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HYS AUDI Quote

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Attention: HYS February 15, 2023

Subject: Motor Car Affinity Insurance Quotation

Thank you for giving MAPFRE INSULAR an opportunity to provide you with a proposal for your car insurance requirements.
Below are the pertinent information you will need in evaluating our quotation

Assured: : HYS Seating Capacity: 7 Subline: PV PVDED PVAOU


Unit : 2023 AUDI Q7 3.0 TDI UPPA per Pax: 50,000.00 Branch: Lipa
FMV : 7,250,000.00 Inception Date: 15/02/2023 Area of Usage: Nationwide
Plate No. : TBA Expiry Date: 15/02/2024
Deductible: 36,250.00 Mortgagee: To be advised

PERILS COVERED LIMIT OF LIABILITY PREMIUM


LOSS AND DAMAGE 7,250,000.00 90,625.00
ACTS OF NATURE 7,250,000.00 36,250.00
UNNAMED PASS. P.A. 350,000.00 700.00
VTPL-BODILY INJURY 200,000.00 420.00
VTPL-PROPERTY DAMAGE 200,000.00 1,245.00
Total Net Premium 129,240.00
Summary of Charges
Net Premium 129,240.00
12% VAT 15,508.80
Documentary Stamps 16,155.00
0.500% Locat Gov't Tax 646.20
Other Charges
TOTAL AMOUNT DUE Php161,550.00
DISCOUNTED PRICE / PAY ONLY Php145,071.90

Warranties and Clauses: Additional Benefits:


REPAIR SHOP CLAUSE (FOR VEHICLES MORE THAN 24 MONTHS OLD) BAIL BOND COVER
VALUATION CLAUSE ACCIDENTAL ACCESS CARD
TERRORISM EXCLUSION ENDORSEMENT SECURITY GLASS ETCHING (Silver & Gold)
AIRBAG CLAUSE ALTERNATIVE TRANSPORT BENEFIT (Silver & Gold)
PAIR AND SET ENDORSEMENT ROAD ASSIST (Silver & Gold)
ACCESSORIES CLAUSE INCREASED TOWING LIMIT (Silver & Gold)
PERSONAL PROPERTY COVER UP TO PHP2,000 (Gold)
WAIVER OF DEDUCTIBLE AND DEPRECIATION (Gold)

Disclaimer: The above quotation is applicable only for the unit described and shall be valid up to 30 days from date of quotation. Any prior quotation
you have received from any MAPFRE Insular intermediary shall supersede and void this quote. For your protection, please declare all non-standard
accessories prior to issuance including its brand/model and purchase price which shall be subject to approval and additional premium.
Please note that any undeclared non standard will not be covered.

This proposal is subject to our standard policy wordings, conditions, provisions and endorsements, and is subject to the submission of
accomplished KYC Form prior to the issuance of the policy.

Thank you.

Very truly yours,


Jovel A. Rocafort
Sales Assistant
Direct and Affinities
(043) 757-2603 loc 5304
9178190163
jarocafort@mapfreinsurance.com.ph

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