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From: <segurabici@segurabici.es>
To: "enlacesegelevia" <enlacesegelevia@bmsgroup.com>
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Subject: S#2026006341#ENVIO A CIA ENVIO STRO.2026006341
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Email originated externally.

=20

=20

De: segurabici@segurabici.es <segurabici@segurabici.es>=20
Enviado el: martes, 27 de octubre de 2026 9:17
Para: 'DIVINA PASTORA' <siniestrosautos@divinaseguros.com>
Asunto: ENVIO STRO.2026006341

=20



=20


BMS MEDIACI=D3N IBERIA, CORRED. SEG.


PASEO DE LA CASTELLANA, 28 ENTREPLANTA


28046 MADRID


Tel:  (91) 419 76 40        Fax:


e-mail:  <mailto:%7b%5bCOR.COR_eMail%5d%7d> =20

Siniestro          2026006341


Compa=F1=EDa:

LIONS GATE IBERIA CONSULTING SERVICES S.L.U.

Referencia:

=09

P=F3liza: =20

283130111091

=20

=20


F.Efecto:

07/08/2026

Forma de Pago:

  Anual


Informe Siniestro tipo  Reclamaci=F3n


F.Ocurrencia:

21/10/2026

F.Comunicaci=F3n:

21/10/2026


Lugar:

CALLE HERRERO


Descripci=F3n:

EL ASEG. IBA CIRCULANDO POR LA EL CARRIL BICI CUANDO EL VEH. CONTRARIO NO
REALIZA EL STOP Y LE COLISIONA


TOMADOR

=20


Nombre:

LUZ EDITH MONTOYA GUTIERREZ


NIF:

Z4718323Q


Direcci=F3n:

CALLE CATALUNA 6  12004  CASTELLO DE LA PLANA/CASTELLON DE LA PLANA=20


ASEGURADO

=20

=09=09

PERJUDICADO

=20



CONTRARIO


Nombre:

DESCONOCIDA

Tel=E9fono:=20

=09

Direcci=F3n:

=20


CP:

=09Localidad:

=20

=09=09=09=09=09=09

VEH=CDCULO


Modelo:

=20

Matr=EDcula:

=09

COMPA=D1=CDA


Nombre:

=09

P=F3liza:

 =20

Ref.C=EDa.:

=20


Tramitador:

 =20

Tel=E9fono:

  =20

OBSERVACIONES

=09

PERITAJE

=20


=09=09=09

OBSERVACIONES  RECLAMACION

=09
=09=09=09=09=09=09=09=09=09

=20

=20

=20



=20


En cumplimiento de la normativa vigente en materia de protecci=F3n de datos=
,
se advierte de los siguientes extremos: Los datos de car=E1cter personal se=
r=E1n
objeto de tratamiento como responsable por BMS MEDIACI=D3N IBERIA CORREDUR=
=CDA
DE SEGUROS Y REASEGUROS, S.L.U. (B-88.053.186), Paseo Castellana, 28
entreplanta., 28046 - Madrid (Madrid), tel=E9fono 91 419 7640, correo
electr=F3nico  <mailto:protecciondatos@bmsgroup.com>
protecciondatos@bmsgroup.com y con clave administrativa J-3606. Tiene
concertada P=F3liza de Responsabilidad Civil Profesional y dispone de
capacidad financiera seg=FAn la legislaci=F3n vigente. La finalidad del
tratamiento es gestionar la relaci=F3n profesional, atender sus consultas y=
 la
remisi=F3n de la informaci=F3n que nos solicita. Sus datos se conservar=E1n
mientras dure la relaci=F3n contractual y durante el plazo de prescripci=F3=
n.
Podr=E1 ejercitar sus derechos de acceso, rectificaci=F3n, supresi=F3n y
portabilidad de sus datos, de limitaci=F3n y oposici=F3n a su tratamiento, =
as=ED
como a no ser objeto de decisiones basadas =FAnicamente en el tratamiento
automatizado de sus datos, cuando procedan. Informaci=F3n adicional: Puede
consultar nuestra pol=EDtica de privacidad en nuestra p=E1gina web
<https://url.uk.m.mimecastprotect.com/s/ac7IC32nWI40JNxSgfZEsQCA-C?domain=
=3Dbmsgroup.com
sgroup.com> https://url.uk.m.mimecastprotect.com/s/gxjvC4RoXF83Qk6SxhGXs4J9=
NX?domain=3Dbmsgroup.com, escribiendo al correo electr=F3nico
<mailto:protecciondatos@bmsgroup.com> protecciondatos@bmsgroup.com, o en
nuestras oficinas. Confidencialidad: Si usted no es el destinatario y recib=
e
este mail por error, rogamos se ponga en contacto con nosotros y elimine
este correo y sus documentos adjuntos sin leerlos ni hacer ning=FAn uso de =
los
datos que figuren en los mismos

