1. No category

Broker
Name:
Westland Insurance Group Ltd.
Address:
#200 - 2121 160th St.
Surrey, BC, V3S 9N6
Agency:
6200278
Insured
Name:
Parksville & District Association for Community Living and Oceanside Community Arts
Council
Address:
PO Box 578
118 McMillan Street
Parksville, BC, V9P2G6
Policy
Number:
CBC 1930090 03
Effective:
November 27, 2014
Expiry:
November 27, 2015
Northbridge General Insurance Corporation
Declaration Page
Agency:Westland Insurance Group Ltd.
Agency Number: 6200278
Policy Number : CBC 1930090 03
Insured's Name and Address
Parksville & District Association for Community
Living
PO Box 578 118 McMillan Street
Parksville,
BC, V9P2G6
Form of Business:
Corporation
Description Building Ownership
of Operations:
Policy Effective Date : November 27, 2014
Policy Expiry Date : November 27, 2015
(12:01 a.m. Standard Time at Insured's Mailing Address)
Insurance is provided only for those coverages for which a specific limit/amount of insurance or premium is stated below:
Summary of All Locations
Limit of Liability*
Part I - Property
Coinsurance: See Coverage Schedule
Building
Business Personal Property
Equipment Breakdown
Chargeable Endorsements
Part II - Business Income Coverage
Chargeable Endorsements
Part III - Commercial General Liability
Each Occurrence
General Aggregate
Chargeable Endorsements
Part IV - Non-Owned Auto
Legal Liability for Damage to Hired Automobiles
Part V - Umbrella
Each Occurrence
Aggregate
Chargeable Endorsements
Part VI - Crime
Part VII - Automobile
Part VIII - Additional Coverages
Part IX - Inland Marine
Deductible*
(per occurrence)
Annual
Premium*
$561,800
$20,600
$582,400
see schedule of coverages
not covered
none
see schedule
$1,000
$1,000
see schedule of coverages
not covered
none
Included
Included
Included
Included
not covered
N/A
$2,000,000
$5,000,000
none
$250,000
$75,000
$1,000 PD
none
as per policy
$500
Included
Included
N/A
Included
Included
not covered
not covered
not covered
none
see coverage summary
not covered
not covered
not covered
not covered
not covered
N/A
Included
not covered
not covered
not covered
none
see coverage summary
not covered
not covered
not covered
* For Limits of Liability and Annual Premium applicable to each location, see attached Coverage Schedule.
Premium (Sub Total) :
Method of Payment : Refer to Billing Invoice
Authorized Representative
Northbridge General Insurance Corporation
November 18, 2014
$2,036
Parksville & District Association for Community Living
Effective: November 27, 2014
CBC 1930090 03
Part I & II Coverage Schedule
(attached to and forming part of the Declaration Page)
Location #1 :
Co-Insurance :
133 McMillan Street
Parksville,
BC, V9P2G6
90 %
Aggregate Liability
Limit
Coverage
CBC 100
CBC 101
Building
Business Personal Property
Breakdown of Business Personal Property:
Stock
$20,600
Equipment Breakdown
Direct Damage Deductible: $1,000
Free Form Endorsements - Part I
Earthquake
Flood
Deductible
Annual
Premium
$561,800
$20,600
$1,000
$1,000
Included
Included
$582,400
$1,000
Included
10%
$10,000
Included
Included
Included
Northbridge General Insurance Corporation
November 18, 2014
CBC 001 F8651EXW (09/2014)
Parksville & District Association for Community Living
Effective: November 27, 2014
CBC 1930090 03
Part III - Commercial General Liability Schedule
(attached to and forming part of the Declaration Page)
Commercial General Liability
Limits of Insurance
Each Occurrence Limit
$2,000,000
Personal & Advertising Injury Limit
$2,000,000
Products - Completed Operations Aggregate Limit
$2,000,000
General Aggregate Limit
$5,000,000
Property Damage Deductible
$1,000
Bodily Injury Deductible
$0
Combined Property Damage & Bodily Injury Deductible
