1

1
1
1

DATE ISSUED

EXPIRY DATE

PLATE NO.

12/14/2014
27-Dec-14
06-Jan-15
12/29/2014

12/18/2015
01-Mar-16
02/01/02016
01/30/2016

UPP-439
XEY-382
XAD-181
XEJ-657

DATE ISSUED

EXPIRY DATE

PLATE NO.

01-Mar-16

ZLD-492

DATE ISSUED

EXPIRY DATE

PLATE NO.

27-Dec-14
09-Dec-14
04-Dec-14
10-Dec-14
10-Dec-14
11-Dec-14
15-Dec-14
15-Dec-14
16-Dec-14
16-Dec-14

19-Dec-15
15-Dec-15
26-Jan-16
28-Dec-15
30-Jan-16
09-Jan-16
10-Jan-16
14-Jan-16
16-Dec-15
10-Jan-16

WQU-335
ZSJ-834
ZMV-390
WKO-338
UOQ-875
WMU-601
XSW-967
WOF-677
NII-272
UZQ-437

27-Dec-14
CV TOTAL

SE

SE

1
1
1
1
1
1
1
1
1
1

SE

1
1
1
1
1

14

1
1
1
1
1

19-Dec-14
19-Dec-14
22-Dec-14
23-Dec-14
23/29/2014

29-Dec-15
30-Jan-16
14-Jan-16
21-Jan-16
30-Jan-16

ZMB-465
ZSV-150
PIP-664
ZMS-260
ZMT-154

DATE ISSUED

EXPIRY DATE

PLATE NO.

01-Dec-14
04-Dec-14
05-Dec-14
05-Dec-14
05-Dec-14

21-Dec-15
20-Dec-15
28-Dec-14
05-Dec-15
11-Jan-16

ZMB-132
TIR-847
WKO-328
NIY-739
WOL-894

SPV TOTAL

SE

CONTACT

ASSURED
REYES, MR. NESTOR
HI-EISAI PHARMACEUTICALS, INC.
CHANCA ENTRPRISES INC.
REYES, MR. CHARINA

CONTACT

ASSURED
HONDA CARS Q.C.

CONTACT

ASSURED

G. MAGNETICS INDUSTRIAL SYSTEM INC,

09193014480 SANCHEZ, MS. NINA CECILIA
CHAN, MR. FERDINAND L.
09985521430 ESTARIS, MS. MARILYN G.
QUIMSON, MS. CONSUELO GABRIELLA T.
ROSALES, MR. ANTONIO R. / ARNIEL
CASUGA, MS. MAGDALENA
DE LEON, MR. RAFAEL S.
'4152528/41347NAVARRO, MS. JONA BRIGIDA DOING BUSINESS
MORCO, MS. PERLITA Y.

BROWNHILLS INDUSTRIAL SUPPLY

SANTIAGO, MR. DANIEL
VILLONCO, MS. MONICA S.
PINEDA JR., MR. ROLANDO V.
SALITA, MS. MA. PATRICIA

CONTACT

ASSURED

'9350218/09258LIM, MS. AMELIA F.

09216618728 CABAUATAN, MR. RONALD Z.
YU, MR. EXXON RYAN U.
09297678887 RODRIGUEZ, MR. JONATHAN C.
TAN, MS. CHERYL MAY C.

STANDARD RATE
MODEL
1997 CITY 1.3
2002 CITY 1.3 LXI TYPE Z
2002 ISUZU HILANDER
2002 CR-V 2.0 MT

POLICY NO.

VALUE

RATE

V0057116
V0053863
V0053949
V0053944

173,000.00
783,000.00

2.60%
1.90%

COMM. RA
LESS: 15%

CV POLICIES (NKR TRUCK etc.)

MODEL
2007 ISUZU NKR

POLICY NO.

VALUE

RATE

V0051296

440,000.00

2.20%

SPV & CV POLICIES (CRV/ODYSSEY/PILOT

MODEL
2014 FORD RANGER XLT 4X2 AT
2008 CR-V 2.4 S-X AT
2003 CR-V 2.0 4X4 AT
2012 CR-V 2.4 EX AT
2013 CR-V 2.4 AT
2001 CR-V 2.0 MT
2005 CR-V 2.0 4X4 AT
2014 CR-Z 1.5 X STD AT
2009 CR-V 2.4 AT
2013 CR-V 2.4 S AT

POLICY NO.