=20


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ant; opacity: 1 !important; visibility:visible !important; color: #000000 !=
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erif !important; text-align: left !important"><mc type=3D"body"> <b><p styl=
e=3D"color:blue">Email originated externally.</p></b></strong><br><hr></div=
><div class=3D"WordSection1"><div><div><div><div><div><div><div><div><div><=
div><div><div><p class=3D"MsoNormal"><span style=3D"mso-ligatures:standardc=
ontextual"><o:p>&nbsp;</o:p></span></p></div></div></div></div></div></div>=
</div></div></div></div></div></div><p class=3D"MsoNormal"><span style=3D"m=
so-fareast-language:EN-US"><o:p>&nbsp;</o:p></span></p><div><div style=3D"b=
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ss=3D"MsoNormal"><b><span style=3D"font-size:11.0pt;font-family:&quot;Calib=
ri&quot;,sans-serif">De:</span></b><span style=3D"font-size:11.0pt;font-fam=
ily:&quot;Calibri&quot;,sans-serif"> segurabici@segurabici.es &lt;segurabic=
i@segurabici.es&gt; <br><b>Enviado el:</b> martes, 27 de octubre de 2026 9:=
17<br><b>Para:</b> 'DIVINA PASTORA' &lt;siniestrosautos@divinaseguros.com&g=
t;<br><b>Asunto:</b> ENVIO STRO.2026006341<o:p></o:p></span></p></div></div=
><p class=3D"MsoNormal"><o:p>&nbsp;</o:p></p><p class=3D"MsoNormal"><span s=
tyle=3D"mso-fareast-language:EN-US"><img width=3D"142" height=3D"62" style=
=3D"width:1.475in;height:.6416in" id=3D"Imagen_x0020_2" src=3D"cid:image001=
.png@01DD65F3.FC362C90"></span><span style=3D"mso-fareast-language:EN-US"><=
o:p></o:p></span></p><p class=3D"MsoNormal"><span style=3D"mso-fareast-lang=
uage:EN-US"><o:p>&nbsp;</o:p></span></p><table class=3D"MsoNormalTable" bor=
der=3D"0" cellspacing=3D"0" cellpadding=3D"0" style=3D"border-collapse:coll=
apse"><tr><td valign=3D"top" style=3D"padding:0cm 3.5pt 0cm 3.5pt"><p class=
=3D"MsoNormal"><b><span style=3D"mso-fareast-language:EN-US">BMS MEDIACI=D3=
N IBERIA, CORRED. SEG.</span></b><span style=3D"mso-fareast-language:EN-US"=
><o:p></o:p></span></p></td></tr><tr><td valign=3D"top" style=3D"padding:0c=
m 3.5pt 0cm 3.5pt"><p class=3D"MsoNormal"><span style=3D"mso-fareast-langua=
ge:EN-US">PASEO DE LA CASTELLANA, 28 ENTREPLANTA<o:p></o:p></span></p></td>=
</tr><tr><td valign=3D"top" style=3D"padding:0cm 3.5pt 0cm 3.5pt"><p class=
=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-US">28046 MADRID<o:p>=
</o:p></span></p></td></tr><tr><td valign=3D"top" style=3D"padding:0cm 3.5p=
t 0cm 3.5pt"><p class=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-=
US">Tel:&nbsp; (91) 419 76 40&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Fax=
:<o:p></o:p></span></p></td></tr><tr><td valign=3D"top" style=3D"padding:0c=
m 3.5pt 0cm 3.5pt"><p class=3D"MsoNormal"><span lang=3D"EN-GB" style=3D"mso=
-fareast-language:EN-US">e-mail: </span><span style=3D"mso-fareast-language=
:EN-US"><a href=3D"mailto:%7b%5bCOR.COR_eMail%5d%7d"><span lang=3D"EN-GB">&=
nbsp;</span></a><o:p></o:p></span></p></td></tr></table><p class=3D"MsoNorm=
al"><b><u><span style=3D"mso-fareast-language:EN-US">Siniestro</span></u></=
b><b><span style=3D"mso-fareast-language:EN-US">&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp; </span></b><span style=3D"mso-fareast-language:=
EN-US">2026006341<o:p></o:p></span></p><table class=3D"MsoNormalTable" bord=
er=3D"1" cellspacing=3D"0" cellpadding=3D"0" width=3D"633" style=3D"width:4=
74.75pt;border-collapse:collapse"><tr><td width=3D"20%" colspan=3D"3" valig=
n=3D"top" style=3D"width:20.0%;border:none;border-top:double windowtext 1.5=
pt;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=
=3D"mso-fareast-language:EN-US">Compa=F1=EDa:</span></i><span style=3D"mso-=
