Claim

<?xml version="1.0" encoding="UTF-8"?>
<soapenv:Envelope xmlns:soapenv="http://schemas.xmlsoap.org/soap/envelope/" xmlns:cla="http://claim.ws.geniisysws.axa.com.ph/">
   <soapenv:Header />
   <soapenv:Body>
      <cla:recordClaimToGenWeb>
         <recordClaimToGenWebRequest>
            <genWebClaim>
               <claimDocumentList>
                  <dateCompleted>2017-08-14</dateCompleted>
                  <dateSubmitted>2017-08-14</dateSubmitted>
                  <documentCode>1</documentCode>
                  <documentName>PHOTOCOPY OF POLICY</documentName>
                  <forwardingIssCd />
                  <receivedBy>CPI</receivedBy>
                  <userId>CPI</userId>
               </claimDocumentList>
               <claimDocumentList>
                  <dateCompleted>2017-08-14</dateCompleted>
                  <dateSubmitted>2017-08-14</dateSubmitted>
                  <documentCode>2</documentCode>
                  <documentName>PHOTOCOPY OF RECEIPT OF PREMIUM PAYMENT</documentName>
                  <forwardingIssCd />
                  <receivedBy>CPI</receivedBy>
                  <userId>CPI</userId>
               </claimDocumentList>
               <claimDocumentList>
                  <dateCompleted>2017-08-14</dateCompleted>
                  <dateSubmitted>2017-08-14</dateSubmitted>
                  <documentCode>12</documentCode>
                  <documentName>INSPECTION REPORT</documentName>
                  <forwardingIssCd />
                  <receivedBy>CPI</receivedBy>
                  <userId>CPI</userId>
               </claimDocumentList>
               <claimDocumentList>
                  <dateCompleted>2017-08-14</dateCompleted>
                  <dateSubmitted>2017-08-14</dateSubmitted>
                  <documentCode>27</documentCode>
                  <documentName>PHOTOCOPY OF LATEST OFFICIAL RECEIPT OF REGISTRATION</documentName>
                  <forwardingIssCd />
                  <receivedBy>CPI</receivedBy>
                  <userId>CPI</userId>
               </claimDocumentList>
               <claimProcessor>CPI</claimProcessor>
               <dateFiled>2017-08-14</dateFiled>
               <lossDate>2017-08-14</lossDate>
               <lossDescriptionCd>18</lossDescriptionCd>
               <lossDetails>Collision on Electric Pole with slight swerving to road</lossDetails>
               <lossLocation1>Malakas St.,</lossLocation1>
               <lossLocation2>Sikatuna Village</lossLocation2>
               <lossLocation3>Quezon City</lossLocation3>
               <lossRecoveryTag>N</lossRecoveryTag>
               <lossReserves>
                  <expenseReserveAmt>5500</expenseReserveAmt>
                  <lossCategory>
                     <itemNo>1</itemNo>
                     <lossCategoryCode>13</lossCategoryCode>
                     <lossCategoryDescription>OD-COLLISION</lossCategoryDescription>
                     <perilCd>4</perilCd>
                  </lossCategory>
                  <lossReserveAmt>50000</lossReserveAmt>
                  <modifiedTag>N</modifiedTag>
               </lossReserves>
               <lossTime>03:30 PM</lossTime>
               <motorClaim>
                  <motorNumber>QG13010902</motorNumber>
                  <plateNumber>POK190</plateNumber>
                  <serialNumber>CDEALDAN16C50633</serialNumber>
               </motorClaim>
               <motorItemList>
                  <currencyCode />
                  <currencyRate>1</currencyRate>
                  <effectivityDate>2017-06-30</effectivityDate>
                  <expiryDate>2018-06-30</expiryDate>
                  <incidentLimit>1060000</incidentLimit>
                  <itemDeductibles>
                     <deductibleAmount>2000</deductibleAmount>
                     <deductibleCode>D10</deductibleCode>
                     <deductibleName>OWN DAMAGE / THEFT (0.5%)</deductibleName>
                     <deductiblePercentage>0.5</deductiblePercentage>
                     <deductibleType>MC</deductibleType>
                  </itemDeductibles>
                  <itemDeductibles>
                     <deductibleAmount>2000</deductibleAmount>
                     <deductibleCode>D11</deductibleCode>
                     <deductibleName>ACTS OF GOD (0.5%)</deductibleName>
                     <deductiblePercentage>0.5</deductiblePercentage>
                     <deductibleType>MC</deductibleType>
