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  • 8/10/2019 Policy Schedule 2013 - 2014

    1/11

    C AIG 5-04 , Ho 9, Saigon Center, 65 L Li, 1, TP.HCM, V NamTT Ch : 9, Saigon Center, 65 L Li, 1, TP.HCM, V

    : 848 3914 0065 | Fax: 848 3914 0067 | Email: [email protected]

    Page 1 of 11

    INSURANCE PLAN

    Travel GuardGlobal Travel Protection InsuranceB H Du L Cu

    THE COMPANYCng Ty

    AIG VIETNAM INSURANCE COMPANY LIMITED AIG (Hereinafter fd AIG IEA)(Sau y gi tt l AIG E)

    POLICY NUMBER

    0200027346-001

    POLICY HOLDER

    STANDARD CHARTERED BANK (VIETNAM) LIMITED.(f fd STANDARD CHARTERED IEA)

    I AA AEE (I A)(Sau y gi tt l STANDARD CHARTERED E)

    ADDRESS

    49 Hai Ba Trung, Hoan Kiem District, Ha Noi49 a rg, Qun Hon Kim, H Ni

    PERIOD OFINSURANCE

    From: 21/10/2013: 21/10/2013

    To: 20/10/2014: 20/10/2014

    (Both dates inclusive)(Bao gm chai ngygii h u)

    TOTAL PREMIUM (VAT included) ( a g tu )

    VNDVi ng 157,500,000

    I. OPERATION OF INSURANCE COVERAGE - :

    1.1 The insurance program will be covered under this Policy Schedule between AIG VIETNAM andSTANDARD CHARTERED VIETNAM. This is one-year policy and renewable each and every year.g tr uy ti mt gBo Him gaAIG VIETNAMv STANDARD CHARTERED VIETNAM.g tr o him ny c thi h l t (01) v c ti tc hng .

    1.2 The coverage is applicable to all, primary and joint-all Visa Platinum Debit Cardholders ofSTANDARD CHARTERED IEA (dld) on mandatory basis and their respectivedependants as defined in clause 1.4.3 below.g tr g tr bt buc tt C Thg quc tVisa v l a STANDARD CHARTERED VIETNAM ( Th) v g tute ga ti m 1.4.3 y.

    1.3 AIG VIETNAM shall cover for any losses, damages occurred to the Insured Person and his/herpp d Al 2.2 bl d Id d subject to the Terms and Conditions of this Policy and the Purchase Require basis defined asbelow:

    AIG E t tt, tt y ra v g v t a uy t u . trg g tr g tv uy g g, tun the Quy t a g y v guy tta t g t ga au:

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    C AIG 5-04 , Ho 9, Saigon Center, 65 L Li, 1, TP.HCM, V NamTT Ch : 9, Saigon Center, 65 L Li, 1, TP.HCM, V

    : 848 3914 0065 | Fax: 848 3914 0067 | Email: [email protected]

    Page 2 of 11

    1.3.1 Common Carrier means public transportation which is duly licensed for regular publictransportation of the fare-paying passengers with an operational schedule including but not

    limited to air planes, ships, ferries, trains and buses, etc. This would exclude all modes oftransportation which are Chartered or arranged as part of a tour even if these services areregularly scheduled; ga l g t v uy gg v uy g g tg uy vi mt lchtrnh vn hnh cho ua v, ba g g g g y ay,tu tu, , e la, e ut, v.v. g T V Cuy Cng Cg g a gtt g t v uy tu l t v auy kckhi g v ny l g tr tg uy;

    1.3.2 Purchase Required Basis means:When the STANDARD CHARTERED VIETNAM Visa Platinum Debit Card is used topurchase:Khi quc t Visa a STANDARD CHARTERED VIETNAM cdng ta t:

    (i) the entire of any Common Carrier ticket with a time schedule prior to thecommencement of such Common Carrier ride, the respective ride of the InsuredPerson on such Common Carrier will be covered; or t t v a Pg T V Cuy Cng Cg v t l trtr te l tr , t v u l trg Ng B H tr g Pg T V Cuy Cng Cg viltr ta t

    (ii) at least 80% of the tour package prior to the commencement date of such tour, allthe Common Carrier ride of the Insured Person within such tour will be covered.t t 0 tr g a uy /chuy u l tr t u uy

    , th v g c Bo Hi tr tt Pg T V CuyCng Cg trg l tr uy .

