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DocumentsAppendixSep 4, 2018Pages 41–42

Indigenous Perspectives Society — Certificate of Insurance

Insurance certificate for Indigenous Perspectives Society showing policy coverage, limits and endorsements.

Key facts

  • Coverage period shown: July 10, 2017 to July 10, 2018
  • Commercial general liability per occurrence limit: $5,000,000; General aggregate: $5,000,000
  • Certain property-related limits and earthquake minimum deductible: $50,000
  • Certificate signed/authorized Dec 15, 2017 by a c & d Insurance Services Ltd

Indigenous Perspectives Society — Certificate of Insurance

This is to certify that the policies/endorsements of insurance described herein are being issued to the insured name herein for the poiicy period indicated.
Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to ali the terms, conditions and exciusions of such policies.

Scanned certificate page 1
Scanned certificate page 1

Broker

a c & d Insurance Services Ltd
1196 Marine Drive
North Vancouver, BC, Canada
V7P1S8
p: 604-985-0581
f: 604-984-3287

Policies

Policy/Covernote Number Ins Ltr Insurer Effective Date Expiry Date
COM 801521041 Canadian Northern Shieid Insurance Co. Jul. 10,2017 jul. 10, 2018
5EB 310013 Intact Insurance Company Jul. 10, 2017 jul. 10, 2018

Named Insured

  • NAME: Indigenous Perspectives Society
  • ADDRESS: 664 Granderson Road, Victoria, BC, V9B 2R8
  • DESCRIPTION OF BUSINESS OPERATIONS: Culturally Based Professional Development Programs and Building Owner
  • BROKER'S CLIENT ID: INDIG-2

Loss Payee / Mortgage Clause

  • LOSS PAYEE / WITH RESPECT TO STANDARD MORTGAGE CLAUSE APPLY

1st: Vancouver City Savings CU
5th Floor, 183 Terminal Avenue, Vancouver> BC, V6A 4G2

Location 1: 664 Granderson Road, Victoria, BC, V9B 2R8

Yes

Additional Insured

  • WITH RESPECT TO: Vancouver City Savings CU
  • Address: 5th Floor -183 Terminal Ave., Vancouver, BC, V6A 4G2
  • Scope: All operations of the named insured
  • Location: Location 1: 664 Granderson Road, Victoria, BC, V9B 2R8
Page 41–42

Coverages and Limits of Liability

INSURANCE IS PROVIDED ONLY FOR THOSE COVERAGES SHOWN - ON TERMS AND CONDITIONS CONTAINED IN THE FORMS INDICATED.

Location 1: 664 Granderson Road, Victoria, BC, V9B 2R8

General to Location Coverages — Property Coverages

Commercial Building, Equipment & Stock - Broad Form

Coverage / Item Limit Deductible Notes
Building $ 1,550,000 $ 1,000 -
Contents $ 269,057 $1,000 -
Replacement Cost Endorsement - Excluding Stock - - -
Co-Insurance - 90% - - -
Earthquake Endorsement Included 10% -
Earthquake - Minimum Deductible $ 50,000 - -
Flood Extension Included $ 10,000 -
Sewer Backup $ 5,000 Included -
Miscellaneous Property Floater $ 5,000 $ 1,000 -
As per schedule - - -
Replacement Cost Endorsement - - -

Crime Coverages

Coverage Limit Deductible Notes
Comprehensive Dishonesty, Destruction, Disappearance, and Forgery - - -
Loss Inside Premises - Insuring Agreement II $ 10,000 - -
Loss Outside the Premises - Insuring Agreement III $ 10,000 - -
Agreement II and III - Reduction in Limit of Insurance - Overnight $ 5,000 - -
Agreement II and III - Reduction in Limit of Insurance - Custodian's House $ 5,000 - -
Agreement II and III - Medical Expenses Resulting from Robbery - Per Accident $ 5,000 - -
Agreement II and III - Medical Expenses Resulting from Robbery - Aggregate $ 10,000 - -
Damage to Building by Burglary or Robbery $ 5,000 - -
Money Orders & Counterfeit Currency - Insuring Agreement IV $ 5,000 - -
Depositors Forgery - Insuring Agreement V $ 5,000 - -
Scanned certificate page 2
Scanned certificate page 2

Liability Coverages

Coverage / Item Limit Deductible Notes
Commercial General Liability - Per Occurrence $ 5,000,000 - -
Aggregate Limit - Products-Completed Operations $ 5,000,000 - -
Coverage A - Bodily Injury and Property Damage Liability $ 5,000,000 $1,000 -
Coverage B - Personal Injury and Advertising Liability $ 5,000,000 $1,000 -
Coverage C - Medical Payments - each person $ 10,000 - -
Coverage D - Tenants Legal Liability $300,000 $.1,000 -
General Aggregate Limit $ 5,000,000 - -
Employers Liability Extension - Office Employees only $ 1,000,000 $1,000 -
Employee Benefit Errors & Omissions -- Aggregate $ 1,000,000 $ 1,000 -
Elevator Collision $10,000 - -
Non-Owned Automobile Liability $ 5,000,000 $1,000 -
S.E.F. No. 99 Excluding Long Term Lease Vehicle Endorsement - - -
S.E.F. No. 96 Contractual Liability Endorsement - - -
Legal Liability for Physical Damage to Hired automobiles $ 50,000 $1,000 -
Additional Insured Endorsement - - -
Page 41–42

Certificate Authorization

  • SIGNATURE OF AUTHORIZED REPRESENTATIVE:
  • NAME: Jake Hoffman
  • CONTACT NUMBER: 604-985-0581
  • DATE: Dec. 15, 2017
  • COMPANY: a c & d Insurance Services Ltd
  • ISSUED AT: North Vancouver, BC
  • EMAIL ADDRESS: jhoffman@acdinsurance.com

THIS DOCUMENT CONTAINS CLAUSES WHICH MAY LIMIT THE AMOUNT PAYABLE

Page 41–42
Extracted from: 20180904-Agenda-Package(67 pages total)