fareast-language:EN-US"><o:p></o:p></span></p></td><td width=3D"32%" colspa=
n=3D"4" valign=3D"top" style=3D"width:32.0%;border:none;border-top:double w=
indowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><sp=
an lang=3D"EN-US" style=3D"mso-fareast-language:EN-US">LIONS GATE IBERIA CO=
NSULTING SERVICES S.L.U.<o:p></o:p></span></p></td><td width=3D"16%" valign=
=3D"top" style=3D"width:16.0%;border:none;border-top:double windowtext 1.5p=
t;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D=
"mso-fareast-language:EN-US">Referencia:</span></i><span style=3D"mso-farea=
st-language:EN-US"><o:p></o:p></span></p></td><td width=3D"29%" valign=3D"t=
op" style=3D"width:29.0%;border:none;border-top:double windowtext 1.5pt;pad=
ding:3.0pt 3.0pt 3.0pt 3.0pt"></td></tr><tr><td width=3D"20%" colspan=3D"3"=
 valign=3D"top" style=3D"width:20.0%;border:none;padding:3.0pt 3.0pt 3.0pt =
3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-language:EN-US"=
>P=F3liza:</span></i><span style=3D"mso-fareast-language:EN-US">&nbsp;&nbsp=
;<o:p></o:p></span></p></td><td width=3D"32%" colspan=3D"4" valign=3D"top" =
style=3D"width:32.0%;border:none;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=
=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-US">283130111091<o:p>=
</o:p></span></p></td><td width=3D"16%" valign=3D"top" style=3D"width:16.0%=
;border:none;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><span =
style=3D"mso-fareast-language:EN-US">&nbsp;<o:p></o:p></span></p></td><td w=
idth=3D"29%" valign=3D"top" style=3D"width:29.0%;border:none;padding:3.0pt =
3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><span style=3D"mso-fareast-langua=
ge:EN-US">&nbsp;<o:p></o:p></span></p></td></tr><tr><td width=3D"20%" colsp=
an=3D"3" valign=3D"top" style=3D"width:20.0%;border:none;border-bottom:doub=
le windowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"=
><i><span style=3D"mso-fareast-language:EN-US">F.Efecto:</span></i><span st=
yle=3D"mso-fareast-language:EN-US"><o:p></o:p></span></p></td><td width=3D"=
32%" colspan=3D"4" valign=3D"top" style=3D"width:32.0%;border:none;border-b=
ottom:double windowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"=
MsoNormal"><span style=3D"mso-fareast-language:EN-US">07/08/2026<o:p></o:p>=
</span></p></td><td width=3D"16%" valign=3D"top" style=3D"width:16.0%;borde=
r:none;border-bottom:double windowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0p=
t"><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-language:EN-US">For=
ma de Pago:</span></i><span style=3D"mso-fareast-language:EN-US"><o:p></o:p=
></span></p></td><td width=3D"29%" valign=3D"top" style=3D"width:29.0%;bord=
er:none;border-bottom:double windowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0=
pt"><p class=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-US">&nbsp=
; Anual<o:p></o:p></span></p></td></tr><tr><td width=3D"99%" colspan=3D"9" =
valign=3D"top" style=3D"width:99.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p cla=
ss=3D"MsoNormal"><i><span style=3D"mso-fareast-language:EN-US">Informe Sini=
estro tipo</span></i><span style=3D"mso-fareast-language:EN-US">&nbsp; <b>R=
eclamaci=F3n</b><o:p></o:p></span></p></td></tr><tr><td width=3D"20%" colsp=
an=3D"3" valign=3D"top" style=3D"width:20.0%;border:none;padding:3.0pt 3.0p=
t 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-languag=
e:EN-US">F.Ocurrencia:</span></i><span style=3D"mso-fareast-language:EN-US"=
><o:p></o:p></span></p></td><td width=3D"32%" colspan=3D"4" valign=3D"top" =
style=3D"width:32.0%;border:none;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=
=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-US">21/10/2026<o:p></=
