Account Summary

CHARLES IVAN AFRICA
ANTIPOLO CITY
ACCOUNT SUMMARY
POLICY NO.
PC-117/153445
ASSURED'S NAME
Charles Ivan Africa
RISK
2004 CHEVROLET OPTRA AT 4 DR.SEDAN P#:XBJ-727
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
Ronald Poncio Aguto

MUNTINLUPA CITY
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
2011 TOYOTA VIOS 1.3 E GAS M/T P#;PUQ-605

2009 MITS.MONTERO SPORTS 2 WAGON P#NCO-692
2008 TOYOTA CAROLLA 1.6 G A/T P#;VEM -507
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
2001 Hyundai Starex Van P#;XNL-787

#6 San Vicente St.,San Pedro laguna
Gerodias Compound #26 San Vicente San Pedro Laguna
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
400 Don Vicente Ocampo St., Poblacion, Bian, Laguna
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
VICTOR CARINO , AZUCENA QUINDOZA

BIAN LAGUNA
ACCOUNT SUMMARY
POLICY NO.
MC-CV-LP-11-0000436-00-D
ASSURED'S NAME
Victor Carino & Azucena Quindoza
RISK
2002 FORD RANGER 4X4 P#:XED-935
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
Meetz Vanessa France Lim Sosmera

Ma.Richelle Filipina
La Filipina Property Management
2009 TOYOTA FORTUNER 2.7L 4X2 G GAS A/T P#:NOW-687

2006 TOYOTA FORTUNER G 4X2 DSL WAGON P#:ZEZ-893
Brgy.Landayan San Pedro Laguna
1,070,000.00
685,000.00
21,145,000.00
PV-0025-201200078
PV-0025-201200563
PV-0025-201200698
Meetz Vanessa France Lim Sosmera

2009 TOYOTA FORTUNER 2.7L 4X2 G GAS A/T P#:NWO-687
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
BLAIDA'S MEGA MART / BERNARD ALMENDRALA

A. Mabini St., Poblacion, San Pedro, Laguna
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
FI-LP-12-0000004-00-D
Blaidas Mega Mart / Warehouse
FI-LP-12-0000005-00-D
Blaidas Mega Mart
RISK
At the back of 7 Eleven - Warehouse

A. Mabini St., Poblacion, San Pedro, Laguna - Supermarket
SUM INSURED
1,000,000.00 - Bldg. warehouse

1,000,000.00 - Stocks
3,000,000.00 - Stocks of grocery
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
MDM DIVINA P. BERROYA

San Pedro Laguna
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
Alfredo S. Berroya/Jonathan Berroya

MDM Divina Berroya
MDM Divina P. Berroya
RISK
2000
2002
2008
1997
2008
HYUNDAI STAREX VAN P#; D4BhY875243

MITSUBISHI PAJERO AT SE WAGON P#:XGL-800
TOYOTA VIOS 105G P#:ZMA-336
TOYOTA CORONA 4 DOOR SEDAN P#:UPF-611
TOYOTA VIOS 105G P#:ZMA-336
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
Maricel Dampog
RISK
B1
B3
B3
B3
L2,Saphre St.,Pacita 2-A,San Pedro Laguna

L7 Jade St.,Pacita 2-A San Pedro Laguna
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
DRA. LYDIA BRUAN

BF Homes, Paranaque City
ACCOUNT SUMMARY
POLICY NO.
F-0025-201100567
ASSURED'S NAME
Lydia Bruan
RISK
37 Aguirre Ave., BF Homes, Paranaque - Clinic
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
2009 FORD EVEREST 4X2A/T WAGON WINNING BLUE P#;D84- IB-8937
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
2008- HYUNDAI TAREX CRDI M/T

181 Batangas West St.,Ayala Alabang Village Muntinlupa City
2005 TOYOTA FORTUNER P#RCB-606
'2012
2010
2008
2003
2010
BMW 320 D SEDAN P#; NDZ-357

HYUNDAI STAREX CRDI M/T
BMW 525i AT 4 DR SEDAN
TOYOTA HI-LUX 2.5L 4X2 DSL PICK-UP P# BCY-207
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
MR.RICARDO CELINO & MERLITA CELINO

Sta. Rosa City
ACCOUNT SUMMARY
POLICY NO.
FI-LP-12-0000030-D
ASSURED'S NAME
Ricardo Celino
RISK
# 90Santana St., La Residencia De Sta.Rosa Don Jose, Sta.Rosa City
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
ATTY. FERNANDINO CONCEPCION

No.781 Pedro H. Escueta St., San Antonio, Binan, Laguna
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-117/32866
CV-117/159473
Fernandino Concepcion
MC-CV-LP-12-0000021-00-D
PC-117/153451
RISK
2001 HONDA MOTORCYCLE

2003 KIA RETONA MT WAGON P#:XLM-354
1997 Hyundai GALLOPER P#: XBG-888
1989 MITSUBISHI PAJERO WAGONP#:CAN-131
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
267 Nat'l Road Bayanan,Muntinlupa City

267 Nat'l Road Bayanan,Muntinlupa City
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
RUBY CONGCO/BANKOF COMMERCE

PACIT,SAN PEDRO LAGUNA
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
2010 HONDA CITY 1.3 S.A.T 4 DR P#; PDR-214

#2570 Coral St., San Adres,Manila
ISUZU ALTERA B25, L1, RANIER ST. PARK HOMES , TUNASAN,
MUNTINLUPA CITY
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
DIGNITY HOLDINGS / DIGNA CONCEPCION

DYC Building J. Gonzales St., Binan, Laguna
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
Dignity Holdings Inc.
F-0025-201200022
RF-0025-201200213
FI-LP-12-0000467-00-D
DYC Central Pawnshop

Collado Elizabeth
DIGNA Y. CONCEPCION
RISK
#781 P.H Escueta St.,San Antonio,Bian Laguna

2005 NISSAN FRONTIER 2.7 4x4 A/T P# ZBE-328
2010 TOYOTA INNOVA 2.5J DSL WAGON P#: PKQ-689

Unno. J. Gonzales St., Poblacion, Bian Laguna
Blk.a Lot-18 Phase -2 Bayshoreville Subd.,Sinalhan,Sta.Rosa Laguna
#781 P.H Escueta St.,San Antonio,Bian Laguna
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
710,000.00 - L & D w/ AOG

100,000.00 - BI & PD
2,300,000.00
200,000.00
1,000,000.00
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
Troadio Dizon Jr.