VALUE

RATE

V0337156
V0057187
V0053840
V0057313
V0158034
V0056552
V0053877
V0247219
V0335443
V0156130

1,000,000.00
689,000.00
329,000.00
1,341,000.00
1,230,000.00
259,000.00
442,000.00
1,350,000.00
990,000.00
1,252,000.00

1.30%
1.40%
1.30%
1.40%
1.40%
1.60%
1.40%
1.90%
1.40%
1.40%

2007 CR-V 2.0 V AT

2008 CR-V 2.0 V AT
2010 CR-V 2.0 S AT
2007 CR-V 2.0 V AT
2007 CR-V 2.4 S-X AT

V0057108
V0159066
V0153984
V0053873
V0053822

600,000.00
608,000.00
1,000,000.00
607,000.00
700,000.00

1.40%
1.60%
1.40%
1.40%
1.40%

PV POLICIES (ACCORD/CR-Z/CIVIC/CITY/JAZZ/BRIO/AMAZE
MODEL
2008 CITY 1.3 S CVT AT
2011 CIVIC 1.8 V AT
2012 CITY 1.5 E AT
2009 CITY 1.5 E AT
2013 CITY 1.3 S AT

POLICY NO.

VALUE

RATE

V0057051
V0057037
V0333513
V0057081
V0333525

572,000.00
543,000.00
677,000.00
479,000.00
707,000.00

1.90%
1.80%
1.50%
1.70%
1.90%

CTPL
447.60
6.00

OD

THEFT

EBI

2,698.80
8,926.20
-

1,799.20
5,950.80
-

11,625.00
25.00%
2,906.25
(435.94)
2,470.31

9,385.00
25.00%
2,346.25
-351.94
1,994.31

PD

420.00
780.00
420.00
420.00

1,245.00
1,635.00
1,245.00
1,245.00

2,040.00
15.00%
306.00
-45.90
260.10

5,370.00
15.00%
805.50
-120.83
684.68

1635

453.60
20.00%
90.72
(13.61)
77.11

CTPL
447.60

L/D
5,808.00

3,872.00

EBI

PD

1,095.00

1,680.00

447.60

5,808.00

3,872.00

1,095.00

1,680.00

CTPL

OD

THEFT

EBI

PD

447.60

7,800.00
5,787.60
2,566.20
11,264.40
10,332.00
2,486.40
3,712.80
15,390.00
8,316.00
10,516.80

5,200.00
3,858.40
1,710.80
7,509.60
6,888.00
1,657.60
2,475.20
10,260.00
5,544.00
7,011.20

780.00
780.00
420.00
780.00
780.00
780.00
420.00
780.00
780.00
780.00

1,635.00
1,635.00
1,245.00
1,635.00
1,635.00
1,635.00
1,245.00
1,635.00
1,635.00
1,635.00

447.60

5,040.00
5,836.80
8,400.00
5,098.80
5,880.00

3,360.00
3,891.20
5,600.00
3,399.20
3,920.00

780.00
780.00
780.00
780.00
780.00

1,635.00
1,635.00
1,635.00
1,635.00
1,635.00

108,427.80

72,285.20

10,980.00

23,745.00

AZZ/BRIO/AMAZE
CTPL

OD
6,520.80
5,864.40
6,093.00
4,885.80
8,059.80

THEFT
4,347.20
3,909.60
4,062.00
3,257.20
5,373.20

EBI
780.00
780.00
780.00
780.00
780.00

PD
1,635.00
1,635.00
1,635.00
1,635.00
1,635.00

APA
500.00
500.00
500.00
500.00

865.00
3,915.00
-

2,000.00
15.00%
300.00
-45.00
255.00

4,780.00
20.00%
956.00
-143.40
812.60

APA
300.00

AOG
2,200.00

300.00

2,200.00

APA

AOG

500.00
500.00
500.00
500.00
500.00
500.00
500.00
500.00
500.00
500.00

TOTAL
PREMIUM

AOG

1,645.00
6,705.00
6,150.00
1,295.00
2,210.00
6,750.00
4,950.00
6,260.00

600.00
0.00
0.00
0.00
600.00
10.00%
60.00
-9.00
51.00

LOU
0.00
0.00

0.00
0.00
600.00
600.00
0.00
0.00
0.00
600.00

8,575.60
21,713.00
2,165.00
2,165.00

DST
1,087.00
2,713.50
1,413.00
1,413.00

34,618.60

6,626.50

TOTAL
PREMIUM

DST

15,402.60

1,940.50

15,402.60

1,940.50

TOTAL
PREMIUM

DST

15,915.00
13,008.60
8,087.00
28,394.00
26,885.00
8,954.00
10,563.00
35,315.00
21,725.00
27,303.00

