CAMARINES NORTE DEVELOPMENT COOPERATIVE (CANDEVCO)

CDA REG. NO. 9520-05001000

Food St., Central Plaza Complex, Lag-on,Daet, Camarines Norte
Tel. No.: (054) 885-1026
E-mail address: candevco07@gmail.com

YES INDIVIDUAL LIFE INSURANCE

CONFIRMATION OF COVERAGE
This is to CERTIFY that the PLAN HOLDER is covered under the “YES INDIVIDUAL LIFE INSURANCE” of CAMARINES NORTE
DEVELOPMENT COOPERATIVE (CANDEVCO) which was issued by 1 COOPERATIVE INSURANCE SYSTEM OF THE PHILIPPINES LIFE
AND GENERAL INSURANCE, with the benefits enumerated of this Certificate of Coverage.

NAME OF PLAN HOLDER BIRTHDAY AGE

Maligat, Nowelyn A. 10/23/1987 35

This certificate of confirmation, the application of the Plan holder/Member for issuance coverage, the pertinent Issuance Law, Rules and Regulations
constitute as the basis for the Agreement by and between the 1CISP and the Member.

Issued at Daet, Camarines Norte, Philippines, this 22 nd day of October 2022, the Effective Date of this Certificate is September 2021-August 31,
2022.

Covered Insurance:

CASH LIFE INSURANCE- P100,000.00

Burial Assistance – 15,000.00

REGINE E. DE LA CRUZ CHERRY P. DEJUCOS LUZ R. PAYLA

Countersigned, Officer In-charge Manager General Manager

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CAMARINES NORTE DEVELOPMENT COOPERATIVE (CANDEVCO)

CDA REG. NO. 9520-05001000
Food St., Central Plaza Complex, Lag-on,Daet, Camarines Norte
Tel. No.: (054) 885-1026
E-mail address: candevco07@gmail.com

YES INDIVIDUAL LIFE INSURANCE

CONFIRMATION OF COVERAGE
This is to CERTIFY that the PLAN HOLDER is covered under the “YES INDIVIDUAL LIFE INSURANCE” of CAMARINES NORTE
DEVELOPMENT COOPERATIVE (CANDEVCO) which was issued by 1 COOPERATIVE INSURANCE SYSTEM OF THE PHILIPPINES LIFE
AND GENERAL INSURANCE, with the benefits enumerated of this Certificate of Coverage.

NAME OF PLAN HOLDER BIRTHDAY AGE

Vega, Mildred E. 10/29/1984 38

This certificate of confirmation, the application of the Plan holder/Member for issuance coverage, the pertinent Issuance Law, Rules and Regulations
constitute as the basis for the Agreement by and between the 1CISP and the Member.

Issued at Daet, Camarines Norte, Philippines, this day 22 nd of October 2022, the Effective Date of this Certificate is September 2021- August31,
2022.

Covered Insurance:

CASH LIFE INSURANCE- P100,000.00p

Burial Assistance – 15,000.00

REGINE E. DE LA CRUZ CHERRY P. DEJUCOS LUZ R. PAYLA

Countersigned, Officer In-charge Manager General Manager
 CAMARINES NORTE DEVELOPMENT COOPERATIVE (CANDEVCO)
CDA REG. NO. 9520-05001000
Food St., Central Plaza Complex, Lag-on,Daet, Camarines Norte
Tel. No.: (054) 885-1026
E-mail address: candevco07@gmail.com

GYRT INDIVIDUAL LIFE INSURANCE

CONFIRMATION OF COVERAGE
This is to CERTIFY that the PLAN HOLDER is covered under the “GYRT INDIVIDUAL LIFE INSURANCE” of CAMARINES NORTE
DEVELOPMENT COOPERATIVE (CANDEVCO) which was issued by 1 COOPERATIVE INSURANCE SYSTEM OF THE PHILIPPINES LIFE
AND GENERAL INSURANCE, with the benefits enumerated of this Certificate of Coverage.

NAME OF PLAN HOLDER BIRTHDAY AGE

Maligat, Nowelyn A. 10/23/1987 35

This certificate of confirmation, the application of the Plan holder/Member for issuance coverage, the pertinent Issuance Law, Rules and Regulations
constitute as the basis for the Agreement by and between the 1CISP and the Member.

Issued at Daet, Camarines Norte, Philippines, this 22nd day of October 2022, which is also the Effective Date of this Certificate.

