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Thank you for insuring your home and auto with us through your insurance broker.
By choosing Aviva for your home and auto insurance, you’re enjoying the benefits of our Combined Policy.
ü Discounts on home and auto insurance
ü $1 Million Excess Liability coverage
ü One deductible applies if we cover your claim on both policies for the same loss
ü Synchronized policy terms and renewal dates for both home and auto policies
Go paperless – contact your broker to set up electronic delivery of your documents.
If the information in this package has changed, or if you have any questions about your policy, please contact your
insurance broker.
Your insurance broker: MULTIRISK INSURANCE BROKERS INC., (416) 224-2800
Aviva Canada – bringing over 300 years of good thinking and insurance solutions to Canadians from coast-to-coast.
Aviva and the Aviva logo are trademarks used under licence by the licensor.
Do you need
to make a
claim? Call your broker or call us at
1 866 MYAVIVA (1 866 692 8482) to report
a claim.
Renewal policy (revised) If you have any questions or would like to make
changes to your policy, please contact:
MRS ASIA MUHAMMAD DIN MULTIRISK INSURANCE BROKERS INC.
& MUHAMMAD NAEEM UL HAQ 100 DYNAMIC DR STE 200
37-420 LINDEN DR TORONTO ON M1V 5C4
CAMBRIDGE ON N3H 0C6
Phone: (416) 224-2800 Fax: (416) 293-6143
Named insured: Your payment schedule is shown on the back of this page.
Payment schedule
Payments will be withdrawn automatically as scheduled.
September 4, 2019 $21.37
October 4, 2019 $21.37
November 4, 2019 $21.37
December 4, 2019 $21.37
January 4, 2020 $21.37
February 4, 2020 $21.37
March 4, 2020 $21.36
April 4, 2020 $21.37
May 4, 2020 $21.37
June 4, 2020 $21.36
July 4, 2020 $21.37
August 4, 2020 $21.36
Please note that a $25.00 service charge will be levied against payments returned by the bank due to insufficient funds or payments not cleared.
To change your banking information, complete, sign, and return this form along with a sample cheque marked VOID.
EFT AUTHORIZATION FORM (H1 COMPLIANT) Policy number: P96635162HAB
Please see below for the Rights and Obligations provided in accordance with CPA's Rule H1.
MY/OUR SIGNATURE CONFIRMS THAT:
• I/We have been provided with details of and understand the terms and conditions of the payment plan by automatic withdrawals from my/our financial institution.
• I/We hereby authorize the named financial institution below to debit my/our account for all payments payable to: Aviva Insurance Company of Canada or any of its associated insurance companies to which my policy may
be transferred at a later date (the "Insurer").
• I/ We understand that this authorization may be cancelled by me/us upon written notice, at least 15 days before the next scheduled payment. I/We may obtain a sample cancellation form, or further information on my/our
right to cancel a payment authorization agreement, or more information about Pre-Authorized Debiting at my/our financial institution, by visiting www.cdnpay.ca, or through contacting my/our insurance company (contact
information available on the reverse of this form).
• I/We have certain recourse rights if any debit does not comply with this agreement. For example, I/We have the right to receive reimbursement for any debit that is not authorized or is not consistent with this payment
authorization agreement. To obtain more information on my/our recourse rights, I/We may contact my/our financial institution or visit www.cdnpay.ca.
• I/We warrant and guarantee that all persons whose signatures are required to sign on this account have signed this authorization below.
• If there is a change in premiums due to a change in coverage or upon renewal, the amount of the monthly withdrawal will automatically be changed.
• I/We will ensure that funds are available on each due date and understand that Non-Sufficient Funds transactions may result in one or all of the following:
1. A second presentation or attempt to withdraw funds 2. A second withdrawal notice 3. Cancellation of my/our policy
• I/We have received a copy of this authorization and have read and understand these terms and conditions.
• For pre-authorized debits, I/We shall receive, with respect to the debiting of fixed-amount payments, written notice from the Insurer, the amount to be debited and the due date(s) debiting, at least 10 calendar days prior to
the date of the first payment, and such notice shall be received each time there is a change in the amount of payment.
• The account that my/our financial institution is authorized to draw upon is indicated below. A specimen cheque has been marked "void" and attached to this authorization.
• I/We undertake to inform my/our Insurer, in writing, of any change in the account information provided in this authorization prior to the next payment due date.
