Liberty Insurance Corporation

What type of CGL are you applying for? *Business PermitBuilding Permit

Business Permit

Complete Name of Company *

Street Address *

Barangay *

City *

State/Province *

ZIP / Postal Code

Country *

TIN Number *

Select *

Floor Area (sqm) *Must match square meters declared in BPLO form; incorrect details may result in permit rejection.

Premium Amount (Excl. Tax): 0–20sqm

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Premium Amount (Excl. Tax): 21–30sqm

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Premium Amount (Excl. Tax): 31–40sqm

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Premium Amount (Excl. Tax): 41–50sqm

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Premium Amount (Excl. Tax): 51–60sqm

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Premium Amount (Excl. Tax): 61–70sqm

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Premium Amount (Excl. Tax): 71–80sqm

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Premium Amount (Excl. Tax): 81–90sqm

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Premium Amount (Excl. Tax): 91–100sqm

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Premium Amount (Excl. Tax): 101–110sqm

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Premium Amount (Excl. Tax): 111–120 sqm

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Premium Amount (Excl. Tax): 121–130 sqm

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Premium Amount (Excl. Tax): 131–140 sqm

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Premium Amount (Excl. Tax): 141–150 sqm

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Premium Amount (Excl. Tax): 151–160 sqm

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Premium Amount (Excl. Tax): 161–170 sqm

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Premium Amount (Excl. Tax): 171–180 sqm

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Premium Amount (Excl. Tax): 181–190 sqm

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Premium Amount (Excl. Tax): 191–200 sqm

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Premium Amount (Excl. Tax): 201–300 sqm

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Premium Amount (Excl. Tax): 301–400 sqm

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Net Premium: 401–500 sqm

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Premium Amount (Excl. Tax): 501–600 sqm

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Premium Amount (Excl. Tax): 601–700 sqm

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Premium Amount (Excl. Tax): 701–800 sqm

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Premium Amount (Excl. Tax): 801–900 sqm

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Premium Amount (Excl. Tax): 901–1000 sqm

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Premium Amount (Excl. Tax): 1001–1500 sqm

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Premium Amount (Excl. Tax): 1501–2000 sqm

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Premium Amount (Excl. Tax): 2001–2500 sqm

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Premium Amount (Excl. Tax): 2501–3000 sqm

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Premium Amount (Excl. Tax): 3001–5000 sqm

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Premium Amount (Excl. Tax): 5,001 sqm and up

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Connection Fee (0–20)

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Connection Fee (21–40)

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Connection Fee (41–60)

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Connection Fee (61–70)

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Connection Fee (71–80)

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Connection Fee (81–90)

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Connection Fee (91–100)

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Connection Fee (101–120)

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Connection Fee (121–140)

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Connection Fee (141–160)

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Connection Fee (161–180)

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Connection Fee (181–200)

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Connection Fee (201–300)

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Connection Fee (301–400)

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Connection Fee (401–500)

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Connection Fee (501–600)

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Connection Fee (601–700)

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Connection Fee (701–UP)

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Total Premium (Incl. Tax)

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Authorized Representative *

Contact Number *

Email Address *

Please choose your next step:Request Quotation OnlyProceed with Payment

Payment OptionGCash / Bank TransferCheck Payments

Check Payments

Do not proceed unless the original check is handed to the Site Officer for validation and manual authorization.

Net Premium

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Doc Stamps (12.5%)

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EVAT (12%)

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LGT (0.15%)

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Connection Fee

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Building Permit

Name of Contractor *

Name of Developer/Owner *

Location of Property to Develop *

Select *

Number of Floors *

Floor Area (sqm) *

Premium Amount (Excl. Tax): Below 20sqm

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Premium Amount (Excl. Tax): 21-50 sqm

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Premium Amount (Excl. Tax): 51-75 sqm

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Premium Amount (Excl. Tax): 76-100 sqm

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Premium Amount (Excl. Tax): 101-200 sqm

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Premium Amount (Excl. Tax): 201-300 sqm

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Premium Amount (Excl. Tax): 301-400 sqm

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Premium Amount (Excl. Tax): 401-500 sqm

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Premium Amount (Excl. Tax): 501-600 sqm

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Premium Amount (Excl. Tax): 601-700 sqm

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Premium Amount (Excl. Tax): 701-800 sqm

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Premium Amount (Excl. Tax): 801-900 sqm

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Premium Amount (Excl. Tax): 901-1000 sqm

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Premium Amount (Excl. Tax): 1001-2000 sqm

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Premium Amount (Excl. Tax): 2001-3000 sqm

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Premium Amount (Excl. Tax): 3001-4000 sqm

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Premium Amount (Excl. Tax): 4001-5000 sqm

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Premium Amount (Excl. Tax): 5001-7500 sqm

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Premium Amount (Excl. Tax): 7501-10000 sqm

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