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eCOC Number: ___________________________


SPH2022121657W9DD

Certificate Of Cover for Electronics Protection Insurance

This is to confirm that the following is insured is insured by ETIQA LIFE & GENERAL ASSURANCE
PHILIPPINES, INC. under Master Property Floater Policy No.SPF2021-1210-0002-00 issued to 12/10/2021
with the following schedule of benefits:

INSURED NAME: __________________________________________

12/17/2022
TERM OF : (a) From 12:01 a.m______________________ Both days
INSURANCE To 12:01 a.m. __________________
12/15/2023 included

1250
AMOUNT COVERED : ___________________________________________

DEDUCTIBLE : 10% of the repair cost

Purchased Electronics Good Information

Edifier R103V 2.1 Multimedia Speaker Wooden Enclosure Reduce Audio Resonance
Name and Item Description: ________________________________________

Serial Number (if applicable) ______________________________________

This Schedule of cover is subject to all terms and conditions of the Master Policy

In Witness whereof the Undersigned being duly authorized by the Insurer and on behalf of the Insurer has/have
hereunto set his/their hand(s) this

For and on behalf of:

ETIQA LIFE & GENERAL ASSURANCE PHILIPPINES, INC.

Authorized Signatory

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