Troadio Dizon Jr.
S.D.MANAGEMENT CORP.
Troadio Dizon Jr.
Anthony Dizon/SD Mangement
'2012
CV-117/159511
PC-117/154590
PC-632871
PC-117/154586
F-0025-201200206
CV-117159512
Troadio Dizon Jr.

Troadio Dizon Jr.
Troadio Dizon Jr.
Troadio Dizon Jr.
RISK
SUM INSURED
1998 NISSAN TERRANO GAS STD. P#:WCT-586

1999 KIA DROPSIDE P#:WHV-387
#5 Mia Road,Paraaque City
2002 ISUZU PASSENGER VAN P#:ZGE-190
2002 FORD E150
100,000.00 CTPL
100,000.00 CTPL
1,000,000.00
100,000.00 CTPL

2004 TOYOTA CAMRY AT 4DR SEDAN P# XMZ-746
#5 Mia Road,Paraaque City
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
DECIPAK INC / DECAFOOD / PROCESS ALL ENT / RENATO PURA

Putatan, MuntinlupaCity
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
#81 Nat'l Road Putatan,1772 Muntinlupa City

Fojas Compound Km.29 Nat'l Highway San Antonio San Pedro,Laguna
Warranty Bond
81 National road putatan Muntinlupa City
81 National road putatan Muntinlupa City
Warranty Bond
Warranty Bond
Warranty Bond
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
Unno.Pacita Ave.,Pacita Complex,San Pedro Laguna

Unno.Pacita Ave.,Pacita Complex,San Pedro Laguna
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
2011 ISUZU ALTERRA 4X2 M/T WAGON UC SILKY PEARL WHITE
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
E.I Construction Co.,Inc.

Ernesto Isla
Ernesto Isla
Ernesto Isla
Ernesto Isla
Fatima Ann Sison Isla
Ernesto Isla
RISK
2010
2006
1998
2002
2005
2004
2004
TOYOTA HILUX P#:NVQ-168

FORD E150 AT P#:ZEG-240
MERCEDEZ RENZ E23 4 DR.SEDAN P#:GPV-111
TOYOTA CAMRY P#:LJF-883
FORD ESCAPE P#:RDG-649
NISSAN X-TRAIL P#:XND-345
MITSUBISHI PAJERO P#:RBL-841
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
May Rita de Cadiz Nastor

Salvador Reginio
F-117/255245
FI-LP-12-0000327-00-D
Fe Caplis Tanawag
Gloria B. Bertram
RISK
#8 Pres.Osmea St.,Life Homes Subd.,Rosario,Pasig City

Room 201 2nd floor KAV bldg.no.821 arlegui cor.
No.468 J. Marzan St., Sampaloc, Manila

St. Joseph St., Tierra Vista, Marikina
36-F Mapagmahal St.,Pinahan,Quezon city
Near Maligaya Beach Resorts/Adams Beach Resort
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
3,400,000.00 - Bldg. & Contents

900,000.00 - Bldg.
100,000.00 - Contents
4,500,000.00
6,000,000.00
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
#40 Mabini St., San Pedro Laguna
3,000,000.00
9/16/2011
#40 Mabini St., San Pedro Laguna

#86 Luna St.,Poblacion San Pedro Laguna
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
2003 HONDA CRV 2.0 AT WAGON

2008 TOYOTA VIOS 1.3J 4 DOOR SEDAN P#:ZNB-751
2011 HYUNDAI TUCSON THETA II P#:PQF-820
2008 TOYOTA VIOS 1.3J 4 DOOR SEDAN P#:ZNB-751

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
MRS. EMERENCIANA GENERALLA / LEONCIA VALDEZ

Binan, Laguna
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
Unno.Nat'l Highway,San Antonio,San Pedro Laguna

B48 L-20 Laguna Bel-Air 4 Phase 2Sta.Rosa Laguna
1997 TOYOTA TAMARAW WAGOR P#UUW-319
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 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
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
MH TRANSPORT / HOMER MERCADO

Binan, Laguna
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
Sps. Homer/Julie Mercado

HM CNG BUS INC.
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
L8 B2 Sta.Rosa Estate P7, Sta. Rosa, Laguna

JAM COMPOUND ,SAN ANTONIO,BINAN, LAGUNA
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
TEJADA, ANNA MICHELLE B.

SUSANA HEIGHTS,MUNTINLUPA CITY
ACCOUNT SUMMARY
POLICY NO.
RF-0025-201200210
RF-0025-201100533
ASSURED'S NAME
Anna Michelle B. Tejada

Tejada Cecile
RISK
B7 L14 Aguila Village Susana Heights

Lot 4 Blk 82 Laura Street Matarungan Village Muntinlupa City
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
JOMANOS LENDING / DARIO & MIRAMAR GARCIA

Villa olympia Subd., San Pedro, Laguna
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
& MIRAMAR GARCIA
ASSURED'S NAME
Dario Garcia
Leonardo Garcia
Jen Mark Lending Service
Dario Garcia
Mario nino C. Garcia
Jomanos Lending &SPS.Dario/Miramar
Dario Garcia
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
Mary joy C. Garcia

DARIO 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
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
MOTORCYCLE BLACK/WHITE AFP110CSAP#:8673-TL

MOTORCYCLE RED/WHITE AFP110CSA P#:1615-WG
CRYTON Z MOTORCYCLE BLACK P#:6834-DU
MOTORCYCLE AFP110CSA P#:9000-WF
ZN125M9 MOTORCYCLE RED P#:1927-PF
MOTORCYCLE RED/WHITE AFP110CSA P#:3870-WP
CFT125MA MOTORCYCLE P#:3947-WF
MOTORCYCLE BLACK/WHITE AFP110CSA P#:9417-UD
2010 HONDA MOTORCYCLE BLACK/WHITE AFP110CSA P#:9418-UD