1,989.50
1,641.50
1,011.00
3,549.50
3,361.00
1,119.50
1,320.50
4,414.50
2,716.00
3,413.00

500.00
500.00
500.00
1,000.00
500.00

3,000.00
5,000.00
3,035.00
3,500.00

8,000.00

50,500.00

APA
500.00
500.00
500.00
500.00
500.00

0.00
600.00
0.00
0.00
0.00

2,400.00

1,789.50
1,655.50
2,739.50
1,868.50
2,027.00

276,785.60

34,616.00

TOTAL
PREMIUM

AOG
2,860.00
2,715.00
3,385.00
2,395.00
3,535.00

14,315.00
13,243.00
21,915.00
14,948.00
16,215.00

0.00
0.00
0.00

16,643.00
15,404.00
16,455.00
13,453.00
19,883.00

DST
2,080.50
1,925.50
2,057.00
1,682.00
2,485.00

VAT
1,029.07
2,604.84
1,356.48
1,356.48

AUTHENT
ICATIO
FEE

LGT
51.46
130.24
67.82
67.82

64.86

AMT DUE

AMT. PAID

DISCOUN
T

0.00

0.00

AMT. PAID

DISCOUN
T

10,807.99
27,161.58
5,002.30
5,002.30
\

6,346.87

VAT

317.34

VAT
1,909.80
1,561.03
970.44
3,407.28
3,226.20
1,074.48
1,267.56
4,237.80
2,607.00
3,276.36

47,974.17
COMMISSION
7,770.72
-1,165.61
PV COMM.
6,605.11

AUTHENT
ICATIO
FEE

AMT DUE

64.86

19,348.69

92.42

64.86

19,348.69

0.00

0.00

LGT

AUTHENT
ICATIO
FEE

AMT DUE

AMT. PAID

DISCOUN
T

LGT

1,848.31
1,848.31

64.86

92.42

95.49
78.05
48.52
170.37
161.31
53.73
63.38
211.89
143.39
163.82

.00

19,909.79
16,289.18
10,116.96
35,521.15
33,633.51
11,201.71
13,214.44
44,179.19
27,191.39
34,156.18

19,299.30

1,717.80
1,589.16
2,629.80
1,793.76
1,945.80

85.89
79.46
131.49
89.69
97.29

33,214.27

1,673.77

VAT
1,997.16
1,848.48
1,974.60
1,614.36
2,385.96

LGT
99.85
92.43
98.73
81.71
119.36

17,908.19
16,567.12
27,415.79
18,699.95
20,285.09

AUTHENT
ICATIO
FEE

346,289.65

AMT DUE
20,820.51
19,270.41
20,585.33
16,831.07
24,873.32

19,299.30

AMT. PAID

DISCOUN
T

0.00

0.00

4,207.51
24,873.76

PROMO

DM/CM#

AR No.

PR NO.
PR#4613 12/17
PR#4613 12/17
PR#4613 12/17
PR#4613 12/17

Terms of Payment
6 MOS
6 MOS
6 MOS
6 MOS

Checking

0.00

0.00

0.00

0.00

0.00

PAYMENTS
PROMO

DM/CM#

AR No.

PR NO.

Terms of Payment

0.00

0.00

0.00

0.00

0.00

PROMO

DM/CM#

AR No.

PR NO.

Terms of Payment

AR#16174 12/15
PR#4664 12/22
PR#4563 12/15

3 MOS.
6 MOS
-

PR#5111 1/7
PR#4646 12/23
PR#4707 12/29

6 MOS
DATED CHECK
6 MOS

PR#4644 12/23

DATED CHECK

PAYMENTS
PROMO

DM/CM#

AR No.

PR NO.