o:p></span></p></td><td width=3D"16%" valign=3D"top" style=3D"width:16.0%;b=
order:none;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span=
 style=3D"mso-fareast-language:EN-US">F.Comunicaci=F3n:</span></i><span sty=
le=3D"mso-fareast-language:EN-US"><o:p></o:p></span></p></td><td width=3D"2=
9%" valign=3D"top" style=3D"width:29.0%;border:none;padding:3.0pt 3.0pt 3.0=
pt 3.0pt"><p class=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-US"=
>21/10/2026<o:p></o:p></span></p></td></tr><tr><td width=3D"29%" colspan=3D=
"4" valign=3D"top" style=3D"width:29.0%;border:none;padding:3.0pt 3.0pt 3.0=
pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-language:EN-=
US">Lugar:</span></i><span style=3D"mso-fareast-language:EN-US"><o:p></o:p>=
</span></p></td><td width=3D"70%" colspan=3D"5" valign=3D"top" style=3D"wid=
th:70.0%;border:none;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal=
"><span style=3D"mso-fareast-language:EN-US">CALLE HERRERO<o:p></o:p></span=
></p></td></tr><tr><td width=3D"29%" colspan=3D"4" valign=3D"top" style=3D"=
width:29.0%;border:none;border-bottom:double windowtext 1.5pt;padding:3.0pt=
 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-la=
nguage:EN-US">Descripci=F3n:</span></i><span style=3D"mso-fareast-language:=
EN-US"><o:p></o:p></span></p></td><td width=3D"70%" colspan=3D"5" valign=3D=
"top" style=3D"width:70.0%;border:none;border-bottom:double windowtext 1.5p=
t;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><span style=3D"ms=
o-fareast-language:EN-US">EL ASEG. IBA CIRCULANDO POR LA EL CARRIL BICI CUA=
NDO EL VEH. CONTRARIO NO REALIZA EL STOP Y LE COLISIONA<o:p></o:p></span></=
p></td></tr><tr><td width=3D"11%" valign=3D"top" style=3D"width:11.0%;borde=
r:none;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><b><i><u><sp=
an style=3D"mso-fareast-language:EN-US">TOMADOR</span></u></i></b><span sty=
le=3D"mso-fareast-language:EN-US"><o:p></o:p></span></p></td><td width=3D"8=
8%" colspan=3D"8" valign=3D"top" style=3D"width:88.0%;border:none;padding:3=
.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><span style=3D"mso-fareast-l=
anguage:EN-US">&nbsp;<o:p></o:p></span></p></td></tr><tr><td width=3D"11%" =
valign=3D"top" style=3D"width:11.0%;border:none;padding:3.0pt 3.0pt 3.0pt 3=
.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-language:EN-US">=
Nombre:</span></i><span style=3D"mso-fareast-language:EN-US"><o:p></o:p></s=
pan></p></td><td width=3D"88%" colspan=3D"8" valign=3D"top" style=3D"width:=
88.0%;border:none;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><=
span style=3D"mso-fareast-language:EN-US">LUZ EDITH MONTOYA GUTIERREZ<o:p><=
/o:p></span></p></td></tr><tr><td width=3D"15%" colspan=3D"2" valign=3D"top=
" style=3D"width:15.0%;border:none;border-bottom:inset 1.0pt;padding:3.0pt =
3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-lan=
guage:EN-US">NIF:</span></i><span style=3D"mso-fareast-language:EN-US"><o:p=
></o:p></span></p></td><td width=3D"84%" colspan=3D"7" valign=3D"top" style=
=3D"width:84.0%;border:none;border-bottom:inset 1.0pt;padding:3.0pt 3.0pt 3=
.0pt 3.0pt"><p class=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-U=
S">Z4718323Q<o:p></o:p></span></p></td></tr><tr><td width=3D"11%" valign=3D=
"top" style=3D"width:11.0%;border:none;border-bottom:double windowtext 1.5p=
t;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D=
"mso-fareast-language:EN-US">Direcci=F3n:</span></i><span style=3D"mso-fare=
ast-language:EN-US"><o:p></o:p></span></p></td><td width=3D"88%" colspan=3D=
"8" valign=3D"top" style=3D"width:88.0%;border:none;border-bottom:double wi=
ndowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><spa=