    Tour package shall mean the entire tour price in case the Insured Person buys a tour froma tour operator or otherwise, to include at least the cost of entire transportation scheduleand accommodation of the Trip (from Vietnam and back to Vietnam and alltransportation/accommodation included as part the Trip). tr g a uy /uy u l ga l tg g tr a t turu l g ua t u tur t l v uy ut uy (uy t t a v tr v t a v tt l v trg uy ).

    1.4 Other definitionsc kc:

    1.4.1 Insured Person: means primary and secondary STANDARD CHARTERED VIETNAM VisaPlatinum Debit Cardholders and dependants of primary and secondary STANDARDCHARTERED VIETNAM Visa Platinum Debit Cardholders.g : ga l Th v a quc tVisa a STANDARD CHARTERED VIETNAM v gi ph thuc ca Th

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    C AIG 5-04 , Ho 9, Saigon Center, 65 L Li, 1, TP.HCM, V NamTT Ch : 9, Saigon Center, 65 L Li, 1, TP.HCM, V

    : 848 3914 0065 | Fax: 848 3914 0067 | Email: [email protected]

    Page 3 of 11

    v a quc t Visa a STANDARD CHARTEREDVIETNAM

    1.4.2 STANDARD CHARTERED VIETNAM Visa Platinum Debit Cardholder:means the holder ofa valid STANDARD CHARTERED VIETNAM Visa Platinum Debit card issued bySTANDARD CHARTERED VIETNAM and who at the time of a claim event is still a validSTANDARD CHARTERED VIETNAM Visa Platinum Debit Cardholder. Th quc tVisa a STANDARD CHARTERED VIETNAM(): ga l t ca Th quc t Visa cn hiu lc doSTANDARD CHARTERED VIETNAM pht hnh, v gay t t y ra tt, tg, v g l ChTh quc tVisa lcaSTANDARD CHARTERED VIETNAM.

    1.4.3 Dependants: mean accompanied and legally recognized spouse and minor children under18 years of the Standard CharteredVietnam Visa Platinum Debit Cardholder.g u: ga l vg v i 18 tui c php lut cng nhn, v gChThGhi nVisa Bch Kim ca Standard Chartered Vit Nam

    1.5 Customer Service - Dch VKhch Hng:

    1.5.1 q ll b dld by STANDARD CHARTERED VIETNAM. Producttraining can be provided to STANDARD CHARTERED VIETNAM l d ff.t t a g g v a STANDARDCHARTERED VIETNAM. AIG VIETNAMs ug u u luy g v g y g v nhn vin v g a STANDARDCHARTERED VIETNAM.

    1.5.2 If dld ply qy vd FA l AACHARTERED VIETNAM ll v ll dld d fand pass them to AIG f dd qy. dld fand inquiry will have to be submitted to AIG Vietnam within the same working day. AIGVietnam will review the inquiry and will have to contact the cardholder and clarify the inquirywithin twenty-f (2) p v dld qy d f fSTANDARD CHARTERED VIETNAM.u t g trg a g t tg g g, S EE E tu t t a t v a l v uy AIG t a tr l g. tg t v t v ug t uy AIG t a trg g gy l v. AIG ta e t t v l t v g t trg vg 4 gau t v a l t S EE E.

    1.5.2 Claim will be processed between AIG VIETNAM Claim Department and STANDARD

    CHARTEE IEA Cardholder. g uyt vta t b tg t ga g g aAIG VIETNAM& ChTh a STANDARD CHARTERED VIETNAM.

    1.6 Advertsing, Promotion & Marketing - Qung Co, Xc Tin TMi & Tip Th

    Any and all marketing materials/advertisements/flyers with logo and brand name of AIG VIETNAMmust be reviewed by AIG VIETNAM for purpose of ensuring it reflects the true intention of theParties and the Policy.

