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MSSI

JANUARY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Jan 12 2018 VALIENTE EDWIN 1306 PHP XXXXXX PHP XXXXXX
Jan 31 2018 GANABOL MICHAEL 4016 PHP 11,600.00 PHP 10,000.00
Jan 26 2018 GUIMBAN REYGAN 1280 PHP 8.300.00 PHP 7,000.00
Jan 16 2018 CASTILLO JM 1317 PHP XXXXXX PHP 7,346.00
Jan 18 2018 VILLEGAS SIMON D3315 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP 11,600.00 PHP 24,346.00

TOTAL NO. OF CASE 5


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 3

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
FEBRUARY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Feb 3 2018 DANAO DARREN 1434 PHP 5,000.00 PHP 4,500.00
Feb 23 2018 CALSILLAR JHONREX 1347 PHP XXXXXX PHP XXXXXX
Feb 7 2018 SUGUAN EDDIE D4081 PHP 29,966.00 PHP 22,938.24
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 34,966.00 PHP 27,438.24

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
MARCH 2018
VEHICULAR ACCIDENT REPORT
Date of Unit Plate
Name of DG ESTIMATE TOTAL COST
Accident Number
March 1 2018 LUMANTAD ROBERTO 3671 PHP XXXXXX PHP XXXXXX

March 13 2018 CALCILLAR JHONREX TEM 626 PHP 8,100.00 PHP 8,100.00

March 18 2018 GUINOO NIXON 3664 (CTK) PHP XXXXXX PHP XXXXXX
March 24 2018 TOMBAGA MARIO 4078 PHP XXXXXX PHP XXXXXX
March 27 2018 REYES ZALDY 1256 PHP XXXXXX PHP XXXXXX
PHP PHP

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 8,100.00 PHP 8,100.00

TOTAL NO. OF CASE 5


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 4

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
APRIL 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
April 18 2018 AY-AY CHARITO 1349 PHP XXXXXX PHP 3,615.00

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP 3,615.00

TOTAL NO. OF CASE 1


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
MAY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
May 11 2018 LABANTE WENDELL 5116 PHP XXXXXX PHP XXXXXX
May 18 2018 RODRIGUEZ RUSSEL USA 770 PHP XXXXXX PHP XXXXXX
May 26 2018 SUAREZ N. H. 1388 PHP 2,000.00 PHP 2,000.00
May 28 2018 MACABILIN JOEMAR RGG 374 PHP XXXXXX PHP XXXXXX
May 31 2018 TEMREVILLA JOEMARIE D3328 PHP 55,685.00 PHP 35,700.00

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 57,685.00 PHP 37,700.00

TOTAL NO. OF CASE 5


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
JUNE 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
June 1 2018 VACUAL MANUEL 4028 PHP XXXXXXX PHP XXXXXXX
June 4 2018 JAVIAN PABLO 4026 PHP 21,500.00 PHP 4,500.00
June 14 2018 RODRIGUEZ RUSSEL USA 770 PHP XXXXXXX PHP XXXXXXX

Jume 3 2018 BOBIS NARLY 5026 PHP 289,847.18 PHP 95,841.18

June 26 2018 PHP XXXXXXX PHP XXXXXXX


June 5 2018 BUAYA JUVY 3393 PHP 27,552.47 PHP 4,540.00
June 21 2018 VVALLIENTE EDWIN 1306 PHP 11,000.00 PHP 4,742.50
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP 0
PHP PHP
TOTAL COST : PHP 349,899.65 PHP 109,623.68

TOTAL NO. OF CASE 7


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 4
TOTAL NO. OF UNSETTLES CASE 3

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
JULY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
July 2 2018 TACOLOD RONNIE 4038 PHP 41,500.00
PHP 15,000.00
July 10 2018 GINOO NIXON 3614 PHP 18,700.00
PHP 7,000.00
July 12 2018 GALLOFIN RONDEL 5278 PHP 1,600,000.00
PHP 863,500.00
July 11 2018 ACOSTA ROLLY 4091 PHP XXXXXX PHP XXXXX
July 20 2018 CACHO RONALD 5000 PHP XXXXXX PHP XXXXX
July 23 2018 MACASARTE F. D4059 PHP XXXXXX PHP XXXXX
July 21 2018 BORMELADO A. 1350 PHP 967.00 PHP 967.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 1,661,167.00 PHP 886,467.00
TOTAL NO. OF CASE 7
TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 2
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 4

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
AUGUST 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Aug 4 2018 ERBITE JOEL D5073 PHP 25,264.00 PHP 14,247.00
Aug 3 2018 ELIZAR RODRIGO 4036 PHP 29,950.00 PHP 24,550.00
Aug 18 2018 LADISLA FRANKLIN 5004 PHP 158,890.75 PHP 100,000.00
Aug 18 2018 CAGANDA DOMINGUITO 5011 PHP XXXXXX PHP XXXXXXX
Aug 8 2018 ROMAGOS JOEL D3387 PHP XXXXXX PHP XXXXXXX
Aug 25 2018 PADUA ERWIN 1476 PHP XXXXXX PHP XXXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 214,104.75 PHP 138,797.00

TOTAL NO. OF CASE 6


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 3

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
SEPTEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Sept 04 2018 GANABOL MICHAEL 4016 PHP 3,200.00 PHP 3,200.00
Sept 7 2018 SELGA SALVADOR D3284 PHP 19,636.00 PHP 7,500.00
Sept 4 2018 DELIGON NATHANIEL 5096 PHP XXXXXX PHP XXXXXX
Sept 10 2018 RODRIGUEZ RUSSEL UJN 767 PHP XXXXXX PHP XXXXXX
Sept 20 2018 TRABALLO FERDINAND D4001 PHP XXXXXX PHP XXXXXX
Sept 6 2018 VALLENTE EDWIN 1306 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 22,836.00 PHP 10,700.00

TOTAL NO. OF CASE 6


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 4
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
OCTOBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
MSSI
NOVEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
DECEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property damaged Front bumper 32 Ave. Global City
Property damaged R-front bumper Along Bagong ilog Pasig City
Property damaged Front bumper Along carreon St. Sta. Mesa
Property damaged Front bumper Along Meralco Ortigas Ave.
Property damaged Rear bumper Along Rodrigues St. Cebu City

(12,746.00)
REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property Damaged Front bumper Along Araneta Ave. Q.City
Property Damaged Along D Tuazon Q. Ave. Wilcon
Property damaged Front bumper Leyco II Real St. Tacloban

7,527.76

REPORT
DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property damaged R-front side acu Along Edsa Quezon Ave.

Property damaged Front bumper Along Quezon Ave. Q. City

Property damaged L-front side of acu Along Edsa Cor Quezon Ave.
Property damaged Along Magsaysay roadLabrador Dagupan
Property damaged R-front side acu Old Sta. Mesa Manila

REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property damaged L-frnt side of Acu Montalban Rizal
(3,615.00)

REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Prperty damaged Rear bumper Parking area of SRS Camarin Branch
Property damaged R-front bumper Along C5 Pasig
Propert damaged R-side body of acu Walter Mart Makati City
Property damaged L-side portion of acu Along Mc Arthur Highway Potrero
Property damaged Front bumper Cong. Ave. Northbound Edsa
19,985.00

REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property Damaged Rear Bumper MBTC Parking Binondo branch
Property damaged L-front bumper Market Market BGC
Property damaged L-side body of acu Dela Costa St. Makati City

Property damaged/B.I Front bumper Along Coception Pequera Naga City

Property damaged Herrero Perez St. Dagupan City


Property damaged Front bumper Along Edsa Munos
Property damaged Front bumper Taguig City
240,275.97

REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property damaged Front bumper Along Sto. Domingo Cor. Maria Clara Q.City
Property damaged R-front bumper Along Kalayaan cor. V. Luna Q.City
B.I R-front bumper Along Pilar St Capiz Roxas City
Property damaged R-side mirror Along Kamuning Q. City
Property damaged Front bumper Along Metropolitan Ave. Makati City
Property damaged Front bumper Along C5 Bagong Ilog Pasig City
B.I Front bumper Along West Ave, twrds vicinity of q. ave

774,700.00
REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Motorcycle/B.I Front bumper Along Katipunan road Q. City
Property damaged Front bumpere Along Ayala Mall Makati City
Property damaged Front bumper Along Scout Borromeo St. Quezon City
Property damaged R-rear bumper Along Bf Ho,es Paranaque
Property damaged Rear bumper Brgy Bigo Tanza Cavite
Property damaged Biliran Tacloban City

75,307.75
REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Motorcycle Rear wheel of acu Binondo Manila
Property damaged Front bumper Along Quirino Highway
Property damaged Front bumper Along BGH Totonda bound Lane Baguio City
Property damaged R-front bumper Makati City
Property damaged R-front bumper Santol St,. Cor Ramon Magsaysay Blvrd.
Property damaged Rear bumper

12,136.00
REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU

-
REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU

-
REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU

OVER ALL TOTAL


TOTAL NO. OF CASE
TOTAL NO. OF DEATH
TOTAL NO. OF B.I
TOTAL NO. OF SETTLED CASE
TOTAL NO. OF UNSETTLES CASE

MSSI 2018
TOTAL COST
TOTAL OF ESTIMATION
LESS:
REMARKS V/A #

TAR only 2129 Pasig


SETTLED 2146 Pasig
SETTLED 2148 Pentagon
Ins. Part. Only 2167 Sta. mesa base
For evaluation d3315 Cuering
REMARKS V/A #

SETTLED 2155 Estabillo


Lack of documents 2186 Pentagon
SETTLED 2178 Redelosa
REMARKS V/A #

TAR Only 2187 Pentagon

SETTLED 2204 Pentagon

TAR only 2214 Pentagon


For review 2219 Estabillo
Under investigation 2221 Pentagon

REMARKS V/A #

Ins. Part only 2242


REMARKS V/A #

for evaluation 2268


Lack of documents 2275 Pentagon
SETTLED 2278 Pentagon
Lack of documents 2284 Pentagonj
SETTLED (2 VEHICLES) 2285 Pentagon
REMARKS V/A #
TP at Fault 2290 Pentagon
SETTLED 2298 Pasig
Lack of docs 2309 Pentagon

SETTLED 2295 Nogot

Lack of docs 2354 Ramos


SETTLED 2341 Pentagon
SETTLED 2348
REMARKS V/A #

SETTLED 2330 Pentagon


SETTLED 2346 Pentagon
Still confined at Ilo Ilo Hospital 2347
Under investigation 2356 Pasig
Complain to TULFO Office 2364 Sta. Mesa Base
TAR only 2369 Pasig
SETTLRD 2375
REMARKS V/A #

SETTLED 2378 Pentagon


SETTLED 2382 Pentagon
SETTLED 2414 Pentagon
For Canvassing Parts 2416 Sta. Mesa base
TP AT FAULT 2418 Pentagon
Report only 2422
REMARKS V/A #

SETTLED Reae wheel blown out 2426 Pasig


SETTED Sta. Mesa
TAR only 2431 LAYA
TAR only 2442
TAR only 2450 Pemtagon
Dg report only 2456
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #

TOTAL
45
0
5
20
25

18
1,246,786.92
2,360,358.40
1,113,571.48
ELUSIA
JANUARY 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number

Jan 2 2018 DELMONNTE JUAN 3346 PHP 118,760.00 PHP 70,000.00 Property damaged

Jan 19 2018 OLIVA JOHN MARK 3223 PHP 150,000.00 PHP 8,890.00 B.I /motorcycle

Jan 17 2018 MONSUETO ARNOLD 5072 PHP 10,000.00 PHP 9,000.00 Property damaged

Jan 30 2018 CAMPAOMANES ARNEL 5159 PHP XXXXXX PHP XXXXXX Property damaged

Jan. 12 2018 ISIDRO GERALDO 3246 PHP 42,790.00 PHP 14,000.00 Property damaged

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

TOTAL COST : PHP 321,550.00 PHP 101,890.00 219,660.00

TOTAL NO. OF CASE 5


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 4
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:
JHEN MAGPANTAY
Accident Coordinator

ELUSIA
FEBRUARY 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
Feb 5 2018 LAURON MANUEL 5071 PHP XXXXXX PHP XXXXXXX Property Damaged
Feb 12 2018 GALORIO JOEDELYN 5211 PHP XXXXXX PHP XXXXXXX Property Damaged
Feb 8 2018 TANGHINAN JONATHAN 5018 PHP XXXXXX PHP 12,446.00 Property Damaged
Feb 14 2018 SUBION MIGUEL 1455 PHP XXXXXX PHP XXXXXXX Property Damaged
Feb 7 2018 BUENCUCHILLO JASPER 1464 PHP XXXXXX PHP XXXXXXX Property Damaged
Feb 2 2018 LAXAMANA JEFFRY 3351 PHP XXXXXX PHP XXXXXXX Property Damaged
Feb 10 2018 BOGAR JAYPEE XRJ 462 PHP 65,285.00 PHP 35,000.00 Property Damaged
Feb 19 2018 CABANGAL ROGER D4001 PHP XXXXXX PHP XXXXXXX Property Damaged
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP 65,285.00 PHP 47,446.00 17,839.00

TOTAL NO. OF CASE 8


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 7

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
ELUSIA
MARCH 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
Marc 6 2018 PULIDO NOEL 1436 PHP 19,605.00 PHP 19,605.00 Boom Barrier
March 2 2018 PASIA RADAN SARNE 3288 PHP 105,972.80 PHP 80,000.00 Property Damaged
March 13 2018 ALANON LUIS 5105 PHP 82,000.00 PHP 13,800.00 Property Damaged
March 12 2018 APARICIO JOSE 1271 PHP XXXXXXX PHP XXXXX Property Damaged
March 15 2018 MANALO RAUL 1296 PHP XXXXXXX PHP XXXXX Hand rail
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP 207,577.80 PHP 113,405.00 94,172.80

TOTAL NO. OF CASE 5


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
APRIL 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
April 18 2018 GATUCAO ROLANDO 1242 PHP 62,347.21 PHP 27,720.00 Property damaged
April 4 2018 AGUSTIN MARIO 1425 PHP 16,580.00 PHP 7,450.00 Property damaged
april 25 2018 OLIVA JOHN MARC 3223 PHP XXXXXXX PHP XXXXXX Motorcycle
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 78,927.21 PHP 35,170.00 43,757.21

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
MAY 2018
VEHICULAR ACCIDENT REP
Date of Unit Plate
Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
May 4 2018 VILLASIS GARY 3295 PHP 47,890.00 PHP 13,700.00 Property damaged
May 11 2018 LAXAMANA J.O 1401 PHP 5,000.00 PHP 1,715.00 B.I.
May 31 2018 ESTEBAN ROY 5106 PHP PHP XXXXX Property damaged
May 07 2018 SINIO CALMA XRJ 256 PHP 5,705.00 PHP 5,705.00 Motorcycle
May 14 2018 PENING ROLLY 5207 PHP 3,000.00 PHP 3,000.00 Property damaged
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 61,595.00 PHP 24,120.00 37,475.00

TOTAL NO. OF CASE 5


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 4
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
JUNE 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
June 2 2018 SANTOS ALFRED 1305 PHP 26,127.51 PHP 23,070.67 Property damaged
June 13 2018 TEVES LOLITO AAD 2972 PHP 38,835.00 PHP 33,001.92 Property damaged
June 22 2018 SUBION MIGUEL 3273 PHP 14,500.00 PHP 1,500.00 Property damaged
June27 2018 BERNARDINO ARNOLD 3377 PHP XXXXXXX PHP XXXXXXX Property damaged

June 27 2018 CABATUAN ROEL 5212 PHP XXXXXXX PHP XXXXXXX Property damaged

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 79,462.51 PHP 57,572.59 21,889.92

TOTAL NO. OF CASE 5


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
JULY 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
July 6 2018 DARAYDO ROLLY 3269 PHP XXXXXX PHP XXXXX Property damaged
July 26 2018 ROTE RANILO 1257 PHP XXXXXX PHP XXXXX Property damaged
July 20 2018 ISIDRO GERARDO 3246 PHP XXXXXX PHP XXXXX Property damaged
July 26 2018 MUCA RENN RENN 1228 PHP 33,150.00 PHP 9,621.00 Property damaged
July 17 2018 APARICIO JOSE 1388 PHP XXXXXX PHP XXXXX Property damaged
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 33,150.00 PHP 9,621.00 23,529.00