CHARGEABLE EXTENSIONS AND ENDORSEMENTS:
Coverage
Limits of Insurance
Tenants' Legal Liability
Medical Payments
Employee Benefits
Each Occurrence Limit
Aggregate Limit
$500,000
$25,000
Deductible
$1,000
$1,000
Premium
Included
Included
Included
$1,000,000
$1,000,000
ENDORSEMENTS:
CBC 309
CBC 361
CBC 430
Limitation of Coverage to Designated Premises
Employers Liability
Pyramiding Of Limits Endorsement
Northbridge General Insurance Corporation
November 18, 2014
CBC 001 F8651EXW (09/2014)
Parksville & District Association for Community Living
Effective: November 27, 2014
CBC 1930090 03
Part IV - Non Owned Automobile Liability Schedule
(attached to and forming part of the Declaration Page)
Non Owned Automobile Liability
Limits of Liability
$250,000
CHARGEABLE ENDORSEMENTS:
Coverage
Limit of Liability
SEF #94 Legal Liability For Damage to Hired Autos
$75,000
Northbridge General Insurance Corporation
November 18, 2014
Deductible
Premium
$500
Included
CBC 001 F8651EXW (09/2014)
Parksville & District Association for Community Living
Effective: November 27, 2014
CBC 1930090 03
Free Form Endorsements
(attached to and forming part of the Declaration Page)
Endorsement 1
Description:
Applicable to:
Text:
INSURED'S NAME
Policy
IT IS HEREBY UNDERSTOOD AND AGREED THE INSURED'S NAME IS TO READ Parksville & District
Association for Community Living and
Oceanside Community Arts Council
Endorsement 2
Description:
Applicable to:
Text:
Association of Community Living Extension Endorsement
Policy
It is agreed that the attached Association of Community Living Extension Endorsement is
added to and forms part of this policy.
All else remains as is.
Endorsement 3
Description:
Applicable to:
Text:
WATER DAMAGE DEDUCTIBLE ENDORSEMENT
Part I - All Locations
Applicable to Part I Property
We are liable for the amount by which the loss or damage caused by the following peril(s)
exceeds $ 2,500 in any one occurrence:
1) the sudden and accidental escape of water from a watermain, swimming pool, hot tub,
sauna, steam room, or equipment attached;
2) the sudden and accidental escape of water or steam from within a plumbing, heating,
sprinkler or air conditioning system, or water container;
3) the sudden and accidental bursting, tearing apart, cracking, burning or bulging due to the
pressure (or lack of) water or steam in a plumbing, heating, sprinkler or air conditioning system
or an appliance for heating water;
Should one occurrence give rise to the application of more than one deductible, only the
largest individual deductible amount will apply.
Northbridge General Insurance Corporation
November 18, 2014
Parksville & District Association for Community Living
Effective: November 27, 2014
CBC 1930090 03
Free Form Endorsements
(attached to and forming part of the Declaration Page)
For the purpose of this endorsement, plumbing system does not include sewers, sumps, septic
tanks or drains.
For the purpose of this endorsement, water container means a devise or apparatus for use on
the premises for containing, heating, chilling, or dispensing water, including but not limited to
toilets, bidets, showers, bathtubs, clothes washing machines, dishwashers, refrigerators,
aquariums, ponds, and fountains.
Except as otherwise provided under this Form, all terms, provision and conditions of the Policy
shall have full force and effect.
Endorsement 4
Description:
Applicable to:
Text:
Limit: $20,000
Contents Coverage
Part I
It is hereby understood and agreed that the insurance provided under Section 1 - Contents (Stock) coverage applies
to Oceanside Community Arts Council only.
Deductible:
Additional / Return Premium:
Northbridge General Insurance Corporation
November 18, 2014
Included