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SPHG20230220ZAJK9M
eCOC Number: ___________________________
Certificate Of Cover for Merchandise Protection Insurance
This is to confirm that the following is insured is insured by ETIQA LIFE & GENERA ASSURANCE
PHILIPPINES, INC. under Master Property Floater Policy No. __________ issued to ___________ with the
following schedule of benefits:
tanangivy
INSURED NAME: __________________________________________
02/20/2023
TERM OF: (a) From 12:01 a.m______________________
Both days
05/19/2023
INSURANCE To 12:01 a.m. __________________
included
PHP 498
AMOUNT COVERED: ___________________________________________
DEDUCTIBLE:
Purchased Goods Information
Adidas running shoes Low Cut black white men's shoes leisure travel breathable sneakers
Name and Item Description: ________________________________________
DEDUCTIBLE: 5% of claim, minimum of PhP250.00
This Schedule of cover is subject to all terms and conditions of the Master Policy
In Witness whereof the Undersigned being duly authorized by the Insurer and on behalf of the Insurer has/have
hereunto set his/their hand(s) this
For and on behalf of:
ETIQA LIFE & GENERAL ASSURANCE PHILIPPINES, INC.
Authorized Signatory