Thank you for submitting the completed Declaration of Actual Wages for the workers compensation policy period 30/06/10 to 30/06/11.

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1 QBE Workers Compensation (NSW) Ltd - Agent for the NSW WorkCover Scheme ABN PARRAMATTA BRANCH LEVEL 7, 56 STATION ST PARRAMATTA, NSW 2150 Postal Address P O BOX 1207 AUBURN NSW 1835 Telephone:(02) Fax: (02) PRIVATE BAG 27 BOTANY NSW 2019 Date Issued: 09/08/11 NSW Workers Compensation Insurance Policy Number: MWP Group Name: GAZAL GROUP Group Number: Dear Customer, Thank you for submitting the completed Declaration of Actual Wages for the workers compensation policy period 30/06/10 to 30/06/11. We have enclosed Premium notice detailing the calculation of your premium for the period. *C550G* Payment Schedule The Adjustment has resulted in Credit of $ CR. QBE will forward a cheque to you after deducting any other amount(s) that may be overdue. Adjustment Note An Adjustment note in relation to the adjustment premium is enclosed for your GST records. Yours sincerely, J. McLaughlin NSW Underwriting Operations Manager Workers Compensation

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3 QBE Workers Compensation (NSW) Limited Agent for the NSW WorkCover Scheme ABN PARRAMATTA BRANCH LEVEL 7, 56 STATION ST PARRAMATTA, NSW 2150 Postal Address P O BOX 1207 AUBURN NSW 1835 Telephone: (02) Fax: (02) Date issued: 09/08/11 WORKERS COMPENSATION ACT 1987 ADJUSTMENT PREMIUM CALCULATION Adjustment premium calculation form for medium and large employers. (Employers with a basic tariff premium greater than $10,000 and wages greater than $300,000) 1 EMPLOYER S DETAILS Registered business name Trading Name *C4500* Postal Address PRIVATE BAG 27 BOTANY NSW ABN Postcode Policy Period 3 0 / 0 6 / 1 0 to 3 0 / 0 6 / 1 1 Group Number Group Name GAZAL GROUP Policy number M W P Declared input tax credit entitlement % Total Premium $4, Your estimated premium for the policy Your estimated premium was calculated was period was using wages of $4, $550,000 Premium = ((T x (1 - S)) + (E x S)) + Q - Y + D - I - A - Z Page 1 of 3

4 2 PREMIUM COMPARISON ICCR 2010/11 ECCR 2010/11 ECCR 2009/10 ECCR 2008/09 WIC Rate 2010/11 Premium as a % of wages paid 2010/11 Premium as a % of wages paid 2009/ % 0.00% 0.00% 0.00% 1.59% 0.84% 0.00% 3 PREMIUM CALCULATION Basic tariff premium (T) $8, S = The experience adjustment factor and is calculated as follows: 0.9 x Basic tariff premium S = Basic tariff premium The S factor has been calculated using the basic tariff premium $269,784 for group number E = The experience premium and is calculated as follows: Employer Claims Cost Rate ( ECCR) E = Basic Tariff Premium (T) X Industry Claims Cost Rate ( ICCR) Experience premium E = (T) $8, X (ECCR) (ICCR) $ Employer Claims Cost Rate as follows: Total Costs of claims $0 + $0 + $68 ECCR = = Total Wages $478,497 + $529,737 + $532,966 ECCR = T is the basic tariff premium and, where an employer s policy has both wages and per capita classifications, equals the sum of the basic tariff premium for both categories. S is the experience adjustment factor and determines the weighting placed on the basic tariff premium and the experience premium used in the calculation of the total premium. ECCR is the employer claims cost rate, calculated by dividing the employer s cost of claims by their wages for the two-year period immediately preceding this period of insurance. ICCR The industry claims cost rate is the average claims cost rate for the industry, calculated by the actuaries Scheme and prescribed in the Insurance Premiums Order. For multi-wic policies, the weighted ICCR is calculated by dividing the total average industry claims costs for similar -size employers by your total wages for the two years immediately preceding this period of insurance. Page 2 of 3

