HOLLARD SECTIONAL TITLE AND PROPERTY INSURANCE SCHEDULE

Transcription

1 Sectional Title

2 HOLLARD SECTIONAL TITLE AND PROPERTY INSURANCE SCHEDULE QUOTE NUMBER / POLICY NUMBER BOL/HSTM P/ TYPE OF DOCUMENTATION N/A VERSION NUMBER 35 Onverwacht Resort Development INSURED / YOU The controlling Body of the Scheme stated below and the Trustees of the Body Corporate, the Owners and all mortgage bonds over unit in the Scheme for their respective rights and interests. YOUR VAT NUMBER PAYMENT METHOD PAYMENT TERM INSURED BUSINESS DESCRIPTION INTERMEDIARY HOLLARD / INSURER TERRITORIAL LIMITS PERIOD OF INSURANCE PO Box 682 Wellington/Western Cape 7654 N/A Debit Order Monthly RENEWAL DATE 1 June 2018 EFFECTIVE DATE 1 May 2018 ANNIVERSARY DATE 1 August 2018 SIGNED ON BEHALF OF HOLLARD ON 11 May 2018 BODY CORP - Consists of 2 private dwelling flats Thatch Indwe Risk Services (Pty) Ltd Waterstone Office Park Cnr Of Main Road & R44 Somerset West 7130 South Africa Phone: N/A Fax: (021) Nd Floor Avanti South Building 35 Carl Cronje Drive Tyger Valley Bellville Phone: (021) Fax: (021) All premises as stated in each and every section owned or occupied or used by the Insured for the purposes of the business, situated in the Republic of South Africa, Namibia, Botswana, Lesotho, Swaziland, Zimbabwe and Malawi. (See General Endorsements attached) From: 1 May 2018 To : 31 May 2018 (both dates inclusive) and any subsequent period for which the Company agrees to renew this policy or any section thereof subject to any revised terms required by the Company. SIGNATURE Page 2 of 22

3 Premium Schedule and Index of Sections Policy Sections Available Section Selected Monthly Premium Final Premium Buildings Combined Yes R R 0.00 Business Interruption No R 0.00 R 0.00 Office Contents Yes R 0.00 R 0.00 Accidental Damage Yes R 0.00 R 0.00 Geyser No R 0.00 R 0.00 All Risks Yes R R 0.00 Motor Specified No R 0.00 R 0.00 Machinery Breakdown / Consequential Loss Yes R 0.00 R 0.00 Electronic Equipment Yes R R 0.00 Commercial Crime Yes R 0.00 R 0.00 Public Liability Yes R R 0.00 Money Yes R 0.00 R 0.00 Employers Liability No R 0.00 R 0.00 Property - Ex Gratia No R 0.00 R 0.00 Liability Ex Gratia No R 0.00 R 0.00 Value Added Product Not Underwritten By Hollard Levy Protection No R 0.00 R 0.00 Disclosure Notices to Short- Term Insurance Policyholders Total SASRIA Premium Yes R R 0.00 Fees Policy (Broker) fees R50.00 R0.00 Monthly Policy Facility Fee R0.00 R0.00 Total Cost R R 0.00 All Premiums and Fees are VAT inclusive; the total payment due for this transaction includes Broker commission of R for Motor and Non-Motor classes of business. The total SASRIA commission earned is R 3.00 Broker commission rate for non-motor classes is 20% Broker commission rate for motor classes is 12.5%. In terms of a ruling issued by SARS, this document together with proof of payment of premium constitutes an alternative to a tax invoice, debit note or credit note as contemplated in sections 20(7) and 21(5) of the VAT Act respectively. Insured amounts are inclusive of VAT at 15%. VAT Registration number Excesses are not subject to VAT when recovered by an insurer from an insured. Page 3 of 22

