Request for the Commercial General Liability Insurance Certificate
As an exhibitor at HealthAchieve2008, you must have adequate Liability Insurance to protect your company. Our insurance policy does not extend coverage to any exhibits and requires you to submit a Certificate of Insurance upon receipt of the exhibitor’s manual. Please forward a copy of the insurance certificate to HealthAchieve2008 Show Management no later than Friday, September 19, 2008. Please fax or mail to: Isabella Wai Director, Convention Exhibits HealthAchieve2008 200 Front Street West, Suite 2800 Toronto, Ontario M5V 3L1 Fax: 416-205-1340 Phone: 416-205-1354 E-mail: iwai@oha.com Please refer to the attached flyer for more details. If your company does not have insurance and would like to purchase an insurance policy, we recommend that you contact Nacora Insurance Brokers Ltd. our recommended insurance contractor for the exhibitors. Click here for a copy of the order form. If you have any further questions regarding this, please do not hesitate to contact Isabella Wai, Director, Convention Exhibits at 416-205-1354 or iwai@oha.com. Thank you for your attention.
IMPORTANT - Please take care of immediately!
RE: CERTIFICATE OF LIABILITY INSURANCE
As you may know, as an Exhibitor participating in a show, you must have adequate Liability Insurance with a minimum $5,000,000 limit to protect the Exhibitors, the attending public, the show organizer and yourself. Our insurance policy does not extend coverage to any exhibits and requires you to submit a Certificate of Insurance upon receipt of the exhibitor’s manual. The results from a nationwide survey, has clearly indicated A CRITICAL FACT - some of the Exhibitors surveyed were in shows without insurance or with inadequate coverages. There are two (2) ways to arrange the required insurance. OPTION #1: With Nacora Insurance Brokers Ltd. Ontario Hospital Association, show management of HealthAchieve2008 has appointed Nacora Insurance Brokers Ltd. as the recommended insurance contractor for exhibitors. The “EI.COM” form and list of coverages are included in this package for your convenience. Save time order on line at: www.exhibitorinsurance.com Go to exhibitors application on line and scroll down to: HealthAchieve2008 • • • • • • • • • • • OPTION #2: Your own Insurance Company Alternatively, you can have your insurance company prepare a certificate of Insurance which must have the following: HealthAchieve2008 listed as an additional Insured Dates of the show: October 31 to November 5, 2008- includes Move in and Move out date. Event name HealthAchieve2008 Comprehensive General Liability of $5,000,000 Bodily Injury and Property Damage Liability Subject to $1,000 (maximum) Bodily Injury & Property Damage-Inclusive each occurrence Products and Completed Operations Liability Contingent Employers Liability Broad form Property Damage Cross Liability clause Severability of Interest Clause
Your understanding and compliance with this is greatly appreciated and we thank you in advance, for ensuring the well being of all concerned. Have a prosperous and safe show.
