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Account Summary
Account Summary
ANTIPOLO CITY
ACCOUNT SUMMARY
POLICY NO.
PC-117/153445
ASSURED'S NAME
RISK
SUM INSURED
225,000.00 Theft
INCEPTION
EXPIRY
11/2/2011
11/2/2012
PREMIUM
7,307.42
OR NO.
INS. CO.
26893
PBAC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
MC-PC-LP-11-0000222-00-D
MC-CV-LP-11-0000433-00-D
MC-CV-LP-11-0000223-00-D
TOTAL
ASSURED'S NAME
Stephanny Sotero
Ronald Pancio Aguto Jr.
Mohammad Shafiee
RISK
SUM INSURED
INCEPTION
616,500.00
990,000.00
520,000.00
10/19/2011
10/19/2011
10/19/2011
EXPIRY
10/19/2012
10/19/2012
10/19/2012
PREMIUM
20,903.31
25,791.06
17,887.75
64,582.12
OR NO.
INS. CO.
26891
26889
26891
PISC
PISC
PISC
REMARKS
PONCIANO ILMEDO
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-CV-LP-11-0000282-00-D
FI-LP-11-0000413-00-D
PP-HOM-HOLP-11-7000120-00-P
Ponciano Ilmedo
Ponciano Ilmedo
Ponciano Ilmedo
MC-CV-LP-12-0000361-00-D
FI-LP-12-0000500-00-D
Ponciano Ilmedo
Ponciano Ilmedo
'2011
RISK
SUM INSURED
510,300.00
10,500,000.00
3,301,000.00
'2012
2001 Hyundai Starex Van P#;XNL-787
#6 San Vicente St.,San Pedro laguna
459,000.00
10,500,000.00
INCEPTION
EXPIRY
PREMIUM
OR NO.
INS. CO.
7/19/2011
8/11/2011
9/16/2011
7/19/2012
8/11/2012
9/16/2012
11,142.64
17,966.82
2,241.68
31,351.14
26765
26766
26899
PISC
PISC
PISC
7/19/2012
8/11/2012
7/19/2013
8/11/2013
10,927.75
17,966.82
27222
27250
PISC
PICS
REMARKS
ARTURO AMORANTO
Binan, Laguna
ACCOUNT SUMMARY
POLICY NO.
RF-0025-201200007
ASSURED'S NAME
Arturo Amoranto
RISK
SUM INSURED
INCEPTION
EXPIRY
1,200,000.00 - Bldg.
1/18/2012
1/18/2013
PREMIUM
3,230.88
OR NO.
INS. CO.
252
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
MC-CV-LP-11-0000436-00-D
ASSURED'S NAME
RISK
SUM INSURED
INCEPTION
EXPIRY
332,100.00
10/26/2011
10/26/2012
PREMIUM
12,918.88
OR NO.
INS. CO.
26887
PISC
REMARKS
MA.RICHELLE FILIPINA
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
RISK
SUM INSURED
PV-0025-201100445
PV-0025-201100446
FI-LP-11-0000447-00-D
1,070,000.00
685,000.00
21,145,000.00
PV-0025-201200078
PV-0025-201200563
PV-0025-201200698
Ma.Richelle Filipina
Meetz Vanessa France Lim Sosmera
Ma.Richelle Filipina
100,000.00
910,000.00
675,000.00
TOTAL
24,585,000.00
INCEPTION
EXPIRY
7/21/2011
8/9/2011
9/21/2011
7/21/2012
8/9/2012
9/21/2012
4/1/2012
7/21/2012
8/9/2012
4/1/2013
7/21/2013
8/9/2013
PREMIUM
OR NO.
INS. CO.
16,590.00
11,200.00
158,592.51
8
9
56
MICO
MICO
PISC
641.00
18,456.63
14,343.88
263
384
424
MICO
MICO
MICO
219,824.02
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
FI-LP-12-0000004-00-D
FI-LP-12-0000005-00-D
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
1/25/2012
1/25/2013
11,615.67
1/25/2012
1/25/2013
14,935.20
OR NO.
INS. CO.
27032
PISC
27031
PISC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
CV-117/159481
PC-117/153440
MC-PC-LP-12-0000038-00-D
PC-117/153452
MC-PC-LP-12-0000038-00-D
ASSURED'S NAME
RISK
2000
2002
2008
1997
2008
SUM INSURED
100,000.00
100,000.00 CTPL
531,000.00
100,000.00 CTPL
100,000.00 CTPL
INCEPTION
EXPIRY
9/20/2011
11/1/2011
2/2/2012
2/1/2012
7/1/2012
9/20/2012
11/1/2012
2/2/2013
2/1/2013
7/1/2013
PREMIUM
7,037.06
641.00
12,145.00
641.00
790.00
13,576.00
OR NO.
INS. CO.
26848
26961
27053
27052
27174
PBAC
PBAC
PISC
PBAC
PBAC
REMARKS
VANI BRIONES
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
RF-0025-201100424
RF-0025-201100423
RF-0025-21100638
RHP-0033-201100036
ASSURED'S NAME
Potenciana Villanueva
Potenciana Villanueva
Potenciana Villanueva
Maricel Dampog
RISK
B1
B3
B3
B3
SUM INSURED
500,000.00
500,000.00
641.509.00
3,500,000.00
INCEPTION
EXPIRY
7/1/2011
7/1/2011
11/25/2011
11/16/2011
7/1/2012
7/11/2012
11/25/2012
11/16/2012
PREMIUM
1,060.00
1,060.00
1,360.00
5,500.00
OR NO.
INS. CO.
12
7
191
183
MICO
MICO
MICO
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
F-0025-201100567
ASSURED'S NAME
Lydia Bruan
RISK
SUM INSURED
2,000,000.00 - Bldg.
INCEPTION
EXPIRY
1/23/2012
1/23/2013
PREMIUM
4,394.20
OR NO.
INS. CO.
222
MICO
REMARKS
NINO S. CHUA
CARMONA CAVITE
ACCOUNT SUMMARY
POLICY NO.
PV-0025-201100790
ASSURED'S NAME
Nino S. Chua
RISK
SUM INSURED
1,008,000.00
INCEPTION
EXPIRY
12/7/2011
12/7/2012
PREMIUM
24,167.75
OR NO.
INS. CO.
186
MICO
REMARKS
Mark Acierto
Muntinlupa city
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-CV-LP-11-0000281-00-D
RF-0025-201100556
PC-0025-201100907
Mark G. Arcierto
BA WEST,INC
Mark G. Arcierto
MC-PC-LP-12-0000109-00-D
MC-PC-LP-12-0000377-00-D
MC-PC-LP-12-0000213-00-D
PV-0025-201200730
Mark Acierto
Mark Acierto
ROSARIO GANGA ACIERTO
MARK KUBLAI KHAN G. ACIERTO
'2011
RISK
'2012
2010
2008
2003
2010
SUM INSURED
INCEPTION
EXPIRY
1,106,622.00
8,000,000.00
607,000.00
7/11/2011
9/20/2011
10/22/2011
7/11/2012
9/20/2012
10/22/2012
21,847.43
9,601.60
18,937.75
50,386.78
3/19/2012
7/11/2012
7/20/2012
8/9/2012
3/19/2013
7/11/2013
7/20/2013
8/9/2013
70,843.88
26,600.00
25,786.63
16,218.88
2,000,000.00
995,000.00
729,000.00
800,000.00
PREMIUM
139,449.39
278,898.78
OR NO.
INS. CO.
89
105
PISC
MICO
MICO
27063
27225
27226
431
PISC
PISC
PISC
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
FI-LP-12-0000030-D
ASSURED'S NAME
Ricardo Celino
RISK
SUM INSURED
10,000,000.00
INCEPTION
EXPIRY
2/3/2012
2/3/2013
PREMIUM
10,000.00
10,000.00
OR NO.
INS. CO.
26986
PISC
REMARKS
Allan L. Crisologo
Quezon City, Metro Manila
ACCOUNT SUMMARY
POLICY NO.
FI-LP-12-0000319-00-D
ASSURED'S NAME
Allan L. Crisologo
RISK
#21 Soliven iii FX1 Corner norway Street loyola grand villas
SUM INSURED
36,000,000.00
INCEPTION
EXPIRY
5/2/2012
5/2/2013
PREMIUM
63,500.00
63,500.00
OR NO.
INS. CO.
27134
PISC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-117/32866
CV-117/159473
Fernandino Concepcion
Fernandino Concepcion
MC-CV-LP-12-0000021-00-D
Fernandino Concepcion
PC-117/153451
Fernandino Concepcion
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
23,680.00
100,000.00 PD
9/5/2011
9/16/2011
9/5/2012
9/16/2012
1,634.07
9,281.43
174,150.00 - L&D
100,000.00 - BI & PD
100,000.00 CTPL
1/23/2012
1/23/2013
6,704.72
2/1/2012
2/1/2013
447.11
OR NO.
INS. CO.
26858
26859
PBAC
PBAC
26991
PISC
26992
PBAC
REMARKS
CONDRADO SORIANO
BAYANAN,MUNTINLUPA
ACCOUNT SUMMARY
POLICY NO.
F-0025-201100243
F-0025-201200051
ASSURED'S NAME
Soriano Condrado
Soriano Condrado
RISK
SUM INSURED
600,000.00
180,000.00
INCEPTION
EXPIRY
7/27/2011
3/18/2012
7/27/2012
3/18/2013
PREMIUM
4,146.00
829.80
829.80
OR NO.
INS. CO.
2486
305
MICO
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-PC-LP-12-0000110-00-D
FI-LP-12-0000170-00-D
MDM.Milagros G. Alfaro
Roderick Felarca
PV-0025-201200847
NOEL DURAN
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
690,000.00
5,000,000.00
3/19/2012
3/8/2012
3/19/2013
3/8/2013
19,656.63
6,350.00
1,359,000.00
8/31/2012
8/31/2013
26,313.88
52,320.51
OR NO.
INS. CO.
27059
27047
PISC
PISC
459
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
FI-P-11-0000333-00-D
PV-0025201000524
Digna Concepcion
Dignity Holdings Inc.
MC-CV-LP-12-0000038-00-D
F-0025-201200022
RF-0025-201200213
FI-LP-12-0000467-00-D
RISK
SUM INSURED
1,000,000.00
365,000.00
INCEPTION
EXPIRY
8/7/2011
9/4/2011
8/7/2012
9/4/2012
PREMIUM
4,267.20
8,437.75
12,704.95
1/6/2012
1/6/2013
2/20/2012
4/10/2012
8/7/2012
2/20/2013
4/10/2013
8/7/2013
23,178.31
8,072.00
2,000.00
4,267.20
37,517.51
OR NO.
INS. CO.
