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Tod Letter and certificates · OPW16/0021

Attached to the e-mail Change to Operational Works Application OPW16/002.01.

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WorkCover

Certificate of Currency QUEENSLAND

 

1. Statement of coverage

The Accident Insurance Policy covers the full amount of the employer's liability under the Workers'
Compensation and Rehabilitation Act 2003.

This certificate is valid from: 01 July 2016 to 30 June 2017

The information provided in this Certificate of Currency is correct as at: 27 June 2016

2. Employer's information

Policy number

 

IWNA100335843

 

Employer name

 

Piling & Concreting Australia (PCA) Pty Ltd

 

Trading name

 

Piling & Civil Australia

 

ABN

 

179137273682

 

ACN / ARBN

 

137273682

 

 

 

3. Important information

Your workers' compensation insurance policy will be current to 30 June 2017 provided you complete
your wage declaration and pay your premium by the due date.

A worker can make a claim for a workplace injury, no matter who or what caused it. This policy covers
you as an employer for the cost of your workers’ injuries.

For more information, please contact us on 1300 362 128 or visit our website at worksafe.qld.gov.au.

Approved 22/05/2013

© WorkCover Queensland 2013 Page 1 of 1

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