5 Basic tariff premium adjusted for size (T x (1 - S)) $4, Experience premium adjusted for size (E x S) $62.15 Apprentice Incentive (A) $0.00 Total premium $4, Premium $4, Dust diseases levy (D) $ T = Basic tariff premium and is calculated by multiplying the employer s wages by the percentage premium rate of the applicable WorkCover Industry Classification (WIC). Components used for calculation of basic tariff premium WorkCover Industry Classification number WorkCover Industry Classification Description Wages (W) Tariff rate (R) Basic tariff premium Clothing Retailing $532, $8, Total $8, *C3500* Components used for calculation of experience premium. WorkCover Industry Gazetted industry claims cost rate (ICCR) Wage 0 Wage 1 Wage 2 Claims 0 Claims 1 Claims 2 Total claims costs Average industry claims costs for similar size employers $532,966 $529,737 $478,497 $68 $0 $0 $68 $4,543 Total $532,966 $529,737 $478,497 $68 $4,543 The ICCR for multi-tariff policies is calculated using the following formula: ((WICaW 0 + WICaW 1 + WICaW 2) x ICCRa) + ((WICbW 0 + WICbW 1 + WICbW 2) x ICCRb) +...((WICnW 0 + WICnW 1 + WICnW 2) x ICCRn) W 0 + W1 + W2 D = Dust diseases levy is calculated in accordance with section 6 of the Workers Compensation (Dust Diseases) Act 1942 by multiplying the wages by the applicable dust diseases rate. Components used for calculation of dust diseases levy WorkCover Industry Classification number WorkCover Industry Classification Description Dust diseases rate Wages Contribution Clothing Retailing $532,966 $ Total $ Page 3 of 3

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7 QBE Workers Compensation (NSW) Ltd - Agent for the NSW WorkCover Scheme ABN PARRAMATTA BRANCH LEVEL 7, 56 STATION ST PARRAMATTA, NSW 2150 PRIVATE BAG 27 BOTANY NSW 2019 Postal Address P O BOX 1207 AUBURN NSW 1835 Telephone:(02) Fax: (02) Date issued: 09/08/11 NSW General Workers Compensation Adjustment Certificate Policy number: MWP Group Name: GAZAL GROUP Group Number: This adjustment certificate sets out details of your premium from the effective date below. The Insured: Total Premium: $4, *C2500* Effective date of adjustment: 30/06/10 PARRAMATTA BRANCH J. McLaughlin NSW Underwriting Operations Manager Workers Compensation Policy Yr: 11 A/C No: SF Schedule continued over page

8 Policy no. MWP Risk 1 The Employer The Business Situation NSW GENERAL WORKERS COMPENSATION INSURANCE RETAIL STORES MACPHERSON ST BANKSMEADOW NSW 2019 Excess INJURED WORKER S GROSS WEEKLY WAGE RATE

9 QBE Workers Compensation (NSW) Ltd - Agent for the NSW WorkCover Scheme ABN GPO BOX 3688 SYDNEY NSW 2001 PRIVATE BAG 27 BOTANY NSW 2019 Telephone: (02) Facsimile: (02) Date Issued: 09/08/11 Tax Invoice WORKERS COMPENSATION PREMIUM NOTICE ADJUSTMENT OF POLICY Policy Number: MWP Account Number: SF Group Name: GAZAL GROUP Group Number: ABN: Client Name: ACN: Address: PRIVATE BAG 27 ITC: 100% BOTANY NSW 2019 *C1500* Period of Insurance: 30/06/10 To: 30/06/11 ADJUSTMENT NOTE Adjustment Premium : $4, (Includes GST of $410.53) Less Invoices Previously Issued: $4, ( Includes GST of $ ) Tax Invoice (Adjustment Note) : $ CR (Includes GST of $18.36 CR ) Note: This adjustment note has been issued due to a revision of your workers compensation premium. Please ensure that you retain this document for your GST records. Payment Slip QBE Workers Compensation (NSW) Ltd - Agent for NSW WorkCover Scheme ABN GPO BOX 3688 SYDNEY NSW Name of Customer: Policy Number: MWP Due date: Amt due: N/A NIL Please do not attach cheque or money order with staples or pins Drawer Bank Branch Amount Paid: $ > < > < > +444+

10 How to pay Change of address: By BPay: Contact your participating financial institution to make a payment from your cheque or savings account, (limit of $100,000 applies) quoting: Biller Code: Reference: By Post: Post your payment slip with your cheque made payable to QBE Workers Compensation (NSW) Ltd -Agent for the NSW WorkCover Scheme to: GPO BOX 3688 SYDNEY NSW 2001 Policy Number: MWP Please do not write below this line