• I/We understand that this authorization is continuous and will automatically apply to the renewal terms, unless instructed differently.
• I/We authorize my/our Insurer to collect or use my/our personal information for the purpose of this authorization for automatic withdrawals for payment of my/our insurance premiums. I/We authorize my/our Insurer to
disclose any personal information contained in this authorization form to its financial institution to the extent disclosure is directly related to and necessary for the proper execution of the pre-authorized debit transaction for
the policy number(s) noted above.
• I/We may withdraw my/our consent to collect, use or disclose my/our personal information for the purpose of this authorization for automatic withdrawals for payment of my/our insurance premiums. Withdrawal of my/our
consent will result in cancellation of this authorization for automatic withdrawals for payment of my/our insurance premiums, in which case I/We must make other arrangements for payment of my/our insurance premiums.
For pre-authorized payment from your bank account:
Branch/Transit #: Bank #: Bank account #: Business: Personal:
Name and address of Financial Institution:
Signature(s) as shown on bank records:
Residence Locations: Insurance is provided for only those locations listed below.
Location 2 37-420 Linden Dr CONDOMINIUM - COMPREHENSIVE FORM 1014
Cambridge ON N3H 0C6 1 To 6 Apartments , Brick Veneer , 2018 Built, Updated: Heating: 2018,
Plumbing: 2018, Wiring: 2018, Roofing: 2018, Primary Heat: Natural Gas,
Owner Occupied , Within 1000 Ft Of A Fire Hydrant
1st Mortgagee: TD CANADA TRUST , 45 OVERLEA BLVD, TORONTO, ON, M4H 1C3
LOCATION 2 LOCATION
Insurance Coverage By Location Deductible $1,000 Deductible
Coverage Premium Coverage Premium
Section I – Property Coverages
Coverage C - Personal Property (Replacement Cost Basis) $42,000 $191
Coverage D - Additional Living Expenses $21,000 INCL
Additional Protection
Improvement And Betterments (Additional Amounts) $42,000 INCL
Unit Additional Protection $105,000 INCL
Property Loss Assessment $105,000 INCL
Additional Coverage
Sewer Back-Up . $25,000 $15
Endorsements
Condominium Single Limit Of Insurance INCL
Overland Water - $1,000 Deductible . $25
Personal Excess Liability Policy - $1,000,000 INCL
TOTAL $231
Special Remarks:
Loc: 2 Modify Mortgagee / Loss Payee
IN WITNESS WHEREOF, the Insurer has caused this policy to be signed by its president, but the same shall not be binding upon the Insurer unless
countersigned by an authorized representative of the Insurer.
Authorized Signature of Insurer: Corporate Secretary President and Chief Executive Officer
This section to be completed and signed by the Insured to request cancellation of this policy in its entirety.
The undersigned, Mrs Asia Muhammad Din & Muhammad Naeem Ul Haq, named in the policy and renewal certificates (if any), hereby
acknowledges the cancellation of policy number P96635162HAB effective at 12:01 A.M. standard time on
________________________________, and that all liability of the Insurer thereunder in respect of accidents, losses or damage occurring on
and after the effective date is hereby terminated.
What's covered
See your Certificate of Property Insurance for your coverage amounts.
There are other items covered under your policy, such as:
If you would like to discuss any additional insurance needs, please contact your insurance broker.
Aviva and the Aviva logo are trademarks used under licence by the licensor.
STANDARD MORTGAGE CLAUSE
(Approved by The Insurance Bureau of Canada)
It is hereby provided and agreed that: any amount payable thereunder shall be taken into
1. Breach of Conditions by Mortgagor Owner or account in determining the amount payable to the
Occupant - This insurance and every documented Mortgagee.
renewal thereof - AS TO THE INTEREST OF THE 4. Who May Give Proof of Loss - In the absence of
MORTGAGEE ONLY THERIN - is and shall be in the Insured, or the inability, refusal or neglect of
force notwithstanding any act, neglect, omission or the Insured to give notice of loss or deliver the
misrepresentation attributable to the mortgagor, required Proof of Loss under the policy, then the
owner or occupant of the property insured, Mortgagee may give the notice upon becoming
including transfer of interest, any vacancy or aware of the loss and deliver as soon as
non-occupancy, or the occupancy of the property practicable the Proof of Loss.
for purposes more hazardous than specified in the 5. Termination - (Excluding Province of Quebec) -
description of the risk; The term of mortgage clause coincides with the
PROVIDED ALWAYS that the Mortgagee shall term of the policy; PROVIDED ALWAYS that the
notify forthwith the Insurer (if known) of any Insurer reserves the right to cancel the policy as
vacancy or non-occupancy extending beyond thirty provided by Statutory provision but agrees that the
(30) consecutive days, or of any transfer of interest Insurer will neither terminate nor alter the policy to
or increased hazard THAT SHALL COME TO HIS the prejudice of the Mortgagee without the notice
KNOWLEDGE; and that every increase of hazard stipulated in such Statutory provision.
