Canadian Neurological Sciences Federation 2014 | Page 37

     APPLICATION FOR INSURANCE FOR EXHIBITORS AT THE 49 CONGRESS OF THE CANADIAN NEUROLOGICAL SCIENCES FEDERATION 2014 (CNSF 2014) TH Each exhibitor at the CNSF 2014 has the responsibility to maintain adequate insurance coverage for injury to persons or property while exhibiting in the Fairmont Banff Springs Hotel, Banff, Alberta. The following insurance is mandatory: 1. Commercial General Liability insurance for a minimum limit of $5,000,000 CAD 2. The policy must include Canadian Neurological Sciences Federation, Fairmont Banff Springs Hotel and Intertask Group of Companies as additional insureds and shall contain a cross-liability clause. Exhibitors who desire insurance on their exhibition booth and display goods may purchase the optional property coverage. Please complete the following: Name: Address: City, Postal/ZIP Code: Location of Exhibition: Fairmont Banff Springs Hotel 405 Spray Avenue Banff, Alberta T1L 1J4 Period of Coverage: This coverage shall continue in force From June 3, 2014 12:01 AM Until June 6, 2014 12:01 AM A) Commercial General Liability—$5,000,000 CAD Coverage for Premises and Operations; Owners’ Protective Liability; Tenant’s Legal Liability and Cross Liability, subject to a Property Damage deductible of $500 in any one occurrence. Area of Booth Spaces Less than 300 square feet $245.00 $ being occupied: More than 300 square feet $395.00 B) Exhibition Booth and Contents (Optional, but available only in conjunction with the Liability insurance) All Risks coverage on Property, subject to a deductible of $500 in any one occurrence. Value of Booth and/or Contents: $ CAD Insurance Rate per $100 of value: × $2.00 Booth & Contents Premium (Subject to $200.00 Minimum) $ Total Premium (A + B) $ PLEASE FORWARD THIS APPLICATION ALONG WITH YOUR CHEQUE OR MONEY ORDER TO:  1050 Morrison Drive, Ottawa, Ontario, Canada K2H 8K7 Tel: (613) 226-6590 Fax: (613) 723-6445 e-mail: tanyam@rhodeswilliams.com      