n style=3D"mso-fareast-language:EN-US">CALLE CATALUNA 6&nbsp; 12004&nbsp; C=
ASTELLO DE LA PLANA/CASTELLON DE LA PLANA&nbsp;<o:p></o:p></span></p></td><=
/tr><tr><td width=3D"49%" colspan=3D"6" valign=3D"top" style=3D"width:49.0%=
;border:none;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><b><i>=
<u><span style=3D"mso-fareast-language:EN-US">ASEGURADO</span></u></i></b><=
span style=3D"mso-fareast-language:EN-US"><o:p></o:p></span></p></td><td wi=
dth=3D"50%" colspan=3D"3" valign=3D"top" style=3D"width:50.0%;border:none;p=
adding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><span style=3D"mso-f=
areast-language:EN-US">&nbsp;<o:p></o:p></span></p></td></tr><tr><td width=
=3D"49%" colspan=3D"6" valign=3D"top" style=3D"width:49.0%;border:none;bord=
er-bottom:double windowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0pt"></td><td=
 width=3D"50%" colspan=3D"3" valign=3D"top" style=3D"width:50.0%;border:non=
e;border-bottom:double windowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0pt"></=
td></tr><tr><td width=3D"36%" colspan=3D"5" valign=3D"top" style=3D"width:3=
6.0%;border:none;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><b=
><i><u><span style=3D"mso-fareast-language:EN-US">PERJUDICADO</span></u></i=
></b><span style=3D"mso-fareast-language:EN-US"><o:p></o:p></span></p></td>=
<td width=3D"62%" colspan=3D"4" valign=3D"top" style=3D"width:62.0%;border:=
none;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><span style=3D=
"mso-fareast-language:EN-US">&nbsp;<o:p></o:p></span></p></td></tr><tr><td =
width=3D"99%" colspan=3D"9" valign=3D"top" style=3D"width:99.0%;border:none=
;border-top:double windowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0pt"><table=
 class=3D"MsoNormalTable" border=3D"0" cellspacing=3D"0" cellpadding=3D"0" =
style=3D"border-collapse:collapse"><tr><td width=3D"618" valign=3D"top" sty=
le=3D"width:463.15pt;padding:0cm 3.5pt 0cm 3.5pt"><p class=3D"MsoNormal"><i=
><span style=3D"mso-fareast-language:EN-US">CONTRARIO</span></i><span style=
=3D"mso-fareast-language:EN-US"><o:p></o:p></span></p><table class=3D"MsoNo=
rmalTable" border=3D"1" cellspacing=3D"0" cellpadding=3D"0" width=3D"632" s=
tyle=3D"width:474.0pt;border-collapse:collapse"><tr><td width=3D"14%" style=
=3D"width:14.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i>=
<span style=3D"mso-fareast-language:EN-US">Nombre:</span></i><span style=3D=
"mso-fareast-language:EN-US"><o:p></o:p></span></p></td><td width=3D"57%" c=
olspan=3D"3" style=3D"width:57.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=
=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-US">DESCONOCIDA<o:p><=
/o:p></span></p></td><td width=3D"14%" style=3D"width:14.0%;padding:3.0pt 3=
.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-lang=
uage:EN-US">Tel=E9fono:&nbsp;</span></i><span style=3D"mso-fareast-language=
:EN-US"><o:p></o:p></span></p></td><td width=3D"14%" style=3D"width:14.0%;p=
adding:3.0pt 3.0pt 3.0pt 3.0pt"></td></tr><tr><td width=3D"14%" style=3D"wi=
dth:14.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span =
style=3D"mso-fareast-language:EN-US">Direcci=F3n:</span></i><span style=3D"=
mso-fareast-language:EN-US"><o:p></o:p></span></p></td><td width=3D"86%" co=
lspan=3D"5" style=3D"width:86.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=
=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-US">&nbsp;<o:p></o:p>=
</span></p></td></tr><tr><td width=3D"14%" style=3D"width:14.0%;padding:3.0=
pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-=
language:EN-US">CP:</span></i><span style=3D"mso-fareast-language:EN-US"><o=
:p></o:p></span></p></td><td width=3D"14%" style=3D"width:14.0%;padding:3.0=
