Jardine Lloyd Thompson Canada Inc. 16th Floor, 1111 West Georgia Street, Vancouver, B.C. Canada V6E 4G2 Telephone: (604) 682-4211 Facsimile: (604) 682-3520 CERTIFICATE OF INSURANCE Certificate Number 2016-CC05 R2 This is to certify that the policies of insurance listed below have been issued to the insured named below for the policy period indicated, notwithstanding any requirement, term or condition 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 the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims/expenses. Certificate Holders: Name and Address of Named Insured As per Schedule attached Canadian Snowsports Association Suite 202, 1451 West Broadway, Vancouver, BC V6H 1H6 Which Includes sanctioned activities for the following: • Alpine Canada Alpin • Canadian Association for Disabled Skiing • Canadian Freestyle Ski Association • Canadian Snowboard Federation • Nordic Combined Canada Combiné Nordique • Ski Jumping Canada • Canadian Speed Skiing Association • Telemark Ski Canada Télémark • Canadian Ski Coaches Federation • Cross Country Ski de fond Canada TYPE OF INSURER / POLICY TERM COVERAGE LIMIT OF LIABILITY INSURANCE POLICY NO. Commercial General Lloyd’s of London July 1, 2016 Inclusive Limits Bodily Injury and Each Occurrence Liability Novae Syndicate 2007 as to Property Damage Liability $ 5000000 Cdn arranged by JLT Ltd. - June 30, 2017 100% Property Damage/Bodily Injury Deductible $2,500 Policy No. B0901L61411287000 Event/activity approved by: 2016 - 2017 Season Cross Country Canada for Cross Country Ontario Date: July 1, 2016 to June 30, 2017 Location: Various Locations in Ontario The Certificate Holder(s) are added as Additional Insured but only with respect to liability arising out of the operations of the Named Insured. The additional insured status will be primary insurance over and above any other insurance carried by the Additional insured. HELMETS ARE MANDATORY FOR ALL BIG AIR, AERIAL, PIPE, RAIL AND TERRAIN PARK ACTIVITIES AND WHERE REQUIRED BY FIS AND NATIONAL SPORT RULES AND REGULATIONS. CANCELLATION: Should any of the above described policies be cancelled before the expiration date thereof, the Insurer will endeavour to mail 30 days written notice to the Certificate Holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the Insurer. These statements have been made in good faith and are a summary of the insurance cover in force (which is subject to the full terms and conditions of the policy). We accept no responsibility whatsoever for any inadvertent or negligent act, error or omission on our part in preparing these statements or for any loss, damage or expense thereby occasioned to any recipient of this certificate. This certificate is issued for convenience only. All of the terms and Conditions of the Policies referred to are contained in the original document which are not modified or amended by this Certificate. With respect to Liability Insurance Coverages, where an Aggregate limit applies, the Certificate Holder is advised that the limit shown may apply to products/completed operations or projects other than shown on this certificate and the limit may be reduced by Claims/Expenses Paid. All limits shown above are in Canadian Currency. Issued at: Vancouver, BC JARDINE LLOYD THOMPSON CANADA INC. Date: 19 July 2016 Authorized Representative Continue Club Name Address City Prov PostalCode Her Majesty the Queen in right of Ontario as represented by the Minister of Natural Arrowhead Nordic Ski Club Resources 451 Arrowhead Park Rd Huntsville ON P1H 2J4 Ontario Federation of School Athletic Arrowhead Nordic Ski Club Associations 3 Concord Gate Suite 204 Toronto ON M3C 3N7 Arrowhead Nordic Ski Club The Canadian Ski Patrol and its Members 4531 Southclark Place Ottawa ON K1T 3V2 Arrowhead Nordic Ski Club The District Municipality of Muskoka 70 Pine Street Bracebridge ON P1L 1N3 Arrowhead Nordic Ski Club The Town of Huntsville 37 Main Street East Huntsville ON P1L 1A1 Arrowhead Nordic Ski Club Trillium Lakelands District School Board PO Box 420 Lindsay ON K9V 4S4 Beaten Path Nordic Trails XC Ski Club Quetico Provincial Parks 108 Saturn Ave. Atikokan ON P0T1C0 Beaver Valley Nordic Ski Club Beaver Valley Ski Club c/o Tim Foster, 100 Pioneer Drive Markdale ON N0C 1H0 c/o Martin Kiener, 1 King St. West, Suite Beaver Valley Nordic Ski Club Beaver Valley Village Inc. 4009 Toronto ON M5H 1A1 Beaver Valley Nordic Ski Club Fay Jensen 155296 7th Line Markdale ON N0C 1H0 Beaver Valley Nordic Ski Club Grey Sauble Conservation Authority c/o Chris Hachey, 237897 Inglis Falls Road Owen Sound ON N4K 5N6 Ecole Secondarie de La Verendrye Conseil Scolaire de District Catholique des Aurora Big Thunder Nordic Boreales Thunder Bay ON Kamview