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AGENDA PACKET Wednesday, May 15, 2019 at 3:00 PM Atlantic County Library 40 Farragut Ave Mays Landing, NJ WWW.ACMJIF.ORG

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Page 1: AGENDAPACKET2019/05/05  · Kellie Seib, Sea Isle City Roy Spoltore, Upper Deerfield Twp Rick Yeatman, Waterford Twp DJ Ayres, Weymouth Twp Connie Mahon, Wildwood Crest Borough Lisa

AGENDA PACKET

Wednesday, May 15, 2019 at 3:00 PM

Atlantic County Library 40 Farragut Ave

Mays Landing, NJ WWW.ACMJIF.ORG

Page 2: AGENDAPACKET2019/05/05  · Kellie Seib, Sea Isle City Roy Spoltore, Upper Deerfield Twp Rick Yeatman, Waterford Twp DJ Ayres, Weymouth Twp Connie Mahon, Wildwood Crest Borough Lisa

ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND Atlantic County Library

40 Farragut Ave Mays Landing, NJ, NJ

May 15, 2019 – 3:00 PM

AGENDA

I. Meeting called to order by Chairman

II. Flag Salute

III. Statement of Compliance with Open Public Meetings Act A. Notice of this meeting was given by:

A. Sending sufficient notice herewith to: 1. The Press of Atlantic City 2. Courier Post, Cherry Hill, New Jersey; and

B. Filing advance written notice of this meeting with the Clerks/Administrators of all member municipalities; and

C. Posting notice on the public bulletin boards of all member municipalities.

IV. Roll Call A. Fund Commissioners B. Fund Professionals C. Risk Management Consultants D. Move up Alternates (if necessary)

V. Approval of Minutes……………………………………………………………...………...Pages 1-16 A. Adoption of the April 17, 2019 minutes – Motion – All in Favor B. Approval of the April 17, 2019 Closed Session minutes – Motion – All in Favor

The Closed Session Minutes shall not be released to the public until the reason(s) for their remaining closed is no longer applicable and the Fund Solicitor has an opportunity to review them.

VI. Closed Session – Resolution 2019- ______ Authorizing a Closed Session of the Atlantic County Municipal Joint Insurance Fund to discuss matters affecting the protection of safety and property of the public and to discuss pending or anticipated litigation and/or contract negotiations – Motion -Roll Call

A. Claims Review Committee Report – Closed Session Items B. Professionals’ Reports

A. Claims Administrator’s Report B. Executive Director’s Report C. Safety Director’s Report D. Solicitor’s Report

VII. Reopen Public Portion of Meeting – Motion – All in Favor

VIII. Authorization of Claims Payments – Motion - Roll Call

IX. Authorization to Abandon Subrogation (if necessary) – Motion - Roll Call

X. Claims Review Committee Report: – Open Session Items

XI. Claims Administrator’s Report A. Lessons Learned from Losses ……………….…….........................................................Page 17

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May 2019 Agenda Page 2 XII. Managed Health Care Report

A. Managed Care Summary……………………………………….……….…....………..Page 18 B. Average Days to Report……………………………………….…….....…………...…Page 19 C. Transitional Duty Reports……………………………………..……………………..Pages 20-21 D. PPO Savings and Penetration Reports…….…………………..……………...…….....Pages 22-23 E. Paid Provider by Specialty……………………………………..…...............................Page 24 F. Top 5 Providers….…………………………………..……………..........................….Page 25 G. Nurse Case Management Assignment Report……………………………………....…Page 26

XIII. Solicitor’s Report A. Closed Cases Report…………………………………………………...……......………Pages 27-32 B. Resolution 2019 - _______ Authorization to Designate an Additional Approved

Associate – Motion – Roll Call………………………………………………………..Pages 33-34 C. Resolution 2019 - _______Authorizing an Amendment to the Plan of Risk Management– Motion – Roll Call……………………………………………………………………..Pages 35-38

XIV. Committee Reports A. New Member Review Committee Meeting – May 15, 2019…………………………Verbal

XV. Wellness Director Report Nothing to Report

XVI. Executive Director……………………………………………………………..………...…..Pages 39- 73 A. Lost Time Accident Frequency…………………………………………..….…...….Pages 42-43 B. Certificates of Insurance………………………………………………..…….……..Pages 44-48 C. Financial Fast Track Report………………………………….…………...…....……Page 49 D. Regulatory Filing Checklists………………………………....………….…..…..…..Pages 50-51 E. 2018 Safety Incentive Program Awards……………………………………………..Page 52 F. 2019 Optional Safety Budget……………….……...……….….…………...….……Page 53 G. 2019 Wellness Incentive……………………………………....……………....….….Page 54 H. EPL/Cyber Risk Management Budget………………………………...…...…….…..Page 55 I. MEL EPL Helpline: Authorized Contact List………………………………………Pages 56-58 J. EPL Compliance Status …….….……..………...………………………..……....…Page 59 K. MEL Cyber Risk Management Plan Compliance Status…………….…..……….…Page 60 L. Statutory Bond Status……………………………………….…….…...….…..…….Page 61 M. Skateboard Park Approval Status…………………….…………….....…….…...... ..Page 62 N. Capehart & Scatchard Updates…………………………………..…….…..…..……Pages 63-69 O. Monthly Calendars………………………………………………..….……….…….Pages 70-71 P. Employee Cyber Hygiene Training – MediaPro Q. Pivot Point Newsletter………………………………………………………………Pages 72-73 R. Member Visitation Program S. Website T. New Member Activity

XVII. MEL and/or RCF Reports Nothing to Report

XVIII. Safety Director’s Report A. Activity Report …………….…………………………….…….….................……Pages 74-77 B. Police One Training………………………………………………………………..Update C. Bulletin: Playground Inspections………………………………………….………Pages 78-79 D. Bulletin: Prevent Falls in Construction…………………………………...………Page 80

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May 2019 Agenda Page 3

XIX. Treasurer’s Report as of April 30, 2019…………………………….…..….………..……Pages 81-160 A. Fund Status B. Investment Report C. Payment Register – Motion to Approve - Roll Call D. Bill List - May- Motion to Approve – Roll Call……………………..………....Page 156 E. RMC Bill List – 2nd Installment – Motion – Roll Call………………….……….Page 157 F. Reconciliation G. Analysis of Non-Assessment Receipts H. AELCF

XX. Miscellaneous Business

The Next Meeting will be held on Wednesday, June 19, 2019 at 3:00 PM, Avalon Community Hall, 3001 Avalon Ave, Avalon, NJ

XXI. Public Comment

A. Motion to Open Meeting to Public Comment – Motion - All in Favor B. Motion to Close Meeting to Public Comment – Motion – All in Favor

XXII. Motion to Adjourn Meeting – All in Favor

Page 5: AGENDAPACKET2019/05/05  · Kellie Seib, Sea Isle City Roy Spoltore, Upper Deerfield Twp Rick Yeatman, Waterford Twp DJ Ayres, Weymouth Twp Connie Mahon, Wildwood Crest Borough Lisa

C:\Users\kkristie\Documents\ACM\Agenda, Cover, MIN\Minutes.doc

ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND Atlantic County Public Library

40 Farragut Ave Mays Landing, New Jersey

April 17, 2019 at 3:00PM

OPEN SESSION MINUTES

The regular meeting of the Atlantic County Municipal Joint Insurance Fund (ACM JIF) was held on April 17, 2019, at Atlantic County Library – Mays Landing Branch, 40 Farragut Ave, Mays Landing, New Jersey at 3PM, prevailing time. Chair Perez, Hamilton Township, presiding. The meeting was called to order at 3:00 PM.

