Insurance Certificates 2020/21 HubStor, Inc
600-359 Kent Street, Ottawa, Ontario K2P 0R6
Phone 613-237-2871 1-877-432-5118 Fax 613-237-1179
CERTIFICATE OF INSURANCE
Issued by: Smith Petrie Carr & Scott Insurance Brokers Ltd.
This is to certify to: City of La Quinta
78495 Calle Tampico
La Quinta, CA 92253, USA
That policies of insurance as herein described have been issued to the Insured named below
and are in force at this date.
Named Insured: Hubstor, Inc.
515 Legget Drive, Suite 800
Kanata, ON K2K 3G4
TYPE OF INSURANCE INSURANCE COMPANY
& POLICY NUMBER
POLICY
EXPIRATION
COVERAGE
Commercial General Liability
Including:
• Premises & Operations
• Personal Injury
• Contractual Liability
• Cross Liability/Severability
of Interests
• Primary & Non-Contributory
Trisura Guarantee
Insurance Co TOP1002684 October 24, 2021
Bodily Injury & Property Damage
$10,000,000 Each Occurrence
$10,000,000 General Aggregate
$10,000,000 Products & Completed
Operations Aggregate
$1,000,000 Non Owned Automobile
Errors & Omissions Liability Trisura Guarantee
Insurance Co TPL1013096 October 24, 2021 $5,000,000 Limit
Network Security and Privacy
Liability
Trisura Guarantee
Insurance Co TPL1013096 October 24, 2021 $5,000,000 Limit
Employer’s Liability Trisura Guarantee
Insurance Co TOP1002684 October 24, 2021 $10,000,000 Limit
The insurance afforded is subject to the terms, conditions and exclusions of the applicable policy. This
certificate is issued as a matter of information only and confers no rights on the holder and imposes no liability
on the Insurer. The Insurer will endeavour to mail to the holder of this Certificate 30 days written notice of any
material change in or cancellation of these policies, but assumes no responsibility for failure to do so.
Project: VERIFICATION OF INSURANCE COVERAGE
Smith Petrie Carr & Scott Insurance Brokers Ltd.
Per: ………………………………………………….
Date: November 11, 2020 Authorized Representative MN
600-359 Kent Street, Ottawa, Ontario K2P 0R6
Phone 613-237-2871 1-877-432-5118 Fax 613-237-1179
ENDORSEMENT
It is agreed the following is/are hereby added to the Policy as additional Insured but only insofar
as their Legal Liability arises vicariously out of the operations of the Named Insured in
connection with the project/contract described below:
Attached to and forming part of Trisura Guarantee Insurance Co Policy #TOP1002684.
NAMED INSURED: Hubstor, Inc.
This endorsement shall become effective: October 24, 2020
Additional Insured: City of La Quinta
Project: VERIFICATION OF INSURANCE COVERAGE
All other terms and conditions of this policy shall remain unchanged.
Smith Petrie Carr & Scott Insurance Brokers Ltd
Per: …………………………………………………
Date: November 11, 2020 Authorized Representative MN
CSio CERTIFICATE OF LIABILITY INSURANCE
This certificate is issued as a matter of information only and confers no rights upon the certificate holder and imposes no liability on the insurer.
This certificate does not amend, extend or alter the coverage afforded by the policies below.
CERTIFICATE HOLDER - NAME AND MAILING ADDRESS INSURED'S FULL NAME AND MAILING ADDRESS
City of La Quinta Hubstor, Inc.