                  </itemDeductibles>
                  <itemDescription />
                  <itemNo>1</itemNo>
                  <itemPerils>
                     <perilCd>1</perilCd>
                     <perilName>AUTO PASSENGER</perilName>
                     <perilPercentage>0</perilPercentage>
                     <premiumAmt>0</premiumAmt>
                     <tsiAmt>250000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>3</perilCd>
                     <perilName>EXCESS BODILY INJURY</perilName>
                     <perilPercentage>.195</perilPercentage>
                     <premiumAmt>585</premiumAmt>
                     <tsiAmt>300000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>4</perilCd>
                     <perilName>OWN DAMAGE</perilName>
                     <perilPercentage>1.3</perilPercentage>
                     <premiumAmt>2730</premiumAmt>
                     <tsiAmt>210000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>5</perilCd>
                     <perilName>3RD PARTY PROP. DAMG</perilName>
                     <perilPercentage>.465</perilPercentage>
                     <premiumAmt>1395</premiumAmt>
                     <tsiAmt>300000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>6</perilCd>
                     <perilName>THEFT</perilName>
                     <perilPercentage>0</perilPercentage>
                     <premiumAmt>0</premiumAmt>
                     <tsiAmt>210000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>8</perilCd>
                     <perilName>ACTS OF GOD</perilName>
                     <perilPercentage>.5</perilPercentage>
                     <premiumAmt>1050</premiumAmt>
                     <tsiAmt>210000</tsiAmt>
                  </itemPerils>
                  <itemTitle>2011 NISSAN SENTRA GX 1.3L GAS A/T</itemTitle>
                  <totalExposureLimit>1060000</totalExposureLimit>
                  <totalSumInsuredAmount>1060000</totalSumInsuredAmount>
                  <assignee />
                  <bodyColor>SILVER</bodyColor>
                  <bodyType />
                  <chassisNumber>CDEALDAN16C50633</chassisNumber>
                  <licensePlateNo>POK190</licensePlateNo>
                  <modelYear>2011</modelYear>
                  <motorNumber>QG13010902</motorNumber>
                  <noOfPassengers>5</noOfPassengers>
                  <unladenWt>2,600 KGS. OR LESS</unladenWt>
                  <vehicleCarCompany>17</vehicleCarCompany>
               </motorItemList>
               <refClaimNo />
               <!-- GW Claim Number -->
               <remarks />
               <reportedBy>CPI</reportedBy>
               <totalLossTag>N</totalLossTag>
               <zipCd>1600</zipCd>
            </genWebClaim>
            <isModification>N</isModification>
            <policy>
               <amountDue>7182.72</amountDue>
               <annualPremiumAmount>5760</annualPremiumAmount>
               <assuredDetails>
                  <assuredNo>503776</assuredNo>
                  <controlTypeCode>1</controlTypeCode>
                  <corporateTag>I</corporateTag>
                  <electronicContact>
                     <electronicAddress>gelo.basilio@gmail.com</electronicAddress>
                     <electronicAddressType>E</electronicAddressType>
                  </electronicContact>
                  <firstName>ANGELO</firstName>
                  <lastName>BASILIO</lastName>
                  <physicalAddress>
                     <addressLine1>St. Francis Subd., Balanga Bataan 2100</addressLine1>
                     <physicalAddressTypeCode>M</physicalAddressTypeCode>
                     <zipCode>2100</zipCode>
                  </physicalAddress>
                  <telephoneContact>
                     <telephoneAddressTypeCode>T</telephoneAddressTypeCode>
                     <telephoneNumber>0908-811-4036</telephoneNumber>
                  </telephoneContact>
               </assuredDetails>
               <assuredNo>503776</assuredNo>
               <coreIntermediaries>
                  <addressList>
                     <addressLine1>#28 STARLIGHT ST. SSS VILL.,</addressLine1>
                     <addressLine2>1800 MARIKINA CITY</addressLine2>
                     <physicalAddressTypeCode />
                     <zipCode />
                  </addressList>
                  <intermediaryFoundingDate>1971-01-15</intermediaryFoundingDate>
