UFI Placement Checklist This checklist has been developed to ensure that we comply with our obligations under the Insurance Act 1973, the Corporations Act 2001 and the Insurance Brokers Code of Practice whenever placing insurance with an Unauthorised Foreign Insurer (UFI). Check local markets for pricing, coverage, excesses and exclusions (attach quotes) Check UFI for pricing, coverage, excesses and exclusions (attach quotes) Is placement eligible for UFI Exemptions Total group gross operating revenue in Australia of $200 million or more Total group gross assets in Australia of $200 million or more Total group employees in Australia of 500 or more. Nuclear War Terrorism Satellite or space Biological risk Medical clinical trials Aviation liability Shipowners’ protection and indemnity other than for pleasure crafts *Lack of market capacity; e.g. (no authorised insurer will write whole risk) *Material difference in price; e.g. minimum $500 or 20% of premium whichever is greater *Material difference in non-price terms and conditions *Material benefits from continuity of an ongoing relationship between client/insurer. Attach copies of all supporting documentation relied upon to support exemption. For exemptions asterisked there will need to be a comprehensive review provided of all insurers canvassed, specific confirmation of lack of coverage or detailed relationship analysis. Minor and insignificant coverage extensions should not be used to rely on an exemption. Placement approved and signed off by Responsible Manager UFI notice supplied to client and signed by client Broking computer records flagged to identify UFI placement Invoice documentation includes UFI risk overview Overseas Tax / Stamp Duty and Fire Brigade collection / payment processes implemented if no Australian based intermediary involved. Staff member handling placement _____________________________________ Signature of Staff member handling placement _____________________________________ Date ____ / ____ / ______ Responsible Manager Signature _____________________________________ Date ____ / ____ / ______ D:\533549502.doc 16/02/16 7:46 AM Page 1 of 1