Invoice Rent Premis - PDF by sso18804

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									                                                                           OVAL

                                                                        Insur.nceBrokiDg
                                                                        6th Floor,TempleCircusHouse
                                                                        Templ€Way
                                                                        Bristol
                                                                        BSI6HG
                                                                        UnitedKingdom
MrJohnMorris                                                                 :
                                                                        T e 10 l l 7 1 0 06 l 6 l
          CloseRTMCo Ltd
Heronbridge                                                             F a x :0 l l 7 1 0 0 6 1 6 0
'15
  WindsorRoad
                                                                        wrv*.th€ovtlgroup.com
Swindon
Swindon
SN31JP


07t10t2008


   Mr
Dear Morris

Oval Flat and PropertyOwnerInaurance     -
                                   Renewal 25/122008
                      61
PolicyNumber:58/BB/1 71285
Our Reference: 790700

I referto the aboveOvalFlatandProperty
                                     Ownerpolicy.As discussedcanconfirm
                                                             I         properties
                                                                                7-13
Heronbridge   Closehavebeenadded the policy
                                 to       coverwithetfeclfrom25mDecember 2008. Thishas
generated additional
            an        premium of €37.41.
                              due

              a                    schedule invoice yourrecords lookfoMardto
I haveattached copyof the MTAamended      and     for         and
         your
receiving payment return.
                   by
                                you            please nothesitaie contact
I trustthisis in order,if however haveanyqueries    do          to      me.




HelenMadine
SME       Manager
    Account
Phonenumber:01173006,|05
     helen.madine@theovalgroup.com
Email:




                                                                        Owl l.sufu@ BFh.s Lmn.d
                                                                        R.s'n.rd Ofii@ 9 Sodn PalrL,

                                                                        R.gd.red o Engl&dNo 01195134
                                                                        Adhoned d<l Ggul.rd by lh.
                                                                        F.eEl S@ccs Authoniy
                                                                                            OVAL
                                                                                Insurrnce Broking
                                                                                6th Floor,TempleCrrcusHouse
                                                                                Templeway
                                                                                Bnstol
Mr JohnMorris                                                                   BSI 5HC
HeronbridgeCloseRTMCo Ltd                                                           0l
                                                                                Tel: l7 300 6l6l
15Windsor  Road                                                                      0l
                                                                                Fax: l7 300  5150
Swindon                                                                         wrnv.thaovrlgroup.com
S N 31 J P                                                                      VAT No.424639251




                                        INVOICE
              2008
Oate:07 October                                   No:
                                            lnvoice 4490                                   ref:
                                                                                      Client 790700

Typ€ of Policy          llnsurrr              llnsurer Pol No.   lPolicy Term      Prcmlum{e)
OvalFlatandProperty
                  Owner Allianz       plc
                              Insurance        58188'116171285          -
                                                                 25l12lOA31101109




Subtotal                                                                                                   JC.O5

Totalfees                                                                                                    0.00
VATon fees                                     (17.5% €0.00)
                                                    on                                                       0.00
OtherVAT                                       (17.5% €0.00)
                                                    on                                                       0.00
IPT                                                                                                          1.78
TOTAL                                                                                                    e37.41

Please                            office(OvalInsurance
      forward cheques our Leicester
             all    to                               Broking       5
                                                            Limited, WesternBoulevard,
Leicester, 7EX)making
         LEz         thempayable OvalInsurance
                                 to                    Limited
                                                 Broking




                                                                                Ovll ltuurre   Broli.g Lftir.d
                                                                                R.g'rlr.d   OIfi@ 9 Sou1h
                                                                                                        P...de


                                                                                R.gi$d.n i. E.ghn<lNo 01195184
                                                                                Aulhor6.<t r.d rcguhred
                                                                                by lh. Fmncnl S.ryic6 Aurhorny
                                                                                                                       Alllanz@
OvalFlat Owner
Mid TermAdiustmentSchedule
plcaac notc tfirt you mu.t advllc your inlunnc. advi3cr of dlengc to thc rirk and lt'm3 to bG
oqcd.