ROLL CALL

Those in attendance were:

Jessica Thompson, Absecon City Scott Wahl, Avalon Borough Karen Blowers, Brigantine City (arrived after roll call) Bill Nimohay, Buena Borough Joe Picard, Cape May City Steve O’Connor, Cape May Point Heather Sparks, Commercial Twp Karen Seifrit, Deerfield Twp Jessica Bishop, Dennis Twp Patricia Gatto, Folsom Borough Peter Miller, Egg Harbor Twp Ingrid Perez, Chair, Hamilton Twp Leigh Ann Napoli, Linwood City Rich Hirsch, Longport Borough Julie Picard, Secretary, Lower Twp Lisa McLaughlin, Margate City Pam Shapiro, Alt., Millville City Dawn Stollenwerk, Mullica Twp Sam Barbagli, Newfield Borough Ron Simone, North Wildwood City Mary Canesi, Northfield City Diane Wood, Alt., Ocean City Shurlana Stewart, Alt., Pleasantville City Shelby Heath, Alt., Somers Point City Jim Craft, Stone Harbor Borough Teri Smuz, Upper Twp Jim Goos, Ventnor City Suzanne Schumann, Alt., West Cape May Borough

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 2

Chris Ridings, West Wildwood City Chris Fox, Wildwood City

Absent were:

Rose Turner, Corbin City Bob Campbell, Downe Twp Linda Kent, Estell Manor City Cheryl Prakash, Galloway Twp Kim Krauss, Middle Twp Kellie Seib, Sea Isle City Roy Spoltore, Upper Deerfield Twp Rick Yeatman, Waterford Twp DJ Ayres, Weymouth Twp Connie Mahon, Wildwood Crest Borough Lisa Garrison, Woodbine Borough

Present Fund Professionals were:

Paul Forlenza, MGA, RMC, Executive Director, AJG Risk Management Services, Inc. Tracy Forlenza, Recording Secretary Chris Roselli, Claims Administrator, Qual-Lynx Karen Beatty, Managed Care Provider, QualCare Rob Garish, Safety Consultant, J.A. Montgomery Risk Control Keith Hummel, Safety Director, J.A. Montgomery Risk Control David DeWeese, Esquire, Fund Solicitor, The DeWeese Law Firm, P.C. John Hansen, Fund Treasurer Valerie Smith, Wellness Director

Present Risk Management Consultants were:

C. J. Adams CompanyJ. Byrne Agency, Inc.Conner Strong & BuckelewGlenn InsuranceHardenbergh InsuranceThomas Heist Insurance AgencyInsurance Agencies Inc.Marsh & McLennan AgencyMcMahon Agency, Inc.Siracusa-Kauffman Insurance

Absent Risk Management Consultants were: Assured Partners Atlantic Associates BCA Insurance William R. Mints Agency

These minutes do not necessarily reflect the order in which some items were discussed.

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 3

MOVE UP ALTERNATES

In absence of Ms. Seib, Sea Isle City, alternate Mr. Barbagli, Borough of Newfield, was moved up for voting purposes.

At this time Chair Perez asked that all members keep Paul Miola and his family in their thoughts and prayers due to the recent passing of his wife Joan. Chair Perez noted that many have known Paul for many years and also got to know Joan over the last few years as she frequently attended meetings with Paul. Chair Perez stated that Ms. Stollenwerk is taking up a collection to contribute funds to the Voorhees Hospice where Joan spent her last days and if you would like to contribute please see Dawn following the meeting.

APPROVAL OF MINUTES– OPEN SESSION

Chair Perez entertained a motion to approve the meeting minutes of the March 20, 2019 Executive Committee Meeting with a verbal amendment that Jim Goos, Ventnor, was present.

Motion by Ms. Picard, seconded by Mr. Ridings, to approve the meeting minutes of the March 20, 2019 Executive Committee Meeting with the verbal amendment as presented. All in favor. Motion carried.

APPROVAL OF MINUTES – CLOSED SESSION

Confidential Closed Session Meeting Minutes were distributed to the Executive Committee Members.

Chair Perez entertained a motion to adopt the Closed Session Meeting Minutes of the March 20, 2019 Meeting of the Fund.

Motion by Mr. Wahl, seconded by Ms. Picard, to approve the Closed Session minutes of the March 20, 2019 Executive Committee Meeting as presented. All in favor. Motion carried.

The Closed Session meeting minutes of the March 20, 2019 meeting shall not be released to the public until the reason(s) for their remaining closed is no longer applicable and the Fund Solicitor has had the opportunity to review them.

Confidential Closed Session Meeting Minutes were collected.

CLOSED SESSION - RESOLUTION #2019-24

Be it moved by the Atlantic County Municipal Joint Insurance Fund that the public be excluded from this portion of the meeting to permit the Executive Committee to consider in closed session matters affecting the safety and property of the public and to discuss pending or anticipated litigation and/or contract negotiations and that the minutes covering these matters and the results of closed session will be released to the public when the reasons for discussing and on them in closed session no longer exists as required by the Open Public Meeting Act.

Chair Perez entertained a motion to adopt Closed Session Resolution 2019-24.

Motion by Ms. Picard, seconded by Mr. Ridings, to adopt Resolution 2019-24 as presented.

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 4

ROLL CALL Yeas: Scott Wahl, Avalon Ingrid Perez, Chair, Hamilton Twp Julie Picard, Sec, Lower Twp Sam Barbagli, Newfield Jim Craft, Stone Harbor Jim Goos, Ventnor Chris Ridings, West Wildwood

Nays: None

Abstained: None

All in favor. Motion carried by unanimous vote.

REOPEN PUBLIC PORTION OF THE MEETING

Chair Perez entertained a motion to reopen the public portion of the meeting.

Motion by Mr. Ridings, seconded by Mr. Wahl, to reopen the public portion of the meeting. All in favor. Motion carried.

AUTHORIZATION OF CLAIMS PAYMENTS

Chair Perez presented the claims for payment as discussed in Closed Session.

Chair Perez asked if there were any questions at this time. No questions were entertained.

Chair Perez entertained a motion to approve the claims for payment as discussed in Closed Session.

Motion by Mr. Goos, seconded by Ms. Picard to approve the claims for payment as discussed in Closed Session. They are as follows:

April 2019 PARs:

Workers’ Compensation General Liability

Property

2018129801 001251549 2019168278 MLT-2018120130 (01-02) 2018112046 2019162544

2019165094 2018138583 2019152475 001249606 2017096167 2019159538 001237291 001235228 2019168382 001254778 2019164586 2017095900 2019165504 2018121065

2019166233

2018131593

MLT-2017099030

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Page 9: AGENDAPACKET2019/05/05  · Kellie Seib, Sea Isle City Roy Spoltore, Upper Deerfield Twp Rick Yeatman, Waterford Twp DJ Ayres, Weymouth Twp Connie Mahon, Wildwood Crest Borough Lisa

ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 5

ROLL CALL Yeas: Scott Wahl, Avalon Ingrid Perez, Chair, Hamilton Twp Julie Picard, Sec, Lower Twp Sam Barbagli, Newfield Jim Craft, Stone Harbor Jim Goos, Ventnor Chris Ridings, West Wildwood

Nays: None

Abstain: None

All in favor. Motion carried by unanimous vote.

ABANDON SUBROGATION

Motion by Ms. Picard, seconded by Mr. Ridings, to abandon subrogation on the following Qual-Lynx files:

ROLL CALL Yeas: Scott Wahl, Avalon Ingrid Perez, Chair, Hamilton Twp Julie Picard, Sec, Lower Twp Sam Barbagli, Newfield Jim Craft, Stone Harbor Jim Goos, Ventnor Chris Ridings, West Wildwood

Nays: None

Abstain: None

All in favor. Motion carried by unanimous vote.

CLAIMS REVIEW COMMITTEE REPORT – OPEN SESSION ITEMS

In Ms. Seib’s absence, Mr. DeWeese noted that on page 5, item C, is a copy of a letter Qual-Lynx submitted to the Claims Review Committee for the increase of authority for settling Property and Liability claims. He noted the amount was $5,000 and the increase is for authority to settle up to $10,000 for first and third party liability claims. The Claims Review Committee is recommending this increase in authority. Mr. DeWeese further stated that this requires an amendment to the Plan of Risk Management which will be prepared for review and acceptance from the Executive Committee at the May Executive Committee meeting.

Resolution 2019-26 Designating an Additional Approved Associate Mr. DeWeese also stated that on page 6, item E, a draft resolution for the addition of an Approved Associate, Caitlin Carroll, Esquire, to the Defense Panel. He noted that he reviewed her resume and

Qual-Lynx File #

2017095900

MLT-2018120130

MLT-2017099030

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 6

spoke to Mr. Affanato who has vouched for her outstanding work. Mr. DeWeese and the Claims Review Committee both recommend her as an additional to the panel.