pt 3.0pt 3.0pt 3.0pt"></td><td width=3D"14%" style=3D"width:14.0%;padding:3=
.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-fareas=
t-language:EN-US">Localidad:</span></i><span style=3D"mso-fareast-language:=
EN-US"><o:p></o:p></span></p></td><td width=3D"57%" colspan=3D"3" style=3D"=
width:57.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><span s=
tyle=3D"mso-fareast-language:EN-US">&nbsp;<o:p></o:p></span></p></td></tr><=
tr><td width=3D"89" style=3D"width:66.75pt;border:none;padding:0cm 0cm 0cm =
0cm"></td><td width=3D"89" style=3D"width:66.75pt;border:none;padding:0cm 0=
cm 0cm 0cm"></td><td width=3D"88" style=3D"width:66.0pt;border:none;padding=
:0cm 0cm 0cm 0cm"></td><td width=3D"182" style=3D"width:136.5pt;border:none=
;padding:0cm 0cm 0cm 0cm"></td><td width=3D"88" style=3D"width:66.0pt;borde=
r:none;padding:0cm 0cm 0cm 0cm"></td><td width=3D"95" style=3D"width:71.25p=
t;border:none;padding:0cm 0cm 0cm 0cm"></td></tr></table><p class=3D"MsoNor=
mal"><i><span style=3D"mso-fareast-language:EN-US">VEH=CDCULO</span></i><sp=
an style=3D"mso-fareast-language:EN-US"><o:p></o:p></span></p><table class=
=3D"MsoNormalTable" border=3D"1" cellspacing=3D"0" cellpadding=3D"0" width=
=3D"632" style=3D"width:474.0pt;border-collapse:collapse"><tr><td width=3D"=
15%" style=3D"width:15.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoN=
ormal"><i><span style=3D"mso-fareast-language:EN-US">Modelo:</span></i><spa=
n style=3D"mso-fareast-language:EN-US"><o:p></o:p></span></p></td><td width=
=3D"42%" style=3D"width:42.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"=
MsoNormal"><span style=3D"mso-fareast-language:EN-US">&nbsp;<o:p></o:p></sp=
an></p></td><td width=3D"18%" style=3D"width:18.0%;padding:3.0pt 3.0pt 3.0p=
t 3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-language:EN-U=
S">Matr=EDcula:</span></i><span style=3D"mso-fareast-language:EN-US"><o:p><=
/o:p></span></p></td><td width=3D"25%" style=3D"width:25.0%;padding:3.0pt 3=
.0pt 3.0pt 3.0pt"></td></tr></table><p class=3D"MsoNormal"><i><span style=
=3D"mso-fareast-language:EN-US">COMPA=D1=CDA</span></i><span style=3D"mso-f=
areast-language:EN-US"><o:p></o:p></span></p><table class=3D"MsoNormalTable=
" border=3D"1" cellspacing=3D"0" cellpadding=3D"0" width=3D"632" style=3D"w=
idth:474.0pt;border-collapse:collapse"><tr><td width=3D"17%" style=3D"width=
:17.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span sty=
le=3D"mso-fareast-language:EN-US">Nombre:</span></i><span style=3D"mso-fare=
ast-language:EN-US"><o:p></o:p></span></p></td><td width=3D"83%" colspan=3D=
"3" style=3D"width:83.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"></td></tr><tr><td=
 width=3D"17%" style=3D"width:17.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p cla=
ss=3D"MsoNormal"><i><span style=3D"mso-fareast-language:EN-US">P=F3liza:</s=
pan></i><span style=3D"mso-fareast-language:EN-US"><o:p></o:p></span></p></=
td><td width=3D"50%" style=3D"width:50.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt">=
<p class=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-US">&nbsp;&nb=
sp;<o:p></o:p></span></p></td><td width=3D"17%" style=3D"width:17.0%;paddin=
g:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-far=
east-language:EN-US">Ref.C=EDa.:</span></i><span style=3D"mso-fareast-langu=
age:EN-US"><o:p></o:p></span></p></td><td width=3D"17%" style=3D"width:17.0=
%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><span style=3D"ms=
o-fareast-language:EN-US">&nbsp;<o:p></o:p></span></p></td></tr><tr><td wid=
th=3D"17%" style=3D"width:17.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=