                             58/BB/1617r28s                                Agent:                                 Broking
                                                                                                      OvalInsurance      Limited
     No:
Policy
TheInsured:                            CloseRTMC, Ltd
                             Heronbridge
Mal Mdress:                  15 windsor Road
                             Swindon
                             Swindon
                             SN3UP

Adiustment Premium:           € 35.63
Insurance Premium Tax:        E r.78
TotalAdjustment               837.4L
Premium:
Effecti\€Date:                2slr2l2008
Ren€wal  Date:                0l/02/200s
Business D€scription:                Owner
                              Property

         Addr€ss:
ThePr€mises                   Premises 1{ Heronbrklge Westl€a,
                                    1:              Close,     Swindon' 7DR
                                                                      SNs
                              Premises 19-24
                                    2:                           swindon, 7DR
                                                           Westlea,
                                                      Close,
                                             Heronbridge                SNs
                              Premis€s 7
                                    3:   - 13Heronbridge Swindon,
                                                      Clo6€,      Swindon, 7DR
                                                                        SN5

Cl.u.G. .ppllc.blc   b thc wholc Pollct:

 Ctl43tZ- RiskImprovements
                         Condition



 SectionI ProPertYDamage
                                     clotc, wBdG', swindon,s 5 7DR
 Prcpcrtt at Prcmbcc1: 1-6 Hcrcnbridgc
                                                                                                                                 SumInsurcd
 Description
                                                                                                                                   (€341,250)
                                                                                                                            e392,437
 Buildings insured
          Sum
                   Parts                                                                                                              €0(€0)
          of
 Contents Common
                                                                                                                                      €0(€0)
 All OtherContents Insured
                 Sum

             10
        Events
 Excluded

 Excess:
                                                                                                                                      €1@0
 Subsktence

           s8/BB/16171285                                                                                                          071L012008
      Numb€r:
 Policy
                                                    Alid[ lnr',rarca pk Ragltltrd ln EngLndm 8'$a
                                         R.obtlnd Ofi(!: 57 tidl|{|l.d, Gr*ltdd, SunE, A',r lD6, Unrt'd lqndoh
                         Aliimr In$r&tc! DL b, ttilta. of thc As.to.!
                         '''-                                               oaBddi rn9lErs' trd tt'' F ltrod om
                                                                                                                  r2to'l'
                                  i[ r iifito*r"o .r'a t!g'r.t d bv ttl. Fhaldc 56,L.t &db'ltt, ttg[*r'tio' numb"
                                                                       wrwdran:.co.4
       Damage
Property    Excess                                                                                                                     8200

Property at Premises2. 19-24 Heronbridge Close,westlea, Swindon' SNs 7DR

Description                                                                                                                      Sum Insured
Buildings insured
        Sum                                                                                                                       (r341,2s0)
                                                                                                                           8392,437
Contents Common
         of       Parts                                                                                                              e0(f0)
                SumInsured
All OtherContents                                                                                                                    r0 (€0)

       Events
Excluded     10

Excess:
Subsidence                                                                                                                            €1000
PropertyDamageExcess                                                                                                                   f200

Property at Premises3t 7 - 13 Heronbridge Close,Swindon, Swindon' s1{5 7DR

Description                                                                                                                      SumInsured
        Suminsured
Buildings                                                                                                                         (f341,2s0)
                                                                                                                           8392,437
Contents Common
         of       Parts                                                                                                              €0(r0)
                SumInsured
All OtherContents                                                                                                                    r0 (f0)

       Events
Excluded     10

Excess:
Subsidence                                                                                                                            €1000
Property    Excess
       Damage                                                                                                                          8200

Section2 Lossof i,ent (specifiedPremise)

Prcperty Premises 1-6Heronbridge
       at       li                        Swindon, 7DR
                                    Wesuea,
                               Cloce,            SIl5

SumInsured                                                                                                                           €58,250
MaximumIndemnityPeriod                                                                                                             12 months

Prcperty at Premises2: 19-24 Heronbridge Close,WesUea'Swindon' SI{5 7DR

SumInsured                                                                                                                           868,250
MaximumIndemnityPeriod                                                                                                             12 months

Property at Premis€s3: 7 - 13 Heronbridge Close,Swindon, Swindon' SIl5 7DR

SumInsured                                                                                                                           €68,2s0
MaximumIndemnityPeriod                                                                                                             12months

