VAT No 40-00083-0-0 CUSTOMER COPY - RETAIN FOR YOUR RECORDS Page 1 "TAX INVOICE/DEBIT- NOTE/CREDIT. NOTE Total Refrigeration & Electric? | Company Premium $650.00 P 0 Box 213 Fire Levy $0.00 Nabua Stamp Duty $0.00 FO50 Administration Fee $48.75 Sub Total $698.75 Customer Reference: 51883206/XWCOO1 | Value Added Tax $62.89 Total Premium $761.64 This Certificate of Currency shows the cover applicable as at 16/09/2016. The policy expires on 02/07/2017. [POLICY DETAILS = xWC001 | INSURED: TOTAL REFRIGERATION AND ELECTRICAL LTD The following items are subject to our WORKERS COMPENSATION POLICY terms and conditions: Situation: ANYWHERE IN FIJI WORKERS COMPENSATION COMMON LAW - $100,000 - WORKERS COMPENSATION. Standard Clauses _and Warran' TERRORISM EXCLUSION This policy does not cover loss, damage, cost or expense of whatsoever nature directly or indirectly caused by, resulting from or in connection with any act of terrorism regardless of any other cause or event contributing concurrently or in any other sequence to the loss. ies For the purpose of this clause an act of terrorism means an act, including but not limited to the use of force or violence and/or threat thereof, of any person or group(s) of persons, whether acting alone or on behalf of or in connection with any organisation(s) or government(s), which from its nature or context is done for, or in connection with, political, religious, ideological, ethnic or similar purposes or reasons, including the intention to influence any government and/or to put the public, or any section of the public, in fear. This policy does not cover loss, damage, cost or expense of whatsoever nature directly or indirectly caused by, resulting from or in connection with any action taken in controlling, preventing, suppressing or in any way relating to any act of terrorism.