FEDERATED INSURANCE COMPANY OF CANADA
Head Office: 717 Portage Ave., Winnipeg, MB
Mailing Address: P.O. Box 5800, Winnipeg, MB R3C 3C9
Telephone: (204) 786-6431; In Quebec; (4S0) 6B7-B650

CERTIFICATE OF INSURANCE

This Certificate is for information only; it is not a contract of insurance but attests that a policy as numbered herein (as it stands at the dale of this Certificate) has been issued by the Company. Said policy is subject to change by endorsement and to assignment and cancellation in accordance with its terms.

DATE MAILED: MAY 14 2004
CETIFICATE HOLDER INSURED
GORBERN MECHANICAL CONTRACTORS LIMITED
80 NASHDENE RD UNIT 51 BLDG B
SCARBOROUGH. ON M1V5E4

 

Is Certficate of Insurance required on renewal: No

 

PROPERTY AND LIABILITY: BASIC

POLICY NO.: 0006168.9 EFFECTIVE DATE: MAY 31 2004 EXPIRY DATE: MAY 31 2005

GENERAL LIABILITY
OCCURRENCE LIMIT: 51,000.000 AGGREGATE LIMIT: 51,000,000
X COMMERCIAL GENERAL LIABILITY INCLUDING PRODUCTS & COMPLETED OPERATIONS
X CROSS LIABILITY

UMBRELLA LIABILITY

POLICY NO.: 0006182.4 EFFECTIVE DATE: MAY 31 2004 EXPIRY DATE: MAY 31 2005
OCCURRENCE LIMIT: S4.000.000 AGGREGATE LIMIT: S4.000.000 SELF-INSURED RETENTION: S5000
X INCLUDING EXCESS AUTOMOBILE LIABILITY ON POLICIES LISTED BELOW

AUTOMOBILE LIABILITY

POLICY NO.: 0006173.5 EFFECTIVE DATE: MAY 31 2004 EXPIRY DATE: MAY 31 2005
LIMIT: $1,000,000 TYPE: NON-OWNED AUTO

AUTOMOBILE LIABILITY

POLICY NO.: 0006175.1 EFFECTIVE DATE: MAY 31 2004 EXPIRY DATE: MAY 31 2005
LIMIT: 51.000.000 TYPE: STANDARD AUTO

 

Special Provisions: The certificate holder listed above will be given 15 days written notice of cancellation.

 

This Certificate of Insurance neither affirmatively or negatively amends, extends or alters the coverage afforded by the above policy number(s).

 

3096 Ed. 10-2001

 
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