Section2 Lossof Rent (acrossall Premises)

     Number:
Poficy              LZ85
           58lBBlL6l7                                                    z                                                        07lrol2o08
                                             allianzlncrrancepk, R.gisH in England 8,1538
                                                                                    no
                                   RegE€r€d  Office:57 L.dym.ad,Gulldiod,s{rn€y,GUl 108, uniEd Xingdo.n
                           Inslrancepk E a rnsnb€rof dreAt6odabdtof SrltisnInsur€6,andthe Finan@l
                     Ailianz                                                                               S€dioe
                                                                                                  Ombudsrnan
                         allirnr b autno.is€d and llguLtld   by dlc Flndldal s€rvi.!. Autho.ity, Gglshatbn numb€r 121E49
                                                                  www..llianz.co.uk
SumInsured                                                                                                                       t0
MaximumIndemnityPeriod                                                                                                      12months

Section3 PropertyOwnersLiability
Limit Indemnity
    of                                                                                                                     €2,000,000
Excess:
Third
    PartyProperty  Excess
               Damage                                                                                                            €200

Section4 EmployersLiability                                                                                               I{ot Insur€d


Section5 Personal
                Accident                                                                                                  Ilot Insurcd


Section6 Legalfxpenses
Cover:Basic
Anyone claimlimit f100,000,Period Insurance
                                of                limit E500,000
                                          aggregate

Employment
TaxationProceedings
                 Defence
       Prosecution
Criminal
Damage to Premises

          Allowance
JuryService       €5,000any one Event

     wordingRef:36507
Master

Terrorism- PropertyDamage                                                                                                     Insured


]errorism - Lossof Rent                                                                                                       Insur€d


SurveyRequired
Property Premises 1-6Heronbridge
       at       1:                    Wesdea,
                                 Close,      swindon,                                                                              I{o
st{s 7DR
Property Premises 19-24Heronbridge
       at       2:                      W6Uea,Swindon,
                                   Clos€,                                                                                          I{o
SNs7DR
Property Premises 7 - 13 Hercnbridge
        at      3:                             Swindon,
                                        swindon,
                                   Close,                                                                                          No
s1{5 7DR



Clauses
cl14312                           Clause
                   RiskImprovements

            has
If thisPolicy been                           completingsuryey:
                  issued/renewed to theInsurer
                              subject                 a
- the Premises
            or

     Number:
Policy     58/BB/16171285                                              J                                                    071r012008
                                               alllanr Insurance plc. R€gisEGd ln England no EaSla
                                   R€sisH Omocr Ladtm..d, &lldtod, sungy, GUl lDB, Unlt€dlcngddn
                                                   57
                    alltam Insur.ncepk is a n|€nba.cf tha assodauon Eriush
                                                                  oa      lnsor€rs, tne FhanoalOmhrdgnan
                                                                                  a.d                   s€ftice
                        Allbnz is altndrsdl   and llgulaEd by th€ Fna 6l S€rviE Authdlt,     €gistr.tbn   numb.r 121849
                                                                ww.allianr,co,ul
- the siteof any Contract
                        Worksor

- the siteof anywork carried by or on behalf the Insured
                            out            of           awayfrom any premises       leased
                                                                            belonging     rented
or hiredto the Insured

                precedent liability
It is a condition       to        that the Insuredmustcomply                       required the
                                                            with all riskimprovements      by
Insurerwithinthe time scales        by
                           specified the Insurer.

The Insurerreserves rightto amendthe termsof coverif the Insured
                  the                                           doesnot complywith this condition.




