DCL 232 (R2019-05)

DEFENCE CONSTRUCTION (1951) LIMITED

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INSURER'S CERTIFICATE OF INSURANCE (To be signed by Insurer (not broker) and delivered to Defence Construction (1951) Limited within thirty (30) days following acceptance of Tender)

CONTRACT Description of Work Contract No. Award Date

Location

INSURER Name Address

BROKER Name Address

INSURED Name of Contractor Address

ADDITIONAL INSURED Canada as represented by Defence Construction (1951) Limited Address

This document certifies that the following policies of insurance are at present in force covering all operations of the Insured, in connection with the contract made between the Insured and Defence Construction (1951) Limited and in accordance with the Insurance Conditions.

Policy Limits of Liability Deductible Type Number Inception Date

yyyy-mm-dd Expiry Date yyyy-mm-dd

Commercial General Liability Builders' Risk "All Risks" Installation Floater "All Risks"

Warranties, endorsements, exclusions:(List only those that deviate substantially from standard IBC 2100, 4042 and 4047 forms)

The Insurer agrees to notify Defence Construction (1951) Limited in writing thirty (30) days prior to any material change in, cancellation of, or amendment restricting coverage specific to this contract.

Name of Insurer's Officer or Authorized Employee Signature Date (yyyy-mm-dd)

Telephone Number

Issuance of this Certificate shall not limit or restrict the right of Defence Construction (1951) Limited to request at any time duplicate certified copies of said Insurance policies.