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icare
                                                                                                                                i c a r e ™ ™                                                                    certificate
                                                                                                                                workers
                                                                                                                                w  o r k e r s
                                                                                                                                insurance
                                                                                                                                i n s u r a n c e                                                  of currency nsw





                                                                                                                                                                                                                          issue date

                                                                                                                                                                                                                          04/02/2020
                                                                                                                              Grace Bogomiagkov
                                                                                                                              RENFAY PROJECTS PTY LTD                                                                     print date
                                                                                                                              Unit 2 6-20 Braidwood Road
                                                                                                                              STRATHFIELD SOUTH NSW 2136
                                                                                                                                                                                                                          04/02/2020





                                                                                                                              Dear Grace

                                                                                                                                statement of coverage                                                   valid until





                                                                                                                                The following policy of insurance covers the full amount of the employer's
                                                                                                                                liability under the Workers Compensation Act 1987(NSW).                            28/02/2021
        Workers                                                                                                                 policy number                         legal name




                                                                                                                                           129351701
                          COMPENSATION                                                                                          trading name                                    abn      RENFAY PROJECTS PTY LTD

                                                                                                                                                                                                               acn


                                                                                                                                           RENFAY PROJECTS                            86 109 509 711                   109 509 711


                                                                                                                                industry classification number (WIC)                                 number of         wages/units      +
                                                                                                                                                                                                     workers*

                                                                                                                                411200 Residential Building Construction nec                               9              $573,284.94


                                                                                                                              ∗ Number of workers includes contractors/deemed workers
                                                                                                                              + Total wages/units estimated for the current period

                                                                                                                              important information



                                                                                                                              Principals relying on this certificate should ensure it is  Yours faithfully,
                                                                                                                              accompanied by a statement under section 175B of the
                                                                                                                              Workers Compensation Act 1987 (NSW). Principals should
                                                                                                                              also check and satisfy themselves that the information is
                                                                                                                              correct and ensure that the proper workers compensation
                                                                                                                              insurance is in place, ie. compare the number of employees  Jason McLaughlin
                                                                                                                              on site to the average number of employees estimated;  General Manager, Workers Compensation – Underwriting
                                                                                                                              ensure that the wages are reasonable to cover the labour  icare workers insurance
                                                                                                                              component of the work being performed; and confirm that
                                                                                                                              the description of the industry/industries noted is
                                                                                                                              appropriate. A principal contractor may become liable for
                                                                                                                              any outstanding premium of the sub-contractor if the
                                                                                                                              principal has failed to obtain a statement or has accepted a
                                                                                                                              statement where there was reason to believe it was false.

                                                                                                                                                                                                                                        1
                                                                                                                              icare™ is the brand of Insurance & Care NSW and acts for the Workers Compensation Nominal Insurer ABN 83 564 379 108        63
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