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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 12. Prin psa rina de asiguore esau somnarea poled asgurare,Agurall confi oo a print sa hata cuostnta de informatie scr in Pola Conte de Asurere ¢ sin taste docamentee suplnetare omice ou aco paris de etre Aatgurtr. '. IMPORTANT: mn bsza prezentel pole sur excuse atament I Consoceaa nor sfoctun| proexstete la data Ge inrare ovale ple de asiouare, AsiguratiContractant: Intermediar: Asigurator: STANCU MARIAN 3266 - PUTINEANU ALEXANGIRINA-CORNELIA —Garanta Asigurari SA es In cazul producerii unui evenimerit#sigurat:contactati obligatoria ‘Incase of occumence ofan sured evi tebySecessary to contact N INERA GARANTA Seicct int uta eum aacart prin Decan 220 AS1GURA RI costmisoonbiniinsots, capt soda 29 ioc$rs RON, Cofapersine dateprtale 426 Bd, on Nite 192 = rege Tos O80 fearon evga 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

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