2009 HONDA ZN125M9 MOTORCYCLEORANGE P#:1919-PF
2010 HONDA MOTORCYCLE BLACK/WHITE AFP110CSA P#:7471-YP
2008 YAMAHA CRYTON Z MOTORCYCLE BLACK P#:3311-RG
2006 YAMAHA YMC MOTORCYCLE P#:7330-DB
2004 HONDA MOTORCYCLE SILVER SONIC 50CC P#:EP-3358
B-38- L- 17 Ph-6 Villa Olympia Subd. San Pedro Laguna
B-38- L- 13 PHASE VI Villa Olympia Subd.,San Pedro Laguna
'2012
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
2010 MINI COOPER S 1.6 GAS A/T P#; JOY 05

2007 TOYOTA HI-ACE SUPER GRANDIA VAN WHITE PEARLCOMMUTER 2.5 DSL A/T P# DMG-05
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
Messrs.Tasciana & Danilo Jonota

Messrs.Tasciana & Danilo Jonota
ASSURED'S NAME
Danilo/Tasciana Jonota
'2011
RISK
1806 Evangelista Corner Mojica Sts.,Bangkal,Makati City,Metro Manila

#6 Headline St.,4th Estate Subd.,Sucat,Paraaque City,Metro Manila
'2012
RISK
Unno A. Luna Street, Makati City
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
SD TRADING / DANTE LAMANDO / FUTAMI FUNAYAMA
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
First Asian Service (FASTEC)
F-0025-201200058
PV-0025-201100432
SD Trading Corp.
Futami Funayama
'2011
RISK
2008 TOYOTA INNOVA 2.0 E GAS A/T P#:ZRM-899

2009 TOYOTA CAMRY 3.5 Q A/T 4-D SEDAN WHITE PEARL P#:NOW-826
#5 Mia Road Tambo,Paraaque City,Metro Manila
2004 ISUZU NPR CAB CHASSIS 66P ALUM.VAN ART WHITE P#:XRA-157
2008 SSANGYONG ACTYON 2.0 DSL A/T P#:IRG-569
2011 TOYOTA HI-LUX 4x4 G A/T PICK UP EXTREM BLACK
B-1 L-18 Barcelona Drive South Forbes Villas Brgy.Inchican Silang Cavite
'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
PURITA FAJILAN/MELVYN LAGASCA

LAS PIAS CITY
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
PURITA A. FAJILAN OR MELVYN LAGASCA
RISK
1998 TOYOTA COROLLA GLiP#:WEC-618

#74 Dama De Noche St.,Rainbow Village 3,Almanza I Las Pias City
#74 DAma De Noche St.,Rainbow Village 3,Almanza I Las Pias City
#74 Dama De Noche St.,Rainbow Village 3,Almanza I Las Pias City
2008 TOYOTA VIOS P#:ZTF-220
1998 TOYOTA COROLLA Gli P#:WEC-618
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
MDM.THELMA IMMACULADA VELASQUEZ

BINAN LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-CV-RL-11-000016-0-D
PC-117/151201
Thelma Immaculada Velasquez

Aida Vasquez
MC-CV-RL-12-0000372-00-D
Thelma Immaculada Velasquez
'2011
RISK
2006 HYUNDAI STAREX P#:696

2002 MITSUBISHI LANCER 4 DR.SEDAN P#:XEV-426
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
LAGUNA NORTHWESTERN COLLEGE

SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
RISK
SUM INSURED
INCEPTION
EXPIRY
PREMIUM
FI-LP-12-0000409- ROLANDO A. ENTILA LNC00-D

ANNEX
248 Mabini st. San Antonio San Pedro

Laguna - Building Only 5-door
commercial (retail store)
2,000,000.00
7/3/2012
7/3/2013
FI-LP-12-0000407ROLANDO A. ENTILA
00-D
454 A. Mabini Street San Antonio San

Pedro Laguna - 3 door residential
apartment
700,000.00
7/22/2012
7/22/2013
5,722.87
FI-LP-12-0000410- LAGUNA NORTHWESTERN

00-D
COLLEGE
#.94 A Mabini Street,San Antonio

San,Pedro Laguna - Library and
Laboratory
3,500,000.00
7/30/2012
7/30/2013
10,928.73
FI-LP 11-0000325- LAGUNA NORTHWESTERN

00-D
COLLEGE
94 A. Ambini Street San Antonio San

Pedro Laguna - Building/classroom
furnitures and fixtures
6,500,000.00
7/30/2012
7/30/2013
20,148.93
SPA-0025201200004
LAGUNA NORTHWESTERN
COLLEGE
San Antonio, San Pedro, Laguna Students Personal Accident (983

students)
45,925,000.00
7/10/2012
7/10/2013
25,776.25
SPA-0025201200004
LAGUNA NORTHWESTERN
COLLEGE

students)
49,150,000.00
7/10/2012
7/10/2013
30,264.93
SPA-0025201200004
LAGUNA NORTHWESTERN
COLLEGE

students)
41,750,000.00
TO
49,150,000.00
7/23/2012
SPA-0025201200008
LNC-San Lorenzo Ruiz

Montessori Center
P.Burgos St.,Siniloan,Laguna Students Personal Accident (135

students)
8,030,000.00
8/12/2012
8/12/2013
4,589.50
SPA-0025201200007
LAGUNA NORTHWESTERN
COLLEGE
Corinthian Center Balibago,Sta.Rosa

Laguna - Students Personal Accident
(109 students)
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-0025-201100323 ROLANDO A. ENTILA
F-0025-201100322
Rural Bank of San Lorenzo

Ruiz Inc.
Madrigal ave.cor.Anahaw St.New

Ayala Alabang Village Muntinlupa City
4,000.000.00
9/12/2011
9/12/2012
3,600.00
P.Burgos St.,Siniloan,Laguna - Building

and school contents and appliances
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
MARY JANE PACHECO