(not permitted by the policy) shall be paid for by Termination (Province of Quebec) - The term of
the Mortgagee. this Mortgage Clause coincides with the term of
2. Right of Subrogation - Whenever the Insurer the policy; PROVIDED ALWAYS that the Insurer
pays the Mortgagee any loss award under this reserves the right to cancel the policy by Article
policy and claims that - as to the Mortgagor or 2477 and 2478 of the Civil Code of Quebec, but
Owner - no liability therefore existed, it shall be agrees that the Insurer will neither terminate nor
legally subrogated to all rights of the Mortgagee alter the policy to the prejudice of the Mortgagee
against the Insured; but any subrogation shall be without 15 days' notice to the Mortgagee by
limited to the amount of such loss payment and registered letter.
shall be subordinate and subject to the basic right 6. Foreclosure - Should title or ownership to said
of the Mortgagee to recover the full amount of its property become vested in the Mortgagee and/or
mortgage equity in priority to the Insurer; or the assigns as owner or purchaser under foreclosure or
Insurer may at its option pay the Mortgagee all otherwise, this insurance shall continue until expiry
amounts due or to become due under the or cancellation for the benefit of said Mortgagee
mortgage or on the security thereof, and shall and/or assigns.
thereupon receive a full assignment and transfer of
the mortgage together with all securities held as SUBJECT TO THE TERMS OF THIS
collateral to the mortgage debt. MORTGAGE CLAUSE (and these shall supersede
any policy provisions in conflict therewith BUT
3. Other Insurance - If there be other valid and ONLY AS TO THE INTEREST OF THE
collectible insurance upon the property with loss MORTGAGEE), loss under this policy is made
payable to the Mortgagee - at law or in equity - payable to the Mortgagee.
then
Line: PLA Company: 1 Branch: 10
Aviva Insurance Company of Canada
10 Aviva Way
Suite 100
Markham ON L6G 0G1
Renewal policy (revised) If you have any questions or would like to make
changes to your policy, please contact:
MR MUHAMMAD NAEEM UI HAQ MULTIRISK INSURANCE BROKERS INC.
37-420 LINDEN DR 100 DYNAMIC DR STE 200
CAMBRIDGE ON N3H 0C6 TORONTO ON M1V 5C4
Named insured: Your payment schedule is shown on the back of this page.
Please note that a $25.00 service charge will be levied against payments returned by the bank due to insufficient funds or payments not cleared.
To change your banking information, complete, sign, and return this form along with a sample cheque marked VOID.
EFT AUTHORIZATION FORM (H1 COMPLIANT) Policy number: A96635164PLA
Please see below for the Rights and Obligations provided in accordance with CPA's Rule H1.
MY/OUR SIGNATURE CONFIRMS THAT:
• I/We have been provided with details of and understand the terms and conditions of the payment plan by automatic withdrawals from my/our financial institution.
• I/We hereby authorize the named financial institution below to debit my/our account for all payments payable to: Aviva Insurance Company of Canada or any of its associated insurance companies to which my policy may
be transferred at a later date (the "Insurer").
• I/ We understand that this authorization may be cancelled by me/us upon written notice, at least 15 days before the next scheduled payment. I/We may obtain a sample cancellation form, or further information on my/our
right to cancel a payment authorization agreement, or more information about Pre-Authorized Debiting at my/our financial institution, by visiting www.cdnpay.ca, or through contacting my/our insurance company (contact
information available on the reverse of this form).
• I/We have certain recourse rights if any debit does not comply with this agreement. For example, I/We have the right to receive reimbursement for any debit that is not authorized or is not consistent with this payment
authorization agreement. To obtain more information on my/our recourse rights, I/We may contact my/our financial institution or visit www.cdnpay.ca.
• I/We warrant and guarantee that all persons whose signatures are required to sign on this account have signed this authorization below.
