<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">PERSONAL ACCIDENT &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br />
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<br />
TABLE OF BENEFITS - II (Permanent Disablement or Dismemberment) &nbsp;&nbsp;<br />
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br />
Description of Disablement &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Percentage of the Capital Sum &nbsp;&nbsp;<br />
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br />
Loss of two limbs &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br />
Loss of both hands, or all fingers and both thumbs<br />
Loss of both feet &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;100%&nbsp;<br />
Loss of one hand and one foot &nbsp; &nbsp; &nbsp; &nbsp;<br />
Loss of sight of both eyes &nbsp; &nbsp; &nbsp; &nbsp;<br />
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br />
Any other injury causing permanent total disablement &nbsp;- 1 % per month up to 100 months&nbsp;<br />
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<br />
Loss of arm at or above elbow ............................ 70% &nbsp;<br />
Loss of arm between elbow and wrist....................... 50% &nbsp;<br />
Loss of hand.............................................. 50% &nbsp;<br />
Loss of four fingers and thumb of one hand................ 50% &nbsp;<br />
Loss of four fingers...................................... 35% &nbsp;<br />
Loss of leg at or above knee.............................. 60% &nbsp;<br />
Loss of leg below knee.................................... 50% &nbsp;<br />
Loss of one foot.......................................... 50% &nbsp;<br />
Loss of toes - all of one foot............................ 25% &nbsp;<br />
Loss of thumb............................................. 15%&nbsp;<br />
Loss of index finger...................................... 10% &nbsp;<br />
Loss of sight of one eye.................................. 50% &nbsp;<br />
Loss of speech............................................ 50% &nbsp;<br />
Loss of hearing - both ears............................... 50% &nbsp;<br />
&nbsp; one ear........................................... 25% &nbsp;<br />
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">DEFINITIONS<br />
1. Permanent total loss of the use of a member shall be considered and treated as loss of such member.<br />
2. The loss of the first joint of the thumb or index finger shall be considered as equal to the loss of one-half of the thumb or index finger and the benefits shall be one-half of the benefits specified for the loss of the thumb or index finger.<br />
3. The loss of more than one phalange of the thumb or index finger shall be treated as loss of the entire thumb or index finger.<br />
4. Loss of sight shall mean the complete and irrecoverable loss of sight.<br />
5. Loss of speech shall mean the complete and irrecoverable loss of speech.<br />
6. Loss of hearing shall mean the complete and irrecoverable loss of hearing.<br />
7. Permanent Total Disablement shall mean that the Insured is totally and permanently disabled and prevented by reason of bodily injury which does not result in any of the specific losses enumerated above, from engaging in each and every occupation or employment for compensation or profit for which he is reasonably qualified by reason of his education, training or experience, provided such disability has continued for a period of twelve consecutive months and is diagnosed total, continuous and permanent at the end of this period. &nbsp;Payment of the benefits starts on the thirteenth (13th) Month.<br />
8. Temporary total disablement shall mean disablement by reason solely of the injury necessarily immediately and continuously resulting in incapacity from attending to each and every duty pertaining to the Insured?s occupation.<br />
9. Temporary partial disablement shall mean incapacity by reason of the injury from attending to some material duty pertaining to the Insured?s occupation.<br />
10.Medical or Surgical Treatment shall mean that the Company will reimburse the actual expense incurred but not to exceed the aggregate amount payable stated in the Schedule as a result of any one accident, when by reason of injury, the insured shall require treatment by a legally qualified physician or surgeon, confinement in a hospital or the employment of a licensed or graduate nurse.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">PROVISIONS<br />
1. Compensation under Section C.1 and C.2 in respect of any one injury shall not be payable for more than 52 weeks from the commencement of the disablement.<br />
2. Any sum short of 100% which may be paid under table of Benefits II (Permanent Disablement or Dismemberment) shall be accounted in diminution of the Capital Sum Insured, so that in the case of supervening death directly and necessarily resulting from one and the same bodily injury, the total amount payable by the Company for all Claims under table of benefits I and II as a result of any one accident shall not exceed the amount payable in case of death under Section A of Table of Benefits I.<br />
