105
DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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: FAX PHONE (A/C, No): (A/C, No, Ext): E-MAIL ADDRESS: 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 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. ADDL SUBR INSR POLICY EFF POLICY EXP TYPE OF INSURANCE LIMITS POLICY NUMBER LTR (MM/DD/YYYY) (MM/DD/YYYY) INSD WVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-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 LIMIT AUTOMOBILE LIABILITY $ (Ea accident) BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS (Per accident) AUTOS $ UMBRELLA LIAB EACH OCCURRENCE $ OCCUR EXCESS LIAB CLAIMS-MADE AGGREGATE $ $ DED RETENTION $ PER OTH- WORKERS COMPENSATION STATUTE ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ N / A OFFICER/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 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2014/01) HIGHS99 OP ID: DC 05/20/2019 RPS Bollinger Sports & Leisure PO Box 390 Short Hills, NJ 07078 Will Krouslis *Markel Insurance Company 38970 Heights Baseball School, LLC dba High School Development League 393 Park View Dr Scotch Plains, NJ 07076 A X 1,000,000 X X 3602AH008380-5 05/21/2019 05/21/2020 100,000 X Incl Participants 5,000 1,000,000 3,000,000 1,000,000 A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000 Full Excess Ded: 1,000 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 additional insured. BAYO1-- Bayonne Board of Education 669 Ave A Bayonne, NJ 07002

THIS CERTIFICATE IS ISSUED AS A MATTER OF …...RPS Bollinger Sports & Leisure *Markel Insurance Company Heights Baseball School, LLC $ $ RPS Bollinger Sports & Leisure *Markel Insurance

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  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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 additional insured.

    BAYO1--

    Bayonne Board of Education669 Ave ABayonne, 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    BELLE01

    Belleville High SchoolBaseball Parents Org/BellevillHS Varsity Baseball Field100 Passaic AveBelleville, NJ 07109

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    BERGE01

    Bergen Academy High School200 Hackensack Ave.Hackensack, NJ 07601

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    Coverage is provided under these policies only for sponsored/supervised activities of the named insured for which a premium has been paid.

    BERKEL1

    Berkeley Heights RecreationDepartment29 Park AveBerkeley Heights, NJ 07922

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    BLOOM01

    Bloomfield High School160 Broad St.Bloomfield, NJ 07003

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    BOONTO1

    Boonton High School306 Lathrop AveBoonton, NJ 07005

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    BOROOF3

    Borough of ButlerOne Ace Rd.Butler, NJ 07405

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    Coverage is provided under these policies only for sponsored/supervised activities of the named insured for which a premium has been paid.

    BSBL001

    BSBLPO Box 226Pepack, NJ 07977

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    Coverage is provided under these policies only for sponsored/supervised activities of the named insured for which a premium has been paid.

    BULLDO1

    Bulldog Baseball Club1 Chapel AveJersey City, NJ 07305

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    BUTLERB

    Butler Board of Education38 Bartholdi AvenueButler, NJ 07405

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    CALDWE1

    Caldwell High School265 Westville Ave.Caldwell, NJ 07006

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    CEDAR01

    Cedar Grove High SchoolCedar Grove HS Field 190 Rugby Rd.Cedar Grove, NJ 07009

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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 additional insured.

    CHAT1--

    Chatham Board of Education58 Meyersville Rd.Chatham, NJ 07928

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    CLIFTO1

    Clifton High School333 Colfax Ave.Clifton, NJ 07012

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    CLIFTO2

    Clifton Board of Education &Clifton Baseball Booster Club333 Colfax AveClifton, NJ 07013

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    COLUMB1

    Columbia High School17 Parker AveMaplewood, NJ 07040

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    DAVID01

    David Brearley High School401 Monroe AveKenilworth, NJ 07033

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    Coverage is provided under these policies only for sponsored/supervised activities of the named insured for which a premium has been paid.

    DAWGS01

    Dawgs Baseball507 Meisel AveSpringfield, NJ 07081

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    DEMAR01

    Demarest High School150 Knickerbocker RdDemarest, NJ 07627

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    DENVIL1

    Township of DenvilleVeteran's Memorial Field34 Zeek RdDenville, NJ 07834

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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.

    DEPAUL1

    Depaul Catholic High School1151 Paterson-Hamburg TpkWayne, NJ 07470

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    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 additional insured.

    DOVER1-

    Dover Board of Education100 Grace St.Dover, NJ 07801

  • 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)

    HIGHS99 OP ID: DC

    05/20/2019

    RPS Bollinger Sports & LeisurePO Box 390Short Hills, NJ 07078Will Krouslis

    *Markel Insurance Company 38970Heights Baseball School, LLCdba High School DevelopmentLeague393 Park View DrScotch Plains, NJ 07076

    A X 1,000,000X 3602AH008380-5 05/21/2019 05/21/2020 100,000

    X Incl Participants 5,0001,000,0003,000,0001,000,000

    A Accident Insurance 4102AH008379-5 05/21/2019 05/21/2020 Med Max: 50,000Full Excess Ded: 1,000

    Coverage is provided under these policies only for sponsored/supervised activities of the named insured for which a premium has been paid.

    DOWNNE1

    Down Neck Sports Group23 Hanover St.Newark, NJ 07105

  • 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 sta