26726
58
PISC
MICO
26969
PISC
255
27070
27236
MICO
MICO
PISC
REMARKS
TROADIO DIZON
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
'2011
POLICY NO.
PC-117/151202
CV-117/157843
FI-11-00021661
PC-117/153442
MC-CV-RL-11-000029-0-D
ASSURED'S NAME
'2012
CV-117/159511
PC-117/154590
PC-632871
PC-117/154586
F-0025-201200206
CV-117159512
RISK
SUM INSURED
100,000.00 CTPL
100,000.00 CTPL
1,000,000.00
100,000.00 CTPL
137,700.00
100,000.00 CTPL
161,000.00
100,000.00 CTPL
1,000,000.00
100,000.00 CTPL
INCEPTION
EXPIRY
7/1/2011
8/1/2011
9/4/2011
11/1/2011
12/23/2011
7/1/2012
8/1/2012
9/4/2012
11/1/2012
12/23/2012
7/12/2012
7/1/2012
7/22/2012
7/1/2012
8/9/2012
8/1/2012
7/12/2013
7/1/2013
7/22/2013
7/1/2013
8/9/2013
8/1/2013
PREMIUM
OR NO.
INS. CO.
641.00
691.00
2,108.20
641.00
15,041.06
19,122.26
26701
26732
26837
26936
26952
PBAC
PBAC
PISC
PBAC
PISC
6,583.54
790.00
6,457.91
790.00
2,197.35
840.00
27232
27190
27189
27167
439
27232
PBAC
PBAC
BPI/MS
PBAC
MICO
PBAC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
RJG-0090-201100779
RJG-0090-201100779
RJG-0090-201100777
RJG-0090-201100779
G 201201267
CGL-0001-201200358
RJG-0033-20120008
G 201201228
G 201201320
G 201201329
ASSURED'S NAME
Decipak Inc.
Decipak Inc.
Process All Enterprises incorporated
Decipak Inc.
Decipak Inc.
Decipak Inc.
Techdon Contruction Corp.
Decipak Inc.
Decipak Inc.
Decipak Inc.
RISK
SUM INSURED
630,000.00
17,642,500.00
14,020,000.00
1,575,000.00
52,000.00
1,000,000.00
1,386,000.00
110,000.00
34,913.72
28,808.34
INCEPTION
EXPIRY
9/28/2011
9/28/2011
9/28/2011
9/28/2011
3/30/2012
2/23/2012
3/2/2012
4/10/2012
4/17/2012
4/17/2012
9/28/2012
9/28/2012
9/28/2012
9/28/2012
3/29/2013
2/23/2013
3/2/2013
4/9/2013
4/17/2013
4/16/2013
PREMIUM
1,160.98
31,020.00
23,640.00
3,000.00
2,962.60
9,345.75
2,674.93
4,742.96
2,214.63
2,027.65
82,789.50
OR NO.
INS. CO.
184
112
114
113
319
317
298
320
326
327
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
REMARKS
ADOLFO ROSARIO
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
FI-LP-11-0000336-00-D
FI-LP-12-0000468-00-D
ASSURED'S NAME
Adolfo Rosario
Adolfo Rosario
RISK
SUM INSURED
1,000,000.00
1,000,000.00
INCEPTION
EXPIRY
8/25/2011
8/25/2012
8/25/2012
8/25/2013
PREMIUM
8,204.20
8,204.20
OR NO.
INS. CO.
26813
27256
PISC
PISC
REMARKS
NOEL DURAN
MUNTINLUPA CITY
ACCOUNT SUMMARY
POLICY NO.
PV-0025-201100618
ASSURED'S NAME
Noel Duran
RISK
SUM INSURED
INCEPTION
EXPIRY
1,510,000.00
8/31/2011
8/31/2012
PREMIUM
22,750.00
OR NO.
INS. CO.
26813
MICO
REMARKS
E.I CONSTRUCTION
QUEZON CITY
ACCOUNT SUMMARY
POLICY NO.
MC-CV-RL-000019-00-D
MC-CV-RL-11-000018-0-D
PC-117/151218
MC-PC-RL-11-000008-0-D
MC-CV-RL-11-000020-0-D
MC-CV-RL-11-000021-0-D
MC-CV-RL-11-000022--D
ASSURED'S NAME
RISK
2010
2006
1998
2002
2005
2004
2004
SUM INSURED
12,000.00
10,880.00
520,000.00
7,215.00 OD
6,075.00 OD
6,075.00 OD
8,850.00 OD
INCEPTION
EXPIRY
7/19/2011
7/13/2011
8/3/2011
8/3/2011
8/3/2011
8/3/2011
8/3/2011
7/19/2012
7/13/2012
8/3/2012
8/3/2012
8/3/2012
8/3/2012
8/3/2012
PREMIUM
16,262.75
14,862.75
14,103.82
10,156.63
8,856.63
8,856.63
12,325.00
OR NO.
INS. CO.
26799
26798
26805
26804
26803
26800
26802
PISC
PISC
PBAC
PISC
PISC
PISC
PISC
REMARKS
ARTHUR FERRER
Cavite
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
F-117/255216
F-117/255223
Reynaldo&Carolina Fuentes
Reginio dental laboratory
F-117/255231
RF-0025-201200030
F-117/255245
FI-LP-12-0000327-00-D
Fe Caplis Tanawag
Gloria B. Bertram
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
4,000,000.00
100,000.00
7/13/2011
9/8/2011
7/13/2001
9/8/2012
4,561.20
962.92
1/15/2012
2/22/2012
1/15/2013
2/22/2013
3,927.70
1,155.95
3/13/2012
5/7/2012
3/13/2013
5/7/2013
5,701.50
29,584.78
OR NO.
INS. CO.
26713
26814
PBAC
PBAC
26971
280
PISC
MICO
27054
27114
PBAC
PISC
REMARKS
NESTOR FERRER/ARIGATU
NO. 40 MABINI STREET, SAN PEDRO, LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
FI-LP-11-0000429-00-D
Nestor Ferrer
FI-LP-12-0000068-00-D
FI-LP-12-0000173-00-D
Nestor Ferrer
Nestor Ferrer
RISK
SUM INSURED
INCEPTION
3,000,000.00
9/16/2011
500,000.00
2,000,000.00
2/19/2012
3/13/2012
EXPIRY
PREMIUM
OR NO.
INS. CO.
9/16/2012
17,907.00
26823
PISC
2/12/2013
3/13/2013
7,292.59
5,384.00
27015
27046
PISC
PISC
REMARKS
MARCELINO GOKESAN
L2 B3 Carnation St., Sav 17, Talon 4, Las Pinas City
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
PC-117/151212
PC-117/151211
Marcelino Gokesan
Marcelino Gokesan
MC-PC-RL-10-0000017
Mardelino Gokesan
PV-0025-201200046
Mardelino Gokesan
PC-117/153453
PC-117/154600
Marcelino Gokesan
Marcelino Gokesan
RISK
SUM INSURED
INCEPTION
EXPIRY
379,080.00
100,000.00 CTPL
7/9/2011
8/1/2011
7/9/2012
8/1/2012
10,329.45
641.00
360,000.00 - L&D
100,000.00 - BI & PD
250,000.00 - PA
1/12/2012
1/12/2013
10,643.88
1/31/2012
1/31/2013
2/1/2012
8/1/2012
2/1/2012
8/1/2013
935,000.00
100,000.00
275,000.00
100,000.00
100,000.00
- L & D w/ AOG
- BI & PD
- PA
CTPL
CTPL
PREMIUM
23,256.63
447.11
790.00
OR NO.
INS. CO.
26750
26751
PBAC
PBAC
26974
PISC
241
MICO
26973
27230
PBAC
PBAC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
F-0025-201100272
RF-0025-201100438
RF-0025-201100437
PC-117/152427
Daniel Mamerto
Daniel Mamerto
Don Ryan Mamerto
Edgardo Generalla
RF-0025-201200094
RF-0025-201200119
RF-0025-201200118
F-117/255239
F-117/255241
F-117/255246
PC-117/153461
F-117/256451
F-0025-201200192
RF-0025-201200420
RF-0025-201200421
Emerenciana Generalla
Leoncia Valdez
Leoncia Valdez
MDM Donata Ortega Guinto
MDM.LOUDES ORTEGA
MDM.SGHERYLE ORTEGA ABAS
Albert Valdez
Elyxer Generalla
Daniel Mamerto
Daniel Mamerto
Don Ryan Mamerto
'2011
RISK
SUM INSURED
1,000,000.00
3,000,000.00
3,500,000.00
100,000.00 CTPL
'2012
500 Int. Gomez St., San Antonio, San Pedro, Laguna
500 Int. Gomez St., San Antonio, San Pedro, Laguna
500 Int. Gomez St., San Antonio, San Pedro, Laguna
500 Gomez Street,San Antonio,San Pedro,Laguna
500 Gomez Street,San Antonio,San Pedro,Laguna
500 Gomez Street,San Antonio,San Pedro,Laguna
2002 TOYOTA REVO VX200 WAGON P#:XEZ-842
#712 A Gomez St.,San Antonio,San Pedro,Laguna
Unno.Nat'l Highway,San Antonio,San Pedro Laguna
B48 L-20 Laguna Bel-Air 4 Phase 2Sta.Rosa Laguna
B48 L-20 Laguna Bel-Air 4 Phase 2Sta.Rosa Laguna
500,000.00 - Bldg.
1,100,000.00
1,000,000.00
600,000.00
250,000.00
250,00.00
100,000.00 CTPL
370,000.00
1,000,000.00
3,000,000.00
3,500,000.00
INCEPTION
EXPIRY
PREMIUM
7/15/2011
7/11/2011
7/9/2011
10/1/2011
7/15/2012
7/11/2012
7/9/2012
10/1/2012
5,562.60
6,360.00
9,569.58
641.00
22,133.18
2/25/2012
2/27/2012
2/27/2012
3/26/2012
3/26/2012
3/14/2012
3/1/2012
4/27/2012
7/18/2012
7/18/2012
7/18/2012
2/25/2013
2/27/2013
2/27/2013
3/26/2013
3/26/2013
3/14/2013
3/1/2013
4/27/2013
7/18/2013
7/18/2013
7/18/2013
1,346.20
4,652.14
3,797.55
2,554.27
840.00
840.00
790.00
1,014.67
5,562.60
8,077.20
9,569.58
39,044.21
78,088.42
OR NO.
INS. CO.
15
MICO
MICO
MICO
PBAC
14
277
279
278
27088
27068
27067
27033
27099
396
397
398
MICO
MICO
MICO
PBAC
PBAC
PBAC
PBAC
PBAC
MICO
MICO
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
F-0025-201000265
F-0025-201100325
F-0025-201100325
Hm Transport,Inc.
