Quotation details

Quote number OT30016278

Contact details

Policy holder Crm Engineering And Projects Pty Ltd

Attention Michael
Email address pretoriusch@out.co.za
From Chaney Pretorius
Telephone 08 600 60 000
Date 12 June 2017

Confidentiality notice

This message is only for the use of the individual or entity to which it is addressed and contains information that is privileged and
confidential. If the reader of this message is not the intended addressee, or the employee or agent responsible for the delivery of
the message to the intended addressee, you are hereby notified that any dissemination, distribution or copying of this
communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone
and return the original message to us at the address below at our cost.

Dear Mr Matshona

Thank you for your interest in OUTsurance. When you decide to take out cover with OUTsurance, you can be assured that you are
purchasing peace of mind through a unique and superior product.

Attached is a summary of the quotation we discussed.

I have also included the following:

- Why OUT is better than in! brochure containing a brief summary of our product features and service offering.
- Help@OUT brochure explaining our roadside, home, office, medical and legal assistance.
- Buddy@OUT brochure explaining our initiative to help you get home safely after you’ve enjoyed a few alcoholic drinks where
you could be over the legal blood alcohol limit when driving.
- Risk Management 101 brochure explaining simple and effective risk management techniques you can apply to reduce the
insurance risk of your business significantly.

This quotation is provisional and is subject to change if this information changes in any way. Where a survey of a risk is required, the
acceptance of the risk is based on the recommendations of the survey. Please note the quotation expiry date.

Contact me on 08 600 60 000 once you have reviewed the document so that we can discuss the commencement of your cover with
OUTsurance. Please supply your quote number OT30016278 to the advisor.

I look forward to hearing from you.

Kind regards,

Chaney Pretorius
Advisor

OUTsurance Insurance Company Limited

Reg. No. 1994/010719/06
An Authorised Financial Services Provider FSP 896
1241 Embankment Road, Zwartkop Ext 7, Centurion 0157
PO Box 8443, Centurion 0046
Tel: +27 12 673 3000 Fax: +27 12 665 0994 Sales: 08600 60 000
Website: www.outsurance.co.za
Directors: L Dippenaar (Chairman), WT Roos, P Cooper,
NL Nightingale, R Pretorius, GL Marx, A Hedding, K Pillay, J Madavo, F Knoetze, HL Bosman
Company Secretary: M Ehlert
SUMMARY OF INSURANCE

Quote number OT30016278

Insurer OUTsurance Insurance Company Limited
Suburb Centurion
VAT registration number 4340147224
Company registration number 1994/010719/06

Policy holder Crm Engineering And Projects Pty Ltd

VAT registration number
Company registration number 2015/061913/07
Postal address 19 Villa Pasut, Van Staden Road
Little Falls
1735

Business type Primary

Business description Offices & Financial - Engineering - Professional
Business in force duration 1-2 Years
Accreditation None
Annual turnover R250,000
Number of employees 11

Premium payment frequency Monthly

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Sections Quoted Monthly premium

Fire No
Buildings combined No
Office contents No
Business interruption No
Accounts receivable No
Theft No
Money No
Glass No
Fidelity No
Goods in transit No
Business all risks No
Accidental damage No
Public liability Yes R181.33
Employers liability No
Personal accident No
Motor (specified) No
Caravan No
Motorcycle No
Trailer No
Motor (liability) No
Electronic equipment No
Motor traders internal No
Motor traders external No
Machinery breakdown No
Watercraft No
* Indicates sections with SASRIA cover included.

Monthly premium R181.33

Collection fee R13.32
Policy fee R0.00
Total premium R194.65

An initial take-on fee of R322.00 is not included in the total premium.

Premium guarantee

Your premium is guaranteed for 12 months. This guarantee applies to all risks added at inception of the policy. Should you, for
example, verify your quote/schedule and notice that you forgot to mention a previous claim to us - you have to advise us and the
premium will be corrected. Similarly, if you, for example, advise us that your vehicle must be covered for business use but our
advisor incorrectly captures private use - the premium will also be corrected when you advise us of the error. It is therefore
essential for you to verify that all details noted on your schedule are correct for the 12 month premium guarantee to apply.

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 ALL PREVIOUS INCIDENTS

Previous incidents
The following incidents occurred:

Previous incidents

None

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 PREVIOUS INSURANCE HISTORY
Important underwriting information declared by you is displayed below. This information influences the premium and the acceptance
of your risk. Please check this carefully and make sure the information is true and complete. Please inform us immediately of any
changes to your circumstances that may influence whether we give you cover, the conditions of cover or the premium we charge.

Previous insurance history

Currently covered No
Cover duration None
Previous insurer N/A
Previously cancelled No
Cancellation reason None

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 PUBLIC LIABILITY
** This quote will expire on 11 August 2017 **

Cover details Sum insured Premium

Public liability R5,000,000 R140.06

Retroactive date: Optional

Additional perils Sum insured Premium

Additional claims preparation costs R10,000 Included

Breakout of animals Optional
Dispensing of incorrect fuel Optional
Hunting liability Optional
Legal defence costs R5,000,000 R11.40
Liability - defective products Optional
Liability - defective workmanship R5,000,000 R29.87
Professional indemnity Optional
Sub-Contractors Liability Optional
Trench digging liability Optional
Veldfires liability Optional
Wrongful arrest Optional

Total premium R181.33

Annual aggregate limits

The following annual aggregate limits apply:

Annual aggregate limits

Liability - defective workmanship R5,000,000

First amounts payable

This is the amount you pay on each and every claim; only one excess is payable. When you claim for additional/included perils and
the excess noted differs, then only the highest excess will apply.

Basic excess % of claim Minimum Maximum

Public liability 0.0% R1,000 R1,000

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Previous incidents
Public liability incidents and claims in the last three years:

Previous incidents

None

Special conditions

- Defective workmanship liability cover does not provide any form of guarantee on the work done. Defective workmanship liability
covers consequential injury and damage resulting from defective workmanship. It does not cover the costs required to make
good defective workmanship or the costs of redoing what was initially done defectively.
- Liability arising from any advice or treatment of a professional nature is not covered.

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