this certificate is issued as a matter of...

DATE (MM/DD/YYYY)INTERMODAL INTERCHANGE CERTIFICATE OF INSURANCE

INSRADDL

LIMITSDATE (MM/DD/YYYY)POLICY EXPIRATION

DATE (MM/DD/YYYY)POLICY EFFECTIVEPOLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS (Attach ACORD 101, Additional Remarks Schedule, if more space is required)The Truckers Uniform Intermodal Interchange Endorsement (Form UIIE-1 or CA 23-17 equivalent) is part of the auto policy(ies). The attached list of providers are additional insureds inregards to the auto liability. Those providers with (*) are additional insureds on the general liability and those with (**) are additional insureds on trailer interchange coverage.

PER TRAILER DED $

CARGO

PER VEHICLE DED $

TRAILER INTERCHANGEPHYSICAL DAMAGE $

$

LIMIT PER TRAILER

LIMIT PER VEHICLE

OCCURCLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

GENERAL LIABILITY

GEN'L AGGREGATE LIMIT APPLIES PER:

PREMISES (Ea occurence) $DAMAGE TO RENTEDEACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

POLICY

AUTOMOBILE LIABILITY

ANY AUTO

OWNED AUTOS ONLY

SCHEDULED AUTOS

HIRED AUTOS

NON-OWNED AUTOS PROPERTY DAMAGE(Per accident) $

COMBINED SINGLE LIMIT(Ea accident) $

BODILY INJURY(Per accident) $

$BODILY INJURY (Per person)

COVERAGES

POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCHANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ORTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING

$RETENTION

DEDUCTIBLE

CLAIMS-OCCUR

$

$

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB MADE

WC STATU-TORY LIMITS

OTH-ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

$

$

$

ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe underSPECIAL PROVISIONS below

(Mandatory in NH)OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N

ACORD 22 (2016/03) © 2006-2012 ACORD CORPORATION. All rights reserved.

The Intermodal Association of North America

Suite 1100Calverton, MD 20705-4048

11785 Beltsville Drive

President

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

INSURED

PHONE(A/C, No, Ext):

PRODUCER

PRODUCERCUSTOMER ID #:

ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER(S) AFFORDING COVERAGE RATINGBEST

AUTHORIZED REPRESENTATIVE

CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

DEDUCTIBLE $

$DEDUCTIBLE

DED/LIMIT

DED/LIMIT

$

$

(604)507-6666

New Westminster

2,000,000

(604)507-6667

2,000,0005,000,000

908 Edinburgh Street

AIMI6256

04/07/2016

V3W3A8

[email protected]

0

03/01/2016

120 -12888 80 AVE

BC

0

2,000,000

03/01/2017 5,000,000

(604)618-9432

04/07/2016

AMC INSURANCE SERVICES LTD

V3M 2V3BC

ICBC

A

AMC INSURANCE SERVICES LTD - IA100106

SURREY

(604)524-4211

04/07/2017

North Bridge General Insurance

B

(604)507-6667

H. Rattan Trucking Ltd.

JASWINDER SINGH PARMAR

10,000

752238

(604)507-6666

2,000,000

0

AGENCY CUSTOMER ID:LOC #:

ADDITIONAL REMARKS Page of2 4

POLICY NUMBER

AGENCY

CARRIER NAIC CODE

NAMED INSURED

EFFECTIVE DATE:



908 Edinburgh StreetNew WestminsterBC V3M 2V3

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

To follow are additional insurance policies for the insured shown on the accord certificate:No other additional policies!

No blanket additional insured!Note: In addition to naming the companies indicated below additional insured on Auto Liability (if applicable):(*) The companies below indicated with a single asterisk are additional insured on General Liability Policy.(**) The companies below indicated with a double asterisk are additional insured on Cargo and/or Trailer Interchange.

Equipment Provider’s List

A C L/ Grimaldi Group/ Inarme(*)APL Limited(*)BNSF Railway Company(*)Bermuda Container Line Limited(*)Bridge Chassis Supply LLC(*)CMA-CGM (America) LLCCOFC Logistics LLCCOSCO N.A./COSCO Container Lines Americas/COSCO Container Lines Co/China Ocean Shipping Co Amer.CSX Intermodal Terminals, Inc.(*)Canadian Natl/Illinois Central(VN110194)(*)Canadian Pacific Rwy-US (SOO Line/D&H)(*)China Shipping Container Line(*)Consolidated Chassis Management LLC(*)Eimskip USA, Inc.Evergreen Shipping Agency (America) Corp(*)Hamburg Sud North America, Inc.(*)Hanjin Shipping Co., Ltd.(*)Hapag-Lloyd (America) Inc.(*)Horizon Lines, LLC(*)Hyundai Merchant Marine, Inc.Iowa Interstate RailroadK-line America, Inc. (Kawasaki Kisen Kaisha Ltd)(*)

ACORD CERTIFICATE OF INSURANCE

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.




