Hong Kong Branch · over EUR400 billion total assets under management. Generali has built a sophisticated network around the globe with more than 85,000 employees and present in more

H HO O

M ME E P PA A

C CK KA A

G GE E

I IN NS SU U

R RA AN N

C CE E

Hong K

ong Branch

Gen

era

li Gro

up

Th

e In

sure

r With

ou

t Fro

ntie

rs

Fo

unded

in T

rieste, Italy in 1

831, A

ssicurazio

ni G

enerali S

.p.A

. is o

ne of th

e most sig

nifican

t insu

rance g

roups in

the w

orld

with

over E

UR400 b

illion to

tal assets under m

anag

emen

t. Gen

erali has b

uilt a sop

histicated

netw

ork aro

und th

e glob

e with

more

than

85,0

00 em

ployees an

d p

resent in

more th

an 6

0 co

untries.

With

nearly 2

00 years of exp

erience, G

enerali o

perates in

all lin

es of insu

rance in

cludin

g life an

d n

on-life, fro

m m

ass risks to so

phisticated

covers

for in

dustrial

sector, from

sim

ple

househ

old

insu

rance to co

mplex n

eeds o

f big

multin

ationals all

over th

e world

serving o

ver 70 m

illion clien

ts world

wid

e. In

1978, A

ssicurazio

ni G

enerali S

.p.A

. has estab

lished

its Hong

Kong

office. At

Gen

erali, w

e are

ded

icated

insu

rance

pro

fessionals th

at care and are co

mm

itted to

brin

gin

g q

uality

services to our clien

ts and in

termed

iaries. We strive to p

rovide

security

in

the

best

interests

of

individ

ual,

househ

old

an

d

corp

orate clients.

All th

e above fig

ures are extracted

from

Gen

erali Gro

up’s 2

010

Annual R

eport.

*All the above figures are extracted from

Generali G

roup’s 2010 annual Report.

W

ide R

an

ge o

f Inn

ovativ

e P

rod

ucts

Perso

nal In

sura

nce

● chin

a med

ical guaran

tee card

● dom

estic help

er ● p

ersonal accid

ent

● perso

nal liab

ility ●

hom

e build

ing

●pleasu

re craft ●

hom

e packag

e ●

private m

otor car

● individ

ual m

edical

●travel p

ackage

Com

mercia

l Insu

ran

ce

●

burg

lary ● g

roup p

ersonal accid

ent

●busin

ess interru

ptio

n

● marin

e cargo

●clin

ic packag

e ● m

arine h

ull

●co

mm

ercial vehicle

● office p

ackage

●em

plo

yees’ compen

sation

● pro

duct liab

ility ●

engin

eering

●pro

perty d

amag

e ●

fire ●

public liab

ility ●

gro

up life

●sh

op p

ackage

● gro

up m

edical

● trade cred

it W

ith o

ur in

suran

ce pro

ducts, yo

u are rest assu

red th

at you an

d

your p

roperty are fu

lly pro

tected b

y Gen

erali with

sound

Finan

cial stren

gth

. W

e can

m

ake flexib

le in

suran

ce arran

gem

ents

to m

eet both

yo

ur

perso

nal

and co

mm

ercial need

s. For

details,

please

contact

your

insu

rance

advisers

or

our

Com

pan

y Rep

resentatives.

Hong K

ong B

ranch

Web

site: ww

w.g

enerali.co

m.h

k

Carin

g F

or Y

ou

r Ho

me

You m

ay have in

terested a lo

t of tim

e, money an

d effo

rt to

make yo

ur h

om

e cosy, b

ut h

ave you g

ot a g

ood

insu

rance p

olicy to

pro

tect this sw

eet hom

e of yo

urs?

The

Hom

e Packag

e In

suran

ce Po

licy pro

vided

by

Gen

erali is a com

preh

ensive co

ver insu

ring ag

ainst you

r pro

perty lo

sses, legal liab

ility to th

ird p

arties and m

any

oth

er acciden

tal misfo

rtunes as sp

ecified in

this leaflet.

