Roadside Assistance Program COVERED 150.00
LTO Interconnectivity -
Total Premium Php 27,203.67

Geographical Limit : Anywhere in the Republic of the Philippines, EXCLUDING whilst on the following;
Ø Being used as an airport vehicle: inside an Airport and/or runways, whether used as a personal unit or for service of passengers, crew, etc.
Ø On-board any aircraft;
Ø Being used for carriage of PASSENGERS, public transportation like Grab, Uber, Taxi, or similar group and the like.
Ø On any Sea-going Vessels, whether Inter-Island Transit or Chartered Voyages;

Additional Condition: Drunken Driver's Clause It is hereby understood and agreed said 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 intoxicating liquor, drugs, chemical and the like.
IMPORTANT:
· Sum Insured of all new cars shall be based on the dealer’s selling price and including built-in or standard accessories only.
Non-standard accessories should be specifically declared with their corresponding individual values, subject to BETHEL GENERAL INSURANCE AND SURETY CORPORATION approval.
· Renewal Sum Insured of vehicles with age of two (2) years and above shall be based on IMSI valuation (+10% or –10%)
· Subject to the standard insuring provision of the Bethel General Insurance and Surety Corporation including the usual warranties, clauses and other conditions applicable.

ANNUAL PREMIUM Php 27,203.67 With Acts of Nature Coverage

(Inclusive of Taxes)
 Unit 200, 2nd Floor, Valero Plaza, 124 Valero Street, Salcedo Village, Makati City 1227
(+632) 8 817-2002 to 05 Marketing – 0929 313 0246
[email protected] Underwriting – 0956 175 3729
www.bethelgen.com Claims – 0907 087 4509

Assistance: IBERO ASISTENCIA - ROADSIDE ASSISTANCE COVERED WITH ROADSIDE ASSISTANCE PROGRAM

BETHEL GENERAL INSURANCE AND SURETY CORP. HOTLINE NUMBER: (02) 8 459 4799
Emergency 24/7 "Hassle-Free" Roadside Assistance Program nationwide, subject to the following benefits;
 Towing Services, up to a maximum of Php 5,000.00 per event, to the nearest accredited repair facility designated by the Insured or BETHEL.
 Removal & Towing, total wreck or fallen in a ravine and the like, Crane Service brought to the nearest accredited facility up to a maximum of Php 10,000.00 per event.
 Secondary Towing, transport of non-drivable vehicle from the holding facility to another dealer or repair shop, up to a maximum of Php 5,000.00 per event.
** NOTE: ln the event that the expense is higher than the guaranteed limit, the excess will be for the account of the client/Insured. **

MINOR ONSITE REPAIR - The Insured is entitled to a maximum of three (3) utilization of events per year for BREAKDOWN:
 Battery Boosting/Jumpstarting, will send a technician complete with good spare battery and boosting cable and shall conduct a battery boosting onsight.
 Flat Tire Replacement, will take care and assist of replacing punctured tire for the spare, using a technician accredited by IBERO.

 Delivery of Emergency Fuel, organize for the delivery of fuel onsight up to an agreed certain number of liters (cost of fuel not included - to be paid for by client).

 Locksmith Service and Delivery of Spare Key, will dispatch a locksmith to open the covered vehicle door only (this will be at the customer’s expense.)
-or - IBERO may arrange for the pickup of the spare key of the Insured that is not with the beneficiary at the time of the incident.

PERSONAL ASSISTANCE - In the event of lmmobilization of the Enrolled/Covered Vehicle due to breakdown, and repair time is estimated to be
longer than 48 hours as established by the repair facility, the Assured may choose among the foollowing benefits:
 Hotel Accommodation, up to Php 1,000.00 per night : maximum of 2 consecutive nights (up to 1 utilization) - or -
 Continuation of Journey/Return of Driver, up to Php 2,000.00 benefit limit and a maximum of 1 utilization per year - or -
 Reimbursement of Travel Expenses, up to Php 2,000.00 benefit limit and a maximum of 1 utilization per year

 Relay of Urgent Messages  Accident Coordination  Arrangement for Hospital Admission  Ambulance Coordination Assistance
 Legal Assistance

24/7 INFORMATION ASSISTANCE

 Traffic Information  Directory Assistance  Information on nearest Gasoline Station  Program Benefits Inquiry
 Road Condition Assistance

TERRITORIAL LIMITS: "Cashless" Roadside Assistance Services (subject to benefit limit)

Within the following Major Expressways: NLEX, TPLEX, SLEX, SCTEX, SOMCO, NAIA X, STAR Tollways, C5 Link Segment, 3A 1 connecting C5 from
Taguig to Merville, Cavite-Laguna Expressway, Cavite Expressway (CAVITEX), and Coastal Road.
** NOTE: The availment of "Cashless" transaction within the abovementioned expressways, have to contact the Emergency 24/7 Hotline for coordination. **

Insured to ALWAYS call the Emergency 24/7 HOTLINE NUMBER: (02) 8 459 4799 even when the immobilized unit is towed by another provider.
NO REIMBURSEMENT will be covered without the call notification at the time of immobilization.
The vehicles does not exceed 4,000 kilograms in weight as long as Private Use - not used for public transport of persons or merchandise, or FOR-HIRE.

Warranties & Clauses:

• Accessories Clause • Deductible Clause • Pair and Set Endorsement
• Acts of Nature Endorsement • Depreciation Clause • Terrorism and Sabotage Exclusion Clause
• Airbag Clause • Drunken Driver's Clause • Total Asbestos Exclusion Clause
• Auto Personal Accident Insurance Rider • Electronic Data Recognition Clause
• Casa Repair up to 3 years old Warranty • Importation Clause (for imported cars)

Deductible: 0.50% of the Own Damage/Theft or Php 4,100.00 minimum of Php 2,000.00 each and every loss

Term: The above insurance program shall be continuous and to cover/attach on the all declared Insured’s interest from the date agreed and
to continue in force thereafter, until cancelled by either party giving the other party Thirty (30)-days written notice of such cancellation,
nevertheless, will not prejudice any risks, which already have attached.

Terms of Payment: - Non-payment of the policy renders the policy null & void effective its inception date.
- No refund of Documentary Stamps, absolutely.

Validity: Please take note that this proposal is valid only for 30 days of the date release

Trust the above proposal meets your motor vehicle insurance requirements. Should you have further inquiries, Please feel free to call the undersigned.

Thank you and looking forward for your favorable feedback on the matter.
FOR NEW BUSIINESS TO BETHEL: REQUIREMENTS TO INSURE:
> Not Brand New * Actual inspection of Motorcar Vehicle -or-
> No previous Insurance * Submission of updated pictures of all sides
LOTIS R. MAGSOMBOL > With expired Insurance Policy * copy of previous insurace policy (NO GAP)
BATANGAS BRANCH
09173195888 [email protected]