PolicyNumber: I BBI
            58    16L7
                     1285                                          4                                                    071r012008
                                               AllianzInsur.nc. pk. Regbte.ed England 84638
                                                                              in         no
                                               Omce:57 lrrn€ad, Gllldfod, Surey, GUI 1Dg,UnltedKingdoln
                                      Regist€r€d
                     ,JlianzInsuran. pk is a m€rnb.rof th€ Assodaur af &i(Csh  hsu.ers, andttre Finanoal
                                                                                                       OnbudgnanS6vkE
                           alianz ls autho.is€d Egulat€dby ule Flnd|cr.ls€fvrc.sAutndty, ngEtratbn numb.r 1218,t9
                                              and
                                                                ww..llianz.co.uk
                                                                                                                   Allianz@
Stetcmcntof Fact
Thlr Pollcy,Schcdulcrnd Strtcmcnt of Factrhell bc rr.d togGdrcr.nd ionn thc b.rlr ot thc
lmurancc Crntnct

ThGyhrva bGCn   pruparrd In accordrncc wlth Infomauon that wc hrvc ncalvGd from you through
your lnaurancc ldvl&r.

It b lmport nt th.t you chcd( .ll thc hrtonn.ton lmmcdlrt ly. If .ny of thc lntlormauonlr Incorcct
you mu.t contrct your lnrunnco Advlror immodletcly.Frllurr to do ro couu invrlldrb tha pollct
ftom Inc.pdon or rulult ln e delm b.lng ttFdl.t d.

                                                 you
         recommend youkeepa record all information haveprovided yourInsurance
Westrongly       that            of                           to            Advisor.

      No:
 Policy                       s8/BBi1617128s
 The Insured:                           Close Co
                              Heronbridge RTM Ltd
 EffectiveDate:               zslL212008
 Insurance
         Advisor:             Oval        Broking
                                  Insurance     Limited
 Business
        Description:                 Owner
                              Property

Br3lr ofAcccpt ncc

Allianz accepted riskbased the provision th€ following
      has      this      on            of            infiormation:

Number Premis€s
      of                                                                                                                   3
Thepercentage Premises
            of       Insurcd areunoccupied?
                            that                                                                                          0%

   Venture?
Nev!,     No

Prumlro Spcciftc Qucrffone

Addrr.a ot Prfirlaaa l: 1-5 HcronHdga Cloaa,Wcdoe, $idndon, St{s 7DR

DayOn€Percentage;                                                                             15%
RiskbeensubFfct morethan2 daimsor totalvalueof claims
               to                                      exceed€3,000withinpast3 )r€ars;          No
Riskbeenclaimfre€for at least3 years;                                                          Yes
       use:
Building                                                     block flats- Block llats - purpose
                                                      property
                                             Residential          of           of             buift
MultFtenure?                                                                                    No
            =
(MultFtenur€ a singlepr€mis€ morethanon€tenantwh€re portions
                             with                        the                by
                                                                   occupied the tenants not
                                                                                         ar€
                                  construction.)
dMdedby walls/floors fire-r€sisting
                   of
Year
   PrcmiseBuilt                                                                                                          1982
         has
Th€Premise a oJrrent I.E.E.certiftcate.                                                                                   No
ThePremise 24 hours€curity
         has                                                                                                              wo
         is                 for         and
ThePremise reguhrlyinspected damage suchinspections recorded
                                                  are                                                                     No
Th€Premise ATMt
         has                                                                                                              No
         has
ThePremise a sprinkler system                                                                                             No
                                               ,rldr Insffe     pt. R.06[r!d |n EngLndno 84638
                                     Rlgirald Ofrc!: 57 La@,       q{dft.d.gntt,  q,r 1D8,tlot d Xing.bn
                       A .m rnef..r.! pk b a m.rn!.r of t|. AleodrEr d &Esn In$|!rs. ald tha Fne€al ornhlds|$ar sartit
                           Abtz b.utnqt.d '!d 'tgr.add t Ot. Finrdd S,.ivt . tutEitt, ngi.lrrtrll numbcrUrtt9
                                                                ww.dtar.co.ul
Construction Premises?
           of                                                                                           Traditional
     Non-bmbustible                                   FireResistingNon-Lpmbustible,
                                                                  /                includingtloorsandstairc
     Traditional                                      Wallsanstrudd of brick,stone,concrete, allowstimberr@f
                                                                                             but
                                                      frame,floorcandstairy
     Paftly Ambustible                                                       is
                                                      Upto 35%of construction @mbustible
     6mbustible                                       Over                      is
                                                          35%of theconstruction @mbustible
     hmbustible CompositePanels                       hmbustibleConposite        Lrc
                                                                           Panels Approved     anryherein the
     LrcApprod                                        Prcmises
     hmbustible hmposite Panels                       funbustibleConposite PanelsNon-1rcAppro@ anwhere in the
     Non-1rc Approved                                 Prcmi*s
               hnposite Panels
     Polystyrene                                      Polwtyrene hmpositepanels          in
                                                                                anywhere the Prenisesl
      heating
Premise      method:                                                                                    Directlyfired fixed heatingsystem
What percentage property currently
              of        is         unoccupied                                         0o/o
       of
Number flatsin block?                                                                   A

