CERTIFICATE OF INSURANCE

Transcription

1 CERTIFICATE OF INSURANCE THIS IS TO CERTIFY THAT POLICIES OF INSURANCE AS HEREIN DESCRIBED HAVE BEEN ISSUED TO THE INSURED NAMED BELOW AND ARE IN FORCE AT THE DATE HEREOF. THIS CERTIFICATE IS ISSUED AT THE REQUEST OF: SEE ATTACHED NAME OF INSURED JUDO BC & MEMBER CLUBS (AS PER ENDORSEMENT ATTACHED) LOCATIONS AND OPERATIONS TO WHICH THIS CERTIFICATE APPLIES ABOVE ARE ADDED AS ADDITIONAL INSURED, BUT SOLELY WITH RESPECT TO THE LIABILITY WHICH ARISES OUT OF THE ACTIVITIES OF THE NAMED INSURED. BRITISH COLUMBIA JUDO ACTIVITIES TO WHOM NOTICE WILL BE MAILED IF SUCH INSURANCE IS CANCELLED OR IS CHANGED IN SUCH A MANNER AS TO AFFECT THIS CERTIFICATE TERM: OCTOBER 1, 2018 TO SEPTEMBER 30, 2019 KIND OF POLICY POLICY NO. INSURERS LIMIT OF LIABILITY GENERAL LIABILITY AL1622 CERTAIN UNDERWRITERS AT LLOYDS AS ARRANGED BY MARKEL CANADA LIMITED. $5,000, LIMIT Per occurrence and in the aggregate with respect to products & completed operations DEDUCTIBLE $ POLICY EXTENSIONS: CROSS LIABILITY CLAUSE INCLUDED PARTICIPANT COVERAGE INCLUDED SUBJECT TO 30 DAYS WRITTEN NOTICE OF CANCELLATION THE INSURANCE AFFORDED IS SUBJECT TO THE TERMS, CONDITIONS, AND EXCLUSIONS OF THE APPLICABLE POLICY. SBC INSURANCE AGENCIES LTD. AUTHORIZED REPRESENTATIVE Canada Place, Vancouver, BC, V6C 3C1 Tel (604) DV

2 Cessna Drive Richmond, BC Canada V7B 0A2 AMENDED: Insured: Effective Date MEMBER CLUBS It is understood and agreed that coverage under the within policy is provided for the following clubs: 1) Abbotsford Judo 2) Aberdeen Judo Academy 3) Arashi Judo Club 4) Burnaby Judo Club 5) Campbell River Judo Club 6) Capilano Seikidokan Judo Club 7) Delta Kaigan Judo Club 8) Fernie Judo Club 9) Golden Ears Judo Club 10) Hart Judo Academy 11) Invermere Judo Club 12) Ishikawa Family Judo Club 13) Kamloops Judo Club 14) Kelowna Judo Club 15) Kensington Judo Club 16) Kokoro Judo Club 17) Kokushikai Judo Club 18) Lake Country Judo Club 19) Langley Judo Club 20) Mill Bay Schidokai 21) Mile Zero Judo Club 22) Nakashima Judo 23) Nanaimo Judo Club 24) North Delta Academy 25) Northern Capital Judo Club 26) Parkland Judo Academy 27) Penticton Judo Club 28) Police Junior Judo 29) Port Coquitlam Judo 30) Prince George Judo Club 31) Revelstoke Judo Club 32) Rocky Mountain Nippon BudoKai 33) Rockman Judo Club 34) Salmon Arm Judo Club 35) Shin Bu Kan Judo Club 36) Smithers Judo Club 37) Steveston Judo Club 38) Taiyoko-Sen Judo Club 39) UBC Judo Club 40) Vancouver Seikidokan Judo Club

3 Cessna Drive Richmond, BC Canada V7B 0A2 AMENDED: Insured: Effective Date 41) Vernon Judo Club 42) Victoria Judo Club 43) Westsyde Grappling Ltd 44) Westsyde Judo Club, Kamloops 45) White Rock Judo 46) Williams Lake Judo Club

4 Canada Place Vancouver, BC V6C 3C1 AMENDED: September 28, 2018 Insured: Effective Date THIS CERTIFICATE IS ISSUED AT THE REQUEST OF: City of Abbotsford, School District 34 City of Burnaby, School District 41 Corporation of Delta City of Fernie Regional District of Fraser Fort George Hassel Construction Ltd. District of Invermere Corp. of the Township of Langley & its Elected & Appointed Officials, Officers, Employees Agents & Volunteers City of Maple Ridge, City of Pitt Meadows, Maple Ridge & Pitt Meadows Parks & Leisure Services Commission School District 42 City of Nanaimo City of Prince George, University of Northern BC, Northern Sport Centre Ltd. City of Richmond, School District 38 Roman Catholic Episcopal Corp. of Prince Rupert St. Joseph s School District of Saanich School District 6 School District 36 (Surrey) School District 57 School District 73 School District 83 School District 59 (Ecole Pouce Coupe) St. Margaret s School, 1080 Lucas Ave, Victoria, BC V8X 3P7 St. Savior s Anglican Church City of Vancouver, Its Board of Parks & Recreation & Affiliated Community Centre Associations & Societies, Vancouver Police Board, Their Officials, Officers, Employees, Servants & Agents City of Vernon, Regional District of North Okanagan, District of Coldstram Vernon Japanese Canadian Cultural Society City of Victoria The Board of Education of School District No. 61(Greater Victoria) Fortius Athlete Development Association Fortius Institute Inc Ecole Gabrielle-Roy, Surrey Conseil scolaire francophone de la Colombie-Britannique BC Games Society The Roman Catholic Archbishop of Vancouver ABOVE ARE ADDED AS ADDITIONAL INSURED, BUT SOLELY WITH RESPECT TO THE LIABILITY WHICH ARISES OUT OF THE ACTIVIVITIES OF THE NAMED INSURED SBC INSURANCE AGENCIES LTD.

5 Canada Place Vancouver, BC V6C 3C1 AMENDED: September 28, 2018 Insured: Effective Date AUTHORIZED REPRESENTATIVE