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 10,000,000.00 (costs inclusive) any one occurrence Excess:
Wageroll/Salaries Rate Premium
EL Clerical
EL All Others GBP 60,000.00 2.6 GBP 1,560.00
Minimum & Deposit Premium: GBP 1,560.00 Adjustable at expiry at the above rates (plus IPT) Public Liability/Products Liability
Limit of Indemnity: Public Liability - GBP 5,000,000.00 Any one occurrence Products Liability - GBP 5,000,000.00 In the aggregate Excess: GBP 1,000.00 Third Party Property Damage/Bodily Injury
Each and every claim including costs and expenses
Turnover Rate Premium
UK GBP 420,000.00 0.5 GBP 2,100.00
W/W Exc North America North America (Exports only)
Minimum & Deposit Premium: GBP 2,100.00 Adjustable at expiry at the above rates Combined Minimum and
Deposit Premium: GBP 3,660.00 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 %
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.
All other terms, conditions, exclusions and limitations in this policy remain unaltered.
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.
All other terms, conditions, exclusions and limitations in this policy remain unaltered. 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 All other terms, conditions, exclusions and limitations in this policy remain unaltered. 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
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.
06.10.2005
All other terms, conditions, exclusions and limitations in this policy remain unaltered. 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 06.10.2005
All other terms, conditions, exclusions and limitations in this policy remain unaltered. 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.
06.10.2005
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.
All other terms, conditions, exclusions and limitations in this policy remain unaltered. 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.
06.10.2005
All other terms, conditions, exclusions and limitations in this policy remain unaltered.
TO Accounts Department R.K.Henshall & Co.Limited The Grove
Mill Lane Wheelock Sandback CW11 4RD
Broker No.: RKHEN
Broker Ref:
Date: 09/02/2015
DEBIT NOTE
OUR REF: 7B5310GLA153
INSURED: Greenline Environmental Ltd
6 Buttersweet Rise Sawbridgeworth Hertfordshire CM21 9HD
WORDING: Combined Liability Insurance (NULCL10AN)
PERIOD: From 11/02/2015 to 10/02/2016 both dates inclusive
DEBIT NOTE TYPE:
PREMIUM DETAILS: Gross Premium = GBP 3,660.00
Tax (See attached schedule) = GBP 219.60
Brokerage = GBP 732.00
---Net Premium due to = GBP 3,147.60
Novae Underwriting Limited
---Payment to Novae Underwriting Limited by Settlement Due Date: 12/04/2015
PAYMENT DETAILS:
Cheques to be made payable to: Novae Underwriting Limited
Please send cheques to : Novae Underwriting Limited, 71 Fenchurch Street London EC3M 4HH
Alternatively, please make your payment by electronic transfer to: ACCOUNT
NAME:
Novae Underwriting Limited
BANK ADDRESS:
Barclays Bank plc, 1 Churchill Place, London, E14 5HP
Currency Sort code Account Number IBAN SWIFTBIC
AUD 20-00-00 58545066 GB29 BARC 2000 0058 5450 66 BARCGB22
CAD 20-00-00 78561077 GB31 BARC 2000 0078 5610 77 BARCGB22
CHF 20-00-00 65651988 GB87 BARC 2000 0065 6519 88 BARCGB22
DKK 20-00-00 69288333 GB38 BARC 2000 0069 2883 33 BARCGB22
EUR 20-00-00 45635966 GB91 BARC 2000 0045 6359 66 BARCGB22
GBP 20-00-00 30583146 GB14 BARC 2000 0030 5831 46 BARCGB22
NZD 20-00-00 43470677 GB24 BARC 2000 0043 4706 77 BARCGB22
SEK 20-00-00 62016099 GB46 BARC 2000 0062 0160 99 BARCGB22
USD 20-00-00 49272255 GB02 BARC 2000 0049 2722 55 BARCGB22
Tax Schedule
Policy: 7B5310GLA153
Percent Taxable: 100
100% Premium GBP 3,660.00
Line % 100
Total GBP 219.60
Country Tax Type Percent
Split
Premium Split
Tax Rate% 100% Tax Due
Line Tax Due
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: 7B5310GLA153
Name of Policy/Certificate holder: 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) 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.
(b) Specify applicable law as provided for in regulation 4(6) of the Regulations.
(c) 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