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    C AIG 5-04 , Ho 9, Saigon Center, 65 L Li, 1, TP.HCM, V NamTT Ch : 9, Saigon Center, 65 L Li, 1, TP.HCM, V

    : 848 3914 0065 | Fax: 848 3914 0067 | Email: [email protected]

    Page 4 of 11

    t t lu aretgug t r lg tg u a AIG VIETNAM g tg ua AIG VIETNAM ug a H gBo Himt tu ga .

    II. BENEFITS DESCRIPTION -

    2.1 Scope Of Coverage - Phm Vi Bo Him:

    2.1.1 The insurance applies while the Insured Person is taking a Trip (as defined below) fromVietnam and the Insured Person will be covered during the period he/she is riding on aCommon Carrier, subject to the Purchased Required basis as provided at Article 1.3 above. v g g B H t mt Cuy i( ga y) t t avg B H trgut t ga g B H ag l tr t Pg T VCuy Cng Cg, v u phi tu te guy t v ta t g t uy t u 1.3 tr.

    2.1.2 Trip shall mean the journey from Vietnam to overseas country(ies) and back to Vietnamwith the departure date from Vietnam within the insurance period of the Policy. AnyCommon Carrier riding within the Trip will be covered, subject to the Purchase Requiredbasis as provided above. The Trip duration will be counted from the departure date fromVietnam.uy ga l tr t t a ag (cc) g v tr v t av gy t t a trg t a g B H.t v tr g T V Cuy Cng Cg trg uy i u , v u phi tun theo nguyn tcv ta t g t cuy nh tr. Thi hna uy t t u t gy t tNam.

    2.1.3 Territorial Limits: Worldwide excluding Afghanistan, Cuba, Democratic Republic of Congo,Iran, Iraq, Liberia, Sudan and Syria.Nhng phm vi lnh th: u, l tr Afghanistan, ua, g g,Iran, Iraq, Liberia, Sudan v Syria.

    2.2 Benefits & Premium - Quyn Li &

    ummary of coverage/ The claim amount shall be exchanged to VND at the time of payment/Tin b ng s qy i ra tin Vi ng ti th m thanh ton

    Maximum limit/

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    C AIG 5-04 , Ho 9, Saigon Center, 65 L Li, 1, TP.HCM, V NamTT Ch : 9, Saigon Center, 65 L Li, 1, TP.HCM, V

    : 848 3914 0065 | Fax: 848 3914 0067 | Email: [email protected]

    Page 5 of 11

    1. Accidental Death & Disablement -

    CARDHOLDER- c C T

    .Insured Person under sixty five (65) years

    gi c Bo Hi i 65 tui

    10,500,000,000 VND

    10 VN

    .Insured Person of sixty five (65) years and above

    g B H t tu tr l

    5,250,000,000 VND

    VN

    CARDOLDERS SPOUSE - c c c C T

    .Insured Person under sixty five (65) years

    gi c Bo Hi i 65 tui

    5,250,000,000 VND

    5

    .Insured Person of sixty five (65) years and above

    g B H t tu tr l

    2,625,000,000 VND

    CARDOLDERS CILDRE under eighteen (18) years only - cho con i 18 tuic C T

    525,000,000 VND

    2. Personal Baggage including Lap-Top Computer - Hnh l cnhn bao gm my tnh xch tay

    Covers loss or damage to baggage, clothing, personal effects, Lap-Top

    Computer. (Maximum 10,500,000 VND for any one article or pair or setof articles. Maximum for Lap-Top Computer is 21,000,000 VND)

    a t t tt v l, qun o, t trag, y t nhn bmt hoc b g trg uy (t a 10,500,000 i vi m vt vt v t a 21,000,000 i vi my tnh xch tay)

    21,000,000 VND

    3. Trip Delay/ Chuy t r hon

    Cover 2,100,000 VND for each full 6consecutive hours of delay

    Thanh ton 2,100,000 cho mi 6 ting lin t tr

    21,000,000 VND

    4. Cover In The Event of Terrorism - T HB K B

    The benefits of this policy are applicable if they occur as the result of anAct of Terrorism whilst the Insured Person is in overseas country.

    uy l a g tr u dngnu cc quyn li ny pht sinh H g Kg B trong lcNg B H ag g.