Please refer

to th

e tab

le on th

e rig

ht

for

details

of

coverag

e. Prem

ium

Tab

le: G

ross Floor A

rea Annual Prem

ium

(Square Feet)

Sectio

n 1

–

Conten

ts#

Sectio

n 4

–

Build

ing#

#

500 o

r belo

w

HK$688

HK$400

501-7

50

HK$888

HK$600

751-1

,000

HK$1,0

88

HK$800

1,0

01-1

,500

HK$1,3

88

HK$1,2

00

1,5

01-2

,000

HK$1,8

88

HK$1,6

00

#Separa

te

ratin

g

will

be

require

d

if Sum

In

sure

d

exce

eds

HK$1,0

00,0

00.

##

Separa

te ra

ting w

ill be re

quire

d if S

um

Insu

red e

xceeds m

arke

t va

lue.

Please refer to G

enerali for q

uotatio

n if th

e Gro

ss Floor

Area exceed

s 2,0

00 sq

uare feet.

M

ajo

r Exclu

sion

to N

ote

War,

terrorism

, rad

ioactive

contam

inatio

n,

pollu

tion,

wear

and tear,

mech

anical

or

electrical breakd

ow

n,

unexp

lained

loss, in

fidelity, illeg

al structu

re, defective

workm

ansh

ip, liab

ility caused

by veh

icle or w

atercraft

srinivasansriniNIB1

● ●

● ●

● ●

● ●

● ●

● ●

● ●

● ●

● ●

● ●

● ●

● ●

● ●

● ●

srinivasansriniNIB1

Ho

me P

ack

ag

e In

sura

nce

Se

ction

C

over

Maxim

um

Lim

it of

Ind

em

nity

Accid

ental p

hysical lo

ss of or d

amag

e to CO

NTEN

TS at H

OM

E in

cludin

g:-

• Fu

rnitu

re, fixtures, fittin

gs, h

ouseh

old

goo

ds an

d p

ersonal effects w

hich

belo

ng

to th

e Insu

red o

r family m

ember n

orm

ally residin

g w

ith th

e Insu

red (su

b-lim

it: H

K$50,0

00 p

er item)

• VALU

ABLE

S: g

old

, platin

um

, silver, jades, d

iamonds, jew

ellery, oth

er precio

us

metals o

r stones, w

atches, w

orks of art, an

tiques, ch

inaw

are, curios an

d fu

rs (su

b-lim

it: 10%

of th

e maxim

um

limit o

f indem

nity su

bject to

HK$15,0

00 p

er item

) Exten

sions:-

a) Alterative A

ccom

modatio

n E

xpen

ses follo

win

g lo

ss or d

amag

e insu

red b

y this

Sectio

n (su

b-lim

it: HK$30,0

00 su

bject to

HK$1,5

00 p

er day)

b)

Deterio

ration o

f Frozen

Food d

ue to

failure o

f refrigerator o

r freezer (sub-lim

it: H

K$3,0

00)

c) Lo

ss or dam

age d

ue to

Househ

old

Rem

oval from

HO

ME to n

ew resid

ence w

ithin

H

ong K

ong (su

b-lim

it: HK$50,0

00)

d)

Dam

age

to Lo

cks or

Win

dow

s due

to th

eft or

attempted

th

eft at

HO

ME

(sub-lim

it: HK$3,0

00)

e) Cover M

oney w

ithin

Hong K

ong (su

b-lim

it: HK$5,0

00, su

bject to H

K$2,5

00 p

er accid

ent)

f) Rem

oval of D

ebris E

xpen

ses follo

win

g loss or d

amag

e insu

red b

y this S

ection

(sub-lim

it: HK$50,0

00)

g)

Tem

porary

Rem

oval of

CO

NTEN

TS w

ithin

H

ong Kong solely

for rep

air or

main

tenan

ce purp

ose (su

b-lim

it: HK$50,0

00)

h)

World

wid

e Cover fo

r VALU

ALB

LES (su

b-lim

it: HK$2,5

00, su

bject to H

K$1,0

00

per item

)