4 Buildings Combined TOTAL PREMIUM R PREMISES 49 Pinotage Crescent Onverwacht Estate WELLINGTON WELLINGTON/WESTERN CAPE 7655 South Africa DETAILS OF COVER Description Rate Sum Insured Premium Buildings Sum Insured (Thatch (HO) - Thatch Head Office Referral) % R R Common Property 0.03 % R R 0.00 Contents 0.03 % R R 0.00 Escalation % R Not Applicable Inflation % R Not Applicable Sub-section C: Rent 30 % R Not Applicable EXTENSIONS Description Included Sum Insured Premium Additional Claims Preparation Costs Yes R R 0.00 Security Services Yes R R 0.00 Residential Locks and Keys Yes R R 0.00 Subsidence and Landslip - Standard Cover Yes R R 0.00 Garden Landscaping Yes R R 0.00 Alternative Accommodation for Domestic Pets Yes R R 0.00 Alternative Accommodation for live in Domestic Employees Yes R R 0.00 Garden Tools and Furniture Yes R Not Applicable Locks and Keys Yes R Not Applicable Cleaning and Maintenance Equipment Yes R Not Applicable Home Modifications Yes R Not Applicable Page 4 of 22

5 EXTENSIONS Description Included Sum Insured Premium Leak Detection Yes R Not Applicable Loss of Water Yes R Not Applicable SASRIA - Buildings SASRIA - Buildings Escalation SASRIA - Buildings Inflation Yes Yes Yes DEDUCTIBLES Description Deductible Fire Only R 0.00 Storm, Wind, Water, Hail, Snow R All Other Claims R Shade Cloth R Resultant Water Damage (cumulative) R Theft of Piping Installations R Wooden/Laminated Floors (cumulative) 10.00% of claim Minimum R and Maximum R Malicious Damage R Malicious Damage (tenanted units) R Impact by Road Vehicles R Lightning Damage R Subsidence and Landslip 1.00% of sum insured Minimum R Page 5 of 22

6 PARTICIPATION QUOTA SCHEDULE SECTION UNIT/FLAT FLOOR PARTICIP. SUMS INSURED Monthly NO. OWNER NO. AREA QUOTA BASIC ADDITIONAL TOTAL PREMIUM TOTALS 1 N/A 2 N/A Double Storey Building Pumphouse & Pump % R 2,335, R 0.00 R 2,335, R % R 275, R 0.00 R 275, R 0.00 N/A 3 N/A Guardhouse % R 27, R 0.00 R 25, R 0.00 N/A R 2,637, R 0.00 R 2,635, R 0.00 BANK N/A Page 6 of 22

7 Public Liability TOTAL PREMIUM R DETAILS OF COVER Description Basis of Cover Details Claims Made Limit of Indemnity R Total Premium R Retroactive Date 1 December 2010 EXTENSIONS Description Included Sum Insured Premium Trustees Liability Yes R R Additional Claims Preparation Costs Yes R Not Applicable DEDUCTIBLES Description Deductible Public Liability R Trustees Indemnity R Page 7 of 22

8 All Risks TOTAL PREMIUM R DETAILS OF COVER ITEM REINSTATE- MENT VALUE CONDITION SUM INSURED DEDUCTIBLE PREMIUM Boom and Motor No R R R Gate Motor No R R R EXTENSIONS Description Included Sum Insured Premium Additional Claims Preparation Costs Yes R Not Applicable Garden Tools and Equipment Yes R Not Applicable SASRIA - Business All Risks Yes THEFT RESTRICTIONS 1. Hollard will not be liable for theft of a cellular phone from an unattended vehicle. 2. Hollard will not be liable for theft of tools from an unattended vehicle. Page 8 of 22

9 Accidental Damage TOTAL PREMIUM R 0.00 DETAILS OF COVER Description Sum Insured Premium Accidental Damage R Not Applicable EXTENSIONS Description Included Sum Insured Premium Additional Claims Preparation Costs Yes R Not Applicable Articles of Brittle Nature Yes R Not Applicable DEDUCTIBLES Description Deductible Basic Excess 0% of claim minimum R Power Surge % of claim minimum R MEMORANDA APPLICABLE First Loss Average as stated in the policy wording. Reinstatement Value as stated in the policy wording Page 9 of 22

