ELUSIA

JANUARY 2017
VEHICULAR ACCIDENT REP

Date of Unit Plate

Name of DG ESTIMATE TOTAL COST
Accident Number
Jan 4 2017 PAJAC FREDDIE 1455 PHP XXXXX PHP XXXXX

Jan 5 2017 ESTEBAN, ROY 1284 PHP XXXXX XXXXX

Jan 9 2017 TAGALOGIN,R 5154 PHP 68,800.00 PHP 30,000.00

Jan 24 2017 BUENCUCHILLO, J. 3211 PHP XXXXX PHP XXXXX

Jan 27 2017 DE GUIA LEE 5019 PHP 4,000.00 PHP 4,000.00

Jan 25 2017 BARAGO, MARCO 5065 PHP XXXXX PHP XXXXX

Jan 9 2017 TAGALOGIN,R 5154 PHP 54,000.00 PHP 30,000.00

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

TOTAL COST : PHP 126,800.00 PHP 64,000.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
FEBRUARY 2017
VEHICULAR ACCIDENT REP

Date of Unit Plate

Name of DG ESTIMATE TOTAL COST
Accident Number
Feb 15 2017 FERNANDEZ, B ZST 830 PHP 39,402.11 PHP 18,558.89
PHP PHP
PHP PHP
PHP PHP
PHP PHP
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 39,402.11 PHP 18,558.89

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
 MARCH 2017
VEHICULAR ACCIDENT REP

Date of Unit Plate

Name of DG ESTIMATE TOTAL COST
Accident Number
March 7 2017 VILLASIS, GARRY D4085 PHP XXXXX PHP XXXXX
March 13 2017 DAQUIL,SONNY 3273 PHP 3,500.00 PHP 3,500.00
March 21 2017 ALADO, MARIO 5273 PHP XXXXX PHP XXXXX
March 19 2017 HALLIG JUDIEL 1493 PHP XXXXX PHP XXXXX
March 31 2017 MARCO Bonago 5065 PHP xxxxx PHP XXXXX
March 31 2017 BALATAYO, FRANCIS 1379 PHP 6,000.00 PHP XXXXX
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 9,500.00 PHP 3,500.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
APRIL 2017
VEHICULAR ACCIDENT REP
 Date of Unit Plate
Name of DG ESTIMATE TOTAL COST
Accident Number
April 3 2017 SUBION MIGUEL PHP XXXXXX PHP XXXXXX
April 4 2017 SAMBOG, ARTHUR 1257 PHP XXXXXX PHP 4,000.00
April 19 2017 TAGALOGIN REYNALDO 4078 PHP XXXXXX PHP XXXXXX
April 12 2017 FELIPE GABBY 3305 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 4,000.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
MAY 2017
VEHICULAR ACCIDENT REP

Date of Unit Plate

Name of DG ESTIMATE TOTAL COST
Accident Number
May 5 2017 BALATAYO,FRANCIS 1314 PHP 22,745.23 PHP XXXXXX
May 5 2017 BALATAYO,FRANCIS 1314 PHP xxxxxx PHP XXXXXX
May 18 2017 JANEA WILFRED D3208 PHP XXXXXX PHP XXXXXX
May 17 2017 TORRES ALEXANDER 1495 PHP 76,950.23 PHP XXXXXX
May 27 2017 TAMPARONG AC 4089 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 99,695.46 PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
JUNE 2017
VEHICULAR ACCIDENT REP

Date of Unit Plate

Name of DG ESTIMATE TOTAL COST
Accident Number
June 12 2017 CABANGAL ROGER 5081 PHP XXXXX PHP XXXXX
June 16 2017 JANEA WILFREDO D3208 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
PHP PHP
TOTAL COST : PHP - PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
JULY 2017
VEHICULAR ACCIDENT REP

Date of Unit Plate

Name of DG ESTIMATE TOTAL COST
Accident Number
July 6 2017 E/G LUMBRE CHRISTIAN D5009 PHP 2,001.00 PHP XXXXX
July 17 2017 CASTRO LEOPOLDO 3217 PHP XXXXX PHP XXXXX
July 18 2017 MANCIA GLENLY D5019 PHP XXXXX PHP XXXXX
July 24 2017 VIERNES OLIVER T2 PHP XXXXX PHP XXXXX
July 31 2017 RAMOS EFREN 3364 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
TOTAL COST : PHP 2,001.00 PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
AUGUST 2017
VEHICULAR ACCIDENT REP

Date of Unit Plate

Name of DG ESTIMATE TOTAL COST
Accident Number
Aug 2 2017 MONTECENIA ROGELIO 1485 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
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
SEPTEMBER 2017
VEHICULAR ACCIDENT REP

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
OCTOBER 2017
VEHICULAR ACCIDENT REP

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
NOVEMBER 2017
VEHICULAR ACCIDENT REP

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ELUSIA
DECEMBER 2017
VEHICULAR ACCIDENT REP

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:
JHEN MAGPANTAY
Accident Coordinator
 ELUSIA
JANUARY 2017
LAR ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Property damaged Front bumber Along Edsa near Megamall Waitig for the LOA 1623

Property damaged L-side front door Tomas Morato cor. Sct. Lozano Lack of documents 1630

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

Motorcycle Front bumber Olivares Binan Laguna Awaiting docs. 1648

B.I Front bumber Pentagon Base SETTLED (NCR) 1653

Property damaged Front bumber Brgy Barangga lack of documents 1654

Property damaged Front bumber Lipa City SETTLED (NCR) 1633

62,800.00
 ELUSIA
FEBRUARY 2017
LAR ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Property damaged R-front bunper Makati Avenue SETTLED (NCR) 1668

20,843.22

ELUSIA
 MARCH 2017
LAR ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Owned damaged Rear bumper Faieview Quezon City TP at Fault 1693
Property damaged R-front bumper Sta. Ana Mesa Manila SETTLED 1708
Property damaged Front bumper Sucat srevice rpad Lack of documents 1713
Boom Barrier Rear bumper Rcbc H.Q. on process 1717
Property damaged Front bumper Marikina City No docs
Property damaged Front bumper Brgy Dasmarinas Makati city awaiting docs fr. TP 1786

6,000.00

ELUSIA
APRIL 2017
LAR ACCIDENT REPORT
 DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Property damaged Front bumper Santolan cor. Edsa waiting fo the estimation 1732
B.I R-front bumper Mabitak Laguna SETTLED 1739
Property damaged R-front door Green part Cainta TP at fault 1746
Property damaged Rear bumper alanga City Bataan On process 1747

(4,000.00)

ELUSIA
MAY 2017
LAR ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Property damaged Front bumper Bagong Tulay kalentong for approval 1780
 Property damaged R-side front door Quirino cor. Mabini Manila waiting for the LOA 1781
Property damaged No documents 1795
Property damaged L-front bumper Urban Ave. Makati City Under negotiation 1798
Property damaged Front bumper Calamba Laguna Lack of documents 1828

99,695.46

ELUSIA
JUNE 2017
LAR ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Property damaged L-side door of acu Near Ilumina Residence Sta. Mesa TP at fault 1822
Property damaged Lack of info/docs 1833
 -

