Carriers Insurance Brokers Pty Limited ABN 66 00 I 609 936 AFS Uc No.246632

Suite 404, 4th Floor, 20 BUrlgan Street, Mona Vale NSW 2103 Phone (02) 9913 2002 rax (0219913 2007 EmaiI.CQver@c8niers·ins.com.au

CERTIFICATE OF INSURANCE INSURED: WARRINGAH CRANE &TRANSPORT SERVICES PTY LTO

COVER: INNDUSTRIAL SPECIAL RISKS POLICY NUMBER: 71-003524·ISC COVERING THE FOLLOWING SITUATIONS AS PER SCHEDULE OF COVERAGE:­38 &38A MYORA ROAD, TERREY HILLS NSW 2084 17-19 DALE STREET, BROOKVALE NSW 2100

INSURER: ALLlANZ AUSTRALIA INSURANCE LTO 2 MARKET ST, SYDNEY NSW 2001

EXPIRY DATE: 30TH JUNE 2013

NAME:

SIGNED:

DATED:

CARRIERS INSURANCE BROKERS PTY LIMITED

CRISTEN GILES

Carriers Insurance Brokers Pty Limited ABH 66 001 609936 AFS Lie No. 2J16632

SUite 404, 4th noor, 20 Burgan Street. Mona Vale NSW 2103 Phone (02) 9913 2.002 Fa" (02) 9913 2007 Email cDver@carriers-iflscom.3u

CERTIFICATE OF INS'URANCE INSURED:

COVER:

INSURER:

COVER:

INSURER:

COVER:

INSURER:

EXPIRY DATE:

NAME:

SIGNED:

DATED:

WARRINGAH CRANE &TRANSPORT SERVICES PTY LTO

HEAVY MOTOR VEHICLE COMPREHENSIVE POLICY NUMBER: 782915715 VFT ALL INSUREDS VEHICLES AS PER SCHEDULE HAZARDQUS GOODS LIABILITY: $1,000,000 THIRD PARTY LIABILITY: $30,000,000 ZURICH AUSTRAliAN INSURANCE LTD 118 MOUNT STREET, NORTH SYDNEY NSW 2060

INDUSTRIAL SPECIAL PLANT - CRANE & PUBLIC LIABILITY POLICY NUMBER: 12T10041791SP All INSUREDS CRANES AS PER SCHEDULE HAZARDOUS GOODS LIABILITY: $500,000 THIRD PARTY LIABILITY $20,000,000 DAMAGE TO LIFTED GOODS: $100,000 PUBLIC AND PRODUCTS LIABILlTY:- $20,000,000 PROPERTY IN PHYSICAL OR LEGAL CONTROL: $250,000 SITUATION: 38 &38A MYORA ROAD, TERREY HILLS NSW 2084 SITUATION: 17-19 DALE STREET, BROOKVALE NSW 2100 UNDERWRITING AGENCY OF AUSTRALIA PO BOX 656, NEWCASTLE NSW 2300

CARRIERS CARGO LIABILITY POLlCY NUMBER: 20.CAN.0015872 INDEMNITY ANY ONE LOAD: $500,000 ASSOCIATED MARINE INSURERS LEVEL 9, 34 HUNTER STREET, SYDNEY NSW 2000

NORTH SYDNEY COUNCIL NOTED AS PRINCIPAL

30TH JUNE 2013

CARRIERS INSURANCE BROKERS PTY LIMITED

--

Emp loyo~ Mulual NSW Llmll ed

GPOBOl<JKl

EmployersMutual Sydrwy NS\'12001

DX 10175

rnv 1 1 SV\:l'IlIy SlDtk Exct1 ~o

P 02 8251 9000

CERTIFICATE 1800 469 931 (1011 Iree)

F 028251 9495 Claims

OF CURRENCY f 028251 9491l Unaemfll lng

IW/W omplo~tll~ll1ulUill.com au

WARRINGAH CRANE & TRANSPORT SERVICE PTY LTD PO BOX 84 TERRY HILLS NSW 2084

Dear Sir/Madam.

1. STATEMENT OF COVERAGi The following policy of insuranct: covers the fl'li a~~<)lmt of the employer's liability under the Workers Compensation Act 19137.

This Certificate is valid from

The information provided in this Certificate of C~lrrency i:, corro:'ct 11: P4/07/2012i

2. EMPLOYERS INFORMATION

POLICY NUMBER 010490116

LEGAL NAME WARRING,A,H CRANE & THANSPORT SERVICE PTY LTO

TRADING NAME

ABN 12 000 296 257

ACN 000296257

NAME OF TRUST

TRUST ABN

. .--WorkCover

Industry Classification number (WIC)

._--­ - -­Ifldlis!ry

421020 CRANE HIRE 611 010 CONTAINER TRANSPORT

Numbers of Wages· Workers+

_ . 12 678 ,000,00

-­- 5 310,000,00 + Number of workers Includes contractors/deemed worke,'i . Total wages estImated for ti1e current penod

3. IMPORTANT INFORMATION

Principals relYing on this certificate sllould ensure It is a,="l)mpanied by a statement under section 1758 of the Workers Compensation Act 1987. Prin~ipals should al!>,' -:heck and satisfy themselves that the information is correct and ensure that the proper workers comp~ns"lio i1 onsurance is In place ie, Compare the number of employt!es on site to the average number of empioY!!i!S e:,t mated; en:r.ure that the wages are reasonable to cover the labour component of the work beIng performed; 3n(1 confirm that the description of the indust ry/ industries noted is appropriale

A Principal contractor may become li'Jble for any outstanding premium of the ;)~b-contractor if the principal has fa iled to obtain a statement or has accepted a statement where there was reason to believe it was false,

Yours Faithfully,

A NSW WorkCover Sd~ rl' ....

Under\'Vriting Department

uwO:; 2 ""1 'Ill It)( 11\1' NS' Wor~Co-ltJ r Sc.hCmll ABN 83 564 J79 108 GSl Brancn No OOS

Sydney • Adelaide • N ewcastle • ParramaHa Gosford.. ----­---~-