18-10 Contract

AcoRD, CERTIFICATE OF LIABILITY INSURANCE gee 25 | Tay ai yon PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BGIA-GSMJIF Underwriting Unit HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 900 Route 9 North ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW| Woodbridge NJ 07095 Phone: 732-634-8400 Fax:732-634-5379 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA Garden State Municipal JIF INSURER seepsbipeet * West Ozange NSURERG West Orange WN. 5 07052 INSURER O INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IwsR ADDY 7 Crm INGA TYPE OF INSURANCE POLICY NUMBER Tae mars [BRE kilroRy Lats GENERAL LIABILITY EACH OCCURRENCE $15,250,000 rx] DEMME TO RENTED A(X [X ] commercia ceneravisauity | GSMIIF2009 01/01/09 | 01/01/10 | PREMISES (Ea ocarence) | $ None CLAIMS MADE | X | OCCLR MED EXP (Anyone person) | $ Included |_| PERSONAL & ADV iNURY |$ Included GENERAL AGGREGATE | $ None GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS .comPice acc | $ Included [_Jroucy[ 18%: [toc AUTOMOBILE LIABILITY ‘COMBINED SINGLE LIMIT 5 $15,250,000 A [x | avy auto GSMITF2009 01/01/09 | 01/01/10 | Eesecen ‘ |_) ALL OWNED ALTOS BODILY INLRY $ SCHEDULED AUTOS Per person) |_| HiRED autos BODILY INURY $ NONLOWNED AUTOS Per accigert) PROPERTY DAMAGE $ (Per accident) [ GARAGE LIABILITY ALTO ONLY-EAACCIDENT | $ ANY ALTO omHertHN EA ACE | $ AUTO ONLY: ca |s EXCESS(UMBRELLALIABILITY ACHOCCURRENCE $ ocr — [_] ctams maoe ‘AGGREGATE $ _ $ DEDUCTIBLE $ RETENTION $ $ ‘WORKERS COMPENSATION AND x [rowers | [ER EMPLOYERS’ LIABILITY A AY PROPRETORPARTNERIEXECUINVE GSMITEF2009 01/01/09} 01/01/20 |e. Each AcciDENT $15,250,000 Orr ICERMENEER EX E.L DISEASE -EA EMPLOYER $ 15, 250,000 SAE EROVEISNS below EL DSEASE -PoLICY UM |$ 15,250,000 ‘OTHER, DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADOED BY ENDORSEMENT? SPECIAL PROVISIONS The Certificate Holder is included as addtional insured on the

PoLICY UM |$ 15,250,000 ‘OTHER, DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADOED BY ENDORSEMENT? SPECIAL PROVISIONS The Certificate Holder is included as addtional insured on the Commercial General Liability Policy per terms, conditions and exclusions of the policy as respects dental services. * CERTIFICATE HOLDER CANCELLATION ESCTYDI | SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMA, 10__ DAYS WRITTEN NOTIGE To THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 $0 SHALL Essex County Division of Aging IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 50 South Clinton St Suite 3200 REPRESENTATIVES. East Orange NJ 0701 CRE gegen ACORD 25 (2001/08) © ACORD CORPORATION 1