Cibc Investor Services General Power Of Attorney Form
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66721-2016/03
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General Power of Attorney
CIBC Investor Services Inc.
Account No.
Account Name
This General Power of Attorney is made this
day of
,
by
Name of Account Holder
For the above noted Investor Services account
1.
Appointment of Attorney(s). I appoint
Attorney Name
Attorney Address
OR
Attorney Name
Attorney Address
to be my lawful Attorney(s) on my behalf, in my name, for my benefit and from time to time, to carry out each and every securities-
related transaction that I can carry out with CIBC Investor Service Inc. ("CIBC Investor Services"). Without limiting the generality of the
foregoing, I specifically grant my Attorney(s) full power and authority to:
a)
give instructions for my account including the address for receipt of confirmations, statements and other communications from
CIBC Investor Services;
b)
deposit any securities or moneys with CIBC Investor Services;
c)
request payments or securities from the account to be made or delivered to my Attorney(s), or to his or her order, and to give a
receipt for the same;
d)
sell, assign, endorse and transfer any securities of any nature at any time standing in my name and to execute any documents
necessary to effect the foregoing;
e)
receive and acquiesce in the correctness of any and all notices of transactions, statements of account and other records and
documents;
f)
settle, compromise, adjust and give releases with respect to any and all claims, demands, disputes or controversies;
g)
receive requests and demands for payments or securities due, notices of intention to sell or purchase and other notices and
demands; and
h)
borrow money in connection with any securities-related transaction including trading on margin and giving security in my name for
any margin loan if I have opened a margin account with CIBC Investor Services Inc.
Trading by my Attorney.
2.
I hereby ratify and confirm any and all trades, instructions, transactions and other acts previously and subsequently made by my
Attorney(s). I will indemnify and hold CIBC Investor Services, its directors, officers and employees harmless against, and demand for,
any loss, liability and expense (including any legal costs) if CIBC Investor Services is made a party to any action by the Attorney or to
which I am a party which relates in any way to this Power of Attorney.
Actions for my benefit.
3.
The actions of my Attorney(s) must be exclusively for my benefit; he or she may not deal with my property for his or her personal
purposes. Each Attorney is aware of this limitation. CIBC Investor Services may, therefore, choose not to allow my Attorney to take
certain actions if CIBC Investor Services is not satisfied that such actions are for my benefit.
Substitute attorneys.
4.
My Attorney(s) may not appoint or substitute any person to act as an attorney on my behalf.
Subsequent mental infirmity or legal incapacity.
5.
Subject to applicable provincial law, this Power of Attorney is to continue notwithstanding, and may be exercised during, any
subsequent mental infirmity or legal incapacity of mine.
6.
Termination upon death.
This Power of Attorney terminates upon my death.
7.
Dealings with my Attorney(s).
If the name of more than one Attorney appears in paragraph 1, CIBC Investor Services, will act upon the instructions of either Attorney.
CIBC Investor Services may continue to deal with my Attorney under this Power of Attorney until notice of revocation or any act or
event (including, among other things, the appointment of a committee of my estate) that may revoke this Power of Attorney has been
given in writing to CIBC Investor Services. Until such notice, the acts of my Attorney with CIBC Investor Services will be binding on me.
8.
To the extent permitted by law this agreement shall enure to the benefit of and be binding on me and CIBC Investor Services and our
respective heirs, liquidators, administrators, successors and assigns.
CIBC Investor Services Inc. is a subsidiary of CIBC and a Member of the Canadian Investor Protection Fund and Investment Industry Regulatory Organization of Canada.
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