After a brief discussion, Mr. DeWeese recommended tabling the resolution as Resolution 2019-26 was not distributed to all members and will be presented for approval at the May 15, 2019 Executive Committee meeting.

CLAIMS ADMINISTRATOR’S REPORT

Lessons Learned from Losses – April Mr. Roselli reported that the Lessons Learned from Losses this month focuses on the Importance of Inspections. He reminded the members to follow the inspection suggestions: A system of regular inspections and observations; training for employees to identify potential hazards; procedures for employees and citizens to report potential hazards; procedures to log all reports and record corrective actions; procedures to notify other entities/authorities of conditions and/or incidents that require attention; and procedures to investigate incidents and accidents.

Mr. Roselli cited an example where a claimant tripped and fell in a street fracturing a bone. Arbitration awarded $196,000; however, a Motion for Summary Judgment was filed and the Judge found no actual or constructive notice of a dangerous condition existed. This was due to documentation that this Township kept. The town does an excellent job of reviewing their roads and an evaluation that involves their DPW and an engineer as well as regular rounds of pothole maintenance. The entire process is well documented.

Mr. Roselli reminded the members to review his newsletter and share it with their employees.

The remainder of the Claims Administrator’s report was provided in Closed Session.

MANAGED HEALTH CARE REPORT

Ms. Beatty reviewed the Managed Care Report for March 2019.

Lost Time v. Medical Only Cases

Ms. Beatty presented the ACM JIF Lost Time v. Medical Only Cases (Intake Report).

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 7

March YTD

Total Intakes (New Claims) 41 175

Report Only 12 62

Report Only % of Total 29.3% 35.4%

Medical Only 26 84

Lost Time 3 29

Medical Only/Lost Time Ratio 90:10 74:26

Average Days to Report 2.0 1.9

Transitional Duty Report

Ms. Beatty presented her Transitional Duty reports.

Transitional Duty Summary Report YTD Transitional Duty Days Available 2,503 Transitional Duty Days Worked 1,292 % of Transitional Duty Days Worked 51.6% Transitional Duty Days Not Accommodated 1,211 % of Transitional Duty Days Not Accommodated 48.4%

PPO Penetration Report:

Ms. Beatty presented the self-explanatory PPO Penetration Rate Report.

PPO Penetration Rate March YTD Bill Count 713 1,779 Original Provider Charges $1,087,302 $2,369,426 Re-priced Bill Amount $352,313 $780,072 Savings $734,989 $1,589,354 % of Savings 67.6% 67.1% Participating Provider Penetration Rate- Bill count 93.7% 96.7%

Participating Provider Penetration Rate-Provider Charges 97.4% 98.5%

EPO Penetration Rate – Bill Count 96.1% 97.9%

EPO Penetration Rate –Provider Charges 97.4% 99.5%

Ms. Beatty asked if there were any questions at this time. No questions were entertained.

SOLICITOR’S REPORT

Mr. DeWeese presented the following reports: Closed Claims Mr. DeWeese noted that there was one (1) case closed since the last meeting. He noted a detailed synopsis of the claim can be found in the agenda packet and provided the following brief synopsis of each case:

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 8

Closed Case Description

Weldon Estate v. Township of Mullica Death after leaving health care facility. Assigned Defense Counsel Robert James Birchmeier, Esquire, was assigned. Defense filed Motion for non-jurisdiction which was granted.

Resolution 2019-25 Release of 2018 Closed Session Minutes Chair Perez entertained a Motion to approve Resolution 2019-25 Authorizing Release of Fund Year 2018 Closed Session Executive Committee minutes with redactions.

Motion by Mr. Goos, seconded by Mr. Wahl, to approve Resolution 2019-25 Authorizing Release of Fund Year 2018 Closed Session Executive Committee minutes with redactions as presented.

ROLL CALL Yeas: Scott Wahl, Avalon Ingrid Perez, Chair, Hamilton Twp Julie Picard, Sec, Lower Twp Sam Barbagli, Newfield Jim Craft, Stone Harbor Jim Goos, Ventnor Chris Ridings, West Wildwood

Nays: None Abstained: None

Motion carried by unanimous vote.

Mr. DeWeese asked for any questions. No questions were entertained.

COMMITTEE REPORTS

EPL/POL Claims Review Committee - March 20, 2019 Mr. Simone noted that the minutes were included in the agenda packet. He highlighted the following items: EPL Committee Charter is approved as is with no changes; Loss Ratio Reports valued as of 12/31/18 were discussed noting the 5 year loss ratio was 36.8% and the six year was 56.9%; EPL/POL currently has 48 open claims; Land Use Liability Risk Management Training Program is being finalized; and the new MEL EPL Helpline is open and program details were emailed to all members. Safety Committee Meeting – April 5, 2019

Ms. Picard noted that the minutes from the meeting were a handout at today’s meeting and asked all members to please review. She asked all members to keep an eye out for an upcoming training entitled, “Selecting a Designated Employer Representative (DER)” which will now be an additional 2019 Regional Training class toward the end of the year. She noted that the Safety Committee approved this training with a cost of $700-900. She heavily stressed that this is a required class for every municipality that has CDL drivers and noted Mr. Garish will elaborate in his report. Ms. Picard also noted that the resignation of Valerie Smith was discussed and the Committee recommends that the Wellness Director’s position be filled.

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 9

Motion to Authorize the Executive Director’s office to advertise and seek qualified candidates for the position of Wellness Director. Chair Perez entertained a motion to authorize the Executive Director’s office to advertise and seek qualified candidates for the position of Wellness Director. Motion by Mr. Ridings, seconded by Mr. Goos, to authorize the Executive Director’s office to advertise and seek qualified candidates for the position of Wellness Director. All in favor. Motion carried by unanimous vote. Mr. Miller asked Chair Perez if the entire membership will vote on the candidate or just the Executive Committee. Chair Perez noted that the Executive Committee makes that decision, but asked Mr. DeWeese to confirm. Mr. DeWeese stated that hiring an employee falls under the Executive Committee’s role, however, he will double check. WELLNESS DIRECTOR REPORT Ms. Smith announced her resignation and thanked the members for allowing her to bring wellness into their municipalities. She is hoping that all their wellness hard work continues. Ms. Smith gave an overview of some members’ activities: Wildwood Crest planned their 3rd annual health fair for June 2019; Egg Harbor Twp planned their 3rd annual health fair for September 2019 and Lower Twp planned their 2nd annual health fair for October 2019. Her hope is that all the other municipalities try this as it is well received by the employees. Ms. Smith noted that the April newsletter was sent via email and is on the website. She noted that this month looks at what cancer factors you CAN control. She noted that you can’t control your age, but you can control your diet and activity. She asked members to share the newsletter. Ms. Smith reminded members to get “F.I.T.T.” in her Move it! Monday session, noting to focus on the Frequency, Intensity, Type and Time. Municipality Shout Outs- Millville’s Wellness Committee and Pamela Shapiro for restarting their Wellness Committee. Ms. Smith noted that they planned out the entire year and they are excited about it. The next Shout Out goes to Ray Marble of Galloway Township. He puts wellness on every Safety Committee agenda; invites Valerie to speak at meetings; asks for ideas for each quarter as well. Chair Perez thanked Ms. Smith for her wellness efforts. She noted that there have been tangible results from these efforts leading also to personal successes for individuals in some towns and group efforts in others. She also stated that this has helped all of us to see wellness as a “need” and how to incorporate

wellness into everyone’s daily life. She again thanked Ms. Smith for beginning these efforts for all of us.

EXECUTIVE DIRECTOR’S REPORT Mr. Forlenza reviewed the Executive Director’s Report found in the agenda packet with the membership.