                  <intermediaryName>FLORENTINO C. IGNACIO, JR.</intermediaryName>
                  <intermediaryNo>2535</intermediaryNo>
                  <intermediaryTypeCode>OT</intermediaryTypeCode>
                  <issueSourceCode>HO</issueSourceCode>
                  <issueSourceDescription>HO</issueSourceDescription>
                  <parentIntermediaryCode>7402</parentIntermediaryCode>
               </coreIntermediaries>
               <currencyRate />
               <discountAmount />
               <endtEffectivityDate>2017-06-30</endtEffectivityDate>
               <intermediaryNo>2535</intermediaryNo>
               <issuingBranchCode>HO</issuingBranchCode>
               <lineCode>MC</lineCode>
               <modalPremiumAmount>5760</modalPremiumAmount>
               <motorItems>
                  <currencyCode />
                  <currencyRate>1</currencyRate>
                  <effectivityDate>2017-06-30</effectivityDate>
                  <expiryDate>2018-06-30</expiryDate>
                  <incidentLimit>1060000</incidentLimit>
                  <itemDeductibles>
                     <deductibleAmount>2000</deductibleAmount>
                     <deductibleCode>D10</deductibleCode>
                     <deductibleName>OWN DAMAGE / THEFT (0.5%)</deductibleName>
                     <deductiblePercentage>0.5</deductiblePercentage>
                     <deductibleType>MC</deductibleType>
                  </itemDeductibles>
                  <itemDeductibles>
                     <deductibleAmount>2000</deductibleAmount>
                     <deductibleCode>D11</deductibleCode>
                     <deductibleName>ACTS OF GOD (0.5%)</deductibleName>
                     <deductiblePercentage>0.5</deductiblePercentage>
                     <deductibleType>MC</deductibleType>
                  </itemDeductibles>
                  <itemDescription />
                  <itemNo>1</itemNo>
                  <itemPerils>
                     <perilCd>1</perilCd>
                     <perilName>AUTO PASSENGER</perilName>
                     <perilPercentage>0</perilPercentage>
                     <premiumAmt>0</premiumAmt>
                     <tsiAmt>250000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>3</perilCd>
                     <perilName>EXCESS BODILY INJURY</perilName>
                     <perilPercentage>.195</perilPercentage>
                     <premiumAmt>585</premiumAmt>
                     <tsiAmt>300000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>4</perilCd>
                     <perilName>OWN DAMAGE</perilName>
                     <perilPercentage>1.3</perilPercentage>
                     <premiumAmt>2730</premiumAmt>
                     <tsiAmt>210000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>5</perilCd>
                     <perilName>3RD PARTY PROP. DAMG</perilName>
                     <perilPercentage>.465</perilPercentage>
                     <premiumAmt>1395</premiumAmt>
                     <tsiAmt>300000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>6</perilCd>
                     <perilName>THEFT</perilName>
                     <perilPercentage>0</perilPercentage>
                     <premiumAmt>0</premiumAmt>
                     <tsiAmt>210000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>8</perilCd>
                     <perilName>ACTS OF GOD</perilName>
                     <perilPercentage>.5</perilPercentage>
                     <premiumAmt>1050</premiumAmt>
                     <tsiAmt>210000</tsiAmt>
                  </itemPerils>
                  <itemTitle>2011 NISSAN SENTRA GX 1.3L GAS A/T</itemTitle>
                  <totalExposureLimit>1060000</totalExposureLimit>
                  <totalSumInsuredAmount>1060000</totalSumInsuredAmount>
                  <assignee />
                  <bodyColor>SILVER</bodyColor>
                  <bodyType />
                  <chassisNumber>CDEALDAN16C50633</chassisNumber>
                  <licensePlateNo>POK190</licensePlateNo>
                  <modelYear>2011</modelYear>
                  <motorNumber>QG13010902</motorNumber>
                  <noOfPassengers>5</noOfPassengers>
                  <unladenWt>2,600 KGS. OR LESS</unladenWt>
                  <vehicleCarCompany>17</vehicleCarCompany>
               </motorItems>
               <originalInceptionDate>2017-06-30</originalInceptionDate>
