GARANTA
ASIGURARI
feetor 1, Bucur 1117) ee 21-3079
Polita de asigurare medicala de calatorie in strainatate ~ EXPLORER
Travel insurance policy
[Data emiteri (Issued on):06.08.2019 | |Serie(Series): MS Nr.: 203071
[Reprezentanjs GARANTA: REPREZENTANTA IANCULUL [Agent Broker: 3266 - PUTINEANU ALEXANDRINA
[CORNELIA
[Asigurat(insured) [hwume Prenume (Name, Fist name): STANCU MARIAN Varsta (Age): 53
[ONE (Pinp: 4651412280702,
[Acresa (AddressySTRADA SOS STRAULESTI, Nr. 60A, BI. B2, Sc.1, Et. 1, Ap. 6, Judet: BUCURESTI,
[Localitate: Bucuresti
[Contractant( Contractor) __|Nume Prenume (Name, Fist name)STANCU MARIAN
[enb(en: 4651112280792
[Adress (Adcress) STRADA SOS STRAULESTI, Nr. GOA, BI. B2, Sc.1, Et. 1, Ap. 6, Judet: BUCURESTI,
Localitate: Bucuresti
fe ase pace [12 zile (12 days) ole: [25.08.2019 Pana fef05.09.2019
a (Fo)
-Pachot de asigurare
ansurance package) Breas fe EXTRA D_ PREMIUM
[Europa Toate tarite(fara USA,Cenade)| [Toate tarile
een [15.000 EUR [30.000 EUR [50.000 EUR
Ainsured amount) a
Riscuriasigurate:_ _Asistenta medicala, transport si cheltuieli conform conditilor de asigurare si pachet ales
(nsured risks) (Medical assistance, transport and costs according to the terms and conditions and the chosen package)
Acoperiri suplimentare incluse in pachet (Adeitional coverages Included in the packago):
Urgent stomatologioe in ita 250 EUR In imita 250 EUR in imita 350 EUR
Raspundere cha = 3.000 EUR ‘5.000 EUR
Pierderea s| deterioarea bagajelor zi ‘SOEUR ‘S00 EUR
‘imarzierea bagajelor (peste 6h) zi I50EUR {250EUR
‘ntarzierea zborull (peste 6h) : {Z50EUR 50EUR
Plerderea documentalor 5 250 EUR
Intreruperes calatorie! = 1.000 EUR
Acoperiri suplimentare optionalé (Optional addillonal coverages):
[DSporturi de agrement [S Anularea calatoriet ID Asistenta rutierea de urgen
(Sports package) (Trip-cancellation) (Roadside assistance)
Prima de asigurare (insurance premium): [11,60 EUR, 54,9 RON, platita la data emiterit politet
Mental speciale (Special provisions).
1 Declr cam pit urmatoarele documents: Document cupsinzand Ifo cu priv a produsl de square ~ PID, Consintamant de prelueae a date ou crac: persone
li Oferta do acto
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sin taste docamentee suplnetare omice ou aco paris de etre Aatgurtr.
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AsiguratiContractant: Intermediar: Asigurator:
STANCU MARIAN 3266 - PUTINEANU ALEXANGIRINA-CORNELIA —Garanta Asigurari SA
es
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Polita de asigurare medicala de ealatorie in strainatate - EXPLORER
Travel insurance policy
(Series): MS Nr. 203064
ae 30799 =
[Data emiteri (Issued on}06.08.2019 | [Ser
[Reprezentanje GARANTA: REPREZENTANTA TANCULUI [Azent/ Broker: 3266 - PUTINEANU ALEXANDRINA
|CORNELIA,
[Asigurat(insured) [Nome Prenumo (Name, Fist name): STANCU MILEVA Varsta (Ago): 56
[crue (Py: 263082328070"
[Acrese (Adcress):STRADA SOS STRAULESTI, Nr. 60A, BI. B2, Sc.1, Et. 1, Ap. 6, Judet: BUCURESTI,
Localitate: Bucuresti
Contractant( Contractor) [Nome Prenume (Name, First name) STANGU MILEVA
[adresa (Addross):STRADA SOS STRAULESTI, Nr. 60, BI. B2, Sc.1, Et. 1, Ap. 6, Judet: BUCURESTI,
Localitate: Bucuresti
“Periodata asigurata i Dota
ojala salu 2 zile (12 days) ete [25.08.2010 Pano[05.00.2010
Pachet de asigurare BASIC EXTRA )
“(insurance package) o a [D_PREMIUM