AXA Insurance UK plc is authorised and regulated by the Financial Services Authority. This can be checked on the FSA’s website at www.fsa.gov.uk/register or by contacting them on 0845 606 1234

Form No: LI354 Underwriter: AXA Date of Issue: Effective Date: Renewal Date:

Agency: 0181973 Agency Policy: ZT BDX 6517925

SCHEDULE: Venture Plus

Policy No:

Insured:

Business: INSURANCE PREMIUM TAX (IPT): This Applies to all UK policies effective from October 94 Reason for Issue: Basis of Rating Number of persons working on a permanent basis: Operative Sections:- Section 1 - Public Liability - Section 2 - Employers Liability - Section 3 - All Risks Tools and Phones - Section 4 - Hired in Plant - Section 5 - Own Plant - Section 6 - Contract Works - Section 7 – Personal Accident -

Insured Premium: Insurance Premium Tax: Amount Payable:

10 Jun 200810 Jun 2008

09 Jun 2009

AX183149XB

Gary Pearce t/a ADI-Communications

12 curwen cresent

heckmondwike

wf16 9as

£179.38£8.97

£188.34

Aerial & satellite dish erectors - residential only

New Business

1

OPERATIVE

NOT OPERATIVE

NOT OPERATIVE

NOT OPERATIVE

NOT OPERATIVE

NOT OPERATIVE

NOT OPERATIVE

AXA Insurance UK plc is authorised and regulated by the Financial Services Authority. This can be checked on the FSA’s website at www.fsa.gov.uk/register or by contacting them on 0845 606 1234

Section 1 – Public Liability Limit of Indemnity: Extended Cover is not operative Excess: unless otherwise stated in the policy

Section 2 – Employers Liability Limit of Indemnity: Extended Cover is not operative Section 3 – All Risks Tools & Phones Limit of Indemnity: Extended Cover is not operative Excess: £100 unless otherwise stated in the policy Section 4 – Hired in Plant Limit of Indemnity: Extended Cover is not operative Excess: £500 theft and malicious damage; £250 all other claims Section 5 – Own Plant Limit of Indemnity: Extended Cover is not operative Excess: £500 theft and malicious damage; £250 all other claims Section 6 – Contract Works Limit of Indemnity: Extended Cover is not operative Excess: £500 theft and malicious damage; £250 all other claims Section 7 – Personal Accident Limit of Indemnity: NOT OPERATIVE

£ 5,000,000.00

£250

NOT OPERATIVE

NOT OPERATIVE

NOT OPERATIVE

NOT OPERATIVE

NOT OPERATIVE

AXA Insurance UK plc is authorised and regulated by the Financial Services Authority. This can be checked on the FSA’s website at www.fsa.gov.uk/register or by contacting them on 0845 606 1234

Endorsements

HOUSING GRANTS CONSTRUCTION REGENERATION ACT 1996 CLAUSE 099WAR AND TERRORISM COVER AMENDMENT CLAUSE TR3HAZARDOUS WORK EXCLUSION 008