ELUSIA
JULY 2017
LAR ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
B.I rear door of acu Naga City for approval 1859
Property damaged R-front bumper Along Makati Hosp Makati City Awaiting docs from TP 1873
Property damaged L-side front door Ayala Ave. Makati City Under investigationS 1877
Property damaged R-front bumper Masinag road Under investigationS 1888
Property damaged Front bumper Near MRT Santolan Q.City Under investigationS 1902
 2,001.00

ELUSIA
AUGUST 2017
LAR ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Property damaged Front bumper Quezon Ave West Tri No documents 1485
 -

ELUSIA
SEPTEMBER 2017
LAR ACCIDENT REPORT

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

ELUSIA
OCTOBER 2017
LAR ACCIDENT REPORT

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

-
 ELUSIA
NOVEMBER 2017
LAR ACCIDENT REPORT

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

-
 ELUSIA
DECEMBER 2017
LAR ACCIDENT REPORT

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

-
 MSSI
JANUARY 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
Jan 5 2017 PAGADUAN , J 6143 PHP XXXXX PHP XXXXX
Jan 13 2017 ERBITE, JOEL PHP XXXXX PHP XXXXX
Jan 26 2017 SELGA SLVADOR D3284 PHP XXXXX PHP XXXXX
Jan 28 2017 PLANILLA, DENSON 1295 PHP 3,700.00 PHP 3,700.00
Jan 28 2017 SEGUSMUNDO, E. D3257 PHP XXXXX PHP XXXXX
Jan 23 2017 BARING BENJIE 1435 PHP XXXXX PHP XXXXX
Jan 17 2017 NECESARIO RANDILL 3394 PHP 4,000.00 PHP 4,000.00
Jan 3 2017 TINDOY DANTE 5176 PHP 9,000.00 PHP 5,000.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP 16,700.00 PHP 12,700.00

NO. OF BODILY INJURY: 0

NO. OF DEATH : 0
NO. OF VEHICLES : 8
NO. OF MOTIRCYCLES : 0
TOTAL VEHICLES INVOLVED : 8

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
FEBRUARY 2017
 VEHICULAR ACCIDENT REPORT

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

Feb 5 2017 TACULOD, RONNIE 4021 PHP XXXXX PHP XXXXXX

Feb 4 2017 BUAYA JUVY 3394 PHP XXXXX PHP XXXXXX
Feb 5 2017 OQUIAS ROLANDO 4093 PHP 9,300 PHP 5,500.00
Feb 7 2016 BORAGAY LORETO 4030 PHP 58,562.84 PHP 5,000.00
Feb 28 2017 BABOR PAQUITO D3314 PHP 23,460.00 PHP 21,114.00
Feb 16 2017 LADISLA FRANKLIN 5002 PHP 36,041.00 PHP 31,861.10
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 127,363.84 PHP 63,475.10

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
MARCH 2017
VEHICULAR ACCIDENT REPORT
 Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
March 3 2017 ARAS PAUL 1472 PHP 5,000.00 PHP 5,000.00
March 5 2017 TALIBUGUEN,R. 1367 PHP XXXX PHP XXXXX
March 14 2017 XXXX XXXXX
SALAZAR, ISAIS 1448 PHP PHP
March 15 2017 7,500.00 7,000.00
DE LEON,, JOSELITO 1428 PHP PHP
March 15 2017 XXXXX XXXXX
TACULOD, RONNIE 4038 PHP PHP
March 23 2017 xxxxxxx xxxxxx
SORIL, JOEL RFG 164 PHP PHP
March 21 207 xxxxxxx XXXXXX
BATIS JIMMY 4079 PHP PHP
March 30 2017 XXXXX XXXXX
RAZOS MELVINOR D 5013 PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 12,500.00 PHP 12,000.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
APRIL 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
April 2 2017 SALAZAR ISAIAS 1408 PHP 8,888.00 1q2 7,999.00
 April 5 2017 BUAYA JUVY 3394 PHP XXXXX PHP XXXXX
April 24 2017 OQUIAS,ROLANDO 4093 PHP 11,000.00 PHP 10,000.00
April 26 2017 ROCKY MAGORA 3352 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
TOTAL COST : PHP 19,888.00 PHP 17,999.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
MAY 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
May 2 2017 CALCILLAR JHONREX 1347 PHP XXXXXX PHP XXXXXX
May 11 2017 LLAGUNO HARLEY 3202 PHP 22,545.12 PHP 20,115.30
May 102017 SUAREZ NESTOR 1383 PHP XXXXXX PHP XXXXXX
May 10 2017 MACASARTE,FERDINAND 1493 PHP 20,000.00 PHP 20,000.00
May 24 2017 CALAYO JOEL 4007 PHP 20,000.00 PHP 20,000.00
 May 31 2017 GULBE ISABELITO 3289 PHP 5,000.00 PHP 5,000.00
May 29 2017 LUMANTAO, ROLDAN 1333 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 67,545.12 PHP 65,115.30

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
JUNE 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
June 7 2017 ECUBAN, STEPHEN D5045 PHP XXXXXX PHP XXXXXX
June 6 2017 TION DONALD 5232 PHP XXXXXX PHP XXXXXX
June 42017 PITOY RIZAL 1282 PHP XXXXXX PHP XXXXXX
June 16 2017 MACASLING ROMULO 1284 PHP XXXXXX PHP XXXXXX
June 17 2017 RIZAL PITOY 1282 PHP XXXXXX PHP XXXXXX
June 18 2017 MALLARI JOSE 3397 PHP XXXXXX PHP XXXXXX
June 29 2017 BARCELLANO, RAMON D3327 PHP XXXXXX PHP XXXXXX
June 30 2017 E/G GALISON DARWIN 3280 PHP XXXXXX PHP XXXXXX
June 19 2017 QUINO DARWIN 3210 PHP XXXXXX PHP XXXXXX
 PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
JULY 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
July 4 2017 ESCULTOR LEONEDIS 3272 PHP XXXXXX PHP XXXXX
July 6 2017 SORIL JOEL 1221 PHP 36,700.00 PHP XXXXX
July 19 2017 GUIMBAN REYGAN 1286 PHP XXXXXX PHP XXXXX
July 28 2017 CAGANDA DOMINCITO D3280 PHP XXXXXX PHP XXXXX
July 14 2017 BAISA, DIAMANTE AAH 8807 PHP 17,000.00 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
TOTAL COST : PHP 53,700.00 PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
AUGUST 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
Aug 4 2017 SARIO NOEL 3255 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
PHP PHP
PHP PHP
 TOTAL COST : PHP - PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
SEPTEMBER 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
OCTOBER 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

MSSI
NOVEMBER 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:
JHEN MAGPANTAY
Accident Coordinator

MSSI
DECEMBER 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged R-front bumper PNB Intramuros
Property damaged R-front door of ACU Quezon Ave. Q. City
Property damaged R-frontbumper
Motorcycle rear bumper Aorora Blvrd.
Property damaged rear bumper Lawton ave. Mla.
Property damaged Front bumper SRP bridge Cebu City
Property damaged Front bumper Land Bank Toledo Bramch
Property damaged R-front bumper Maasim City

4,000.00
EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property Damaged Front bumper Quezon Boulevard Manila

