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{"sheet":"Form","index":0,"n_rows":206,"n_cols":9,"rows_kept":206,"cut":false,"hidden":false,"merged":[[42,3,42,5],[43,3,43,5],[47,3,47,5],[45,3,45,5],[46,3,46,5],[28,3,28,5],[29,3,29,5],[31,3,31,5],[32,3,32,5],[33,3,33,5],[2,3,2,10],[74,7,77,10],[71,2,71,3],[62,1,62,10],[63,1,63,10],[64,1,64,10],[65,1,65,10],[55,7,55,10],[56,7,56,10],[55,2,55,3],[66,1,66,10],[67,1,67,10],[58,1,58,10],[60,1,60,10],[54,1,54,10],[40,3,40,5],[5,3,5,10],[7,3,7,10],[9,3,10,10],[23,0,23,5],[26,3,27,5],[26,6,26,8],[12,3,12,10],[20,1,20,2],[14,3,14,10],[16,3,16,10],[22,3,22,4],[25,3,25,4],[35,3,35,5],[36,3,36,5],[30,3,30,5],[94,1,97,10],[79,1,79,10],[82,1,85,10],[87,1,89,10],[91,1,93,10],[41,3,41,5],[37,3,37,5],[38,3,38,5],[39,3,39,5],[34,3,34,5],[49,6,49,8],[49,3,49,5],[47,6,47,8]]}
[]
[]
[null,null,null,"GPA: Csoportos Balesetbiztosítás - Rendezvény"]
[]
[]
[null,"Szerződő neve:"]
[]
[null,"Szerződő címe:"]
[]
[null,"Biztosítottak köre:",null,"A Szerződő által megrendezésre kerülő rendezvényen résztvevő 80 év alatti természetes személyek"]
[]
[]
[null,"Biztosításközvetítő cég neve:"]
[]
[null,"Rendezvény leírása:"]
[]
[null,"Időbeli és területi hatály:",null,"A Szerződő által megrendezésre kerülő rendezvény helyszíne és időtartama"]
[]
[null,"Rendezvény időtartama:",null,null," - tól",null," - ig"]
[]
[null,"Létszám:"]
[]
[null,"Sporttevékenység:"]
[]
[null,"Választott opció:"]
[]
[null,null,null,"Szolgáltatás",null,null,"Biztosítási összeg Ft/fő"]
[null,null,null,null,null,null,"A Opció","B Opció","C Opció"]
[null,null,null,"Baleseti halál",null,null,"500 000","2 000 000","5 000 000"]
[null,null,null,"Kiterjesztés - temetési költségek",null,null,"max. 500 000","max. 1 000 000"," max. 1 000 000"]
[null,null,null,"Baleseti Maradandó Rokkantság (1-100%)",null,null,"500 000","2 000 000","5 000 000"]
[null,null,null,"Kiterjesztés - átképzési költségek",null,null,"max. 500 000","max. 1 000 000"," max. 1 000 000"]
[null,null,null,"Kiterjesztés - kerekesszék költsége",null,null,"max. 500 000","max. 1 000 000"," max. 1 000 000"]
[null,null,null,"Közúti közlekedés alatt bekövetkezett balesetből származó halál",null,null," - ","2 000 000","5 000 000"]
[null,null,null,"Közúti közlekedés alatt bekövetkezett balesetből származó maradandó rokkantság (1-100%)",null,null," - ","2 000 000","5 000 000"]
[null,null,null,"Baleseti kórházi napi térítés( 1-90 napig )",null,null," - ","3 000","5 000"]
[null,null,null,"Önrész",null,null," - "," - "," - "]
[null,null,null,"Baleseti eredetű csonttörés ( egyösszegű )",null,null,"25 000","50 000","100 000"]
[null,null,null,"Égési sérülés",null,null," - ","200 000","300 000"]
[null,null,null,"Baleseti műtéti térítés",null,null,"250 000","300 000","500 000"]
[null,null,null,"Önrész",null,null," - "," - "," - "]
[null,null,null,"Ideiglenes teljes keresőképtelenség baleset esetén ( napi térítés max. 90 napra )",null,null," - "," - ","5 000"]
[null,null,null,"Önrész",null,null," - "," - "," - "]
