SRUSS

CERTIFICATE OF LIABILITY INSURANCE

This certificate is issued as a matter of information only and confers no rights upon the certificate holder and imposes no liability on the insurer.
This certificate does not amend, extend or alter the coverage afforded by the policies below.
1. CERTIFICATE HOLDER - NAME AND MAILING ADDRESS 2. INSURED’S FULL NAME AND MAILING ADDRESS

AECOM Maintenance Service Ltd. 1625785 Alberta Ltd.

240, 6025 11 Street SE 50512 RR 245 Unit 250
Calgary, AB Leduc County, AB
POSTAL POSTAL
CODE T2H 2Z2 CODE T4X 0P5
3. DESCRIPTION OF OPERATIONS/LOCATIONS/AUTOMOBILES/SPECIAL ITEMS TO WHICH THIS CERTIFICATE APPLIES (but only with respect to the operations of the Named Insured)

Quality Control Supervisor

4. COVERAGES
This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated notwithstanding any requirements, terms
or conditions of any contract or other document with respect to which this certificate may be issued or may pertain. The insurance afforded by the policies described herein is
subject to all terms, exclusions and conditions of such policies.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
EXPIRY LIMITS OF LIABILITY
EFFECTIVE
INSURANCE COMPANY (Canadian dollars unless indicated otherwise)
TYPE OF INSURANCE DATE DATE
AND POLICY NUMBER AMOUNT OF
YYYY/MM/DD YYYY/MM/DD COVERAGE DED.
INSURANCE
COMMERCIAL GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY BODILY INJURY AND PROPERTY DAMAGE
LIABILITY - GENERAL AGGREGATE
5,000,000
CLAIMS MADE OR X OCCURRENCE
- EACH OCCURRENCE 5,000,000
X PRODUCTS AND / OR COMPLETED OPERATIONS INTACT INSURANCE COMPANY PRODUCTS AND COMPLETED OPERATIONS
X EMPLOYER’S LIABILITY 2019/9/27 2020/9/27 AGGREGATE
5,000,000
5A1326122
X CROSS LIABILITY PERSONAL INJURY LIABILITY
OR
PERSONAL AND ADVERTISING INJURY
5,000,000
X LIABILITY

MEDICAL PAYMENTS 10,000

X TENANTS LEGAL LIABILITY TENANTS LEGAL LIABILITY 500,000
POLLUTION LIABILITY EXTENSION POLLUTION LIABILITY EXTENSION

X NON-OWNED AUTOMOBILES INTACT INSURANCE COMPANY NON OWNED AUTOMOBILE

HIRED AUTOMOBILES 2019/9/27 2020/9/27 5,000,000
5A1326122
AUTOMOBILE LIABILITY BODILY INJURY AND PROPERTY
DESCRIBED AUTOMOBILES DAMAGE COMBINED

ALL OWNED AUTOMOBILES BODILY INJURY (PER PERSON)

LEASED AUTOMOBILES **
BODILY INJURY (PER ACCIDENT)
** ALL AUTOMOBILES LEASED IN EXCESS OF
30 DAYS WHERE THE INSURED IS REQUIRED
TO PROVIDE INSURANCE
PROPERTY DAMAGE

EXCESS LIABILITY EACH OCCURRENCE

UMBRELLA FORM
AGGREGATE

OTHER LIABILITY (SPECIFY)

5. CANCELLATION

30 days written notice to the

Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail _______
certificate holder named above, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives.
6. BROKERAGE/AGENCY FULL NAME AND MAILING ADDRESS 7. ADDITIONAL INSURED NAME AND MAILING ADDRESS
(but only with respect to the operations of the Named Insured)

HDF Insurance AECOM Maintenance Service Ltd.

110-10055 106 Street NW 240, 6025 - 11 Street SE
Edmonton, AB Calgary, AB
POSTAL
CODE
T5J 2Y2
POSTAL
BROKER CLIENT ID: 1625ALB-02 CODE T2H 2Z2
8. CERTIFICATE AUTHORIZATION
CONTACT NUMBER(S)
ISSUER HDF Insurance
TYPE Phone NO. (800) 567-2048 TYPE Fax NO. (780) 488-1633
AUTHORIZED REPRESENTATIVE HDF Insurance (House) TYPE NO. TYPE NO.

SIGNATURE OF
AUTHORIZED REPRESENTATIVE
DATE 2019/9/9 EMAIL ADDRESS

CSIO C0910ECL - CERTIFICATE OF LIABILITY INSURANCE - 2010/09 © 2010, Centre for Study of Insurance Operations. All rights reserved.