Harare: 66 Ridgeway North, P O Box BW339, Borrowdale Harare, Tel : 04 882060 882150 882156 Fax : 04 882229

Bulawayo: 7 Oak Ave, Suburbs, Bulawayo. Tel: 09 230683 230651/3 Fax: 09 230689

MOTOR COMBINED POLICY

Insurer: Alliance Insurance Company (Pvt) Ltd

Policy No: ZHREMOTC0003060
Broker: Clipston Julie
Broker Consultant:
Frequency: Annually
The Insured: Mr J W Chinyaukira
Postal Address: 12-22nd Avenue,Mabelreign,Harare,,Zimbabwe,
Risk Address: 12-22nd Avenue,Mabelreign,Harare,,Zimbabwe,
Period of Insurance: (a) From: Wednesday, June 1, 2022
To: Wednesday, May 31, 2023
(Both dates inclusive)
(b) Any subsequent period from which the Company
agrees to renew this policy or any section thereof
Policy Renewal Date: Thursday, June 1, 2023
Endorsement Date: Wednesday, June 1, 2022 12:00:00 AM
Endorsement Reason: Renewal
Policy Wording Motor 01/09/18
Applicable

Summary of Insurance and Premium Summary

Section Transactional
Premium
Zimbabwe Traffic Safety Council Levy $2,991.60
Stamp Duty $1,731.25
Motor Combined $34,625.00
TOTAL $39,347.85

Note: Stamp Duty for the Period of Insurance stated above has been paid on the transactional premium in accordance with the
Stamp Duty Act.
Signed for and on behalf of Alliance Insurance Company at Harare on Friday, May 27, 2022

Last changed by: fortunek

Friday, May 27, 2022 Page 1 of 3

Please notify us of any discrepancies within 30 days after print date, after which the company will not be liable for errors or ommissions. This Schedule forms
part of the Insurance Company's policy wording and must be read in conjunction with the applicable wording.
 Motor Combined Policy Schedule

MOTOR - MOTCOMB - ADI4678 - Private Car

Sum Insured Premium
Make/Model: ISUZU/KB280 P/UP 34,625.00
Year: 1999
Registration No: ADI4678
Usage: Social, Domestic and Business
Cover: Third Party Only
Chassis Number: TBA
Engine Number: TBA
Per Event Limit:- Third Party Bodily & Property Liability 2,770,000.00

Extension Applicable Limit

Is Excess Buy Back Applicable? No 0.00
Medical Extension No 0.00
Passenger Liability per Event No 0.00
Passenger liability Per Person No 0.00
Is Car Radio Applicable? No 0.00
EXCESS Value EXCESS Value
Partial Loss Excess N/A Total Loss Excess N/A
Windscreen Excess N/A Theft Excess N/A
Accident out of Zimbabwe Excess N/A Driver Under 25 Years
License under 5 Years Excess

Friday, May 27, 2022 Page 2 of 3

Please notify us of any discrepancies within 30 days after print date, after which the company will not be liable for errors or ommissions. This Schedule forms
part of the Insurance Company's policy wording and must be read in conjunction with the applicable wording.
 Motor Combined Policy Schedule

POLICY MEMORANDA

Friday, May 27, 2022 Page 3 of 3

Please notify us of any discrepancies within 30 days after print date, after which the company will not be liable for errors or ommissions. This Schedule forms
part of the Insurance Company's policy wording and must be read in conjunction with the applicable wording.