Property Damaged R-side frnt bumper Sangangdaan caloocan
Property Damaged Front bumper MDC BROADWAY ALONG AURORA
Property Damaged L-front acu Market market
Property Damaged R-front bumper Dumaguete
Main gate /concrete wall rear bumper of ACU MBTC Marikina Branch

63,888.74

EPORT
 DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged Front bumper CDO
Property damaged Rear bumper along SM centerpoint
Property damaged Front bumper wack wack mandaluyong
Property damaged Front bumper Aguinaldo hiway Bacoor
Owned damaged Rear bumper Makati City
Property damaged Front bumper Sgt. Rivera Bonifacio
Property damaged Front bumper BF homes Pque
Property damaged Front bumper Cagayan Valley

500.00

EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property Damaged R-side body Along SM North
 Property damaged R-front bumper Along V. Mapa Manila
Property damaged R-front bumper Along commonwealth Q.City
Property Damaged Front bumper Tondo Manila

1,889.00

EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged L-front door Balara Commonwealth
Property damaged Rear bumper of acu Vigan Ilocos Sur
Property damaged Front bumper Earnshaw St. Sampaloc Manila
Boom Barrier Front bumper Paseo Central Parking Makati City
B.I/Motorcycle L-front bumper Naga, Camarines Sur
 B.I/Motorcycle Front bumper Cebu City
Own damaged Whole part/body Lanao Del Norte

2,429.82

EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged Front bumper Bantayan Province Cebu City
Property damaged Front bumper Lankaan Dasmarinas Cavite
Property damaged R-front bumper Brgy. Old Sta. Nesa Manila
Property damaged Front bumper Along c5 Taguig City
Property damaged Front bumper MDC Retiro Q. City
Property damaged L-front bumper Megamall
Property damaged R-front bumper Megamall Annec B
Property damaged L-front door Sterling bank H.Q.
Property damaged L-front door Lapu lapu Cebu City
 -

EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged Front bumper Borbon Oslob Cebu City
Property damaged Front bumper Paranaque City
Property damaged L-side body of acu N. Roxas q. city
Property damaged R-front bumper Sterlig bank H.Q
Property damaged Front bumper ATI Batangas City
 53,700.00

EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
Property damaged R-front bumper Calamba Laguna
 -

EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
EPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

-
 REMARKS V/A #

Waiting for the estimation 1624

Lack of documents.. 1640
Lack of documents 1647
SETTLED (NCR) 1649
TP at Fault 1651
for review 1653
SETTLED 1658
SETTLED 1675
 REMARKS V/A #

awating docs 1665

Lack of documents 1657
SETTLED 1656
Ins. Part. Only 1682
SETTLED 1698
SETTLED 1758
 REMARKS V/A #

SETTLED ( R. ALISOSO) 1689

TP at FAULT 1699
lack of docs 1703
SETTLED ( R. ALISOSO) 1709
waiting foratpi estimation 4006
lack of documents 1714
Awaiting docs 1725
For investigation 1729

REMARKS V/A #

SETTLED 1731
Waiting for Mssi report 1737
SETTLED 1749
awaiting docs 1753

REMARKS V/A #

Awaiting docs fron the TP 1755

SETTLED (Vigan City) 1783
Awaiting docs fron the TP 1784
SETTLED (NCR) 1787
Initial payment for medication 1797
SETTLED (dinampo) 1804
dg Lumantao is now confined at the hospita 1805

REMARKS V/A #

Awaiting docs 1807

Waiting for TP's LOA 1810
Waiting for the estimation 1811
Awaiting docs fron TP 1832
Awaiting docs fr. TP 1834
under negotiation 1840
canvassing parts Bumper) 1852
Waiting for the documents/ 1855
lack of documents 1856
 REMARKS V/A #

Awaiting docs 1857

TP at fault 1882
waiating for the estimation 1893
for approval (ATI) 1901
 REMARKS V/A #

lack of documnts 1900

REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
 RMSSC
JANUARY 2017
VEHICULAR ACCIDENT REPORT

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

Jan 10 2017 MOLINA, EDWIN 1284 PHP 65,800.00 PHP 2,000.00

Jan 10 2017 GERONA, RIZALDY 5190 PHP 18,000.00 PHP 18,000.00
Jan 13 2017 DEOCALES,WENDILL 5034 PHP 8,600.00 PHP XXXXX
Jan 30 20170 OLAGUERA, VICENTE 1433 PHP 8,500.00 PHP 5,000.00
Jan 37 20417 ROSENDO FIDELINO 5072 PHP 12,000.00 PHP 6,500.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 112,900.00 PHP 31,500.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
 FEBRUARY 2017
VEHICULAR ACCIDENT REPORT

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

Feb 8 2017 CANDIDIER, DANDY 1372 PHP 9,000.00 PHP 7,000.00

Feb 8 2017 SARAOS FRANDIE 4,025.00 PHP 26,900.00 PHP 23,294.00
Feb 15 2017 RIVERA GLENN 1488 PHP XXXXX PHP XXXXX
Feb 15 2017 EBALIDA ALFREDO D3229 PHP 18,481.00 PHP 4,100.00
Feb 17 2017 BAUTRO MARIANITO 5150 PHP 12,000.00 PHP 4,500.00
Feb 18 2017 FLORES JOEL 5072 PHP XXXXX PHP XXXXX
Feb 24 2017 DELOS ANGELES, M. 5001 PHP 13,700.00 PHP 7,000.00
Feb 28 2017 RATIENZA RICKY JAY XTK 894 PHP XXXXX PHP XXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP 80,081.00 PHP 45,894.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
MARCH 2017
 VEHICULAR ACCIDENT REPORT

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

March 2 2017 XXXXX XXXXX

DE RAMOS BEN 1242 PHP PHP
March 9 2017 26,800.00 15,000.00
EBALIDA, ALFREDO 1347 PHP PHP
March 3 2017 XXXXX XXXXX
MOSMET SALDIE 1329 PHP PHP
March 08 201 XXXXX XXXXX
FAELDON ROMMEL 4006 PHP PHP
March 18 2017 19,000.00 4,840.00
FAELDON ROMMEL 1477 PHP PHP
March 24 2017 52,906.00 47,605.00
FAELDON ROMMEL 1403 PHP PHP
March 25 2017 10,000.00 8,000..00
BORROMEO, WILL 3292 PHP PHP
March 29 2017 XXXXX XXXXX
CODILLA ORLANDO D5029 PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP

TOTAL COST : PHP 108,706.00 PHP 67,445.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
APRIL 2017
VEHICULAR ACCIDENT REPORT
 Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number

April 4 2017 ARNALDO DANIEL 4070 PHP xxxxxx PHP xxxxxx

April 3 2017 SARREAL, ELMER D3209 PHP 12,432.00 PHP 11,188.20
April 17 2017 GAMET RICHARD D4089 PHP 80,789.23 PHP 13,000.00
April 18 2017 ISIDRO RONNIE d5023 PHP xxxxxx PHP xxxxxx
April 24 2017 CHARLIE QUILLAN 4006 PHP xxxxxx PHP xxxxxx
April 28 2017 CANDIDIER DANDY 1303 PHP xxxxxx PHP xxxxxx
April 12 2017 FELIPE GABBY 3305 PHP 38,072.30 PHP 32,446.56
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 131,293.53 PHP 56,634.76