TAGUIG CITY
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
RF-0025-201200102
RF-0025-201200103
F-117/256453
Mary Jane Pacheco

Dithmers Priscilla
Jose Ferlu/Nilda Sudario
RF-0025-201200216
RF-0025-201200215
RF-0025-201200217
Monteroso Danny
Morales Elisa
Magdalena Corpuz
RISK
Blk1 Lot-10Menville Subd.,Palingon,Tipas,Taguig City

Blk-4 Lot-8 Albatross St.,Camella Homes2,Putatan,Muntinlupa City
23 Manga Drive Nayong Silangan Subd.
Blk28 Lot 12 Sunkis St. Good Harvest Park Subd.
Blk 28 Lot 11 Good Harvest Park Subd.
B30 L2 Goodharvest Park Zabarte,Quezon City
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
1998 KIA BESTA 2.7 DELUXE VAN P#:EFP-808
SUM INSURED
INCEPTION
EXPIRY
100,000.00 CTPL
9/1/2011
9/1/2012
PREMIUM
641.00
OR NO.
INS. CO.
26738
PBAC
REMARKS
MEDIA CONSTRUCTION AND DEVELOPMENT CORP. / LOPE DIAMANTE

No. 54 Pulo, Cabuyao, Laguna
M
ACCOUNT SUMMARY
POLICY NO.
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
TOYOTA CELICA SEDAN P#:BDN-454

TOYOTA MR 2 23 DR SEDAN P#:BDP-722
CHEVROLET OPTRA P#:XPD-807
DODGE NITRO 3.7L V6 A/T
MERCEDES BENZ P#;ETK-808
1996 MITSUBISHI L-200 2.5 DOUBLE CAB PICK UP P#:DPX-677
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
2010 TOYOTA PRADO 3.0L DSL A/T P#:PCO-252

2010 MITSUBISHI STRADA GLS 3.2 PICK-UP DSL M/T P#:PPQ-868
2012
2011
2011
2010
2010
TOYOTA HI-LUX 3.0 4X4 G M/T PICK-UP LITHIUM

MITSUBISHI PAJERO GLS 3.8L GAS A/T WAGON 4X4
TOYOTA FORTUNER 3.0L DSL A/T WAGON 4X4
TOYOTA PRADO 3.0L DSL A/T P#:PCO-252
MITSUBISHI STRADA GLS 3.2 PICK-UP DSL M/T P#:PPQ-868
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
Engr. Homero A Mercado
RISK
2012 TOYOTA VIOS 1.5G P#: new
111 Bayabong Street Ayala Alabang Village Muntilupa City
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
2008 ISUZU 070 XVU M/T P#;ZML-779

#.18 Samar Loop Macaria Village Bian Laguna
41 North Circle Ave.,Vista Verde Country Homes,Sto.Domingo,Cainta,Rizal
2008 ISUZU 070 XVU M/T P#;ZML-779
#3 Everlasting St.,Blk 6 Lot 4 Pacita Complex,San Pedro Laguna

#3 Everlasting St.,Blk 6 Lot 4 Pacita Complex,San Pedro Laguna
2001 TOYOTA REVO SR MT WAGON P# XBW-316
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
MONTEAIRE ENTERPRISES / RODERICK TORRES

No.3 Banay-banay, Cabuyao, Laguna
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
G-(16) 8365
Monteaire Enterprise
G (16) 18408
Monteaire Ent.
RISK
Guaranty Workmanship Bond In favor of;UCPB-Bian
Guaranty Workmanship Bond - UCPB
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
MONTESSORI SCHOOL OF MALOLOS / RUTH TOMAS

Binan, Laguna
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
FI-LP-11-0000287-00-D
PC-117/153439
Montessori School of Malolos

Ma.Veronica T. Oliver
F-0025-201200011
F-117/255236
PC-117/153464
FI-LP-12-0000412-00-D
Arthur and Ruth Tomas

Lourdes Almeda Tomas
Lourdes Almeda Tomas
Montessori School of Malolos
'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
1,500,000.00 - Contents (AP)

1,000,000.00 bldg.
100,000.00 CTPL
1,000,000.00
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
PP MOLERA REALITY INC

laS PIAS CITY
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
MC-CV-LP-11-0000359-00-D
PC-117/151216
Nicanor Salgado Molera

Mila Teresa Molera
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
2009 MITS.L-300 VERSA VAN P#:NPQ-287

1989 MERCEDES BENZ 260E 4 DR.SEDAN P#:PMB-397
# 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
Upright Security & Detective Agency
CV-117/159503
PC-117/153468
Jessica Olivarez
Jessica Olivarez
RISK
2010 ISUZU CROSSWIND XL M/T WAGON STERLING SILVER
2003 ISUZU CROSSWIND XUV MT WAGON P#:XHA-593

2003 ISUZU CROSSWIND WAGON P#:XHA-593
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
2011 TOYOTA LAND CRUISER WAGON RED
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
HONDA CR_V 2.0A/T WAGON SILVER P# WNP;481

HONDA CRV 2.0 A/T WAGON SILVER P#:WNP-481
TOYOTA VIOS 1.5G P#:ZAU-109
SUZUKI FB TYPE P#:LMP-748
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
B12 L17 Dahlia St.,Phase3,Adelina3,Bian Laguna
Rosario Complex.,San Pedro Laguna
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
ALTIS INT'L. TRADING &OR PAINTPLAS CORP.

