Certificate of Insurance
                                                                                                   Standard Form
            This certifies that policies of insurance as described below have been issued to the Insured named below and are in full force and effect at this time.  It is
            understood and agreed that thirty (30) days' written notice of cancellation or reduction in applicable limit of insurance of any of the policies listed below, 
            with the exception of ICBC, will be given to the holder of this certificate.  
            NOTE:      INSURANCE COMPANIES MUST BE LICENSED TO OPERATE IN CANADA.
            This Certificate is issued to:   The City of Surrey, 13450 104 Avenue, Surrey, B.C.  V3T 1V8
            Insured:      Name:        Click here to enter text.
                          Address:     Click here to enter text.
            Broker:       Name:        Click here to enter text.                                Agent’s Name:       Click here to enter text.
                          Address:     Click here to enter text.                                         Phone:     Click here to enter text.
            Location, Project No. and nature of contract, permit, lease, license or operation to which this Certificate applies:
            Click here to enter text.
                                                                                                            Policy Term
            Type of Insurance                                 Company and Policy Number                    yyyy/mm/dd                     Limits of Liability/Amount
            Section 1                                                                                                            Bodily Injury, Death & Property Damage
                                                                                                       From:                     $Click here to enter text.
            Commercial General Liability                 Click here to enter text.
                                                                                                                                 Per Occurrence $Click here to enter text.
                                                                                                       To:
            _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _ _ _ _ _ _   _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _                                 General Aggregate $Click here to enter text.
                                                                                                       _ _ _ _ _ _ _ _ _ _ _     Products & Completed Operations 
                 Umbrella Liability                      Click here to enter text.                     From:                     Aggregate $Click here to enter text.
                                                         _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ 
            _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _                                                                            Umbrella Limit
                   Excess Liability                      Click here to enter text.                     To:                       $Click here to enter text.        Excess Limit
                                                                                                                                 $Click here to enter text.        Deductible
                                                                                                                                             MINIMUM $5,000,000
                                                                                                       _ _ _ _ _ _ _ _ _ _ _ 
                                                                                                       From:
                                                                                                       To:
            Section 2                                                                                  From:                     Bodily Injury & Property Damage
            Automobile Liability (owned or leased        Click here to enter text.                                               $Click here to enter text.        Limit
            vehicles)                                                                                                                        MINIMUM $3,000,000
                                                                                                       To:
            Section 3                                                                                  From:
            Other:                                       Click here to enter text.                                               $Click here to enter text.        Limit
                                                                                                                                 $Click here to enter text.        Deductible
                                                                                                       To:
                                      Particulars of General Liability Insurance (Sections 1):  X indicates that the coverage is included.
                      City of Surrey as Additional Insured                   Broad Form Property Damage                           Broad Form Tenants Legal Liability
                      Premises & Operations
                      Broad Form Products & Completed                        Incidental Medical Malpractice                       Advertising Liability
                Operations                                                          Personal Injury                               Host Liquor Liability
                      Owners & Contractors Protective                        Use of explosives for blasting
                      Blanket Contractual                                                                                         Intentional Injury
                      Cross Liability/Severability of Interests              Vibration from pile driving or caisson               Volunteers as Additional Insureds
                      Employees Additional Insureds                          work
                      Non-Owned Automobile                                   Removal or weakening of support of                   Members as Additional Insureds
                      Attached Machinery                                     property, building or land whether the               Injury to Participants (sporting events)
                      Occurrence Property Damage                             support is natural or otherwise
                      Contingent Employer’s                                                                                       Aviation Liability
                                                                              Work below ground level over 3 meters                Non-owned aircraft liability
                                                                              (XCU extension)
                                                                                                                                   Watercraft liability
            Jun 1, 2010
                                                      Certificate of Insurance
                                                          Standard Form
                                                                             Non-owned watercraft liability
       It is understood and agreed any deductible or reimbursement clause contained in the policy shall be the sole responsibility of the Named Insured. 
                 (Authorized to Sign on Behalf of Insured)                    Date Signed
          (Authorized to Sign on Behalf of Insurers) and Brokers Stamp        Date Signed
       Jun 1, 2010