Hm Transport,Inc.
Hm Transport,Inc.
RF-0033-201200009
PC-117/154592
RISK
B10 L28 Edsa Monte De Peidad & Maryland St.,Cubao Quezon City
B10 L28 Edsa Monte De Peidad & MAryland St.,Cubao Quezon City
B10 L28 Edsa Monte De Peidad & Maryland St.,Cubao Quezon City
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
7,000,000.00
7,000,000.00
7,000,000.00
9/14/2011
9/29/2011
9/29/2011
9/14/2012
9/29/2012
9/29/2012
545.27
13,267.08
11,550.00
4,018,787.00 - Bldg.
100,000.00
2/24/2012
7/1/2012
2/24/2013
7/1/2013
4,597.48
790.00
5,387.48
OR NO.
INS. CO.
104
103
102
MICO
MICO
MICO
285
27175
MICO
PBAC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
RF-0025-201200210
RF-0025-201100533
ASSURED'S NAME
RISK
SUM INSURED
3,000,000.00
2,000,000.00
INCEPTION
EXPIRY
3/27/2012
9/5/2011
3/27/2013
9/5/2012
PREMIUM
2,750.00
5,600.00
8,350.00
OR NO.
INS. CO.
315
81
MICO
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
PV-0025-201100601
PV-0025-201100532
RJG-0025-2011-00005
PV-0025-201000530
MC-PC-LP-11-0000224-00-D
RJG-0025-2011-00024
RJG-0025-2011-00025
MC-0025-201100999
RJG-0025-201100022
RJG-0025-201100021
RJG-0025-201100023
RJG-0025-201100025
MC-0025-201100981
MC-0025-201100982
MC-0025-201100983
MC-0025-201100984
MC-0025-201100985
MC-0025-201100986
MC-0025-201100987
MC-0025-201100988
MC-0025-201100989
MC-0025-201100990
MC-0025-201100991
MC-0025-201100992
MC-0025-201100993
MC-0025-201100994
MC-0025-201100995
MC-0025-201100996
MC-0025-201100997
MC-0025-201100998
MC-0025-201100999
MC-0025-201100000
MC-0025-201101001
MC-0025-201101002
MC-0025-201101003
MC-0025-201101004
MC-0025-201101005
MC-0025-201101006
MC-0025-201101007
MC-0025-201101008
MC-0025-201101009
MC-0025-201101010
MC-0025-201101011
MC-0025-201101012
MC-0025-201101036
MC-0025-201101038
PV-0033-201100569
RJG-0025-201100024
RJG-0025-201200002
RJG-0025-201200002/00012
RF-0025-201200053
PV-0033-201200024
RJG-0025-2011-00022 END
RF-0025-201200269
PV-0025-201200320
PV-0025-201200787
ASSURED'S NAME
Dario Garcia
Leonardo Garcia
Jen Mark Lending Service
Dario Garcia
Mario nino C. Garcia
Jomanos Lending &SPS.Dario/Miramar
Jomanos Lending &SPS.Dario/Miramar
Dario Garcia
Jomanos Lending &SPS.Dario/Miramar
Jomanos Lending &SPS.Dario/Miramar
Jomanos Lending &SPS.Dario/Miramar
Jomanos Lending &SPS.Dario/Miramar
Miramar Garcia
Miramar Garcia
Miramar Garcia
Miramar Garcia
Miramar Garcia
Miramar Garcia
Miramar Garcia
Miramar Garcia
Mario nino C. Garcia
Mary Joy Garcia
Mary Joy Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Dario
Dario
Dario
Dario
Dario
Dario
Dario
Dario
Garcia
Garcia
Garcia
Garcia
Garcia
Garcia
Garcia
Garcia
Garcia
Garcia
Garcia
Garcia
Garcia
Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Dario Garcia
Marianne C. Garcia
MIRAMAR GARCIA
Jomanos Lending
Jomanos Lending
Dario Garcia
Dario Garcia
Dario & Miramar garcia
Dario & Miramar Garcia
'2011
RISK
2007 TOYOTA HI-ACE SUPER GRANDIA VAN WHTE PEARL COMMUTER 2.5 DSL A/T P#:DMG-05
2004 MITSUBISHI PAJERO 4X2 A/T WAGON DSL MIDNIGNHT BLACK P#:XRR-343
247 J.P Laurel St.,Nasugbu,Batangas
2005 TOYOTA HI-LUX G 4X4 A/T PICK UP LITHUM P#;000-88
Plate # DNH-593
B38 L13 Phase VI Villa Olympia Subd.,San Pedro Laguna
B38 L13 Phase VI Villa Olympia Subd.,San Pedro Laguna
B38 L13 Phase VI Villa Olympia Subd.,San Pedro Laguna
B38 L13 Phase VI Villa Olympia Subd.,San Pedro Laguna
B38 L13 Phase VI Villa Olympia Subd.,San Pedro Laguna
B38 L13 Phase VI Villa Olympia Subd.,San Pedro Laguna
B38 L13 Phase VI Villa Olympia Subd.,San Pedro Laguna
2007 HONDA XRM125 MOTORCYCLE RED P#:4270-CJ
2007 HONDA XRM125 MOTORCYCLE BLUE P#:8320-CM
2008 HONDA XRM125 MOTORCYCLE RED P#:6693-DP
2011 HONDA CBF 110 MOTORCYCLE P#:5106-WQ
2011 HONDA CBF 110 MOTORCYCLE BLACK/SILVER P#:8430-WP
2009 HONDA ZN125M9 MOTORCYCLE ORANGE P#:8722-DR
2010 HONDA APV110CSA MOTORCYCLE BLACK/WHITE P#:4573-WM
2009 HONDA ZN125M9 MOTORCYCLE GREEN P#:6404-WB
2008 YAMAHA CRYPTON Z MOTORCYCLE BLACK P#:5509-DU
2007 HONDA XRM125 MOTORCYCLE RED P#:3915-ND
2008 HONDA XRM125 MOTORCYCLE BLACK P#:5783-NR
2011 HONDA AFP 110CSA MOTORCYCLE RED/WHITE P#:6148-OD
2011 HONDA AFP 110CSA MOTORCYCLE P#:6147-OD
2010 HONDA APV110CSA MOTORCYCLE P#:3380-UJ
2010 HONDA MOTORCYCLE BLUE/WHITE P#:2670-UD
2010 HONDA MOTORCYCLE BLUE/WHITE AFP110CSA P#:7508-TT
2010 HONDA MOTORCYCLE SILVER CBF110MSB P#:2669-UD
2010 HONDA MOTORCYCYLE RED/WHITE AFP110CSA P#:3381-UJ
2006 HONDA XRM 110 MOTORCYCLE BLACK P#:WI-4932
2010 HONDA MOTORCYCLE BLACK/WHITE P#:7517-TT
2010
2010
2009
2010
2009
2010
2010
2010
HONDA
HONDA
HONDA
HONDA
HONDA
HONDA
HONDA
HONDA
'2012
Personal Accident Insurance
Personal Accident Insurance
Subd. Road cor. Olympia Ave., Villa Olympia, SPL
2009 TOYOTA LAND CRUISER P#: ZHV-191
Personal accident Insurance
Blk-38 Lot-1 Phase VI,Villa Olympia Subd,San Pedro,Laguna
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
1,030,000.00
700,000.00
250,000.00 AD
500,000.00
1,385,100.00
1,800,000.00
200,000.00 AD & D
1,313.57
2,600,000.00
1,820,000.00
2,340,000.00
5,980,000.00
3,798.00
30,798.00
38,628.00
62,900.00
62,900.00
40,000.00
55,620.00
40,000.00
41,085.00
30,798.00
36,233.00
61,800.00
61,800.00
55,620.00
55,620.00
55,620.00
53,465.00
55,620.00
25,734.00
55,620.00
8/26/2011
8/16/2011
9/22/2011
9/13/2011
10/25/2011
11/23/2011
11/23/2011
11/17/2011
11/23/2011
11/23/2011
11/23/2011
11/23/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
8/26/2012
8/16/2012
9/22/2012
9/13/2012
10/25/2012
11/23/2012
11/23/2012
11/17/2012
11/23/2012
11/23/2012
11/23/2012
11/23/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
16,080.00
12,310.00
645.32
11,137.75
35,046.51
690.53
865.57
1,167.62
8,682.93
6,048.78
7,804.08
20,097.56
1,289.15
1,289.15
1,477.07
2,059.60
2,059.60
1,510.00
1,884.88
1,510.00
1,920.54
1,611.80
1,774.54
2,541.85
2,541.85
2,356.49
2,356.49
2,356.49
2,291.81
2,356.49
1,459.57
2,356.49
55,620.00
55,620.00
41,085.00
55,620.00
40,000.00
55,620.00
53,465.00
55,620.00
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
2,189.32
2,106.49
1,920.54
2,356.49
1,887.75
2,356.49
2,291.00
2,356.49
55,620.00
40,000.00
55,620.00
41,085.00
88,500.00
98,000.00
1,170,000.00
2,080,000.00
23,121,547.57
200,000.00
400,000.00 - MR
7,000,000.00
3,353,000.00 - L&D
200,000.00 - BI & PD
200,000.00
40,000.00 MR
2,300,000.00-Bldg
500,000.00-Contents
200,000.00-Bldg II
1,920,000.00 L&D
200,000.00 BI & PD
958,000.00
8,358,000.00
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
11/17/2011
12/10/2011
11/23/2011
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
11/17/2012
12/10/2012
11/23/2012
2,356.49
1,887.75
2,356.49
1,920.54
3,217.75
3,627.75
29,020.00
6,926.83
228,358.68
1/5/2012
1/5/2013
2/16/2012
1/18/2012
1/20/2012
1/5/2013
1/18/2013
1/20/2013
834.10
19,139.15
69,128.01
3/15/2012
3/15/2013
647.68
4/12/2012
4/12/2013
8,223.38
5/7/2012
5/7/2013
57,731.00
8/26/2012
8/26/2013
19,221.63
9,000.00
183,924.95
OR NO.
INS. CO.
60
24
299
68
139
140
137
138
179
178
177
176
175
174
173
172
181
180
182
171
170
169
168
167
166
165
164
163
MICO
MICO
MICO
MICO
PISC
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
162
161
160
159
158
157
156
155
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
26883
283
203
REMARKS
154
153
152
151
149
150
200
136
MICO
MICO
MICO
MICO
MICO
MICO
MICO
MICO
212
MICO
284
256
240
MICO
MICO
MICO
318
MICO
310
MICO
330
MICO
452
MICO
DANILO/TASCIANA JONOTA
UNNO A> LUNA STREET MAKATI CITY
ACCOUNT SUMMARY
POLICY NO.
