PIDIM Certificate of Insurance Report
PIDIM requires that all Intern and Professional Members carry Professional (E&O) and Commercial General Liability (CGL) insurance as a condition of membership. For Professional Members the minimum amount of insurance required is: $1,000,000 for Professional Liability (E&O) insurance and $1,000,000 for General Liability (CGL) insurance. For Intern Members the minimum amount of insurance required is: $500,000 for Professional Liability (E&O) insurance and $1,000,000 for General Liability (CGL) insurance. Please provide your current insurance details below for compliance purposes for both your Professional Liability Insurance (E&O) and Commercial General Liability Insurance (CGL). All fields are required. Thank-you.
Member Full Name
*
First Name
Last Name
Member Phone Number
*
Please enter a valid phone number.
Member Email Address
*
example@example.com
Company Name
*
Membership Status
*
Please Select
Professional Member
Intern Member
Non-practising Member
Educator Member
Retired Member
Student Member
Type of Insurance
Please select your insurance type
*
Option A - I am covered by the Canada wide Prolink Interior Design Insurance program
Option B - I am covered by my employer and do not provide Interior Design services outside of my employment
Option C - I have insurance policy through another company
Option D - I currently do not hold Interior Design insurance
If you choose Option D please indicate the reason
I am Non-Practicing Member of PIDIM
Currently unemployed in the field of Interior Design
I am an Educator Member and non-practicing
I am a Student/Retired Member of PIDIM
Other (please contact PIDIM to discuss)
Insurance Provider Name
*
Policy Number
*
Policy Start Date
*
-
Month
-
Day
Year
Date
Policy Expiration Date
*
-
Month
-
Day
Year
Date
Professional Liability Insurance (E&O) Amount
*
Enter the amount of your Professional Liability Insurance (E&O) coverage
Commercial General Liability Insurance (CGL) Amount
*
Enter the amount of your Commercial General Liability Insurance (CGL) coverage
Upload Proof of Insurance (e.g., insurance card or certificate if available)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Date of Form Submission
*
-
Month
-
Day
Year
Date
Submit Insurance Information
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