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POLICY NUMBER FT396024XBTo be read in conjunction withthe Small Business Policy Booklet, the Small Business Basis of Quotationdocument and the applicable Endorsement Wording documents

SMALL BUSINESS POLICY SCHEDULENew Business

Fortis Insurance LimitedFortis House, Square, Gloucester Business Park, Gloucester GL3 4AD Telephone 0845 122 3292 Fax 0845 122 3284Registered Address Fortis House Tollgate Eastleigh Hampshire SO53 3YA Registered Number: 354568 EnglandAuthorised and regulated by the Financial Services Authority. FSA Registered Number: 202039

Agent: Simply Business

Suite 401, Sol House

29 St Katherine's Street

Northampton

NN1 2QZ

Agency Number: 21991N

Agent's Telephone Number: 0845 071 0270

Insured:Mr Gary Pearce

Postal Address:

12 Curwen Crescent

Heckmondwike

WF16 9AS

Policy Number:FT396024XB

Effective from:20 July 2010

Expires on:19 July 2011 expiring at midnight

Reason for Issue:New Business

Date of Issue:20/07/2010 New Business Premium:£1,119.00

Insurance Premium Tax:£55.95

Total Premium: £1,174.95

Trading As: Gary Pearce T/A ADI-Communications

Business: Aerial & satellite dish erectors - residential only

Aerial erector - Non Residential

Cover Details

For full details of your cover please refer to your policy wording.

All sections other than those noted as Not Operative in this Policy Schedule apply.

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POLICY SECTIONS

SECTION 1 MATERIAL DAMAGE

Premises Risk Address

1 12 Curwen Crescent Heckmondwike

WF16 9AS

Description of Items Insured in respect of risk address detailed immediately above

Refer to policy wording for details of the Cover Causes

Sub-Section A - Buildings Not Insured

Sub-Section B - Contents

Sub-Section C - Glass, Blinds and Signs Not Insured

Sub-Section D - Money Not Insured

Sub-Section E - Malicious Attack Not Insured

Sub-Section F - All Risks

Cover Territorial Limit Sum Insured

Tools UK and EU £3,000

Sub-Section G - Machinery & Computer Breakdown

Cover Limit

Computer Equipment Breakdown £100,000

Breakdown of Insured Plant other than Computer

Equipment

£1,000,000

Sub-Section H - Deterioration of Stock Not Insured

Sub-Section I - Household Contents Not Insured

Sub-Section J - Personal Possessions Not Insured

Sub-Section K - Fidelity Guaranteed Not Insured

Terrorism Extension Not Insured

Excesses applicable to the risk address detailed immediately above:

Flood Excess to apply in addition to the standard Excess £0

Standard Excess £100

Subsidence Excess £1000

Money Excess £50

All Risks Excess £100

Any additional Excesses are shown in the endorsements applicable to the Policy

SECTION 2 BUSINESS INTERRUPTION Not Operative

SECTION 3 LIABILITY

Premises Risk Address

1 12 Curwen Crescent Heckmondwike

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WF16 9AS

Description of Items Insured in respect of risk address detailed immediately above

Persons Covered Maximum Number at any one time

Total Manual Principles and/or Partners 1

Total Clerical Principles and/or Partners 0

Total Manual Employees 2

Total Clerical Employees 0

Sub-Section A - Employers Liability Limit of Indemnity £10,000,000

Cover applies to:

Working directors and other manual or clerical Employees

Sub-Section B - Public Liability Limit of Indemnity £5,000,000

Cover

Public Liability £5,000,000

Excesses applicable to this Sub-Section:

Third Party Property Damage Excess £100

Sub-Section C - Products Liability Limit of Indemnity £5,000,000

Cover

Products Liability £5,000,000



Sub-Section D - Work Away

Cover

Employers Liability - £10,000,000

Public Liability - £5,000,000



Sub-Section E - Treatment Extensions Not Insured

SECTION 4 GOODS IN TRANSIT Not Operative

Summary of Interested Parties - None

Summary of Endorsements Applying to the Policy

Endorsement Number Endorsement Title Applicable Premises

XB24 Endorsement Applicable to Trade All

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XB24 Endorsement Applicable to Trade All

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Claim Notification details and additional Helpline number available to you

CLAIM NOTIFICATION

You can contact Simply Business Claims Department on 0845 604 9848. The line is open 24 hours a day, 365 days a

year. The claims handler will ask you your name, policy number and full details of the loss circumsances. You will be

advised on the procedures and what documentation is required by us to deal with your claim.

Alternatively you can write to:

Simply Business Claim Department, PO Box 76, Cardiff, CF11 1JX, England.

Full claims procedures are noted in the policy wording under the General Conditions and Exclusions

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Documents

policy number ft396024xbto

policy wording

insuredsubsection f

policy sectionssection

ya registered number

fsa registered number

business interruption

qzagency number