Mr Robert Jackson Butterworth Policy number: 2227755781

6 Rotherwick Road
London Date: 12 February 2021
NW11 7DA

Dear Mr Butterworth,

Changes to your musical insurance policy

We’ve made the changes to your policy that you requested – please find enclosed your amended Certificate of
Insurance. You’ll need to check these changes carefully to make sure all of your new details are correct. These
documents form part of your insurance contract, so please keep them safe in case you need to make a claim.

What happens now?

There is no change to your premium, so you don’t need to do anything.

Your premium will remain unchanged at £53.55 – please see the Certificate of Insurance for a full breakdown of this
amount. If any of the information on your policy is incorrect, or you need any further help, please call us on 0330 100
9903. Our lines are open Monday to Friday from 9am to 5.30pm and we’ll be happy to help.

This product meets the demands and needs of an individual who wants cover for their musical instruments and/or
equipment in the event of loss, theft or accidental damage.

If you need to make any further changes, please contact us. You should also check the replacement values of your
instruments regularly, as we won’t adjust your cover unless you ask us to. There’s no admin fee to change any details.

Yours sincerely,

Dave Gill
Head of Operations

Do you need paper documents? Call us on 0330 100 9903 or email us at musicalinsurance@allianz.co.uk to switch free of
charge.

TIA\AMI\V30
Mr Robert Jackson Butterworth Policy number: 2227755781
6 Rotherwick Road
London
NW11 7DA Period of cover: 12 February 2021 to 19 July 2021

PREMIUM INFORMATION
Amount due: £53.55 (which includes Insurance Premium Tax) Payment Schedule
Your new Direct Debit payment schedule is shown in the box on
the right. 16/02/2021 £4.46
16/03/2021 £4.46
16/04/2021 £4.46
17/05/2021 £4.46
16/06/2021 £4.46
16/07/2021 £4.46

Bank Sort Code: 090128

Account Number: XXXXX413

Do we have the correct information?

Please tell us if:
• Any of the details on your Certificate of Insurance are incorrect
• Your address has changed
• You no longer own, or have on loan, any of the items covered under this insurance policy
• The replacement value of your instruments/equipment changes
• You are likely to reside outside of the UK for more than 3 consecutive months in any one year
If you don’t, it could result in a claim not being paid and it may affect the cover we provide. If there is anything you don’t
understand, please call us on 0330 100 9903.

Signed on behalf of Allianz Insurance plc Print Date: 12 February 2021

Authorised Signatory:

This Certificate of Insurance is one part of your insurance contract. The other part is your Insurance Policy Booklet which contains the policy
Terms and Conditions. You will need both parts to know what you are covered for. If you do not have both parts please tell us and we will
send you replacements.
Allianz Musical Insurance is a trading name of Allianz Insurance plc. Allianz Insurance plc is registered in England No. 84638.
Registered office: 57 Ladymead, Guildford, Surrey GU1 1DB, United Kingdom.
Allianz Insurance plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and Prudential
Regulation Authority. Financial Services Register No. 121849.
 THE DIRECT DEBIT GUARANTEE

This Guarantee is offered by all Banks and Building Societies that take part in the Direct Debit Scheme. The efficiency and security of the Scheme is
monitored and protected by your own Bank or Building Society. If the amounts to be paid or the payment dates change, Allianz Insurance plc will
notify you 7 days in advance of your account being debited or as otherwise agreed. If any error is made by Allianz Insurance plc or your Bank or
Building Society, you are guaranteed a full and immediate refund from your branch of the amount paid. You can cancel a Direct Debit at any time by
writing to your Bank or Building Society. Please also send a copy of your letter to us.

Allianz Musical Insurance is a trading name of Allianz Insurance plc. Allianz Insurance plc is registered in England No. 84638. Registered office: 57 Ladymead, Guildford, Surrey GU1 1DB, United Kingdom.
Allianz Insurance plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and Prudential Regulation Authority. Financial Services Register No. 121849.
Allianz Musical Insurance's trading address is: Great West House (GW2), Great West Road, Brentford, Middlesex TW8 9DX. Email: musicalinsurance@allianz.co.uk
Plan: Music Protect Policy: 2227755781

Period of Cover: 12 February 2021 to 19 July 2021

Your Insured Instruments

Item Item Details Sum Cover Level

Number Insured

16100050 Guitar (Acoustic) 1917964 Martin D-18e UK Limited £2500.00 UK excluding Unattended
Run Vehicle

Your excess
There is no excess to pay in the event of a claim on your Music Protect cover.
Allianz Musical Insurance is a trading name of Allianz Insurance plc. Allianz Insurance plc is registered in England No. 84638. Registered office: 57 Ladymead, Guildford, Surrey GU1 1DB, United Kingdom.
Allianz Insurance plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and Prudential Regulation Authority. Financial Services Register No. 121849.