Certificate
icare TM
Workers Insurance of currency
002138 2384 EMAIL
Issue date:
Hasan Cullu
12/01/2024
LIONS & SONS PAINTING PTY LTD ATF Lions & Sons
Holdings trust
Unit 4 5 Boorea Avenue
LAKEMBA NSW 2195
Statement of coverage
The following policy of insurance covers the full amount of the employer’s liability under the Workers
Compensation Act 1987 (NSW).
Employer name: Policy number: Valid:
LIONS & SONS PAINTING PTY LTD ATF Lions & Sons Holdings trust 176441201 29/02/2024 -
28/02/2025
Business name: Trust ABN: Trustee ACN:
56 358 918 485 622 034 217
Industry classification number (WIC)3 Number of workers1 Wages/units2
424400 Painting and Decorating Services 1 $53,536.09
1. Number of workers includes contractors/deemed workers
2. Total wages/units estimated for the current period
3. The policy covers all workers employed by the entity named on this certificate in the course of its primary business activity or any other activities
ancillary to its primary business activity as required.
Important information
Principals relying on this certificate should ensure it is accompanied by a statement under section 175B of
the Workers Compensation Act 1987 (NSW). Principals should also check and satisfy themselves that the
information is correct and ensure that the proper workers compensation insurance is in place, i.e. compare
the number of employees on site to the average number of employees estimated; ensure that the wages are
reasonable to cover the labour component of the work being performed; and confirm that the description of
the industry/industries noted is appropriate. A principal contractor may become liable for any outstanding
premium of the sub-contractor if the principal has failed to obtain a statement or has accepted a statement
where there was reason to believe it was false.
Yours faithfully,
Peter Meighan
Underwriting Operations Manager
icare Workers Insurance
icareTM is the brand of Insurance & Care NSW and acts for the Workers Compensation Nominal Insurer ABN 83 564 379 108 1 of 1