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Cerere de asigurare - Armonia

Serie calculatie
1504738525 Cnp
1450105296730 Zona de risc seismic
Zona D
Asigurat
GIANFRANCO DAINI Perioada de asigurare 12 luni (24.03.2016 - 23.03.2017) Ani fara daune
Data ofertei
23.03.2016 Reinnoire
Nu Protocol
-----------------------------------Domiciliul asiguratului
Judet Prahova; Paulesti; Str. BISERICII; Nr. 311;
Adresa bunurilor asigurate Judet Prahova; Paulesti; Str. BISERICII; Nr. 311;
Tipul locuintei
Casa / vila individuala Structura
Parter din zidarie, etaj din lemn An constructie
2003
Suprafata utila (desfasurata)
305 mp Numar camere
7 Inaltime
P+2
Amplasament
Rural Cladirea este locuita
Permanent Casa de vacanta
Nu
Amenajari constructive / artistice deosebite
Nu Zona de inundatie
Nu Zona alunecari de teren
Nu
Anexe
Dotari
Sistem incalzire
Ferestrele sunt prevazute cu
Garaj
Centrala termica
Termoficare
Obloane
Camera de serviciu / boxa

Boiler

Centrala proprie

Gratii / grilaj

Imprejmuiri / gard

Statie pompa - hidrofor

Sobe cu lemne

Folie antifurt

Magazie / sopron

Recipiente GPL

Sobe cu gaze

Geamuri termopan

Grajd / foisor

Instalatie de climatizare

Calorifere electrice

Geamuri simple

Piscina / sauna

Antena radio / TV / Satelit

Fara incalzire

Cuptor / gratar exterior

Usi intrare locuinta
Lemn

Panouri solare / fotovoltaice

Incuietori
Simple (tip yala cu butuc)

Metal

Sistem de protectie
Alarma electronica

Montaj de siguranta

Paza permanenta

Sticla

Alarma conectata la firma de paza / securitate

Grilaj metalic

Seif inzidit

Alte materiale
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Client/Solicitant:
Nume, prenume, semnatura

Oferta de asigurare - Armonia

Acoperire
Cladiri
Standard

Moneda

Cota de
Suma asigurata /
Fransiza prima
Limita raspunderii
(%)

Standard extinsa

Riscuri catastrofice*

275.000

Prima
tehnica

Reducere
90 Ron Reinnoire Director Protocol
Centrala

Polita Campanie Plata

Life
Promotie primei

Auto

Total

Ron
Prima
finala

0,06

164,82

159,01

275.000 89.388 0,1357

373,18

90

271,98

18,00

17,46

15,00

PF/1 - Avarii la instalatii

1.500

1,20

1.000

1,50

Reduceri (%)

PF/2 - Cazare temporara

PF/3 - Cladire in constructie
PF/4 - Bunuri casabile
Total
Bunuri din locuinta

275.000

571,00

14,55
463,00

Global

Standard

153.000

Grupe

Standard extinsa

0,20

306,30

0,09

137,70

297,43

133,57

Individual
Global

Riscuri catastrofice

153.000

Grupe

3.060

Individual

Bunuri in custodie
Bunuri la alta adresa
Total
Raspundere civila legala
La domiciliu

In afara domiciliului

153.000

444,00

10.000

68,00

650

0,00

431,00
0

66,00

Asistenta tehnica la domiciliu

Total
Prima de asigurare

0,00

1.083,00
960,00

Plata primei

960,00
2 rate

In baza legii 260/2008 cu modificarile si completarile ulterioare emiterea politei facultative se poate face doar pentru
locuinte ce au incheiata in prealabil o polita obligatorie PAD a carei data de expirare este ulterioara datei de emitere a
politei facultative
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Oferta este valabila pna la data de 22.04.2016 si este conditionata

de furnizarea corecta a datelor incluse n cererea chestionar.

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Sucursala
Reprezentant

Pagina 1 din 2

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Scrisoare de Informare
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rezultate din neexecutarea contractului de
asigurare
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Bucuresti, 010616, Romnia;
formulate de clientul asigurat sau de beneficiarii
Telefon: 0801.0801.08 sau 021.20.19.100 (de luni
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SkQYLQHULvQWUHRUHOH8:00-20:00); E-mail:
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info@allianztiriac.ro;
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3. Fax: 021.208.22.11;

CUI: 6120740;

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017;
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de date cu caracter personal sub nr. 779; EN ISO
9001:2008.
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Garantare
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prezentului contract de asigurare de la Fondul de
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Autoritatea de Supraveghere Financiara n baza Legii
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Romnia.

5. Telefon: 021.201.91.00 sau 080.108.01.08 de luni

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%XFXUHWL6SODLXO,QGHSHQGHQWHLQU15, sector 5,
telefon 021/316 78 80 /81, e-mail: office@csa-isc.ro,
office@asfromania.ro
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clientului.
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asigurare.

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asigurare
n conformitate cu prevederile Legii nr. 571/2003
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generale ncheiate de persoane fizice nu sunt
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Reprezentant

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cererea de asigurare.
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P.F. ARMONIA 06.2010
Toate clauzele au fost discutate de ctre prile contractante sub aspectul dispoziiilor Legii 193/2000, privind
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Sunt de acord

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Client/Solicitant:

23.03.2016
Data zz/ll/aaaa

Nume, prenume, semnatura

Allianz-Tiriac 2008

Intocmit la data 23.03.2016, ora 20:46

Pagina 2 din 2