784 Calle Tampico
515 Legget Drive, Suite 800
La Quinta, CA 92253 USA
POSTAL
Kanata ON
POSTAL K2K 3G4
CODE
CODE
DESCRIPTION OF OPERATIONSlLOCATIONS/AUTOMOBILES/SPECIAL ITEMS TO WHICH THIS CERTIFICATE APPLIES (but only with respect to the operations of the Named Insured
VERIFICATION OF INSURANCE COVERAGES
W COVERAGES
This Is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated notwithstanding any requirements, terms
or conditions of any contract or other document with respect to which this certificate may be issued or may pertain. The insurance afforded by the policies described herein is
subject to all terms, exclusions and conditions of such policies.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
' EFFECTIVE EXPIRY LIMITS OF LIABILITY
INSURANCE COMPANY (Canadian dollars unless Indicated otherwise
DATE DATE
TYPE OF INSURANCE AMOUNTOF
AND POLICY NUMBER
YYYY/MM/DD YYYY/MM/DD COVERAGE DIED . _ INSURANCE
COMMERCIAL GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY BODILY INJURYAND PROPERTY DAMAGE $1•� $10,000,000
LIABILITY
Trisura Guarantee Insurance Co 2020/10/24 2021/10/24 -GENERAL AGGREGATE
❑ CLAIMS MADE OR ❑ OCCURRENCE TOP1002684 -EACH OCCURRENCE $1,000 $10,000.000
❑� PRODUCTSAND I OR COMPLETED OPERATIONS PRODUCTS AND COMPLETED OPERATIOW
Q EMPLOYER'S LIABILITY AGGREGATE $1 000 $10 000 000
I] CROSS LIABILITY ❑ PERSONAL INJURY LIABILITY
OR PERSONAL AND ADVERTISING INJURY $1•ODO $10,000.000
lZI LIABILITY
MEDICAL PAYMENTS $5,000
❑ TENANTS LEGAL LIABILITY TENANTS LEGAL LIABILITY $1,000 $250.000
❑ POLLUTION LIABILITY EXTENSION POLLUTION LIABILITY EXTENSION
0 NON -OWNED AUTOMOBILES
Trisura Guarantee Insurance Co
2020/10/24
2021l10/24
NON OWNED AUTOMOBILE
$1 000
$1 000 000
❑ HIRED AUTOMOBILES
TOP1002684
AUTOMOBILE LIABILITY
BODILY INJURY AND PROPERTY
❑ DESCRIBED AUTOMOBILES
DAMAGE COMBINED
BODILYINJURY (PERPERSON)
❑ ALL OWNED AUTOMOBILES
BODILYINJURY (PERACCIDENT)
❑ LEASED AUTOMOBILES"
"ALL AUTOMOBILES LEASED IN EXCESS OF
PROPERTY DAMAGE
30 DAYS WHERE THE INSURED IS REQUIRED
TO PROVIDE INSURANCE
EXCESS LIABILITY
EACH OCCURRENCE
AGGREGATE
❑ UMBRELLAFORM
OTHER LIABILITY (SPECIFY)
Trisura Guarantee Insurance Cc
❑� Errors and Omissions Liability
TPL1013096
2020/10/24
2021/10/24
Errors and Omissions Liabiltiy
$5.000
$5,000,DDO
❑� Network Security &Privacy
Trisura Guarantee Insurance Co
2020/10/24
2021/10/24
Network Security &Privacy
$5,000
$5,000,000
TPL1013096
Trisura Guarantee Insurance Co
0 Employers Liability Extension
TOP1002684
2020l10/24
2021/10l24
Employers Bodily Injury
CANCELLATION
Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the certificate
holder named above, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives.
INSURED NAME AND MAILING ADDRESS
BROKERAGEIAGENCY FULL NAME AND MAILING ADDRESS
USADDITIONAL
ut only with respect to the o rations of the Named Insured)
Smith Petrie Carr & Scott Insurance Brokers Ltd.
Capita Business Services Limited
600-359 Kent Street
(Reg'd No 02299747)
La Quinta, CA 92253 USA
ON
POSTAL K2P OR6
"(Added as Additional Insured in Respect of Policy TOP1002684 Only)"
Ottawa
POSTAL
BROKER CLIENT ID: HUBST-1 CODE
CERTIFICATE AUTHORIZATION
CONTACT NUMBER(S)
ISTrisura Guarantee
BUS NO. (877) 432-5118 TYPEBUS NO. (613) 237-2871
AUTHORIZED REPRESENTATIVEPMif- PE BUS NO. (613) 366-7251 TYPEFAX NO. (613) 237-1179
SIGNATURE OF ATE 2020110/21 EMAILADDRESS Ml hael.Nicholson@spcs-ins.com
AUTHORIZED REPRESENTATIVE
CSIO C0910ECL - CERTIFIdM IFJ 2010, Centre for 5tuay at Insurance Uperaaons. All ngms reservea.