Policy

WARNING
CERTIFICATE OF MOTOR INSURANCE

If any person for the purpose
of obtaining the grant of any 1. Policy holder Cover note No: TCV-MOT-29919429
licence to himself/herself or
any other person knowingly Name: MR DOMINIK MALIK Effective Date: 27 Feb 2024 12:00
makes any false statement, or
for the purpose of obtaining Address: 30 Westbourne Drive Expiry Date: 26 Mar 2024 12:00
the issue of a certificate of Stoke-On-Trent, Staffordshire
insurance or of a certificate of Issue Date: 27 Feb 2024 00:27
ST6 5LZ
security under the relevant
law applicable in Great Britain, 2. Vehicle(s) Insured
Northern Ireland, the Isle of
Man, the Island of Guernsey, Registration: AG58UYW
the Island of Jersey and the
Island of Alderney, makes any Vehicle Details: PEUGEOT 207 SPORT HDI (90)
false statement or withholds
any material information, Cover: Fully comprehensive
he/she shall be liable to a fine
or to imprisonment or to both. Having applied for the insurance of the motor vehicle(s) described above the
insurance is hereby held in force in the terms of the Company's usual form of Policy
Advice to Third Parties - applicable thereto, provided always that the Company shall on giving notice in writing
to the last known address of the Policyholder be entitled to cancel this insurance
Nothing contained in this immediately and a proportionate part of the premium will be charged for the time this
certificate affects your rights
as a Third Party to make a insurance has been in force.
claim.
3. Persons or classes of persons entitled to drive
Emergency Tel. Contacts
Those specified below, provided that the person driving, holds a licence to drive the
Claims Line vehicle or has held and is not disqualified from or prohibited by law from holding or
0333 241 3392 obtaining such a licence, and observes the regulatory requirements of such licence.
Mr Dominik Malik
4. Limitations as to use
Use for social domestic and pleasure purposes and use in person by the Policyholder
in connection with their business or profession.
But excluding use for:
Hire or reward, racing competitions, pacemaking, rallies, or use in any contest,

reliability or speed trial, or use for any purpose in connection with the motor trade.
Impounded Vehicles: This Short Term Insurance certificate cannot be used for the
purpose of recovering an impounded vehicle.
I hereby certify that the policy to which this certificate relates satisfies the requirements
of the relevant law applicable in Great Britain, Northern Ireland, Isle of Man, the Island
of Guernsey, the Island of Jersey and the Island of Alderney.
For and on behalf of Haven Insurance Company Limited, No 1 Grand Ocean Plaza,
Gibraltar GX11 1AA.
Chris Lathey
Managing Director
Note: For full details of the insurance cover reference should be made to the policy.
10402464.0.S
Haven Insurance Company. No 1 Grand Ocean Plaza, Gibraltar GX11 1AA
Registered Number 85914 Gibraltar. Authorised and regulated by the Financial Conduct Authority.
Foreign Use
This certificate of motor insurance takes the place of an International Motor Insurance Card
(Green Card) and is evidence that the insurance extends to include the compulsory motor
insurance requirements of:
(a) any member country of the European Union
(b) Norway, Switzerland, Andorra, Iceland and Liechtenstein
Cette attestation d'assurance automobile remplace la carte d'assurance automobile

internationale ('carte verte') et est la prevue que l'assurance couvre egalement les exigencies
d'assurance automobiles obligatories:
(a) de n'importe quell pays member de la Communaute Europeenne
(b) La Norvege, La Suisse, Andorre, L’islande et de Le Liechtenstein.
HOW TO CLAIM
It is a condition of your policy that after any loss, damage or accident full details of the incident are
reported to our claims representatives, Prospect Legal Ltd, Suite 2a, Second Floor, 160 London Road,
Sevenoakes, Kent TN13 1BT as soon as reasonably possible or by telephoning them on 0333 241 3392
please quote your insurance policy number.
It is a condition of your policy that any increased costs resulting from your delay in
reporting any incident to us will be your responsibility.
COMPLAINTS
We aim to provide a first-class service. However, should you have any cause for complaint please
contact your broker who administers the insurance on your behalf. However, if you are still not happy
with the way the matter is dealt with, please write to the Chief Executive of Haven Insurance Company
Ltd, No 1 Grand Ocean Plaza, Gibraltar GX11 1AA.
If after having made your complaint you are still unhappy you may be able to refer your complaint to the
Financial Ombudsman Service, Exchange Tower, London E14 9SR.
These procedures do not affect your right to take legal action if necessary.
10402464.0.S
Haven Insurance Company. No 1 Grand Ocean Plaza, Gibraltar GX11 1AA
Registered Number 85914 Gibraltar. Authorised and regulated by the Financial Conduct Authority.

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WARNING

CERTIFICATE OF MOTOR INSURANCE

But excluding use for:

Hire or reward, racing competitions, pacemaking, rallies, or use in any contest,

Haven Insurance Company. No 1 Grand Ocean Plaza, Gibraltar GX11 1AA

Cette attestation d'assurance automobile remplace la carte d'assurance automobile

Haven Insurance Company. No 1 Grand Ocean Plaza, Gibraltar GX11 1AA

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