Certificate No.

477917 Issued on: November 10th, 2023

Trans No: RB-972183
Belize
The Motor Vehicles Insurance (Third Party Risks) Act

Certificate of Insurance
WE HEREBY CERTIFY that the Policy of Insurance covering the liabilities required to be covered by The Motor Vehicles Insurance
(Third Party Risks) Act, up to the Policy Limits of Liability stated on the policy schedule, has hereby been issued as follows:-

1. Name of Policyholder Gianni Esmeralda Aragon

2. Policy Number PMA-402422

3. Date of commencement of Insurance Nov 12, 2023 12:01 AM
4. Date of Expiry of Insurance Feb 11, 2024 11:59 PM
5. Vehicle Covered 2000 Toyota 4 Runner SUV
THIS CERTIFICATE IS NOT TRANSFERABLE TO A NEW OWNER OF THE VEHICLE
This certificate is NOT VALID unless countersigned by For and on behalf of
an Underwriter of RF&G Insurance Company Limited RF&G Insurance Company Limited

ISSUING Agent HEAD OFFICE

Mr. Jairo Eladio Vasquez Gordon House, One Coney Drive, Belize City
45 Santa Rita Road P.O. Box 661
Corozal Town Tel: 501 223 5734
Belize Fax: 501 223 6734
Tel: 5016536530 Email: info@rfginsurancebelize.com
Email: jvasquez@rfginsurancebelize.com

INSTRUCTIONS IN THE EVENT OF AN ACCIDENT IF POLICY IS COMPREHENSIVE

1. Do not admit liability. This will prejudice your claims 1. Remove vehicle to a save place, or employ a watchman. The
2. Get name and address of all witnesses. insurance Company will not be responsible for any losses
3. Get name and address of any injured party. occasioned by your failure to safeguard your property.
4. Report the accident to the Police and get names and stations of
investigation Officers. 2. Prior to authorizing repairs to your vehicle, send the insurance
5. Get all measurements possible. Company a quotation of the cost of repairs.
6. Report the accident to the insurance company immediately and
before authorizing repairs.
7. Submit a full account of the accident.

RF&G Insurance Company Limited

INSURED Gianni Esmeralda Aragon V.I.N. DATE INSURED

VALUE .00 JT3GN86R6Y0170495 Nov 12, 2023

CAPACITY 5 Persons

YEAR 2000 Motor Vehicle Insurance

LICENSE CZLC11115 EXPIRY DATE VEHICLE NO

VIN JT3GN86R6Y0170495 Feb 11, 2024 CZLC11115

CLASS Private Motor Third Party Act Class Of Insurance

Private Motor Third Party Act

Printed On November 10, 2023 @ 3:18 PM - web Transaction No.: 972183 PMA-402422