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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