FI-LP-11-0000423-00-D
FI-LP-11-0000424-00-D
POLICY NO.
FI-LP-12-0000032-00-D
ASSURED'S NAME
ASSURED'S NAME
Danilo/Tasciana Jonota
'2011
RISK
'2012
RISK
SUM INSURED
INCEPTION
EXPIRY
21,000,000.00
10,000,000.00
31,000,000.00
9/23/2011
9/23/2011
9/23/2012
9/23/2012
SUM INSURED
INCEPTION
EXPIRY
14,500,000.00
2/16/2012
2/16/2013
14,500,000.00
PREMIUM
46,085.76
19,202.40
65,288.16
PREMIUM
16,573.75
16,573.75
33,147.50
OR NO.
INS. CO.
26896
26897
PISC
PISC
OR NO.
INS. CO.
27135
PISC
REMARKS
REMARKS
JUANITO JUNSAY
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
F-117/255225
ASSURED'S NAME
Juanito Junsay
RISK
Blk 5 Lot 3 #.23 Phase I-B Pacita Complex I,Sa Pedro Laguna
SUM INSURED
INCEPTION
EXPIRY
4,000,000.00
9/26/2011
9/26/2012
PREMIUM
4,561.20
OR NO.
INS. CO.
26846
PBAC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
PV-0025-201100433
PV-0025-201100432
F-0025-201100304
CV-0025-201100265
PV-0025-201100655
PV-0025-201100861
RF-003-201100098
SD TRADING CORP.
Futami Funayama
SD MANAGEMENT CORP.
SD TRADING CORP.
Futami Funayama
Futami Funayama
Dante Llamando
F-0033-2012000001
F-0025-201200058
PV-0025-201100432
SD Trading Corp.
Futami Funayama
'2011
RISK
'2012
Hi-lon Comp., Brgy.Paciano Rizal, Calamba, Laguna
2B Daystar Ind'l Park, Sta. Rosa, Laguna
2009 TOYOTA CAMRY 3.5 Q A/T 4-D SEDAN WHITE PEARL P#:NOW-826
SUM INSURED
INCEPTION
EXPIRY
6,300.00
1,470,000.00
1,000,000.00
444,600.00
740,000.00
1,317,000.00
5,000,000.00
7/24/2011
7/13/2011
8/9/2011
8/23/2011
9/16/2011
12/29/2011
12/17/2011
7/24/2012
7/13/2012
8/9/2012
8/23/2012
9/16/2012
12/29/2012
12/17/2012
1/12/2012
1/12/2013
25,420.00
2/25/2012
7/13/2012
2/25/2013
7/13/2013
29,550.36
39,718.88
2,500,000.00 - Stocks
2,500,000.00 - Machineries
4,200,000.00
1,250,000.00
PREMIUM
10,230.00
36,690.00
1,730.00
7,454.00
11,770.00
24,891.63
8,250.00
101,015.63
94,689.24
OR NO.
INS. CO.
2490
2
73
50
80
206
202
MICO
MICO
MICO
MICO
MICO
MICO
MICO
242
MICO
295
395
MICO
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-PC-RL-11-000009-0-D
FI-LP-11-0000473-00-D
FI-LP-11-0000474-00-D
FI-LP-11-0000472-00-D
MC-PC-RL-11-000011-0-D
Melvyn
Melvyn
Melvyn
Melvyn
Melvyn
Lagasca
Lagasca
Lagasca
Lagasca
Lagasca
MC-PC-LP-12-0000256-00-D
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
3,645.00 OD
1,000,000.00
2,000,000.00
2,000,000.00
7,668.00 OD
8/12/2011
10/2/2011
10/2/2011
10/2/2011
11/8/2011
8/12/2012
10/2/2012
10/2/2012
10/2/2012
11/8/2012
5,693.88
1,768.00
3,536.00
11,791.00
12,097.75
131,000.00
8/12/2012
8/12/2013
5,687.75
OR NO.
INS. CO.
26786
26872
26873
26871
26894
PISC
PISC
PISC
PISC
PISC
27251
PISC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-CV-RL-11-000016-0-D
PC-117/151201
MC-CV-RL-12-0000372-00-D
'2011
RISK
SUM INSURED
11,152.00
100,000.00 CTPL
'2012
2006 HYUNDAI STAREX P#:696
590,000.00
INCEPTION
EXPIRY
7/4/2011
7/1/2011
7/4/2012
7/1/2012
7/4/2012
7/4/2013
PREMIUM
OR NO.
INS. CO.
16,071.63
641.00
26749
PISC
PBAC
15,156.63
27234
PISC
REMARKS
ASSURED'S NAME
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
2,000,000.00
7/3/2012
7/3/2013
FI-LP-12-0000407ROLANDO A. ENTILA
00-D
700,000.00
7/22/2012
7/22/2013
5,722.87
3,500,000.00
7/30/2012
7/30/2013
10,928.73
6,500,000.00
7/30/2012
7/30/2013
20,148.93
SPA-0025201200004
LAGUNA NORTHWESTERN
COLLEGE
45,925,000.00
7/10/2012
7/10/2013
25,776.25
SPA-0025201200004
LAGUNA NORTHWESTERN
COLLEGE
49,150,000.00
7/10/2012
7/10/2013
30,264.93
SPA-0025201200004
LAGUNA NORTHWESTERN
COLLEGE
41,750,000.00
TO
49,150,000.00
7/23/2012
SPA-0025201200008
8,030,000.00
8/12/2012
8/12/2013
4,589.50
SPA-0025201200007
LAGUNA NORTHWESTERN
COLLEGE
5,995,000.00
8/12/2012
8/12/2013
3,451.75
22,377.40
4,488.68
RF-0025201100527
Rolando A. Entila
F-0025-201100322
4,000.000.00
9/12/2011
9/12/2012
3,600.00
3,750,000.00
9/30/2011
9/30/2012
13,056.00
235,000.00
9/30/2011
9/30/2012
902.40
P.Burgos St.,Siniloan,Laguna
TOTAL PREMIUM:
PHP 115,042.51
OR NO.
INS. CO.
27210
PISC
27208
PISC
27209
PISC
27207
PISC
400
MICO
400
MICO
Endorsement
add'l 148
students
427
MICO
ENDORSEMENT
428
MICO
MICO
REMARKS
87
MICO
85
MICO
86
MICO
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
RF-0025-201200102
RF-0025-201200103
F-117/256453
RF-0025-201200216
RF-0025-201200215
RF-0025-201200217
Monteroso Danny
Morales Elisa
Magdalena Corpuz
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
500,000.00
1,000,000.00
2.000,000.00 Bldg
500,000.00 HC
1,000,000.00
1,000,000.00
1,000,000.00
3/13/2012
3/28/2012
5/6/2012
3/13/2013
3/28/2013
5/6/2013
460.00
930.00
4,466.55
5/18/2012
5/19/2012
6/20/2012
5/18/2013
5/19/2013
6/20/2013
930.00
930.00
930.00
8,646.55
OR NO.
INS. CO.
303
302
27112
MICO
MICO
PBAC
325
324
323
MICO
MICO
MICO
REMARKS
ROSARIO MATUNDAN
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
PC-117/151217
ASSURED'S NAME
Rosario Matundan
RISK
SUM INSURED
INCEPTION
EXPIRY
100,000.00 CTPL
9/1/2011
9/1/2012
PREMIUM
641.00
OR NO.
INS. CO.
26738
PBAC
REMARKS
ASSURED'S NAME
MC-PC-LP-11-0000170-00-D
MC-PC-LP-11-00001269-00-D
MC-PC-RL-11-000013-0-D
PV-0025-201100863
MC-PC-RL-11-000014-0-D
Lope Diamante
Harold James Diamante
Harold James Diamante
Lope Diamante Jr.
PROCESO D. AGUILLO
CV-117/159493
Lope Diamante
RISK
1999
1999
2004
2011
2003
SUM INSURED
324,000.00
243,000.00
6,975.36 OD
1,750,000.00
90,000.00 - L&D
200,000.00 - BI & PD
INCEPTION
EXPIRY
8/10/2011
8/13/2011
11/15/2011
12/23/2011
12/2/2011
8/10/2012
8/13/2012
11/15/2012
12/13/2012
12/2/2012
1/17/2012
1/17/2013
PREMIUM
13,787.75
10,750.00
10,357.03
41.906.63
32,575.00
4,523.50
OR NO.
INS. CO.
26782
26783
26933
205
26938
PISC
PISC
PISC
MICO
PISC
27000
PBAC
REMARKS
NORAIDA,NANDANG
BIAN LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
PV-0025-201100619
PV-0025-201100620
Noraida Nandang
Noraida Nandang
PV-0025-201200670
PV-0025-201200604
PV-0025-201200747
PV-0025-201200962
PV-0025-201200963
Noraida Nandang
DANILO RAMON S. FERNANDEZ
Noraida Nandang
Noraida Nandang
Noraida Nandang
RISK
2012
2011
2011
2010
2010
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
3,235,500.00
1,138,500.00
8/31/2011
8/31/2011
8/31/2012
8/31/2012
49,642.50
18,187.50
67,830.00
1,379,000.00
2,295,000.00
1,450,000.00
2,916,000.00
998,000.00
7/26/2012
7/10/2012
8/15/2012
9/25/2012
9/25/2012
7/26/2013
7/10/2013
8/15/2013
9/25/2013
9/25/2013
24,627.75
40,150.00
34,843.88
56,893.88
21,568.88
178,084.39
OR NO.
INS. CO.
53
54
MICO
MICO
413
386
432
490
489
MICO
MICO
MICO
MICO
MICO
REMARKS
SONNY MASOLA
MUTUAL HOMES
ACCOUNT SUMMARY
POLICY NO.
MC-PC-RL-11-000012-0-D
RF-0025-201100631
ASSURED'S NAME
Sonny Masola
RISK
2012 TOYOTA VIOS 1.5G P#: new
SUM INSURED
17,880.00 OD
25,000,000.00
INCEPTION
EXPIRY
11/10/2011
12/9/2011
11/10/2012
12/9/2012
PREMIUM
23,987.75
18,500.00
OR NO.
INS. CO.
26901
207
PISC
MICO
REMARKS
SERENIDAD MERRO
PACITA,SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-11-00057848
RF-0025-201100510
RF-0025-201100570
PC-117/153430
Joanne P. Merro
Paulo Luz
Eugene Posada
Joanne P. Merro
PP-HOM-HOLP-12-7000017-00-P
PC-117/153460
PC-117/154587
Serenidad Merro
Serenidad Merro
Serenidad Merro
RISK
SUM INSURED
INCEPTION
EXPIRY
400,000.00
1,000,000.00
1,000,000.00
100,000.00 CTPL
9/6/2011
9/12/2011
10/15/2011
10/1/2011
9/6/2012
9/12/2012
10/15/2012
10/1/2012
4,785,000.00
100,000.00 CTPL
100,000.00 CTPL
4/27/2012
4/1/2012
7/1/2012
4/27/2013
4/1/2013
7/1/2013
PREMIUM
13,278.31
1,500,.00
1,500.00
641.00
4,324.15
790.00
790.00
5,904.15
OR NO.