10 Office Contents TOTAL PREMIUM R 0.00 DETAILS OF COVER Description Sum Insured Premium Sub-section A: Contents R Not Applicable Sub-section B: Rent R Not Applicable Sub-section C: Documents R Not Applicable Sub-section D: Legal Liability Documents R Not Applicable Sub-section E: Increased Cost of Working R Not Applicable EXTENSIONS Description Included Sum Insured Premium Additional Claims Preparation Costs Yes R Not Applicable SASRIA - Office Contents Yes DEDUCTIBLES Description Deductible Office Contents R Page 10 of 22

11 Money TOTAL PREMIUM R MONEY NOT CONTAINED IN A LOCKED SAFE OR STRONGROOM Limit Premium While on the insured premises outside the hours during which the commercial operations of the insured are conducted R Not Applicable While in the residence of the Insured or any member, principal, partner, director, or employee of the insured R Not Applicable In the custody of a member, principal, partner, director or employee of the Insured while away from the insured premises on a business trip anywhere in the world R Not Applicable 2. MONEY CONTAINED IN LOCKED SAFE OR STRONGROOM SITUATED IN A BUILDING AT THE INSURED PREMISES OUTSIDE THE HOURS DURING WHICH THE COMMERCIAL OPERATIONS OF THE INSURED ARE CONDUCTED No safe or strongroom has been specified R Not Applicable In respect of any safe or strongroom not specified above the limit will be according to the grading of such safe or strongroom as follows: Not Applicable a) no SABS grading R Not Applicable b) SABS category 1 grading R Not Applicable c) SABS category 2 grading R Not Applicable d) SABS category 2 HD grading R Not Applicable e) SABS category 2 ADM grading R Not Applicable provided that Hollard's liability will not exceed the limit shown under 3 below for the premises concerned. 3. IN RESPECT OF ANY OTHE LOSS OR DAMAGE TO MONEY DURING THE PERIOD DESCRIBED BELOW, THE LIMIT OF INDEMNITY FOR MONEY RELATING TO THE SPECIFIED INSURED WILL BE AS FOLLOWS: At any other time R Not Applicable 4. IN RESPECT OF LOSS OF CROSSED CHEQUES OR CROSSED MONEY ORDERS OR CROSSED POSTAL ORDERS (THIS LIMIT OF INDEMNITY IS PAYABLE IN ADDITION TO THE LIMITS OF INDEMNITY SHOWN IN 1, 2, AND 3) Limit R 100, R 0.00 EXTENSIONS Description Included Sum Insured Premium Clothing And Receptacles Yes R Not Applicable Skeleton Keys Yes R Not Applicable Death (Personal Accident) Capital sum Yes R Not Applicable Death (Personal Accident) Weekly sum Yes R 385 Not Applicable Additional Claims Preparations Costs Yes R Not Applicable Medical (Personal Accident) Yes R Not Applicable DEDUCTIBLES Description Deductible All Insured Losses R 0.00 Page 11 of 22

12 Page 12 of 22

13 Commercial Crime TOTAL PREMIUM R 0.00 RETROACTIVE DATE 01 Dec 2010 DETAILS OF COVER Description Sum Insured Premium All Employees or Members at any one time R R 0.00 EXTENSIONS Description Included Sum Insured Premium Additional Claims Preparation Costs Yes R Not Applicable Legal Fees Yes As stated in the wording Not Applicable DEDUCTIBLES Description Deductible First Amount Payable R Page 13 of 22

14 Machinery Breakdown TOTAL PREMIUM R 0.00 TOTAL SUM INSURED R DETAILS OF COVER Items Sum Insured Premium Plant and Machinery R R 0.00 EXTENSIONS Description Included Sum Insured Premium Additional Claims Preparation Costs Yes R Not Applicable DEDUCTIBLES Description Plant and Machinery Deductible Not Applicable of claim Minimum R Maximum R Page 14 of 22