Nordic Centre, Thunder Bay Big Thunder Nordic Nordic Trails 851 20th Side Road Thunder Bay ON P7J 1M6 Ministry of Health Promotion Government Big Thunder Nordic of Ontario ON Superior Secondary School Athletics Big Thunder Nordic Association Thunder Bay ON Superior Secondary School CVI Lakehead Big Thunder Nordic Public Schools Thunder Bay ON BioSki Cross Country Ski & Snowshoe Club Nickel District Conservation Authority 200 Brady St, first floor, Tom Davis Square Sudbury ON P3E5K3 Blind River Cross Country Ski Club Town of Blind River Hudson Ave Blind River ON P0R 1B0 Bruce Ski Club Morgan Given RR #1 Mar ON N0H 1X0 Bruce Ski Club Bluewater District School Board 351 1st Avenue North Chesley ON N0G 1L0 Bruce Ski Club Bluewater Education Foundation RR 3, 3092 Bruce Road 13 Wiarton ON N0H 2T0 Bruce Ski Club Bruce County 30 Park St Walkerton ON N0G 2V0 Bruce Ski Club Don Elliot RR #1 Mar ON N0H 1X0 Bruce Ski Club Doug Given RR #1 Mar ON N0H 1X0 Bruce Ski Club George Heigenhauser RR #1 Mar ON N0H 1X0 Bruce Ski Club Grey Sauble Conservation Authority 237897 Inglis Falls Road, RR#4 Owen Sound ON N4K 5N6 Bruce Ski Club Jeremy & Melanie Cobert 3 Cherry Ave Grimsby ON L3M 2G8 Bruce Ski Club Jewel Spencer RR #2 Shallow Lake ON N0H 2K0 Kiwanis Club of Owen Sound Whispering Bruce Ski Club Pines Committee PO Box 192 Owen Sound ON N0H 5P3 Bruce Ski Club Laura McNamara, Edward Ratcliffe 42 Barfoot Drive South Bruce Peninsula ON N0H 2T0 Bruce Ski Club Ministry of Natural Resources 1450 7th Ave E Owen Sound ON N4K 2Z1 Bruce Ski Club Peter Bruer, Sigfrid Blohm Con 8 EBR PT Lot 31 Wiarton ON Bruce Ski Club Red Bay Lodge 1657127 Ont Inc RR #1 Mar ON N0H 1X0 Red Bay Tent & Trailer Park 2050182 Bruce Ski Club Ontario Inc RR #1 Mar ON N0H 1X0 Bruce Ski Club Rick and Janet Kerr RR 5 Owen Sound ON N4K 5N7 Bruce Ski Club Ron Gatis RR #6 Wiarton ON N0H 2T0 Cochrane Cross Country Ski Club Charlotte & Ralph Johnson 425 Hwy. 579 Cochrane ON P0L 1C0 Cochrane Cross Country Ski Club Town of Cochrane 171 4th Ave. Cochrane ON P0L 1C0 Deep River Cross Country Ski Club Deep River Curling and Squash Club 1 Granite Lane Deep River ON K0J 1P0 Renfrew County Catholic District School Deep River Cross Country Ski Club Board 499 Pembroke St W Pembroke ON K8A 5P1 Deep River Cross Country Ski Club Town of Deep River 100 Deep River Road Deep River ON K0J 1P0 Eden Mills Nordic Ski Club Bill Hamilton and Richard Kelly RR1 Puslinch ON N0B 2J0 Eden Mills Nordic Ski Club Dunnink, John 4988 Jones Baseline Rd Guelph ON N1H 6H8 Eden Mills Nordic Ski Club Fitzgibbon, James and Linda 7704 Maltby Road Puslinch ON N0B 2J0 Eden Mills Nordic Ski Club Greg Parker 4616 Watson Road S Puslinch ON N0B 2J0 Eden Mills Nordic Ski Club Jan Huizinga RR1 Puslinch ON N0B 2J0 Eden Mills Nordic Ski Club Lori Ann and Chris Ferraro 7684 Maltby Rd Puslinch ON N0B 2J0 Eden Mills Nordic Ski Club Stephanie Smith & Adrian Beck 7702 Maltby Road Puslinch ON N0B 2J0 Eden Mills Nordic Ski Club Steve Naylor and Gabrielle Monteith 4646 Watson Rd S Puslinch ON N0B 2J0 Victoria Park Valley Golf Club operated by Eden Mills Nordic Ski Club Diodoro Enterprises Ltd. 1096 Victoria Rd. South Guelph ON N1L 1B3 Five Winds Ski Touring Club Wahta Mohawks PO Box 260 Bala ON P0C 1A0 Georgian Bay Nordic Grey Sauble Conservation 237897 Inglis Falls Road, RR 4 Owen Sound ON 237897 Ing Georgian Bay Nordic Selah Camp 760 ON‐6 South Bruce Peninsula ON N0H 2T0 Great Moose Adventures Great Moose Adventures 1368 Housey's Rapids Road Gravenhurst ON P1P 1R3 Haliburton Highlands Nordic Trail 60 Mattice Ave, Concession 9 Lot 6 Dysart & Association Anna Derjanecz Concession 10 Lot 6,7, 8, 9, 12 Dysart Toronto ON M9B1T4 Haliburton Highlands Nordic Trail Association Bennie K Graham 4380 Miles Rd, Concession 9 Lot 6 MTHope ON L0R1W0 Haliburton Highlands Nordic Trail RR#2 1407 Wigamog Rd, Concession 6, Lot Association Blake Paton 31(part 1 031‐448) Minden ON K0M2K0 Haliburton Highlands Nordic Trail Bob, Darren, Dennis, Marco, Bill Mr. Picard, Association Byers, Byers, Gusso, Balfour c/o Box 653, Concession 11 Pt.9 Dysart Haliburton ON K0M1S0 Haliburton Highlands Nordic Trail Association Bruce Lemon Box 1127, Concession 8 Lot 4 Dysart Haliburton ON K0M 1S0 Haliburton Highlands Nordic Trail Association County of Haliburton P.O. Box 395, 11 Newcastle St. Minden ON K0M2K0 Haliburton Highlands Nordic Trail 297 College Drive, Box 839. Concession 9, Association Fleming School of Art and Design part lot 15, Township of Dysart Haliburton ON K0M 1S0 Haliburton Highlands Nordic Trail Association Frederick & Marlene Nimigon RR2, Concession 9 Pt. 11 Dysart Haliburton ON K0M1S0 Haliburton Highlands Nordic Trail Greg & Sandra Bishop , Mark & Janice Association McMaster Box 193.