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
MAY 2017
VEHICULAR ACCIDENT REPORT
 Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number

May 5 201 MORALES 4032 PHP XXXXXX PHP XXXXX

May 10 2017 QUILON, CHARLIE 4060 PHP XXXXXX PHP XXXXX
May 18 2017 LAGUNDI RECXY D4059 PHP XXXXXX PHP XXXXX
May 16 2017 BORROMEO, WC XTC 574 PHP XXXXXX PHP XXXXX
May 23 2017 PILISAN JULIUS 1248 PHP XXXXXX PHP XXXXX
May 26 2017 DE LOS SANTOS JC 4006 PHP XXXXXX PHP XXXXX
May 30 2017 ARNALDO DANIEL 4071 PHP XXXXXX PHP XXXXX
May 29 2017 CANDIDO M. ANTHONY 3229 PHP XXXXXX PHP XXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
JUNE 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
 June 7 2017 ABONALES JOHNNY 4042 PHP XXXXXX PHP XXXXXX
June 7 2017 MENARDO DUCOS 5158 PHP XXXXXX PHP XXXXXX
June 7 2017 MARBAS JEFFREY D3210 PHP XXXXXX PHP XXXXXX
June 6 2017 MAPUTE ROGELIO 1413 PHP XXXXXX PHP XXXXXX
June 9 2017 REGIE ASIA 4027 PHP XXXXXX PHP XXXXXX
June 7 2017 FETARGUE PERGLENDO 1300 PHP XXXXXX PHP XXXXXX
June 15 2017 DEOCALES WENDILL 5034 PHP XXXXXX PHP XXXXXX
June 10 2017 BULAO JOSE 5120 PHP 38,281.00 PHP 34,922.19
June 14 2017 MIGUEL RAYMONG 1403 PHP XXXXXX PHP XXXXXX
June 15 2017 FAELDON ROMMEL 5091 PHP XXXXXX PHP XXXXXX
June 15 2017 DEOCALES WENDILL 5034 PHP XXXXXX PHP XXXXXX
June 22 2017 AYCO HANS d5025 PHP XXXXXX PHP XXXXXX
June 25 2017 CARMONA AENRIQUE D3222 PHP XXXXXX PHP 266,543
June 7 2017 CAVITE RAMIL 5115 PHP XXXXXX PHP XXXXXX
June 19 2017 LOVERO, SUNNY 1483 PHP 8,500.00 PHP `
June 27 2017 BORROMEO, WC XTC 574 PHP XXXXXX PHP XXXXXX
PHP PHP
TOTAL COST : PHP 46,781.00 PHP 301,465.37

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
JULY 2017
VEHICULAR ACCIDENT REPORT

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

July 5 2017 TALOSA DARWIN D5030 PHP XXXXX PHP XXXXX

July 4 2017 SANTOS ALFREDO 1298 PHP XXXXX PHP XXXXX
July 10 2017 MARBAS JEOFRY D3210 PHP XXXXX PHP XXXXX
 July 7 2017 DELA PENA MARVIN 1260 PHP XXXXX PHP XXXXX
July 5 2017 GARBO ELIZARDO 6111 PHP XXXXX PHP XXXXX
July 13 2017 CARMONA, D RES. #8 PHP XXXXX PHP XXXXX
July 14 2017 RONQUILLO, EDEN 1221 PHP XXXXX PHP XXXXX
July 22 2017 GARCIA ALBERT 1327 PHP XXXXX PHP XXXXX
July 19 2017 MATEN JERICO D4076 PHP XXXXX PHP XXXXX
July 21 2017 CARMONA, D. D4050 PHP XXXXX PHP XXXXX
July 24 2017 LUCERO ROFINO 5112 PHP XXXXX PHP 6,000.00
July 24 2017 CARBONAY MICHAEL wng 123 PHP XXXXX PHP XXXXX
July 30 2017 DAVID DANIEL 4086 PHP XXXXX PHP XXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP
6,000.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
AUGUST 2017
VEHICULAR ACCIDENT REPORT

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

Aug. 2 2017 PAIT ENGIE 3291 PHP XXXXXX PHP XXXXX

Aug 5 2017 BULAO JOSE 4092 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
TOTAL COST : PHP - PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
SEPTEMBER 2017
VEHICULAR ACCIDENT REPORT

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

-

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
OCTOBER 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
NOVEMBER 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

RMSSC
DECEMBER 2017
VEHICULAR ACCIDENT REPORT

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

Jan 10 2017 MOLINA EDWIN 1284 PHP XXXX 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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged Front bumper Shelll Station Macapagal Paranaque

Property damaged Front bumper Cardinal Santos Medical Center
Property damaged R-front bumper Mabalacat Baliwag Bulacan
Property damaged Front bumper Sucat Paranaque
Property damaged R-front bumper Alabang

81,400.00
REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Prperty Damage Front Bumper Anonas Quezon City

Prperty Damage Front Bumper Narvacan Ilocos Sur
Prperty Damage Old Panaderos Ext.
Prperty Damage R-front bumper Along Sm San Mateo
Motorcycle Front bumper Along araneta Ave. Bayani road
Prperty Damage Rear bumper Along quezon ave. Brgy Isidro
Prperty Damage R-side body of ACU Edsa Fly over
Prperty Damage Front Bumper Along aAguinaldo Hiway Csavite

34,187.00
REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Owned damage frony bumper Araneta Ave.

Property damaged R-front bumper Roosebelt
Property damaged L-front bumper MakatiCity

Motorcycle Rear bumper Taguig City

Property damaged Front bumber Sm Manila
Property damaged Front bumper Makaati City
Property damaged R-rear bumber Quirino Ave. Zamora

41,261.00

REPORT
 DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged R-rear bumper Roxas blvd. cor Zamora

Property damaged Rear bumper Roosebelt PNB branch
Property damaged Front bumper Pulilan Bulacan
Property damaged L-side body of acu Along Mc hiway Valenzuela
Property damaged Front bumper Villamor road
Property damaged Front bumper Binangonan Rizal
Property damaged Front bumper Balanga City Bataan

74,658.77

REPORT
 DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Proprty damaged Sct Borromeo Q.C

Proprty damaged Jupiter St. Cor Paseo de roxas Makati
Proprty damaged R-front bumper of acu Tuguegarao Cagayan
Proprty damaged Ayala Makati City
Proprty damaged Rear bumper of Acu Along F Manalo St.
Proprty damaged Rear bumper of Acu Quezon City Circle
Proprty damaged Front bumper PAL gate 1 parking PNTC
Proprty damaged Front bumper

REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU
 Property damaged Front bumper Zaote road cor. BF homes
Owned damaged rear bumper of acu Along National raod Candelaria Zambales
Property damaged Front bumper
Property damaged Kalayaan ave. Q.City
Property damaged R-front bumper Along Osmenia HiwayZobel Roxas St. Ma
Property damaged Pioneer St.
Property damaged Front bumper Malolos Bulacan
Property damaged Front bumper Manila
Property damaged R-front bumper
Property damaged R-side mirror Meralco ave. Ortigas
Property damaged Front bumper Palridel Bulacan
Property damaged Front bumper Along Quezon Ave. Heroes Hills
Motorcycle//B.I Front bumper Brgy. Sta. Ignacia Camiling Tarlac
Property damaged Front bumper Agunaldo Highway Dasmarinas Cavite
Railings P. de leon St. Valenzuela
Property damaged Lfront bumper V. Mapa Sta Mesa Manil

