b Belair Insurance Company Inc.

901-9707 110 St NW, Edmonton, AB, T5K 2L9

b Belair Insurance Company Inc.
901-9707 110 St NW, Edmonton, AB, T5K 2L9

Customer Service – Service à la clientèle Policy No. / Police N° Customer Service – Service à la clientèle Policy No. / Police N°
belairdirect KK5-TL5G belairdirect KK5-TL5G
1 877 220.6068 1 877 220.6068

1 2 3 4 1 2 3 4
Name and Address of Insured – Nom et adresse de l’assuré

YASSEN, ABDELRAHMAN
29 BELGIAN ST COCHRANE, AB T4C0M2
Name and Address of Insured – Nom et adresse de l’assuré

YASSEN, ABDELRAHMAN
29 BELGIAN ST COCHRANE, AB T4C0M2

5 6 7 8 9 5 6 7 8 9
Effective Date – Date d’entrée en vigueur Date of Expiry – Date d’expiration Effective Date – Date d’entrée en vigueur Date of Expiry – Date d’expiration
27 11 23 27 11 24 27 11 23 27 11 24
Day Jour Month Mois Year Année Day Jour Month Mois Year Année Day Jour Month Mois Year Année Day Jour Month Mois Year Année
Insured Vehicle – Year, Make, Serial No. – Véhicle assuré – année, marque, série Insured Vehicle – Year, Make, Serial No. – Véhicle assuré – année, marque, série
18 NISSA ALTIMA 2.5 SV 4 1n4al3ap0jc182765 18 NISSA ALTIMA 2.5 SV 4 1n4al3ap0jc182765

w x y z w x y z
XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX
XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX
XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX
Motor Vehicle Liability Insurance Card / Certificat d’assurance – automobile responsabilité Canada Inter-Province Motor Vehicle Liability Insurance Card / Certificat d’assurance – automobile responsabilité Canada Inter-Province
Applicable within Canada and the United States of America / En vigueur au Canada et aux États-Unis d’Amérique Applicable within Canada and the United States of America / En vigueur au Canada et aux États-Unis d’Amérique
fold pliez fold pliez
This Certificate is subject to the terms Le présent certificat est assujetti aux This Certificate is subject to the terms Le présent certificat est assujetti aux
and conditions of the Insurer's Standard dispositions et conditions de la police and conditions of the Insurer's Standard dispositions et conditions de la police
Automobile Policy. d’assurance automobile de I’assureur. Automobile Policy. d’assurance automobile de I’assureur.

1 2 3 4 1 2 3 4
This certifies that the party named herein is
insured against liability for bodily injury and
property damage by reason of the operation
of the motor vehicle described herein, in an
amount not less than the Statutory minimum
requirements in any area of Canada.
Ce certificat atteste que la personne
susnommée est assurée contre la
responsabilité pour blessures et dommages
aux biens découlant de I’usage du véhicule
ci-décrit, conformément aux limites
minimales exigées par les lois d’assurance
This certifies that the party named herein is
insured against liability for bodily injury and
property damage by reason of the operation
of the motor vehicle described herein, in an
amount not less than the Statutory minimum
requirements in any area of Canada.
Ce certificat atteste que la personne
susnommée est assurée contre la
responsabilité pour blessures et dommages
aux biens découlant de I’usage du véhicule
ci-décrit, conformément aux limites
minimales exigées par les lois d’assurance

5 6 7 8 9 5 6 7 8 9
WARNING – Any person who issues or
produces a card to show that there is in force
a policy of insurance as indicated herein that
is in fact not in force is liable to a heavy fine
and/or imprisonment and their licence may
be suspended.
en vigueur partout au Canada.
AVERTISSEMENT – Quiconque émet ou
présente un tel certificat comme preuve
d’une police d’assurance-responsabilité
qui effectivement n’est pas en vigueur, est
coupable d’une infraction passible d’une
WARNING – Any person who issues or
produces a card to show that there is in force
a policy of insurance as indicated herein that
is in fact not in force is liable to a heavy fine
and/or imprisonment and their licence may
be suspended.
en vigueur partout au Canada.
AVERTISSEMENT – Quiconque émet ou
présente un tel certificat comme preuve
d’une police d’assurance-responsabilité
qui effectivement n’est pas en vigueur, est
coupable d’une infraction passible d’une

w x y z w x y z
forte amende et/ou d’emprisonnement et forte amende et/ou d’emprisonnement et
suspension de son permis. suspension de son permis.