11 QBE Workers Compensation (NSW) Ltd - Agent for the NSW WorkCover Scheme ABN PARRAMATTA BRANCH LEVEL 7, 56 STATION ST PARRAMATTA, NSW 2150 Postal Address P O BOX 1207 AUBURN NSW 1835 Telephone:(02) Fax: (02) PRIVATE BAG 27 BOTANY NSW 2019 Date Issued: 09/08/11 NSW Workers Compensation Insurance Policy Number: MWP Group Name: GAZAL GROUP Group Number: Dear Customer, Thank you for providing us with your estimated wages and choosing to renew your workers compensation policy with QBE for the renewal period 30/06/11 to 30/06/12. *B550G* Renewal Premium Payment Schedule Your payment schedule for the Renewal premium is tabled below. Instalment Instalment Amount Due Date First Instalment $1, PAID Second Instalment $1, /10/11 Third Instalment $1, /01/12 Fourth Instalment $1, /04/12 Please note that any short or late payment will result in subsequent instalments becoming due and payable immediately. Any overdue premium will also incur a late payment fee at the applicable statutory rate compounding monthly on the outstanding balance on the last day of each month. Direct Debit If you have elected to pay your premium by Direct Debit, the above Instalment will be deducted from your account on the due date. Tax Invoices A tax invoice for the deposit instalment will be issued on receipt of payment. Tax invoices for subsequent instalments will be sent to you prior to the due date. Premium Notice Attached is your Premium Notice. This Premium Notice provides you with the details of how your premium has been calculated

12 Yours sincerely, J. McLaughlin NSW Underwriting Operations Manager Workers Compensation

13 QBE Workers Compensation (NSW) Limited Agent for the NSW WorkCover Scheme ABN PARRAMATTA BRANCH LEVEL 7, 56 STATION ST PARRAMATTA, NSW 2150 Postal Address P O BOX 1207 AUBURN NSW 1835 Telephone: (02) Fax: (02) Date issued: 09/08/11 WORKERS COMPENSATION ACT 1987 RENEWAL PREMIUM CALCULATION Commencement or Renewal premium calculation form for medium and large employers. (Employers with a basic tariff premium greater than $10,000 and wages greater than $300,000) 1 EMPLOYER S DETAILS Registered business name Trading Name *B4500* Postal Address PRIVATE BAG 27 BOTANY NSW ABN Postcode Policy Period 3 0 / 0 6 / 1 1 to 3 0 / 0 6 / 1 2 Group Number Group Name GAZAL GROUP Policy number M W P Declared input tax credit entitlement % Your estimated premium for the policy period $4, Premium = ((T x (1 - S)) + (E x S)) + Q - Y + D - I - A - Z Page 1 of 3

14 2 PREMIUM COMPARISON ICCR 2011/12 ECCR 2011/12 ECCR 2010/11 ECCR 2009/10 WIC Rate 2011/12 Premium as a % of wages paid 2011/12 Premium as a % of wages paid 2010/ % 0.00% 0.00% 0.00% 1.59% 0.83% 0.00% 3 PREMIUM CALCULATION Basic tariff premium (T) $8, S = The experience adjustment factor and is calculated as follows: 0.9 x Basic tariff premium S = Basic tariff premium The S factor has been calculated using the basic tariff premium $287,599 for group number E = The experience premium and is calculated as follows: Employer Claims Cost Rate ( ECCR) E = Basic Tariff Premium (T) X Industry Claims Cost Rate ( ICCR) Experience premium E = (T) $8, X (ECCR) (ICCR) $ Employer Claims Cost Rate as follows: Total Costs of claims $0 + $68 ECCR = = Total Wages $529,737 + $532,966 ECCR = T is the basic tariff premium and, where an employer s policy has both wages and per capita classifications, equals the sum of the basic tariff premium for both categories. S is the experience adjustment factor and determines the weighting placed on the basic tariff premium and the experience premium used in the calculation of the total premium. ECCR is the employer claims cost rate, calculated by dividing the employer s cost of claims by their wages for the two-year period immediately preceding this period of insurance. ICCR The industry claims cost rate is the average claims cost rate for the industry, calculated by the actuaries Scheme and prescribed in the Insurance Premiums Order. For multi-wic policies, the weighted ICCR is calculated by dividing the total average industry claims costs for similar -size employers by your total wages for the two years immediately preceding this period of insurance. Page 2 of 3

