StandardInsurance.

labanq Branch
STANDARD 4/F JJACCISBldg. AcaciaAve., MadrigalBus.
Park,Ayala, Alabang Muntinlupa
INSURAN (02) 772-6573 to 75/775-7011

LOA No. 50004169.05

Claim No. 2000294154
Branch LOA Trans No. AL000000470
HYUNDAILAS Date & Time Issued Aug. 29, 201801:45:28 PM

PI'i.:,Y:zAS

Gentlemen:
This authorizes you to proceed with the repair of the subject vehicle in accordance with the ft\U4'i'Ciilinn
Approved Gross Repair Cost
less: Assured's Participation
""""Policy Deductible 6,000.00
""*"Depreciation I Betterment 5,040.55

**"" To be collected by HYUNDAILAS PINAS from the owner sreoresentsuve

completion of repair

This LOA is VALID for 30 days from the date of issuance. Repairs commencing after the 30-day validity period shall require
RE-VALIDATION of this LOA.

If the claimant failed to bring the vehicle to the above repair shop within the 30-day validity period, any price
increase/adjustment costs on part and/or labor included in this LOA's scope of repair shall be borne by the claimant.

If repair has been started within the 30-day validity period, any additional part/s for replacement, price and labor adjustment
or any changes to the scope of repair, prior approval of Standard Insurance is required. The Company's full and final liability
shall, however, be subject to validation upon completion of repairs.

Coordinate with the undersigned on the surrender of parts and/or replaced or remaining/ cess pa
RVRls, and wait/ask for Acknowledgement Receipt of Surrendered Parts (TD 116 form ~Iy ace

Notes :NEW

TO BE ACCOMPLISHED BY WORKSHOP/REPAIRER'S A
Send an SMS to us when you RECEIVE (UNIT-IN) th ubject unit:
Text UNT <space> AL417590 <space> [MM-DD-YY <space> [your Job
Send to 21584093 for GlobelTM and 2929058409 or SmartlTNT/Sun
* if no J. O. has been created yet, just indicate NIL
** no need to send an update if you have previously sent one

Send an SMS to us for the update of the subject unit's repair status:
Text VRS <space> AL417590 <space> [your Job Order No.] <space> [repair_status_'Yo*"*] <space> [est_days_repair ••• ]
<space> [Representative_name]
Send to 21584093 for GlobelTM and 29290584093 for SmartlTNT/Sun
*** repair status percentage from[O, 10, 25, 50, 75, 100J
**** estimated days of repair, just indicate NIL if not sure
- Sending information about the vehicle status will help us monitor, track and act immediately on our LOA claim payables.
- SMS is free of charge.

Standard Insurance Document Checklist for processing of payments:

o Invoice Nos: Workshop Name: HYUNDAI LAS PINAS..
o Total AmI. of Invoices for this Claim only: Contact Person & Signature : _
o Duly Signed Release of Claim Contact Number: _
o Duly Signed Affidavit of Desistance (for Third Party Claim): Email Address: _
o Valid ID (please identify): Notes to Insurer (if any):
----------------------
o Valid Authorization I Undertaking for the Release of
Vehicle with ID (if representative)
o TD 116 Form (Acknowledgement Receipt of Surrendered Parts)

Together with the accomplished portion above and the complete documentation will expedite the review and processing of the payment of your invoice.
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Standard Insurance Co., Inc.

The Insurance Standard
311F Petron Mega Plaza Building, 358 Sen. Gil Puyat Ave., Makati City 1200
Trunkline : 988-6388 . Telefax 988-6374

Repair Valuation Report RVR Date: Aug. 28, 2018

ASSURED ARIEL L. AVILA

THIRD PARTY
POLICY NO. AL-PCV-I00058242 I EXTERNAL POLICY: HYUNDAI LAS PI~AS
AGENT NAME HYUNDAI ALABANG, INC.

Referral No. RVRNo. Requested By

4000613900 4000613900-I-I-A ERLINDA V. GUERRERO
Inspected at Date & Time Inspected Inspected by
DRIVE-IN AT HYUNDAI LAS PINAS Aug. 17,201801:45 PM VPB
KMR: NP FMV: Stencils: Motor [No] Serial [Yes]
Vehicle
2009 HYUNDAI SANTA FE
CRm 2WD 2.2 Aff
Plate No.
NIY520
Motor No.
D4EB9805161
Serial No.
KMHSH81 WP9U531931 1/
PARTS TO BE REPLACED:
PARTS TO BE REPLACED:
RH SIDE VIEW MIRROR ASSY

SCOPE OF WORKS:
ELECTRICAL WORKS:
TYPE

ORIG
AMOUN:V~

1(601.39

AMOUNT
~
D
Remove & replace:
Rh side view mirror assy 300.00
Fix & secure all electrical wiring harnesses.

