1101

2611.

AXA Insurance UK pic

Registered Office 5 Old Broad Street

London EC2N 1AD

Registration

England No. 78950

CERTIFICATE

OF EMPLOYERS'

LIABILITY

INSURANCE(a)

(Where required by regulation 5 of the Employers' Liability (Compulsory Insurance) Regulations 1998 (the Regulations), policyholder one or more copies of this certificate employs persons covered by the policy) must be displayed at each place of business at which the

POLICY No. 1. NAME OF POLICYHOLDER

ZT VPS 1876427
Re1 LTD
1st June 31st May 2012 2013

2. DATE OF COMMENCEMENT OF INSURANCE POLICY 3. DATE OF EXPIRY OF INSURANCE POLICY

We hereby certify that subject to paragraph 1. 2:-

the policy to which this certificate relates satisfies the requirements of the relevant law applicable in Great Britain (b) Northern Ireland, the Isle of Man, the Island of Guernsey, the Island of Jersey and the Island of Alderney: and (a) the minimum amount of cover provided by this policy is no less than 5 million(c) Signed on behalf of AX A Insurance
UK pic (Authorised

2.

Insurer)

CEO -

Amanda Blanc AXA Commercial Lines

Notes (a) Where the employer is a company to which regulation 3(2) of the Regulations applies, the certificate shalf state in a prominent place, either that the policy covers the holding company and alf its subsidiaries, or that the policy covers the holding company and all its subsidiaries except any specifically excluded by name, or that the policy 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 policy.

ZT VPS 1876427

Page

1 of 1

End of Certificate

17'4

21111

AXA Insurance UK pic PO Box 182 Glasgow G2 8JF

Exec Support Axa Insurance Plc,Po Glasgow Lanarkshire G2 8JH

Box 182

Form No : Underwri ter : Date of Issue .. : Effective Date. : Renewal Date ... : Policy: SP 0005094228 Renewal (excluding Premium: Insurance

LI354 STA 27/04/12

1/06/12
1/06/13 817.42 Premium Tax)

Agency:

ZT 4700570 Exec Support

Agency

SCHEDULE:

Venture

Plus Distribution Marker: A

Policy No. :

ZT VPS 1876427 Payable by Budget Budget Plan Ref: Plan 790705

Insured ... : RCI LTD '-J2 Colin Court Woodfield Avenue London SW16 ILJ 0208 Business .. : INSURANCE Reason General TAX Builder (IPT): This has been charged 6969839

Insurance Premium: Insurance Premium Tax: Amount Payable: .. :

817.42 49.04 866.46

PREMIUM

at the current

rate

for Issue:

Renewal

ELTO: If Employers Liability cover Insured's Employer Reference Number Please also provide an ERN for each

is included please provide (ERN). subsidiary included on the policy.

DISCLOSURE

OF MATERIAL

FACTS

Please ensure that you disclose any material facts which have \_)hanged since you took out your policy or which have changed since last renewal. Material facts are those which might influence our decision as to whether to renew your policy or impose special terms. If you are in doubt as to whether a fact is material, please let us know the details - failure to do so could invalidate the insurance. NO CLAIM DISCOUNT The Policy is subject to NCD as shown. If a claim arises before the renewal date, NCD and Net Premium may require amendment. will be notified of any alteration. BASIS Number OF BATING of Persons Working on a Permanent Gross Premium NCD 17.50% Net Premium 990.81 173.39 817.42

the You

basis

..

ZT VPS1876427

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215'11

Operative

Sections Section Section Section Section Section Section Section

:1 - Public Liability Liability Tools and Phones - OPERATIVE - OPERATIVE - NOT OPERATIVE - NOT OPERATIVE - NOT OPERATIVE Works Accident - OPERATIVE - NOT OPERATIVE

2 - Employers 3 - All Risks

4 - Hired in Plant
5 - Own Plant 6 - Contract
7 -

Personal

~ECTION

1 - PUBLIC LIABILITY
. .: 2000000

Limi t of Indemnity. Extended Excess 250 unless SECTION otherwise Cover

is not operative

stated

in the policy.

2 - EMPLOYERS

LIABILITY

Limi t of Indemni ty. . .: 10000000 Extended Cover is not operative

SECTION

6 - CONTRACT

WORKS
: 250000 unless otherwise stated in the policy.

Sum Insured Excess Theft Other and Malicious Damage

Damage :

: 500 250

ZT VPS1876427

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