TOTAL NO. OF CASE 5


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 5

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
AUGUST 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
Aug 11 2018 MANALO RAUL 4098 PHP XXXXXX PHP XXXXXX Property damaged
Aug 9 2018 MISAR ERNIE UPD 520 PHP XXXXXX PHP XXXXXX Property damaged
Aug 8 2018 ALVAREZ EUGENIO 1350 PHP XXXXXX PHP XXXXXX Property damaged
Aug 11 2018 MALODRIGO NT D5015 PHP XXXXXX PHP XXXXXX Property damaged
Aug 22 2018 STA. MARIA CEASAR 1305 PHP 26,000.00 PHP 25,470.00 Property damaged/B.I
Aug 29 2018 BALISI ROBERTO 5189 PHP XXXXXX PHP XXXXXX Property damaged
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 26,000.00 PHP 25,470.00 530.00

TOTAL NO. OF CASE 6


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 5

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
SEPTEMBER 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
Sept 06 2018 APARICIO JOSE UGU 383 PHP XXXXXX PHP XXXXXX Property damaged
Sept 24 2018 TEVES LOLITO 4075 PHP XXXXXX PHP XXXXXX Property damaged
Sept 9 2018 GUILLERMO WILLIAM 1276 PHP XXXXXX PHP XXXXXX Property damaged
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP - -

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 3

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
OCTOBER 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP - -
TOTAL NO. OF CASE 0
TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
NOVEMBER 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP - -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
DECEMBER 2018
VEHICULAR ACCIDENT REP

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP - -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0
Prepared by:

JHEN MAGPANTAY
Accident Coordinator
LUSIA
UARY 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU

Front bumper San Fernando Pampangga SETTLED 2121

L-front bumper Along Edsa South bound Guadalupe SETTLED 2133

Front bumper Along Batasan Hills SETTLED 2144

Front bumper Pagbilao Lucena Quezon Awaiting docs 2151

Front bumper Along PICC Pasay City SETTLED 2279


LUSIA
UARY 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
Fron bumper Along Quezon Ave. Q. City Under Negotiation 2156
R-front bumper Along V. Mapa extension TAR only 2163
Front bumper Along Mandaluyong bridge Insurance paticipation only 2165
Rear bumper Along coronado St Mandaluyong TP at Fault 2166
Middle side of Acu Along Quirino Ave. Manila Lack of docs 2168
Boom barrier Enterprice Center bldg. Makati City Waiting for the IR from agency 2169
R-front bumper Meycauayan Bulacan SETTLED 2172
Along E. Rod Ave Quezon City TAR only 2176
LUSIA
RCH 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
Front portion of roof Loading dock UB Ortigas SETTLED 2190
Rear bumper Diversion road Lucena City SETTLED 2192
R-front bumper Nichols Merville SETTLED 2197
L-side body of Acu Along Commonwealth Q.City For evaluation 2209
Rear bumper BDO Pasig branch Waiting for the estimation 2212

LUSIA
RIL 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
Front bumper Along Quezon Ave. Quezon City SETTLED 2232
Front bumper Caloocan City SETTLED 2234
R-frnt bumper Alonfg V. Mapa Sta. Mesa Mla. For evaluation 2246

LUSIA
AY 2018
CCIDENT REPORT
DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
Front bumper Along Edsa Guadalupe SETTLED 2252
Rear wheel of acu Pentagon Main Gate SETTLED 2262
Front Bumper Along Quezon Ave. Q. City Incomplete docs fr. TP 2282
Front bumper Along P. Ocampo St. Malate Manila SETTLED 2305
Front bumper Along Ortigas (home Depot) SETTLED 2273

LUSIA
NE 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
Front bumper CBS Plaridel Bulacan SETTLED 2294
L-side body of acu Along Circle quzon City SETTLED 2304
L-door side of acu Along F. Manalo Manila SETTLED on his own pocket 2314
R-front bumper Along Bataan St. Bacood Manila Awating docs 2326

L-side body of acu Balibago Sta. Rosa Laguna For review 2337

LUSIA
LY 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
Rear wheel of acu Along Morong Rizal For investigation 2350
Center side portion Along Visayas Ave. Q. City Lack of docs 2365
Front bumper Along SM MOA Pasay City TAR only 2366
R-front bumper Along commonwealth Q. City Insurance part. Only 2370
Rear bumper of acu Along BDO Heroes Hills Waiting for the estimation 2405
LUSIA
UST 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
Front bumper Along North Ave. Brgy Pagasa Q. City For review 2388
Rear bumper Along Muzon Bulacan Awaiting docs 2390
R-front bumper Along Aurora blvd (Southbound) TAR Only 2392
Rear bumper Along Regalado Novaliches Q, City TAR Only 2394
Front bumper Pulilo Bulacan SETTLED 2408
Front bumper Gen Malvar cor Ma. Orosa Manila For documentation 2420
LUSIA
MBER 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
R-front bumper Along E rodriguez Quezon City Awaiting docs from TP 2441
front bumper MBTC Parking TAR Only 2447
front bumper Walter Mart Pasong Tamo Awaiting docs from TP 2448
LUSIA
OBER 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
LUSIA
MBER 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
LUSIA
MBER 2018
CCIDENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU

OVER ALL TOTAL


TOTAL NO. OF CASE 45
TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 3
TOTAL NO. OF SETTLED CASE 18
TOTAL NO. OF UNSETTLES CASE 27

ELUSIA 2017
TOTAL COST 414,694.59
TOTAL OF ESTIMATION 873,547.52
LESS: 458,852.93
Pampanga

Sta. Mesa

Pentagon

Altez

Pentagon
Pentagon
Sta. mesa base
Pentagon
Sta. Mesa base
Pentagon
Pentagon
Pasig
Pentagon
Sta. Mesa base
Altez
Sta. Mesa base
Pentagon base
Pasig base
Pentagon
Pentagon
Sta. Mesa Base
Sta. Mesa Base
Pentagon
Pentagon

Pasig
Sta. Mesa
Sta. Mesa
Ventayen

Sta. Mesa Base


Pentagon
Pentagon
Pentagon
Pentagon
RMSSC
JANUARY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Jan 13 2017 LAURENTE JAPETH 3273 PHP XXXXXX PHP 3,500.00


Jan 21 2018 DE LEON RODEL 5150 PHP XXXXXX PHP XXXXX
Jan 13 2018 MASIGLAT EPHRAIM 5145 PHP XXXXXX PHP XXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP 3,500.00

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
RMSSC
FEBRUARY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Feb 9 2018 PANTUNO RJ 1409 PHP XXXXXX PHP 24,500.00


Feb 19 2018 DELOS ANGELES M. D3262 PHP 69,750.00 PHP 58,000.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 69,750.00 PHP 82,500.00

TOTAL NO. OF CASE 2


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
RMS
MARC
VEHICULAR ACC

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

March 5 2018 XXXXXX XXXXXX


RIVERA GLENN 1259 PHP PHP
March 2 2018 XXXXXX
CARUNGUI ZALDDY 1210 PHP PHP XXXXX
March 4 2018 XXXXXX XXXXXX
RANDY JACOBE PANTANO 1409 PHP PHP
March 5 2018 46,500.00 27,500.00
GALLARDE JEFFERSON 3354 PHP PHP
March 2 2018 83,444.00 17,000.00
FARNACIO FERNANDO JR. XLR 474 PHP PHP
March 16 2018 3,000.00 3,000.00
ABORITA MICHAEL 5222 PHP PHP
78,552.12 65118.77
March 21 2018 UBALDE JESSIE 1352 PHP 103,700.00
PHP
33,400.00
8,000.00
March 9 2018 PANTANO NJ 5189 PHP PHP 6,000.00
March 4 2018 MANGAYAAY REYNANTE xtb 804 PHP 29,000.00 PHP 10,500.00

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 352,196.12 PHP 162,518.77

TOTAL NO. OF CASE 9


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 6
TOTAL NO. OF UNSETTLES CASE 3

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
RMSSC
APRIL 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

April 5 2018 GERMAN JOSUETO 1417 PHP 26,880.00 PHP 24,192.00


April 8 2016 HIGOY MIKE 1247 PHP XXXXXX PHP 9,988.50
April 20 2018 NADADO ELOMAR 1408 PHP 14,000.00 PHP 14,000.00
April 19 2018 CABARRUBIAN JHONNY 4009 PHP XXXXXX PHP XXXXX
April 30 2018 AYAP ERNESTO 3355 PHP XXXXXX PHP 125,828.02
April 11 2018 IMPERIAL ALBERT 5019 PHP 18,600.00 PHP 12,000.00
April 30 2018 DAUS EUGENE 1239 PHP 81,759.00 PHP 70,620.62
April 13 2018 GERMAN JOSUETO NR 8336 PHP XXXXXX PHP XXXXX
April 4 2018 CALMA SIMPLICIO 5181 PHP XXXXXX PHP XXXXX
Apri 20 2018 DEDACE EMILIO 1280 PHP 7,180.00 PHP 4,180.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 148,419.00 PHP 260,809.14

TOTAL NO. OF CASE 10


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 13
TOTAL NO. OF SETTLED CASE 6
TOTAL NO. OF UNSETTLES CASE 4

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
RMSSC
MAY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

May 15 2018 BONE AMEDO 4036 PHP 21,500.00 PHP 21,500.00


May 16 2018 DOMINGO GERRY 4090 PHP XXXXXX PHP XXXXXX
May 24 2018 DELA FUENTE JETRHO 5090 PHP 26,800.00 PHP 7,200.00
May 7 2018 BAUTRO JESSIE 4096 PHP 172,890.00 PHP 40,200.00
May 26 2018 CANDIDIER DANDY 1284 PHP 5,000.00 PHP 2,000.00
May 10 2018 GAGOTE JUMMEL ZDA 558 PHP XXXXXX PHP XXXXXX
May 28 2018 FAELDON ROMMEL 5180 PHP XXXXXX PHP XXXXXX
May 22 2018 AYAP ERNESTO 4036 PHP 26,152.00 PHP 22,048.80
May30 2018 AYAP ERNESTO 1320 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 252,342.00 PHP 92,948.80

TOTAL NO. OF CASE 9


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 5
TOTAL NO. OF UNSETTLES CASE 4

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
RMSSC
JUNE 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

June 2 2018 SANTOS ALFRED 1305 PHP 26,125.00 PHP 23,070.67


June 5 2018 ARNALDO DANIEL 1475 PHP XXXXXX PHP XXXXXX
June 7 2018 MOSNET SALDIE 3396 PHP XXXXXX PHP XXXXXX
June 1 2018 CUSTODIO ALEX 3284 PHP 179,236.12 PHP 36,105.00
June 10 2018 PILISAN JULIUS 1248 PHP XXXXXX PHP XXXXXX
June 13 2018 PETARQUE PERALANOB PHP PHP
June 14 2018 BELARMINO JEMBOY ZCT 840 PHP 25,000.00 PHP 12,960.00

June 28 2018 ELLARAIZ DENNIS 1316 PHP XXXXXX PHP XXXXXX

June 23 2018 DELOS ANGELES M D3262 PHP XXXXXX PHP XXXXXX


June 26 2018 UBALDE JESSIE 1302 PHP XXXXXX PHP XXXXXX
June 14 2018 GUERRERO RONNIE ADD2959 PHP 35,533.09 PHP 7,530.19
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 265,894.21 PHP 79,665.86

TOTAL NO. OF CASE 11


TOTAL NO. OF DEATH 1
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 8

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
RMSSC
JULY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

July 11 2018 CARMONA D.A 4050 PHP XXXXX PHP XXXXX


July 25 2018 BAJORA JOSEPH 1323 PHP 27,800.00 PHP 5,000.00
July 31 2018 CANEDA JUDTO 3355 PHP XXXXX PHP XXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 27,800.00 PHP 5,000.00

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
RMSSC
AUGUST 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Aug 1 2018 PALINO JOY 1477 PHP XXXXXX PHP XXXXXX


Aug 4 2018 CASCAYAN DIONISIO 1333 PHP XXXXXX PHP XXXXXX
Aug 6 2018 TAGALAN TOLENTINO XKG 683 PHP XXXXXX PHP XXXXXX
Aug 6 2018 ROSALES ROSANDY TGF 751 PHP XXXXXX PHP XXXXXX
Aug 13 2018 FEDERICO JUVY 4093 PHP 86,735.00 PHP 10,500.00
Aug 18 2018 CANEDA JUSTO 3355 PHP 49,173.00 PHP 16,100.00
Aug 8 2018 FEDERICO JAY R PHP XXXXXX PHP XXXXXX
Aug 3 2018 DE CASTRO JONATHAN 4092 PHP XXXXXX PHP XXXXXX
Aug 17 2018 BAUTRO JESSIE 4096 PHP 17,000.00 PHP 11,500.00
Aug 28 2018 PETARGUE P 1443 PHP XXXXXX PHP XXXXXX
Aug 24 2018 BIO JOSEPH TRU 562 PHP XXXXXX PHP XXXXXX
Aug 7 2018 PADILLA REYNATO 3315 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 152,908.00 PHP 38,100.00

TOTAL NO. OF CASE 12


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 9

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
SEPTEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Sept 6 2018 FIGUEROA TAM 1286 PHP XXXXXX PHP XXXXXX


Sept 17 2018 GERMAN JOSUETO 3396 PHP XXXXXX PHP XXXXXX
Sept 11 2018 SOLIMAN R.P. 5112 PHP 42,175.15 PHP 20,000.00
Seept 19 2018 BELARMINO JEMBOY 3359 PHP XXXXXX PHP XXXXXX
Sept 26 2018 QUIMO ALEXANDER D3350 PHP 450,000.00 PHP 450,000.00
Sir 12 2018 SORIANO RAYMARK NR 8326 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 492,175.15 PHP 470,000.00

TOTAL NO. OF CASE 6


TOTAL NO. OF DEATH 1
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 4

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
OCTOBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
NOVEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
DECEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:
JHEN MAGPANTAY
Accident Coordinator
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

Property damaged L-front bumper Along Masaraga St cor Kaliraya Q.City


Property damaged L- rearside body od ACU Along Edsa Mandaluyong City
Property damaged Front Bumper Along D Tuazon cor. Lourdes castillo St

(3,500.00)
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

Property damaged Front bumper


Property damaged Front bumper Along Osmena Highway

(12,750.00)
RMSSC
MARCH 2018
EHICULAR ACCIDENT REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

Property damaged Side part of acu Brgy Tambo Paranaque City


Property Damaged Front bumper Lakambini Tuao Cagayan
Property damaged Calamba Laguna
Property damaged Front bumper Along Maharlika H-way Nueva Ecija
Property damaged R-side of acu Dagupan City
Property damaged R-front bumper Edsa Magallanes Makati

2 Property Damaged Front bumper Along Edsa Magallanes

Property damaged Front bumper Slex


Property damaged Along bayanbayanan Ave. Infront of BPI Marikina

189,677.35
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

Property damaged Rear bumper Ortigas extension


own damaged whole left side od ACU Daan reyna Lads Pinas
Property damaged Rear bumper PNB H.O Parking
Property damaged L-rear bumper Along ortigas Ave Pasig
Property damaged/B.I Front bumper Along <arcos Hway Brgy Mayamot
Property damaged Left side portion of acu Brgy Taysan San Jose Batangas
Property damaged L-side door of acu East bound lane Harizon Pasay City
Property damaged Front bumper Along Guadalupe Makati City
Property damaged R-roof top of acu AFPMC V Luna Q.City
Motorcycle Front bumper Along Binangonan Rizal

(112,390.14)
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

Property damaged Front bumper Along Kamagong Makati City


Property damaged Rear bumper of Acu Along Tikling Circle Taytay
Property damaged R-front bumper
Property damaged Front bumper Along Sales St. Infront Paf Gate 4 Pasay
Property damaged Front bumper Along Tikling Taytay Rizal
Property damaged Rear bumper SCTEX Tarlac Conception Road
B.I/Kariton Left rear portion of Acu Navotas
Property damaged Rear bumper Along Mandaluyong City
Property damaged R-front side of acu Along Shaw Blvrd Mandaluyong City

159,393.20
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

Propert Damaged Front bumper CBS Plaridel Bulacan


Propert Damaged R-front bumper Along V. Mapa Sta. Mesa Manila
Propert Damaged Front bumper Along Edsa Makati
Propert Damaged R-front bumper Along G. Araneta Ave. Quezon City
Propert Damaged R-rear bumper Near Sm Mega Mall Bldng (A)