NACORA INSURANCE BROKERS LTD
I - Exhibitor Company Name: Type of Business: Mailing address: Unit/Ste
EXHIBITORS INSURANCE APPLICATION
Tel: Fax:
City Province Postal Code
ORDER ONLINE IN LESS THAN 2 MINUTES: www.exhibitorinsurance.com
─
(*) Email address (PLEASE INCLUDE YOUR EMAIL ADDRESS):
II - Show Organizer (Complete legal Name(s) to be added on certificate as additional insured ):
HealthAchieve2008
Address: 200 Front Street West Event Name: HealthAchieve2008 Address: Metro Toronto Convention Centre Exhibitor Contact Name:
dd mm yyyy
Unit/Ste
City
Province
2800
Unit/Ste
Toronto
City
ON
Province
M
5
Postal Code V ─ 3
L
1
Booth#:
Toronto
FROM
ON Event Date ( Includes Move In and Move Out)
dd mm yyyy
Signature____________________________________
2008
31
Oct
2008
TO
dd
mm
yyyy
05
Nov
2008 $220.00 $230.00 $230.00
III - PAYMENT TERMS AND CONDITIONS
Preferred Rate Regular Rate Quebec Rate
(For payment received at least 14 days before the opening day of show, Premium $92 + Fee $111.71 + PST $16.29) (For payment received 13 days or less before the opening day of show, Premium $92 + Fee $120.97+ PST $17.03)
TOTAL DUE = TOTAL DUE = TOTAL DUE =
mm yy
(For all residents of Quebec): Premium $92+Fee $129.72 + QST 8.28 (9% on Premium only)
Payment by:
Card#_________________________________
(The payment due on the Credit Card statement will be in the name of ExhibitorInsurance.com)
Expiry Date
Name of the Credit Card Holder: _________________________________________________________________ Important: *Fill in your credit card billing address if it is different from mailing address above, otherwise your payment cannot be processed. ___________________________________________________________________________________________________________ _______________________________________________________________________________________________________ Cheque Money Order (Please make Cheque or Money Order payable to Nacora Insurance Brokers Ltd.) Date: ____/_____/_______ Signature ______________________________________________________ PLEASE REMIT PAYMENT TO: Programs Department, Nacora Insurance Brokers Ltd , 80 Tiverton Court, Suite #801, Markham, ON L3R 0G4
Tel: 905-307-0307 ext. 222 Fax: 905 - 307 - 1234 Email: kim.libenstein@nacora.com
Note: The above insurance program will only be offered if the application form is signed and completed in full, and the payment and the application form are received in our offices prior to the opening show date. Note: Completion of this application does not automatically bind coverage; This application is subject to being approved prior to binding. Premium and fee is minimum and retained. Coverage is void if payment is returned N.S.F. A full copy of this policy is available upon request or online at www.exhibitorinsurance.com A copy of the certificate is made available to your Show Organizer
SCHEDULE OF COVERAGES
$25,000 Property of Every Description (At the designated booth space) – Broad Form, Subject to $1,000 Deductible and a 90% Co-Insurance. Note: Property excluded from coverage – EDP (Electronic Data Processing), audio & video equipment, watches, jewellery made of precious or semi precious stones and/or precious metals, money, bullion, securities, stamps, antiques, furs, and fine arts valued at $5,000 per item or greater. $5,000,000 Comprehensive General Liability – Bodily injury and Property Damage Liability, Subject to $1,000 BI & PD Ded – Inclusive each occurrence –Products and Completed Operations Liability $5,000,000 annual aggregate, Employees as additional insureds, Contingent Employers Liability, Broad Form Property Damage, , Cross Liability Clause, Severability of Interest Clause. $100,000 Tenants Legal Liability – Broad Form - Coverage is subject to: Asbestos Exclusion, Mold Fungi Exclusion, Data, War, Nuclear, Property flood and earthquake exclusion. Territory Restriction – Canada. This schedule of coverage, provides all coverages for the exhibitors’ own property up to $25,000 while at the show as well as 3 days transit to and from the event. - Ineligible Risks: Chemicals, Fertilizers, Pharmaceuticals, Nutraceuticals, Vitamins, Health or Dietary Supplements, Firearms, Pesticides, Fireworks, Computers, Alcoholic beverages, Games, Licensed or Unlicensed Motorized Vehicles- including but not limited to: Motorcycles, Watercrafts, All terrain Vehicles, and Tractors. Note: There is no Liability coverage for Vehicles in Motion. - Insurer: Certain Lloyds Underwriters through Nacora Insurance Brokers Ltd. By completing this application and returning it to Nacora Insurance Brokers Ltd, you agree and consent to the collection, use and disclosure of such information, including any personal information, by Nacora Insurance Brokers Ltd for the following purposes: - Communicating with You - Negotiating, maintaining or renewing insurance - Advising you of other products or services. - Accessing your application for insurance. on your behalf. - Complying with regulators and legal - Disclosing information to Insurance Companies. - Providing claims assistance and service. authorities. For more information about our privacy policies and practices or for a copy of our Privacy Policy please visit our web site www.nacora.com or Contact: Mathew Lewis, Privacy Officer, Nacora Insurance Brokers Ltd. Email: Mathew.lewis@nacora.com