°EOPLE’S GENI NSURANCE CORPORATION People’s Bling 420 Calle Magalanes ‘egy 655, Zone 6, nvamuros Manila 1002 PO Box 886 __—-€ zs | POLICY / BOND , [AMOUNT ‘aL: () 86771 oS Fe EES No, IPR gy-20c3-connns THANK You a ENDORSEMENT / RENEWAL Pesos |cts| ! a e_ wnat OFFICIAL RECEIPT N® 58099 | carro pee cReenaTiON Received from and address at ss HAREEL (L1G SOUT IO, 14 SOOT OR _the sum of feenty Thavsand Six Hevdred pesos (hy pesos (p__ 00 — In partial/full payment for ass aa ‘TERMS AND CONDI 4. Any payment tendered other thanin ashis received subject to actual CASH collection. Payments not acceptable ‘tothe Company forthe purpose offered shale returned inthe usual course of business 2. Acceptance ofthis payment shall ot waive any of the Company's rights to deny lability on any cm under the ‘Pala arising before such payments 2500s 50 5147306397500, Ahoy to Pino 1AUONOL72021 Seine 1501 0520 Mer Pring Hous ‘Sr. Citizen TIN Primer’ Acresitation No. 032MP20130000000088 Date sued: December 27, 2013 ATP.”PEOPLE’S GENERAL Potey Ho, |, 160-0¥-2025-00000502 INSURANCE CORPORATION t doe. 420 Calle Magallanes, Intramuros, Manila Gatelesued =§ dun. 14, 2025 Pa RR SEER ae ees ate From: "VAT REG. TIN - 000-887-923-000 na Jul. 19, 2023 12:00 noon STATEMENT OF ACCOUNT Jul. 19, 2024 12200 noon 7TSS0RED COVERAGE PREMIUM HANSET CORPORATION TS HL SBT 4, 1ST Ga oi w 797,000 10,411.24 SUn EE tA wa WEE iT cre | 0:0 EBT 200,000, 510.0 Model 2021 14D TPPD 200,000. 1,320.06 Color E Paver WHE NEL A Paco) 100,000 300.0% Plate No. + B9ASSS a 0 0.0 fake nrTsuBrstr aon 797,000, 3,985.0 Body Type + L300 FB W/SINGLE AIRCOM EXCEED EURO 4 Serial No. PAELBSHYHMBOLA79S 16,526.24 Motor No. aNzauaH2zas Sicier Ganon Coc Noe cite - we] resbera|fawtwo @ yahro- Doc Stamp 2,065.71 EVAT 1,983.1 AgentCode : 8194-027 GT 24.8 Others 0.0 tenewing —poticy—nes 08s WORTGAGEE: TRETROPOLITAN BON AND. TRUST: COMPANY vom RISK: Prepared by: DI Certified Correct: NOTE THIS IS NOT A RECEIPT payments rade cur calacor or epresentav, demandes er a prodsionl capt and eur oftal receipts not eclvesby you wit 7 days, plo. ‘ake dheoke payebie lo PEOPLE'S GENERAL INSURANCE CORPORA SERIES N? 5079914POLICY SCHEDULE Policy: No. ICO-CV-2023-00000303 Statement of Account No.: -nil- Date Issued: JUN. 14, 2023 PEOPLE'S GENERAL INSURANCE CORPORATION 420 Calle Magallanes Intramuros Manila. | Name and address of the Insured Period of Insurance ~ COMPREHENSIVE } From : JUL. 19, 2023 12200 noon HANSEL CORPORATION To: JL. 19, 2024 12200 noon HANSEI BLDG SCOUT NO. 14 SCOUT GANDIA CORNER SCOUT REYES BRGY LAGING HANDA QUEZON CITY —HEDLED VEHICLE Vehicle Description Model : 2021 Make : MITSUBISHI IWFile Now: ~ Serial/Chassis No. 2 PAEL6SMYMMBO15190 Plate No. : B9AZ3O Motor No. 2 4NIqUAHZ93B Color POLAR WHITE Body Type = L300 FB M/SINGLE AIRCON EXCEED EURO 4 SECTION COVERAGE PREMIUM Deductible P 3,000.00 I/Il_ Third Party Liability P ( Spil- -nil- Towing P "100.00 I-A Own Damage P 797,000.00 10,411.27 II-B Theft P\797,000.00 (INCLUDED) Authorized repair liait I-A Excess Bodily Injury ‘e > )200,000.00 510.00 P 3,100.00 1V-B Property Damage P-—" 200,000.00 1,320.00 Personal Accident P 400,000.00 500.00 Acts of NATURE- P. 797,000.00 5,985.00 Accessories accidental death tor 1 unnamed driver & 9 fircon WILT-IN unnamed passenger{s) at Php 10,000.00 each 4 Stereo HOILT-It with Wedita} reimbursement of Php. 1,000.00 each AageeelsBILT-IE a i Others Documentary Stamps Php 085.78 Expanded Value Added Tax Php 1,983.15, \ Local Government Tax Php 24.80 NOTE: \ Others ve Php 0.00 to the unit wtilized nse of the vehicle in the ehicle’sATTACHED TO AND FORMING PAR F PEOPLE‘S GENERAL INSURANCE POLICY NO. __ICO~C¥-2025-00000303. AUTO PERSONAL ACCIDENT (Wnnaned Driver/Passenger) ‘ASSURED ANSET conPoRaT 70H Period of Insurance Froa July 19, 2025 Tos guty ge, 20g Sue Insured per Person 10,000.00 Seating Capacity Total Annual Preaive 300.00 {In consideration of the above-stated additional oresiua, it is hereby agreed and undestood that the COMPANY undertakes to pay coapensation on the scale provided belox, for death and bodily injury sustained by the Licensed authorized gaid driver {other than the