Propert Damaged R-front bumper San Marcelino St. Paco Manila


B.I. /Death R-fron bumper Along Edsa Cubao Quezon City

Propert Damaged L- front bumper Makati City


Propert Damaged Front bumper Along San Mateo Road
Propert Damaged L-front bumer Along City Walk Bargy San Roque Tarlac City

186,228.35
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

Property damaged R-front bumper Along Edsa Munoz Area


Property damaged Front bumper Alongh Angeles City Pampanga
Property damaged Whell portion of ACU Along GSIS place Roan Mateo

22,800.00
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

Property damaged Rear bumper Along Edsa South bound cor. West ave.
Property damaged Front bumper Damarinas Cavite
Property damaged Front bumper Along Edsa Makati City
Property damaged Left front bumper of acu Malabon
Property damaged Front bumper Along Delta Quezon City
Property damaged R-rear portion of acu Along Marikina Heights
Property damaged Rear bumper Along Kalentong Mandaluyong City
Property damaged Rear bumper Along U. N. Ave. (Honda Manila)
Property damaged Front bumper Along Bicutan West Bound SM bicutan
Property damaged R-rear portion of acu Along Monumento Circle
Property damaged R-center portion of acu Along New Panaderos Sta. Ana Manila
Property damaged L-front bumper Arellano Ave. Cor. Devenecia Ave. Dagupan

114,808.00
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

Property damaged Front bumper Cor RCBC plasza Gil Puyat Ayala Ave.
Property damaged R-front bumper Along Shaw Blvrd.
Property damaged Front bumper Along Balibago Angeles City Pampamga
Property damaged R-front side door portion Along Edsa Caloocan
B.I (DEATH) Front bumper Cagayan Isabela
Property damaged Left front bumper Along post office loop fronting dotr Makati City

22,175.15
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

-
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

-
REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

OVER ALL TOTAL


TOTAL NO. OF CASE
TOTAL NO. OF DEATH
TOTAL NO. OF B.I
TOTAL NO. OF SETTLED CASE
TOTAL NO. OF UNSETTLES CASE

RMSSC 2018
TOTAL COST
TOTAL OF ESTIMATION
LESS:
REMARKS V/A #

SETTLED 2128 Sta. Mesa base


TP at Fault 2147 Pentagon.
Lack of docs 2179 Penatgon
REMARKS V/A #

Ins Part Only 2173


SETTLED 2177 Pentagon
REMARKS V/A #

TAR Only 2189 Pentagon


Lack of documents 2184 Calimag
For evaluation 2195
SETTLED 2200 Ramos
SETTLED 2205 Estabillo
SETTLED 2206 Sta. Mesa base
SETTLED Pasig
1382
SETTLED
SETTLED 2216 Ventayen
SETTLED 2217
REMARKS V/A #

SETTLED 2223 Sta.mesa base


SETTLED 2224 Pentagon
SETTLED 2240
Lack of estimation 2248 Pasig
victims filing case for their danyos 2249 Sta.mesa base
SETTLED 2251 Pentagon
SETTLED 2267
TAR onlr 2269 Sta.mesa base
Waiting for the estimation 2299 Pasig
SETTLED 2331 Pasig
REMARKS V/A #

SETTLED 2263 Pentagon


TP at Fault 2264
SETTLED 2276 Sta.Mesa base
SETTLED 2277 Pentagon
SETTLED 2283 Pasig
TP at Fault 2286 Ramos
For settlement 2287 Pentagon
SETTLED 2288 Pentagon
TAR only 2289 Pentagon
REMARKS V/A #

SETTLED 1305 Cabauatan


No documents 2297 Pentagon
For negotiation 2300 Sta. Mesa Base
Repair at Sta. Mesa base (side mirror) 2302 Sta. Mesa Base
No documents 2306 Pasig

SETTLED 2310 Pentagon


No response from the family of TP after
2316
the incident
Awaiting docs 2321 Pentagon
Awating docs from TP 2323
SETTLED 2342 Magbag
REMARKS V/A #

Refused to signed ATD 2345


SETTLED 2373 Mella
For investigation 2409
REMARKS V/A #

TP at Fault 2377 Pentagon


TAR only 2383 Pentagon
TAR only 2384 Pasig
TAR only 2385 Pasig
SETTLED 2387 Pasig
SETTLED 2399 Sta. Mesa
TAR only 2401 Pentagon
Awaiting docs 2402 Pasig
SETTLED 2407
TAR Only 2419 Pasig
Lack of documents 2428
TAR only 2437
REMARKS V/A #

TAR Only 2430


On process 2436
SETTLED 2435
Waiting for the police report 2440
SETTLED 2445
TAR Only 2455
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #

OTAL
65
2
16
28
37

8
1,195,042.57
822,707.12
(372,335.45)
ASCOTT
JANUARY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Jan 8 2018 CALVARIO JUVEN vcm 208 PHP 10,000.00 PHP 9,000.00
Jan 8 2018 CARACOL MARK LISTER 3329 PHP XXXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 10,000.00 PHP 9,000.00

TOTAL NO. OF CASE 2


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
FEBRUARY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Feb 17 2018 CAADAN EDWIN 5019 PHP XXXXXX PHP XXXXXX


Feb 15 2018 MESTIOLA GERALD 3358 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 2


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
MARCH 2018
VEHICULAR ACCIDENT REPORT
Date of Unit Plate
Name of DG ESTIMATE TOTAL COST
Accident Number

March 2 2018 BINAYA ALVIN D3202 PHP XXXXX PHP XXXXX


March 15 2018 DERAMAS DARIUS 3237 PHP 24,000.00 PHP 18,000.00
March 3 2018 CELOCIA DG.,JR 3362 PHP - PHP XXXXX
March 26 2018 DE TORRES J.H PHP XXXXX PHP XXXXX
March 4 2018 ESTEBA ORLANDO 4017 PHP XXXXX PHP XXXXX
March 16 2018 BUENSALIDA JASON 3211 PHP 13,000.00 PHP 9,500.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP 37,000.00 PHP 27,500.00

TOTAL NO. OF CASE 6


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 4

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
APRIL 2018
VEHICULAR ACCIDENT REPORT
Date of Unit Plate
Name of DG ESTIMATE TOTAL COST
Accident Number

April 6 2018 TENDENILLA DANTE UGK 634 PHP XXXXXX PHP XXXXXXX

April 4 2018 BUENSALIDA JAYSON 3211 PHP XXXXXX PHP XXXXXXX


April
MAGSINO MICHAEL 1484 PHP 46,621.00 PHP 40,159.12
1602018

April 17 2018 E/G URDAS ORLANDO d5042 PHP XXXXXX PHP XXXXXXX

April 17 2018 DE TORRES JANDEREL 1228 PHP 27,300.00 PHP 5,500.00

April 22 2018 VIRTUDAZO TERESITO 1343 PHP 16,248.00 PHP 11,443.00

April 12 2017 ESTEBA ORLANDO 4017 PHP 168,570.99 PHP 123,726.00

April 13 2018 DE TOREES JAHDECEL 6142 PHP 10,000.00 PHP XXXXXXX

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 268,739.99 PHP 180,828.12

TOTAL NO. OF CASE 7


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 4
TOTAL NO. OF UNSETTLES CASE 3

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
MAY 2018
VEHICULAR ACCIDENT REPORT
Date of Unit Plate
Name of DG ESTIMATE TOTAL COST
Accident Number

May 7 2018 DUGANG HERMANIANO UJN 767 PHP 20,800.00 PHP 18,120.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 20,800.00 PHP 18,120.00

TOTAL NO. OF CASE 1


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
JUNE 2018
VEHICULAR ACCIDENT REPORT
Date of Unit Plate
Name of DG ESTIMATE TOTAL COST
Accident Number

June 2 2018 BANAUA A.B. 3317 PHP XXXXXX PHP XXXXXX


June 3 2018 CARACOL MARKLISTER D3328 PHP XXXXXX PHP XXXXXX
June 20 2018 BERNESTO ALFREDO 5083 PHP 12,788.40 PHP 7,000.00
June 2 2018 BIENVENIDO PAMIN 5095 PHP 3,000.00 PHP 3,000.00
June 1 2018 PAMIN BIENVENIDO 5059 PHP 6,000.00 PHP 3,000.00
June 21 2018 ALMODAL CYRIL 1230 PHP XXXXXX PHP XXXXXX
June 14 2018 ASCURA JUBIRD 1441 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 21,788.40 PHP 13,000.00

TOTAL NO. OF CASE 7


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 4

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
JULY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

July 11 2018 CALVARIO JV. D3325 PHP XXXXXX PHP XXXXXX


July 4 2018 CALVARIO JV. D3325 PHP 37,700.00 PHP 9,000.00
July 12 2018 DERRAMAS DARIUS 3327 PHP 26,550.00 PHP 12,000.00
July 14 2018 PO JOHN JOHN 4049 PHP 9,500.00 PHP 5,500.00
July 9 2014 BAGALLA A.B. 5070 PHP XXXXXX PHP XXXXXX
July 18 2018 MADERISTA ANDY 1259 PHP XXXXXX PHP XXXXXX
July 21 2018 MAGSINO MICHAEL 1484 PHP XXXXXX PHP XXXXXX
July 4 2018 PAMIN BIENVENIDO 5095 PHP XXXXXX PHP 2,000.00
July 20 2018 ASCORA JUBIRD 1441 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP 73,750.00 PHP 28,500.00

TOTAL NO. OF CASE 9


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 6

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
AUGUST 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Aug 10 2018 TRUCIO CHLOE 3287 PHP XXXXXX PHP XXXXXX


Aug 8 2018 PO JOHN JOHN 4099 PHP 77,276.00 PHP 27,300.00

Aug 17 2018 LOMOCSO VICTORIO 4316 PHP 18,000.00 PHP 4,000.00


Aug 21 2018 TRUCIO CHLOE 3287 PHP 5,000.00 PHP 5,000.00

Aug 20 2018 ESCALANO DIONETO JR. 4075 PHP XXXXXX PHP XXXXXX
Aug 20 2018 ESCALONA DIONETO 4075 PHP XXXXXX PHP XXXXXX
Aug 31 2018 CATUNGAL ARIEL 1259 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 100,276.00 PHP 36,300.00

TOTAL NO. OF CASE 7


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 6

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
SEPTEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Sept 10 2018 BINAYA ALVIN WAD 115 PHP 63,943.00 PHP 15,000.00
Sept 12 2018 MARCIAL JAIME 5154 PHP XXXXXXX PHP XXXXXX
Sept 18 2018 PAMIN BIENVENIDO 1259 PHP XXXXXXX PHP XXXXXX
Sept 15 2018 DE TORRES 1291 PHP XXXXXXX PHP XXXXXX
Sept 15 2018 ESCASURA JUBIRD 1441 PHP XXXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 63,943.00 PHP 15,000.00

TOTAL NO. OF CASE 5


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 4

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
OCTOBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
NOVEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
DECEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP
PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
8
T REPORT

NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM

Property damaged Front bumper Along C5 road Bagong Ilog Pasig


Property damaged

1,000.00
8
T REPORT

NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM

Property damaged Down town Center Binondo


Property damaged Rear bumper Land Bank Daet Compond

T REPORT
NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM

Property damaged Sta. Maria Bulacan


Property damaged Front bumper Along C5 road
Property damaged front bumper Along edsa bagong Bario Caloocan
Property damaged L-front bumper BDO Heroes Hills Parking
Property damaged Front bumper Brgy. Uno Lipa City Batangas
Property damaged L-front bumper Pacita Complex San Pedro Laguna

9,500.00

T REPORT
NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM

Property damaged Front bumper Along Binondo Manila

Property damaged L-front side of acu Along Pacita Complex

Property damaged Front bumper Along Alabang Road Cor theater drive

Property damaged R-front door Along Paseo de Roxas cor sedeno

Property damaged R-front door Anda Cirle Port Area Manila

Property damaged Front bumper Along C5 Taguig

Property damaged Front bumper Along Municipal road San Pascual Bats.

Property damaged rR-front bumper

87,911.87

T REPORT
NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM

Property damaged Front bumper Along NAIA road Paranaque

2,680.00

T REPORT
NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM

Property Damaged R-front bumper Reina Heart St. Binondo Manila


Property Damaged Front bumper Cabuyao Laguna
Property Damaged Front bumper Clamba Laguna
Property Damaged Front bumper Along National Highway
Property Damaged Front bumper Along Roxas Blvrd
Property Damaged L-frnt prtn of acu Along Ortigas Ave, Cor Lanusa
Property Damaged Front bumper 16th St. Ermita Manila

8,788.40

T REPORT

NATURE OF CLAIM DAMAGED PART OF ACU LOCATION

Property damaged L-rear side body of acu Along Ortigas Ave.Ext. Rd. Junction Cainta Rizal
Property damaged L-side portion of Acu Along Kalayaan Ave. Makati City
Property damaged L-front bumpeer Along C5 road Bagong Ilog Pasig City
Property damaged Front Bumper Along JP Rizal Makati City
Property damaged Front Bumper
Property damaged Rear bumper Along Obando Valenzuela City
Property damaged L-front side of bumper Along Sucat road Paranaque
Property damaged Front Bumper Along Sta. Ana Manila
Property damaged Rear bumper Makati City

45,250.00

T REPORT

NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM

Property damaged R-front portion of acu Along N. Domingo St. Cor Aurora Blvrd Cubao
Property damaged Front bumper Pasay City

Property damaged R-front portion of acu Along Service road Las Pinas
Property damaged Rear bumper of ACU along kaliraya st Tatalon Quezon City

Property damaged Rear bumper of ACU Along Sangang daan Quirino


Property damaged Rear bumper of ACU Along Sangang Daan Quirino Higway
Property damaged R-side portion of Acu Paseo de roxas Ave. Makati City

63,976.00

18
T REPORT

NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM

Property damaged Rear bumper Along Robinson Magtnoliua


Property damaged Front bumper Brgy sico Lipa City
Property damaged Left center portion of acu Along Antipolo City Hall Parking
Property damaged Rear bumper Geronimo St. Makati City
Property damaged L-front bumper Padre Diego Cera Ave.