He highlighted the following items from his report:

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 10

Loss Ratios – Mr. Forlenza informed members that the JIF, MEL and EPL/POL Loss Ratio reports valued as of 03/31/19 were handed out today. He asked the members to please review the packets. He asked any Risk Managers to take the members packet if they are not present. Certificates of Insurance – Mr. Forlenza asked members to please review the list of COIs listed in the agenda packet to make sure they were properly issued. 2018 Safety Incentive Program – Mr. Forlenza asked members to review their balances noting to claim or encumber these funds by December 31, 2019 and all encumbered funds have to be claimed by February 1, 2020. 2019 Optional Safety Budget – Mr. Forlenza stated that the deadline for claiming or encumbering these funds is December 31, 2019 and all encumbered funds have to be claimed by February 1, 2020. He asked members to review the spreadsheets. He asked members to submit their receipts as they use them and not wait until the deadline. 2019 Wellness Incentive Program – Mr. Forlenza stated that the deadline for claiming or encumbering these funds is December 31, 2019 and all encumbered funds have to be claimed by February 1, 2020. He asked members to review the spreadsheets. He asked members to submit their receipts as they use them and not wait until the deadline. 2019 EPL/Cyber Risk Management Budget – Mr. Forlenza stated that the JIF has budgeted $725 per member to help offset employment practices and cyber security related expenses. He reminded members that the deadline for claiming or encumbering these funds is December 31, 2019 and all encumbered funds have to be claimed by February 1, 2020. He asked members to submit their receipts as they use them and not wait until the deadline. EPL Helpline, Authorized Contact List - Mr. Forlenza reminded members to review this list and make the necessary changes by resolution (on www.acmjif.org). He asked that you review the list in the agenda packet and forward executed resolutions (samples on the JIF website) to Kristi Kristie in his office. He noted that this list will also be used for the new MEL LINE so please review for accuracy. Employment Practices Liability Compliance – Mr. Forlenza asked members to review their compliance status, their deductibles and co-insurance for accuracy especially if you changed your deductible this year. MEL Cyber Risk Management Plan Compliance – Mr. Forlenza asked members to review the list on page 68 for compliance with the MEL Cyber Risk Management program. He stated that the list shows that only a few members are compliant. He reminded them that there is a $10,000 deductible on cyber claims. If you already submitted your checklist and it is not depicted on the checklist, please follow up with them. He informed members last month that there have been a few recent claims each in excess of $400,000-$500,000 which will make renewing the cyber coverage in 2020 difficult. Chair Perez stated that the Atlantic County Utilities Authority had a cyber incident two months ago resulting in a two day shutdown at their offices. Statutory Bond Status – Mr. Forlenza reminded members to review the checklist for changes as it is written to the individual, not the position.

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 11

Elected Officials Seminars – Mr. Forlenza noted that these have concluded, but there is now an online version available. He noted that page 83 has instructions for accessing it. He reminded members that it is $250 per elected official credit up to a maximum of 5% of the of the member's 2019 MEL Assessment. Employee Cyber Hygiene Training (Media Pro) – Mr. Forlenza stated that in November his office emailed a request for an employee listing of those who utilize a municipal computer. He noted that all 41 members have responded. He noted that this training is ongoing and this is the first round. Technology Risk Management Services – Mr. Forlenza stated that the phishing attempts are

underway and the percentage of those “clicking” on these attempts is very low. In March, 1,324 attempts were issued to employees and 60 actually clicked on fake attachment; about 4.5%. He reported that Pivot Point is also doing the intrusion testing on the IP networks. He stated that Cape May, Newfield and Ocean City have not provided their IP addresses as requested via email. He asked these members to please follow up with their IT professionals to gather this information. Quarterly Attendance – Mr. Forlenza noted that the monthly attendance is taken from the

Recording Secretary’s monthly minutes so please review.

Financial Disclosure Statement Filing – Mr. Forlenza stated that all members have been notified of the requirement with your PIN number to use. He noted the deadline is April 30, 2019. New Member Activity – Mr. Forlenza stated that the review of the application from the Wildwood Boardwalk Special Improvement District sponsored by North Wildwood is underway. He noted that the Safety Director visited last week and did a loss control survey which is pending. He stated the New Member Review Committee will review this and bring a recommendation to the May meeting. Mr. Forlenza asked if there were any questions. MEL Cyber Online - Mr. Miller reported that one of his elected officials was having difficulties with the MEL Online Elected Officials training module. Mr. Forlenza asked that he send the name of the individual taking it to him and he will investigate with the MEL on his behalf. Joan Miola – Mr. Miller inquired why the membership was not notified of Mrs. Miola’s arrangements. Mr. Forlenza noted that emails were sent out last week to all Fund Commissioners, Fund Professionals and RMCs. Apparently there was an issue with the emails as some members received and some did not. Mr. Forlenza apologized if some did not receive the information. He stated that Mr. Miola did appreciate those who attended the service. Cyber Security – Mr. Miller noted that the email he receives with his Qual-Lynx reports through the Cigna portal now has a warning regarding its authenticity. Mr. Roselli will investigate.

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 12

Pivot Point – Ms. Stollenwerk asked if Pivot Point is supposed to be communicating with the members regarding the performance of the intrusion testing. She noted that she would like to know how her municipal is fairing. Mr. Forlenza stated that each member should be receiving a monthly report with the results of the intrusion testing. Ms. Stollenwerk will check her spam filter to see if the reports are getting blocked. Another member stated that he is receiving the reports; however, they are difficult to decipher. Mr. Forlenza asked if any members had any questions. No questions were entertained.

MEL/RCF REPORTS

Mr. Hirsch noted that the MEL/RCF meeting and their Annual Retreat was held on March 29, 2019. He stated that the Management Committee recommends the MEL contract with The Canning Group to serve as the MEL's QPA. In addition, the Board withdrew the 90 day termination letter to Arthur J. Gallagher Risk Management Services contract after potential personnel changes were resolved; and the 2019 MEL, MRHIF and NJCE Educational Seminar is May 3, 2019. Ms. Stollenwerk inquired how could the same agency who did the study of the MEL’s Procurement Procedures be the ones who were offered the contract to be their QPA. Mr. Miller also asked they went out to bid. Mr. Hirsch noted he believes that they did go out to bid.

SAFETY DIRECTOR'S REPORT

Mr. Garish stated that the Safety Director's Report was included in the agenda. He highlighted the following items:

MSI Training - Mr. Garish noted the MSI training schedules for April, May, and June are on pages 96-97.

Safety Bulletins – Mr. Garish commented that two bulletins were released in March: Revised Drug & Alcohol Testing Bulletin and a model program template; and Selecting Designated Employer Representatives (DER) for your CDL Drug & Alcohol Testing Program. He stated that the DER is a mandatory training regardless how small your municipality is, it is mandatory. He also reported that the instructor that he is looking to hire is Steve Ferris who is instructing across the state currently. This information was presented at the Executive Safety Meeting and it is their recommendation to hire this individual.

Regional Training - Mr. Garish informed members that all regional training is now mandatory for completing the Safety Incentive Program per the decision of the Executive Safety Committee beginning in 2019. He stated that there are four regional trainings for the year with the first on April 30, 2019 - Back to the Basics; geared towards Public Works.

MEL Leadership Training - Mr. Garish noted this training has an upcoming session in Lumberton and each member must attend all three programs in each session to complete the training. He noted that the second session will be in Middle Township on June 4, June 11, and June 18, 2019 and they are trying to have CEU credits attached to this program.