INS. CO.
26819
57
93
26820
PISC
MICO
MICO
PBAC
27093
27034
27513
PISC
PBAC
PBAC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
G-(16) 8365
Monteaire Enterprise
G (16) 18408
Monteaire Ent.
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
89,360.62
7/19/2011
7/19/2012
6,379.38
52,507.91
1/25/2012
1/25/2013
4,163.43
OR NO.
INS. CO.
26770
PBAC
27055
PBAC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
FI-LP-11-0000287-00-D
PC-117/153439
F-0025-201200011
F-117/255236
PC-117/153464
FI-LP-12-0000412-00-D
'2011
RISK
Unno.Barrio,San Pablo,Malolos,Bulacan
2006 HYUNDAI GETZ1.4 A/T DR.HATCHBACK P#:VCM-779
'2012
Rm.24-H 24/F Paseo Parkview, Salcedo Vill., Makati
NO.13 Tanjeco st. San Vicente , Malolos Bulacan
2000 TOYOTA GRANDIA COMMUTER VAN P#:WHF-933
Unno.Barrio,San Pablo,Malolos,Bulacan
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
1,000,000.00
100,000.00CTPL
7/2/2011
10/1/2011
7/2/2012
10/1/2012
3,073.40
641.00
1/10/2012
2/6/2012
4/1/2012
7/2/2012
1/10/2013
2/6/2013
4/1/2013
7/2/2013
12,319.88
4,865.28
790.00
3,073.40
OR NO.
INS. CO.
26733
26851
PISC
PBAC
249
26988
27051
27200
MICO
PBAC
PBAC
PISC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-CV-LP-11-0000359-00-D
PC-117/151216
FI-LP-12-000000000082-00-D
FI-LP-12-000000000081-00-D
F-117/255234
PP MoleraReality Inc.
Pedro P. Molera
Mess rs.Molera Construction Inc.
RISK
# 67 Sunshine street
#224 M>L Quezon ST(FORMERLY BULI ROAD)
No.84 Dr.A santos avenue, Sucat
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
632,000.00
100,000.00 CTPL
8/28/2011
8/1/2011
8/28/2012
8/1/2012
15,917.19
641.00
2,250.00
4,000,000.00
1,000,000.00
2/10/2012
2/10/2012
2/10/2012
2/1/2013
2/10/2013
2/10/2013
2,857.00
15,341.60
8,755.22
26,953.82
OR NO.
INS. CO.
26806
26739
PISC
PBAC
27022
27023
27025
PISC
PISC
PBAC
REMARKS
JESSICA OLIVAREZ
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
PV-0025-201100599
CV-117/159503
PC-117/153468
Jessica Olivarez
Jessica Olivarez
RISK
SUM INSURED
INCEPTION
EXPIRY
675,000.00
9/3/2011
9/3/2012
10,860.00
3/14/2012
4/1/2012
3/14/2013
4/1/2013
10,151.61
790.00
354,780.00 L&D
100,000.00 CTPL
PREMIUM
10,941.61
OR NO.
INS. CO.
82
MICO
27057
27058
PBAC
PBAC
REMARKS
JOSE C. NUEZ
San Pedro Laguna
ACCOUNT SUMMARY
POLICY NO.
PV-0025-201200122
ASSURED'S NAME
Jose C. Nuez
RISK
SUM INSURED
3,530,000.00
INCEPTION
EXPIRY
2/17/2012
2/17/2013
PREMIUM
81,437.75
81,437.75
OR NO.
INS. CO.
265
MICO
REMARKS
Ernesto R. Ocampo
BINAN LAGUNA
ACCOUNT SUMMARY
POLICY NO.
PV-0025-201000467
PV-0025-201100542
MC-PC-RL-11-0000010-0-D
PV-117/151222
ASSURED'S NAME
Ernesto r. Ocampo
Ernesto r. Ocampo
Marilou Salandanan
Teodora Farcon
RISK
2000
2000
2005
2005
SUM INSURED
235,000.00
235,000.00
4,860.00 OD
100,000.00 CTPL
INCEPTION
EXPIRY
7/31/2011
7/27/2011
9/5/2011
9/1/2011
7/31/2012
7/27/2012
9/5/2012
9/1/2012
PREMIUM
6,212.75
6,212.75
7,962.75
641.00
OR NO.
INS. CO.
23
MICO
MICO
PISC
PBAC
26811
26762
REMARKS
ONELLA,VICENTE
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
RF-0025-201100534
Elias Tabud
RF-0025-201200180
Onella,Vicente
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
1,000,000.00
9/6/2011
9/6/2012
2,120.00
1,000,000.00-Bldg
2,000,000.00-Contents
3/7/2012
3/7/2013
3,289.55
3,289.55
OR NO.
INS. CO.
MICO
292
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
CV-0025-201100308
F-0025-201100368
PV-0033-201100513
CV-0033-201100031
FI-REG-ML-10-0000176-01
ASSURED'S NAME
ALTIS INT'L. TRADING &OR PAINTPLAS CORP.
Paintplas Corporation
Nilo Magbauna
Paintplas Corporation
Paintplas Corporation
RISK
1998 PUSO ALUMINUM VAN
SUM INSURED
100,000.00
44,554,800.00
210,000.00 OD
340.000.00 LD
15,000,000.00
INCEPTION
EXPIRY
10/19/2011
10/10/2011
11/13/2011
11/13/2011
11/3/2011
10/19/2012
10/10/2012
11/13/2012
11/13/2012
11/3/2012
PREMIUM
36,087.75
155,941.80
6,530.00
9,057.43
84,536.00
OR NO.
INS. CO.
148
92
146
147
26926
MICO
MICO
MICO
MICO
PHILCHARTER
REMARKS
ROSENDO PATAO
Muntinlupa City
2011
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
F-117/255215
RF-0025-201100422
RF-0025/201100422
RF-0025-201100457
F-0025-201100434
F-0025-201100435
RF-0025-201100616
F-117/25528
F-117/255229
F-117/255230
FI-LP-11-0000611-00-D
Luzviminda Gutierrez
Gener Lim De Mesa
Gener Lim De Mesa
Jorge T.& Susan L. Cui
Thomas & Lourdes Ponce
Marcelino Almanzor
Thomas & Lourdes Ponce
Ceferina Argana/Anabelle Guitierrez
Mdm.Violeta Vidor
SPS DIOSDADO / MARIVIC DATUL
Jorge T. Cui
F117/255221
F-117/25220
F-117/255218
F-117/255219
F-117/2552222
F-117/255224
Marilyn&Marilou Argana
Marilou Argana
Diosdado & Vicky Datul
Allan Diwata
Enrico Sedusta
Allan Diwata
2012
RF-0025-201200009
RF-0025-201200027
RF-0025-201200028
RF-0025-201200029
F-117/255244
F-117/255243
F-117/255240
RF-0025-2012000283
F-117/255250
F-256452
Mario Arciaga
Rosendo Patao
Mario Arciaga
Mario Arciaga
Ubaldo/Laura Arciaga
Lourdes Ramila
Larry Argana
Cui Jeorge
Marivic Datul
Ursulino Arciaga
FI-LP-12-0000209-00-D
F-117/256463
RF-0025-201200458
F-117/256462
F-117/256460
F-117/256461
RISK
SUM INSURED
5,400,00.00
3,000,000.00
2,500,000.00 Bldg
2,200,000.00
300,000.00
400,000.00
300,000.00
1,000,000.00
550,000.00
4,000,000.00
200,000.00
500,000.00 Contents
2,000,000.00
3,000,000.00
1,000,000.00
1,000,000.00
1,000,000.00
800,000.00
INCEPTION
EXPIRY
PREMIUM
7/1/2011
7/5/2011
7/5/2011
10/19/2011
11/9/2011
11/12/2011
11/9/2011
11/4/2011
11/23/2011
12/15/2011
12/13/2011
7/1/2012
7/5/2012
7/5/2012
10/19/2012
11/9/2012
11/12/2012
11/9/2012
11/4/2012
11/23/2012
12/15/2012
12/13/2012
13,716.00
2,750.00
3,492.75
1,980.00
1,368.00
3,040.00
606.00
1,268.64
697.10
6,081.60
2,105.91
8/6/2011
8/6/2011
8/7/2011
8/23/2011
9/2/2011
9/2/2011
8/6/2012
8/6/2012
8/7/2012
8/23/2012
9/2/2012
9/2/2012
10,516.00
13,392.44
1,268.64
3,167.50
1,268.64
1,045.65
67,764.87
1,000,000.00 - Bldg.
2,100,000.00
1,000,000.00
1,500,000.00
1,000,000.00
2,500,000.00
1,000,000.00
1,000,000.00
3,000,000.00
400,000.00-Bldg.
1/29/2012
2/5/2012
2/7/2012
2/7/2012
3/24/2012
3/24/2012
3/8/2012
4/18/2012
4/24/2012
4/28/2012
1/29/2013
2/5/2013
2/7/2013
2/7/2013
3/24/2013
3/24/2013
3/8/2013
4/19/2013
4/24/2013
4/28/2013
1,142.00
7,928.74
1,510.00
1,350.00
1,337.95
6,335.00
1,268.64
902.47
5,701.50
641.35
100,000.00-Contents
8,000,000.00
1,000,000.00
400,000.00
1,000,000.00
2,000,000.00
3,000,000.00
4/2/2012
8/23/2012
8/19/2012
8/8/2012
8/6/2012
8/6/2012
4/2/2013
8/23/2013
8/19/2013
8/8/2013
8/6/2013
8/6/2013
25,273.00
3,167.50
2,268.47
1,268.64
10,516.00
13,392.44
84,003.70
OR NO.
INS. CO.
26834
26
3
144
142
144
26923
26922
26949
26950
PBAC
MICO
MICO
MICO
MICO
MICO
MICO
PBAC
PBAC
PBAC
PISC
26761
26760
26753
26752
26861
26860
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
270
269
267
27107
27062
27060
329
27109
27108
###
MICO
MICO
MICO
MICO
PBAC
PBAC
PBAC
MICO
PBAC
PBAC
REMARKS
27089
27265
27269
27242
27238
27239
PISC
PBAC
MICO
PBAC
PBAC
PBAC
PEALES,JISSELLE
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
RJG-0025-2011-00015
RJG-0025-201100015
RF-0025-201200120
Peales Jisselle
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
1,900,000.00
1,650,000.00
8/2/2011
8/2/2011
8/2/2012
8/2/2012
742.62
6,000.00
2,000,000.00
3/11/2012
3/11/2013
3,000.00
3,000.00
OR NO.
