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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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