    Yes

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    C AIG 5-04 , Ho 9, Saigon Center, 65 L Li, 1, TP.HCM, V NamTT Ch : 9, Saigon Center, 65 L Li, 1, TP.HCM, V

    : 848 3914 0065 | Fax: 848 3914 0067 | Email: [email protected]

    Page 6 of 11

    III. PROPOSED ADMINISTRATION FOR YEAR-END PREMIUM RECONCILATION & PAYMENTMETHOD: XUT VQUN L VI I CHIU PH BO HIM & :

    3.1 The premium will be charged to each Cardholder on per card basis per year irrespective of timewhen the Cardholder joins this program. Consequently, no pro-rata premium will be charged. t g tg T tr sth T ta gag tr v t trg . e , khng p dng ph bo him tnh theo tl.

    5. TRAVEL GUARD Assistance Service - c V T G TC

    A full range of 24-hour worldwide emergency & assistance services isavailable to you absolutely FREE. Just place a reverse charge call to theTRAVEL GUARD ASSIST Centre anytime of the day to activate thefollowing services:

    Mt dch vhtr& khn cp ton cu lu g 4 tr trg ut uy v ug t MIN PH. t u g g r a ravel uart l v au y:

    Medical Service Consultation/Advice/Referral v/C /Gii thiuv D V Y T

    Baggage ServiceTrGip VD V H L

    Legal Service - r G V D V P L

    Emergency Ticket Service - Dch VV K C

    Included

    PREMIUM PER CARDHOLDER FOR ITEMS no. 1 to 5 t 1 5

    VND 63,000

    Total deposit number of Cardholders for 1st yearg t t tu t trg u 2,500

    TOTAL PREMIUMg

    VND 157,500,000

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    C AIG 5-04 , Ho 9, Saigon Center, 65 L Li, 1, TP.HCM, V NamTT Ch : 9, Saigon Center, 65 L Li, 1, TP.HCM, V

    : 848 3914 0065 | Fax: 848 3914 0067 | Email: [email protected]

    Page 7 of 11

    3.2 No Certificate/Individual Policy need to be issued.Khng pht hnh Gy Cg N B H c Hp ng B H C Nhn cho tng ChTh.

    3.3 STANDARD CHARTERED VIETNAM will remit to AIG VIETNAM an amount of premium aspayment of coverage for the minimum guaranteed number of Visa Platinum Debit Card.STANDARD CHARTERED VIETNAM suy AIG VIETNAM tg gv Th quc tVisa t tu ta thun.

    3.4 AIG VIETNAM shall issue this Policy Schedule and Term and Conditions in the name ofSTANDARD CHARTERED VIETNAM as Appendix 1. AIG VIETNAM shall send a valid VATinvoice for full premium payment as agreed above to STANDARD CHARTERED VIETNAM withinseven (07) working days from the effective date of the Policy.

    AIG E t mt g Bo Hi v u v u choSTANDARD CHARTERED VIETNAM trg c 1. Trong thi hn y (07) ngy k tngy c hiu lc ca H ng Bo Him.AIG VIETNAMg a Gi trga tg p lcho STANDARD CHARTERED VIETNAM yu u ta t ttu tr.

    3.5 STANDARD CHARTERED VIETNAM will forward the remittance of the above amount within seven(07) days upon receipt of the above valid VAT invoice to AIG IEABank A/c as follows:rg vg y (07) gy t gy nh a tr ga tg p l nu trn,STANDARD CHARTERED VIETNAM s chuyn khon thanh ton cho AIG VIETNAM ph bohim phi trni trn vo ti khon ca AIG VIETNAM au:

