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: SEPTEMBER 30, 2017 TO SEPTEMBER 30, 2018 KIND OF POLICY POLICY NO. INSURERS LIMIT OF LIABILITY GENERAL LIABILITY AL1622 CERTAIN UNDERWRITERS AT LLOYDS AS ARRANGED BY ALL SPORT INSURANCE MARKETING LTD. $5,000,000.00 LIMIT Per occurrence and in the aggregate with respect to products & completed operations DEDUCTIBLE $500.00 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 250 999 Canada Place, Vancouver, BC, V6C 3C1 Tel (604)737-3018 January 22, 2018 DV
230-3820 Cessna Drive Richmond, BC Canada V7B 0A2 AMENDED: December 5, 2017 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) Creston Judo Club 8) Delta Kaigan Judo Club 9) Elite Olympic Martial Arts 10) Fernie Judo Club 11) Golden Ears Judo Club 12) Hart Judo Academy 13) Invermere Judo Club 14) Invermere Ju Jitsu 15) Ishikawa Family Judo Club 16) Kamloops Judo Club 17) Kelowna Judo Club 18) Kensington Judo Club 19) Kokoro Judo Club 20) Kokushikai Judo Club 21) Lake Country Judo Club 22) Langley Judo Club 23) Mill Bay Schidokai 24) Mike Zero Judo Club 25) Nakashima Judo 26) Nanaimo Judo Club 27) North Delta Academy 28) Northern Capital Judo Club 29) Parkland Judo Academy 30) Penticton Judo Club 31) Police Junior Judo 32) Port Coquitlam Judo 33) Prince George Judo Club 34) Revelstoke Judo Club 35) Rocky Mountain Nippon BudoKai 36) Rockman Judo Club 37) Salmon Arm Judo Club 38) Shin Bu Kan Judo Club 39) Smithers Judo Club 40) Steveston Judo Club
230-3820 Cessna Drive Richmond, BC Canada V7B 0A2 AMENDED: December 5, 2017 Insured: Effective Date 41) Taiyoko-Sen Judo Club 42) UBC Judo Club 43) Vancouver Seikidokan Judo Club 44) Vernon Judo Club 45) Victoria Judo Club 46) Westminster Judo Club 47) Westsyde Judo Club, Kamloops 48) White Rock Judo 49) Williams Lake Judo Club
230-3820 Cessna Drive Richmond, BC Canada V7B 0A2 AMENDED: December 5, 2017 Insured: Effective Date
250-999 Canada Place Vancouver, BC V6C 3C1 info@sbcinsurance.com AMENDED: January 22, 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. 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 January 22, 2018
250-999 Canada Place Vancouver, BC V6C 3C1 info@sbcinsurance.com AMENDED: January 22, 2018 Insured: Effective Date SBC INSURANCE AGENCIES LTD. AUTHORIZED REPRESENTATIVE January 22, 2018