Commercial Construction Site Safety

The Wawanesa Mutual Insurance Company **/****

* Wawanesa Telephone Legal Helpline Service is provided on our behalf by ARAG Legal Solutions Inc. - www.arag.ca Our blog features a number of articles to help

you better understand your coverage and

prevent common losses.

Learn more at: wawanesa.com/blog

Unsure if you have a legal matter worth pursuing? Your Wawanesa commercial or farm policy includes unlimited access to our toll-free Telephone Legal Helpline Service* at no additional cost. Call 1-877-***-**** to talk to a qualified lawyer

• Service is available 8 a.m. to 12 midnight (local time), 7 days a week, with after hours accommodations for emergencies

• Confidentiality is assured

• Call as often as needed – there is no additional charge for the service

• General legal assistance and information on most business and personal legal matters is provided Scan the QR code or visit:

wawanesa.com/LegalHelpline

If you have additional insurance coverage with us, you may be eligible for a discount.

Contact your broker to find out more.

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Get practical tips for your business Save with a multi-policy discount COMMERCIAL INSURANCE

POLICY

DECLARATIONS

New Policy effective

Jun 06, 2024

Supersedes any previous declaration bearing

the same policy number for this policy period

This policy contains a clause which may limit the amount payable.

"Wawanesa Insurance" is The Wawanesa Mutual Insurance Company and is the licensed insurer of this policy. Jun 06, 2024 18:11 CT Page 2 of 4

NAMED INSURED AND ADDRESS BROKER OFFICE

ROB'S CONTRACTING & CONSULTING

7520 ESTATE DRIVE

ANGLEMONT BC V0E 1M8

WESTERN FINANCIAL GROUP (CHA)

BOX 244 630 SHUSWAP AVE

CHASE BC V0E 1M0

Telephone: 250-***-**** Broker Number: 0108192

Fax: 250-***-****

Policy Number

45657240

Account Number

275312871

Policy Period

From Jun 06, 2024 to Jun 06, 2025 12:01 A.M.

All times are local at the Named Insured's

postal address as stated herein

Thank you for choosing The Wawanesa Mutual Insurance Company ("Wawanesa Insurance"). Your insurance policy package is your insurance contract. It includes your policy declaration and your policy wordings. Your policy declaration is a summary of the coverage and limits you have purchased. Your policy wordings, including endorsements, exclusions, limitations and conditions, provide you with a detailed explanation of your coverage. These items represent the legal contract of indemnity between you and us. Please review the following policy coverage documents to ensure your policy meets your needs and you understand what you’re covered for in the event of a claim:

- Policy declaration outlining your coverages and limits (this document)

- Policy wordings for further details of your coverages. You can download your copy at wawanesa.com/policy-wordings. You will need to enter your policy number found at the top left of this page. For questions regarding your coverage, premium, billing, changes to your policy, including cancellation, or to request printed/ emailed documents please contact your broker. For all other information, including frequently asked questions, concerns/complaints, Wawanesa’s Member Review Council, and contact details, please visit wawanesa.com or email ********@********.***. If you need to submit a claim, visit wawanesa.com/claims or call 1-844-WAWANESA (929-2637). Important Information about your policy:

Any operations or sales outside of Canada must be reported to Wawanesa Insurance. Contact your Broker for details. Personal Information Notice:

By purchasing insurance from Wawanesa, you are providing Wawanesa with the consent of all individuals insured under this policy to the collection, use and disclosure of their personal information for the purposes of communicating with them, underwriting risks on a prudent basis, investigating and paying claims, detecting and preventing fraud, offering and providing property and casualty insurance products and services to them, compiling statistics and analyzing business results, and acting as required or authorized by law. This consent applies to personal information previously collected by Wawanesa and to personal information which it may collect in the future for the purposes identified above. Wawanesa may at times use third party service providers to process or store personal information on its behalf. In these circumstances, the service providers are provided with only the information necessary to perform such services. In addition, Wawanesa requires them to protect the information in a manner that is consistent with its Personal Information Protection Policy and security practices. In the event that a service provider is located in a foreign jurisdiction, it is bound by the laws of that jurisdiction, which may require it to disclose personal information to the courts, law enforcement agencies, or national security authorities of the jurisdiction.

Jun 06, 2024 18:11 CT Page 3 of 4

You can view our Privacy Policy at https://wawanesa.com/privacy-policy. If you have any questions or concerns about this policy or our privacy practices, please contact us at *******@********.*** or 1-844-***-****. Commercial Insurance Policy

Named Insured(s): Rob's Contracting & Consulting

Policy Number: 45657240 Account Number: 275312871 Policy Period: June 6, 2024 to June 6, 2025 12:01 A.M. Form of Organization : Not provided.

Description of the Business and Operations of the Named Insured(s): Building Construction - Residential - One or Two Family Dwellings - incl. Alterations, Renovations or Repairs Your full term premium is $2,361.00. Refer to the breakdown of premiums below. Policy Summary

Premium Subtotal for Commercial Liability $2,336.00 Premium Subtotal for Non-Owned Auto $25.00

Your insurance policy includes your policy wordings. To access this document and download a copy, please visit wawanesa.com/policy-wordings.

Commercial Liability Amount of

Insurance Deductible Premium

Commercial General Liability Coverage Form - Form WA6000 05 2022 $2,249.00 General Aggregate $5,000,000

Products-Completed Operations Aggregate $2,000,000 Each Occurrence $2,000,000

Personal and Advertising Injury Liability $2,000,000 $12.00 Medical Payments - Any One Person $10,000 $50.00

Tenants' Legal Liability $500,000 $25.00

Deductible - Bodily Injury Liability, Per Occurrence basis Deductible - Property Damage Liability, Per Occurrence basis $1,000 Amendment - Garage Operations - Form WA6012 11 2019 Communicable Disease Exclusion Form - Form WA6095 03 2021 Included Premium Subtotal for Commercial Liability $2,336.00 Commercial Liability Exposures

Description Industry

Code Basis Basis Type Rate

Advance Premium

(Portion of Commercial

Liability Premium)

Building Construction - Residential/Alteration/Renovati on/Repair - One or Two Family Dwellings

- No Work on Premises

181***-****** Revenue $4.65 $2,092.00

Roofers - Residential - Shingle, Concrete Tile and Metal Roofing

- No Work on Premises

177***-***** Revenue $3.14 $157.00

Non-Owned Auto Amount of

Insurance Deductible Premium

Standard Non-Owned Automobile Policy - Form SPF 6 07 2020 $2,000,000 $10.00 Contractual Liability Endorsement - Form SEF 96 07 2020 Legal Liability for Damage to Hired Automobiles Endorsement - Form SEF 94 07 2020

$50,000 $1,000 $15.00

Type of Automobile: Private Passenger and Light Commercial Excluding Long Term Leased Vehicles - Form SEF 99 07 2020 Included Premium Subtotal for Non-Owned Auto $25.00

Jun 06, 2024 18:11 CT Page 4 of 4

This policy is subject to: Common Policy and Property Conditions WA2999 08 2021; Statutory Conditions (British Columbia) - Form SC2 08 2021; It includes the CEO Signature page Form WA2990 08 2018. Policyholder meeting notice:

Policyholders in good standing can attend and vote (in person or by proxy) at meetings of the policyholders of Wawanesa Insurance. If you want to receive notice of these meetings, please visit wawanesa.com/annual-meeting.

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