15 Electronic Equipment TOTAL PREMIUM R DETAILS OF COVER Item Sum Insured Premium System in the Guardhouse R R Security equipment ( beams en toerusting) R R Intercom R R EXTENSIONS Description Included Limit of Indemity Premium Additional Claims Preparation Cost Yes R Not Applicable Incompatibility Cover Yes R Not Applicable Increased Cost of Working Indemnity Period - 3 months Time Excess - N/A Consequential Loss Indemnity Period - 3 months Yes R R 0.00 Yes R R 0.00 Reinstatement of Data Yes R R 0.00 Telkom Access Lines Yes R R 0.00 Transit Yes R Not Applicable SASRIA - Electronic Equipment Yes DEDUCTIBLES Description Each and Every Loss First Amount Payable Lightning/Surge Deductible % of claim Minimum R Maximum % of claim Minimum R Maximum BREAKDOWN EXCLUSION Mechanical / electrical breakdown electronic derangement or functional failure and any costs or expenses arising therefrom are specifically excluded from this insurance in respect of the following non-edp related equipment: 1. Photocopying machines Page 15 of 22

16 2. Radio receiving and transmitting equipment, sound recording equipment 3. Facsimile machines, telex machines 4. Telephone switchboards, portable and car telephones, television receiving and transmitting equipment, cameras and the like. COMPREHENSIVE SOFTWARE COVER Notwithstanding anything to the contrary contained in this section of the policy Section II item 2 is extended to include reconstruction or recompilation of data and / or programs lost as a result of: a) wrong application of data media and / or incorrect input demand b) electrostatic build-up and electromagnetic disturbances c) the malfunction failure or damage to: (i) the data of media od the EDP system (ii) environment control systems installed to preserve and maintain servers and mainframes only (iii) peripherals and data lines insured under section 1 and used for data transmission Provided always that: 1. this extension excludes (i) all costs incurred due to program errors (ii) data and programs which are stored in the CPU s main memory 2. the cover provided by this extension being subject to You carrying out standard backup procedures at least once a week. INDIRECT LIGHTNING STRIKES OR POWER SURGES OR THEFT Unless the insured items of equipment are fully protected by anti-surge devices for the protection of both Power Lines and Data Lines (where applicable) and / or and Approved Burglar Alarm installed at the installation premises, all loss or damage arising from indirect lightning strikes or power surges or theft or attempts thereat will be subject to a deductible of 10% of the claim with a minimum of R1 000,00. Such deductible will be in addition to any other deductible already stipulated in the schedule. LEAD SEALED CONTAINER WARRANTY It is warranted that the container cover hereby is extended to include loss or damage to X-Ray tubes caused by or arising out of external means or in connection with other damage identifiable in terms of this policy. Provided that such x-ray tubes are connected to a lead sealed container counter and subject to the tubes and Valves depreciated scales attached hereto. It is further declared and agreed that the indemnification in respect of any Valves, Tubes, Lasers and / or Light Sources will reduce by 10% of the new replacement value per month for the first 6 months of its operational life and thereafter 6.66% per month. No cover will be in force for any Valves, Tubes, Lasers and / or Light Sources after being in operational use for more than 12 (twelve) months. LOCKED VEHICLE PROVISION In respect of items Hollard will not be liable for loss of or damage to property resulting from or caused by theft from any unattended vehicle in Your custody or control or of any partner or director or employee of Yours unless the property is contained in a completely closed and securely locked vehicle or the vehicle itself is housed in a securely locked building and entry to such locked vehicle or building is accompanied by forcible and violent entry or exit. MEMORANDUM (LAPTOPS) Exception 2 to Section 1 will not apply to physical loss and / or damage to a laptop/s insured by this section of the policy. Page 16 of 22