[null,null,null,"Baleseti költségtérítés",null,null," - ","20 000 ","50 000"]
[]
[null,null,null,"Biztosítási díj / fő /nap ( Sport nélkül ):",null,null,100,320,730]
[null,null,null,"Biztosítási díj / fő/ nap ( Sport ):",null,null,150,480,1090]
[null,null,null,"Szolgáltatási időszak",null,null,"OP10- Speciális fedezet"]
[]
[null,null,null,"Biztosítási díj összesen/időszak:*",null,null,{"$f":"IF((((IF(D23=\"\",D25=\"\",IF(D23=\"Igen\",VLOOKUP(D25,'Premium (2)'!E:G,3,),IF(D23=\"Nem\",VLOOKUP(D25,'Premium (2)'!E:G,2,),IF(D25=\"A\",VLOOKUP(D25,'Premium (2)'!E:G,2,),IF(D25=\"B\",VLOOKUP(D25,'Premium (2)'!E:G,2,),IF(D25=\"C\",VLOOKUP(D25,'Premium (2)'!E:G,2)))))))))*'Premium (2)'!J1*D21)<30000,30000,((IF(D23=\"\",D25=\"\",IF(D23=\"Igen\",VLOOKUP(D25,'Premium (2)'!E:G,3,),IF(D23=\"Nem\",VLOOKUP(D25,'Premium (2)'!E:G,2,),IF(D25=\"A\",VLOOKUP(D25,'Premium (2)'!E:G,2,),IF(D25=\"B\",VLOOKUP(D25,'Premium (2)'!E:G,2,),IF(D25=\"C\",VLOOKUP(D25,'Premium (2)'!E:G,2)))))))))*'Premium (2)'!J1*D21)","v":30000}]
[null,null,null,"* Minimum díj 30.000 Ft"]
[null,null,null,"Feltételrendszer: Colonnade Insurance S.A. Magyarországi Fióktelepe"]
[null,null,null,"Colonnade Csoportos baleset- és betegségbiztosítás | Szerződési Feltételek 001-2022"]
[]
[null,"Alulírott Szerződő tudomásul veszem, hogy a Biztosító által 202_________________-én kiadott tájékoztató díjajánlat aláírásommal a Biztosító felé szerződéskötésre tett ajánlattá (továbbiakban: ajánlat) alakul át.\n\nTudomásul veszem, hogy\n- jelen ajánlati lap visszaküldése nem eredményezi sem a biztosítási szerződés automatikus,  létrejöttét sem a biztosító automatikus kockázatviselését;\n- a biztosítási szerződéssel kapcsolatos adatokat a biztosító nyilvántartja és kezeli.\n\nAlulírott, mint Szerződő aláírásra jogosult képviselője, ezúton tudomásul veszem, hogy a biztosítási kötvényt és a hozzá kapcsolódó dokumentumokat elektronikus formában fogom megkapni. \n\nJelen tájékoztató díjajánlatot elfogadom.\n"]
[null,"Dátum:",{"$f":"TODAY()","v":"2022-08-22"}]
[null,null,null,null,null,null,null,"szerződő/biztosított/társbiztosított \n        cégszerű aláírása"]
[]
[null,"NYILATKOZAT"]
[]
[null,"(a 2014. évi LXXXVIII. Törvényben előírt előzetes tájékoztatásról, \naz ajánlatban megadott adatokról, más biztosítók megkereséséről) "]
[]
[null,"Alulírottak, a szerződő / biztosított / társbiztosított cégjegyzésre jogosult képviseletében ezennel kijelentjük, hogy a biztosító adatairól, a biztosítási szerződés jellemzőiről részletes írásbeli tájékoztatást kaptunk, az ezen információkat, adatokat, feltételeket tartalmazó, az ajánlatban felsorolt biztosítási feltételeket, szabályzatokat, biztosítási terméktájékoztatókat az ajánlat megtételét és aláírását megelőzően hiánytalanul átvettük, az abban foglaltakat áttanulmányoztuk, megértettük és tudomásul vettük. "]
[null,"Kijelentjük továbbá, hogy a biztosítási ajánlaton megadott adatok, információk helyesek és azokért az ajánlat aláírásával felelősséget vállalunk."]
