INVOICE TEMPLATE

RISK TYPE - SNT : SAFETY NET - TURBO

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 Turbo SNT:05–August 2016 Policy Wording

( C )DESCRIPTION OF BUSINESS

( C )LIMITS OF LIABILITY

PUBLIC & PRODUCTS LIABILITY$ ,000,000$ 500

LIMITEXCESSRETROACTIVE DATE

Advertising LiabilityIncluded$1,000,000$1,000

Contractors or Sub-contractorsIncluded

Defective WorkmanshipIncluded$ 250,000$1,000

Forest and Rural Fires ActIncluded$ 1,000,000$1,000

Goods on HookIncluded$ 250,000$1,000

Hazardous Substances EmergencyIncluded$ 1,000,000$1,000

Innkeeper’s LiabilityIncluded

Keys and LocksIncluded$ 250,000$1,000

Product RecallIncluded$ 100,000$1,000

Property in Care, Custody & ControlIncluded$ 500,000$1,000

Property Owner’s LiabilityIncluded

Punitive & Exemplary DamagesIncluded$ 1,000,000$ 500

Service & RepairIncluded$ 250,000$2,500

Tenant’s LiabilityIncluded

Trade Advice or ServicesIncluded

Underground ServicesIncluded$5,000

Unmanned Aerial DevicesIncluded$ 1,000,000$1,000

USA/Canada VisitsIncluded

Vehicles – Additional ProvisionsIncluded

Vehicle Inspection CertificationIncluded$ 750,000$1,000

Vibration & Removal of SupportIncluded$5,000

Punitive and Exemplary DamagesIncluded$1,000,000 any one Occurrence and$2,000,000 in the aggregate

SECTION 2 – EMPLOYERS LIABILITY

Limit of IndemnityIncluded $ 1,000,000 $ 500

SECTION 3 – STATUTORY LIABILITY

Limit of IndemnityIncluded$ 1,000,000 $ 500(Officers $Nil)

SECTION 4 – FIDELITY

Limit of IndemnityIncluded$ 50,000 $ 500

SECTION 5 – DIRECTORS & OFFICERS LIABILITY

Limit of IndemnityIncluded$ 250,000 $ 500(Officers $Nil)

SECTION 6 – LAWSAFE @Work

Limit of IndemnityIncluded$ 100,000 $Nil

SECTION 7 – INTERNET LIABILITY

Limit of IndemnityIncluded$ 50,000$1,000

SECTION 8 – DEFENCE COSTS

Limit of IndemnityIncluded$ 250,000$Nil

SECTION 9 – EMPLOYMENT DISPUTES

Limit of IndemnityIncluded$ 250,000$5,000

REROACTIVE DATES

As expiring

POLICY EXCESS

Unless shown otherwise, the policy excess is $500 for all sections except Section 6 where Nil

TERRITORY & JURISDICTION

New Zealand

( S)ENDORSEMENTS

As per quotation document

( 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)

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.

SNT:05August 2016