17 IMPORTANT- PLEASE READ CAREFULLY DISCLOSURE AND OTHER LEGAL REQUIREMENTS (This does not form part of the insurance contract or any other document) As a short-term policyholder, or prospective policy holder, you have the right to the following information: 1. ABOUT YOUR FINANCIAL SERVICE PROVIDER (INSURANCE BROKER) AND OR BINDER HOLDER a) Name, physical address, postal address and telephone number. b) Legal status of your broker / binder holder. c) Whether services are rendered under supervision. d) Whether more than 10% of the insurer s shares are held by your broker / binder holder and whether more than 30% of the broker s / binder holder s total remuneration was received from the insurer. e) Whether or not professional indemnity insurance is held and the details thereof. f) Details of how to institute a claim g) Details of broker s / binder holder s complaints procedure and compliance arrangements. h) Details of fees, commission or any other valuable consideration payable. i) The contractual relationship with the insurer and whether the broker / binder holder has contractual relationships with other insurers. j) The conditions or restrictions imposed by the insurer (if any). k) Details of the financial services which the broker / binder holder is authorised to provide in terms of the relevant licence and of any conditions or restrictions applicable thereto. l) Exemption/s that the Registrar has granted to the in terms of the Financial Advisory and Intermediary Services Act (FAIS). m) How the broker deals with conflicts of interest. If the above information is not provided by the broker and or binder holder please contact your insurer. 2. ABOUT YOUR PRODUCT SUPPLIER (INSURER) A) NAME, ADDRESS AND CONTACT DETAILS OF THE PRODUCT SUPPLIER. Name: THE HOLLARD INSURANCE COMPANY LIMITED, a registered Short Term Insurer Physical address: Postal Address: Contact Details: Hollard Arcadia Campus PO Box Tel: Oxford Road Houghton Parktown 2041 Johannesburg 01 January 1906 FAIS Licence Information: Services Advice and Intermediary Categories Short-term Insurance (Personal and Commercial Lines) FSB Number B) COMPLAINTS RESOLUTION PROCEDURE If you have a complaint about this product please contact your broker or your local office of the insurer. If the matter cannot be resolved, please submit a complaint in writing to the Insurer s Complaints Officer as follows: The Complaints Officer PO Box 3051 Tel: Johannesburg complaints@hollard.co.za The Compliance Officer Physical address: Postal Address: Contact Details: Hollard Arcadia Campus PO Box Tel: Oxford Road Houghton compliance@hollard.co.za Parktown 2041 Johannesburg 01 January 1906 Page 17 of 22

18 C) DETAILS OF HOW TO REPORT A CLAIM Procedures for the submitting of a claim are set out in full detail in your policy document. If you require assistance contact your broker or local office of The Hollard Insurance Company Limited. Please note that claims must be reported as soon as possible after the event giving rise to the claim and must be submitted in writing with documentary proof of your loss. You will be required to notify the police in the event of a theft or where a criminal act is suspected. If you have a dispute regarding a claim that is not resolved to your satisfaction by the broker or the insurer you may submit the complaint to the Ombudsman for Short-Term Insurance as per the details in 5 below. D) TYPE OF POLICY INVOLVED Please refer to your policy document which contains the name, class, policy number and type of policy involved. E) THE EXTENT OF PREMIUM OBLIGATIONS YOU ASSUME AS A POLICYHOLDER Premium: As per policy document and schedule Due date: As per policy inception and method of payment agreed. F) DUE DATE OF PREMIUMS AND CONSEQUENCES OF NON-PAYMENT (ALSO SEE E) ABOVE) The insurance contract is conditional upon and will only come into effect following payment of the premium by the Insured and the receipt thereof by or on behalf of the insurer, and such premium is payable on or before inception date of renewal date, as the case may be. You are entitled to a period of 15 days from the due date within which to pay your premium, however this period of grace only applies from the second month on monthly policies. Please check your policy for due date. 3. OTHER MATTERS OF IMPORTANCE a) You must be informed of any material changes to the information provided above. b) Polygraph or any lie detector test is obligatory in the event of a claim and the failure of such a test may not be the sole reason for repudiating a claim. c) If the premium is paid by debit order, the debit order must be in favour of either the broker or the product supplier (Insurer). It may also not be transferred without you approval. d) The product supplier (Insurer) must give you 30 days notice in writing of his intention to cancel you debit order. e) The product supplier (Insurer) may not cancel your insurance by merely informing your broker. There is an obligation to make sure that the notice has been sent to you. f) You are entitled to a copy of the policy free of charge. 4. WARNING Do not sign any blank or partially completed application form. Complete all forms in ink. Keep all documents handed to you and make notes of what is said. Ask for a letter of representation from your advisor and do not be pressurized into buying the product. All material facts must be accurately, fully and properly disclosed by you. All information provided by you or on your behalf is your responsibility. You need to be satisfied with the accuracy of any transaction submitted by your broker on your behalf. Misrepresentation, incorrect or non- disclosure by you of any material facts or circumstances may impact negatively on any claims arising from your insurance contract. 5. PARTICULARS OF THE SHORT-TERM INSURANCE OMBUDSMAN The Short- Term Insurance Ombudsman PO Box Tel: Braamfontein Fax: Website: 6. PARTICULARS OF THE FAIS OMBUD Should you have a compliant regarding the financial service (advice or intermediary service) that was rendered to you which was not resolved to your satisfaction, you may contact the FAIS Ombud The FAIS Ombud Tel: PO Box Lynnwood Ridge 0040 Fax: info@faisombud.co.za Website: Page 18 of 22

