Insurance Company Stamp. Date ....................................... (Or name of insurance broking company confirming cover) SIGNED BY ………………………………………………………………………………………………………….. SIGNATORY TITLE ………………………………………………………………………………………………… (Clause numbers refer to NZS 3910:2013 and are for information only.) Schedule 12 – Information on Principal arranged Construction Insurance To whom it may concern: From …………………………………………………………………..................... (Name of insurance company) ………………………………………………………………………………………………………………… (Branch) ……………………………………………………………………………………………………………….. (Address) We confirm having effected insurance for: ………………………………………………………………………………………...................... (The Principal) ………………………………………………………………………………………................ (Covering property at) ……………………………………………………………………………………….................... (Class of insurance) In respect of …………………………………………………………………………......................... (Project title) Policy wording title is ....................................................................................................................................... We advise that special terms, copy attached, have been applied to this policy Yes/No The following provisions apply: Material damage/construction project specific policy Annual run-off policy Annual cut-off policy Policy expiry date ……………………………………………………………………………………………………..
Appears in 4 contracts
Samples: Contract Agreement, Contract Agreement, Contract Agreement