48,943.00

8
T REPORT

NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM
-

18
T REPORT

NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM
-

18
T REPORT

NATURE OF
DAMAGED PART OF ACU LOCATION
CLAIM
-

OVER ALL TOTAL


TOTAL NO. OF CASE
TOTAL NO. OF DEATH
TOTAL NO. OF B.I
TOTAL NO. OF SETTLED CASE
TOTAL NO. OF UNSETTLES CASE

ASCOTT 2017
TOTAL COST
TOTAL OF ESTIMATION
LESS:
REMARKS V/A #

SETTLED 2125 Pasig


No documents 2307 Pasig
REMARKS V/A #

TAR only 2180 Pentagon


Lack of docs 2265 Nogot
REMARKS V/A #

TAR Only 2185 Cabauatan


SETTLED 2210 Pasig
TAR Only 2225 Pentagon
Awaiting docs 2231 Pentagon
For evaluation 2237 Camarillas
SETTLED 2235 Ventayen
REMARKS V/A #

TAR Only 2230

Lack of Docs 2235 Pasig

SETTLED 2239 Alabang parking

Under investigation 2244 Pentagon

SETTLRD 2245

SETTLED 2247 Pasig

SETTLED 2229 Camarillas


REMARKS V/A #

SETTLED 2259 Pentagon


REMARKS V/A #

TAR onlr 2291 Pentagon


Incomplete docs 2292 Ventayen
SETTLED 2313 Ventayen
SETTLED 2325 Pasig
SETTLED 2315 Pasig
Awating docs 2336 Pasig
Tar Only 2353 Pentagon

REMARKS V/A #

Tar Only 2352 Pentagon


SETTLED 2355 Pentagon
SETTLED 2357 Pentagon
SETTLED 2358 Pentagon
Need Agency's report/investigation 2359
For review/evaluation 2360 Pasig
TP at Fault 2368 Alabang
Ins. Part. Only 2396
Lack of documents 2410

REMARKS V/A #

Awaiting docs 2396 Pasig


SETTLED 2398 Pasig
Tp demands 10k but she will not
sign anything upon receiving 2406
the cash
TP AT FAULT! We received 5k
for the replacement of Tail light
of acu 3287 and small dent of 2415
rear bumper. %k endorsed to sir
Teng
TAR Only 2412
TAR Only 2417
TAR Only

REMARKS V/A #

SETTLED 2433
For eveluation 2439
Awaiting docs from TP 2446
TAR Only 2487
TAR Only 2459

REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
TAL
46
0
0
16
30

328,248.12
596,297.39
268,049.27
E-FORCE
JANUARY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Jan 19 2018 CALIFORNIA ROBERTO 3364 PHP XXXXXX PHP 17,234.99


Jan 24 2018 MIRAN RICHARD PHP XXXXXX PHP XXXXXX
Jan 31 2018 MACASLING ROMULO 1318 PHP 17,000.00 PHP 6,000.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 17,000.00 PHP 23,234.99

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
FEBRUARY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Feb 6 2018 PENDON ROBERT 3351 PHP XXXXXX PHP XXXXX
Feb 4 2018 ALABAAG NELBERT 1367 PHP 25,292.00 PHP 12,728.00
Feb 5 2018 YBANEZ REY ZJL 859 PHP XXXXXX PHP XXXXX
Feb 6 2018 MACASLING ROMULO 1318 PHP 56,969.00 PHP 8,800.00
Feb 7 2018 LABAYA STEVE ULB 731 PHP XXXXXX PHP 4,595.00
Feb 5 2018 TAGA-AN FERNANDO WKD 460 PHP XXXXXX PHP
Feb 22 2018 GASPAR 4050 PHP XXXXXX PHP XXXXX
Feb 5 2018 CERENO ALBERT 1450 PHP 12,000.00 PHP 11,000.00
Feb 2 2018 RATILLA RAYMART PHP XXXXXX PHP XXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 94,261.00 PHP 37,123.00

TOTAL NO. OF CASE 9


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 6

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
MARCH 2018
VEHICULAR ACCIDENT REPORT
Date of Unit Plate
Name of DG ESTIMATE TOTAL COST
Accident Number
March 6 2018 MURILLO R.B. 1330 PHP XXXXXXX PHP XXXXXXX
March 6 2018 AUTOR JERCON 1267 PHP XXXXXXX PHP XXXXXXX
March 6 2018 PASCUAL RODEL WFF 853 PHP 78,551.00 PHP 68,895.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP 78,551.00 PHP 68,895.00

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
APRIL 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
April 3 2018 TAPAY JOHMAR 1379 PHP XXXXXX PHP XXXXXX
April 6 2018 GASPAR JAYSON 1259 PHP 39,380.98 PHP 31,415.82
April 30 2018 BARASE REIL D5073 PHP 69,000.00 PHP 61,696.80
April 20 2018 TADURAN ABNER 1372 PHP 89,271.08 PHP 75,482.83
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 197,652.06 PHP 168,595.45

TOTAL NO. OF CASE 4


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 3
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
MAY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
May 5 2018 CERENO ALBERT 3206 PHP 14,500.00 PHP 11,000.00
May 11 2018 TAPAY JB 1379 PHP XXXXXX PHP XXXXX
May 26 2018 CID JOEY 5072 PHP XXXXXX PHP XXXXX
May 29 2018 CERENO ALBERT 3206 PHP 65,795.00 PHP 47,326.05
May 10 2018 CALIFORNIA ROBERTO 3364 PHP 6,430.00 PHP 6,430.00
May 23 2018 VILLAREAL RF 1324 PHP XXXXXX PHP XXXXX
May 19 2018 ABRICA RODRIGO 5207 PHP 36,461.37 PHP 3,000.00
May 27 2018 ABRICA RODRIGO 5037 PHP 8,500.00 PHP 6,000.00
May 15 2018 PADILLA ROLANDO USB 239 PHP 32,800.00 PHP 10,500.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 164,486.37 PHP 84,256.05

TOTAL NO. OF CASE 9


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 5
TOTAL NO. OF UNSETTLES CASE 4

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
JUNE 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
June 20 2018 MALAUBANG KRIS 1395 PHP 9,500.00 PHP 1,000.00
June 22 2018 BARTOLOME VEEJE 3220 PHP XXXXXX PHP XXXXXX
June 26 2018 CURAY, C.L AGA 7585 PHP XXXXXX PHP XXXXXX
June 27 2018 CERENO ALBERT 3206 PHP 12,500.00 PHP 12,500.00
June 11 2018 FLOREZ ALDRIN 4098 PHP 9,500.00 PHP 7,000.00
June 30 2018 CURAY, C.L 5040 PHP XXXXXX PHP XXXXXX
June 8 2018 DEQUILLO F. ROQUE 6105 PHP 6,500.00 PHP 6,500.00
June 29 2018 MIRAN RICHARD DDI 681 PHP XXXXXX PHP XXXXXX
June 29 2018 PALISOC ALFREDO 4006 PHP 11,700.00 PHP 5000
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 49,700.00 PHP 32,000.00

TOTAL NO. OF CASE 9


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 5
TOTAL NO. OF UNSETTLES CASE 4

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
JULY 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
July 10 2018 ABRICA RODRIGO XTB 904 PHP XXXXXX PHP XXXXXX
July 19 2018 CID JOEY 6142 PHP XXXXXX PHP XXXXXX
July 20 2018 YBANES REY 1383 PHP XXXXXX PHP XXXXXX
July 20 2018 PALISOC ALFREDO 4006 PHP XXXXXX PHP XXXXXX
July 30 2018 CABIDOG REY 5153 PHP XXXXXX PHP XXXXXX
July 3 2018 GUILLERMO F.C. 1310 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -
TOTAL NO. OF CASE 5
TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 5

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
AUGUST 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Aug 3 2018 DEDACE EMILIO 1280 PHP XXXXXX PHP XXXXXXX
Aug 4 2018 ALABANG NELBERT 5153 PHP 26,082.00 PHP 23,473.80
Aug 7 2018 CERENO ALBERT 3387 PHP XXXXXX PHP XXXXXXX
Aug 3 2018 TADURAN ABNON 5079 PHP XXXXXX PHP XXXXXXX
Aug 14 2018 FRANCISCO JAVIER REU 286 PHP XXXXXX PHP XXXXXXX
Aug 6 2018 ALVAREZ EUGENIO 1350 PHP XXXXXX PHP XXXXXXX
Aug 28 2018 MIRAN RICHARD D5035 PHP 11,659.00 PHP 5,500.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 37,741.00 PHP 28,973.80

TOTAL NO. OF CASE 7


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 5

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
SEPTEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Sept 28 2018 GUDOY KENN DEXTER 4093 PHP XXXXXX PHP XXXXXX
Seept 21 2018 ALBANO JESUS 3212 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 2


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 2
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
OCTOBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
E-FORCE
NOVEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
DECEMBER 2018
VEHICULAR ACCIDENT REPORT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged Front bumper Valencia st. cor. Old sta. Mesa
Property damaged Mid portion of ACU Along Valero St. Makati
Property damaged Front bumper Along c5 rd. market market

(6,234.99)
REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Wall of BDO building L-front side of bumper BDO Heroes Hills
Property damaged Front bumper Along Munoz Quezon City
Property damaged Rear bumper Along Tandang Sora Com. Q. City
Property damaged L-front bumper Along Zapote road Alabang
Property damaged L-front bumper Valenzuela City
Property damaged L-fnt side of bumper West service road Bicutan
Property damaged Pnb Parking Gate 3
Property damaged Front bumper Along Legaspi Salcedo Makati City
Property damaged Along Kalayaan Makati City

57,138.00

REPORT
DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged Front bumper Along Bagong Ilog Pasig City
Property damaged Left front bumper Along Jp Rizal Guadalupe
Property damaged R-front bumper Along Zobel Roxas St. Malate

9,656.00

REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged L-rear side of acu Along San Miguel road Quezon city
Property damaged Front bumper Along quezon ave. cor delta
Property Damaged Front bumper Along White Plains Quezon City
Property damaged Rear bumper Along UN Ave. Manila

29,056.61

REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property Damaged R-front bumper Along Camarin Road Caloocan
Property Damaged rR-rear wheel Ortigas corporate brancs
Property Damaged Rear bumper Metro Bank Marikina Place
Property Damaged Front bumper Along Congressional Q.City
Property Damaged Front bumper Along Tolentino St. Metro Manila
Property Damaged Front bumper Along Edsa
Property Damaged Front bumper Along National Highway TagaytayCity
Property Damaged Front bumper Along Paseo Cor. Sta. Rosa Laguna
Property Damaged Front bumper 26th St. cor Mabini Rd BGC Taguig

80,230.32

REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged Front bumper Evangelista St. Makati city
Property damaged R-front bumper Alng CJ Rd. Kalayaan St. Makati City
Property damaged Front bumper Bdo Br. E Rod Ave. Paranaque
Property damaged Front bumper Fishermall Along Quezon Ave.
Property damaged R-front bumper Pentagon Base
Property damaged Rear side prtion acu Along C. Raymundo BPI branch
Property damaged Frnt R-prtn of Acu Along Sgt Pascua Pasig Blvrd.
Property damaged Front bumper Along East Ave. Quezon City
Property damaged R-side body acu Infront od SM Makati City
17,700.00

REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged Front bumper Along Ortigas Extension (Cainta)
Property damaged Rear bumper Along Sm Manila
Property damaged F-right door Along Monumento Circle
Property damaged Rear portion of acu Along Asusncion St. Claro M. Recto
Property damaged Brgy Luma Marilao Bulacan
Property damaged Rear portion of acu Along Market market Taguig

-
REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged Rear bumper Infront of SM Aura BGC
Property damaged Front bumper Along Bonifacion Monument Circle
Property damaged Front bumper Along Quezonn Ave.
Property damaged Rear bumper Along little Baguio Greenhills San Juan
Property damaged Rear bumper NLEX NCR Southbound
Property damaged R-front bumper Along Aurora Blvrd (Southbound Lane
Property damaged R-front door of acu Along Tomas Morato Quezon City

8,767.20
REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged L-front wheels Along Ortighas ave. Fillipino Club
Property damaged Front bumper Along Lawton Ave. Navy gate

-
REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

OVER ALL TOTAL


TOTAL NO. OF CASE
TOTAL NO. OF DEATH
TOTAL NO. OF B.I
TOTAL NO. OF SETTLED CASE
TOTAL NO. OF UNSETTLES CASE

EFORCE 2018
TOTAL COST
TOTAL OF ESTIMATION
LESS:
REMARKS V/A #

Ins. Part Only 2142 Pasig


for evaluation 2149 Pasig
SETTLED 2150 Pasig
REMARKS V/A #

Waiting for Estimation 2159 Pentagon


SETTLED 2162 Pentagon
Lack of docs 2161 Pentagon
SETTLED 2170 Pasig
Ins. Part. Only 2171 Pasig
For evaluation 2175 Pentagon
Awaiting docs 2181
SETTLED 2158 Pasig
No docs 2371
REMARKS V/A #

TAR Only 2194 Pasig base


Lack of documents 2193 Pasig base
SETTLED 2199 Pasig base

REMARKS V/A #

TAR only 2222 Pentagon


SETTLED 2226 Pentagon
SETTLED 2253 Pasig
SETTLED 2274 Pentagon

REMARKS V/A #

SETTLED 2255 Pentagon


Lack of documents 2261 Pentagon
Done/No estimation-MBTC Gate 2280 Pasig
SETTLED 2281 Pentagon
SEETLED 2270 Pentagon
Awaiting docs 2271
Ins.Participation only 2273 Ventayen
SETTLED 2303 Ventayen
SETTLED 2332 Pasig

REMARKS V/A #

SETTLED 2312 Pentagon


Waiting for the estimaation 2319 Pasig
Tar Only 2322
SETTLED 2324 Pentagon
Repairing at Sta. Mesa Base/ SETTLE 2328 Pentagon
Awaiting docs. 2332
SETTLED 2335 Pasig
Lack of docs. 2338
SETTLED 2339
REMARKS V/A #

Lack of Docs 2351 Pasig


Awaiting docs 2361 Pentagon
For evaluation 2362 Pentagon
Lack of docs 2367
TAR Only 2376
TAR Only
REMARKS V/A #

TP at Fault 2380
SETTLED 2381
Report only 2391
TP at Fault 2400
TP at FAult 2404
TAR Only 2392
SETTLED 2421
REMARKS V/A #

For evaluation 2453


Awaiting docs 2454
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #

L TOTAL
51
0
0
20
31

E 2018
443,078.29
639,391.43
196,313.14
CMSSI
JANUARY 2018
VEHICULAR ACCIDENT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Jan 5 2018 JABONGA P. 3279 PHP 36789.15 PHP 32,262.75
Jan 5 2018 PIALAGO ERNOEL 3280 PHP 3,000.00 PHP 3,000.00
Jan 26 2018 NUMERON JESSIE 4051 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 39,789.15 PHP 35,262.75

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
FEBRUARY 2018
VEHICULAR ACCIDENT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Feb. 5 2018 83,242.20


E/G BALANTARIA, JONDEY 1471 PHP PHP 78,694.38
Feb 5 2018 XXXXXXX
LUMPIOS RICHARD D5050 PHP PHP XXXXXXX
Feb 27 2018 39,700.00
CABALLERO ENRIQUE 5016 PHP PHP 25,000.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 122,942.20 PHP 103,694.38

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
MARCH 2018
VEHICULAR ACCIDENT
Date of Unit Plate
Name of DG ESTIMATE TOTAL COST
Accident Number

March 23 2018 CORTON JONNEVER 5012 PHP 15,434.00 PHP 15,434.00


PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 15,434.00 PHP 15,434.00

TOTAL NO. OF CASE 1


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
APRIL 2018
VEHICULAR ACCIDENT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
April 6 2018 SUARIN PEDRO 1374 PHP 81,850.00 PHP 5,500.00
April 17 2018 CABRERA RODELO 1476 PHP XXXXXX PHP XXXXXX
April 24 2018 REMOCALDE RAMIL 3289 PHP XXXXXX PHP 35,000.00
April 26 2018 ARABEYJO JR, ARSENIO 5053 PHP 57,200.00 PHP 48,600.00
April 7 2018 OBSIONA JAYSON 3284 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 139,050.00 PHP 89,100.00

TOTAL NO. OF CASE 5


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 3

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
MAY 2018
VEHICULAR ACCIDENT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

May 15 2018 PURPUR KENNETH 1334 PHP 19,000.00 PHP 17,000.00


May 17 2018 SOMOROSTRO > 5016 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 19,000.00 PHP 17,000.00

TOTAL NO. OF CASE 2


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
JUNE 2018
VEHICULAR ACCIDENT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

June 29 2018 TABIANAN RODERICK D3205 PHP XXXXX PHP 3,000.00


June 21 2018 AGUILAR RICKY BOY 3226 PHP XXXXX PHP XXXXXX
June 29 2018 ENGRACION RICO 1406 PHP 860,670.00 PHP 860,670.00
June 28 2018 CARACOL CEZAR 3283 PHP 36,300.00 PHP 30,250.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 896,970.00 PHP 893,920.00

TOTAL NO. OF CASE 4


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 2
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
JULY 2018
VEHICULAR ACCIDENT
3
Date of Unit Plate
Name of DG ESTIMATE TOTAL COST
Accident Number
July 10 2018 VILLANUEVA EDUARDO D3331 PHP 18,000.00 PHP 10,000.00
July 4 2018 PEDILO JEE 3218 PHP XXXXXX PHP XXXXX
July 1 2018 BAHALAO RAFAEL D3250 PHP XXXXXX PHP 5,842.00
July 26 2018 ALISER RENANTE D5111 PHP XXXXXX PHP XXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 18,000.00 PHP 15,842.00

TOTAL NO. OF CASE 4


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 3

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
AUGUST 2018
VEHICULAR ACCIDENT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Aug 15 2018 VILLAROBI RONNIE 1255 PHP XXXXXX PHP XXXXXX
Aug 28 2018 MONTEROLA FORNALES JR. XCY 960 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 2


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
SEPTEMBER 2018
VEHICULAR ACCIDENT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Sept 5 2018 JUMAVAN JOMAR 1213 PHP XXXXXXX PHP XXXXXX
Sept 10 2018 DAUGDUG RONILO 1209 PHP 9,780.00 PHP 9,780.00
Sept 21 2018 GEANGA BERTHEL 1361 PHP XXXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 9,780.00 PHP 9,780.00
TOTAL NO. OF CASE 2
TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 2
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
OCTOBER 2018
VEHICULAR ACCIDENT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
NOVEMBER 2018
VEHICULAR ACCIDENT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
DECEMBER 2018
VEHICULAR ACCIDENT

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
CMSSI
JANUARY 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged Front bumper Mauswaga CDO
Property damaged Centro Mall CDO
Property damaged Front bumper Along Cabahug St. Cebu City

4,526.40

CMSSI
FEBRUARY 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaaged Front bumper MBTC Mandawe Parking Area


Property damaaged Along airport Mactan Cebu City
Property damaaged Front bumper Tagbilaran City Bohol

19,247.82

CMSSI
MARCH 2018
ULAR ACCIDENT REPORT
DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged Agusan del sur

CMSSI
APRIL 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged Front bumper Lapu Lapu Cebu City
Property damaged Front bumper Cebu City
B.I. Rear wheel of Acu Osmenia Blvd Cebu City
Property damaged Front bumper Kalibo Aklan
Property damaged R-front bumper Along Carmen Highway CDO

49,950.00

CMSSI
MAY 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged Front bumper Bacolod City


Property damaged Front bumper Tagbiliraran City
2,000.00

CMSSI
JUNE 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

B.I Front bumper Along maharlika Highway Tacloban


Property damaged Ilo Ilo City
B.I/Property damaged L-front bumper Bacolod City
Property damaged Rear bumper MBTC Parking Area/ Premises CDO
3,050.00

CMSSI
JULY 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
B.I. R-front door of acu Osmena St. Dist III Ormoc City
Property damaged Front bumper Rizal cor Locsin St Bacolod City
Property damaged L-front bumper Public Plaza Catuslao St Bacolod City
Property damaged R-front door of acu Cebu City
2,158.00

CMSSI
AUGUST 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged Along BDO Consolacion Cebu City
Property damaged Bacolod City
-

CMSSI
SEPTEMBER 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Pproperty damaged Front bumper Along Molave St Cebu City
B.I Front bumper Alonbg Fortuna St. Banilad Mandue Cebu
Motorcycle Front bumper Baguio City

-
CMSSI
OCTOBER 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
CMSSI
NOVEMBER 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
CMSSI
DECEMBER 2018
ULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
OVER ALL TOTAL
TOTAL NO. OF CASE
TOTAL NO. OF DEATH
TOTAL NO. OF B.I
TOTAL NO. OF SETTLED CASE
TOTAL NO. OF UNSETTLES CASE

CMSSI 2018
TOTAL COST
TOTAL OF ESTIMATION
LESS:
REMARKS V/A #

SETTLED 2134 alisoso


SETTLED 2135 alisoso
Lack docs 2152 Dinampo
REMARKS V/A #

SETTLED
2157 Dinampo
On process 2182 Dinampo
SETTLED 2208 Somorostro
REMARKS V/A #

SETTLED 2215 Alisoso

REMARKS V/A #
SETTLED 2228 Dinampo
Lack of documents 2238 Dinampo
Confine at Vicente Sotto Hospital 2243 Dinampo
SETTLED 2250 Gadiano
Awaiting docs 2293 Alisoso

REMARKS V/A #

SETTLED 2266 Kenneth Purpur


SETTLED by his own pocket 2301 Somorostro
REMARKS V/A #

Initial payment medical asistance 2317 Redelosa


No documents 2320 Sineres
SETTLED excluding Cargo 2327 Purpor
SETTLED 2349 Alisoso
REMARKS V/A #

SETTLED 2340 Redelosa


Awaiting docs 2343 Purpor
Ins Part. On;y 2344 Purpor
Initial report only 2432 Dinampo
REMARKS V/A #

No documents 2403
Awaiting docs 2434 Purpor
REMARKS V/A #

Incomplete docs 2424 Dinampo


SETTLED 2407 Dinampo
For evaluation 2452
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
L TOTAL
26
0
6
13
13

2018
1,180,033.13
1,260,965.35
80,932.22
CESSI
JANUARY 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Jan 13 2017 TAPON MARK A. D5080 PHP XXXXXX PHP XXXXX

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 1


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
FEBRUARY 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Feb 12 2018 TAPION D3234 PHP XXXXXX PHP XXXXX


Feb 14 2018 AMOR BOBBY 5098 PHP XXXXXX PHP XXXXX
Feb 5 2018 LIMPIOS RICHARD D5050 PHP XXXXXX PHP XXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 3

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
MARCH 2018
VEHICULAR ACCIDENT R
Date of Unit Plate
Name of DG ESTIMATE TOTAL COST
Accident Number

March 8 2018 42,700.00


ROSALEJOS JC 5025 PHP PHP 9,000.00
March 9 2018 XXXXX
DESPHY RICARDO PHP PHP XXXXXX
March 9 2018 JURIAL RAMON CHITO 1493 PHP 66,985.36 PHP 55,753.98

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 109,685.36 PHP 64,753.98

TOTAL NO. OF CASE 3


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 2
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
APRIL 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

April 1 2018 CUSTINO L.P 5076 PHP XXXXXX PHP XXXXXX


April 20 2018 VERTUDEZ MICHAEL 5090 PHP PHP 9,800.00
April 13 2018 TRAQUINA LARRY D5086 PHP XXXXXX PHP XXXXXX

April 10 2018 DISTAJO ABELARDO XTK 924 PHP XXXXXX PHP XXXXXX

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP 9,800.00

TOTAL NO. OF CASE 4


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 1
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 3

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
MAY 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
JUNE 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
JULY 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

July 28 2018 LUMANTA TIMOTHY D5078 PHP XXXXXX PHP XXXXXX


July 17 2018 ROSALEJOS JC ZJT 332 PHP 31,074.00 PHP 31,074.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 31,074.00 PHP 31,074.00

TOTAL NO. OF CASE 2


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 1
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
AUGUST 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

Aug 8 2018 MARIQUIT ARTURO PHP XXXXXX PHP XXXXXX


PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 1


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 1

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
SEPTEMBER 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
Sept 7 2018 FERMILAN IAN XHP 437 PHP XXXXXX PHP XXXXXX
Sept 21 2018 MILLO FRANKLIN 1453 PHP XXXXXX PHP XXXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -
TOTAL NO. OF CASE 2
TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 2

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
OCTOBER 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
NOVEMBER 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
DECEMBER 2018
VEHICULAR ACCIDENT R

Date of Unit Plate


Name of DG ESTIMATE TOTAL COST
Accident Number

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
CESSI
JANUARY 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Boom Handle Rear bumper

CESSI
FEBRUARY 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged R-front door of acu Along Kalentong Mandalauyong


Property damaged Along Edsa North Bound Farmers
Property damaged Along Airport Mactan Cebu

CESSI
MARCH 2018
CULAR ACCIDENT REPORT
DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged Left front side of Acu Julia Vargas cor San Miguel Ave.Q.City
Property damaged Rear head light Along Maria Clara Q. City
Property damaged Along shell station Ugong Pasig City

44,931.38

CESSI
APRIL 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged Rear bumper BPI west triangle cash hub


B.I Rear side of Acu Robinson Ermita
Property damaged L-frnt side of bumper Marikina City

Property damaged Front bumper Along BPI Family Pamplona Cavite City

(9,800.00)

CESSI
MAY 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
-

CESSI
JUNE 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
-

CESSI
JULY 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged Circle mall crossing Marikina heights


Property damaged Front bumper North Science Ave. Laguna Technopark
-

CESSI
AUGUST 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged Rear Bumper Alomg Robinson Mall Manila


-

CESSI
SEPTEMBER 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property danmaged L-front bumber C8 Road Pasig City
Property danmaged R-front bumper Along Quezon Ave. Quezon City

-
CESSI
OCTOBER 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
CESSI
NOVEMBER 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
CESSI
DECEMBER 2018
CULAR ACCIDENT REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
OVER ALL TOTAL
TOTAL NO. OF CASE
TOTAL NO. OF DEATH
TOTAL NO. OF B.I
TOTAL NO. OF SETTLED CASE
TOTAL NO. OF UNSETTLES CASE

CESSI 2018
TOTAL COST
TOTAL OF ESTIMATION
LESS:
REMARKS V/A #

TAR only 2131


REMARKS V/A #

TAR only 2164


Lack of docs 2174 Pentagon
TAR only 2182 Dinampo
REMARKS V/A #

SETTLED 5025 Pentagon


Report only 2202
SETTLED 2218 Pasig base

REMARKS V/A #

Awaiting docs 2233 Pentagon


SETTLED 2241 Pentagon
TAR only 2260 Pentagon

Lack of docs 2372 Pasig

REMARKS V/A #
REMARKS V/A #
REMARKS V/A #

for review 2379


SETTLED 2425
REMARKS V/A #

DG's report only 2444


REMARKS V/A #

TAR only 2438


For investigation 2449
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
L TOTAL
16
0
1
4
12

2018
105,627.98
140,759.36
35,131.38
GASS
JANUARY 2
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
FEBRUARY
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
MARCH 20
VEHICULAR ACCID
Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
APRIL 20
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
MAY 201
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
JUNE 201
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
JULY 201
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
AUGUST 2
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP
TOTAL NO. OF CASE 0
TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
SEPTEMBER
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
OCTOBER
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
NOVEMBER
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASS
DECEMBER
VEHICULAR ACCID

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP
TOTAL COST : PHP - PHP

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0
Prepared by:

JHEN MAGPANTAY
Accident Coordinator
GASSI
JANUARY 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU

- -

GASSI
FEBRUARY 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU

- -

GASSI
MARCH 2018
VEHICULAR ACCIDENT REPORT
DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU

- -

GASSI
APRIL 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU
- -

GASSI
MAY 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU
- -

GASSI
JUNE 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU
- -

GASSI
JULY 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU
- -

GASSI
AUGUST 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU

- -
GASSI
SEPTEMBER 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU

- -
GASSI
OCTOBER 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU

- -
GASSI
NOVEMBER 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU

- -
GASSI
DECEMBER 2018
VEHICULAR ACCIDENT REPORT

DAMAGED PART OF
TOTAL COST NATURE OF CLAIM LOCATION
ACU

- -

OVER ALL TOTAL


OVER ALL TOTAL
TOTAL NO. OF CASE
TOTAL NO. OF DEATH
TOTAL NO. OF B.I
TOTAL NO. OF SETTLED CASE
TOTAL NO. OF UNSETTLES CASE

ELUSIA 2017
TOTAL COST
TOTAL OF ESTIMATION
LESS:
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #

REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #

LL TOTAL
LL TOTAL
0
0
0
0
0

A 2017
-
-
-
TELLUS
JANUARY 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
FEBRUARY 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
MARCH 2018
VEHICULAR ACCIDENT RE
Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
APRIL 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
MAY 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
JUNE 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
JULY 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
AUGUST 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -
TOTAL NO. OF CASE 0
TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
SEPTEMBER 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
OCTOBER 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
NOVEMBER 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

TELLUS
DECEMBER 2018
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP
TOTAL COST : PHP - PHP -

TOTAL NO. OF CASE 0


TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0
Prepared by:

JHEN MAGPANTAY
Accident Coordinator
ELLUS
UARY 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU

ELLUS
RUARY 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU

ELLUS
RCH 2018
ACCIDENT REPORT
DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU

ELLUS
RIL 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
-

ELLUS
AY 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
-

ELLUS
UNE 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
-

ELLUS
ULY 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
-

ELLUS
GUST 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU

-
ELLUS
EMBER 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU

-
ELLUS
OBER 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU

-
ELLUS
EMBER 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU

-
ELLUS
EMBER 2018
ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU

OVER ALL TOTAL


OVER ALL TOTAL
TOTAL NO. OF CASE 0
TOTAL NO. OF DEATH 0
TOTAL NO. OF B.I 0
TOTAL NO. OF SETTLED CASE 0
TOTAL NO. OF UNSETTLES CASE 0

ELUSIA 2017
TOTAL COST -
TOTAL OF ESTIMATION -
LESS: -
SUMMARY OF VEHICULAR ACCIDENT

ELUSIA
2018
TOTAL NO. OF CASES 45 45
TOTAL NO. OF DEATH 0 0
TOTAL NO. OF B.I. 3 3
TOTAL NO. OF SETTLED CASE 18 18
TOTAL NO. OF UNSETTLED CASE 27 27 70

MSSI
60
2018
TOTAL NO. OF CASES 45 45
TOTAL NO. OF DEATH 0 0
50
TOTAL NO. OF B.I. 5 5
TOTAL NO. OF SETTLED CASE 20 20
TOTAL NO. OF UNSETTLED CASE 25 25
40

RMSSC
2018 30

TOTAL NO. OF CASES 65 65


TOTAL NO. OF DEATH 2 2
TOTAL NO. OF B.I. 16 16
20
TOTAL NO. OF SETTLED CASE 28 28
TOTAL NO. OF UNSETTLED CASE 37 37

10
10

ASCOTT
2018
TOTAL NO. OF CASES 46 46 0
ELUSIA MSSI
TOTAL NO. OF DEATH 0 0
TOTAL NO. OF B.I. 0 0
TOTAL NO. OF SETTLED CASE 16 16
TOTAL NO. OF UNSETTLED CASE 30 30

CMSSI
2018
TOTAL NO. OF CASES 26 26
TOTAL NO. OF DEATH 0 0
TOTAL NO. OF B.I. 6 6
TOTAL NO. OF SETTLED CASE 13 13
TOTAL NO. OF UNSETTLED CASE 13 13

CESSI
2018
TOTAL NO. OF CASES 16 16
TOTAL NO. OF DEATH 0 0
TOTAL NO. OF B.I. 1 1
TOTAL NO. OF SETTLED CASE 4 4
TOTAL NO. OF UNSETTLED CASE 12 12
EFORCE
2018
TOTAL NO. OF CASES 51 51
TOTAL NO. OF DEATH 0 0
TOTAL NO. OF B.I. 0 0
TOTAL NO. OF SETTLED CASE 20 20
TOTAL NO. OF UNSETTLED CASE 31 31

TELLUS
2018
TOTAL NO. OF CASES 0 0
TOTAL NO. OF DEATH 0 0
TOTAL NO. OF B.I. 0 0
TOTAL NO. OF SETTLED CASE 0 0
TOTAL NO. OF UNSETTLED CASE 0 0

GASSI
2018
TOTAL NO. OF CASES 0 0
TOTAL NO. OF DEATH 0 0
TOTAL NO. OF B.I. 0 0
TOTAL NO. OF SETTLED CASE 0 0
TOTAL NO. OF UNSETTLED CASE 0 0
ELUSIA MSSI RMSSC ASCOTT CMSSI CESSI EFORCE TELLUS GASSI
Total No. of Cases 45 45 65 46 26 16 51 0 0
Total No. of Death 0 0 2 0 0 0 0 0 0
Total No. of B.I 3 5 16 0 6 1 0 0 0
Total No. of Settled Case 18 20 28 16 13 4 20 0 0
Total No. of Unsettled Case 27 25 37 30 13 12 31 0 0

70

60

50

40

Total No. of Cases


Total No. of Death
Total No. of B.I
Total No. of Settled Case
Total No. of Unsettled Case
30

20

10
10

0
ELUSIA MSSI RMSSC ASCOTT CMSSI CESSI EFORCE

Average/Percentage
ELUSIA MSSI RMSSC ASCOTT CMSSI CESSI EFORCE TELLUS GASSI
Settled Case 40.0000 44.4444 43.0769 34.7826 50.0000 25.0000 39.2157 #DIV/0! #DIV/0!
Unsettled Case 60 55.555556 56.923077 65.217391 50 75 60.784314 #DIV/0! #DIV/0!
100% 100% 100% 100% 100% 100% 100%

120.0000

100.0000

80.0000

Row 44
Unsettled Case
60.0000
Settled Case

40.0000

20.0000

0.0000
ELUSIA MSSI RMSSC ASCOTT CMSSI CESSI EFORCE
0.0000
ELUSIA MSSI RMSSC ASCOTT CMSSI CESSI EFORCE
MSSI 2018 EFORCE

JANUARY 24,346.00 JANUARY


FEBRUARY 27,438.24 FEBRUARY
MARCH 8,100.00 MARCH
APRIL 3,615.00 APRIL
MAY 37,700.00 MAY
JUNE 109,623.68 JUNE
JULY 886,467.00 JULY
AUGUST 138,797.00 AUGUST
SEPTEMBER 10,700.00 SEPTEMBER
OCTOBER - OCTOBER
NOVEMBER - NOVEMBER
DECEMBER - DECEMBER
TOTAL COST 1,246,786.92 TOTAL COST
-