    Beneficiary/Ng : AIG Vietnam Insurance Company LimitedAddress/ c: 9/F, Saigon Center, 65 Le Loi, Dist. 1, HCMC, VietnamAccount number/ti k hon: 0-200871-022 (VND)ks e/ CitiBankHo Chi Minh City Branch

    ks ddress/ c ngn hng: 15/F Sunwah Tower, 115 Nguyen Hue, Dist.1, HCMC,Vietnam

    3.6 Thirty (30) days before the expiry date of the Policy , STANDARD CHARTERED VIETNAM willprovide a year-end declaration of Visa Platinum Debit Card portfolio to AIG VIETNAM as the formatin Appendix 2. Should the year-end declaration exceeds the minimum guaranteed number ofCards, STANDARD CHARTERED VIETNAM shall remit to AIG VIETNAM the additional premium,as per below formula, in payment for the difference between the numbers of cards at the year endand the minimum guaranteed number. No monthly declarations are required.Ba m (30) gy tr gy g t , STANDARD CHARTERED VIETNAM scungcp mt bng k khai cu a c Th uc tVisa choAIG VIETNAMnh P 2. rg trng hp tng sthk khai cu vt qu tng sthti thiu tha thu a u, STANDARD CHARTERED VIETNAM sthanh ton thm sphbo him chnh l tg ng vi schnh lch gia sthk khai cu v thti thiutha thu a u theo cch tnh y. Khng yu cu k khai hng thng.

    Formula/Cng thc:C = (A + B) / 2A

    A: Premium on minimum guaranteed number of cards at the beginning of Policy year.Ph bo hi tg ng vi tng sthti thiu tha thu a u.

    B: Premium on actual number of cards at the end of policy year.Ph bo him da tr tg ththc tti th m cui ca Hp ng Bo Him.

    C: Year-end adjustment

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    C AIG 5-04 , Ho 9, Saigon Center, 65 L Li, 1, TP.HCM, V NamTT Ch : 9, Saigon Center, 65 L Li, 1, TP.HCM, V

    : 848 3914 0065 | Fax: 848 3914 0067 | Email: [email protected]

    Page 8 of 11

    u chnh ph bo him cu

    IV. OTHER PROVISIONS - U KHON KHC:

    4.1 Termination conditions - u t g:

    4.1.1 AIG VIETNAM can cancel this Policy by giving 06 months written advance notice toSTANDARD CHARTERED VIETNAM at the STANDARD CHARTERED VIETNAM lastknown address.

    AIG E t t g o Hi y g v tg trc 06thng cho STANDARD CHARTERED VIETNAM v g a a SEE E ug g t.

    After termination of the Policy by AIG VIETNAM, the proportionate part of any premiumreceived in respect of the unexpired period from the termination date to the expiry date ofthe Policy will be refunded by the AIG VIETNAM to STANDARD CHARTERED VIETNAM within 10 working days from the termination date.Sau g o Him chm dt bi AIG E, a g tg

    g v g t ga l t t gy t g u l gy t a g tr l S EEE AIG E trg 10 gy l v tngy chm dt H ng BoHim.

    4.1.2 STANDARD CHARTERED VIETNAM can cancel this Policy by giving 06 months writtenadvance notice to AIG VIETNAM address at 09

    thfloor, Saigon Center, 65 Le Loi, District 1,

    HCMC.S EE E t t g o Hi y g v tg tr 0 tg g AIG E te a t u 09, Sageter, , Qu 1, TP.HCM.

    If this happens, provided no claim has been paid or is payable or no incident has occurred

    which could give rise to a claim under this Policy, the Company will refund to theSTANDARD CHARTERED VIETNAM proportionate part of any premium received inrespect of the unexpired period from the termination date to the expiry date of the Policy. Inall cases, the Company will retain the minimum premium of 10,500,000 VND or the pro-rated used premium, whichever is the higher. v t g y ra, v u kin rg a yu u tg c sc b tg g y ra lm pht sinh quynyu cu b tg te g o Hi y, Cng ty b him tr l

    a g tg g v g t ga t t gy t g ul gy t a g . rg trg g ty g l t tu l 10,500,000 t a g g t te t l,ly l .