1. C

on

ten

ts

Excesses: - H

K$500 each

and every claim

- H

K$1,0

00 each

and every claim

under th

e Exten

sion ( c ) –

Househ

old

Rem

oval

- HK$1,0

00 or 1

0%

of lo

ss or dam

age w

hich

ever is the g

reater for each an

d every claim

arising fro

m w

ater

HK$1,0

00,0

00

or

the

actual

value

of CO

NTEN

TS

at H

OM

E,

which

ever is the less

Legal liab

ility of the In

sured

(inclu

din

g an

y mem

ber o

f the fam

ily norm

ally residin

g w

ith th

e Insu

red) in

respect of accid

ental b

odily in

jury o

r acciden

tal loss or d

amag

e to

prop

erty occu

rring at o

r about H

OM

E

2. P

ub

lic Lia

bility

Excess: H

K$500 each

and every th

ird p

arty pro

perty loss or d

amag

e claim

HK$7,5

00,0

00

3. P

erso

nal

Accid

en

t D

eath of th

e Insu

red cau

sed b

y fire, theft or attem

pted

theft w

hilst at H

OM

E (if m

ore

than

one p

erson is sh

own o

n th

e Policy S

ched

ule as th

e Insu

red, th

e Maxim

um

Limit

of In

dem

nity w

ill be d

ivided

equally am

ong th

ese perso

ns)

HK$250,0

00

Accid

ental p

hysical d

amag

e to BU

ILDIN

G at H

OM

E

Exten

sions:

a) Arch

itects’ Surveyors’

and

Consu

lting

Engin

eers’ Fees

incu

rred

in

the

reinstatem

ent o

f BU

ILDIN

G fo

llow

ing lo

ss or dam

age in

sured

by th

is Sectio

n (su

b-lim

it: 5%

of the M

aximum

Limit of In

dem

nity)

b)

Rem

oval o

f Deb

ris Exp

enses fo

llow

ing lo

ss or dam

age in

sured

by th

is Sectio

n

(sub-lim

it: 5%

of the M

aximum

Limit of In

dem

nity)

4. B

uild

ing

Excesses: - - H

K$250 each

and every claim

Up

to th

e su

m

you

selected to

insu

re for

or th

e reb

uild

ing

cost of

BU

ILDIN

G,

which

ever is

the less

Sectio

n 1

is the p

rimary co

ver of this in

suran

ce Sectio

ns 2

and 3

are pro

vided

, togeth

er with

Sectio

n 1

, at no extra p

remiu

m.

Sectio

n 4

is an o

ptio

nal cover an

d o

nly op

erative on p

aymen

t of extra p

remiu

m.

Th

is leafle

t serv

es a

s a g

en

era

l gu

idelin

e o

nly

. Fo

r deta

ils of co

vers, p

lease

refe

r to th

e e

xclu

sion

s, term

s an

d

con

ditio

ns

of

Gen

era

li’s In

sura

nce

P

olicy

w

hich

ca

n b

e o

bta

ined

fo

rm yo

ur

insu

ran

ce ad

vise

rs o

r G

en

era

li’s re

pre

sen

tativ

es. (In

sura

nce

Po

licy is w

ritten

in E

ng

lish o

nly

.)

• •

H

om

e P

ack

ag

e In

sura

nce

Pro

po

sal F

orm

In

suran

ce Adviser

______________________ Po

licy No. _

___________________________

(For O

ffice U

se O

nly

)

IMP

OR

TA

NT

NO

TIC

ES

: •

Proposer is ob

liged

to disclose

all m

aterials facts. Fa

ilure

to d

o so co

uld

inva

lidate

the in

sura

nce

cove

r. •

Mate

rial fa

cts conta

in in

formation

that is re

leva

nt to

Genera

li’s decision

on w

heth

er or n

ot to p

rovid

e co

vera

ge.

• M

ate

rial fa

cts inclu

de in

formation

and q

uestion

s aske

d in

this Prop

osal Form an

d oth

er facts that w

ould

influ

ence

Genera

li’s asse

ssment

and a

ccepta

nce

of th

is pro

posa

l. •

If Pro

pose

r is unce

rtain

as to

wheth

er o

r not p

articu

lar in

formation

is mate

rial, su

ch in

formation

shou

ld b

e disclosed

. (P

lease

use

blo

ck le

tters a

nd tick th

e a

ppro

pria

te b

ox.)

