Broker / Agent Login


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Contact Information

Sharon Coppins

1-800-265-8098 ext. 241

scoppins@palcanada.com

My regular office hours are Monday- Friday, 8:30 am to 4:30 pm Eastern Time



Are you a Broker or Agent?   







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Section 1

Reference #
25-3203


Please confirm if the contents are personal: * 
 
 
 
Name of insured: * 
   
Address: * 
   
City: * 
   
Province: * 
 
Country: * 
 
Postal Code: * 
   
Phone Number: * 
   
Email: * 
   

Section 2

Policy Effective Date: * 
 
Months of coverage required: * 
 
Contents limit: * 
 
Personal Liability Limit: * 
 

Section 3

Section 4

Facility Code: * 
   
Unit Number: * 
   
Name of person completing this form: * 
   
Mailing Address of person completing form: * 
   
City: * 
   
Province: * 
 
Postal Code: * 
   
Phone Number: * 
   
Email: * 
   
Verify Email: * 
   

Section 5

I /We hereby declare that the answers and declarations above, whether in my own hand or not, are true and that I /we warrant that no material fact has been withheld or misstated and agree that this proposal will form part of the policy and will form the basis of the contract with underwriters. I /we understand that the underwriters may declare any policy issued void in the event of any false statement, misrepresentation, omission or concealment whether made intentionally, innocently or accidentally. For purposes of the Insurance Companies Act (Canada), this document was issued in the course of Lloyd's Underwriters' insurance business in Canada
I/we agree: * 
        
I have reviewed the information above and have ensured it is 100% accurate. I have also included any Additional Insureds that may be required within the Venue’s rental agreement/requirements.
Check to confirm: * 
        
How did you hear about us?: 
 
If other, please specify: 
   
   

HELPFUL INFORMATION

Here are a few things to try to get your certificate successfully:
  1. Check the screen for any error messages. They will appear in red above the location of the error.
  2. Double check your information to make sure it has been entered correctly.
  3. You can always start over from scratch if you are having issues.
  4. You may want to try a different browser. Sometimes the settings of a certain browser may cause a problem and using a different browser will allow you to complete your submission.

 

CUSTOMER SERVICE

E-mail: storage@palcanada.com
Phone: 1-855-464-0464
Hours: Ontario 8:30am to 4:30pm EST Alberta 8:30am to 4:30pm MST

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  • 50 couples in Ontario were left scrambling after their event planner was evicted from a popular wedding venue.

    Anna Hobden and Jason Bowes put down a deposit to secure the wedding of their dreams a month after they got engaged.

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  • Brides left in the lurch after Guelph DJ closes up shop without warning.

    Dozens of couples are scrambling to find new DJs and transportation options after a Guelph-based entertainment business closed without warning at the end of July.

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