(254,684.37)

REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged R-front bumper Edsa Mgallanes

Property damaged frpmt bomper Santo;an Cor. Edsa
Property damaged frpmt bomper kalayaan
 Property damaged frpmt bomper along c5 south bound brgy. Pineda
Property damaged R-front bumper Sta. Ana Manila
Property damaged L-rear bumper Along san Juan bridge cor. Pinaglabanan
Property damaged frpmt bomper Along CM Recto Manila
Motorcycle/B.I frpmt bomper Capas Tarlac City
Property damaged R-front bumper Commonwealth ave. cor. Mindanao ave.
Property damaged R-side door acu Coher parking area
Property damaged frpmt bomper Olongapo City
Property damaged J.P. Rizal Marikina
Property damaged Front bumper Walter mart Plridel Bulacan

(6,000.00)

REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged Front bumper Aguinaldo highway Imus Cavite

Property damaged L-front door Monumento circle calookan
 -

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
 -

REPORT

DAMAGED PART OF
NATURE OF CLAIM LOCATION
ACU

Property damaged Front bumper Shell station Macapagal Ave. Paranaque

-
 REMARKS V/A #

Participation only 1631

SETTLED 1635
Waiting for ATD 1637
SETTLED 1659
SETTLED 1677
 REMARKS V/A #

No documents 1662
On process 1671
Lack of documents 1672
SETTLED 1673
SETTLED 1676
lack of documents 1677
SETTLED (NCR) 1683
Awaiting docs.. 1685
 REMARKS V/A #

awaiting docs.. 1692

Repair at Sta. Mesa Base Settled 1701
No documents 1704
1711
SETTLED 1712
SETTLED 1721
SETTLED 1734
for investigation 1726
 REMARKS V/A #

for investigation 1735

SETTLED 1736
SETTLTD (PAMPANGGA) 1742
Awaiting docs/police report 1744
No docs. 1752
Lack of docs 1754
SETTLED 1747
 REMARKS V/A #

for investigation 1756

for investigation 1785
lack of documents 1792
for investigation 1794
TP at Fault
TP at Fault 1799
lack of documents 1803
Awaiting docs fr. TP 1806

REMARKS V/A #
Awaiting docs 1813
TP at Fault 1815
No documents 1818
Awaiting docs 1820
Repairing at Sta. Mesa Base 1821
No docs. 1823
Awaiting docs 1825
SETTLED (NCR) 1826
No documents 1830
lack of documents 1831
Awaiting docs from TP 1835
repairing at Base 6 1841
hospitalization/medications 1842
Awaiting docs. 1844
Not reported 1861
lack of documents 1863

REMARKS V/A #

Awaiting docs 1860

awaiting docs 1862
for investigtion 1864
Awaiting docs 1865
TAR only 1866
TAR only 1867
Jitney repair at base 6 with quitclaim 1868
waiting for documents/ 1879
Lack of documents 1881
Awaiting docs 1884
initial payment medication 1885
No documents 1889
Waiting for the estimation 1897

REMARKS V/A #

under negotiation 1900

On process 1907
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
 REMARKS V/A #

Awaiting more docs 1631

 ASCOTT
JANUARY 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM
Jan 6 2017 VALLER LEOMAR D4072 PHP xxxxx PHP xxxxxx Property damaged
Jan 6 2017 FRESHNIDO PAUL 1294 PHP xxxxx PHP xxxxxx Property damaged
Jan 10 2017 PANESA,RM 1291 PHP 16,920.00 PHP 10,020.00 Motorcycle
Jan 12 2017 VALLER LEOMAR 4072 PHP xxxxx PHP xxxxxx Property damaged
Jan 16 2017 LOMOCSO, V. 1433 PHP xxxxx PHP xxxxxx Property damaged
Jan 19 2017 YLAGAN, ROMAR 4017 PHP 59,900.00 PHP 39,299.74 Tricycle/B.I
Jan 19 2017 CALMA, M.A. 5040 PHP 5,710.71 PHP xxxxxx Asphalt pavement
Jan 27 2017 LEE, DE GUIA 1405 PHP 4,000.00 PHP 4,000.00 B.I
Jan 25 2017 LAINGAN SALAMODIN 1297 PHP xxxxx PHP xxxxxx Property damaged
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 86,530.71 PHP ### 33,210.97

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
FEBRUARY 2017
 VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM
Feb 3 2017 BADE3O, HENRY D5021 PHP XXXXX PHP XXXXX Property Damaged
Feb 10 2017 DAIGDIGAN, ROGER 1294 PHP XXXXX PHP XXXXX Property Damaged
Feb 10 2017 SANCHEZ FRANCISCO D5034 PHP 3,000.00 PHP 3,000.00 Property Damaged
Feb 24 2017 BUAYA, JUVY 3394 PHP 24,000.00 PHP 4,000.00 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
PHP PHP
TOTAL COST : PHP 27,000.00 PHP 7,000.00 20,000.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
MARCH 2017
VEHICULAR ACCIDENT REPORT
 Date of Unit Plate NATURE OF
Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM
March 2 BAUTISTA, JEROME 4081 PHP XXXXX PHP XXXXX Property damaged
2017
March 2 2017 XXXXX XXXXX
DE LATORRE,J D3325 PHP PHP Owned damaged
March 4 2017 XXXXX XXXXX
GUEVARRA, ARNOLD D3325 PHP PHP Property damaged
March 17 2017 MABANAG RUDYMAN 82,198.23 64,576.96
5018 PHP PHP Property damaged
March 19 2017 5,000.00 5,000.00
PANESA RANDY 1291 PHP PHP Property damaged
March 30 2017 XXXXXXXX XXXXX
BAUTISTA, JEROME 4087 PHP PHP Motorcycle/B>I
March 18 2017 XXXXX XXXXX
TUMAGCAO, JUN-JUN 3211 PHP PHP Property damaged
March 2 2017 10,400 9,000.00
MARANAN ALI 4071 PHP PHP Property damaged
March 29 2017 MALABANAN, MICHAEL 1306 PHP 8,000.00 PHP 3,500.00 Owned damaged
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 105,598.23 PHP ### 23,521.27

