HomeMy WebLinkAboutFIN 24-14 Cifr 00 Report to
Executive Committee
Report Number: FIN 24-14
Date: December 8, 2014
From: Paul Bigioni
Director, Corporate Services & City Solicitor
Subject: 2015 Property and Liability Insurance Renewal
Recommendation:
1. That Report FIN 24-14 of the Director, Corporate Services & City Solicitor
regarding the 2015 property and liability insurance renewal be received;
2. That the'City of Pickering renew its property, liability and other insurance policies
through Jardine Lloyd Thompson Canada Inc. (JLT) for the period January 1,
2015 to December 31, 2015 in the amount of$658,792 (plus applicable taxes)
and inclusive of terms and conditions acceptable to the Division Head, Finance &
Treasurer;
3 That the insurance coverage through JLT be for a period of one (1) year with an
option in favour of the City to extend the coverage on the same terms and
conditions for three (3) consecutive one year renewal terms, each subject to
Council approval;
4. ,That L.V. Walker &Associates be confirmed as the City's Adjuster of Record for
property, liability and other insurance and related matters;
5. That the Division Head, Finance &Treasurer be authorized to settle any claims
including employing resources to investigate and defend claims, adjusting and
legal fees, where it is in the City's interest to do so;
6. That the Division Head, Finance &Treasurer be authorized to purchase
additional insurance, make changes to deductibles and existing coverages,and
alter terms and conditions as becomes desirable or necessary to limit potential
liability exposure and to protect the assets of the City and its elected officials and
. staff; and,
7. That the appropriate officials be authorized to take the necessary actions to give
effect thereto.
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Report FIN 24-14 December 8, 2014
Subject: 2015 Property and Liability Insurance Renewal Page 2
Executive Summary: The City's insurance program continues to operate
successfully and the above recommendations provide for a renewal of the policies
essentially on the same or improved terms and conditions as in past years, with
coverage that includes the Library, its Board and its employees.
Financial Implications: The insurance premium will be provided for in the City's
2015 current budget to be approved by Council. The premium increase is 2.36% when
compared to last year's premium and coverage.
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Discussion: The City provides a wide variety of public services and programs to its
residents including but not limited to fire, roads and sidewalks maintenance, parks,
recreation and cultural services, storm water management, planning services, building
services and animal services. The City's capital assets have an insured value of$203
million.
The City is exposed to many potential risks and claims through the provision of services
to the public and by allowing public access to its facilities and infrastructure. As these
claims may be significant, the City maintains financial stability with a combination of risk
management practices and insurance coverage.
The City's current insurance provider was secured through a competitive Request for
Proposal process in 2013. A total of four proposals were received and the successful
proponent was Jardine Lloyd Thompson (JLT), which was the highest ranked and
lowest priced proponent Council approved the award of the City's insurance program
to JLT for a period of one year (January 1, 2014 to December 31, 2014) with an option
in favour of the City to extend coverage on the same terms and conditions for four
consecutive one year renewal terms, each subject to Council approval.
Current Coverage
The City's current insurance coverage is very broad and includes:
- General Municipal Liability
- Property and Equipment Breakdown
-Automobile Fleet
- Errors and Omissions
- Non-Owned Automobile
- Environmental Liability
- Comprehensive Crime
- Councilors' and Board Members'Accident
- Conflict of Interest
- Legal Expense
- Garage Automobile
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Report FIN 24-14 December 8, 2014
Subject: 2015 Property and Liability Insurance Renewal Page 3
The City's current insurance coverage has a general liability limit of$50 million and a
deductible of$100,000. The City's auto coverage has a liability limit of$5 million and a
$10,000 deductible. The City's property coverage has a $25,000 deductible.
2015 Insurance Premiums
Changes to the total cost of insurance can be split into three categories:
1) Premium changes are typically based on the City's claims experience and municipal
insurance market changes.
2) Asset changes are due to adding or removing assets to/from the policy, such as
buildings, automobiles and equipment, and changes in asset value due to inflation.
3) Coverage changes occur when the City adds or removes coverages, changes
coverage limits and/or changes deductible limits.
City Insurance Costs (Before HST)
2012-2015
$800,000
$771,448
$750,000
Cost savings
$705, were used to
$700,000 >wer-property
taxes
$658,792
$650,000 $ 3'632
$600,000
2012 2013 2014 2015
City staff believe that the proposed 2.36% premium increase for 2015 is reasonable and
therefore recommend that the City renew its property, liability and other insurance
policies through JLT for the period January 1, 2015 to December 31, 2015 in the
amount of$658,792 (plus applicable taxes).
Attachments:
1. Summary of Coverage, Limits and Deductibles
111 •
Report FIN 24-14 December 8, 2014
Subject: 2015 Property and Liability Insurance Renewal Page 4
Prepared By: Approved/Endorsed By:
2/441a6u,
James Halsall Stan Karwowski
Manager, Budgets & Internal Audit Divisio -ead, Finance &Treasurer
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Paul Bigio
Director, •o por. e Services & City Solicitor
Recommended for the consideration
of Pickering Ci► Coun it
//
ZG, 2-0/4-
Tony Prevedel, P.Eng.
Chief Administrative Officer
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;TTACHN ENT# I TO REPORT# 04
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JLT
Jardine Lloyd Thompson Canada Inc.
Public Sector Division
Box 3, Suite 800, 55 University Avenue, Toronto, ON M5J 2H7
Phone: 416 941 9551 Toll Free: 800 268 9189 Fax: 416 941 9323
MUNICIPAL INSURANCE PROGRAM
PROPOSAL
CORPORATION OF THE CITY OF PICKERING
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Date of Issue: November 10, 2014 Revised
Prepared by: Judy Daniels
Direct phone line: 416-628-2139
E-mail address: jdaniels @jltcanada.com
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$JLT
Jardine Lloyd Thompson Canada Inc.
IMPORTANT—PLEASE NOTE THE FOLLOWING
This proposal should be read in conjunction with the JLT Canada"Business Protocols" booklet.
DUTY OF DISCLOSURE
In addition to providing all basic information necessary to enable us to place the risk, you must
ensure that you are complying with your legal duty of disclosure of all material matters relating
to the risk. In particular, you must satisfy yourself as to the accuracy and completeness of the
information you provide to insurers. In this respect, you must provide all information relating to
the risk, whether favorable or not, which would influence the judgement of a prudent insurer in
determining whether he will take the risk, and, if so, for what premium and on what terms. If all
such information is not disclosed by you, insurers have the right to void the policy from
its inception which may lead to claims not being paid.
PAYMENT TERMS
Premiums are due and payable on receipt of a JLT invoice. Payment should be made
immediately to avoid any possible cancellation for non-payment of premium.
PERIOD OF VALIDITY OF QUOTE
This offer remains open for acceptance by the Insured until the expiry of the current Municipal
Insurance program policy(ies).
BREACH OF WARRANTY OR SUBJECTIVITY
If any of the terms and conditions contained in this proposal are identified as a"warranty" or as
a subjectivity to binding or continuing cover,you should be aware-that if the terms of the
warranty as stated are breached or the subjectivity is not met, insurers may have the right to
void the applicable coverage and deny any resulting or subsequent losses as a result.
UNDERINSURANCE
It is important that all policy limits and amounts insured be reviewed carefully and at least
annually to be certain they are adequate to provide full recovery in event of a loss.
UNDERWRITING/ BINDING AUTHORITY •
Certain portions of this quotation of cover have been provided by JLT acting in an underwriting •
capacity on behalf of the Insurer who, under a binding authority agreement, has given us
authority to quote and confirm insuring terms, conditions and premiums. JLT Canada is not
acting as an insurance broker in this instance and is not providing alternative terms or markets
for the cover other than as quoted. For covers where JLT does not act in an underwriting
capacity nor has a binding authority agreement with the Insurer, coverage cannot be bound with
those Insurers unless a request is made to the Insurer and confirmation of coverage is
subsequently received by JLT Canada from the Insure.
MATERIAL CHANGES FROM EXPIRING POLICY
You should carefully note any items identified in the"Changes from Expiry" section under each
coverage as they represent material changes in cover from your previous policy.
RISK AND CLAIMS INFORMATION
This proposal has been based on the risk and claims information provided and/or verified by you
to JLT. If any of this information is not correct or has changed in the interim, you must advise us
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LT
Jardine Lloyd Thompson Canada Inc.
immediately as the terms quoted may therefore be invalid and cover cannot be bound as
quoted.
TAXES PAYABLE BY
INSUREDS: The following taxes as prescribed by federal and/or local laws and
regulations will apply to all or certain portions of the premiums
quoted and will be charged by JLT in addition to the premiums
quoted:
Provincial Sales Tax
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" LT
Jardine Lloyd Thompson Canada Inc.
