-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
2007CAL
2007 Cal Ripken Baseball12 Year Old World SeriesField of Dreams
Sports ComplexI-40 at Lee CreekVan Buren, AR 72956
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Certificate holder is included as an additional insured.
Coverage is provided under these policies only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
ALLJERS
All Jersey Baseball LLCP.O. Box 421Lake Hiawatha, NJ 07034
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
AMERBAM
American Amateur BaseballCongressAttn: Angelo Cifaldi101
Highland RoadNorth Haledon, NJ 07508
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
AMERBAS
American Athletic BaseballConference100 West BroadwayFarmington,
NM 87401
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under these policies only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
ASAOFPA
ASA of PennsylvaniaHall of Fame Wolfe Fields3 Saint Anthony
StreetLewisburg, PA 17837
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.The certificate holder is named as an
additional insured under the liability policy.
BARERUT
Babe Ruth League InternationalHeadquarters1670
Whitehorse-Mercerville RdHamilton, NJ 08619
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
BASKLL-
Basking Ridge Little LeagueBaseballP.O. Box 98Basking Ridge, NJ
07920
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
BAYONNE
Bayonne Little League200 W 1st StreetBayonne, NJ 07002
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
BLUECHI
Blue Chip Prospects, LLC17 Ivy CourtEast Hanover, NJ 07936
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Certificate holder is included as an additional insured.
Coverage is provided under these policies only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
BOROLIN
Boro of Lincoln Park &Lincoln Park PAL34 Chapel Hill
RoadLincoln Park, NJ 07035
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
BOROMET
Borough of Metuchen500 Main StreetMetuchen, NJ 08840
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
The certificate holder is named as an additional insured under
the liabilitypolicy. Coverage is provided under this policy only
for sponsored/supervisedactivities of the named insured for which a
premium has been paid.
BORORAR
Borough of Raritan22 First StreetRaritan, NJ 08869
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Certificate holder is included as an additional insured.
Coverage is provided under these policies only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
BOROSOM
Borough of Somerville25 West End AvenueSomerville, NJ 08876
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
BOUNLL-
Bound Brook Little LeagueAttn: Martin Koeller210 Cherry Ave, Apt
G6Bound Brook, NJ 08805
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
BRANBAS
Branchburg Baseball ClubPO Box 5173North Branch, NJ 08876
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under these policies only for
sponsored/supervised activities of the named insured for which a
premium has been paid. RE: White Oak Park Pavillion & ball
field for 8U team gathering & BBQ on Saturday, July 2, 2016.
Field use from 2-4 pm and pavillion use fro 4-6 pm.
BRANREC
Branchburg Recreation Dept.1076 US Highway 202 NorthBranchburg,
NJ 08876
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under this policy only for
sponsored/supervised activities of the named insured for which a
premium has been paid.
BRIDBLA
Bridgewater BlazeAttn: Christopher Verdone7 Copper Hill
RoadBridgewater, NJ 08807
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
The certificate holder is named as an additional insured under
the liabilitypolicy. Coverage is provided under this policy only
for sponsored/supervisedactivities of the named insured for which a
premium has been paid. General Liability and excess liabiltiy
provides coverage for insured's ownership, maintenance and use of
AED unit.
BRIDEWA
Bridgewater Township700 Garretson Road, Box 6300Bridgewater, NJ
08807
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under these policies only for sponsored and
supervised activities of Bridgewater Baseball for which a premium
has been paid. The certificate holder is included as an addtional
insured only for sponsored and supervised activities of Bridgewater
Baseball for which a premium has been paid.
BRIDGEB
Bridgewater RaritanBoard of EducationP.O. Box 6030Bridgewater,
NJ 08807
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
Coverage is provided under these policies only for sponsored and
supervises activities of Bridgewater Baseball for which a premium
has been paid. The certificate holder is included as an additional
insured only for sponsored and supervised activties of Bridgewater
Baseball for which a premium has been paid.
BRIDGET
Bridgewater TownshipRecreationAttn: Diane Puppo100 Commons
WayBridgewater, NJ 08807
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
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
BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
INACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD
name and logo are registered marks of ACORDACORD 25 (2014/01)
BRID-15 OP ID: BL
05/24/2018
RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ
07078Brenda Lodato Ext. 8051
*Markel Insurance Company 38970Bridgewater Baseball,
etalBridgwater National Little LeaBridgewater American LLSomerst
Hunterdon Babe Ruth LeC/O Diane BellingerP.O. Box 6222Bridgewater,
NJ 08807
A X 1,000,000X 8502AH027228 06/15/2018 06/15/2019 100,000
X Incl Participants 5,000Sexual Abuse & Mo
$1,000,000/$2,000,000 06/15/2018 06/15/2019 1,000,000
3,000,0001,000,000
1,000,000A 8502AH027228 06/15/2018 06/15/2019
X X
X 2,000,000XA 4602AH024719 06/15/2018 06/15/2019
A Accident Insurance 4102AH240784 06/15/2018 06/15/2019 Med Max:
100,000Full Excess Ded: $50/claim
The certificate holder is named as an additional insured under
the liabilitypolicy. Coverage is provided under this policy only
for sponsored/supervisedactivities of the named insured for which a
premium has been paid.
BRIDTWP
Bridgewater TownshipTraffice Safety UnitP.O. Box
6300Bridgewater, NJ 08807
-
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain
policies may require an endorsement. A statement on this
certificate does not confer rights to thecertificate holder in lieu
of such endorsement(s).
CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE
LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVDCOMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY
LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea
accident)BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS
AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE
AGGREGATE $
$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N /
AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe
under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101,
Additional Remarks Schedule, may be attached if more space is
required)
CERTIFICATE HOLD