From [Day/Month/Year] Policy Term From / To – to [Day/Month/Year] (Day/Month/Year) Limit of Liability (per occurrence) Deductible Certification The undersigned hereby certifies that: Where the Named Insured is not the Supplier, the Supplier is also insured under the policy described in this certificate to the • same extent as the Named Insured. The policy described herein, subject to its terms, conditions, and exclusions, has been issued to the named insured and is in • full force and effect. The IESO, the Government of Ontario, the members of the Government of Ontario’s Executive Council and their respective • Affiliates, and each of the foregoing Person’s respective directors, officers and employees, shareholders, advisors and agents (including contractors and their employees) are added as additional insureds to the policy described in this certificate. Coverages afforded under policies described herein will not be cancelled or materially changed to restrict coverage unless • sixty (60) days prior written notice has been given to the IESO at the address shown on page 1 of this Certificate of Property Insurance and the policy has been endorsed to this effect. The undersigned is an authorized representative of the insurance company entered next to Name” has full • “Insurer’s knowledge of the facts set forth herein and believes them to be true. Name of Issuing Agent or Brokerage Address of Issuing Agency or Brokerage City Province Postal Code Phone Number Name of Authorized Representative Signature of Authorized Representative Date of Issue
Policy Term – From / To (Day/Month/Year) From [Day/Month/Year] to [Day/Month/Year] Limit of Liability (per occurrence) Deductible Certification The undersigned hereby certifies that: • Where the Named Insured is not the Supplier, the Supplier is also insured under the policy described in this certificate to the same extent as the Named Insured. • The policy described herein, subject to its terms, conditions, and exclusions, has been issued to the named insured and is in full force and effect. • The IESO, the Government of Ontario, the members of the Government of Ontario’s Executive Council and their respective Affiliates, and each of the foregoing Person’s respective directors, officers and employees, shareholders, advisors and agents (including contractors and their employees) are added as additional insureds to the policy described in this certificate. • Coverages afforded under policies described herein will not be cancelled or materially changed to restrict coverage unless sixty (60) days prior written notice has been given to the IESO at the address shown on page 1 of this Certificate of Property Insurance and the policy has been endorsed to this effect. • The undersigned is an authorized representative of the insurance company entered next to “Insurer’s Name” has full knowledge of the facts set forth herein and believes them to be true. Name of Issuing Agent or Brokerage Address of Issuing Agency or Brokerage City Province Postal Code Phone Number Name of Authorized Representative Signature of Authorized Representative Date of Issue
IESOCM-FORM-008-Certificate-of-Property-Insurance-2011-10.docx