Scribd
Upload
24K views1 page

Certificate of No Claim

This certification document provides details of a vehicle insured by Alpha Insurance & Surety Co. that was involved in an accident on October 18, 2014. The vehicle is a Honda with plate number 1605FT, owned by Helen A. Fantilanan. While the vehicle was insured at the time of the accident, no claims were filed with the insurance company. The certification was issued at the request of the assured for insurance claim purposes.

Uploaded by

Mark Prads
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
24K views1 page

Certificate of No Claim

This certification document provides details of a vehicle insured by Alpha Insurance & Surety Co. that was involved in an accident on October 18, 2014. The vehicle is a Honda with plate number 1605FT, owned by Helen A. Fantilanan. While the vehicle was insured at the time of the accident, no claims were filed with the insurance company. The certification was issued at the request of the assured for insurance claim purposes.

Uploaded by

Mark Prads
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 1

CERTIFICATION

THIS IS TO CERTIFY: that the vehicle with the following descriptions


Insured with this company and was involved in a vehicular accident
7:45 am Oct. 18,2014 an accident occurred at 21 St.San Agustine drive
Brgy. 5, Bacolod City Did not file any Claims with Us.
ASSURED
MAKE/TYPE
PLATE NO.
SERIAL NO.
MOTOR NO.

:HELEN A. FANTILANAN
:HONDA
:1605FT
:XRM16011852
:XRM10E011857

POLICY/COC NO

:MC-526242

PERIOD OF INSURANCE :MAY 26,2014


This certification is issued upon the request of the assured/client for insurance
claim purposes.
Done this 11th day of November 2014 at Bacolod City, Philippines.

ALPHA INSURANCE & SURETY CO., INC.


BY:
ROEL F. PRADO
Branch Manager

You might also like