19 7. ABOUT THE INSURER / PRODUCT SUPPLIER WITH WHOM YOUR SASRIA POLICY IS PLACED The SASRIA policy covers events such as riot and strike and is underwritten by SASRIA Limited. SASRIA s contact details are: 36 Fricker Road, Illovo, Sandton, 2196 Tel: Fax: If you have a complaint about the SASRIA Policy, please contact: The Compliance Department Tel: Fax: complaints@sasria.co.za The SASRIA premium payable is reflected on your Certificate of Insurance. The full SASRIA policy is available on request from The Hollard Insurance Company Limited Page 19 of 22

20 Disclosure Notice to Short Term Insurance Policyholders in terms of the Financial interest in the insurer Advisory and Intermediary Services Act, 37 of 2002 (Please read carefully) - Disclosure and other Legal Requirements (This notice does not form part of the Insurance Contract or any other document) As a short term insurance policyholder or prospective policyholder, you have the right to the following information: 1. INTERMEDIARY (YOUR BROKER) 1.1 Contact details Company Name: Indwe Risk Services (Pty) Ltd Tel: (021) Postal Address: Waterstone Office Park, Cnr Of Main Road & R44, Somerset West, Registration No: INDWESW01B FSP No: 3425 VAT No: Compliance Officer: Tel: Postal Address: The Intermediary does not hold directly indirectly more than 10% of the Insurer s shares or any equivalent substantial financial interest in the insurer. 1.3 Contact the intermediary to determine whether more than 30% of their total remuneration is received from this Insurer. 1.4 Contact the intermediary to obtain details of their guarantee, professional indemnity and fidelity insurances. 2. UNDERWRITING MANAGER 2.1 Contact details Company Name: Stilus Underwriting Managers (Pty) Ltd Tel: Postal Address: Suite 88, Private Bag X22, Tyger Valley, Bellville, 7536 Physical Address: Bellville, Cape Town, tony@stilus.co.za Registration No: 2010/000140/07 FSP No: Whether or not in possession of professional indemnity insurance VAT No: Legal Status: This entity is in possession of Professional Indemnity and Fidelity Insurance This entity receives 100% of its income from the Insurer As premiums are not received by this entity an IGF is not required The Underwriting Manager is mandated to act as an Intermediary for the Insurer Compliance Officer: Associated Compliance (Pty) Ltd Tel: Postal Address: P.O. Box 9655, devon Valley, Florida, ink@associatedcompliance.co.za Complaints procedure: Conflict of Interest policy: Please lodge any complaints in writing to Mr Renier Rademeyer at The Company has a comprehensive Conflict of Interest policy in place and can be accessed via the internet on There are no conflicts in terms of the FAIS Act identified at present in any of the following areas of our operations: Associated Companies. Third-party relationships. Ownership interests within these relationships. Financial Interests or Immaterial Financial Interests paid or received from any of the above entities. Our staff remuneration policies. 3. INSURER 3.1 Contact details Company Name: Mutual and Federal risk Financing Limited t/as MFRF Tel: Postal Address: Postnet Suite 106, Private Bag X21, Bryanston, Johannesburg, 2021 Physical Address: Mutual and federal Bryanston, 152 Bryanston Drive, Bryanston, Sandton, 2191 Page 20 of 22

