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POLICY SCHEDULE

Broker: Complete Cover Group Date of Schedule: 29/09/2021

Policy Number: HAVPC30-629176 Expiring: 28/10/2021 17:56:00

Period of insurance commencing: 28/09/2021 17:57:00


Emergency Telephone Contacts
Product Name: Granite PC

Reason for Issue: Policy Claims Line: 0330 331 0720


Policyholder: Mr Bogdan Dobos
Windscreen: 0345 092 0703
Address: 24 Saxon Street Northampton
Northampton
Text the word “CLAIM” To 83118
NN3 2SQ

Occupation or Business: Labourer Policy booklet & Terms: Haven Private Car

INSURED VEHICLE(S)
Cubic Cover
Make and Model Year Value Registration No
Capacity (as defined in the Policy Booklet)
BMW X3 1995 2006 £2000 FG56WKC Third Party Only

ENDORSEMENT(S) APPLICABLE
- as indicated below (please refer to the insurance Document or endorsement appendix for full wording)
Endorsement Code Person(s) or class of person(s) and/or description

Excess(es) Applicable

Premium Details
Insurance Premium: £347.77 Insurance Premium Tax Rate 12% £41.73

Insurance Premium (Incl. IPT): £389.5 Insurance Premium Tax is levied by H.M.Government

This forms part of Policy HAVPC30-629176

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