Validation Certificate AVANTI

UK Customer Contact Centre Tel: 01376 560 800
If calling from outside the UK Tel: +44 (0) 1376 560 800
Purchase Date: 15/09/2021 15:20
VALIDATION CERTIFICATE
Insurance Underwriter: Great Lakes Insurance SE
Policy Number: 51134143
Name and Address of Organiser Contact Details
Werner Victor Hugo Phone (day): 07866760731

28 Wilkinson Street Email: [email protected]
London
United Kingdom
SW81DB
Insured Person(s)
Title First Name Surname Age Declared Medical Conditions
Mr Werner Victor Hugo 43 None
Mr Deniss Vasiljevs 37 None
Cover Cover details
Date of Issue: 15/09/2021 Cancellation Limit: £7,500

Policy Type: Single Trip
Cruise: Not covered
Cover Type: Deluxe
Destination: South Africa To be covered for a cruise please contact Customer
Services on 01376 560 800 (Inside UK) or +44 1376
Cover Start Date: 23/09/2021 560 800 (Outside UK).
Cover End Date: 19/12/2021
Cancellation cover for a single trip policy will begin
immediately after booking your policy.
Base Price + Medical Premium (if applicable): £313.38

Additional Cover Options total premium: £0.00
Insurance Premium Tax 20.00 % : £62.68
Sub Total: £376.06
Total Paid: £376.06
Important COVID-19 information on the reverse of this document
This Validation Certificate is evidence of insurance for the Insured Person(s) shown for the period of insurance and
geographical area. Cover is as described in the accompanying Policy Wording Document. You should carry this
document with you when travelling.
Most sections of this insurance are underwritten by Great Lakes Insurance SE. Great Lakes Insurance SE, UK Branch,
is authorised and regulated by Bundesanstalt für Finanzdienstleistungsaufsicht. Deemed authorised by the Prudential
Regulation Authority register number 769884. Subject to regulation by the Financial Conduct Authority and limited
regulation by the Prudential Regulation Authority. Details of the Temporary Permissions Regime, which allows EEA-
based firms to operate in the UK for a limited period while seeking full authorisation, are available on the Financial
Conduct Authority’s website. Details of the extent of our regulation by the Prudential Regulation Authority, and regulation
by the Financial Conduct Authority are available from us on request.
This policy is administered by ERGO Travel Insurance Services Limited: registered in the UK, company number
11091555. Authorised and regulated by the Financial Conduct Authority, number 805870 and registered office: 10
Fenchurch Avenue, London, EC3M 5BN. Certain sections are underwritten by other insurers, as detailed in those
sections. You can visit the Financial Conduct Authority website, which includes a register of all regulated companies, at
www.fca.org.uk/register or you can telephone them on 0800 111 6768 (freephone).
Please note that sales of this insurance product in the Channel Islands and the Isle of Man do not fall within the
jurisdiction of the Financial Conduct Authority, the Financial Ombudsman Service or the Financial Services
Compensation Scheme.
Important Conditions Relating to Health
Medical Screening Declaration

Have you made a medical screening declaration on behalf of someone else? If you have made a medical screening
declaration for any traveller on this policy, it is your responsibility to ensure that you have full knowledge of their medical
conditions and can answer the questions as confidently as if you were declaring your own conditions. If you are not
100% sure, then you should check with them or request that they obtain details of all medical conditions from their GP.
Please check that you have declared your medical conditions - these are shown on the front of this Validation Certificate.
Please be aware if you fail to declare any pre-existing medical conditions or answer any questions incorrectly, this may
invalidate any potential claim.
Useful Telephone Numbers
24 hrs Emergency & Repatriation Assistance Helpline : +44 1403 288 123
When calling from within the USA and Canada: +1 833 251 8487
Claims
All Claims (excluding the below) 01403 288 122
End Supplier Failure Claims 0345 266 1872
Legal Expenses Claims 0117 934 0548
Additional Cover Option Claims

Terrorism Cancellation Cover Claims 023 8017 7283
Important information regarding Coronavirus (COVID-19):
Our policy provides certain cover for new cases of COVID-19 under the following sections (exclusions apply):
• Emergency Medical and Repatriation Expenses section.

• Cancellation section.
• Cutting Short Your Trip section.
Please see your policy wording and documents for full details of the cover provided along with any
applicable limits and exclusions.
Important information regarding FCDO Travel advice:
Please be aware that if at the time you start a trip, the UK Government or the Foreign, Commonwealth and
Development Office advise against all, or all but essential travel, you will not
be covered by this policy.
If you have purchased our European FCDO Travel Advice Extension you will be covered for travel to certain
countries. However you will not be covered for any claims under this additional cover option that are related to
the reason for the advice against travel being issued, unless the advice is against all but essential travel
solely as a result of COVID-19.
Avanti Travel Insurance is a trading name of TICORP Limited. Avanti Travel Insurance is arranged by TICORP Limited which is registered in T 0800 066 5604
Gibraltar company number 111526. Registered office: First Floor, Grand Ocean Plaza, Ocean Village, Gibraltar. TICORP Limited is licensed and E [email protected]
regulated by the Gibraltar Financial Services Commission number FSC1238B and trades into the UK on a freedom of services basis, FCA FRN
W avantitravelinsurance.co.uk
663617.
Avanti Travel Insurance is administered by Howserv Limited which is registered in England and Wales number 03882026. Registered office:
Avanti Travel Insurance, Britannia House, 3-5 Rushmills Business Park, Bedford Road, Northampton, NN4 7YB. Howserv Limited is authorised
and regulated by the Financial Conduct Authority FRN 599282.

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UK Customer Contact Centre Tel: 01376 560 800

Name and Address of Organiser Contact Details

Werner Victor Hugo Phone (day): 07866760731

Title First Name Surname Age Declared Medical Conditions

Mr Werner Victor Hugo 43 None

Mr Deniss Vasiljevs 37 None

Cover Cover details

Date of Issue: 15/09/2021 Cancellation Limit: £7,500

Base Price + Medical Premium (if applicable): £313.38

Important COVID-19 information on the reverse of this document

Important Conditions Relating to Health

Medical Screening Declaration

Useful Telephone Numbers

Additional Cover Option Claims

Important information regarding Coronavirus (COVID-19):

• Emergency Medical and Repatriation Expenses section.

Important information regarding FCDO Travel advice:

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