This card should be carried in the Ce certificat doit être laissé dans Ie This card should be carried in the Ce certificat doit être laissé dans Ie
insured vehicle for production as proof véhicule assuré afin d’être présenté insured vehicle for production as proof véhicule assuré afin d’être présenté
of insurance when demanded by police. comme preuve d’assurance lorsque of insurance when demanded by police. comme preuve d’assurance lorsque
la police I’exige. la police I’exige.

b Belair Insurance Company Inc.

901-9707 110 St NW, Edmonton, AB, T5K 2L9
b Belair Insurance Company Inc.
901-9707 110 St NW, Edmonton, AB, T5K 2L9

Customer Service – Service à la clientèle Policy No. / Police N° Customer Service – Service à la clientèle Policy No. / Police N°

1 2 3 4 1 2 3 4
belairdirect KK5-TL5G belairdirect KK5-TL5G
1 877 220.6068 1 877 220.6068
Name and Address of Insured – Nom et adresse de l’assuré Name and Address of Insured – Nom et adresse de l’assuré

XXXXXXXXXXXXXX XXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXX

5 6 7 8 9 5 6 7 8 9
Effective Date – Date d’entrée en vigueur
27
Day Jour
11
Month Mois Year Année
23
Date of Expiry – Date d’expiration

Day Jour
27
Month Mois
Insured Vehicle – Year, Make, Serial No. – Véhicle assuré – année, marque, série
11 24
Year Année
Effective Date – Date d’entrée en vigueur
27
Day Jour
11
Month Mois Year Année
23
Date of Expiry – Date d’expiration

Day Jour
27
Month Mois
Insured Vehicle – Year, Make, Serial No. – Véhicle assuré – année, marque, série
11 24
Year Année

w x y z w x y z
XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX
XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX
XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX
XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX XX XXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX
Motor Vehicle Liability Insurance Card / Certificat d’assurance – automobile responsabilité Canada Inter-Province Motor Vehicle Liability Insurance Card / Certificat d’assurance – automobile responsabilité Canada Inter-Province
Applicable within Canada and the United States of America / En vigueur au Canada et aux États-Unis d’Amérique Applicable within Canada and the United States of America / En vigueur au Canada et aux États-Unis d’Amérique
fold pliez fold pliez
This Certificate is subject to the terms Le présent certificat est assujetti aux This Certificate is subject to the terms Le présent certificat est assujetti aux

1 2 3 4 1 2 3 4
and conditions of the Insurer's Standard
Automobile Policy.
This certifies that the party named herein is
insured against liability for bodily injury and
property damage by reason of the operation
of the motor vehicle described herein, in an
dispositions et conditions de la police
d’assurance automobile de I’assureur.
Ce certificat atteste que la personne
susnommée est assurée contre la
responsabilité pour blessures et dommages
aux biens découlant de I’usage du véhicule
and conditions of the Insurer's Standard
Automobile Policy.
This certifies that the party named herein is
insured against liability for bodily injury and
property damage by reason of the operation
of the motor vehicle described herein, in an
dispositions et conditions de la police
d’assurance automobile de I’assureur.
Ce certificat atteste que la personne
susnommée est assurée contre la
responsabilité pour blessures et dommages
aux biens découlant de I’usage du véhicule

