Supporting Documentation · Feb 13, 2024
67-24 NEGLIA West Orange Walker Road Final 2024.pdf
b28d73feb11896654c1481dbfe3dcb18eeb57676291f317ed196d2be1293a8daIndexed text · page 49
Show all pagesDATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1/30/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Philip G. Bogle PHONE (201)939-1076 FAX Bogle Agency Insurance (A/C, No, Ext): (A/C, No): (201)939-3423 E-MAIL pgbogle@bogleagency.com 200 Stuyvesant Avenue ADDRESS: P.O. Box 236 INSURER(S) AFFORDING COVERAGE NAIC # Lyndhurst NJ 07071 INSURER A : Selective Casualty Insurance Company 14376 INSURED INSURER B : Selective
SURER A : Selective Casualty Insurance Company 14376 INSURED INSURER B : Selective Insurance Co of America 12572 Neglia Engineering Associates Inc. INSURER C : 34 Park Avenue INSURER D : PO Box 426 INSURER E : Lyndhurst NJ 07071-1012 INSURER F : COVERAGES CERTIFICATE NUMBER: CL2361247864 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED A CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $ 500,000 X X, C, U Included S 3204159 06/15/2023 06/15/2024 MED EXP (Any one person) $ 15,000
S 3204159 06/15/2023 06/15/2024 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X PRO- JECT X LOC PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER: $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ A ALL OWNED SCHEDULED S 3204159 06/15/2023 06/15/2024 BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $
$ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE S 3204159 06/15/2023 06/15/2024 AGGREGATE $ 5,000,000 A DED X RETENTION $ .00 FOLLOWS FORM - GL, Auto & WC $ PER OTH- WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A B (Mandatory in NH) WC 9004000 06/15/2023 06/15/2024 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Township of West Orange
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Township of West Orange THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Department of Engineering 25 Lakeside Avenue AUTHORIZED REPRESENTATIVE West Orange, NJ 07052 Phil G. Bogle/MB © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)
File revisions (1)
- Sep 29, 2026
b28d73feb1186,532,068 bytes