21 Registration No: 1966/010741/ VAT No: Compliance Officer: The Compliance Officer Tel: Complaints procedure: Postal Address: Postnet Suite 106, Private Bag X21, Bryanston, Johannesburg, 2021 No complaints procedure has been specified 4. PREMIUM OBLIGATIONS Monthly premiums are payable on the date of the presentation of the debit order at the bank Premium breakdown: Premium Fees Total Inclusive of Commission 5. HOW TO INSTITUTE A CLAIM Procedures for the submission of claims and your responsibilities are detailed in the policy document in the section of the policy headed CLAIMS. In the event of a possible claim the insured must notify STILUS. The Insured must submit a Claim as soon as reasonably possible but not later than 180 (one hundred and eighty) days after the date of default. Claims must be submitted to STILUS on a duly completed Claim form, duly signed, including all documents and information mentioned therein, as stipulated by STILUS. The Insured shall furnish, or shall instruct its managing agent (if any) to furnish STILUS or its representatives including its attorneys, immediately upon request with such further documents and / or information as may from time to time be required in order to recover levies claims effectively and expeditiously and shall, if required by STILUS, provide such evidence in court as may be necessary to prove and recover any such claims The Insured or any of its representatives or agents may NOT issue a Levy Clearance Certificate for any Unit in the Scheme without the prior written consent of STILUS. Should the Insured, its representatives or agents, never the less issue such certificate in contravention of this condition, the Insured shall be liable to refund any monies paid to it under any Claim, including interest accrued there on at the Determined Rate, all expenses and charges reasonably incurred, and all legal costs incurred on an attorney and client scale. This provision shall remain in force after any cancellation of the Policy, until the issue of a written notice by STILUS to the Insured that all Claims have been fully recovered. 6. OTHER MATTERS OF IMPORTANCE 1. You must be informed of any material changes to the information 2. If the information in paragraphs 1 and 2 was given orally, it must be confirmed in writing within 30 days. 3. If any complaint to the intermediary or insurer is not resolved to your satisfaction, you may submit the complaint to the Registrar of Short-term Insurance. 4. Polygraph or any lie detector test is not obligatory in the event of a claim and the failure thereof may not be the sole reason for denying a claim. 5. If premium is paid by debit order: a) it may only be in favour of one person and may not be transferred without your approval; and b) the insurer must inform you at least 30 days before the cancellation thereof, in writing, of its intention to cancel such debit order. 6. The insurer and not the intermediary must give reasons for repudiating your claim. 7. Your insurer may not cancel your insurance merely by informing your intermediary. There is an obligation to make sure the notice has been sent to you 8. You are entitled to a copy of the policy free of charge. 7. WARNING Do not sign any blank or partially completed application form. Complete all forms in ink. Keep all documents handed to you. Make note as to what is said to you. Don t be pressurised to buy the product. Incorrect or non-disclosure by you of relevant facts may influence an insurer on any claims arising from your contract of insurance. 8. PARTICULARS OF THE SHORT-TERM INSURANCE OMBUDSMAN WHO IS AVAILABLE TO ADVISE YOU IN THE EVENT OF CLAIM PROBLEMS THAT ARE NOT SATISFACTORILY RESOLVED BY THE INSURANCE INTERMEDIARY AND / OR THE INSURER Entity: Short-term Insurance Ombudsman Tel: Postal Address: PO Box 32334, Braamfontein, Johannesburg, 2017 Fax: Physical Address: Sunnyside Office Park, 5th Floor Building D, 32 info@osti.co.za Princess of Wales Ter, Parktown, Johannesburg, 2193 Website: 9. PARTICULARS OF THE FAIS OMBUD Entity: FAIS Ombud Tel: Postal Address: PO Box 74571, Lynwood Ridge, 0040 Fax: Website: info@faisombud.co.za 10. PARTICULARS OF THE REGISTRAR OF SHORT-TERM INSURANCE Entity: Financial Services Board Tel Work: Postal Address: PO Box 35655, Menlo Park, Pretoria, 0102 Fax: PARTICULARS OF SASRIA LTD Page 21 of 22

22 Entity: Sasria Ltd Tel Work: Postal Address: PO Box 7380, Johannesburg, 2000 Fax: Physical Address: 36 Fricker Rd, Illovo, Sandton, Compliance Officer: The Manager: Technical and Claims Website: In the event of a claim, all relevant documentation relating to your claim must be submitted to the Nominated Insurer. Page 22 of 22