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3982 Certificate of Insurance for Town of Tillsonburg (Boundary Road Maintenance) - February 1 2016Cert Cert (2) 75 Main Street North, Princeton , ON N0J 1V0 Phone: 800-265-4000 Fax: 519-458-4366 INSURED'S FULL NAME AND MAILING ADDRESS BROKER'S FULL NAME AND MAILING ADDRESS COVERAGES PERSONAL INJURY MEDICAL PAYMENTS (Any One Person) TENANTS LEGAL LIABILITY NON-OWNED AUTO PROFESSIONAL / MALPRACTICE LIABILITY OCCURRENCE AGGREGATE LIMIT AGGREGATE LIMIT LIMIT OCCURRENCE Valuation Deductibles ALL OTHER EARTHQUAKE FLOOD DESCRIPTION OF OPERATIONS / LOCATIONS / AUTOMOBILES / SPECIAL ITEMS Fax Interest to Insured CERTIFICATE HOLDER - NAME AND MAILING ADDRESS date thereof, the issuing company will endeavour to mail 30 days written 4Underwriters at Lloyds of London "A"February 1, 2016 SUBSCRIBING COMPANIES ON BEHALF OF FRANK COWAN COMPANY LIMITED, AS or representatives. MANAGING GENERAL AGENT INCLUDING BUT NOT LIMITED TO:A.M. BEST RATING The Guarantee Company of North America "A" Temple Insurance Company "A+" THE CORPORATION OF THE TOWN OF TILLSONBURG 200 BROADWAY, 2ND FLOOR, SUITE 204 TILLSONBURG, ON N4G 5A7 WITH RESPECT TO THEIR AGREEMENT WITH THE NAMED INSURED FOR BOUNDARY ROAD MAINTENANCE. "With respect to Liability Only" CANCELLATION THE CORPORATION OF THE TOWN OF TILLSONBURG 200 BROADWAY, 2ND FLOOR, SUITE 204 TILLSONBURG, ON N4G 5A7 Should any of the above described policies be cancelled before the expiration notice to the certificate holder named on the left, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its brokers ADDITIONAL INSURED NAME AND MAILING ADDRESS PROPERTY PROPERTY "ALL RISKS" AGGREGATE DEDUCTIBLE ** ALL AUTOMOBILES LEASED IN EXCESS OF 30 DAYS WHERE THE INSURED IS REQUIRED TO PROVIDE INSURANCE PROPERTY DAMAGE OTHER AGGREGATE $5,000,000 BODILY INJURY (Per Person) BODILY INJURY (Per Accident) AUTOMOBILE LIABILITY A198443 January 1, 2016 January 1, 2017 BODILY INJURY AND PROPERTY DAMAGE COMBINED CP80951 January 1, 2016 January 1, 2017 $2,000,000 INCLUDED INCLUDED PRODUCTS-COMPLETED/OPERATIONS AGG INCLUDED MUNICIPAL GENERAL LIABILITY Subscribing Companies as Identified in BODILY INJURY & PROPERTY DAMAGE EACH OCCURRENCE $10,000,000 CP80951 January 1, 2016 January 1, 2017 GENERAL AGGREGATE This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain. The insurance afforded by the policies described herein is subject to all terms, exclusions and conditions of such policies. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE INSURANCE COMPANY AND POLICY NUMBER EFFECTIVE DATE EXPIRY DATE LIMITS OF LIABILITY (Canadian dollars unless indicated otherwise) CERTIFICATE OF INSURANCE This certificate is issued as a matter of information only and confers no rights upon the certificate holder and imposes no liability on the insurer. This certificate does not amend, extend or alter the coverage afforded by the policies below. CORPORATION OF THE MUNICIPALITY OF BAYHAM PO BOX 160,9344 PLANK ROAD STRAFFORDVILLE, ON N0J 1Y0 G. Taylor & Associates Insurance Brokers Limited 9254 Plank Road, PO Box 10 Straffordville, ON N0J 1Y0 OCCURRENCE CLAIMS MADE or PRODUCTS AND/OR COMPLETED OPERATIONS EMPLOYERS LIABILITY PERSONAL INJURY TENANTS LEGAL LIABILITY CROSS LIABILITY PROFESSIONAL / MALPRACTICE LIABILITY NON-OWNED AUTO HIRED AUTOMOBILES BLANKET CONTRACTUAL ENVIRONMENTAL LIABILITY LEASED AUTOMOBILES ** OCCURRENCE CLAIMS MADE or Supplementary Schedule Supplementary Schedule Supplementary Schedule CLAIMS MADE DESCRIBED AUTOMOBILES ALL OWNED AUTOMOBILES Syn1577190null FCC - CERTINS (03/2015)