QM1418-0815

This certificate acknowledges that the Policy referred to is in force for the period shown. Summary of

cover is listed below.

This Certificate is subject to the terms, Definitions, Conditions and Exclusions of this Policy.

DATE: 3rd of May 2016

POLICY NUMBER: 41 A029354 PAD

INSURED NAME: GUIDES QUEENSLAND (AUSTRALIA)

PERIOD OF INSURANCE: From: 4.00pm on 01/05/2016 to: 4.00pm on 01/05/2017

POLICY: Voluntary Workers - Personal Accident

LIMIT OF LIABILITY $1,000,000

WORDING: QM182-0316 Voluntary Workers Policy and agreed endorsements where

applicable

Issued by: QBE Australia

Underwriter: Jack Brownlow