• If there is a change in premiums due to a change in coverage or upon renewal, the amount of the monthly withdrawal will automatically be changed.
• I/We will ensure that funds are available on each due date and understand that Non-Sufficient Funds transactions may result in one or all of the following:
1. A second presentation or attempt to withdraw funds 2. A second withdrawal notice 3. Cancellation of my/our policy
• I/We have received a copy of this authorization and have read and understand these terms and conditions.
• For pre-authorized debits, I/We shall receive, with respect to the debiting of fixed-amount payments, written notice from the Insurer, the amount to be debited and the due date(s) debiting, at least 10 calendar days prior to
the date of the first payment, and such notice shall be received each time there is a change in the amount of payment.
• The account that my/our financial institution is authorized to draw upon is indicated below. A specimen cheque has been marked "void" and attached to this authorization.
• I/We undertake to inform my/our Insurer, in writing, of any change in the account information provided in this authorization prior to the next payment due date.
• I/We understand that this authorization is continuous and will automatically apply to the renewal terms, unless instructed differently.
• I/We authorize my/our Insurer to collect or use my/our personal information for the purpose of this authorization for automatic withdrawals for payment of my/our insurance premiums. I/We authorize my/our Insurer to
disclose any personal information contained in this authorization form to its financial institution to the extent disclosure is directly related to and necessary for the proper execution of the pre-authorized debit transaction for
the policy number(s) noted above.
• I/We may withdraw my/our consent to collect, use or disclose my/our personal information for the purpose of this authorization for automatic withdrawals for payment of my/our insurance premiums. Withdrawal of my/our
consent will result in cancellation of this authorization for automatic withdrawals for payment of my/our insurance premiums, in which case I/We must make other arrangements for payment of my/our insurance premiums.
For pre-authorized payment from your bank account:
Branch/Transit #: Bank #: Bank account #: Business: Personal:
Name and address of Financial Institution:
Signature(s) as shown on bank records:
This is your Certificate of Automobile Insurance. Contact your Broker/Agent with any questions or if you require clarification regarding your coverage
choices
NAMED INSURED AND PRIMARY ADDRESS BROKER Code: 0026310
Mr Muhammad Naeem Ui Haq
37-420 Linden Dr MULTIRISK INSURANCE BROKERS INC.
Cambridge ON N3H 0C6 100 DYNAMIC DR STE 200
TORONTO ON M1V 5C4
Telephone # (416) 224-2800
Policy Effective From: September 20, 2019 To Expiry Date: September 20, 2020 12:01 a.m.
All times are local times at the Named Insured's primary address shown on this Certificate.
Described Automobiles
Purchase Price/
Automobile Year Description Serial Number
List Price New
1 2016 TOYOTA COROLLA CE 4DR 4 Door 2T1BURHE5GC603267 4 cylinders
Discounts/Surcharges
Automobile 1 Discounts: Conviction Free; Combined Policy Discount
Remarks
Your policy deductibles may have changed. Please consult your broker if you have any questions. There is a $1,500.00 limit on non-factory installed
electronic accessories and equipment.
01 CHANGE ADDRESS
Authorized Signature of Insurer: Corporate Secretary President and Chief Executive Officer
Warning: The Insurance Act provides that where (a) an Applicant for a contract, (i) gives false particulars of the described automobile to be
insured to the prejudice of the Insurer, or (ii) knowingly misrepresents or fails to disclose in the application any fact required to be stated
therein; or (b) the Insured contravenes a term of the contract or commits a fraud; or (c) the Insured wilfully makes a false statement in
respect of a claim under the contract, a claim by the Insured, for other than such statutory accident benefits as are set out in the Statutory
Accident Benefits Schedule, is invalid and the right of the Insured to recover indemnity is forfeited.
Warning - Offences
It is an offence under the Insurance Act to knowingly make a false or misleading statement or representation to an Insurer in connection with
the person's entitlement to a benefit under a contract of insurance, or to wilfully fail to inform the Insurer of a material change in
circumstances within 14 days, in connection with such entitlement. The offence is punishable on conviction by a maximum of $250,000 for
the first offence and a maximum fine of $500,000 for any subsequent conviction.
It is an offence under the federal Criminal Code for anyone to knowingly make or use a false document with the intent it be acted on as
genuine and the offence is punishable, on conviction, by a maximum of 10 years imprisonment.