MAGUYAM SILANG CAVITE
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
RISK
1998 PUSO ALUMINUM VAN
B2 L3 Main Ave.Meridian Industrial Park II Silang Cavite

Punta Baluarte St.,Camella 4,Muntinlupa City
B5 Bldg.1,Tepaurel Industrial Compound,Putatan,Muntinlupa City
B2 L3 Main Ave.Meridian Industrial Park II Silang Cavite
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
Roger & Gener Lim De Mesa

Allan Diwata
RICARDO MARTINEZ
DIOSDADO DATUL/VICKY DATUL
MARILYN/MARILOU ARGANA
MARILYN/MARILOU ARGANA
RISK
#269 Nat'l Road,Bayanan Muntinlupa City

B1 L21 Mandarin Ave.Pleasant Village ,Bayanan Muntinlupa City
B1 L21 Mandarin Ave.Pleasant Village ,Bayanan Muntinlupa City
Lot 2 Blk 2 Primavera Subd.Rizal Vill.cupang Muntinlupa
Unno.Nat'l Road BO.Putatan,Muntinlupa City
Patdu Apartments,Lakeview Subd.,BO.Putatan Muntinlupa City
Unno.Nat'l Road BO.Putatan,Muntinlupa City
Dolleton St.,B1 L1 Purok 1,Bayanan,Muntinlupa City
#209 Int.Pedro Diaz St.,Poblacion,Muntinlupa City
B-2 L-12 Bananue St, Phase 2 Countyr Homes Putatan, Muntinlupa City
No. 182 E A. Bautista Street Bayanan Muntinlupa City
#57 Rizal St.,Poblacion Muntilupa City

#57 Rizal St.,Poblacion Muntilupa City
Phase II,Annnex A,Country Homes,Putatan,Muntinlupa City
#220 Quezon St.,Poblacion,Muntinlupa City
Arciaga Compound,Soldiers Hills,Putatan,Muntinlupa City
Lot 2 Blk 14 Springville Homes Pedro Diaz St. Poblacion Muntinlupa City
San Francisco, Putatan, Muntinlupa - 4 Dr. Apartment

209 Quezon St., Poblacion, Muntinlupa City
San Francisco St., Putatan, Muntinlupa City
San Francisco St., Putatan, Muntinlupa City
4920 Arciaga Compound,Soldiers Hills Putatan,Muntinlupa City
Unit A-3-38 Garden Homes 500 Nicanor Abelardo St.,Bf Homes Paraaque City
#36 Katihan St.,Pulong Diego,Poblacio,Muntinlupa City
#261 Nat'l Road,Bayanan,Muntinlupa City

#220 Quezon St.,Poblacion,Muntinlupa City
138 BAUTISTA STREET,PUROK3, BLOCK 2,BAYANAN MUNTINLUPA CITY
PHS 2 , ANNEX A. COUNTRY HOMES, PUTATAN,MUNTINLUPA CITY
NO. 57 Rizal st. ,Poblacion, Muntinlupa City
NO. 57 Rizal st. ,Poblacion, Muntinlupa City
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
RJPA Merchandise/Jisselle Peales

RJPA Merchandise/Jisselle Peales
RF-0025-201200120
Peales Jisselle
RISK
B3a L-5 Rosario Townhomes Rosario Ave.,San Pedro Laguan

B6A-L-5 Rosario Townhomes Rosario Ave.,San Pedro Laguna
B6A L5 Rosario Townhomes Rosario Ave.,San Pedro Laguna
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
PORT AREA TIRE CENTER / ZOE DELA TORRE / GINA RAMOS

Tunasan, Muntinlupa City
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
PV-0025-201000412
GA-BOX-HOLP-11-0000002-00-D
PP-HOM-HOLP-11-7000119-00-P
Zoe Dela Torre

Port Area Tire Center
Zoe Dela Torre
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
Zoe Dela Torre
PV-003-201200065
Zoe Dela Torre
PP-HOM-HOLP-12-7000075-00-P
GA-BOX-HOLP-12-0000003-00-D
Zoe Dela Torre

PORT AREA TIRE CENTER
RISK
2003 ISUZU FUEGO LS 4X2 M/T P#:XKU-165

KM 31 Nat'l Highway Tunasan,Muntinlupa City
No.16 Arandia St., Villa Arandia, Tunasan, Muntinlupa City

No.16 Arandia St., Villa Arandia, Tunasan, Muntinlupa City
No.5 Goddard St., Katarungan Vill. Poblacion, Muntinlupa City
Blk.47 Lot33 Teechankee St., Katarungan Village, Muntinlupa City
2001 TOYOTA FORTUNER 4X2 DSL P#:POT-256
2009 ISUZU D-MAX LS 4X2 M/T PICK UP SE MAGMA RED P#:ZTK-843
2009 TOYOTA HI-ACE SUOER GRANDIA 2.5L DSL A/T P#:ZTS-182

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
6 Diamond St.,St.Francis 3 Subd.,Landayan,San Pedro Laguna

Solemar St.,Brgy.Pansol Calamba City,Laguna
'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
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
#7 Purok 3 Tamuro St.,Brgy.Landayan,San Pedro Laguna

ISUZU ELF ALUM VAN P#:WRL-968
ISUZU ELF ALUM VAN P#:ZDE-287
ISUZU ELF ALUM VAN P#:ZDR-237
FUSO CANTER ALUM VAN P#:UAL-570
1994 ISUZU ELF ALUM VAN P#:RKK-772
'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
Nat'l Highway Brgy.Nueva,San Pedro Laguna

Nat'l Highway Brgy.Nueva,San Pedro Laguna
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
Unit 12 KristineVille Ezecutive Homes,Cagayan St.,Sta Ana ,Manila

Unit 5 West Fairview Villas 19 Daffodil St.,Quezon City
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
ARTURO REYES JR.

MAKATI CITY
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
PV-0025-201100468
FI-LP- 11-0000334-00-D
PC-117/151214
PV-0033-201100544
Anna Nerissa Reyes

Arturo Reyes
Ana Nerissa /Arturo Reyes
Luis Reyes
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
Arturo Reyes Jr.