[null,"Tudomásul vesszük, hogy a biztosítási szerződés az általunk tett biztosítási ajánlaton alapul, ezért esetleges kárrendezés során a biztosító az abban foglaltakat is figyelembe veszi. "]
[null,"Az ajánlatban szereplő kockázatviselési kezdettel hozzájárulok, hogy a biztosítókról és biztosítási tevékenységről szóló 2014. évi LXXXVIII. törvény 149 § alapján - a veszélyközösség megóvása érdekében,- a jogszabályban foglalt vagy a szerződésben vállalt kötelezettségek teljesítése során a szolgáltatások jogszabályoknak és szerződésnek megfelelő teljesítése, a biztosítási szerződésekkel kapcsolatos visszaélések megakadályozása céljából a Biztosító megkereséssel fordulhat más biztosítóhoz, illetőleg köteles adatot szolgáltatni a törvényben meghatározott adatok vonatkozásában az őt megkereső biztosítónak."]
[]
[null,"(A megfelelő válaszhoz tartozó négyzetet kérjük jelölje „x”-szel)"]
[null,"igen","c","nem","c"]
[]
[]
[null,"Dátum:",{"$f":"TODAY()","v":"2022-08-22"}]
[]
[]
[null,null,null,null,null,null,null,"    szerződő/biztosított/társbiztosított \n        cégszerű aláírása\n"]
[]
[]
[]
[]
[null,"NYILATKOZAT"]
[]
[null,"1. Orosz/Fehérorosz/Ukrán tulajdonos vagy befolyás"]
[null,"Kijelentem, hogy az általam képviselt társaság / szerződő nem rendelkezik sem közvetetten, sem közvetlenül orosz, fehérorosz vagy ukrán tulajdonossal vagy ellenőrző befolyást gyakorló személlyel (Oroszországban, Fehéroroszországban vagy Ukrajnában bejegyzett cég, vagy ezen országokban állandó lakcímmel rendelkező magánszemélyek)."]
[]
[]
[]
[null,"2. Oroszországban / Fehéroroszországban / Ukrajnában bejegyzett leányvállalatok"]
[null,"Kijelentem, hogy az általam képviselt társaság / szerződő nem rendelkezik Oroszországban vagy Fehéroroszországban, illetve Ukrajnában bejegyzett társasággal, eszközzel, érdekeltséggel vagy állandó telephellyel."]
[]
[]
[null,"3. Oroszországgal / Fehéroroszországgal / Ukrajnával fennálló üzleti kapcsolatok"]
[null,"Kijelentem, hogy az általam képviselt társaság / szerződő közvetlenül nem értékesít semmilyen terméket, illetve nem nyújt semmilyen szolgáltatást orosz, fehérorosz, illetve ukrán piacra."]
[]
[]
[null,"Kijelentem, hogy az általam képviselt társaság / szerződő nem vásárol semmilyen terméket, illetve szolgáltatást orosz, fehérorosz, illetve ukrán személy(ek)től (Oroszországban, Fehéroroszországban vagy Ukrajnában bejegyzett cégtől, vagy ezen országokban állandó lakcímmel rendelkező magánszemélyektől)."]
[]
[]
[]
[]
[null,"Kelt: ..........................................., 20_ _ (év) _ _ (hó) _ _ (nap)"]
[]
[]
[]
[null,null,null,null,"______________________________________________"]
[null,null,null,null,"Szerződő /Biztosított / Társbiztosított cégszerű aláírása"]
[]
[]
["Létszám",null,"Sporttevékenység","Időtartam"]
[3,null,"Kérem, válasszon!",{"$f":"F19-D19","v":0}]
[4,null,"Igen"]
[5,null,"Nem"]
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["B",320,480,null,4,{"$f":"30000","v":30000},{"$f":"30000","v":30000},{"$f":"30000","v":30000},4,{"$f":"30000","v":30000},{"$f":"30000","v":30000},{"$f":"30000","v":30000},null,null,null,null,null,{"$f":"TODAY()+1","v":"2022-08-23"},{"$f":"TODAY()+1","v":"2022-08-23"}]
["C",730,1090,null,5,{"$f":"30000","v":30000},{"$f":"30000","v":30000},{"$f":"30000","v":30000},5,{"$f":"30000","v":30000},{"$f":"30000","v":30000},{"$f":"30000","v":30000},null,null,null,null,null,{"$f":"R3+1","v":"2022-08-24"},{"$f":"S3+1","v":"2022-08-24"}]
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