It is an offence under the federal Criminal Code for anyone, by deceit, falsehood or other dishonest act, to defraud or to attempt to defraud
an insurance company. The offence is punishable, on conviction, by a maximum of 14 years imprisonment for cases involving an amount
over $5,000 or otherwise a maximum of 2 years imprisonment.
This is a brief explanation of the insurance outlined in this Certificate. More specific details of your policy wordings are available on
The Financial Services Commission of Ontario's website at www.fsco.gov.on.ca or on request by contacting your broker.
Liability
Provides coverage for you or other insured persons if someone else is killed or injured or their property is damaged in an automobile incident. It will pay
for legitimate claims against you or other insured persons up to the limit of your coverage, and the cost of settling claims.
Accident Benefits - Your insurance company is obligated to explain details of Accident Benefits coverage to you.
Provides benefits that you and other insured persons are entitled to receive if injured or killed in an automobile accident. These benefits may include:
income replacement for persons who have lost income; payments to non-earners who suffer complete inability to carry on a normal life; payment of
medical, rehabilitation and attendant care expenses; payment of certain other expenses; payment of funeral expenses and payments to survivors of a
person who is killed. You may also purchase optional benefits to increase the standard level of benefits provided in the policy. The optional benefits your
insurance company must offer are: income replacement; medical, rehabilitation and attendant care; optional catastrophic impairment; caregiver,
housekeeping and home maintenance; death and funeral; dependant care; and an indexation benefit.
Uninsured Automobile
Provides coverage if you or other insured persons are injured or killed by an uninsured motorist or by a hit-and-run driver. It covers damage to your
automobile and its contents caused by an identified uninsured motorist.
Direct Compensation - Property Damage
Provides coverage in Ontario, under certain conditions, for damage to your automobile and to property it is carrying, when another motorist is
responsible. It is called Direct Compensation because you will collect from us, your insurance company, even though you are not at fault for the
accident. There may be a deductible amount, and this amount is either paid by you toward the cost of repairs or is deducted from the loss settlement.
Higher deductibles may reduce your premium.
Loss or Damage
Provides a selection of optional coverages for your own automobile. Payments cover direct and accidental loss of, or damage to, a described automobile
and its equipment. There is usually a deductible amount indicated for each coverage and this amount is either paid by you toward the cost of repairs or
is deducted from the loss settlement. Higher deductibles may reduce your premium.
There are four types of coverages:
• Specified Perils: Covers the described automobile against loss or damage caused by certain specific perils. They are: fire; theft or attempted theft;
lightning; windstorm; hail or rising water; earthquake; explosion; riot or civil disturbance; falling or forced landing of aircraft or parts of aircraft; or the
stranding, sinking, burning, derailment or collision of any kind of transport in or upon which the described automobile is being transported.
• Comprehensive: Covers a described automobile against loss or damage other than those covered by Collision or Upset, including perils listed under
Specified Perils, falling or flying objects, missiles and vandalism.
• Collision or Upset: Covers damage when a described automobile is involved in a collision with another object or tips over.
• All Perils: Combines the Collision or Upset and Comprehensive coverages.
OPCF 44R Family Protection Endorsement
The insurer shall indemnify an eligible claimant for the amount that he/she is legally entitled to recover from an inadequately insured motorist as
compensatory damages in respect of bodily injury to or death of an insured person arising directly or indirectly from the use or operation of an
automobile. The Insurer's maximum liability is the amount by which the limit of family protection coverage exceeds the total of all limits of motor vehicle
liability insurance, or other guarantees required by law in lieu of insurance, of the inadequately insured motorist and of any person jointly liable with that
motorist.
This section to be completed and signed by the Insured to request cancellation of this policy in its entirety.
In return for the unearned portion of the premium, if any, this policy is cancelled effective at 12:01A.M. Standard Time on .
Any interim and renewal certificates, including liability cards, are no longer valid.
If payable to other than Insured,
Lienholder must waive claim.
Premium
Vehicle sold
Here are your liability cards. Remember that one of these liability cards, as well as the vehicle registration,
must be in your vehicle while it is being driven. Your liability cards are important documents.
