Order of The Lieutenant Governor in Council: Province of British Columbia

PROVINCE OF BRITISH COLUMBIA
ORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL
Order in Council No. 2224 , Approved and Ordered Nov 771985
Lieutenant Governor
Executive Council Chambers, Victoria NOV. 271985
On the recommendation of the undersigned, the Lieutenant Governor, by and with the advice and
consent of the Executive Council, orders that
(a) the Revised Regulation (1984) under the Insurance (Motor Vehicle) Act, B.C. Reg. 447/83, be
amended as set out in the attached Schedule,
(b) sections 26 (b) and (c) and 27 of the attached Schedule come into force on December 2, 1985, and
(c) the remaining provisions of the attached Schedule come into force on January 1, 1986.
Minister of Health Presiding Me,Alber of the Executive Council
This part is for the records of the Office of Legislative Counsel, and is not part of the Order. ) 9
Authority under which Order is made:
Act and section:- Insurance (Motor. Vehicle) Act., section 46
Other (specify)- I --1/ / 3
Examined by: Claire .Reilly ..eeck,40.4

ftlirnry Gerwra/ cra m IN,
November 26, 1985 /85/kmr

SCHEDULE
1. Section 1 (1) is amended

(a) by repealing the definition of "bus" and substituting the following.
"bus" means a motor vehicle operated for airport bus use, charter bus
use, private bus use, public bus use, religious bus use or as a school bus; ,
and
(h) in the definition of "collision coverage" by striking out in paragraph
(d) "the vehicle or an attached vehicle," and substituting "a
commercial motor vehicle the gross vehicle weight of which exceeds
3 700 kg or a commercial trailer,".
2. Section 2 is amended
(a) in paragraph (a) by striking out "or" at the end,
(h) in paragraph (b) (ii) by striking out "certificate." and substituting
"certificate, and", and
(c) by adding the following paragraph:
(c) a trailer while being drawn otherwise than by vehicle power
or human power.
3. Section 11 (I) is amended in the definition of "chargeable claim

payment"
(a) in paragraph (a) (vi) by adding "and" at the end and by striking out
"and" at the end of paragraph (a) (vii),
(b) by repealing paragraph (a) I viii),
(a.1) made in respect of an accident where
(i) the accident occurs more than 50 months before the
renewal date of a certificate and the first payment is
made by the corporation in respect of the accident not
more than 14 months before the renewal date, or
(HI the accident occurs more than 48 months before the date
of application for a new certificate and the first payment
is made in respect of the accident not more than 12
months before the date of application, and , and
(d) by repealing paragraph (b) and substituting the following
(b) made in respect of an accident involving the contributory
negligence of another person where 75% or more of the
payment is recoverable from the other person; .

(a) by repealing the definition of "claim payment record" and substituting
the following:
"claim payment record" means a record of chargeable claim
payments. ,
OA by adding the following definition:
"principal operator" means the person named by the applicant in an
application for a new certificate as the person who will operate the vehicle
described in the application for the majority of the time the vehicle is
operated during the term of the certificate; ,
(c) in the definition of "substitute vehicle" by adding in paragraph (al
"within 12 months after the date of disposal of the other vehicle" after
"another vehicle".
5. Section 12 is amended by adding the following paragraph

la. I) in respect of a trailer, .
6. The following section is added.

l'remium • new certificate
12.1 II The annual premium for a new certificate for a vehicle shall
be determined by reference to
la) the base rate premium for the vehicle,
lb) the claim payment record of the applicant and of the principal
operator of the vehicle, and
lc) the requirements of section 21.
12) An applicant for a new certificate for a vehicle shall provide to
the person receiving his application the driver's licence number of the
applicant and of the principal operator of the vehicle.
7. Section 13 is repealed and the following substituted:

Premium renewal certificate
13. The annual premium for a renewal certificate for a vehicle shall
be determined by reference to the base rate premium for the vehicle and
the claim payment record for the vehicle or a substitute vehicle.
la) by striking out "a record of',
lb) by adding "hy the corporation" after "is used", and
lc) by striking out "the same record" and substituting "the same
payment".
9. Section 16 (2) is amended by adding "or of the principal operator of the

vehicle for which application is made" after "of an applicant".
10. Section 17 (1) is amended by striking out "under the claim•rated

scale".
11. The following section is added:
2
Position on claim•rated scale
19.1 ( ) Where application is made for a new certificate for a vehicle,
the corporation shall determine, in accordance with section 12.1, the step
on Table 4 of Schedule 1 that applies to a vehicle as though the applicant
had been insured with the corporation for the 7 years preceding the date of
application.
(2) Where application is made for a renewal certificate for a vehicle,
the step on Table 4 of Schedule 1 that applies to the vehicle is
(a) one step below the step for the previous year, where no
chargeable claim payments have been made in respect of the
vehicle during the one year scan period and the step for the
previous year was higher than step 60,
(h) step 100, where no chargeable claim payments have been
made in respect of the vehicle during the 3 year scan period
and step 100 is lower than the step the vehicle would be at if
paragraph WI applied to it,
Icl 3 steps above the step for the previous year for each
chargeable claim payment made in respect of the vehicle,
where one or more chargeable claim payments have been
made during the one year scan period.

WI by striking out "renewed certificate for a vehicle under the claim rated
scale" and substituting "renewal certificate for a vehicle", and
(b) in paragraph (h) by striking out "step 65" and substituting "step 60"

(a) by adding "for a new certificate" after "An applicant", and
(b) in paragraph (d) by striking out "step 65" and substituting "step 60".
14. Section 22 (2) is repealed and the following substituted:

12) An applicant for a new certificate shall
(a) complete and sign a declaration of entitlement in the
applicable form prescribed by the corporation (APV-9 or APV-
250), and
(h) submit the declaration of entitlement to the corporation.

(a) in subsection 13) by striking out ", pending completion of a review of
its records, determine the step on the table," and substituting
"determine the step on Table 4 of Schedule 1,"
(b) by adding the following subsection:
13.1) Where the applicant does not agree with the corporation's
determination under subsection (3), the corporation shall, pending a
review of its records, make an interim determination based on the
3
information provided in the declaration of entitlement and any additional
information provided by the applicant. ,
(c) in subsection (4) by striking out everything before paragraph (a) and
substituting "Where the corporation is unable, from the information
provided in the declaration of entitlement, to determine the step or
where an interim determination has been made under subsection
(3.1), the corporation shall" and
(d) in subsection (4) (a) by adding "and of the principal operator of the
vehicle" after "of the applicant".

(a) in subsection (11 by adding "or principal operator" after "who insured
the applicant," after "on behalf of the applicant" and after "the period
the applicant",
(b) in subsection (21 by adding "or principal operator" after "record of the
applicant" and by adding "or principal operator's" after ", were the
applicant's", and
(c) by repealing subsection (3) (a) and substituting the following.
(a) if the applicant or principal operator or both hold a driver's
licence, determine the step on Table 4 of Schedule I that
applies to the vehicle for which application is made as if the
driving record of the applicant or principal operator or both
under the Motor Vehicle Act were the claim payment record of
the applicant, and
17. Section 25 is repealed and the following substituted

position of applicant to
whom section 24 applies
25. Where an applicant described in section 24 (1) applies for a new
certificate for a vehicle and complies with that section, the step on Table 4
of Schedule I that applies to the vehicle shall be determined by the
corporation as if the application were for a renewal certificate, but if the
corporation has not made a chargeable claim payment on behalf of the
applicant during the 4 year scan period the step shall be no higher than
step 100
18. Section 26 (11 (a) is amended by striking out "claim payment record"
and substituting "position on Table 4 of Schedule 1".
19. Section 26.1 is repealed .
20. Section 30 (1) is amended by striking out "cancelled." and substituting

"cancelled, less, where the certificate is for a vehicle that is not part of a
fleet and is cancelled by the person named on the certificate, $20 of the
premium."
(a) by adding "or" at the end of subsection ( 1) (1)),
(b) by repealing subsection (1) (c) and (d) and substituting the following:
(c) cancellation of u certificate , and
(c) by repealing subsection (2).
22. Section 34 is amended by striking out "The premium" and

substituting "The minimum premium" and by striking out "and
retained".

(a ) by renumbering it as subsection (1),
(b) in subsection II) (b) by striking out "or 124 and the owner or lessee"
and substituting "124 or 126 and the owner or lessee is the principal
operator of the vehicle and",
(c) in subsection (1) (b) (i) by adding "and operated entirely by means of
after "to be equipped with",
Id) by repealing subsection (1) (b) (ii) and substituting the following
Iii) is a handicapped person, as defined in section I of the
Motor Fuel Tax Act, and qualifies under section 18 of that
Act for a refund of tax. , and
(e) by adding the following subsection:
(2) A person qualifies for the handicapped driver discount on only
one vehicle .
24. Section 49 is amended by renumbering it as section 49 (1) and by

adding the following:
(2) No coverage is provided under a driver's certificate to the person
named in it while he is operating a vehicle that is in fact not licensed
under the Motor Vehicle Act, the Commercial Transport Act or similar
legislation of another jurisdiction unless he has reasonable grounds to
believe that the vehicle is licensed.

(a) by renumbering it as subsection (1),
(b) by striking out everything after "primary insurance", and
(c) by adding the following:
(2) Indemnity provided by a driver's certificate is available only to
the extent of the amount by which the limit of liability under the driver's
certificate exceeds the total of the amounts specified in any primary
insurance as the limits of liability under that insurance.

(a) by adding the following subsection:
(3 1) An insured does not breach a condition of subsection (31 (a) by
reason only that he operates a vehicle under a class 6 driver's licence in
contravention of a restriction imposed by section 1 (a), (c) or (d) of B.C .
Reg 15/85. ,
lb) in subsection (6) by striking out "subsection (2), (3), (4) or (5)." and
substituting "this section or is deemed under subsection (7.11 or (8) to
have breached a condition of Parts 6 and 9.",
(c) by adding the following subsection:
(7.1) An insured shall be deemed to have breached a condition of
Parts 6 and 9 where the injury, death, loss or damage in respect of which
his claim is made is caused by or results from an intentional act of
violence committed by the insured, while sane, by means of a vehicle. ,
and
(d) by repealing subsection181 and substituting the following subsection:
( 8( An insured shall be deemed to have breached a condition of Parts
6 and 9 where
la) his claim arisesout of or is related to his operation of a vehicle
while he is under the influence of intoxicating liquor or a drug
to such an extent that he is incapable of proper control of the
vehicle,
lb) his claim arisesout of or is related to circumstances that result
in his conviction for
(i) a motor vehicle related Criminal Code offence,
( ii) an offence under section 88 or 94 of the Motor Vehicle
Act, or
(iii) an offence under a provision of the law of another
jurisdiction in Canada or the United States of America
that is similar to a provision mentioned in subparagraph
(i) or Ili),
(c) he is convicted of an offence under section 237 (b) of the
Criminal Code, section 220.1 of the Motor Vehicle Act or a
provision of another jurisdiction in Canada or the United
States that is similar to either of those sections and the
accident in respect of which his claim is made occurred during
his commission of the offence and while he was operating a
vel.icle, or
(d) he is convicted of an offence under section 238 (5) of the
Criminal Code, section 220.3 of the Motor Vehicle Act or a
provision of the law of another jurisdiction in Canada or the
United States of America that is similar to either of those
sections and the accident in respect of which his claim is made
occurred within the 2 hours preceding his commission of the
offence and while he was operating a vehicle.
27. Section 55 (9) is repealed and the following substituted.

(9) In subsection (8),
"conviction" includes
6
(a) being convicted under the Young Offenders Act (Canada) for
contravening a provision mentioned in the definition of "motor
vehicle related Criminal Code offence" or section 237 (b) or
238(5) of the Criminal Code, and
(b) a conviction or a similar result made in a jurisdiction of the
United States of America under a law similar to the Young
Offenders Act (Canada) for contravening a provision of the law
of that jurisdiction that is mentioned in subsection (8) (b) (iii),
(c) or (d);
"motor vehicle related Criminal Code offence" means an offence
under section 203, 204, 233 (1) (a), 236 or 237 (a), 239 (2) or (3) or 242 (4) of
the Criminal Code that arose out of or was related to the operation, care or
control of a vehicle or was committed by means of a vehicle.
28. Section 65 (2) is amended by striking out "or" at the end of paragraph
(b), by striking out "delivery." at the end of paragraph (c) and substituting
"delivery, or" and by adding the following paragraphs:
(d) the motor vehicle is in fact not licensed under the Motor
Vehicle Act, the Commercial Transport Act or similar
legislation or another jurisdiction and the insured does not
have reasonable grounds to believe the motor vehicle is
licensed, or
le) the motor vehicle is exempted under section 44 or 45 of the
Act.

(a) by numbering everything after "combination of vehicles," as
paragraph (a),
(10 by striking out "occurs." and substituting "occurs, and", and
(b) for the purpose of Part 3 or 12, a claim payment made under
this Part in respect of a vehicle in the combination of vehicles
shall form part of the claim payment record or loss experience
of the vehicle providing the motive power when the accident
occurred.
30. Section 78 is amended in the definition of "housewife" by striking out

"housewife" and substituting "homemaker".

(a) by renumbering it as subsection (1),
(b) by adding "subsection (2) and" after "Subject to",
(c) by striking out everything after "by an accident" and substituting
"that arises out of the ownership, use or operation of a vehicle and that
occurs in Canada or the United States of America or on a vessel
travelling between Canada and the United States of America.", and
7
(d) by adding the following subsection:
(2) Where an accident occurs in the United States or on a vessel
travelling between Canada and the United States, no benefits are payable
under this Part to
(a) a cyclist, or
(b) a pedestrian
who is not named in an owner's certificate or a driver's certificate.
32. Section 84 is amended by striking out "housewife" and substituting

"homemaker".

(a) in subsection (1) by striking out "speech therapy." and substituting
"speech therapy or for prosthesis or orthosis ",
(b) in subsection (1.1) by striking out "homemaker" and substituting
"homemaking",
(c) in subsection (2) (b) by striking out "housewife" and substituting
"homemaker",
(d) in subsection (2) (c) and (2) (c) (ii) by striking out "homemaker" and
substituting "homemaking", and
(e) by adding the following subsections:
(7) The maximum amount payable by the corporation under this
section for medical, surgical, dental, nursing or physiotherapy services or
for chiropractic treatment, occupational therapy or speech therapy shall
not exceed the amount that would be paid for the same service, treatment
or therapy under the tariff of fees approved by the Medical Services
Commission if the service, treatment or therapy were an insured service
under section 4.09 of the Medical Service Act Regulations, B.C. Reg.
144/68
(8) The corporation is not liable to pay for more than 12
physiotherapy treatments for an insured for each accident unless, before
any additional treatment is given, the corporation's medical advisor or the
insured's medical practitioner certifies to the corporation in writing that,
in his opinion, the treatment is necessary for the insured.

(a) in subsection (1) by adding "and section 5 of Schedule 3" after "In this
section", and
(b) in subsection (2) by striking out "The corporation" and substituting
"Subject to section 94, the corporation".
35. Section 94 is amended by adding the following:

(4.1) A benefit payable under section 92 in respect of the death of a
dependent child shall be paid
(a) where both parents survive,
8
(i) jointly to the parents, if they were living together at the
time of the child's death or if though living separate and
apart at that time, one parent had care and control of the
child and the other was contributing regularly to the
support of the child, or
Gil to the parent who had care and control of the child at the
time of his death, if the parents were living separate and
apart at that time and the parent who did not have care
and control was not contributing regularly to the support
of the child, and
(h) where only one parent survives, to that parent if, at the time of
the child's death, that parent had care or control of the child or
was contributing regularly to his support .
36. Section 96 (a) is amended by striking out everything after "owner's

certificate,".
37. Section 96 ( h) is amended

(a) in subparagraph (i) by striking out "not required to be licensed under
the Motor Vehicle Act or Commercial Transport Act" and substituting
"that could not be licensed under the Motor Vehicle Act or Com merciul
Transport Act or that is of such design that if owned or operated in the
Province could not he licensed under one of those Acts" and by striking
out "the Act, or" and substituting "the Act,".,
b) in subparagraph (ii) by adding "or" after "driver's certificate,", and
(c) by adding the following subparagraph:
(iii) the occupant of a vehicle that is of such design that it
could be licensed under the Motor Vehicle Act, the
Commercial Transport Act or similar legislation of
another jurisdiction, but that is in fact not licensed under
the applicable legislation unless the occupant had
reasonable grounds to believe that the vehicle was
licensed, .
38. Section 10412) (a) is amended by adding ", subject to sections 80 to 88,
90 and 92 of this Regulation," after "as if".
39. Section 106 (2) is amended by striking out "an insured claim." and
substituting "that part of a claim that is paid or payable as an insured
claim."
40. Section 110(1) is amended
(a) in the definition of "dependant" by striking out "paragraph (a)" and

subst Rating "paragraph (b)", and
(b) in the definition of "insured" by adding in paragraph (b) (i) (A) "or
lessee" after "named as the owner" .
41. Section 110 is amended by adding the following subsection:
9
(2.21 Notwithstanding paragraph (61 (ii) (Al of the definition of
"insured", no coverage is provided under underinsured motorist protection
to an insured who is the occupant of a vehicle that is in fact not licensed
under the Motor Vehicle Act, the Commercial Transport Act or similar
legislation of another jurisdiction, unless the insured has reasonable
grounds to believe the vehicle is licensed.
42. Section 110 (31 is amended by repealing paragraph (I) and

substituting the following:
(r) the amount by which the liability of the corporatioa under
Part 6 is limited in the owner's certificate, .
43. Section 113 is amended by repealing the definition of "glider kit".
44. Section 120.1 (11 is amended by striking out "glider kit,".
45. Section 122 (21 is amended

(a) in paragraph (w) by striking out "occurs." and substituting "occurs„
and
(b) by adding the following:
(x) one detachable hard or soft top;
(y) all tire covers.
46. Section 128 is repealed and the following substituted.

Right of recovery
128. 11) Subject to subsection (21, where loss or damage occurs to u
vehicle while it is, with the consent of the insured, in the care, custody or
control of any person, the corporation may enforce its right to recover from
that person any amount paid under this Division if the person
(a) breaches a condition of section 55 while having care, custody
or control of the vehicle,
(b) has care, custody or control of the vehicle while engaged in the
business of a garage service operator, or
(c) has care, custody or control of the vehicle under a bill of
lading.
(21 That part of the amount paid under this Division that is
recoverable by the corporation from a person who had care, custody or
control of a vehicle under a bill of lading shall not exceed the amount by
which the liability of that person is limited under the bill of lading.
47. Section 133 is repealed.
48. Section 136 (b) is repealed and the following substituted:

)b) to an insured in respect of loss or damage the insured is
required
ID to report to the police under section 61 or 62 of the Motor
Vehicle Act, or
10
(ii) to report to any person under a provision of the law of
another jurisdiction in Canada or the United States of
America that is similar to a provision mentioned in
subparagraph (i),
if the insured, without reasonable cause and to the prejudice of
the corporation, has not complied with the applicable
provision.

(a) in subsection (1) in the definition of "uninsured vehicle" by repealing
paragraph (a),
(b) in subsection (2) by adding "on a highway" after "arises out of the
operation" and by striking out "the corporation shall, subject to
subsections (3) and (4)," and substituting "other than an uninsured
vehicle owned by or registered in the name of the insured or a member
of the same household as the insured, the corporation shall, subject to
subsections (3), (4) and (7.1),", and
(c) by adding the following subsection:
(7.1) No compensation shall be paid under this section in respect of
that part of claim that is paid or payable as an insured claim as defined in
section 106 (1).

(a) by repealing subsection (3) and substituting the following:
(3) Subject to subsections (3.11, (4), (4.1) and (4.2), a comprehensive
garage policy also provides to a garage service operator
(a) collision coverage, and
(b) comprehensive or specified perils coverage
under Division 2 of Part 9 providing indemnity for liability of the garage
service operator for loss or damage to customers' vehicles that are in his
cure, custody or control.
(3.1) A garage service operator is required to purchase collision
coverage with a deductible amount of not more than 81000.
(b) in subsection (4) by striking out "coverage under Division 2 of Part 9"
and substituting "comprehensive or specified perils coverage", and
(c) by adding the following subsections:
(4.1) Where, at the time of a claim, the amount of comprehensive or
specified perils coverage purchased by a garage service operator is less
than 9096 of the amount of comprehensive or specified perils coverage that
is required to be purchased under subsection (4), he is a co-insurer with
the corporation for any loss or damage to customers' vehicles that are in
his care, custody or control.
(4.2) Where a garage service operator is a co-insurer under
subsection (4.1), the amount of the co-insured portion of the loss or
damage for which indemnity is provided by the corporation shall be
determined by the following formula:
11
AC
x loss) — deductible = claim
T.V.C.N'.
where
means the amount of comprehensive or specified perils
coverage purchased by the garage service operator;
"T.V.C.V." means the total value of all customers' vehicles that are in
the care, custody or control of the garage service operator when the loss or
damage occurs;
"loss" means the cost of repairing those customers' vehicles to which
loss or damage has occurred, or, where the vehicles arc not repairable, the
actual cash value of the vehicles and their attached equipment:
"deductible" means the deductible amount applicable to the
comprehensive or specified perils coverage.
"claim" means the amount of indemnity payable by the corporation to
the garage service operator for the corporation's portion of the loss or
damage.
12
51. Table I of Schedule 1 is repealed and the following substituted:
SCHEDULE I
TABLE I • BASIC PREMIUMS
(Section 4)
13
51. Table I of Schedule 1 is repealed and the following substituted.
SCHEDULE I
TABLE I • BASIC PREMIUMS
(Section 4)
13
NOV.12. 1985 I N SURANCE CORPORATIO 4 Ot BRITI54 COLUMBIA PAGE
1 9 8 6 nAsic rmumiums
RATING Iroultnolts
RATE CLASS A/Z
001 380 310 33n 310 310 330
002 468 382 404 382 387 406
005 285 737 248 232 232 248
007 484 395 421 395 395 421
011 344 280 298 280 280 298
012 410 335 355 335 335 355
013 564 460 489 460 460 489
016 1.210 947 1.015 964 945 1 .052
018 658 533 589 548 544 598

019
022 166 166 166 166 166 166

024 340 340 340 340 340 340
026 511 511 511 511 511 511
027 93 91 93 93 93 93
028 153 153 153 153 153 153
029 73 73 73 73 71 73
030 91 91 91 91 91 91
031 12 12 12 12 12 12
032 12 12 12 12 12 12
033 12 12 12 12 12 12
034 12 12 12 12 12 12
035 12 12 12 12 12 12
044 81 81 81 81 81 81
045 30 30 30 30 30 30
050 364 297 316 297 297 316
060 87 87 87 87 87 87
NOV. 17. 1985 INSURANCE CORPORAIION OF BRITISH COLUMBIA PACE 1.3
1 9 8 6 Uncut-. PAimiumS
RAT IN(; 1111R1 TORIES
RATE CLASS A/Z

=== ===
064 355 290 3118 290 290 308

070 369 246 246 246 192 246
071 1.016 503 503 503 369 551
072 977 489 489 489 377 596
073 905 527 527 527 364 547
074 570 362 362 362 274 339
075 1.465 1,465 1.465 1,465 1.465 1.465
076 1.550 644 644 644 472 714
077 920 463 463 463 360 575
078 940 485 485 485 381 597
079 931 474 474 474 371 585
080 1 .552 647 647 647 474 717
088 1.074 630 600 496 457 613
089 1.173 765 731 613 573 727
091 581 500 534 500 500 534
094 455 392 419 392 392 419
095 455 392 419 392 392 419
122 77 77 77 77 77 77
124 65 65 65 65 65 65
125 115 115 115 115 115 115
126 511 511 511 511 511 511
141 521 449 480 449 449 480
142 409 352 368 352 352 368
143 521 449 480 449 449 480
145 521 449 480 449 449 480
146 409 352 368 352 352 368
NOV.17, 1985 INSURANCE CORPORATION 01 RR111SM COLUMBIA PACE 1(
1
1 9 8 6 11 A ". I C r R E M 1 I) M S
RATING II Mt I OR I T5
RATE CLASS
164 368 771 271 271 271 271
171 369 246 746 246 192 246
191 1.048 724 724 724 624 724
192 1.258 867 867 867 750 867

193 1,472 1,017 1.017 1 017 877 1,017
194 484 355 355 355 355 355
195 483 354 354 354 354 354

215 3,739 2,185 1 ,838 1,838 1 ,838 1,838
217 1,876 991 001 881
220 563 372 372 372 281 344
221 695 490 490 490 416 435

222 1,358 801 80 1 801 620 803
223 886 522 522 522 405 649
224 1,179 598 598 598 454 658
225 682 475 475 475 401 420

227 1,264 627 627 627 450 668
228 1,036 603 603 603 417 627
229 995 51 5 515 515 388 554
230 673 445 445 445 336 412
231 210 210 210 210 171 210

232 211 211 211 211 172 211
234 210 210 210 210 171 210
241 952 568 568 568 436 568
242 574 340 340 340 256 340
243 1.004 625 625 625 493 625
245 958 574 574 574 442 574
NOV.12. 1985 INSURANCI CO8 1, 0 R A 1 iON 1 081 1 IS 0 COLUMBIA PACE
/
1 9 8 6 BASIC PR) MIUMS
111 RITORIIS
RATE CLASS An 7
7,7 1. .77 7...
264 508 373 373 371 373 373

272 2.112 2,112 7,112 2.112 2.112 2.112
277 2.070 7.070 2,070 7.070 7.070 2.070
278 1.097 641 641 641 444 665
279 1.009 500 500 500 369 542
280 875 464 464 464 349 511
281 882 472 472 477 357 531
283 899 556 556 556 419 618
284 2,134 2,134 2,134 2,134 7.134 2,1 34
285 882 472 47? 472 357 531
291 1.133 785 705 785 675 785
292 1.368 945 945 945 815 945
293 1.596 1,104 1.104 1.104 952 1.104
294 664 486 486 486 486 486
295 663 484 484 484 484 484
315 3.161
320 563 372 372 372 281 344
364 639 472 472 472 472 472
391 1.318 910 910 910 787 910
392 1.585 1,094 1.094 1.094 942 1,094
393 1.851 1,278 1.278 1,278 1,101 • 1.278
194 838 616 616 616 616 616
395 836 614 614 614 614 614
464 749 555 555 555 555 555
491 1.848 1.312 1.312 1.312 1,146 1,312
492 1 .937 1.371 1 .3 71 1,371 1,194 1,371
NOV.12, 1985 IIISURANCI CORPoR Ail!) 11 Of R t 1 I S Is COLUMBIA PAGE
(1
1 9 8 6 H A I C. I' It I II I 11 M
PATING TIRRITORIFS
RATE CLASS A/Z

=== ===
493 2,412 1,686 1,686 1 686 1 459 1,686
494 983 720 720 720 720 720
495 982 718 718 718 718 718
501 380 310 310 310 310 330

502 468 382 406 382 382 406
505 285 232 248 232 232 248
507 484 395 421 395 395 421
509 890 528 527 528 369 547

524 51 51 51 51 51 51
531 51 51 51 51 51 51
532 51 51 51 51 51 51
541 51 51 51 51 51 51
560 51 51 51 51 51 51
570 51 51 51 51 51 51
571 51 51 51 51 51 51
572 52 52 52 52 52 52
575 51 51 51 51 51 51
577 52 52 52 52 52 52
651 48 48 48 48 48 48
652 57 57 57 57 57 57
653 125 125 125 125 125 125
654 255 255 255 255 255 255
655 383 383 383 383 383 383
656 383 383 383 383 383 383
800 12 12 12 12 12 12
919
52. Table 2 of Schedule 1 is amended
in section 1 by repealing the definitions of "airport bus", "artisan",
"charter bus", "farmer", "limousine", "logging truck", "oil and gas
exploration vehicle", "private bus", "public bus", radius of operations"
and "religious bus" and substituting the following:
"airport bus use" means use of a motor vehicle as a limited
passenger vehicle to carry passengers for compensation from an airport to
limited predetermined points or from such points to an airport;
"artisan use" means use of a motor vehicle by a tradesman for
la) the carriage of tools, materials and equipment necessary for
the tradesman to perform the duties of his trade,
(b) the delivery of goods that are installed by the tradesman using
the skills of his trade, and
(el the incidental estimating by the tradesman of work directly
related to his trade:
"charter bus use" means use of a motor vehicle as a limited
passenger vehicle exclusively fur the conveyance of a person or group of
persons to whom or for whose use the vehicle is chartered at a fixed price
for the use of the whole vehicle;
"farmer" means a person who makes his principal living by farming,
"limited passenger vehicle" has the same meaning us in the Motor
Carrier Act;
"limousine use" means use of a motor vehicle as a limited passenger
vehicle available for rental or hire with driver on an hourly basis;
"logging truck use" means use of a vehicle for the delivery of logs,
"oil and gas exploration vehicle use" means use of a vehicle in
drilling, servicing, exploring or seismographic activities for the
exploration or recovery of oil or gas;
"private bus use" means use of a motor vehicle to transport, without
direct compensation, passengers who have a connection with the business
activities of the owner or lessee of the motor vehicle;
"public bus use" means use of a motor vehicle as a public passenger
vehicle;
"public passenger vehicle" has the same meaning as in the Motor
Carrier Act;
"radius of operations" means the distance travelled on land from
the first point of loading to the point of unloading that is the greatest
number of kilometers by road from the first point of loading;
"religious bus use" means use of a commercial motor vehicle, owned
or leased by a religious organization, exclusively for the transportation of
passengers for purposes related to the religious activities of the
organization;
(b) in section 211) by adding the following definition:
"parent" includes a foster parent, a step-parent and any person who
lives in the same household as a child and from whom the child receives
financial support; ,
(c) by repealing section 2 121 and substituting the following:
(2) Without breach of a condition of section 55(2) a vehicle rated
in vehicle rate class 001 may be operated either
19
(a I on not more than 4 days in a calendar month to or from or part
way to or from a place of work or a school, college, university
or other educational establishment, or
(b) on not more than 4 days in a calendar month for business
purposes, if the total mileage for those purposes in a policy
year does not exceed 1600 km.
(2.1) Subsection (2) (b) applies also in respect of a vehicle rated in
vehicle rate class 002 ,
(d) by repealing section 2 (3) and substituting the following:
(3) Notwithstanding subsection (2) (a), a parent of a child of school
age may, without breaching a condition of section 55 (2) (a), operate,
without restriction on the number of days, a vehicle rated in vehicle rate
class 001 to carry his child and, at the same time, any other children of
school age to and from the school in which his child is registered or school
activities conducted within the educational program of that school. ,
le) in section 2 (4) by striking out "an insured who is",
If) by repealing section 2 (5) and substituting the following:
(5) Where a registered owner or a member of his household owns or
leases 2 or more motor vehicles or trailers, each of which is correctly rated
according to the principal use of the motor vehicle or trailer, the
registered owner or a member of his household may, without committing a
breach of the insurance applicable to the lower rated vehicle,
(a) on not more than 4 days in a calendar month, use a lower rated
vehicle owned or leased by the registered owner or a member
of his household in place of a higher rated vehicle owned or
leased by one of them, and
(b) use a lower rated vehicle owned or leased by the registered
owner or a member of his household in place of the vehicle
owned or leased by one of them that is both principally used
and insured in a rate class that requires payment of a larger
annual premium than for any other vehicle owned or leased by
the registered owner or the member of his household, if
l it the registered owner or the member of his household
places the vehicle that requires payment of the larger
annual premium in the rate class that covers the highest
risk, and
Iii ) at any one time only one lower rated vehicle is used by
the registered owner or a member of his household for the
higher rated purpose. , and
(g) by repealing the Vehicle Use tables and substituting the attached
tables.
20
w.„„ "" .1D Iti ■LAci... 1..17* VI 0 pArL
VEHICLE USE January 1.1986 VEHICLE USE .2I

--PRIVATE PASSENGER, COMMERCIAL MOTOR VEHICLES OR MOTOR HOMES FOR PLEASURE AND BUSINESS
JSE.
Mao. Haft.
VEHICLE USE
PM. Rale
cues caw
Pleasure use, and

Vehicle not driven to or part way to work or school 001 501
NOTE: It is permissible to apply Rate Class 001 in the event:
a) a vehicle is driven to, or from or part way to, or from work
or school not more than 4 days per month.
b) a vehicle operated by parents of school-age children to
drive them to and from or part way to and from school.
OR
c) a vehicle is driven up to 1600 km per policy term for
business use but not exceeding 4 times per
calendar month.
Pleasure use only, and

1. Vehicle not driven to, or from or part way to, or from work or school 005 505
2. Vehicle not used for business.
3. Owner or lessee (if leased vehicle) age 65 or over and principal
operator age 65 or over.
NOTE: In cases of joint ownership (or lease), one of the owners, or
lessees, must be age 65 or over.

Vehicle driven to, or from, or part way to, or from work or school 002 502
NOTE: It is permissible under Rate Class 002 to operate a vehicle
up to 1600 km for business use on behalf of an employer but
not more than 4 times per calendar month.
Business and/or Pleasure Use

1. Courtesy car 3,700 kg GVW or less: or 007 , 507
2. Driving school vehicle 3,700 kg GVW or less; or.
3. Pilot car; or
4. Limousine.
NOTE: Territory Z (A) Rates must be used for vehicles for which the percentage of mileage outside British Colum-
bia is in excess of 50%.
1,1TF ISM IIJ !sof P51.1
r1 i
VEHICLE USE January 1 19136 VEHICLE USE tiff
FARMER, FISHERMAN AND ARTISAN
COMMERCIAL MOTOR VEHICLE 3,700 kg GVW OR LESS
Rate
VEHICLE USE Class
Farmer 011
Fisherman 050
NOTE: A farmer or fisherman who is engaged in an additional occupa-
tion, and whose vehicle is also used to drive to and from a place
of employment, must be rated in Rate Class 002
Artisan use including vehicles owned by or leased to municipal government I 012
PRIVATE PASSENGER MOTOR VEHICLE
Rats
VEHICLE USE Class
Artisan use 012
COMMERCIAL MOTOR VEHICLE OVER 3,700 kg GVW
Rate
VEHICLE USE Class
Artisan use, Septic Tank Truck, Water Well Drilling.

— 3,701 kg GVW to 8,200 kg GVW 220
— over 8,200 kg GVW 320
Farmer or Fisherman — including farm dump trucks carrying "A" plates
— 3,701 kg GVW to 18,200 kg GVW 070
— over 18,200 kg GVW 171
Farm Tractor (any GVW) — fixed load vehicle carrying "F" plates 060
NOTE: Territory Z (A) Rates must be used for vehicles for which the percentage of mileage outside British
Columbia is in excess of 50%
A,11.11. I' I., IIK I ,1■ 1 ,, I 1 ,14 I rwr
VEHICLE USE I January 1 1986 1 VEHICLE USE I 2

ALIVERY VEHICLES
PRIVATE PASSENGER MOTOR VEHICLE OR

COMMERCIAL MOTOR VEHICLE 3700 kg GVW OR LESS
Rate
VEHICLE USE Class
Delivery or movement of any goods /equipment of owner, principal operator or
others. and includes: small parcel delivery; courier service; fast food service; mail 013
delivery
COMMERCIAL MOTOR VEHICLE OVER 3700 kg GVW
Operating Within Operating Beyond

1410Km Radius 160 Km Radius
VEHICLE USE
Me Rah
Class Class
Delivery or movement of Goods/Equipment of
owner or principal operator:
Boat moving tow truck, 222 272
Cement, clay or stone, or cement, clay or stone products, 228 278
Explosives or radioactive materials. 230 280
House and other moving tow trucks, 224 284
Livestock, horses, or meat, 221 281
Mobile canteen, 223 -
Petroleum or propane products, 227 277
Steel or other metals, 229 279
Travelling amusement park vehicle; 223 283
Other than above specified goods 223 283
Delivery of Goods/Equipment of others:
Boat moving tow truck; 222 272

Delivery of horses; 225 285
House and other moving trucks, 224 284
Petroleum or propane products; 227 277
Other than above specified goods — Truckmen. 224 284
NOTES: 1) Delivery vehicles under contract to one person or firm, for one month or more, where the
vehicle hauls exclusively under contract to that person or firm, shall be rated In the same
rate class that would apply if the vehicle were owned and operated by the person or firm to
whom the vehicle was contracted.
2) Territory Z (A) Rates must be used for vehicles for which the percentage of mileage outside
British Columbia is in excess of 50%.
t
VEHICLE USE January 1 1986 VEHICLE USE
MISES AND TAXIS
Rale
VEHICLE USE Class
Religious bus use (Conditional Factor — RP) (Not to be used for school purposes)
3,700 kg GVW or less

2 - 21 persons carrying capacity 064
Over 3,700 kg GVW
2 - 8 persons carrying capacity, 164

9 - 21 persons carrying capacity; 264
42 and over persons carrying capacity 464
Public bus, airport bus or charter bus use
Over 3.700 kg GVW
2 - 8 persons carrying capacity, within 24 km radius 191
25 - 160 km radius, or 192
Over 160 km radius 193

25 - 160 km radius, or 292

25 - 160 km radius; or 392
42 and over persons carrying capacity, within 24 km radius 491
25 - 160 km radius: or 492
NOTES: 1. Territory Z (A) Rates must be used for vehicles for which the percentage of mileage out-
side British Columbia is in excess of 50%.
2. Where the person carrying capacity of the vehicle Is less than 10 the Body Style for Bus
does not have to be used. If the carrying capacity Is 10 or more, the Body Style for Bus
must be used.
VEHICLE USE ' 1 1986
January VEHICLE USE
.=,
BUSES AND TAXIS
Rats
VEHICLE USE Class
Taxicab 215
Taxicab a) Where operation and licencing are in Territory "A" and within the
municipal boundaries of North and West Vancouver. 315
b) Whose operations and licencing are in Territory "A" but not within the
municipal boundaries of Vancouver, New Westminster, Burnaby,
Richmond, North and West Vancouver. 217
c) Operated within isolated communities in Territories B, C 6 T. 217
Public bus, airport bus or charter bus use
3.700 kg GVW or less
2 - 21 persons carrying capacity
with no restriction on radius of operation. 091
Private bus use: (including hotel, golf or country club; company)
Over 3,700 kg GVW

School Bus.

Over 3,700 kg GVW

22 - 41 persons carrying capacity; or 395
NOTES: 1. Territory Z (A) Rates must be used for vehicles for which the percentage of mileage outsIdo
2. Where the person carrying capacity of the vehicle is less than 10, the Body Style for "Bus" does
not have to be used. If th3 carrying capacity is 10 or more, the Body Style for Bus must be used.
R 1, ' tt ■ Ir I MI I:. RI PI 01 I, I \ DI l I I,
VEHICLE USE January 1 1986 I VEHICLE USE
U•DRIVES AND LEASED VEHICLES
Rau
VEHICLE USE ctsgs
Private Passenger type motor vehicle:
Rented for less than one month (excluding taxi) 016

Leased for one month or more Use the table applicable to the type and use of
the vehicle as used by the lessee.
Commercial type motor vehicle 3,700 kg GVW or less.
Rented for less than one month 018

Leased for one month or more. Use the table applicable to the type and use of
Private Passenger type motor vehicle

Rented for less than one month and operated in isolated communities in 018
territories B, C & T. (See Glossary. Vol. 1)
Commercial type motor vehicle 3,701 to 13,600 kg GVW
Rented for less than 1 month 088

Leased for 1 month or more. Use the table applicable to the type and use of
Commercial type motor vehicle over 13,600 kg GVW:

Rented for less than 1 month 089
Leased for 1 month or more. Use the table applicable to the type and use of the
vehicle as used by the lessee.
.
MOTOR HOME — RENTED OR LEASED TO OTHERS 509
MOPED — RENTED TO OTHERS, Operator of any age. 125 -
TRAILERS - SEE TRAILERS — •
NOTE: Territory Z (A) Rates must be used for vehicles for which the percentage of mileage outside Dritish
Columbia is in excess of 50%.
SI hilt DUI IsSl II. lit PL A( 11l 111,11 11∎ PA(1
VEHICLE USE
2
January 1, 1986 I VEHICLE USE
.ECREATIONAL TYPE MOTOR VEHICLES
Rats
VEHICLE USE Class
Moped
Pleasure or Business use by owner or principal operator 124
Rented to others — operator of any age 125
Motorcycle
Engine displacement not over 100 CC 122

101 - 400 CC 022
401 - 750 CC 024
751 - 1150 CC 026
Over 1150 CC 126
Moped and Motorcycle

1 Vehicle not driven to or from, or part way to or from, work or school
2 Vehicle not used for business
3 Owner, or lessee (if leased vehicle) and principal operator must be age 65 or
over
NOTE: In cases of joint ownership, (or lease), one of the owners or lessees, must
be age 65 or over and must be the principal operator.
Moped. 651
Motorcycle
Engine displacement not over 100 CC 652
101 - 400 CC 653
401 - 750 CC 654
751 - 1150 CC 655
Over 1150 CC 656
Golf Cart 027

Snowmobile 028
Snow Vehicle. 029
Motor Home
Private use by owner. Use regular rate class with prefix of 5.
Rented or leased to others 509
NOTE: 1) Territory Z (A) rates must be used for vehicles for which the percentage of mileage outside British
Columbia is in excess of 50%
2) Motorcycle rate classes 651, 652, 653, 654, 655 and 656 where the owner, lessee, or principal
operator is age 65 or over and the vehicle is used for pleasure purposes only, are entitled to a 25%
discount on the base rate
S. I t t 10 Pl1l I ..., INDf l IL) 1.41f
VEHICLE USE "January 1,1986 I VEHICLE USE 2,1
ti TRAILERS
Nab
VEHICLE USE Claw
Pleasure and Commercial: - Use by owner.

700 kg GVW or less 031
Pleasure and Commercial. Rented or leased to others.
700 kg GVW or less . 035
Pleasure: - Use by owner or rented to others.

701 - 1,400 kg GVW 032
1,401 - 2,800 kg GVW 033
Over 2,800 kg GVW 034
Commercial Use - Rented to others for less than 1 month.

Semi-Trailer and Pup 044
All other types 045
Commercial Use - Over 700 kg GVW owned or leased

for 1 month or more
Towing vehicle rate class:
076, 080, 224, 227 524
231, 232, 234 531
01, 02, 07, 11, 12, 13, 091, 094, 095, 141, 142, 143, 145, 146 532
241, 242, 243, 245 541
060 560
070,171 570
071, 072, 073, 074, 077, 078, 079, 220, 221, 222, 223, 225, 223, 229, 230, 320 571 -
272, 278, 279, 280, 281 283, 285 572 -
075 575
277, 284 577
NOTE: Territory Z (A) Rates must be used for vehicles for which the percentage of mileage outsIds British Columbia
is in excess of 50%.
VEHICLE USE January 1 1986 VEHICLE USE 2;
"'ÈMERGENCY MOTOR VEHICLES
JUMP TRUCKS
Rale
VEHICLE USE Class
EMERGENCY VEHICLES
Paid Fire Department Vehicle (including a private passenger motor vehicle).
3,700 kg GVW or less 141
Voluntary Fire Department Vehicle (including a private passenger motor vehicle). .

Police Department Vehicle (including a private passenger motor vehicle).
Ambulance, Rescue or First Aid
DUMP TRUCKS
Delivery of sand, gravel, stone, earth or fertilizer operating within 160 km radius. 076
Delivery of sand, gravel, stone, earth or fertilizer operating over 160 km radius. 284
Dump truck owned by or leased to a municipal government. 077
Dump truck owned by or leased to a landscape gardener or nursery operator. 078
Garbage truck and garbage packer including those described as a dump truck. 079
All other dump trucks operating within 160 km radius. 080
All other dump trucks operating over 160 km radius. 284
NOTE: Territory Z (A) Rates must be used for vehicles for which the percentage of mileage outside British Colum
bia is in excess of 50%.
VEHICLE USE January 1, 1986 VEHICLE USE
t
MISCELLANEOUS VEHICLES
Rate
VEHICLE USE Class
Hearse 146
Truckster type three wheeled vehicle (any GVW), used for service work bearing 030
commercial number plates that is used by a municipal government.
Wrecker (tow car) (any GVW) (Only where reg. owner purchases a
Comprehensive Garage Policy). 071
Cement mixer (over 3,700 kg GVW) 073
Woodchip hauling. (over 3,700 kg GVW) 072
Oil and gas exploration vehicle. (over 3,700 kg GVW) 074
Logging truck (over 3,700 kg GVW) 075
Driving school vehicle (over 3,700 kg GVW) 223
Road building machine, tracked unit 231
Road building machine, wheeled unit 232
Industrial machine 234
Government of Canada; Federal Crown Corporation 019 -
Extra Province Undertaking 919 -
Vehicles operated with number plates (vehicle types 1, 2, 3, 4, 5 8 6) issued in 800 ...
conjunction with a Comprehensive Garage Policy which provides
coverage for "owned vehicles."
NOTES: 1) Own Damage coverage is not permitted on the following vehicles:

a) Mobile crane — other than a crane designed principally for loading and unloading the cargo
of the vehicle on which the crane is mounted.
b) Logging machinery or equipment — other than a logging truck or trailer designed principally
for use on a highway, and
c) Industrial crawler type machine — other than a snow vehicle and a snowmobile.
2) Territory Z (A) rates must be used for vehicles for which the percentage of mileage outside
53. Table 3 of Schedule I is amended in item 6 by striking out "northern
Vancouver Island and".
54. Table 4 of Schedule I is amended by striking out "Step 65" and "65%"
and substituting "Step 60" and "60%" respectively.
55. Table 6 of Schedule I is repealed
56. Table 7 of Schedule I is amended by striking out from the title "AND
RETAINED" and by striking out "and retained" wherever it appears after
"minimum".
57. Table 8 of Schedule 1 is amended in sections 1 to 3 by striking out

"1985" and substituting "1986".
58. Tables 9 and 10 of Schedule I are repealed and the following table,.
substituted.
31
SCHEDULE 1 (Cont'd.)
TABLE 9 - HANDICAPPED DRIVER DISCOUNT
(Section 40)
RATE CLASS
TERRITORY 001 002 007 011 012 013 050 509 022 024 026 122 124 125
501 602 607
■1111, . —
A $285 $351 $363 $258 $308 $423 $273 4568 $126 $255 $383 $ 58 3 49 $303
233 287 295 210 261 345 223 396 126 256 383 58 49 383
C 248 305 316 224 244 367 237 395 125 265 383 58 49 383
J 233 287 296 210 251 345 223 396 125 255 383 58 49 383
M 233 287 296 210 251 345 223 277 125 255 383 58 49 383
T 248 305 315 224 266 367 237 410 125 255 383 58 49 383
SCHEDULE 1 (Cont'd.)
TABLE 10 - COMPULSORY SPECIAL COVERAGE PREMIUMS
(Sections 149 and 150)

TEMPORARY OPERATION PERMITS (T.O.P., MV 1800 / APV 16)
Third Party Liability Insurance Premium ($200,000 and

acct.:lent Sonellts)
Private passenger vervcies $7
Motor homes S7
All trailers 37
Motorcycles
Commercial vehicles 3.700 kg or less $7
For commercial vehicles with a weight in excess of 3.700
kg the insurance premium is equal to the whole dollar
amount of the fee subfect to the minimum premium of $7.
Minimum Insurance
Premium is 3700
NOTE: AVAILABLE ONLY FROM MOTOR LICENCE

OFFICES
TEMPORARY TESTING AND DEMONSTRATION PERMIT

(MV 1801 /APV 18)
Private passenger vehicles, motor Commercial vehicles with a G V W in Commercial vehicles with a
homes, motorcycles, trailers. excess of 3.700 kg but not exceeding G V W in excess of 9.100 kg
commercial vehicles with a G V W of 9.100 kg
3.700 kg or less
Basic Insurance Basic Insurance Basic Insurance

$200,000 Inclusive Third Party Liability $200,000 Inclusive Third Party Liability $200,000 Inclusive Third Party
and Accident Benefits and Accident Benefits Liability and Accident Benefits
Premium: $15 Premium: S23 Premium: 323
NOTE: AVAILABLE ONLY FROM MOTOR LICENCE OFFICES
INTERIM MOTOR VEHICLE LICENCE (MV 1802/APV 36)
1. Vehicles with a GVW of 3,700 kg or less

$200,000 Third Party Liability and Accident Benefits
$300 Deductible Collision
$100 Deductible Comprehensive
Premium: 533
2. Vehicles with a GVW in excess of 3,700 kg

5200,000 Third Party Liability and Accident Benefits
Premium: $33 •
DURATION —10 DAYS

NOTE: AVAILABLE ONLY FROM B C. REGISTERED MOTOR DEALERS
COMBINED NON RESIDENT COMMERCIAL VEHICLE PERMIT
AND INSURANCE CERTIFICATE (MV 1803/APV 96)
INSURANCE PREMIUMS
BASIC THIRD PARTY LIABILITY

AND ACCIDENT BENEFITS
VEHICLE
DESCRIPTION SINGLE TRIP QUARTERLY
POWER UNIT S26 8260
TRAILER(S) S 7, S 21
Above premiums
are minimum and retained
COMBINED CERTIFICATE OF REGISTRATION OF A NON RESIDENT

MOTOR VEHICLE AND INSURANCE CERTIFICATE (MV 1804/APV 97)
NO LICENCE FEE APPLICABLE

PREMIUMS ARE DETERMINED BY THE FOLLOWING —
(a) The applicable territory .

(b) The type and use of the motor vehicle
(c) The coverage and deductibles required .
NOTE:—This certificate cannot be issued for a period in excess of six months. (If the vehicle licence
expires within the six month period, the expiry date of the certificate must be written to coincide
with the expiry date of the vehicle licence).
Minimum Premium
$15.
NOTE:— AVAILABLE ONLY FROM MOTOR LICENCE OFFICES.
HIGHWAY CROSSING PERMIT — INSURANCE CERTIFICATE

FOR CROSSING PERMIT (MV 1805 /APV 37).
Basic Insurance:
$200.000 Inclusive Third Party Liability and Accident Benefits
Premium: S37
Above premiums
are minimum retained
NOTE: AVAILABLE ONLY FROM MOTOR LICENCE OFFICES

MV 1915/APV 31 MANUFACTURER'S LICENCE AND OWNER'S
CERTIFICATE OF INSURANCE
THIRD PARTY LEGAL LIABILITY AND ACCIDENT BENEFITS
PREMIUMS
Oliveto Possoogor or
Comm. VohIclo 3,700 kg OVW
Unlit Trillions on Loss Any Motor VOW*
$ 200,000 $ 71 $ 71 $272
MINIMUM
PREMIUM
$15
MV 1915/APV 33 TRAILER FLOATER LICENCE AND POLICY OF INSURANCE
THIRD PARTY LEGAL LIABILITY 8 ACCIDENT BENEFITS
Limit $200,000
Premium . $71
MINIMUM
PREMIUM
$15
APV 38 BINDER FOR OWNER'S INTERIM CERTIFICATE OF INSURANCE
ESTIMATED DISTANCE (Km)
Declarod Up To 161 • 801 • 1601 • 3201 - Om

Value 140 11100 1600 I 3200 4800 4600 Applicable Coverage
Up To $19 $19 $19 $20 $23 $25 Third Party Legal $200,000
$5000 Liability
Accident Benefits
$5001. to 19 , 19 20 23 25 27 Third Party Legal $200,000

$10,000 Liability
Accidents Benefits
$10,001. to 31 31 31 37 37 37 Third Party Legal $200,000

S20,000 I Liability
Accident Benefits
$20,001 to 37 , 37 37 43 43 43 Third Party Legal $200,000

$35,000 I Liability
Accident Benefits

$50,000 Liability
Accident Benefits

$100,000. Liability
Accident Benefits
••
Over 91 91 91 91 91 91 Third Party Legal $200,000
$100,000. Liability
Accident Benefits
Premiums shown are for any period up to thirty-one days. DO NOT PRORATE .
THESE PREMIUMS ARE MINIMUM RETAINED
APV 44 ANTIQUE MOTOR VEHICLE POLICY 31)

LIMIT PREMIUMS
$ 200,000 $22
APV 49 UNLICENCED FARM TRACTOR POLICY
LIMIT PREMIUM
$ 200,000 $13 First vehicle
$ 4 Each additional vehicle
NOTE: Do Not Prorate
ABOVE
PREMIUMS
ARE
MINIMUM
AND
RETAINED
.f
( SPECIAL AGREEHEhTT VEHICLE LICENCE AND

CERTIFICATE OF INSURANCE (API! 116A)
PREMIUMS ARE DETERMINED BY THE FOLLOWING:—
(a) The applicable territory.

(b) The type and use of the motor vehicle.
Minimurn*Premium
$15.
NOTE:— AVAILABLE ONLY FROM MOTOR LICENCE OFFICES.

h11 I (WI I', II, PI U 411 ,, 1 ..01X Ili P*(,I
GARAGE PREMIUMS January 1.1986 GRGE PREY
THIRD PARTY LEGAL LIABILITY INCLUDING ACCIDENT BENEFITS - INCLUDING OWNED VEHICLES
1 AUTOMOBILE DEALERS, IMPLEMENT DEALERS AND RECREATIONAL VEHICLE DEALERS.
TERRITORY
I I
LIMIT A 8 C J M T
$ 200.000 $222 $169 5199 $172 $177 $194
2 ALL OTHER OPERATIONS
TERRITORY
LIMIT i A T
$ 200 000 I 5153 5118 $140 It $118 $123 $135
THIRD PARTY LEGAL LIABILITY INCLUDING ACCIDENT BENEFITS - EXCLUDING OWNED

VEHICLES
TERRITORY
LIMIT A B C J 'A T
$ 200.000 $43 $29 $29 $36 $34 $37
PreeniuM11111110Wn sbOnS VG for IOC points
NOTE: FOR TOWING OPERATIONS CHARGE 101 OF THE ABOVE RATES

s Emil DATE ISSUED ACING. INDEx I D PAGI
GARAGE PREMIUMS January 1, 1086 CAGE PREM 4

-"'",,
_EGAL LIABILITY FOR OWN DAMAGE COVERAGE TO CUSTOMER'S AUTOMOBILES
COLLISION OR UPSET
TERRITORY
DEDUCTIBLE A 6 C J M . T
$1,000 13 10 13 13 13 15
Prorniums shown Above .re for 100 Po.nls

NOTE. FOR TOWING OPERATIONS CHARGE 7 TIMES THE ABOVE RATES
SPECIFIED PERILS
ALL TERRITORIES
LIMIT UMIT
CUSTOMER'S AUTOS PREMIUM CUSTOMER'S AUTOS PREMIUM
S15,000 S 78 S 100,000 5286

25.000 135 150,000 331
30.000 154 200.000 362
40.000 185 250.000 387
50.000 210 300.000 406
60.000 230 400.000 437
70.000 246 500,000 463

60.000 261 750,000 506
90.000 274 1,000,000 537
."•\ SI 11/1 , 7 DATt 113U ED PE ILA( 1..0 D PAGE
GARAGE PREMIUMS January 1. 1986 GAGE PREM 44.

THIRD PARTY LEGAL LIABILITY INCLUDING ACCIDENT BENEFITS
ALL TERRITORIES
(RATE CLASS 800)
TYPE OF PLATE LIMIT PREMIUM
Demonstration $200,000 $12
Repairman 200,000 12
Transporter 200,000 12
All Other 200.000 12

59. Schedule 3 is amended
(a) in section 2 by striking out "1985 is $115" and substituting "1986 is
$130",
(b) in section 3 (21 by repealing paragraphs (a) to (c) and adding
1100,000." after "shall not exceed", and
(c) in section 7 by striking out "1985 is $115" and substituting "1986 is
$130".
60. Schedules 5 to 6 are repealed and the following schedules substituted
43
SCHEDULE 5
COMPULSORY SPECIAL COVERAGE FORMS
(Sections 149 and 150)

COMPREHENSIVE GARAGE POLICY [11 INSURANCE
°I'M • 1, E ,0 ,fC 0, III MIND 1110$,LAT$0. ISIS CORPORATION 41)
U.N. I.( 041,A•NLI 000 , 0A olooCtl. AC , 14 441A4AM0CAl1.10 Tot MiGILMION , (V 1111111111( I UMW
N• (•.I ID .4 CoHOH.O.
Mt APPLICANT INE NEINArTIR CALLED THE INSURED1 APPLIES 10 THE CORPORATION FOR A COTAINTEHENSITE GARAGE PO IC AND THE HATING OvESTIONNAPTE MGT THEP
INF GENERAL PROVISIONS API AC1 ALL ATTACHED RIDERS (NDOITUTAINIS AND THESE DEC AAAAA IONS. FORM PART OF THE POLICY
.1 DA •Oot • WO. 0os •Oot•
• c• DA •
tolth , •1 a.
.7 C C•••• ■■
Nw NM. h NO C.•.41 El
,••I Of CI.CI •
isak. of ..11,4•1 c."0.1C I. co•l. howl L 0100 •,01111C1.0.1.0
I...WT(4 09T
111•MINA••• 111 AN!
TAAMIL•01/11.111015
500•111 ..1.01.7
0081511.61114.41. AAAAAA
.1.
CCANNIAOAL PLATT A II tor
- rowel. 5.0101 01 1.0.0,1101 -
CLASS A
c0.01..11Viis
OOLI• Ike •0 GA.
co. 10,A, NIAASII•

011..10,111
CLASS
CLASS C 1
wo 0, SHAH:Hie Pc•Tes
j 1 .0 OA LK
TOTAL
INANIRRAIIS LNG 04 MOS
MO, OAC 'CLIP 011 A
RAM ---..0 0. OC .1.0 FONTS
I .. I .
THE .1.1C1.11 IN RESPECT OF WHICH INSURANCE IS TO
BE PROVIDED APE THOSE USED IN CONNECTION MOH
THE INSURED S BUSINESS OF
LIMITS/DEDUCTIBLES • ANNUAL PREMIUNISM

urea l..1401 ,
SAM C 'OA •
• .-
0.4 .
$ 10 0 00 1 $1*$4.ri0a010101 8 1:4Vi;:i
ImemII 1001, 41:=
1•0■ 00.10 OPSIL14
i 1 10S0001 S1 -I 1 10,01010
INAGAC.004
.01.104.01L AMMO,
YES •5 A, • 5IL.Ul•,04.
Po0,11CMO,
010.4 Ala .1...Ca

LAU C , .0o•
• • FA ;
C0114•04 0. mpg,
Sit LOc•v•;..s
••0I• AAA/
0.40111010ASCSO
• I1
P.I. Daus..
C011t ••41 111111.0.11 0101.1C 17. o4A SIC ,.0.) f , •
1C
ut C 00..04 1.1 .1
• 114,11
0••• • ••■••••,•••
IS 4 1 1 I 1
■
••r• • ••• .11 (11./ •111, INOUE At • °C.A.
SALL c
11•10•41.1..5
SYfT c .N+I
•I
111 = I I= I
040CC ol• °CCU..
i I
010•A INC .0..1.1

11•01■ CI101. •
CO.lG05 OA LOSI •
SIC.. I .10,1 Alt L000.0.4

MASI< ,O• •
1 l $000 a 1 1.01010
CO.A.11.4 •■••1 1/1000 04• ologoCL 1 0404/0 PIO OC.C.A.
Si 181 1 1 1 =I I= I1 1 1
SPIC.40 .10.11
$05 IoNII•OO INDOASIIAI•ts

.11 01 10
HMNAM 50511
MOO AIN AI Lnools
LOW 0(.05.
API API API
TOTAL 06..,
154044.4400ts
API API
10,1 • • L044■•••••Cf C• ay./ .41.• 54(1.. 7 •

API DIPA '40 C■ Aoola INCA • MOAN, ow Jot 1.1 c0.1•0,1 611001 API
•••>■11 ••■•■ ••0011,, 04 C• 4.1 •, fl , Ou• 111,4 CRC USE 0141 1
TOTAL ANDIVIL BFI
.4%010 11. NAG MN A • KAA05110114 • Mt log NAN ISO CON
010....10■••0 18••• Pp•C • 640 171,4••1 • 14, IN 1 0....•00•••• 0.
WAY, .0 ow•IN .5.01oL010 oo.0 444N4S•OAANX•C•4•4 ■ ••■■• , oe.a.1
10 NO oNoolot• CO CoNo■•••zoo 00 •000Nao.,• 4•41110114•1 5 too .4,1
SIMON oo .4 It CooAat000 y• fo‘vg INftooroo 74.o. opom•ogNoo .4. roo h/111 Moo NOCo•••• 111110010111141010Nal
AANI• 04. 1.•1011, • Noe CO MN.. WI* Otke• AO =No,. OA 5 ,
• .10.10 *•••• • •••■• 11 ,011•10 0■ 11•00 CA • C, .M •••
•••• CI.••• •• •.? •••••••111 4 •••••■ Hot .4 410.•
• 4E41.4 •• 4,••• 'II
••4 4.2,10 •C s I 10I51 4.0. Id, 001110111/ CAS. , . CHIOUE
Oo RAIN Y 0.4010. IN C0.101000. .•A CA0110 loft
o.10, oco•oo Ili 150 i01 1•100.1
oo .co• NI owl owl MALL wp1 Y gr0000fto yovot v•o0,110 SI
.00OP
1.1
•0.1011 .10310 Y OINK. AUNAON/ID MAMMA.
04 C0...00.3. 1.1.0.110
s
iKosat000 i••••••• 0•1•1.41•144:.4 Wira. - •011600.01, AUL
■•■•••■ ••••••••••••• •••••••••••••
APT-41044Si 1•■•1 OP V460.10.
• Li
I.C.B.C. DATA ENTRY
4()
WARNING!
USE OF THE DESCRIBED VEHICLE (1) BY PERSONS OR FOR PURPOSES

NOT PERMITTED BY THE RATE CLASS SHOWN. OR 121OUTSIDE BRITISH
COLUMBIA IN INSTANCES WHERE (A) THE VEHICLE IS REGISTERED
AND LICENSED IN ANOTHER JURISDICTION, MIME LAW OF ANOTHER
JURISDICTION REQUIRES THAT IT BE REGISTERED AND LICENSED
THERE, OR (C) IT HAS BEEN PERMANENTLY REMOVED FROM THE
PROVINCE FOR MORE THAN 60 DAYS, WHICHEVER COMES FIRST, MAY
INVALIDATE THE COVERAGE UNDER THE OWNER'S CERTIFICATE OF
INSURANCE. (IF IN DOUBT, PLEASE CONSULT YOUR -MOTORIST KIT"
OR AGENT.)
COMPREHENSIVE GARAGE POLICY RATING QUESTIONNAIRE [1 INSURANCE
1 .1 .Cv(/ .1 d1,11 O. 1.1 III 11)01100,
CORPORATION
II smilv/ti ii1^4111
4,
1•10...0 10117 III' M 1.0
ICI[ US( (16(10

ICE USE OBIT 10110111/1 1 111111/ DAN /11 1100S MK/ 1011611 i (III? II NOW 6a K1 111111
; 1 7 17 I 1 1 1 III 1 1 I 1 1 I 1 I I 11 1
TAPV4 A
2 Wel 0 ,4Sulfit ow: I•
1 1 1 III till 1111.1111111

COMPLETE THIS FORM
• 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 IN CONJUNCTION WITH
11011V 01 11170111 THE INSTRUCTIONS
I 1 _L._ 1 1 1 l 1 1 l I 1 1 1 1 1 1 1 I 1 1 1 1 CONTAINED IN THE
1 _l 1 1 I 1 1 1 II 1 _„1 1 1 1 I I _L_ '
AGENTS MANUAL VOLUME 1
GARAGE SECTION,
(II,
11114 I
1110111101
I I 10514 C001 FORM COMPLETION
I I I I I _1
3 THE VEHICLES IN RESPECT OF WHICH INSURANCE IS TO BE PROVIDED ARE THOSE USED IN CONNECTION WITH THE INSURED S BUSINESS 06
2Ik ❑ knols....K. 411 ❑ AU10 limulACtust 001,Ce.61LisslOs 701 0 100 CUANIAG /02 0 AM Molly
$00 0 11114 USED Ass70 01410 1020 SCHOOL 1003110611 AUTO S/.0/ 702 0 AU10 CLASS INS1ALLAI10A 103 0 smon (011406)
101 0 6101011:7 C1f DMA SOO ❑ AWL 1 1/161 DWI IKE] stmciou, ,101011 moo /04 0 1I6660I 06(1A1106 'OA 60'
30; 0 AuTONHAISA.11 so. so: 110 ❑ UM AUTO MAO 900 ❑ AUTO 1/1111110 NOM 11100E1 All ASPECTS Of INSUREDS
MINUS MO CIRCLE
LOO 0 01110 GA11:1 INS': 700 ❑ usHEI 7I61136 611 WI 0 AUTO SAiVACI 101 60S PRINCIPAL OPERATION
4 TOTAL NUMBER OF EMPLOYEES
1 11.A1 1S 0.1 10711; 6164(106 P(0111 EM1iCT(DIP NI *6 6,1036'
Dlt , Di l.,c 10111.161 C 11.( (01(06013 031I601.(!

(1■ 11011,11(01 P1111111 011015 Al SA111 ato raluallS NIS III 111,01111 voKISI 017115 CO1SISI 1111/001.0 01 III mules p Ajtookis
A 4( ClIIKJH 01/11 IY/iC111S 1111'11 011144 OR./ 11110.11 Ski SI IN CAS.lic

.0 A,. ("II 101.0.111 1001 11'6 '1 01.1 £0017 I C WNW:: 600. 51+'1 111 rarsom 170
51COVERAGES • (NON-OWNED — NO LICENCE PLATES ISSUED — CUSTOMER S VEHICLE COVERAGE ONLY)

I /141111) P1111 LUX 1111111, T
COWSIO.DIDLICIiLt IDA CuSIOVIPS611101(5
3 CO6 1sl1th$111 - Tois, mut 01 CUSTOvf11 $ I' A,, I 0;AI,V
1 SP$ 01/ 11 0 1101/S - TOM 'ALIA 01 CUSIOVia S 6111015 Al Ail 100311061
61
00 TOu MO API AulOPLAN (1(11' YU 0 110 0 U 05 Su1E 11(11 AO
1 1
II 1115 A 611 BUS,MSS 01 h( A 10031106' 'Is 14(, if 'IS A71A00U01O01 01.1S161 SS
I I (TINS 7 TO 10 10 Bt COMIZTID ONO N LOKI PLATES ME MOM°
7( COVERAGES REQUIRED ■cra.tc ARC W. 00.1 1, 1 11101 /sA11 S 01111,111 IA TOTAL NUMBER & TYPE OF PLATES REQUIRED WITH THIS POLICY
■1,111 •1113, ■111.04 ill . $
Will/
2 U.41 P.SulID 11010141 0001101.0. /ISO .00 01 110/1111A11011 ISM 1 (110110.1‘ ea/ A niAltig Divot
1 01110 111(111
$ (03110,1 111/1111All "1A115151111, •
CPI 1S.O1 -..
CO61111.10S1s1 $ DiDU01,111 1411001111 PlAtIS
II 01101110 Oil ,• 1 01C1X1.1.1 1111111 /MU NW /1371 s
II SP10110 11110S 1101004 11111 1 IX 01011111
CO1111004 ROMS (I /10 014 E•O 011155,
0011061 11 11..1.11
COMM IC* 11.3115 0001 ) IN A( GvIr
mL .S,41 010uClikl
0oom/(.111S111 IIIAN11 11./11 5 11C1 116.111 0111011015,
TISO 000
OA S.110 ■1 11 molotcycli 43115 110 6 ,0 116C *LOIS
1.50
IC% 11,1 01 )710611: 101* 1001110 1011(1 113711
1111(tIS 11 &It 1001.06'.
8R f • REP614660 5 PLATES WILL AN ATTACK() TO
..,.1.10.111„..„,. 0 0411 011,117111.(115iWOPA UPI 0 /1,11(1/4 01411 ❑ 11D, /0,04 aslo1u 5111(111
REFER TO AGENTS MANUAL VOLUME I. GARAGE SECTION. FORM COMPLETION. BEFORE COMPLETING THIS SECTION. 454
9A [ 00 100 H111 Au. Tival 411+0.31. III ND ognali mum ADD Do .0 mm
YuE) .=1
98 mugs Da pow) Di..., ., I Dug I C D USE A SEPARATE LINE FOR EACH STORAGE AREA VALUE OF OWNED VEHICLES
INHAII ININ HI I.INGIS MI SION C REFER TO MANUAL IF MORE THAN 3 AREAS )INDICATE THE VALUE AT EACH STORAGE AREA FOR EACH CATEGORY)
A INI iC01111 STORAGE
USED VEHICLES DEMONSTRATORS AND/OR
111111 I' Iwil ■DP151,1C X lu,k VA: AREA el NEW VEHICLES
SERVICE VEHICLES
I Mel SI
$ $ $
DESCRIBE CONSTRUCTION , PROTECTIONS
. 0 RANK II EIA=
EIN "C • 0111 15'
9C VALUE OF OWNED VDU L

IINOCATE THE VALUE AT EACH STORAGE AREA FOR EACH CATEGORY'
STORAGE DEMONSTRATORS AND/OR
AREA OS NEW VEHICLES USED VEHICLES
SERVICE VEHICLES
A 41041
$ $ $
015CINSE CONSTRUCTION/PROTECTIONS
E 0 „,,,,,,..,, in coI,u,;;0,17.,vv:
.., r--,
IJ c.i..y
9D VALUE OF OWNED VEHICLES

(INDICATE THE VALUE AT EACH STORAGE AREA FOR EACH CATEGORY)
STORAGE DEMONSTRATORS AND/OR
AREA IS NEW VEHICLES USED VEHICLES
SERVICE VEHICLES
I ADONSI
$ $ $
DESCRIBE CONSTRUCTION/PROTECTIONS
• .,,,,,,,
U ,1.,.4, 05ii /2 on. ,C,
I l.„,0‘
10 FLOOR PLAN — LIEN HOLDER
14,11 D. I I,Oua
RAN 11001
I DO NU Mal 'INCAS NUNCIO ANC 1119/100.111000 0 ,IS 0 AO
A HI sat /maws 1•110011,••
ANC oNSAIS NI 11001 0 J•
DOH 114 1111411110.1010 ANC MWIND op, £1,001 ALAN II 1 1L,90101*01LONNIINIIIINI YO YIDIIID 111141001111101 P T.4 PICO PLAA laCILISON 441
I Hoof 114 mu( 100•113 CO vINHEDDIO).■ Aar/old.
II. ADDITIONAL COVERAGE ENDORSEMENTS REOUESTED
I IAN 1011x11141 101 (ARNIT FUNGI AN 40 III 0 NO 0
11110 11A101 INTGATIRITIT ...v.,. 0 NO 0 II OS 11•141 0111
MO 107 P11111101101 CUSTONIPS 1I14/15 III 0 NO 0

PI1PT PIO OXON NCI
UM OF Ma GATICASAT FOAM ilPT
[s I Is
GATIOSITRAt LAG GISTOARG HARM HI 0 NO 0
12. DETAILS OF LOSSES IF vOU WERE INSURED WITH OTHER THAN IC BC PROVIDE THE FOLLOWING
MEHRA HIPAANCI CONPAR, PAULI

SIPS 00 IOSUS Lan.. uamas tiSA OH 'OHIO 01 OISPARCAN PIC GlISTAIIPIK
GINNIDISJITAC• rl rC II 115155*,'
11 AP■OCANI$ $40101 1111NONI 1111111
WIT MIR PROGC 4111 11 MANI .,111 RlIl1l15ly AMMO
1
4.1
GENERAL PROVISIONS, DEFINITIONS AND EXCLUSIONS
INSURANCE TO THE COMPREHENSIVE GARAGE POLICY
nu...J.., to 'iv..
APV-4C
CORPORATION
[.
.1 Of BRITISH COLUMBIA
MEP ityx.FTER CALLED THE CORPORAliONi
THIS COMPREHENSIVE GARAGE POLICY IS SUBJECT TO THE FOLLOWING GENERAL PROVISIONS, DEFINITIONS AND EXCLUSIONS
IN ADDITION TO THE INSURANCE (MOTOR VEHICLE) ACT AND THE REGULATION WHERE APPLICABLE
These General Provisions, together with the Riders, Endorsements, Declarations and Rating Questionnaire attached hereto constitute the
contract of insurance between the Corporation and the Insured and are included in the expression "The policy - when used herein
1 Additional Insureds
The Corporation agrees to indemnity in the same manner and to the same extent as if named herein as the named insured
tal Under Sections 1 and 3 of the APV.4 in respect of a vehicle not owned by or leased to the named Insured or Such additional
insure:.
(I) every partner. officer or employee of the named assured engaged In the business described In the APV-4, while personally
driving In such business and with the consent of the named insured, and
pi) every partner or officer of the named insured while personally driving, provided that such use is occasional and the vehicle
is in the care, custody or Control of the named insured
(b) Under Sections I and 2 of the APV-4, in respect of vehicles owned by or leased to the named insured
any person or organization legally responsible for the use thereof, if such use is with the permission of the named insured
(Cl Under Section 1 of the APV-4 only, in respect of a vehicle not owned by or leased to the named insured or such additional
insured
(i) the named insured and every partner or officer of the named insured and a member of his or her household while personally
driving any motor vehicle
2 Consent of Insured
No person shall be entitled to indemnity or payment under the policy who operates any vehicle as defined in the policy without
the consent of the named insured, or who is an occupant of any vehicle which is being used without the consent of the owner
thereof, or without the consent, express or implied, of the named insured
3 Personnel of other Garages excluded

No person who is engaged in the business of selling. repairing, maintaining, storing, or parkin," .ehicles in the course of such
business or while so engaged or while an occupant of such vehicle, unless the person is the iiarned insured or an additional
insured. sh.11 be entitled to indemnity or payment undr the policy for any loss, damage. injury or death sustained while engaged
in the use or operation of or while working upon the vehicle.
4 Audit
The Corporation, through any authorized representative and at all reasonable times, shall have access to the insured's books and
records for the purpose of determining any fact relating M the policy. Any evasion or attempted evasion by the insured in connection
with payment of premium hereunder or any matter relating to the policy shall void the policy and shall be an absolute defence to
any suit or action brought under the policy
5 Vehicle defined
In the policy. the following words have the following meanings)
-owned vehicle- means
(a) any vehicle, including its equipment, as defined for a declared value vehicle in Section 122 o! !hr. Regulation, owned by or leased to
the named Insured in the business stated on the APV4,
(b) any camper or canopy owned by or leased to the named Insured in the business as stated L.i the APV-4,
lc) any vehicle said in the business es stated on the APV-eby the named Insured but not delivered by him to the purchaser thereof, and
(d) notwithstanding Sections 44(1) and 4511) of the Insurance (Motor Vehicle) Act and Sections 2 and 114 of the Regulation any vehicle
that is excluded from the Act and Regulation, which mowned by or leased by the named insured in the business es stated on the
APV4.
but does not include any other vehicle the ownership,see or operation of which is excluded by the general provisions, definitions
and exclusions pursuant to this policy or by the Regulation.
"customer's vehicle" means a vehicle including its equipment, and notwithstanding '4ections 44(1) and 01) of the Insurance (Motor
Vehicle) Act and Sections 2 and 114 of the Regulation a lehicle that Is excluded from the Act and Regulation, owned by another,
(a) while such vehicle Is being towed or pushed by a veh4le driven by the named insured or his partner, officer or employee.
(b) while in the care, custody or control of the insured M the business as stated on the APV-4 for testing, repair, maintenance, ser•
vicing. storage, or parking, or
IC) while held for sale on consignment.
but shall not include a vehicle
U) owned or leased by the named insured or his partner or officer.
hi) sold by the named insured but not delivered by him to the purchaser thereof
6 Vehicles Excluded
The Corporation shall not be liable under the policy (except if otherwise permitted by endorsement) for loss, damage, intury Or death
arising from the ownership, use Or operation of
(al Any vehicle owned by the named insured in COnneCtiOn with or used for the purposes of any business conducted by. or any employ-
ment or occupation tor wages or profit engaged in by. the insured other than as stated on the APV-4, or
Ib) Any vehicle owned by the named insured which is damped or modified for racing purposes, or
11., 4C iNlp,
Ici Any vehicle furnished by tne named insured to any person except.
Ili to a partner, officer or employee active in the business stated in the APV41 for regular or frequent use by such person or
(ii) for the irregular and infrequent use of a vehicle by a person or organization with the permission and consent of the named
insured
(d) Any vehicle owned or leased by the named insured
(i) designed for the bulk transportation of petroleum products or other materials, or
(ii) designed or used for the transportation of more than two other vehicles, or
(iiildesigned for towing and rendering assistance to another vehicle.
This Exclusion (d) does not apply to a vehicle described therein when not being used for the purpose of bulk transportation.
transportation of more than 2 other vehicles, or towing or rendering assistance to another vehicle
le) A mobile home as defined in the Motor Vehicle Act
7. Excluded Uses
The Corporation shall not be liable under the policy while.
(a) the vehicle is rented or leased to another provided that the use by an employee of his vehicle on the business of his employer
and for which he is paid shall not be deemed the renting or leasing of the vehicle to another
(0) the vehicle is used to carry radioactive materials for research, education, development or industrial purposes or for purposes
incidental thereto
(c) the vehicle is used as a taxi, bus or for carrying passengers for compensation or hire or
(dl the vehicle is used
II) for the carrying of goods or materials for compensation, or
(ii) for public road construction, repair or maintenance, or
(iiilas farm Or contractor s equipment on behalf of others for compensation
8 Temporary Substitute Vehicle

The use of a courtesy car, owned by or leased to the named insured and insured by the policy, by any customer of the insured
snail not be considered In± renting or leasing of the vehicle to another person within the meaning of Provision 7(a)
9 Other Insurance
The policy is subject to the other insurance provisions of the Regulation
10 Material Change In Risk

The insured named in the policy shall promptly notify the Corporation in writing of any change in the risk material to the policy
and within his knowledge.
11 Additional Agreements
It is a condition Of the insurance provided by Sections 1 and 3 of the APV.4 that every person insured by the policy shall pay or
reimburse the Corporation, upon demand. any amount which the Corporation has paid by reason of the provisions of any statute
relating to automobile insurance and which the Corporation would not otherwise be liable to pay under the policy
12 Reporting
(al On or before the inception date of this policy, the insured shall determine the total number of licence plates to be purchased and to
which this policy is to be applicable and the insured shall declare the number of licence plates so determined on the APV-4 policy,
which number of licence plates shall be used by the Corporation to determine the premium to be paid for coverage under Section 1
Subsections A and C and Section 2 Subsection A of this policy. Thereafter during the term of this policy or any renewal, the insured
shall report immediately to the Corporation whenever the actual total number of licence plates to which this policy is applicable
varies from the number of licence plates so declared on the APV•4 or last previously reported in accordance with this provision, or
as shown as an amended declared total number of licence plates on any renewal form of this policy.
(b) On or before the inception date of this policy, the Insured shall determine the number of persons employed by him and to which
this policy is to be applicable and the Insured shall declare the number of such employees so determined on the APV-4, which
number of employees shall be used to determine the premium lo be paid for coverage under Section I Subsection B and Section 3
Subsection A of this policy Thereafter during the term of this policy or any renewal, the insured shall report to the Corporation
whenever the actual total number of employees to which this policy Is applicable varies from the number of employees declared on
the API/4 or last previously reported In accordance with this provision, or as shown as an amended declared total number of
employees on any renewal form of this policy, such report to be provided within 30 days of the occurrence of such variation
51
INSURANCE SECTION 1 — THIRD PARTY LEGAL LIABILITY, ACCIDENT BENEFITS.
FIRST PARTY COVERAGE AND UNDERINSURED MOTORIST PROTECTION RIDER
INI IIIV$SID .IGVLATIO14 OW.
APV.4 0
CORPORATION enesciiiistoeurisu.io to stoic,.
UNDER IRE .10.04C( !MOO. Vt.CLII ICI o41.1.01/0 CMLED III OUGUL•,,O..
Of BRITISH COWMBLA THIS RIDER FORMS PART OF THE POLICY TO WHICH IT IS ATTACHED
cR INAFTEP CALLED THE CORPORATION(
INSURING AGREEMENTS
In consideration of the Rating Questionnaire and Declarations which form part of the policy, but only with respect to the Sub.sectionis) tor
which a premium is specified under Section 1 of the APV-4 and no other, and subject always to the General Provisions, Definitions and
Exclusions of the Regulation pursuant to the Insurance (Motor Vehicle) Act, the Corporation agrees.
III Under Subsection IA of the APV-4 to Indemnify the Insured (11 in accordance with Part 6 Third Party Legal Liability, of the Regulation,
and (o) in accordance with Part 6 for third party legal liability Imposed by law upon the Insured, for loss or damage arising from the use
or operation of a vehicle not owned on whole or in part by or hcenced in the name of the Insured and to pay benefits in accordance witr'
Part 7 Accident Benefits and to compensate the Insured in accordance with Part 10 First Party Coverage of the Regulation.
Provided always that the Corporation shall not be liable under this Sub-section;
a) for legal liability imposed upon any person Insured by this policy for bodily injury to or the death of any partner, officer or employee
of such person whole engaged in the business of the named insured, or
b) for loss or damage resulting from bodily Injury to or the death of any person insured by the policy, or
C) for any amount in excess of the limits stated in Subsection IA of the APV.4
12) Under Subsection 1B of the APV-1 to indemnify the Insured In accordance with Part 6 for third party legal liability imposed by law upon
the Insured for loss or damage arising from the use or operation of a vehicle not owned in whole or in part by or locenced in the name of
the Insured and to pay benefits in accordance with Part 7 Accident Benefits and to compensate the Insured in accordance with Part 10
First Party Coverage of the Regulation.
Provided always that the Corporation shall not be liable under this Sub-section;
a) for any legal liability imposed upon any person insured by this policy for bodily injury to or the death of any partner, officer or
employee of such person while engaged in the business of the named insured, or
01 for lOSS or damage resulting from bodily injury to or the death of any person insured by the policy, or
C) for any amount in excess of the limits stated in Subosertion 113 of the APV.4.
131 Under Subsection IC of the APV-4 to compensate the Insured, in accordance with Part 9. Div 1. Underinsured Motorist Protection, of
the Reguiation
API •D 1011 SE
INSURANCE SECTION 3 — LEGAL LIABILITY FOR OWN DAMAGE COVERAGE
TO CUSTOMERS VEHICLES RIDER
4"■.■ rl O.Ow ■ V , r.l H .s1 ,o.
APV.4F
CORPORATION yeaDl• AC ,
f
Of BRITISH COLUMBIA THIS RIDER FORMS PART OF THE POLICY TO WHICH IT IS ATTACHED
IHEREIN4r TER CALLED THE CoRPopoior.,
.44...,
INSURING AGREEMENTS
In consideration of the rating questionnaire and declarations which form part of the policy, but only with respect to the
Sub section(s) for which a premium is specified under Section 3 of the APVP4 and no other, and Subject always to the
General Provisions, Definitions and Exclusions of the Regulation, the Corporation agrees'
(II Under Subsection 3A of the APV.4 to indemnify the Insured, in accordance with Part 9, Div. 2, Own Damage, of the
Regulation for liability for loSS or damage to customer's vehicles caused by collision or upset while in the care,
custody or control of the Insured
Provided always that the Corporation shall not be liable under this Subsection for any amount in excess of the actual
cash value of the customer's vehicle at the time of damage, not exceeding the actual cost to the Insured
121 Under Subsection 3B of the APV.4 to indemnify the Insured, in accordance with Part 9, Div. 2, Own Damage, of the
Regulation for liability for loss or damage to a customer's vehicle caused by any cause other than by collision while in
the care. Custody Or Control of the Insured
Provided always that the Corporation shall not be liable under this Subsection
al tor any amount in excess of tne limits stated in Subsection 3B of the APV.4, or
b) for any amount in excess of the actual cash value of the customer's vehicle at the time of loss or damage, not ex•
ceeding the actual cost to the Insured, or
Cl lor loss or damage from the theft from any open lot or unroofed space owned, rented or controlled by the Insured
except theft of an entire vehicle, or
dl for any transmission and/or other mechanical damage resulting while a vehicle is being towed
131 Under Subsection 3C of the APV.4 to indemnify the Insured, in accordance with Part 9, Div. 2. Own Damage, of the
Regulation for liability for loss or damage to a customer's vehicle caused by specified perils while in the care, custody
or control of tne Insured
Provided always that the Corporation shall not be liable under this Sub-section'
a) for any amount in excess of the limit stated in Sub-section 3C of the APV-4, or
b) for any amount in excess of the actual cash value of the customer's Vehicle at the time of loss or damage, not ex•
Cl lOr loss or damage from the theft from any open lot or unroofed space owned, rented or controlled by the Insured
except theft of an entire vehicle
(4) The following Insuring Agreement applies to Subsection 3A, 38 or 3C of the APV41
The policy affords own damage coverage to a customer's vehicle for loss or damage caused by a vehicle described in
paragraph 6 of the -General Provisions, Definitions and Exclusions" of the policy, except a vehicle that is carried in or
upon another vehicle owned or hired by the Insured that is either Ii) designed as a vehicle carrier or (it) carrying more
than two vehicles.
DEDUCTIBLE CLAUSE
Each occurrence causing loss or damage Covered under Sub-section 3A and 38 of the APV.4 shall give rise to a separate
claim except that in the case of Subsection 3A, the Corporation's liability shall be limited to the amount of loss or
damage in excess of the deductible amount as stated therein, and in the case of Sub-section 3B, If the total of the
deductible amounts applicable in respect of each vehicle lost or damaged arising from one occurrence totals to an
amount that is more than the deductible specified in Sub-section 38 of the APV-4 as applicable to each Occurrence
causing loss or damage to more than one vehicle, the Corporation shall be liable for the amount by which the total loss or
damage arising from one occurrence exceeds the deductible amount specified as applicable to loss or damage to more
than one vehicle caused by a single occurrence. Furthermore no deductible amount shall be applicable to any loss or
damage caused by a peril specified in the definition of Specified Perils Coverage in Part 1 (1) of the Regulation, other than
to the theft of a part or parts of a vehicle.
AGREEMENT OF INSURED
The Insured agrees that in the event of loss or damage for which indemnity is provided by this Rider the Insured, If so
required by the Corporation, will replace the property or make the necessary repairs at the actual cost to the Insured
513
bL,141,1h LEGAL LIAbILITY y UR OWN UAMAL.t CUVERAGE
Li
IINJIJICHALL AP V -4F j
10 CUSTOMERS orVEHICLES RIDER
- S., 4.• •
CORPORATION to to t to
Of BRTT151-1 COLUMBIA THIS RIDER FORMS PART OF THE POLiCT TO WHICH Ir is ATTACHED
HER ix.An Ea CALLED THE coe00eA1ioNi
INSURING AGREEMENTS
In consideration of the rating questionnaire and declarations which form part of the policy, but Only with respect to the
Sub-section(s) for which a premium Is specified under Section 3 ol the APV-4 and no other, and sublect always to the
General Provisions, Definitions and Exclusions of the Regulation, the Corporation agrees: — --
• - —.•- • — -
(1) Under Subsection 3A of the APV-4 to indemnify the Insured. In accordance with Part 9, Div. 2, Own Damage, of the
Regulation for liability for loss or damage to customer's vehicles caused by collision or upset while In the care.
custody or control of the Insured
Provided always that the Corporation shall not be liable under this Sub-section for any amount in excess of the actual
cash value of the customer's vehicle at the time of damage, not exceeding the actual cost to the Insured.
(2) Under Sub-section 3B of the APV-4 to indemnify the Insured. In accordance with Part 9, Div.2. Own Damage, of the
Regulation for liability for loss or damage to a customer's vehicle caused by any cause other than by collision while In
the care, custody or Control of the Insured.
Provided always that the Corporation shall not be liable under this Sub-section:
a) for any amount in excess of the limits stated In Sub-section 3B of the APV-4, or
b) for any amount in excess of the actual cash value of the customer's vehicle at the time of loss or damage, not ex•
c) for loss or damage from the theft from any open lot or unroofed space owned, rented or controlled by the Insured
except theft of an entire vehicle, or
CI) for any transmission and/or other mechanical damage resulting while a vehicle is being towed.
(3) Under Subsection 3C of the APV-4 to Indemnify the Insured, In accordance with Part 9, Div. 2, Own Damage, of the
Regulation for liability for loss or damage to a customer's vehicle caused by specified perils while In the care, Custody
or control of the Insured.
Provided always that the Corporation shall not be liable under this Sub-section:
a) for any amount In excess of the limit stated In Sub-section 3C of the ARV-4, or
b) for any amount In excess of the actual cash value of the customer's vehicle at the time of loss or damage, not ex-
ceeding the actual Cost to the Insured, or
c) for loss or damage from the theft from any open 101 or unroofed space owned, rented or controlled by the Insured
except theft of an entire vehicle
(4 The following Insuring Agreement applies to Sub-section 3A, 3B or 3C of the APV-4.

The policy affords own damage coverage to a customer's vehicle for loss or damage caused by a vehicle describe! In
— paragraph 6 of the "General Provisions, Definitions and Exclusions - of the policy, except a vehicle that is carried in or
upon another vehicle owned or hired by the Insured that Is either (I) designed as a vehicle carrier or (ii) carrying more
than two vehicles
DEDUCTIBLE CLAUSE
Each occurrence causing loss or damage covered under Sub-section 3A and 3B of the APV-4 shall give rise to a separate
claim except that In the case of Sub-section 3A, the Corporation's liability shall be limited to the amount of loss or
damage In excess of the deductible amount as stated therein, and In the case of Sub-section 3B, if the total of the
--dediactiblelirrioiinis applicable In respect of each vehicle lost or damaged arising from one occurrence totals to an .
amount that Is more than the deductible specified In Subsection 3B of the APV-4 as applicable to each occurrence
causing loss or damage to more than one vehicle, the Corporation shall be liable for the amount by which the total loss or
damage arising from one occurrence exceeds the deductible amount specified as applicable to loss or damage to more
than one vehicle caused by a single occurrence. Furthermore no deductible amount shall be applicable to any loss or
—aimicie caused by a peril specified in the definition of Specified Perils Coverage In Part 1 (1) of the Regulation, other than
to the theft of a part or parts of a vehicle.
The Insured agrees that In the event of loss or damage for which Indemnity Is provided by this Rider the Insured, If so
required by the Corporation, will replace the property or make the necessary repairs at the actual cost to the Insured
INSURANCE SCHOOL GARAGE ENDORSEMENT
APV-4AB
CORPORATION ppiscp,atoPuRsuANT TO SECTION 150 Oc THE REVISED REGULATION 1464 ,
UNDER THE INSURANCE 14070A VEHICLE) ACT 1HEREINArTER CALLED THE REGULATION)
Of BRITISH COLUMBIA
1HERE)N AFTER CALLED THE CORPORATION)
ARON
THIS ENDORSEMENT FORMS PART OF THE POLICY TO WHICH IT IS ATTACHED
IN CONSIDERATION OF THE PREMIUM PAID, IT IS UNDERSTOOD AND AGREED THAT THE "GENERAL PRO.
VISIONS, DEFINITIONS AND EXCLUSIONS RIDER APV4C" ATTACHED TO THE APV-4 IS AMENDED AS FOLLOWS'
PARAGRAPH 1 ENTITLED "ADDITIONAL INSUREDS" IS DEEMED TO INCLUDE AN INSTRUCTOR WHO TEACHES,

OR A STUDENT WHO IS ENROLLED IN AN AUTOMOTIVE VOCATIONAL TRAINING COURSE.
EXCEPT AS OTHERWISE PROVIDED IN THIS ENDORSEMENT, ALL LIMITS, TERMS, CONDITIONS, PROVISIONS,
DEFINITIONS AND EXCLUSIONS OF THE POLICY, THE INSURANCE (MOTOR VEHICLE) ACT AND REGULATION
SHALL HAVE FULL FORCE AND EFFECT .
AA. 44F ",

5o
INSURANCE IMPLEMENT DEALER ENDORSEMENT
CORPORATION PRESCRIBED PURSUANT TO SECTION ISO OT THE REVISED REGULATION I IIMIA
UNDER THE INSURANCE (MOTOR VEHICLEI ACT (HEREINAFTER CALLED THE REGLIUVIONi
APV•AAC
[II OE BRITISH COIDMINA
(HER ■NAFT[li CALLED THE CORRORATiON,
IN CONSIDERATION OF THE REDUCED PREMIUM CHARGED FOR THE APV.4, IT IS UNDERSTOOD AND AGREED
THAT THE INDEMNITY PROVIDED UNDER RIDER APV.4D ATTACHED TO THE APV-4 SHALL APPLY ONLY WITH
RESPECT TO AN "IMPLEMENT OF HUSBANDRY" OR "FARM TRACTOR" AS DEFINED IN THE REGULATION,
WHILE BEING OPERATED ON A HIGHWAY.
SHALL HAVE FULL FORCE AND EFFECT .
IJ
AIN .*C IS
5
INSURANCE BROKER DRIVER ENDORSEMENT
APV•4AE
CORPORATION PPESCfUED PURSUAN, 10 SECTION IV, Of Off AfvISED OliGULATI0N1,11114
UNDf 14 1.f INSLAANCIE IMOTOR ViN,Clei ACT I.EIN(INACTIM CALLED THE MEGULAtiON.
Of BRITISH COLUMBIA
tog;A INACIER Cal a 0 I.( COAPOAA11ON
.
THIS ENDORSEMENT FORMS PART OF THE POLICY TO WHICH IT IS ATTACHE::
IN CONSIDERATION OF THE PREMIUM PAID. IT IS UNDERSTOOD AND AGREED THAT THE WORD "EMPLOYEE"
AS USED IN ITEM I (a) (1)
OF THE GENERAL PROVISIONS, DEFINITIONS AND EXCLUSIONS RIDER APV•4C
SHALL BE DEEMED TO INCLUDE "BROKER DRIVERS" OPERATING UNDER CONTRACT TO THE NAMED INSURED.
EXCEPT AS OTHERWISE PROVIDED IN THIS ENDORSEMENT, ALL LIMITS, TERMS. CONDITIONS. PROVISIONS
SHALL HAVE FULL FORCE AND EFFECT
Afoh... Veit. t
FINANCIAL RESTION11411 I III' ('
lOwnerthetture Garrrgr
lowed h,
Night o4 Aerm
This enlifirs lhal
.4
...mowed he the Iwwre t -promo of •fl olomballottiofho tolled OW t copoeohoo.low 1%.ste Shb. &Wm*
oonws11 oewpotooey hohomelhOr i•••••■••■V r rear...a watt dr 1.....eoom Mom. VA.*, ♦.I
ars Ihe 111...d Ilroolohoo (IS) IMMO. 11110$ lb, meows of Ow ogwv•hoo. onsuoollle fe, WARNING
mooed Fresco wok coarrm d.., nos °on..a moo oenolhle r Me cam "Molly to
.onool of Ow lowed ea She coone of On ol Cs Immune. .war t roworheowor (hers .4 this card are warned dial w IS to be produced only in respect of the
limited use wahcated on the reverse side hereof and only wfule the policy
Pity N. ny the t I tut h .11,0IJA
referred So hereon ts in force. Failure to comply with this nanung, may kad
t .r.n.r ■ •__ to fore• or Imprisonment.
Owed the doh..1 T hos ■ and h yahtl only when mgnal ore ot the driYer and tinier-, lieener number
are erkkwsed upon the revere oak hereof.
--sowos..4-oith.Thoo— Oho. . Car.. • 410
.n • Oh. elOWIWOCIF CORPOItlafl001 or 801,16W C011.1/101111111
- _ - — — - —
Province of INSURANCE
BMWs Columbia
MOTOR VEHICLE DEPARTMENT
[' CORPORATION
OF 1111115HCOLVAIIIA
-NOTOR VEHICLE ACT "COMMERCIAL TRANSPORT Acr -INSURANCE (MOTOR vEncLE I ACT"
TEMPORARY OPERATION PERMIT AND OWNERS

CERTIFICATE OF INSURANCE
Oki° FOR COME WAY TRIP ONLY ON A HIGHWAY WITHIN THE PROVINCE OF BRITISH
cotuusaw THIS FEITIMIT IS NOT VALIO FOR REGISTRATION OR UCENSV•3 PURPOSES
TO THE SUPERINTENDENT OF MOTOR VEHICLES. VICTORIA. B.G.
SUBJECT TO THE TERMS ANO CONDITIONS ON THE REVERSE APPLICATION IS HEREBY MADE FOR A TEMPORARY OPERATION
Is 000004
PERMIT, PURSUANT TO THE MOTOR VEHICLE ACT. THE COMMERCIAL TRANSPORT ACT
TO THE INSURANCE CORPORATION OF BRITISH COLUMBIA SEE REVERSE FOR APPLICATION

OWNER OR PERSON AUTHORIZED
OF
COMPANY NAME OR
NUMBER
SuANA
STREET
L -D
ryAri
CITY OR TOWN
—1
GIvEN NAME'S)
POSTAL CODE
TO OPERATE THE FOLLOWING DESCRIBED MOTOR VEHICLE OR TRAILER
YEAR MAKE STYLE V I N OR SERIAL NUMBER
FROM C Tg BC
ADORESS ADORE SS
VALID FOR THE DAY PERIOD FROM I, TO 19

0. 0....„ ea. FEES ANO
Fo. TYPE OF VEHICLE PEFAM
EEIT pn.P.3
.47, NW DEDUCTIBLE
CATE CATE PAEMRJOS
OR TRAILER HAEMPLAI AMOUNTS X OLE
PRIVATE PASSENGER PRIVATE RI ' VW CCAUSION
TEH,CLE R • WWII OR
SIM COMMENDASIME
MOTORC YCLE MOTCOICTIMI
.•
PRIVATE TRAILER PRIVATE TRAILER IMO CCM/SION
SRO 001AMEMEMVE
COMMERCIAL TRAILER
COLL/MON GCMa/MOL. • 11X0
•••■...1 ' MAUR' • • ' MOD COMEMENSIVE
COTATAVICLAL vEMICLE , COMOCIAc

4 GRUBS la
MOO COLL40014
LOADED 0 V AI -n411:11111111W
1112 NYNuAL FE11--rr— — MO coreereeve
COMMERCIAL yuK.LE MO COLLERCM

uNLOA0E0 w:Au arinf
°11111 $110 OOMPREMEMIIVII
NET WEIGHT AO TORINO.
kg
NO OF CO MIERCRA . ' SIOXI COUJSKIN
D TNES WHOA W OR
PERDI M AATi X , m e ilia connwenerow
OPTIONAL INCREASED LIMITS PARTS DIVISION I
.
THIRD PARTY LIABILITY uP TO 1IEEO OCR ALL
VEHICLE TYPES ' • T.
HPIANCIAL MESPONSEMLITY
num OR TOTAL FEES
ESETAPNON MAASS
AND PREMIUMS
DUE ANO PAID
FEES AND PREMIUMS ARE NOT REFUNDABLE

Trot Appbcaion *nen vahoama confirms Temporary Operei.on Permit and Insurencie comma* WO
',llama for the AVOW Motor Vehicle andIOI Tra.ler and the Owner and/or Operator .11 respect of the
Th•rd Party i.m.ts and 001rone1 Chen UAW' DEPTNEWAS ■nd.cstc3 'bows. Farm(' TO iriSConad.ons
On MI rIlvMM
SIGNATURE OF APPLICANT SIGNATURE OF IS.SuiPeG OFFICIAL
FORWARD TO SUPERINTENDENT OF MOTOR

VEHICLES. IMPORTANT - SEE REVERSE.
L. An) A PV I I, P 1115 1
TEMPORARY OPERATION
PERMIT '
PROVINCE OF BRITISH COLUMBIA

TO THE INSURANCE CORPORATION Of BRITISH COLUMBIA
Apcthce•tor 10 hereby made Du'llullel to lei Insurance Nowt Veritclel Act and the 1400000
Peq , /aeon ,19641 letcePt *hem Centhcate of F'ranc'a' blesbonsPtitty has been Ned stoth IM
S, rtt tepee., a' M=10 , venues 1 0, a' Gene's Cethficire of Insto.nc c wde respect lo •
16. vrh.ce D. ItAtrt obetalec tst7 a let7ipotot, 0981111.0r, 8.0 10 Mode
insurance pursuant to Patt 6 ilhod PAM, PortT IACcodent Bentfoist Pan 9 D.. 2
, 0.- Damage? of the Rooted Reguiohoe 11961, unitlet Me Insurance (Moth, Verhclet Act tn
."•' `, ''" " • '• to *NO'. P1em.Ln hat bet da.c 0 1.,
',or .ri r ■ •+>. cc...toot le tn lOtct Somtage .5 as lovas"
.•
-.. MP Ofha1. Pass. 'lc Motorcycle It9 h./ or Con metctal rentcle
type na..ng a gross wetri Of 3 ?OD kg of less cOtretege shat' Deaf 0,0v.0•0 by the
Pa/ sec tfemost.on 119114, Pan it etn.rd Pan. legit ltat.ltlyt Ittntte0 to $200000
,,,Cus•vo- tot., COTO, Si'. higher DISC ,1804.1.0 hr Iasi and Pitt 7
lacccer • (lee' s' ts mo.cated Or the ,11.•el$. anC .1 00,14,nai vv.," pad
cb/etap. ,s p mosttart to Pan 9 D.. 7 'Don Dan.amt. t.m.tect to $150000
slibtect to a 080uCle04. arno,,nt Of $100 apo.cabto 10 Cott son and subleCI to a
clea.cht,t, amount 01 1100 aponcoble to Comotem. ns./e t hud Party SegaIL.Ib.1.1,
1,mki mar 0. 1' 000 000 .1 tn.:Pc/ten or me tmetse and 11001a0.8:
(1,..10m 7i"
D I r • .1..0 r sver0.1 01 fibre 1.81, 3 ?Cr, tql L.,• not
etteec,n9 9 ID, coyeta9e sns., be as ptm.clec Dy 164 ttmtsett Pegoatton (1964i
Pat. 6 aht10 Petty legal Losbatty) turmoil to S200 000 Acilist.0 tor smcncomposory
h•gner bestc brntt tisowtre0 by too l Part 7 liorctcleht Byttelas, a .sec oleo or Ise
riot's. and It odo.lional pentium pa77 C0111810 ts ro..cted {•,•11.•8',1 to Part 9
D.. 2 10.n Damage , 'untied to St 50 000 slitt/ect to a dr •orTtp. ro 1500 00
applicabie to C01111.0n and subtoct 10 11 dedt.C1.04 afechlet Of 9156 applicsoie to
Comptehenstye 'thud Pony Legal L111b$11ty Irma May be eornoec to $1 000 OW a
mCbcantd on the tenets, and aC)dmonat premium ea 0
ICI For motor .*roues KIWI a gross ...rt. etevr• 0, mete mar 9 10C •g ccottage
111 11' be as C1,01.000 by Ilse Romeo Recommon 119641 Pan 6 ITN.° early Legal
Llebrlyt Iemled 10 $200.000 incittimt tor such CO.pu110ty 1111,1H basic Ilnat
teoutte0 by Ia.) and Part 7 tAtodont Bonen', a tntbcotra On the rt eeeee and .1
itootttonsi preenty., plod• cows°e to frov3.c to Part 9 D. 2 10*. Damage;
tondo° to 1150 000 smbiost to a deductible amount 01 61 Oat) aPphcabl. to Coniston
and sublect to a Ooduct.ble amount Of 1150 00 11CC, cab.. to ComPrenenbre 717.rd
Party 1.00810800dy Irma may Os *Mohan, 10 $I WO 000.1 um.cateo on lee Wye, Se
and 110d■liOnS1 pfMneurn paid
proy.tbobs ot poragrapho (Att Si or 'CI 1.8 Corporator snail
. 1•401*,1.14,10ing 1.00
not mdothroy the Owner or an Operator lot damage 10 that yetucio pascubod In fh.$
perms Whet OWSUOMI to &Khoo Ito of the Pe.isect begutabon 119641 the
losuranCe Of Iii velsKet r5 eseNmeo and asempta0 from Ina OPorattOn and
Pompons of Part 9. CM 2 of the Rommd Rogulalion 119641
Foes and premiums shown on Om roves* ate mourn," and telstneD Inst.tance uncle Me
0.mets, Gethltcale Cl Insurance hereby Ocethed 101 .1 'semis and any Gine, said and
slita,sta‘m insurance in ail cases SOOI.Cab* 10 10. ren'Cle 04141080 nllem she be primary
Tn. Cow:est.°n may terminate C0.411110e untie, trot OWN'S Cen•fiCale 01 Insurance put want
to What SS 01 Ma RomorM Regulation 11964;
This applcabon when valKletect On the 'mime cont•trns Ternpotaty Opetahon Penn.' and
Insurance Comtage ore fo force for the Slam motor yetucte or trotter and Me Owner
and Or 008.1101 m &Cordons* *In the Iamb MI Out 1,11Itm and putsuorit 10 In 1.1010,
VeeKfle Act Me Commercial TrOnWOn Act and Me Moutons* WOW,VoluCtib Act and IM
Roytsoct Rogulabon OW)
PreVdeel and C.M1 1111C1J111* 0111C1/1

CCepCoat.an of
In durance B...., col,no4
J
611
.ce of [I INSURANCE
U British Columbia

CORPORATION
CR RITMO CON.AIM
....t,,P v/PPCLI •CT CORN/ Ac ■ AL TRANSPORT ACT INSURANCE IMO/CIA riPPCLI, Act
PROSPECTIVE PURCHASER AND VEHICLE OWNER'S
TEMPORARY TESTING AND DEMONSTRATION PERMIT AND
OWNER'S CERTIFICATE OF INSURANCE --- --
IvALIO ON,. pow A 0E0100 NOT IN • NC••• OP GO OAT, ' PROM OATS OP ■ ••V•)
FOR USE ON A HIGHWAY WITHIN THE PROVINCE OF BRITISH COLUMBIA ON 50 400002
A MOTOR VEHICLE OR TRAILER REGISTERED WITH THE UPERINTENDENT OF MOTOR VEHICLES THAT IS NOT
CURRENTLY LICENSED. FOR ROAD TESTING OR Dim TRATION PURPOSES ONLY
(MARE OF rEPPLL I i OP SERIAL N •
IN REGISTRATION NO
1
I MODEL ISTTLE r IA
' PECOSTEREDOwNIA ADDRESS OF REGISTERED OWNER
TERAcT HOLDfR,, 010.111111550WNTITI- ADDRESS OF PERMIT MOLDER
PERMIT EXPIRES
ICC' NINC11140TIOCIATI
ON
_L ;poop,' 01 Mut
1°40'0,1,
I I TYPE OF VEHICLE PERMIT INSURANCE
MMUS,
PERMIT PEE
FEE $
s INSURANCE PREMIUM
PRIVATE PASSENGER
I
$ OPTIONAL OVA DAMAGE
! TRAILER OR MOTOR CYCLE
If
1--, — ___L_
UNLADEN COMMERCIAL VEHICLE OPTIONAL i1. in Pair
I .710.
3.700 kg G v Vv OR LESS I $
, --4 --•
UNLADEN COMMERCIAL VEHICLE TOTAL AmOUNTPA
OvE P 2 7CC Is G VV.
OPTIONAL OWN DAMAGE DEDUCTIBLE

AMOUNTS
ADDITITSI
NAL
PREMIUM
$
r- : PRIVATE PASSENGER
$300 COLLISION
IS100 COMPREHENSIVE
.---4-
I : TRAILER OR MOTOR CYCLE I $300 COL LESION
I
i
I
UNLADEN COMMERCIAL VEHICLE
IS100 COMPREHENSIVE
IstoN
$300 COLLISION
3.700kg G V W OR LESS I $100 COMPREHENSIvE
UNLADEN COMMERCIAL VEHICLE MO COLLISION
G VW
3.701-9.100 kg INCLUSIVE. PSO COMPREHENSIVE
UNLADEN COMMERCIAL VEHICLE 81 000 COLLISION
OVER 9 IOC kg G V W I$150 COMPREHENSIVE
I OPTIONAL INCREASED LimITS UP TO SI 000 000 • ++ t +s +4. ADDITIONAL
INCL PART 6 THIRD PARTY LEGAL LIABILITY At
♦..titt
FEES E PREMIUMS ARE NOT REFUNDABLE
NOT VALID FOR PURPOSE OF TRANSFER OF REGISTERED
OWNERSHIP. NOT VALID FOR LOADED COMMERCIAL VEHICLE
NOT VALID BETWEEN THE HOURS OF 9 P.M. AND 9 A.M.
I HEREBY APPLY FOR A PROSPECTIVE PURCHASER AND VEHICLE OWNER'S TEMPORARY TESTING AND DEMONSTRA
TION PERMIT AND OWNERS CERTIFICATE OF INSURANCE, SUBJECT TO ALL THE TERMS AND CONDITIONS SET OUT
ON THE REVERSE HEREOF
SIGNATURE OF APPLICANT L SIGNATURE OF ISSUING OFFICIAL

APPLICANTS COPY. SEE INSTRUCTIONS ON REVERSE
. My IP:- AFy 1P ■ RI 81
61
•
TEMPORARY TESTING
AND
DEMONSTRATION PERMIT
C,1• . , • - J .
I Pe
e 74
BRITISH COLUMBIA •
PERMIT CONDITIONS
NOT VALID BETWEEN THE HOURS OF 9 P.M. AND 9 A.M.
TO TOR MIPPRINTINDIINT Of MOTOR vimican. IncTomiA. S.0
t....nt 10 III AlonnILOA 0, 1 ,4 414044 MAO.' 1410 CIA 4 Wiley /140e 14 • 7•moo,11 ,• ToSIong Ong tborn0ns14,14,
Pomo; laymen' io IM Mow, won, ot Act 140 C0044,0411,4411004 Act, And IM InIto•neo ;Moto. 14171441P Ace Oulnotosong
010014 0, 114 MAAR Of 1n•I 30...10, o,, mom oho Onatt MtecnOott MOO, Peat* 0. Trip*. oaf the to/oontoo
thll Owns, to Onm 04 coppme me disc, ow mow Whiewr 0, Toole town top prom of meteor of macConr S loCeAtf
•CC00OS,I0e MIA IM MOW, 1100pOli Ail on gel elorme, wallet Me ',Oconee PO, 17•11 MOO Outpost OI
101 Reollestmo IM oesv000 M010, V•n.o.0 bon. a
011.0.111,11,Ag IM 0011,...t,u0 Moo, 000(10 to, MN
0 TIN INIMMTANCI CORPORATION Of IINIT1611 COLUMMA

PY.ow1 lookete onio4nonen 0, Int 4444404,O0 OPP•c•no, 'a ne•e04 ANN Donor., So me Incomes I Mono. Wipe, Oct
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PflESIOENT AND CHIEF EAECt/l.t1 OFFICER SUPEPiNTFNIDENT OF MOTOR VEHICA.EIS

INSURANCE CORPORATION 01 BOIT PS.. COLUMBIA
IMPORTANT MOISTEN THIS SIDE AND AFFIX TO LOWER INSIDE RIGHT HAND CORNER OF WINDSHIELD
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APPLICANT EVERY LICENCE CERTIFICATE Of INSURANCE AND NUMBERPLATE ISSUED IN CONJUNCTION WITH THIS DOCUMENT 15 SUBJECT IC/CERTAIN RESTRICTIONS LIMITATIONS ANI
CONDITIONS FOP SPECIE 4C INFORMATION ON TN(L CENCI CERTIFICATE OF INSURANCE AND AWE TYPE YOU ARE APPLYING FOR SEE THE REVERS( Of THIS DOCUMENT
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10 APPLICANT IN SIGNING TNIS APPLICV00% YOU AGILE TO ATTACH THIS RATE ONLY TO THE TOPE OF vETPCLE. INDICATED BELOW! R CORRECT VEHICLE TYPE.
TR AILER or [ 12 PRIVATE PASSENGER OR COMMERCIAL V( MICLI G VW 3703 AG OR LESS OILS OR 31 ANY MOTOR VEHICLE
PLAT EGE CAL REPLACEMENT DECLARATION

CHIC. kvollt• Of AN,1l ieC f 11 C. 10' MI v ANA 1KM Su110,11 PACIAAI10 OCINC1.41
INNNOLM IKISPCI "11(110 $04.1.04 111
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AND CONDITIONS SET OUT IN THIS APPLICATION CONFIRMING THE INSURANCE COVERAGES
AND LIMITS OF LIABILITY SHOWN ABOVE WHICH IS IN FORCE PROM THE EFFECTIVE DATE
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MANUFACTURER'S LICENCE AND CERTIFICATE OF INSURANCE
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CANADA INTEll•PNOWNCE
CENTITICAT trAttURANCE
AUTOMOBILE NESPONSABILITE
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WARNING — Any Pert -, one sours or reduc4e9 A OPT koo Ina, love I ir force a polec,
of tns.trancs at .r.e Mat •6 in fact not en Ist.:e 4 lute lo a heavy line androt
on; •aortner t so I 1..4••cenCe Mk W sualte ndmi
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AVERTiSSEMENT — CL0061 Arm! Au p,OseAte 6n Le• terttbcal comma row, tune ponce
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C. cen..ear don One Mtt. dans le assure attn teillre mloand comma, Dratine
0 etvonto twat?... Ia p, ■ .ce 111.9e THE VEHICLE LICENCE AND CERTIFICATE
THE INSURANCE CORPORATION OF 'NITRO' CNA/WM OF INSURANCE MUST BE CARRIED IN THE
AUTHORIZED VEHICLE WHEN IN USE
*HE Elt.9r, COVERAGE APPLICABLE TO THE AUTHORIZED VEHICLE UNDER THE PROCEDURE FOR MAKING CHANGES
,•'ERT INSURANCE ,E IN ACCORDANCE WITE, THE INSURANCE (MOTOR
VEHICI Ei A :1 AND NEGLIt ATION WHEN ANY CHANGE IS AEOLIIFED
PLEASE REPORT THE CHANGE IN PER
WARNING! SON TO YOUR AGENT
THE USE OF AN AUTHORIZED VEHICLE OUTSIDE BRITISH COLUMBIA

WHERE (A) THE VEHICLE IS REGISTERED AND LICENSED IN
GENERAL CORRESPONDENCE
ANOTHER JURISDICTION (131 THE LAW OF ANOTHER JURISDICTION PLEASE OUOTE YOUR PLATE NUMBERON !
REQUIRES THAT IT BE REGISTERED AND LICENSED THERE, OR (C) IT ANY CORRESPONDENCE
HAS BEEN PERMANENTLY REMOVED FROM THE PROVINCE FOR
MORE THAN 60 DAYS. WHICHEVER COMES FIRST. MAY INVALIDATE CORRESPONDENCE RELATING TO
THE COVERAGE UNDER THIS CERTIFICATE (IF IN DOUBT, PLEASE INSURANCE. ADDRESS TO
CONSULT YOUR "MOTORIST KIT" OR AGENT.)
INSURANCE CORPORATION OF
BRITISH COLUMBIA.
P 0 BOX 5051.
VANCOUVER, B C V6b AT:.
IF YOU HAVE AN ACCIDENT CORRESPONDENCE OTHER THAN
NP;II, L C(II10.' ■• ABOVE, ADDRESS TO
1 , EWA. 1(01{1 (BAREST ICI< (LAM . 0)1EI (SUFI IN TN( l(MEI(
MAI'U0NDCAI 111 L1 A II AI'J CI NIE4, 11 520 8222 SUPERINTENDENT OF MOTOR VEHICLES.
1144,1H II. LANAL,C II' 1Hl UP0CII suit!. BUENA( COIL [CI 10 TEI INUMANCI 1,;(11()'0kATION
..10.1■MEm %RV rtt')iF •!.' 4 2"' !:71 L PARLIAMENT BUILDINGS.
VICTORIA BRITISH COLUMBIA VET SA3
______
LICENCE AND CERTIFICATE OF INSURANCE n INSURANCE 11
1110140 RI
British Columbia
rsLiariC1 miSCAMOevASLAN• •0 Ammo REGULATOR item.
MoDIA THE INSLAMCI ilACITO• troCtEi ACT lolAIINAMA CALLED T14 ITIGA•Tior L] C 011pm/up:h., mono. vtmeAl ISEPANSTAINI
%OMR vta•CLE ACT •
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APPLICANT EVERY LICENCE CERTIFICATE 0 INSURANCE AND NUMBERPLATE ISSUED IN CONJUNCTION MTH THIS DOCUMENT IS SullACT TO CERTAIN RESTRICTIONS, IMITATIONS AND
CONDITIONS POW SPECIFIC INFORMATION ON THE LICENCE. CERTIFICATE Of INSURANCE AND PLATE TYPE YOU ARE APPLYING FOR. SEE THE REVERSE Of HIS DOCUMENT
RAH OF APRUEARY Illulmmot MUMMIES, Omer %waft W Awl
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TO APPLICANT IN SIGNING THIS APPLICATION YOU AGREE TO ATTACH THIS PLATE ONLY TO THE TIME OF VEHICLE INDICATED SELO*. E A CORRECT VEHICLE TYPE,
PRIVA A SSENGER OR COMMERCIAL VEHICLE
MOTORCYCLES I 12 TRAILERS MEI WI ANT MOTOR VEHICLE
71000 50 OR LESS ONLY
PLATEiDECAL REPLACEMENT DECLARATION

ANNUAL L4 111 CND, NEM ANN LoC SUN TOTAL IMMATIO LICENCE I Et
CHIC. 1111110 CO ALOIS
LICENCE FEE
INACv011 LKINCE 114.11110 Eu0MA1 AC;
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Al CO T HE ()ATE OF THIS RUNNER PLATIFOIC•L REPLACEMENT I FOREVER
RELEASE AND OISCNAAGE THE INSURANCE GOA/IOW 4)ta Oe EMMEN COLUMWA
AND THE SUMANIENDL,• DI MOTOR VEHICLES IRO. AL. 1 01101 0 UAS.L 1 T!
ARISING PURSUANT TO THE PM viola NUMBER PLATE/DECAL DESCRIBED ADOVE
DECAL REPLACEMENT
'COMPLETE LOST DECAL DETAILS) D FREE 1:1 FEE
11 IT SUSSIOUEN T LT RECOVERED I WILL NOT USE OR Misr, ITS USE OH ANY CERTIFICATE REPLACEMENT FEE/SUPPORT DOCUMENTATION FEE
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DINT OR HIS AGENT TI N COMMIS! (NH! OR UARIUMEE ANN Meat
TYPE 11050 PAW, LEGAL
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MV.11114 MEM NOMINI MI IN UMW II UMW

DEMONSTRATION LICENCE AND CERTIFICATE OF INSURANCE
.fi .r rE, Al I ASO 111f,ti-A,"-4 A CFPf•flr•FS OF INSURANCE WITH f, A CFsIr:f

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REPAIRMAN'S LICENCE AND CERTIFICATE OF INSURANCE

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•• • C !HOSE PA.'S Or THE REGULATION AND FOR THOSE LAMS C,01.AGS :of
• .4 .. , .• ,..A014 To c um, t';;ATE uduRANCE IS 14 FORCE ONLY WHILE !HE . E-
'• 7 ,, .-. O4 7.1 .. Eno THE IN71.001iF SATED ABOVE
TRANSPORTER ' S LICENCE AND CERTIFICATE OF INSURANCE
ANUOR1 A CLARE SPL,Teunal NulANI... A I E

• ' • . A '
' z• ,:`• • i1.• ••■ •■, ..•. , • ,E APR,' , Al,'
. A.. •..E rue, ...L .., .0• N rrg. - • per Ay,. COW A rfa..r r •c nr ast:.ANf W'N A"•• A
• • • NuN>uV.I I LE Tn. Lit.P.CL %. • • •
• • : ,1 7 - ' • ' •• " ••ft FAIGU4•1$04 I wISE LAT•It ••• I TRE'n
MOTOR VEHICLE INSURANCE CARD

CANADA MITER•PROVINCE
CERTIFICAT D'ASSURANCE
AUTOMOBILE IIESPONSABILITE
Tins cs.l.te ale se SublOCI 10 the teHus and conthbons of Ina InSw•er F Blandard sulomobnd
Rakes
TIns tr.1,0• •".,- 1.” 03ffy r1ee:e Ittfe.. I, insuff0 I0l-.111 Nat.' Sy 41. Dodd, owl and
PT.:- '. AF.. H, • na n Is n•••• Ma Howe v0001, des:NO*0 Tendon, •■■
inQunt ,.11eQuNtNINIIIIS•fl an/ area dIL.anada
WARNING ; •. 03,C1
of ...tier' as 3.• .1/ o.r. • Ira 0. • o lilt', b a Mary hoe andfd•
Ifnc, sarfra01 and ns 11C1P.C• fan, at SAASS.0.0
Th.. Card ...ca.,. U ..•N00 1.• mf...104 1,sf 0100000M as proof of amsfance
Ant, 1,1-1,17.J T f 0 :
L. present .,endisat NI essulent dIspaslhons et Condilots de Pe police da essefest•
aulonLb.le de ''.11.11116f.
•A sanomml,III Assert. CORne .4 mcoonsaboull IlOu.
• •• • -• ^ • t. ■•■••••- elks.10.1 •411.. dU oaINCIA SAW C0.10014.111141
1 .1 • '1 ■■ gu.N• panoul au Canada
AVENTISSEMENT - O. DlIkonle Ln nen° cal CCHH•11 tune Douce
••• •••: c. ••••non• 4/5! ; t• ••••• c‘ucl'• dune •NNICI.C•
IN;
• 4.0n• 5••.• A • A eft. Of...Orde COMM. inetrve THE VEHICLE LICENCE AN GERriFICA t
OF INSURANCE MUST HE CARRIED IN THE
THE INSURANCE CORPORATION Or BRITISH COLUMBIA
AUTHORIZED /1".1.; ".
''E r ZED VEHICLE UNDER THE PROCEDJRE CHAN 4::
,u, ACCOilLF,..CE ;41TH THE 1`4..LIRANCE (MOTOR
— HICLE) A. WHEN AN• CP'ANGF •", R7.1.1,PL:1
PLEASE HEP•')u* ••••" '••
SON TO YOUR A:itf•:
ARNING!
•-;) VEHICLE OUTSIDE HRITISH COLUMBIA r•EI:t _ .CF

• :5 REGISTERED AND LICENSED IN
' 'HE LAW OF ANOTHER JURISDICTION JUO.E. . •, •
i.RE0 AND LICENSED THERE. OR (C) it 0., 014 •• ,•
• LMOVED FROM THE PROVINCE FOR I:, •!, '
'I" VER COMES FIRST. MAY INV ALIDAT! CORriESPONDETiZE
.FP EIS ICA I E HE IN DOUBT PLEAS'. A V.,
.!•• DR AGENT I 4"1:1•• F •
••• '• " •
Anigt.g,-,L r C) IS OA ail, 5
•••■
‘..)Li NAVE AN ACCIDENT
• .7 I.., I • ABovE ADDRESS TO
• ',;:wAt. 42;, SUPERINTENMENT OF ML/TUN VEHICLES
"i'vr •-.)4nel!..3•11.1 PARLIAMENT BUILDINGS.
• :77 - 11 . 1*.SF. 1 a ,-.• •,.%)
Province of INSURANCE
British Columbia CORPORATION
RRIRSH 011m81%
110114 4,4 114 TVA,. N Mln
INTERIM LICENCE AND OWNER'S CERTIFICATE OF INSURANCE

LICENCE FEE $5.00 INSURANCE PREMIUM $32.00 TOTAL FEE AND PREMIUM $37.00
(,.11•ATIONNe' (*WV. MAKI 1.•44'11 STYL 11( 01. NI I We...
40
4.,• •4 Of 1,410.011.'1 INTEAPAISSOStkallOe 1 •nohf 11(41, od IN on St feat NUMol to
oo roan oft*
•44 444444' /I
• (4 '44. 44.4. .1
tI'1 141 NA' 1 R 44 SUIIINA41 C,ovt N NANO In oloKneSf to S ACHohl nUSIM (.0111
1.6 no ,,o511 1E11.44 `," MI I.

VI 4411.11 00' 41.0441%. I '
FEE AND PREMIUM SHOWN IS MINIMUM AND RETAINED

TO THE SUPERINTENDENT OF MOTOR VEHICLES VICTORIA. IS C.
A, I 1 1 ',rev made, pursuant To one Motor Y. n. le Act the Commercial Transpon Att and oho. Insurance tMotor VetioCoo
A, o ter an intoroon LoCenCII. 10 OPerIlle tne vehicle deft fibre abOve fora period of len (101 days from the date of purChelO of the
s• • 414 • •• tic DT,.
TO THE INSURANCE CORPORATION OF BRITISH COLUMBIA
A; I. ca., tkr,r, mac. I uoSitanl 10 the Insurer-ter 1 Mon, Ven.0 lel 41 and Ihe Revised leegulation 09141 made puosuao •
o• . • • ca. , c.,1 Ito' On CArtoloL•lt• Of Insuranoto vnInooespeef 10 INC seh.Cle deS(rrD,
• r; • •e'o..: w t• onhor.n, L.CenCe and k onsurante has nerealler set forth
ie a so ie.. G v 4. 3 700 kg or less Ccnie•ogr sr *Nix es pr deeded in Regulation Part 0110.0 Party Legg! Liabitity up
a Imo ni $100 000 Regulation Part 7 I Accioent Benefits) Regulation Part 9. prelim 7 (Own Damage) Sub:eft tu a
Di duct.b.r Amount of $300 applicable to Coniston. and *Alec? to a Deductible Amount of 1100 appircahu to Comprenensisi
• M. • F •••• tr rvisr
,, , „ •r, ,4„ .4 ,.. , .• . 44,,44,4 4:4 S114.14.1 4.4,414 on Regulation Pan f .1, eol roo.■ 'LI telbL1.1,
. • • 54 „ „ oy• 1,, 7 41.1 t ne.oe ant Plegoiel•ei• I e•1 II if
• ,.• 0r. in.!. inlerorn Owner s CoPol,f, elo 01,4,011,7C, 1. excess and any Other valid and subsiono ant...fence .n all cafe.
• : no • t* I ..en...or pet rone0 hell.. s^.0 be primary
Tr 1•.'r• ,- Owe.' it CeHinCate Of Insuraner ,o an not be iranslerable or renewable
, •, . 4r14 4114, Owners CPI1111C144f4 01 1,1$444444.l I 444.4.•44 ''`.•
; .T4 I 14'4 I , S..44411, 1.4 ' I, • At
T „,4. 4; I cshun worn ,a1,061.4 confirms inio,r, Licence and insurance Coverage ale on loke for the •beee revs le and tor In.
, . ” •-o"..too,e." Rob C.r tier O. ye.% or one.' operated entn the permissioi, and consent ot die OwN and 11,1
co, • ,„ d ol accordance won truslinnw, 50 Out herein and pursuant to the Mote, Vehicle Act the Commercial Transport
Al! tn. ■ ••SuranCe 'MOM, Vt h■Cle, Al and !tie Regulation. Where int vehicle. 64 on recess of 3 700 kg G V W r1 snail be !ruiner ci
• ••• f °petite - nothOtio 4144C 0^,4 10. IranSonn o' /1`
NO DEALER SHALL ISSUE AN INTERIM VEHICLE LICENCE TO A PERSON UNDER THE AGE OF 15 TEARS.
WARNING This licence is valid only if the vehicle described Oboe* has been 1 undersland Ine terms and conditions of
-VERTs
coL -a horn the dealer issuing Pus licence and the purchaser has on Ms Ind, lit-W.(4, el,./ Ce,1115 'ha. I An. IN ,,t ;vs v•
po ion a Bill of Sale and a completed Statement of Origin dated the Same age too °e•,-
date of the dale of purchase entered on Pus licence
c=47;4-4.4. PerfecreAst 17 S 511.4411110III
14* 044 1.• AN; • ( 14,11 ( ( 11114 OrrCE

ut/PA
Df AillioF(AutteORktEDHENd %from
01111 leNOI 0.141 t.sok.M. VI on, at.. ()la:Sets AI Co• tnaloON NONNI. *NI I *P.n.
',.I3 II. . Al s :If .R1 1,7, PURCHASER - RETAIN IN VEHICLE

6I
••7 .. .. • . ••:•:• •••• • •::•. ..
—1—
Province of
British Columbia
41:1.1(.1,11111116
:r {F
tds: Irli..,,,,. . .7
Cg1ADA .,r
:.,
. . ...' ". 4... 11 CIFITWiCAT VAMP/MCI
. .'.,
— . .. _ r .. Fir '•I_' .AUTOMOeltel..IINIPptt;Ann.trj, .:
-__ -.. : ' • • _ 1. .11
r '' ...-az., -,
Thb oefertc Me le eabloot to the term sad conditions of the brouter's standard automObite
yolk)
This tervfir t INV Ino Pent ,, Jmel beim *Insured euals1 1.roity fog L00.1y .rtjury and
property damage b) feef on of err overall:3n o' the 'nolo, Which eiecrr ■Lad herein, In an
amount not Sem then 1144 statutory rn.run'Jrn reetuirememe an area Of Gonads
_ WARMING 4,- Any cers7n *la moues or prretupos a card to showier thtre Is In tame a aoucy
of insurance a. indic Wei heroin thil•- le, 01 Meet not to°1‘0,4 is IlabIl'It., a heavy . hne.,10/4/
. . ,,
anonsonment and hig iteanto may pc suspended. •, .
Thu card shuuto ht Carried , ht Ina awe vinicie foe d!odatefort as ppoi of Iftsimre. ,..
d
'itheh'Oernandac 1.4.,poai r - - . .-
Le present oethhoM tsi —4 en dispes1114ne■I timilliAlleVirld rileWItapireneir. '.
subanw.lil de EAssenst. :• I' ..104 3 i e34.•• ... I:.■.., . I . . •
, 1 ,De oeridreal attests aUfaiinpersoona malamute& sal assuldettlentre Is reeoltilliedillairefeuf •

• tiessuree et dureshaeee aultidens bierweentfeielimotle-tfer gliftlalehmlebiimo Joffhimbelloated '
suit tor ac s m■ntrupes eA,getes par le• III 0 eSSUfallte so ',queue pariout au cal•Ida . '
AYERTISSE/if-ht — Ourconowe Ms.: au prisilml Lry IsEraziiiialite ovieltiran.•• 4' aro tblkaa ........"
. oi emerence resooneeMna V efoc tventeat fro l paper bfteeart s..,ovpstolo d'um nleOl ' •
• . pasatte ertme tare aneendiao dtmorisOnfiltant-et e 3..,enpr§tr, orml a e . .'
pro certihr.a1 . 44/alibitgieftWKe biolfteir,U4e# o0r9e4-Prils ,.
i
r eroigiwice
fr
41,7 13
t. •oftfretliere-.w
INSURANCE CLAIM PROCEDURES

IF YOU ARE INVOLVED IN AN ACCIDENT IN BRITISH COLUMBIA. CALL OR VISIT
YOUR NEAREST ICBC CLAIMS OFFICE .
SHOULD YOU BE INVOLVED IN AN ACCIDENT IN THE UNITED STATES OR
A PROVINCE OTHER THAN BRITISH COLUMBIA PHONE I.0 B C COLLECT.
AREA CODE 1604) 293-1171
INSURANCE
CORPORATION
OF BRITISH COLA
Province of [1]
British Columbia
OWNER'S CERTIrICATE OF INSURANCE CORPORATION
Of BRITISH COUJMILA
MOTOR VEHICLE DEPARTMENT FOR
CENT .c 'CATE NUMBER
HIGHWAY CROSSING PERMIT NO.
INSURANCE (MOTOR VEHICLE) ACT. 'COMMERCIAL TRANSPORT Act- (4 V 0 04y1094T 11[c4rN No
MAKE OF VEHICLE YIN (SERIAL) NUMBER OR UNIT NUMBER WAG FLEET IDENTITY NUMBER
OWNER S NAME
MDI
OWNER S ADDRESS
L
WHEN VALIDATED. THIS CERTIFIES THAT THE VEHICLE DESCRIBED ABOVE AND ANY TRAILERTS) ATTACHED THERETO WHILE OPERATING PURSUANT TO THE ABOVE
NOTED HIGHWAY CROSSING PERMIT IS PROVIDED. BY THE INSURANCE CORPORATION OF BRITISH COLUMBIA. WITH 5200.000 INCLUSIVE LIMITS OF THIRD PARTY
LABILITY INSURANCE AND ACCIDENT BENEFITS INSURANCE COVERAGE UNDER PARTS B AND 7 OF THE REVISED REGULATION (1964) PURSUANT TO THE INSURANCE
1MOTOR VEHICLE) ACT ONLY WHILE THE VEHICLE(S) IS CROSSING A PUBLIC HIGHWAY IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF THE ATTACHED
HIGHWAY CROSSING PERMIT THIRD PARTY LEGAL LIABILITY LIMIT MAY BE EXTENDED TO SI 000.000 IF INDICATED HEREON AND ADDITIONAL PREMIUM IS PAID
THIS OWNERS CERTIFICATE OF INSURANCE REMAINS VALID ONLY WHILE ATTACHED TO A VALID AND SUBSISTING HIGHWAY CROSSWO PERMIT ISSUED PURSUANT
TO THE COMMERCIAL TRANSPORT ACT
INDICATE "X" TYPE OF INSURANCE COVERAGE PREMIUM

BASIC
OPTIONAL LIABILITY TO $1,000,000
PELsiclonl and CNN FANNON ORICW
nauranco Consoiolloa WHIM Columbia
TOTAL PREMIUM
PREMIUMS SHOWN ARE /ANIMAL AND RETA1NED INSURANCE UNDER THIS OWNER'S CERT FICATE OF INSURANCE. NOT VALID
HEREBY APPLIED FOR. IS EXCESS AND ANY OTHER VALID AND SUBSISTING INSURANCE IN ALL CASES APPI ICABLE TO
THE VEHICLE DESCRIBED ABOVE AND ANY TRAILERIS) ATTACHED THERETO SHALL BE PRIMARY THE CORPORATION UNLESS
MAY TERMINATE COVERAGE UNDER THIS OWNER'S CERTIFICATE OF INSURANCE PURSUANT TO SECTION 56 OF THE STAMPED
REVISED REGULATION (1964).
BY
AU THORizED
ISSUING
OFFICE
SIGNATURE OF OWNER OR APPLICANT SIGNATURE OF AUTHORIZED REPRESENTATIVE
mv ) aos
NOT VALID UNLESS ATTACHED TO PERMIT INSURED'S COPY
A"37'R2 65°
BINDER FOR OWNER'S INTERIM INSURANCE
CERTIFICATE OF INSURANCE CORPORATION 6.1
P.( ',AMU.' TO SICT.08. 000r Nit Niv.310 PiOut•TP3N,Illm I MAMA
0.01° THI ACT .HINHArtER CALLED THE RIGuLATONI
MEC 1.1 DI ( FLEET NG AU/NORIO OM MVIAIII A UNE NO

..141 mow. .IM Dal " .K*, .1•• TERM IN
"•51 OF NSI.,P13 ISkf AAAAA .11.LOHIO A• O.VEA AATATT

I 1 4'1 1 I 1
OATS
411 IT OATS] 1 1 1 1 1
3 67.E10 1 APY31
1 1 1 I III I 111111111111111111
111111(1111111
404S1 14010 ' " ' ' 1 ' COVERAGE HEREUNDER IS VALID
llll 1
SUBJECT TO ALL THE TERMS AND
111111111111111E11 ll
CONDITIONS SET OUT HEREIN AND
1111111111111111111111111 THE ADDITIONAL CONDITION THAT
THE VEHICLE DESCRIBED HEREIN
c.„1111111111111111 1 1 1 SHALL ONLY BE PRESENTED TO AN
OTSSL4041"
OFFICE OF THE MOTOR VEHICLE
1 iiiiiiiiiiiiiii I I 1 11111 DEPARTMENT OF BRITISH COLUMBIA
FOR INSPECTION AND REGISTRATION.
IT.CONSIDERATION OF THE PREMIUM PAID FOR THIS BINDER AND SUBJECT TO THE TERMS AND CONDITIONS SET OUT HEREAFTER THE CORPORATION AGREES TO
INDEMNIFY THE INSURED IN RESPECT OF THE USE OR OPERATION of THE FOLLOWING DESCRIBED VEHICLE. PURSUANT TO THE INSURANCE IMOTOR VEHICLEI ACT AND
REGULATION WHERE ALL OR PART OF THE PREMIUM PAID FOR THIS BINDER IS SPECIFIED BESIDE THOSE PARTICULAR COVERAGES AND LIMITS PROVIDED ACCORDING TO
THE RESPECTIVE FART OR PARTS OF THE REGULATION AS SUCH COVERAGES LIMITS AND PREMIUMS ARE SET OUT HEREUNDER
sR It DISC 0•T ■OA1

MARE MODEL POET IITTLI YTHPCLIIMINtdICATN5N 4114111ALi M. DECLASIS .•61.1
i
11111111 1 1 1 I ( I III( 1 I 1 1 I 1 I 1 I I 1$1 I 1 I
COVERAGES LIMITS OF LIABILITY 'DEDUCTIBLES PREMIUMS

¶»,10 iiiii LEG, LIIA, OF LIAIN1.1rT IMICH11.111
,Ii,"
MART Ix 0 0 0 0 $ ALL PREMIUMS
CC.OI.•• 111•TIT , . SHOWN ARE
;Paw .
AS PER REGULATION INCLUDED
F.Ps, iiiii RETAINED
!NS S.C.! ,PA.' 'P
C°,L.S11,40110uCT4LI .. A. MINIMUM
PREMIUM ST0
OWN
DAMAGE .$
COMMAET•101,1 HD
1,••1 I Dw s,ON P
$ $1
TO.A, WIIAtuTd.
$' 1
.•.,.... A... V.V....AL FaVISAM OAK/14",
i
N 81 j i i
FT PINIMum INDEMNITY PURSUANT TO THIS BINDER IS SUBJECT TO THE FOLLOWING CONDITIONS
FAA. ::_1
" C.100 0 t I COVERAGE PROVIDED BY THIS BINDER UNDER PART II THIRD PARTY LEGAL LIABILITY
.1 i I I AND PART E ACCIDENT BENEFITS SHALL BE EXCESS TO ANY OTHER COLLECTIBLE
INSURANCE ON THE ABOVE DESCRIBED VEHICLE
2 THIS BINDER AND THE MOTOR VEHICLE LIABILITY CARD ISSUED HEREWITH ARE VALID
CRC USE ONLY ONLY FOR A MAXIMUM PERIOD Of THIRTY-0Ni 1311 DAYS FROM THE OAT( Of ISSUE
UNLESS A LESSER PERO:01S SPECIFIED HEREIN IN WHICH CASE DNS BINDER IS VALID
ONLY FOR SUCH SPECIFIED LESSER PERIOD
KILO
3 THIS BINDER AND THE MOTOR VEHICLE LIABILITY CARD ISSUED HEREWITH ARE VALID ONLY FOR ONE WAY TRIP Of APPROXIMATELY 11 11 METRES
FROM TO
11_I 111111_111111_1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 111C
I THE INSURED NAMED ABOVE IS A RESIDENT OF THE PROVINCE OF BRITISH COLUMBIA
RCE PT AS OTHERWISE PROVIDED IN THIS BINDER ALL LIMITS. TERMS. CONDITIONS. PROVISIONS. DEFINITIONS AND EXCLUSIONS OF THE REGULATION SHALL HAVE FULL
FORCE AND EFFECT
IN WITNESS WHEREOF. THE CORPORATION HAS CAUSED THIS BINDER TO OE SIGNED BY ITS PRESIDENT AND CHIEF EXECUTIVE OFFICER. KR THE SAME SHALL NOT BE
VALID UNTIL STAMPED AND COUNTERSIGNED BY A DULY AUTHORIZED REPRESENTATIVE Of THE CORPORATION
TIME OP YALIDATON
AM
No0d
S,GN.TuPt DI ,NSV•T C WES1DINI AMP 1.1C1.11/1E OH10E •
HAPPFPNCI COAPOAATION Of COtumIP•
S.0111• ■ ,■•■ nT •C,Pol
t INVERSE TON PARRINGS , INSTRUCTIONS OPERATION Of ENE DESCRIBED VEHICLE COMMIT 10 ACE OR REGULATION MAT INVALID/1H COVERAGE HEREUNDER
iU
ROTOR OtoiCIS resunAmct CARD

CANADA INTEP-POOVINCI
CIPTIFICAT D'AIWPAPKE
AUTOMOIMP R1SPONSAIIII.OTE
T$4 cnetelkerle re subject to the Item and o.a(hioeta Y 1111 Insteer a standee/ e.4nNYle
"6"1.
TN, C.,1..• 1 1, or.) na,,e 101•.•0 s .0 aga•nst Ilet.l.ty for bc41y Injury and
properly damage by reason 01 tree oer•Uan of the motor vOniOle chISCribed li•ren. In IA
11•10.01 reel leas Man the statutory en•mmon requorwenents In One Wee co Canada
WARNING -- Any p.',on who issues or poduces • card to show Inat More Is tr force • 110Irc0
at 4,111VIIISCe ea inatcalli hymn ■tt No not al 10,1 II hap. to a heavy hne now:, el
.1eprieen11set: and intl 14MM Only be i.ebended
TNN Pre IdlOUId 0i earned .0 In* inaured **Noe tor produciton as proof of 'tour Inca
rare ernendod ay polio
pedarat Pedalo* oaf reesdonO aro dbpoolliona N coadliera de le WAN 1/1110.11111*
11011610bile 110 l'Aaaatoot.
Ca con.ttcat r!10.01. 0.0 la reerIVInt Ilraleldneende set &Sault,' cent,. la rOSPOnterbdrId pow
Pleasures at dornmagen sea boos dkpulant pa rumor Ay eMieYa ei-00cHt, ol.Hmyniant
ai..1...tec min...flies ulnas par IS 10.I Paasuranc• anabaer parlout ai Canada
AVERTIESEMlMT — Oweonoue Ilmot ou ahem, un NI coliket canon* porro• Com poet,
aSeuranCe ettIPOntabnld Our OffeCeetenent riPta pas on wpm,. OE tappable PPM Istrothon
paaapta pone toe antenol• it cud onvionnanont at Iuspenbn de /On yenta.
Ca can.ttcat Iito loss. dans Ie elltstaale &Steal Shit ellira ordsent• comm. poouve
0 Wuxi OC. lo,scla II 00,C. t sale
n. MMIRAMC! COSPORAT10* OF BRITISH COMMA ' •
eA . 10 THE DESCRIBED VEHICLE UNDER THE OWNERS CERTIFICATE OT

Iii iNcIIRANCE (MOTOR VEHICLE1 ACT AND REGULATION
WARNING!
USE OF THE. DESCRIBED VEHICLE (1) BY PERSONS OR FOR PURPOSES

NOT DERV, tED BY THE RATE CLASS SHOWN. OR (2) OUTSIDE BRITISH
.,DLum3■ A IN INSTANCES WHERE (Ai THE VEHICLE IS REGISTERED
AND LI'FNSE 11.1 AN^T HER JURISDICTION, BI THE LAW OF ANOTHER
AL.....11.GS THAT it BE REGISTERED AND LICENSED
THERE. OR ICI IT HAS BEEN PERMANENTLY REMOVED FROM THE
PROVINCE FOR MORE THAN 60 DAYS, WHICHEVER COMES FIRST, MAY
INSURANCE (IF IN DOUBT. PLEASE CONSULT YOUR "MOTORIST KIT"
OR AGENT.)
IF YOU HAVE AN ACCIDENT

;,uvr. !, ,EF',10%, .01R NEAREST ICBC CLAIMS OFFICE WEPT IN THE LOWER
MAINLAND 1 Alt DIA! A !.1AIM CENTRAI AT Sh.
i.SENHERE IN CANADA Ilk Ini UN LED VAIL). TELEPHONE COLLECT 10 THE INSURANCE CORPORAIEON
OF BRITISH COLUMBIA AT VANCOUVER (KW 193 1171
ANTIQUE MOTOR VEHICLE POLICY INSURANCE
HOEsCHIT 0 fuRS00m , •0 MOTO.. TE01 THI AIDHSTITINGLAAION , MAy
wciIlI.I NT,..NCI vf HoC, •:, ,He HOW..... , l 0 IHt THOLAA ,KEN
CORPORATION
••.,• • Comoo•Oqm
AL. Dm... DAIL

vimon, Er
,HATATII PLATT NO AU H • MU
LIME MO
I
P 0' ,NSAITTE WRATH! 0 •0*IL I , 01.11. A.m..)
1 I 1 I
4' E001 APVII
I 1 ■ l 1 I III III 1111111111E1 1
I I I I I I I I I I I I 1 IIIIIIIIIIIII
ARAI 1110f IRWIN()

IIIIIIIIIIIII
1111E11111111 111111E111111
■ I
Ci • f Rev . At COW
1111111111111 III lIl 11111

WHERE THE INSURED HAS PAID A PREMIUM FOR THAT COVERAGE AS WOCATED BELOW. THE CORPORATION WILL INDEMNIFY OP PAY BENEFITS TO THE INSURED AS
THE CASE MAY SE. PURSUANT TO PARTS S 7. 9 AND 10 OF THE REGULATION IN RESPECT OF THE DESCRIBED ANTIOUE MOTOR VEHICLE PROVIDED THAT ALL COVERAGE
HEREUNDER IS SUBJECT TO THE SPECIAL TERMS CONDITIONS AND EXCLUSIONS SET OUT BELOW
VEHICLE DESCRIPTION
L. AAA, NOM 1100T ATTU NACU LOPFNIECADOm BEIREAL3 PATIO VALUE
1 till 1111 1 I l 1 l 1 I 1 1 1 1 I 1 I SI I I I I•1
CURRENT CONDITION OF ABOVE VEHICLE 'SEE REVERSE FOR WAILS'

I AIIIIRI TO COMPEL II BOX INVALIDATES
Illf SEATED VALUE AND All CLAIMS UNDER
INSERT THE NUMERIC VALUE CORRESPONDING TO THE CURRENT CONDITION OF THE VEHICLE
OWN DAMAGE COVERAGE Wilt BE MIMI)
ON AN ACTUAL CASH VALUE BASIS
IF CONDITION NUMBER) APPLIE S INDICATE COMPLETE
HAS VEHICLE BEEN MODIFIED FROM YES. IF YES GIVE DETAILS

ORIGINAL FACTORY SPECIFICATIONS', NO
SCHEDULE OF COVERAGE S
DE•t•••,E 0. •mova, LevAr
Don, PART, LEG..
LIARS,', EINA• 0
Si Co_.t 0 , 0,0
ACCIDENT SINE ^•S m•m•
(LAST PART sovIPAGE ,PAP• '01 AS HE I NCLvOl0
UNDERHESuat Co MOTORIST PIN• RICIUt ATOP.

OPOTIcT.ON
MAIDS ("vim. y 0 YES ❑ No
SI • I
OWN COLL .A.,". ••

CSC
DAMAGE SI • S •
$1 s USE
cpARY ONLY
DIVISION 7, I
CCATAIHI“
S. It I S t ■ SI A I SI IS I
ANNUAL NIT MIMS/
CHIOut
PWOHA'IO PRIWu./
MINIMUM
Si •
Si A , 4 PREMIUM S20
SPECIAL TERMS. CONDITIONS AND EXCLUSIONS

I THE DESCRIBED ANTIOur MOTOR VEHICLE MUST BE 30 YEARS OF AGE OR OLDER MAINTAINED AS NEARLY AS POSSIBLE WITH ORIGINAL COMPONENT PARTS AND
OWNED AS A COLLECTORS ITEM AND OPERATED SOLELY FOR USE IN EXHIBITION CLUB ACTIVITIES PARADES AND OTHER LIKE FUNCTIONS AND FOR THE PURPOSE OF
OBTAINING VEHICLE REPAIRS AND FOR TILE PRESENTATION OF THE VEHICLE AT AN APPROVED MOTOR VEHICLE INSPECTION STATION. BUT NOT FOR USE FOR GENERAL
TRANSPORTATION
2 SUBJECT TO PARAGRAPHS 3 AND • IN THE EVENT OF THE TOTAL LOSS OR DESTRUCTION OF THE DESCRIBED ANTIQUE MOTOR VEHICLE THE STATED VALUE OF THE
DESCRIBED ANTIQUE MOTOR VEHICLE AS SHOWN ABOVE' SHALL BE THE MEASURE OF THE INSURED S LOSS
3 INDEMNITY AFFORDED BY THIS POLICY IS LIMITED TO THE ACTUAL CASH VALUE OF THE ANTIQUE MOTOR VEHICLE IF. IMMEDIATELY BEFORE LOSS OCCURS THE
CONDITION OF THE VEHICLE IS NOT CONSISTENT WITH THE DECLARATION OF THE CONDITION Of THE VEHICLE MADE BY THE INSURED HEREIN
IF REQUESTED BY THE CORPORATION. THE INSURED SHALL GIVE TO THE CORPORATION. OR ANY DESIGNATED OFFICER OR EMPLOYEE THEREOF. AN OPPORTUNITY OF
INSPECTING AND PHOTOGRAPHING THE ANTIQUE MOTOR VEHICLE. IN ORDER THAT THE CORPORATION MAY RE SATISFIED AS TO THE VALUE THEREOF AND UNTIL
THE CORPORATION HAS SATISFIED ITSELF AS TO THE VALUE OF THE ANTIQUE MOTOR VEHICLE BY SUCH INSPECTION AND PHOTOGRAPHING ANY TOTAL LOSS OR
DESTRUCTION OF THE ANTIQUE MOTOR VEHICLE WHICH MAY OCCUR WILL SE PAID ON AN ACTUAL CASH VALUE OASIS
EXCEPT AS OTHERWISE PROVIDED IN THIS POLICY ALL LIMITS. TERMS. CONDITIONS PROVISIONS. DEFINITIONS AND EXCLUSIONS Of THE REGULATION SHALL HAVE FULL
FORCE AND EFFECT
SIGNATURE BY THE INSURED OF THIS POLICY ACKNOWLEDGES ALL THE TERMS AND CONDITIONS CONTAINED HEREIN AND DECLARES THAT THE FOREGOING PARTICULARS
ARE TRUE. AND WHERE IM THE INSURED IN THIS POLICY GIVES FALSE PARTICULARS TO THE PREJUDICE OF THE CORPORATION OR KNOWINGLY MISREPRESENTS OR FAILS
TO DISCLOSE IN THIS POLICY ANY FACT REQUIRED TO BE STATED HEREIN, OR RBI THE INSURED CONTRAVENES A TERM OR CONDITION OF THE POLICY OF INSURANCE ON
THE REGULATION OR COMMITS A FRAUD. OR ICI THE INSURED WILFULLY FAMES A FALSE STATEMENT IN RESPECT Of A CLAIM UNDER THE POLICY OF INSURANCE OR
THE REGULATION ANY CL Aim BY THE INSURED UNDER THE SAID POLICY IS INVALID AND THE RIGHT Of THE INSURED TO RECOVER INDEMNITY THEREUNDER
mil Of v•DETAT,ON
IS FORFEITED
• of
WHEN VALIDATED AND SIGNED BY AN AUTHORIZED AGENT THIS POLICY PM

CONFIRMS INSURANCE COVERAGE IS IN FORCE ACCORDING TO THE
TERMS AND CONDITIONS OF THE POLICY AND PURSUANT TO THE
.1 INSURANCE 'MOTOR VEHICLE' ACT AND REGULATION
AGIMIMAI 01 $1.3011
S,GNT•uAl Cl AGE • PSI sow AND 7.1.10 MOWN! Offlof •

m•SoINNC COAPOAATION Of MEIN. COLLINS.
• Pv RR 1011151 I.C.B.C. DATA ENTRY
cor.nilloN oEscRiPrio, — ANTIQUE MOTOR VEHICLE POLICY
i Partly Restored.
•If..1 .1, .!, • .1 fr.in-,,n, , Sone hnch ang • • is ^•••'sler1 onllor meChan::,11 40,1
a_t .; C UT* M:“.t too.. tr. cornr..inIn Bode haS not
;my tn,nbrovd‘i lt,n1 I tau.,
6. ExCellent Original:
Oldc• Restoration: Unrestored werucle In em-eh.nt condition reowit
that work, completed Over live only regular maintenance
7.. Good Original:

Under ResloratioN: _ Good original condition — running and driveable
Full fest mat It unrIetwRy but incomplete
8. Fair Original:
(Indicate complite on front Of policy I
Needs considerable work to bring up to B high standar(
Restored: bur is runn ng and dr, reahln as Is
Extenside body, upholstery and nieLnani.;ai rkslOratIon
9. Unrestored:
done but body has not been removed from frame in
A vehicle that has had virtually no restoration work
the process.
performed and is currently not driveable
MOTOR VEHICLE INSURANCE CARO

CANADA INTEPTPROVINCE
CERTWICAT D'ASSURAPICC
AUTOMOBILE RESPONSABILITc.,
Tsui aryfitete es oublecl 10 the teems anal amellbons of Ski Mower's strielanil 11101011010101
smart
Thl ceetilies arty homed het,. n ,oared agamsi lid:puts inr VIC/
P.-pene clammy,' by 'tux, of the opratioe of Ms motor ve4tOcte destrA00 herrn, oh in,
not less Iran Ili. raiutG•tmihutum Hi:wife...Mill in any Well CO Canada
WARNING • - A., De, to •ho ,fflieE nr tuMuces a cvd in show that them is in laic. a 00,1cy
01 mitu.m.cht foe intlicsieJ 0ofoin Mot In Met POI MI tonne a ..bit tu heave lmo ondoof
imp•tznmec: ohi ms liceht• maw h• .uspe,d0d
This card should De Ceirie0 lamolid tot,: e 101 proouchon as pivot of momenta
*non OomanOrd Cy ponc• . • . :
La pchant cortincal ml assujolla set dispositions It conditions cit la ;Mks d'asauta0C0
mitoomitiflo 00 l'Anufvut.
Cm elesm (iv la morSonnt tosnommia all assorlin contr., la ..,dodubdds Dow
blossoms el ilommopes •ot Moms ditputahl de I usspe 01) Hlhicule conlomamont
au. bmdp minima/.s eu mt.. par let Id.. d'ititsuroncti eh viguoue pailOul au Canada
AVIRTIUElEMT Ou, t,moue odsome un mi teitiGcot comm. pieuve d'uh• ow's,
d asc„,,,vca ,nsm ,..ns00•,,10 el,' n'ott pas en equeki, ell, COUDEie O line int:smart
pimple 0'unit Icrle &Mende el/Cu C emo,stnnommt el suspension do soh plum.,
C. Codified dolt elm laludi china lo V10/Cialis aseuia abn ditto prIrsontli COMM Or•Uss
crusuranc. 'annoy is Doace reap.
TN! INSURANCE CORPORATION OF BRITISH COLUMBIA
WARNING!
NOT PERMITTED BY THE RATE CLASS SHOWN, OR (2) OUTSIDE BRITISH
COLUMBIA IN INSTANCES WHERE (AI THE VEHICLE IS REGISTERED
AND LICENSED IN ANOTHER JURISDICTION. THE LAW OF ANOTHER
JURISDICTION REQUIRES THAT IT BE REGISTERED ANTI LICENSED
THERE IT HAS BEEN PERMANENTLY REMOVE: FR ,ta THE
PROVINCE FOR MORE THAN 60 DAYS, WHICHEVER COMES FIRST: MAY
INVALIDATE THE COVERAGE UNDER THE OWNERS CERTIFICATE OF
INSURANCE IIF IN DOUBT. PLEASE CONSULT YOUR "MOTORIST KIT
OR AGENT
- -.71!-'4•••*s ••.•
IF YOU HAVE AN ACCIDEN T
, •• ■•1!1,1F. YOUR NEAH-
. al • -KO , 1.1 01.11“7.1 AIM Cc
OL,PRPOr,h ; ' •••••

UNLICENCED FARM TRACTOR POLICY 1:1 INSURANCE
(TEMPORARY ON HIGHWAY FARM USE ONLY) CORPORATION
•INOT • •INF .NsouNLI
OGINo•N•
•6060.60 SECT,ONaC,60• WO •••66,SIDING,NAIKP•
Ì• te 0 NOIRova. ••■0•1 IA •••• ■ •••••
EUBBS
•• Da '1 ••
D•• t••■Nowt. III!' NO KNOT MuNIII• oNt NO
APVI9
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52F001
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I 1 1 I 11111111111111111 1 11111
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000016100 1•40010
1 It Ititt IIIIIIIIIIII ■ 1 lllll
i
CII■ 1....d ' .011.10 0 t' "

I I 1 lllll
INACCORDANCE
CONSIDERATION OF THE PREMIUMANDPAIDCONDITIONS
FOR THIS POLICY, THE6 AND
CORPORATION AGREES TOANDINDEMNIFY
SUBJECT THE
TO THE INSURED
TERMSFOR
ANDTHE FOLLOWING
CONDITIONS LIMITHEREAFTER
SET OUT Of LIABILITYFORIN
THE DESCRIBED WTI, THE
UNLICENCED COVERAGE
FARM TRACTOR OR OF PARTS
IMPLEMENT OF OF THE REGULATION
HUSBANDRY
c4,,,••;11
loolN) 0110.10$ 6.111,,,, 6
LIAB.,14 OH 'GA,6 =I I 1 01 0,0, 0
ACC DINT
4,0•••• N.H.
• •I 6SPI•M,6 G,,GN
YINCLEIXICNIH40.,
14.''. I •■ ••! 100041 S001 TYPI YENICLI ICHNTIFoCATION rIMPIAL, NH •NotuaL .I./ PREMIUMS ALL
II' I Si I I SHOWN
ARE
12 $1 . 1 MINIMUM
AND
1 1 RETAINED
SI • 1
$1 I I
Is SI I I
IO, No 0$ ID' N. o• I tot., WO •VEN/CLIS
OliWUM USTID
f0. ON RIVERS, IP 51
H6,6•0••• + I•6•1.1.$11 FP VONCLIP= ITO, .44 I
I ..1.
I I I Si I I
,..SI AI, 466 iiiiii J. 0.14 .LIV.1.41AMK. ...,•••••••••60.4
ADDI,D6,4, % % SI... ,,,,Hrim
I 1
RE:EPSE :Att., C.. c.iout
J ICBC
USE I 1 I SI I I C AS.
luncuulTv Deriving fl Sy Twat Wu Ira at IP dliPPT Tf1TIAL IN I MAW: MY, •h111r111■111111111t ONLY
I THE TERM FARM TRACTOR AS USED IN THISPOLICY SHALL MEAN A VEHICLE AS DEFINED IN SCHEDULE 1, TABLE 2 OF THE REGULATION AND INCLUDES AN IMPLEMENT
OF HUSBANDRY AS DEFINED IN SECTION I OF THE REGULATION
2 THIS POLICY SHALL BE EXCESS TO ANY OWNERS CERTIFICATE COVERAGE
REGISTERED OR LICENCED IN ACCORDANCE WITH THE MOTOR VEHICLE ACT THAT SMALL CONE INTO FORCE IN THE EVENT THE FARM TRACTOR IS AT ANY TIME
3 USE OF THE FARM TRACTOR Br A PERSON WHO IS FIFTEEN
AUTHORIZED4 BY LAW TO OPERATE A VEHICLE. SHALL NOT INVALIDATE COVERAGE YEARS Of AGE, NOT THEHEREUNDER
HOLDER Of APROVIDED
VALID OWNERS
THAT THEOR DRIVERS CERTIFICATE
FARM TRACTOR IS USEDAND NOT QUALIFIEWITH
IN ACCORDANCE D OR
PROVISION
• COVERAGE PROVIDED BY THIS POLICY SHALL ONLY2APPLY WHILE 121
THEOFFARM OPERATED ON A HIGHWAY
IN ACCORDANCE WITH THE PROVISIONS OF SECTION SUBSECTION THE TRACTOR OR IMPLEMENT
MOTOR VEHICLE ACT OF HUSBANDRY IS BEING USED co
5 PERMISSION IS GRANTED FOR ANY IMPLEMENT OF HUSBANDRY TO BE USED IN CONNECTION WITH THE ABOVE FARM TRACTOR AND WHEN SO USED BOTH VEHICLES
SHALL BE DEEMED A SINGLE VEHICLE
DEFINITIONS AND OF THE REGULATION SHALL APPLY
EECEPT AS OTHERWISE HEREIN IN THIS POLICY. ALL
PROVIDED
FOR LIMITS. TERMS. CONDITIONS. PROVISIONS. EXCLUSIONS
TO THE INSURANCE GRANTED
SIGNATURE SY THE INSURED OF THIS POLICY ACKNOWLEDGES ALL THE TERMS ANO CONDITIONS OF THIS POUCY AND DECLARES THAT THE FOREGOING ANSWERS ARE
GIVES FALSE PARTICULARS TO THE CORPORATION OR KNOWINGLY OR TO DISCLOSE IN THE
TRUE AND WHERE (A) AN THETHE PREJUDICE
INSURED OF MISREPRESENTS FAILS
POLICY
FRAUD OR ICIFACTS REQUIREDWILLFULLY
THE INSURED TO BE STATEDMAKESTHEREIN.
OR OBI
A FALSE STATEMENT INSURED CONTRAVENES
IN RESPECT
TERM
OF A CLAIM A UNDERORTHE CONDITION
POLICY OROf THE REGuLATtON,
THE
CLAIM BY THE COMMITS A
POLICY OR THEANYREGULATION.
OR
INSURED IS
INVALID AND THE RIGHT OF THE INSURED TO RECOVER INDEMNITY IS FORFEITED
TIME OF VALIDATION
AM
PM
INIf SIGNID
*Mein W.1,1[0, NM CuPPOPPNON GAUSS!) THIS
FOLIC' 10
SH./1.s• NOT
ITS NKOMO AND CNIIF INGUTIN OFFKIN
HAS
W' THI
■ 0‘..60051,,
1
SAME
AUT.00./11)*F.1 S(111,0111 Of 1 1 CORPORATION SY • OW
BE BINDING
14
COUNTERSIGNED
,44
c=47-elei
SION•IVRI Of AGIN, NISICIINTCORPORATOR
INSVOLM•01 060011N, NIICUTNI
OP MITMIOFFICER
N COUJOMM
Sff RE VI ITN FOR WARNINGS/ INSTIMUC TKOS OPfSATIOR OP TIN CONNOR ID VEHICLE CONTRARY TO ACT OR RI GUI AVON MATI INVALIDATEI COVERAGE HI NI UNDER
MOTO* VEHICLE INSURANCS CARD
CANADA anwiimOvwce •
CIPITINCAT IPANSURANCE
AUTOMOBILE RESPONSABILITI
L
Thte cerhfIcele Is whet Is the MN w 00,141111001 el the lwavnbt's stent10111
. 00010101100
policy
fl,, ce'l'los ?hat In* oady nand Siren Is Insured spsinsl liab■lihy. 10e btxnly eNmy end
v .• damage De 11111341 01 the 0011,11110n of ins mot/ eelttete oscrased herem, , se,
amount not des Indy the statutory 01100Thaeh0Q00110011ts In any sops et Canada.
WARNING —,Any person *holm*, or rediagAs a card to shod tad then 1. In /Mat a policy
thattt•ACII as inmested nenan NM I so lid no IA lords 19 EMI* to a Mary. bailantUar
,my,40nritent and on Iteene• Illy be sulper440
Ina ;14 tht, 0 or 111,110 .0 04 Mewed NR: tot prt;duchon Si 01001 01 a4u/1000
env, clemethuhl :/
La yeeseent comsat eel aeaueseed en ellidesleiens M ceadIllane de Is peeps d'assumme
othentabile es l'Assureur.
Ca cen,,,.. a. a.,ef.! Use 4 pvinnno 1.snownie es: anus* CON,.IS tesooNesbetteDou• •
o ■est,es et 0,11IMAQ113 1168 b*.1 dAcoutan! de I useg• Ou seNes4 cieitera. cenlerwelletent
1,..1.., tes tn.h.rhaies eceees par hes tan O assurance en squall Vartout as Canada.
AYEATISSIMIJIT — Ouiealque Anal ou tullesitre tan lei caltihcat coon. peewee tune poke*
O 111SeinC• ,a1P0^11113.tna W enecnyement nut pn en vapour, III ethrosote T uns unieeto,
Pliable Wane lone amend. elfou d•rnensOneternan. at NAIDO4Vori de son porno*. • •
C. oe/tt,cat /yr! dlr. 18444 eons a seiNCu4 usury atm 961/e ordsento COnwa0 plisse
0 asSoal,-.410411.0 a 0O.iCe rape
THE INSURANCE CORPORATION OF INIMSN coma%
BA:47 ;00:Ral 1 A,PLI,AELE TO Di;CRIBID VEt4ICEE UNDER THE OWNER 3 CERIirICATE f

4:'. ADT AND REC.U...A!!,;N
WARNING!
USE OF THE DE ';:•.FIIBED VEHICLE (I) BY PERSONS OR FOR PURPOSES

04r)T PERMITTED 5Y THE RATE CLASS SHOWN. OR (2)OUTSIDE BRITISH
COLUMBIA IN INSTANCES WHERE IA1 THE VEHICLE IS REGISTERED
AND LICENSED IN ANOTHER JURISDICTION, 1BI THE L AW OF ANOTHER
THERE OR (CI IT HAS BEEN PERMANENTLY REMOVED FROM THE
PROVINCE FOR MORE THAN 60 DAYS. WHICHEVER COMES FIRST. MAY
INSURANCE. (IF IN DOUBT. PLEASE CONSULT YOUR — MOTORIST KIT"
OR AGENT.)
IF YOU HAVE AN ACCIDENT

IN BRI ■ isn LOLUMbiA TELEPHONE TOUR NEAREST MK. CLAIMS OFTICE EXCEPT IN THE LOAN
MAINLAND CALL DIAL-A CLAIM CENTRAL Al 570-8222 •
LsE40ERi Ca CANAZA 6R THE UNITED STATE:. TELEPHONE COLLECT 10 THE LNSURANCE CORPORATILA
01 BRITISH COLUMBIA Al VANCOUVER 16041 193.1111
;)
INSURANCE
Province 01 -MOTOR VEHICLE ACT CORPORATION
'COMMERCIAL TRANSPORT ACT" winin (num..
British Columbia 'INSURANCE (MOTOR VEHICLE, ACT
MOTOR VEHICLE DEPARTMENT ' MOTIVE FUEL USE TAX ACT
11R 2372521
,41.14COMBINED NON RESIDENT COMMERCIAL VEHICLE PERMIT PERMIT IS VALID THE 1911100 INDICATED BELOW BY THE VALIDATION STICRIR NUMBER CONJUNCTION WITH
AND INSURANCE CERTIFICATE .inf
ZIP!Amitts■ OBRE OAr BE ISSUED IN CONJUCTION WIT ( TRA
sv,TH TRAILER
ILER PENN TRAILER
1 TEMPORARY MOTIVE FUEL USER EMBLEM THIS EMBLEM EXPIRES AT MIDNIGHT OF 19

IN.Cv ha 0111$ q51. CO■ ure I (IMP WI
1 /0 0.
i.,,:..... 4' 0•P'1. PE Pavia 010 0.00,1. CP Klall• TEMPORARY MOTIVE FUEL USE
1 .- 2— 3— 4—
SHORT FORM MINIMUM DISTANCE
,..kt ( I WWI AM I. EXPRII AN M Milt Mx I WINO RC 3,
MIKA NG P CP 010CP 111P,f IMMO pall g 100epplp If PV I PP IA
110 TOTAL DISTANCE
RNONI IERS
.0 ,•I %MCP O.
qua •00 Pal 0, al ..C. I I V' a 1•11•Cal Pal
■41 Pa PPP 10 'PULS 10041111S I V I 0
, ■A7111
MINIMUM NON-REFUNDABLE FEE 510 00
...
0144,1010 PM 1 PP al PASPI OP OOPS IA. ,I, OR
EXTENDED TRAVEL PLAN IN PROVINCE
IQI
S POMP la
Pay
..,,..................................... 00,C01 PPP fa ,PC CO MOH
SNAPP laPOIPP.,,
ENTRY
PP PPP
DESTINATION
400.1 SS
OPC.1 , • "PP, OISCPP Ca PPP IN MNANK1 TO-N NI DISTANCE (KILOMETERS)

*SAP 'a PPP PUPA PP PPP
as ..LI 6 I S
LEAVING POINT
,P110.3 1 I I
.11, 10191, s TOTAL DISTANCE

I kovolks
ALL PRINIUMS SHOWN ME osmium Reim° TOMee ■
v s
TAL km $ cents/km -
SUBJECT TO CONDITIONS ON REVERSE •
II A TINANCIA. RESPONSID.LITT KING NUMBER IS NOT SHOWN ABOVE INSURANCE A USER MAY OBTAIN NOT MORE THAN B TEMPORARY MOTIVE-FUEL USER EMBLEMS IN ANY 6
COVERAGE SHALL BY PROVIDED By THIS COMBINED PERMIT AND INSURANCE ceanricATE MONTH CALENDAR PERIOD MORE FREOUENT ENTRIES INTO BRITISH COLUMBIA REQUIRES
AND WHEN VALIDATED. THIS COMBINED PERMIT MD INSURANCE CERTIFICATE CONFIRMS REGISTRATION WITH THE MOTIVE-FUEL SECTION. CONSUMER TAXATION BRANCH. VICTORIA
INSURANCE COVERAGE AS SET OUT ON THE REVERSE HEREOF 45 IN FORCE UNTIL THE EXPO , BRITISH COLUMBIA VIIV 2L9
DATE SHOWN ABOVE PURSUANT TO THE INSURANCE )MOTOR VEHICLE) ACT AND THE
REGULATION MADE PURSUANT THERETO FOR THE USE AND OPERATION BY THE REGISTERED
OWNER AND DRIVER OF I HE VEHICLE DESCRIBED ON A HIGHWAY IN BRITISH COLUMBA A
ACCORDANCE WITH THE TERMS AND CONDITIONS OF THIS COMENNED PERMIT MO
INSURANCE CERTIFICATE
TN OF VALIDATION
AM 0
pee 0
PIP, 0, 'PIO 00,10 00 caw
NOT V ILID
AE
1011,101 MO OW 1.1110,0M
•11010•101 COPOP101 P PPM MAP. It C
:.,• • • 0
IMPORTANT- SEE REVERSE

.11111,,A NAM TO N.V.C.
•. -` • •
IN CONSIDERATION OF THE PAYMENT OF THE FEE PRESCRIBED FOR THIS PERMIT, PIRMIS
SION IS HEREBY GRANTED TO THE REGISTERED OWNER IDENTIFIED ON THE FACETIERE016 4
AND THE DRIVER TO USE AND OPERATE THE vEHICLEISI DESCRIBED. IN ACCORDANCE WITH
THE PROVISIONS OF THE COMMERCIAL TRANSPORT ACT AND THE TERMS AND CONDITIONS
OF THIS PERMIT AS SET OUT ON THE FACE HEREOF, AND WHILE DISPLAYING ON THE WIND-
SHIELD THEREOF A STICKER ISSUED PURSUANT TO THIS PERMIT.
IN CONSIDERATION OF THE INSURANCE PREMIUM PAID FOR THIS COMBINED PERMIT AND IN-
SURANCE CERTIFICATE BASIC PART 6 THIRD PARTY LEGAL LIABILITY AND PART 7 - ACCIDENT
BENEFITS . INSURANCE COVERAGE IN ACCORDANCE WITH THE INSURANCE (MOTOR VEHICLE)
ACT AND THE REGULATION MADE PURSUANT THERETO, IS PROVIDED BY THIS INSURANCE
CERTIFICATE TO THE REGISTERED OWNER AND DRIVER FOR THE TERM OF THIS PERMIT
WHILE THE DESCRIBED VEHICLE IS USED OR OPERATED ON A HIGHWAY IN BRITISH COLUMBIA
ACCORDING TO THE TERMS OF THIS PERMIT AUTOMOBILE INSURANCE PROVIDED PURSUANT
TO THIS PERMIT IS EXCESS TO ANY OTHER AUTOMOBILE 'INSURANCE COVERING THE
VEHICLEISI DESCRIBED ON THE FACE HEREOF IF A FINANCtAL RESPONSIBiUTY FILING
NUMBER IS NOT SHOWN ON THE FACE HEREOF, THIS PERMIT AND INSURANCE CERTIFICATE
WHEN VALIDATED. IS DEEMED TO CONSTITUTE A FILING UNDER SECTION 91 OF THE MOTOR
VEHICLE ACT AS BEOUIRED BY SECTION 1'1 OF,THE COMMERCIAL TRANSPORT ACT.
MOTIVE FUEL USE TAX ACT
TAX PAYMENT INFORMATION
SHORT FORM
^
A TAX. AT THE PREVAILING RATE. IS PAYABLE BY THE USER ON MOTIVE-FUEL CONSUMED IN
BRITISH COLUMBIA. WITH A MINIMUM NON-REFUNDABLE CHARGE OF $10.00 FOR THE IN-
DICATED TOTAL DISTANCE TO BE TRAVELLED . .
EXTENDED TRAVEL PLAN:
THE TAX DEPOSIT MUST BE CALCULATED ON A ROUND-TRIP BASIS IF THIS VEHICLE COM-
PLETES LESS THAN THE CALCULATED DISTANCE, THEN A REFUND CAN BE CLAIMED FOR THE
UNUSED DISTANCE UPON SUBMISSION OF SATISFACTORY EVIDENCE.
EXPIRY DATE:
THIS EMBLEM EXPIRES ON THE DATE INDICATED AND- CANNOT BE EXTENDED
REFUNDS
II) ONLY THE PERSON OR COMPANY LISTED AS THE "USER RESPONSIBLE FOR TAX" IN THE EX-
TENDED TRAVEL PLAN TEMPORARY EMBLEM IS ELIGIBLE FOR REFUND.
(2) INVOICES FOR FUEL PURCHASED IN B.C. MUST HAVE THE SELLER'S NAME AND LOCATION
IMPRINTED ON THEM, THE NAME OF THE PURCHASER AND VEHICLE LICENCE NUMBER
MUST BE ON THE INVOICE AND MATCH THAT ON THE TEMPORARY EMBLEM. AND TOE DATE
OF PURCHASE MUST BE WITHIN THE DATES OF THE TEMPORARY EMBLEM.
REFUNDS MAY BE GRANTED FOR UNUSED TAX PAYMENTS BY APPLYING TO THE DIRECTOR,
CONSUMER TAXATION BRANCH, PARLIAMENT BUILDINGS, VICTORIA, BRITISH COLUMBIA.
V8V 2L9 REQUESTS IN WRITING SHOULD BE ACCOMPANIED BY THE APPLICANTS COPY OF
J THIS EMBLEM: AN APPLICANT'S COPY OF A SECOND EMBLEM, IF OBTAINED TO COMPLETE THE
TRIP; COPIES OF FUEL INVOICES IF B C TAX PAID FUEL IS CONSUMED DURING THE TRIP, AND
ANY OTHER PERTINENT INFORMATION
Province of British Columbia
`Motor Vehicle Ad" 'Insurance (Motor Vehicle) Act"
COMBINED CERTIFICATE OF REGISTRATION

0
OF A NON-RESIDENT MOTOR VEHICLE
AND INSURANCE CERTIFICATE FOR
SECTION 20(21)) EXEMPTION
❑ FROM LICENCING
ri AUTHORIZED
I-I STUDENT
in ARMED FORCES
1--; PERSONNEL
DO.C.lt lee04( WC 1,68WOOCt 1110.6, WI 0.01 VD I sett D 1..,;*
Flip 3.VLAIpbo
If ■u■
'IA. .•D 11.4 01 Irl..C■ t SOD, lull
$6 •,•, ow v.% kr, 00,v11. ■ LICINU 1.0 illS0votC4
t.tG■Silst0 0..41* swot 01 0Sowil
.0..t 415014 MS .01f1 .DOS( SS
II C ADOollS • C. s00111$
I swo•C„... ellt.0•44■ 01, losSUSANCA Writ St soeStAutel PAC$1411) ortmett RA1( CAASS f•
P61.04 Rook A EuRGNASIO • NO ONANGIAL Etl I NO welksRANCI IS ONACSA110.
MESERINERK r1R 155.0
VW. /Mt ILIPIDWIT0400,0
OE 100100 IFERNGOLI
NON 11 ION AN a 0 VES ININC.A111Prod111
.1 a44.ÂKs Cortimat oveCNASIO Ea* VIINCAt I MON
AwS1 El 04•ICEED E•40 GOIROMOM SAM OANAGE TES e MOO
_
ad.
lim a Os Wn welunguoC.11
*ORANGE COvERA01 ENO 0110OGIIIIAI1 ONIOARN
• AR75 TIMID 11011.• ILO Lsaimot. $ $
yawl I ■CCIOINT 111/WitrtS P•111 te IMO Pint1 Coots.04 5$ 11111111001.AtiO1 II RIEGO.SOID
11pERNO.1*0 1E0101i41 PROTECTION •Alin 0 0m11.080 I E
btekse1Nkl ANOvedl 1
rot/ S ONNVON 1 COI OS. E
DAN I
COloNlose0Nol $
oamsau
soita, NO Mrs* S $ I
WARRED RAAul S I KC PRINIEuen IRON% Ml tossoww11116•40 I T01A1
ON saii GROUP NO 111040111.110 11.11111100410 stsa 011Nolow
SUILNICT TO CONDITIONS ON 111■111111
II a fft. c., aisfolemovw tksic NANNE IS NO1 ENOR•NAMIOVI 1NEURANGE COVERAGE NOT VALID
N,,,,, N Nwmocc• op, URI cOaNwastO CSIMP KATI 00 *104111u110% mos INEOPLARKE
csay•scaTI ISO NA*5 VA■10S110 1Ps1 COolodO aoldfcrtg co 111041111Aleis MD UNLESS
wskosm,“ Galt/KAU COIMISIRS 04~44 COVIMSSI AI UT OW seem! Is IN POPO STAMPED CV
EURIA•41 10 lot ENSORANCE 0101014 sil well i SCI .ND SI V1S4 0 it CrA MIMI 1 NMI (00 tai MI AUTHORIZED
a...0 ON ..tow Sy s5 INIKIIKD 01 ?PS 111...0.! 01101010 NM*, IN AGOOROARGE *1184 III
No." smo coftwows co 001 COWN4/1) Gilt 8IP CAVE O. RIONSTRAIION AND INSORANOI ISSUING OFFICE
C14.100[01
1•c.4.1tot Pic.staato Ov115 OR DOW(.
POI POI 5' 45 1810./1.1 011.C10

w$ '.C1 COAI,00 .7 .0. 0, 110,',11,' COW41,1'1
My 110.
AIN 1110115,
d (1
HEREOF TO US( AND OPERATE THE VEHICLE oescsitet o IN ACCORDANCE WITH THE
PROVISIONS Of SECTION PO Of THE MOTOR VEHICLE ACT AND THE TERMS AND CONDITIONS
Of THIS Wm; 'CATE Of REGISTRATION AS 6(1 OUT ON THE At VERSE HE REOI AND WHILE
CNSIT L AviNG 014 704( WINDSHIELD THEREOf A STICKER ISSUED PURSUANT TO THIS
CERTitiCATE Of REGISTRATION
PURSUANT TO THE INSURANCE (MOTOR %Illicit) AC1 AND IN coNsioirrwroo, or Tog

rNsumArrct PREMIUM PAID FOR THIS COMOINEO CliillteCATE Of REGISTRATION AND
INSURANCE cirmrican INSURANCE COVERAGE FOR THE LIMITS 00 LIA11101, Oa
DEDUCTIBLE AMOUNTS 5E1 OUT ON THE REVERS( HERM (GA WHICH PREIffulf IS
INDICATED AS PAID FOR COVERAGE ACCORDING TO PARTS 6 r 11 AND 10 Of 114( REVISED
REGULATION 1101111PUASLIANI TO THE INSURANCE (MOTOR VEHICLE' ACT OSMOTIC/CD OT
THIS INSURANCE C(ATIIICAlt 10 AN INSuRE D WHIN OPERATING 1 PIE OE scnieto VEHICLE
1011 r•rr TERM Of THIS CERT ICA1( OF REGISTRATION If NO IINANCIAL AtsPordsletio.
FILING huoritA IS SHOWN 1pr1s cum' icAit Of REGISTRATION AND INSURANC(
CFR/ if 'CATE /14117NvALIDATED IS DEEMED TOCONSTIluTE • TILING UNDER SECTION 117 Of
THE MOTOR /Attica( ACT AS REOuiRED BY SECTION 70 01 THE MOTOR VEHICLE ACT
MOTOR VEHICLE INSURANCE CARE

CANADA INTER-PROVINCE
CEATIFICAT °ASSURANCE-
AUPIIIMOOLE RESPIDNFIIUUTE
Tlie afirrafieff• W selleer1 W M len= owl effrelleens el Ike Ireaffef• iflarrierl
arrarra fa peeler
TN. SAtle..1 inet tee pen/ 011411 Ronan at mamma spume Mere, it ewer/ evoy
ova pm ollfpny Illeeege Amon of tne oprollon 1t. Ilia Ittotof maw* One feed twerp
LA ILA worm Ref Tees Rem fee statutory ~wawa, topmfofnonts In env area of GIINIC4
VAAMIG — ARV Paton wee Reuel of moOtocos a card to shoo 11■61 More f$ In Tema a
poRcv eilluumemee M bv•fufled Yvon Pees H laCI ace N lore. la Mlle Wanes., tone
&WO, amerranaefe and fes Wince may Al sumarMIIMI
Om mat/ ofatuff Or canto/ la fte Mound voll.cto onaluchon at roof of amumAco
often Flomanowl ty (wive
Se yowl rearlf•o• art asagiettft asl alypealikee Al eenalleame ea a MANI
oirrmorener. Dormwfterlft A. rAASi.u..
Co coffAtca4 angels Atre pereofewf euvempose am mama wan to tioogwomlaite
Pam lanaaffN al OPRWMen Au. Mine OsooMant ds Weave III ',NW, c.iloont.
con(onvor am roams feerraears doves 51r fee 1or10 aeaereNcal ea effiatlell•ml•LA
CATRACIA
AVOITESUAETWT — Oulcoamm ref/ Or •reotAir IA bI cerlfhale Caws ~et tem
soorco eau L/Novo- townsman* tax fitflochmonient mu an Npoo.f. ql oflufMAff
Iwo Affecle. Oa MOM • arte fort. amervile MIou IllmofloonfatfarnIOsuomIlla.on Oa
son OW Mot
Cr alorMeal Mel eke Wes Omsk vehfc.ele MAO* atm. oho porn% gowns royal
• offauFMm. broom IS POW( fame*
TIC IIIIMIUOUMOCI CORPORATION Of IMITTWIN COW SEA
INSURANCE CLAIM PROCEDURES
IF YOU ARE INVOLVED IN AN ACCIDENT IN BRI713H COLUMBIA.

CALL OR VISIT YOUR NEAREST I.C.B.C. CLAIMS OFFICE
SHOULD YOU BE INVOLVED IN AN ACCIDENT IN THE UNITED
STATES OR A PROVINCE OTHER THAN BRITISH COLUMBIA
PHONE I C B C COLLECT .
AREA CODE 604-293-1171
SPECIAL AGREEMENT VEHICLE LICENCE INSURANCE Pre•Wee H
AND CERTIFICATE OF INSURANCE
To SIC • , 07 III
,.010 tog 1144.11.MLI th90 ,0•V144,Ca ■ ACT ,m101••■ /11M [MUD .5 01001•7 0•41
CORPORATION
[1] ins sinPou uumssA
.......•‘.,,..•••• C0.00,...
0 SAWA CONPAA4
woo vt.c.1 DIAAAYHEA'
w■ HPY K' •
CCAPAIscat YINPAPOH
I
NEW PLATE POLICY CHANGE LIE RENEW PLATE POLICY EPPICTIVI DAIS OP CAMMINT POL ,C•
1•01.,• YU. I..
ED ) .S., N•NI Aoconsa MO • I•7 5 Dec. AM AM/1w
I 1
C.I MoCoi
01•11,71 C1 0 / 'scat§ 01•■ •Cliolo, RD I.., OI o•11.0 , •
lit'FF11110T1 PAW DAR ltW Y oP HEITAUFADIR LICENCE MATTING MOW MGR HAMER LAP NO
MEW. ••• ao• ON
11111 it'll I III II III 1 I 1 1 1 1 1 1 1 1 1

Ari-iisA
WHEREAS THE APPLICANT IHEREoh•FTER CA LED THE COMPANY1 HAS ENTERED INTO A SPECIAL AGREEMENT UNDER THE MOTOR VEHICLE ACT OR COMMERCIAL TRANS
PORT ACT PROVIDING FOR THE ISSUANCE OF A SPECIAL AGREEMENT VEHICLE LICENCE FOR THE OPERATION BY THE COMPANY OF CERTAIN VEHICLES ON A HIGHWAY IN
ACCORDANCE WITH CERTAIN TERMS AND CONDITIONS CONTAINED IN THE SPECIAL AGREEMENT
Awn M HAUNT OuPAHHE POLLOYAIS F VAN •1••44• IN 'MI AGIN, CONNNT11

0 NM NOull LIONCI attar...4o o
0 Aosie cw MCORO o•
0 CONPaw o APT. YID HO HAY•AL oe cow ao. 1 I
MOEN COLL••••• SIANNIS *OMNI 00 00%1W
On '
: 1 1. I- • 1 ' '1 • I1' . - r• 1
PREVIOUS NAME IF AMEND NAME
PUSS WW1 0.5.C.1016.1.0101.01L0510 R. 4.1.•
111111 1 1_1._ 1111 IL I A A 1111 III II
19 11111111 I l 1 l E 1 11 .1111111
0 14 AA
Al l 1 Y. rtlISI ft/01,01W NINACEININT 01cLARANDN
1 1 1 1 POMO& OUNCE MATE, NO
cOveAAct s
ONO rue...Co N.•,11

ToN•D ..... loN•INONNO
••••• • WS,0 T AL
ACC•01.,
Al MA NIOAANO• INCLIJOIO .0:40110 OUNCE IMAM, FEE
= .
DICW. MI
,,g4INNSOND AUMA NIOULANON
boO,ONSI
moICINN.,•••• • D., • 40
COOC• MINIM DP MOLE
00111111111NOI
1L1110'AXIIISPUITE THE FOLLOWING

011ClARA/10N
• ..0•01• 'IN 1D OP .1.11 00 0.0•10(..•. AS OP THE DATE OP THIS NuNDIN
....I a, .11.01•••••1 •••■•••••■•C1.0,00,1 C■ 1,C , ■ ••■ 0 PLAMPDIGAL MPLACIIHENT I 1.001v1111
.14.A.0••■ 004..• .0 4 PALMA. ANO 01110NAPOS TIM DYINRANCE
tS1.4.1 a. ell••••Ca ,1 ..0.40.C1 • 6..0•064. 110. ,••.1
41.1.0 OTO•••••■ U • OW 400. I •■0.v•••••c1 101•• FEES COPPORATION OP MEMO OXuMNA AND
aa,.. 71.0 ■ •.•1 ■ •••• ■ •• 000.1 ••• SuPIPIWTINDENT OP MOTOR VEHICLES
• 00,1 .111710.41 04 1 1 ye., Oar, FRAY ALL AWNS* MOUT, MMHG PIA
4.1.1 .■113 1•0% 40 C4T(.1 ■ .10 Sv0/1•1•10 OP 11•Yq*110 MIAMI TO THE PREVIOUS NUMBER
PLATE/DOC" 0111104010 MOVE
PAK • • IT • 111.401041111., RECOVERED I WILL
bmb OV.100•01 0•011 —
..01•••••• • •••■■■ Wm.
"111 Tr no roar ONS A MONA
NO? 1.011 ON PINOT ITS ME ON ANY WHIN
WHIVAL OJT WAAL PORTNNIIN SURIONot
IT TO NA SuPINNTENDPIT OR HIS WHY
WWI"! OF .4•71,01111000,CAL O 1.1 C.O•••••, ❑ 04Qui CIO I I $1 I • 1 1
THE 01 0•041,04
•
PM
1 7 1711,
SACNA1vN1 OP .SEN1N TCOC

M OO NO
USE
ONLY
311 NIYiHM /011 w•NNo•Gs N•sfouCTiONS 01411•110N CN 0.E 1NSERISI V1 NIC11 CONIN•N. 10 •C1 OR mic,u, • 1,0N MAP 0.•1 ■ 0 0, 1 COVIbb(.1
nU
MOTOR VEHICLE INSURANCE CARO

CANADA INTER-PROVINCE
CART/EAT CELSOURANCE
AUTOMOBILE RESPONSAIIILITE
TM, celr11aa10 M wateet 00 IM lamas and SimPanfell on Ital ltsmykOot Iyaqopollallo
policy
nes candam Ma: the pato named hero. Is insured Abartm tumefy for codIty,rneury and
embeer atunabe Dr realer: 0 the operauee 0' 041 mien' voMtla disTeDet1 foram: In an
mu than the a1.1010,y momma. ft0o1r0Miin1l .1 any 11/04 of Canada
WARNING — Rey-Demo ,.m laves er peeBuces a eve to seeptes. &ere .0 in lore* a pOl.cy
0' ■ns....-ot as •ns Marairt Ina! to Et tael n..0 m 14,y0 N. Pan, lo a 011avy foN1 ancl,or
mp..o,nrno•: and 0,5 l.C1P,Co May NI uapeneve
" That era semi,/ be eort4e,in 1/4 insured eth,:.* 131 oroOutllon a/100W effisitjanFd
when dielinBiel by poke • - fs s•
Ls or. sent eandical *al assuittfli as. ellsposktons at centlMon0 de. Is polka iftomstreniat
atternslona M l'Aosoraur. •
Co dual'. ce%ri /1“perfehne luSnoMmts atiah C-0,44. la 4•144014111 pour
euplau..s e, eernmages aue 06C30lam Of !..1.40. Ott v11,11Cole C.41Crlf conform/mint
.T 011,09,1 pc In. I 0 .157...,ranc• yiga,r pall au :11,1118
AlltalTiSrAMINT — OQICOntitily tone: s, 0,6Sen.t ;-■ yelt.f•Cal comm. Who* COO MIMI,
3miab .rf. ,'as' ; oi ;ye,. eft C01:01;00 A an, oltraCTIOn
pm&•.• • . tame .1 , ' ..,•:•••nnoemant mon.&.• m& perm.. INGTRuCTLON:,
CA cf., ',cat doff Alta YAM dant & HHIcul @Mod into CAW, 00/041111 [Nowinfi NON, • THE VEHICLE -ENCE
DC AND CERTIFICATE
d &ave.' 'a .....41/1 DCI1Ce wpn Thr
OF INSURANCE MUST BE CARRIED
THE INSURANCE CORPORATION OF FOREEISN COLUMBIA
AUTHORIZED VEHICLE V;HEN I': ...PIE
RASA' COVERAGE ARDL ,C, ABLE AI,THODCEO VEHICLE UNEIEP TwE PROCEDURE FOR MAKING CHANCES
,-II-1;" , CATE OF INSURANLE. lb IN ViITH ;HE INSURANCE tINIOTON
EH, ..E. AC''. AND EIEGuLAT , 0T. WHEN ANY CP-ANGF Is REOLIMED
PLEASE REPoRT THE :.;••ANGE IN PER
SON TO YOUR AGENT.
WARNING! ,J.
THE USE OF AN AUTHORIZED VEHICLE OUTSIDE BRITISH COLUMBIA GENERA: CORRESPONDENCE

WHERE IA) THE VEHICLE IS REGISTERED AND LICENSED IN
ANOTHER JURISDICTION, ill) THE LAW OF ANOTHER JURISDICTION PLEASE OUO:_E
REQUIRES THAT IT BE REGISTERED AND LICENSED THERE. OR (CI IT 1 ANY CORRESPONDEN'
HAS BEEN PERMANENTLY REMOVED FROM THE PROVINCE FOR
MOSE THAN 60 DAYS. WHICHEVER COMES FIRST, MAY INVALIDATE CORRESPONDENCE PE ATIN:f; TO
THE COVERAGE UNDER THIS CERTIFICATE (IF IN DOUBT. PLEASE INSURANCE. ADDRESS TO
CONSULT YOUR "MOTORIST KIT" OR AGENT • INSURANCE CORPORATION Or
BRITISH CO:. (I'D
P.O. BOX SU50,
VANCOUVER B C IJ6R 414
CORRESPONDENCE OTi1
IF YOU HAVE AN ACCIDENT ABOVE. ADDRESS TO
IN BRITISH COLIJM81A TELEPHONE YOUR NEAREST ICBC CLAIMS OFFICE EXCEPT IN THE LOWER
SUPERINTENDENT OF MOTOR VEHILES
MAINLAND CALL DIAL AWN (ANTRAL AT 52u E222
PARLIAMENT BUILDINGS,
ELSEWHERE IN CANADA OR THE UNITED STATES TELEPHONE COLLECT TO NI INtURANCE CORPORATION VICTORIA, BRITISH COLUMBIA VAT 5A3
OF BRITISH COLUMBIA AT VANCOUVER .604,
a.
....,, SCHEDULE 6
OPTIONAL SPECIAL COVERAGES FORMS
(Sections 51, 123(3), 126, 153 and 156)

DRIVER'S POLICY INSURANCE
1.49101410 •014.••1 14 1110.0.1 I, 1)1 Not OfvNICI•IOULANON
uhD9• ■ Mi 1•1•4•1•Cl V11•CLII■ •C, (.1•11•■■19.C.,(0 1Nt •10th•74•4
CORPORATION
(4101111511((11054115
,.• •,,I ••1 [0•■ 06 1 4•
Al."44,E APPLICANT, HEREINAFTER CALLED THE INSURED, BEING THE HOLDER OF A VALID AND SUBSISTING BRITISH COLUMBIA
IVER'S LICENCE. HEREBY APPLIES TO THE CORPORATION FOR A DRIVER'S POLICY AS FOLLOWS
ft! I , •••■■••5••• 0.11

O.,.
ar•..:••••
DIMON( 6•19 15PON 5•19 Tow 901 6 LICINCII NO Au .6 1 • ft ftvw
1"OM
999. .9•••• •••• D.• i90.,• MM
1 1 1 I 1 I 1 I 1 1 1 1
turn 641164DIUMN411111.p.Lowto or &WIN 14•1•11(51
1 I 1 I 1 1 1 1 1 I 1 1 1 1 1 1 11 I 1 1 1 1 I
111 1 11111 I 1 1 I I I I I I I I I 1 I
Aboatli Of ININ•lb
I I I 1 1 1 I 1 I I I 1 1 I 1 1 1 1 1 1 1 1 1
M IL I II I I 1111 1 111111111
1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 iiiii
Ty NIOVINT4 POSTAL COO(
1 1 I I 1 I 1 1 1 I ll 1 1 I I 1 1 I
THE INSURANCE SHALL APPLY TO THE USE OR OPERATION OF ANY VEHICLE OTHER THAN A VEHICLE OWNED BY OR REGISTERED IN
THE NAME OF THE INSURED OR ANY PERSON IN THE INSURED'S HOUSEHOLD AS DEFINED IN THE REGULATION, WHILE THE INSURED
IS PERSONALLY IN CONTROL OF SUCH A VEHICLE .
THIS APPLICATION IS FOR INSURANCE AGAINST ONE OR MORE PERILS SET OUT HEREUNDER, BUT ONLY INSURANCE UNDER THE
PART FOR WHICH A PREMIUM IS SPECIFIED AND PAID AND SUBJECT TO THE TERMS AND CONDITIONS OF THE INDICATED PART
OF THE REGULATION FOR THE FOLLOWING LIMITS
C0,40.51 1.40 9 to•61 ■ 1111 PIN N.9%.

1•160 •••■•
0,41 t
1 0 1 0 tO 0 0 ,
•990119•1500160 npagouL•to. 1
N050•15T N10,ECNON
•••1 9 p9,99:,, 0 YES NO t 1 1
/MAW NV PRIMO 141011•110 MIN
CAIN 0 CA011( 0
SI 1 , $1 1
CSC
MIN IMU M
PRE M IUM $ 1 5 ONLY 11111
SIGNATURE BY THE INSURED OF THIS APPLICATION ACKNOWLEDGES ALL THE TERMS AND CONDITIONS ON BOTH THE FRONT AND
BACK OF THIS APPLICATION AND DECLARES THAT THE FOREGOING ANSWERS ARE TRUE AND WHERE (A) AN INSURED IN HIS
APPLICATION FOR A POLICY GIVES FALSE PARTICULARS TO THE PREJUDICE OF THE CORPORATION OR KNOWINGLY MISREP.
RESENTS OR FAILS TO DISCLOSE IN THE APPLICATION ANY FACT REQUIRED TO BE STATED THEREIN, OR (B) THE INSURED CON.
TRAVENES A TERM OF THE POLICY OR THE REGULATION OR COMMITS A FRAUD, OR (C) THE INSURED WILLFULLY MAKES A FALSE
STATEMENT IN RESPECT OF A CLAIM UNDER THE POLICY OR THE REGULATION, ANY CLAIM BY THE INSURED IS INVALID AND THE
RIGHT OF THE INSURED TO RECOVER INDEMNITY IS FORFEITED (AND IN ADDITION OR AS AN ALTERNATIVE, WHERE APPROPRIATE
AND APPLICABLE, THE CORPORATION MAY CANCEL THE SAID POLICY PURSUANT TO SECTION 58 OF THE REGULATION).
TIME 01 VALIDATION
AM
• 1.1
114114•1901 0111950ND 510.19•11 0. •H4,
APO 10 106451
INSURING AGREEMENTS
IN CONSIDERATION OF THE PREMIUM PAID AND SUBJECT TO THE STATEMENTS MADE BY THE INSURED IN THE
APPLICATION ATTACHED TO THIS POLICY THE CORPORATION AGREES TO INDEMNIFY AND COMPENSATE THE
INSURED AND IN ACCORDANCE WITH THE FOLLOWING PARTS OF THE REGULATION. FOR WHICH A PREMIUM IS
SPECIFIED IN THE APPLICATION, PART 6 THIRD PARTY LEGAL LIABILITY. AND UNDERINSURED MOTORIST PROTECTION
AS DESCRIBED IN PART 9. DIV I WHEN INCLUDED IN THIS POLICY, BUT THE PAYMENT OF SUCH INDEMNITY IS
SUBJECT TO THE FOLLOWING CONDITIONS'
Al APPLIES ONLY TO THE USE OR OPERATION OF A NON.OWNED VEHICLE, AS DEFINED IN PART 1 OF THE
REGULATION. WITH THE CONSENT OF THE OWNER THEREOF
B; IS IN EACH CASE EXCESS TO THE THIRD PARTY LEGAL LIABILITY LIMIT, PAYABLE UNDER PART 4 OF THE
REGULATION
C IS IN EACH CASE EXCESS TU THE THIRD PARTY LEGAL LIABILITY LIMIT. PAYABLE IN ACCORDANCE WITH
SCHEDULE 30P THE REGULATION CARRIED ON THE NON OWNED VEHICLE BEING OPERATED BY THE INSURED
L IS IN EIERY CASE EXCESS TO ANY AUTOMOBILE INSURANCE PROVIDED BY ANY OTHER INSURER WHICH IS
APPLICABLE TO THE NON-OWNED VEHICLE BEING OPERATED BY THE INSURED .
CONDITIONS (Ai (Bi (CI OR (D) DO NOT APPLY TO UNDERINSURED MOTORIST PROTECTION WHEN INCLUDED IN
THIS POLICY AS THE TERMS AND CONDITIONS APPLICABLE TO UNDERINSURED MOTORIST PROTECTION ARE SET
OUT IN PART 9 DIV I OF THE REGULATION
IN WITNESS WHEREOF, THE CORPORATION HAS CAUSED THIS POLICY TO. BE SIGNED BY ITS PRESIDENT AND
CHIEF EXECUTIVE OFFICER, BUT THE SAME SHALL NOT BE BINDING UNTIL VALIDATED-AND SIGNED ON THE FRONT
SIDE HEREOF BY AN AGENT OR OTHER AUTHORIZED REPRESENTATIVE OF THE CORPORATION.
PPIMINOIPO MOOSUP DIOATII WON •

Imuwoca c00100fIATION OP MIN COLIMA
• "
•
E INSURANCE 1
FLOOR PLAN EXCLUSION ENDORSEMENT
CORPORATION PRESCRIBED PURSUANT TO SECTION 163 OE THE REVISED REGULATION iliac
UNDER THE INSURANCE (MOTOR vIoNCLE) ACT REiNAFTER CALLED THE REGULATION)
1 APV•4AA
Of BRITISH OlUMBIA
(HEREINAFTER CALLED THE CORPORATION(
THIS ENDORSEMENT FORMS PART OF THE POLICY TO WHICH IT IS ATTACHED.
IN CONSIDERATION OF THE REDUCED PREMUM CHARGED UNDER SECTIONS 2, 3 AND 4 OF THE INSURING
AGREEMENTS OF RIDER APV4E, IT IS UNDERSTOOD AND AGREED THAT ALL VEHICLES WHILE FINANCED BY:
UNDER EITHER THEIR WHOLESALE FINANCE AGREEMENT, OR THEIR FLOOR PLAN AGREEMENT, ARE
EXCLUDED FROM COVERAGE UNDER THE FOREGOING SECTIONS .
SHALL HAVE FULL FORCE AND EFFECT.
INAAA *HMI Or /*WU/ 1/1340110. PT IrCARART) /CSC PT 3tr ■ Nro•AGENT

INSURANCE SECTION 2 — OWN DAMAGE COVERAGE TO INSURED'S VEHICLES RIDER
PRESCRIBED PURSUANT TO SECT,ON 15) OF THE REVISED REGULAT.ON119841 APV•4E
CORPORATION UNDER THE INSURANCE !MOTOR VEHICLE. ACT, HEREINAFTER CALLED THE REGULATION1
Of BRITISH COWMEI/A THIS RIDER FORMS PART OF THE POLICY TO WHICH IT IS ATTACHED
1HEREINAFTER CALLED THE COPPORAlioNi
...o..,
LIMITS OF LIABILITY CLAUSE

The coverages provided by Sections 2, 3 Or 4 on the reverse of this Rider are sublect to the following Limits of Liability at each specified
location
SPECIFIED LOCATIONS WHICH ARE ALL THE LOCATIONS USED BT BUILDING LIMIT OF LIABILITY AT
THE INSURED IN THE CONDUCT 0,THE BUSINESS DESCRIBED OR SUCH SPECIFIED
IN THE APV 4 OPEN LOT LOCATION
(A)
(B)
(C)
(DI
(E)
IF)
(G)
i1-I)
(I)
11.11
LIMITS AND AMOUNT CLAUSE
The coverage provided by this Rider is subject to the amounts and deductibles as set out On the face of the APV-4 and to the following
terms and conditions
1 In respect of each vehicle. the actual cash value at the lime of loss or damage not exceeding the actual cost to the Insured and
SuPleCt to that limit for each vernCle. Or
2 The limit of Insurance stated herein to be applicable to each location 10r loss or damage from any orie occurrence at each specified
location. or
3 The amount of loss or damage to not more than four of the insured vehicles at any other unnamed location or whilst in transit
LIENHOLDER OR MORTGAGE CLAUSE

Name and address of Lienholder to whom, lointly with the insured, loss, if any, is payable as their interest may appear .
DEDUCTIBLE CLAUSE
The Corporation shall be liable only for the amount by which loss or damage caused by any of the perils insured by this Rider exceeds
the deductible amount shown on the face of the APV 4 and applicable in respect of each vehicle lost or damaged, but if the total of the
deductible amounts applicable in respect of each vehicle lost or damaged arising from one occurrence totals to an amount that is
more than the deductible amount specified on the face of the APV-4 as applicable to each occurrence causing loss or damage to more
than one vehicle, the Corporation shall be liable for the amount by which the total loss or damage arising from one occurrence exceeds
the deductible amount specified as applicable lo toss or damage to more than one vehicle caused by a single occurrence. except that
no deductible amount shall be applicable to any loss or damage caused by the perils of fire, lightning, or !hell of an entire vehicle other
than a motorcycle
The Insured agrees that in the event of loss or damage for which Indemnity is provided by this Rider, the Insured shall, if so requested
by the Corporation. replace the property or make the necessary repairs at the actual cost to the Insured of such replacement or repair,
in which event, indemnity paid by the Corporation shall only be for the amount of the actual cost of the Insured of such replacement or
repair .
COINSURANCE CLAUSE
Tne Insured snap maintain insurance under this Rider on the vehicles hereby insured, at each specified location, to the extent of at
least 80°4 of the actual cash value thereof, and upon failing so to do, the insured shall be a CO.inSurer 10 the extent of an amount
suilicient to mane tne aggregate insurance at the time of loss or damage equal to 80% of the actual cash value of such vehicles and in
that capacity the Insured shall bear such proportion of any loss or damage that may Occur.
If the Insured shall request and the Corporation shall accept any increase or reduction in the Limit of Liability at any specified Location,
such increase or reduction shall be endorsed Hereon and the additional or return premium therefor shall be calculated al pro rata of the
specified rate If me Insured Snail request and the Corporation Shall accept insurance on vehicles stored in additional locations, each
such additional location and the Limit of Liability applicable thereat and the premium to be charged therefor, shall be endorsed on the
such insurance upon additional locations to be effective from the date shown upon the endorsement
1.1^ 1^ ^ ^ •
INSURING AGREEMENTS
In consideration of the rating Questionnaire and declarations which form part of the policy. but only with respect to the Sub'sectionlsi for
which a premium is specified under Section 2 of the APV 4 and no other, and subject always to the General Provisions. Definitions and
Exclusions of the Regulation, the Corporation agrees.
I ll Under Subsection 2A of the APV•4 to indemnify the Insured, on accordance with Part 9, Div. 2, Own Damage. of the Regulation
for direct loss or damage caused solely by collision to any owned vehicle.
Provided always that the Corporation shall not be liable under this Sub-section for lose or damage•
a) from fire. however caused, or
DI occurring after theft of the vehicle and before recovery by the Insured, or
c) to any vehicle sold by the Insured and in the possession of a purchaser whether under any partial payment plan or otherwise, or
0) to any vehicle while being carried in or upon another vehicle owned, hired or leased by the Insured, that is either:
Ii) designed as a vehicle carrier, or
fill carrying more than two vehicles, or
el to vehicles while in the course of manufacture, or
h to vehicles otherwise specifically insured, or consigned vehicles to which other insurance is applicable.
121 Under subsection 2B of the APV-4 to indemnify the Insured, in accordance with Part 9, Div. 2, Own Damage, of the Regulation.
for direct loss or damage to any owned vehicle caused solely by any cause other than by collision
Provided always that the Corporation shall not be liable under this Sub-Section for loss or damage'
a) caused by collision of the vehicle with a vehicle to which it is attached, or

pi to any vehicle held for sale by the Insured which is insured against any peril mentioned in Subsection 28 of the APV-4 by a policy
in which loss, if any, is payable jointly to the Insured and to any individual partnership or corporation as penholder or mortgagee.
or
co from theft from any open lot or unroofed space owned, rented or controlled by the Insured except the theft of an entire vehicle. or
dl to any motorcycle, which is stored or displayed outside any building on the described premises during the hours when the
described premises are closed for business, arising from theft, vandalism, malicious mischief or windstorm, or
fl to vehicles while otherwise specifically insured. or consigned vehicles to which olner insurance is applicable
131 Under Subsection 2C of the APV“, to indemnify the Insured in accordance with Part 9. Div. 2, Own Damage, of the Regulation
for direct loss or damage to any owned vehicle caused solely by specified perils
Provided always that the Corporation shall not be liable under this Subsection for loss or damage
al caused by collision of the vehicle with a vehicle to which it is attached, or
b) to any vehicle held for sale by the Insured which is insured against any peril mentioned in Subsection 2C of the APV.4 by a policy
,n which loss, it any, is payable jointly to the Insured and to any individual. partnership or corporation as penholder or mortgagee.
or
I loin theft from any open lot or unroofed space owned, rented or controlled by the Insured except the theft of an entire vehicle, or
dl to any motorcycle, which is stored or displayed outside any building on the described premises during the hours when the
described premises are closed for business, arising from theft, or windstorm, or
ei to vehicles while in the course of manufacture, or
ii to vehicles otherwise specifically insured. or consigned vehicles to which other insurance is applicable
oat Under Sub-section 2D of the APV.4 to indemnify the Insured, in accordance with Part 9. Div 2, Own Damage, of the Regulatiol,
for direct loss or damage to any owned vehicle caused solely by specified perils excluding theft
Provided always that the Corporation shall not be liable under thIS Sub-sectiOn for loss or damage:
al caused by collision of the vehicle with a vehicle to which it is attached, or
bi to any vehicle held for sale by the Insured which is insured against any peril mentioned in Sub-section 2D of the API.% by a policy
in which loss, if any, is payable jointly to the Insured and to any individual, partnership or corporation as lienholder or mortgagee,
or
ci to any motorcycle, which is Stored or displayed outside any building on the described premises during the hours when the
described premises are closed for business or arising from a windstorm, or
dl occurring alter theft of the vehicle and before recovery Of the vehicle by the Insured, or
I) to vehicles otherwise specifically Insured, or consigned vehicles to which other insurance is applicable
151 The following Insuring Agreement applies to Subsection 2*. 20, 2C or 2D of the APV-4.
The Policy affords Own Damage Coverage to an owned vehicle for loss or damage caused by an excluded vehicle described in
paragraph 6 of the 'General Provisions, Definitions and Exclusions- of the policy but this Insuring Agreement does not waive the
exclusion in Insuring Agreement III Idt above
,..1NSURANCE
s
OPEN LOT PILFERAGE ENDORSEMENT
CORPORATION PPESCRISED PURSUANT TO SECTION IS3 OF THE REVISED PEGULATIONIII64)UNOER
THE INSURANCE IMOTOR VEHICLE) ACT (NEREINAFTER CALLED THE AEGULATCN ■
APV•40
OF BRITISH COlUMBIA
IM FIER CALLED THE CORPORATION)
IN CONSIDERATION OF THE PREMIUM PAID, IT IS HEREBY UNDERSTOOD AND AGREED THAT, WHEN APPLI.
CABLE, EXCLUSION 2 (C) OR EXCLUSION 3 (C) OF RIDER APV-4E, APPLICABLE TO SECTION 2 OF THE POLICY
TO WHICH THIS ENDORSEMENT IS ATTACHED IS DELETED.
EXCEPT AS OTHERWISE PROVIDED IN THIS ENDORSEMENT, ALL LIMITS, TERMS, CONDITIONS, PROVISIONS.
DEFINITIONS AND EXCLUSIONS OF THE POLICY, THE INSURANCE (MOTOR VEHICLE) ACT ANO REGULATION
AVE AG ■ 0116.1 COPES I iNSURED 2 C B C AGENT

8
INSURANCE
[..1
NAMED VEHICLE ENDORSEMENT
CORPORATION MeICAleiD INAIIAJAAIT TO IIICTON 1S3 Of THE REVVED AfOuLATION (SW
UNDER Tut iNioPLANCE MOTOR vto0CLE) ACT (HtAt INA FM CALICO THE REGULATION)
APV•4H
. Of ORIT1SH00LUVI8LA
jr41:tiNAFTEA CALICO THE coaponAnom
IN CONSIDERATION OF THE REDUCED PREMIUM CHARGED UNDER SECTION 2 OF THE APV.4 OF THIS POLICY,
IT IS HEREBY UNDERSTOOD AND AGREED THAT THE INSURANCE PROVIDED UNDER RIDER APVIE SHALL
APPLY ONLY TO THE FOLLOWING TYPES OF VEHICLES.
TYPE OF VEHICLE
3.
4.
81-)
INSURANCE
E CORPORATION
OF BRITISH COLUMBIA
WERE NAFTER CALLED THE CORPORATION)
CONSEQUENTIAL LOSS ENDORSEMENT (CUSTOMER'S VEHICLES)
PRESCRIBED PURSUANT TO SECTION 1530F THE REVISED REGULATION (11104)
UNDER THE INSURANCE (MOTOR VEHICLE) ACT (HEREINAFTER CALLED THE REGULATION)
THIS ENDORSEMENT FORMS PART OF THE POLICY TO WHICH IT IS ATTACHED .

APV•4P
IN CONSIDERATION OF THE PTEMIUM PAID FOR THIS ENDORSEMENT AND SUBJECT TO THE TERMS AND CONDITIONS HEREINAFTER SET
OUT, THE CORPORATION AGREES. FOLLOWING AN OCCURRENCE FOR WHICH INDEMNITY IS PROVIDED UNDER SECTION 3. SUBSECTIONS
IS) IS), OR ICI OF THE APV-4 TO INDEMNIFY THE INSURED FOR LIABILITY IMPOSED BY LAW UPON THE INSURED FOR .
A) COSTS INCURRED BY THE OWNER OF THE VEHICLE INVOLVED IN THE OCCURRENCE (HEREINAFTER CALLED THE CUSTOMER) TO
OBTAIN A SUBSTITUTE VEHICLE, AND/OR
B) A LOSS OF EARNINGS SUFFERED BY THE CUSTOMER AS A DIRECT RESULT OF THE LOSS OF USE OF THE CUSTOMERS VEHICLE FOR
NOT EXCEEDING SUCH LENGTH OF TIME AS WOULD BE REOUTRED WITH THE EXERCISE OF DUE DILIGENCE AND DISPATCH TO REBUILD,
REPAIR OR REPLACE THE VEHICLE COMMENCING WITH THE DATE OF SUCH OCCURRENCE AND NOT LIMITED BY THE DATE OF EX.
PIRATION OF THIS POLICY. BUT NOT EXCEEDING THE ACTUAL LOSS SUSTAINED BY THE CUSTOMER RESULTING FROM SUCH LOSS OF
USE OF THE VEHICLE .
PROVIDED ALWAYS THAT:

A. THE CORPORATION SHALL NOT BE LIABLE HEREUNDER FOR AN AMOUNT IN EXCESS OF $10,000 PER OCCURRENCE.
B THIS ENDORSEMENT SHALL BE SUBJECT TO A DEDUCTIBLE AMOUNT OF $250 PER OCCURRENCE .
C EARNINGS ARE DEFINED AS NET PROFIT PLUS PAYROLL EXPENSES. TAXES, INTEREST, RENTS AND ALL OTHER OPERATING EXPENSES
EARNED BY THE BUSINESS LESS ALL CHARGES AND EXPENSES WHICH DO NOT NECESSARILY CONTINUE DURING THE INTERRUPTION
OF BUSINESS
D THE CORPORATION SHALL ALSO INDEMNIFY THE INSURED IN RESPECT OF SUCH EXPENSES AS ARE NECESSARILY INCURRED FOR THE
PURPOSE OF REDUCING ANY LOSS COVERED UNDER THIS ENDORSEMENT (EXCEPT EXPENSE INCURRED TO EXTINGUISH A FIRE)
INDEMNITY UNDER THIS PROVISION D IS LIMITED TO THE AMOUNT BY WHICH THE LOSS IS IN FACT REDUCED.
E THE INSURED SHALL TAKE ALL REASONABLE MEASURES TO REDUCE ANY LOSS COVERED UNDER THIS ENDORSEMENT INCLUDING
MAKING USE OF MERCHANDISE OR OTHER PROPERTY INCLUDING VEHICLES) OWNED BY THE INSURED FAILURE OF THE INSURED TO
DO SO MAY RESULT IN A REDUCTION OF THE AMOUNT PAYABLE HEREUNDER .
F. REPLACEMENT VEHICLE IS DEFINED AS AN EQUIVALENT VEHICLE TO THE CUSTOMER'S VEHICLE INVOLVED IN THE OCCURRENCE OF
LOSS
G THE CORPORATION SHALL NOT BE LIABLE FOR

III LOSS DUE TO FINES OR DAMAGES FOR BREACH OF CONTRACT FOR LATE OR NON COMPLETION OF ORDERS, OR FOR ANY
PENALTIES OF WHATEVER NATURE
(») LOSS DUE TO THE SUSPENSION. LAPSE OR CANCELLATION OF ANY LEASE OR LICENSE. CONTRACT OR ORDER. WHICH MAY
AFFECT THE CUSTOMER'S EARNINGS AFTER THE PERIOD FOLLOWING ANY LOSS DURING WHICH INDEMNITY IS PAYABLE
On) ANY OTHER CONSEQUENTIAL LOSS OR REMOTE LOSS.
H IN DETERMINING LOSS HEREUNDER. DUE CONSIDERATION SHALL BE GIVEN (I) To THE EARNINGS OF THE BUSINESS BEFORE THE
DATE OF DAMAGE OR DESTRUCTION OF THE CUSTJMERS VEHICLE, ANO TO THE PROBABLE EARNINGS THEREAFTER. HAD NO LOSS
OCCURRED 12) TO THE CONTINUATION OF OPERATING EXPENSES, INCLUDING PAYROLL EXPENSE TO THE EXTENT NECESSARY TO
RESUME OPERATIONS WITH THE SAME QUALITY OF SERVICE WHICH EXISTED IMMEDIATELY PRECEDING THE LOSS. AND 131 TO THE
REDUCTION OF LOSS WHICH COULD BE MADE POSSIBLE BY THE CUSTOMER BY RESUMING SAFE OPERATION OF THE VEHICLE OR BY
MAKING USE OF OTHER VEHICLES
L IF, ON THE HAPPENING OF ANY LOSS, THERE IS IN FORCE MORE THAN ONE POLICY COVERING THE SAME INTEREST, IRRESPECTIVE OF
WHETHER BY ANY TERM IN SUCH POLICY THE INSURANCE GRANTED THEREBY SHALL NOT COVER. COME INTO FORCE, ATTACH. OR
BECOME INSURANCE UNTIL AFTER FULL OR PARTIAL PAYMENT OF ANY LOSS UNDER ANY OTHER POLICY, IT IS A CONDITION OF THIS
ENDORSEMENT THAT THE CLAIM HEREUNDER SHALL BE ADJUSTED WITH THE INSURED ON THE BASIS THAT SUCH POLICY OR POLICIES
WILL CONTRIBUTE A RATEABLE PROPORTION OF THE LOSS UNLESS IT IS OTHERWISE EXPRESSLY AGREED IN WRITING
J AT ITS DISCRETION. THE CORPORATION SHALL INDEMNIFY THE INSURED FOR

VI THE COST OF OBTAINING A REPLACEMENT VEHICLE. OR
01 LOSS OF EARNINGS AS PROVIDED UNDER THIS ENDORSEMENT,
WHICHEVER IS THE LESSER
EXCEPT AS OTHERWISE PROVIDED IN THIS ENDORSEMENT. ALL LIMITS, TERMS, CONDITIONS, PROVISIONS, DEFINITIONS AND EXCLUSIONS
OF THE POLICY, THE INSURANCE (MOTOR VEHICLE) ACT AND REGULATION SHALL HAVE FULL FORCE AND EFFECT .
APV 41.10664,
E INSURANCE
CORPORATION
Of BRITISH COUJMBIA
REINAFTER CALLED THE CORPORATION(
LOSS OF USE ENDORSEMENT (CUSTOMER'S VEHICLES)
PRESCRIBED AURISuANT TO SECTION 'M OE THE REv15ED REGULATION OWN
UNDER THE INSURANCE !MOTOR VENIELEI ACT (HEREINAFTER CALLED THE REGULAT.ONI

APV-4Y
IN CONSIDERATION OF THE PREMIUM PAID FOR THIS ENDORSEMENT, THE CORPORATION AGREES, FOLLOWING AN
OCCURRENCE FOR WHICH INDEMNITY IS PROVIDED UNDER SECTION 3 SUBSECTIONS A, B OR C OF THE APV-4, TO IN-
DEMNIFY THE INSURED FOR LIABILITY IMPOSED BY LAW UPON THE INSURED FOR EXPENSE INCURRED BY THE OWNER OF
THE VEHICLE INVOLVED IN THE OCCURRENCE, FOR THE RENTAL OF A SUBSTITUTE VEHICLE, INCLUDING TAXIS AND
PUBLIC MEANS OF TRANSPORTATION, AS A RESULT OF THE LOSS OF USE OF THE VEHICLE.
A THE CORPORATION SHALL NOT BE LIABLE UNDER THIS ENDORSEMENT FOR ANY EXPENSE IN EXCESS OF THE LIMIT
PER DAY AND TOTAL LIMIT PER VEHICLE PER OCCURRENCE STATED ON THE APV-4
B REIMBURSEMENT IS LIMITED TO SUCH EXPENSE INCURRED DURING THE PERIOD COMMENCING IMMEDIATELY AFTER
THE OCCURRENCE OF SUCH LOSS OR DAMAGE AND TERMINATING, REGARDLESS OF THE EXPIRATION OF COVERAGE
UNDER THIS ENDORSEMENT, (1) UPON THE DATE OF SUBSTANTIAL COMPLETION OF REPAIRS TO OR THE REPLACE
MENT OF THE PROPERTY LOST OR DAMAGED OR (2) UPON SUCH EARLIER DATE AS THE CORPORATION MAKES OR
TENDERS SETTLEMENT FOR SUCH LOSS OR DAMAGE
C. ANY PROVISIONS UNDER SECTION 3 SUBSECTIONS A OR C OF THE APV-4, BY WHICH THERE IS A DEDUCTIBLE AMOUNT
PAYABLE BY THE INSURED IN RESPECT TO A CLAIM THEREUNDER, SHALL NOT BE APPLICABLE.
EXCEPT AS OTHERWISE PROVIDED IN THIS ENDORSEMENT, ALL LIMITS. TERMS, CONDITIONS, PROVISIONS. DEFINITIONS
AND EXCLUSIONS OF THE POLICY, THE INSURANCE (MOTOR VEHICLE) ACT AND REGULATION SHALL HAVE FULL FORCE
AND EFFECT
ALTERATION ENDORSEMENT [IIINSURANCE
CORPORATION
r
(COMPREHENSIVE GARAGE POLICY APV4)
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INSURANCE CUSTOMER'S OPEN LOT PILFERAGE ENDORSEMENT
CORPORATION PRESCRIBED PURSUANT TO SECTION IS) OF THE REVISED REGULATION 1,96.1
UNDER THE INSURANCE (MOTOR VEHICLE) ACT THEREINAFTER CALLED THE REGULATION)
APV-4Z
Of BRITISH COLUMBIA
,HEREINAFTER CALLED THE CORPORATION)
IN CONSIDERATION OF THE PREMIUM PAID, IT IS HEREBY UNDERSTOOD AND AGREED THAT, EXCLUSION
(2XC) OF RIDER APV-4F IS DELETED.
APv4210141
LOSS OF USE ENDORSEMENT n INSURANCE 93
% ..10P,M1.P. 110.0. ,19 0111,M10 Oft Mem CORPORATION
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WARNING
1 1 1 I 1 1 1 I I I I I I 1 1 1 1 t L 1 1 1 1
USE OF VEHICLEISI OUTSIDE BRITISH COLUMBIA
ADORERS OF riduRID IN INSTANCES WHERE IA) THE VEHICLE(S) IS
•" REGISTERED AND LICENSED IN ANOTHER JUIEIS.
1111111.1111- 1111 DICTION, (11) THE LAW OF ANOTHER JURISDIC
TION REQUIRES THAT IT BE REGISTERED AND
LICENSED THERE, OR ICI IT HAS SEEN PERM-
1'11 ANENTLY REMOVED FROM THE PROVINCE FOR
MORE THAN 60 DAYS, WHICHEVER COMES FIRST,
MAY INVALIDATE THE COVERAGE UNDER THIS
11111111111111111
CITY mem4we ENDORSEMENT. IF IN DOUBT, PLEASE CONSULT
YOUR "MOTORIST our
OR AGENT .I
1 1 1 ,,A;I •‘1
IN CONSIDERATION OF THE PREMIUM PAID FOR THIS ENDORSEMENT THE CORPORATION AGREES, FOLLOWING AN OCCURRENCE
FOR WHICH INDEMNITY IS PROVIDED UNDER PART 9, DIVISION 2 OF THE REGULATION, TO REIMBURSE THE INSURED FOR EXPENSE
INCURRED BY THE INSURED FOR THE RENTAL OF A SUBSTITUTE VEHICLE, INCLUDING TAXIS AND PUBLIC MEANS OF TRANS-
PORTATION, AS A RESULT OF THE LOSS OF USE OF THE VEHICLE.
urn PIN PA,
A. THE CORPORATION SHALL NOT BE LIABLE FOR SUCH EXPENSE IN EXCESS OF $1 i 1 PER DAY PER VEHICLE
NOR TOTALLING MORE THAN 4 PER VEHICLE PER OCCURRENCE.
$1 1010
B REIMBURSEMENT IS LIMITED TO SUCH EXPENSE INCURRED DURING THE PERIOD COMMENCING IMMEDIATELY AFTER THE
OCCURRENCE OF SUCH LOSS OR DAMAGE AND TERMINATING REGARDLESS OF THE EXPIRATION OF COVERAGE UNDER THIS
ENDORSEMENT (I) UPON THE DATE OF SUBSTANTIAL COMPLETION OF REPAIRS TO OR THE REPLACEMENT OF THE PROPERTY
LOST OR DAMAGED OR (II) UPON SUCH EARLIER DATE AS THE CORPORATION MAKES OR TENDERS SETTLEMENT FOR SUCH
LOSS OR DAMAGE
C. ANY PROVISION UNDER PART 9, DIVISION 2 OF THE REGULATION BY WHICH THERE IS A DEDUCTIBLE AMOUNT PAYABLE BY
THE INSURED IN RESPECT TO A CLAIM THEREUNDER, SHALL NOT BE APPLICABLE TO THE INDEMNITY PROVIDED BY THIS
ENDORSEMENT.
D INDEMNITY PROVIDED BY THIS ENDORSEMENT FOR LOSS OF USE BY THEFT SHALL BE PRIMARY AND THE AMOUNT PAYABLE
UNDER SECTION 124 OF PART 9, DIVISION 2 OF THE REGULATION SHALL BE EXCESS AND NOT SUBJECT TO THE SEVENTY.
TWO HOUR WAITING PERIOD OTHERWISE APPLICABLE.
E. NO REIMBURSEMENT SHALL BE MADE FOR ANY EXPENSE WHERE THE VEHICLE TO WHICH THIS ENDORSEMENT APPLIES
IS EITHER A TAXI OR A U-DRIVE.
F. THE CORPORATION SHALL NOT BE LIABLE UNDER THIS ENDORSEMENT UNLESS AT THE EFFECTIVE DATE HEREOF, AND
UPON THE PRESENTATION OF A CLAIM FOR REIMBURSEMENT HEREUNDER, THERE IS AVAILABLE TO THE GENERAL PUBLIC
FROM AN ESTABLISHED LESSOR OF VEHICLES, OR FROM SUCH OTHER LESSOR AS MAY BE APPROVED IN WRITING BY THE
CORPORATION, A SUBSTITUTE RENTAL VEHICLE WHICH IS GENERALLY EQUIVALENT IN DESCRIPTION TO THE VEHICLE TO
WHICH THIS ENDORSEMENT APPLIES.
EXCEPT AS OTHERWISE PROVIDED IN THIS ENDORSEMENT ALL LIMITS, TERMS, CONDITIONS, PROVISIONS, DEFINITIONS AND
EXCLUSIONS OF THE REGULATION SHALL HAVE FULL FORCE AND EFFECT.
RA TE CLAM APffil.M1. P11114
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(SPECIAL COVERAGE POLICIESIENDORSEMENTS ONLY) CORPORATION
PREICAllt0 RAIRANI TO ACTION Ti) OP THE Wolf 1) /NORA TON 1101,i (II MUM (I ELROR
UMW OR INSUAR NCI (ROTOR RI ...WO ACT INE TRA/HE CALLED T NI REGULAR°. Rt NSNAP ZIP utt 'NT EOIIPfMP tow
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PARTICULARS OF CHANGE. THE INSURED HEREBY ACKNOWLEDGES AND AGREES TO THE FOLLOWING AMENDMENTS
'COMPLETE ENTIRE SECTION

tRoOIL RARE POOH Swil OMEN NO OfICAPT ION YE NCLA tEOLIRMINT Of k1i </NOM elfitty T CON
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1 1 3 1 1 I
1 COVERAGES LIMITS OF LIABILITY /DEDUCTIBLES ■ PREMIUMS

04.1.0 PAI,,,
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AA.IUTY
a , 0 , 00 , 0:1 1 „
EXCEPT AS OTHERYASE PROVIDED IN THIS ENDORSEMENT. ALL LIMITS.
TERMS . CONDITIONS PROVISIONS. DEFINITIONS AND EXCLUSIONS OF THE Paw•awn al.ms *ow a AS PER REGULATION INCLUDED
REGULATION SHALL NAVE FULL FORCE AND EFFECT uNOUTHOLMO PRI MINA
NoTCRITIT
PROTECTION • YES El NO SIi
Oar, DYSON II I
WHEN VALIDATED AND SIGNED IT AN AUTHORIZED AGENT THIS ENDORSE ODUATON DE DoCT3LE COMM( NI NS prl owN oiw41 INNottswa
MINT CONFIRMS INSURANCE COVERAGE IS IN FORCE ACCORDING TO THE DEOLTCTIki
TERMS AND CONDITIONS OF THE ENDORSEMENT AND PURSUANT TO THE OWN
INSURANCE (MOTOR VEHICLE) ACT AND REGULATION DAMAGE S I .2 1 1 SI ) 1 1 SI i I
(PART 2 ONmpoN m sPeoTio PIRLA OW ALL POLLS Dt 0 OHN DARIAGE RIK (lour
$ $1
SI .1 1 1 i I 1
LOSS OR UM uw T a T I TOTAL LIMIT
111•01710
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INSURANCE CORPORATION OP MUSH Mows. OTHER NI RACE MENT
COVERAGES C3 .ts C3 No 2747. I $1 E L i
ANTRAL ..1■1
CLAIM SATED SI I I I
LG./ARA( ,1S01.10 DISCOUNT GuRCHARDE oscooNT t solooRci
TIME OF VALIDATION
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API 2•S• 06-1151

E INSURANCE
CORPORATION
OF BRITISH COWMBIA
DAMAGE INSURANCE COVERING NON•OWNED VEHICLES
IN THE CUSTODY OF THE INSURED RIDER
PouscmassokotsuANI TO SECTION 153 OF ENE REviSED REGULATION ow,
uh0Fu ihSuriANCE1100 7014 vEHICLf 'ACT iwEhriNarrEa CALLED THE ItEGuLatiON
APV•27
9
tzf<EINAPTER CALLED THE CORPORATION)
INSURING AGREEMENT
The Corporation agrees to indemnify the Insured against liability of the Insured for direct loss or damage to any vehicle (Including
its equipment) while in the care. custody or control of the Insured, provided that such vehicle is not owned in whole or part by c•
licenced in the name of the Insured or by any person residing in the tame dwelling premises as the Ineured, and further providinc
that the loss or damage Caused thereto arises from such of the perils described in the Coverage eel Out On the face of the Specia
Own Damage Insurance Policy, for which a premium is specified, but Indemnity is Subject to the Special Terms. Conditions and
Limitations set out below
DEDUCTIBLE CLAUSE
The deductible amount set Out On the face Of the Special Own Damage Insurance Policy for which a premium is specified and pa c
shall be the amount deductible Per vehicle for each claim except claims for loss or damage by fire or theft of the entire vehicle
SPECIAL TERMS, CONDITIONS AND LIMITATIONS

The 'qv)t of the Insured to recover indemnity under this Policy shall be subject to the following Special Terms, Conditions a^c
Limitations
1 The indemnity provided by this policy shall be only in respect of vehicles 01 the type prescribed by the Insured on the face of Int
Special Own Damage Insurance Policy
2 Subject to the deductible amount applicable to each such vehicle, the Corporation shall not be liable under this policy for an.
amount in excess of the amount /exclusive of interest and Costs) prescribed on the face of the Special Own Damage Insurance
Policy. for any one vehicle
3 Each such vehicle Shall be used Only with the Consent 01 the owner or lessee thereof
4 The additional Terms and Conditions under Part 9. Division 2 of the Regulation shall, insofar as they are applicable to the sub:e:•
matter of this policy. extend to the indemnity provided under this policy
5 Insurance provided by this policy shall be primary to any other applicable insurance coverage existing on the non owned yericie,„
6 There shall be no indemnity pursuant 10 this policy 101 loss o' use of any Such nOn.owne0 vehicle
Except as otherwise provided in this policy. all Limits. Terms. Conditions, Provisions. Definitions and Exclusions of the Regular ior
Shah apply With full force and effect to this pciicy
NON-OWNED AUTOMOBILE POLICY E INSURANCE 9b
•NisoNsioruNsu•N1 SECNoN .S.10P
uNOF• Tml
• VOID REGULAT ■ON MEW,
MO'l• OR.C■ E AC• .EINNAP•t• r..• ■. D
CORPORATION
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2. THE AUTOMOBILES IN RESPECT OF WHICH INSURANCE IS TO BE PROVIDED ARE THOSE NOT OWNED IN WHOLE OR IN PART BY,
OR LICENCED IN THE NAME OF THE INSURED, USED IN THE INSURED'S BUSINESS.
3. COVERAGE WAIT 0. LIAIM111V

No 15,10110 I ._ ANNGAL m•ENIum
.FG•L NA., 6, MINIMUM
I I
••,,c•sa Nir..C•h•DA AND THE L/M,tu is
Vat/SOP PRIM" I I 11
I 101010
01, SI • I I 4 PREMIUM 515
koonoNAL P•EMIuM FOR enDA10 N101 MINIMUM CRC
COvI•AG/ iI 4C IP? CANADA AND 1441
UN, 113 111115 Jr ANEWCA. 0 YES 0 NO $1 s I I 4 PREMIUM S30 USE
ONLY
...Num .4 ,F•tm IF•0•4,(0 F•lmuN
CASH O CNEOUE
4. (a) THE PREMIUMS STATED IN ITEM 3 OF THIS POLICY ARE COMPUTED ON THE TOTAL NUMBER OF PARTNERS, OFFICERS,
EMPLOYEES AND AGENTS, EMPLOYED IN THE BRITISH COLUMBIA BUSINESS OPERATIONS OF THE INSURED ON THE EFFECTIVE
DATE OF THIS POLICY, WHO IN THE COURSE OF THEIR EMPLOYMENT DRIVE AUTOMOBILES NOT OWNED IN WHOLE OR IN
PART BY, OR LICENCED IN THE NAME OF THE INSURED.
(b) WHERE AN ADDITIONAL PREMIUM FOR WORLD WIDE COVERAGE IS SHOWN ABOVE, INSURING AGREEMENT B AS CONTAINED
ON THE BACK OF THIS APPLICATION IS HEREBY AMENDED TO READ THAT SUCH INDEMNITY SHALL BE PROVIDED TO SUCH
INSURED WHILE WITHIN BRITISH COLUMBIA OR OUTSIDE BRITISH COLUMBIA ANYWHERE IN THE WORLD.
5. SIGNATURE BY THE INSURED OF THIS APPLICATION ACKNOWLEDGES ALL THE TERMS AND CONDITIONS CONTAINED ON BOTH
THE FRONT AND BACK OF THIS APPLICATION AND DECLARES THAT THE FOREGOING ANSWERS ARE TRUE AND WHERE (A) AN
INSURED IN HIS APPLICATION FOR A POLICY GIVES FALSE PARTICULARS TO THE PREJUDICE OF THE CORPORATION OR
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 POLICY OR THE REGULATION OR COMMITS A FRAUD, OR (C) THE INSURED
WILLFULLY MAKES A FALSE STATEMENT IN RESPECT OF A CLAIM UNDER THE POLICY OR THE REGULATION, ANY CLAIM BY
THE INSURED IS INVALID AND THE RIGHT OF THE INSURED TO RECOVER INDEMNITY IS FORFEITED.
TIAN OP VALIDATION
• hl
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1,0••TuM OP 11111141 0 S.ONANAII Cr •GE
MN 79 411151
9i
INSURING AGREEMENTS
/RN\ IN CONSIDERATION OF 'HE PREMIUM PAID AND STATEMENTS MADE BY THE INSURED IN THE APPLICATION ATTACHED TO THIS POLICY THE CORPORATION AGREES
TO INDEMNIF• THE NAMED INSURED IHEREIN•F TER CALLED THE INSUREDI PURSUANT TO THE INSURANCE !MOTOR VEHICLEI ACT AND IN ACCORDANCE WITH THE
REGULATION FOR PART 6 THIRD PARTY LEGAL LIABILITY WHICH IS IMPOSED BY LAW UPON THE INSURED FOR LOSS OR DAMAGE ARISING FROM THE USE OR OPERATION
OF AN AUTOMOBILE NOT OWNED IN WHOLE OR IN PART BY BY OR LICENCED IN THE NAME OF THE INSURED. BUT THE PAYMENT OF SUCH INDEMNITY IS SUBJECT TO
THE FOLLOWING CONDITIONS.
A 'HE CORROFIV.04 SHALL NO' BE LIABLE
I FOR ANY LIABILITY WHICH ARISES FROM THE USE OR OPERATION OF ANY AUTOMOBILE WHILE PERSONALLY DRIVEN BY THE INSURED IF THE INSURED IS AN
INDIVIDUAL . OR
2 FOR ANY LIABILITY IMPOSED UPON ANY PERSON INSURED BY THIS POLICY
!!! BY ANY WORKERS COMPENSATION LAW, OR
1..1 BY ANY LAIN FOR BODILY INJURY TO OR THE DEATH Of THE INSURED OR ANY PARTNER. OFFICER. EMPLOYEE OR AGENT Of THE INSURED WHILE ENGAGED
THE BUSINESS OF THE INSURED. OR
!!!!1 FOR LOSS OR DAMAGE TO PROPERTY CARRIED IN OR UPON AN AUTOMOBILE PERSONALLY DRIVEN BY ANY PERSON INSURED DT THIS POLICY OR TO ANY
PROPERTY OWNED OR RENTED BY OR IN THE CARE. CUSTODY OR CONTROL OF ANY SUCH PERSON
B INDEMNITY PROVIDED BY THIS POLICY IS IN EFFECT ONLY WHEN THE INSURED IS A RESIDENT OF BRITISH COLUMBIA AND SUCH INDEMNITY SHALL BE PROVIDED TO
SUCH INSURED WHILE WITHIN BRITISH COLUMBIA OR, WITHIN CANADA OR THE UNITE() STATES Of AMERICA OR UPON A vassal. TRAVELING BETWEEN CANADA
AND UNITED STATES OF AMERICA PROVIDED THAT WHERE THE INSURED IS A COMPANY OR PARTNERSHIP, INDEMNITY PROVIDED BY THIS POLICY TO A PARTNER.
OFFICER. EMPLOYEE OR AGENT OF SUCH COMPANY OR PARTNERSHIP SMALL BE IN FORCE WHILE SUCH PARTNER. OFFICER. EMPLOYEE. OR AGENT IS WITHIN
BRITISH COLUMBIA OR. WITHIN CANADA OR THE UNITED STATES OF AMERICA OR UPON A VESSEL TRAVELING BETWEEN CANADA AND THE UNITED STATES OF
AMERICA. TRANSACTING OR CONDUCTING THE BUSINESS OF THE INSURED COMPANY OR PARTNERSHIP WHICH ORIGINATES WITHIN BRITISH COLUMBIA.
GENERAL PROVISIONS AND DEFINITIONS IN ADDITION TO THE REGULATION
,al ADDITIONAL INSUREDS

THE CORPORATION AGREES TO INDEMNIFY IN THE SAME MANNER AND TO THE SAME EXTENT AS IF NAMED HEREIN AS THE INSURED. EVERY PARTNER OFFICER.
EMPLOYEE OR AGENT OF THE INSURED WHILE TRANSACTING OR CONDUCTING THE BUSINESS OF THE INSURED COMPANY OR PARTNERSHIP WHICH ORIGINATES
WITHIN BRITISH COLUMBIA WHO WITH THE CONSENT OF THE OWNER THEREOF PERSONALLY DRIVES Oa IN THE BUSINESS OP THE INSURED ANY .411TOMOBRE
NOT OWNED IN WHOLE OR 4 PART ST OR L .-.ESCED IN THE NAME OF III THE INSUPED. OP .4I SUCH ADDITIONAL INSURED PERSON. OR III ANY PERSOKOR
PERSONS RES 0 , 4G IN THE SAME DWELLING PREMISES AS THE INSURED OR SUCH ADDITIONAL INSURED PERSON. OP A, ANY AUTOMOBILE HIRED OR LEASED
IN THE NAME OF THE INSURED EXCEPT AN AUTOMOBILE OWNED IN WHOLE OR IN PART BY OR LICENCED IN THE NAME OP SUCH ADOITIONAL INSURED PERSON
!Er NON BUSINESS USE OF HIRED AUTOMOBILES

THE ,eoppop•no% AGREES TO INDELINtry IN THE SAME MANNER ANDY° THE SAME EXTENT AS IF NAMED HEREIN AS THE INSURED EVERY PARTNER. OFFICER,
EMPLOYEE OR AGENT OF THE !NSuREO wHO WITH THE CONSENT OF THE INSURED. PERSONALLY DRIVES ANY AUTOMOBILE HIRED OR LEASED BY OR ON
BEHALF OF THE INSURED EXCEPT ANY AUTOMOBILE OWNED IN WHOLE OR IN PART OR LICENCED IN THE NAME OF SUCH PARTNER, OFFICER. EMPLOYEE OR
AGENT OF THE INSURED
2 TWO OR MOPE VEHICLES
WHEN !WO OR MORE AUTOMOBILES ARE INSURED HEREUNDER THE TERMS OF THIS POLICY SHALL APPLY SEPARATELY TO EACH, BUT A MOTOR VEHICLE AND A
TRAILER OR TRAILERSATTACHED THERETO SHALL BE HELD TO BE ONE AUTOMOBILE IN RESPECT TO LIMITS OF LIABILITY UNDER PART SOF THE REGULATION
3 ANY CLAIM FOR INDEMNITY PURSUANT TO THIS POLICY SHALL BE PRESENTED AND PROCESSED IN ACCORDANCE WITH THE INSURANCE (MOTOR VEHICLE) ACT
AND REGULATION THEREUNDER
4 CROSS LIABILITY
THE INSURANCE AS ,S AFFORDED BY THIS POLICY SHALL APPLY IN RESPECT OF ANY CLAIM OR ACTION BROUGHT AGAINST ANY ONE INSURED SY ANY OTHER
INSURED THE COyEa•GE SHALL APPLY 114 THE SAME MANNER AND TO THE SAME EXTENT AS THOUGH A SEPARATE POLICY HAD BEEN ISSUED TO EACH INSURED
THE INCLUSION HEREIN OF MORE THAN ONE INSURED SHALL NOT OPERATE TO INCREASE THE LIMIT UNDER T. IIS POLICY
5 OTHER INSURANCE
SUBJECT TO PROVISION I OF THESE GENERAL PROVISIONS. IF THE NAMED INSURED HAS OR PLACES ANY ADOMONAL OR OTHER VALID INSURANCE OP HIS
INTEREST IN THE SUBJECT MATTER OF THE CONTRACT OR ANY PART THEREOF THE CORPORATION SHALL BE LIABLE ONLY FOR ITS RATEABLE PROPORTION OF
ANY LOSS OR DAMAGE
6 FOR THE PURPOSES OF THIS POLICY AUTOMOBILE INCLUDES A TRAILER
IN WITNESS WHEREOF. THE CORPORATION HAS CAUSED THIS POLICY TO BE SIGNED BY ITS PRESIDENT AND 000 EXECUTIVE OFFICER. BUT THE SAME SHALL NOT BE
BINDING UNTIL COUNTERSIGNED BY A DULY AUTHORIZED REPRESENTATIVE OF THE CORPORATION.
f f I
NSu•ANCE COlfoom oro Of 1011111. COLIANII4
913
INSURANCE NUCLEAR ENERGY HAZARD EXCLUSION ENDORSEMENT

APV•29A
CORPORATION PRESCRiSED PURSUANT TO SECTION 43 OT THE PEEVISH) REGULATION OW)
UNDER THE INSURANCE MOTOR VEHICLE, ACT IHEITEINAFTER CALLEO THE REGULATION)
Of BRfTtSH COWMBLA
INER WAFTER CALLED THE CORRORATiC•.
EFFECTIVE DATE x v DATE POLICY MUMMA
11111
NAME OF INSURED
I I I I
1 I 1 1 1 1 1 I 1 1 1 1 1 1 1
1 1 I I 1
IN CONSIDERATION OF THE PREMIUM PAID. SECTION 56 SUBSECTION (a) OF THE REGULATION, EXCLUDING LOSS OR DAMAGE
ARISING OUT OF NUCLEAR ENERGY AS DEFINED IN THE INSURANCE ACT, IS HEREBY WAIVED IN SO FAR AS IT APPLIES TO
THE CARRIAGE OF RADIOISOTOPES, PACKAGED AND LABS? I ED IN ACCORDANCE WITH THE REGULATIONS OF TRANSPORT
CANADA , THAT ARE TO BE USED FOR MEDICAL TREATMENT, RESEARCH, PHOTOGRAPHY, X RAY OR OTHER SIMILAR PUR
POSES UTILIZING RADIO ISOTOPES
EXCEPT AS OTHERWISE PROVIDED FOR IN THIS ENDORSEMENT ALL LIMITS, TERMS. CONDITIONS, PROVISIONS, DEFINITIONS,
AND EXCLUSIONS OF THE POLICY, THE INSURANCE (MOTOR VEHICLE) ACT ANC REGULATION SHALL HAVE FULL FORCE
AND EFFECT .
WHEN VALIDATED AND SIGNED BY AN AUTHORIZED AGENT THIS

ENDORSEMENT CONFIRMS INSURANCE COVERAGE IS IN FORCE
ACCORDING TO THE TERMS AND CONDITIONS OF THE ENDORSE•
MENT AND PURSUANT TO THE INSURANCE (MOTOR VEHICLE) ACT
AND REGULATION
IAN OF VALIDATION
AM
FM
NL)1 VA. , 1)
PRESIDENT AND CHIEF EXECUTIVE OFFICER UNLESS STAMPED
INSURANCE CONPORATION Of EROTISM COlUMSIA Pv
L.
SIGNATURE OF INSURED SIGNATURE OF AGENT
ARV $A 10E51.
TEMPORARY CHANGE OF USE ENDORSEMENT n INSURANCE
(TO A HIGHER RATING CLASSIFICATION) L I CORPORATION
INIACAIND NoINJANT TO DICTION ID) CH TN. 1444E0 4.00,AnoN REIM ( (RIMIER
uNDt• TAT 14kAANCI .0101 TIINCLV ACT ■NONINATTl• CALLAO Tel AVOLAANON 06,.10 [1:0•0•6,0•••
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IN CONSIDERATION OF THE PREMIUM PAID FOR THIS ENDORSEMENT, THE OWNER OR DRIVER OF THE VEHICLE DESCRIBED IN THE OWNER'S
CERTIFICATE OF INSURANCE TO WHICH THIS ENDORSEMENT APPLIES IS PERMITTED TO OPERATE THE VEHICLE TEMPORARILY FOR A PERIOD NOT
EXCEEDING 3 MONTHS FOR THE USE SET OUT HEREAFTER AND ACCORDING TO THE TERMS OF THIS ENDORSEMENT .
MAN 01.1 Cur COVI TITAVONANT PATS OJAI fusocarm,R9 MAXIMUM NO

Non., TfiroOnai. Of DA/1 PE I
TRIP fOR DLUY,Cm
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COTINAGI S Limn Of ukilAiT, ANNUAL mEluml ANNUAL ONNIONoN

C PrTiFiCATI Of ...SOURCE FOR NORRAL Lsl PON TIANONAPT use
OAK WIND
LEGAL LWI•Lrry ■Rme $1 I 1 I 10 9 0 1 0 1 0 SI .9 I I $1 1 I I
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LEGAL LIABILITY IRAm I DIVISION
vi I
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j $1 9 I $1 1 1 t
UNDITINTSUAID MOTORS? PANDTICTION
IVAITT 1 DIvISION II Ei YES
All WKS DID
El NO C 1 I I $1 1 1 1 WARNING
COLLISION IDIDUCT$DLI
1151 OF VEHICLEISI OUTSIDE BRITISH
COLUMBIA IN INSTANCES WHINE 01
OWN DAMAGE $ 1* I I $ 11 I SI 3 1 L THE VERICLEiSI IS RICHSTERED AND
WART 9 0111.04 SPICool0 ft MLE DID 004.141•1141 LICENSED IN ANOTHER JuRiSIRCTION
INDATTN•6 MINE LAW OF ANOTHER JURISDICTION
111104111111 THAT IT SEMI D AND
$1 • 1 $1 $1 1 1 I LICENSED THERE. OR ICI IT HAS SEEN
UNIT NIA GAT TOTAL LIMIT PENMAN REMOVED FROM THE
LOSS OP USE IPA. I tsv114.. PROVINCE FOR MORE THAN SO DAYS .
WHICHEVER COMES CAST MAY IN
51 I I 0, 0 31 1 I .1 $1 1 I I VALIDATE THE COVERAGE uNCIIII THIS
ENDORSEMENT OF IN DOUBT. PLEASE
DON my Rom 0011 CONSULT TOUR .'MOTORIST KIT" OR
upOINTAIN II I MIENT I
CLAINNATIO
INDICATE DISC k DISCOUNT 111.111CMAADI
SLAG AS SHOWN
ON ORIGINAL
INSURANCE
DOCUMENT
TA. A., ANA D..
$15 I I
mmour *oft P1600 Of NOM*. MK
EXCEPT AB OTHERWISE PROVIDED IN THIS ENDORSE• COWRAOI . Mu 0* TOTAL
ANNUAL PMMIUM
MINT. ALL LIMITS, TERMS. CONDITIONS. PROVISIONS
CHIN/AINCI MONTI. OA r X
DEFINITIONS AND EXCLUSIONS OP THE REGULATION VAIN TINAVOV $ I ALL PREMIUMS SHOWN
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I
AM RETAINED
4 MIN mat. Ho
COWMAN . 1• OF TOTAL
ANNUAL PRE■Num MCMINN= X
All DAT DO TRW PORA11001 st KARR CI emwmG
*MN vAuCIATIO *NO MONO By AN AYTITOONSIO UMW DN.
INOORSIMINT Commlue oduA.ARC.1 00V11441 I IN FORCE IOSIC USE DWI TIM) OF VALIDATION
Ace:mums TO TN( mum ANO COMOTTON1 Of 1011 INOCNIA
Wool AND PLINIuma TO Tool INIILAIANCE MOTOR Lima!) ACT AM
AND REOLILAIOR • IA
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API 40 MISS,
SPECIAL EQUIPMENT ENDORSEMENT r INSURANCE
H CORPORATION
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IN CONS.;ARATION OF THE PRE TA'uM RAG) FOR .TTS ETTOCIPSEmEN * THE CORPORATION AGREES TO INDEMNitv THE INSURED PURSUANT TO PART A DI., S.OTT : OF
THE REC,u.AT.ON FOP LOSS OR DAMAGE TO THE FOLLOWING ECTuoPTA NT DESCR.BED IN ITEM I ANDOR ONE OR MORI OF ITEMS 2 AND 4 SUBJECT TO THE DEC, eat
VALUES 00 DEDUCTIBLE .MOON' SET OUT ITIE,CM ,F4 RELATION TO SUCH EOLAPMENY AND SUBJECT TO THE TERMS AND CONDITIONS CONTAINED ON THE FRONT ANL
BACA OF T.15 ENDORSEYETT*
FOLPPVITT - CAMPER CL • • ',lel vs• • on T•PE PL•vER OR TAPE SPECIALLY ATTACHE() MACHINERY OR
E. 2 • -
c•'.:, • P,.• • I 11 RADIO C0MF11•• ■ •.(111. 10u.ProEhT IRATE GROUP VEHICLES Oho,.
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SU E ;ACT TO THE SPECIAL TERMS AND COLLISION
.......
COIWITIONS CONTAINED ON THE BACK Si 1 i 51.1 Si. 1 , Si a 1•I I
OF THIS ENDORSEMENT WHICH FORM COMPREHENSIVE t.
PAF T OF THIS ENDORSEMENT AND ARE .911 Si • . Si .m
Sue TOT ANN Pat.
BIN DING UPON THE INSURED. SPECIFIED PERILS
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USE
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AN 7) CO'. ,1p. 1Ht
F L'F,SUAN7 TO THE it:F,JHANCE t1,401014 VEHiC,.E: ACT
AND REGULATION
WARNING!
UL-1 U1 THE Dt ScR■ BED VEHICLE OUTSIDE BRITISH COLUMBIA IN

INSTANCES WHERE (Al THE VEHICLE(S)IS REGISTERED AND LICENSED
IN ANOTHER JURIS111( HON IBI THE LAW OF ANOTHER JURISDICTION
r„I oLoPEL. Pitt c-1GiS1(14IU AND LICENSED THI Al OF : IT
r: REEN rrr 74 ,:r •,' more "HE PF:"V1%. I I L I. kt.RI
_ .......11 E(14.. I IP..1 MA ■ 11,41E THE
1, 4.1_: I 411 1 .. • I %DORSI PH NT .11 IN Dn'tt'T CON
••: 11000. Mt • ■ I ' ;.,.I ,
I' --torts • • .
0
INSURANCE OWN DAMAGE RIDER (FOR VEHICLES VALUED IN EXCESS OF (150,000)

Hitscrfie(oPuilsuANT TO SECTION IS) Or THE NEviSEDNEGULANON APV•42A
CORPORATION UNDER THE INSURANCE IIAOTON VENICLEI ACT iNFREIN•FTER CALLED THE PEOULANON
1:1 (X BRITISH C(XUMBLA

ANNASREINAFIER CALLED THE CORPORATION
INSURING AGREEMENT
The corporation agrees to indemnity the Insured, on respect of the vehicle described on the front of the Special Own Damage Insurance
Polict to wmch this Rider is attached, for Own Damage Extension Insurance as set out on the front of the Special Own Damage in
surance Policy and for which a premium is specified, in accordance with Part 9, Division 2 of the Regulation
Except as otherwise provided in this pOlICy, all Limits, Terms, Conditions. Provisions. Definitions and Exclusions of the Regulation sna g,
have fun force and effect
WARNING'

NOT PERMITTED BY THE RATE CLASS SHOWN. OR 121 OUTSIDE BRITISH
COLUMBIA IN INSTANCES WHERE (A) THE VEHICLE IS REGISTERED
AND LICENSED IN ANOTHER JURISDICTION, (B) THE LAW OF ANOTHER
THERE, OR IC) IT HAS BEEN PERMANENTLY REMOVED FROM THE
PROVINCE FOR MORE THAN SO DAYS, WHICHEVER COMES FIRST, MAY
INSURANCE tIF IN DOUBT, PLEASE CONSULT YOUR "MOTORIST KIT"
OR AGENT )
. ,
1U
UNLICENCED VEHICLE POLICY INSURANCE
(OFF HIGHWAY PLEASURE USE OR VEHICLE IN STORAGE ONLY) CORPORATION
EPPS. D •• ••
uN~lr I"! NS...ND v • f .* •' •..I at •• N
• IM• Dag IAUY..OR,i••'ON No/SI A Pot ■C• Num. ore IC
NAM DI INSLINO ISIONAN OILOND SY WEIN NAUf Sk •

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IN CONSIDERATION OF THE PREMIUM PAID FOR THIS POLICY THE CORPORATION AGREES TO INDEMNIFY THE INSURED FOR THIRD PARTY LEGAL LIABI L ITY ANC OWN
DAMAGE INSURANCE AND PAY BENEFITS TO OR ON BEHALF OF THE INSURED FOR ACCIDENT BENEFITS INSURANCE. PURSUANT TO THE RESPECTIVE KARTS OF THE
REGULATION. WHERE • PREMIUM IS SPECIFIED AGAINST THAT COVERAGE SHOWN HEREUNDER AND SUBJECT TO THE TERMS AND CONDITIONS SET OUT HEREAFTER FOP
THE DESCRIBED UNLICENCED VEHICLE
VEHICLE OESCRETION
E ...•1 --T .0ENDIIC• ATEITrA,ON NIA.64 • 64kA..vEtH
cc
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rfEIII 4•a. ,. CDR APPLICABLE VEHICLE RATE CLASSES •• DECLARED ',at,/
4 i 0 ATG ATV 126 A WHEEL MOTORCYCLE TYPE, 122 022 652 653
1 1 $11 1 411
651 452 653 121 122.022
4 ' I MOTORCYCLE INCLUDING TRAIL ' DIRT EIKE MOTOCROSS 654 655 656 024 Oa on , , $
BUSH/DUNE BUGGY IAUTOmOISLE TYPE 001

4 1 1
1
. 4 . 3 sNowmos,Al . YER 100 CV IN WIDTH Oil
$1 I 1 ___i 1 1
A A 029
.1 q SNOWMOBILE IUNOER IOC CM IN IN.D'H,
I 1 1 .. $1 1 1 4 1 1
4 5 VEHICLE IN STORAGE OR ON CONSIGNMENT VARIOUS

1 1 S111911
.
4 j 6 1.1P.,8,0us VEHICLES 'USED 0%, AND OP WATER Da
4 1 7 PTREI VDAITNE kPeAm

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4 t9 ALLP . y 12 A .
v•PlOuS
PLEASURE LIS WHEEL DRIVE VEHICLES TRAILERS. 1 1 1 SI 1 I i i 1
CO./RIG! um, OE I. • • v i,. AN•evat.l.If.M
$1 10901010
ACORN. A$ NR NCHN AEON INCLUDED
sg..E. ;EL ■•••• E
CO, 1.1.0% Of D
IMINGI 1 1
MARE R DIVISON SINC ,I.ID NNII DID IC01•MeHErfNl DID CASH ❑ CHEQUE 0
sl , I I ISI , 1 1 $1
,o,
1 CDC USE ONLY
NONI111.•1•Nom
MINIMUM PREMIUM
$1 S1 I I EIS
PROVIDED ALWAYS THAT THE POLICY OF INSURANCE BHA L SE SUBJECT TO HE SPECIAL TERMS. CONDITIONS AND EXCLUSIONS CONTAINED ON THE SACK OF THIS
POLICY WHICH SHALL ALSO FORM PART OF THE SAID POLICY AND SHALL SE BINDING UPON THE INSURED
SIGNATURE BY THE IN SURED OF THIS POLICY ACKNOWLEDG S ALL THE TERMS AND CONDITIONS CONTAINED HEREIN AND DECLARES THAT THE FOREGOING PARTICULARS
ARE ?Hut AND WHERE f Al THE INSURED IN THIS POLICY GIVES FALSE PARTICULARS TO THE PRE JUDICE OF THE CORPORATION OR KNOWINGLY MISREPRESENTS OP FAILS
10 DISCLOSE IN THIS POLICY ANY FACT REQUIRED 10 BE S ATED HEREIN OR 151 THE INSURED CONTRAVENES A TERM OR CONDITION OF THE POLICY OF INSURANCE OR
THE REGULATION OR COMMITS A FRAUD OR ICI THE INSURED WILLFULLY MAKES A FALSE STATEMENT IN RESPECT co A CLAIM UNDER THE POLICY OF INSUPANCE OR
THE REGUL ATION ANY CLAIM BY THE INSURED UNDER THE SAID POLICY IS INVALID AND THE RIGHT OF THE INSURED TO RECOVER INDEMNITY THEREUNDER IS FORFEITED
IAND IN ADDITION OR AS AN ALTERNATIVE WHERE APPROPRIATE AND APPLICABLE THE CORPORATION MAY CANCEL THE SAID POLICY PURSUANT TO SECTION SS OF THE
REGULATION.
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104
SPECIAL TERMS, CONDITIONS AND EXCLUSIONS
1'iHE". OFt:HATIn., SHALL BE OFF H AND ONLY FOR PLEASL, HE

PURPOsLS OR NOT IN UPEHATION IRE VEHILLE SHALL BE COVERED HEHtUNUEN WHILE IN STORAGE
ONLY
THIS P;),I^,1 BE EXCESS TO ANY OWNERS CERTIFICATE COVERAGE IN THE EVENT THE VEHICLE IS AT
TIVE LICEN'ED IN ACCORDANCE WITH THE DEFINITION OF LICENCE CONTAINED IN THE INSURANCE
(MOTOR VEHICLE, ACT
3 WHERE THE VEHICLE IS A MOTORCYCLE WITH AN ENGINE CAPACITY NOT EXCEEDING 100 C C OR A SNOW
VEHICLE THE USE OR OPERATION OF THE VEHICLE BY A PERSON UNDER THE AGE OF SIXTEEN YEARS WITH
THE CONSENT or THE INSURED. SHALL NOT INVALIDATE THE INSURANCE PROVIDED BY THIS POLICY UNLESS
THE VEHICLE IS USED
(al UPON A HIGHWAY AS DEFINED IN THE INSURANCE (MOTOR VEHICLE) ACT OR UPON ANY RIGHT OF WAY OR
PUBLIC LAND ADJACENT THERETO. OR IN ANY PUBLIC PARR WITHOUT THE EXPRESS PERMISSION OF THE
AUTHORITIES HAVING JURISDICTION TO GRANT SUCH PERMISSION, OR
CONTRARY TO THE MOTOR VEHICLE (ALL TERRAIN) ACT AND REGULATIONS
4 IN RESPECT TO A SNOW VEHICLE OR SNOWMOBILE, THE USE OR OPERATION OF A TRAILER OF THE TOBOGGAN
OR SLED TYPE OWNED BY THE INSURED AND NOT DESCRIBED ABOVE IN CONNECTION WITH THE DESCRIBED
SNOW VEHICLE OR SNOWMOBILE SHALL NOT INVALIDATE THE INSURANCE PROVIDED UNDER THIS POLICY
AND WHEN SO USED THE VEHICLE AND TRAILER SHALL FOR THE PURPOSES OF THIS POLICY BE DEEMED A
SINGLE VEHICLE
5 INDEMNITY AFFORDED BY THIS POLICY SHALL NOT APPLY TO
la, A VEHICLE WHILE BEING USED AS A LIVING ACCOMMODATION. EXCEPT ON A TEMPORARY BASIS FOR
RECREATIONAL PURPOSES
ANY VEHICLE WHEN IN OPERATION AND USED OFF HIGHWAY FOR ANY COMMERCIAL OR BUSINESS
OPERATION. OR
ICI ANY MOTORCYCLE WHICH IS REQUIRED TO BE INSURED BY A SPECIAL OWN DAMAGE INSURANCE POLICY
6 FOR THE PURPOSES OF THIS POLICY

tat A VEHICLE IN STORAGE ME ANS 'A VEHICLE. NOT CURRENTLY LICENCED, WHICH IS IN STORAGE ON THE
INSUREDS PRIVATE PROPERTY OR AT ANY OTHER LOCATION WITHIN CANADA OR THE UNITED STATES OF
AMERICA. AND WHIC.- IT IS UNDERSTOOD AND AGREED WILL NOT BE DRIVEN ON ANY PUBLIC HIGHWAY.
PRh, ATE ROAD OR PRIVATE PROPERTY DURING THE TERM OF THIS POLICY"
ID, A VEHICLE ON CONSIGNMENT MEANS A VEHICLE NOT CURRENTLY LICENCED, WHICH HAS BEEN PLACED
BY THE REGISTERED OV.NER IT. THE CARE CUSTODY AND CONTROL OF A GARAGE SERVICE OPERATOR.
BUT NOT REGISTERED IN THE NAME OF SUCH OPERATOR. FOR THE SOLE PURPOSE OF THE SALE OF THE
VEHICLE
(c) A SNOW VEHICLE AS DEFINED IN THE REGULATION IS THE SAME AS A SNOWMOBILE AS DEFINED BY THE
MOTOR VEHICLE IALL TERRAIN. ACT
7 NO INDEMNITY SHALL BE PAYABLE HEREUNDER IF THE NAMED INSURED IS NOT A RESIDENT OF BRITISH
COLUMBIA
EXCEPT AS OTHERWISE PROVIDE:, FOR IN THIS POLICY ALL LIMITS. TERMS, CONDITIONS, PROVISIONS, DEFINITIONS
AND EXCLUSIONS OF THE REGULATION SHALL APPLY TO THE INSURANCE GRANTED HEREIN
IN WITNESS WHEREOF THE Cr -+;,‘DRATioN HAS CAUSED THIS POLICY TO BE SIGNED BY ITS PRESIDENT AND
CHIEF EXECUTIVE OFFICER BL, THE SAME SHALL NOT BE BINDING UNTIL VALIDATED AND SIGNED ON THE
FRONT SIDE HEREOF BY AN AGENT OR OTHER AUTHORIZED REPRESENTATIVE OF THE CORPORATION
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RADIOACTIVE MATERIAL ENDORSEMENT [1] INSURANCE 10 . )
RINSCINVID flASuANT BECTON MVISADMOULATTON ■ Nsm
IADE• THE INSuRANCI HAOTCA vIlH/CLEI ACT TNEMA1AITTIA CALLED THE PlOYLATIOy,
CORPORATION
(V MIME (SLAW
SIN •••• COMSOH,. N
ARS • 17/ECTYVE RATE VARY DATE HAW ARMIES AUTHORIZATION NAMUR

FLEET AD
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IN CONSIDERATION OF THE PREMIUM PAID FOR THIS ENDORSEMENT. PERMISSION IS GRANTED FOR THE VEHICLE INSURED UNDER THE OWNER'S CERTIFICATE TO WHICH
THIS ENDORSEMENT APPLIES. TO BE USED TO CARRY RADIOISOTOPES PACKAGED AND LABELLED IN ACCORDANCE mu THE RSOULATIONS OF TRANSPORT CANADA
THAT ARE TO SE USED FOR MEDICAL TREATMENT. RESEARCH. PHOTOGRAPHY, RIMY OR OTHER SIMILAR PURPOSES UT1UZINO RADICMSOTORES.
SECTION 56 Of • HE REGULATION EACLUDING LOSS OA DAMAGE ARISING FROM NUCLEAR ENERGY HAZARD OR CONTAMINATION BY RADIO ACTIVE MATERIAL IS HEREBY
DELETED INSOFAR AS IT APPLIES TO THE CARRIAGE OF RADIO ISOTOPES AS DESCRIBED ABOVE
COYEAAGE MKT OF ummirry MAYA,

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OWN 000.41.11•1■.1 As PEN ov/NUT CIERT.FIC.TE HACLLAX0

DAMAGE
SKIT 1 ASTIR ONNE•SCENT.AKATi INCLUDED
I•AIAT PIA LS
( DIASTONT)
ALL PERILS ASPER OANAIISCINT1MATi INCLUDED
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$1
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ICSC
USE
ONLY
EXCEPT AS OTHERWISE PROVIDED FOR IN THIS ENDORSEMENT ALL LIMITS, TERMS, CONDITIONS, PROVISIONS, DEFINITIONS AND
EXCLUSIONS OF THE REGULATION SHALL APPLY TO THE INSURANCE GRANTED HEREIN .
WHEN VAUDATED AND SIGNED BY AN AUTHORIZED AGENT THIS

ENDORSEMENT CONFIRMS INSURANCE COVERAGE IS IN FORCE RAM OF VALICIATRoa
ACCORDING TO THE TERMS AND CONDITIONS OF THE ENDOW- •m
MENT AND PURSUANT TO THE INSURANCE IMOTOR VEHICLE) ACT •
AND REGULATION
PRINIMAIT AND CHIEF !RIMINI OFFICER

uNOLORANCA CORPORATION OF SAMS. COLUMBA
MONATLAI 0..NSLAI MONAIURE M AGENT
API 4110114Si
POLICY OF BLANKET FLEET INSURANCE r INSURANCE
L I CORPORATION
. "T T TIH•CLE HfAIN.T•I• :...1 'HI REDu.ATON
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IN CONSIDERATION Of THE PREMIUM PAID TO THE CORPORATION FOR THIS POLICY THE CORPORATION HERESY AGREES TO INDEMNIFY THE INSURED AGAINST LOSS OR
DAMAGE CAUSED BY PERILS SET OUT BELOW. FOR THE FOLLOWING LIMITS OF LIABILITY AND SUBJECT TO THE FOLLOWING DEDUCTIBLE AMOUNTS. LIMIT PER DAY AND
TOTAL LIMIT IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF APPLICABLE PARTS OF THE REGULATION IN RESPECT OF ALL LICENCE° VEHICLES OWNED. OR
LEASED FOR MORE THAN ONE MONTH BY . OR or THE NAME OF THE INSURED UNDER FLEET IDENTITY NUMBER
1
1 I I•I WHICH LIMITS OF LIABILITY DEDUCTIBLE AMOUNTS LIMIT PER DAY AND TOTAL LIMIT SHALL APPLY NOTWITHSTANDING THOSE LIMITS OF
LIABILITY DEDUCTIBLE AMOUNTS OR LIMIT PER OAT AND TOTAL LIMIT INDICATED TAI ON ANY MTV I APT 9 APT 290 OR APV I7 OR 111, ON ANY APT 42A RELATING THERETO
RESPECTIVELY ISSuED AND IN FORCE IN RESPECT 0 1 ANY VEHICLE INSURED UNDER THE AFORESAID FLEET IDENTITY NUMBER. BUT NOT IN ADDITION TO THE LIMITS OF
LIABILITY DEDUCTIBLE AMOUNTS OR LIMIT PEN DAY AND TOTAL LIMIT SET OUT ON ANY SUCH VALID AND SUBSISTING OWNERS CERTIFICATE OF INSURANCE AND VEHICLE
LICENCE OR SPECIAL COVERAGE POLICY iF0a OWN DAMAGE. RELATING THERETO AS THOSE DOCUMENTS ARE HEREINBEFORE IDENTIFIED BY FORM NUMBER IOR THE
PREDECESSOR OR SUCCESSOR FORM NUMBERS RESPECTIVELY UNDER DETAILS MI AND III. WWI
COVERAGE LIMIT 01 L.•111.LI'T

...so PANT. LEGA. LAS .■ • • I s , FOR UNDERINSURED MOTORIST PROTECTION EACH OWN DAMAGE OPTION
...• • $I 1 0 B 0. 0 0 WRITTEN ANO FOR LOSS OF USE COVERAGE. DESCRIBE VEHICLES BY TYPE
AND G V w (WHEN APPLICABLE!. OR TYPE AND MODEL TEAR. OR TYPE AND
ACCIDENT UNE. TT nr• •
FIRST PART , COTT...Hi AS PER SEOUL VON RATE CLASS OR. TYPE, NATE CLASS AND MODEL YEAR
OMIT 10,
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PACTE'T.ON P.•• AS PVT REGULATION
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PREMIUM STS USE
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PROVIDED ALWAYS THr•
THE INSURED NAMED ABOVE RIPEN. AGREES IN THE EVENT OP • CLAIM UNDER THIS NmETANITT UNDER THIS POLTCY *NALL APPm ONLY TO AN PADA Oa ONNESTON MADE BY
POLICY TO PA• TO THE COTI.D.V.ON•LL PREMIUM THAT WOULD H•v1 BEEN PAYABLE THE INSURED HIS Wan OR EMPLOYEES TYTENTOwSION Of INSURANCE COyte•GE
OR DEDuCTELF •mouNTs LAY, PER WHICH 6 NOT IN ACCORDANCE WITH THE LIMIT or LIAsuTy DEDUCTIBLE AMOUNTS
ST THE INSURED T:.P.J•N •HE LIMIT PER DAY AND TOTAL LINT PaUCREGIO ON THEE POLICY Armco THE EPPICOVI OAT(
OAR AND IOTA. LINT INIESC•1110 ON THIS POLICY WHICH L.N, Or LIABILITY
Cl ENS POLICY MID SHALL NOT APPLY TO MN' DELIBERATE ACT SY THE INSIPID HIS
DEDUCTIBLE AMOUNTS OR LIMIT PER DAY AND TOTAL LIMIT WERE NOT PROY.DICum S. ON CIS! OR EMPLOYEES. WHICH MATS N THE PROVISION OR ANY WC. INSURANCE
ANT ••• • ••• S APT 2S0 OR AP I IT OR ■•• BY ANY AR, 42A MARRING THERETO 10$ WHICH W NOT IN ACCONOANCE WITH THE COVERAGE PRISCASED
THEIR mit DICESS2. OR SuCCESSOR rcav Numstm RE STItc ,yl• • ISSUED AND IN A ANY CLAM POP INDEMNITY PLANIEUANT TO MRS POLICY SHALL BE PRESENTED AND PRO
FORCE P. RESPECT OR A VEHICLE TO WHICH THIS POLICY MINAS MISSED IN ACCORDANCE WiTly THE INBURANCE (MOTOR YINKTLIS ACT ANO MOTAATKN•
INDEMNITY UNDER THIS POLICY SHALL III DEEMED AS PAID PURSUANT TO THE VALID AND THEalvNOEN
SUSSISTNO OWNERS CIRTIPGATE CIO INSURANCE ANO VEHICLE LCEN011 OP SPECIAL B WHERE THE ANSIARED TS ALSO Tull HOLDER Or A TEMPORARY OPIAATKos NN NI ARDOR
COVERAGE POCKY MO. OWN DAMAGE. RELATING THERETO As THOSE Ow:WM.6 ARE TatawvAT COGNING PERMIT AND TS( soar OR RABID Ram u•MUTY COMMIS( ON
MINIENSEPOPE IDENTweiD E. PORm Nustets cm THIN INIDECEIGN OR SUCCESSOR SAC.. TEMPORARY OPERATION maw as isEls•Wav MGM) PERMIT *Lim Tow. THE
PORN PEIMICIvti• wool. DETAILS IA, AND Ea CONTAINED IN PROVISION I LIMIT W TROD PAM" UASILITV COVERAGE PENTWO10 NINIUNOIR THE LIMIT Of THIRD
ASOvt 45010 AND IN IDRCE IN RESPECT Or THE VI HO 61 IRON WHICH L IABILITY ARISES PARTY uraTury COVERAGE ON SLICK TEMPORARY MANTON NNW ANOKA NIGHwrs
AND POP IS PAID emitsuANT TO THE VALID AND SUBSISTING OWNER 5 CROSSING PINOT 11.4.1. it DEEMED TO II NUM TO TINE UMW 00 TIRNO
CERTIFICATE OR SPECIAL COVERAGE POLICY UANLITy COVERAGE PROWOMSYNIMERIOIN
fru PT AS OTHERWISE P•OrDI 0 IN THIS POuCs ALL LIMITS TERMS CONDITIONS INTOY.S.ONS DtriNiTIONS AND ExCLuS•OreS OF THE 160usAITON SHALL APPLY METH
',AL FORCE AND ( ,TEC• TO VHS POLICT
SIGNATURE 9. THE INSURED OP THE POLICY ACKNOWLEDGES ALL THE TEARS AND CONDITIONS CONTAINED HEREIN AND DECLARES THAT TIE 'macaw PARTICULARS TIME OF VALIDATION
ARE Taut AND WHERE ■ • THE INSURED IN THIS POLICY Con PAUSE IIMATICUL 4.5 TO THE mtJutrCE OK THE CORPORATION OR KNOWTNGLT MISREPRESENTS Oa PAILS
TO DISCLOSE IN THIS POLICY ANY f•CT RICOGE , TO BE STATED HEREIN OR G THE INSURED CONTRAVENES • TERM Oa CONDITION OF THE POLICY OS INSURANCE OP AM
THE REGULATION DO COMMITS A SImuD ON ,C. THE INSURED WILLFULLY MARES A FALSE STATEMENT IN RESPECT OP A CLAIM UNDER THE POTJC• OS INSURANCE OR THE
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IN ADDITION OP AS omoopmei AND APPLICABLE THE CORPORATION MAY CANCEL THE SAID POLICY PURSUANT TO SECTION SE or THE
allGuLAT , oN
j WHEN YALTDATIO AND STONED V AN MITNON1210 AGENT THIS POLTC•
COONS° INSURANCE COVERAGE II IN MRCS ACCONDwo TO THE
TERMS AND cONOMON11 OP THE POLICY AND PLMSuANT TO THE
INSURANCE IMOTOR slmocuti ACT moo NIOuLANCY.
YONATua1 OP INSURED
STGAGc.1 0. •5/N• PAESI:MO AND CNI• EIICUTIVE 0,'ICE.

CONVERSION COVERAGE POLICY INSURANCE
‘r: CORPORATION
TO MINH( IHNV1%
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1 1 1 1 1 1 1
L 1 1 1 l I 1 1 1 1 a 1 I I 1 1
USE OF VEHICLEIS1 OUTSIDE BRITISH COL
UMBIA IN INSTANCES WHERE IAl THE
1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 l I 1 ll VEHICLEISi IS REGISTERED AND LICENS .
1I ED IN ANOTHER JURISDICTION 181 THE
AODNIIIIII OF iNSuFro LAW OF ANOTHER JURISDICTION RE
(WIRES THAT IT BE REGISTERED AND
l LICENSED THERE. OR ICI IT HAS BEEN
PERMANENTLY REMOVED FROM THE
PROVINCE FOR MORE THAN 60 DAYS
WHICHEVER COMES FIRST MAY IN
VALIDATE THE COVERAGE UNDER THIS
mpLal
I POLICY 1IF IN DOUBT. PLEASE CONSULT
YOUR "MOTORIST KIT OR AGENT 1
IN CONSIDERATION OF THE PREMIUM PAID FOR THIS POLICY AND NOTWITHSTANDING THE PROVISIONS OF SECTION 132 OF THE REGULATION. THE CORPORATION HEREBY
AGREES TO INDEMNIFY THE INSURED TO THE FOLLOWING DECLARED VALUES AND, SUBJECT TO THE DEDUCTIBLE AMOUNTS AND IN ACCORDANCE WITH PART 9 DIVISION 2
OF THE REGULATION FOR LOSS OP DAMAGE TO ALL VEHICLES OWNED BY OR LEASED BY AND LICENCED IN THE PROVINCE OF BRITISH COLUMBIA IN THE NAME OF THE
INSURED AND RENTED FOR A PERIOD NOT EXCEEDING ONE MONTH. OR LEASED FOR A PERIOD IN EXCESS OF ONE MONTH. CAUSED BY CONVERSION THEFT OR CONCEAL
MENT OF THE VEHICLE BY A PERSON IN LAWFU. POSSESSION OF THE VEHICLE UNDER A WRITTEN AGREEMENT
,....0 OECLAREDvALUE No or LIN MAtt NA VI N AhNukt le/Wu.

1 UP TO 42 SOD X $1
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THIS POLICY CONTAINS TERMS WHICH MAY LIMIT THE AMOUNT PAYABLE.
PROVIDED ALWAYS THAT THIS POLICY OF INSURANCE SHALL BE SUBJECT TO THE

SPECIAL TERMS AND CONDITIONS CONTAINED ON THE BACK OF THIS POLICY
WHICH SHALL ALSO FORM PART OF THE SAID POLICY AND SHALL BE BINDING UPON
THE INSURED
ICSC USE ONLY CAA. rj
SIGNATURE BY THE INSURED OF THIS POLICY ACKNOWLEDGES ALL THE TERMS AND CONDITIONS CONTAINED C“Iput
HEREIN AND DECLARES THAT THE FOREGOING PARTICULARS ARE TRUE. AND WHERE (AI THE INSURED IN THIS
POLICY GIVES FALSE PARTICULARS TO THE PREJUDICE OF THE CORPORATION CR KNOWINGLY MISREPRESENTS
OR FAILS TO DISCLOSE IN THIS POLICY ANY FACT REQUIRED TO BE STATED HEREIN. OR (B) THE INSURED CON TIME lK vs.(10.014
TRAVENES A TERM OR CONDITION OF THE POLICY OF INSURANCE OR THE REGULATION OR COMMITS A FRAUD. OR •
ICI THE INSURED WILLFULLY MAKES A FALSE STATEMENT IN RESPECT OF A CLAIM UNDER THE POLICY OF INSURANCE •y
OR THE REGULATION. ANY CLAIM BY THE INSURED UNDER THE SAID POLICY IS INVALID AND THE RIGHT OF THE
INSURED TO RECOVER INDEMNITY THEREUNDER IS FORFEITED IAND IN ADDITION OR AS AN ALTERNATIVE. WHERE
1,̀RROPRiATE AND APPLICABLE THE CORPORATION MAY CANCEL THE SAID POLICY PURSUANT TO SECTION SIS
NE REGULATION)
ITG■rATuRI OF INSuRFD SIGNATURE OF AGENT
APY SR .011,
100
CONVERSION COVERAGE POLICY
SPECIAL TERMS AND CONDITIONS

IN ADDITION TO THE INSURING CLAUSE AND OTHER TERMS AND CONDITIONS SET OUT ON THE FRONT OF THIS POLICY, THE
FOLLOWING SPECIAL TERMS AND CONDITIONS APPLY TO THIS POLICY.
EACH LOSS BY CONVERSION, THEFT OR CONCEALMENT OF THE VEHICLE WITH RESPECT TO WHICH INDEMNITY IS PROVIDED
BY THIS POLICY SHALL GIVE RISE TO A SEPARATE CLAIM IN RESPECT OF WHICH THE CORPORATION'S LIABILITY SHALL BE
LIMITED TO THE AMOUNT OF LOSS IN EXCESS OF THE DEDUCTIBLE AMOUNT, SHOWN ON THE FRONT OF THIS POLICY. THAT
SHALL BE PAID BY THE INSURED
2 THE CORPORATION'S LIMIT OF LIABILITY TO THE INSURED UNDER THIS POLICY SHALL NOT EXCEED THE ACTUAL CASH VALUE
OF THE VEHICLE AT THE TIME OF LOSS OR DAMAGE, THE DECLARED VALUE OR THE COST OF REPAIR OF THE VEHICLE, WHICH
EVER IS THE LEAST IN NO EVENT SHALL INDEMNITY UNDER THIS POLICY INCLUDE LOSS OF USE CLAIMS OR COSTS OF RETURN
TO BRITISH COLUMBIA OF A VEHICLE FROM A PLACE OF RECOVERY OUTSIDE BRITISH COLUMBIA.
3 FOR THE PURPOSE OF THIS POLICY A CAMPER OR CANOPY SHALL BE DEEMED NOT TO BE PART OF A VEHICLE. EXCEPT THAT
CONDITION 1 ABOVE SHALL APPLY TO THE COMBINED UNIT WHEN A CAMPER OR CANOPY IS RENTED OR LEASED IN COM
BINATION %.•JITH THE MOTOR VEHICLE TO WHICH SUCH CAMPER OR CANOPY IS ATTACHED.
4 ON OR BEFORE THE INCEPTION DATE OF THIS POLICY, THE INSURED SHALL DETERMINE THE TOTAL NUMBER OF VEHICLES
THEN UNDER RENTAL OR LEASE BY THE INSURED AND TO WHICH THIS POLICY IS APPLICABLE AND THE INSURED SHALL DECLARE
THE NUMBER OF VEHICLES SO DETERMINED ON THE FRONT OF THIS POLICY. WHICH NUMBER OF VEHICLES SHALL BE USED Es ,
THE CORPORATION TO DETERMINE THE PREMIUM PAID FOR THIS POLICY. THEREAFTER DURING THE TERM OF THIS POLICY OR
ANY RENEWAL. THE INSURED SHALL REPORT TO THE CORPORATION WHENEVER THE ACTUAL TOTAL NUMBER OF RENTED OR
LEASED VEHICLES TO WHICH THIS POLICY IS APPLICABLE VARIES BY MORE THAN 25% FROM THE NUMBER OF VEHICLES
DECLARE: AT INCEPTION OF THIS POLICY BY THE INSURED ON THE FRONT OF THIS POLICY OR LAST PREVIOUSLY REPORTED
IN ACCORDANCE WIT)-4 THIS CONDITION, OR SHOWN AS AN AMENDED DECLARED TOTAL NUMBER OF VEHICLES ON ANY
RENEWAL FORM OF THIS POLICY.
5 WHERE ON THE DATE OF THE OCCURRENCE OF AN ACCIDENT RESULTING IN A CLAIM UNDER THIS POLICY THE NUMBER OF
VEHICLES TO wHicw THIS POLICY APPLIES IS MORE THAN 25% GREATER THAN THE DECLARED NUMBER OF VEHICLES RENTED
OR LEASED B' THE ,NSuRED AS SHOWN ON THE FRONT OF THIS POLICY OR ANY RENEWAL OF THIS POLICY OR AS REPORTED
IN ACCORDANCE WITH CONDITION 4 OF THIS POLICY, THEN EACH GROSS CLAIM TO WHICH THIS POLICY APPLIES SHALL BE
SUBJECT TO THE DEDUCTIBLE AMOUNT SHOWN ON THE FRONT OF THIS POLICY AND AFTER SUBTRACTING THE AMOUNT OF
THAT DEDUCTIBLE FROM EACH GROSS CLAIM. THE INSURED SHALL ALSO BE A COINSURER FOR EACH RESULTING NET CLAIM
UNDER THIS POLICY THE PROPORTION OF SUCH CO-INSURANCE TO BE BORNE BY THE INSURED UNDER THIS CLAUSE BEING
DETERMINED ACCORDING TO THE FOLLOWING CALCULATION.
ACTUAL PREMIUM — MINUS — PAID PREMIUM
ACTUAL PREMIUM
IN THIS CALCULATION "ACTUAL PREMIUM" MEANS THE PREMIUM THAT WOULD HAVE BEEN PAID BY THE INSURED IF THE
INSURED HAD DECLARED OR REPORTED THE CORRECT NUMBER OF VEHICLES TO WHICH THIS POLICY SHOULD APPLY AND
PAID PREMIUM MEANS THE PREMIUM PAID TO THE CORPORATION BY THE INSURED FOR THIS POLICY AT ITS INCEPTION OR
LAST RENEWAL OR ANY ALTERATION MADE THEREIN IN ACCORDANCE WITH CONDITION 4.
6. COPIES OF THE INSURED'S STANDARD WRITTEN AGREEMENTS THAT ARE CURRENTLY IN FORCE RESPECTING THE VEHICLES
TO WHICH THIS POLICY APPLIES SHALL BE ATTACHED HERETO, AND THE CORPORATION SHALL BE IMMEDIATELY NOTIFIED
OF ANY CHANGES IN ANY SUCH AGREEMENTS.
EXCEPT AS OTHERWISE PROVIDED IN THIS POLICY ALL LIMITS. TERMS. CONDITIONS. PROVISIONS. DEFINITIONS AND EXCLUSIONS
OF THE REGULATION. SHALL APPLY WITH FULL FORCE AND EFFECT TO THIS POLICY.
IN WITNESS WHEREOF THE CORPORATION HAS CAUSED THIS POLICY TO BE SIGNED BY ITS PRESIDENT AND CHIEF EXECUTIVE
OFFICER, BUT THE SAME SHALL NOT BE BINDING UNTIL VALIDATED AND SIGNED ON THE FRONT•SIDE HEREOF BY AN AGENT OR
OTHER AUTHORIZED REPRESENTATIVE OF THE CORPORATION.
milipoiNt .NO Cod, 11.1Cunr1 OMCIN

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10.
LESSEE'S ERRORS AND OMISSIONS POLICY INSURANCE
- • Of t ICI St ,SI 'DT • +I P1,5/ D PI G'. • • •. • WY CORP/NATION
uADIT .•41.,P•Y/CI ATO•CPI TT ...La tP7III.PPT 'IP CC. TIP 'PI Pt Ukll • ORIIIVIWitALIAL
E APPLICANT INEREN•FTER CALLED THE INSURED HEREBY APPLIES TO THE CORPORATION FOR A POLIC OF LESSEE S ERRORS AND OMISSIONS INSURANCE ANO
HIS APPLICATION SHAL, FORM PART OF THE POLICY OF INSURANCE HEREBY APPLIED FOR WHICH SHALL BE AS FOLLOWS
EFFECTIvE DATE to...SETT— u DINT S1/0 LINE NO I
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NAY[ OF Ramis SURNAME FOLLOREDIR GNENNARLIA
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llllllllll iiiiii
WHEN VALIDATED AND SIGNED BELOW BY AN AGENT OR OTHER AUTHORIZED REPRESENTATIVE OF THE CORPORATION. THIS APPLICATION BECOMES A POLICY OF INSURANCE
WHEREBY THE CORPORATION AGREES TO INDEMNIFY THE INSURED AGAINST LOSS OA DAMAGE CAUSED BY PERILS SIT OUT BELOW FOR THE FOLLOWING LIMITS OP LIABILITY
AND SUBJECT TO THE FOLLOWING DEDUCTIBLE AMOUNTS IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF THE APPLICABLE PART OF THE REGULATION IN RESPECT
OF ALL LEASED VEHICLES. LICENSED IN BRITISH COLUMBIA IN THE NAME OF THE INSURED AND THE LESSEE. WHICH LIMITS OF LIABILITY AND DEDUCTIBLE AMOUNTS SHALL
APPLY NOTWITHSTANDING THOSE LIMITS OF LIABILITY OR DEDUCTIBLE AMOUNTS INDICATED IA) ON ANY API I, APPS, APV.270 OR APV.17, OR (N ON ANY APV42A RELATING
THERETO RESPECTIVELY. ISSUED AND IN FORCE IN RESPECT OF ANY SUCH VEHICLE. Ng NOT IN ADDITION TO THE LIMITS OP LIABIUTY OA 0/DUCTILE AMOUNTS SET OUT ON
ANY SUCH VALID AND SUBSISTING OWNER S CERTIFICATE OF INSURANCE AND VEHICLE LICENCE OR SPECIAL COVERAGE POLICY (FOAMY. DAMAGE) RELATING THERETO AS
THOSE DOCUMENTS ARE HEREINBEFORE IDENTIFIED BY FORM NUMBER IOR THEIR PREDECESSOR OA SUCCESSOR FORM NUMBER). RESPECTIVELY, UNDER DETAILS (Ai AND IBi
ABOVE
COPIIPPGI API, Or 0•11•.'• I

I
THIRD PART, 1.14., LtAl.,,,
....". / $1 , $ I I 0$ 01 0 1 0 FOR EACH OWN DAMAGE OPTION WRITTEN. DESCRIBE VEHICLES
Acme., k,/ ,,,s 0.w ,., ■ BY TYPE AND G V VV (WHEN APPLICABLE)
row PARTY COVERAGE I AS PIA REGULATION
AM,ICT
OWN DAMAGE ■PAA• 0 CA115.04 7,
... COLL.S.ON c.A.,41HgNs..t sPic...40 PEALS
DIOLKTLAS O(DuCTILIS DIDUCT40,00
7
$1 9 I I $I $ I I $1 $ I I
2.
$ ',II SI $ I I SI 'II
3 t1
• I 4 I 1 $1 $ 1 I $1 $ I l
4.
$1 a 1 I $1a 1 I $■ • I 1
ANNUL PINY PTICAAIID
MINIMUM
PREMIUM ITS
c.s. C.IRA 7 SI SI
PROVIDED ALWAYS THAT THE POLICY OP INSURANCE HEREBY APPLIED FOR SHALL SE SUBJECT TO THE SPECIAL TERMS AND CONDITIONS CONTAINED ON THE BACK OF
THIS APPLICATION WHICH SMALL ALSO FORM PART OF THE SAID POLICY AND SHALL BE BINDING UPON THE INSURED
SIGNATURE BY THE INSURED OF THIS APPLICATION ACKNOWLEDGES AU THE TERMS AND CONDITIONS CONTAINED ON BOTH THE FRONT AND SACS $104111 HEREOF AND
DECLARES THAT THE FOREGOING PARTICULARS ARE Wpm AND WHERE (Al THE INSURED IN THIS APPLICATION GIVES FALSE PARTICULARS TO THE PREJUDICE OF THE
CORPORATION OR KNOWINGLY mosnammiscorts OR FAILS TO DISCLOSE IN THIS APPLICATION ANT FACT REQUIRED TO SE STATED HEREIN OR (S) THE INSURED CON
TAAVENIS A TERM OR CONDITION OF THE POLICY OP INSURANCE HERESY APPLIED FOR OR THE REGULATION OR COMMITS A FRAUD, OR (0 THE INSURED vnium.Ly
MAKES A FALSE STATEMENT IN RESPECT Of A CLAIM UNDER THE POLICY OF INSURANCE HERESY APPLIED FOR OR THE REGULATION. ANY CLAM eV THE Homo UNDER
THE SAID POLICY II INVALID AND THE RIGHT OF THE INSURED TO RECOVER INDEMNITY THEREUNDER IS FORFEITED (AND IN ADOETTON OR AS AN ALTERNATIVE, WHERE
APPROPRIATE AND APPLICABLE. THE CORPORATION MAY CANCEL THE SAID POLICY PURSUANT TO SECTION NI Of THE REGULATION)
TIME OF VALIDATION
AM
P
S)GAA TO. CO PoSiAl0 SIOAP IVY OF AGENT
APT SS AM IT,
1I U
LESSEE'S ERRORS AND OMISSIONS POLICY

IN CONSIDERATION OF THE PREMIUM PAID TO THE CORPORATION FOR THIS POLICY. THE CORPORATION HEREBY AGREES TO INDEMNIFY
THE INSURED NAMED ON THE FRONT SIDE HEREOF IN ACCORDANCE WITH THE INSURANCE COVERAGE SET OUT THEREON, BUT THE RIGHT
TO RECOVER INDEMNITY HEREUNDER SHALL BE SUBJECT TO THE PARTICULARS STATED THEREON BY WAY OF APPLICATION FOR THIS
POLICY. AND SHALL ALSO BE SUBJECT TO THE FOLLOWING SPECIAL TERMS AND CONDITIONS
I THE MINIMUM LIMITS OF LIABILITY AND DEDUCTIBLE AMOUNTS AS REOUIRED FOR EACH LEASED VEHICLE LICENCED IN BRITISH
COLUMBIA IN THE NAME OF THE INSURED AND THE LESSEE. TO WHICH THIS POLICY APPLIES. SHALL BE PRESCRIBED BY THE INSURED
ON THE FRONT SIDE HEREOF. AS SUCH LIMITS AND AMOUNTS ARE PRESCRIBED IN THE INSURED'S LEASE AGREEMENT WITH THE LESSEE
2 COPIES OF THE INSURED'S STANDARD LEASE AGREEMENTS THAT ARE CURRENTLY IN FORCE AND TO WHICH THIS POLICY APPLIES.
SHALL BE ATTACHED HERETO, AND THE CORPORATION SHALL SE IMMEDIATELY NOTIFIED OF ANY CHANGES IN ANY SUCH LEASE
AGREEMENTS
3 THE INSURED HEREBY AGREES IN THE EVENT OF A CLAIM UNDER THIS POLICY TO PAY TO THE CORPORATION ALL PREMIUMS THAT
WOULD HAVE BEEN PAYABLE BY THE INSURED TO PROVIDE THE LIMIT OF LIABILITY AND DEDUCTIBLE AMOUNTS PRESCRIBED ON THE
FRONT SIDE HEREOF. WHICH LIMIT OF LIABILITY OR DEDUCTIBLE AMOUNTS WERE NOT PROVIDED (A) BY AN APV-I. APV 9. APv 250 OP
APV IT OR MI BY ANY APV-42A OR THE PREDECESSOR OR SUCCESSOR FORM NUMBER, RELATING THERETO. RESPECTIVELY ISSUED AND
IN FORCE IN RESPECT OF A VEHICLE TO WHICH THIS POLICY APPLIES
1. INDEMNITY UNDER THIS POLICY SHALL BE DEEMED AS PAID PURSUANT TO THE VALID AND SUBSISTING OWNER'S CERTIFICATE OF
INSURANCE AND VEHICLE LICENCE, OR SPECIAL COVERAGE POUCY (FOR OWN DAMAGE) RELATING THERETO, AS THOSE DOCUMENTS
ARE HEREINAFTER IDENTIFIED BY FORM NUMBER (OR THEIR PREDECESSOR OR SUCCESSOR FORM NUMBER). RESPECTIVELY. UNDER
DETAILS 1,A1 AND IBI CONTAINED IN PROVISION 3 ABOVE, ISSUED AND IN FORCE IN RESPECT OF THE VEHICLE FROM WHICH LIABILITY
ARISES. AND FOR WHICH INDEMNITY IS PAID PURSUANT TO THE VALID AND SUBSISTING OWNER'S CERTIFICATE OR SPECIAL COVERAGE
POLICY
S INDEMNITY UNDER THIS POLICY SHALL APPLY ONLY TO AN ERROR OR OMISSION MADE BY THE LESSEE. HIS OFFICERS OR EMPLOYEES
IN THE PROVISION OF INSURANCE COVERAGE WHICH IS NOT IN ACCORDANCE WITH THE LIMIT OF •LIABILITY AND DEDUCTIBLE
AMOUNTS PRESCRIBED ON THE FRONT SIDE HEREOF. AFTER THE EFFECTIVE DATE OF THIS POLICY, AND SHALL NOT APPLY TO ANY
DELIBERATE ACT BY THE LESSEE HIS OFFICERS OP EMPLOYEES. WHICH RESULTS IN THE PROVISION OF ANY SUCH INSURANCE WHICH
IS NOT IN ACCORDANCE WITH THE COVERAGE PRESCRIBED
6 ANY CLAIM FOR INDEMNITY PURSUANT TO THIS POLICY SHALL BE PRESENTED AND PROCESSED IN ACCORDANCE WITH THE INSURANCE
(MOTOR VEHICLE, ACT AND REGULATION THEREUNDER
7 THIS POLICY SHALL NOT APPLY TO ANY VEHICLES EXEMPT FROM THE APPLICATION OF THE INSURANCE (MOTOR VEHICLE, ACT AND
REGULATION THEREUNDER
EXCEPT AS OTHERWISE PROVIDED IN THIS POLICY. ALL LIMITS. TERMS. CONDITIONS. PROVISIONS, DEFINITIONS AND EXCLUSIONS OF THE
REGULATION. SHALL APPLY WITH FULL FORCE AND EFFECT TO THIS POUCY.
IN WITNESS WHEREOF, THE CORPORATION HAS CAUSED THIS POLICY TO BE SIGNED BY ITS PRESIDENT AND CHIEF EXECUTIVE OFFICER
BUT THE SAME SHALL NOT BE BINDING UNTIL VALIDATED AND SIGNED ON THE FRONT SIDE HEREOF BY AN AGENT OR OTHER AUTHORIZED
REPRESENTATIVE OF THE CORPORATION
P*11110110IT APO COMP necuim orm.yx '

WMNAANCF COPOOPATION OP IPITTPIM 001.411101P
LAineL/Pn. I R.)? DM I ■ JP, LAJLUNIOIA
'HEREINAFTER CALLED THE CORPORATION,
111
APPLICATION FOR FLEET IDENTITY NUMBER
PRISCHOIDINANWANT TO EICT.O. 1110s 1.1 Mom REouLAToo. fIRH Arit4
UNDER IKE muotANCE ofOTO. vI.CLII AC,TAS1BWA ntR CALLED T./ P.O.LATICH
Of APPIICANT MAIL ALL COPIES OF COMPLETED

PORN TO
I RAIHEIS 100111101 AINT CAN
INSURANCE CORPORATION OF BRITISH COLUMBIA
ALROPLAN UNDERWRITING DEPARTMENT
i III WEST ESPLANADE
NORTH VANCOUVER. S C INS
C.T. PROyINCE POSTAL COO(
DO YOU NAVE ANY PRORATE F.., OR

HAULWONOENCT ,v1 CONTACT 'TELEPHONE Num.'.
OUARTERLY Ell PLATES/ YES
0 NO 0
IF "YES", EXPIRY DATE MUST BE DECEMBER
NA1116110. ALL INCOHOUALE PAVING EFFECT'''. CONTROL OF THE APPLICANT 'JET SILO*
I.C.B.C. USE ONLY
FLEET NUM T
TYPE of "Awes& coNoucTIO.• APPLICANT
NAPE OF AGENT
AGENT I TILIP.ONI PRIMP LOIN' S NLINTOt• IOW TOP
1. ESTIMATE THE NUMBER OF VEHICLES FORMING THE PROSPECTIVE FLEET
2. ARE ALL THE VEHICLES FORMING THE PROSPECTIVE FLEET RATED FOR BUSINESS AND 10A, COMMERCIAL USE'
YES NO
(IF , THOSE VEHICLES THAT ARE NOT SO RATED CANNOT QUALIFY FOR FLEET STATUS
3. ARE ALL PROSPECTIVE FLEET VEHICLES REGISTERED OR LEASED IN THE NAME OF THE APPLICANT
OR A WHOLLY OWNED SUBSIDIARY COMPANY' YES NO
— IF "YES , LIST THE NAMES OF ANY SUCH SUBSIDIARY COMPANIES BELOW
— IF • NO LIST THE NAMES OF ALL OTHER REGISTERED OWNERS AND LESSEES 511010
OF NO , THOSE VEHICLES WHICH ARE REGISTERED OR LEASED IN THE NAMES Of OTHERS MAY NOT BE ELIGIBLE FOR FLEET STATUS I
NAIVE NAME
BF THE ABOVE SPACE 16 INSUFFICIENT, ATTACH AN ADDITIONAL LIST OF SUBSIDIARY COMPANIES. OTHER REGISTERED OWNERS AND LESSEES. AND NON REGISTERED
TRUE OWNERS OR LESSEES. IF ANY I
4. WAS THERE A PREVIOUS FLEET OPERATING UNDER APPLICANTS CONTROL. OUT UNDER A DIFFERENT NAME' YES NO
— IF -YES", STATE THE PREVIOUS FLEET NAME AND IDENTITY NUMSER
5. DID ANY OF THE PROSPECTIVE FLEET VEHICLES OR THEIR REGISTERED OR NON REGISTERED OWNERS OR
LESSEES FORM PART OF A PREVIOUS FLEET' YES NO
— IF "YES STATE THE PREVIOUS FLEET NAMEISI AND IDENTITY NUMMI
6. OW THE APPUCANT QUALIFY FOR FLEET STATUS DUPING THE PAST INSURANCE YEAR/ YES NO
— if "YES EXPLAIN WHY FLEET STATUS
WAS NOT PREVIOUSLY APPLIED FOR
7, IS THE APPLICANT A LIMITED COMPANY OR RSHIP LEGALLY

INCORPORATED OR REGISTERED IN THE PROVINCE, YES NO
— IF "YES". STATE THE IDENTITY OF ANY COMPANY NAME CHANGE(S). AND
STATE NAMEISI OF ANY DIRECTORS OR PARTNERS NOT LISTED ABOVE
B ARE THERE ANY DIRECTORS. PARTNERS OR OTHER INDIVIDUALS HAVING EFFECTIVE CONTROL OF THE
APPLICANT, WHO ALSO HAVE HAD EFFECTIVE CONTROL Of ANY OTHER FLEET OPERATOR PAST OW PRESENT , YES NO
— IF -YES . STATE THE NAMEISI of ALL SUCH INDIVIDUALS AND STATE
THE NAMEISI AND IDENTITY NuMBERSI OF ALL SUCH FLEETS
A Ds. As OVA •
SPECIAL OWN DAMAGE INSURANCE POLICY riINSURANCE
...ESC Ref
■
*OM .:•.0.4 0, V. REVISED RE006.1OP '•••
4•Su••••'-, mO'OR •I• Ckl •" •1•I..••••C•■ 6.10 ,..1 RI r.■ LiCORPORATION
I N 1111111•40( (C A RO
1
" Y. ••...• Hy • rry. ..
0p,o4r ;..• 1.LI 1 0.0 PLAIT POLICY numlit•

60.4 4 . I 000.
, I 1 1 1 1 1 1 1 1 I I I 11111
4.4 .o..NSTJR10/9u0N.HE 00,LOINEGII, Cotoi4, PAYE L. 0u1•0.2 4,04.0 SUMO.
1SOORESS 00 MISURED LINE NO
1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Aril
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 t
COT FED./ICE PORTAL COO!
1 1 II I I 1 1111 I 1111 1 1 I 11111
MAXI moDEL I IOCH EMI YIHRCU KillawcAnOTT melsau TRAMMIR

TR
1 11 l 1 1 1 1 I 1 1 1 1 I I I I I_ Li 1111 1111 1
1140MTIM1020 MWMR MOTO wolfs MIPLacttn. • c c
I I I
COMPLETE iNPOIMPATIC. APPLICABLE TO TYPE OF COVERAGE
WI
00 CLASS C001
•0.40 UN"
Na 0..1...Lk, n , •LvE M VOS*1.14.141 v1P.CLI WY 4,01 PsSuMI O S WS. S:
BPS ET OT TIE 1 1 =1 1 1 9 I I
•YO a To^,:• • 1 Httes OR .••■ IRS '3 SI USIO RR,
1011C4.11) V•.111 R..I C..16 Ct.

arrivillo I s
I
DECLARED CLAM DOH pps.c...LoTHRAToR s D.yINILTC
win
I 1 1 I t 1 1 1 1 1
0. 1........”••• .8... • 4411 CUM. 01 •■•• woo

UV ISE
S $ 1
1 I $ L I
SIGNATURE OF THIS POLICY BY THE INSURED AND WHEN APPLICABLE ALL PURLS ON COLLOR:Ps DIRK TOLE ANNUAL PREMIUM
THE PRINCIPAL OPERATOR. ACKNOWLEDGES ALL THE TERMS AND OWN
CONDITIONS OF THIS POLICY AND RIDER AND DECLARES THAT THE
FOREGOING INFORMATION IS TRUE AND WHERE TAI AN APPLICANT FOR
DAMAGE •• s1 , I 1 1 • 1 I
/PART 9 IPICHNO Roil DID COmIRMHENLy1 DO T
THIS POLICY AND RIDER OR THE INSURED OR PRINCIPAL OPERATOR DIVISION
GIVES FALSE PARTICULARS TO THE PREJUDICE OF THE CORPORATION
OR ENOWINOLY MISREPRESENTS OR FAILS TO DISCLOSE IN THE 1 , ICJ 1 1_ , I I
DECLARATION ANY FACTS REQUIRED TO BE STATED HEREIN OR III TOTAL ANNUAL PREM.
THE INSURED OR PRINCIPAL OPERATOR CONTRAVENES A TERM OF THE
POLICY OR THE REGULATION OR COMMITS A FRAUD OR ICI THE INSURED 1 3 1 I
OR PRINCIPAL OPERATOR WILLFULLY MAKES A FALSE STATEMENT IN
RESPECT Of A CLAIM UNDER THE POLICY OR THE REGULATION, ANY CsAlisAato
CLAIM BY THE INSURED IS INVALID AND THE RIGHT OF THE INSURED TO 0 11111 11100.01111
I TRECTAPH,BACTWOE
RECOVER INDEMNITY IS FORFEITED IAND IN ADDITION OR AS AN
ALTERNATIVE. WHERE APPROPRIATE AND APPLICABLE. THE CORPORATION $
1 I % 1 t 1s 1
MAY CANCEL THE SAID POLICY PURSUANT TO SECTION 56 OF THE
REGULATION;
PLUITRANDOC PUICRLAR UPC REIMAN MK*WC
$
ow ow .11011.11.10. .110311•~0. oy, S
PAC' RI 141.10 11, .11040144, .0 .P.MLL MT .1
c..E. Ewa,. 0...Cl• flll 'II SCSI I." WO TARE Of IIMAMTIOR
MI M.O. Meg. ...MOO .0 IMMO S. As
•04. a 0.41. Nompn0 Ar SI
coNNHANo.
PROAAND PRINIKAA
MINIMUM
11 ~Ir~Ia
PREMIUM 130 $ .
110•RI11M OP 10.01441 ON AM.
11,1113.90.0. ..on cove was RH, Y 10.4.
USE ONLY CASH
•
11.04400.1 OP PM.
•PV IOp M.•
i
APPLICATION FOR A POLICY OF MOTORCYCLEINSURANCE
OWN DAMAGE INSURANCE CORPORA-10N
[10 STIT1S4d (0111".1u
immf ma• II. woo ,. poorommo.
oF ACCEPTED er THE CORPORATION. THIS APPLICATION

AT ?ACRES TO AND FORMS PANT OP A POLICY TO SE ISSUED IN
ACCOADANCE H Tw TN ■ S APPLICATION AND ISO FAA AS APPLiCAS,E
PANT A EA VISION 2 Or TATS RE oiSED AEOUlATION 11014 , PUASWNT
■
LIMN , NAM! • OlN, NC
■ I ■
‘ PULL NAAAI O• APMDCA NT rSuPNAIM f OttOoPtD11, GIVEN NAIAII,Sp 00.040, • MIK! NO
I
POST AL ADD PAIL CDi I
ME Y/OLIS OCINCI PLAT! NO S MASI A TENS
nos...Mad PlAmCSA, OPIRLA TOP IA dr ,/ PINT WM A110.1 -EPA A A LACING! AC
2
I
'REPREFIDERRTS— I it Dal
3 OMv ■ PG PICOPC, CM OWN!' AND OPIIIMIOA 1,S, ALL CLAMS ACGIDENTS •NO CON.CI.OPS POP PASTA TI•PS
SKOP , CM, OP
NMAI O. DNA. D414,11 100•0•C TCL I
00001, 'L. NA. I 84004 ■ SISAL Num.' A -RiCoEYRA , ION ...,

4
MOTOPCIC,I
CRICAIPTICN orTi.N/ MUMUE IDIRLACS Mit M/ IN CC UCSNCE PLAT( NO LK !AP OA If I EnsLArnD .4,o4 ,,d •.• "144"10.. I TAT! CLASS
ArrAcmi • •••••■SA,
IIII l I i I I 1
PoPCNAS1D iT •NvoC•N• CAS. RACNAS1 AN.C!
NEN ON TO APPLKRNT
MONT. f HILT INCLUDING ROOM E N•
VS/ D
1 i
COLLISION Of CMCI.11.1 COmMIINENS■ vt 04.DUCItS,1 IMC.I ■ ID TIPol O(DuCIII, I

5 TIP/ OA OWN 0414A01 CO.' LO( AINN,ryw Fop
$ $
• ST,' INV AUPPOSII AO. MPPC. TN! MOTOPCYCs/ If AND PPM PI MID
II
I WILL TA! MOTOIKYCLI Si •1 N' CO OA LEASED'
, IMONATIPSI WY NW APPLICANT AND POMPOPA I CAROM TOP ACKNONI.IDOE AU. TM! ?films AND ODNOTIONS 04 TANS APISKATION AND ALS 1141 1111.11
' AND COMMONS ON TN( POLK.. THAT MAY OS MOLD AND MCLANE HAAT TA! POPPOOING ANSMIIII API TOW •NO rod PE
Ai AN A.R.L.CANT ON RdmadOOAL 0111410• IN m$ APPLICATION POP A POI.ICY SALES TAUS PARTICULARS TO THE PPILMOACI Of TN"
ooseorunOld on sodownons,v unIAIPPESINTS ON PALS TO CASCLOM od TAN AM-CATION ANY PACT PICIUMED TO SI STATED PIPER! OP
Si TA! INSuPED CONTRA.' 44444 ITN Of TN! AMC., THAT AT 11( ISMS!, PUPV.IAMT TO THIS APPLICATION OP TN! REVISED REGULATION MSc
punsu■ de TO TN( INUMANCIROOTOP YINICL! ■ ACT OP COMMITS • • II•u0 IN IMVICT Of TN! POLICY POMMY !MAO POP OP
0 THE *MA( 0 WILLFULLY MAMAS • PALM AAAAA talk, IN IMISPIICT Of • CLAIM UPON MAR POLICY THAT NAY SI *WED NJAWANT
TO TINS APPLICATION CP THE IMINSIO IllGuLATION MGM ON/PISmANT TO TN, MIAOSTMCI IMOTOP PINKAPI ACT
ANT CLAIM ST THE PoSURI 0 uNDE A Idol POUCH TON WO. miluRANC.4 IRA's SI *WALK/ AM) PM MEMO Of MI! IMISM! D TO MECOPIP
INCHIMMTV SPAS IM POIMPTIO
IIMPA ,AM P. ••41...• OMIATIA CO ...NY OTM.11. MOIVI0111 0, Win Do.,
ANN 171 ps.n, WHITE CSC AUTOPLAN UNDERWRITING COPY, YELLOW AGENT'S COPY
1_14
ri INSURANCE MOTORCYCLE OWN DAMAGE INSURANCE RIDER

pwtSCrtitilDiruaSuAht TO SICtiOw Is) or rut arviSIDREGui.wilOw irae APV•122
CORPORATION uNork nut iwsuaANCI ;MOTOR vfnickfi•cr ii4fP(INAFT(R CALICO THE REGULATION
OF BRITISH COLUMBIA
(HEREINAFTER CALLED THE CORPORATION)
r
INSURING AGREEMENT
The Corporation agrees lo indemnify t he Insured in accordance with the application and Part 9. Division 2 of the Regulation, in respect
of the motorcycle described on the Special Own Damage Insurance Policy to which this Rider is attached for Own Damage Extension
Insurance as Set Out on the front of the Special Own Damage Insurance Policy. and for which a premium is specified, but indemnity is
subject to the Special Terms. Conditions and Limitations set Out below
SPECIAL TERMS, CONDITIONS AND LIMITATIONS

Indemnity pursuant to this pOliCy. In addition to the Terms and Conditions prescribed in Part 9, Division 2 of the Regulation, is subject
to the following Special Terms. Conditions and Limitations
1. The Insured and/ or the Principal Operator identified in this policy shall promptly notify the Corporation, in writing, of any change
in the risk material to the policy and within the knowledge of the Insured or the Principal Operator.
2 Without restricting the generality of the foregoing the words "Change in Risk Material to the Policy" include'
(Cl any change in the insurable interest of the Insured named in this policy in the motorcycle, by sale, assignment or otherwise.
except through a change of title by Succession, death or proceedings under the Bankruptcy Act,
(Di Any mortgage, lien or encumbrance at letting the motorcycle after the application for this policy,
(C) Any other insurance of the same interest, whether valid or not, covering loss or damage insured by this policy or any portion
thereof
3 Except as otherwise provided in this policy. all Limits. Terms. Conditions. Provisions, Definitions and Exclusions of the Regulation
sna , a:pl ■ with full force and effect to this policy
WARNING!
COLUMBIA IN INSTANCES WHERE (A) THE VEHICLE IS REGISTERED AND
LICENSED IN ANOTHER JURISDICTION, (B) THE LAW OF ANOTHER
THERE, OR IC) IT HAS BEEN PERMANENTLY REMOVED FROM THE PROV.
INCE FOR MORE THAN 60 DAYS, WHICHEVER COMES FIRST, MAY
INSURANCE (IF IN DOUBT, PLEASE CONSULT YOUR "MOTORIST KIT" OR
AGENT.)
VALUED POLICY APPRAISAL FORM
(ATTACHED TO AND FORMING PART OF THE APPLICATION)
INSURANCE
CORPORATION
I1 ., MI52
• Pa•sE PRESENT'tLis (1111111NN (AtAVIL. 'Tr ULTIRTKITITOUTIr

REcE, p's AND omoTocRA ,..s C•t■10
FOR APPRAISAL PUPPOS, 1 1 1
PART I (TO BE COMPLETED B. THE REGISTERED OWNER
t■•—•,q, •tas,/ RED DONOR MANARI P:A.LENVE0 BT OI•EN
POI1A. CODE
11111
NOD.. .1.". 1,1••( MODEL 1100,STYLE
YIP C1.1
.1.01
MICR/ON Aloismoloo. ANANI• TINKLE IOINTII(AT.04 IMPAR4 MANUA ocometm PaA0IN6
DA EV HAAE Pv4CNASI NMI li VEHICLE PREVIOUSLY INSURED ON A VALUED POLICY INDICATE

%RATH EAR MINV1014 OWNER IIPOLIC Y krfbiNER I LaCINCII
Nat NOVA OWNER ... 51
1 I1
PLATE NuMSE•
1 1 I 1 1 11111
PART II (TO SE COMPLETED IV 1CBC APPRAISER
• SPECIFIC MODIFICATIONS —
(IICLUGNO CAMPERS CANOPY AND TWOWAY RADIO WHICH MUST BE INSURED ST A SPECIAL EOUIPMENT ENDORSEMENT APYAH LC.S.C. USE ONLY
oiscoNno.•
MATIVACTI.1/11. S RANI TEAR of ITEM 11C I XP
AVI °. WrICAM
D ORIGINAL COST CURRENT VALUE
INTERIOR MA1S
OP DOD, T1111 $11111 1
$11_3 1
c... ET.ND
11111 $1.11. $1 1 il . n
DAMMICLAID
INDNIuNINTI 1 I _I 1 I $1 a , . . $1 4 p
i . .
TAPE OlICA
iltLiji. $ ,. 81, $ . I
OTHER
rIPEC,” 11_11_1 $11$1 ■ $111111 ■
11111$1 1 9 1 1 $1 I 5 1 ,
(m.o. THIES
co SOOT 111.11 $11911 $11 $ 1 1
yoNIES
1 1. 1 _1 1 ..$1 1 $ 1 1 $1 1 $ 1 1
lumPIPS
11111$11 1 1 1 $1 1 4 1 1
CUSTOM PAINT
10111. 11111$11$11 $1 i 9 . .
mAIDONI AND
(NAM I I t 1 i $1 1 4 1 1 81 i 9 1 1
uGHTS
_1111_1 $11111 $11 $ 1 1
ECM OOP
1 1 1 I 1 SI 1 9 I i Sit'',
c...sto...sto
COT
II III Slt,it 11 ■ 9 i 1
OTHER
MANICIPTI 11111 $111111$11111
11111 $11_11.. $11 ) i i

POWER Mom 1 W,,,,g
AND CNAMMI
I 11111 $11111 $11,11
TRANIMMMON
cmAssm !lilt Sit,It Si, 9 1 i
OTHER
'Morn I I , I 1 SI I • I I_ $1 I 1 11
_ I I I I I_S1 . a . , /II 4 Li
APPRAISERS EVALUATION OP
saooiricAnotts NWT EXCEE01110* SI
INDICATE THE STATED VALUE OP THE VEPICLE INCLUDING MODIFICATIONS (E.CtilDNFO CAMPER. CANOPY AND TWO WAY RADIO
$1 1 4 1
SKINIATMME OP APRA/AIN Pi KANDE NIANII• IMAM CINTAI LOCATION DATE
PART III GO SE COMPLETED EY THE REGISTERED ONION
I HEMP A0111 WON THE ABOVE APPRAISAL AND STATED VALUE

*osmium a new' +so DWNIP DATE
RR,.STIR R.
APPLICATION FOR A VALUED POLICY OF VEHICLE [I INSURANCE 11h
OWN DAMAGE INSURANCE CORPORATION
IRITRAIT YALARIA
•••'1. ..1 '.■ •
APV153
PHOTOCOPY OF INSURED S CURREN' CERTIFICATE OF INSURANCE MUST BE ATTACHED TO THIS APPLICATION
r.14F EGINT *ANN AGENT I NAME

W.
•1011tATION DATE
I
100.8.,
1
• f ••
I I
CH•
(APIA. DOE
1
Now • As
11
NOMA
■ 11
4.4 Of 1.1 O194111.0 Ow.f f .81 .,•0,111 (.•,L f O THE 040401 1101ft•uf *011.0AID ET O.VIN DPW. S L.CINCE NuwelA
1
1
• 00.(1.6 OP "NI MO .01T.L OCC
2 PARTICULARS OF ALL OPERATORS

NAME . • 7,.. DRIVERS LICENCE NURSER
111111
I I I I I I
111111
I I I I I 1
111111
111111
3 DRIVING RECORD OF INSURED ANOKA ALL OPERATORS VET ALL CLAIMS. ACCIDENTS. AND OONVICTIONS root THE PAST FOUR YEARS)
DA
NAME OF MAMA GAT MONTH TEAR DETAILS
11111
1 I 1 1 _1
Iiiii
i I 1 1_ 1
11111.
■ IIIA
_ .■ I , A_ _.
Koh vi HAKE Moat SOOT EMI VEHICLE WEINNFIGATIONFIIINAu NAUSEA AmEIETAATON MANUA
14
IA•C 1 Ammaf 6 V ALUESOf
DIACRAH.O. IKINCE PLATE NAUSEA • CLAM ARP
MAIR PPACE
W H ONCARO1A
1 1111 1 1 1 111 1 $1 1 1 1
N' oN.L.,0, co....,..1 me,,40.,...5 .....,, ..,
4,`,',,m,1100,g1i1t110.":„`'.! ,:;'" "
5 :'0".
,,,,,.,.c•,, SI , 1 1_II , ,. . St S , , sl S I ,
6
SIGNATURE Ely THE INSuRED ACKNOWLEDGES ALL THE TERMS AND CONDITIONS OF THIS APPLICATION AND THE POLICY THAT MAY SE ISSUED AND DECLARES THAT THE
FOREGOING ANSWERS ARE Tau( AND WHERE
A THE INSWIEO IN THIS APPLICATION FOR A POLICY GIVES F PARTICULARS TO THE PREJUDICE OF THE CORPORATION. 00 KNOWINGLY MISREPRESENTS OR PAILS TO
DISCLOSE IN THIS APPLICATION ANY FACT REQUIRED TO SE STATED HERM
OR
S THE INSURED CONTRAVENES A TERM OF THE POLICY THAT MAT SE ISSUED PURSUANT TO THIS APPLICATION. OR THE REVISED REGULATION PURSUANT TO THE
INSURANCE (MOTOR VEHICLE) ACT OR COMMITS A FRAUD IN RESPECT OP THE POLICY HERESY APPLIED FOR.
OR
• THE INSURED WILLFULLY MAKES A FALSE STATEMENT IN RESPECT OF A CLAIM UNDER THE POLICY THAT MAY SE ISSUED PURSUANT TO THIS APPLICATION OR THE
REVISED REGULATION (INA, PURSuAN' TO THE INSURANCE MOTOR VEHICLE) ACT .
ANY CLAIM B. THE INSURED UNDER THE POLICY FOR SUCH INSURANCE SHALL SE INVALID. AND THE RIGHT OF THE INSURED TO RECOVER INDEMNITY SHALL SE FORFEITED
SIGNATURE Of INSURED SIGNATURE OF PRINCIPAL OPERATOR SIGNATURE OF AGENT DATE
*Ay ISO x6 PS
r
iii
INSURANCE VALUED VEHICLE OWN DAMAGE RIDER

pREscRefo PURSUANT 10 SECTION ,s3 or 1HE REVISED REGULATION mast APV•1 54
CORPORATION UNDER THE INSURANCE ikr0ToR vihici.E. ACT ihEREiNArrER CALLED THE REGULATION
hj Of BRITISH COLUMBIA
rINACTER CALLED THE CORPORATION
INSURING AGREEMENT
The Corporation shall Indemnify the Insured during the term of the Special Own Damage Insurance Policy to which this Rider is
attached, for the amount by which either,
(A) The actual cash value at the time of accident's, loss or damage to the vehicle modllIcatIona, as described In the appraisal form
and valued as set Out On the lace of the Special Own Damage Insurance Policy to which this Rider Is attached, (except loss or
damage resulting In the total loss or constructive total loss of the entire vehicle described In this policy), or
181 The staled value of the entire vehicle as described In the appraisal form and set out on the face of the Special Own Damage
Insurance Policy to which this Rider is attached. where accidental loss or damage results In the total loss Or Constructive Iota'
loss of the entire vehicle described in this policy
exceeds the amount of indemnity arising from accidental loss or damage to the described vehicle and payable to the Insured in
accordance with Own Damage Coverage in force pursuant to a valid and subsisting owners certificate under Part 9, Division 2 of
the Regulation
Indemnity pursuant to IA) or 181 shall not apply to a camper, canopy or to a two-way radio.
Indemnity for each accident giving rise to a claim pursuant to the Special Own Damage Insurance Policy to which this Ride, is
attached. is limited to the amount by which the claim exceeds the applicable deductible amount as provided for on the Special Own
Damage Insurance Policy to which this Rider is a,tached

Indemnity pursuant to the Special Own Damage Insurance Policy to which this Rider is attached is subject to the following Special
Terms and Conditions, in addition to the Provisions of Part 9, Division 2 of the Regulation where applicable .
I It is a condition precedent to indemnity pursuant to this policy that a valid and subsisting owner's certificate be issued to the
Insured and remain in force for the term of this policy, providing Own Damage Coverage to the vehicle described in this policy
pursuant to Part 9. Division 2 of the Regulation, which Own Damage Coverage and applicable deductible amount shall be
Concurrent with Own Damage Coverage provided pursuant to this policy. When concurrent own damage coverage is in force, a
single deductible amount shall be applicable to a single accident causing loss at or damage to the motor vehicle or the modili
cations to the vehicle as insured by this policy, which Single deductible Shall be applied according to the applicable Terms and
Conditions of Part 9. Division 2 Of the Reguiation
2 jai Failure of the Insured to promptly notify the Corporation in writing Of any Change to the vehicle that constitutes a change
material to the insured risk and that is w thin the knowledge of the Insured, shall entitle the Corporation to wholly or partly
deny indemnity pursuant to the policy.
(b) Without restricting the generality of the foregoing, the words "Change Material to the Risk" Includes.
(i) Any change in the insurable interest of the Insured in the described vehicle by Sale, assignment or transfer or arising
from death or bankruptcy,
(in Placing of any other insurance of the same interest, whether valid or not, covering loss or damage wholly or partially
insured by triis policy.
(iii) A change in the equipment or condition of the vehicle resulting from the addition of or removal of part of the vehicle
so that the description and evaluation of the vehicle would materially differ from the Information contained in the
appraisal form attached hereto
Except as otherwise provided in this policy, all Limits, Terms, Conditions, Provisions, Definitions and Exclusions of the Regulation
Shall apply to this policy
WARNING!
USE OF THE DESCRIBED VEHICLE (I) BY PERSONS OR FOR PURPOSES
COLUMBIA IN INSTANCES WHERE (A) THE VEHICLE IS REGISTERED AND
LICENSED IN ANOTHER JURISDICTION, (B) THE LAW OF ANOTHER
JURISDICTION REOUIRES THAT IT BE REGISTERED AND MEWED
THERE, OR (Cl IT HAS BEEN PERMANENTLY REMOVED FROM THE PROV.
INCE FOR MORE THAN 60 DAYS, WHICHEVER COMES FIRST, MAY
INSURANCE. (IF IN DOUBT, PLEASE CONSULT YOUR "MOTORIST KIT" OR
AGENT I
INCOME REPLACEMENT POLICY E INSURANCE
INCLUDING DEATH BENEFITS
..ms<• MO NASD.,TC SIO•Om Tml •I MD I , wfm
CORPORATION
(IIIRIINI11111•1111‘
110
•NE 4S HANG( NOT:. . • • NE 11 mm . 10 C• .I IS II, • m •m •I ••'''• • ••• '• •
THE APPLICAN T )HEREINAFTER CALLED THE INSURED) HEREBY APPLIES TO THE CORPORA 11(11i I ON AN INCOME REPLACEMENT POLICY INCLUDING
DEATH BE•.EF '(.05 APPL(CAT•j% SoNA,t, Foam PART OF THE POLICY GI INSUFTANC,E HINER( APPLIED FOR WHICH SMALL BE AS FOLLOWS
PLA T[ N uNSE• ihur.onl• .o• ...I NO

L 9717o I AR 197
rNwl OF NETEurnio)soHTTNE FOLLOPIO ET (T)11. MANI S
I I 1 1 a 1 . . 1 ) i I i i I I 4 11 4 1 iiiii
1 1 I I 1 1 i 1 IIIIIIIIIE 1 1 1 Eilll
AWACS' Of HISLIAID
I I 1 I 1 1 I. I. I I I III iiiii I I 1
I 1 1 1 l 1 I 1 I I I I I L 1 l I I I I lllll
I 1 I I 1 I I 1 I I I 1 1 A I I I I I I I I I
GT, MODYNCE POSTAL COOP
IIIIIIIIIIIIIII 1 1 I I I 1 I 1 1
N•Mf 0 0•E AMC. 5014101 f 06LONED II, 0 , 111 NAME i ■
f ft ■ 1
IN CONSIDERATION OF THE PREMIUM PAID FOR THIS POLICY AND SUBJECT TO THE TERMS AND CONDITIONS SET OUT HEREAFTER,
WHERE AN INSURED PERSON, OR AN OCCUPANT. AS EITHER IS DEFINED ON THE BACK HEREOF, IS INJURED OR DIES AS THE RESULT
OF AN ACCIDENT FOR WHICH THE CORPORATION SHALL PAY BENEFITS ACCORDING TO PART I OF THE REGULATION, THE CORPOR
ATION AGREES TO PAY THE BENEFITS DESCRIBED BY OPTION NUMBER BELOW UNDER THE HEADING ''EXTRA BENEFITS", WHICH
OPTION NUMBER IS THE NUMBER SET OUT BELOW IN THE BOX ENTITLED "OPTION TAKEN" AND DETERMINED BY REFERENCE TO THE
AMOUNT OF THE PREMIUM PAID TO THE CORPORATION AS CONSIDERATION FOR THIS POLICY BUT THE BASIC BENEFITS PAYABLE
TO AN INSURED UNDER PART 7 OF THE REGULATION ARE PRIMARY BENEFITS AND THE BENEFITS PAYABLE UNDER THIS POLICY ARE
BENEFITS PAYABLE TO AN INSURED PERSON OR AN OCCUPANT AS EXCESS BENEFITS OVER THE BASIC BENEFITS
EXTRA BENEFITS
DESCRIPTION OF
BENEFITS OPTION
OPTION 1 OPTION? CP T, : T
DEATH BENEFIT HEAD OF HOUSEHOLD 85.000 810.000 815.000 $20,000

(SECTION 92
WEEKLY BENEFI'
TOTAL. EliSAIlLiTT BENEFIT $ 150 250 350 $ 400
(SECTION BO
OnION IMMiu•• • • On•TIO

tmeN PI■Elnou INIMilon
KK 051 ONLY
MINIMUM
PREMIUM BID
CAS* SI i St I
BENEFITS UNDER THIS POLICY ARE PAYABLE SUBJECT TO THE SPECIAL TERMS AND CONDITIONS CONTAINED ON THE BACK
HEREOF WHICH FORM PART OF THIS POLICY AND ARE BINDING UPON AN INSURED PERSON .
P GYMTIJNE ay Tot ,•,s ro.,CT A;ANON

LEGGIE ALL Im( TUNIS IND CONEMIONS CONTAINED
111111. AND DICtM15 THAT THE FONEGOING •••ToCuLMIS
III 10of AND Mi. 'NE 110)1.1011. I.HSAOLICY OEM
PALS/ •■•flca, mos TO tmf A•UVENCI O. Tot COA•0••
Moo on•NOYHyG, 0.8.11•NISIMSOMIRLS ,ODISCLOSE
IN T111 my• FACT •ICAmME) TO MOO NMI..
004. , NE ■NSLAIIO CON' T min On CO.OTOMI
VII POLICY Of HSU...CI OR Tml NEGY••,•CH oLia,,5,Ly
TO ff. nollufUNCE (MOTOR I/UNCLE, ACT on co...as
11A110 M ICI VIE Iffin110 Ralf EILL, 1110(5 • I•LS1
',Minim, MI MIMIC, Of • Ct.*/ UNCYl• T1.y .0•K• TON OF 1111CLAT1ON
rann•NCE W ,NE RIGLN•noo)) PV•SLAN' TO TN( 41
SuA•m:( MOTO. •:• •••• ••I mS.At: • ho
NOEP 11.t 5.o Po..c..s ,•.•.•D AN. , •I •
.1.50.5 5 TO Vf• ,.61010.1011.5 • I/
004/1,10,410.0. ■00/1.0% 00 ASA% A01,1..4.0.101 *NEIN
AINToo•ou•TE INS •MmCMILI THE COn•OIMT,ON
CANCEL III SAID PoL•CT PITRIAN' 10 SECTION WO. 'NE
NiOyL•flON •DI•Sume TO THE miSy•MoO" Af1 , 0•
YIN.Ca. ACT,
S.GM,L41 Of myStAl: i■OMILIAI 011011,
Any 151105
I 1:1
FOLLOWING TERMS AND CONDITIONS APPLY TO THIS POLICY
I WHEN USED IN THIS POLICY

INSURED VEHICLE MEANS
,,, WHERE THE NAMED INSURED Is AN INOIvIDUAL ANY VEHICLE OWNED BY LEASED TO OR ASSIGNED TO AND PRINCIPALLY OPERATED BY THE
NAMED INSURED HIS SPOUSE OR DEPENDENTS AS DEFINED IN THIS POLICY.
WHERE THE NAMED INSURED IS NOT AN INDIVIDUAL

III THE VEHICLE OWNED BY OR LEASED TO THE NAMED INSURED THAT IS ASSIGNED TO AND PRINC OPERATED BY THE NAMED
OPERATOR AND
121 ANY OTHER VEHICLE OWNED BY OR LEASED TO THE RAMED OPERATOR OR OWNED IT. LEASED TOOK ASSIGNED TOANCIPRITACiPALLy
OPERATED BY THE NAMED OPERATOR S SPOUSE O. DEPENDENT AS DEFINED IN THIS POLICY
INSURED PERSON MEANS

THE FOLLOWING
o) THE PERSON SHOWN AS THE NAMED INSURED ON THE FRONT OF THIS POLICY WNEPE THAT PERSON IS AN INDIVIDUAL
1,., THE PERSON SHOWN ON THE FRONT OF THIS POLICY AS THE NAMED OPERATOR WHERE THE NAMED INSURED IS NOT AN INDIVIDUAL
THE SPOUSE OR A DEPENDENT OF A PERSON DESCRIBED IN iv OR IN WHERE THE PRINCIPAL SOURCE OF FINANCIAL SUPPORT OF THE DEPEN-
DENT IS PROVIDED BY ONE OF THE PERSONS DESCRIBED INKIOR PR AND WHERE THE SPOUSE OR THE DEPENDENT ORDINARILY RESIDE IN THE-
SAME DWELLING UNIT AS ONE OF THE PERSONS DESCRIBED IN PI OR PG
,L A PERSON DE SCR-BED IN •
WHEN ENTITLED TO COL/PE Ns•T1ON UNDER SECTION 19 0R SECTION 23 OF THE INSURANCE MOTOR VEHICLE( ACT
WHILE • PE DESTRIAN OR VJH.E IN OR ON PREMISES OR RIDING • CYCLE IS STRUCK BY A VEHICLE
OCCUPANT MEANS
A PERSON OTHER THAN • PERSON DESCRIBED IN PARAGRAPH MI OF THE DEFINITION OF AN INSURED PERSON WHILE OPERATING RIDING IN
OR UPON OR ENTEPN:. IN•C. OR A..;.H'r',r, FROM RI. ,NSURED VEHICL E
A PERSON OTHER H•N • PERSON DESCRIBED IN PARAGRAPH U, OF THE DEFINITION OF AN INSURED PERSON WHO WHILE A PEDESTRIAN OR
WHILE IN OR ON PREMISES OR RIDING A CYCLE IS STRUCK DT AN INSURED VEHICLE
2 THE INCOME REPLACEMENT BENEFITS PAIABLE TO AN INSURED PERSON OR AN OCCUPANT UNDER THIS POLICY EITHER ALONE OR JOINTLY WITH ANY
0,qm, P L AN OR H;,./CT SHA L L F 7_E ED AN AM ",,TN` 'HAT /5 MORE THAN T5'. OF THE 4P055 WEEKLY INCOME OF THE INSURED PERSON OR OC
CUPAN •
THE INCOME REPLACEMENT OR DE ATH BENEFITS RECEIVED BY AN INSURED PERSON OR AN OCCUPANT INSURED UNDER THIS POLICY SHALL BE
DEDUCTED PURSUANT TO SECTION 24 OF THE INSURANCE (MOW* VEHICLE) ACT FROM ANY CLAIM FOR DAMAGES THAT THE INSURED PERSON °ROC
CLIPANT HAS AGAINST ANOTHER PERSON BECAUSE OP THE LOSS OR INJURY FORWNICH THE INCOME REPLACEMENT ORMAN BENEFITSUNDER THIS
POLICY ARE PAD
• NO INCOME REPLACEMENT OR DEATH BENEFIT AFFORDED BY THIS POLICY SMALL SE PAID TO AN INSURED PERSON OR OCCUPANT UNLESS AND UNT IL
THE INSURED PERSON OR OCCUPANT HAS COMPLIED WITH ANDRAS BEEN PAID AN ACCIDENT BENEFIT PURSUANT TO PART T OF THE REGULATION
5 WHERE AN INSURED PERSON OR OCCUPANT IS PROTECTED IT MORE THAN ONE VALID ENFORCEABLE INCOME REPLACEMENT INCLUDING DEATH
BENEFITS POLICY THE CORPORATION SHALL ONLY PAY INCOME REPLACEMENT OR DEATH BENEFITS TO AN INSURED PERSON OR OCCUPANT OUR
sum., TO THE TERMS AND CONDITIONS OF ONE INCOME REPLACEMENT INCLUDING DEATH BENEFITS POLICY. HO MATTER ROW MANY INCOME
REPLACEMENT AND DEATH BENEFITS POLICIES ARE THEN IN FORCE WITH RESPECT TO THE INSURED PERSON SOR OCCUPANT S CLAIMS TOR INCOME
REPLACEMENT OR DEATH BENEFITS
Ev:EPT WORE OTHERWISE PROVIDED ALL TERMS CONDITIONS AND PROVISIONS DEFINITIONS AND EXCLUSIONS OF PART I OP THE REGULATION
SHALL CONTINUE TO NAVE FULL FORCE AND EFFECT WITH RESPECT TO THE INCOME REPLACEMENT AND DEATH ITS MOM MY THIS racy
IN WITNESS WHEREOF THE CORPORATOR HAS CAUSED THIS POLICY TO

ST SIGNED BY ITS PRESIDENT ANC CHIEP EXECUTIVE OFFICER. BUT THE
SAME SHALL NOT SE BINDING UNTIL VAUDATED AND. SIGNED BY AN
AGENT OR OTHER AUTHORIZED REPRESENTATIVE OF THE CORPORATION
RAC 9,DE Nr A40 C•ItTETECVTIvE °MCP.