TREASURER’S REPORT

March Report Mr. Hansen presented the Treasurer’s Report for the period ending March 31, 2019. The report was made part of the agenda packet for members’ review. Mr. Hansen presented the following information:

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 13

Investment Interest

Interest Income: March

Interest Received from Account Balances

$16,801.97

Coupon Interest Payment $29,652.60

Amortization and/or interest cost $8,984.37

Unrealized Gain or Loss $100,898.94

Misc. $.01

Net Gain/Loss in Interest $156,337.89

Interest Accrual: March

Beginning Interest Accrual $138,324.51

Change in Accrued Interest $42,871.82

Ending Interest Accrual $183,196.33

Unrealized Gain/Loss: March

Current Month <$80,424.53>

Prior Month <$181,323.47>

Change in unrealized gain/loss $100,898.94

Investment Balance: March

Beginning of Month $44,504,840.76

End of Month $44,635,696.37

Overall Yield-positive 4.52 %

Portfolio Total Percentage

US Treasury Bills $26,827,831.75 60.10%

US Treasury Bonds & Notes $17,807,864.62 39.90%

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 14

Receipt Activity for the Period:

March YTD

Subrogation Receipts $32,565.32 $105,312.57

Other $.00 $5,200.00

Adjustment Receipts-other $29.00 $2,479.08

Claim Activity for the Period

Claim activity for the month for claims paid by the Fund and claims payable by the Fund at March end are in the amount of $1,261,267.61 with a total of 561 checks issued totaling 1,390 claims payments. The claims detail is as follows:

March

Direct Loss Payments $1,261,267.61

Adjustments-void check <$5,308.14>

Adjustments-receipts <$29.00>

Less Recoveries <$32,565.32>

Net Total $1,223,365.15 Cash Activity for the Period - March

During the reporting month, the Fund’s “Cash Position” changed from an opening balance of $53,557,475.29 to a closing balance of $52,222,644.55 showing a decrease in the Fund of $1,334,830.74. A.E.L.C.F. PARTICIPANT BALANCES

Member 3/31/2019 Unaudited

Hamilton Township $61,341.52

Hammonton Town $219,141.02

Middle Township $101,991.17

Mullica Township $26,335.89

Northfield $56,548.09

Pleasantville City $479.39

Upper Deerfield Township $61,477.37

Waterford Township $26,564.45

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ACM JIF Executive Committee Meeting Minutes April 17, 2019 Page 15

Upper Township $58,454.01

Stone Harbor $8,936.43

Total $621,269.34

Payment Register

Chair Perez entertained a motion to approve the April 2019 Payment Register (Claims Activity).

Chair Perez asked if there were any questions at this time. No questions were entertained. Motion by Ms. Picard, seconded by Mr. Ridings to approve the April 2019 Payment Register (Claims Activity) as submitted by Mr. Hansen.

ROLL CALL Yeas: Scott Wahl, Avalon Ingrid Perez, Chair, Hamilton Twp Julie Picard, Sec, Lower Twp Sam Barbagli, Newfield Jim Craft, Stone Harbor Jim Goos, Ventnor Chris Ridings, West Wildwood

Nays: None Abstained: None

Motion carried by unanimous vote.

Bill List – April

For the Executive Committee’s consideration, Mr. Hansen presented the April 2019 Bill List in the amount of $1,547,390.66. Chair Perez asked if there were any questions at this time. No questions were entertained. Chair Perez entertained a motion for approval of the April 2019 Bill List. Motion by Mr. Wahl, seconded by Mr. Goos, to approve the April 2019 Bill List as presented.

ROLL CALL Yeas: Scott Wahl, Avalon Ingrid Perez, Chair, Hamilton Twp Julie Picard, Sec, Lower Twp Sam Barbagli, Newfield Jim Craft, Stone Harbor Jim Goos, Ventnor Chris Ridings, West Wildwood

Nays: None Abstained: None

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Motion carried by unanimous vote.

MISCELLANEOUS BUSINESS

Fair Labor Standards Act Guidelines

Mr. Forlenza noted that this information on Fair Labor Standards Act Guidelines was distributed by the MEL.

Motion to Re-Advertise the November Meeting Date

Chair Perez entertained a Motion for authorization for the Executive Director's office to re-advertise the date of the November 2019 Executive Committee meeting to November 18, 2019 due to the League of Municipalities.

Motion by Mr. Goos, seconded by Ms. Picard, to authorize the Executive Director's office to re-advertise the date of the November 2019 Executive Committee meeting to Monday November 18, 2019 due to the League of Municipalities. All in favor. Motion carried by unanimous vote. Next Meeting

Chair Perez reminded the members that the next regular meeting will be held on Wednesday, May 15, 2019 at 3:00 PM at Atlantic County Library, Mays Landing, NJ.

PUBLIC COMMENT

Open Public Comment

Chair Perez entertained a motion to open the meeting to the public for comment.

Motion by Mr. Ridings, seconded by Ms. Picard, to open the meeting to the public. All in favor. Motion carried.

Wellness Director - Mr. Miller inquired if any analysis of Workers' Compensation claims has been done to show that having a Wellness Director has been beneficial to the fund; and if that hasn't been done, to please do so. He further noted that most have wellness programs built into their health care programs. Mr. Forlenza stated that this is something that you cannot correlate as you don't know the claims you prevented from happening or lessened the severity of due to an emphasis on wellness. He noted that although there is some level of wellness with the state health care plans, these programs are not being used.

Close Public Comment

Chair Perez entertained a motion to close the public comment.

Motion by Mr. Ridings, seconded by Ms. Picard, to close the meeting to the public. All in favor. Motion carried.

MOTION TO ADJOURN

Motion by Mr. Wahl, seconded by Mr. Ridings, to adjourn the April 17, 2019 meeting of the ACM JIF. Motion carried.

The meeting was adjourned at 4:02 PM.

_________________________________ Tracy Forlenza, Recording Secretary for

__________________________________________ Julie Picard, Secretary

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Police vehicle safety

Lessons Learned from Losses Monthly Newsletter – may 2019

There have been many recent accidents involving police officers in their patrol cars hit by passing vehicles while the officers are in the car conducting police business. Luckily, the injuries have been relatively minimal compared with the catastrophic injuries that are possible in these situations. PLEASE CONSIDER THE FOLLOWING FOR THE SAFETY OF YOUR OFFICERS. • Make sure officers are wearing their seatbelts at all times inside the vehicle. It is estimated that half of all

police officers suffering fatalities in a car crash were not wearing seatbelts. Yates, T. (2014,October 27) Police Driving: Safety Behind the Wheel . Retrieved from http://www.policeone.com.

• Limit the amount of time the officer is sitting in the police car on the side of the road.(MEL Safety Bulletin) • Limit equipment in the car. Make sure it is properly secured and if it cannot be secured, relocate it or secure it

in the trunk. Yates, T. (2014,October 27) Police Driving: Safety Behind the Wheel . Retrieved from http://www.policeone.com. Examples:

• Officer stopped on the side of the road communicating with dispatch when passing drunk driver hit the police car. The officer suffered back injuries and with lost time, pain medications, physical therapy and injections this claim has a total incurred at over $110,000.

• Officer at the scene of a motor vehicle accident was in the patrol car writing a report when another vehicle crashed into the back of the patrol car. The officer suffered a concussion, upper and middle back injuries, injuries to both knees and a shoulder. The total incurred on this claim is almost $100,000.

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ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND

MAY 2019

CLOSED CASES

1.) Lindsey v. Township of Egg Harbor-This matter involved the Plaintiff’s allegations in five (5) Superior Court of New Jersey, Atlantic County, Special Civil Part, Small Claims Division, pro se Motions to Vacate Dismissal/Reinstate Complaint. It was unclear from the filed Notice of Motions what Dismissal the Plaintiff was seeking to Vacate; however, it was assumed that these Motions were related the Plaintiff’s Small Claims matter which was assigned to Defense Counsel in October of 2017. That matter arose from a September of 2017 Township of Egg Harbor Municipal Court matter. The Plaintiff, George Lindsey, alleged, among other things, that the staff within the Municipal Court denied the Plaintiff his human rights, constitutional provisions, and/or his civil liberties. The Plaintiff further alleged that Municipal Court personnel were forcing the Plaintiff into Municipal Court prior to the time under good faith in accordance with the rule. In addition, the Plaintiff alleged that the Court had yet to prove jurisdiction. The Plaintiff, George Lindsey, issued a demand for the settlement of that matter for a payment in the amount of $2,000.00. After the removal of that matter to the Law Division, Assigned Defense Counsel, Robert Merenich, Esquire, proceeded with the filing of a Motion to Dismiss the Plaintiff's Complaint with Prejudice for failure to state a claim upon which relief may be granted which was ultimately granted on December 15, 2017. The defense of the newly filed Motions to Vacate was assigned to Robert Merenich, Esquire on March 8, 2019. Defense Counsel accepted the Assignment and was prepared to file Opposition to the pro se Plaintiff's five Motions to Vacate Dismissal/Reinstate Complaint; however the Court subsequently terminated the Plaintiffs newly filed Motions, denying the Plaintiff’s request to waive filing fees. The eCourts system has all of the individual Complaints marked as closed and the Judge assigned is Judge McClain who handled the previous litigation involving the Plaintiff in October of 2017. In addition, it should be noted that The Plaintiff plead guilty to the underlying offense resulting from a disturbance at the DMV; and therefore, his motivation for creating chaos to influence a pending criminal matter has ended. 2.) Martin v. Township of Egg Harbor-This matter involved the Plaintiff’s allegations in a United States District Court, District of New Jersey Complaint that on July 27, 2016, the Plaintiff’s Aunt, Helen Hugo, was residing at the Plaintiff, Barbara Martin’s property located at 7234 Belmont Avenue, in the Township of Hamilton, when an Attorney for the Office of Public Guardian for Elderly Adults obtained a Warrant for a search of the Plaintiff’s property and an Order for Aunt Helen, if found, to be returned immediately to Spring Oak Assisted Living in Forked River. It was alleged in the Complaint that Aunt Helen had left the assisted living facility on July 21, 2016 on her own free will to vacation at her niece’s property; however, Lacey Township entered Aunt Helen as a missing person on July 21, 2016. It is further alleged that on July 27, 2016, members of the Township of Hamilton and Township of Egg Harbor Police Officer Bertino were dispatched to the Plaintiff’s property in response to the aforementioned Warrant, and that upon their arrival, the Plaintiff was out on her property feeding her animals when she was grabbed by

