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MOTOR TRADE ROAD RISKS
                                                    STATEMENT OF FACT
                                                                              Policy Number : MT10 021608047
                Premium inclusive of IPT :  £2,088.69
                Read the following information carefully. This forms the basis of your contract of insurance with us and you must let your Insurance
                Broker or Intermediary know if any of the information is incorrect within SEVEN DAYS of this statement. Failure to disclose ALL
                relevant facts may invalidate your Policy or may result in your Policy not operating fully. You will be advised of any revised premium
                and/or changes to terms and conditions that may result from amendments you make and a revised statement will be sent to you by
                your  Broker.  If  you  are  unsure  of  the  relevance  of  any  change  you  wish  to  make  please  contact  your  Insurance  Broker  or
                Intermediary who will be able to help. Failure to disclose material information could invalidate your insurance or result in a claim not
                being paid.
                THIS IS AN IMPORTANT DOCUMENT – PLEASE KEEP IT IN A SAFE PLACE. IF THE DETAILS ARE CORRECT THERE IS NO
                NEED TO RETURN THIS FORM.
                PROPOSER(S)
                Proposer Name                 MR SIMON CORDELL
                BUSINESS DETAILS
                Trading Name
                Limited Company Name
                You have stated that your Limited Company is not involved in any activity outside of the Motor Trade business that is the subject of this proposal.
                Business Address              109 BURNCROFT AVENUE
                                              ENFIELD
                Postcode                      EN3 7JQ
                Business Tel. Number          02082457454
                Date Business Established     01/05/2009
                Limited Company               NO
                Full / Part-Time Motor Trade Business  FULL TIME
                (If the majority of your income is obtained from a source other than this motor trade business then Part-time should have been
                selected on the Cover form.)

                BUSINESS BREAKDOWN
                Vehicle Sales Percentage        25%
                Vehicle Servicing Percentage    75%
                Mechanical Repairs Percentage    0%
                Breakdown Recovery Percentage    0%
                                                 0%
                Body Repairs Percentage
                Vehicle Valeting Percentage      0%
                                                 0%
                Other Motor Trade Activities Percentage
                COVER
                Period of Cover
                From                          19/05/2014
                To                            19/05/2015
                Policy Cover                  COMPREHENSIVE
                Limit of Indemnity (for loss or damage to any   £10,000
                one insured vehicle)
                1
                Covea Insurance plc Norman Place, Reading RG1 8DA
                Telephone 0844 902 1000          Fax: 0118 955 2211
                www.coveainsurance.co.uk
                Registered in England and Wales 613259
                Covea Insurance plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential
                Regulation Authority


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