SUMMARY OF COVERAGE, LIMITS AND DEDUCTIBLES
• Name of Insured: Corporation of the City of Pickering
Policy Period: January 1, 2015 to January 1, 2016
12:01 a.m. local time at the mailing address of the Named Insured
CANADIAN COUNCILS LIABILITY
General Liability: $ 5,000,000 any one Occurrence and
LIMIT OF LIABILITY in the Annual Aggregate for
Products and Completed
Operations during the Policy Period
Extension Limit
EXTENSIONS Employers' Liability $ 5,000,000 any one Claim
OF COVERAGE Tenant Legal Liability • $ 5,000,000 any one Occurrence
Employee Benefit Liability $ 5,000,000 any one Claim
Incidental Medical Malpractice $ 5,000,000 any one Claim
Retro Date: November 15, 1993
Voluntary Medical Payments $ 50,000 any one Claim and in
the Annual Aggregate during the Policy
Period
Forest Fire Fighting Expense $ 1,000,000 any one Occurrence
and in the Annual Aggregate during the
• Policy Period
Voluntary Payment for Property $ 50,000 any one Occurrence
Damage and in the Annual Aggregate during the
Policy Period
Incidental Garage Operations $ 250,000 any one Occurrence
and in the Annual Aggregate during the
Policy Period
Municipal Marina Legal Liability $ 100,000 any one Pleasure Craft
$ 1,000,000 in the Annual
Aggregate for Legal Liability for
Property Damage during the Policy.
Period
Wrongful Dismissal (Legal . $ 250,000 any one Claim
Expense) and in the Annual Aggregate during
the Policy Period
Conflict of Interest and Legal $ 100,000 any one Claim and
Expense Reimbursement $ 500,000 in the Annual
Aggregate during the Policy Period
Non-Owned Automobile(including $ 5,000,000 any one Occurrence
Contractual Liability for Hired
Autos)
Legal Liability for Damage to $ 250,000 any one Occurrence
Hired Autos
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LT
Jardine Lloyd Thompson Canada Inc.
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Endorsement Limit
ENDORSEMENTS Municipal Errors and Omissions $ 5,000,000 any one Claim and in
Liability the Annual Aggregate during the Policy
Retroactive Date: Unlimited Period
Environmental Impairment Liability $ 2,500,000 any one Claim and
Retroactive Date: $ 5,000,000 in the Annual
November 15, 1993 Aggregate during the Policy Period •
Abuse/Molestation Liability $ 250,000 any one Claim and
Retroactive Date: January 1, 2014 $ 500,000 in the Annual
Aggregate during the Policy Period
Voluntary Compensation As per Endorsement No. 4—Schedule
of Benefits
Applicable Coverage Deductible
DEDUCTIBLE(S) Public Entity General Liability $ 100,000 per Occurrence except
per Claimant in respect of Sewer
Backup
Extensions of Coverage $ 100,000 per Occurrence/per
Claimant for all Extensions of Coverage
except: $NIL with respect to Non- '
Owned Automobile Liability, Conflict of
Interest and Legal Expense
Reimbursement, and Voluntary
Compensation;
$ 1,000 with respect to Legal
Liability for Damage to Hired Autos
$ 5,000 with respect to
Wrongful Dismissal (Legal Expense)
Municipal Errors and Omissions $ 100,000 per Claim
Liability
Environmental Impairment Liability $ 100,000 per Claim
Abuse/Molestation Liability $ 100,000 per Claim
Checkroom Liability Endorsement—Included
Underground Storage Tanks -Covered
1. 2570 Tillings Rd 22,700 L Diesel
ENDORSEMENTS 2. 2570 Tillings Rd 22,700 L Diesel
3. 2570 Tillings Rd 22,700 L Diesel
4. 1115 Finch Ave 2,295L Diesel
POLICY FORM PK1403529000 (2014) UMR B0753PK11403529000
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...44j-LT
Jardine Lloyd Thompson Canada Inc.
INSURER(S)AND
PROPORTION OF Certain Lloyd's Underwriters(Syndicate 1886)—100%
PARTICIPATION(S)
1.Environmental Impairment Liability—
1115 Finch Ave- Diesel Tank—Excluded as no containment
SUBJECT TO 2. Abuse&Molestation—background checks in place for employees
implemented into hiring process
3. Terms will remain as indicated subject to no claims deterioration as of
January 1, 2015
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LT
Jardine Lloyd Thompson Canada Inc.
