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REF: 00-COSX14MT06 Open PrintManager Documents->sofdec (COSX14MT06).pdf
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Broadsure Direct 4th Floor, The Argyle Centre ele Centrgy, The Arect 4th Floor
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York St, Ramsgate, Kent, CT11 9DS
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Telephone :01843 594477 Fax :01843 594488
Policyholder:Mr Simon Cordell
Policy ref:COSX14MT06
Buildings and Contents
and
Contents
Buildings
Buildings and Contents
STATEMENT OF FACT (v1.02)
Trades and LiabilitiesLiabilities
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and
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Please note that the documents enclosed relate to a "Statement Of Fact" insurance policy. This
means that Broadsure Direct have prepared the documentation on your behalf, based on the
information provided by you. HGV
HGV
It is vitally important that you check all the enclosed documentation to ensure that it is correct and
that the policy meets your requirements. Please complete & return either declaration below within V V Vans
ansans
seven days.
I have checked the Statement Of Fact and all related documentation that the information is correct F Fleets tslee
and the policy meets my requirements.
Motortrade
Mo t or tr ade
Signed ________________________ Print ___________________________________
Date ___/___/___ Imported Cars sted Carporm
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Motorcycle
I UNDERSTAND THAT SHOULD ANY OF THE INFORMATION WITHIN t or cy cle
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THIS STATEMENT BE INCORRECT, IT IS MY RESPONSIBILTY TO
CONTACT BROADSURE DIRECT IMMEDIATELY ON 01843 594477 AND
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OBTAIN CONFIRMATION THAT THESE AMENDMENTS HAVE BEEN
COMPLETED.
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A uthorised and R e gulat e d b y y the Financial Ser v ices Authority . Member of the Ins s titut e of Insur a ance Br o k e r
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Authorised and Regulated by the Financial Services Authority. Member of the Institute of Insurance Brokerss
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