MAYFAIR INSURANCE COMPANY LIMITED

MAYFAIR CENTRE 8TH FLOOR, RALPH BUNCHE ROAD

P.O.BOX 45161- G.P.O. (00100), NAIROBI, KENYA
TEL: 2999000, FAX 2999111,
Email: info@mayfair.co.ke

Endorsement Advice Client Code: RA-0376 Client Pin: A001240592L

On Account B-CR01 - CROWNSCOPE INSURANCE BROKERS Premium KSH.

LIMITED
Extra Premium
The Insured RAJESH LAKHANI
Premium 0.00
Address P.O Box 17960 - 00500, Nairobi Political 0.00

05/0700/23095/2022 Excess Protector 0.00

Endorsement/Renewal No.
P.H.C Fund 0.00
Policy No. 01/COMP/01/0700/38218/2022
Stamp Duty 0.00
Period of Insurance From: 18/07/2022 } Both Dates Training Levy 0.00
To: 31/12/2022 } Inclusive Total 0.00
Cover Type. Motor Private - Comprehensive

PARTICULARS OF THE VEHICLE

Reg Make Body Horse Year Carrying Insured Wind Radio

Mark Type Power of Capacity Estimate Screen Casset
/CC Manuf Value KSH Limit Limit
KDB 299H Subaru Station Wagon 3620 2013 5 2,500,000 50,000.00 50,000.00
Totals 2,500,000.00

It is further understood and agreed that the Limits have been amended to read as below:

Windscreen limit Kshs 50,000/=

Radio cassette limit Kshs 50,000/=
(All Other Terms & Conditions Remain Unaltered)

Signed for and on behalf of Mayfair Insurance Company Limited

/NN Issued at Nairobi On 28/12/2022 Signature..................................