INS. CO.
225
44
MICO
MICO
304
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
PV-0025-201000412
GA-BOX-HOLP-11-0000002-00-D
PP-HOM-HOLP-11-7000119-00-P
FI-LP-12-0000048-00-D
FI-LP-12-0000049-00-D
FI-LP-12-0000050-00-D
FI-LP-12-0000051-00-D
PV-0033-201200110
Gina Ramos
Clarissa Guino
Gina Ramos
Clarissa Guino
Raz Dela Torre
PV-0033-201200051
PV-003-201200065
PP-HOM-HOLP-12-7000075-00-P
GA-BOX-HOLP-12-0000003-00-D
RISK
SUM INSURED
INCEPTION
EXPIRY
285,000.00
28,240,000.00
7,843,000.00
7/14/2011
9/7/2011
9/3/2011
7/14/2012
9/7/2012
9/3/2012
6,837.75
70,948.90
5,543.57
500,000.00
500,000.00
2,300,000.00
2,300,000.00
1,214,000.00 L & D w/ AOG
200,000.00 BI
200,000.00 PD
250,000.00 PA
780,000.00 L & D
500,000.00BI
500,000.00PD
250,000.00PA
1,3000,000.00 L $ D
500,000.00 BI
500,000.00PA
1/23/2012
1/23/2012
1/30/2012
1/30/2012
2/15/2012
1/23/2013
1/23/2013
1/30/2013
1/30/2013
2/15/2013
571.75
571.75
2,692.40
2,692.40
29,846.63
2/8/2012
2/8/2013
16,300.78
2/8/2012
2/8/2013
23,781.76
9/3/2012
9/7/2012
9/3/2013
9/7/2013
5,543.57
70,948.90
78,430,000.00
28,240,000.00
PREMIUM
OR NO.
INS. CO.
40
26920
26919
MICO
PISC
PISC
26983
26982
26984
26985
338
PISC
PISC
PISC
PISC
MICO
336
MICO
337
MICO
27363
27632
PISC
PISC
REMARKS
RODOLFO PRAFEROSA
San Pedro Laguna
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
RF-0025-201100401
F-0025-201100244
Rodolfo Praferosa
Praferosa Resort Hotel
RF-0025-201200025
RF-0025-201200157
RF-0025-201200393
Rodolfo Praferosa
Praferosa Resort Hotel
Rodolfo Praferosa
'2011
RISK
'2012
13 Diamond St., Saint Francisco Subd., San Pedro Laguna
Solemar St.,Brgy.Pansol Calamba City,Laguna
6 Diamond St.,St.Francis 3 Subd.,Landayan,San Pedro Laguna
SUM INSURED
4,300,000.00
16,200,000.00
1,500,000.00
28,150,000.00
4,420,000.00
INCEPTION
EXPIRY
PREMIUM
7/21/2011
7/27/2011
7/21/2012
7/27/2012
6,450.00
19,926.00
2/8/2012
2/8/2012
7/21/2012
2/8/2013
2/8/2013
7/21/2013
2,265.00
43,973.55
8,420.35
54,658.90
OR NO.
INS. CO.
28
27
MICO
MICO
264
416
415
MICO
MICO
MICO
REMARKS
DANILO&ESTER ALMENDRALA
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
F-0025-201100297
CV-C6-2026/11
CV-C6-2027-127987/11
CV-C6-2927-127987/11
CV-C6-2928-127988/11
CV-C6-2568-132528/11
Danilo/Ester Almendrala
Danilo/Ester Almendrala
Danilo/Ester Almendrala
Joseph Almendrala
Danilo Almendrala
Teresita De Jesus
FI-LP-12-0000226
FI-LP-12-0000426-00-D
GA-BOST-HOLP-12-000000-00-D
Danilo&Ester Almendrala
QUEEN E BAKERY & COMMODOTY SUPPLY
QUEEN ESTER SUPERMARKET INC.
'2011
RISK
'2012
#7 Purok 3,Tamuro St.,Brgy.Landayan,San Pedro Laguna
MONTOYA ST., BRGY 4 SILANG CAVITE
67 A. MABINI ST., POBLACION, SAN PEDRO LAGUNA
SUM INSURED
INCEPTION
EXPIRY
2,900,000.00
148,500.00
148,500.00
50,000.00 PD
148,500.00
100,000.00 PD
3,345,500.00
8/1/2011
9/30/2011
9/30/2011
9/30/2011
9/30/2011
11/8/2011
8/1/2012
9/30/2012
9/30/2012
9/30/2012
9/30/2012
11/8/2012
16,631.50
5,527.45
5,527.45
5,527.45
5,527.45
11,623.66
50,364.96
5,000,000.00
2,000,000.00
18,332,000.00
3/29/2012
7/10/2012
7/10/2012
3/29/2013
7/10/2013
7/10/2013
19,494.75
11,709.40
23,526.43
25,332,000.00
PREMIUM
54,730.58
109,461.16
OR NO.
INS. CO.
83
26915
26916
26917
26972
MICO
AISC
AISC
AISC
AISC
AISC
27090
27227
27195
PISC
PISC
PISC
REMARKS
TRISLAN ENTERPRISES
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
F-0090-201100066
F-0025-201100320
ASSURED'S NAME
Trislan Enterprises
Trislan Enterprises
RISK
SUM INSURED
INCEPTION
EXPIRY
8,000,000.00
30,000,000.00
8/30/2011
9/17/2011
8/30/2012
9/17/2012
PREMIUM
66,960.00
82,755.99
OR NO.
INS. CO.
35
34
MICO
MICO
REMARKS
ERWIN HEGER
STA.ANA,MANILA
ACCOUNT SUMMARY
POLICY NO.
RF-0025-201100449
RF-0025-201100450
ASSURED'S NAME
Erwin Heger
Avellano Mariano
RISK
SUM INSURED
INCEPTION
EXPIRY
3,250,000.00
1,263,000.00
8/10/2011
8/13/2011
8/10/2012
8/13/2012
PREMIUM
3,217.50
1,250.32
OR NO.
INS. CO.
75
76
MICO
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
PV-0025-201100468
FI-LP- 11-0000334-00-D
PC-117/151214
PV-0033-201100544
CV-117/159495
PC-117/153459
MC-CV-LP-12-0000184-00-D
RF-0025-201200249
PC-117/154574
PC-117/152396
PV-0025-201100468
FI-LP-12-0000469-00-D
'2011
RISK
'2012
1998 TOYOTA LITE ACE VAN P#:WDV-182
1998 TOYOTA LITE ACE MINI BUS P#:WBH-633
1998 TOYOTA LITE ACE MINI BUS P#:WBH-633
#1175 A-F Int. R.Valero St., Malate,Manila
1993 TOYOTA CAROLLA 4 DOOR SEDAN P#:TJK-694
1993 TOYOTA CAROLLA 4 DOOR SEDAN P#:TJK-694
2009 TOYOTA INNOVA 2.5 J DSL M/T P#:ZPU-398
#817 Torres St.,Mandaluyong City
SUM INSURED
650,000.00
4,700,000.00
100,000.00 CTPL
2,820,000.00
100,000.00
100,000.00 CTPL
118,800.00
3,000,000.00
63,000.00 L&D
63,000.00 L&D
550,000.00
4,700,000.00
INCEPTION
7/30/2011
8/6/2011
9/1/2011
11/25/2011
3/1/2012
4/1/2012
4/1/2012
4/5/2012
5/1/2012
5/1/2012
7/30/2012
8/6/2012
EXPIRY
7/30/2012
8/6/2012
9/1/2012
11/25/2012
3/1/2013
4/1/2013
4/1/2013
4/5/2013
5/1/2013
5/1/2013
7/30/2013
8/6/2013
PREMIUM
12,450.00
5,588.00
641.00
52,370.00
691.00
790.00
4,720.00
4,530.00
4,991.19
4,461.85
11,343.88
5,588.00
OR NO.
INS. CO.
65
26831
26829
119
MICO
PISC
PBAC
MICO
27130
27131
27132
335
27133
26830
387
469
PBAC
PBAC
PISC
PISC
PBAC
PBAC
MICO
PISC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
PV-0033-201100573
ASSURED'S NAME
RDC Construction
RISK
SUM INSURED
1,584,000.00 - L&D
100,000.00 - BI & PD
275,000.00 - PA
INCEPTION
EXPIRY
1/28/2012
1/28/2013
PREMIUM
29,506.34
OR NO.
INS. CO.
253
MICO
REMARKS
MYRNA ROQUE
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
PV-0025-201100498
PC-117/151213
PC-117/151205
PVC-117/151203
MC-117/32863
PC-117/151215
PC-117/153447
Virginia Prejola
Jeffrey Roque
Myrna Roque
Elvira Tauyan
Mary Ann Roque
Charles Guiterrez Angeles
MDM.Mary Ann Roque
PC-117/154594
PC-117/154595
Jeffrey Roque
Myrna Roque
RISK
SUM INSURED
INCEPTION
EXPIRY
935,000.00
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
7/12/2011
8/1/2011
8/1/2011
8/1/2011
9/1/2011
9/1/2011
11/14/2011
7/12/2012
8/1/2012
8/1/2012
8/1/2012
9/1/2012
9/1/2012
11/14/2014
100,000.00 CTPL
100,000.00 CTPL
8/1/2012
8/1/2012
8/1/2013
8/1/2013
PREMIUM
18,440.00
641.00
641.00
641.00
331.00
641.00
1,941.00
790.00
790.00
OR NO.
INS. CO.
12
26709
26710
26697
26785
26729
26909
MICO
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
27187
27188
PBAC
PBAC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
F-0033-201100059
F-0033-201100058
MC-PC-RL-11-000015-0-D
PV-0025-201200153
FI-LP-12-0000095-00-D
F-0033-201200042
F-0033-201200042
Manuel Santos
Sanver Builders Supply
CENTENNIAL LEASING INC./MANUEL SANTOS
CENTENNIAL LEASING INC./MANUEL SANTOS
RISK
SUM INSURED
14,400,000.00
15,000,000.00
1,350,000.00 - L&D
10,000,000.00
15,000,000.00
20,000,000.00
INCEPTION
EXPIRY
8/11/2011
8/11/2011
12/7/2011
8/11/2012
8/11/2012
12/7/2012
2/11/2012
3/7/2012
8/11/2012
8/11/2012
2/11/2013
3/7/2013
8/11/2013
8/11/2013
PREMIUM
OR NO.
INS. CO.
