THIS CERTIFICATE IS REQUESTED BY and ISSUED TO (BC Housing) INSURANCE POLICY NUMBER # BC HOUSING BC HOUSING CONTRACT ADMINISTRATOR 604-433-1711 PHONE NO: NAME & TITLE Supply Chain Management 604-433-5915 FAX NO: ADDRESS POSTAL CODE CONTRACTOR NAME ADDRESS BOOK CONTRACTOR ADDRESS POSTAL CODE Contractor Information Please provide this form and a copy of the Contract and Conditions to your Insurance Broker for completion and then return the completed form to BC Housing. No substitutions of this form will be accepted. Commencement of any work cannot begin until BC Housing has the Certificate of Insurance in hand. Part 2 To be completed by the Contractor/Consultant’s Agent or Broker NAME INSURED ADDRESS POSTAL CODE PROVIDE DETAILS OPERATIONS INSURED TYPE OF INSURANCE EXPIRY DATE LIMIT OF COMPANY NAME, POLICY NO. & BRIEF DESCRIPTION List each separately YYYY/MM/DD LIABILITY/AMOUNT This certificate certifies that policies of insurance as herein described have been issued to the insured(s) named above, are in full force and effective as of the effective date of the contract, and comply with the insurance requirements of the sections 8.03, 8.04 and 8.05 AGENT OR BROKER COMMENTS: SIGNED BY THE AGENT OR BROKER ON BEHALF OF THE ABOVE INSURER(S) DATE SIGNED
THIS CERTIFICATE IS REQUESTED BY and ISSUED TO (BC Housing) BC HOUSING INSURANCE POLICY NUMBER # BC HOUSING CONTRACT ADMINISTRATOR NAME & TITLE Supply Chain Management PHONE NO: 604-433-1711 FAX NO: 604-433-5915 ADDRESS POSTAL CODE CONTRACTOR NAME ADDRESS BOOK CONTRACTOR ADDRESS POSTAL CODE Contractor Information Please provide this form and a copy of the Contract and Conditions to your Insurance Broker for completion and then return the completed form to BC Housing. No substitutions of this form will be accepted. Commencement of any work cannot begin until BC Housing has the Certificate of Insurance in hand. Part 2 To be completed by the Contractor/Consultant’s Agent or Broker INSURED NAME ADDRESS POSTAL CODE OPERATIONS INSURED PROVIDE DETAILS TYPE OF INSURANCE List each separately COMPANY NAME, POLICY NO. & BRIEF DESCRIPTION EXPIRY DATE YYYY/MM/DD LIMIT OF LIABILITY/AMOUNT This certificate certifies that policies of insurance as herein described have been issued to the insured(s) named above, are in full force and effective as of the effective date of the contract, and comply with the insurance requirements of the sections 8.03, 8.04 and 8.05 AGENT OR BROKER COMMENTS: SIGNED BY THE AGENT OR BROKER ON BEHALF OF THE ABOVE INSURER(S) DATE SIGNED
Certificate-of-Insurance.docx