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FPG Insurance Co., Inc.

Zuellig Building 6F, Makati Avenue cor. Paseo de Roxas, Makati City, 1225 Philippines
t (632) 8859 1200, 7994 1300 f (639) 8811 5108 www.fpgins.com
VAT REG. TIN 000-455-062-000

Northpoint Alliance Motors Corp. Date: February 26, 2024

Attention:

LOA No.: LOA20246236174913000001-73296

LETTER OF AUTHORITY
( Valid for 60 days from the above date )
Gentlemen:

Accident Date: February 19, 2024 07:00:00 PM


Policy No.: 1130201230005684 Claim No.: 5130201240000113
Assured: GLOBE TELECOM, INC. (D13GT00021) TP Claimant:

Insured Vehicle: MITSUBISHI / Montero Sport / 2022 TP Vehicle: //


Plate No. / Conduction Sticker: IAE1232 / Y0F484 TP Plate No. / Conduction Sticker: /

This will authorize to proceed with the repair of the above vehicle in accordance with the agreed repair cost of Php 7,500.00. No increase whatsoever in
the amount or cost may be incurred without our prior approval. Additional repairs and replacements will not be effected without our approval. Any inflationary
escalation of costs by the claimants's delay in effecting repair will be for the claimants own account while delays on your part will be for your own account.

This vehicle is subject to Php 1,500.00 deductible which is for the account of the owner of the vehicle and the further amount Php 0.00 being 0% of the
parts cost for betterment. It is therefore neccessary that you collect or assume responsibility for the collection of Php 1,500.00 from the owner before turning the
vehicle over to him. All parts replaced must be kept by you as depository subject to our disposition.

It is hereby understood and agreed that you shall deliver the vehicle to the owner and obtain his signed release confirming that all necessary repairs have
been completed to his satisfaction. Payment by FPG Insurance is conditional upon this release being obtained and forwarded with your invoice.

The amount payable to you by FPG INSURANCE CO., INC for the complete repair is Php 6,000.00.

* Please attach a copy of this LOA together with the signed Release of Claim when submitting the invoice.
* Please have the replaced parts ready for pick-up/surrendered to us.

Please send the invoice to Head Office, c/o Cristal May Simbulan

Yours Faithfully, Conforme:

Shop:

Webster Dominique Rieza


Claims Service Officer Insured:

Please return this to us by fax with your signature


prior to commencing repair .

Total Net Liabilities (Php) 6,000.00

IMPORTANT NOTICE: THIS LOA SHOULD FORM PART OF THE INVOICE. NON-SUBMISSION OF THIS LOA MAY RESULT TO NON-PAYMENT OF CLAIMS.

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