Tenant Insurance Lease Addendum

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Tenant Insurance Lease Addendum

Upon signing up for Tenant Insurance, your account will be charged the premium amount choses plus administrations fee on the first of each month, commencing on the start date indicated on your sign-up form. If you re currently set up for pre-authorized payment, the payment amount will increase accordingly each month. If you submit your rent through the portal, please ensure you adjust your recurring payment accordingly to include the amount of your insurance premium and administration fee. Late fees will be applied in accordance with your lease terms for any payments not received on or before the first of each month.

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MM slash DD slash YYYY
If more than one tenant is living in the unit and is a non-family member, please have them fill in their own addendum. Roommates are not covered under this policy

INSURANCE OPTIONS (under Master Policy 4-449-1-0029)

Please read carefully and check an option
Personal
Property
Limit
Personal
Liability
Limit
Additional
Living Expenses

In the event a tenant
cannot occupy the
unit as a result of an
Insured Peril
Deductible Per
Claim

All selections, except
$2,500 deductible for
Earthquake
Personal
Liability /
Earthquake
Deductible
Premium
Per month
per insured
Option 1 $15,000 $2,000,000 $6,000 $1,000 $2,500 $15.00
Option 2 $30,000 $2,000,000 $8,000 $1,000 $2,500 $20.00
Option 3 $60,000 $2,000,000 $10,000 $1,000 $2,500 $25.00
Option 4 I/we understand the options presented.
It is understood I/we have chosen to obtain a Tenants Insurance Policy from another provider. I/we will submit a copy of this insurance to TOWERS REALTY GROUP LTD.
TOWERS REALTY GROUP LTD ADMINISTRATION FEE: Towers Realty Group Ltd will apply a $4.00 (four dollar) service fee for the administration of the Tenant program. This amount is an addition to the insurance premiums and will be administered by First Service Residential.

AGREEMENT TO PURCHASE INSURANCE UNDER MASTER POLICY 4-449-1-0029

I/we wish to purchase the checked insurance coverage option. It is understood that the amount for the insurance selected must be paid. I/we hereby authorize TOWERS REALTY GROUP LTD. to receive the premium and pay BFL CANADA Insurance Services Inc on my/our behalf.

COVERAGE EFFECTIVE: Your coverage under Master Policy 4-449-1-0029 becomes effective on the day of your move in and after the first payment of premium has been received by TOWERS REALTY GROUP LTD.. I/we acknowledge that the only coverage effective under this agreement shall be in accordance with the insurance option exercised and the premium paid to TOWERS REALTY GROUP LTD. while occupying the captioned address.

ELIGIBILITY: I/we understand that insurance on personal property at the noted location is available only to the tenant(s) and family member(s) who have also entered into a Lease/Rental Agreement with TOWERS REALTY GROUP LTD. and occupy the address on the agreement. I am also aware any roommates are not covered under this policy and will require their own coverage.

PREMIUM: It is understood that one months’ notice of changes will be provided regarding premiums, fees, and or wordings. Any new rates shall be effective on the first (1st) day of the month following the month in which advance notice of such change is provided. It is understood the insurance will continue on a month-to- month basis as long as I/we occupy the listed address and monthly premium is payable at the same time as that of the rent payment.

CANCELLATION: It is understood that this insurance product is being offered through the tenancy agreement with TOWERS REALTY GROUP LTD. and can be cancelled at any time by TOWERS REALTY GROUP LTD. . Thirty (30) days notice will be provided by BFL CANADA Insurance Services Inc. in order for alternative coverage to be placed.

INSURANCE INFORMATION: I/we have received a Coverage Summary (page 3 to 4 of this application). I/we understand this document represents the official insurance document and this document remains in effect until the cancellation of coverage, non-payment of premium or the end of the tenancy agreement. I/we understand that a copy of the complete specimen Master Policy is available for review by simply emailing bfltenantshelp@bflcanada.ca.

Consent & Disclosure: Where (a) an Applicant for this contract provided false particulars to the prejudice of the Insurer or knowingly misrepresents or fails to disclose any fact in any part of this application required to be stated therein; or (b) the Insured contravenes a term of the contract or commits a fraud; or (c) the Insured willfully makes false statement(s) in respect to a claim, the claim will become invalid and the Insured rights to recover are forfeited. The Applicant(s) have reviewed all parts and attachments of this application and acknowledge that all information is true, correct and understand that this application of insurance is based on the truth and completeness of this information. Any and all individual that have provided personal information in this document and otherwise may in the future provide further personal information. Some of this personal information may include, but is not limited to credit information and claims history. I/we authorize the broker or insurance company to collect, use and disclose any of this personal information, subject to the law and to the broker or insurance company’s policy regarding personal information, for the purposes of communication, assessing the application for insurance underwriting, evaluating claims, detecting and preventing fraud, and analyzing business results. Any and all individuals whose personal information is contained in this document have authorized that and agree to the above.

I/we hereby apply for insurance in the selected amount indicated on the application. I/we have voluntarily elected to purchase the insurance available through TOWERS REALTY GROUP LTD.. I/we have read the Coverage Summary on pages 3 to 4 of this agreement and understand that the insurance applied for under the Master Policy underwritten by XN Financial does have SPECIAL LIMITATIONS AND EXCLUSIONS.

Insurance Options*
Name 1*
Name 2
By clicking Submit i/we confirm that i have read the beneficiary summary coverage found below.