Julieta/Arturo Reyes
Julieta/Arturo Reyes
El Piso Adriano,INC
Arturo Reyes Jr.
Arturo Reyes Jr.
Anna Nerissa Reyes
Arturo Reyes
'2011
RISK
2009 TOYOTA INNOVA 2.5 J DSL M/T P#:ZPU-398

#817 Torres St.,Mandaluyong City
2008 TOYOTA INNOVA2.5J WAGON
B99 Ilaya St.,Malabanan ,Bian,Laguna
'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
RDC CONSTRUCTION AND DEVELOPMENT CORP. / RICARDO CELINO

Brgy. Sala, Cabuyao, Laguna
ACCOUNT SUMMARY
POLICY NO.
PV-0033-201100573
ASSURED'S NAME
RDC Construction
RISK
2011 SUBARU FORESTER 2.5 XT AT WAGON P#:

Mortgagee: Metrobank
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
2010 TOYOTA HI-LUX 2.5L 4X2 DSL M/T P#:PNO-427

2010 SUZUKI N/I DROPSIDE
2010 MITSUBISHI LANCER GLX4 DR SEDAN P#:XCH-147
2000 MITSUBISHI ADVENTURE MICROBUS WAGON P#:WLV-337
2005 HONDA XRM 110J MC P#:XO-2088
2005 MITSUBISHI ADVENTURE WAGON P#:VCU-808
2011HYUNDAI GRAND STAREK 10STR MT P#:new
2010 SUZUKI N/I DROPSIDE P# NIB-677

2010 MITSUBISHI LANCER GLX4 DR SEDAN P#:XCH-147
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
SPS. MANUEL & BABY SANTOS

Cabuyao, Laguna
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
F-0033-201100059
F-0033-201100058
MC-PC-RL-11-000015-0-D
Centennial Laesing Incorporated

Centennial Laesing Incorporated
Clara Normita V. Santos/Rodolfo Talusan
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
Brgy.Diezmo Road Cabuyao,Laguna

Brgy.Diezmo Road Cabuyao,Laguna
2007 HONDA CIVIC P#;PAT15
2012 HYUNDAI GRAND STAREX (W/OG)

Nat'l Highway,Pulo,Cabuyao Laguna
BRGY. DIEZMO ROAD CABUYAO, LAGUNA
BRGY. DIEZMO ROAD CABUYAO, LAGUNA
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
SEPP MARKETING / LEONARDO GARCIA

RMT Compound, Tunasan, Muntinlupa City
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
SEPP Marketing Inc.

SEPP Marketing Inc.
Map Realty and Development Corp.
Garcia Leonardo
RISK
2003 MITSUBISHI L300 P#;XKN425
Blk.23 Lot6 Marilag St. United San Pedro, SPL

2001 TOYOTA TAMARAW P#;WRP-152
2005 HONDA CIVIC 4 DR.SEDAN P#:UBF-413
2003 KIA KC2700 PANORAMIC P#:XGV-757
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
HYDRO COOL REFILLING STATION

San Pedro Laguna
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
Hydro Cool Refilling Station

Guillermo Pili
Guillermo Pili
SPGM Inc
SPGM Inc
SPGM Inc
Isidro Pili
'2011
RISK
#104 National highway San Pedro Laguna

#493 main St.,Cor.Amarillo St.,Sibulo Subd.#1 San Pedro Laguna
ISUZU DROPSIDE P#:PHE-308
NISSAN PATROL WAGON P#:XAP-999
2005 TOYOTA ALTIS 4 DR.SEDAN P#:ZAY-479
'2012
2005 SUZUKI PICK UP P#:YBB-251
1998 FUSO PICK UP P#:DSY-182
National High Way ,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
MR. RODOLFO TALUSAN

San Pedro Laguna
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
Sibulo II Landayan,San Pedro Laguna

1997 MERCEDES BENZ 230E 4 DR.SEDAN P#:NTZ-677
U-104 Harrison Parkview Condo.,2266 Asuncion cor.,M.Adriatico STS.,,Malate
2010 MITSUBISHI L300 FB
GOLFBUDDY INSURANCE
2010
2010
2008
2012
2012
1977
MITSUBISHI L300 FB BODY

MITS.L300 FB BODY
MITSUBISHI L300 CC FB BODY P#:NHO-321
MITS. L300 CC W/FB BODY
MITS. L300 CC W/FB BODY
MERCEDES BENZ 230E 4DR SEDAN P# NTZ-677
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
2004 NISSAN X-4 2.0L 4X2 WAGON GASN BLACK P#:XNX-683

2189-A & 2189-B F.Zobel St.,San Miguel Village,Makati City
2010 TOYOTA CAMRY 2.4 V p#; NOA-657

2011 TOYOTA VIOS 1.3E GAS A/T P#:TBI-815
LOT 7-A BRAZIL CORNER BERN STREETS LOYOLA GRAND VILLAS PHS 3
BRGY. MALANDAY , MARIKINA CITY
2004 NISSAN X-TRAIL 2.0L 4X2 WAGON GAS BLACK P#:XNX-683
2189-A & 2189-B F.Zobel St.,San Miguel Village,Makati City
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
Technology Exports Services Corporation/Chevron Geothermal Phil.Holdings,Inc.

Raul Magpantay
Technology Exports Services Corp.
Technology Exports Services Corp.
Technology exports Services Corp.
Juane Magpantay
Sonia V. Soriano
TECHNOLOGY EXPORTS SERVICES CORP.
Reynaldo Corpuz
Magdalena Corpuz
RAULITO MAGPANTAY
'2011
RISK
R.M.T Industrial Complx,Tunasan Muntinlupa City

#222 Sampaloc drive Ayala West Grove,Silang,Cavite
2010 USZUKI DROPSIDE P#:PGQ-128
2005 ISUZU AUV JITNEY
2010 SUZUKI FB BODY P#:PGQ-129
1999 TOYOTA TAMARAW WAGON P#:WHH-529
'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
TSP GENERAL TRADING / TOMAS SAN PEDRO

Tunasan, Muntinlupa City
ACCOUNT SUMMARY
POLICY NO.
ASSURED'S NAME
CV-117/157837
PV-0025-01000434
General Trading Inc.