NAME AND ADDRESS OF INSURANCE COMPANY / NOM ET ADRESSE DE LA COMPAGNIE D'ASSURANCE NAME AND ADDRESS OF INSURANCE COMPANY / NOM ET ADRESSE DE LA COMPAGNIE D'ASSURANCE
Aviva Insurance Company of Canada Aviva Insurance Company of Canada
Head Office, Markham Head Office, Markham
Ontario, Canada Ontario, Canada
NAME AND ADDRESS OF INSURED / NOM ET ADRESSE DE L'ASSURE NAME AND ADDRESS OF INSURED / NOM ET ADRESSE DE L'ASSURE
Mr Muhammad Naeem Ui Haq Mr Muhammad Naeem Ui Haq
37-420 Linden Dr 37-420 Linden Dr
Cambridge ON N3H 0C6 Cambridge ON N3H 0C6
Policy Number / Police Numéro : A96635164PLA Policy Number / Police Numéro : A96635164PLA
Insured Vehicle - Year - Make - Serial Number Insured Vehicle - Year - Make - Serial Number
Assure - Année - Marque - Série Assure - Année - Marque - Série
2016 TOYOTA COROLLA CE 4DR 2T1BURHE5GC603267 2016 TOYOTA COROLLA CE 4DR 2T1BURHE5GC603267
Effective Date / Date d'entree en vigueur : September 20, 2019 Effective Date / Date d'entree en vigueur : September 20, 2019
Expiration Date / Date d'expiration : September 20, 2020 Expiration Date / Date d'expiration : September 20, 2020
Broker/Agent / Courtier(ère) ou agent(e ):MULTIRISK INSURANCE BROKERS Agent/Broker / Courtier(ère) ou agent(e ): MULTIRISK INSURANCE BROKERS
INC. INC.
Phone / Téléphone : (416) 224-2800 Phone / Téléphone : (416) 224-2800
Claims Assist (toll free) / Assistance sinistres (sans frais) : 1-866-692-8482 Claims Assist (toll free) / Assistance sinistres (sans frais) : 1-866-692-8482
MOTOR VEHICLE LIABILITY INSURANCE CARD CANADA INTER-PROVINCE MOTOR VEHICLE LIABILITY INSURANCE CARD CANADA INTER-PROVINCE
APPLICABLE WITHIN CANADA AND THE UNITED STATES OF AMERICA APPLICABLE WITHIN CANADA AND THE UNITED STATES OF AMERICA
This certificate is subject to the terms and conditions of the insurer's standard automobile policy. This certificate is subject to the terms and conditions of the insurer's standard automobile policy.
This certifies that the party named herein is insured against liability for bodily injury and property damage by reason of This certifies that the party named herein is insured against liability for bodily injury and property damage by reason of
the operation of the motor vehicle described herein, in an amount not less than the statutory minimum requirements in the operation of the motor vehicle described herein, in an amount not less than the statutory minimum requirements in
any area of Canada. any area of Canada.
WARNING: Any person who issues or produces a card to show that there is in force a policy of insurance as WARNING: Any person who issues or produces a card to show that there is in force a policy of insurance as
indicated herein, that is in fact not in force, is liable to a heavy fine and/or imprisonment and his licence may be indicated herein, that is in fact not in force, is liable to a heavy fine and/or imprisonment and his licence may be
suspended. suspended.
This card should be carried in the insured vehicle for production as proof of insurance when demanded by police. This card should be carried in the insured vehicle for production as proof of insurance when demanded by police.
CERTIFICAT D'ASSURANCE AUTOMOBILE RESPONSABILITÉ CANADA INTER-PROVINCE CERTIFICAT D'ASSURANCE AUTOMOBILE RESPONSABILITÉ CANADA INTER-PROVINCE
EN VIGUEUR AU CANADA ET AUX ÉTATS-UNIS D'AMÉRIQUE EN VIGUEUR AU CANADA ET AUX ÉTATS-UNIS D'AMÉRIQUE
Le présent certificat est assujetti aux dispositions et conditions de la police d'assurance automobile de l'Assureur. Le présent certificat est assujetti aux dispositions et conditions de la police d'assurance automobile de l'Assureur.
Ce certificat atteste que la personne susnommée est assurée contre la responsabilité pour blessures et dommages Ce certificat atteste que la personne susnommée est assurée contre la responsabilité pour blessures et dommages
aux biens découlant de l'usage du véhicule ci-décrit, conformément aux limites minimales exigées par les lois aux biens découlant de l'usage du véhicule ci-décrit, conformément aux limites minimales exigées par les lois
d'assurance en vigueur partout au Canada. d'assurance en vigueur partout au Canada.