POLICY NUMBER

AGENCY

CARRIER NAIC CODE

NAMED INSURED

EFFECTIVE DATE:




ADDITIONAL REMARKS



Kansas City Southern Railway Company(*)MACS Maritime Carrier Shipping LLC(*)MOL (America), Inc.Maersk Agency USA, Inc. As Agent AP Moller-Maersk (Maersk Line/Safmarine/Maersk Domestic/Sealand)(*)Matson Navigation Company(*)Matson Navigation Company Of Alaska LLC(*)Mediterranean Shipping Company S. A.(*)National Shipping Of America LLC(*)NileDutch America B.V..Nippon Yusen Kaisha (NYK Line)(*)Nordana Line(*)Norfolk Southern Corporation(*)North American Chassis Pool Cooperative LLC(*)OL&T Foodtrans LLC(*)OOCL (USA), Inc. As Agent For Orient Overseas Container Line Limited & OOCL (Europe) Limited(*)Pacific International Lines (Pte) Ltd.Pasha Hawaii Holdings LLC(*)Schuyler Line Navigation CompanySeaboard Marine Ltd.(*)Somers Isles Shipping Ltd.(*)Swire ShippingTiger Cool Express LLC(*)Tote Maritime Puerto Rico LLC(*)TransAtlantic Lines LLC(*)Turkon Container Transp. & Shipping Inc.US Lines LLCUnion Pacific Railroad CompanyUnited Arab Shipping Company(*)Virginia Intl Terminals-(Va.Inland Port)(*)Wan Hai Lines Ltd.(*)XPO Stacktrain LLC(*)Yangming Marine Transport(*)






POLICY NUMBER

AGENCY

CARRIER NAIC CODE

NAMED INSURED

EFFECTIVE DATE:




ADDITIONAL REMARKS



Zim Amer Integrated Shipping Services Co. LLC(*)

MOTOR CARRIER COMPANY NAME:H. Rattan Trucking Ltd.ADDRESS:908 Edinburgh StreetNew Westminster, BC V3M 2V3CANPHONE:(604)618-9432FAX:(604)524-4211





INSRADDL



INSR


PER TRAILER DED $

CARGO

PER VEHICLE DED $


$

LIMIT PER TRAILER

LIMIT PER VEHICLE

OCCURCLAIMS-MADE


GENERAL LIABILITY





GENERAL AGGREGATE $


POLICY


ANY AUTO

OWNED AUTOS ONLY

SCHEDULED AUTOS

HIRED AUTOS





COVERAGES


$RETENTION

DEDUCTIBLE

CLAIMS-OCCUR

$

$

AGGREGATE $


EXCESS LIAB MADE


OTH-ER

E.L. EACH ACCIDENT



$

$

$









President

CERTIFICATE HOLDER



INSURED


PRODUCER


ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :



CANCELLATION


DEDUCTIBLE $

$DEDUCTIBLE

DED/LIMIT

DED/LIMIT

$

$

(604)507-6666

New Westminster

100,000

(604)507-6667


04/07/2016

V3W3A8

[email protected] -12888 80 AVE

BC

(604)618-9432

04/07/2016


A

V3M 2V3BC


SURREY

2,500

(604)524-4211

North Bridge General Insurance(604)507-6667



04/07/2017AIMI6256

(604)507-6666



POLICY NUMBER

AGENCY

CARRIER NAIC CODE

NAMED INSURED

EFFECTIVE DATE:




ADDITIONAL REMARKS






No separate named additional insureds have been provided for insured's policies.






INSRADDL



INSR


PER TRAILER DED $

CARGO

PER VEHICLE DED $


$

LIMIT PER TRAILER

LIMIT PER VEHICLE

OCCURCLAIMS-MADE


GENERAL LIABILITY





GENERAL AGGREGATE $


POLICY


ANY AUTO

OWNED AUTOS ONLY

SCHEDULED AUTOS

HIRED AUTOS





COVERAGES


$RETENTION

DEDUCTIBLE

CLAIMS-OCCUR

$

$

AGGREGATE $


EXCESS LIAB MADE


OTH-ER

E.L. EACH ACCIDENT



$

$

$









President

CERTIFICATE HOLDER



INSURED


PRODUCER


ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :



CANCELLATION


DEDUCTIBLE $

$DEDUCTIBLE

DED/LIMIT

DED/LIMIT

$

$

(604)507-6666

New Westminster

515ZK5A

100,000

2,000,000

(604)507-6667

2,000,0005,000,000


AIMI6256

03/01/2016

V3W3A8

[email protected]

0

03/01/2016

120 -12888 80 AVE

30,000

BC

0

2,000,000

03/01/2017 5,000,000

(604)618-9432

04/07/2015

04/07/2015


A

V3M 2V3BC

ICBC

A


SURREY

2,500

(604)524-4211

03/01/2017

04/07/2016

North Bridge General Insurance

03/01/2016

B

(604)507-6667

1,000



04/07/2016

10,000

AIMI6256

752238

(604)507-6666

2,000,000

0



POLICY NUMBER

AGENCY

CARRIER NAIC CODE

NAMED INSURED

EFFECTIVE DATE:




ADDITIONAL REMARKS






A C L/ Grimaldi Group/ Inarme(*)(**)APL Limited(*)(**)BNSF Railway Company(*)Bermuda Container Line Limited(*)Bridge Chassis Supply LLC(*)(**)CMA-CGM (America) LLCCOFC Logistics LLCCOSCO N.A./COSCO Container Lines Americas/COSCO Container Lines Co/China Ocean Shipping Co Amer.CSX Intermodal Terminals, Inc.(*)(**)Canadian Natl/Illinois Central(VN110194)(*)Canadian Pacific Rwy-US (SOO Line/D&H)(*)China Shipping Container Line(*)(**)Consolidated Chassis Management LLC(*)(**)Eimskip USA, Inc.Evergreen Shipping Agency (America) Corp(*)(**)Hamburg Sud North America, Inc.(*)Hanjin Shipping Co., Ltd.(*)(**)Hapag-Lloyd (America) Inc.(*)(**)Horizon Lines, LLC(*)Hyundai Merchant Marine, Inc.(**)Iowa Interstate RailroadK-line America, Inc. (Kawasaki Kisen Kaisha Ltd)(*)(**)






POLICY NUMBER

AGENCY

CARRIER NAIC CODE

NAMED INSURED

EFFECTIVE DATE:




ADDITIONAL REMARKS



Kansas City Southern Railway Company(*)MACS Maritime Carrier Shipping LLC(*)(**)MOL (America), Inc.Maersk Agency USA, Inc. As Agent AP Moller-Maersk (Maersk Line/Safmarine/Maersk Domestic/Sealand)(*)Matson Navigation Company(*)(**)Matson Navigation Company Of Alaska LLC(*)Mediterranean Shipping Company S. A.(*)(**)National Shipping Of America LLC(*)Nippon Yusen Kaisha (NYK Line)(*)(**)Nordana Line(*)(**)Norfolk Southern Corporation(*)North American Chassis Pool Cooperative LLC(*)(**)OL&T Foodtrans LLC(*)(**)OOCL (USA), Inc. As Agent For Orient Overseas Container Line Limited & OOCL (Europe) Limited(*)(**)Pacific International Lines (Pte) Ltd.Pasha Hawaii Holdings LLC(*)(**)Schuyler Line Navigation CompanySeaboard Marine Ltd.(*)(**)Somers Isles Shipping Ltd.(*)Swire ShippingTiger Cool Express LLC(*)Tote Maritime Puerto Rico LLC(*)(**)TransAtlantic Lines LLC(*)Turkon Container Transp. & Shipping Inc.US Lines LLCUnion Pacific Railroad Company(**)United Arab Shipping Company(*)Virginia Intl Terminals-(Va.Inland Port)(*)(**)Wan Hai Lines Ltd.(*)XPO Stacktrain LLC(*)(**)Yangming Marine Transport(*)(**)Zim Amer Integrated Shipping Services Co. LLC(*)(**)






POLICY NUMBER

AGENCY

CARRIER NAIC CODE

NAMED INSURED

EFFECTIVE DATE:




ADDITIONAL REMARKS








INSRADDL



INSR


PER TRAILER DED $

CARGO

PER VEHICLE DED $


$

LIMIT PER TRAILER

LIMIT PER VEHICLE

OCCURCLAIMS-MADE


GENERAL LIABILITY





GENERAL AGGREGATE $


POLICY


ANY AUTO

OWNED AUTOS ONLY

SCHEDULED AUTOS

HIRED AUTOS





COVERAGES


$RETENTION

DEDUCTIBLE

CLAIMS-OCCUR

$

$

AGGREGATE $


EXCESS LIAB MADE


OTH-ER

E.L. EACH ACCIDENT



$

$

$









President

CERTIFICATE HOLDER



INSURED


PRODUCER


ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :



CANCELLATION


DEDUCTIBLE $

$DEDUCTIBLE

DED/LIMIT

DED/LIMIT

$

$

(519)576-4130

New Westminster

(519)576-2667


02/25/2014

8,888,888

N2G 4W1

[email protected]

05/21/2015

#502

ON

8,888,888

(604)618-9432

55 KING STREET WEST

A

WSIB

V3M 2V3BC

WSIB - IA001458

KITCHENER

(604)524-4211

WSIB

470877 AQ(005)

(519)576-2667


Agent Handling Acct. for Motor Carrier

05/21/1992

8,888,888

(519)576-4130



POLICY NUMBER

AGENCY

CARRIER NAIC CODE

NAMED INSURED

EFFECTIVE DATE:

WSIB



ADDITIONAL REMARKS






No separate named additional insureds have been provided for insured's policies.





this certificate is issued as a matter of...

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