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
APRIL 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM
April 24 CHARLIE QUILLAN 4006 PHP XXXXX PHP XXXXX Property damaged
201724
April XXXXX XXXXX Property damaged
LAINGAN SELAJODIN PHP PHP
2017
 April 29 CACHUELA , REYNAN 1308 PHP 16,000.00 PHP 10,000.00 Property damaged
2017
PHP PHP
PHP PHP
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 16,000.00 PHP ### 6,000.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
MAY 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM
May 10 PANESA RANDY 1291 PHP XXXXX PHP XXXXX Property damaged
201715
May 11,900.00 7,000.00 Property damaged
ARANGAT JOSELITO 4007 PHP PHP
201726
May TAPET, JERWIN 1227 PHP PHP 2 Property damaged
2017 3,500.00
PHP PHP 1. PUJ jitney
PHP 176,000.00 PHP 2. Hyundai eon
May 05 HERGIN JENRICH 1466 PHP 9,500.00 PHP 8,000.00 Property damaged
2017
 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 200,900.00 PHP ### 185,900.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
JUNE 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM
June 5 2017 HERGIN JENRICH PHP XXXXX PHP XXXX Property Damaged
June 20 FALCONORY ELICANA 3304 PHP XXXXX PHP XXXX Property Damaged
201720
June XXXXX XXXX
CALVARIO JOVEN PMR 547 PHP PHP Property Damaged
201722
June XXXXX XXXX
BAUTISTA ALBERT D5034 PHP PHP Property Damaged
021712
June XXXXX XXXX
CAGO ARNEL D5034 PHP PHP Main Gate Psbank
201713
June XXXXX XXXX
LADISLA FRANKLIN 1309 PHP PHP Property Damaged
201728
June XXXXX XXXX
TOME JEOFFREY 3385 PHP PHP Property Damaged
2017
PHP PHP
PHP PHP
PHP PHP
 PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP - -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
JULY 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM

July 18 2017 XXXXX XXXXX

BINAYA AB D5043 PHP PHP Property damaged
July 20 2017 XXXXX XXXXX
VACAL JERICHO CARL D5039 PHP PHP 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
PHP PHP
TOTAL COST : PHP - PHP - -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
AUGUST 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
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 - -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
SEPTEMBER 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
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 - -
NO. OF BODILY INJURY:
NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
OCTOBER 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
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 - -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
NOVEMBER 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM

PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
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 - -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

ASCOTT
DECEMBER 2017
VEHICULAR ACCIDENT REPORT

Date of Unit Plate NATURE OF

Name of DG ESTIMATE TOTAL COST
Accident Number CLAIM

PHP PHP

PHP PHP

PHP PHP

PHP PHP

PHP PHP

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 - -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
RT

DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
Front Bumper Eastwood Libis TP at fault 1625
R-front bumper Pasong Tamo Makati Awaiting docs 1627
Rear bumper Meralco Malabon Branch SETTLED (NCR} 1632
Rear bumper Aurora edsa TP at fault 1641
Front Bumper West Zamora Pandacan for review 1649
Front Bumper Cuemca Batangas SETTLED (CAMARILLAS) 1644
Muffler of ACU Tarlac Sctex on process 1645
Front Bumper Pentagon Base SETTLED (NCR} 1653
Front Bumper Cuenca Batangas City SETTLED (NCR} 1660
RT

DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
front bumper Along Araneta Ave. Lack of documents 1655
R-frontside ACU Lack of documents 1663
front bumper Navotas SETTLED (ncr) 1679
L-front bumper Caloocan City SETTLED 1667

RT
 DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
L-front side acu Cavite City Awaiting docs 1690
rear bumper Araneta Ave. TP at Fault 1694
Front bumper Commonwealth Fairview Lack of documents 1695
L-front bumper Araneta avenue SETTLED 1707
SETTLED (ncr)
rear bumper Rcbc H.Q 1718
Front bumper Dasma Cavite City requesting cash 1723
Front bumper Filinvest Alabang Lack of documents 1738
Front bumper Bolbok Batamgas City SETTLED 1691
R-front bumper Gren Park Cainta SETTLED (NCR) 1746

RT

DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
front bumper Villamor road Lack of docs. (TP) 1752
R-fromt bumper Paseo road cor. Ayala ave. MakatNo douments 1827
 front bumper Market market mall BGC TaguigSETTLED (NCR) 1759

RT

DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
Rear right side acECM Commonwealth ave. umder investigation 1789
front bumper Del pilar St Bragy 4 Alaminos SETTLED (Laguna) 1793
operty damaged 1800
front bumper Tambo Lipa City Batangas under negotiation
front bumper Tambo Lipa City Batangas Under Neegotiation
front bumper Edsa Buendia SETTLED (ncr) 1817
RT

DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
Front bumper Edsa Cor. Makati City Lack of documents 1812
Front bumper Tabora Divisoria Manila TAR onlr 1838
R-front door Car park Pnb Makati Lack of documents 1839
R-frnt dr. acu Paseo de Roxas Makati City under investigation by agency 1845
Front bumper Psbank Parking Area Makati Citwaiting for the estimation 1846
R-dr. side acu East Ave. Quezon City GMA Lack of documents 1848
R-sde of side mirrEat Service rd Taguig City Awaiting docs 1851
RT

DAMAGED PART
OF ACU
LOCATION REMARKS V/A #

Front bumper Commonwealth ave. awaiting docs 1880

Front bumper Manila East Road Tabnay Rizal Lack of documents 1887
RT

DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
RT

DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
RT

DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
RT

DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
RT

DAMAGED
LOCATION REMARKS V/A #
PART OF ACU
 E-FORCE
JANUARY 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
FEBRUARY 2017
 VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
Feb.27 2017 TADURAN ABNER 5079 PHP 78,960.00 PHP 44,631.00
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 78,960.00 PHP 44,631.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
MARCH 2017
VEHICULAR ACCIDENT REPORT
 Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
March 9 2017 12,500.00 9,000.00
PANER,ALVIN JOHN 5051 PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
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 12,500.00 PHP 9,000.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
APRIL 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
MAY 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
May 17 2017 RECIDORO, JOCEL 1423 PHP XXXXX 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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
JUNE 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
June 23 2017 GREFALDON JOHN REY 3202 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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
JULY 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
July 20 2017 CORTEZ MICHAEL 5002 PHP XXXXXX PHP 20,000.00
July 21 2017 ALABANO JESUS ERWIN PHP XXXXXX PHP XXXXX
July 25 2017 GREFALDON JOHN REY PDI 681 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 20,000.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
AUGUST 2017
VEHICULAR ACCIDENT REPORT

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
Aug.1 2017 ALBANO JESS ERWIN SDG 979 PHP 51,163.08 PHP XXXXXX
Aug 10 2017 GUADALQUIVER NELSON 3327 PHP XXXXX 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 51,163.08 PHP -
NO. OF BODILY INJURY:
NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
SEPTEMBER 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
OCTOBER 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
NOVEMBER 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

E-FORCE
DECEMBER 2017
VEHICULAR ACCIDENT REPORT

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :
Prepared by:

JHEN MAGPANTAY
Accident Coordinator
EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU

-
EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property damaged Front bumper Kalayaan Ave.

