SHORT TERM INSURANCE NEW BUSINESS SCHEDULE

Policy Number: Date Issued: Agent:

TCV-MOT-8173767
TVC-MOT-8163287 05/10/2019
24/10/2019
21/08/2021 CL / Tempcover Limited

Insured: MrMr
Mohammad
MohammadMahmood
Usaamah Mahmood Effective Time/Date: 19:21
13:1705
21October
August
19:26 2019
2021
24 October 2019

Expiry Time/Date: 19:21

13:1707
22October
August
19:26 2019
2021
30 October 2019
195 Central Park Road
195 Central Park
London
Road
E63AE
E6 3AE
Reason for Issue: New Business

Premium (inc. ipt): £63.89

Insured Vehicle: Registration Number:

Number: NX07
HB05 UZK
SAN Cover: COMPREHENSIVE

Vehicle Value: Make and Model of Vehicle: Driving Restriction:

£1500 - £3000
£1000-£1500 VOLKSWAGEN
VOLKSWAGENGOLF GOLF MATCH
TSI FSI Insured Only

EXCESS APPLICABLE

Compulsory Excess Amount: £1000.00

Voluntary Excess Amount: £500.00

Total Excess Amount: £1500.00

ENDORSEMENTS APPLICABLE

P01 - ACCIDENTAL DAMAGE FIRE AND THEFT EXCESS

We shall not be responsible to pay the first amount as shown below of any claims or series of claims arising out of one event in respect of
which indemnity is provided by the Accidental Damage Section and/or Fire and Theft Section of your policy.

P02 – FCA
Collingwood Insurance Services (UK) Limited is authorised and regulated by the Financial Conduct Authority (FCA) Registration no. 310870

C o llin g w o o d In s u r a n c e C o m p a n y L im it e d , is a G ib r a lt a r b a s e d s p e c ia lis t m o t o r in s u r e r e s t a b lis h e d in 2 0 0 3 a n d w r it in g c a r e f u lly s e le c t e d b u s in e s s in t h e U K a n d Ir e la n d t h r o u g h in s u r a n c e in t e r m e d ia r ie s . C o llin g w o o d

In s u r a n c e S e r v ic e s ( U K ) L im it e d ( C IS L ) is a u t h o r is e d a n d r e g u la t e d b y t h e F in a n c ia l C o n d u c t A u t h o r it y ( F C A ) , r e g is t r a t io n N o . 3 1 0 8 7 0 , a n d a r e r e g is t e r e d in E n g la n d & W a le s , r e g is t r a t io n N o . 4 1 7 4 2 3 5 . C IS L s r e g is t e r e d a d d r e s s
is C o llin g w o o d In s u r a n c e S e r v ic e s ( U K ) L t d , C o llin g w o o d H o u s e , R e d b u r n C o u r t , E a r l G r e y W a y , N o r t h S h ie ld s , N E 2 9 6 A R . C L is lic e n s e d in a c c o r d a n c e w it h t h e In s u r a n c e B u s in e s s A c t , 1 9 8 8 ( C h a p t e r 4 0 3 , L a w s o f G ib r a lt a r ) t o
carry out insurance and reinsurance business
Important Information
CONTINUOUS INSURANCE ENFORCEMENT and the MOTOR INSURANCE DATABASE Information relating to your policy will be added to the Motor Insurance Database ('MID') managed by the Motor Insurance Bure au ('MIB').
MID and the data stored on it may be used by certain statutory and/or authorised bodies including the Police, the DVLA, the DVLANI , the Insurance Fraud Bureau and other bodies permitted by law for purposes
not limited to but including:

I. Electronic Licensing

II. Continuous Insurance Enforcement

III. Law enforcement (prevention, detection, apprehension and or prosecution of offenders)

IV. The provision of government services and or other services aimed at reducing the level and incidence of uninsured driving.

If you are involved in a road traffic accident (either in the UK, EEA or certain other territories), insurers and or the MIB may search the MID to obtain relevant information.

Persons (including his or her appointed representatives) pursuing a claim in respect of a road traffic accident (including citizens of other countries) may also obtain information which is held on the MID. It is vital that the MID
holds your correct registration number. If it is incorrectly shown on MID you are at risk of having your vehicle seized by the Police.

C o llin g w o o d In s u r a n c e C o m p a n y L im it e d , is a G ib r a lt a r b a s e d s p e c ia lis t m o t o r in s u r e r e s t a b lis h e d in 2 0 0 3 a n d w r it in g c a r e f u lly s e le c t e d b u s in e s s in t h e U K a n d Ir e la n d t h r o u g h in s u r a n c e in t e r m e d ia r ie s . C o llin g w o o d

In s u r a n c e S e r v ic e s ( U K ) L im it e d ( C IS L ) is a u t h o r is e d a n d r e g u la t e d b y t h e F in a n c ia l C o n d u c t A u t h o r it y ( F C A ) , r e g is t r a t io n N o . 3 1 0 8 7 0 , a n d a r e r e g is t e r e d in E n g la n d & W a le s , r e g is t r a t io n N o . 4 1 7 4 2 3 5 . C IS L s r e g is t e r e d
a d d r e s s is C o llin g w o o d In s u r a n c e S e r v ic e s ( U K ) L t d , C o llin g w o o d H o u s e , R e d b u r n C o u r t , E a r l G r e y W a y , N o r t h S h ie ld s , N E 2 9 6 A R . C L is lic e n s e d in a c c o r d a n c e w it h t h e In s u r a n c e B u s in e s s A c t , 1 9 8 8 ( C h a p t e r 4 0 3 , L a w s
of Gibraltar) to carry out insurance and reinsurance business