Floor          in
    constructionblock?                                                            Concrete
Number Storeys?
       of
      and/or
Kitchen      bathroom         are
                     facilities shared                                                 No
          is                   or         by     or
ThePremise occupied Bedsits isoccupied student D.S.S.
                    as                                tenants.                         NO
ThePremise occupied a hostel
          is        as                        government charitable
                                and/or
                                     used local
                                         by           or               associations
                                                                 housing               No

       of                         Clo6e,
Addr€ss Pr€mis6 2! 19-24Heronbridge          Swindon,SNs7DR
                                       Wesuea,

DayOnePercentage;                                                                                                                  l5o/o
   been
Risk   subject more
              to   than2 claims totalvalue claims
                               or        of          t3,000within
                                                exceed           past3 years;                                                        No
Risk
   beenclaim for at least years;
            free        3                                                                                            Yes
Building
       use:                                                           property
                                                             Residential      blockof flats - Blockof flats - purposebuilt
MultFtenure?                                                                                  No
            =
(Multi-tenure a singlepremise with morethan onetenantwherethe portions      by           are
                                                                     occupied the tenants not
dividedby walls/floors fire-resisting
                     of             construction.)
YearPremise
          Built                                                                                                                    1982
          has
The Premise a currentI.E.E.certificate.                                                                                              NO
          has
The Premise 24 hoursecurity                                                                                                          No
          is                for
                    inspected damage suchinspections recorded
The Premise regularly               and            are                                                                               NO
          has
The Premise ATM'S                                                                                                                    No
          has
The Premise a sprinkler
                      system                                                                                                         No
Construction Premises?
           of                                                                                                                 Traditional
     Non-&mbustible                           -       Fire Resisting Non-conbustible,
                                                                   /                includingtlooE and stai6
     Traditional                              -       Wallsconstructed bri& stone,concrete,but allowstimfur r@f
                                                                       of
                                                      frame,floorsandstairs
     PattlyConbustible                                                       is
                                                      Upto 35%of @nstuction @mbustible
     Comburtible                                      Over                      is
                                                          35%of theconrtruction combustible
     Combustible       Panels
               Composite                              Conbustible                Lrc
                                                                  &mpositePaneb Approvd anywhere the in
     LPCApptovd                                       Premi*s
               Composite
     Combustible       Panels                         AmbustibleComposite  Panels      Approtted
                                                                                 Non-LPC                 in
                                                                                                 anywhere the
     Non-1rcApproved                                  Premises
     Powyrene hmpositePanels                          Polwtyrene hmpositepanels anwhete in the Premisesl
      heating
Premise     method:                                                                                            firedfixedheating
                                                                                                        Directly               system
                                                Alllanrhsurancepk. Regffi              no
                                                                             in England E453a
                                      Reghierud                   Guildtu Sun€y,GUr lDB, Unlt€dxing(bn
                                                Omce:57 l-adt^n€.d,       d,
                      Allian!hgrrance pk 6 a mqnb€.af die At6odatonof B.nish  Insur€6,andti|€ Fi.andalOrnbudsnanS€fllce
                            Alll r b au$oils.d and llgulad bt UreFindrjal ServiE Autho.ity,eqlstrab!. nunb6 !21E49
                                                               rv\Nw'alhanz.co.uk
Whatpercentage property currently
             of        is        unoccupied                                                                                        0o/o
Number flats in block?
     of
Floorconstruction block?
                in                                                                                                            Concrete
     of
Numb€r Storeys?
Kitchen
      and/orbathroom         are
                    facilities shared                                                                                               No
The Premise occupied 8€dsits is occupied student D.S.S.
          is       as      or          by        or     tenants.                                                                    No
          is                and/orusedby localgovernment charitable
The Premise occupied a hostel
                   as                                  or               associations
                                                                  housing                                                           No