               <paidToDate>7182.72</paidToDate>
               <policyCurrencyCode>PHP</policyCurrencyCode>
               <policyEffectiveDate>2017-06-30</policyEffectiveDate>
               <policyExpirationDate>2018-06-30</policyExpirationDate>
               <policyInstallments>
                  <installmentAmount>7182.72</installmentAmount>
                  <installmentDueDate>09-28-2017</installmentDueDate>
                  <installmentNumber>1</installmentNumber>
                  <premiumCollections>
                     <collectionAmount>7182.72</collectionAmount>
                     <referenceNumber>COL MKT2-319125</referenceNumber>
                     <transactionDate>2017-07-03</transactionDate>
                  </premiumCollections>
               </policyInstallments>
               <policyIssueDate>2017-06-21</policyIssueDate>
               <policyItems>
                  <currencyCode />
                  <currencyRate>1</currencyRate>
                  <effectivityDate>2017-06-30</effectivityDate>
                  <expiryDate>2018-06-30</expiryDate>
                  <incidentLimit>1060000</incidentLimit>
                  <itemDeductibles>
                     <deductibleAmount>2000</deductibleAmount>
                     <deductibleCode>D10</deductibleCode>
                     <deductibleName>OWN DAMAGE / THEFT (0.5%)</deductibleName>
                     <deductiblePercentage>0.5</deductiblePercentage>
                     <deductibleType>MC</deductibleType>
                  </itemDeductibles>
                  <itemDeductibles>
                     <deductibleAmount>2000</deductibleAmount>
                     <deductibleCode>D11</deductibleCode>
                     <deductibleName>ACTS OF GOD (0.5%)</deductibleName>
                     <deductiblePercentage>0.5</deductiblePercentage>
                     <deductibleType>MC</deductibleType>
                  </itemDeductibles>
                  <itemNo>1</itemNo>
                  <itemPerils>
                     <perilCd>1</perilCd>
                     <perilName>AUTO PASSENGER</perilName>
                     <perilPercentage>0</perilPercentage>
                     <premiumAmt>0</premiumAmt>
                     <tsiAmt>250000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>3</perilCd>
                     <perilName>EXCESS BODILY INJURY</perilName>
                     <perilPercentage>.195</perilPercentage>
                     <premiumAmt>585</premiumAmt>
                     <tsiAmt>300000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>4</perilCd>
                     <perilName>OWN DAMAGE</perilName>
                     <perilPercentage>1.3</perilPercentage>
                     <premiumAmt>2730</premiumAmt>
                     <tsiAmt>210000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>5</perilCd>
                     <perilName>3RD PARTY PROP. DAMG</perilName>
                     <perilPercentage>.465</perilPercentage>
                     <premiumAmt>1395</premiumAmt>
                     <tsiAmt>300000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>6</perilCd>
                     <perilName>THEFT</perilName>
                     <perilPercentage>0</perilPercentage>
                     <premiumAmt>0</premiumAmt>
                     <tsiAmt>210000</tsiAmt>
                  </itemPerils>
                  <itemPerils>
                     <perilCd>8</perilCd>
                     <perilName>ACTS OF GOD</perilName>
                     <perilPercentage>.5</perilPercentage>
                     <premiumAmt>1050</premiumAmt>
                     <tsiAmt>210000</tsiAmt>
                  </itemPerils>
                  <itemTitle>2011 NISSAN SENTRA GX 1.3L GAS A/T</itemTitle>
                  <totalExposureLimit>1060000</totalExposureLimit>
                  <totalSumInsuredAmount>1060000</totalSumInsuredAmount>
               </policyItems>
               <policyNo>MC-MPC-HO-17-0002410-00</policyNo>
               <policyStatusCode>1</policyStatusCode>
               <policyStatusDescription>New Policy</policyStatusDescription>
               <policyTerminationDate>2018-06-30</policyTerminationDate>
               <policyWarrClauses>
                  <warrClauseCode>MC03</warrClauseCode>
                  <warrClauseText>This form is part of the Personal Accident Policy to which it is attached and valid only if the form number, benefits and appropriate premium is indicated on the application for said policy or is endorsed thereon.&amp;#13;IT IS HEREBY DECLARED AND AGREED THAT:
1. "Covered Vehicle" wherever used in this policy, shall mean the vehicle fully licensed for road use, as indicated under the schedule or as described herein.&amp;#13;2. "Life Insured" wherever used in this policy shall mean each passenger or operator (driver) of the covered vehicle indicated on the application or described herein.&amp;#13;3. "Injury" wherever used in this policy means accidental bodily  injury occurring while this policy is in  force as to life Insured whose Injury is a basis of claims and resulting directly and independently of all causes while riding either as a passenger, or an Operator (driver), boarding, or alighting    from the covered vehicle indicate on the policy application or as described herein.&amp;#13;4. This insurance shall provide the specific benefits shown in the Table of Benefits for Loss of Life, Disablement, Accident Burial Expense or Medical Expenses sustained as a result of bodily injury caused by accident while a car occupant is operating, riding boarding in or alighting from the covered    vehicle as described herein.&amp;#13;5. "Accident Medical Expense Benefit" pays the actual cost, up to maximum benefit amount indicate in the table of benefits for medical or surgical treatment, including trained nurses and hospitalization, incurred with 52 weeks from the date of accident.&amp;#13;6. "Accident Burial Expense Benefit" pays the actual cost up to maximum benefit amount as shown in the Table of Benefit, in the event of death due to the injuries sustained from the accident.&amp;#13;7. This insurance is hereby extended to cover injuries sustained by the Policyholder/ Owner of the covered vehicle while operating, riding in, boarding or alighting from any other private car, while riding in, as a passenger and not as an o</warrClauseText>
                  <warrClauseTitle>AUTO PASSENGER AND DRIVER TRAVEL PERSONAL ACCIDENT COVERAGE</warrClauseTitle>
               </policyWarrClauses>
               <policyWarrClauses>
                  <warrClauseCode>MC06</warrClauseCode>
                  <warrClauseText>It is hereby understood that upon the issuance of the policy, no Documentary Stamp Tax will be refunded as a result of the cancellation or endorsement of the policy or reduction in the premium due for whatever reason outside of the month of the issuance of the policy.</warrClauseText>
                  <warrClauseTitle>PAYMENT OF DOCUMENTARY STAMP TAX WARRANTY</warrClauseTitle>
               </policyWarrClauses>
               <policyWarrClauses>
                  <warrClauseCode>MC07</warrClauseCode>
                  <warrClauseText>Clarification Agreement&amp;#13;Property Damage covered under this Agreement shall mean physical damage to the substance of property.&amp;#13;Physical damage due to the substance of property shall not include damage to data or software, in particular any detrimental change in data, software or computer programs that is caused by a deletion, a corruption or a deformation of the original structure.&amp;#13;Consequently, the following are excluded from this Agreement:&amp;#13;              A. Loss or damage to date or software, in particular any detrimental change in data, software or computer programs that is caused by a deletion, a corruption or a deformation of the original structure and any business interruption losses resulting from such loss or damage.  Notwithstanding this exclusion, loss of or damage to data or software, which is the direct consequence of insured physical damage to the substance of property shall be covered.&amp;#13;              B. Loss or damage resulting from an impairment in the function, availability, range of use of accessibility of data, software or computer programs and any business interruption losses resulting from such loss or damage.</warrClauseText>
                  <warrClauseTitle>PROPERTY DAMAGE CLARIFICATION CLAUSE</warrClauseTitle>
               </policyWarrClauses>
               <policyWarrClauses>
                  <warrClauseCode>MC08</warrClauseCode>
                  <warrClauseText>Description of Disablement - Percentage of Principal Sum&amp;#13;Loss of the Limbs - 100%
Loss of both hands, or all fingers and thumbs of both hand - 100%
Loss of both feet - 100%
Loss of sight of both eyes - 100%