=3D"MsoNormal"><i><span style=3D"mso-fareast-language:EN-US">Tramitador:</s=
pan></i><span style=3D"mso-fareast-language:EN-US"><o:p></o:p></span></p></=
td><td width=3D"50%" style=3D"width:50.0%;padding:3.0pt 3.0pt 3.0pt 3.0pt">=
<p class=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-US">&nbsp;&nb=
sp;<o:p></o:p></span></p></td><td width=3D"17%" style=3D"width:17.0%;paddin=
g:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><i><span style=3D"mso-far=
east-language:EN-US">Tel=E9fono:</span></i><span style=3D"mso-fareast-langu=
age:EN-US"><o:p></o:p></span></p></td><td width=3D"17%" style=3D"width:17.0=
%;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><span style=3D"ms=
o-fareast-language:EN-US">&nbsp; &nbsp;<o:p></o:p></span></p></td></tr></ta=
ble><p class=3D"MsoNormal"><i><span style=3D"mso-fareast-language:EN-US">OB=
SERVACIONES</span></i><span style=3D"mso-fareast-language:EN-US"><o:p></o:p=
></span></p><table class=3D"MsoNormalTable" border=3D"0" cellspacing=3D"0" =
cellpadding=3D"0" width=3D"633" style=3D"width:474.75pt;border-collapse:col=
lapse"><tr><td style=3D"padding:3.0pt 3.0pt 3.0pt 3.0pt"></td></tr></table>=
</td></tr></table></td></tr><tr><td width=3D"36%" colspan=3D"5" valign=3D"t=
op" style=3D"width:36.0%;border:none;border-top:double windowtext 1.5pt;pad=
ding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><b><i><u><span style=
=3D"mso-fareast-language:EN-US">PERITAJE</span></u></i></b><span style=3D"m=
so-fareast-language:EN-US"><o:p></o:p></span></p></td><td width=3D"62%" col=
span=3D"4" valign=3D"top" style=3D"width:62.0%;border:none;border-top:doubl=
e windowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal">=
<span style=3D"mso-fareast-language:EN-US">&nbsp;<o:p></o:p></span></p></td=
></tr><tr><td width=3D"99%" colspan=3D"9" valign=3D"top" style=3D"width:99.=
0%;border:none;border-top:double windowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt=
 3.0pt"><table class=3D"MsoNormalTable" border=3D"0" cellspacing=3D"0" cell=
padding=3D"0" style=3D"border-collapse:collapse"><tr><td width=3D"282" vali=
gn=3D"top" style=3D"width:211.15pt;padding:0cm 3.5pt 0cm 3.5pt"></td><td wi=
dth=3D"156" valign=3D"top" style=3D"width:117.0pt;padding:0cm 3.5pt 0cm 3.5=
pt"></td><td width=3D"183" valign=3D"top" style=3D"width:136.9pt;padding:0c=
m 3.5pt 0cm 3.5pt"></td></tr></table></td></tr><tr><td width=3D"99%" colspa=
n=3D"9" valign=3D"top" style=3D"width:99.0%;border:none;border-top:double w=
indowtext 1.5pt;padding:3.0pt 3.0pt 3.0pt 3.0pt"><p class=3D"MsoNormal"><b>=
<i><u><span style=3D"mso-fareast-language:EN-US">OBSERVACIONES</span></u></=
i></b><span style=3D"mso-fareast-language:EN-US">&nbsp; RECLAMACION<o:p></o=
:p></span></p></td></tr><tr><td width=3D"99%" colspan=3D"9" valign=3D"top" =
style=3D"width:99.0%;border:none;border-bottom:double windowtext 1.5pt;padd=
ing:3.0pt 3.0pt 3.0pt 3.0pt"></td></tr><tr><td width=3D"76" style=3D"width:=
57.0pt;border:none;padding:0cm 0cm 0cm 0cm"></td><td width=3D"25" style=3D"=
width:18.75pt;border:none;padding:0cm 0cm 0cm 0cm"></td><td width=3D"36" st=
yle=3D"width:27.0pt;border:none;padding:0cm 0cm 0cm 0cm"></td><td width=3D"=
56" style=3D"width:42.0pt;border:none;padding:0cm 0cm 0cm 0cm"></td><td wid=
th=3D"51" style=3D"width:38.25pt;border:none;padding:0cm 0cm 0cm 0cm"></td>=
<td width=3D"82" style=3D"width:61.5pt;border:none;padding:0cm 0cm 0cm 0cm"=
></td><td width=3D"25" style=3D"width:18.75pt;border:none;padding:0cm 0cm 0=
cm 0cm"></td><td width=3D"106" style=3D"width:79.5pt;border:none;padding:0c=
m 0cm 0cm 0cm"></td><td width=3D"197" style=3D"width:147.75pt;border:none;p=
adding:0cm 0cm 0cm 0cm"></td></tr></table><p class=3D"MsoNormal"><span styl=
