Construction
• Number of Storeys
• Type of Construction Material Used (e.g. concrete,
concrete hollow blocks, timber, light material, etc.)
1st Floor
2nd Floor up
• Type of Roofing (e.g. hard roof, tile roof, galvanized
iron, etc.)
Occupancy
• Is there any profession, business, or trade carried
on in the dwelling or in any portion of which the dwelling
forms a part?
• For how long (whether consecutive or not) is the dwelling
likely to be left without an occupant during one year?
days
• State the longest continuous period in one year during
which the dwelling is likely to be left without an occupant?
days
Boundaries
Please state distance of your residence from boundaries.
If your residence is bounded by another building, please state
construction and occupancy. If your residence is bounded by
a road or street, please state the name of road/street.
Front
Right
Left
Rear
Perils
to be Insured Against
Fire and Lightning
Earthquake
Extended Cover (damage due to Smoke, Failing Aircraft, Vehicle
Impact, Explosion)
Typhoon
Flood
Broad Water Damage
Riot, Strikes and Malicious Damage
Burglary (please provide listing of items to be covered with
corresponding brands, serial numbers, and values)
Properties
to be Covered
Building:
PhP
Contents:
PhP
For
coverage against fire and lightning and other perils except
burglary
PhP
For coverage against burglary
Please
note that cash, jewelry and curiosities or works of art
such as paintings, sculptures, etc. are not included in
the above insurance coverage.
Your
Duty of Disclosure
It
is important that you advise us, your insurance broker,
of any material alteration to the description & occupancy
of your property as it will have a bearing on the adequacy
of your insurance program. The insurers will assess and
accept your risk on the basis of information you will provide
them. Any variation of these details could lead to an uninsured
loss if they are not disclosed to us.
*Subject
to 80%-20% loss clause
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