AVERTISSEMENT : Quiconque émet ou présente un tel certificat comme preuve d'une police AVERTISSEMENT : Quiconque émet ou présente un tel certificat comme preuve d'une police
d'assurance-responsabilité qui effectivement n'est pas en vigueur, est coupable d'une infraction passible d'une forte d'assurance-responsabilité qui effectivement n'est pas en vigueur, est coupable d'une infraction passible d'une forte
amende et/ou d'emprisonnement et suspension de son permis. amende et/ou d'emprisonnement et suspension de son permis.
Ce certificat doit être laissé dans le véhicule assuré afin d'être présenté comme preuve d'assurance lorsque la police Ce certificat doit être laissé dans le véhicule assuré afin d'être présenté comme preuve d'assurance lorsque la police
l'exige. l'exige.
This certificate has anti-fraud features. This certificate has anti-fraud features.
Le présent certificat présente des caractéristiques anti-fraude. Le présent certificat présente des caractéristiques anti-fraude.
NAME AND ADDRESS OF INSURANCE COMPANY / NOM ET ADRESSE DE LA COMPAGNIE D'ASSURANCE NAME AND ADDRESS OF INSURANCE COMPANY / NOM ET ADRESSE DE LA COMPAGNIE D'ASSURANCE
Aviva Insurance Company of Canada Aviva Insurance Company of Canada
Head Office, Markham Head Office, Markham
Ontario, Canada Ontario, Canada
NAME AND ADDRESS OF INSURED / NOM ET ADRESSE DE L'ASSURE NAME AND ADDRESS OF INSURED / NOM ET ADRESSE DE L'ASSURE
Mr Muhammad Naeem Ui Haq Mr Muhammad Naeem Ui Haq
37-420 Linden Dr 37-420 Linden Dr
Cambridge ON N3H 0C6 Cambridge ON N3H 0C6
Policy Number / Police Numéro : A96635164PLA Policy Number / Police Numéro : A96635164PLA
Insured Vehicle - Year - Make - Serial Number Insured Vehicle - Year - Make - Serial Number
Assure - Année - Marque - Série Assure - Année - Marque - Série
2016 TOYOTA COROLLA CE 4DR 2T1BURHE5GC603267 2016 TOYOTA COROLLA CE 4DR 2T1BURHE5GC603267
Effective Date / Date d'entree en vigueur : September 20, 2019 Effective Date / Date d'entree en vigueur : September 20, 2019
Expiration Date / Date d'expiration : September 20, 2020 Expiration Date / Date d'expiration : September 20, 2020
Broker/Agent / Courtier(ère) ou agent(e ):MULTIRISK INSURANCE BROKERS Agent/Broker / Courtier(ère) ou agent(e ): MULTIRISK INSURANCE BROKERS
INC. INC.
Phone / Téléphone : (416) 224-2800 Phone / Téléphone : (416) 224-2800
Claims Assist (toll free) / Assistance sinistres (sans frais) : 1-866-692-8482 Claims Assist (toll free) / Assistance sinistres (sans frais) : 1-866-692-8482
MOTOR VEHICLE LIABILITY INSURANCE CARD CANADA INTER-PROVINCE MOTOR VEHICLE LIABILITY INSURANCE CARD CANADA INTER-PROVINCE
APPLICABLE WITHIN CANADA AND THE UNITED STATES OF AMERICA APPLICABLE WITHIN CANADA AND THE UNITED STATES OF AMERICA
This certificate is subject to the terms and conditions of the insurer's standard automobile policy. This certificate is subject to the terms and conditions of the insurer's standard automobile policy.
This certifies that the party named herein is insured against liability for bodily injury and property damage by reason of This certifies that the party named herein is insured against liability for bodily injury and property damage by reason of
the operation of the motor vehicle described herein, in an amount not less than the statutory minimum requirements in the operation of the motor vehicle described herein, in an amount not less than the statutory minimum requirements in
any area of Canada. any area of Canada.
WARNING: Any person who issues or produces a card to show that there is in force a policy of insurance as WARNING: Any person who issues or produces a card to show that there is in force a policy of insurance as
indicated herein, that is in fact not in force, is liable to a heavy fine and/or imprisonment and his licence may be indicated herein, that is in fact not in force, is liable to a heavy fine and/or imprisonment and his licence may be
suspended. suspended.