    4.1.3 The insurance coverage in respect of an Insured Person shall immediately terminate oncethe Card Holder ceases his/her eligibility of STANDARD CHARTERED VIETNAM VisaPlatinum Debit cardholder.Quy l a Ng B H ngay lp tc t t ChThg l t hp l ca Th quc t Visa a STANDARDCHARTERED VIETNAM.

    4.2 This Policy is valid provided that all the information and facts are fully, timely and faithfully disclosedto AIG VIETNAM by the Insured Person. AIG VIETNAM reserves the right to refuse its liablity to thecoverages of this Policy in respect of any incorrect, missed or fraudulent declaration of InsuredPerson.

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    C AIG 5-04 , Ho 9, Saigon Center, 65 L Li, 1, TP.HCM, V NamTT Ch : 9, Saigon Center, 65 L Li, 1, TP.HCM, V

    : 848 3914 0065 | Fax: 848 3914 0067 | Email: [email protected]

    Page 9 of 11

    gBo Himycu l v u kin rng tt cthng tin v skin dog H ug p cho AIG VIETNAM l y , trung th, v t. AIG VIETNAMc quyn tchi trch nhim theo H ng Bo Hi y i vi nhng k khai khng chnh

    xc, thiu hoc khng trung thc.g u tr u ut t t v ug tg t a l v g trug t ca g c BoHim.

    Notwithstanding the above provision, AIG VIETNAM shall remain the responsibility under this Policyin the following cases:(a) STANDARD CHARTERED VIETNAM or Insured Person breach laws unintentionally;(b) Insured Person have plausible reasons for the late notification of the occurrence of the insured

    events to AIG VIETNAMTuy nhin, AIG VIETNAM vn sthc hin trch nhim bo hi trg trng hp sau:(a) STANDARD CHARTERED VIETNAM ho g c bo him vi phm php lut do v ;(b) g c bo hi l g trg vc chm thng bo cho AIG VIETNAM v

    vic xy ra skin bo him.

    4.3 ConfidentialityBo Mt Thng Tin

    Each of the parties shall treat as confidential all information received from or any third party as areserve of in connection with this Policy or any subsequent agreements between the parties, andshall ensure that their representatives, advisers and employees do likewise. The obligations of theparties under this clause shall survive the termination of this Policy. Notwithstanding the above,either AIG VIETNAM or the STANDARD CHARTERED VIETNAM may in any event be made asnecessary provided that such disclosure shall be limited to their representatives, its officers,employees, attorneys and auditors, legal counsels, internal Group members and those shall beinstructed to treat all such information confidentially and as necessary to comply with requirementsof regulatory authorities, requirements of law or legal process.Mi bn phi gibo mt mi thng tin nh , i vi vi bn thba bt , l ua n Hp

    ng Bo Him ny hoc cc tha thu au t k v ph m bo rg i din ca h,nhg gi cv v v g g tg t. ga vca c te u nyvn c hiu lc sau khi chm dt H ng Bo Him. Tuy nhin, cc bn, trong trng hp bt k,tit lcn thit, v u kin l vic tit lny gii hn nhg g i din, nhn vin, lut v kim ton vin, cvn php l, thnh vin ni bca t v g g c chthl phi bo mt cc thng tin ny v tit lkhi cn thit ph hp vi cc yu cu ca ua c c thm quyn, yu cu ca lut php hoc quy trnh php l.

    4.4 Governing Law & Dispute ResolutionLut p dng & Gii quyt tranh chp

    This Policy is governed by and construed in accordance with Vietnam laws. In event of any disputearising out of or in connection with this Policy, AIG VIETNAM and STANDARD CHARTEREDVIETNAM shall attempt to settle any dispute concerning this Policy, by mutual consultation and

    negotiation. If the parties have not been able to settle the dispute within thirty (30) days after adispute has arisen, then either AIG VIETNAM or STANDARD CHARTERED VIETNAM may referthe dispute for resolution by the competent court in Vietnam f l. d final and binds upon the parties.H ng Bo Him y u chnh bi php lut Vit Nam. Nu c tranh chp gia cc bn

    pht sinh t ho l ua n H ng Bo Him ny, AIG VIETNAM v STANDARDCHARTERED VIETNAM phi ti tg lg gii quyt tranh chp trn tinh thn hptc. Nu vi tg lng khng mang li kt qut trg vg a (30) gy tngy

    pht sinh tranh chp, AIG VIETNAM hoc STANDARD CHARTERED VIETNAM c quyn khikin ra ta n c thm quyn ti Vit Nam gii quyt tranh chp. Quyt nh ca ta n l quytnh cui cng v c tnh cht bt buc vi cc bn.

