CERTIFICATE OF MOTOR INSURANCE

CERTIFICATE NO: COVER TYPE: COMPREHENSIVE

POLICY NO: 305/AP/COMP/2023/30522 PRODUCT TYPE: INDIVIDUAL
CLIENT NAME: TIMOTHY MULENGA START DATE: 2024-01-01
INSURED: TIMOTHY MULENGA EXPIRY DATE: 2024-12-31
ADDRESS: Z/ARMY KAOMA BARRACK SUM INSURED: ZMW 50,000
CELL: +260979226076
EMAIL: -

Particulars of Vehicle

Reg Mark Make and Model Engine No Chassis No Year of Manf Color

ALH4778 TOYOTA - COROLLA 5A-H538672 AE110-5327864 1996 WHITE

Third Party Limits of Liability

Third Party Property Damage: ZMW 30,000
Third Party Injury and Death: ZMW 50,100
Third Party of Bodily Injury/Death per Event: ZMW 100,100

We hereby certify that the policy to which this document relates is issued in
accordance with the provisions of the Laws of the Republic of Zambia as
provided under Part VII of the Road Traffic Act No. 11 of 2002. Reg No: ALH4778
Claims Third Party Recovery - In the event of a collision, when the driver of Make: TOYOTA
the Third Party vehicle is found to be at fault, the insured will take all Model: COROLLA
reasonable steps to bind the Driver of the 3rd Party vehicle Owner and its
Color: WHITE
Insurance Company to meet the cost of repairs and other claims before
repairs to theInsured's vehicle are authorized. Engine: 5A-H538672
Chassis: AE110-5327864
Start Date: 01/01/2024 Insurance valid until:
Policy No: 305/AP/COMP/2023/305 31/12/2024
22

Policy Excess - As per schedule

Notification Clause: It is a condition precedent to liability on this policy that on the happening of an event giving rise to a claim, notification must
be done within fourteen (14) days for accident damage and forty eight (48) hours for theft losses from the time of happening of an event.

Date: 2023-12-29 12:59:59 Signature:

Intermediary Name: Wila Agency

NOTE: THIS INSURANCE CEASES ON THE SALE OR CHANGE OF OWNERSHIP OF THE STATED VEHICLE. COVER RESTRICTED WITHIN
ZAMBIA ONLY.