34,329.00

EPORT
 DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property damaged Front bumper J.P Rizal

3,500.00

EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
 -

EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property damaged rear bumper of acu V. Mapa extensin near Petron
 -

EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property Damaged R-front bumper Valero St. Mskati City
 -

EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Own damaged/B>I whole body Tanay rizal
Property damaged Front bumper Shaw Blvrd.
Property damaged Front bumper Ayala ave. and fonda St. Makati City
 (20,000.00)

EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU
Property damaged R-front bumper Osmenia Highway
Property damaged Front bumper Malugay Makati City

51,163.08
EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU

-
EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU

-
EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU

-
EPORT

DAMAGED PART
NATURE OF CLAIM LOCATION
OF ACU

-
REMARKS V/A #
 REMARKS V/A #

SETTLED (NCR) 1715

 REMARKS V/A #

SETTLED 1702

REMARKS V/A #
 REMARKS V/A #

TP at fault 1791
 REMARKS V/A #

Lack of documents 1853

 REMARKS V/A #

waiting for some receipt fr. the hospital 1876

No docs. 1883
Awaiting docs.. 1891
 REMARKS V/A #

On process 1899
Waiting TP at Pentagon base
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
REMARKS V/A #
 CMSSI
JANUARY 2017
VEHICULAR ACCIDENT R

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
Jan 13 2017 PARAGOSO, JOMAR 5056 PHP XXXXX PHP 4,736.00
Jan 14 2017 JUANILLO, ARNOLD 1361 PHP 211,936.36 PHP 211,936.00
Jan 03 2016 ALCOTIN FERDINAND 5130 PHP 38,714.00 PHP 8,079.00
January 20, 2017 BARING BENJIE 1435 PHP 47,750.00 PHP 40,555.00
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 298,400.36 PHP 265,306.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
FEBRUARY 2017
 VEHICULAR ACCIDENT R

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
Feb 9 2017 30,785.21
TUDTUD MANULEE 1340 PHP PHP 27,703.71
Feb 24 2017 XXXXX
ALVARO ARTHUR 5263 PHP 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
TOTAL COST : PHP 30,785.21 PHP 27,703.71

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
MARCH 2017
VEHICULAR ACCIDENT R
 Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
March 13 2017 DEJAN ORLANDO 1270 PHP xxxxxxx PHP xxxxxxxx
March 14 2017 SUARIN PEDRO JR. 1374 PHP 20,700.00 PHP xxxxxxxx
PHP PHP
PHP PHP
PHP PHP
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 20,700.00 PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
APRIL 2017
VEHICULAR ACCIDENT R

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
April 3 2017 ROMANILLOOS JR, H. 1418 PHP XXXX PHP XXXX
April 10 2017 LAHAY-LAHAY PEDRO 5129 PHP XXXX PHP 53,737.76
 April 18 2017 GACELA ROEL 1368 PHP 31,546.11 PHP 25,646.90
April 07 2017 GURAY JESSIE 1479 PHP 20,700.00 PHP 18,630.00
April 3 2017 GEQUINTO RONNIE D3250 PHP 64,000.00 PHP 17,300.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 116,246.11 PHP 115,314.66

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
MAY 2017
VEHICULAR ACCIDENT R

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
May 2 2017 FUENTES NEKKER 1251 PHP XXXXX PHP XXXXX
PHP PHP
May 25 2017 SALIDAGA, JUNRIL 1319 PHP XXXXX PHP XXXXX
May 23 2017 DEXTER FAT 3278 PHP XXXXX PHP XXXXX
May 26 2017 ESPARAS EDWARD D 3250 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
TOTAL COST : PHP - PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
JUNE 2017
VEHICULAR ACCIDENT R

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
June 16 2017 CABRERA RODELLOO 1261 PHP XXXXXX PHP XXXXX
June 13 2017 RODRIGUEZ OSCAR 1454 PHP XXXXXX PHP XXXXX
June 24 2017 MANGAO GILBERT 5125 PHP XXXXXX PHP XXXXX
June 21 2017 AGUILAR CRISBERT 1464 PHP XXXXXX PHP XXXXX
June 9 2017 CUISON WEBSTER 5271 PHP 46,758.00 PHP 40,308.00
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
 PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP 46,758.00 PHP 40,308.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
JULY 2017
VEHICULAR ACCIDENT R

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
July 12 2017 SIMACON ELMER 3225 PHP XXXXX PHP XXXXX
July 3 2017 GEANGA BERTHEL 1361 PHP XXXXX PHP XXXXX
July 17 2017 VERAQUE ROEL 1368 PHP XXXXX PHP XXXXX
July 26 2017 RODRIGUEZ OSCAR 5126 PHP XXXXX PHP XXXXX
July 26 2017 VILLEGAS NOEL 1406 PHP XXXXX PHP XXXXX
PHP PHP
PHP PHP
PHP PHP
PHP PHP
PHP PHP
July 3 2017 VELLIGES NOEL 3218 PHP XXXXX PHP XXXXX
PHP PHP
PHP PHP
PHP PHP
 PHP PHP
PHP PHP
PHP PHP
TOTAL COST : PHP - PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator 5555553

CMSSI
AUGUST 2017
VEHICULAR ACCIDENT R

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 -
NO. OF BODILY INJURY:
NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
SEPTEMBER 2017
VEHICULAR ACCIDENT R

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
OCTOBER 2017
VEHICULAR ACCIDENT R

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
NOVEMBER 2017
VEHICULAR ACCIDENT R

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CMSSI
DECEMBER 2017
VEHICULAR ACCIDENT R

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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :
Prepared by:

JHEN MAGPANTAY
Accident Coordinator
CMSSI
NUARY 2017
R ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Property damaged Front bumper PNB Cebu Jacosalem SETTLED ( K.PURPOR) 1639
Property damaged Front bumper Bacolod City SETTLED ( K.PURPOR) 1646
Property damaged L-front bumper Along Ranudo St. Cebu City SETTLED ( K.PURPOR) 1622
Property damaged L-front bumper SRP Bridge Cebu City SETTLED ( K.PURPOR) 1652

33,094.36

CMSSI
BRUARY 2017
R ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
SETTLED
Property damaged Front bumper Gaisani Countrymall Cebu 1680
Tricycle/B.I Rare side of ACU Brgy Narawan Clarin Bohol TP at fault 1681

3,081.50

CMSSI
MARCH 2017
R ACCIDENT REPORT
 DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Property damaged front bumper Cebu City
Property damaged L-side body acu Cebu City for approval 1705

20,700.00

CMSSI
APRIL 2017
R ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Prpperty Damaged Front bumper Mangoe ave. Cebu City for review 1734
Ownwd damage B.I Front bumper Mati Davao City Partial cash assistance 1740
 Property Damaged Front bumper Mandawe Cebu City SETTLED (DINAMPI) 1748
Property damaged F-rbumper Bacolod City SETTLED 1741
2 Property damaged Fron bumper Bacolod City SETTLED 1743

931.45

CMSSI
MAY 2017
R ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Property damaged front bumper Butuan City 1750
B.I hospitalization and medication only 1750
Property damaged front bumper Cebu City Lack of documents 1801
Property damaged fron bumper cebu city under negotiation 1802
Property damaged L-front bumper Bacolod City for evaluation 1870
 -

CMSSI
JUNE 2017
R ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Ptoperty damaged Front bumper Pavillon Mall Cebu City Under negotiation 1836
Ptoperty damaged R-fromt bumper Rodriguez St. ebu City Lack of documents 1837
Ptoperty damaged Front bumper Along Naga Cebu Cebu City Lack of documents 1849
Ptoperty damaged Rear bumper Cebu City No documents only TAR/IR 1850
Ptoperty damaged Front bumper Cebu City SETTLED 1824
 6,450.00

CMSSI
JULY 2017
R ACCIDENT REPORT

DAMAGED PART
NATURE OF CLAIM LOCATION REMARKS V/A #
OF ACU
Property damaged Front bumper Cebu City For evaluation 1869
Property damaged rear bumper Metro bank parking Bacolod City Awaiting docs 1871
Property damaged Front bumper Mandaue Cebu City Lack of docs. 1874
Property damaged Front bumper Fortion road Banwa Cebu City Awaiting docs 1892
5 property damaged Front bumper Bacoolod City awaiting docs 1896
1.Mits canter
2.Yamaha click
3.Pontoon boat
4.Toyota Hi ace
.5.Stee post light
Property damaged Front bumper Bacolod City Lack of docs.
 -

