Tel: +39 02 36901, Fax: +39 02 3690222, www.aig.co.it - Registro Imprese Milano / C.F. / P.I. 08037550962 - REA Milano n. 1999051

Sede Secondaria di AIG Europe Limited - Registrata in Inghilterra e nel Galles con il numero 01486260

Sede legale: The AIG Building, 58 Fenchurch Street, Londra EC3M 4AB, Regno Unito - Capitale Sociale Sterline 197.118.479

Premio alla firma

Premio alle rate future

Di comune accordo tra le Parti ,si prende atto che a far data dalle ore 24.00 del 19/11/2013 viene integrato l'art. 44 TESSERA

PROMOCARD p.to B)

ART. 44 TESSERA PROMOCARD p.to b)

Passeggiate organizzate a piedi e/o bicicletta.

LA CONTRAENTE

Milano,

cm

Il versamento dell'importo di Euro è stato effettuato a mie mani

Il……………………………………. in……………………………………………………………………………….

Broker Agenzia

Rappresentanza Generale per l'Italia

Contraente

BIVER BROKER Codice

US ACLI

3 Polizza n°

1291

02/12/2013

#RIF!

AIG Europe LimitedFERMO IL RESTO

INVARIATE

Appendice n° IAH0007712

SENZA SPESE

Tel: +39 02 36901, Fax: +39 02 3690222, www.aig.co.it - Registro Imprese Milano / C.F. / P.I. 08037550962 - REA Milano n. 1999051

Sede Secondaria di AIG Europe Limited - Registrata in Inghilterra e nel Galles con il numero 01486260

Sede legale: The AIG Building, 58 Fenchurch Street, Londra EC3M 4AB, Regno Unito - Capitale Sociale Sterline 197.118.479

Premio alla firma

Premio alle rate future

Di comune accordo tra le Parti ,si prende atto che a far data dall'origine della polizza è operativa la seguente estensione dell'art. 25

lettera G):

G) dall'uso, anche come passeggero, di veicoli a motore e di natanti a motore in gare, competizioni e relative prove.

LA CONTRAENTE

Milano,

cm

Il versamento dell'importo di Euro è stato effettuato a mie mani

Il……………………………………. in……………………………………………………………………………….

Broker Agenzia

Rappresentanza Generale per l'Italia

Contraente

BIVER BROKER Codice

US ACLI

2 Polizza n°

1291

02/12/2013

#RIF!

AIG Europe LimitedFERMO IL RESTO

INVARIATE

Appendice n° IAH0007712

SENZA SPESE

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19

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20

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22

K]jlYflg g_fa l]kk]jY( h]fY dY \][Y\]frY \]ddY [gh]jlmjY Ykka[mjYlanY( \]n] jahgjlYj] d]k]_m]fla af\a[Yragfa6

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23

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Df k]_malg Y ja[`a]klY k[jallY [ge] \Y hj]naklY eg\mdakla[Y( \Y afgdljYj] Y =DQ@M=MJF@M NjG(QaY >Yj\m[[a( / 3 w .,-./ HadYfg % l] d * ,. +4,11,,3 ^Yp ,.+4,14/-1/ ])eYad6af^g[gee;Zan]jZjgc]j*al &*

24

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25

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Df [Ykg \a Yhhda[Yragf] \a _]kkg ]+g \a lmlgj] aeegZadarrYfl] ]imanYd]fl] %?gf Egq( ?]kYmdl(nYdnY _]kkYlY( \g[[aY _]kkYlY( Z]f\Y__ag Y\ gllg( Yaj)[Ykl( kl][[Y \a raee]j( ][[*& ]+g \a^gjrYlY [gehd]lY aeegZadalv( daealYlYe]fl] Ya [Yka \a ^jYllmjY n]jl]ZjYd] Yf[`] k]frY ja[gn]jg(j]kg f][]kkYjag \Y af^gjlmfag( dY Ng[a]lv daima\]jv aeY af\]ffalv h]j g_fa _agjfg \aYhhda[Yragf] ^afg YddY jaegragf] ]+g Yd []kkYj] \]ddY ^gjrYlY [gehd]lY aeegZadalv ] h]j mfh]jag\g eYkkaeg \a /, _agjfa ] [gf mfY ^jYf[`a_aY \a 1 _agjfa*Dd _agjfg \a Yhhda[Yragf] \]ddY _]kkYlmjY ]\ ad _agjfg \]ddY kmY jaegragf] kYjYffg [gfka\]jYla[ge] mfa[g _agjfg*

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L>SBHG> LHFF> 9LLB

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31

M9;>EE9 KB>IBEH@9MBO9 M>LL>K9F>GMH u 9bb_d[Wc[dje Yed feb_ppW 9B@

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Nome Tessera riportata su Polizza AIG

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