Deta

ils of P

rop

ose

r

Nam

e of Pro

poser S

urn

ame

Oth

er Nam

es

Corresp

onden

ce Address

Telep

hone N

o. (h

ome/O

ffice/mobile p

hon

e) O

ccupatio

n of Prop

oser

Period of In

suran

ce: From

To

dd / m

m / y

y dd / m

m / y

y D

eta

ils of H

om

e

Hom

e Address (if d

iffere

nt fo

rm a

bove

addre

ss)

Gross Floo

r Area:

500 o

r belo

w

751 to 1

,000

1,5

01 to

2,0

00

5

01 to 7

50

1

,001 to

1,5

00

over 2

,000 (p

lease specify_

_________)

1. Is th

e in

sure

d re

sidentia

l build

ing o

ver 3

5 ye

ars o

ld?

Yes

No

2. W

ill the a

bove

Hom

e b

e u

noccu

pie

d for a

perio

d over 3

0 con

secutive d

ays?

Yes

No

3. D

o you

require

hig

her Lim

its of In

dem

nity (for se

ctions 1

to 3) th

an th

ose sh

ow

n on

the ta

ble

on th

e le

ft?

Yes

No

Please p

rovid

e deta

ils if the an

swer of th

e above

question

s is “Yes”:

Bu

ildin

g In

sura

nce

(ple

ase

com

pete

the fo

llow

ing

if yo

u re

qu

ire th

is cover.)

Sum

Insu

red: H

K$

Nam

e of M

ortgag

ee or B

ank

Past E

xp

erie

nce

an

d In

sura

nce

Histo

ry

1. H

as any in

suran

ce com

pan

y declin

ed yo

ur p

roposal, can

celled or refu

sed to ren

ew yo

ur p

olicy or

imposed

special term

s and con

ditio

ns fo

r the in

suran

ce?

Yes

No

2. H

as there b

een an

y loss, dam

age, liab

ility or acciden

t incu

rred in

connectio

n w

ith th

e above H

om

e durin

g th

e past 1

2 m

onth

s? Please

pro

vide d

etails if th

e an

swer of th

e above

question

s is “Yes”:

Yes

No

Decla

ratio

ns

(1)

I/We h

ere

by d

ecla

re th

at th

e in

form

atio

n g

iven a

bove

is true a

nd co

mple

te to

the b

est o

f my / o

ur kn

ow

ledge an

d b

elieve th

at all m

aterial fa

ctors affe

cting th

e a

ssessm

ent o

f this a

pplica

tion h

ave b

een d

isclosed

. (2

) I/W

e h

ere

by d

ecla

re th

at th

e a

bove H

om

e (i) is so

lely o

ccupie

d b

y me/u

s and m

y/our fam

ily for dw

elling p

urp

ose on

ly; (ii) is built of b

ricks, ston

es a

nd con

crete

and ro

ofed w

ith con

crete

. (3

) I /We u

ndersta

nd th

at th

is insu

rance

will n

ot b

eco

me e

ffective

until th

is Pro

posa

l Form

has b

een a

ccepte

d b

y A

ssicura

zioni G

enera

li S.p

.A.

(here

inafte

r refe

rred to

as “G

enera

li”) and a

gre

e th

at th

is Proposa

l Form a

nd D

ecla

ration

s will b

e th

e basis o

f the co

ntra

ct betw

een m

e/us a

nd

Genera

li. (4

) The in

form

atio

n I/W

e p

rovid

e to

Genera

li is colle

cted to

enable

Genera

li to ca

rry o

n in

sura

nce

busin

ess a

nd m

ay b

e u

sed fo

r the p

urp

ose

of :

