Major Events OfficeCity of Québec

Liability InsuranceEndorsement

1. Information on the insurer

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Insurance company name / Telephone
Address / City / Postal code
2.Information on the insured (promoter or producer)

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Company name / Telephone
Address / City / Postal code
3. Event

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This endorsement certifies that the insurance policies listed beloware in force on this date, and that they benefit theCITY OF QUÉBEC (the holder), its employees, and members of its citycouncil, executive committee, and borough councils, this endorsement being restricted to the following project:
Description
Dates of occupation / Start(yyyy-mm-dd) / End(yyyy-mm-dd)
4.Insurance

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Nature and scope of the contract(s) / Policy no. / Expiration
Y/M/D / Coverage limits
Commercial General Liability
(except automobile)
Coverageis at least equal in scope to that of Coverage A–Bodily Injury,Property Damage,and/ or Loss of Use as in the standard wordingrecommended by the Insurance Bureau of Canada in Form No. 2100. / Combined inclusive limit
$ per covered incident
$aggregate for the insured period
Automobile Liability
Non-Owned Form / $ per covered incident
5.Signature

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The undersigned acknowledges having read all the provisions of this form and agrees to complywith them.

Handwritten signature required

Insurer’s signature /
year month day
This endorsement shall take effect at the insured’s address / Date
year month day
6.For official use only

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File number

INSURANCE IS SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS

1.Commercial General Liability

The standard wording mentioned above is that in force on the effective date of the policy or, as the case may be, on the date of the last renewal immediately preceding the loss or damage.

Note:The IBC 2100 standard form wording to which this endorsement is specifically subject contains clauses limiting coverage amounts, resulting in a reduction of the amounts available for incidents occurring during the policy period.

The policy does not cover liability arising out of the preparation or approval of maps, plans, adjusters’ report summaries, surveys, specifications, or estimates.

Any deductible stated in the policy does not apply to the holder, its employees, or members of its city council, executive committee, or borough councils.

2.Non-Owned Automobile Liability

Coverage is governed by the standard wording as approved by the Inspector General of Financial Institutions of the province of Québec and applicable at the time of loss.

Except with respect to the reduction of limits following an insured loss, the insurer agrees to notifythe holder’scity clerk30 days in advance of any reduction in coverage or policy cancellation by registered or certified mail to2 rue des Jardins, Québec (Québec) G1R 4S9.

All other terms and conditions of the contract(s)remain unchanged.

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