ETT Ga

EET

SERVICOS DE ASSISTENCIA

SEGUNDA OPINIAO MEDICA INTERNACIONAL ASSISTENCIA FUNERAL EXTENSIVO PMSS VI

HELPTECH

CKECK UP MEDICO

ASSISTENCIA SEU AJUDANTE ASSISTENCIA CONV. A PESSOAS EM VIAGEM

PAGAMENTO DO SEGURO

VALOR DO SEGURO VALOR DO SEGURO Prémio sem impostos VALOR DOS IMPOSTOS (IOF)

R$ 13.91370 RS 52,87 RS 13.966,57

| RESPONSAVEL FINANCEIRO LEONARDO | AUGUSTO FURTADO PALHARES | 006.501.356-52 | FORMA DE PAGAMENTO DEBITO EM CONTA |
|---|---|---|---|
| BANCO/AGENCIA/PAB | CONTA-CORRENTE OU CARTAO | PERIODICIDADE DE PAGAMENTO | DIA DE DEBITO |
| 033/175 |  | MENSAL EM 12 VEZES | 23 |

| PARCELA | DATA DO VENCIMENTO 23/03/2026 | VALOR DA PARCELA | PARCELA | DATA DO VENCIMENTO 23/09/2026 | VALOR DA PARCELA R$1163,88 |
|---|---|---|---|---|---|
| 1 |  |  | 7 |  |  |
| 2 | 23/04/2026 23/05/2026 |  | 8 | 23/10/2026 | R$1163,88 R$1163,88 |
| 3 |  |  | 9 | 23/1/2026 23/12/2026 | R$1163,88 |
| 4 | 23/06/2026 23/07/2026 |  | 10 | 23/01/2027 | R$1163,88 |
| 5 |  |  | ul |  |  |
| 6 | 23/08/2026 |  | 2 | 23/02/2027 | R$1163,89 |

[| sEUSEGURO J

PRODUTO

7014 PROTEGAO VIDA SELECT

| RAMO | PROPOSTA N° 3981463673 | PLANO | CERTIFICADO N° |
|---|---|---|---|
| 93-VIDA |  | ANUAL | 548693330 |
| PROCESSO SUSEP 15414.900167/2013-19 | APOLICE N° 3818 | DATA DE EMISSAO 23/03/2022 | DATA DO DOCUMENTO 13/03/2026 |

Este seguro é garantido por Zurich cadastral de sua corretora Santander Corretora completo e CNPJ n° 04.270.778/0001-71. (Brasil) S.A CNPJ: 90.400.888/0001-42 Endereco: 6.578,40. 0 nao pagamento do prémio poderd acarretar no cancelamento apice na data de vencimento, sem com critérios estabelecidos nas

deste produto protocolizadas com 0 nimero de processo constante

comercializagao. SUSEP Superintendéncia

~

previdéncia complementar aberta, capitalizagdo,

as aliquotas de 0,65% de PIS/Pasep

Link da plataforma digital oficial para registro de reclamagoes dos consumidores dos mercados supervisionados (www. consumidor gov

Renovagao Simplificada

Por

estes instrumento, autorizo o estipulante estabelecida nas contratuais, contratadas, podendo a presente autorizagao ser

Santander Brasil Seguros e Previdéncia S.A. CNP) 87.376.109/0001-06,

de Seguros, Investimentos e Servicos S.A.,

O seguro tera seu inicio término de vigéncia

Av. Pres. Juscelino Kubitschek, 2041/2235

do seguro.

dos prémios pagos nos termos da apdlice.

condicoes gerais do seguro e no contrato.

pela sociedade/entidade junto a da apdlice/proposta. O registro deste plano

de Seguros Privados Autarquia Federal

~

resseguro e corretagem de seguros.

e de 4% de COFINS e Aliquota de Imposto sobre Operagoes Financeiras estabelecidas pelo Decreto-Lei N° 6.339, no site

as 24 horas Vila Olimpia

Este seguro por prazo

Os capitais segurados os Este certicado SUSEP poderao ser na SUSEP nao implica,

responsavel

Em atendimento a Lei

Registro SUSEP 0507-0. O segurado consultar a situagéo

por meio de seu registro na SUSEP 10.2041572.9, nome das datas indicadas neste certi cado. Estipulante: Banco Santander

CEP 04543-011 Telefone: 11 4004-3535. 47,28% R$

4

determinado tendo a Seguradora faculdade de nao renovar a

e

prémios sero atualizados monetariamente, de acordo

| substitu | e | cancela | todos consultadas no endereqo eletronico | os | anteriores | emitidos. | As | condigoes de acordo |
|---|---|---|---|---|---|---|---|---|

por parte da Autarquia, incentivo ou recomendagdo & sua

pela scalizagao, normatizagéo e controle dos mercados de seguro, 12.741/12 informamos que incidem sobre os prémios de seguros

de 03.01.2008.

br),

Banco Santander S.A. a renovar este seguro, com o objetivo de garantir os riscos futuros junto 4 Seguradora, na forma

e desde que tal renovagéo nao implique em onus, redugao de direitos ou deveres adicionais, a fim de preservar as condicoes ja

revogada a qualquer momento, mediante minha expressa manifestacao.

Gabriel

Alejandro Widder

Diretor Presidente

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