Injuries resulting in being permanently bedridden - 100%
Any other Injury causing permanent total disablement- 100%
Loss of arm at or above elbow - 70%
Loss of arm between elbow &amp; wrist - 50%
Loss of hand - 42.5%
Loss of four fingers and thumb of one hand - 42.5%
Loss of four fingers - 35%
Loss of thumb - 15%
Loss of index finger - 10%
Loss of middle finger - 6%
Loss of ring finger - 5%
Loss of little finger - 4%
Loss of metacarpals-first or second (additional) - 3%
Third, fourth or fifth (additional) - 2%
Loss of leg at or above knee - 60%
Loss of leg below knee - 50%
Loss of one foot - 40%
Loss of toes - all of one foot - 15%
Loss of big toe - 5%
Loss of any toe other than big toe, each - 1%
Loss of sight of one eyes - 30%
Loss of hearing - both ears - 50%
Loss of	One ear - 25%&amp;#13;The aggregate of all percentages payable in respect of any one accident shall not exceed 100%&amp;#13;Total Permanent loss of the use of a member shall be treated as loss of such member.&amp;#13;The loss of the first joint of the thumb or any other finger or of any toe shall be considered as equal to the loss of one-half of the thumb or finger or toe and the benefit shall be one-half of the benefit above specified for loss of the limbs or finger or toe.&amp;#13;The loss of more than one phalange of the thumb or of any other finger or of any toe shall be treated as loss of the entire thumb or finger or toe.&amp;#13;Where, however, there is loss of two or more parts of the hand the percentage payable shall not be more than the loss of the whole hand.&amp;#13;Where, the disablement is not specified the Company will adopt a percentage, which in its opinion is not inconsistent with the provisions of this table.&amp;#13;NOTHING HEREIN CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR CHANGE ANY OF THE TERMS, CONDITIONS OF THE POLIC</warrClauseText>
                  <warrClauseTitle>TABLE OF PERMANENT DISABLEMENT BENEFIT</warrClauseTitle>
               </policyWarrClauses>
               <policyWarrClauses>
                  <warrClauseCode>MC10</warrClauseCode>
                  <warrClauseText>Notwithstanding any provisions to the contrary within this Policy or any endorsement hereto attached, it is agreed that this insurance excludes death, injury, illness, loss, damage, cost or of expense of whatsoever nature directly or indirectly caused by, resulting from on in connection with any of the following regardless of any other cause or event contributing concurrently or in any other sequence to the loss:&amp;#13;             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&amp;#13;For the purpose of this endorsement an act of terrorism means and act, including but not limited to the use of force or violence and/or the threat thereof, of any person or group(s) or 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 to the public, in fear.&amp;#13;This endorsement also excludes death, injury, illness, loss, damage, cost or expense of whatsoever nature directly of 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.&amp;#13;If the Insurer 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 Insured.&amp;#13;If the event any portion of this endorsement is found to be invalid or unenforceable, the remainder shall remain in full force and effect.</warrClauseText>
                  <warrClauseTitle>WAR AND TERRORISM EXCLUSION CLAUSE</warrClauseTitle>
               </policyWarrClauses>
               <policyWarrClauses>
                  <warrClauseCode>MC13</warrClauseCode>
                  <warrClauseText>The Company will pay and/or replace the airbags including the cost of re-installation following its deployment or discharge consequent upon a sudden and accidental impact to the insured vehicle provided that due to such impact the said vehicle sustained damages that are compensable under Section III of the policy:&amp;#13;The Company, however, will not pay for claims in respect of damage to the airbags nor for the cost of its re-installation as a result of the following:
a.	Faulty (i) design, (ii) manufacture, or (iii) installation regardless of whether the scheduled vehicle is damaged at the same time;
b.	Discharge or deployment of airbags while the scheduled vehicle is undergoing repairs.</warrClauseText>
                  <warrClauseTitle>AIRBAG CLAUSE</warrClauseTitle>
               </policyWarrClauses>
               <policyWarrClauses>
                  <warrClauseCode>MC14</warrClauseCode>