RMSSC 2018 ASCOTT

JANUARY 3,500.00 JANUARY


FEBRUARY 82,500.00 FEBRUARY
MARCH 162,518.77 MARCH
APRIL 260,809.14 APRIL
MAY 92,948.80 MAY
JUNE 79,665.86 JUNE
JULY 5,000.00 JULY
AUGUST 38,100.00 AUGUST
SEPTEMBER 470,000.00 SEPTEMBER
OCTOBER - OCTOBER
NOVEMBER - NOVEMBER
DECEMBER - DECEMBER
TOTAL COST 1,195,042.57 TOTAL COST
-

CMSSI 2018 ELUSIA

JANUARY 35,262.75 JANUARY


FEBRUARY 103,694.38 FEBRUARY
MARCH 15,434.00 MARCH
APRIL 89,100.00 APRIL
MAY 17,000.00 MAY
JUNE 893,920.00 JUNE
JULY 15,842.00 JULY
AUGUST - AUGUST
SEPTEMBER 9,780.00 SEPTEMBER
OCTOBER - OCTOBER
NOVEMBER - NOVEMBER
DECEMBER - DECEMBER
TOTAL COST 1,180,033.13 TOTAL COST
-

CESSI 2018 TELLUS

JANUARY - JANUARY
FEBRUARY - FEBRUARY
MARCH 64,753.98 MARCH
APRIL 9,800.00 APRIL
MAY - MAY
JUNE - JUNE
JULY 31,074.00 JULY
AUGUST - AUGUST
SEPTEMBER - SEPTEMBER
OCTOBER - OCTOBER
NOVEMBER - NOVEMBER
DECEMBER - DECEMBER
TOTAL COST 105,627.98 TOTAL COST
-

SUMMARY OF TOTAL AMOUNT/COST PER AGENCY Average/Percentage


YEAR 2018 Total Cost YEAR
MSSI 1,246,786.92 1,246,786.92 MSSI

EFORCE 443,078.29 443,078.29 EFORCE

RMSSC 1,195,042.57 1,195,042.57 RMSSC

ASCOTT 328,248.12 328,248.12 ASCOTT

CMSSI 1,180,033.13 1,180,033.13 CMSSI

ELUSIA 414,694.59 414,694.59 ELUSIA


CESSI 105,627.98 105,627.98 CESSI

TELLUS - 0.00 TELLUS

TOTAL 4,913,511.60 4,913,511.60

6,000,000.00

5,000,000.00

4,000,000.00

3,000,000.00
2018
2,000,000.00 Total Cost

1,000,000.00

-
2018 GASSI 2018

23,234.99 JANUARY -
37,123.00 FEBRUARY -
68,895.00 MARCH -
168,595.45 APRIL -
84,256.05 MAY -
32,000.00 JUNE -
- JULY -
28,973.80 AUGUST -
- SEPTEMBER -
- OCTOBER -
- NOVEMBER -
- DECEMBER -
443,078.29 TOTAL COST -
-

2018

9,000.00
-
27,500.00
180,828.12
18,120.00
13,000.00
28,500.00
36,300.00
15,000.00
-
-
-
328,248.12
-

2018

101,890.00
47,446.00
113,405.00
35,170.00
24,120.00
57,572.59
9,621.00
25,470.00
-
-
-
-
414,694.59
-

2018

-
-
-
-
-
-
-
-
-
-
-
-
-

Average/Percentage
2018 Total Average Cost
25.374661169 25.37

9.0175484678 9.02

24.32 24.32

6.6805198954 6.68

24.0160851559 24.02

8.44 8.44
2.1497452046 2.15

0 0.00

100%

MSSI
EFORCE
RMSSC
ASCOTT
CMSSI
ELUSIA
CESSI
TELLUS
ACCIDENT REPORT
PENDING CASES
DATE CASES ACU NAME OF DG AGENCY PLACE OF INCIDENT VEHICLE INVOLVED NAME OF TP PAYMENT ASSIGNED BASE REMARKS

2012 NO D E T A I L S
Santos, Roger

Reckless Imprudence Resulting in 1344 Simacon, Elmer CMSSI P. Del Rosario St. Cebu City AS Romanillos Under Court Litegation
Serious Physical Injuries
November 13, 2015

Reckless Imprudence
Resulting in 3346 Canada R.C RMSSC Abacan Bridge, Angeles City, Pamapanga HONDA City 2015 Angela Camille Pecson 120,000.00 AS Mella With Quit Claim, But still claim Insurance Benefit
Damaged to Property
November 18, 2015
Alleged Reckless Imprudence
1289 Villanueva, Arthur RMSSC Manuel L. Quezon Ave. Brgy. San Gabriel Teresa Rizal ISUZU Dindo Lucero Patingo AS Under Court Litegation
May 3, 2016 Resulting to Damaged Property
Reckless Imprudence Resulting in
Physical Injury
5249 Cabatuan, Ruel ELUSIA Along Provincial Rd., Brgy. Dita, Sta Rosa, Laguna HONDA TMX Alvin Guerta 8,718.50 Under Court Mediation
May 14, 2016
Mr. Maxwell is claiming 356,000.00 but we asked
Reckless Imprudence BMW 1997; Maxwell ; --------- to reduce the amount (BMW)
Resulting to D3303 Pahayahay, Juvin RMSSC Along NAIA, Pasay City
Serious Damaged Property Montero 2012 Lawrence Asilio 7,200 ATPi Pay the
Insurance Participation Fee Only (MONTERO)
July 31, 2016
Reckless Imprudence Resulting in
Multiple Physical Injuries and 3303 Lucero, Romelito ASCOTT Viaduct Slex, Brgy. Alabang, Muntinlupa City MOBILE PATROL PO3 Berbon Lomar et al 409,605.13 Waiting for Court JDR Resolution
October 28, 2016 Damaged to Property

Reckless Imprudence Resulting in Mr. Noel with Quitclaim (MOTORCYCLE)


Neil Roy Carpio;
Multiple Physical Injuries and D3332 Calmona, Enrique RMSSC Brgy. Sta Ignacia Camiling, Tarlac City SUZUKI Motorcycle Mark Julius Bautista 32,695.00 Mr. Julius paid the
Damaged to Property hospitalization but still recuparation.
June 25, 2017
Reckless Imprudence Resulting in Already paid 157,000.00 but refused to sign
Physical Injury and Damaged to 1327 Garcia, Albert RMSSC Manila North Road, Brgy. Estrada Capas, Tarlac City HONDA Motorcycle Orlando Galleta 157,455.81 quitclaim. Only signed partial payment
Property
July 22, 2017

Reckless Imprudence Resulting in 1406 Villegas, Noel CMSSI Lacson St. Brgy Mandalagan, Bacolod City HONDA Click Motorcycle Denny B. Varquez Multiple Collision (5 VEH) under review cost of
Multiple Damaged to Property damages. Driver left the ACU with Engine ON
July 26, 2017

Reckless Imprudence (September 01, 2017) Just received the Final


Resulting in D5109 Mostoles, Allan RMSSC Baguio Convention Center, Baguio City ISUZU Crosswind Jan Aris Ballug Trinidad
Damaged to Property Demand of 26,000.00
August 2, 2017

5096 Lopez, Ramon RMSSC Along National Highway, Brgy. Guising, Gattaran Cagayan TOYOTA Hi Ace Mr. Flor Buga
PF10,000.00 Bail Under Court Litegation. Attending ATTY.
Band 20,500.00 Pattaguan
September 14, 2016

Reckless Imprudence Partial Payment The damged car was at present under repair at
Resulting in 1227 Ylagan, Romar ASCOTT Lipa City, Batangas HONDA CIVIC Melanie Castillo Honda Car Batangas City. Already paid down
Damaged to Property 72,348.72 payment of 72,348.72 50% of Replace parts Only.
August 19, 2017

ACCIDENT REPORT
PENDING CASES
DATE CASES ACU NAME OF DG AGENCY PLACE OF INCIDENT VEHICLE INVOLVED NAME OF TP PAYMENT ASSIGNED BASE REMARKS

Reckless imprudence resulting to


Sept 21 2015 multiple serious physical in juries and 1363 CANAMAN ROLLY ELUSIA Along maharlika Highway Plaridel Quezon Province DLTB RAMOS PHILIP 236,566.00 TP Philip Ramos asking P750K for financial
assistance .
damage to property

No police report. Only the G-3


May 30 2017 Security speciallies Inc. Report (PNB 4071 ARNALDO DANIEL RMSSC Pal Gate 1 Parking Area PNFC Honda City Sedan Rodolfo A. Dulay Jr. PNB HEAD OFFICE DG: Arnold Refuse to sign ATD
1999 Model
FINANCIAL CENTER)

Aug 18, 2017 Reckless imprudence resulting to 3257 QUINNING FRANKIE ELUSIA Along Skyway Eleveted Toll Plaza North Bound Parañaque City Toyyota Hiace Grandia 2017 Roceliza Mendoza Dizon TP Asking 156,000.00 for the repair of Toyota
damaged to property Year Model (BEVERLY BONILLA) Hiace Grandia 2017 Year Model
Cause of Accident (Nationwide) 2016
CAUSE OF ACCIDENT 2018

Bumped While Mechanical TP AT


OverSpeeding Bumped Backing Sideswipe Turned Turtle Head On Problem Driver's Error FAULT
NCR 0
LUZON 0
VISAYAS 0
MINDANAO 0
GRAND TOTAL 0 0 0 0 0 0 0 0 0 0

Chart Title
12

10

8
NCR
LUZON
Axis Title 6
VISAYAS
MINDANAO
4

0
1 2 3 4 5 6 7 8 9
Axis Title

CAUSE OF ACCIDENT 2018 (Average/Percentage)


CAUSE OF ACCIDENT 2018 (Average/Percentage)
Bumped While Mechanical TP AT
OverSpeeding Bumped Sideswipe Turned Turtle Head On Driver's Error
Backing Problem FAULT

Cause of Accident
(Nationwide) #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 100%
2017

Cause of Accident (Nationwide) 2018

100.00%
REMARK
ANNUAL REPORT OF VEHICULAR ACCIDENT 2018

TOTAL COST OF TOTAL V.A % OF TOTAL COST


REGION AS/AC TOTAL ACU'S TOTAL V.A
INCIDENT TOTAL ACU'S per AREA

NCR Pentagon, Pasig & Sta. Mesa Base 400 0.00 #DIV/0!

LUZON - REGION 1 BADUA 32 0.00 #DIV/0!

LUZON - REGION 1 ESTABILLO 24 0.00 #DIV/0!

LUZON - REGION 2 CALIMAG 51 0.00 #DIV/0!

LUZON - REGION 3 RAMOS 14 0.00

LUZON - REGION 3 MELLA 25 0.00

LUZON - REGION 3 AGUAS 20 0.00

LUZON - REGION 3 CABAUATAN 23 0.00 #DIV/0!

LUZON - REGION 4A ALTEZ 13 0.00 #DIV/0!

LUZON - REGION 4A VENTAYEN 29 0.00 #DIV/0!

LUZON - REGION 4A PAMPLONA 23 0.00 #DIV/0!

LUZON - REGION 4A CAMARILLAS 26 0.00 #DIV/0!

LUZON - REGION 4B RUBI 3 0.00

LUZON - REGION 5 NOGOT 39 0.00

LUZON - CAR LAYA 14 0.00

VISAYAS - REGION 6 SENEREZ 28 0.00

VISAYAS - REGION 7 PURPOR 20 0.00 #DIV/0!


VISAYAS - REGION 7 ROMANILLOS 59 0.00 #DIV/0!

VISAYAS - REGION 7 SOMOROSTRO 4 0.00

VISAYAS - REGION 7 CATUBAY 9 0.00

VISAYAS - REGION 8 REDOLOSA 26 0.00 #DIV/0!

MINDANAO - REGION 9 ANTONIO 14 0.00

MINDANAO - REGION 10 ALISOSO 27 0.00 #DIV/0!

MINDANAO - REGION 11 DUGA 23 0.00 #DIV/0!

GRAND TOTAL 946 0 0.00 #DIV/0!


VEHICULAR ACCIDENT REPOR

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Number

March 4, 2016 AGGALAO, ROMEL 3205 34,700.00 10,664.00 Property Damgaed

February 9, 2016 AGGALAO, ROMEL G. 1416 XXXX XXXX Property Damage

August 12, 2016 AGGALAO, ROMEL G. 1489 19,767.00 15,787.95 Property Damage

May 27, 2016 ANDRES JOSE 1388 128,635.56 116,359.09 Property damaged

February 1, 2015 ANDRES, JOSE 1372 XXXX XXXX Property Damaged

February 11, 2015 ANDRES, JOSE 1372 XXXX 3,000.00 Property Damaged

May 13, 2016 BADEO HENRY D5021 XXXX 4,000.00 Property Damaged

June 30, 2016 BADEO HENRY D5021 39,000.00 13,000.00 Property damaged

October 6, 2015 BADEO, HENRY d5023 22,700.00 22,323.00 Door glass PSBank

July 28, 2015 BADEO, HENRY D5033 5,616.00 4,773.60 Property Damaged

May 20, 2015 BALASABAS, JACK D3280 13,800.00 5,500.00 Motorcycle

June 22, 2015 BALASABAS, JACK 1293 XXXX XXXX Property Damaged

June 4, 2016 BALASABAS, JACK D3280 XXXX XXXX Property damaged

July 13, 2016 BALASABAS, JACK D3280 31,893.12 26,493.00 Property Damaged

March 31, 2017 BALATAYO, FRANCIS 1379 6,000.00 XXXX Property damaged

May 5, 2017 BALATAYO,FRANCIS 1314 22,745.23 XXXX Property damaged

May 5, 2017 BALATAYO,FRANCIS 1314 XXXX XXXX Property damaged

January 13, 2016 BARAGO MARCO 5065 8,500.00 5,800.00 Property damaged

August 12, 2016 BARAGO, MARCO 5065 13,500.00 4,500.00 Property damaged
January 25, 2017 BARAGO, MARCO 5065 XXXX XXXX Property damaged

2-PROPERTY
March 9, 2016 BASMAYOR, JON JON 5075 XXXX XXXX
DAMAGED

October 13, 2015 BASMAYOR, JON JON 5075 XXXX 5,500.00 Prperty damaged

January 10, 2015 BASMAYOR, JON JON 3300 xxx 9,000.00 Hand Railings

December 20, 2016 BAUTISTA, JEROME 1269 99,175.00 8,000.00 Property damaged

March 2, 2017 BAUTISTA, JEROME 4081 XXXX XXXX Property damaged

March 30, 2017 BAUTISTA, JEROME 4087 XXXX XXXX Motorcycle/B>I

November 11, 2015 BELICANO MICHAEL 4030 XXXX XXXX Property damaged

April 11, 2016 BELICANO MICHAEL 1259 6,500.00 2,000.00 Property damage

January 16, 2015 BELICANO MICHAEL 3388 11,000.00 4,000.00 Property Damaged

November 5, 2016 BUAYA , JUVY 1276 XXXX XXXX Property damaged

February 4, 2017 BUAYA JUVY 3394 XXXX XXXX Property Damaged

April 5, 2017 BUAYA JUVY 3394 XXXX XXXX Property damaged

May 13 2015 BUAYA, JOEY 1295 XXXX XXXX Property damaged

June 3 2015 BUAYA, JUVY 1295 XXXX XXXX Property damaged

Feb 24 2017 BUAYA, JUVY 3394 24,000.00 4,000.00 Property Damaged

July 27 2015 BULAO JOSE 5082 XXXX XXXX Property damaged

Aug. 8 2015 BULAO JOSE 650 29,316.00 11,685.00 Property damaged

July 2 2015 BULAO, JOSE 5023 98,000.00 3,500.00 Property damaged

July 15 2015 BULAO, JOSE 4099 XXXX XXXX Property damaged

Feb. 15 2016 CALSILLAR JAYJAY 4091 94,190.00 7,168.00 Property damage

Apr 8 2016 CALSILLAR JAY-JAY D5022 17,695.25 9,639.00 Property damage


July 26 20165 CALSILLAR, JAYJAY 5042 XXXX XXXX Property damaged

Nov. 21 2016 CANDIDIER DANDY 1372 18,000.00 18,000.00 Exit gate Barrier

Oct 23 2016 CANDIDIER, DANDY 1372 20,000.00 XXXX Pomeranian DOG

Oct. 25 2016 CANDIDIER, DANDY 1372 XXXX XXXX Property damaged

Sept 11 2015 CASCAYAN DIONISIO 5018 XXXX 22,000.00 Property damaged

Sept 28 2016 CASCAYAN DIONISIO 5022 XXXX XXXX Property damaged

Oct 3 2016 CASCAYAN DIONISIO D5022 13,700.00 XXXX Property damaged

Mar 10 2016 CASCAYAN DIONISIO 1428 38,583.00 15,000.00 Property Damaged

Apr 13 2016 CASCAYAN DIONISIO 1318 20,000.00 XXXX Property Damaged

Sept 28 2016 CASCAYAN DIONISIO 5022 16,780.23 12,750.00 Property damaged


20,000.00
15,000.00 Own damaged
Apr 27 2016 CASCAYAN DIONISIO 3210
20,000.00 Property Damaged
25,000.00
Aug 21 2015 DOMINGO MARVIN 4065 XXXX XXXX