This card should be carried in the insured vehicle for production as proof of insurance when demanded by police. This card should be carried in the insured vehicle for production as proof of insurance when demanded by police.
CERTIFICAT D'ASSURANCE AUTOMOBILE RESPONSABILITÉ CANADA INTER-PROVINCE CERTIFICAT D'ASSURANCE AUTOMOBILE RESPONSABILITÉ CANADA INTER-PROVINCE
EN VIGUEUR AU CANADA ET AUX ÉTATS-UNIS D'AMÉRIQUE EN VIGUEUR AU CANADA ET AUX ÉTATS-UNIS D'AMÉRIQUE
Le présent certificat est assujetti aux dispositions et conditions de la police d'assurance automobile de l'Assureur. Le présent certificat est assujetti aux dispositions et conditions de la police d'assurance automobile de l'Assureur.
Ce certificat atteste que la personne susnommée est assurée contre la responsabilité pour blessures et dommages Ce certificat atteste que la personne susnommée est assurée contre la responsabilité pour blessures et dommages
aux biens découlant de l'usage du véhicule ci-décrit, conformément aux limites minimales exigées par les lois aux biens découlant de l'usage du véhicule ci-décrit, conformément aux limites minimales exigées par les lois
d'assurance en vigueur partout au Canada. d'assurance en vigueur partout au Canada.
AVERTISSEMENT : Quiconque émet ou présente un tel certificat comme preuve d'une police AVERTISSEMENT : Quiconque émet ou présente un tel certificat comme preuve d'une police
d'assurance-responsabilité qui effectivement n'est pas en vigueur, est coupable d'une infraction passible d'une forte d'assurance-responsabilité qui effectivement n'est pas en vigueur, est coupable d'une infraction passible d'une forte
amende et/ou d'emprisonnement et suspension de son permis. amende et/ou d'emprisonnement et suspension de son permis.
Ce certificat doit être laissé dans le véhicule assuré afin d'être présenté comme preuve d'assurance lorsque la police Ce certificat doit être laissé dans le véhicule assuré afin d'être présenté comme preuve d'assurance lorsque la police
l'exige. l'exige.
This certificate has anti-fraud features. This certificate has anti-fraud features.
Le présent certificat présente des caractéristiques anti-fraude. Le présent certificat présente des caractéristiques anti-fraude.
$$FORMMETADATA$$:LIAB002
What to do in case of an accident What to do in case of an accident
1. Stay Safe! 1. Stay Safe!
2. Make sure you and your passengers are okay. Call the police or 2. Make sure you and your passengers are okay. Call the police or
ambulance, if necessary. ambulance, if necessary.
3. Record details for: 3. Record details for:
• other driver(s) involved in the accident including their • other driver(s) involved in the accident including their
vehicle information, insurance company and policy number vehicle information, insurance company and policy number
• any witnesses, passengers, police information and vehicle • any witnesses, passengers, police information and vehicle
damage damage
4. Please call us 24/7 at 1-866-MYAVIVA (1-866-692-8482) to 4. Please call us 24/7 at 1-866-MYAVIVA (1-866-692-8482) to
report a claim and for us to help identify the best options available report a claim and for us to help identify the best options available
for towing, repairs and rental service, or you can also call your for towing, repairs and rental service, or you can also call your
broker. broker.
En cas d’accident : En cas d’accident :
1. Votre sécurité passe avant tout! 1. Votre sécurité passe avant tout!
2. Y a-t-il des blessés? Appelez les services d’urgence si nécessaire. 2. Y a-t-il des blessés? Appelez les services d’urgence si nécessaire.
3. Obtenez : 3. Obtenez :
• Les noms et adresses des autres conducteurs impliqués et les • Les noms et adresses des autres conducteurs impliqués et les
renseignements sur leur véhicule, leur assureur et leur police renseignements sur leur véhicule, leur assureur et leur police
d’assurance. d’assurance.
• Les noms et adresses de tous les témoins et passagers et les • Les noms et adresses de tous les témoins et passagers et les
renseignements sur le rapport de police et les dommages aux renseignements sur le rapport de police et les dommages aux
véhicules. véhicules.
4. Appelez-nous pour déclarer l’accident, 24 h sur 24, au 4. Appelez-nous pour déclarer l’accident, 24 h sur 24, au
1-866-692-8482, ou communiquez avec votre broker. 1-866-692-8482, ou communiquez avec votre broker.
$$FORMMETADATA$$:LIAB002