09-05-2011 BROKER SERVICING OFFICE

ATTN - MR. ROHAN - DELMEGE

QUOTATION FOR INSURANCE

We thank you for your fax / e-mail dated .......... in respect of the above and based on the information provided we are pleased to quote our terms as follows: We write with reference to the discussionour Marketing / Insurance Executive .................... had with you in connection with the above and based on the information provided we are pleased to quote our terms as follows: We acknowledge receipt of the proposal form in respect of the above and as requested we are pleased to quote our terms as follows:

Type Of Vehicle Quotation No Name Of Proposer CurrencyCode Period Of Cover Sum Insured

PRIVATE CAR QVCSP2011-10677 MR NEW INSURED LKR To 08-05-2012 09-05-2011 950,000.00

Vehicle No Make/Manufacture Year Cubic Capacity Financial Institution TOYOTA /

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Rs. BASIC PREMIUM AMOUNT Scope Of Covers FLOOD & NATURAL DISASTERS STRIKE RIOT AND CIVIL COMMOTION Premiums Total Premium CHARGES ADMINISTRATIVE CHARGE NBL ROAD SAFETY FUND STAMP DUTY VAT GRAND TOTAL 24,106.25 2,137.50 1,900.00 28,143.75 350.00 85.51 583.52 10.00 14.50 3,500.73

32,688.01

THE PREMIUMS QUOTED ABOVE ARE ON THE BASIS OF ALL OF THE COVERS INDICATED ABOVE BEING INSURED AGAINST. IF ONE OR MORE OF THE COVERS INDICATED ABOVE ARE NOT INSURED AGAINST, THE PREMIUMS QUOTED AGAINST THE OTHER COVERS TOO WILL BE VARIED.

The above quoted terms are applicable for vehicles which are not insured with Janashakthi Insurance PLC and also not already under any other packages given. At the time of confirming the business if it is found that the vehicle is already insured with us, then the above quoted terms will become null and void.

Please submit the certificate of Registration, to enable us to ascertain and advise you the relevant Government Levies payable. Please note that under the Flood & Natural disaster extension, the perils of Cyclone, Storm & Tempest, Flood, Earthquake, Tsunami, Volcanic Eruption, Typhoon, Hail, Hurricane, Tornado, Tidal Wave and Seaquake are automatically covered. In the event that the proposer at the time of placing the insurance with Janashakthi does not take any of the additional perils of Flood, Riot & Strike or Terrorism that had been quoted for, the premium stated on the original quotation will be subject to change. This quotation is valid for a period of 60 days from the date of this quotation. We trust you will find our quotation satisfactory and look forward to your confirmation to enable us to proceed further. If you need any further clarification, please do not hesitate to contact or the undersigned. We trust that the above terms are acceptable. Should you have any clarification please do not hesitate to contact us. Signed for Janashakthi Insurance PLC.

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