27,360.00
28,500.00
12,466.00
41
42
26953
MICO
MICO
PISC
32,468.88
33,020.00
36,223.50
488,298.00
282
27044
422
423
MICO
PISC
MICO
MICO
590,010.38
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-CV-RL-11-5400459
SEPP MARKETING
FI-LP-12-0000020-00-D
MC-CV-LP-12-0000118-00-D
PC-117/153462
MC-CV-LP-12-0000251-00-D
RISK
SUM INSURED
3,949.20
3,800,000.00
131,000.00
100,000.00 CTPL
189,000.00
INCEPTION
EXPIRY
9/8/2011
9/8/2012
1/27/2012
3/4/2012
4/1/2012
5/4/2012
1/27/2013
3/4/2013
4/1/2013
5/4/2013
PREMIUM
7,477.41
20,993.35
4,697.75
790.00
7,183.88
OR NO.
INS. CO.
26833
PISC
26970
27038
27040
27113
PISC
PISC
PBAC
PISC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
FI-LP-11-0000362-00-D
FI-LP-11-0000364-00-D
RF-0090-201100104
CV-117/159475
PC-117/153432
PC-117/153433
SPGM Inc
SPGM Inc
Isidro Pili
Guillermo Pili
Guillermo Pili
Gavino Temprosa Pili
CV-117/159492
PC-117/153458
PC-117/154571
FI-LP-12-0000477-00-D
FI-LP-12-0000478-00-D
FI-LP-12-0000476-00-D
RF-0090-201100104
'2011
RISK
'2012
2005 SUZUKI PICK UP P#:YBB-251
1998 FUSO PICK UP P#:DSY-182
National High Way ,San Pedro Laguna
#104 National highway San Pedro Laguna
#104 National highway San Pedro Laguna
#104 National highway San Pedro Laguna
#493 main St.,Cor.Amarillo St.,Sibulo Subd.#1 San Pedro Laguna
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
2,000,000.00
1,000,000.00
2.000.000.00
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
7/30/2011
7/30/2011
7/6/2011
9/12/2011
10/1/2011
10/1/2011
7/30/2012
7/30/2012
7/6/2012
9/1/2012
10/1/2012
10/1/2012
7,797.80
4,267.20
1,600.00
691.00
641.00
641.00
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
5,000,000.00
1,000,000.00
2,000,000.00
2.000.000.00
2/1/2012
3/1/2012
5/1/2012
7/30/2012
7/30/2012
7/30/2012
7/6/2012
2/1/2013
3/1/2013
5/1/2013
7/30/2013
7/30/2013
7/30/2013
7/6/2013
487.03
790.00
790.00
23,406.35
4,267.20
7,797.80
2,032.00
39,570.38
OR NO.
INS. CO.
27010
27012
1
26826
26827
26828
PISC
PISC
MICO
PBAC
PBAC
PBAC
26960
27026
27087
27245
27246
27247
363
PBAC
PBAC
PBAC
PISC
PISC
PISC
MICO
REMARKS
2011
ACCOUNT SUMMARY
POLICY NO.
PP-HOM-HOLP-11-7000090-00-P
PC-117/15341
RF-0025-201100474
PC-117/152380
GA-GB-HOLP-08-0000001-00-D
ASSURED'S NAME
Rodolfo Talusan
Oscar Calaug/Rodolfo Talusan
Rodolfo Talusan
Mr. Rodolfo Talusan
Rodolfo Talusan
2012
MC-CV-LP-12-0000056-00-D
MC-CV-LP-12-0000059-00-D
PC-117/153450
MC-CV-LP-12-0000464-00-D
PC-117/154617
PC-117/154604
Rodolfo
Rodolfo
Rodolfo
Rodolfo
Rodolfo
Rodolfo
Talusan
Talusan
Talusan
Talusan
Talusan
Talusan
RISK
2010
2010
2008
2012
2012
1977
SUM INSURED
5,163,000.00
100,000.00 CTPL
3,300,000.00
100,000.00 CTPL
500,000.00
534,000.00
603,00.00
100,000.00 CTPL
722,000.00
100,000.00
100,000.00
INCEPTION
EXPIRY
PREMIUM
7/13/2011
10/13/2011
8/8/2011
2/14/2011
2/5/2011
7/13/2012
8/1/2012
8/8/2012
2/14/2014
2/5/2012
8,039.20
641.00
3,050.00
1,286.43
1,600.00
2/5/2012
2/7/2012
2/1/2012
8/14/2012
8/13/2012
8/1/2012
2/5/2013
2/7/2013
2/1/2013
8/14/2013
8/13/2013
8/1/2013
17,950.00
20,106.03
641.00
15,287.75
1,840.00
641.00
56,465.78
OR NO.
INS. CO.
26737
25649
PISC
PBAC
MICO
PBAC
PISC
27018
20719
26962
27303
27302
27201
PISC
PISC
PBAC
PISC
PBAC
PBAC
243
REMARKS
NORMAN, TANCHINGCO
MARIKINA CITY
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
PV-0025-20110434
Norman Tanchingco
RF-0025-201100478
Zenaida Tanchingco
MC-PC-LP-12-0000112-00-D
MC-PC-LP-12-0000117-00-D
Norman Tanchingco
Zenaida Tanchingco
MC-PC-LP-12-0000399-00-D
PV-0025-201200532
RF-0025-201100478
Norman Tanchingco
Norman Tanchingco
Zenaida Tanchingco
RISK
SUM INSURED
INCEPTION
EXPIRY
428.00.00 l& d
200,000.00 BI & PD
4,000,000.00
7/10/2011
7/10/2012
10,418.88
8/22/2011
8/22/2012
3,960.00
3/27/2012
4/29/2012
3/27/2013
4/29/2013
42,205.00
15,267.47
7/31/2012
7/10/2012
8/22/2012
7/31/2012
7/10/2013
8/22/2013
25,413.84
9,556.63
5,029.20
1,373,000.00
616,500.00
10,005,390.00
360,000.00
4,000,000.00
PREMIUM
97,472.14
OR NO.
INS. CO.
46
MICO
30
MICO
27069
27097
PISC
PISC
379
382
394
PISC
PISC
MICO
REMARKS
SONIA V. SORIANO
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
CGL-0090-201100070
RF-0033-201100080
PC-117/153421
PC-117/153422
PC-117/153428
PC-117/153431
PC-117/154579
PC-117/154580
MC-117/32872
RF-0025-201200217
PC-117/154605
ASSURED'S NAME
Sonia V. Soriano
TECHNOLOGY EXPORTS SERVICES CORP.
Reynaldo Corpuz
Magdalena Corpuz
RAULITO MAGPANTAY
'2011
RISK
'2012
2006 MITSUBISHI ADVENTURE WAGON P#:ZEB-364
2008 ISUZU TRUCK NHR PASSENGER VAN P#:ZSE-855
2005 HONDA XRM110J MOTORCYCLEP#:ZQ-3865
B30 L2 Goodharvest Park Zabarte,Quezon City
2011 TOYOTA LANDCRUISER SUV P#PNQ-875
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
5,000,000.00
5,000,000.00
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
8/13/2011
9/30/2011
9/1/2011
9/1/2011
10/1/2011
10/1/2011
8/13/2012
9/30/2012
9/1/2012
9/1/2012
10/1/2012
10/1/2012
15,937.75
7,650.00
641.00
641.00
641.00
641.00
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
1,000,000.00
100,000.00 CTPL
1/5/2012
6/1/2012
6/1/2012
6/20/2012
7/19/2012
1/5/2013
6/1/2013
6/1/2013
6/20/2013
6/1/2013
641.00
641.00
450.00
930.00
641.00
3,303.00
OR NO.
INS. CO.
91
94
26787
26788
26809
MICO
MICO
PBAC
PBAC
PBAC
PBAC
27120
323
27206
PBAC
PBAC
PBAC
MICO
PBAC
REMARKS
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
CV-117/157837
PV-0025-01000434
MC-117/32859
PV-117/151208
CV-117/159472
PC-117/153435
CV-117/159471
RF-0025-201100452
CV-117/157840
CV117/157838
CV-117/157841
CV-117/157839
PC-117/151207
CV-117/157847
PC-117/151224
PC-117/152387
F-0025-201100346
PC-117/151219
CV-117/157849
CV-117/157846
CV-117/157845
CV-117/157848
PC-117/151225
PC-117/151220
F-0025-201100369
CV-117/159476
cv-117/159477
CV-117/159479
CV-117/159478
CV-0025-201100335
CV-117/159485
RJI-0025-201100076
CV-117/259488
F0026312
Alvin Martinez
Tomas P. San Pedro
TSP GENERAL TRADING,INC.
TOMAS SAN PEDRO
RF-0033-201200001
PV-0033-201200006
RF-0025-201100693
CV-117/159490
CV-117/159491
CV-117/159490
RJI-0025-201200002
RF-0025-201200010
CV-117/159505
pv-0025-20122200197
CV-117/159504
CV-117/159501
CV-117/159497
CV-117/159496
F-0025-201200111
PC-117/153470
PC-117/153469
CV-117/159499
CV-117/159500
PV-025-201200538
CV-117/159510
MC-117/32873
PC-117/154607
CV-117/159514
CV-117/159513
PC-117/154601
CV-117/159515
PC-117/154602
PC-117/154603
PV-117/151208
'2011
RISK
'2012
Brgy. Pulong Bunga, Silang Cavite
2008 HYUNDAI STAREX GL GAS P#:ZGY-678
2009 TOYOTA LAND CRUISER 4.5 VX SUV 4X4 A/T WAGON TWIN TURBO DIESEL NPI-797
1998 MITSUBISHI FUSO CANTER DOPSIDE
181 San Guillermo st.,Putatan Muntinlupa City
2007 TOYOTA YARIS 1.5G MT 4 DR SEDAN P#ZJE897
1993 MITSUBISHI FIGTHER WATER TANK P# RCM-797
204 ISUZU WATER TANK P# XMD-947
2006 NISSAN PATROL 4x4 DSL AT ABS WAGON P# ZDY-167
2005 ISUZU ELF DROPSIDE P# XTB-467
2009 TOYOTA LAND CRUISER 4.5L VX SUV 4X4 A/T WAGON TWIN TURBO DIESEL NPI-297
325 San Guillermo St.,Bayanan,Muntinlupa City
2009 TOYOTA LAND CRUISER 4.5 VX SUV 4X4 A/T WAGON TWIN TURBO DIESEL NPI-797
SUM INSURED
100,000.00 CTPL
3,260,000.00
100,000.00 BI&PD
100,000.00 CTPL
100,000.00 CTPL
180,000.00
100,000.00 CTPL
180,000.00
400,000.00
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
10.000.000.00
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
7,000,000.00
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
650,000.00
100,000.00 BI&PD
100,000.00 CTPL
10,050,000.00
225,000.00 LD
6,700,000.00
INCEPTION
EXPIRY
7/1/2011
7/8/2011
7/1/2012
7/8/2012
PREMIUM
7/1/2011
8/1/2011
8/25/2011
9/14/2011
8/25/2011
8/19/2011
8/1/2011
8/1/2011
8/1/2011
8/1/2011
8/1/2011
9/1/2011
9/1/2011
3/18/2011
9/20/2011
9/1/2011
9/1/2011
9/1/2011
9/1/2011
9/1/2011
9/1/2011
9/1/2011
10/14/2011
10/1/2011
10/1/2011
10/1/2011
10/1/2011
11/25/2011
7/1/2012
8/1/2012
8/25/2012
8/1/2012
8/25/2012
8/19/2012
8/1/2012
8/1/2012
8/1/2012
8/1/2012
8/1/2012
9/1/2012
9/1/2012
9/1/2011
9/20/2012
9/1/2012
9/1/2012
9/1/2012
9/1/2012
9/1/2012
9/1/2012
9/1/2012
10/14/2012
10/1/2012
10/1/2012
10/1/2012
10/1/2012
11/25/2012
331.00
641.00
180,000.00
641.00
7,993.52
1,786.00
691.00
691.00
691.00
691.00
641.00
691.00
641.00
641.00
15,000.00
641.00
691.00
691.00
691.00
691.00
641.00
641.00
10,500.00
691.00
691.00
691.00
691.00
10,610.00
11/1/2011
11/24/2011
11/28/2011
12/16/2011
11/1/2012
11/24/2012
11/28/2012
12/16/2012
1,281.00
14,059.24
10,880.08
25,357.07
691.00
54,705.15
3,000,000.00 - Bldg.
