INVOICE TEMPLATE
RISK TYPE - SNT : SAFETY NET - TURBO
INSURER
TLC INSURANCE LTD
EXCESS
AS SHOWN BELOW
(S)
STANDARD COVER
Legal Liability for third party property damage or personal injury happening within the territory
shown below during the period of insurance caused by an Occurrence and arising from the
business of the insured, subject always to the terms, conditions and exceptions contained within
the TLC Safety Net Turbo SNT:04 - March 2015 Policy Wording
(C)
DESCRIPTION OF BUSINESS
(C)
LIMITS OF LIABILITY
SECTION 1 – PUBLIC LIABILITY
Limit of Indemnity
$ ,000,000
$
Care, Custody & Control
Forest & Rural Fires Act
Product Recall Expenses
Property Owners
Punitive & Exemplary Damages
Service & Repair
Tenants Liability
Underground Services
Vibration & Removal of Support
$ 250,000
$ 1,000,000
$ 100,000
Policy Limit
$ 1,000,000
$ 250,000
Policy Limit
$ 1,000,000
$ 1,000,000
$1,000 XS
$1,000 XS
Retro Date Inception
$ 500 XS
$ 500 XS
$2,500 XS
$ 500 XS
$5,000 XS
$5,000 XS
500 XS
SECTION 2 – EMPLOYERS LIABILITY
Limit of Indemnity
$ 1,000,000 Any One Claim in the aggregate
SECTION 3 – STATUTORY LIABILITY
Limit of Indemnity
$ 1,000,000
Any One Claim in the aggregate
SECTION 4 – FIDELITY
Limit of Indemnity
Any One Claim in the aggregate
$
50,000
SECTION 5 – DIRECTORS & OFFICERS/COMPANY REIMBURSEMENT
Limit of Indemnity
$ 250,000 Any One Claim in the aggregate
SECTION 6 – LawSafe TM @ Work
Limit of Indemnity
$
100,000
Any One Claim in the aggregate
REROACTIVE DATES
As expiring
POLICY EXCESS
Unless shown otherwise, the policy excess is $500 for all sections except Section 6 where Nil
TERRITORY & JURISDICTION
New Zealand
( S)
ENDORSEMENTS
As per quotation document
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OPTIONAL EXTENSIONS
Carriers Liability Extension
$1,500
Limit of Indemnity
$
500 XS
SNT:04 March 2015
Forest & Rural Fires Act Extension
$2,000,000
Limit of Indemnity
$ 1,000
XS
(C)
REMARKS
Subject to a fully completed and signed proposal form
Failure to notify the Underwriter immediately of a potential claim may result in the declinature
of liability under the policy
(C)
UNDERWRITER COMMENT
Please notify TLC IMMEDIATELY should any of the information shown
on this invoice be incorrect or require amendment.
(S)
INSURANCE COMPANY DETAILS
INSURER:
Vero Liability Insurance Limited
TLC Insurance Limited as an Agent for Vero Liability Insurance Limited
INSURANCE COMPANIES (RATINGS & INSPECTIONS) ACT 1994
Vero Liability
Standard & Poors
A+
(Strong)
09 September 2010
INSURANCE COMPANIES DEPOSIT ACT 1953
Access to the Insurers with whom the insurance under this policy is placed is made available
through deposits lodged by Vero in accordance with Section 4B of the Insurance Companies
Deposits Act 1953 and such deposit is available as security for the contract of insurance
evidenced by this document
SEVERAL LIABILITY CLAUSE LSW1001
The subscribing Insurers’ obligation under contracts of insurance to which they subscribe are
several and not joint and are limited solely to the extent of their individual subscriptions. The
subscribing insurers are not responsible for the subscription of any co -subscribing insurer who
for any reason does not satisfy all or part of its obligation.
SNT:04 March 2015