CORPORATE & COMMERCIAL

PRODUCT LIABILITY INSURANCE FOR SME Let Us Protect Your Business While You Grow It With complex and changing market needs, we recognise how critical it is to have a long-term dedicated and committed Insurer. That is why MPI Generali Insurans Berhad adopts a flexible solution-orientated approach to help you meet the challenges of today and tomorrow. This Programme offers Product Liability coverage at a competitive rate.

This policy provides protection against financial losses arising out of the legal liability incurred by an Insured because of bodily injury or property damage resulting from the use of a covered product, occurring during the period of cover, happening within . The Insured is also covered against all costs and expenses of litigation, which may include lawyer’s fees, awards, compensation and civil suit proceedings.

TARGET MARKET/WHO WE INSURE

Consumer Product Manufacturers Distributors Wholesalers/Retailers Importers Outsource Manufacturer

Food Bread, canned food, frozen food, fresh produce, beverages, pre-packed food, sauces etc. Garments Textile, sportswear, shoes, jackets, boots etc. Household Items Furniture, carpets, bathroom accessories, cabinets, crockery, cupboards etc. Electrical and Electronics Items Air conditioner, television, kettle, lamps, fan, speakers, earphones etc.

Explosive, fireworks, flammable gases and volatile petroleum products Drugs, medicine, pharmaceutical Cosmetics, crop sprays, fertilisers, insecticides, pest and weed control, fumigants, animal feeds Ready-mix concrete and pre-fabricated elements for construction purpose Medical equipment etc.

Please refer to the policy for full terms and conditions and exclusions. A: If you produce a product that injures your customer, you can be sued for damages. You can also be sued if the product causes damage to private property. If your product has caused damage to property, you are likely to face a claim for the value of that damage. Where your product has caused injury, the

income that might have been earned in the rest of the dead person’s life, and can run to millions of Ringgits or more.

ONE STEP CLOSER TO PROTECTING YOUR BUSINESS

1. Complete and sign the proposal form on the reverse side. 2. Select the Limit of Liability. 3. Attach copy of the product’s brochure. MPI Generali Insurans Berhad (14730-X)

Head Office : 8th Floor, Menara Multi-Purpose, , 8, Jalan Munshi Abdullah, 50100 . P.O. Box 10122, 50704 Kuala Lumpur, Malaysia. P +603 2034 9888 F +603 2694 5758, +603 2694 5759 mpigenerali.com Branches Alor Setar : P +604 735 7007 F +604 735 7000 Kota Bharu : P +609 748 7697, +609 748 7779 F +609 748 1597 Petaling Jaya : P +603 7875 2328 F +603 7875 2321 Batu Pahat : P +607 439 5717 F +607 439 5727 Kota Kinabalu : P +6088 719 720, +6088 726 022 F +6088 711 821 Sandakan : P +6089 212 233 F +6089 222 173 Ipoh : P +605 241 0396, +605 241 0988 F +605 241 6307 Kuantan : P +609 513 5288 F +609 513 3993 : P +606 761 8818, +606 761 7818 F +606 763 0818 Bahru : P +607 268 7600 F +607 268 7666, +607 268 7668 Kuching : P +6082 248 833, +6082 248 933 F +6082 428 633 Sibu : P +6084 316 633 F +6084 318 933 Kangar : P +604 979 3188, +604 979 3288 F +604 979 3588 Melaka : P +606 288 3818 F +606 283 2818 Klang : P +603 3343 6898 F +603 3348 8828 : P +604 228 9388 F +604 228 9088

MPI Generali Insurans Berhad is licensed under the Financial Services Act 2013 and regulated by Bank Negara Malaysia. MPI Generali Insurans Berhad dilesenkan di bawah Akta Perkhidmatan Kewangan 2013 dan dikawal selia oleh Bank Negara Malaysia.

Limit of Liability (any one claim/aggregate)

Annual Premium 700 1,000 2,000 2,400 2,700

Note: Premium is subject to 6% SST and RM10 Stamp Duty. All amounts stated in the table above are in Ringgit Malaysia (RM).

3.

(If yes, please attach all printed materials describing the products)

List down the products to be covered which are manufactured, sold or distributed by you: 6 d.

7. Has a previous application been declined? Yes No

Has a previous insurance

(a) required increased premium? Yes No

(b) been terminated/not been renewed by an Insurer? Yes No

If so, please give detailed information.

8. Have any claims been made during the past five years against your firm? Yes No If so, please advise amount and background of each claim in a separate sheet.

