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&$57(,17(51$,21$/'($6,*85$5( (0,668%$8725,7$7($ 1XPHOHLDGUHVDDVLJXUDWXOXL VDXDXWLOL]DWRUXOXLYHKLFXOXOXL 

9.
PENTRU AUTOVEHICULE ISSUED UNDER THE AUTHORITY OF: Name and Address of the Policyholder (or User of the vehicle)
1. INTERNATIONAL MOTOR INSURANCE CARD %,528/8,$6,*85725,/25'( Utilaj Construct Best Srl, Adresa:
1. CARTE INTERNATIONALE D'ASSURANCE AUTOVEHICULE DIN ROMNIA
AUTOMOBILE (B.A.A.R.) Sanmartin, judet Bihor, str. Str. Morii, nr.
17H
3. VALABILITATE - V A L I D 4. &RGXOULL&RGXODVLJXUWRUXOXL1XPUXOSROLHL
'(/$)52031/$72 $FHDVWFDUWHDIRVWHOLEHUDWGH 6HPQWXUDDVLJXUWRUXOXL
Country This Card has been issued by : Signature of Insurer
Ziua - Day Luna - Month Anul - Year Ziua - Day Luna - Month Anul - Year
Code/Insurer`s Code/Number
6&$//,$1=,5,$&$6,*855,6$
17 09 2017 16 03 2018
RO/07/R7/YD 6WU&GHUHD%DVWLOLHL1U
6HFWRU%XFXUHWL5RPkQLD
$FHVWHGRXGDWHLQFOXVLY%RWK'DWHVLQFOXVLYH

115833490
1UGHFLUFXODLHVDXvQOLSVQULGHQWLILFDUHVDXQUGH 6. Categoria 7. Marca vehiculului
motor vehiculului / Make of Vehicle
Registration No.(or if none) Chassis or Engine No. Category of
Vehicle*
&DSLWDOVRFLDOVXEVFULVLYUVDWOHL
BH12YPC C MAN nregistrat la ORC sub nr. J40/15882/1994, CUI: 6120740
6RFLHWDWHDXWRUL]DWGH$XWRULWDWHDGH6XSUDYHJKHUH)LQDQFLDU
9$/$%,/,7$7(7(5,725,$/7(55,725,$/9$/,',7< &RGXODORFDWvQ5HJLVWUXODVLJXUWRULORULUHDVLJXUWRULORU5$
Codul LEI 529900XKNXM9MBH8GS45
$FHDVWFDUWHHVWHYDODELOvQULOHvQFDUHFVXDFRUHVSXQ]WRDUHGHPDLMRVQXHVWHEDUDW SHQWUXLQIRUPDLL
Operator de date cu caracter personal nr. 779
VXSOLPHQWDUHYUXJPDFFHVDLVLWHXOZZZFRE[RUJ 
EN ISO 9001:2008
QILHFDUHDUYL]LWDW%LURXODFHOHLULJDUDQWHD]DFRSHULUHDSULQDVLJXUDUHSHQWUXSUHMXGLFLXOFDX]DWSULQXWLOL]DUHD
YHKLFXOXOXLPHQLRQDWPDLVXVvQFRQIRUPLWDWHFXOHJHDGLQDFHDDUSULYLQGDVLJXUDUHDREOLJDWRULH

3HQWUXLGHQWLILFDUHD%LURXOXLUHOHYDQWYUXJPVYHULILFDLYHUVRXOFULL

(1)
A B BG CY CZ D DK E EST F FIN
GB GR H HR I IRL IS L LT LV M
N NL P PL RO S SK SLO CH AL AND
(2) (3)
AZ BIH BY IL IR MA MD MK MNE RUS SRB
TN TR UA
CODUL CATEGORIILOR DE VEHICULE:
 5VSXQGHUHDDVLJXUWRUXOXLSUHY]XWvQGRFXPHQWHOHGHDVLJXUDUHHOLEHUDWHSHQWUX&LSUXHVWH
OLPLWDWODDULDJHRJUDILFDDFHVWXLVWDWFDUHHVWHVXEFRQWUROXO*XYHUQXOXL5HSXEOLFLL&LSUX A. AUTOTURISM/CAR E. AUTOBUS SAU AUTOCAR/BUS
B. MOTOCICLU/MOTORCYCLE F. REMORCA/TRAILER
 5VSXQGHUHDDVLJXUWRUXOXLSUHY]XWvQGRFXPHQWHOHGHDVLJXUDUHHOLEHUDWHSHQWUX$]HUEDLGMDQ
HVWHOLPLWDWODDULDJHRJUDILFDDFHVWXLVWDWFDUHHVWHVXEFRQWUROXO*XYHUQXOXL5HSXEOLFLL$]HUEDLGMDQ C. AUTOCAMION SAU TRACTOR/LORRY OR TRACTOR G. ALTELE/OTHERS
D. BICICLETA CU MOTOR/CYCLE FITTED WITH AUXILIARY ENGINE
 5VSXQGHUHDDVLJXUWRUXOXLSUHYD]XWvQGRFXPHQWHOHGHDVLJXUDUHHOLEHUDWHSHQWUX6HUELDHVWH
OLPLWDWODDULDJHRJUDILFDDFHVWXLVWDWFDUHHVWHVXEFRQWUROXO*XYHUQXOXL5HSXEOLFLL6HUELD

&2175$&7'($6,*85$5('(56381'(5(&,9,/$8725&$
R.C
Seria RO/07/R7/YD Nr.
J40/15882/1994 C.U.I. 6120740
115833490
Denumire asigurator:$//,$1=,5,$&$6,*855,6$
Broker / Agent Inter Broker De Asigurare S.R.L. / Tel/Fax:
Agentia Banat - Brokeri Cod RBK-690
Nume/Denumire Asigurat/ )HO7LS0DUF0RGHO
Utilaj Construct Best Srl C, Autoutilitara, MAN, 35m
Proprietar: Vehicul:
C.U.I. / C.N.P. Proprietar: 27131199 Nr. nmatriculare/nregistrare: BH12YPC
Nume/Denumire Asigurat/ Nr.identificare - Serie CIV / WMA39SZZ59P009753 /
Utilizator: nr.de inventar: J171632
C.U.I. / C.N.P. Utilizator: &DSDFLWDWHFLOLQGULF3XWHUH 10.518 cmc / 294 kw
$GUHV$VLJXUDW8WLOL]DWRU Sanmartin, judet Bihor, str. Str. Morii, nr. 1UORFXULPDVWRWDO
2 / 41.000 kg
Tel. / E-mail 17H PD[LPDXWRUL]DW

Conducatori auto declarati:


(Nume, prenume, CNP)
Valabilitate Contract de la 17.09.2017 SkQOD 16.03.2018 Contract emis n data 15.09.2017
Prima de asigurare 1753 RON Clasa Bonus Malus B8 7DULIGHFRQWDUHGLUHFW - 7RWDOSODW 1753 RON
Nr. Rate 1 Valoare rate Rata 1: 1753 RON Date scadente Rata 1: 16.09.2017
3ULPDUDWvQFDVDWFX 12458 n data 15.09.2017

/LPLWDGHGHVSJXELUHSHQWUXYWPDULFRUSRUDOHLGHFHV 6.070.000 EURO


/LPLWDGHGHVSJXELUHSHQWUXGDXQHPDWHULDOH 1.220.000 EURO
Acoperiri/servicii suplimentare: -
2EVHUYDLL
Versiunea 1 din data 15.09.2017
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