Insurance certificate
Transkrypt
Insurance certificate
Insurance certificate of holder of Euro 26 Poland Sport Card Insurance scope Insurance amount and liability ceilings NWW (Accident insurance) – injury 15 000 PLN NWW (Accident insurance) – death 7 500 PLN Disability due to personal accident 15 000 PLN Hospitalisation of the insured due to personal accident 80 PLN up to 7 days; 160 PLN over 7 days Reimbursement of costs of prostheses and auxiliary materials 2 500 PLN Civil liability in private life 80 000 PLN Civil liability related to practicing sports 10 000 PLN Maciej Szwarc Adam Dwulecki Chairman of the Management Board Member of the Management Board AXA Towarzystwo Ubezpieczeń i Reasekuracji S.A., Chłodna 51, 00-867 Warsaw, tel. +48 22 555 00 00, fax +48 22 555 05 00, www.axa.pl Chairman of the Management Board – Maciej Szwarc, Members of the Management Board – Janusz Arczewski, Adam Dwulecki Register Authority: Regional Court for the capital city of Warsaw, XII Commercial Division of the National Court Register, National Court Register No. KRS 38616; Tax Identification No. NIP 521-10-36-865; Share capital: PLN 47,936,500 – paid in full 6390610 AXA Towarzystwo Ubezpieczeń i Reasekuracji S.A. hereby confirms that based on General Agreement No. 11282 concluded between AXA Towarzystwo Ubezpieczeń i Reasekuracji S.A. with its registered office in Warsaw, at ul. Chłodna 51 and Polskie Stowarzyszenie Projektów Młodzieżowych (Polish Youth Projects Association) with its registered office in Gdańsk at ul. Długi Targ 11/12, holders of Euro 26 Poland Sport Cards (including amateur practice of sports such as: skiing, snowboarding, surfing, windsurfing, kitesurfing, any teambuilding sports, high risk sports, extreme sports, professional sport practice) are subject to insurance protection in the following scope: