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Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF ANCASTER
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF ANCASTER AM
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/10
To: 09/01/11
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $not insured. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF BRANTFORD
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/10
To: 09/01/11
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $not insured. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF BRANTFORD SUNRISE
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/10
To: 09/01/11
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $not insured. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF CALEDONIA
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/10
To: 09/01/11
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $not insured. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF DELHI
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/10
To: 09/01/11
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $not insured. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF DUNDAS
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF DUNDAS VALLEY SUNRISE
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF DUNNVILLE
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF FLAMBOROUGH AM
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF FONTHILL
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF FORT ERIE
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF GRIMSBY
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF GRIMSBY @ NOON
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF HAMILTON
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF HAMILTON AM
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF HAMILTON EAST-WENTWORTH
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF HAMILTON MOUNTAIN
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF HAMILTON SUNSET
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF LEWISTON NIAGARA ON THE LAKE
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF LINCOLN
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF NIAGARA FALLS
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF NIAGARA ON THE LAKE
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF NORFOLK SUNRISE
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF PORT COLBORNE CENTENNIAL
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF SIMCOE
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF ST. CATHARINES
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF ST. CATHARINES LAKESHORE
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF ST. CATHARINES SOUTH
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF ST. CATHARINES SUNRISE
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF STONEY CREEK
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF WATERDOWN
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
Novex Insurance Company 700 University Avenue, Suite 1500, Toronto, Ontario, M5G 0A1
hereinafter called the “Insurer”
CANADIAN ROTARY CLUBS PROGRAM
Certificate of Insurance under
Master Policy # 551493027 for
Rotary District 7090
This Certificate of Insurance provides the Certificate holder (hereinafter referred to as “Insured” with evidence of insurance coverage under the aforementioned Master Policy issued to the Rotary District named hereinafter.
Insurance is provided only for those coverages for which a limit of liability or amount of insurance is listed hereon, and is
governed by all the terms, limitations, conditions, and exclusions of the Master Policy, a copy of which is on file with your District Governor
DECLARATIONS Page 1 of 2
1. Insured: ROTARY CLUB OF WELLAND
2. Location/ Address 3. Business
Conducted by Insured:
Rotary Service Club including fund-raising activities usual to a service club.
4. Policy Period: From 09/01/11
To: 09/01/12
(12:01 a.m. Standard time at the Address of the Insured)
5. Summary of Coverages:
SECTION COVERAGE DESCRIPTION CO-INS % DED LIMIT OF INSURANCE
I -- Statutory and Policy Conditions, Data and Terrorism Exclusions - INCLUDED
II A Commercial Property Floater 90% $1,000 $NOT INSURED
B Office Contents Floater 90% $1,000 $NOT INSURED
C Commercial Building Broad Form 90% $1,000 $NOT INSURED
III -- Miscellaneous Articles Floater No-Co $1,000 $10,000
IV Crime Insurance
A Employee Dishonesty Bond – Form A $1,000 $30,000
B Broad Form Money & Securities—Inside Robbery $1,000 $30,000.
Broad Form Money & Securities—Outside Robbery $1,000 $30,000.
C Money Order and Counterfeit Paper $1,000 $30,000.
D Depositors’ Forgery $1,000 $30,000.
rotary 8/02 2
CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance
under Master Policy # 551493027
for
Rotary District 7090
DECLARATIONS PAGE 2 OF 2
NOTE: THIS POLICY IS SUBJECT TO AN AMENDMENT OF CONDITIONS ENDORSEMENT (ANTI-STACKING CLAUSE). REFER TO THE INSURANCE CONTRACT FOR EXACT DETAILS.
SECTION COVERAGE DESCRIPTION DEDUCTIBLE LIMIT(S) OF LIABILITY
V Commercial General Liability:
A Bodily Injury and Property Damage Liability
$5,000,000 Each Occurrence Limit
A Bodily Injury and Property Damage Liability
$10,000,000 General Aggregate Limit
A Products Completed Operations $5,000,000 Aggregate Limit A Property Damage Deductible $500. B Personal Injury and Advertising Injury $5,000,000 C Medical Payments Per Accident $25,000. C
D E F
Medical Payments Per Person Tenant’s Legal Liability Employers Liability Employee Benefits Errors & Omissions – Claims Made Coverage
$250
$2,500. $1,000,000 Each Location $1,000,000 $1,000,000 Each Claim
G NonNon-Owned Automobile Liability $5,000,000 H Excluding Long Term Leased Autos Included I
J
Legal Liability for Damage to Non-Owned Autos Blanket Written Contractual Liability
$50,000. Included
K Reduction of Coverage for Lessee or Drivers of Leased Vehicles Endorsement
Included
VI Association Liability – Claims Made Coverage Legal Expenses
$1,000 $2,000,000. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate
VII ENDORSEMENTS- See Schedule of
Endorsements
Abuse Limitation Endorsement L150N (01-06) 10% $1,000,000
6. Premium: $As Invoiced by the Rotary District.
7. Broker: Norwich Insurance Brokers a division of 1129337 Ontario Inc. 13 Stover Street North, Norwich, Ontario N0J 1P0 This Certificate of Insurance consists of two pages, and shall not be valid or binding unless signed by a duly Authorized Representative of the Insurer.
IF YOU HAVE A CLAIM, CALL 1-888-773-2228 AND YOU WILL BE PUT IN TOUCH WITH A
NOVEX CLAIMS REPRESENTATIVE ________________________________
AUTHORIZED REPRESENTATIVE
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