V1_Insurancecertificate_escooter_Belgium_20240626 - Lydian review(7303098.1).docx

Certificate of Motor Liability Insurance for Rental Electric Scooters

This Certificate is evidence that the rental electric scooters of the Policyholder have insurance to comply with the Belgian Motor Liability Insurance Act. The document shall be read in conjunction with the Policyholder’s general and special terms and conditions of motor liability insurance for rental electric scooters.

Certificate Number: 2302020808

1. Insured vehicles: all rental electric scooters owned by Policyholder which are rented out to the public for the purpose of transporting persons in the course of the Policyholder’s commercial activity.
2. Policyholder: emTransit SRL
3. Effective Date and time of the commencement of insurance: May 1st, 2026
4. Expiry Time of this insurance certificate: April 30, 2027. Wearing a helmet when using the rental electric scooter is strongly recommended. Please also check and comply with all instructions and terms of the Policyholder, including the Purpose of use and Group Ride below.

Purpose of use

Private use: The rental electric scooter is used solely for private travel.

The rental electric scooter shall not be :

Group Ride

In case of Group Ride, the Host must inform the Guest about the use, the minimum age required and the safety rules, and the Guest must comply with such instructions in addition to the traffic rules and the Policyholder’s terms and conditions.

The Policyholder hereby certifies that the policy to which this Certificate of Motor Liability Insurance for rental electric scooters relates satisfies the requirements of the relevant law applicable in Belgium.

The insurance is valid in Belgium and any other place provided for by Article 3 of the Motor Liability Insurance Act.

Note: For further details of the insurance cover reference should be made in the General Terms and Conditions (Ref.01/05/2025 – Version 01), Special Conditions and insurance product information document that are available on request to the Policyholder.

Datafolio’s signature

Intermediary: Datafolio, a simplified joint-stock company registered in the Lille Trade and Companies Register under number 877 629 493. Operating under the Datafolio brand, the company is governed by the French Insurance Code and is registered with the ORIAS under number 19008771. Datafolio is authorized to operate in Belgium under the Freedom of Services (FOS) regime.

Insurer : Wakam S.A., a limited liability company registered in the Paris Register of Commerce and Societes under No 562 117 085, 120-122 rue Réaumur 75002 Paris Non-life insurance company authorised by the Autorité de Contrôle Prudentiel et de Résolution (ACPR), 4 Pl. de Budapest, 75009 Paris, under number 4020259. Wakam is authorised by the National Bank of Belgium (NBB-Boulevard de Berlaimont 14, 1000 Brussels, www.nbb.be) to operate in Belgium.

Advice to third parties – nothing contained in this certificate of insurance affects your rights as a third party to make a claim. This policy is sold and administered by Datafolio a simplified joint-stock company registered in the Lille Trade and Companies Register under number 877 629 493. The Policy is underwritten by Wakam S.A. a limited company registered with the Paris Trade and Companies Register (Registre du Commerce et des Sociétés) under no. 562 117 085, 120-122, rue Réaumur, 75002 Paris (France). Non-life insurance company authorised by the Autorité de Contrôle Prudentiel et de Résolution (ACPR), 4 Pl. de Budapest, 75009 Paris, under number 4020259 under the freedom to provide services under number 2958.

Representative of the insurer in Belgium : CRAWFORD & COMPANY BELGIUM registered in Belgium with number BE 0437.271.743 whose registered office is at Blarenberglaan 3/ C, 2800 Malines, Belgium.