Certificate of Employers' Liability Insurance(a) (Where required by regulation 5 of theEmployers' Liability (Compulsory Insurance) Regulations 1998 (the Regulations), one or morecopies of this certificate must be displayedat eachplace of business at which the policy holder employs persons coveredby thepolicy) 2. 3. Policy Number: Name of policy holder: Date of commencement of insurance policy: Date of expiry of insurance policy: B190325MS89C0300 Charles Muddle Limited 31st October 2025 30th October 2026 We hereby certify that subject to paragraph 2:- 2. (a) (b) (c) the policy to which this certificate relates satisfies the requirements of the relevant law applicable in Great Britain, Northern Ireland, the Isle of Man, the Island of Jersey, the Island of Guernsey and the Island of Alderney, or to offshore installations in any waters outside the United Kingdom to which the Employers' Liability (Compulsory Insurance) Act 1969 or any amending primary legislation applies(b); and (a) the minimum amount of cover provided by this policy is no less than or Signed on behalf of those Lloyd's Underwriters subscribing to the above policy (Authorised Insurers) Signature Where theemployer is a company to which regulation 3(2) of the Regulations applies, the certificate shall state in a prominent place, either that the policy covers the holding company and all its subsidiaries, or that the policy covers the holding company and all its subsidiaries except any specifically excluded by name, or that thepolicy covers the holding company and only thenamed subsidiaries. Specify applicable law as provided for in regulation 4(6) of the Regulations. See regulation 3(1) of the Regulations and delete whichever of paragraphs 2(a) or 2(b) does not apply. Where 2(b) is applicable, specify the amount of cover provided by the relevant policy. Note: The information below this line does not form part of the statutorycertificate. Those Underwritersat Lloyd's on whose behalf this certificate is issued require the following information to be enteredby the issuing intermediary: Name andaddress of issuing intermediary: Issuing intermediary's reference: (if different fromthe Policy Numberstatedabove) NMA2838 (28/01/1999) Miles Smith Limited 7th Floor, The St Botolph Building 138 Houndsditch London EC3A 7AW B190325MS89C0300
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