PR#4613 12/17
0.00 AR#16229 PR#4590 12/19
PR#4441 12/8
AR#16275 PR#4447 12/16
AR#16340 12/23

Terms of Payment

3 MOS.
6 MOS
6 MOS

OREC

13,529.58
13,529.58
13,529.58

CTPL

OD

THEFT

AOG

76.09

1,058.76

705.84

294.10

1.02

1,996.65

1,331.10

1,331.10

0.00

0.00

40,588.74

77.11

3,055.41

2,036.94

1,625.20

OREC

CTPL

OD

THEFT

AOG

19,348.69

2,468.40

1,936.00

0.00

19,348.69

0.00

2,468.40

1,936.00

0.00

OREC

CTPL

OD

THEFT

AOG

10,116.80
35,520.90
13,214.44
44,179.19
27,177.98
34,156.17

1,020.00

680.00

1,054.17

702.78

335.58

223.72

559.30

2,051.73

1,367.82

2,279.70

1,881.90

1,254.60

2,091.00

660.45

440.30

440.30

676.26

450.84

751.40

5,508.00

3,672.00

2,295.00

1,514.70

1,009.80

1,683.00

1,915.56

1,277.04

2,128.40

17,500.00
16,567.12
27,415.79
18,699.95
20,285.09

264,833.43

OREC

20,585.30
12,623.56

CTPL

918.00

612.00

1,550.40

1,033.60

1,530.00

1,020.00

1,700.00

928.71

619.14

1,031.90

1,071.00

714.00

1,190.00

0.00

0.00

22,616.46

15,077.64

17,170.00

OD

THEFT

1,020.00

AOG

1,458.60

972.40

972.40

1,107.72

738.48

923.10

345.27

230.18

1,150.90

732.87

488.58

814.30

1,802.85

1,201.90

1,201.90

BI

PD

APA

LOU

PROFIT HCQC

71.40

211.65

85.00

51.00

132.60

277.95

85.00

71.40

211.65

85.00

71.40

211.65

85.00

2,553.84
5,155.42
368.05
368.05

346.80

912.90

340.00

51.00

8,445.36

BI

PD

APA

LOU

PROFIT HCQC

186.15

285.60

51.00

4,927.15

186.15

285.60

51.00

0.00

4,927.15

BI

PD

APA

LOU

PROFIT HCQC

132.60

277.95

85.00

132.60

277.95

85.00

71.40

211.65

85.00

132.60

277.95

85.00

132.60

277.95

85.00

51.00

132.60

277.95

85.00

51.00

71.40

211.65

85.00

132.60

277.95

85.00

132.60

277.95

85.00

132.60

277.95

85.00

51.00

2,195.55
2,252.50
1,486.65
6,194.80
5,774.05
2,087.60
2,246.55
11,970.55
4,703.05
5,867.55

132.60

277.95

85.00

132.60

277.95

85.00

51.00

132.60

277.95

85.00

132.60

277.95

170.00

132.60

277.95

85.00

1,866.60

4,036.65

1,360.00

204.00

BI

PD

APA

LOU

3,045.55
3,130.55
4,745.55
3,160.30
3,470.55

62,331.35

PROFIT HCQC

132.60

277.95

85.00

132.60

277.95

85.00

132.60

277.95

85.00

132.60

277.95

85.00

132.60

277.95

85.00

3,898.95
3,264.85
2,221.90
2,531.30
4,702.20

DUE TO MICO

MICO PR#

DATE

MICO OR#OR# DATE AMOUNT

8,254.15
22,006.16
4,634.25
4,634.25
39,528.81

47,974.17
0.00

DUE TO MICO

MICO PR#

DATE

MICO OR#OR# DATE AMOUNT

14,421.54
-

14,421.54
19,348.69
0.00

DUE TO MICO
17,714.24
14,036.68
8,630.31
29,326.35
27,859.46
9,114.11
10,967.89
32,208.64
22,488.34
28,288.63

MICO PR#

DATE

MICO OR#OR# DATE AMOUNT

14,862.64
13,436.57
22,670.24
15,539.65
16,814.54

283,958.30

DUE TO MICO
16,921.56
16,005.56
18,363.43
14,299.77
20,171.12

346,289.65
-

MICO PR#

DATE

MICO OR#OR# DATE AMOUNT

SHORT/OVER
10,807.99
27,161.58
5,002.30
5,002.30
47,974.17

SHORT/OVER
19,348.69
19,348.69

SHORT/OVER
19,909.79
16,289.18
10,116.96
35,521.15
33,633.51
11,201.71
13,214.44
44,179.19
27,191.39
34,156.18

17,908.19
16,567.12
27,415.79
18,699.95
20,285.09
346,289.65

SHORT/OVER
20,820.51
19,270.41
20,585.33
16,831.07
24,873.32