800,000.00 - L&D
100,000.00 - BI & PD
200,000.00 - PA
8,000,000.00 - Bldg.
2,000,000.00 - Contents
810,000.00 OD & THEFT
100,000.00 CTPL
810,000.00
5,050,000.00
36,000,000.00
405,000.00L & D
600,000.00 L & D
100,000.00 BI & PD
500.00 PA
100,000.00 CTPL
100,000.00 CTPL
100,000.00
100,000.00
10,000,000.00
100,000.00 CTPL
100,000.00 CTPL
100,000.00 CTPL
1/25/2012
1/29/2012
1/25/2013
1/29/2013
9,430.82
16,150.66
1/11/2012
1/11/2013
22,246.50
2/22/2012
3/1/2012
2/22/2012
2/5/2012
2/14/2012
3/25/2012
3/18/2012
2/22/2013
2/1/2013
2/22/2013
2/5/2013
2/15/2015
3/25/2013
3/18/2013
36,609.43
691.00
20,577.24
7,364.46
33,000.00
14,371.68
10,175.00
3/21/2012
2/1/2012
3/1/2012
3/1/2012
4/28/2012
4/1/2012
4/1/2012
4/1/2012
3/1/2013
3/1/2013
3/1/2013
3/1/2013
4/28/2013
4/1/2013
13-Apr
4/1/2013
958.08
958.08
691.00
691.00
20,500.00
641.00
641.00
691.00
100,000.00 CTPL
4/1/2012
4/1/2013
2,770,000.00
7/8/2012
7/1/2012
7/1/2012
8/1/2012
8/1/2012
8/1/2012
8/1/2012
8/1/2012
8/1/2012
8/1/2012
8/1/2011
7/8/2013
7/1/2013
7/1/2013
8/1/2013
8/1/2013
8/1/2013
8/1/2013
8/1/2013
8/1/2013
8/1/2013
8/1/2012
100,000.00 CTPL
100,000.00
100,000.00
100,000.00
100,000.00
100,000.00
100,000.00
100,000.00
100,000.00
100,000.00
CTPL
CTPL
CTPL
CTPL
CTPL
CTPL
CTPL
CTPL
CTPL
1,281.00
50,693.88
691.00
450.00
641.00
691.00
691.00
641.00
691.00
641.00
641.00
641.00
OR NO.
INS. CO.
26997
111
PBAC
MICO
26702
27027
26892
26856
26862
37
26740
26741
26742
26743
26744
26781
26794
26793
90
26779
26778
26777
26776
26775
26774
26788
135
26855
26854
26853
26852
208
PBAC
PBAC
PBAC
PBAC
PBAC
MICO
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
MICO
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
MICO
PBAC
PBAC
PBAC
PBAC
MICO
26921
145
26924
26925
PBAC
MICO
PBAC
BPI/MS
REMARKS
246
245
MICO
MICO
204
26978
27029
26978
248
247
27104
306
PBAC
PBAC
PBAC
MICO
MICO
PBAC
MICO
27073
27074
27042
27041
328
27072
27071
27076
PBAC
PBAC
PBAC
PBAC
MICO
PBAC
PBAC
PBAC
27077
PBAC
408
27215
27170
27288
27218
27217
27216
27221
27219
27220
27027
MICO
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
PBAC
LAT,TEODORO/TVL APARTMENTS/LAT,VIOLETA
MUNTINLUPA CITY
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
F-117/255217
RF-0025-201100464
CV-117/157850
FI-LP-11-0000548-00-D
PC-117/153426
F-0025-201100353
CV-117/259486
CV-117/157259
Violeta M.Lat
Violeta M.Lat
Violeta M.Lat
Violeta M.Lat
Violeta M.Lat
Violeta M.Lat
TVL Furniture & Christian Interior
TVL Furniture & Christian Interior
RF-0025-201200091
RF-0025-201200092
F-0025-201200048
FI-LP-12-0000298-00-D
FI-LP-12-0000093-00-D
RF-0025-201100464
Lat Teodoro
TVL Apartments
Lat Violeta
TVL Furniture & Enterprises
Lat Violeta
Violeta M.Lat
RISK
SUM INSURED
INCEPTION
EXPIRY
200.000.00
500,000.00
100,000.00 CTPL
600,000.00
100,000.00 CTPL
2,000,000.00
100,000.00 CTPL
100,000.00 CTPL
7/22/2011
8/22/2011
9/1/2011
10/1/2011
10/1/2011
10/22/2011
11/10/2011
11/1/2010
7/22/2012
8/22/2012
9/1/2012
10/1/2012
10/1/2012
10/22/2012
11/1/2012
11/1/2011
1,168.42
1,495.00
691.00
4,976.11
641.00
7,060.00
691.00
691.00
3/16/2012
3/17/2012
3/4/2012
5/7/2012
4/23/2012
8/22/2012
3/16/2013
3/17/2013
3/4/2013
5/7/2013
4/23/2013
8/22/2013
2,700.00
830.00
4,150.00
6,604.00
8,138.16
1,898.78
3,000,000.00
500,000.00
1,000,000.00
2,000,000.00
1,000,000.00
500,000.00
PREMIUM
24,320.94
OR NO.
INS. CO.
26874
116
26875
26907
26876
117
26908
26322
PBAC
MICO
PBAC
PISC
PBAC
MICO
PBAC
PBAC
259
261
26
27094
26998
399
MICO
MICO
MICO
PISC
PISC
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
CV-117/159498
MC-CV-LP-12-0000123-00-D
MC-PC-LP-12-0000122-00-D
ASSURED'S NAME
RISK
SUM INSURED
330,480.00 L&D
146,000.00
76,000.00
INCEPTION
EXPIRY
3/23/2012
3/1/2012
5/1/2012
3/23/2013
3/1/2013
5/1/2013
PREMIUM
7,982.94
7,375.00
5,137.75
20,495.69
OR NO.
INS. CO.
27043
27039
27098
PBAC
PISC
PISC
REMARKS
VALCARCEL LEOPOLDO
SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
RF-0025-201200074
RF-0025-201200073
ASSURED'S NAME
Valcarcel Leopoldo
Valcarcel Leopoldo
RISK
SUM INSURED
2,000,000.00
2,000,000.00
INCEPTION
EXPIRY
3/12/2012
3/12/2012
3/12/2013
3/12/2013
PREMIUM
4,240.00
4,355.00
8,595.00
OR NO.
INS. CO.
294
293
MICO
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
RF-003-201100092
RJI-0025-201200001
F-117/255233
RF-0025-201200093
RHP-0025-201200039
ASSURED'S NAME
Wilfredo P. Revita
Ma. Cricelda Revita
Wilfredo Revita
Aniceta Revita
Revita Wilfredo
Ma. Cricelda Revita
RISK
SUM INSURED
10,000,000.00
1,500,000.00
2,150,000.00
1,800,000.00
1,600.000.00
3,750,000.00
INCEPTION
EXPIRY
10/21/2011
1/12/2012
1/27/2012
1/29/2012
2/10/2012
8/2/2012
10/21/2012
1/12/2013
1/27/2013
1/29/2013
2/10/2013
8/2/2013
PREMIUM
7,000.00
2,844.66
4,794.33
4,013.86
3,392.00
9,759.88
OR NO.
INS. CO.
106
215
26977
26975
262
436
MICO
MICO
PISC
PBAC
MICO
MICO
REMARKS
LUNA FRANCISCO
PASIG CITY
ACCOUNT SUMMARY
POLICY NO.
RF-0025-201100661
RF-0025-201100474
ASSURED'S NAME
Luna Francisco
RODOLFO TALUSAN
RISK
B-4 L-14 Karunungan Street Karangalan Village Phase 1-A Pasig City
U-104 HARRISON PARKVIEW CONDO., 2266 ASUNCION ST. MALATE
SUM INSURED
2,000,000.00
3,300,000.00
INCEPTION
EXPIRY
12/17/2011
8/8/2011
12/17/2012
8/8/2012
PREMIUM
2,349.75
3,873.75
OR NO.
INS. CO.
239
243
MICO
REMARKS
ACCOUNT SUMMARY
POLICY NO.
SPA-0025-201100004
RF-0025-201200071
F-0025-201200023
F-0025-201200024
RF-0025-201200072
RF-0025-201200191
SPA-0025-201100006
ASSURED'S NAME
TOTAL
RISK
SUM INSURED
6,222,000.00
450,000.00
100,000.00
7,000,000.00
600,000.00
1,000,000.00
7,259,000.00
INCEPTION
7/5/2011
2/3/2012
2/12/2012
2/9/2012
2/22/2012
3/10/2012
7/5/2012
EXPIRY
7/5/2012
2/3/2013
2/12/2013
2/9/2013
2/22/2013
3/10/2013
7/5/2013
PREMIUM
4,392.00
863.03
508.00
26,365.71
1,150.87
1,182.54
5,352.10
34,462.15
OR NO.
INS. CO.
21
291
289
288
290
347
464
MICO
MICO
MICO
MICO
MICO
MICO
MICO
REMARKS