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Aon Risk Services

QUOTATION
TYPES OF INSURANCE

Group Personal Accident Insurance

THE POLICYHOLDER

Harbour View Company Limited

CONTACT ADDRESS

4 Tran Phu Street, Haiphong, Vietnam

BUSINESS

Hotel/Office buildings owners, developers, building managers,


investors, operator, manager and any other occupation incidental
thereto.

PERIOD OF INSURANCE

12nd September 2007 to 11st September 2008 at 4.00 pm


(both dates inclusives)

NO. OF INSURED PERSONS

..

TOTAL MONTHLY SALARY

US$
for persons
(Salary is understood as labor contractual salary)

ELIGIBILITY OF THE
INSURED PERSONS

persons

- Age from 1 to 65 years old


- Not suffer from mental illness
- Not suffer more than 50% permanent disabilities

GEOGRAPHICAL LIMIT

Vietnam

DEDUCTIBLE

NIL

TERM OF PAYMENT:

1. Premium warrantee clause (60 days)


2. The premium and indemnity shall be paid in VND at the rate of
inter-banks declared by the state bank at the date of premium and
claim payments respectively

SPECIAL EXCLUSION

Terrorism Exclusion

EXTENSION
CLAUSES:

50/50 Automatic Addition/Deletions Clause

Aon Risk Services


SCOPE OF COVER

Covering employers legal liability toward their employees in case of labor


accident during the course of performing the employment including to and
from work by all means.

SUM INSURED

1.

Death/ Permanent Disablement

2. Temporary disablement
BENEFIT

: 30 month salary
: 03 month salary

1. Death / Total permanent disablement: pay 30 month salary of the


concerned staff
2. Partial Permanent Disablement: pay as per scale of compensation
stated in the policy wording up to 30 month salary
3. Temporary Disablement/Loss of wage: pay full daily salary for the period
out of work due to temporary disablement according to doctors
instruction, maximum 3 months.

MAIN EXCLUSIONS

1. Injury caused by ionizing radiation, radioactive, toxic, explosive nuclear


2. Injury caused by war, invasion, act of foreign enemy, civil commotion
3. Injury caused by the Insured Person engaging in air travel except as a
passenger, in any trade, technical activity in connection with an aircraft
4. Injury caused by the Insured Person engaging in any kind of sport as
professional
5. Injury caused by suicide, intentional self-injury, insanity, pre-existing
physical or mental defect, food and drinks poisoning, the Insured Person
being under the influence of drugs except being prescribed by a registered
Medical Practitioner
6. Injury by the Insured Person being under the influence of alcohol except
that alcohol was not a factor contributing to the happening of the Injury
7. Injury by any serious violation or breaches of laws

PREMIUM RATE:

1. Death/Permanent Disablement: 0.11% on suminsured


2. Temporary Disablement/ Loss of wage: 0.56% on sum insured

For and on be half of Aon

..

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