NOTES:
Please see submitted Affidavit report for your reference.
Contact person & no.: Mr. Peejay/09162693018
Preferred shop: Hyudai Las Pinas
Chassis no. are complete and identical.
Hidden damages found during course of repair are subject for re-inspection and
will be added in the initial RVD provided such additional are accident related.
Items on reserve if any are not made part of the RVR.
<> 5 STAR LABOR RATES USED <>

ESTIMATED REPAIR SUMMARY

Total Parts 12,601.39

Tinsmith Labor
Painting Labor
Mechanical Works
Glassman Works
Upholstery Works
Aircon Works
Outside Works
Reprocessing
Electrical Works 300.00
Shop Materials

10f2 8/28/2018,4:33 PM
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R-VAT 36.00
Total Cost of Repair 12,937.39

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20f2 8/28/2018,4:33 PM
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Standard Insurance Co., Inc.

The Insurance Standard
311F Petron Mega Plaza Building, 358 Sen. Gil Puyat Ave., Makati City 1200
Trunkline : 988-6388 . Telefax 988-6374

Repair Valuation Report RVR Date: Aug. 28, 2018

ASSURED ARIEL L. AVILA

THIRD PARTY
POLICY NO. AL-PCV-I00058242 1 EXTERNAL POLICY: HYUNDAI LAS PI+AS
AGENT NAME HYUNDAI ALABANG, INC.

Referral No. RVRNo. Requested By

4000613900 4000613900-I-I-B ERLINDA V. GUERRERO
Inspected at Date & Time Inspected Inspected by
DRIVE-IN AT HYUNDAI LAS PINAS Aug. 17,201801:45 PM VPB
KMR: NP FMV: Stencils: Motor [No] Serial [Yes]
Vehicle
Plate No. Motor No. Serial No.
2009 HYUNDAI SANTA FE
NIY520 D4EB9805161 KMHSH81WP9U531931
CRDI 2WD 2.2 Aff

PARTS TO BE REPLACED: TYPE AMOUNT

SCOPE OF WORKS: AMOUNT

DISMANTLE ALL NECESSARY PARTS TO GIVE WAY FOR REPAIRS AND RE-
390.00
INSTALLATION:

STRAIGHTEN, REFORM, ALIGN AND WELD THE FOLLOWING:

-
Rh rear door panel 585.00
Remove & install :
Rh rr door outer handle & bit molding 195.00
to give way for repair

REPAINT, RUBDOWN & SIMONIZED REPARED AREAS: 1,365.00

Rustproof repaired areas:
Color of the unit: Black

UPHOLSTERY WORKS:
Remove & install :
Rh rear door siding 300.00
to give way for repair

NOTES:
No info gathered on how the accident happened.
Please refer to Accident A for other notations.

ESTIMATED REPAIR SUMMARY

Total Parts
Tinsmith Labor 1,170.00
Painting Labor 1,365.00
Mechanical Works

10f2 8/28/2018,4:36 PM
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Glassman Works
Upholstery Works 300.00
Aircon Works
Outside Works
Reprocessing
Electrical Works
Shop Materials 2,040.00
R-VAT 585.00
Total Cost of Repair 5,460.00

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20f2
8/28/2018,4:36 PM
 StandardInsuranceAfabangBranch
4/F JJACCISBldg. AcaciaAve., MadrigalBus.
Park,Ayala, Alabang Muntinlupa
(02) 772-6573to 75/775-7011

LOA No. 5000416908

Claim No. 2000294273
Branch LOA Trans No. AL000000471
Date & Time Issued Aug. 29, 201801:46:56 PM

..
LP

Gentlemen:
This authorizes you to proceed with the repair of the subject vehicle in accordance with the fntlnwinn ation:
Approved Gross Repair Cost
less: Assured's Participation
····Policy Deductible 3,000.00
""·"Depreciation I Betterment 0.00

**"" To be collected by HYUNDAILAS PINAS from the

completion of repair

This LOA is VALID for 30 days from the date of issuance. Repairs commencing after the validity period shall require
RE-VALIDATION of this LOA.

If the claimant failed to bring the vehicle to the above repair shop within the 30-day validity period, any price
increase/adjustment costs on part and/or labor included in this LOA's scope of repair shall be borne by the claimant.

If repair has been started within the 30-day validity period, any additional part/s for replacement, price and labor adjustment
or any changes to the scope of repair, prior approval of Standard Insurance is required. T Company's full an final liability
shall, however, be subject to validation upon completion of repairs.

Coordinate with the undersigned on the surrender of parts andlor replaced or remaining
RVRls, and waiUask for Acknowledgement Receipt of Surrendered Parts (TD 116 form)
Technical personnel.

Evaluated by .

Notes :NEW

TO BE ACCOMPLISHED BY WORKSHOP/REPAIRER'S AUT

Send an SMS to us when you RECEIVE (UNIT-IN) the ject unit:
Text UNT <space> AL417593 <space> [MM-DD-YYY'l <space> [your Job > [Representative_name]
Send to 21584093 for GlobelTM and 29290584093 for SmartlTNT/Sun
• if no J. O. has been created yet, just indicate NIL
•• no need to send an update if you have previously sent one

Send an SMS to us for the update of the subject unit's repair status:
Text VRS <space> AL417593 <space> [your Job Order No.] <space> [repair_status_%"'] <space> [est_days_repair ••• ]
<space> [Representative_name]
Send to 21584093 for GlobelTM and 29290584093 for SmartlTNT/Sun
••• repair status percentage from[O, 10, 25, 50, 75, 100J
•••• estimated days of repair, just indicate NIL if not sure
- Sending information about the vehicle status will help us monitor, track and act immediately on our LOA claim payables.
- SMS is free of charge.

Standard Insurance Document Checklist for processing of payments:

o Invoice Nos: Workshop Name: HYUNDAI LAS PINAS..
D Total AmI. of Invoices for this Claim only: Contact Person & Signature : _
D Duly Signed Release of Claim Contact Number: _
D Duly Signed Affidavit of Desistance (for Third Party Claim): Email Address: _
D Valid ID (please identify): Notes to Insurer (if any): _
D Valid Authorization / Undertaking for the Release of
Vehicle with ID (if representative)
D TD 116 Form (Acknowledgement Receipt of Surrendered Parts)

Together with the accomplished portion above and the complete documentation will expedite the review and processing of the payment of your invoice.
Integrated Claims and Technical System (I.C.A.T.S.) - View RVR https://icats.standard-insurance.com/icats/view_ rvr. php?method= R ...

Standard Insurance Co., Inc.

The Insurance Standard
311F Petron Mega Plaza Building, 358 Sen. Gil Puyat Ave., Makati City 1200
Trunkline : 988-6388 . Telefax 988-6374

Repair Valuation Report RVR Date: Aug. 29, 2018

ASSURED MANUEL Y. CU
TIllRD PARTY
POLICY NO. AL-PCV-I00379025 I EXTERNAL POLICY: FREE INSURANCE! LP
AGENT NAME HYUNDAI ALABANG, INC.

Referral No. RVRNo. Requested By

4000616712 4000616712-I-I-A CRISTAL JOY V. COPE
Inspected at Date & Time Inspected Inspected by
DRIVE IN AT ACCS Aug. 28, 201810:14 AM NKI
KMR: NP FMV: Stencils: Motor [No] Serial [No]
Vehicle
Plate No. Motor No. Serial No.
2017 HYUNDAI H-IOO 2.6L-(FL) MS5432
D4BBHOOl587 KMFZBX7BAHU409993
SHUTTLE MIT WIFRONT AIRC

PARTS TO BE REPLACED: TYPE AMOUNT /

PARTS TO BE REPLACED:
FRONT WINDSHIELD GLASS LAMI
FRONT WINDSHIELD GLASS MOLDING
HAMATITE 2 PCS
ORIG
ORIG
ORIG
22,375.00
1,187.00
1,90~
V
TINT-NSTD (Excluded) /NSTD\'
J L
SCOPE OF WORKS: '-----"""" AMOUNT
GLASSMAN WORKS:
Remove & replace:
Front windshield glass assy 1,800.00
- Apply sealant to prevent leaks.

NOTES:
No info on claim.
Contact person: Mr Marlon Ibabao.
SHOP: HYUNDAI LASPINAS
Hidden damages found during the course of repair are subject for re-inspection
*****5 STAR LABOR RATES USED*****

ESTIMATED REPAIR SUMMARY

Total Parts 25,462.00

Tinsmith Labor
Painting Labor
Mechanical Works
Glassman Works 1,800.00
Upholstery Works
Aircon Works
Outside Works
Reprocessing
Electrical Works
Shop Materials

lof2 8/29/2018, 12:05 PM

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R-VAT 216.00
Total Cost of Repair 27,478.00

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20f2 8/29/2018, 12:05 PM