Certificate of Motor Insurance PDF

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Certificate of Motor Insurance

Issued by: Admiral Policy number: P71555326

This Certificate is evidence that you have insurance to comply with the law. You must read this document in conjunction with
Your Car Insurance Guide and your Policy Schedule. If you wish to change any details shown below please contact Admiral. If
you do not inform Admiral of any changes, you may not have the protection of the policy.

1 Description of vehicle: 5 Date of expiry of Insurance:


PY56GXW 00:00 hours on the 01/04/2024
or any private vehicle loaned to the Policyholder by an Admiral
approved repairer, or another company instructed by Admiral
under the Claims under sections 2 and 3 of Your Car Insurance
Guide.
2 Name of Policyholder: 6 Permitted Use:
Jan Anusca Social, Domestic and Pleasure only
3 Persons or classes of persons entitled to drive: Use for all drivers for social, domestic and pleasure pur-
Jan Anusca poses.

All drivers must be driving in accordance with the terms of their li- The Policy does not cover:
cence. The Policyholder may also drive, with the consent of the Use for work or business purposes.
owner, a private motor car. Only Third Party liabilities are cov- Use to secure the release of a motor vehicle, other than the ve-
ered when driving another car. Please see Your Car Insurance hicle identified above, which has been seized by, or on behalf of
Guide as restrictions will apply. any public authority.
Use on the Nürburgring Nordschleife, or any racetrack, circuit
or prepared course. Any formal or informal race, whether prear-
4 Effective date of the commencement of Insurance
ranged or not. Used to participate in any test, competition or or-
for the purpose of the relevant law:
ganised motoring event.
00:00 hours on the 01/04/2023

We hereby certify that the policy to which this Certificate re- Great Lakes Insurance UK Limited is a company incorporat-
lates satisfies the requirements of the relevant law applica- ed in England and Wales with company number 13436330
ble in Great Britain, Northern Ireland, the Isle of Man, the Is- and registered office address is 10 Fenchurch Avenue, Lon-
lands of Alderney, Guernsey and Jersey. For and on behalf don, United Kingdom, EC3M 5BN. Great Lakes Insurance
of Authorised Insurers: Admiral Insurance Company Ltd is UK Limited is authorised by the Prudential Regulation Au-
authorised by the Prudential Regulation Authority and regu- thority and regulated by the Financial Conduct Authority and
lated by the Financial Conduct Authority and by the Pruden- the Prudential Regulation Authority. Firm Reference Number
tial Regulation Authority (Registration No: 219824) Ty Ad- 955859. You can check this on the Financial Services Reg-
miral, David Street, Cardiff, CF10 2EH (Home State: Unit- ister by visiting https://register.fca.org.uk/s/ Great Lakes Ser-
ed Kingdom). Admiral Insurance (Gibraltar) Ltd is authorised vices UK Ltd (fca.org.uk)
and regulated by the Financial Services Commission (Regis-
tration No: 220858) 2A ( 2nd Floor) Leisure Island Business
Centre, 23 Ocean Village Promenade, Gibraltar GX11 1AA
(Home State: Gibraltar).

Cristina Nestares, for Authorised Insurers

Please Turn Over

Registered in England and Wales as EUI Limited Reg. No. 2686904 Registered Address: Ty Admi-
ral, David Street, Cardiff, CF10 2EH. Authorised and regulated by the Financial Conduct Authority (309378)
Several Liability Notice:
Your cover is provided by three authorised insurers, who have agreed to cover an agreed share of the costs should a claim
arise. No individual insurer is liable for any amount beyond their agreed share but collectively your insurance cover will amount
to 100%.

Advice to third parties:


Nothing contained in this Certificate affects your right as a third party to make a claim.

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