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    The Mercantile Insurance Co., Inc.: Motor Car Policy Schedule

    Uploaded by

    Bryan Larcena
    This document is a motor car policy schedule issued by Mercantile Insurance Co. for Ariel Dacumos Torres. It renews policy MC-TPL-CH-22-0000503-00 for a 2019 Toyota Avanza from May 1, 2023 to May 1, 2024 with a premium of PHP 449.44. The schedule lists the insured's contact information, total sum insured of PHP 100,000, vehicle details, and clauses including restrictions on using the vehicle for transportation network vehicle services.

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    The Mercantile Insurance Co., Inc.: Motor Car Policy Schedule

    Uploaded by

    Bryan Larcena
    93 views2 pages
    This document is a motor car policy schedule issued by Mercantile Insurance Co. for Ariel Dacumos Torres. It renews policy MC-TPL-CH-22-0000503-00 for a 2019 Toyota Avanza from May 1, 2023 to May 1, 2024 with a premium of PHP 449.44. The schedule lists the insured's contact information, total sum insured of PHP 100,000, vehicle details, and clauses including restrictions on using the vehicle for transportation network vehicle services.

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    This document is a motor car policy schedule issued by Mercantile Insurance Co. for Ariel Dacumos Torres. It renews policy MC-TPL-CH-22-0000503-00 for a 2019 Toyota Avanza from May 1, 2023 to May 1, 2024 with a premium of PHP 449.44. The schedule lists the insured's contact information, total sum insured of PHP 100,000, vehicle details, and clauses including restrictions on using the vehicle for transportation network vehicle services.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    93 views2 pages

    The Mercantile Insurance Co., Inc.: Motor Car Policy Schedule

    Uploaded by

    Bryan Larcena
    This document is a motor car policy schedule issued by Mercantile Insurance Co. for Ariel Dacumos Torres. It renews policy MC-TPL-CH-22-0000503-00 for a 2019 Toyota Avanza from May 1, 2023 to May 1, 2024 with a premium of PHP 449.44. The schedule lists the insured's contact information, total sum insured of PHP 100,000, vehicle details, and clauses including restrictions on using the vehicle for transportation network vehicle services.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    THE MERCANTILE INSURANCE CO., INC.

    Mercantile Insurance Building Cor. General Luna & Beaterio Sts., Brgy. 655 Zone 69, Intramuros, Manila

    Tel Nos. : (+632) 85277701 to 20 Email: [email protected] Website: www.mercantile.ph


    VAT REG TIN 000-825-516-000

    MOTOR CAR POLICY SCHEDULE

    Line : MOTOR CAR Policy Period


    Subline : THIRD PARTY LIABILITY From : May 1, 2023 12:00:00 NOON
    To : May 1, 2024 12:00:00 NOON
    Issue Date : March 27, 2023
    Policy No. : MC-TPL-CH-22-0000503-01 PREMIUM : PHP 449.44
    RENEWAL Documentary Stamps : 56.18
    Insured : ARIEL DACUMOS TORRES Expanded Vat : 53.93
    Address : 272 SAMPAGUITA ST. SAN JOSE Connectivity Fee : 50.40
    RODRIGUEZ, MONTALBAN, Rizal CIS Service Fee : 15.00
    PHILIPPINES Local Government Tax : 0.45

    AMOUNT DUE : PHP 625.40

    Ref. Pol. No. : R

    Total Sum Insured : ONE HUNDRED THOUSAND IN PHILIPPINE PESO (PHP 100,000.00)

    This is a renewal for Policy No. MC-TPL-CH-22-000503-00

    INSURED UNITS:

    Vehicle Insured : 1 - 2019 TOYOTA AVANZA A/T


    Description : 2019 TOYOTA AVANZA A/T
    Model Year : 2019
    Make : TOYOTA AVANZA Area of Operation : NATIONWIDE
    Type of Body : WAGON Plate No. : NEC8114
    Color : BLACK METALLIC Authorized Seating Capacity :
    Motor/Engine No. : 1NRF488815 Unladen Weight :
    Serial/Chassis No. : MHKM5EF2FKK019018 Motor Type Desc : LIGHT
    Vehicle Type : UTILITY VEHICLES COC No : 1089197-22
    MV File No. : 138000001116654

    SCHEDULE OF SUM INSURED AND PREMIUMS

    Peril/s Sum Insured Premium

    Item 1
    THIRD PARTY LIAB. PHP 100,000.00 PHP 449.44

    WARRANTIES AND CLAUSES

    SUBJECT TO DRUNKEN DRIVERS CLAUSE


    E-DST CLAUSE
    NO FAULT INDEMNITY ENDORSEMENT SECTION - II
    Attached to and forming part of MC-TPL-CH-22-0000503-01 Page 2 of 2
    THIS UNIT SHOULD NOT BE USE AS GRAB OR ANY OTHER TNVS PROVIDER.

    This is a renewal for Policy No. MC-TPL-CH-22-000503-00

    CHJGA THE MERCANTILE INSURANCE CO., INC.


    27-MAR-23 14:09:45
    803

    PAR No. : MC-CH-23-007019- 00


    Cred. Br. : AG
    MELECIO C. MALLILLIN
    Policy ID : 1506619
    President

    Authorized Signatory

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