Covered Insurance:

CASH LIFE INSURANCE- P55, 000.00

REGINE E. DE LA CRUZ CHERRY P. DEJUCOS LUZ R. PAYLA

Countersigned, Officer In-charge Agency Manager General Manager

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CAMARINES NORTE DEVELOPMENT COOPERATIVE (CANDEVCO)

CDA REG. NO. 9520-05001000
Food St., Central Plaza Complex, Lag-on,Daet, Camarines Norte
Tel. No.: (054) 885-1026
E-mail address: candevco07@gmail.com

GYRT INDIVIDUAL LIFE INSURANCE

CONFIRMATION OF COVERAGE
This is to CERTIFY that the PLAN HOLDER is covered under the “GYRT INDIVIDUAL LIFE INSURANCE” of CAMARINES NORTE
DEVELOPMENT COOPERATIVE (CANDEVCO) which was issued by 1 COOPERATIVE INSURANCE SYSTEM OF THE PHILIPPINES LIFE
AND GENERAL INSURANCE, with the benefits enumerated of this Certificate of Coverage.

NAME OF PLAN HOLDER BIRTHDAY AGE

Maligat, Nowelyn A. 10/23/1987 35

This certificate of confirmation, the application of the Plan holder/Member for issuance coverage, the pertinent Issuance Law, Rules and Regulations
constitute as the basis for the Agreement by and between the 1CISP and the Member.

Issued at Daet, Camarines Norte, Philippines, this 22nd day of October\

2022, which is also the Effective Date of this Certificate.

Covered Insurance:

CASH LIFE INSURANCE- P55, 000.00

REGINE E. DE LA CRUZ CHERRY P. DEJUCOS LUZ R. PAYLA
Countersigned, Officer In-charge Agency Manager General Manager

CAMARINES NORTE DEVELOPMENT COOPERATIVE (CANDEVCO)

Food St., Central Plaza Complex, Lag-on,Daet, Camarines Norte
Tel. No.: (054) 885-1026
E-mail address: candevco07@gmail.com

FIRE INSURANCE

CONFIRMATION OF COVERAGE
This is to CERTIFY that the PLAN HOLDER is covered under the “FIRE INSURANCE” of CAMARINES NORTE DEVELOPMENT
COOPERATIVE (CANDEVCO) which was issued by 1 COOPERATIVE INSURANCE SYSTEM OF THE PHILIPPINES LIFE AND GENERAL
INSURANCE, with the benefits enumerated of this Certificate of Coverage.

NAME OF PLAN HOLDER BIRTHDAY AGE

LAWRENCE HENRY G. RONQUILLO 11/20/1985 37

This certificate of confirmation, the application of the Planholder/Member for issuance coverage, the pertinent Issuance Law, Rules and Regulations
constitute as the basis for the Agreement by and between the 1CISP and the Member.

Issued at Daet, Camarines Norte, Philipines, this 30TH day of SEPTEMBER 2022, which is also the Effective Date of this Certificate.

Covered Insurance:

FIRE INSURANCE- UP TO P100, 000.00

REGINE E. DE LA CRUZ CHERRY P. DEJUCOS LUZ R. PAYLA

Countersigned, Officer In-charge Agency Manager General Manager

CAMARINES NORTE DEVELOPMENT COOPERATIVE (CANDEVCO)

Food St., Central Plaza Complex, Lag-on,Daet, Camarines Norte
Tel. No.: (054) 885-1026
E-mail address: candevco07@gmail.com

FIRE INSURANCE

CONFIRMATION OF COVERAGE
This is to CERTIFY that the PLAN HOLDER is covered under the “FIRE INSURANCE” of CAMARINES NORTE DEVELOPMENT
COOPERATIVE (CANDEVCO) which was issued by 1 COOPERATIVE INSURANCE SYSTEM OF THE PHILIPPINES LIFE AND GENERAL
INSURANCE, with the benefits enumerated of this Certificate of Coverage.

NAME OF PLAN HOLDER BIRTHDAY AGE

LAWRENCE HENRY G. RONQUILLO 11/20/1985 37

This certificate of confirmation, the application of the Planholder/Member for issuance coverage, the pertinent Issuance Law, Rules and Regulations
constitute as the basis for the Agreement by and between the 1CISP and the Member.

Issued at Daet, Camarines Norte, Philipines, this 30TH day of SEPTEMBER 2022, which is also the Effective Date of this Certificate.

Covered Insurance:

FIRE INSURANCE- UP TO P100, 000.00

REGINE E. DE LA CRUZ CHERRY P. DEJUCOS LUZ R. PAYLA
Countersigned, Officer In-charge Agency Manager General Manager