(i) any in

suran

ce or fin

ancia

l related

prod

uct or se

rvice

or n

ay a

ltera

tions, va

riatio

ns, ca

nce

llatio

n o

r renew

al o

f such

pro

duct o

r serv

ice; (ii)

any cla

im o

r inve

stigatio

n o

r analysis o

f such

claim

; and (iii) e

xercisin

g a

ny rig

ht o

f subro

gatio

n, m

ay b

e tra

nsfe

rred to: (a

) any re

late

d

com

pany or a

ny co

mpany ca

rrying on

insu

rance

or rein

sura

nce

rela

ted b

usin

ess or in

term

edia

ry or a cla

ims o

r inve

stigatio

n o

r oth

er se

rvice

pro

vid

er p

rovid

ing se

rvice

s rele

vant to

insu

rance

busin

ess for a

ny of th

e a

bove

or rela

ted p

urp

oses; (b

) any a

ssocia

tion, fe

dera

tion o

r simila

r org

aniza

tion o

f insu

rance

com

panie

s (“Federa

tion”) th

at exists or is form

ed from

time to tim

e for any o

f the a

bove

or re

late

d p

urp

ose

s or to

enable

the Fe

dera

tion to

carry

out its re

gula

tory

function

s or such

other fu

nction

s that m

ay b

e a

ssigned to

the Fe

dera

tion fro

m tim

e to

time

and a

re re

aso

nably re

quire

d in

the in

tere

st of th

e in

sura

nce

industry o

r any m

em

ber(s) o

f the Fe

dera

tion; a

nd/o

r (c) any m

em

ber(s) o

f the

“Federation

” by th

e “Federation

” for an

y of the ab

ove or relate

d p

urp

oses. M

oreover, G

enera

li is hereb

y auth

orized to ob

tain

access to an

d/o

r to verify a

ny o

f my/ou

r data

with

the in

formation

colle

cted b

y the Fe

dera

tion fro

m th

e in

sura

nce

industry.

I/We h

ave

the rig

ht to

obta

in a

ccess to a

nd to re

quest corre

ction o

f any p

erson

al in

formation

conce

rnin

g m

yse

lf / ourse

lves h

eld

by G

enera

li. Req

uest for su

ch a

ccess can b

e made to

Gen

erali’s Data

Pro

tectio

n O

fficer. (H

ong K

ong B

ranch

: 35/F, T

ow

er T

wo, T

imes S

quare

, 1 M

ath

eso

n

Stre

et, C

ause

way B

ay, H

ong K

ong.)

(5) T

he a

pplica

nt u

ndersta

nds, a

cknow

ledges a

nd a

gre

es th

at, a

s a re

sult o

f the a

pplica

nt p

urch

asin

g a

nd ta

kin

g u

p th

e p

olicy

to b

e issu

ed b

y

Assicu

razion

i Genera

li S.p

.A., A

ssicura

zioni G

enera

li S.p

.A. w

ill pay th

e a

uth

orized in

sura

nce

bro

ker co

mm

ission d

urin

g th

e con

tinuance

of the

policy in

cludin

g re

new

als, fo

r arra

ngin

g th

e sa

id p

olicy

. Where

the a

pplica

nt is a

body co

rpora

te, th

e a

uth

orize

d p

erso

n w

ho sig

ns o

n b

ehalf

of th

e a

pplica

nt fu

rther co

nfirm

s to A

ssicura

zioni G

enera

li S.p

.A. th

at h

e o

r she is a

uth

orize

d to

do so

. The a

pplica

nt fu

rther u

ndersta

nds th

at th

e a

bove

agre

em

ent is n

ece

ssary for th

e A

ssicura

zioni G

enera

li S.p

.A. to

pro

ceed w

ith th

e a

pplica

tion.

Signature of Proposer _______________________________________

Date

___________________________________

Ho

ng

Ko

ng

Bra

nch

: 5/

F., G

en

era

li To

wer, 8

Qu

een

’s R

oad

East, H

on

g K

on

g. T

el: 2

52

1 0

70

7 F

ax: 2

52

1 8

01

8

HPI/2

01004

srinivasansriniNIB1

______________________

____________________________

()

• • • •

√

HPI/2

01004

srinivasansriniNIB1