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VASLUI

&RGDJHQLH 614

Adresa:

Vaslui Str. NICOLAE IORGA, Nr. 82BIS, Ap. 2

Telefon: 0235311090

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3ROLDQU 2000001972117

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Agentul: DESTINE BROKER DE ASIGURARE S.R.L. VS

Cod CSA: RBK-425 / 32517
CONTRACTANT / ASIGURAT:
Nume Prenume/Denumire Companie: GRAND SMITHY WORKS INTERNATIONAL SRL
CNP/CUI: 15861890
$GUHV6HGLXO/HJDO6WU SMARDAN
Nr.: 1
Bl.: Sc. Ap. Loc.: GALATI
Jud./Sect.: GL
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ncepnd de la:
19.05.2015 ora 00
SkQOD 19.05.2016 ora 00
Data emiterii: 15.05.2015 13:58:29
Descriere Autovehicul:
Marca HONDA
Model CR-V 2.2 I-DTEC EXECUTIVE
$QIDEULFDLH

2010

Capacitate cilindrica (Cmc)/Putere(kw): 2199 / 110 / Diesel

Nr. de identificare: SHSRE6770AU015984

Status autovehicul:
Moneda:

RON

proprietate (exclus leasing)

Nr. nmatriculare: GL18GSW Categorie: autoturisme.

'HVWLQDLHDXWRYHKLFXO privat (uz propriu)

6XPDDVLJXUDW$XWRYHKLFXO 69.143,00

0RQHGDGHvQFDVDUHSULP

Echipament suplimentar: ===

)UHFYHQDGHSODW rate trimestriale

RON

Culoare: gri

3ULPDDQXDO 4.368,00

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1XPHEDQF RAIFFEISEN BANK
Cont bancar: RO27RZBR0000060002407350
- prima include 5% reducere
- prima include 5% reducere pentru categorie auto cu risc redus.
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r.1 = 19.05.2015; r.2 = 19.08.2015; r.3 = 19.11.2015; r.4 = 19.02.2016
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Calitate Asigurat: persoana juridica
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1XPUXOGH.PvQUHJLVWUDLODERUGXODXWRYHKLFXOXOXLDVLJXUDW

108.000

Al ctelea proprietar al autovehiculului este Asiguratul:

primul proprietar
Riscuri Asigurate:
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Clauze Suplimentare:
$WHQLH3HQWUXDFWLYDUHDVHUYLFLXOXLGH
X $VLVWHQUXWLHU
X Accidente persoane transportate
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X Reintregirea sumei asigurate

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Daune produse n afara drumurilor publice

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X $SODPRWRU

Acoperirea jantelor / anvelopelor

normal, valabil in retelele Orange,

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Autoturism la schimb

Generali Romania Asigurare Reasigurare S.A.

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Sistem Bonus/Malus (B/M):
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10
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Coeficient B/M folosit la stabilirea primei: 0,88
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Nume/Prenume:

15.05.2015

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Avarii preexistente minore constatate la autovehicul:

la elementele de caroserie:
......................
la elemente casante (geamuri, oglinzi, faruri): ......................
Generali Romania Asigurare Reasigurare S.A.
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Contractant/Asigurat

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Data emiterii:

15.05.2015

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Asigurat: GRAND SMITHY WORKS INTERNATIONAL SRL
CNP/CUI: 15861890
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