Address of Premises3: 7 - 13 Heronbridge Close,Swindon, Swindon, SI{5 7DR

DayOnePercentage;                                                                                                                 LSo/o
Riskbeensubject morethan 2 claims total valueof claims
               to                    or                    €3,000
                                                      exceed     withinpast3 years;                                                 NO
Riskbeenclaimfree for at least3 years;                                                                      Yes
Building
       use:                                                                 block flats- Block flats- purpose
                                                                     property
                                                             Residential        of           of             built
MultFtenure?                                                                                                  No
             =
(MultFtenure a singlepremise  with morethanone tenantwherethe portions      by           are
                                                                     occupied the tenants not
                                    construction.)
dividedby walls/floors fire-resisting
                     of
   Premise
Year       Built                                                                                                                  1982
          has
ThePremise a current     ceftificate.
                     LE,E.                                                                                                          No
ThePremise 24hoursecurity
          has                                                                                                                       No
ThePremise regularly
          is               for
                   inspected damage such
                                      and          are
                                          inspections recorded                                                                      No
          has
ThePremise ATM'S                                                                                                                    No
          has
ThePremise a sprinklersystem                                                                                                        No
construction Premises?
          of                                                                                                                 Traditional
     Non-@mbustible                           -        Fhe Resisting Non-@mbustible,
                                                                    /                 includingf,oo6 and stairc
     Tnditional                               -        Wallsconstructd of bric& stone, concrete,but allows timber roof
                                                       ftame, tloo6 and stairs
     Pattly Conbustible                       -                                 is
                                                       Up to 35% of construction combustible
     &mbustible                               -                                   is
                                                       Over35% of the construction @mbustible
     Combustible
               CompositePanels                                   Composite
                                                       Combustible               LPC
                                                                           Panels Approvd anywherein the
     LPCApprcved                                       Prcmiss
               bmposite Panels
     Combustible                                       CombustibbAmposite Panels Non-1rc Approvd anryhere in the
     Non-LPCAppro@                                     Premises
                       Panels
     Polwtyene Composite                               Potwtyene Conpositepanelsanywherein the henisesJ
Premise
      heatingmethod:                                                                                            fired fixedheating
                                                                                                         Directly                 system
Whatpercentage propertyis currently
              of                  unoccupied                                                                                       0o/o
     of
Number flats in block?                                                                                                               7
                in
Floorconstruction block?                                                                                                       Concrete
      of
Number Storeys?
      and/or
Kitchen     bathroom         are
                    facilities shared                                                                                               NO
ThePremise occupied Bedsits isoccupied student D.S.S.
         is        as         or         by     or   tenants.                                                                       No
         is        as
ThePremise occupied a hostel   and/or   by   govemment charitable
                                    used local      or         housing
                                                                     associations                                                   No

GeneralAcceptance

                                 you
            contract based neither noryourdirector(s) partner(s)
Thisinsurance      is    on                        or         having:-
                                                                l'*
                                    *,""*J#i#ffiffi ffffJ"#ff 13ff "'*"
                      AlltanrInsuranc.pk is. tr'crnb€r th€ Arcodator o{ &itish hsu.ers, andthe nnandalOmtudsman
                                                       cf                                                         S.rvke
                           arb.2 is autho.i!.d .nd llsuo*    tmffiln:F            tuodny, rcqrstl"tbn numbci l2l84e
                                                           "
    .                  of
         beenconvicted or charged  (but not yet tried)with a criminaloffence otherthan (roadtraffic)motor
         offences
    .    received officialcaution a criminal
                 an              for          offence  withinthe lastthreeyearsotherthan a (roadtraffic)
         motoringoffence
    .    beendeclared                                          of
                      bankupt and/orare or havebeensubject anywindingup order,insolvent        liquidation
                                                                                                         or
                      or                            or
         administration havemadeanycomposition anangement           with creditors
    o    beena director partnerof a company
                       or                     whichhasgoneinto insolvency,               receivership
                                                                              liquidation,          or
         administration
    .    everbeenprosecuted failureto comply
                             for                                  &       or        or
                                                 with any Health Safety Welfare Environmental
                  legislation.
         Protection