5 6 7 8 9 5 6 7 8 9
amount not less than the Statutory minimum
requirements in any area of Canada.
WARNING – Any person who issues or
produces a card to show that there is in force
a policy of insurance as indicated herein that
is in fact not in force is liable to a heavy fine
ci-décrit, conformément aux limites
minimales exigées par les lois d’assurance
en vigueur partout au Canada.
AVERTISSEMENT – Quiconque émet ou
présente un tel certificat comme preuve
d’une police d’assurance-responsabilité
amount not less than the Statutory minimum
requirements in any area of Canada.
WARNING – Any person who issues or
produces a card to show that there is in force
a policy of insurance as indicated herein that
is in fact not in force is liable to a heavy fine
ci-décrit, conformément aux limites
minimales exigées par les lois d’assurance
en vigueur partout au Canada.
AVERTISSEMENT – Quiconque émet ou
présente un tel certificat comme preuve
d’une police d’assurance-responsabilité

w x y z w x y z
and/or imprisonment and their licence may qui effectivement n’est pas en vigueur, est
be suspended. coupable d’une infraction passible d’une
forte amende et/ou d’emprisonnement et
suspension de son permis.
and/or imprisonment and their licence may qui effectivement n’est pas en vigueur, est
be suspended. coupable d’une infraction passible d’une
forte amende et/ou d’emprisonnement et
suspension de son permis.

This card should be carried in the Ce certificat doit être laissé dans Ie This card should be carried in the Ce certificat doit être laissé dans Ie
insured vehicle for production as proof véhicule assuré afin d’être présenté insured vehicle for production as proof véhicule assuré afin d’être présenté
of insurance when demanded by police. comme preuve d’assurance lorsque of insurance when demanded by police. comme preuve d’assurance lorsque
la police I’exige. la police I’exige.
b b
After an accident, we're there After an accident, we're there
when you need us. when you need us.

ΠSafety first
Call the police if anyone is injured or if the
damages are major.
ΠSafety first
Call the police if anyone is injured or if the
damages are major.

 Accident checklist
Here's what to collect from all drivers involved:
- Full name and phone number
 Accident checklist
Here's what to collect from all drivers involved:
- Full name and phone number
- Insurer's name and policy number - Insurer's name and policy number
- Licence plate number - Licence plate number
Any witnesses? Get their names and contact Any witnesses? Get their names and contact
information. information.

Ž Submit your claim 24/7

Just a few questions and photos are all it takes to Ž Submit your claim 24/7
Just a few questions and photos are all it takes to
submit your claim through the belairdirect App or submit your claim through the belairdirect App or
Client Centre at belairdirect.com. Client Centre at belairdirect.com.

Prefer to call in your claim? 1 877 228.2656 Prefer to call in your claim? 1 877 228.2656

Download the app Download the app

r Access your digital proof of insurance, submit or

track a claim, manage your policy and more.
It's all in the app!
r Access your digital proof of insurance, submit or
track a claim, manage your policy and more.
It's all in the app!

b b
After an accident, we're there After an accident, we're there
when you need us. when you need us.

ΠSafety first
Call the police if anyone is injured or if the
damages are major.
ΠSafety first
Call the police if anyone is injured or if the
damages are major.

 Accident checklist
Here's what to collect from all drivers involved:
- Full name and phone number
 Accident checklist
Here's what to collect from all drivers involved:
- Full name and phone number
- Insurer's name and policy number - Insurer's name and policy number
- Licence plate number - Licence plate number
Any witnesses? Get their names and contact Any witnesses? Get their names and contact
information. information.

Ž Submit your claim 24/7

Just a few questions and photos are all it takes to Ž Submit your claim 24/7
Just a few questions and photos are all it takes to
submit your claim through the belairdirect App or submit your claim through the belairdirect App or
Client Centre at belairdirect.com. Client Centre at belairdirect.com.

Prefer to call in your claim? 1 877 228.2656 Prefer to call in your claim? 1 877 228.2656

Download the app Download the app

r Access your digital proof of insurance, submit or

track a claim, manage your policy and more.
It's all in the app!
r Access your digital proof of insurance, submit or
track a claim, manage your policy and more.
It's all in the app!