Certificate of Insurance Forms

Individuals and organizations who supply goods and services to the Town or who use Town facilities are requested to provide evidence of insurance as part of the terms and conditions of the contract, purchase order, permit, license or other forms of agreement.

Evidence of insurance will only be accepted on a Town of Richmond Hill Certificate Form which must be completed by an insurance broker or authorized representative of the insuring company and signed by the Insuring Company.  The following are links to the 10 optional forms in fillable format.

1. General Liability - Standard Form
   This form is used for agreements, permits, leases, licenses and other activities or programs where proof of liability insurance is required.
2. General Liability - Facility Rentals
   This form is used to provide evidence of liability insurance for low risk community special events and facility rentals. Vendors considered “high risk” - for example, a supplier of carnival rides, displays involving animals and fireworks, etc. -  must provide evidence on the General Liability - Standard Form. 
3. Construction Liability
   This form is used for projects related to infrastructure design, and all construction project work within the Town of Richmond Hill.  Construction work includes large building renovations, new build, sidewalk and road repair contracts, parks subdivisions, etc.
4. Automobile Liability
   This certificate is required for any contract, project or service where a licensed vehicle is used in the performance or delivery of the service.
5. Umbrella or Excess Liability
   This form is used to provide evidence of additional limits of liability coverage in excess of the primary General Liability or Automobile Liability Insurance policy. The required limit of coverage may be achieved by combining the General Liability and Umbrella Limits of Liability.
6. Property Insurance Coverage
   This certificate is used when evidence of Property, Equipment and Machinery insurance is required for Town-owned or private property. 
7. Course of Construction Property - Builders Risk
   This certificate is used when evidence of All Risk Property Insurance is required for a construction project; may include large building renovations, new build, sidewalk and road repair contracts, parks, subdivisions, etc.                               
8. Pollution/ Environmental Impairment Liability
   This certificate is completed when any Town agreement stipulates that evidence of Pollution or Environmental Impairment Liability is required.
9. Professional/Errors and Omissions Liability
   This form is for consultants or other professionals undertaking work for the Town which is considered "professional" in nature, such as geotechnical, engineering, design or architectural work, as well as specialty consultations.
10. Cyber/Network Liability
    This form is for IT Professional Consulting and Technology Services that could potentially expose the Town of Richmond Hill to a cyber or network breach of protected data governed by the Privacy Commission.
11. Crime Insurance
    This form is for suppliers or contractors that may handle money or currency of any kind or are required to provide evidence that their Employee(s) are bonded due to the handling of money and securities on behalf of the Town.

If you have any questions regarding completion of these certificates, please contact the Risk and Insurance Section at risk.management@richmondhill.ca or by phone at 905-771-2487 or 905-747-6518.