In respect the business
         of           whichis the subject this Insurance
                                         of                     or                whichyou, your
                                                        contract, any otherbusiness
        or
oartners directorshavebeeninvolved with, no insurerhasever:-

    .            cancelled refused proposal insurance
         declined,        or      any       of
    .    cancelled declined renewany insurance
                  or        to
    .    imposed       termsor conditions.
                 special

Wheresubsidence covered properties
              is      all        are:

    .                               by
         freefrom any signof damage subsidence haveno historyof damage
                                             and
    .    freefrom any crack to extemalwalls

Whereyou are required do so underHealth
                    to                                     you
                                       and Safetylegislation must:

    .    haveand will continue havea nominated
                             to                person           for
                                                     responsible Health and Safety
    .    haveand will continue havean induction on-going
                             to               and         trainingprogrammewhichis reviewed
                                                                                          and
         recorded
    o    haveand will continue havea Health
                             to            and SafetyPolicy place
                                                          in
    .    undeftake               in
                  RiskAssessments orderto identifyhazards.

If any of the aboye statements are inaccurate you must oontact your Insurance Advisor immediately.

Material Fact Requir€ment

Material factsare thosefactswhichare likelyto influence in the acceptance assessment this proposal
                                                      us                or         of            and
it is essential you disclose
              that                                                           you
                             them.If you are in doubtwhether fact is material, shoulddisclose since
                                                             a                              it,
                              your policy, resultin a claimbeingrepudiated.
failureto do so couldinvalidate          or

If at any time anything                                          you                    give notice
                                          affecting risk(s)insured mustas soonas possible
                       shalloccurmaterially       the
in writingto us,

DAIA PROTECIIOT{     ACT
We may usethe personal   and businessdebils you havegivenus or whichare suppliedby third partiesincluding detailsof directors,
                                                                                                              any
offcers, partnersand employees provideyou with a quotation;dealwith your policy;to search
                               to                                                              credit referenceagencies who may keepa
recordof the search;to sharewith other insuranceorganisations helpofftet risk, to helpadminister
                                                               to                                    your policyand to handleclaimsand
preventfraud; to supportthe development our business includingyour detailsin customer
                                         of             by                                    surveys, and for marketres€archand
compliance  businessreviewswhidr may be carriedo|.,tby third partiesactingon our behalf.Youmust ensurethat yoiJrdirectors,officeE,
partrrers employees
         and           consentto our usingtheir detailsin this way or you must notiry us of any objections.

We may needto collectdata relatingto InsuredPersons,
                                                   whichunderthe OataProteclion is definedas sensitive
                                                                              Act                     (suchas medicalhistoryof
InsuredPersom)for the purpos€ evaluating risk or administering
                                of          the                claimswhichmay occur.Youmustensurethat you haveexplicitverbal
or written consentfrom the InsuredPersons suchinformation
                                         to              beingprocessed us and that this fad is madeknolvnto the Insured
                                                                       by
Persons.

We may shareyour detailswith other companies    within the Allianzgroupof companies passthem to third partiesso that we may tell you by
                                                                                  or
telephone,  emailor po6tof productsand s€Mceswhichwe think may be of inter€stto you. If you do not want to knowaboutthese prcducts
pleasewrite to: Customer   gtisfaction Manager,                  plc,
                                              AllianzInsurdnce 57 Ladymead,              Suney,GU1lDB to let us knov{.Yourdetails
                                                                                Guildford,
will not be kept for longerthan is necessary.