9. Is your firm aware of any circumstances or incidents which may result in a claim against your firm? If so, please advise amount and background of each claim in a separate sheet. Yes No

I/We declare that the above statements and particulars in this proposal are true and that I/we have not misstated or suppressed any material facts. I/We agree that this proposal, together with any other information supplied by me/us, shall form the basis of any contract of insurance affected thereon. Signing this proposal form does not bind the proposer or underwriter to complete this insurance.

Dated this day of

For and on behalf of

Signature of partner or principal

PERSONAL DATA PROTECTION ACT 2010 MPI Generali Insurans Berhad is committed and have put in place a Privacy Policy to safeguard the security and confidentiality of your personal information with us. In using our services and website, you acknowledge and agree to be bound by the terms of our Privacy Policy which is available at mpigenerali.com.

MODE OF PAYMENT

I enclose cheque no. for RM

Please charge the premium of RM to my credit card. Mastercard Visa

Credit Card No. Expiry Date

Date Cardholder’s Signature Branches /Cawangan Untuk keteranganlanjut,silahubungi: For furtherinformation,pleasecall: MPI GeneraliInsuransBerhad mpigenerali.com Postal Address:P.O.Box10122,50704 KualaLumpur. P +60320349888F26945758, +60326945759 8, JalanMunshiAbdullah,50100Kuala Lumpur. 8th Floor,MenaraMulti-Purpose,Capital Square, Licensed undertheFinancialServicesAct2013andregulatedbyBankNegaraMalaysia. Underwritten by/ditanggungoleh: HEAD OFFICE/IBUPEJABAT BATU PAHAT SIBU SEREMBAN SANDAKAN MELAKA PENANG KOTA BHARU KUANTAN KUCHING JOHOR BAHRU KLANG IPOH KOTA KINABALU ALOR SETAR PETALING JAYA KANGAR pgnrl mpigeneraliinsurans mpigenerali MPI Generali P+6049793188,3288F3588 JalanKangarAlorSetar,01000Kangar,Perlis. 2nd Floor,No.366,TamanMutiara, : P : 16-A,JalanCeria,PusatPerniagaan83000BatuPahat,Johor. P No. 38,1stFloor,JalanKeranji,96000Sibu,. : : No. 69-1,1stFloor,JalanEraSquare2,Square, : P Mile6,NorthRoad,90000Sandakan,. Lot 9,BlockB,UtamaPlace, : P No. 308, JalanMelakaRaya1,Taman : MelakaRaya,75000Melaka. : U : P J P 15050Kota Bharu,Kelantan. Lot 385, T/Blk13,JalanJambatanSultanYahya Petra, : KgSireh, : No. 3 &5,Tingkat 2,Transit Point, : P JalanDato’LimHoeLek,25000Kuantan, . : Lot 584-586, 1stFloor, JalanTun : AhmadZaidiAdruce, P+6082248833,933F +6082428633 93150Kuching, Sarawak. P CityPlaza,JalanTebrau,80300JohorBahru,Johor. Unit 1903 &1904,Level19, : P OffJalanMeru,41050Klang,. No. 11B, 2ndFloor,JalanKepayang, : : No.63&6 P.O P P KawasanPerusahaan Mergong2,05150AlorSetar, . 2nd Floor, : : BlockB,Lot1,1stFloor,JalanLintasHighway,Jaya P+60378752328F2321 : No.12,1st&2ndFloor,JalanSS3/5,47300PetalingJaya,Selangor. P New UptownshipPenampang,89500Sabah. P +6067618818,7818F7630818 70200 Seremban,NegeriSembilan. alan +

+6084316633F +6084 318933 +6089212233F +6089 222173 +6062883818F +6062832818 +6097487779,7697F +6097481597 +6095135288F +6095133993 +6072687600F +6072687666,7668 +60333436898F +60333488828 +6047357007F +6047357000 +6074395717F +60 nit No. +608 . Box1 604 MPI GeneraliInsurans Berhad C 5 antonme 8 228 9388F 41-01 2 719 41 0396,+60524 07, 30710Ipoh,P Unit5a,No.55,BangunanEmumJalanGangsa, 5, JalanC 720 -01, 1stFloor,W nt, , +6088 726 02 10 + +6074395727 250 Pena hung ThyePhin,302 604

(14730-X) 228 9088 erak. 1 0988 ng. isma 2 F

Prudential, F +6088 +605 50 Ipoh. 7 1 241 6307 1 821

PRDLIABSME 102018