Common use of Iceland Clause in Contracts

Iceland. This contract is only valid if at the time of inception and each renewal thereafter your domiciled address is in Iceland. Claims In the event that you wish to make a claim under this contract, please notify your Broker. Complaints: In the event you wish to make a complaint, please refer to: Tryggingamiðlun Íslands - TMI Hlíðasmári 12 200 Kópavogur Tel: + ▇▇▇ ▇▇▇ ▇▇▇▇ E-mail: ▇▇▇@▇▇▇.▇▇ Full details of the complaint process are contained within the Wording. In return for payment of the premium shown in the schedule, we agree to insure you, subject to the terms and conditions contained in or endorsed on this contract of insurance, against bodily injury and/or sickness in the manner and to the extent provided in this contract during the period of insurance. The premium becomes due when the insurance is issued, unless agreed differently by us. Payment of the premium is a pre-condition for initiating our liability. Signed by: Coverholder Dated: Cancellation administration charge: This Certificate is only valid if it bears the signature of the Coverholder, on behalf of AXIS Specialty Europe SE. This insurance covers only such of the following benefits as have an amount inserted against them. Where benefits are not insured the words ¨NOT COVERED¨ are shown

Iceland. This contract is only valid if at the time of inception and each renewal thereafter your domiciled address is in Iceland. Claims In the event that you wish to make a claim under this contract, please notify your Broker. Complaints: In the event you wish to make a complaint, please refer to: Tryggingamiðlun Íslands - TMI Hlíðasmári 12 200 Kópavogur Tel: + ▇▇▇ ▇▇▇ ▇▇▇▇ E-mail: ▇▇▇@▇▇▇.▇▇ Full details of the complaint process are contained within the Wording. In return for payment of the premium shown in the schedule, we agree to insure you, subject to the terms and conditions contained in or endorsed on this contract of insurance, against bodily injury and/or sickness in the manner and to the extent provided in this contract during the period of insurance. The premium becomes due when the insurance is issued, unless agreed differently by us. Payment of the premium is a pre-condition for initiating our liability. Signed by: Coverholder DatedDated in London: Cancellation administration charge: This Certificate is only valid if it bears the signature of the Coverholder, on behalf of AXIS Specialty Europe SE. This insurance covers only such of the following benefits as have an amount inserted against them. Where benefits are not insured the words ¨NOT COVERED¨ are shown