HTML Preview Blank Certificate Of Insurance page number 1.


CERTIFICATE OF INSURANCE
(To be completed only by the Insurer or its representative)
1. Name of Insured
2. Address & Telephone # of Insured
3. Operations of Named Insured for which certificate is issued:
Insured locations/programs:
4. Comprehensive General Liability
Insuring Company
Policy Number
Policy Limit(s)
Effective Date
Expiry Date
$2,000,000.00
5. Policy Provisions/Amendments/Endorsements
A. Comprehensive General Liability.
B. The CITY OF TORONTO has been named as an Additional Insured but only with respect to liability arising out of the operations of
the Insured for which a Contract is issued or permission granted by the City of Toronto.
C. The Comprehensive General Liability Policy(ies) identified above shall protect each insured in the same manner and to the same
extent as though a separate policy has been issued to each, but nothing shall operate to increase the Limits of Liability as identified
above beyond the amount or amounts for which the Company would be liable if there had been only one Insured.
D. The Comprehensive General Liability Policy(ies) identified above shall apply as primary insurance and not excess to any other
insurance available to any of the Additional Insured as set out in Item 5B.
E. If cancelled or changed to reduce the coverage outlined on this Certificate during the period of coverage as stated herein, thirty (30)
days, (fifteen (15) days if cancellation is due to non-payment of premium), prior written notice by registered mail will be given by
the Insurer(s) to the CITY OF TORONTO at the address provided for notice and communication in the Contract or permission
between the Insured and the CITY OF TORONTO.
CERTIFICATION
I certify that the insurance is in effect as stated in this Certificate and that I have authorization to issue this
Certificate for and on behalf of the Insurer(s). This Certificate is valid until the expiration date(s) shown in Item
4 unless notice is given in writing in accordance with Item 5E.
Date
Brokers Name and Address
Signature & Stamp of Certifying
Official
(CGLDayCare)
DOWNLOAD HERE


To think creatively, we must be able to look afresh at what we normally take for granted. | George Kneller