INVOICE TEMPLATE

RISK TYPE - TTT : TRACKS AND TREADS – TURBO COVER

INSURERTLC INSURANCE LTD

EXCESSAS SHOWN BELOW

( S )STANDARD COVER

Cover for sudden physical loss, damage or destruction from any cause, subject always to the terms, conditions and exceptions contained within the TLC ‘Tracks & Treads – Turbo’ Contractors Mobile Plant policy wording TTT:04– March 2015.

( T )SCHEDULE OF PLANT INSURED

( C )EXCESS

1% of Sum insured - minimum of $500

EXCEPT a minimum Theft excess of $2,000 applies to Machine

Accessories whilst detached from a machine

(S) TERRITORY

New Zealand

( S )STANDARD EXTENSIONS

Additional Costs

-Limit $10,000

Additions & Deletions

-Limit $250,000 / 3 months

Agreed Value (conditions apply)

Appreciation

-Limit25% of sum insured

Breach of Warranty

Cleaning Up Costs following an Accident

-Limit$10,000

Consequential Loss –

-Weekly Limit- $5,000 (Maximum)

-Claim Limit - $50,000 (Maximum)

-Policy Limit - $250,000 (Any one Period of Insurance)

-Excess 10% of claim – minimum $2,500 (conditions apply where no valuation)

-Indemnity Period - 6 months

Emergency Services

Employee Death by Accident ‘At Work’ / Funeral Expenses

-Limit - $50,000 (For Death)

-Limit - $5,000 (For Funeral Costs)

-Aggregate Limit - $100,000 (For Death) / $10,000 (For Funeral Costs)

-All Employees

GST in excess of sum insured clause

Hired & Borrowed Plant

-Limit$250,000 / 90 days – Subjectto Average

Hoists & Hydraulic Lifting Equipment

-Limit$5,000

-Excess - $1,000

Increased Value

- Limit10% of sum insured

Interest Clause

Mutually Acceptable Loss Adjusters

No excess for Fire or Theft (conditions apply)

Progress Payments

Proportional Premium Refund – TotalLoss

Reinstatement of Amount following Loss

Replacement Cost on Parts – Limitedto machines aged 15 years or less

Salvage, Recovery & Resiting Costs

-Limit20% of sum insured,maximum $50,000

-Excess $2,500

Temporary Repairs with Insurer approval

-Limit$5,000

Third Party Road Risk

-Limit $10,000,000

-Excess $500

Tyre Damage

-Limit$5,000 per tyre

-Excess $500

Uninsured Third Party Protection

-Limit$3,000

Windscreen (Non Forestry Only)

-Limit$5,000

-$100 excess

-to be reported within 60 days

Windscreen (Forestry only)

-Limited to one claim per policy period

-$250 excess

-to be reportedwithin 60 days

-Limit $1,500

( C )OPTIONAL EXTENSIONS

1.Finance Payment Protection

-Limit 6 months

-Excess 10% of loss - minimum $2,500 – 14 day franchise)

- Items

2.Foreign Objects

-Excess 10% of loss – minimum$2,500

- Items

3.Goods on Hook

-Limit $

-Excess $

- Items

4.Laid-Up Cover

- Items

5.Machinery Breakdown

-Limit $10,000

-Excess - 10% of claim – minimum $1,000

- Items

6.Profit Share Clause (15% refund where total loss less than 40%)

7.Tools and Sundry Equipment

- Limit $

-Excess - $500 / $1,000 Burg/Theft

8.Windscreen (Forestry Only)

- Limit $5,000

-Excess $ as agreed

- Items

( S )PRINCIPAL EXCLUSIONS

Consequential Loss

Loss caused by war, foreign hostilities or nuclear material, terrorism

Depreciation, Wear & Tear

Failure, defect or fault in design or specification

Electronic Data

Loss resulting from explosion or collapse of a pressure vessel

Whilst being used for an illegal purpose

Whilst being used for or in preparation for any race, trial or contest

Loss arising from ingestion or entry of any foreign object into any machine or any attachment or

accessory thereto

Intentional Loss

Loss caused by lawful seizure

Loss discovered during routine servicing

Mechanical breakdown or failure

Loss caused by nuclear fuel, material etc

Outside New Zealand

Theft by any person posing as a prospective purchaser

Theft unless reasonable steps taken to protect property

Tyre Damage

Where left unattended in any watercourse for more than 4 hours

Loss caused by an operator under the influence of alcohol or drugs

Where operator not licensed to operate machine

Whilst being used in an unsafe manner or unroadworthy condition

Whilst undergoing a testing procedure

Whilst being used for a purpose other than for which a machine was designed

Whilst being used underground

( C )REMARKS

( C )UNDERWRITER COMMENT

Please notify TLC IMMEDIATELY should any of the information

contained within this invoice be incorrect and require amendment.

( S )INSURANCE COMPANY DETAILS

INSURER:Certain Underwriters at Lloyd’s under Agreement Number: SC 3342014219

TLC Insurance Limited as Lloyd’s Coverholder

INSURANCE COMPANIES (RATINGS & INSPECTIONS) ACT 1994

Lloyd’sStandard & PoorsA+(Strong)15 October 2014

AM BestA(Excellent)15 October 2014

FitchAA-(Very Strong)15 October 2014

INSURANCE COMPANIES DEPOSIT ACT 1953

Access to the Insurers with whom the insurance under this policy is placed is made available through deposits lodged by Lloyd’sin accordance with Section 4B of the Insurance Companies Deposits Act 1953 and such deposit is available as security for the contract of insurance evidenced by this document

The name of the individual Insurer with whom your insurance is placed is available on request

SEVERAL LIABILITY CLAUSE LSW1001

The subscribing Insurers’ obligation under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligation.

TTT:04 – March 2015