2019ACORD-Bewegen-Baystate Health2019ACORD-Bewegen-Baystate Health.docx
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE: (YY/MM/DD)
2020-08-12
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
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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (ies) must be endorsed. If SUBROGATION IS WAIVED,
subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights
to the certificate holder in lieu of such endorsement(s).
PRODUCER
VÉZINA ASSURANCES INC.
A Marsh & McLennan Agency LLC Company
4374, Pierre de Coubertin
Montréal (Québec)
H1V 1A6
This certificate 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 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.
COMPANIES AFFORDING COVERAGE
Insurer A Aviva, Insurance company of Canada
INSURED
TECHNOLOGIES BEWEGEN INC.
9095, 25e Avenue
St Georges de Beauce (Québec) G6A 1A1
Insurer B INTACT INSURANCE
Insurer C SOVEREIGN - AM Best Rating: A-
Insurer
Rating A
D Markel Insurance (Certain Lloyd’s Underwriters under contract
MKL2018001)
COVERAGES
INSR
LTR
Type of Insurance Policy Number Policy Effective
Date (mm/dd/yy)
Policy Expiration
Date (mm/dd/yy)
Limits CDN
US
GENERAL LIABILITY 81904819 11/01/2019 11/01/2020 General aggregate $1,000,000
Commercial general liability Products comp/op agg. $1,000,000
A Claims made occur. Personal & adv. injury $1,000,000
Owner's & contractor's prot. Each occurrence $1,000,000
Non-owned autos Fire damage (any one fire) $1,000,000
Cross Liability Med. Expense (any one
person)
$25,000
Contractual Liability
AUTOMOBILE LIABILITY 674-8209 10/01/2019 10/01/2020 Combined single limit $2,000,000
Any auto
B All owned autos Bodily injury
(per person)
$included
Scheduled autos
Hired autos Bodily injury
(per accident)
$included
Non-owned autos
Property damage $included
TECH ERRORS & OMISSIONS INT79155250 10/01/2019 10/01/2020 Limit per claim $5,000,000
C Claims made Aggregate $5,000,000
EXCESS LIABILITY 244978/1 11/01/2019 11/01/2020 Each occurrence $4,000,000
D Umbrella Form Aggregate $4,000,000
PROPERTY BROAD FORM CM00041335
Chubb Canada
10/01/2019 Up to May 31st,
2020
Property limit is storage $1,900,000
USD
E ALL RISKS Deductible $10,000
WORKER'S COMPENSATION Statutory limits
AND EMPLOYERS' LIABILITY Each accident $n/a
The proprietor/ incl. Refer to document provided by the CNESST in
the province of Quebec
Disease-Policy limit $n/a
Partners/executive Disease-Each employee $n/a
Officers are: excl.
OTHER: “Baystate Health and Pioneer Valley” are added as additional insured under the General Liability AVIVA policy #81904819 but solely
with respect to liability arising out of the operations/products of the Named Insured.
Description of operations/locations/vehicles/special items: Manufactures, designs, assembles and distributes of Electrical Bike Sharing system
including electrical bicycle, accessories, bicycle frames, sharing system, propulsion motor & system
Certificate Holder Cancellation
Baystate Health
2, Medical Center drive, Suite 503,
Springfield, MA 01107
Should any of the above described policies be cancelled before the expiration date thereof,
30 days cancellation notice will be delivered in accordance with the policy provisions.
Authorized representative VÉZINA ASSURANCES INC.
Julie Desjardins, CIP
ACORD 25 (2010/05) ACORD CORPORATION 1998