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Marsh Canada Limited
                                                     70 University Avenue, Suite 800
                                                     Toronto, Ontario M5J 2M4


Ocean or Air Insurance Coverage Highlights
Personal Effects – Owner Packed - All Risks – S.T. $300 Deductible
                          INSTITUTE CARGO CLAUSES (A) INCLUDING STRIKES, RIOTS, CIVIL COMMOTIONS AND WAR
 The following is only an outline of the Institute Cargo Clauses (A). Please take the time to review all of the terms and conditions of the Certificate of
 Insurance, which will be provided prior to shipment.
                                                                     RISKS COVERED
 This insurance covers All Risks of loss of or damage to the subject matter insured except as provided below.
                                                                     EXCLUSIONS
 In no case shall this insurance cover:
      Loss, damage or expense attributable to the willful misconduct of the insured
      Ordinary wear and tear of the subject matter insured
      Loss, damage or expense attributable to inherent vice or nature of the subject matter insured
      Loss, damage or expense proximately caused by delay
      Scratching, denting, marring, chipping, pilferage and breakage due to owner’s packing
      Rust, oxidization and discoloration
                                                                       DURATION
 This insurance attaches from the time the goods leave the residence at the location named for the commencement of transit, continues through the
 ordinary course of transit and terminates either at the residence at the final destination named in the policy or upon delivery to an intermediate location
 for storage outside the ordinary course of transit
                                                                        CONDITIONS
 This insurance may be subject to some or all of the following conditions or warranties:
     $300 Deductible
      Completed itemized valued inventory, signed and returned prior to departure
      Insurance coverage highlights form signed and returned
                                                                          CLAIMS
 1. It is required that when you receive goods from the carrier in a             2. Immediately notify the agent named on the certificate of insurance, or
     damaged condition, NOTICE OF CLAIM be filed with the carrier in                 CNA Canada
     writing at the time of accepting the goods. If the damage is not                Continental Casualty Company       Tel (416) 542-7419
     apparent, then within three days.                                               250 Yonge Street, Suite 1500       Fax (416) 542-7410
     This notice of claim may be (a) in the form of endorsement on the               Toronto, Ontario, Canada
     delivery receipt or (b) by letter                                               M5B 2L7                            email:    matt.douris@cna.com
 Delay in notification of loss may prejudice your ability to recover under this policy
 I understand and agree to the terms of this insurance.
 This Form is not a binding contract evidencing insurance. A certificate of insurance must be in place for coverage to take effect. A copy of
 the insurance certificate issued under the CargoCover policy #110550, issued through Continental Casualty Company is the only contract
 under which a claim may be made. A copy of the certificate must be provided by your Freight Forwarder or Marsh Broker arranging
 coverage. If you do not receive a copy of the certificate prior to the shipment departure date, please contact Marsh Canada Limited at
 877-755-4934
                                                                    SIGNATURE
        BY SIGNING THIS FORM IT WILL ACKNOWLEDGE THAT THIS IS THE INSURANCE COVERAGE YOU HAVE REQUESTED AND
                                            MARSH CANADA WILL ARRANGE ON YOUR BEHALF.
 Name (please print)                                                            Title


 Signature                                                                                                Date (mon/dd/yyyy)




CNA is a registered trademark of CNA Financial Corporation, used under license by Continental Casualty Company, and CargoCover.com is a
registered trademark of Marsh Inc.




030307fp-p.doc : 2006-09-21                                                                                                                      Page 1 of 1

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Personal Effects owner packed with all risks excess $300.00

  • 1. Marsh Canada Limited 70 University Avenue, Suite 800 Toronto, Ontario M5J 2M4 Ocean or Air Insurance Coverage Highlights Personal Effects – Owner Packed - All Risks – S.T. $300 Deductible INSTITUTE CARGO CLAUSES (A) INCLUDING STRIKES, RIOTS, CIVIL COMMOTIONS AND WAR The following is only an outline of the Institute Cargo Clauses (A). Please take the time to review all of the terms and conditions of the Certificate of Insurance, which will be provided prior to shipment. RISKS COVERED This insurance covers All Risks of loss of or damage to the subject matter insured except as provided below. EXCLUSIONS In no case shall this insurance cover:  Loss, damage or expense attributable to the willful misconduct of the insured  Ordinary wear and tear of the subject matter insured  Loss, damage or expense attributable to inherent vice or nature of the subject matter insured  Loss, damage or expense proximately caused by delay  Scratching, denting, marring, chipping, pilferage and breakage due to owner’s packing  Rust, oxidization and discoloration DURATION This insurance attaches from the time the goods leave the residence at the location named for the commencement of transit, continues through the ordinary course of transit and terminates either at the residence at the final destination named in the policy or upon delivery to an intermediate location for storage outside the ordinary course of transit CONDITIONS This insurance may be subject to some or all of the following conditions or warranties:  $300 Deductible  Completed itemized valued inventory, signed and returned prior to departure  Insurance coverage highlights form signed and returned CLAIMS 1. It is required that when you receive goods from the carrier in a 2. Immediately notify the agent named on the certificate of insurance, or damaged condition, NOTICE OF CLAIM be filed with the carrier in CNA Canada writing at the time of accepting the goods. If the damage is not Continental Casualty Company Tel (416) 542-7419 apparent, then within three days. 250 Yonge Street, Suite 1500 Fax (416) 542-7410 This notice of claim may be (a) in the form of endorsement on the Toronto, Ontario, Canada delivery receipt or (b) by letter M5B 2L7 email: matt.douris@cna.com Delay in notification of loss may prejudice your ability to recover under this policy I understand and agree to the terms of this insurance. This Form is not a binding contract evidencing insurance. A certificate of insurance must be in place for coverage to take effect. A copy of the insurance certificate issued under the CargoCover policy #110550, issued through Continental Casualty Company is the only contract under which a claim may be made. A copy of the certificate must be provided by your Freight Forwarder or Marsh Broker arranging coverage. If you do not receive a copy of the certificate prior to the shipment departure date, please contact Marsh Canada Limited at 877-755-4934 SIGNATURE BY SIGNING THIS FORM IT WILL ACKNOWLEDGE THAT THIS IS THE INSURANCE COVERAGE YOU HAVE REQUESTED AND MARSH CANADA WILL ARRANGE ON YOUR BEHALF. Name (please print) Title Signature Date (mon/dd/yyyy) CNA is a registered trademark of CNA Financial Corporation, used under license by Continental Casualty Company, and CargoCover.com is a registered trademark of Marsh Inc. 030307fp-p.doc : 2006-09-21 Page 1 of 1