CANADIAN COUNCILS UMBRELLA LIABILITY
$45,000,000 any one Occurrence.
$45,000,000 in the Annual Aggregate in respect of Products&Completed
Operations
LIMITS OF LIABILITY $45,000,000 in the Annual Aggregate in respect of Municipal Errors and
Omissions Liability
$45,000,000 in the Annual Aggregate in respect of Employee Benefits
Liability
EXCESS OF Underlying Coverage Underlying Limit
UNDERLYING General Liability $ 5,000,000 any one Occurrence
COVERAGE(S)AND Incidental Medical $ 5,000,000 any one Claim
LIMIT(S) Malpractice
Non-Owned Automobile $ 5,000,000 any one Occurrence
Liability
Municipal Errors& $ 5,000,000 any one Claim
Omissions Liability
Owned Automobile Liability $ 5,000,000 any one Occurrence
Garage Automobile Liability $ 5,000,000 any one Occurrence
Employee Benefits Liability $ 5,000,000 any one Claim
RETAINED LIMIT $ Nil
ENDORSEMENTS Endorsement#1 -Standard Excess Automobile Liability Policy SPF No. 7
Follow Form Named Insured
POLICY FORM PK1403533000(2014) UMR B0753PK1403533000
INSURER(S) AND
PROPORTION OF Certain Lloyd's Underwriters (Syndicate 1886)-100%
PARTICIPATION(S)
SUBJECT TO Terms will remain as indicated subject to no claims deterioration as of
January 1, 2015
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LT
Jardine Lloyd Thompson Canada Inc. •
COMBINED PHYSICAL DAMAGE&MACHINERY BREAKDOWN
COVERAGE Property Of Every Description—All Risks of Direct Physical Loss or Damage
(Subject to Policy Exclusions)
$201,292,722 Limit of Loss on Blanket Property of Every Description
•
including Machinery Breakdown
$ 1,659,900 Computer/Electronic Data Processing
(Included in Blanket Limit)
LIMITS $ 794,500 Business Interruption—Profits(Included in Blanket Limit)
$ 1,562,400 Mobile Unlicensed.Equipment(Included in Blanket Limit)
$ 2,180,000 Bridges (Not Included in Blanket Limit)
EXTENSIONS The Limits shown below are included in the Blanket Limit shown above:
OF COVERAGE Extension Limit
Valuable Papers $ 500,000
Extra Expense $ 1,000,000
Accounts Receivable $ 500,000
Gross Rentals $ 500,000
Computer Media $ 500,000
Fine Arts(Agreed Value) $ 72,100
Ammonia Contamination $ 500,000
Water Escape $ 500,000
The Limits shown below are in addition to the Blanket Limit shown above:
Extension Limit
Newly Acquired Property $ 1,000,000
Buildings in the Course of Construction $ 1,000,000
Property in Transit $ 500,000
Unnamed Locations $ 1,000,000
Expediting Expense $ 500,000
Contingent Business Interruption $ 1,000,000
Fire Extinguishing Materials and Fire $ 100,000
Fighting Expense
Professional Fees $ 500,000
Hacking Event or Computer Virus attack
—any one Random Attack or Any One
Specific Attack, any one event or total $ 100,000
loss in a policy year for the combined
total loss or damage
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LT
Jardine Lloyd Thompson Canada Inc. ��
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EXTENSIONS The Limits shown below are in addition to the Blanket Limit shown above:
OF COVERAGE Extension Limit
CONTINUED Master Key $ 10,000
Land and Water Pollution Clean Up $ 100,000
Expense
Stock Spoilage $ 100,000
Consequential Damage $ 100,000
Off Premises Service Interruption $ 1,000,000
Exhibition Floater $ 100,000
Hazardous Substance $ 500,000
• Property of Councillors', Board $ 5,000 any one loss
Members' and Employees' ($25,000 maximum annual policy
limit)
YEAR TWO(2)OF TWO(2)YEAR TERM RATE GUARANTEE ENDORSEMENT
ENDORSEMENTS
It is understood and agreed that:
1.. Upon the expiry date of the policy to which this Agreement is attached,the
Insurer shall submit to the Insured a statement showing loss ratio produced
for the account for the 12 month period preceding the anniversary date.The
rate increase on the above policy, excluding reinsurance costs, shall be held
to 0%subject to the following:
a. Providing the loss ratio on the account is less than or equal to 40%
b. No material change in risk
2. The term"loss ratio"as used herein shall mean the ratio of losses incurred
to premiums earned under all policies expressed as a percentage.