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the Officers, she was repeatedly struck, and she was thrown to the ground. The Plaintiff alleged that she was cuffed, taken into custody, and charged with Obstruction of the Administration of the Law. It is further alleged that the Plaintiff was unable to post bail in the amount of $2,500.00 and that she was transported to the Atlantic County Jail where she was incarcerated for four days. In addition, Aunt Helen was seized and removed from the property. The Plaintiff alleged that as a result of the actions of the members of the Township of Hamilton and Township of Egg Harbor Police Departments, she sustained serious violations of her civil rights, significant emotional distress, and severe injuries. The Plaintiff further alleged that the Township of Hamilton and Township of Egg Harbor Police Departments were negligent in the training and supervision of its members of the Township of Hamilton and Township of Egg Harbor Police Departments. The case was assigned to Thomas B. Reynolds, Esquire on September 6, 2018. Mr. Reynolds was previously assigned to defend the Township of Hamilton Defendants in this matter on August 20, 2018. Defense Counsel accepted the Assignment on behalf of the Township of Egg Harbor and the Township of Hamilton, and he filed a limited appearance and a Motion on behalf of the insured seeking a dismissal based upon Plaintiff's failure to state a valid cause of action. In addition, Defense Counsel proceeded with his initial investigation of the matter, and that investigation revealed the Plaintiff's litigious history. On March 4, 2019, Judge Kugler entered an Order and Opinion which dismissed all Counts of the Complaint before Answers were filed with the exception of the excessive force claim (Counts VII and XV) against Hamilton Township Police Officer Mark Perna. The 18 Counts that were dismissed were dismissed without prejudice and Judge Kugler provided the Plaintiff until March 19, 2019 to file an Amended Complaint. The Plaintiff ultimately filed an Amended Complaint on March 14, 2019 which narrowed the alleged claims and named parties. The named parties of the Plaintiff’s Amended Complaint have been limited to County of Atlantic, Atlantic County Emergency Response Team Lieutenant Snyder, Township of Hamilton Police Officer Lawrence P. Fernan, and Township of Hamilton Police Officer Mark A. Perna. Defense Counsel has proceeded with the filing of an Answer to the Amended Complaint as to the insured Township of Hamilton Police Officers and the filing of a Motion to Dismiss the Amended Complaint. Based upon the Township of Egg Harbor Police Officer Bertino no longer being as a named Defendant, Defense Counsel has closed his file as to the Township of Egg Harbor only. 3.) McCarraher v. Township of Middle-This matter involved the minor Plaintiff’s allegations in a Superior Court of New Jersey, Atlantic County Complaint that on March 29, 2016, SWAT Team Police Officers entered the Plaintiff’s residence located at 10 East Florida Avenue, in the Township of Middle, to execute an arrest warrant for the Plaintiff’s brother. The minor Plaintiff, Matthew McCarraher, alleged in the Complaint that while in his room he heard his dog, Tank, crying from the floor below and ran downstairs to find his dog in the corner of the room scared and bleeding from the mouth. The Plaintiff further alleged that he was attempting to tend to his injured dog, when he was thrown to the ground by an unknown Police Officer and that the Officer’s foot was jammed into the Plaintiff’s back. The Plaintiff alleged that in response to the SWAT Police Officer’s actions, the Plaintiff’s dog attempted to protect his owner and was subsequently shot by the members of the SWAT team in front of the Plaintiff. The Plaintiff’s allegations against the Defendants include the unlawful search and assault of the Plaintiff, multiple civil rights violations, the intentional infliction of emotional distress, the negligent infliction of emotional distress, vicarious liability and gross negligence. The Plaintiff further alleged that as a result of the incident, he has suffered severe psychological and physical injuries.

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An Order granting the filing of a late Notice of Claim on behalf of Matthew McCarraher and denying the Plaintiff’s father, Joseph McCarraher’s claim as late was entered by Judge Gibson on June 20, 2017. The case was assigned to Patrick J. Madden, Esquire on August 9, 2017. Defense Counsel accepted the Assignment, he filed our Answer, and he proceeded with Discovery. In addition, Defense Counsel filed a Motion to Dismiss the Plaintiff's emotional distress claims, specifically Counts III-VI of the Complaint, which were ultimately granted. The remaining claims against Middle Township concerned civil rights violations. Information revealed during discovery indicated that the Township of Middle Police Department Officers who were present were not involved in the actual search and seizure at the Plaintiff's residence or in the shooting of the Plaintiff's dog. Furthermore, the two Middle Township Police Officers who did take part in the execution of the warrant, did so in their capacity as members of the Cape May County SWAT Team. It did not appear that these SWAT members (from Middle Township) were responsible for the killing of Plaintiff’ dog. Defense Counsel filed our Motion for Summary Judgment on February 25, 2019 which was scheduled for Oral Argument on April 26, 2019; however, on April 10, 2019, Plaintiff's Counsel advised Defense Counsel that the Plaintiffs were willing to agree to a voluntary dismissal of claims, provided that the insured waive any prevailing party claim. The Fund Solicitor advised Defense Counsel that he was agreeable to said resolution. A Stipulation of Dismissal with Prejudice as to the Township of Middle only was filed with the Court on April 16, 2019 and Defense Counsel’s Motion for Summary Judgment was withdrawn. 4.) Ciocco v. Township of Mullica-This matter involved the Plaintiff’s allegations in a Superior Court of New Jersey, Atlantic County Complaint that on March 6, 2015, the Plaintiff, Thomas Ciocco, was the operator of a motor vehicle traveling on Mossmill Road, in the Township of Mullica, when the Plaintiff’s vehicle struck a large pot hole and subsequently struck a telephone pole. The Plaintiff further alleged that the Township of Mullica was negligent in allowing the dangerous and hazardous condition of the roadway to exist. The Plaintiff alleged that as a result of the accident, he had sustained L4-5 and L5-S1 herniations, a right shoulder labral tear, and a left shoulder rotator cuff tear. The case was assigned to James R. Birchmeier, Esquire on May 19, 2017. Defense Counsel accepted the Assignment and he filed an Answer, and he proceeded with Discovery. Plaintiff failed to respond to Discovery demands and Defense Counsel filed a Motion to Dismiss the Complaint which was returnable on December 15, 2017; however, prior to the return date of the Motion, the Plaintiff supplied responses to Discovery and the Motion was withdrawn. Depositions were subsequently completed. Based upon the hospitalization of the Plaintiff, the Arbitration Hearing in this matter scheduled for October 24, 2018 was adjourned to January 30, 2019. The Arbitrators found the insured to be 90% liable and the driver to be 10% liable and awarded the Plaintiff $25,000.00 (net $22,500.00 against the insured). Defense Counsel filed a Trial de Novo on February 26, 2019 and a Trial was scheduled to commence on May 6, 2019; however, Defense Counsel was ultimately successful in resolving this matter for a payment to the Plaintiff in the amount of $22,500.00 (net Arbitration Award). Defense Counsel forwarded proposed closing documents to Plaintiff's Counsel which have been executed and a Stipulation of Dismissal with Prejudice was filed with the Court on April 24, 2019.