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    Page 10 of 11

    4.5 LanguageNgn Ng

    This Policy Schedule is made in four (04) originals in bilingual laguages English and Vietnamese.

    Each party shall keep 02 original. In case of any discrepancy between the Vietnamese version andEnglish version, the Vietnamese version shall prevail.Bn Tm Tt H ng Bo Him y c lp thnh (04) bng gbng ting Vit vbng ting Anh. Mi bn sgi02 bn gc. rg trng hp c skhc bit gia bn ting Vitv bn ting Anh th bn ting Vit s u t dng

    4.6 Amendment and SupplementSa i v bsung

    The parties can agree to amend and/or supplement the premium, the insurance conditions andterms, except otherwise provided for by law. All amendments and supplements to insurancecontracts must be made in dually signed written document.Cc Bn c th tha thun sa i, bsung ph bo hi, u ki, u khon bo him, trtrng hp php lut uy nh khc. Mi sa i, bsung H ng Bo Him ph c lp

    t v n c chk ca g i din c thm quyn ca mi Bn.4.7 Sanction Clause p d l v p:

    AIG Vietnam is not liable to make any payments for liability under any coverage sections of thisPolicy or make any payments under any extension for any Claim arising in, or where StandardChartered Vietnam or any beneficiary under the Policy is a citizen or instrumentality of thegovernment of, any country/countries against which any laws and/or regulations governing thisPolicy and/or AIG Vietnam, its parent company or its ultimate holding entity have established anembargo or other form of economic sanction in accordance with the laws of the country of its parentcompany or its ultimate holding entity which have the effect of prohibiting AIG Vietnam fromproviding insurance coverage or transacting business with or otherwise offering economic benefitsto the Standard Chartered Vietnam or any other beneficiary under the Policy.

    It is further understood and agreed that no benefits or payments will be made to anybeneficiary/beneficiaries who is/are declared unable to receive economic benefits under the lawsand/or regulations governing this Policy and/or the AIG Vietnam, its parent company or its ultimateholding entity in accordance with the laws of the country of its parent company or its ultimateholding entity

    AIG t a g ga vph ta t tr m trong phm vi bo him ca Hpng ny hoc thc hin bt kkhon thanh ton cho bt ku kho rg a t kYu cu b tng pht sinh, ho Staar Chartered Vietnam hoc bt kg ng litheo H ng ny l mt cng dn ho l ua a chnh ph, ca bt kmt quc gia/cc qu ga lut php v/ho uy nh chi phi H ng ny v/hoc AIG t a,cng ty mhoc thc th t a a AIG t a tt lp lnh cm vn ho t trng

    pht kinh tte uy nh ca lut php ca cc qu ga g ty hoc thc thti cao caAIG Vit a t trsg n AIG t Nam cung cp quyn li bo him hoc giao dch

    tg v c cung cp cc li ch kinh t cho Standard Chartered Vietnam ho ging li khc trong H ng ny.

    u y u t v g rg g uy l ta t t v t () g g l, (g) g y tuy g uy l t te lut v uy g yvAIG t a, g ty t t t a a g t te uy nh ca lut phpca cc qu ga g ty hoc thc thti cao ca AIG Vit a t trs.

    Prduers e : DIRECT CLIENT

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    : 848 3914 0065 | Fax: 848 3914 0067 | Email: [email protected]

    Page 11 of 11

    rug ga g tr t

    Issued in Vietnam on 10 October 2013

    t t t a v gy10 tg 10 2013

    STANDARD CHARTERED BANK (VIETNAM) LIMITED. AIG VIETNAM INSURANCE COMPANY LIMITED

    Authorised Representative Authorised Representative