OPCF 17

Reinstatement of Coverage

 



 



 

Year                Month             Day

This change applies only to

 

 indicated on your Certificate of Automobile Insurance. The additional

Premium/refund for this

 

 or as indicated on your Certificate of Automobile Insurance.


for which automobile(s) this change applies to. The additional premium/refund for this

is $

 

 or as indicated on your Certificate of Automobile Insurance.

 

 

 

1.     Purpose of This Change

This change is part of your policy. It reinstates the coverages cancelled by OPCF 16, “Suspension of Coverage.”

2.     What We Will Cover

In return for the premium charged, we will reinstate the coverages cancelled by OPCF 16, “Suspension of Coverage”, as of the effective date of this change.

3.     Limitations on Your Coverage

We will not pay any claims that would have been payable under the coverages cancelled by OPCF 16, “Suspension of Coverage,” for any incident occurring from the date you suspended  your coverage until the effective date of this change.

 

All other terms and conditions of your policy remain the same.

 

 

 

 

 

Effective (1995-04-01)

FSCO (1301E)

© Queen's Printer for Ontario, 2014

 

 

 

 

OPCF 17

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