CONFIRMATION OF ORDER
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1 CONFIRMATION OF ORDER Employers, Public and Products Liability Quote Sheet Reference Number: 7B5310GLA153 Underwriter: Steve Palmer Date: 09/02/2015 Broker: R.K.Henshall & Co.Limited Broker Contact: Laura Smith Broker Ref: Insured: Greenline Environmental Ltd 6 Buttersweet Rise Sawbridgeworth Hertfordshire CM21 9HD United Kingdom Business Activity: Occupied and unoccupied rubbish/waste removal/collection, building site clearance by hand, rubbish collection from office refurbishments and general rubbish removal, bin rubbish removal and general bagged and unbagged waste. Period: 11/02/2015 to 10/02/2016 Both days inclusive, local standard time, at the address of the Insured Wording: Combined Liability Insurance (NULCL10AN) Jurisdiction: European Union Employers Liability (Exc. All Offshore Exposure) Limit of Indemnity: GBP 10,000, (costs inclusive) any one occurrence Excess: Wageroll/Salaries Rate Premium EL Clerical EL All Others GBP 60, GBP 1, Minimum & Deposit Premium: GBP 1, Adjustable at expiry at the above rates (plus IPT) Public Liability/Products Liability Limit of Indemnity: Public Liability - GBP 5,000, Any one occurrence Products Liability - GBP 5,000, In the aggregate Excess: GBP 1, Third Party Property Damage/Bodily Injury Each and every claim including costs and expenses Turnover Rate Premium UK GBP 420, GBP 2, W/W Exc North America North America (Exports only) Minimum & Deposit Premium: GBP 2, Adjustable at expiry at the above rates Combined Minimum and Deposit Premium: GBP 3, Plus UK Insurance Premium Tax 6% Brokerage: EL %: 20 PL %: 20 Conditions: Professional Indemnity Exclusion Personal Protective Equipment Conditions Skip Exclusion Waste Disposal Conditions Bona Fide Subcontractors Condition 1 (10.05) Haulage Restriction 1(10.05) Hazardous Locations 1(10.05) Heat Work Away Exclusion Inefficacy Exclusion (Provision of Services) And as per wording Subjectivities: Not Applicable Line: 100 % Information: Wording includes 60 day Premium Payment Warranty 1 of 8
2 Professional Indemnity Exclusion (Applicable to Sections B & C of the Policy) Notwithstanding anything to the contrary contained in this Policy, the indemnity provided by this Policy shall not apply to legal liability arising by virtue of any negligence act error or omission malpractice or mistake committed or alleged to have been committed in the provision of professional services by or on behalf of the Insured. Professional services includes but is not limited to the preparation or approval of maps plans advice opinions reports computer programmes surveys drawings formulae designs or specifications and supervisory consultancy inspection engineering or project management services whether for a fee or otherwise. All other terms, conditions, exclusions and limitations in this policy remain unchanged Personal Protective Equipment Condition (Applicable to Section A of the Policy) It is a condition of this Policy that the use or wearing of Personal Protective Equipment by any Person Employed is rigorously enforced and that Personal Protective Equipment is supplied to the Person Employed and that a formal record is maintained confirming receipt of such equipment. Skip Exclusion (Applicable to Sections B & C of the Policy) This Policy does not indemnify the Insured in respect of any liability arising from or in any way connected to the use of skips or other containers when such skips or containers are left on a public highway. Waste Disposal Conditions (Applicable to Sections B & C of the Policy) It is a condition precedent to liability that all waste is disposed of at licensed waste sites Bona Fide Subcontractors Condition (Applicable to Sections A B & C of the Policy) It is a condition of this Policy that all bona fide subcontractors engaged by the Insured have in full force and effect throughout the duration of their contract with the Insured insurances as follows 1 Employers Liability insurance in respect of their liability at law for Injury to any person in the employment of the subcontractor including any labour master or labour only subcontractor or person supplied or employed by them 2 Public/Products Liability insurance in respect of their liability at law for Injury or Damage with a Limit of Indemnity of not less than the limit of indemnity any one occurrence or series of 2 of 8
3 occurrences arising out of one original cause provided under this policy It is further a condition that i. such insurances contain an Indemnity to Principals Clause ii. the Insured shall have obtained and retained a copy of written evidence of such insurances For the purposes of this Endorsement the term bona fide subcontractors means any subcontractor engaged by the Insured supplying labour and or materials for the purpose of the contract It is further condition that the Insured will not assume by any agreement any liability or potential liability that would not have attached to the Insured in the absence of such agreement including but not limited to the assumption of any liability or potential liability on behalf of any bona fide subcontractor or the waiver of any rights of recourse against any bona fide subcontractor Haulage Restrictions (Applicable to Sections B & C of the Policy) This Policy does not indemnify the Insured in respect of liability for a) Injury or Damage caused by or in any way connected with the wrongful delivery of or the contamination in transit of any load b) Injury or Damage caused by or in any way connected with the carriage of hazardous and/or notifiable goods substances or waste materials c) freight forwarders and/or warehouseman s liability Hazardous Locations Exclusion (Applicable to Sections A B & C of this Policy) This Policy does not indemnify the Insured in respect of liability caused by or arising from any work in or in connection with a) towers steeples chimney shafts blast furnaces dams canals viaducts bridges or tunnels b) aircraft airports railways ships vessels air cushioned vehicles watercraft docks piers jetties wharves breakwaters or sea walls c) collieries mines quarries chemical works gas works oil refineries power stations nuclear installations or establishments d) work underground or underwater offshore installations bulk oil petrol gas or chemical storage tanks or chambers of 8
