CERTIFICATE OF EMPLOYERS’ LIABILITY INSURANCE
CERTIFICATE OF EMPLOYERS' LIABILITY INSURANCE (a)
(Where required by regulation 5 of the Employers' Liability (Compulsory Insurance) Regulations 1998 (the Regulations), one or more copies of this certificate must be displayed at each place of business at which the policy holder employs persons covere d by the policy)
Policy number 1891376/2142083
1. Name of policyholder Chittlehampton Parish Council
2. Date of commencement of insurance policy 1st June 2021
3. Date of expiry of insurance policy 31st May 2022
Both days inclusive
We hereby certify that subject to paragraph 2:
1 The policy to which this certificate relates satisfies the requirements of the relevant law applicable in Great Britain, Northern Ireland, the Isle of Man, the Island of Jersey, the Island of Guernsey, the Is land of Alderney (b); and
2 the minimum amount of cover provided by this policy is no less than £5 million (c).
Signed on behalf of Hiscox Insurance Company Ltd
(a) Where the employer is a company to w hich regulation 3(2) of the regulations applies, the certificate shall state in a prominent place, either that the policy covers the holding company and all its subsidiaries, or that the policy covers the holding company and all its subsidiaries except any specifically excluded by name, or that the policy covers the holding company and only the named subsidiaries.
(b) Specify applicable law as provided for in regulation 4(6) of the Regulations.
(c) See regulation 3(1) of the Regulations and delete w hichever of paragraphs 2(a) or 2(b) does not apply. Where 2(b) is applicable, specify the amount of cover provided by the relevant policy.
About the insurer
Insurer Hiscox Insurance Company Limited Registered address 1 Great St Helens, London, EC3A 6HX United Kingdom Company registration Registered in England number 00070234 Status Hiscox Insurance Company Ltd is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and Prudential Regulation Authority
Employers’ Liability Tracing Office (ELTO)
Hiscox is a member of ELTO and must collect certain information about the entities insured for UK Employers’ liability insura nce under your policy.
Information we hold for your policy
Policy number: 1891376/2142083
Insured: Chittlehampton Parish Council
We hold the following information for your policy. Please check it and notify us (or your insurance intermediary if you have one) if anything is incorrect.
Employer/registered company name Main/registered address Postcode HMRC Employer Reference Number (ERN)
ERN not applicable reason
Chittlehampton Parish Council
Corner Cottage The Square Chittlehampton Umberleigh Devon EX37 9QW
EX37 9QW 120/XA57461
Please refer to your policy schedule for details of our obligations, your rights and how your information may be used.
Mandatory information - what is required?
Below is a summary of the information we must collect from you to help you provide the correct information.
For the main policyholder and each additional employer or subsidiary company in the UK insured under the policy, the followin g is required:
1. Employer name
2. Full address of employer including postcode
3. HMRC Employer Reference Number (ERN)
Entities which do not have an HMRC ERN
If any entity insured does not have an ERN, a reason must be supplied to us from the following:
- All employees below PAYE threshold - Business registered outside England, Scotland, Wales or NI - The business does not have any employees
PDF of signed certificate