COAPOR•I ,ON OF BRITISH COLAAPIA
ALU
SPECIAL EXCESS THIRD PARTY INSURANCE
LEGAL LIABILITY POLICY CORPORATION
no AmIHHI 10N,
SAT POL.GT Numal ll 1.5NO

4PHTA E... 1 I Ia. "
"' „4/1 I ""34 ""
e
n •1
' Jr I APV212
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N•uf DA NEASID,11■ANwal TOL,OHID TIT 5,FENNAHE ,
I 1 I ,II I III 1111 I I I I I I I I l I II
11IIIIIIIIIIIIIIIIIIIIIIII
ADOAIMOP GNARLED
IIIIIIIIILEIIIIIII__IIIIII II
I I I I I I I I I I I I I I I I III II_E EL
ca. PROHEECI AOSTAL COOK
III III I III 11111 I I I I III IT
TlI VT "Su.' USE

iCBC
c.s• c.tout
1 I t
•A. N. vlIf • TN HO OF PERSONS IACISS INSulANCI ANN, A, PRORATED • 11.,.,u 4 MINIMUM

,SoAl • A-• - •• "qv PRE MUM
PERSO,, I _I I I , 4 0, 0, 04 0, 0, 0 SI I 4 S I i1— 12°
I IN ooNsIDER•tiON OF THE PREMIUM PAID BY THE NAMED INSURED FOR THIS POLICY, AND SUBJECT TO THE TERMS. CONDITIONS AND LIMITATIONS of THE POLICY THE
CORPORATION AGREES TO INDEMNIFY THE PERSONS DESCRIB 0 BELOW WHILE USING OR OPERATING A VEHICLE WITH THE APPROVAL OR AUTHORITY OF THE NAMED
INSURED PROVIDED THAT AT THE TIME OF SUCH USE OR OPERATION SUCH PERSONS ARE TRANSACTING OR CONDUCTING THE BRITISH COLUMBIA OPERATIONS OF THE
NAMED INSURED
'al AN OFFICER OR EMPLOYEE OF THE NAMED INSURED WHO WHILE IN THE COURSE OF HIS EMPLOYMENT. USES OR OPERATES EITHER HIS OWN VEHICLE OR WITH
pERLYss.oN AND CONSENT A VEHICLE OWNED B. ANOTHER IF NOT THE NAMED INSURED OR
am A VOLUNTEER PERSON WHO IS NOT AN OFFICER OR EMPLOYEE OF THE NAMED INSURED. AND WHO ACTS ON BEHALF OF OR ASSISTS THE NAMED INSURED WHILE
USING OR OPER•TINC. EITHER HIS OwN VEHICLE OR A VEHICLE OWNED BY ANOTHER IF NOT THE NAMED INSURED WITH THE PERMISSION AND CONSENT OF THE
OvvNE. OR
ICI THE OWNER. IF NOT THE NAMED INSURED OF THE VEHICLE USED OR OPERATED WITH THE PERMISSION AND CONSENT OF SUCH OWNER WHERE NEITHER THE
OFFICER OR EMPLOYEE DESCRIBED IN (au NOR THE VOLUNTEER PERSON DESCRIBED IN (IN IS THE OWNER OF THE VEHICLE USED OR OPERATED
2 INDEMNITY IS AFFORDED BY THIS POLICY IN ACCORDANCE WITH THE REGULATION FOR
IA Az.c■ DE NT BENEFITS AS SET OUT IN AND LIMITED Br DART 7 0,THE REGULATION IF NO OTHER CER'TI:ATE OR POLICY AFFORDS ACCIDENT BENEFITS TO THE
VICTIM OF THE ACCIDENT TO WHICH THIS POLICY ALSO APPLIES
ID, ERCESS THIRD PARTY LEGAL LIABILITY AS SET OUT IN AND LIMITED BY PART HOF THE REGULATION FOR LEGAL LIABILITY FOR DEATH. BODILY INJURY OR PROPERTY
DAMAGE. INCLUSIVE OF ADJUSTING EXPENSES. LEGAL EXPENSE. INTEREST OR COSTS
III THAT EXCEEDS THE LIMIT OF LIABILITY FOR THIRD PARTY LEGAL LIABILITY. SET OUT EITHER IN THE UNDERLYING OWNERS CERTIFICATE OR OTHER UNDERLYING
CERTIFICATE ISSUED IN ACCORDANCE WITH THE REGULATION OR ANY OTHER VALID AND SUBSISTING UNDERLYING POLICY OF INSURANCE. OR ANY COMBINATION
OF UNDERLYING POLICY AND CERTIFICATE. ISSUED IN RESPECT OF THE VEHICLE OWNED OR OPERATED BY THE OFFICER, OR EMPLOYEE. OR VOLUNTEER, OR
OTHER OWNER IF NOT THE NAMED INSURED AFFORDED INDEMNITY BY THIS POLICY. AND.
THAT DOES NOT EXCEED THE LESSER OF

(Eh THE LEGAL LIABILITY INCURRED BY THE OFFICER OR EMPLOYEE. OR VOLUNTEER OR OTHER OWNER. AND.
101 THE AMOUNT THAT THE EXCESS INSURANCE LIMIT SHOWN ON THE FACE OF THIS POLICY IS GREATER THAN THE THIRD PARTY LEGAL LIABILITY LIMIT SHOWN
ON THE UNDERLYING CERTIFICATE OR POLICY
3 THIS POLICY SHALL ONLY INDEMNIFY FOR ADJUSTING EXPENSE. LEGAL EXPENSE. INTEREST, OR COSTS. ACTUALLY INCURRED IN RESPECT OF THE SETTLEMENT OR
LITIGATION OF THE EXCESS PART OF A CLAIM FOR DEATH. BODILY INJURY. OR PROPERTY DAMAGE. PAID OR PAYABLE. PURSUANT TO THE INDEMNITY AFFORDED BY
THIS POLICY
A NO EXCESS INDEMNITY SHALL BE AFFORDED BY THIS POLICY IN RESPECT OF ACCIDENT BENEFITS OR THIRD PARTY LEGAL LIABLITY INDEMNITY THAT IS OR MAY BE
AFFORDED EITHER BY AN UNDERLYING OWNERS CERTIFICATE OR OTHER CERTIFICATE ISSUED IN ACCORDANCE WITH THE REGULATION. OR BY ANY OTHER VALID
AND SUBSISTING UNDERLYING POLICY OF INSURANCE. OR A POLICY OF NON OWNED LIABILITY. INDEMNIFYING AN OFFICER, OR EMPLOYEE, OR VOLUNTEER. IN RESPECT
OF THE USE OR OPERATION OF THE VEHICLE TO WHICH THIS EXCESS POLICY ALSO APPLIES
S NO INDEMNITY SHALL BE AFFORDED BY THIS EXCESS POLICY IF AT THE DATE AND TIME OF THE OCCURRENCE OF LOSS OR DAMAGE TO WHICH THIS POLICY APPLIES .
THE OFFICER. OR EMPLOYEE OR VOLUNTEER. OR OTHER OWNER IS IN BREACH Of THE TERMS. EXCLUSIONS OR CONDITIONS Of THE UNDERLYING OWNERS MEM.
CATE DESCRIBING THE VEHICLE INVOLVED IN THE ACCIDENT, OR OTHER CERTIFICATE ISSUED IN ACCORDANCE WITH THE REGULATION. OR BY ANY OTHER VALID
AND SUBSISTING UNDERLYING POLICY OF INSURANCE. OR A POLICY OF NONOWNED LIABILITY INDEMNIFYING AN OFFICER, OR EMPLOYEE. OR VOLUNTEER. IN RESPECT
OF THE USE OR OPERATION OF THE VEHICLE TO WHICH THIS EXCESS POLICY ALSO APPLIES
B EXCEPT AS SET OUT IN THE POLICY ALL LIMITS. TERMS. CONDITIONS. PROVISIONS, DEFINITIONS AND EXCLUSIONS of THE REGULATION SHALL HAVE FULL FORCE AND
EFFECT
SIGNATURE BY THE INSURED OF THIS POLICY ACKNOWLEDGES ALL THE TERMS AND CONDITIONS CONTAINED HEREIN AND DECLARES THAT THE FOREGOING PART,
CULARS ARE TRUE AND WHERE (A) THE INSURED IN THIS POLICY GNU FALSE PARTICULARS TO THE PREJUDICE OF THE CORPORATION OR KNOWINGLY MISREPRESENTS
OR FAILS TO DISCLOSE IN THIS POLICY ANY FACT REQUIRED TO BE STATED HEREIN. OR NI THE INSURED CONTRAVENES A TERM OR CONDITION Of THE POLICY OF
INSURANCE OR THE REGULATION OR COMMITS A FRAUD, OR EC) THE INSURED WILLFULLY MAKES A FALSE STATEMENT IN RESPECT Of A CLAIM UNDER THIS POLICY OF
INSURANCE OR THE REGULATION. ANY CLAIM BY THE INSURED UNDER THE SAID POLICY IS INVALID AND THE RIGHT OF THE INSURED TO RECOVER INDEMNITY
THEREUNDER IS FORFEITED IAND IN ADDITION OR AS AN ALTERNATIVE . WHERE APPROPRIATE AND APPLICABLE. THE CORPORATION MAY CANCEL THE SAID POLICY
PURSUANT TO SECTION SO OF THE REGULATION,
WHIN MADAM AND SIGNED IT AN AUTHORIZED AGENT THIS .00C,

CO/WOWS PFSLAANCI COVERAGE IS IN FORCE ACCORDING TO THE
TERNS AND CONDITIONS OF THE POLICY ANO PURSUANT TO THE
INSURANCE WO/05 HINCL El ACT AND RE OUL • TION
SIONANIN DI MAIN TIME OF VALIDATION

A
• EA
Name NI HERON. utCuTHI OPPOPP
ANNA ANCA COTACWANCIN Of SWISH COLuNIMA
T , TWAILW TI NY A .
CONTINGENT LIABILITY INSURANCE POLICY INSURANCE 12 I
M
mata met: a..aama C .11CM •.1 .1a,S10•IG■m•1■ 04 Mom
ael1tio v1-1 •C1.1 4 C•1L1D 1.1 .(00.•,.0
CORPORATION
fIAVNilI II N,
APPLICANT (HEREINAFTER CALLED THE NAMED INSURED( HEREBY APPLIES TO THE CORPORATION FOR A POLICY OF CON
TINGENT LIABILITY INSURANCE. AND THIS APPLICATION SHALL FORM PART OF THE POLICY OF INSURANCE HEREBY APPLIED
FOR WHICH SHALL BE AS FOLLOWS
1,lieT ■ Vi URI.,DOI Ay iNV POLICY NUMBIA LINI N0

Da • YON, OAR 015 100.0a mi.
111111 11111
NAM( C. NAURU) IMMINAMI P011.71NI0 SI GAIN MAMAS(
4 3 C 0 01 A/11243
I 111111111111111111 11111111
•DO.ESS INAL11E0
1/1111111111111111
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
111111111111 1 1 1
Cr NicroNtt POSTAL COCA
1 1 1 1 1 l I 1 1 I 1 1 1 l 1 1 I 1 1111
IN CONSIDERATION OF THE PREMIUM PAID TO THE CORPORATION FOR THIS POLICY OF CONTINGENT LIABILITY INSURANCE
WHEN THIS APPLICATION IS VALIDATED AND SIGNED BY AN AGENT OF THE CORPORATION, IT IS AGREED, IN ACCORDANCE WITH
THE TERMS AND CONDITIONS ON THE FRONT AND BACK OF THIS POLICY, THAT WHERE THE NAMED INSURED AS OWNER OF THE
VEHICLE IS VICARIOUSLY LIABLE FOR DAMAGES DIRECTLY ARISING FROM AN ACCIDENT OCCURRING DURING THE TERM OF THIS
POLICY RESULTING FROM THE USE OR OPERATION WITH THE PERMISSION AND CONSENT OF THE NAMED INSURED OF A VEHICLE
TO WHICH THIS POLICY IS APPLICABLE AND WHERE THE LESSEE OF THE VEHICLE AT THE TIME OF THE ACCIDENT HAD FAILED TO
OBTAIN OR KEEP IN FORCE FOR THE DURATION OF THE TERM OF THIS POLICY AN UNDERLYING OWNER'S CERTIFICATE OF
INSURANCE PROVIDING THIRD PARTY LEGAL LIABILITY INSURANCE ON AN OWNER'S CERTIFICATE ISSUED JOINTLY TO THE
NAMED INSURED AND THE LESSEE OF THE VEHICLE FOR A LIMIT OF LIABILITY NOT LESS THAN THE LIMIT OF LIABILITY FIXED FOR
THIS POLICY. THEN THE CORPORATION SHALL INDEMNIFY THE NAMED INSURED. AFTER ALLOWANCE FOR THE DEDUCTIBLE
AMOUNT SET OUT IN THIS POLICY AND ANY COINSURANCE PAYABLE BY THE NAMED INSURED, FOR DAMAGES FOR WHICH THE
NAMED INSURED AS THE VEHICLE OWNER IS VICARIOUSLY LIABLE, ARISING IN THOSE SITUATIONS THAT ARE DESCRIBED IN
CONDITION 10 SET OUT ON THE BACK OF THIS POLICY.
NO CM .1*.CLIS i COIFAAGI T OI lIARPlPrY AMNiuMal.[.10.0, 111101.1■ ID P1,11111./M1

MINIMUM
151110 PAWN LEGAL LIABILITY MA., li
, „ 0 0, 0 I I I I I
PREMIUM $30
CASH 7] c.tout ICBC

THIS POLICY CONTAINS TERMS WHICH MAY LIMIT THE AMOUNT PAYABLE USE I
ONLY
THIS POLICY OF INSURANCE SHALL BE SUBJECT TO THE SPECIAL TERMS AND CONDITIONS CONTAINED ON THE BACK OF THIS
POLICY, WHICH SHALL ALSO FORM PART OF THIS POLICY AND SHALL BE BINDING UPON THE INSURED.
SIGNATURE BY THE NAMED INSURED OF THIS POLICY ACKNOWLEDGES ALL THE TERMS AND CONDITIONS CONTAINED ON BOTH
THE FRONT AND BACK OF THIS POLICY AND DECLARES THAT THE FOREGOING PARTICULARS ARE TRUE, AND WHERE (A) THE
NAMED INSURED IN THIS POLICY GIVES FALSE PARTICULARS TO THE PREJUDICE OF THE CORPORATION OR KNOWINGLY MIS.
REPRESENTS OR FAILS TO DISCLOSE IN THIS POLICY ANY FACT REQUIRED TO BE STATED HEREIN, OR (B) THE NAMED INSURED
CONTRAVENES A TERM OR CONDITION OF THIS POLICY OF INSURANCE OR THE REGULATION OR COMMITS A FRAUD, OR (C) THE
NAMED INSURED WILLFULLY MAKES A FALSE STATEMENT IN RESPECT OF A CLAIM UNDER THIS POLICY OR THE REGULATION,
ANY CLAIM BY THE NAMED INSURED UNDER THIS POLICY IS INVALID AND THE RIGHT OF THE NAMED INSURED TO RECOVER
INDEMNITY THEREUNDER IS FORFEITED (AND IN ADDITION OR AS AN ALTERNATIVE, WHERE APPROPRIATE AND APPLICABLE,
THE CORPORATION MAY CANCEL THIS POLICY PURSUANT TO SECTION 58 OF THE REGULATION).
TIME CM VALIDATION
AM
PM
ILAMAILMS GI VOINIVIN a AGIN,
•Pv 711 MP ma.

CONTINGENT LIABILITY POLICY
---- -
SPECIAL TERMS AND CONDITIONS A 2z
....,,TTNINH V-L.AUS5 AND () T HE TINOS AND CONDITIONS SET OUT ON THE FRONT OP THIS POLTCY THE PC T ANC.
• e .. • •.•:, y•• • • ,,••,,, $.4 St.■•••.:IF TIELA/TRED CA IACH ANTE RITE...0 OWNER S CEP , TCAEE Or INSEJNA /CI •EPT • • ILA VA T EIHCLE
• N••• E NTA T TJNOIN THE KOOS. Cfm. T NANA TIAD,O. VEHICLE Art ANN• . • IN THE NAME Of THE NAMED INSURED AND THE MAI ...ALL RE AHED SE
•HL • . A DON:OTON JE THE S T AN:M*1. TORTA Dr .SASE AGREEMENT BETWEEN THE NAMED INSURED AND THE LESSEE NH YAW
• tH IT WHICH •...s.0.0:y IS APPLICABLE AND BF NOY LESS 1H AN THE LIMIT OF L . EINITET SHOWN ON THE FRONT OF THIS NOLIcy
5 ATTE...ED TO TIN'S POLICE IS A COAT OP EACH FORM of sT•NDAN3 FONTEIN ...EASE AGREEMENT CUSIPENTLY IN USE SE THE NAMED INSURED TO LIME A VEHICLE 1",
• Liss, I WHEW IHE VEHICLE IS A VEHICLE TO WHICH THIS POLIO •FIAL ...ABLE THE CORPORATION SHALL BE T HME0.•T ELY NOTIFIED OF ANTI CHANGE. DALE TON
• •( THt. LANGUAGE Os ANY O. THE ATTACHED AGREEmENTN 0 ANY ADDITION TO OR DELEY.T.N FROM THE NUMBER Or ATTACHEC S,ANomso
• •.o rorr to, T 7. LEASE OE THE NAMED ...No.!:
• THEN( SHALL SE ma ANE•T E OF THE NAMED INSURED ANDER THIS NU . ICT ONLI WHEAT A LESSEE ITS OFFICERS OH EMPLOYEES. PANS TO OBTAIN DA HELP IN r ok -t
Fu•TEMpulIA•iGN O. INF TERM 'Jr THIS POLICY uNDEPTE.ND INSURANCE AS PEOUT.E0 INY THE LEFIAE AGREEMENT BETWEEN THE NAMED INSURED AND THEE LESSEE
ACc011oNliquIEE 0,THE S'ANDAHO AGREEMENT FORMS ATTACHED TO ENG POLICE IN AGCONOANC WITH CONDITION S. THE UNDERLYING INSURANCE TO 61 FOR
A LIMIT OPE., NAY SOT LESS THAN THE LIMIT Or LIABILITY OP THIS POLICE
4, • LEASED VEHICLE TO THIS POLICY IS APPLICABLE SHALL NOT BE DELIVERED TO THE LESSEE BY THE NAMED INSURED WITHOUT THE NAMED INSURED
r ■NGT HAVING OBTAINED FROM THE LESSEE THE FOLLOWING DOCUMENTS
w AN UNDERTAKING SIGNED SE THE LESSEE SUM S INSURANCE UNDERTANINGT THAT THE LESSEE WILL DETAIN AND SW EN PEACE (Mop THE TERM OF THIS
POLICE JOAO ,. ■ IN THE NAME 0,THE NAMED INSURED AND THE LESSEE AN UNDERENNO OWNER S CERTIFICATE OF INSURANCE NON AN AMOUNT NOT LESS THAN
THE LHETT Or THIRD PART• L [CAL ',MINUTE SPECIFIED IN THE STANDARD FORM OE LEASE AGREEMENT AS ATTACHED TO THIS POLICY AND
,, A COPT GE THE UNDERLYING OWNER S CERTIFICATE T OR THAT VEHICLE CONFIRMING THAT THE UNDERLYING INSURER HAS ISSUED THE INSURANCE DESCRIBED
IN CONDITION
• ••■••1.1 (YANG NI 'TIM OF THIS POLICY OR ANY RENEWAL OF IT THE NAMED INSURED RECEIVES KNOWLEDGE THAT THE UNDIETKTING INSURANCE HAS NOT SEEN
• o AS RIOLAPED ST CONDITION A OR THAT THE UNDERLYING INSURANCE THAT WAS OBTAINED HAS SUBSEOUENTL• SEEN CANCELLED. THE NAMED wsusED
SHALL PROMPTLY TATO IN ANY CASE WITHIN 3T, DAYS OF RECEIPT OF THAT KNOvyLIEDGEi ARRAI ETEmOTT3RaLSgINCE COVERAGE IN InC, ITC:$1•Ell UNDERLYING
7.ANE•S CERTIFICATE Of INSURANCE IF THE UNDERLYING OWNER S CERTIFICATE S
NAGY SHAL. WITHOUT FURTHER NOTICE THEREUPON BE DEEMED TO SE CANCELLED WITH RESPECT TO THE INDEMNITY AFFORDED THE NAMED INSURED AS OWNER
FOR VICARIOUS LIASILI'I FOR DAMAGES ARISING FROM THE USE OR OPERATION OF THE VEHICLE TO WHICH THAT UNDERLYING OWNER'S CERTIFICATE OP INSURANCE
SHOULD HAVE SEEN APPLICABLE
6 posh:. THE TEEN, or THIS PO.C , OR PTO RENEWAL OF TT THE NAMED INSURED SHALL MANE AND EON YEARS AFTER TERMINATION OP THIS POLICY SHALL RE t'
PE CORDS OF THE TOL LOWING
AL. VEHICLES TO WHICH 7E44 000C,OF INSURANCE IS APPLICABLE
• • HE LEASE AGREEMENTS WOMEN THE INSURED AND THE LESSEE RELATING TO EACH VEHICLE TO WHICH THIS POLICY M INSURANCE IS APPLICABLE
•,.. THE LESSEES INSURANCE UNDERTAKING REOUIRED EY CONDITION
PIMP' Of KNOWLEDGE THAT AN uNDER. TTTNG OWNERS CEII•EFECA T E OF INSURANCE HAD NO' SEEN OBTAINED Cl HAD SUN TERMINATED AS DESCRIBED IN
CONDITIONS AND
ANY PROOF OF OTHER INSURANCE DETAINED 8. THE NAMED INSURED IN ACCORDANCE WITH CONDITION S
f AiLUPE Or THE NAMED INSURED TO MARE AND REEF THE RECORDS REOUIRED TO EE MADE AND HEIR SY THIS CONDITION MAY TOED THIS POLICY AS DECIDED ST
'HE INSURER IN ITS SOLE DISCRETION
THE INSURER LEN INSPECT THE RECORDS RE•111010 TO IN THIS CONDITION AT ANY REASONABLE TIME DEMING THE TERM OF OR ANY RENEWAL OF TENS POLICE
oa DUPING THE THREE YEARS FOLLOWING THE CANCELLATION OR TERMINATION OF THIS POLICE
7 LW OR BEFORE EYE INCEPTION DATE OF THIS POLIC• THE NAME0 INSURED SHALL DETERMINE THE TOTAL NUMBER OF VEHICLES THEN UNDER LEASE EY THE NAMED
INS DEED TO LESSEES AND TO WHICH ?NT S POLIC Y IS EPPLICASIE AND Toff NAMED INSLVIED SHALL DECLARE •THE NEPHEW. OP VEHICLES SO DETERMINED ON THE
HE AA
F ROM' GE THIS POLICY. WHICH NUMEEP OF YEHECLES SHALL BE USED BY THE CORPORATION TO DETERMINE TN/ PREMIUM PAID HOPE THIS POLICY T
WRING THE TERM OP THIS POLICY OR ANY RENE WA., THE NAMED INSURED SHALL REPORT TO THE CORPORATION WHENEVER THE ACTUAL TOTAL NUMBER OF LEASED
JEH,:„Es TO WHICH THIS POLICY IS •PPLICAB,E .ARIES BI kn.!. •••■•,, FROM THE NUMBER OF VEHICLES DECLARED AT INCEPTION OF THIS POLICY DE ENE
mouRE: ON THE ARON, Of THIS PIDOC , OR LAS , PREVIOUSLY REPORTED IN ACCORDANCE WITH DRS CONDITION OR SHOWN AS AIR AMENDED DECLARED TOTAL
NumEEP OF /ENGLES ON ANY RENEWAL FORM OP THIS POLICY
0 FOP Er:. :LA....01105S OR Damao( Fop WHICH IS •FICADED By THIS POLICY THE NAMED INSURED SHALL PAT A DEDUCTIBLE AMOUNT OP STY:10
WHERE •• THE DATE OF THE OCCURRENCE OF AN ACCIDENT RESULTING IN • CLAIM UNDER THIS POLICY THE NUMBER OF VEHICLES TO WHICH THIS POLICY APPLIES
G MOPE THAN ES..TREATER THAN THE DECLARED huMAF G. LEASED 111THE NAMED INSURED TO LESSEES AS SHOWN ON THE FRONT OF THIS POLICY
AN' RENE PAL DT IT OP AS REPORTED IN ACCORDANC E C TMINEION T THEN FON EACH CLAIM TO WHICH THIS CLAUSE OP THIS POLICY IS APPLICABLE AFTER
S.B •RAZ •NG AV3,."' OF 'NE DEDUCTIBLE FROM THE TEA'S CLAIM THE NAMED INSURED SHALL SE A COINSURER FOR THAT PART OE EACH NET CLAIM THAT IS
E'CESS 'HE LIV.,Or LIAB,L,Ty Amt.) IN THIS AULTCE 'HE PROPORTION OF SUCH CO TNGLTRANCE TI) BE SORNE BY THE NAMED INSURED UNDER THIS
,E, SE SUNG DUE Pm NEC •7,:.ORDMIG •O THE. ED.I 'WOW; CALCu.•,TON
• 7 .,m. PREMIUM - ANNA - PAID PRE %Num
ACTUAL PREMIUM
IN THIS CALCULATION ' ACTUAL PREMIUM MEANS THE PREMIUM THAT WOULD NAVE BEEN PAID BY THE NAMED INSURED IF THE NAMED INSURED HAD
DECLARED on REPORTED THE CORRECTED NUMBEA OF VEHICLES TO WHICH THIS POLICY SHOULD APPLY. AND 'PAID PREMIUM' MEANS THE PREMIUM
PAID TO THE CORPORATION ST THE NAMED INSURED FOR THIS POLICE AT FES RECEPTION OR LAST RENEWAL OR ON ANT ALTERATION ENDORSEMENT
ISSUED IN ACCORDANCE WITH CONDITION 7
✓ IT IS UNDERSTOOD AND AGREED THAT UPON THE OCCURRENCE Or AN ACCIDENT INVOLVING LOSS OE OR DAMAGE POP WHICH INDEMNITY IS PROVIDED ST TEES
POLICE
IRPESEECIIVE OF THE AMOUNT OF LOSS 0.04...EA PROW, NOT.CE THEREOF SHALL BE WEIN TO 'HE NOV/NAV THE NAMED INSLAND
.5. THE INSURER MAY INVESTIGATE SUCH ACCIDENTS ...T.., WITHOUT THUMB,WAIVING CONDITION B THE INSURER MAY PA, A RESULTING CLAIM CIA JUDGEMEN T
ARISING PEON SUCH ACCIDENT AND THE NAMED ENSURED. UPON WRETTINENEMANO FROM THE INSURER SHALL REIMBURSE THE pomp ANY AMOUNT UP TO THE
AMOUNT OP THE DEDUCTIBLE. TOGETHER *ITN ANY APPLICABLE COINSURANCE RATABLE ST THE NAMED INSURED AS SET OUT IN CONDFNON B THAT WOULD
APPLY TO THE CLAIM ON morale PAID BY THE INSURER
c, THE LITAT 01 THE NAMED INSUREDS LIAEILITY FOR REPAYMENT HEREUNDER SHALL SE THE DEDUCTIBLE AMOUNT SET GU' IN CONE/MON B APPLYING TO EACH
ACCIDENT REGARDLESS OP THE NUMBER Of CLAIMS ARISING THEREFROM TOGETHER WITH ANY API•,'LABIA CO INSURANCE PAYABLE ST THE NAMED MOOTED
It MORE THAN ONE VEHICLE IS INSURED UNDER THIS POLICY THIS CONDITION AND CONDITION B SHALL APPLY SEPARATELY TO EACH VEHICLE TO WHICH THIS POLICY
IS •••LTCESLE
TD THE 1E/otios17y AP FORTMO ST THIS POLICY TO THE NAMED INSURED IS EON THE LESSER OF EITHER THE AMOUNT OF THE DAMAGES TO WHICH THE POLICY HE *PALM •
ABLE FOR WHICH THE NAMED INSURED IS VICARIOUSLY LIASLE OR THE LIMIT OF LIABILITY FOR THIRD PARTE LEGAL LIA BILITY COVERAGE MFOPIOED ST THIS POLICY
TO THE NAMEONSuRED FOR THE VEHICLE INVOLVED W THE ACCIDENT TO WHICH THIS POLICY IS APPLICABLE. ONLY WHERE
tNuNDEALTINGINSuRANCt IS NO1 OBTAINED BY THE LESSEE
RBI UNDERLYING INSURANCE IS ALLOWED TO LAPSE. OR 15 CANCELLED OR TERMINATED. OP
ICI UNDERLYING INSURANCE FOR THE PEOUIRED POLICY LIMIT IS NOT AVAILABLE TO PAY A CLAIM BECAUSE OF A BREACH OF THAT INSURANCE ST THE LESSEE OR A
PERSON OPERATING THE VESICLE WITH THE pERANSNON AND CONSENT OF THE LESSEE WHERE THE NAMED INSURED HAS NOT PERMITTED. IONIAN). ALLOWED
OR CONNIVED AT THAT BREACH AND THE NAMED ENSURED IS VICARIOUSLY WINE FOR THE CLAIM TO WHICH THE LESSEES BREACH TS APPLICABLE
• I IN THIS POLICY DAMAGES THAT DO NOT EXCEED THE LIMIT Or LIABILITY FON INDEMNITY AFFORDED By THIS POLICY. INCLUDE PREJUDGMENT ON POET JUDGMENT
INTEREST COURT COSTS AND THE COSTS OF THE DEFENCE 01THE NAMED INSURED wilt. uNDERTAKEN BY THE CORPORATION BUT WHERE THE AMOUNT Or THE
DAMAGES EACEEDS THE LIMIT OP LIABILITY POW TNDENN.Ty AFFORDED Sy THIS POLICY . DAMAGES IN THIS POLICY MEANS ONLY THAT PART OF THE TOTALTDAHEMTA
0G4:
ION w. ty. EEG NAMED INSURED IS VICARIOUSLY LIABLE THAT ARE *THAI THE LIMIT Of LIABILITY AFFORDED BY THIS POLICY REGARDLESS Of WHETHER
DAMAGES INCLJDf AMONGST OTHER THINGS PRE JUDGMENT OR POST JUDGMENT INTEREST COURT COSTS OP THE COSTS OF DEPENDING THE NAMED INSURED
WHEN uNnEHTAKE N RI THE CORPORATION
•: IN{ VEHICLE, ACT APPLIES TO THIS POLICY AND PART 6 OF THE REGuL ATKIN APPLIES TO EACH CLAM FOR INDEMNITY MADE BY
, uNDEF, THIS POLICY 0" SUBROGATION ST THE INSURER BUT REGULATION SECTIONS 65 AND ME DO NOT APPLY TO THIS POLICY
II'. ! ''• A ,. HE PURPOSES OF REGO. A Yin% SE THIS POI ICY IS A POLICY OF EXCESS INSURANCE
y N.TE APPLY TET AN T LI AND F TEMPTED Paw too AREA, •T..,A, or THE iN,URANCE MOTOR VEHICLE, ACT AN
HE COOL A T II IN
IN WITNESS WHEREOF THE CORPONATION HAT CAUSED THIS POLICY TI, SE

SIGNED BY ITS IMESBXT.• AND (- THEE IFECUtlyi OFFICER BUT THE SAME SHALL
NOT BE BINDING uNto, VALIDATED AND SIGNED ON f NE FRONT SIDE HEREOF
BY AN AGENT OR OTHER AUTHORIZED REPRESENTATIVE Of THE CORPORA, T(0,
VEHICLE IN INDUSTRY POLICY INSURANCE
,,,,, g. •a, ..,,•.. I ..,,'D..I. ,1 , • ,641....,•,•.,..,, •, , ,. .• -.., [11 CORPORATIOfsl
,ii,11,....,....,,,4,
.12o
WIC of DPI ir cow- • - .0. NuVair POof , Puwa(•

IV• ..0••• •1•• . ••• of ■■•
II1I 1 111111
4261
617008 1"42
Vol 01 04UFIR/ 11.1.6■101 OM tOolIO Sr Ow.% cm•cyr WARNING
1 1 I 1 I 1 1 I I 1111 I 1 iiiii 1 1 ■ I USE OF VEHICLEISiOUTSIDE BRITISH COLUMB ■ A
IN INSTANCES WHERE III THE 0Tll'71.F
REGISTERED AND LICENSED IN WNW
IIIIIIIIIIIIIIIIIIIIIIIIII JURISDICTION 151 THE LAW OF *Nut HT
JURISDICTION REOUIRE0 THAT IT BE
a00515* 0* *MAO REGISTERED AND LICENSED THERE OR ■ ( IT
HAS BEEN PERMANENTLY REMOVED k HOY ((it
IIIIIIIIIIIIIIIIIIIIII 1111 PROVINCE FOR MORE THA4 6 11 DA,,
WHICHEVER COMES FIRST MA, 14dA..Da!!
THE COVERAGE UNDER 1.415 POLICI of 111.
111111111IIIIIIIIIIIIII_Il 1 DOUBT. PLEASE CONSULT YOUR MOTORIST
OR AGENT
I 1 t
11.0,..ci 1 1 1 111
1.0V.I COO(
[ C'"1 II 1 II I II II IIII I I 1 II II IA 11111111111

IN CONSIDERATION OF THE PREMIUM PAID TO THE CORPORATION FOR THIS VEHICLE IN INDUSTRY POLICY. WHEN THIS POLICY
IS VALIDATED AND SIGNED BY AN AGENT OF THE CORPORATION, IT IS AGREED IN ACCORDANCE WITH THE INFORMATION SET OUT
ON THE APPLICATION FOR THIS POLICY, WHICH APPLICATION FORMS PART OF THIS POLICY, AND IN ACCORDANCE WITH THE
TERMS AND CONDITIONS ON THE FRONT AND BACK OF THIS POLICY, THAT THE CORPORATION SHALL INDEMNIFY THE INSURED
WHERE.
(Al THE INSURED IS LEGALLY LIABLE TO ANOTHER PERSON FOR DAMAGES DIRECTLY ARISING FROM AN ACCIDENT OCCURRING
DURING THE TERM OF THIS POLICY RESULTING FROM THE USE OR OPERATION OF A VEHICLE 70 WHICH THIS POLICY IS
APPLICABLE. OR
(BI OWN DAMAGE COVERAGE IS AFFORDED BY THIS POLICY TO THE VEHICLE DESCRIBED IN THIS POLICY
VEHICLE DESCRIPTION
IIM oa. MOM. 0001 vIvOI IDINTOCATKI. MINYA NO Plf0111.../405 NO
• I
till 1 tit 1 1 1 1 )1111111 1111111 111111
F... •0 C. I CLASS IVAN IIA11 WHIM V15K11
*WO SI "0U. V 11141101111•11 wow.
40010.10 00 1101 COM.R11,1 •
oCINCI KAI'S .01.1100 1 1 1 1 11:4O.VID loVVI `SI
COvIAAOn uw,SP/11•10.14.0411.CI.11rIS 1 ..I ...v.,

THIS POLICY OF INSURANCE SHALL BE SUBJECT TO THE SPECIAL 11011 or 1.5.1., 1.01..v.
lwAD 414.41/4•.
TERMS AND CONDITIONS CONTAINED ON THE BACK OF THIS POLICY. ...Cf.,.
WHICH SHALL ALSO FORM PART OF THIS POLICY AND SHALL BE ..... •
0 0 0 0 $
BINDING UPON THE INSURED. AS Flo 55005000.. arCfvOIL.
COLLO*. OIDUCIIIMI 055 040001 151 0,00
OWN
SIGNATURE BY THE INSUflED OF THIS POLICY ACKNOW-
DAMAGE IIICANCI.11.1.5 ND COVV.I.VvI NO 055 O•farall v• r•.•■
LEDGES ALL THE TERMS AND CONDITIONS CONTAINED (PART 9
ON BOTH THE FRONT AND BACK OF THIS POLICY AND DIVISION 31 $ $
DECLARES THAT THE FOREGOING PARTICULARS ARE
0 Al ANNy•■ 051WO/
TRUE, AND WHERE (Al THE INSURED IN THIS POLICY GIVES
FALSE PARTICULARS TO THE PREJUDICE OF THE COR-
PORATION OR KNOWINGLY MISREPRESENTS OR FAILS TO 0, o
OPAMAtrY
DISCLOSE IN THIS POLICY ANY FACT REQUIRED TO BE MINIMUM
PREMIUM 130 ' A i i
STATED HEREIN, OR (B) THE INSURED CONTRAVENES A
TERM OR CONDITION OF THIS POLICY OF INSURANCE OR
THE REGULATION OR COMMITS A FRAUD, OR (CI THE
INSURED WILLFULLY MAKES A FALSE STATEMENT IN COS. 0 C.IOUI
RESPECT OF A CLAIM UNDER THIS POLICY OR THE
Oak III ON11
REGULATION, ANY CLAIM BY THE INSURED UNDER THIS
POLICY IS INVALID ANC THE RIGHT OF THE INSURED TO
RECOVER INDEMNITY THEREUNDER IS FORFEITED (AND
IN ADDITION OR AS AN ALTERNATIVE, WHERE APPRO.
PRIATE AND APPLICABLE. THE CORPORATION MAY CAN
CEL THIS POLICY PURSUANT TO SECTION 58 OF THE
REGULATION)
fon Of 14111:4705
•
• no
1.054,0111 Or •01•51:. 1.011.14.5 OP 50101
APV jet .011'.

1
VEHICLE IN INDUSTRY POLICY I 12g

FOLLOW;NG TERMS AND CONDITIONS APPLY TO THIS POLICY
IN THIS POLICY. THE WORDS NAMED INSURED" MEAN THE PERSON OR CORPORATION SHOWN ON THE FRONT OF THE POLICY
AS THE OWNER OF THE VEHICLE INSURED BY THIS POLICY AND THE WORD "INSURED" MEANS THE NAMED INSURED AND ALSO
INCLUDES ANY PERSON WHO USES OR OPERATES THE VEHICLE DESCRIBED ON THE FRONT OF THIS POLICY WITH THE PER
MISSION AND CONSENT OF THE NAMED INSURED
2 (A) THE INSURANCE COVERAGE THAT INDEMNIFIES THE INSURED DURING THE TERMS OF THIS POLICY FOR LEGAL LIABILITY TO
ANOTHER PERSON FOR LOSS OR DAMAGE ARISING WHEN THE VEHICLE DESCRIBED ON THE FRONT OF THIS POLICY IS NOT
USED OR OPERATED ON A HIGHWAY. EXCEPT WHEN COVERAGE IS EXCLUDED ACCORDING TO CLAUSE 3 OF THIS POLICY. IS
COVERAGE FOR THIRD PARTY LEGAL LIABILITY AND FOR ACCIDENT BENEFITS IN ACCORDANCE WITH PARTS 6 AND 7 OF
THE REGULATION. THE LIMITS OF SUCH COVERAGE BEING THE LIMITS SET OUT IN SCHEDULE 3 OF THE REGULATION FOR
ACCIDENT BENEFITS AND THE LIMIT OF THIRD PARTY LEGAL LIABILITY COVERAGE BEING THE LIMIT OF LIABILITY SET OUT
ON THE r RONT OF THIS POLICY AS THE LIMIT OF LIABILITY FOR THIRD PARTY LEGAL LIABILITY TOGETHER WITH WHATEVER
COVERAGE IS APPLICABLE UNDER PARAGRAPH 2(C)
181 THE INSURANCE COVERAGES THAT INDEMNIFY THE INSURED DURING THE TERM OF THIS POLICY WHEN THE VEHICLE
INSURED BY THIS POLICY IS USED OR OPERATED ON A HIGHWAY EXCLUSIVELY IN THEICONVEYING OF PROPERTY OF THE
NAMED INSURED FOR THE INDUSTRY CARRIED ON BY THE NAMED INSURED AND IN ACCORDANCE WITH THE REGISTRATION
UNDER THE MOTOR VEHICLE ACT AND DISPLAYING THE LICENCE ISSUED TO THE NAMED INSURED PURSUANT TO SECTION 8
OF THE MOTOR VEHICLE ACT, IS THE INSURANCE COVERAGE AFFORDED BY THE OWNER'S CERTIFICATE ISSUED IN CON
JUNCTION WITH AND APPLICABLE TO ANY VEHICLE TO WHICH THAT LICENCE IS ATTACHED, IN WHICH CASE, NO INSURANCE
IS AFFORDED BY THIS POLICY EXCEPT SUCH OWN DAMAGE INSURANCE COVERAGE AS IS AFFORDED BY THIS POLICY UNDER
PARAGRAPH 2 (CI
(C) THE INSURANCE COVERAGES THAT INDEMNIFY THE INSURED DURING THE TERM OF THE POLICY FOR LOSS OR DAMAGE TO
THE VEHICLE DESCRIBED ON THE FRONT OF THIS POLICY, EXCEPT WHEN COVERAGE IS EXCLUDED ACCORDING TO CLAUSE 3
OF THIS POLICY, ARE THE OWN DAMAGE COVERAGES THAT ARE SHOWN ON THE FRONT OF THIS POLICY AS PAID AND
ARE AFFORDED IN ACCORDANCE WITH THE APPLICABLE PROVISIONS OF PART 9, DIVISION 2 OF THE REGULATION WHICH
COVERAGES APPLY TO LOSS OR DAMAGE ARISING OUT OF THE USE OR OPERATION OF THE DESCRIBED VEHICLE WHILE
EITHER ON OR OFF A HIGHWAY
3 (A) SECTION 65 OF THE REGULATION DOES NOT APPLY TO THIRD PARTY LEGAL LIABILITY COVERAGE AFFORDED UNDER THE
POLICY PURSUANT TO CLAUSE 2 (A) 4
(B) IN ACCORDANCE WITH SECTION 47 OF THE INSURANCE (MOTOR VEHICLE) ACT, A VEHICLE THAT MAY OBTAIN A SPECIAL
LICENCE PURSUANT TO SECTION 8 OF THE MOTOR VEHICLE ACT MAY BE AFFORDED OWN DAMAGE INSURANCE UNDER
THIS POLICY ACCORDING TO PART 9 DIVISION 2 OF THE REGULATION. NOTWITHSTANDING SECTION 2 OF THAT REGULATION
Bur ANY OTHER VEHICLE, MACHINE TRAILER OR PIECE OF EQUIPMENT THAT CANNOT BE LICENCED UNDER SECTION 8 OF
THE MOTOR VEHICLE ACT AND TO WHICH SECTION 2 IS APPLICABLE:CONTINUES TO BE AND IS EXCLUDED FROM OWN
DAMAGE INSURANCE UNDER THIS POLICY IN ACCORDANCE WITH SECTION 2 OF THE REGULATION.
IC) NO INDEMNITY IS AFFORDED BY THIS POLICY FOR THE USE OR OPERATION OF ANY VEHICLE WHILE THAT VEHICLE IS
REGISTERED AND LICENCE() IN•ACCORDANCE WITH SECTION 3 OF THE MOTOR VEHICLE ACT AND INSURED IN ACCORDANCE
WITH THE PROVISIONS OF THE INSURANCE (MOTOR VEHICLE) ACT.
4 WHERE THERE IS ANY OTHER VALID AND ENFORCEABLE INSURANCE POLICY OR CERTIFICATE OF ANY TYPE OR CLASS THAT
AFFORDS INDEMNITY TO THE NAMED INSURED FOR THE USE OR OPERATION OF THE VEHICLE DESCRIBED ON THE FRONT OF
THIS POLICY OR TO ANOTHER FOR WHICH THE INSURED IS LEGALLY LIABLE, AT THE TIME OF LOSS OR DAMAGE TO THAT
VEHICLE OR TO ANOTHER PERSON FOR WHICH THE INSURED IS LEGALLY LIABLE, WHEN THIS POLICY IS ALSO APPLICABLE TO
INDEMNIFY FOR SUCH LOSS OR DAMAGE, THEN SUCH OTHER INSURANCE IS FIRST LOSS INSURANCE AND THIS POLICY IS
EXCESS INSURANCE ONLY
5 EXCEPT AS SET OUT IN THIS POLICY ALL LIMITS. TERMS, CONDITIONS AND EXCLUSIONS OF THE REGULATION SHALL HAVE
FULL FORCE AND EFFECT.
IN WITNESS WHEREOF THE CORPORATION HAS CAUSED THIS POLICY TO BE SIGNED BY ITS PRESIDENT AND CHIEF EXECUTIVE
OFFICER. BUT THE SAME SHALL NOT BE BINDING UNTIL VALIDATED AND SIGNED ON THE FRONT SIDE HEREOF BY AN AGENT OR
OTHER AUTHORIZED REPRESENTATIVE OF THE CORPORATION.
PAESIDENT AND CHIEF EXECUTIVE OFFICER

INSURANCE CORPORATION OF BRITISH COLL/Nei*
61. Schedule 7 is amended by adding "X" in columns H, C and I) opposite
"APV•25A" in column A.
62. Schedule 8 is amended

(a) in section 1 (11 and (21 by striking out "1985" wherever it appears and
substituting "1986",
(h) in section 3 (1) by striking out "1985" and substituting "1986" and by
repealing the table and substituting the following:
FLF:ETPLAN DISCOUNT TABLE
Column A Column B
Loss Ratio Discount
10% or less 50% of premium
Over 10% to 20% 45% of premium
(c) in section 3 (21 by striking out "1985" wherever it occurs and

substituting "1986" and by striking out "1984" wherever it occurs and
substituting "1985", and
(d) in section 4 by striking out "1985" and substituting "1986" and by
repealing the Table and substituting the following:
125
FLKETPLAN SURCHARGE TABLE
Column A Column B
Loss Ratio Surcharge
Over 110% 15% of premium
126

Order of The Lieutenant Governor in Council: Province of British Columbia

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Order of The Lieutenant Governor in Council: Province of British Columbia

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PROVINCE OF BRITISH COLUMBIA

ORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL

Order in Council No. 2224 , Approved and Ordered Nov 771985

Executive Council Chambers, Victoria NOV. 271985

Minister of Health Presiding Me,Alber of the Executive Council

Act and section:- Insurance (Motor. Vehicle) Act., section 46

Other (specify)- I --1/ / 3

Examined by: Claire .Reilly ..eeck,40.4

November 26, 1985 /85/kmr

1. Section 1 (1) is amended

3. Section 11 (I) is amended in the definition of "chargeable claim

4. Section 11 (1) is amended

5. Section 12 is amended by adding the following paragraph

6. The following section is added.

7. Section 13 is repealed and the following substituted:

9. Section 16 (2) is amended by adding "or of the principal operator of the

10. Section 17 (1) is amended by striking out "under the claim•rated

11. The following section is added:

12. Section 20 is amended

13. Section 21 (1) is amended

14. Section 22 (2) is repealed and the following substituted:

15. Section 22 is amended

16. Section 24 is amended

17. Section 25 is repealed and the following substituted

19. Section 26.1 is repealed .

20. Section 30 (1) is amended by striking out "cancelled." and substituting

22. Section 34 is amended by striking out "The premium" and

23. Section 39 is amended

24. Section 49 is amended by renumbering it as section 49 (1) and by

25. Section 50 is amended

26. Section 55 is amended

27. Section 55 (9) is repealed and the following substituted.

29. Section 70 (1) is amended

30. Section 78 is amended in the definition of "housewife" by striking out

31. Section 79 is amended

32. Section 84 is amended by striking out "housewife" and substituting

33. Section 88 is amended

34. Section 92 is amended

35. Section 94 is amended by adding the following:

36. Section 96 (a) is amended by striking out everything after "owner's

37. Section 96 ( h) is amended

40. Section 110(1) is amended

(a) in the definition of "dependant" by striking out "paragraph (a)" and

41. Section 110 is amended by adding the following subsection:

42. Section 110 (31 is amended by repealing paragraph (I) and

43. Section 113 is amended by repealing the definition of "glider kit".

44. Section 120.1 (11 is amended by striking out "glider kit,".

45. Section 122 (21 is amended

46. Section 128 is repealed and the following substituted.

47. Section 133 is repealed.

48. Section 136 (b) is repealed and the following substituted:

49. Section 148 is amended

50. Section 150 is amended

RATE CLASS A/Z

001 380 310 33n 310 310 330

002 468 382 404 382 387 406

005 285 737 248 232 232 248