Underground Services. Deductible (GST inclusive) is $.......................................... Deductible for vibration, removal or weakening of support (GST inclusive) $.......................................... Deductible for underground services (GST inclusive) $.......................................... The policy also covers liability arising out of: The ownership/use of Plant not required to be registered for road use Yes/No The use of hired Plant Yes/No The ownership/use of watercraft over 8 m Yes/No The ownership/use of aircraft Yes/No The use of explosives Yes/No 8.2, 8.7 Policy cover terms included are: Reinstatement provisions Yes/No Number of reinstatements …………...……………… Discretionary cancellation clause Yes/No Void ab intio for non-payment of premium without prior notification Yes/No Severally insured Yes/No No settlement delay due to exercise of subrogation Yes/No We undertake that this policy will not be cancelled or amended by us without written advice to the insured party which has arranged the insurances. This insurance issued is subject to the terms and conditions of the policy. We do not warrant that this policy complies with the requirements of NZS 3910:2013. 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 10 – Information on Contractor arranged Motor Vehicle Insurance To whom it may concern: From …………………………………………………………………..................... (Name of insurance company) ………………………………………………………………………………………………………………… (Branch) ……………………………………………………………………………………………………………….. (Address) We confirm having effected motor fleet insurance for: ……………………………………………………………………………….………...................... (The Contractor) 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: Annual policy Project specific policy Policy expiry date ……………………………………………………………………………………………………..
Appears in 4 contracts
Samples: Contract Agreement, Contract Agreement, Contract Agreement