3. No. Indemnity will be paid under, any circumstance for more than one of the losses specified in Table of Benefits II, &nbsp;(Permanent Disablement or Disablement). &nbsp;In case of occurrence of losses indemnifiable under Table of Benefits II, the Company shall pay only the indemnity corresponding to the greatest loss.<br />
&nbsp;<br />
SPECIAL BONUS<br />
An increase of five (5) per centum in the original Capital Sum Benefits for each year of the renewal up to five (5) consecutive years will be allowed the Insured but in no case shall the total bonus exceed twenty five (25) per centum of the original Capital Sum benefits. Such special bonus will be extended to the Insured only of the first P100, 000.00 Capital Sum benefit regardless of the number of policies the Insured may have with the company.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">EXCLUSIONS<br />
The insurance with respect to the above hazards shall not apply to:<br />
a) loss caused directly or indirectly, wholly or partly by:<br />
(1) bacterial infections (except pyogenic infections which shall occur through an accidental cut or wound); or infections caused by parasites;<br />
(2) Medical or surgical treatment. &nbsp;(except such as may be necessary solely by reason of injuries covered by this policy and performed within the time provided in the policy):<br />
(3) miscarriage or pregnancy;</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">b) Suicide or any attempt thereat (sane or Insane);<br />
c) Murder or assault or any attempt thereat;<br />
d) Loss occasioned by war, invasion, act of foreign enemy, hostilities or warlike operations (whether war be declared or not), mutiny, strikes, riots, civil commotion, civil war, rebellion, revolution, insurrection, conspiracy, military or usurped &nbsp;power, martial law, or state of siege, seizure, quarantine, or customs regulations or nationalization by or under the order of any government or public or local authority. &nbsp;This exclusion shall not be affected by any endorsement which does not specifically refer to it, in whole or in part. &nbsp;The application of the exclusion referring to material 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 is hereby waived for any territorial jurisdiction of the Republic of the Philippines.<br />
e) Nuclear radiation or radioactive contamination;<br />
f) Injury sustained while participating in professional athletics or any organized and scheduled amateur physical contact sport;<br />
g) Injury sustained while engaging in mountaineering requiring the use of ropes or guides, skin diving employing the use of compressed air cylinders, racing on wheels or horseback, skydiving from a device for serial navigation, hang gliding;<br />
h) Cave-in of mines.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">COVERAGE AS RESPECTS FLYING<br />
The coverage of this policy as respects flying is limited to loss occurring while the insured is riding solely as a passenger, not as an operator or crew member, in boarding or alighting from: &nbsp;(a) a certificated passenger aircraft provided by a commercial airline on any regular, scheduled or non-scheduled special or chartered flight, and operated by a properly certificated pilot flying between duly established and maintained airports, or &nbsp; any transport type aircraft operated by the Military Air Transport Service (MATS) of the United States of America or by the similar air transport service of any duly constituted governmental authority of the recognized government of any nation anywhere in the world.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">CONDITIONS<br />
(as may apply to the coverage&#39;s&#39; of this policy)<br />
1. This policy includes the endorsements and attached papers, if any, and contains the entire contract of insurance. &nbsp;None of the provisions, conditions, and terms of this policy shall be waived or altered except by endorsement, signed or initialed by an authorized official of the Company and issued in accordance with the provisions of Section 50 of the Insurance Code.<br />
2. The policy is conditional upon the questions contained in the application form forming the basis of the Insurance having been truly answered and if an untrue answer shall have been given to any of such questions or if any material fact touching the health habits or occupation of the Policyholder has been or shall upon any renewal of the policy be suppressed or concealed from the knowledge of the Company, or any misrepresentation or suppression be made upon giving any notice of accident or upon or in connection with any claim hereunder, the policy will be void.<br />
3. If default be made in the payment of the agreed premium for this policy, the subsequent acceptance of a premium by the Company or by any of its duly authorized agents shall reinstate the policy, but only to cover loss resulting from accidental injury sustained subsequent to the acceptance date.<br />
4. Written notice of injury on which claim may be based must be given to the Company within thirty days after the date of the accident causing such injury. &nbsp;In event of accidental death immediate notice thereof must be given to the Company. &nbsp;&nbsp;<br />
5. Such notice given by or in behalf of the Insured or beneficiary as the case may be, to the Company, at the city of Manila or to any authorized agent of the Company, with particulars sufficient to identify the insured shall be deemed to be notice to the Company. &nbsp;Failure to give notice within the time provided in this policy shall not invalidate any claim if it shall be shown not to have been reasonably possible to give such notice and that notice was given as soon as was reasonably possible.<br />
6. The Company, upon receipt of such notice, will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. &nbsp;If such form are not so furnished within thirty days after receipt of such notice the claimant shall be deemed to have complied with the requirements of this policy as to proof of loss upon submitting within the time fixed in the policy for filing proofs of loss written proof covering the occurrence, character and extent of the loss for which claim is made.<br />
7. Affirmative proof of loss must be furnished to the Company at its said office in case of claim for loss of time from disability within ninety days after the termination of the period for which the Company is liable and in case of claim for any other loss, within one hundred eighty days after the date of such loss.<br />
8. The company shall have the right and opportunity to examine the person of an Insured when and as often as it may reasonably require during the pendency of claim hereunder, and the right and opportunity to make an autopsy in case of death where it is not forbidden by law.<br />
9. All indemnities provided in this policy for loss other than that of time on account of disability will be paid immediately after receipt of due proof.<br />
10.Indemnity for loss or life of the Insured is payable to the beneficiary, if surviving the Insured, and otherwise to the estate of the Insured. &nbsp;All other indemnities of this policy are payable to the Insured.<br />
11.Upon request of the Insured and subject to due proof of loss, all accrued indemnity for loss of time on account of disability will be paid at the expiration of each four weeks during the continuance of the period for which the Company is liable, and any balance remaining unpaid at the termination of such period will be paid immediately upon receipt of due proof.<br />
12.If the insured be injured after having changed his occupation to one classified by the Company as more hazardous than that stated in this policy or while doing for compensation anything pertaining to an occupation so classified, the Company will pay only such portion of the indemnities provided in this policy as the premium paid would have purchased at the rates and within the limits fixed by the Company for such more hazardous occupation.<br />
If the insured changes his occupation to one classified by the Company as less hazardous than that stated in this policy, the Company, upon receipt of proof of such change of occupation, will reduce the premium rate accordingly, and will return the excess pro rata unearned premium from the date of change of occupation or from the policy anniversary date immediately preceding receipt of such proof, whichever is the more recent.In applying this condition, the classification of occupational risk and the premium shall be such as have been last promulgated by the Company prior to the occurrence of the loss for which the Company is liable or prior to date of proof of change in occupation.<br />
13.No action at law or in equity shall be brought to recover on this policy prior to the expiration of sixty days after proof of loss has been filed in accordance with the requirements of this policy, nor shall such action be brought either in the Insurance Commission or any Court of competent jurisdiction after two years from the expiration of the time within which proof of loss is required by the policy.<br />
14.This policy may not be cancelled by the Company except upon prior notice thereof to the Insured, and no notice of cancellation shall be effective unless it is based on the occurrence after the effective date of the policy, of one or more of the following:<br />
15.&nbsp;<br />
a) non-payment of premium;<br />
b) conviction of a crime arising out of acts increasing the hazard Insured against:<br />
c) discovery of fraud or material misrepresentation;<br />
d) discovery of willful or reckless acts or omissions increasing the hazard insured against;<br />
e) a determination by the Commission that the continuation of the policy would violate or would place &nbsp;<br />
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; the insurer in violation of this Code.<br />
All notices of cancellation shall be in writing, mailed or delivered to the insured at the address shown in the policy, and shall state (a) which of the grounds set forth is relied upon and &nbsp; that, upon written request of the name insured, the insurer will furnish the facts on which the cancellation is based.<br />
If the insured cancels, earned premiums shall be computed in accordance with the applicable percentage indicated below, but in no event less than the Company?s customary minimum premium:</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">Percent of Annual Premium<br />
