CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance€¦ · CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance under Master Policy # 551493027 for Rotary District 7090 This

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


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


$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











1. Insured: ROTARY CLUB OF ANCASTER AM





To: 09/01/11









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included


$1,000 $not insured. Each Claim and Aggregate $ 100,000. $ 100,000. Aggregate


Endorsements




________________________________












1. Insured: ROTARY CLUB OF BRANTFORD





To: 09/01/11









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements




________________________________












1. Insured: ROTARY CLUB OF BRANTFORD SUNRISE





To: 09/01/11









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements




________________________________












1. Insured: ROTARY CLUB OF CALEDONIA





To: 09/01/11









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements




________________________________












1. Insured: ROTARY CLUB OF DELHI





To: 09/01/11









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements




________________________________












1. Insured: ROTARY CLUB OF DUNDAS





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF DUNDAS VALLEY SUNRISE





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF DUNNVILLE





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF FLAMBOROUGH AM





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF FONTHILL





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF FORT ERIE





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF GRIMSBY





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF GRIMSBY @ NOON





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF HAMILTON





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF HAMILTON AM





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF HAMILTON EAST-WENTWORTH





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF HAMILTON MOUNTAIN





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF HAMILTON SUNSET





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF LEWISTON NIAGARA ON THE LAKE





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF LINCOLN





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF NIAGARA FALLS





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF NIAGARA ON THE LAKE





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF NORFOLK SUNRISE





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF PORT COLBORNE CENTENNIAL





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF SIMCOE





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF ST. CATHARINES





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF ST. CATHARINES LAKESHORE





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF ST. CATHARINES SOUTH





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF ST. CATHARINES SUNRISE





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF STONEY CREEK





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF WATERDOWN





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements

















1. Insured: ROTARY CLUB OF WELLAND





To: 09/01/12









IV Crime Insurance






rotary 8/02 2



for











D E F


$250



J


$50,000. Included


Included




Endorsements







Documents

CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance€¦ · CANADIAN ROTARY CLUBS PROGRAM Certificate of Insurance under Master Policy # 551493027 for Rotary District 7090 This