                  <warrClauseText>It is hereby declared and agreed that notwithstanding anything contained herein to the contrary the insurance under Section III (Loss or Damage) of this Policy shall include loss or damage to built-in / standard accessories only. Add-on accessories are not covered unless declared and noted in the Policy with individual sums insured applicable to each item.</warrClauseText>
                  <warrClauseTitle>BUILT-IN / STANDARD ACCESSORIES</warrClauseTitle>
               </policyWarrClauses>
               <policyWarrClauses>
                  <warrClauseCode>MC34</warrClauseCode>
                  <warrClauseText>"It is hereby declared and agreed that in case of damage to the Scheduled Vehicle, including loss or damage to its accessories if insured hereon, claim settlement shall be based on the reasonable cost of repair and installation of the same at any non-dealer or non-casa repair shop accredited with Charter Ping An Insurance Corporation (Formerly: Philippine Charter Insurance Corp.)"</warrClauseText>
                  <warrClauseTitle>NON-CASA CLAUSE (for vehicles more than 36 months old)</warrClauseTitle>
               </policyWarrClauses>
               <policyWarrClauses>
                  <warrClauseCode>MC35</warrClauseCode>
                  <warrClauseText>"Except in case of claims arising under Sections I and II of this Policy, it is hereby declared and agreed that the Company shall not be liable in respect of any accident or liability caused or incurred by a DRUNKEN AUTHORIZED DRIVER or any AUTHORIZED DRIVER who is under the influence of liquor at the time of the accident.&amp;#13;This is further subject to the terms and conditions of the Policy."</warrClauseText>
                  <warrClauseTitle>DRUNKEN DRIVER CLAUSE</warrClauseTitle>
               </policyWarrClauses>
               <policyWarrClauses>
                  <warrClauseCode>MC45</warrClauseCode>
                  <warrClauseText>It is hereby declared and agreed that in consideration of the payment of  additional premium, effective (date), the words "FLOOD, TYPHOON, HURRICANE, VOLCANIC ERUPTION, EARTHQUAKE OR OTHER CONVULSION OF NATURE"  under item 3 of the General Exceptions of this Policy are deemed deleted. &amp;#13;All other terms and conditions remain unaltered.&amp;#13;
DEDUCTIBLE CLAUSE (PC) - ACTS OF GOD  &amp;#13;It is hereby declared and agreed that deductible of this Policy for Acts of God (AOG) related claims shall be 0.5% of sum insured, minimum of P 2,000.00. &amp;#13;All other terms and conditions of this Policy remain unaltered.</warrClauseText>
                  <warrClauseTitle>ACTS OF GOD COVER ENDORSEMENT FOR PRIVATE CAR</warrClauseTitle>
               </policyWarrClauses>
               <policyWarrClauses>
                  <warrClauseCode>MC48</warrClauseCode>
                  <warrClauseText>It is hereby understood and agreed that in the event of loss or damage to any accessory or accessories, spare part or spare parts forming part of a pair or set, the measure of loss or damage to such accessory or spare part shall be its reasonable and fair proportion to the total value of the pair or set, giving consideration to the importance of said accessories or spare parts, but in no event shall such loss or damage be construed to mean a total loss of the pair or set.&amp;#13;Except as herein stated, all other terms and conditions remain unaltered.</warrClauseText>
                  <warrClauseTitle>PAIR AND SET ENDORSEMENT</warrClauseTitle>
               </policyWarrClauses>
               <premiumAmount>5760</premiumAmount>
               <premiumDueAmount>5760</premiumDueAmount>
               <premiumDueDate>2017-09-28</premiumDueDate>
               <premiumPaidIndicator>Y</premiumPaidIndicator>
               <previousPolicyNumber />
               <productCode>MC</productCode>
               <quotationNumber />
               <referencePolicyNumber>MC-AG-2017-3030</referencePolicyNumber>
               <regionCode>23</regionCode>
               <renewalType />
               <replacePolicyNumber />
               <sublineCode>MPC</sublineCode>
               <underwriter>HOMFG</underwriter>
               <userGroup>IT</userGroup>
               <userId>CPI</userId>
            </policy>
            <transactionType />
         </recordClaimToGenWebRequest>
      </cla:recordClaimToGenWeb>
   </soapenv:Body>
</soapenv:Envelope>