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Report a Workers' Comp Claim Underwriting Application Portal (Historical) Broker Dashboard

NOR'EASTER ALERT: A nor'easter is expected to bring strong winds and coastal flooding to New Jersey. If your building sustains damage, please contact NJSIG immediately to report the loss. Click here for more information. Claims Emergency Number: 609-369-0535

NJSIG
Plan of Risk Management
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    • Tips for Brokers

    All of the information below is also available in our Tips for Brokers flyer.

    Endorsement Requests

    • Name of the BOE or Charter School
    • Coverage needed
    • Effective date of endorsement
    • Provide Property Change Form with all property change requests
    • If added vehicle(s); provide year, make, model, VIN & cost new (if adding a bus, provide number of passengers)

    Certificate Requests: Additional Insured

    • Name of the BOE or Charter School
    • Please ask if the Insured is paying for this event, trip, or service? If so, why would NJSIG extend coverage?
    • Please include the reason/details why an Additional Insured clause is needed
    • Name of Certificate Holder & address
    • Event dates (if any)

    Certificate Requests: Loss Payee

    • Name of the BOE or Charter School
    • Name of Certificate Holder & address
    • Reason for Certificate Holder to be added
    • Property/Vehicle description and value
    • Amount of contract or lease and lease number
    • Does Contents or EDP limit need to be increased to reflect change?

    Certificate Requests: Additional Insured Building/Leased Locations

    • An "Additional Insured Property Owner Questionnaire" must be completed and returned for building/leased locations

    Certificate Requests: SDA (Construction certs to State)

    • Name of BOE or Charter School
    • Information specific to the project(s), such as location, project number, start date, and scope of work being done
    • Estimated cost of the project(s)
    • A copy of SDA contract as it pertains to the insurance requirements
    • Certificates AND Endorsements from all parties working on the project(s) naming the District and the four State Entities as additional insured with respects to the project(s)
    • Who currently provides Builder’s Risk for the project(s)