Generali Casco Individual 2000001972117 (1)
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Transcript of Generali Casco Individual 2000001972117 (1)
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Generali Romania Asigurare Reasigurare S.A.
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6FDGHQDGHSODW r.1 = 19.05.2015; r.2 = 19.08.2015; r.3 = 19.11.2015; r.4 = 19.02.20165DWDGHSULP 521FRQIRUPIUHFYHQHLGHSODW
,QIRUPDLLHVHQLDOHIXUQL]DWHGH&RQWUDFWDQW$VLJXUDWIRORVLWHODVWDELOLUHDSULPHLGHDVLJXUDUH
1XPUXOGH.PvQUHJLVWUDLODERUGXODXWRYHKLFXOXOXLDVLJXUDW 108.000Calitate Asigurat: persoana juridica 5HHGLQD3URSULHWDUXOXL GALATI MUNICIPIUL GALATI
0RGDOLWDWHDGHSODW 2UGLQGHSODW0RQHGDGHvQFDVDUHSULP RON )UHFYHQDGHSODW rate trimestriale 3ULPDDQXDO 4.368,00
3ODWDSULPHLGHDVLJXUDUHVHYDHIHFWXDvQFRQWXO$VLJXUWRUXOXLPDLMRVGHWDOLDW
- prima include 5% reducere pentru categorie auto cu risc redus.- prima include 5% reducere1XPHEDQF RAIFFEISEN BANK Cont bancar: RO27RZBR0000060002407350
Autoturism la schimb Daune produse n afara drumurilor publice 606FXQXPUXOSROLHLODWDULI$VLVWHQUXWLHUH[WLQV X Reintregirea sumei asigurate $VLVWHQ5XWLHUYUXJPWULPLWHLXQ
X Pierderea / furtul cheilor Excludere elemente vitrate Vodafone si Cosmote).X $SODPRWRU Acoperirea jantelor / anvelopelor normal, valabil in retelele Orange,
Riscuri Asigurate:Al ctelea proprietar al autovehiculului este Asiguratul: primul proprietar
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X $VLVWHQUXWLHU X Accidente persoane transportate $WHQLH3HQWUXDFWLYDUHDVHUYLFLXOXLGHClauze Suplimentare:
Agentul: DESTINE BROKER DE ASIGURARE S.R.L. VS Cod CSA: RBK-425 / 325173ROLDQU 2000001972117 5HvQQRLUHSROL -
CONTRACTANT / ASIGURAT:
CNP/CUI: 15861890 $GUHV6HGLXO/HJDO6WU SMARDAN Nr.: 1Nume Prenume/Denumire Companie: GRAND SMITHY WORKS INTERNATIONAL SRL
$JHQLD VASLUI &RGDJHQLH 614 )Adresa: Vaslui Str. NICOLAE IORGA, Nr. 82BIS, Ap. 2 Telefon: 0235311090QED]DFRQWUDFWXOXLGHDVLJXUDUHvQFKHLDW$VLJXUWRUXOVHREOLJVSOWHDVFGHVSJXELUHDSkQODQLYHOXOVXPHORUSUHY]XWHvQSROLFXFRQGLLDSOLLGHFWUH$VLJXUDW&RQWUDFWDQWDSULPHLGHDVLJXUDUHSRWULYLWSUHYHGHULORU&RQGLLLORUGH$VLJXUDUH0RG&6&2FWRPEULHLD$FWHORU$GLLRQDOHDQH[DWHSROLHLWRDWHIFkQGSDUWHLQWHJUDQWGLQFRQWUDFWXOGHDVLJXUDUH3ULQSODWDSULPHLGHDVLJXUDUH$VLJXUDWXOFHUWLILFDFDOXDWFXQRWLQGHVSUHFXSULQVXOFRQWUDFWXOXLGHDVLJXUDUHDFRQGLWLLORUGHDVLJXUDUHSULYLQG3ROLWDGHWLS&DVFRSHQWUXDXWRYHKLFXOHHVWHGHDFRUGFXFRQLQXWXODFHVWRUDLOHDSULPLW
Nr. de identificare: SHSRE6770AU015984 Nr. nmatriculare: GL18GSW Categorie: autoturisme.$QIDEULFDLH 2010 Capacitate cilindrica (Cmc)/Putere(kw): 2199 / 110 / Diesel Culoare: gri
Moneda: RON 6XPDDVLJXUDW$XWRYHKLFXO 69.143,00 Echipament suplimentar: ===Status autovehicul: proprietate (exclus leasing) 'HVWLQDLHDXWRYHKLFXO privat (uz propriu)
'XUDWD3ROLHLBl.: - Sc. - Ap. - Loc.: GALATI Jud./Sect.: GL &RG3RWDO
ncepnd de la: 19.05.2015 ora 00 SkQOD 19.05.2016 ora 00 Data emiterii: 15.05.2015 13:58:29
Marca HONDA Model CR-V 2.2 I-DTEC EXECUTIVEDescriere Autovehicul:
-
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Generali Romania Asigurare Reasigurare S.A.
Nume/Prenume: 6HPQWXUDGHFWUHUHSUH]HQWDQWXO$VLJXUWRUXOXL
Avarii preexistente minore constatate la autovehicul:
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la elementele de caroserie: ......................la elemente casante (geamuri, oglinzi, faruri): ......................
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Clauza de autoconstatare
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Clauze Suplimentare (conditii):
Clauza extindere teritoriala
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Sistem Bonus/Malus (B/M):0313.200.222 (pentru Romnia) sau 0036 14.58.44.93 SHQWUXVWULQWDWHLXUPDLLQVWUXFLXQLOHSULPLWH
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Generali Romania Asigurare Reasigurare S.A.
Generali Romania Asigurare Reasigurare S.A. Contractant/Asigurat
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Generali Romania Asigurare Reasigurare S.A.
Data emiterii: 15.05.2015$QH[ODSROLDQU 2000001972117
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Contractant / Asigurat,$VLJXUWRU