INVOICE TEMPLATE

RISK TYPE - CCL : CONTRACTORS COMBINED LIABILITY - STANDARD

INSURERTLC INSURANCE LTD

EXCESSAS SHOWN BELOW

( S )STANDARD COVER

Legal Liability for third party property damage or personal injury happening within the territory shown below during the period of insurance caused by an Occurrence and arising from the business of the insured, subject always to the terms, conditions and exceptions contained within the TLC ‘Safety Net’ Contractors Combined Liability policy wording VL POL SAFETYNET – 1210.

( C )DESCRIPTION OF BUSINESS

( C )LIMITS OF LIABILITY

SECTION 1 – PUBLIC LIABILITY

Limit of Indemnity$ 2,000,000$ 500 XS

Care, Custody & Control$ 250,000$1,000 XS

Forest & Rural Fires Act$ 1,000,000$1,000 XS

Product Recall Expenses$ 100,000Retro Date Inception

Property OwnersPolicy Limit$ 500 XS

Punitive & Exemplary Damages$ 1,000,000$ 500 XS

Service & Repair$ 250,000$2,500 XS

Tenants LiabilityPolicy Limit$ 500 XS

Underground Services$ 1,000,000$5,000 XS

Vibration & Removal of Support$ 1,000,000$5,000 XS

SECTION 2 – EMPLOYERS LIABILITY

Limit of Indemnity$ 1,000,000 Any One Claim in the aggregate

SECTION 3 – STATUTORY LIABILITY

Limit of Indemnity$ 1,000,000 Any One Claim in the aggregate

RETROACTIVE DATES

As expiring

POLICY EXCESS

Unless shown otherwise, the policy excess is $500 for all sections

TERRITORY & JURISDICTION

New Zealand

( S )ENDORSEMENTS

As per quotation document

( C )OPTIONAL EXTENSIONS

Carriers Liability Extension$1,500 Limit of Indemnity$ 500 XS

Forest & Rural Fires Act Extension $2,000,000 Limit of Indemnity$ 1,000 XS

( C )REMARKS

Subject to a fully completed and signed proposal form

Failure to notify the Underwriter immediately of a potential claim may result in the declinature of liability

under the policy

( C )UNDERWRITER COMMENT

Please notify TLC IMMEDIATELY should any of the information shown

on this invoice be incorrect or require amendment.

( S )INSURANCE COMPANY DETAILS

INSURER:Vero Liability Insurance Limited

TLC Insurance Limited as an Agent for Vero Liability Insurance Limited

INSURANCE COMPANIES (RATINGS & INSPECTIONS) ACT 1994

Vero LiabilityStandard & PoorsA+(Strong)09 September 2010

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 Vero in 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

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.

VLSN:01 Dec 2010