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5.) Mark El v. City of Pleasantville-This matter involved the Plaintiff’s allegations in a Superior Court of New Jersey, Atlantic County Complaint that on February 14, 2017, Defendant, Pleasantville Police Officer Norman Dennis, effectuated a motor vehicle stop of the Plaintiff, Mark Tyrone Smith a/k/a Mark El’s vehicle and that the Plaintiff was ultimately placed into police custody as a result of an outstanding traffic fine. The Plaintiff further alleged that Officer Dennis refused to allow the Plaintiff to retrieve his personal property from his vehicle, and that the Plaintiff’s vehicle was subsequently illegally seized by the Pleasantville Police Department and towed from the scene. The Plaintiff alleged that as a result of the actions of the Defendant, Pleasantville Police Officer Norman Dennis, he has suffered significant economic damages. The Plaintiff further alleged that the City of Pleasantville was negligent in the training and supervision of its members of the Pleasantville Police Department. The case was assigned to A. Michael Barker, Esquire on May 2, 2018. Defense Counsel accepted the Assignment and he filed an Answer and he proceeded with initial Discovery. In addition, Defense Counsel met with the Pleasantville Chief of Police and Officer Norman. The Plaintiff issued a Statement of Damages seeking a payment in the amount of $30,000.00 for the illegal seizure of personal property and a payment in the amount of $100,000.00 for loss of employment. On December 11, 2018, Defense Counsel extended an Offer of Settlement to the Plaintiff for a payment in the amount of $5,000.00. Defense Counsel subsequently filed a Motion to Extend the January 2, 2019 Discovery End Date which was granted. The extended Discovery End Date was February 1, 2019. On April 1, 2019, Defense Counsel filed an Offer of Judgment in the amount of $5,001.00. This matter was listed for a Trial to commence on April 22, 2019; however, Defense Counsel was ultimately able to resolve the matter for a payment to the Plaintiff in the amount of $5,000.00. Judge Siracusa entered an Order of Dismissal on April 12, 2019. 6.) Jones v. City of Pleasantville-This matter involved the Third Party Plaintiff’s (New Jersey American Water Company) allegations in a Superior Court of New Jersey, Atlantic County Complaint that on June 30, 2011 the Plaintiff (who was pro se) was walking on Leeds Avenue in front of the Leeds Avenue School when his left foot got caught in an uncovered manhole. The Plaintiff suffered a herniated disc at L5-S1 and disc protrusion at C5-C6. The Plaintiff had an anterior cervical discectomy and fusion performed. The Plaintiff was convicted of weapons offenses and sentenced to 4 ½ to 9 years in State Prison. Our Assigned Defense Counsel, Robert Merenich, Esquire, filed a Motion to Dismiss for Failure to respond to Discovery and that Motion was granted without prejudice in early 2014. Based upon the Plaintiff's incarceration, it was deemed highly unlikely that the Plaintiff would ever attempt to resurrect this case; however, following the release of the pro se Plaintiff from jail in June of 2018, the Plaintiff successfully petitioned to reopen the case. The Plaintiff subsequently filed a Motion to Amend the Complaint on October 10, 2018 and Defense Counsel filed Opposition. The Plaintiff's Motion to Amend the Complaint was ultimately denied on November 9, 2018. The Plaintiff subsequently filed a Motion for Reconsideration of the November 9, 2018 Order which was denied on December 21, 2018. Defense Counsel proceeded with the re-opening of Discovery and the determination of the Plaintiff's present condition. Defense Counsel subsequently filed our Motion for Summary Judgment. Oral Argument on the Motion was conducted on March 29, 2019 and an Order was entered dismissing the insured with prejudice.

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7.) Young v. City of Pleasantville-This matter involved the Plaintiff’s allegations in a United States District Court, District of New Jersey Complaint that on February 14, 2018, the Plaintiff, Melvin Young, was operating his motor vehicle in the City of Pleasantville when a Pleasantville Police Officer effectuated the stop of his motor vehicle and issued him a Summons for Driving while License Revoked or Suspended (39:3-40). The Plaintiff alleged that as a result of the actions of the employees of the City of Pleasantville, he sustained serious violations of his civil rights. The case was assigned to A. Michael Barker, Esquire on February 4, 2019. Defense Counsel accepted the Assignment and he performed an initial review of the file. Defense Counsel prepared a Motion to Dismiss the frivolous Complaint in lieu of Answer; however, prior to his submitting the Motion to Dismiss, this action was dismissed with prejudice on March 14, 2019 pursuant to the Court's review of Plaintiff's application to proceed in forma pauperis. 8.) Prin v. Borough of Stone Harbor-This matter involved the Plaintiff’s allegations in a Superior Court of New Jersey, Camden County Complaint that on July 16, 2016, the Plaintiff, Patrick Leonard Prin, was a patron of the Watering Hull, located in the Borough of Stone Harbor, that he had stepped out of the establishment, and that he was lawfully congregating with three individuals on 97th Street, between the blocks of 2nd and 3rd Avenues, when a member of the Borough of Stone Harbor Police Department approached the group from across the street and demanded that the group remain in place and that he forcibly stopped the Plaintiff and the individuals from leaving. It was alleged in the Complaint that eight additional Stone Harbor Police Officers were subsequently called to the scene in an attempt to intimidate the individuals. The Plaintiff alleged that he was unlawfully detained by the Officers while an investigation was performed based upon the suspicion that one of the individuals was smoking marijuana. The Plaintiff was ultimately released by the Officers with no formal charges being filed against the Plaintiff. The Plaintiff alleged that as a result of the actions of the members of the Borough of Stone Harbor Police Department, he sustained serious violations of his civil rights. The Plaintiff further alleged that the Borough of Stone Harbor was negligent in the training and supervision of its members of the Stone Harbor Police Department. The case was assigned to A. Michael Barker, Esquire on August 8, 2018 and he was instructed to file a Motion to Transfer Venue from the Superior Court of New Jersey, Camden County, to the Superior Court of New Jersey, Cape May County. On August 20, 2018, Defense Counsel filed a Notice of Removal seeking to have this matter removed to the United States District Court, District of New Jersey. The Plaintiff issued an initial demand for the settlement of this matter for a payment in the amount of $5,000.00 which was rejected. Following an initial Conference with the Court in October of 2018, the Plaintiff increased his demand for the settlement of this matter to a payment in the amount of $10,000.00. Defense Counsel had met with the Defendant Police Officers and he had continued with Discovery. Depositions of the Defendant Police Officers were completed. On April 2, 2019, Defense Counsel provided the Plaintiff with correspondence requesting the dismissal of the Borough of Stone Harbor Police Department only. In addition, on April 8, 2019, Defense Counsel submitted an Offer of Judgment to the Plaintiff in the amount of $1,001.00, exclusive of counsel fees. On April 22, 2019, the Plaintiff accepted the Offer of Judgment and submitted the executed release to Defense Counsel.