3. The term"loss occurred"as used herein shall mean actual paid losses,
allocated loss adjustment expenses, legal expenses,as well as loss reserves
as estimated by the Insurer for unpaid losses, including losses reported and
reserved after each expiry date.The Insurer's loss runs shall be considered
accurate for this purpose.
Except as otherwise provided in this endorsement all limits,terms, conditions,
provisions,definitions and exclusions shall have full force and effect.
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Jardine Lloyd Thompson Canada Inc.
DEDUCTIBLE(S) $ 25„000 each Occurrence for All Losses except:
$ 25,000 each Flood Loss
5% of total loss or$100,000 minimum, whichever is greater, each Earthquake
occurrence.
$ 1,000 each Fine Arts
POLICY FORM Municipal Insurance Program- Master Policy (August 15, 2014)
Physical Damage:
Aviva Insurance Company of Canada—70%
The Sovereign General Insurance Company— 12.2%
INSURER(S)AND
PROPORTION OF Certain Lloyd's Underwriters- 17.8% UMR B753PG1300907000
PARTICIPATION(S) (Participation of Lloyd's Underwriter is based on Blanket Limit and Limits in
Addition to the Blanket Limit)
Machinery Breakdown:
Aviva Insurance Company of Canada— 100%
1. All cooking facilities are ULC wet chemical compliant with semi-annual
maintenance contract and Class K portable extinguisher.
2. Unless specifically agreed, all heritage properties are covered for
Replacement Cost only. For Heritage Replacement Cost, a professional
SUBJECT TO appraisal must be provided for approval by the insurer.
3.All locations may be subject to Engineering Inspection.
4. Terms will remain as indicated subject to no claims deterioration as of
January 1, 2015
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Jardine Lloyd Thompson Canada Inc.
COMPREHENSIVE CRIME
$ 1,000,000 Employee Dishonesty—Form A
$ 200,000 Broad Form Loss of Money(Inside Premises)
$ 200,000 Broad Form Loss of Money(Outside Premises)
LIMITS $ 200,000 Money Orders&Counterfeit Paper Currency
$ 1,000,000 Depositors Forgery
$ 200,000 Professional Fees/Audit Expenses
$ 200,000 Computer Fraud or Funds Transfer Fraud
DEDUCTIBLE $Nil per Loss •
POLICY FORM Master Crime Wording (Apr. 2012)
INSURER(S)AND
PROPORTION OF Aviva Insurance Company of Canada— 100%
PARTICIPATION(S)
Important:
1. Bank Accounts NOT being reconciled by the same person(s)authorized
to deposit and withdraw funds.
SUBJECT TO 2.All cheque requisitions and issued cheques containing dual signatures.
If the above is not part of your internal Financial controls, please provide
explanation(s).
3..Terms will remain as indicated subject to no claims deterioration as of
January 1, 2015
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4JLT
Jardine Lloyd Thompson Canada Inc.
AUTOMOBILE INSURANCE (ONTARIO)
Liability—Bodily Injury/Property Damage Limit: $5,000,000
Deductible: $10,000
• Accident Benefits—Basic Benefits Limit as stated in Policy
COVERAGE
APPLICABLE Uninsured Automobile Limit as stated in Policy
Direct Compensation—Property Damage Limit as stated in Policy
Deductible: $10,000
Loss or Damage—All Perils Deductible: $10,000
Notice of Cancellation Ninety(90) Days
Replacement Cost Endorsement on all vehicles 20 Years and newer
unless otherwise agreed
Fire Trucks-over 20 years, up to and including 25 years old—Guaranteed
Amount(purchase price to be used unless professional appraisal provided)
- over 25 years old-Actual Cash Value
OPCF 20 Loss Of Use—Applicable to Fifty-Seven (57) Light Units
OPCF 21 B Blanket Fleet Endorsement—No Annual Adjustment
OPCF 31 Non-Owned Equipment
OPCF 24 Freezing of Fire-Fighting Apparatus
ENDORSEMENTS OPCF 44 Family Protection Endorsement:
(Applicable only to Private Passenger Vehicles, Light Commercial Vehicles,
Skidoos and All Terrain Vehicles, and Police Vehicles)
Additional Endorsements:
OPCF 3 Drive Government Automobiles
OPCF 4A Permission to Carry Explosives
OPCF 4B Permission to Carry Radioactive Material
OPCF 5 Permission to Rent or Lease
OPCF 32 Use of Recreational Vehicles by Unlicensed Drivers
Tarmac Exclusion
POLICY FORM Provincial Statutory Owner's Policy
INSURER(S)AND
PROPORTION OF • Aviva Insurance Company of Canada—100%
PARTICIPATION(S)
SUBJECT TO Terms will remain as indicated subject to no claims deterioration as of
January 1, 2015
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Jardine Lloyd Thompson Canada Inc.
