IMPORTANT CERTIFICATE OF MOTOR INSURANCE
THESE NOTES ARE FOR 1. Policyholder Certificate No: HAVTX90-031768
YOUR GUIDANCE Mr Mariusz Falkiewicz Effective Date: 25 January 2014 15:31
78 Westminster Road Expiry Date: 25 April 2014 15:30
To ensure full protection under your
policy it is essential to notify your Sutton Issue Date: 20 January 2014
Agent with whom you arranged this Surrey Reason for Issue: New Business
insurance of any change to the details SM1 3NL
previously supplied such as:
2. Vehicle(s) Insured:
(a) Change of address, occupation,
vehicle(s) declared or use of your Registration: WV08 CXH
car/vehicle. VIN (If Known)
(b) The drivers covered (especially Vehicle Details: BMW 520 D SE
the inclusion of any person under Cover: Third Party Fire and Theft
25 years of age).
(c) Motoring convictions and/or
Having applied for the insurance of the motor vehicle(s) described above the insurance is hereby held
summons pending /accidents/
physical condition of any person in force in the terms of the Company’s usual form of Policy applicable thereto, provided always that the
likely to drive. Company shall on giving notice in writing to the last known address of the Policyholder be entitled to
cancel this insurance immediately and a proportionate part of the premium will be charged for the time
this insurance has been in force.
WARNING
3. Persons or classes of persons entitled to drive.
If any person for the purpose of
obtaining the grant of any licence to Those specified below, provided that the person driving holds a licence to drive the vehicle or has held
himself/herself or any other person and is not disqualified from or prohibited by law from holding or obtaining such a licence, and observes
knowingly makes any false statement, or the regulatory requirements of such licence.
for the purpose of obtaining the issue of
a certificate of insurance or of a Mr Mariusz Falkiewicz FALKI712127M99CV
certificate of security under the relevant
law applicable in Great Britain,
Northern Ireland, the Isle of Man, the
4. Limitations as to use.
Island of Guernsey, the Island of Jersey Social, domestic and pleasure including commuting by the Insured to a permanent place of work. For
and the Island of Alderney, makes any
the carriage of passengers or goods for hire and reward by prior appointment only provided (private
false statement or withholds any
material information, he/she shall be
hire) such use complies with the laws and regulations of the appropriate licensing authority.
liable to a fine or to imprisonment or to But excluding use for:
both.
Racing competitions, pacemaking, rallies, or use in any contest, reliability or speed trial, or use for any
If you wish to cancel the policy you purpose in connection with the motor trade.
must return the certificate. If you I hereby certify that the policy to which this certificate relates satisfies the requirements of the relevant
are replacing your vehicle, this
certificate must be returned to your law applicable in Great Britain, Northern Ireland, Isle of Man, the Island of Guernsey, the Island of
Agent with whom you arranged this Jersey and the Island of Alderney.
insurance.
For and on behalf of Haven Insurance Company Limited
Level 3, Ocean Village Business Centre, 23 Ocean Village Promenade, Gibraltar
Advice to Third Parties –
Nothing contained in this certificate Authorised Insurer
affects your rights as a Third Party
to make a Claim.
Emergency Tel. Contacts Chris Lathey
Managing Director
Claims Line Note: For full details of the insurance cover reference should be made to the policy.
0845 092 0700
Text the word “CLAIM”
To 83118
National Windscreen
(PMSL Account) 0800 998 1305
Security Code: HAVTX90-031768/201412092621 Issuing Agent: N/A
Client Code: FALKIEWIM2
Contact Tel.: