CERTIFICATE OF MOTOR INSURANCE

Annual Scooter H&R inc SDP

1. Certificate number:
ZANA/LGI18B Claims Line: 0808 143 1585

2. Registration mark of vehicle:

PN12 UMS
Work provider customer number:
3. Name of Policyholder: ZWG1K
Edi Nilson Quintal Correia

4. Effective date of the commencement of insurance for the purpose of the relevant law:
04/11/2020, 09:46

5. Date of expiry of insurance:

03/11/2021, 23:59

6. Persons or classes of persons entitled to drive:

Provided that the person driving holds a licence to drive the vehicle or has held and is not disqualified for or prohibited by
law from holding or obtaining such a licence
Insured Only: Edi Nilson Quintal Correia

7. Limitations as to use:
Business use for the transportation of goods for Hire and Reward whilst working for
DELIVEROO, JUST EAT, STUART or UBER EATS.
(FAST FOOD DELIVERY and PARCEL / PACKAGE DELIVERY) including Social, Domestic and Pleasure purposes

8. Exclusions:
- Use whilst the vehicle is let on hire
- Use while carrying pillion passengers
- Use for any racing, pacemaking, contest, reliability or speed trial
- Use for any purpose in connection with the motor trade

I hereby certify that this certificate satisfies the requirements of the relevant Law applicable in the United Kingdom, the Channel
Islands and EU countries or countries approved, by the EU commission to comply with the First Directive on Motor insurance.

Underwriter - Antilo UK Ltd

Thomas Minton Suite
Foundry Street
Hanley Stoke on Trent
ST1 5HE

This policy has been underwritten by Antilo UK Ltd on behalf of Calpe Insurance Company Limited. Calpe Insurance Company Ltd., P.O. Box 1338, First
Floor, Grand Ocean Plaza, Ocean Village, Gibraltar (Registration No. 104429, Agreement No. B0738B). Calpe Insurance Company Ltd is authorised and
regulated by the Gibraltar Financial Services Commission and subject to a limited regulation by the Financial Conduct Authority in respect of underwriting
Insurance in the UK (FCA Firm Reference Number 542791).

Note: For full details of the insurance cover, reference should be made to the Antilo Policy, Schedule and Endorsements.
Advice to third parties: Nothing contained in this certificate affects your right as a third party to make a claim.
 IMPORTANT NOTES

If you have any enquiries regarding your insurance, please contact the broker/agent who arranged your insurance. These notes
do not form part of you Certificate of Motor Insurance. Your Certificate of Motor Insurance is an important document. If it is
incorrect you are liable to prosecution, so please check it very carefully.

Please keep this Certificate of Motor Insurance safe.

1. You should notify your broker immediately if you:

a. Change the Insured Vehicle or obtain an additional vehicle. {Notification is a condition of your insurance.}
b. Require a change in the use of the vehicle.

2. Your broker must also be notified as soon as possible of any change in circumstances affecting the insurance:
a. Any modifications or engine conversion to your vehicle.
b. Change of address.
c. Change of drivers.
d. Any convictions.
e. Any pending prosecutions.
f. Any physical or mental defect, including heart conditions, diabetes, epilepsy, disabilities or infirmities.
g. The prescription of permanent medication.
h. Additional audio or communication equipment.

If you have any doubt as to whether or not to tell us of any fact, please contact the broker/agent who arranged your insurance
for advice

Cancellation

Should this policy be cancelled, this certificate must be returned. The cancellation will only be operative from the date of receipt
of the certificate.