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8/F 88 Corporate Center

Sedeno corner Valero St.


Salcedo Village, Makati City, 1227 Philippines

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FILE A C LA IM

FILING FIRE CLAIM


GENERAL REQUIREMENTS
1. Insurance Policy Contract, Policy Schedule and its Official Receipt of Premium Payment
2. Endorsements / Attachments (if any)
3. Sworn Statement of Claim (notarized)
4. Non-Waiver Agreement (notarized)
5. Certification from Bureau of Fire Protection
6. Photographs
7. Assured's Affidavit or Statement declaring:
o Nature of ownership of the property insured
o Location of property
o Extent of damage and salvage value
o Value of property damaged and destroyed
o Liens and encumbrances (if any)
o Year the building was constructed and original construction cost (for building)
o Any information related to the loss
ADDITIONAL REQUIREMENTS
For building Loss
1. A civil engineer's or architect's detailed estimate (obtained at the expense of the Assured) to place the building in the same
state as before the fire (no contemplated improvements may be included in the estimate and a proper allowance for age and
depreciation, etc. must be allowed)
2. Certified copy of the building permit
3. Certified copy of the Declaration of Real Property for the building
4. Copy of the building plan/sketch prepared by the engineer/architect
5. Lease contract or agreement if the assured is not the lot owner
6. Certificate of Lot Title
7. Deed of Sale, if the building was purchased
For Contents / FFF / Machinery & Equipment Loss
1. A complete inventory of all the items contained in the insured premises showing the cost price of each and date acquired
2. A detailed inventory or list of the items damaged or destroyed showing the cost price of each and date acquired
3. Records, purchase invoices, delivery receipts or any other proof of acquisition
4. Contract of Lease or Agreement, if the assured is not the building owner
If insured property is owned by a company or corporation:
1. Mayor's Permit / Business License / Certificate of Registration of Business Name
2. Certified copies of Income Tax Returns for the last two (2) years and the accompanying Financial Statements filed with BIR,
in case of total loss
For Stocks-in-Trade Loss
1. Mayor's Permit / Business License / Certificate of Registration of Business Name
2. Certified copies of Income Tax Returns for the last two (2) years with accompanying Financial Statements filed with BIR
3. Purchase and Sales Invoices / Delivery Receipts or Vouchers or Official Receipts (Purchase and Sales) / Purchase and
Sales journal and other business records
4. Other pertinent documents relative to the business
In case of partial loss:
1. Complete inventory or list of all the damaged items contained in the insured premises showing the cost price of each, extent
of loss and salvage, if any
2. In the absence of invoices, submit supplier's certificate of itemized sales and deliveries.
3. Latest Inventory of Merchandise submitted to BIR prior to the loss
PROCEDURE
In the event of fire loss incident, simply do the following:
1. Immediately file a notice of claim to Winebrenner & Inigo Insurance Branch nearest you.
2. Take all reasonable steps to preserve the debris and traces of fire and protect the property from further damage.
3. Once the loss has been investigated and the damage has been assessed by Winebrenner & Inigo Insurance In-House
Adjusters, SUBMIT ALL THE REQUIRED DOCUMENTS to enable Winebrenner & Inigo Insurance to process and settle your claim
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