insured) and any person (other than the Insured and his aid driver) of the avtor car insured herein whilst driving, sounting into or disaounting fron or travelling in herein insured vehicle, and caused by violent accidental, external and visible ‘eeans which independently or any other causes shall within ninety (90) days of occurrence of such injury in any of the following losses: Life - 1000 ath hands or both legs or sight of both eve - s00r ‘She hand and one Jeg - 001 Cosbination of either hand or foot ar sight of one eye = s00r 5. One hand or one foot or sight of ane eye 2 50% Both thuab and indet finger of either hand - 231 7. Accident Medical Expense 410% of insured aaount per person ‘Added feature ~ 28 hour coverage for registed vehicle omer. PROVIDED ALES THAT + 4, Conpensation shall be payable under only one of ites 1-7 above in respect of any such person arising aut any one occurrence and the total Liability of the Company shall not in the aggregate exceed __X of the sun insured, . If at the tine of accident the actual usber of passengers exceeds the aatiaue seating capacity declared, the coapany shall be Liable only for that portion of the indeanity, otherwise payable that the saxiaua seating capacity bears to the actual nuaber of passengers, 4. No compensation shall be payable in respect of death or injury directly wholly or in gart arising ar resulting fro or traceable to bacterial infection, suicide, aurder and assault, illness or desease, war or war Like operation, services in the araed forces, riots, civil comotion, other sedical or surgical treateent resulting froe any accident happening whilst such person is under the ‘r war Like operation, services in the arned forces, riats, civil consotion, other wedical or surgics)) PEOPLE'S GENERAL INSURANCE CORPORATION 420 Calle Magallanes intramuros Manila, P.O. Box 1886, Manila Tol Nos. (02) 527-7611 to 15, Fax No. (02) 404-098 or (02) 527-8556 TIN-000-887-929, = rex oxeno a ao oe parse roanapn ane EOE coe EO a Ibo Tw neds exist lesson Sceaue sale he maximum ana poyslky He Cong Int ver amber Sci lt is Poly cox ol elacaner ps, beara 5 ‘ono chav ate aredon be cso Pe opaoonoxpascrpaottacedonceboungeopecxer: ~COMMERCIAL VEHICLE Aon ck Vahide POLICY (Shree, WHEREAS THE INSURED, by his cxrespontng proposal and decration, and that shale the basis this Contract and deemedincoporated herein, has _appiedtothe company forthe insurance hereinafter contained, subject tothe payment he Premium as consideration fr suchinsurance. NOW THIS POLICY WITNESSETH: ‘That in respect events occuring dung te prod Insurance, and subecto the tems, excepllons and condos contained herein or endorsed ‘horoon (herent colcively referred toas the Tems ofthis Poli): AUTHORIZED DRIVER: ‘Any tthe folowing (a) th insured ‘ (©) Any person driving onthe insureds order or with his permission Provided that the person diving is permitted, in accordance withthe oensing law or other regulations, to dive the Scheduled Vehicle, or has been erited ands not cisqualfied by ordro a Court of Law orby reason of any enaciment or regulation in that behalf, provided that or Sections | andi ony ofthis Policy an authorized crivershallincude a duly loonsed criverbut whose license atthe time of the accident had expired. LIMITATION AS TO USE: Use ony oso domest and pleasure purposes and foto Insure busioss ar profision. This Poy does not cover: . ()—_Useterhaing ander caringt tgs unr snd grave bt beverages, gsone prot andr erinflarnabl arises ‘of melt ofr oc @ Teekay pena ei! ssed tin; NB. Provided that imitations (1) an (2) above may be deleted andthe sks named therein covered by this Paley upon agreement, and payment of 20% addiona premiumto the Company. (8) "Ut forthe cariago of PASSENGERS or fori or ward (6) Useforany purpose connection wth he Motor Trade, ‘SECTIONS l andi otis Poiey cover THIRD PARTY ably sing rom body jury andor death in amounts set orth under the Schedule of Indemates. INWITNESS WAEREOF, the Company has caused this ply to be signed bys duly Authorized Officer Representative at ‘mamantbt ch wuéothaeatacain heows tech agounor, xp lily ng eu olanonespsaeumerorancat