CMSSI
UGUST 2017
R ACCIDENT REPORT

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

-
CMSSI
TEMBER 2017
R ACCIDENT REPORT

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

-
CMSSI
CTOBER 2017
R ACCIDENT REPORT

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

-
CMSSI
VEMBER 2017
R ACCIDENT REPORT

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

-
CMSSI
CEMBER 2017
R ACCIDENT REPORT

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

-
 GASSI
JANUARY 2017
VEHICULAR ACCIDENT REPOR

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

TOTAL COST : PHP

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASSI
FEBRUARY 2017
 VEHICULAR ACCIDENT REPOR

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

TOTAL COST : PHP

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASSI
MARCH 2017
VEHICULAR ACCIDENT REPOR
 Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST NATURE OF CLAIM
Number
March 31 2017 TABADA JOSE 1270 18,790.00 11,000.00 Property Dzmaged

TOTAL COST : PHP 18,790.00 11,000.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASSI
APRIL 2017
VEHICULAR ACCIDENT REPOR

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

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASSI
MAY 2017
VEHICULAR ACCIDENT REPOR

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

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASSI
JUNE 2017
VEHICULAR ACCIDENT REPOR

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

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASSI
JULY 2017
VEHICULAR ACCIDENT REPOR

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

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASSI
AUGUST 2017
VEHICULAR ACCIDENT REPOR

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

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASSI
SEPTEMBER 2017
VEHICULAR ACCIDENT REPOR

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

TOTAL COST : PHP

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASSI
OCTOBER 2017
VEHICULAR ACCIDENT REPOR

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

TOTAL COST : PHP

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

GASSI
NOVEMBER 2017
VEHICULAR ACCIDENT REPOR

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

TOTAL COST : PHP

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:
JHEN MAGPANTAY
Accident Coordinator

GASSI
DECEMBER 2017
VEHICULAR ACCIDENT REPOR

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

TOTAL COST : PHP

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator
SI
Y 2017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU

SI
Y 2017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU

SI
2017
DENT REPORT
 DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
Fron bumper Mandawe Cebu city SETTLED (dinampo) 1734

SI
2017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
SI
017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
SI
017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
SI
017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
SI
2017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
SI
ER 2017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
SI
R 2017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
SI
ER 2017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
SI
R 2017
DENT REPORT

DAMAGED PART OF
LOCATION REMARKS V/A #
ACU
 CESSI
JANUARY 2017
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
Jan 31 2017 XXXXX
NASABE, RONALDO 3347 PHP 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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
FEBRUARY 2017
 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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
MARCH 2017
VEHICULAR ACCIDENT RE
 Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
March 1 2017 xxxxxx
PASANTE, JONATHAN D5081 PHP PHP xxxxxxx
March 27 2017 xxxxxx
MARIQUIT ARTURO 5075 PHP PHP xxxxxxx
PHP PHP
PHP PHP
March 1 2017 PASANTE, JONATHAN D5081 PHP xxxxxxx PHP xxxxxxxx
March 29 2017 QUINO DARWIN 1270 PHP xxxxxxx PHP xxxxxxxx
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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
APRIL 2017
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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
MAY 2017
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
May 12 2017 GUARINIA VERGEL D3226 PHP XXXXX PHP XXXXX
May 15 2017 DESPHY RICARDO D5080 PHP 42,500.00 PHP 28,650.00
D5080 PHP PHP
PHP PHP
PHP PHP
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 42,500.00 PHP 28,650.00

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
JUNE 2017
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
June 2 2017 CARPIO MELVIN D5077 PHP XXXXX PHP XXXXX
June 19 2017 ELIVUTDAN ERVIAN 1357 PHP XXXXX PHP XXXXX
June 28 2017 SAN JUAN RODERICK NN 4519 PHP XXXXX PHP XXXXX
June 13 2017 CHAVEZ, RAMOS PNM 775 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 - PHP -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
JULY 2017
VEHICULAR ACCIDENT RE

Unit Plate
Date of Accident Name of DG ESTIMATE TOTAL COST
Number
July 12 2017 ALIBUTAN ERVIAN PEV 784 PHP XXXXXX PHP XXXXX
July 12 2017 RUERAS ARNEL D5079 PHP XXXXXX PHP XXXXX
July 31 2017 BACALING ROMEO D5078 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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
AUGUST 2017
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 -
NO. OF BODILY INJURY:
NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
SEPTEMBER 2017
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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
OCTOBER 2017
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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :
Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
NOVEMBER 2017
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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :

Prepared by:

JHEN MAGPANTAY
Accident Coordinator

CESSI
DECEMBER 2017
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 -

NO. OF BODILY INJURY:

NO. OF DEATH :
NO. OF VEHICLES :
NO. OF MOTIRCYCLES :
TOTAL VEHICLES INVOLVED :
Prepared by:

JHEN MAGPANTAY
Accident Coordinator
 CESSI
JANUARY 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU
Property damaged L- side body of ACU Nicoles Magallanes Awaiting Docs..

CESSI
FEBRUARY 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU

CESSI
MARCH 2017
AR ACCIDENT REPORT
 NATURE OF DAMAGED PART
LOCATION REMARKS
CLAIM OF ACU
Own damaged L-side body acu Jordan plain subd. Tp at Fault/ATPI file a case against tp
2propertydamaged L-side door of acu Tanay Rizal under negotiation
1. Motorcycle /B.I
2. Mits. Lancer
Owned damaged L-side body acu Jordan Plain Subd. Fairview Waiting for TP's response
Property damaged front bumper Cebu City For review

CESSI
APRIL 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU
 -

CESSI
MAY 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU
Property damaged L-front bumper Along Quezon ave. q.city No documents
Property damaged Front bumper Along ayala ave. Makati City SETTLED (NCR)
 13,850.00

CESSI
JUNE 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU
Property Daaged R-fnt bunper Bicutan Lack of documents
Property Daaged R-sde body acu Parking lot Pasig base TAR only
Property Daaged R-front bumper Ortigas Extension Greenhills TAR only
Ptoperty damaged Front bumper Dela rosa St. Makati City aawaiting docs fr. TP
 -

CESSI
JULY 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU
Property damaged L-side body acu Mc Arthur Highway Laack of docs.
Property damaged rear bumper Delta quezon ave. TP at fault
Property damaged Front bunper Edsa Scouth bound to Makati Lack of documents
 -

CESSI
AUGUST 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU

-
 CESSI
EPTEMBER 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU

-
 CESSI
OCTOBER 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU

-
 CESSI
NOVEMBER 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU

-
 CESSI
DECEMBER 2017
AR ACCIDENT REPORT

NATURE OF DAMAGED PART

LOCATION REMARKS
CLAIM OF ACU

-
V/A #

1667
V/A #
V/A #

1720

1696
1270

V/A #
V/A #

1819
V/A #

1809
1847
1854
1829
V/A #

1875
1878
1905
V/A #
V/A #
V/A #
V/A #
V/A #