Dec 7 2016 DOMINGO, MARVIN 1413 XXXX XXXX Property damaged

June 27 2016 DOMINGO, MARVIN 3259 6,500.00 5,000.00 Property damaged

Aug 22 2016 ECHEN BRENDO 1377 7,500.00 5,500.00 Property damaged

Feb. 29 2016 ECHEN, BRENDO 3292 XXXX 20,984.00 Property Damaged

Dec 28 2016 ECHEN, BRENDO 1324 XXXX 2,835.00 B.I

oct. 12 2016 ECHEN, BRENDO 1377 13,000.00 12,000.00 door glass

Nov. 7 2016 ELEVENCIONE DANNY 3383 XXXX XXXX Property Damaged

Sept 10 2015 ELEVENCIONE, DANNY 3367 XXXX XXXX Property damaged

Aug 15 2016 ELEVENCIONE, DANNY 3383 XXXX XXXX Property damaged

Sept 22 2015 ERBITE JOEL 3324 22,238.41 7,063.00 Property damaged


July 05 2016 ERBITE JOEL 4028 XXXX XXXX Property damaged

Nov 15 2016 ERBITE JOEL 3304 45,500.00 35,000.00 Metro bank wall

Apr 13 2015 ERBITE, JOEL 5022 41,440.00 25,000.00 Property Damaged

July 20 2015 ERBITE, JOEL 3324 19,600.00 3,737.00 B.I/Motorcycle

Apr 16 2016 ERBITE, JOEL 3253 XXXX 3,492.20 B.I.

Sept 13 2016 ERBITE, JOEL D5022 XXXX XXXX Property damaged

Jan 13 2017 ERBITE, JOEL XXXX XXXX Property damaged

Oct. 21 2015 ESTRELLON ELMO 1467 XXXX 9,000.00 Property damaged

Nov 30 16 ESTRELLON ELMO FX #4 70,000.00 XXXX Property damaged

February 9, 2016 ESTRELLON, ELMO XHV 749 XXXX XXXX Property damage

May 31 2015 EUSTAQUIO JOEL 1413 XXXX XXXX Property Damaged

Dec 29 2017 EUSTAQUIO JOEL 1441 XXXX XXXX Property damaged

Nov. 29 2015 EUSTAQUIO JOEL 1292 XXXX XXXX Property damaged

Sept 16 2016 FAGTANAN, REMY 4060 8,500.00 6,500.00 Property damaged

Sept 16 2016 FAGTANAN, REMY 4060 XXXX XXXX Property damaged

Sept 19 2016 FAGTANAN, REMY 1350 XXXX XXXX Property damaged

Nov 2016 FRANCISCO NORMAN URU 286 XXXX XXXX Property damage

Nov 282016 FRANCISCO NORMAN 5005 XXXX XXXX Property damage

Nov. 15 2016 FRANCISCO, NORMAN 5022 35,332.00 12,000.00 Property damaged

June 4 2016 GANDALUSAO ELIEZAR 1295 XXXX XXXX Property damaged

June 14 2016 GANDALUSAO ELIEZAR 5019 XXXX XXXX {roperty damaged

July 14 2016 GANDALUSAO, EM 5022 2,500.00 2,500.00 Property damaged


Oct 28 2016 GANDALUSAO, EM D5017 XXXX XXXX Property damaged

Dec 20 2016 GANDALUSAO, EM 5017 XXXX XXXX Property damaged

Aug 8 2016 GANDALUSAO,EM 2239 XXXX XXXX Tricycle

Sept 29 2016 GARBO ELIZALDO D5029 XXXX XXXX Property damaged

April 16 2015 GARBO, ELIZALDO 3250 18,760.49 14,000.00 Property Damaged

3-property damaged
5,000.00 XXXX
1.Vendor (ministand)
Jan. 02, 2016 GARBO, ELIZALDO 3224 5,000.00 XXXX
2. Honda City
5,000.00 XXXX
3.Steel door

July 19 2016 GARBO, ELIZALDO 5039 XXXX XXXX Property Damaged

Mar 15 2016 GUIMBAN REYGAN 1286 XXXX XXXX Property Damgaed

July 19 2017 GUIMBAN REYGAN 1286 XXXX XXXX Property damaged

Nov.17 2015 GUIMBAN REYGAN 1286 13,335.00 6,500.00 Property damaged

Jan 22 2016 GUIMBAN, REAGAN 1286 XXXX XXXX Property Damage

Mar 18 2016 INOPIA CEFERINO D3234 XXXX XXXX Property Damaged

Dec. 6 2015 INOPIA, CEFERINO 5270 8,900.00 5,500.00 Property damaged

Feb. 01 2016 INOPIA, CEFERINO 5055 XXXX XXXX Property damage

Sept 27 2016 INOPIA, CEFERINO 3244 XXXX XXXX Property damaged

May 18 2017 JANEA WILFRED D3208 XXXX XXXX Property damaged

June 16 2017 JANEA WILFREDO D3208 XXXX XXXX Property damaged

July 21 2015 JANEA, WILFREDO 3208 21,400.00 8,000.00 Property damage

Apr. 18 2016 LADISLA FRANKLIN 1267 11,500.00 7,000.00 Property Damaged

Main gate /concrete


Feb 16 2017 LADISLA FRANKLIN 5002 36,041.00 31,861.10
wall

June 13 2017 LADISLA FRANKLIN 1309 XXXX XXXX Property Damaged

Dec 19 2016 LADISLA FRANKLIN 5001 10,800.00 4,500.00 Property damaged


June 24 2015 LADISLA, FRANKLIN 1263 38,032.00 8,000.00 Part. Property damaged

Aug. 16 2015 LAINGAN SALAHODIN UCG 616 50,600.00 26,227.00 Property damaged

Jan 25 2017 LAINGAN SALAHODIN 1297 XXXX XXXX Property damaged

April 24 2017 LAINGAN SALAHODIN XXXX XXXX Property damaged

Oct. 28 2016 LUCERO, ROMELITO 3303 XXXX 287,500.15 6-B/I- Prop. Damaged

Oct. 12 2015 LUCERO, ROMILITO 5195 59,900.00 18,000.00 Property damaged

Dec 10 2016 LUCERO,ROMELITO 1336 56,780.00 30,485.00 Property damaged

May 18 2016 MALABANAN MICHAEL 1306 XXXX XXXX Property Damaged

June 3 2017 MALABANAN, MICHAEL 1306 18,000.00 XXXX Boom Barrier

March 29 2017 MALABANAN, MICHAEL 1306 8,000.00 3,500.00 Owned damaged

Nov 28 2016 MANSUETO ARNOLD D5042 XXXX XXXX Property damaged

Aug 17 2016 MANSUETO ARNOLD 1428 XXXX XXXX Property damaged

Sept 23 2016 MANSUETO ARNOLD 1428 26,000.00 7,000.00 Property damaged

Mar 4 2015 MATEN , JERICHO 5010 38,000.00 12,000.00 Railings

Mar 10 2016 MATEN JERICHO 1267 XXXX XXXX Property Damaged

Aug.12 2015 MATEN, JERICHO 5035 10,000.00 10,000.00 Property damaged

Aug. 25 2015 MIRANDA NARCELITO 1493 XXXX XXXX Property damaged

Mar 15 2016 MIRANDA NARCELITO D4240 XXXX XXXX Property Damgaed

Oct. 12 2015 MIRANDA, NARCELITO 6158 4,500.00 XXXX Property damaged

Apr 30 2015 MOTIL NESTOR 3399 45,000.00 10,000.00 Property Damaged

Sept 17 2015 MOTIL NESTOR 3399 XXXX XXXX Motorcycle

May 20 2016 MOTIL NESTOR 3399 XXXX XXXX Property Damaged


Nov 6 2016 MOTIL NESTOR 3399 25,800.00 12,000.00 Property Damaged

May 4 2016 OQUIAS ROLANDO 4093 27,356.01 20,000.00 Property Damaged

Feb 5 2017 OQUIAS ROLANDO 4093 9,300.00 5,500.00 Property Damaged

April 24 2017 OQUIAS,ROLANDO 4093 11,000.00 10,000.00 Property damaged

Aug 3 2015 OSABIL BONIFACIO 3703 XXXX XXXX Property damaged

July 2 2015 OSABIL, BONIFACIO 1396 6,800.00 5,500.00 Property damaged

Oct. 14 2015 OSABIL, BONIFACIO 1256 XXXX 89,000.00 Railings/ street lights

Aug 24 2016 PACKLING RESTY 5033 XXXX XXXX Property damaged

Mar 18 2016 PACKLING RESTY 4034 34,798.45 22,368.79 Property damage

Dec. 1 2015 PACKLING RESTY D5021 7,800.00 3,500.00 Motorcycle

Jan. 27 2016 PACKLING RESTY D5021 XXXX XXXX Property damage/

Exit post Planters


July 6 2015 PADAO, SOFRONIO d4025 10,000.00 10,000.00
bank

July 1 2015 PADAO, SOFRONIO D4025 XXXX XXXX Property Damaged

June 16 2015 PADAO, SOPRONIO D5022 XXXX 37,000.00 Property Damage

March 19 2017 PANESA RANDY 1291 5,000.00 5,000.00 Property damaged

May 10 2017 PANESA RANDY 1291 XXXX XXXX Property damaged

Feb 04 2016 PANESA RANDY 1282 XXXX XXXX Property damage

Jan 10 2017 PANESA RANDY 1291 16,920.00 10,020.00 Motorcycle

June 8 2015 PATRICIO, RODELIO D5034 61,563.00 3,000.00 Property Damaged

Sept 14 2016 PATRICIO, RODELO 5034 29,317.12 29,317.12 Property damaged

Nov 7 2016 PATRICIO,RODELIO D5034 XXXX XXXX Property Damaged

May 6 2016 PLANILLA, DENSEN 1295 6,000.00 1,500.00 Property Damaged


Jan 28 2017 PLANILLA, DENSON 1295 3,700.00 3,700.00 Motorcycle

Jan 04 2016 PLANILLA, DENSON 1295 10,700.00 6,000.00 Motorcycle

June 14 2015 PLANILLA,DENSON 1367 26,700.00 21,779.25 Property damaged

Jan 28 2015 PURA, NOEL D3269 XXXX XXXX Property Damaged

Apr 23 2015 PURA, NOEL D3293 58,391.20 53,177.07 Property Damaged

Oct. 03 2015 PURA, NOEL 5174 XXXX XXXX Property damaged

Apr 7 2016 QUITORIO,ALMERO 1259 XXXX XXXX Property damaged

May 6 2016 QUITORIO,ALMERO 1318 XXXX XXXX Property damaged

Aug 26 2016 QUITORIO,ALMERO 5000 130,557.00 129,498.24 Property damaged

July 7 2016 QUITORIO,ALMERO 5000 XXXX XXXX Property damaged

June 29 2015 RACHO, ROLANDO D5019 63,700.00 30,000.00 Property Damaged

Aug. 24 2015 RACHO, ROLANDO D5019 XXXX 13,000.00 B.I

Nov. 6 2015 RACHO, ROLANDO D5019 18,400.00 XXXXX Property damaged

Aug 17 2016 RAYO,ARMANDO 1459 17,500.00 11,600.00 Property damaged

Sept 17 2016 RAYO,ARMANDO 1459 XXXX XXXX Property damaged

Oct 8 2015 RAYO,ARMANDO 1459 73,336.90 4,050 part. Property damaged

Jan 21 2015 RECIDORO, JOCEL 1493 21,000.00 XXXX Property damaged

Jan 21 2016 RECIDORO, JOCEL 1493 16,800.00 3,810.00 Property DAMAGED

May 17 2017 RECIDORO, JOCEL 1423 XXXX XXXX Property damaged

Dec 2 2016 RECIDORO, JOEL 1423 XXXX XXXX Property Damaged

Oct 31 2016 RECIDORO,JOCEL 1423 33,273.23 29,945.07 Property daaged

July 11 2016 RESPICIO, NORMEL 5011 XXXX XXXX Hand railings


Sept 21 2016 RESPICIO, NORMEL 1379 12,972.00 11,000.00 RCBC properties

Sept 27 2016 RESPICIO, NORMEL 1497 XXXX 19,650.00 Aircon Holder

Jan 12 2015 RIVERA, ROBERT D3325 XXXX XXXX Property Damaged

Feb. 15 2016 RIVERA, ROBERT 1357 XXXX XXXX Property damage

Apr. 1 2016 RIVERA, ROBERT 3203 XXXX XXXX Property damage

Nov 6 2016 RIVERA, ROBERT 6114 XXXX XXXX Property Damaged

Oct 7 2016 RIVERA, ROBERT 3203 28,000.00 15,000.00 Property damaged

Aug. 7 2015 SAMBOG ARTHUR d5017 XXXX XXXX B.I

March 5, 2016 SAMBOG ARTHUR 1214 XXXX XXXX Property Damaged

April 4 2017 SAMBOG, ARTHUR 1257 XXXX 4,000.00 B.I

June 15 2016 SELGA SALVADOR 5241 31,962.21 27,132.90 Property Damaged

Oct 11 2016 SELGA SALVADOR D3284 XXXX XXXX Property damaged

Jan 26 2017 SELGA SALVADOR D3284 XXXX XXXX Property damaged

dec 7 2015 SENAJON GLECERIO 5266 51,500.00 4,075.00 Property damaged

Feb. 18 2016 SENAJON GLECERIO 1209 48,267.00 40,000.00 Property Damaged

Oct 13 2016 SENAJON, GLECERIO 1209 63,500.00 40,000.00 Property damaged

July 6 2017 SORIL JOEL 1221 36,700.00 XXXX Property damaged

Dec 8 2016 SORIL JOEL URU 288 XXXX XXXX Property damaged

March 23 2017 SORIL, JOEL RFG 164 XXXX XXXX Property damaged

Oct 6 2016 TACOLOD, RONNIE 4038 12,800.00 4,000.00 Property damaged

Mar 9 2015 TACOLOD, RONNIE D3278 6,000.00 3,000.00 B.I.