Tomas P. San Pedro
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
Oscar Victor Paginado

Tomas P. San Pedro
Alvin Martinez
Ariel Martinez
Oscar M. Martinez
Ricardo Martinez
Tomas P. San Pedro
TSP GENERAL TRADING,INC.
Tomas P. San Pedro
Tomas P. San Pedro
Tomas P. San Pedro
Cesar Martinez
Oscar Paginado
Allan Camildon
Tomas P. San Pedro
Tomas P. San Pedro
Aldrin San Pedro
MDM.Jasmin San Pedro
MDM.Jasmin San Pedro Martinez
Allan Camillon
Tomas P. San Pedro
Tomas P. San Pedro
CV-117/159485
RJI-0025-201100076
CV-117/259488
F0026312
Alvin Martinez
Tomas P. San Pedro
TOMAS SAN PEDRO
RF-0033-201200001
PV-0033-201200006
Tomas/Veronica San Pedro

Jasmin San Pedro Martinez
RF-0025-201100693
Leah/Aldrin San Pedro
CV-117/159490
CV-117/159491
CV-117/159490
RJI-0025-201200002
RF-0025-201200010
CV-117/159505
pv-0025-20122200197
TSP GENERAL TRADING INC.

TOMAS SAN PEDRO
Tomas Placido San Pedro
Alvin Nazareno Martinez
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
TSP GENERAL TRAIDING INC.

Tomas San Pedro
Leah San Pedro
Ramonito Gelvoria
Oscar Ali Nazareno Martinez
Alvin Nazareno Martinez
Aldrin San Pedro
Tomas P. San Pedro
RICARDO VELEZ
ARIEL MARTINEZ
TOMAS SAN PEDRO
TOMAS PLACIDO SAN PEDRO
TOMAS P. SAN PEDRO
TOMAS P. SAN PEDRO
TOMAS SAN PEDRO
'2011
RISK
1998 MITSUBISHI FUSO CANTER DROPSIDE P#:REB-596

2009 TOYOTA LAND CRUISER 5.5L Vx SUV 4X4 A/T P#NPI-297
2010 YAMAHA PINO 1MB MOTORCYCLE P#:4736WK
2009 TOYOTA LANDCRUISER VX 4.5L DSL WAGON
1996 ISUZU ELF DUMP TRUCK P#:ZLR-300
2007 TOYOTA YARIS 1.5G M/T HATCHBACK P#:ZJE-897
2007 ISUZU REBUILT DROPSIDE STAKE BODY P#:ZLH-408
138 Bautista St.,Purok 3,Block2,Bayanan,Muntinlupa City
ISUZU WATER TANKER
1993 MTSUBISHI FIGHTER WATER TANKER
2005 ISUZU ELF DROPSIDE P#:XTB-467
2004 ISUZU WATER TANKER
2006 NISSAN PATROL 4X4 DSL AT ABS WAGON P#:ZDY-167
2007ISUZU REBUIILT DROPSIDE STAKE BODY P#:ZLH-408
1996 MAZDA 323 FAMILIA 4 DR.SEDAN P#:HVP-888
2002 SUZUKI JEEP P#:XCC-788
Km.27 Nat'l Road Tunasan,Muntinlupa City
1984 FUSO FIGHTER WATER TANKER P#:UDG-358
1994 MITSUBISHI FIGHTER ALUM. WATER TANK P#:RCP-318
ISUZU ELF WATER TANKER P#WFA-388
2010 ISUZU DROPSIDE REBUILT P#:NOA-478
2008 HYUNDAI GRANED STAREX VAN P#:ZGY-678
TSP Bldg II. Nat'l Road Tunasan,Muntinlupa City
ISUZU WATER TANKER
ISUZU ELF DROPSIDE 4 WHEELER P#:XJE-239
2010 ISUZU DROPSIDE REBUILT P#NOA-449
1994 MITSUBSHI CANTER DROPSIDE P#:RDS-589
2011 MITSUBISHI L-300 C/CW/ FB BODY P#:TCQ-909
1996 ISUZU ELF DUMP TRUCK P#:ZRL-310
325 San Guillermo St.,Bayanan,Muntinlupa City
1994 MITSUBISHI FIGHTER ALUM. WATER TANK P#:RCP-318
NO.3-B UNNAMED STREET R.M TIOSEJO INDUSTRIAL COMPLEX TUNASAN MUNTINLUPA
'2012
Brgy. Pulong Bunga, Silang Cavite
2008 HYUNDAI STAREX GL GAS P#:ZGY-678
B6 L1 Paseo delos Palmas, Susana Heights, Muntinlupa

(F/L with Allied Perils)
1995 ISUZU GIGA TANKER TRUCK P#:RHU-553
1999 ISUZU FUEGO 4X4 DOUBLE CAB PICK UP P# WFP-281
Nat'l Road, Tunasan,Muntinlupa
Lot 21 & 23 Barcelona St., Village1 Susana Heights Tunasan,Muntinlupa City
2010 ISUZU DROPSIDE REBUILT P#:NOA-449
2007 MITSUBISHI STRADA GLS 4X4 M/T P#; ZGR-653
1995 ISUZU GIGA DUMP TRUCK P#: 552

2003 ISUZU ELF WATER TANK P#:XLB-782
ISUZU ILF DROPSIDE P#:XLB-772
678 Nat'l Road Poblacion,Muntinlupa City
12 Stratus St., Moonwalk Village,Las Pinas City
2007 MITSUBISHI L-200 PICK UP P#:ZGF-273
2007 MITSUBISHI STRADA GAS DSL 4X4 PICK UP P#:ZGR-653
ISUZU TRACK
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
No.555 Real Street Almenza Uno

Unno.AlconVille Subd.,Landayan,San Pedro Laguna
2000 ISUZU ELF DROPSIDE 4 WHEELER P#:WNN-628
Store / Ware haouse
1995 MITSUBISHI PAJERO TURBO WAGON P#; UDL-629
Unno Quezon St., Poblacion,Muntinlupa
ISUZU ELF DROPSIDE P#:XMW-260
ISUZU ELF 4 WHEELER P#:XMW-260
168 Pili Drive Ayala Alabang Village Muntinlupa City

153 Waling-Waling St.,Lodora Subd.,Tunasan Muntinlupa City
Unno,Nat'l Highway,Landayan,San Pedro Laguna
Nat'l Highway,BO,Landayan,San Pedro,Laguna
Unno.Nat'l Highway,Banlic Near Mamatid,Cabuyao,Laguna
Unno.AlconVille Subd.,Landayan,San Pedro Laguna
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
TRI-MOON GRAPICS ARTS.CORP/URSULINE SISTERS OF SOMASCA