FOR ALL QUESTIONS ABOUT YOUR INSURANCE COVERAGE:
PLEASE CALL 1 833 351 6825 or email bfltenantshelp@bflcanada.ca
BFL CANADA Insurance Services Inc – ask for Tenant Program specialist
TOWERS REALTY GROUP LTD. and their staff are not an Insurance Agent
Please do not address questions regarding the insurance to the Manager/Landlord.


Beneficiary Coverage Summary attached to 
Group Policy 4-449-1-0029 

CERTIFICATE PERIOD: 

This insurance is effective 12:01am Standard time on the first day of insured move in date and after the first payment of premium unless otherwise stated. This insurance expires on the last day of the month that was paid for in full unless otherwise stated or canceled by the Broker or Insurer at which point cancellation date will be stated. 

LIMIT OF LIABILITY: 

The Liability Limit for each coverage section applies for each Beneficiary, for total of the amount shown in the Beneficiary Coverage Summary, as per selected Coverage Option. 

COVERAGE OPTIONS / GROSS PREMIUM: 

Personal
Property
Limit
Personal
Liability
Limit
Deductible Per
Claim (All
sections)
Additional
Living Expenses
Premium per
month, per
insured
Option 1 CAD 15,000 CAD 2,000,000 CAD 1,000 CAD 6,000 CAD 15.00
Option 2 CAD 30,000 CAD 2,000,000 CAD 1,000 CAD 8,000 CAD 20.00
Option 3 CAD 60,000 CAD 2,000,000 CAD 1,000 CAD 10,000 CAD 25.00
Deductible
Per Claim
CAD 2,500 for each liability claim
CAD 2,500 for each personal property loss due to earthquake
CAD 1,000 for each loss under all other sections

FORMS APPLICABLE TO COVERAGE AND ATTACHED HEREON: 

CD-BFL-4-04 (07-19), Agency Termination clauses 06/2019, 4033 (11/2013), 4067 (08/2012), CD-EN-MAS-AB (02-19) 

APPLICABLE COURTS: 

Worldwide 

NOTICE OF CLAIMS: 

To report a claim 1-877-807-5662 / xnbfl@sedgwick.com 

UNDERWRITERS REPRESENTATIVE: 

XN Financial Services (Canada) Inc. 
600 De Maisonneuve Boul. W Suite 2310 Montreal (Quebec) Canada H3A 3J2 

BROKER: 

BFL CANADA Insurance Services Inc. 
200-1167 Kensington Crescent NW 
Calgary (Alberta) Canada T2N 1X7 

SECTION 1 

PERSONAL PROPERTY COVERAGE: 

Coverage is provided against physical loss if your contents are damaged, destroyed, or lost. 
The kinds of losses that are covered, and any special limits that apply, are explained in detail in the wordings. 

Coverage Limit As per selected Coverage Option. 

Applicable Deductibles

The deductible for each personal property loss is CAD 1,000 
The deductible for each personal property loss due to an earthquake is CAD 2,500. 

ADDITIONAL LIVING EXPENSES: 

Coverage Limit As per selected Coverage Option

SPECIAL LIMITS OF INSURANCE (Applicable to Section 1):

For All Insured Losses

  1. Money or cash cards
  2. Business property, but only while on your premises
  3. Securities
  4. Watercraft, their furnishings, equipment, accessories & motors
  5. Utility trailers
  6. Spare automobile parts
  7. Jewelry, watches, gems and furs
  8. Coin or banknote collections
  9. Stamp collections
  10. Each bicycle, its equipment & accessories
  11. Collectible cards including sports cards & comic books

Limit

500
5,000
5,000
2,000
1,000
1,000
6,000
1,000
2,000
2,000
2,000

SECTION 2 

PERSONAL LIABILITY COVERAGE: 

Your liability coverage covers damages for which you are legally responsible. We will pay up to the amount shown for each occurrence for bodily injury, property damage, or personal injury. 

Coverage Limit As per selected Coverage Option. 

Applicable Deductibles The deductible for each liability loss is CAD 2,500 

VOLUNTARY MEDICAL PAYMENTS 

Your voluntary medical payment coverage covers any reasonable expenses arising out of unintentional injury to a third party by you as described in the policy. 

The maximum amount we will pay for each person in respect of one accident or occurrence is CAD 1,000 

VOLUNTARY PAYMENT FOR DAMAGE TO PROPERTY 

We will pay for unintentional direct damage you caused to property of others even though you are not legally liable as described in the policy. 

Subject to a maximum amount of $500 per occurrence, we will pay whichever is the lower amount of what it would cost to repair or replace the property with materials of similar quality at the time of loss. 

THIS POLICY CONTAINS A CLAUSE WHICH MAY LIMIT THE AMOUNT PAYABLE. 

The beneficiary is requested to read their insurance policy as provided in email, and if incorrect, return it immediately for alteration. In the event of an occurrence likely to result in a claim under this Insurance, immediate notice should be given to the Intermediary designated above. 

The Above is provided to provide a summary of the coverage only. It does not constitute a legal contract of insurance. The declarations page, wordings and applicable endorsements form the entire contract. This summary of coverage is furnished in accordance with, and in all respects is subject to the terms, conditions, limitations and exclusions of the group policy. 

For purposes of Insurance Companies Act (Canada), the above information is from a document issued in the course of Lloyd’s Underwriters Insurance business in Canada