GARAGE AUTOMOBILE(ONTARIO)
Section 1 $5,000,000 Third Party Liability Inclusive Limit
Section 2 Accident Benefits—Included
Section 3 Uninsured Automobile—Included
Section 4 Direct Compensation Property Damage_Included
LIMITS OF Section 5 Liability Damage to Customer's Automobile
COVERAGE Collision—Limit any One Automobile $200,000
Deductible: $500
Specified Perils —Limit of Liability-Any One Occurrence
$300,000
Deductible: $500
OEF 71 Excluding Owned Automobiles Endorsement
ENDORSEMENTS OEF 77 Comprehensive Damage to Customer's Automobiles including
Open Lot Theft
OEF 81 Garage Family Protection Endorsement
POLICY FORM Provincial Statutory Garage Automobile Policy OAP 4
INSURER(S)AND -
PROPORTION OF Aviva Insurance Company of Canada— 100%
PARTICIPATION(S)
SUBJECT TO Terms will remain as indicated subject to no claims deterioration as of
January 1, 2015
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Jardine Lloyd Thompson Canada Inc.
COUNCILLORS'ACCIDENT COVERAGE
LIMITS OF $ 250,000 Principal Sum
COVERAGE
Number of Councillors: Seventeen (17) Persons
INCLUDED
COVERAGE 24 Hour Coverage
POLICY FORM Insurer's Standard Form
INSURER(S)AND
PROPORTION OF AIG Insurance Company of Canada—100%
PARTICIPATION(S)
$2,500,000 Aggregate Limit of Indemnity Per Accident
SUBJECT TO Terms will remain as indicated subject to no claims deterioration as of
January 1, 2015
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I LT
Jardine Lloyd Thompson Canada Inc.
RISK MANAGEMENT
ELECTED OFFICIAL,
DIRECTORS AND Included
DEPARTMENTAL
SEMINARS
AUTOMOBILE Risk and Driver Assessment included
FLEET SERVICES
PREMIUM SUMMARY
TOTAL ANNUAL
PREMIUM $663,462. plus any applicable provincial sales tax
(OPTIONS NOT
INCLUDED)
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Jardine Lloyd Thompson Canada Inc.
MUNICIPAL OPTIONS
Based on Seventeen(17) Persons—under the age of 80
Out of Province —Annual Additional$1,020
Emergency Medical To increase the Trip Duration from 15 days to 30 days
—Annual Additional $1,190
Public Entity Based on Seventeen (17) Persons-age 69 or less
Recovery Assistance $5,000 limit—Annual Additional $1,856
Plan (Critical Illness) $10,000 limit—Annual Additional $2,902
RISC SYSTEMS Installation of JLT Canada software solutions
Annual Additional$2,500
DisasterPhone Enrolment in telecommunication disaster recovery service—
Annual Additional$3,000
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Jardine Lloyd Thompson Canada Inc.
ACCEPTANCE OF MUNICIPAL INSURANCE PROGRAM PROPOSAL
To: Jardine Lloyd Thompson Canada -
Public Sector Division •
Suite 800, 55 University Avenue
Toronto, Ontario M5J 2H7
Telephone:416-941-9551 or Toll Free 1-800-268-9189
Fax: 416-941-9323
Policy Term
(mm/dd/yy): January 1, 2015 to January 1, 2016
We agree with the underwriting and claims information submitted and to the terms quoted in the
Municipal Insurance Program proposal. This is your authority to proceed with binding cover(s)
as outlined in the Municipal Insurance Proposal effective the date(s) noted above.We have also
noted below our choice of any optional items in the Insurance Proposal as well as any specific
instructions.
Indicated below are our instructions regarding any optional coverages shown in the insurance
proposal.
Optional Coverages/Specific Instructions:
•
•
Signed on Behalf of Corporation of the Town of Pickering
Authorized Signature Date
Please print the name of the person signing above
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