SAN PEDRO LAGUNA
ACCOUNT SUMMARY
POLICY NO.
CV-117/159498
MC-CV-LP-12-0000123-00-D
MC-PC-LP-12-0000122-00-D
ASSURED'S NAME
Tri-moon Grapics arts.Corp

Ursuline Sisters of Somasca
Maria Teresa Ravasio
RISK
2005 KIA KC2700 4X4 PANORAMIC VAN

1999 ISUZU HILANDER P#:WFP-363
1997 MAZDA FAMILIA P#:USF-194
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
Unno,Sibulo 2 Subd.,Landayan,San Pedro laguna

Unno,Sibulo 2 Subd.,Landayan,San Pedro laguna
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
VARIMARK / WILFREDO REVITA

RMT Compound, Tunasan, Muntinlupa City
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
No. 09 Brentwood Street HillsBorough,Alabang Village Cupang Muntinlupa

Antonio Carpio Ave., Brgy. San Luis, Sto.Tomas Batangas
Antonio Carpio Ave., Brgy. San Luis, Sto.Tomas Batangas
Unnamed Street Don Jose Subd.Sta Rosa City Laguna
12 5TH AVE. PLACE CONDO.,5TH AVE.COR 21ST DRIVE, FORT BONIFACIO GLOBAL
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
Dra. Aida Yason

Putatan, MuntinlupaCity
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
Christ The King School of Muntinlupa

JAYSONS REALTY & DEV CORP
Aida V. Jayson
JAYSONS BUILDING
JAYSONS REALTY & DEV CORP
Jose Yason
Christ The King School of Muntinlupa
TOTAL
RISK
Student Personal Accident

JaysonVille II, Phase II,BO.Putatan,Muntinlupa City
685 Nat'l Road Poblacion,Muntinlupa City
125 Rizal St., Poblacion,Muntinlupa City
Lot 3-B JaysonVille II Putatan,Muntinlupa City
125 Rizal St., Poblacion,Muntinlupa City
Student Personal Accident
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

Account Summary

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CHARLES IVAN AFRICA

Charles Ivan Africa

2004 CHEVROLET OPTRA AT 4 DR.SEDAN P#:XBJ-727

Ronald Poncio Aguto

2011 TOYOTA VIOS 1.3 E GAS M/T P#;PUQ-605

2001 Hyundai Starex Van P#;XNL-787

400 Don Vicente Ocampo St., Poblacion, Bian, Laguna

VICTOR CARINO , AZUCENA QUINDOZA

Victor Carino & Azucena Quindoza

2002 FORD RANGER 4X4 P#:XED-935

Meetz Vanessa France Lim Sosmera

2009 TOYOTA FORTUNER 2.7L 4X2 G GAS A/T P#:NOW-687

2006 TOYOTA FORTUNER G 4X2 DSL WAGON P#:ZEZ-893

BLAIDA'S MEGA MART / BERNARD ALMENDRALA

Blaidas Mega Mart / Warehouse

Blaidas Mega Mart

At the back of 7 Eleven - Warehouse

1,000,000.00 - Bldg. warehouse

MDM DIVINA P. BERROYA

Alfredo S. Berroya/Jonathan Berroya

HYUNDAI STAREX VAN P#; D4BhY875243

L2,Saphre St.,Pacita 2-A,San Pedro Laguna

DRA. LYDIA BRUAN

37 Aguirre Ave., BF Homes, Paranaque - Clinic

2009 FORD EVEREST 4X2A/T WAGON WINNING BLUE P#;D84- IB-8937

2008- HYUNDAI TAREX CRDI M/T

BMW 320 D SEDAN P#; NDZ-357

MR.RICARDO CELINO & MERLITA CELINO

# 90Santana St., La Residencia De Sta.Rosa Don Jose, Sta.Rosa City

ATTY. FERNANDINO CONCEPCION

2001 HONDA MOTORCYCLE

267 Nat'l Road Bayanan,Muntinlupa City

RUBY CONGCO/BANKOF COMMERCE

2010 HONDA CITY 1.3 S.A.T 4 DR P#; PDR-214

DIGNITY HOLDINGS / DIGNA CONCEPCION

Dignity Holdings Inc.

DYC Central Pawnshop

#781 P.H Escueta St.,San Antonio,Bian Laguna

2010 TOYOTA INNOVA 2.5J DSL WAGON P#: PKQ-689

710,000.00 - L & D w/ AOG

Troadio Dizon Jr.

Troadio Dizon Jr.

1998 NISSAN TERRANO GAS STD. P#:WCT-586

1999 KIA DROPSIDE P#:WHV-387

DECIPAK INC / DECAFOOD / PROCESS ALL ENT / RENATO PURA

#81 Nat'l Road Putatan,1772 Muntinlupa City

Unno.Pacita Ave.,Pacita Complex,San Pedro Laguna

2011 ISUZU ALTERRA 4X2 M/T WAGON UC SILKY PEARL WHITE

E.I Construction Co.,Inc.

TOYOTA HILUX P#:NVQ-168

May Rita de Cadiz Nastor

#8 Pres.Osmea St.,Life Homes Subd.,Rosario,Pasig City

No.468 J. Marzan St., Sampaloc, Manila

3,400,000.00 - Bldg. & Contents

#40 Mabini St., San Pedro Laguna

#40 Mabini St., San Pedro Laguna

2003 HONDA CRV 2.0 AT WAGON

2008 TOYOTA VIOS 1.3J 4 DOOR SEDAN P#:ZNB-751

2011 HYUNDAI TUCSON THETA II P#:PQF-820

2008 TOYOTA VIOS 1.3J 4 DOOR SEDAN P#:ZNB-751

MRS. EMERENCIANA GENERALLA / LEONCIA VALDEZ

Unno.Nat'l Highway,San Antonio,San Pedro Laguna

MH TRANSPORT / HOMER MERCADO

Sps. Homer/Julie Mercado