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Certificate of Motor Insurance

This Certificate is evidence that you have insurance to comply with the law. You will need this document to tax your car, and will need to return
it to Admiral to cancel your policy. For further details of your insurance cover please refer to your Policy Schedule. If you wish to change any
details shown below please call Admiral Customer Services Department. If you do not inform Admiral of changes you may not have the protection
of the policy.

Issued by:

Admiral

1. Description of car:
KH04DNN
or any private car loaned to the Policyholder by an Admiral approved repairer
under section 7(4) of their policy.

2. Name of Policyholder:
James Williams

5. Persons or classes of persons


entitled to drive:
James Williams
The Policyholder may also drive with the consent of the owner a private
motor car not belonging to him/her and not hired to him/her under a Hire
Purchase Agreement, within our territorial limits, providing there is a valid
insurance policy in force for that car.
The Policyholder must also be driving in accordance with the terms of a valid
licence and must not be disqualified from driving.

Policy number:

AD MOT 5990199CW075/R25

3. Effective date of the commencement of Insurance


for the purpose of the relevant law:
00:01 hours on the 22/11/2012

4. Date of expiry of Insurance:


00:01 hours on the 22/11/2013

6. Limitations as to use:
Use for social, domestic and pleasure purposes and travel between home and
permanent place of business.
The Policy does not cover:
Use for hiring, merchandise delivery or use for any purpose in connection with the Motor Trade.
Use to secure the release of a motor vehicle, other than the vehicle identified above by its registration mark,
which has been seized by, or on behalf of, any government or public authority.
Use on the Nurburgring Nordschleife, or for racing, pace-making, competitions, rallies, track days, trials or speed
tests either on a road, track, or at an off road 4x4 event.

We hereby certify that the policy to which this Certificate relates satisfies the requirements of the relevant law applicable in Great Britain,
Northern Ireland, the Isle of Man, the Islands of Alderney, Guernsey and Jersey. For and on behalf of Authorised Insurers: Admiral Insurance
Company Ltd is authorised and regulated by the Financial Services Authority (Registration No: 219824) Capital Tower, Greyfriars Road, Cardiff,
CF10 3AZ. Admiral Insurance (Gibraltar) Ltd is authorised and regulated by the Financial Services Commission (Registration No: 220858) Suite
3G, Eurolife Building, 1 Corral Road, Gibraltar. Great Lakes Reinsurance (UK) Plc is authorised and regulated by the Financial Services Authority
(Registration No: 202715) Plantation Place, 30 Fenchurch Street, London EC3M 3AJ.

David Stevens, for Authorised Insurers


Several Liability Notice: The Authorised insurers obligations 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 Authorised insurers are not responsible for the Authorised insurer who
for any reason does not satisfy all or part of its obligations.
European Car Insurance Cover: This certificate is valid for, Great Britain, Northern Ireland, Isle of Man and Channel Islands; any other country
which is a member of the European Union and Norway; Switzerland, Iceland, Croatia, Andorra and Liechtenstein.
Important - Length of Stay: If your journey exceeds 30 consecutive days, please call Admiral Customer Services Department prior to your
departure.
Advice to third parties: Nothing contained in this Certificate affects your right as a third party to make a claim.

Registered in England and Wales as EUI Limited Reg. No. 2686904 Registered Address: Capital Tower, Greyfriars Road, Cardiff, CF10 3AZ. Authorised and regulated by the Financial Services Authority (309378)

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