e=3D"mso-fareast-language:EN-US">&nbsp;<o:p></o:p></span></p><p class=3D"Ms=
oNormal"><span style=3D"mso-fareast-language:EN-US"><o:p>&nbsp;</o:p></span=
></p><p class=3D"MsoNormal"><span style=3D"mso-fareast-language:EN-US"><o:p=
>&nbsp;</o:p></span></p><p class=3D"MsoNormal"><img border=3D"0" width=3D"5=
89" height=3D"102" style=3D"width:6.1333in;height:1.0583in" id=3D"Imagen_x0=
020_1" src=3D"cid:image002.png@01DD65F3.FC362C90"><span style=3D"mso-ligatu=
res:standardcontextual"><o:p></o:p></span></p><p class=3D"MsoNormal"><span =
style=3D"mso-ligatures:standardcontextual"><o:p>&nbsp;</o:p></span></p><tab=
le class=3D"MsoNormalTable" border=3D"0" cellspacing=3D"0" cellpadding=3D"0=
" style=3D"margin-left:5.65pt;border-collapse:collapse"><tr style=3D"height=
:168.25pt"><td width=3D"741" valign=3D"top" style=3D"width:555.95pt;padding=
:0cm 5.4pt 0cm 5.4pt;height:168.25pt"><p class=3D"MsoNormal" style=3D"text-=
align:justify"><span style=3D"font-size:9.0pt;mso-ligatures:standardcontext=
ual">En cumplimiento de la normativa vigente en materia de protecci=F3n de =
datos, se advierte de los siguientes extremos: Los datos de car=E1cter pers=
onal ser=E1n objeto de tratamiento como responsable por BMS MEDIACI=D3N IBE=
RIA CORREDUR=CDA DE SEGUROS Y REASEGUROS, S.L.U. (B-88.053.186), Paseo Cast=
ellana, 28 entreplanta., 28046 - Madrid (Madrid), tel=E9fono 91 419 7640, c=
orreo electr=F3nico </span><span lang=3D"EN-GB" style=3D"font-size:9.0pt;ms=
o-ligatures:standardcontextual"><a href=3D"mailto:protecciondatos@bmsgroup.=
com"><span lang=3D"ES" style=3D"color:#0563C1">protecciondatos@bmsgroup.com=
</span></a> </span><span style=3D"font-size:9.0pt;mso-ligatures:standardcon=
textual">y con clave administrativa J-3606. Tiene concertada P=F3liza de Re=
sponsabilidad Civil Profesional y dispone de capacidad financiera seg=FAn l=
a legislaci=F3n vigente. La finalidad del tratamiento es gestionar la relac=
i=F3n profesional, atender sus consultas y la remisi=F3n de la informaci=F3=
n que nos solicita. Sus datos se conservar=E1n mientras dure la relaci=F3n =
contractual y durante el plazo de prescripci=F3n. Podr=E1 ejercitar sus der=
echos de acceso, rectificaci=F3n, supresi=F3n y portabilidad de sus datos, =
de limitaci=F3n y oposici=F3n a su tratamiento, as=ED como a no ser objeto =
de decisiones basadas =FAnicamente en el tratamiento automatizado de sus da=
tos, cuando procedan. Informaci=F3n adicional: Puede consultar nuestra pol=
=EDtica de privacidad en nuestra p=E1gina web </span><span lang=3D"EN-GB" s=
tyle=3D"font-size:9.0pt;mso-ligatures:standardcontextual"><a href=3D"https:=
//url.uk.m.mimecastprotect.com/s/49I0C59pYul4QNRiyiqGskfZRB?domain=3Dbmsgro=
up.com"><span lang=3D"ES" style=3D"color:#0563C1">www.bmsgroup.com</span></=
a></span><span style=3D"font-size:9.0pt;mso-ligatures:standardcontextual">,=
 escribiendo al correo electr=F3nico </span><span lang=3D"EN-GB" style=3D"f=
ont-size:9.0pt;mso-ligatures:standardcontextual"><a href=3D"mailto:protecci=
ondatos@bmsgroup.com"><span lang=3D"ES" style=3D"color:#0563C1">protecciond=
atos@bmsgroup.com</span></a></span><span style=3D"font-size:9.0pt;mso-ligat=
ures:standardcontextual">, o en nuestras oficinas. Confidencialidad: Si ust=
ed no es el destinatario y recibe este mail por error, rogamos se ponga en =
contacto con nosotros y elimine este correo y sus documentos adjuntos sin l=
eerlos ni hacer ning=FAn uso de los datos que figuren en los mismos</span><=
span style=3D"font-size:9.0pt;mso-ligatures:standardcontextual;mso-fareast-=
language:EN-US"><o:p></o:p></span></p></td></tr></table><p class=3D"MsoNorm=
al"><o:p>&nbsp;</o:p></p></div></body></html>

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