PII Cert 2016 2017


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SCHEDULE Policy Number: 1)

C22350PIA160

Insured:

Nelsons Insurance Brokers Ltd 62 High Street SWADLINCOTE Derbyshire DE11 8HS United Kingdom

2)

Period of Insurance

From: 02/10/2016 To: 01/10/2017 Both days inclusive, local standard time, at the address of the Insured

3)

Limit of Indemnity:

GBP 1,100,000

4)

Excess:

GBP 2,500

5)

Premium:

GBP 2,000.00

Additional Tax (as per Tax Schedule):

GBP 200.00

Policy Admin Fee:

GBP 100.00

Total Amount Payable:

GBP 2,300.00

6)

Jurisdiction:

Worldwide Excl USA & Canada

7)

Territorial Limits:

Worldwide Excl USA & Canada

8)

Retroactive Date:

As expiry - please advise

Tax Schedule: Total Additional Tax: Country

Description

United Kingdom

UK Insurance Premium Tax 10%

Prem % 100

Premium Amount GBP 2,000.00

Tax Rate % 10.00

2 of 21 T: 0203 011 5700 E: [email protected] W: www.nexusunderwriting.com Nexus Underwriting Ltd. A company incorporated in England and Wales Registered No: 06612180 Registered Office:150 Leadenhall Street, London EC3V 4QT VAT Registration No: 974994935

GBP 200.00 Amount GBP 200.00