Government of Canada / Gouvernement du Canada
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Regulations Respecting Compulsory Insurance for Ships Carrying Passengers (SOR/2018-245)

Regulations are current to 2024-06-19 and last amended on 2019-01-11. Previous Versions

SCHEDULE(Paragraph 4(2)(b) and subsection 4(3))

Certificate of Insurance

Number of liability insurance policy

Name of insured


City, Province

Postal Code

Name of Ship(s)Footnote for *Official NumberPassenger CapacityAmount of Insurance (not less than $250,000 × passenger capacity)
  • Return to footnote *Paragraph 36(1)(a) of the Marine Liability Act states the following: “the definition ship in Article 1 of the Convention shall be read as including any vessel or craft designed, used or capable of being used solely or partly for navigation, whether seagoing or not, but not including an air cushion vehicle or a vessel propelled manually by paddles or oars”.

Pursuant to the Regulations Respecting Compulsory Insurance for Ships Carrying Passengers, made under Part 4 of the Marine Liability Act, and subject to the terms and conditions of the above-mentioned liability insurance policy, this is to certify that the above-named insured is the holder of a liability insurance policy, that is in force, for the carriage of persons on board the ships listed in this certificate.

If the liability insurance policy provides coverage in respect of a fleet of ships, the policy provides the same coverage as the coverage that would be provided if a separate policy had been issued in respect of each ship listed on this certificate.




City, Province

Postal Code

Policy effective date

Policy expiry date

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Insurer or Authorized Representative of Insurer
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