18-10 Contract

DATE (MMODNYYY) OPID C2. 12/31/08 WESTO-3 PRODUCER, 900 Route 9 North Woodbridge NJ 07095 Phone: 732-634-8400 Fax:7 iNsuRED ack Sayers 66 Main’ stree BGIA-GSMJIF Underwriting Unit 32-634-5379 Township of Weat Ozange + West Orange Nd 07052 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW| INSURERS AFFORDING COVERAGE NAIC # insuReRA Garden State Municipal JIF INSURER &: INSURER C INSURER 0 INSURER E: COVERAGES ANY REQUIREMENT, TERM OR CONDITION THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSU! MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBI POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ‘OF ANY CONTRACT ED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH FECTIVE |POLICY EXPIRATION a yo0' Ne Ina TYPE OF NSURANCE POLICY NUMBER TSAI ray [BRIE damrooN SD LMT | GENERAL LIABILITY EACH OCCURRENCE: $15,250,000 A |X [x ] commercia ceneraluiasuiy | GSMITF2009 01/01/09 | 01/01/10 |Prenises(esccurenc) |$ None CLAIMS MADE |X | OCCLR MED EXP {Anyone person) |¢ Included |_| PERSONAL &AOVINURY | $ Included GENERAL AGGREGATE $None GENL AGGREGATE LIMIT APPLIES PER" PRODUCTS xCOMPICP AGG | $ Included. poucy[ [BS [roc AUTOMOBILE LIABILITY =z COMBINED SINGLE LIMT . : $15,250,000 A] [x |awasto GSMITE2009 01/01/09} o1/o1/io | Eeastn) ' |__| Av owen autos BODILY INJURY 3 SCHEDULED AUTOS: {Per person) |__| HIRED suros BODILY INJURY $ NON-OWNED ALTOS: (Per accident} PROPERTY DAMAGE : Per accor) GARAGE LIABILITY PUTO ONLY -EAACCIDENT | $ ANY AUTO OTHER THAN EAACC|$ AUTO ONLY: acc |$ EXCESSAMORELLALIABILITY EACH OCCURRENCE: + [~] occur CLAMS MADE AGGREGATE $ . _ _ es ie _ + DEDUCTIBLE $ RETENTION ¢ $ WORKERS COMPENSATION AND X frowvumirs | [en EMPLOYERS" LIABILITY A | aary PROPRETORI ARTNEREXECUTIVE GSMIIF2009 01/01/09 | 01/01/10 | et EACH ACCIDENT $15,250,000 OFFICERIME MBER EXCLUDED? EL. DISEASE - EAEMPLOYES $ 15,250,000 yee ee VISIOIS below EL DSEASE -poucyumm|s 15,250,000 OTHER DESCRIPTION OF OPERATIONS /LOGATIONS / VEHICLES /EXGLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate holder is included as additional insured on the ommercial General Liability policy per terms, conditions and

ONS /LOGATIONS / VEHICLES /EXGLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate holder is included as additional insured on the ommercial General Liability policy per terms, conditions and exclusions of the policy as respects nursing services, visits to home bound seniors. * CERTIFICATE HOLDER CANCELLATION Suite 3200 ESSCTYD Essex County Division of Aging 50 S. Clinton Street East Orange NJ 07018 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI DATE THEREOF, THE ISSUINGINSURER WILL ENDEAVOR TOMA, 10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ILI ACORD 25 (2001/08) © ACORD CORPORATION 1