4 Heat Work Away Exclusion (Applicable to Section B of the Policy) This Policy does not indemnify the Insured in respect of liability arising out of or in way connected with any work involving the use or application of heat away from the premises of the Insured. However this exclusion shall not apply to the use of electric soldering irons and electric hot air guns provided that such equipment complies with British Standard BS3456 if applicable and is thermostatically controlled. Inefficacy Exclusion (Provision of Services) (Applicable to Section B & C of the Policy) This Policy does not indemnify the Insured in respect of liability arising from the failure of any Product or service to fulfil the purpose for which it was designed or to perform as specified warranted or guaranteed EL Certificate 4 of 8
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6 TO Accounts Department R.K.Henshall & Co.Limited The Grove Mill Lane Wheelock Sandback CW11 4RD Broker No.: Broker Ref: RKHEN DEBIT NOTE Date: 09/02/2015 OUR REF: INSURED: WORDING: PERIOD: 7B5310GLA153 Greenline Environmental Ltd 6 Buttersweet Rise Sawbridgeworth Hertfordshire CM21 9HD Combined Liability Insurance (NULCL10AN) From 11/02/2015 to 10/02/2016 both dates inclusive DEBIT NOTE TYPE: PREMIUM DETAILS: Gross Premium = GBP 3, Tax (See attached schedule) = GBP Brokerage = GBP Net Premium due to = GBP 3, Novae Underwriting Limited Payment to Novae Underwriting Limited by Settlement Due Date: 12/04/2015 PAYMENT DETAILS: Cheques to be made payable to: Please send cheques to : Novae Underwriting Limited Novae Underwriting Limited, 71 Fenchurch Street London EC3M 4HH Alternatively, please make your payment by electronic transfer to: ACCOUNT Novae Underwriting Limited NAME: BANK Barclays Bank plc, 1 Churchill Place, London, E14 5HP ADDRESS: Currency Sort code Account Number IBAN SWIFTBIC AUD GB29 BARC BARCGB22 CAD GB31 BARC BARCGB22 CHF GB87 BARC BARCGB22 DKK GB38 BARC BARCGB22 EUR GB91 BARC BARCGB22 GBP GB14 BARC BARCGB22 NZD GB24 BARC BARCGB22 SEK GB46 BARC BARCGB22 USD GB02 BARC BARCGB22 NOR GB40 BARC BARCGB22 6 of 8
7 Tax Schedule Policy: 7B5310GLA153 Percent Taxable: % Premium GBP 3, Line % 100 Total GBP Country Tax Type Percent Premium Tax Rate% 100% Tax Line Tax Split Split Due Due United Kingdom IPTUK 100 3, of 8
8 Certificate of Employers Liability Insurance (a) (Where required by regulation 5 of the Employer s Liability (Compulsory Insurance) Regulations 1998 and as amended with effect from 1 October 2008 (display and production of copies of certificates of insurance), (1) An employer who has been issued with a certificate under regulation 4 must display one or more copies of it at each place of business at which he employs any relevant employee of the class or description to which such certificate relates.(2) The requirements in paragraph (1) will be satisfied if the certificate is made available in electronic form and each relevant employee to whom it relates has reasonable access to it in that form. Policy Certificate No: Name of Policy/Certificate holder: 7B5310GLA153 Greenline Environmental Ltd Date of commencement of insurance: 11/02/2015 Date of expiry of insurance: 10/02/2016 We hereby certify that subject to paragraph 2:- 1 the insurance to which this certificate relates satisfies the requirements of the relevant law applicable in Great Britain, Northern Ireland, the Isle of Man, the Island of Jersey, the Island of Guernsey and the Island of Alderney, or to offshore installations in any waters outside the United Kingdom to which the Employers Liability (Compulsory Insurance) Act 1969 or any amending primary legislation applies (b); and 2 the minimum amount of cover provided by this insurance is no less than 5,000,000 (c) Signed on behalf of those Lloyd s Underwriters subscribing to the above insurance (Authorised Insurers) Jonathan Butcher, Director Group Underwriting Director Syndicate 2007 at Lloyd s For and on behalf of Novae Underwriting Limited (a) (b) (c) Where the employer is a company to which regulation 3(2) of the Regulations applies, the certificate shall state in a prominent place, either that the insurance covers the holding company and all its subsidiaries, or that the insurance covers the holding company and all its subsidiaries except any specifically excluded by name, or that the insurance covers the holding company and only the named subsidiaries. Specify applicable law as provided for in regulation 4(6) of the Regulations. See regulation 3(1) of the Regulations and delete whichever of paragraphs 2(a) or 2(b) does not apply. Where 2(b) is applicable, specify the amount of cover provided by the relevant insurance. Note: The information below this line does not form part of the statutory certificate. Those Underwriters at Lloyds on whose behalf this certificate is issued require the following information to be entered by the issuing intermediary. Name and address of issuing intermediary: Novae Underwriting Ltd. 71 Fenchurch Street London EC3M 4HH NMA2838 ( )
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