Town CrierWest Orange, New Jersey
← Back to search

Supporting Documentation · Mar 12, 2024

93-24 Attachment.pdf

Preserved file SHA-256c7a1433b14def597b1c29a07385c79255731982df5d1a6daf6827f68117be8e5

Indexed text · page 59

Show all pages
Page 59

as ACORD® CERTIFICATE OF LIABILITY INSURANCE Pa ean 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). PRODUCER one’ Philip G. Bogle Bogle Agency Insurance PHONE ex, (201) 939-1076 TG Noy: (2927998-2423 200 Stuyvesant Avenue eiiuess. PIPOGLe@bogleagency.com P.O. Box 236 INSURER(S) AFFORDING COVERAGE NAIC # Lyndhurst NJ 07071 INSURER A: Selective Casualty Insurance Company 14376 INSURED INSURERS: 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. nee RDC uBR BOLIEVERE ]_ POLICY ERP Ne TYPE OF INSURANCE ROOT SUR POLIcY NUMBER danger ivn [wimoonven urs % | COMMERCIAL GENERAL LIABILITY annaranrves zi 2,000,000 DAMAGE TO RENTED a ciamsnaoe [3x] occur PEGE Ee eee | 500,000 ic, a rian s 3204159 06/15/2023 | 06/38/2024 | weD Exe (any ono parson) [8 15,000 PERSONAL & ADV INJURY. s 2,000,000 ‘LAGGREGATE LIMIT AP! GENERAL AGGREGATE $ 4,000,000 poucy [X ] FES: prooucrs-coupropacs | s 4,000,000 OTHER: $ TU ORCSLETRRLTY SONBNES SHGTETHT 1,900,000 a [*] svrauro BODILY INJURY (Per parson) | § ALL ONES souepuLeD 3 se08s9 oc/1s/20e3 | 06/15/2006 [BOON

Page 59

y [X ] FES: prooucrs-coupropacs | s 4,000,000 OTHER: $ TU ORCSLETRRLTY SONBNES SHGTETHT 1,900,000 a [*] svrauro BODILY INJURY (Per parson) | § ALL ONES souepuLeD 3 se08s9 oc/1s/20e3 | 06/15/2006 [BOON INRIRY Per aecaerd | § Kel NOKCOnneD SROPERTY DAWAGE ; HIRED AUTOS: AUTOS (Per accident) $ X | UMBRELLALIAB | X | occur EACH OCCURRENCE s 5,000,000 Fe EXCESS LIAB GUE MACE! Ss 3208159 06/15/2023 | 06/15/2024 | acGREGATE $ 5,000,000 pep |X [retention 208 FOLLOWS FORM - GL, Auto & WC $ WORKERS COMPENSATION pas One evento nee Sanne | [Be ANY PROPRIETOR PARTNERIEXECUTIVE ELL EACH ACCIDENT 3 1, 000,000 GrigereMEMser EXCLUDED? B | fandetory in NH) We 9004000 06/15/2023 | 06/15/2024 | e1, oisease-EAeMPLoves | s 1,000,000 Ives, deriva andor DESCRIPTION OF OPERATIONS below. EL. DISEASE - POLICY LIMIT_| $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addi nal 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department. of Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 25 Lakeside Avenue West Orange, NJ 07052 ‘AUTHORIZED REPRESENTATIVE j Phil G. Bogle/MB Fdlgp A. ——- © 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)