" Nc emi ehainire | Rea aN wrron 1 Saeeieetaenweecse | grou asaromonce ©“ aurowosice AUTOVEICULE DIN ROMANIA fe aren ae aceon 19 | “a |2o17| is’ [8 [2018 RONGIHIG/DV aerate ae 2018705721 ee ee ares | Se Wrowocccowsnseoss a as aaumuraten eRTOMnK cat carte ee vals ne care tt corepantane de majo et baa (pests supimentr ot ago acco ste anabs } a ec ra rout lant cpg naar ea pr ‘Sign stators og ea a a er er a a Beep tee te one ea uray oN NodMe em no 6 ex oo [ou pau we [ar * By Be K «Km MD x MINE aS sre" De TR | UA {th riginaina viata pro mre da aryl rt Cp, ot a (a.nd see tere heb ie (dont te ttn ote Conran ne | palates teoeemecarrceenran tome CONTRACT DE ASIGURARE DE RASPUNDERE CIVILA AUTO RCA EUROINS ROMANIA ASIGURARE REASIGURARE S.A. Tol: +40213.170.711, +40213.170.712 Sucursala / Agentia BT010 - Agentia Botosani OROIHO! BOTOSANL e. AL. VICTORIELA: SB1.CBeap 14 enue Seria ROMG/H16/DV Nr. 2018705721 R.C. J23/2823/27.10.2011 C.U.L. $328123 Denumire Broker / Agent DESTINE BROKER Cod Broker / Agent 9128 | Nume/Denumire Asigurat/ [ALEXA IRINA’ Fel, Tip, Marca, Model ‘Autoturism FORD FOCUS |_Proprietar: - Vehicut - roprietar’ | 2860821076534 ir. inmavicularenregisvare C.ULICNP. Proprietar: |26€ c esreregSHEE are7 DEC ‘Nume/Denumire Asiguratl 7 Nr. identificare - Serie CIV es ALEXA IRINA, 1 de inventar WFOWXXGCOWSA48958 C.UL/CNP. utiizator. | 2660321076534 - Capactaie clindric& / Putere | 1560 766 ‘Adresé Asigurat /Uilzator!/OOROHO!- BOTOSANI sir. BLD. VICTORIEInr. | Nr locuri/masa totals | 5/ 1880 Tel 58,b1. Cet. ,ap. 11;Tel: 0344801880 maxima autorizats: e-mall [ Conducatori Auto Nume, Prenume Serie, Nr. BIC CNP. 1 Valabilitate Contract de la 19.08.2017 Clasa Bonus-Malus: 85 Prima de asigurare: 368.21 Lima de despgubre pene vet corporae gi deces: | Limi $e deebegibite Pentru daune matotaar * pan’ la: 18.08.2018 Lei, incasata cu; SPN in data de 16.08.2017 —{|—______— 8.379.009 eure 1 1.220.000 EURO ~ Contract emis in data de: 16.08.2017 ‘Observati| “Fea i aru docurantld NTERNATIONAL DE ASIGURARE PENTRU AUTOVEHICULE este cel corunicat astride cate BAAR “Condi correcta sur cle previ in displ UG. 42046 prin asiurarea oblige de rspundere cv avo peru prejutl rodse tel ersoane pin ‘cider de veto de ramvae gel ale Norelr pind asgurareachigatr de Sspuder cia auto pert prj produse ter persoae pin acadete devices de ‘rama emise de ct ASF. Avesta pat compltate cu alle prover ce unt sali de corun acd dete agus asguter¢ sunt revevazte rian ac ional la eter conral.Corracu RC, indusy xe act adonal sau anexlaacesia, coi executor pent rfl sate speach, n coor cu preveere at. 6 ain. (@) in UG. , 542018 prin aguarea clare de rspundre cil auto pent peu prods elo persnane pn acd device de rae