Feb 5 2017 TACULOD, RONNIE 4021 XXXX XXXX Property Damaged


March 15 2017 TACULOD, RONNIE 4038 XXXX XXXX Owned damaged

April 19 2017 TAGALOGIN REYNALDO 4078 XXXX XXXX Property damaged

Jan 9 2017 TAGALOGIN REYNALDO 5154 68,800.00 30,000.00 Property damaged

Jan 9 2017 TAGALOGIN REYNALDO 5154 54,000.00 30,000.00 Property damaged

Dec 31 2017 TOMAS, JOHN KELVIN 5239 8,000.00 5,791.74 Property damaged

Dec 22 2016 TOMAS, JOHN KELVIN UOF 134 13,500.00 8,500.00 Property damaged

Aug 12 2016 TOMAS, JOHN KEVIN 4033 XXXX XXXX Property damaged

Aug 19 2016 VALLER LEOMAR 3300 XXXX XXXX Property damaged

Oct 3 2016 VALLER LEOMAR D4028 4,000.00 2,500.00 Property damaged

Jan 6 2017 VALLER LEOMAR D4072 XXXX XXXX Property damaged

Jan 12 2017 VALLER LEOMAR 4072 XXXX XXXX Property damaged

June 30 2016 VERIDIANO, MICHAEL 3205 XXXX XXXX Property Damaged

Oct 29 2016 VERIDIANO, MICHAEL 4030 XXXX XXXX Property damaged

Aug 15 2016 VERIDIANO, MICHAEL FX2 XXXX XXXX Property damaged

Jan 25 2016 VIERNES, JOHN LLOYD 4034 XXXX XXXX Property damaged

Aug 5 2016 VIERNES, JOHN LLOYD 1390 8,000.00 5,500.00 Property damaged

Nov 22 2016 VIERNES, JOHN LLOYD 3324 XXXX XXXX Property Damaged

MAY 3 2016 ARTHUR VILLANUEVA 1289 XXXX XXXX Property damaged

May 12 2016 VILLANUEVA A. 1289 15,000.00 12,816.00 Property damaged

Aug 31 2016 VILLANUEVA, A 1390 61,635.00 21,000.00 Property damaged

April 6 2015 VILLANUEVA, DEXTER 5004 65,020.00 30,700.00 Property Damaged

Sept. 23 2015 VILLANUEVA,DEXTER 3270 XXXX XXXX Property damage


Oct. 17 2015 VILLANUWVA, DEXTER 3270 XXXX XXXX Property damaged

Sept 7 2015 YLAGAN ROMAR 4017 76,598.52 40,000.00 Property damaged

Sept 21 2016 YLAGAN ROMAR 4017 XXXX XXXX Property damaged

August 16, 2017 YLAGAN ROMAR 1227 294,952.30 XXXX Property Damaged

Jan 19 2017 YLAGAN, ROMAR 4017 59,900.00 39,299.74 Tricycle/B.I


IDENT REPORT

DAMAGED PART OF ACU LOCATION REMARKS V/A #

R-front bumper Paco Manila Participation only 1240

Front bumper Quirino Manila Lack of documents 1208

Front bumper Makati City SETTLED (NCR) 1211

R-front bumper Timog Ave. Q.Citry SETTLED (NCR) 1344

Front l-bumper Antipolo City No documents (NCR) 749

Fron r-bumper Greenhills San Juan SETTLED (NCR) 763

Front bumper Congressional Q.C. SETTLED (NCR) 1332

L-front bumper Magallanes Fly over Ssettled 1447

rear bumper Psbank N. Dominggo SETTLED (NCR) 1056

Front bumper Makati City SETTLED (NCR)

Rare bumper Paranaque SETTLED (NCR) 889

Front bumper Makati Ave. TP at fault (NCR) 910

Front bumper ATC Mall Alabang No documents 1351

V. mapa Infront of Lrdes


F-bumper SETTLED 1423
hosp
Brgy Dasmarinas Makati
Front bumper awaiting docs fr. TP 1786
city

Front bumper Bagong Tulay kalentong for approval 1780

Quirino cor. Mabini


R-side front door waiting for the LOA 1781
Manila

R-sront bumper Cainta rizal SETTLED (NCR) 1596

Front bumper Along Quezon Ave. Q.C. SETTLED (NCR) 1438


Front bumber Brgy Barangga lack of documents 1654

Front bumper Expresssway Bicutan awaiting docs 1245

R-front bumper V. Mapa Sta. Mesa SETTLED (NCR)

Rare r-bumper Walter Mart Bicutan SETTLED (NCR) 791

Front bumper Las Pinas SETTLED (NCR) 1609

L-front side acu Cavite City Awaiting docs 1690

Front bumper Dasma Cavite City requesting cash 1723

L-front bumper Macapagal Pasay No documents

R-rare bumper Along Q. Ave. Q,C. SETTLED (NCR) 1280

Frnt bumper Bicutan SETTLED (NCR) 733

Frpnt bumper Victoria court Edsa No documents 1543

R-side frnt bumper Sangangdaan caloocan Lack of documents 1657

R-front bumper Along V. Mapa Manila Waiting for Mssi report 1737

Newport Pasay City No documents (NCR) 873

Front bumper Santol cor. Aurora Mla. No documents (MCR) 894

L-front bumper Caloocan City SETTLED 1667

Front bumper Old Sta. Mesa No documents (NCR) 954

Front r-bumper Makaty City SETTLED (NCR) 971

Front r-bumper PSBank parking SETTLED (NCR) 926

Front bumper Bagong Barrio Cal. lack of documents 939

Front bumper Dleta Quezon Ave. Ins. Participation 1215

Front bumper Boni Ave. Mandaluyong SETTLED NCR 1286


No documents 1427

Front bumper Robinson East Admin SETTLED 1581

Front bumper Avis St. Pasig City under negotiation 1561

Front bumper BGC Taguig for processing 1562

Rare r- bumper Buendia Makati City SETTLED (NCR) 1015

L-front side Sedeno St Makati City awaiting docs. 1504

L-Frontbumper Malugay St Makati City under negotiation 1511

Front bumper Quezon City SETTLED (NCR0 1248

Awaiting for tp's


Rare bumper Makati City 1308
documets

L-front bumper Psbamk Head Office SETTLED (NCR) 1499


Police facilitaion
Front bumper Makati City SETTLED 1306
(NCR)
Pangasinan No documents 1018

L-front bumper Kalayaan St. Under Negotiation 1636

Front bumper Timog Ave. Quezon City SETTLED (NCR) 1376s

Rear bumper Port Bonifacio SETTLED 1503

Front bumper Roxas blvd Pasay insurance part. Only 1233

Front bumper Paco Manila SETTLED 1324

rear bumper Nissan North edsa SETTLED (NCR) 1525

Lack of documents
Front bumper Alabang 1549
(NCR)

Front bumper Meycuayan Bulacn Lack of documents 1021

Mdle part of ACU Commonwealth Q.C. No documents of TP 1442

Front bumper Makati City SETTLED (NCR) 1032


L-rear bumper V. Mapa Sta. Mesa No documents 1400

rear part of acu Metro Bsnk Pretil Bramch SETTLED 1555

Front r- bumper Manila SETTLED (NCR) 288

Front bumper Bagong Ilog Pasig Only medication (NCR) 942

Front Bumper Pasay City SETTLED (NCR) 1291

Rfront tire acu Hway hills Mandaluyong for investigation 1480

R-front door of ACU Quezon Ave. Q. City Lack of documents.. 1640

Front bumper JP Rizal Makati City SETTLED (NCR) 1084

Front bumper Minadanao ave. Exit under negotiatiion… 1575

TP at Fault ( Under
L-side body FX Imus Cavite 1213
Negotiation)

Pasig City Waiting for docs. (Ncr) 896

L-front bumper BGC Taguig City for review late reporting 1674

Front bumper Mercury Kalaw Lack of documents

L-rearwheel SETTLED (BCR) 1483

Front bumper Pioner Edsa for approval 1483

Front bumper mandaluyong City No documents 1486

No documents 1556

Front Bumper No documents 1569

Front bumper SanJuan City SETTLED 1556

Rare bumper Quirino Manila TP no documents 1350

rear bumper Mayon St manila no documents 1364

F-right bumper Psbank Amoranto SETTLED (NCR( 1407


Front L-side of armor Valero St. No documents 1536

R-front bumper SCTEX Waiting for tp's LOA 1616

Rfront bumper Laon Laan Maceda no documents TP at fault 1433

rear bumper Buendia makati Lack of documents 1506

SETTLED
Front bumper Cavite 847
(PAMPLONA)
reject the requqest amnt
of 5k
front bumper Binangonan, Rizal no documents 1166
no
documents
F-left bumper Dr. Flores St. Pasig City awaiting documents 1408

Front bumper NBI Taft Avenue no documents 1257

L-side body of acu N. Roxas q. city TP at fault 1882

Front bumper Felix Huertas Manila SETTLED (NCR)

Front bumper Legarda Manila under negotiation 1185

R-front bumper Makati City No documents (NCR) 1266

Front bumper Caloocan City SETTLED (NCR) 1136

Front bumper del monte Bulacan No estimation 1200

L-side body acu Kalayaan ave. Makati City TP at Fault 1496

No documents 1795

Lack of info/docs 1833

Front bumper PNB E. Rodrigues SETTLLED (NCR) 943

Commonwealth Q.C SETTLED (NCR) 1294

rear bumper of ACU MBTC Marikina Branch SETTLED 1758

East Ave. Quezon City


R-dr. side acu Lack of documents 1848
GMA

Front bumper Sumulong Marikina SETTLED (NCR) 1239


usibg tp insurance
Front bumper Mandawe Cebu 915
(DINAMPO)

Front l-bumper Paranaque City SETTLED (NCR) 952

Front Bumper Cuenca Batangas City SETTLED (NCR} 1660

Paseo road cor. Ayala ave.


R-fromt bumper No douments 1827
Makati city
6 patients still on going
Front bumper Slex Alabang Exit 1531
for medication
SETTLED
Front bumper Tanuan Batangas City 1077
(CAMARILLAS)
Repair at Sta. Mesa Base
Front bumper Batangas City 1600
(Settled)
Along C5, Bagong Ilog
Front bumper lack of documents 1342
Pasig City

Front L-bumper Ateneo School TP at Fault 1666

R-front bumper Gren Park Cainta SETTLED (NCR) 1746

Front bumper Edsa North Bound Lack of documents 1571

R-fron bumper Along Quirino Ave, Mla. No documents 1443

Front bumper Edsa Magallanes SETTLED 1492

Rare bumper Caloocan City SETTLED (NCR) 795

Lack of documents
Front bumper Quezon ave. Q.C. 1247
(NCR)

Rare bumper Pier Manila SETTLED (NCR) 974

Lack of documents
Front r- bumper Quirino Hiway Manila 994
(NCR)

R-front bumper Heroes hills Quezon City awaiting docs. 1256

Front bumper Cainta Rizal On process (NCR) 1096

Front bumper Pasig City SETTLED (NCR) 979

Front r-bumper SM Taytay Lack of documents 1041

REAR BNPER Bagong Ilog pasig Lack of documents 1343


Front bumper Guadalupe, Makati City SETTLED 1546

Infront of RCBC Quezon


Front bumper SETTLED (NCR) 1316
Ave.
MDC BROADWAY
Front bumper ALONG AURORA SETTLED 1656
BLVRD
Along commonwealth
R-front bumper SETTLED 1749
Q.City
Lack of documents
Front l- bumper Quezon ave. Q.C. 966
(NCR)

Front bumper Makati City SETTLED (NCR) 925

Front bumper Makati Ave. SETTLED (NCR) 1069

R-frnt side ACU Cubao Q,C. No documents 1454

Front bumper P. Tuazon Cubao Q.C. SETTLED (NCR) 1265

Rare bumper Manila SETTLED (NCR) 1124

Front bumper Manila Lack of documents 1197

Front bumper Makati City SETTELED (NRC) 1052

Lack of documents
Front bumper Makati City 924
(NCR)
SETTLED (NCR) repair
Front bumper Greenhills Manda. 901
at Sta. Mesa

rear bumper Rcbc H.Q SETTLED (ncr) 1718

Rear right side acu ECM Commonwealth ave. umder investigation 1789

R-fron bumper Tomas pinpin Manila Lack of documents 1203

Rear bumper Meralco Malabon Branch SETTLED (NCR} 1632

Used his own insurance


Front bumper Abad Santos manila 897
(only participation) NCR

Front bumper Psb Head office SETTLED 1479

Lack of documents
R-front side acu Malabon City 1558
(NCR)

Front bumper Bacood Manila SETTLED (NCR) 1321


rear bumper Aorora Blvrd. SETTLED (NCR) 1649

R-front bumper G. Araneta Q.C. SETTLED (NCR) 1167

Lack of documents
Front bumper Sm Aura Taguig 899
(NCR)
Paseo de Roxas Makati
Front bumper No docs. Of TP ? NCR 741
City

Rare l- bumper Sterling Bank Greenhills SETTLED (NCR) 842

Under negotiation
Rear bumper Hypertmart Las pinas
(NCR)

L-side body of ACU Kaliraya St. Q.C. for negotiation 1309

Fron bumper Celendra Market No documents 1326

Middle part of ACU Makati Ave. Makati City SETTLED (NCR) 1456

R-front bumper Boni Mandaluyong City No documents 1395

Front bumper E. Rod. Q.C. SETTLED (NCR) 918

Right side mirror Makati City SETTLED (NCR) 987

R-front bumper Sta. Ana Manila On processing 1099

SETTLE
L-front bumper Subic Zambales 1485
(CABAUATAN)

Front bumper Subic Zambales Awaiting docs. 1485

Front bumper Olongapo City using tp insurance 1078

Paranaque City Insurance Claim (NCR)

Front bumper Sucat road Paranaque SETTLED (NCR) 736

V. Mapa extensin near


rear bumper of acu TP at fault 1791
Petron

Front bumper Metrotech loading area No documents 1579

front bumper Pasig City SETTLED (NCR) 1539

Awaiting docs. Fr.


rear bumper Sterling Valenzuela Branch 1401
Agency
L-front bumper BGC parking lot SETTLED (NCR) 1440

R-front bumper Ortigas Ave. Pasig City awaiting docs. 1497

Lack of Documents
Front bumper Delpan Bridge Manila 734
(NCR)

L-front bumper Manila No estimation 1217

Front bumper Capitolyo Pasig City Awaiting docs 1273

Fort Bonifacio Taguig No documents 1545

BGC Fort Bonifacio


Rear r-bumper SETTLED (NCR) 1523
Taguig
Not claim ((R.
Front r-bumper Bulacan 973
CABAUATAN)

Front bumper Gilmor Ortigas awaiting docs 1241

R-front bumper Mabitak Laguna SETTLED 1739

Fromt Bumper Sm Bicutan SETTLED (NCR) 1366

L-front bumper Circle Quezon City No documents 1547

R-frontbumper Lack of documents 1647

Participation only INS.


Front bumper Mandawe Cebu City 1238
CLAIMS

R-front bumper Cebu City SETTLED (DINAMPO) 1222

SETTLRD
L-front side of zcu Cebu City 1552
(DINAMPO)

Front bumper Paranaque City

Front bumper Along ayala Makati No documents 1591

Front bumper Sgt. Rivera Bonifacio lack of documents 1714

R-front bumper PNB Zabarte branch SETTLED (NCR) 1519

Front r-bumper Araneta Q.C. SETTLED (NCR) 794

Front bumper Quezon Boulevard Manila awating docs 1665


waiting foratpi
Rear bumper Makati City 4006
estimation

R-front door Green part Cainta TP at fault 1746

Front bumber Brgy. Tambo Lipa City SETTLED (NCR) 1633

Front bumber Lipa City SETTLED (NCR) 1633

Front bumper Pateros Taguig SETTLED 1638

Front bumper Sucat Paranque SETTLED (NCR) 1638

Front bumper Pasig City Lack of documents 1437

Front bumper Pasig City lack of documents 1448

R-front bumper Lubirant Bacood Manila SETTLED (NCR) 1512

Front Bumper Eastwood Libis TP at fault 1625

Rear bumper Aurora edsa TP at fault 1641

Front bumper San Andress Manila incomplete docs 1382

Rear bumper Caloocan Monument circle awaiting docs from TP 4030

Front bumper along Kaliraya st. Q.C. TP at fault 1441

front bumper Guadalupe makati Lack of documents 1193

Front bumper ortigas ext. Taytay awaiting docs 1429

Front bumper PNB roxas Blvd Branch No documents 1584

MANUEL L QUEZON
AVE BRGY. SAN
Front bumper ON Processing 1835
GABRIEL TERESA
RIZAL

L-front bumper &th Ave. Taguig City SETTLED (NCR) 1330

Front bumper BGC Taguig City SETTLED (NCR) 1476

Reair at Sta. Mesa Base


Right door side Makati City 828
SETTLED (NCR)

Front bumper Shaw Blvrd Waiting for docs. 1034


Lack of documents
Front bumper Manila 1075
(NCR)

Front bumper Batangas City SETTLED (NCR) 1014

P. Burgos St. Batangas


Rfron bumper awaiting for more docs. 1508
City

Bagong Pook Lipa City On Process 1919

SETTLED
Front Bumper Cuemca Batangas 1644
(CAMARILLAS)