15 Basic tariff premium adjusted for size (T x (1 - S)) $4, Experience premium adjusted for size (E x S) $ Apprentice Incentive (A) $0.00 Total premium $4, Premium $4, Dust diseases levy (D) $ T = Basic tariff premium and is calculated by multiplying the employer s wages by the percentage premium rate of the applicable WorkCover Industry Classification (WIC). Components used for calculation of basic tariff premium WorkCover Industry Classification number WorkCover Industry Classification Description Wages (W) Tariff rate (R) Basic tariff premium Clothing Retailing $554, $8, Total $8, *B3500* Components used for calculation of experience premium. WorkCover Industry Gazetted industry claims cost rate (ICCR) Wage 1 Wage 2 Claims 1 Claims 2 Total claims costs Average industry claims costs for similar size employers $532,966 $529,737 $68 $0 $68 $2,406 Total $532,966 $529,737 $68 $2,406 The ICCR for multi-tariff policies is calculated using the following formula: ((WIC aw 1 + WIC aw 2) x ICCRa) + ((WIC bw 1 + WIC bw 2) x ICCRb) +...((WIC nw 1 + WIC nw 2) x ICCRn) W 1 + W 2 D = Dust diseases levy is calculated in accordance with section 6 of the Workers Compensation (Dust Diseases) Act 1942 by multiplying the wages by the applicable dust diseases rate. Components used for calculation of dust diseases levy WorkCover Industry Classification number WorkCover Industry Classification Description Dust diseases rate Wages Contribution Clothing Retailing $554,000 $ Total $ Page 3 of 3

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17 QBE Workers Compensation (NSW) Ltd - Agent for the NSW WorkCover Scheme ABN PARRAMATTA BRANCH LEVEL 7, 56 STATION ST PARRAMATTA, NSW 2150 PRIVATE BAG 27 BOTANY NSW 2019 Postal Address P O BOX 1207 AUBURN NSW 1835 Telephone:(02) Fax: (02) Date issued: 09/08/11 NSW General Workers Compensation Renewal Certificate Policy number: MWP Group Name: GAZAL GROUP Group Number: We are pleased to advise that your policy has been renewed to the expiry date shown below. This certificate sets out details of your insurance including all alterations. Please attach this certificate to your policy The Insured: *B2500* Expiry date 4pm on: 30/06/12 Total Premium: $4, Date Issued: 09/08/11 PARRAMATTA BRANCH J. McLaughlin NSW Underwriting Operations Manager Workers Compensation Policy Yr: 11 A/C No: SF Schedule continued over page

18 Policy no. MWP Risk 1 The Employer The Business Situation NSW GENERAL WORKERS COMPENSATION INSURANCE RETAIL STORES MACPHERSON ST BANKSMEADOW NSW 2019 Excess INJURED WORKER S GROSS WEEKLY WAGE RATE

19 CERTIFICATE OF CURRENCY QBE Workers Compensation (NSW) Ltd. - Agent for the NSW WorkCover Scheme ABN PARRAMATTA BRANCH LEVEL 7, 56 STATION ST PARRAMATTA, NSW 2150 PRIVATE BAG 27 BOTANY NSW 2019 Postal Address P O BOX 1207 AUBURN NSW 1835 Telephone: (02) Fax: (02) Tuesday, 09 August 2011 Dear Sir or Madam *B1500* 1. STATEMENT OF COVERAGE The following policy of insurance covers the full amount of the employer s liability under the Workers Compensation Act The certificate is valid from 30/06/11 to 30/06/12 The information provided in this Certificate of Currency is correct at: 09/08/ EMPLOYERS INFORMATION POLICY NUMBER LEGAL NAME TRADING NAME MWP ABN ACN/ARBN WIC Industry Number of Workers* Wages Clothing Retailing 14 $554,000 * Number of workers includes contractors/deemed workers + Total wages estimated for the current period / Per capita units 3. IMPORTANT INFORMATION Principals relying on this certificate should ensure it is accompanied by a statement under section 175B of the Workers Compensation Act Principals should also check and satisfy themselves that the information is correct and ensure that the proper workers compensation insurance is in place, ie. compare the number of employees on site to the average number of employees estimated; ensure that the wages are reasonable to cover the labour component of the work being performed; and confirm that the description of the industry/industries noted is appropriate. A principal contractor may become liable for any outstanding premium of the sub-contractor if the principal has failed to obtain a statement or has accepted a statement where there was reason to believe it was false. Yours Sincerely Jason McLaughlin NSW Underwriting Operations Mgr