                                                       Alli.nz Insirancepk. R.gisldld In Engbndno 84538
                                            R€qllerEdOfficE: L.dym.ad,qi|dbd, Srnq, qrl lD8, Unn d rcngdom
                                                              57
                             Allianzlnslran € pk b . msnb€i ol UE As$d.ton of 8.l!sh Insurlrs, andtha Finan@l
                                                                                                            OmbudgnarS€rvice
                                   AXiitnz .utho.ir€d andrcguldEdby th. Fh dal Savkcs Authoriv, |tqh|ratbn numbarr2r8a9
                                          b
                                                                        ww.a |ianz.@.ux
Under DataProtection 1998individuals entiued a copyof all the personal
     the              Act              are      to                             Allianz
                                                                     information             plc
                                                                                     Insurance holdsaboutthem.
Please                                    at         above.
                       satisfactionManager the address
     contactthe Customer

                              to
Peconaldetailsmay be Uansfened countries             Theywill at all times be heldsecurely
                                        ouEidethe EEA.                                    and handledwith the utmostcare in
accordance all principles English
         with            of      larv.




                                                                    plc.         in         no
                                                    alllan. Insurance Reqister6d England 84638
                                           R€giffi Omc.: 57 l-adrn€6d,Grildtu, Surcy, q.ll 1D8,UnlH Xingdom
                           Allianz          pk
                                  lnsurance is a mdnb€.cf th€ Assdiitbn of &itish Insunrs, 6ndttrc Finandal  Ombudgnan Sa.vica
                                                   and
                                 allbft 6 autho.lsad llguht d by thc Fharclrl scdica. Altnodty, rrglstratbn numb.r 121849
                                                                    ww.alianz.co_uk
                                                                                                              Alllanz@
Cll.nt ]lcwc

PlG.rcnotc, thl3 Clicnt llcw. only.ppllc. to policlccwhich wcrc inccptcdprlor to ot/og/2oot.

Witheffectfromthe amendment of yourPolicy
                         date           therehavebeensome      to
                                                         changes lour documentation.

         of           thesed|anges asfollows:
In respect U|escfieduh,          are

   .   Addition Section - Personal
              of       5                  whidr is optional please
                                   Accident               -      consuftyourInsurance
                                                                                    Adviser
                                                                                          sho.rld
       youwishto addthis section
                               (please that thiswouldrequire new
                                      note                     a    policy be issued).
                                                                          to

   .   Section - Legal
              5       Expenses replaced Section - Legal
                              is        by       6      Expenses. doesnot affectyourexisting
                                                                This
                      C/507 C/508
       co\rer-s€eclause    or                 Pl€as€ that yourpolic'y
                                   for details.    note                   will
                                                                    wording still referto this
       sectbnassection5

                                         are
In resp€ct the statement fact,thesedranges asfollows:
         of            of

   o Weharre  amended some the tradedescriptbns the ccupantsof the pr€mises prwidedarityowr
                           of                 for                         to
     tfie occupancy the
                  of    premises.

   .   Whereyourtradeis B&B Guest
                           &                       will
                                Houses, number rooms benowbedisplayed.
                                     the     of

   .   Wehav€expanded listof options
                       our                     for           of           detail€d the
                                       available "Construction the Pr€mises"     m
       Statement Fact.If ),ourPremises
               of                                was
                                     construction notedas'Combustible Composite       your
                                                                               Par|els",
       statement Factwill beamended show
               of                   to                     Lrc
                                                     Panels Approved'.
                                            "Composite

   o Wtrere Pr€mises occnpied a Private
          tfre     are      as                Hous€, following
                                      D,yelling    the                nour
                                                             statements show:
'Premises             or                  'No'
                              Accommodation?'
        occupied Bedsit Student
               as
'Ocorpied a Hostel,
        as        Local       or                Association?"No'
                                          Housing
                      Government Charitable

It is important youcheck the information yourdocumentaUon
              that          all           on                        If                    is
                                                           carefully. anyof the information
         or                  that                 please
incorrect if thereis anything ),oudo not understand,         )rourOvalInsurance
                                                       contact                  Adyiser
immediately.




                                                             pk.
                                              ,'I6n, lnsurancc naobta€d ln Englad no 4a536
                                   R.giiLrrd Ofi..: t l-.dtnEd, Grildtbd, Sur!.1, GUr lDa, unlt d rc|t{ddn
                     Afan: fn.!rdc. plc b a rEtbat oatlr ls6odeb. of Liuah tnsucrs, in Ur. FhrE|J omhidsnan s.ftb
                          Aridu i5artnais.d ad 'quLt d by dr Fltd€.| SGyic.3At ttdn, rlgatr.ton numb.r 121!49

								
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