&nbsp; &nbsp;2 months (minimum) ....... 40%<br />
&nbsp; &nbsp;3 months.................. 50%<br />
&nbsp; &nbsp;4 months.................. 60%<br />
&nbsp; &nbsp;5 months.................. 70%<br />
&nbsp; &nbsp;6 months.................. 75%<br />
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Over 6 months...........100%</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">16. No assignment of interest under this policy shall be binding upon the Company unless and until the original or duplicate thereof is filed at a branch or the home office of the Company. &nbsp;The Company does not assume any responsibility for the validity of any assignment. &nbsp;No change of beneficiary under this policy shall bind the Company unless consent thereto is formally endorsed hereon by the authorized agent of the Company. &nbsp;No provision of charter, constitution or by-laws of the Company shall be used in defense of any claim arising under this policy unless such provision is incorporated in full in this policy.<br />
17. This policy may be renewed with the consent of the Company from term to term, by payment of the premium in advance at the Company?s premium rate in force at time of renewals. &nbsp;The insured is, however, entitled to renew the policy, upon payment of the premium due on the effective date of the renewal if the Company fails to mail or deliver to the Insured at the address shown in the policy at least forty-five (45) days in advance of the end of the policy or to condition its renewal upon reduction of limits or elimination of coverage?s.<br />
&nbsp;<br />
CIVIL CODE ARTICLE 1250 WAIVER CLAUSE</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">IT IS HEREBY DECLARED AND AGREED that the provision of Article 1250 Civil Code of the Philippines (Republic Act No. 386) which reads:<br />
&nbsp;<br />
In case an extraordinary inflation of the currency stipulated should supervene, the value of the currency at the time of establishment of the obligation shall be the basis of payment.?<br />
Shall not apply in determining the extent of liability under the provisions of this policy.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">All Applicable provision of Presidential Decree No. 612, otherwise known as the Insurance Code. Are deemed to have been incorporated in this policy, certificate or contract of Insurance and will supersede any agreement/condition inconsistent therewith.&nbsp;</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">RECEIPT OF PAYMENT CLAUSE<br />
IT IS HEREBY DECLARED AND AGREED that notwithstanding anything to the contrary contained in this policy this insurance will be deemed as valid and binding upon the Company only when the premium therefore have actually been paid in full and duly acknowledged in a receipt signed by authorized official/representative of the company.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">TERMINATION CLAUSE</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">This contract shall terminate only in the event of accidental death as provided herein or upon expiry.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">In any policy year, the aggregate benefits payable under this contract in respect of any one accident resulting in loss(es)within 180 days from date of accident &nbsp;shall not exceed the principal sum (e.g) loss of life, loss of both hands or feet, loss of sight of both eyes and either hand or foot.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">In any policy year, the aggregate benefits payable under the Dismemberment/Disability Benefit of this contract in respect of one or more accident &nbsp; &nbsp;resulting in loss (es) within 180 days from date of accident &nbsp; shall not exceed the principal sum. (i.e. for subsequent accident resulting in any loss (es) which would make the aggregate benefits exceed the principal sum, the amount &nbsp; payable under the Dismemberment/Disability Benefit shall be the principal sum less the amount &nbsp;paid for such loss (es) shall not terminate the contract in so far as accidental death benefit is concerned.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">In any policy year, the amount of benefit for loss of life, arising from independent/unrelated accident/event shall always be &nbsp;the principal sum.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">IMPORTANT NOTICE CLAUSE</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">The Insurance Commissioner, with offices in Manila, Cebu and Davao, is the government official in charge of the faithful execution and enforcement of all laws relating to insurance and has supervision over insurance companies. &nbsp;He is ready at all times to render assistance in settling any controversy between an Insurance Company and a policyholder relating to insurance matters.</span></span></p>

<p><span style="font-size:12px"><span style="font-family:courier new,courier,monospace">For your own protection you are requested to read this Policy in full, including its conditions, and if it is not in accordance with your intentions, please return it immediately for correction.</span></span></p>