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9.) Casper v. City of Wildwood-This matter involved the Plaintiff’s allegations in a Superior Court of New Jersey, Cape May County Complaint that on August 25, 2016, the Plaintiff, Michael Casper, was lawfully walking on the tramcar path on the Boardwalk at or near the Dunkin Donuts located at 3120 Boardwalk, in the City of Wildwood, when he was caused to trip and fall as a result of one of the boards of the boardwalk. The Plaintiff alleged that as a result of the fall, he had suffered injuries to his right shoulder and his right knee. The Plaintiff further alleged that the City of Wildwood was negligent in allowing the dangerous condition of the boardwalk to exist. The case was assigned to Erin Thompson, Esquire on October 13, 2017. Defense Counsel accepted the Assignment and he filed our Answer. Defense Counsel met with City representatives and he proceeded with Discovery. A Defense IME and the Deposition of the Plaintiff were completed. Defense Counsel filed our Motion for Summary Judgment on November 26, 2018. The Plaintiff's Counsel failed to appear for the Arbitration Hearing scheduled for December 20, 2018, and as such, the Plaintiff's Complaint was dismissed. Defense Counsel's Motion was subsequently carried until January 25, 2019 to allow the Plaintiff to file Opposition; however, Judge Gibson acknowledged that the Court had a good faith basis to disregard the Plaintiff's Opposition since Plaintiff's Counsel failed to attend Arbitration. On March 18, 2019, Judge Gibson entered an Order granting Defense Counsel's Motion for Summary Judgment with prejudice based upon the Plaintiff's failure to present evidence that the City had notice of a dangerous condition which contributed to the Plaintiff's fall. 10.) Hornsby v. City of Wildwood-This matter involved the Plaintiff’s allegations in a Superior Court of New Jersey, Cape May County Complaint that on May 22, 2015, the Plaintiff, Allison Hornsby, was lawfully walking on the Boardwalk at or about Cedar Avenue, in the City of Wildwood, when she was caused to fall as a result of an uneven gap between the cement portion and the wooden portion of the Boardwalk. The Plaintiff alleged that as a result of the fall, she had suffered a fracture of her left elbow requiring open reduction and internal fixation surgery and a left foot sprain. The Plaintiff further alleged that the City of Wildwood was negligent in allowing the dangerous condition of the boardwalk to exist. The case was assigned to James R. Birchmeier, Esquire on August 15, 2017. Defense Counsel accepted the Assignment and he filed an Answer and he proceeded with Discovery. Depositions and a Defense IME were completed. Defense Counsel proceeded with the filing of our Motion for Summary Judgment September 27, 2018 and Plaintiff's Counsel filed Opposition to the Motion. Oral Argument on the Motion was conducted on November 9, 2018, and on January 14, 2019, Judge Gibson entered an Order and Memorandum of Decision denying Defense Counsel's Motion for Summary Judgment. Judge Gibson held that there are genuine issues of material fact regarding whether the condition of the boardwalk existed for such a period of time that the City of Wildwood had actual and/or constructive notice. Judge Gibson believed that a jury must decide whether the City's actions/inactions were palpably unreasonable. The Arbitration Hearing scheduled in this matter for February 21, 2019 was waived by the parties in light of a Mediation Session before Judge Isman scheduled for March 14, 2019. Prior to the Mediation, the Plaintiffs issued a settlement demand for a payment in the amount of $180,000.00. At the scheduled Mediation, Defense Counsel was ultimately able to negotiate the settlement of this matter for a payment to the Plaintiffs in the amount of $87,500.00 pending ACMJIF approval. The settlement was approved by the ACMJIF and the appropriate settlement documents have been drafted between the parties. Plaintiff’s Counsel filed a Notice of Settlement with the Court on April 30, 2019.

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ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND RESOLUTION #2019-____

A RESOLUTION DESIGNATING AN ADDITIONAL APPROVED ASSOCIATE

WHEREAS, the Atlantic County Municipal Joint Insurance Fund (ACMJIF) has been organized pursuant to N.J.S.A. 40A:10-36 et. seq.; and WHEREAS, the ACMJIF is duly constituted as a Municipal Self Insurance Fund to provide insurance coverage to its member municipalities; and WHEREAS, through Resolution #2017-32 the ACMJIF adopted the Litigation Management Guidelines which require that the ACMJIF approve, by Resolution, a list of those individual attorneys who will be designated as “Approved Associates”; and WHEREAS, by Resolution #2019-4, the Commissioners of the Atlantic County Municipal Joint Insurance Fund designated the “Assigned Defense Counsel and Approved Associates” for 2019; and WHEREAS, the law firm of Affanato Marut, LLC has requested that Caitlin K. Carroll, Esquire be designated as an “Approved Associate”; and WHEREAS, the Fund Solicitor and the Claims Review Committee have recommended that Caitlin K. Carroll, Esquire of Affanato Marut, LLC be added as an “Approved Associate” for the Atlantic County Municipal Joint Insurance Fund for 2019; and WHEREAS, the Commissioners of the ACMJIF have deemed it appropriate to designate Caitlin K. Carroll, Esquire as an “Approved Associate” to perform legal services on behalf of the Atlantic County Municipal Joint Insurance Fund in accordance with the procedures established by the Litigation Management Guidelines. NOW THEREFORE BE IT RESOLVED, by the Commissioners of the Atlantic County Municipal Joint Insurance Fund, assembled in a public session on April 17, 2019, that: 1. The following attorney is hereby designated as an “Approved Associate” for the Atlantic County Municipal Joint Insurance Fund for 2019:

WORKERS’ COMPENSATION CLAIMS

1.) Affanato Marut, LLC with Caitlin K. Carroll, Esquire as an “Approved Associate”.

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BE IT FURTHER RESOLVED that a copy of this Resolution shall be provided to the Executive Director, Fund Solicitor and Claims Administrator for their information and attention and the “Approved Associate” herein designated. This Resolution was duly adopted by the Atlantic County Municipal Joint Insurance Fund at a public meeting held on April 17, 2019.

ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND

Attest: ______________________ By: ______________________________ Julie Picard, Secretary Ingrid Perez, Chairperson

Date: April 17, 2019

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C:\Users\kkristie\Documents\ACM\Exec Dir\ED May ACM.doc

To: Fund Commissioners From: Paul A. Forlenza, MGA, RMC, Executive Director Date: May 15, 2019 Re: Executive Director’s Report ____________________________________________________________________________________________________________________________

A. Lost Time Accident Frequency Report (pgs. 42-43) The March 2019 Lost Time Accident Frequency Summary and the Statewide Recap for March 2019 are attached for your review.

B. Certificates of Insurance (pgs. 44-48) Summaries of the Certificates of Insurance issued during April 2019 are attached for your review.

C. Financial Fast Track Report (pg. 49) The Financial Fast Track Report as of March 31, 2019 is attached for your review. The report is generated by PERMA and provides a “snapshot” of the JIF’s financial status. The JIF’s surplus position as of March 31, 2019 was $26,669,632.

D. Regulatory Filing Checklists (pgs. 50-51)

Enclosed please find two regulatory filing checklists that we provide each month as part of our due diligence reporting on behalf of the JIF. These checklists provide an outline of required reporting to the Departments of Banking and Insurance and Community Affairs on an annual and a monthly basis, and the status of the items listed.

E. 2018 Safety Incentive Program Awards (pg. 52) A letter from our office describing how to collect your 2018 Safety Incentive Awards was emailed on or about March 14, 2019. A report detailing the available balances for each member is attached for your review. If you have any questions on how to collect your 2018 Safety Incentive Awards, please contact our office. Please note that the deadline to claim or encumber these funds is December 31, 2019. All encumbered funds have to be claimed by February 1, 2020.

F. 2019 Optional Safety Budget (pg. 53) A letter from our office describing how to collect your 2019 Optional Safety Budget allowance was emailed on or about March 15, 2019. A report detailing the available balances for each member is attached for your review. If you have any questions on how to collect your 2019 Optional Safety Budget allowance, please contact our office. Please note that the deadline for claiming or encumbering these funds is December 31, 2019. All encumbered funds must be claimed by February 1, 2020.

G. 2019 Wellness Incentive Program Allowance (pg. 54) A letter from our office describing how to collect your 2019 Wellness Incentive money was emailed on or about February 15, 2019. A report detailing the available balances for each

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Executive Director’s Report Page 2

member is attached for your review. If you have any questions on how to collect your 2019 Wellness Incentive Program allowance, please contact our office. Please note that the deadline for claiming or encumbering these funds is December 31, 2019. All encumbered funds must be claimed by February 1, 2020.

H. EPL/Cyber Risk Management Budget (pg. 55) The JIF has budgeted $725 for each member to help offset employment practice and cyber security related expenses. If you have any questions on how to collect your 2019 EPL/Cyber Risk Management allowance, please contact our office. Please note that the deadline for claiming or encumbering these funds is December 31, 2019. All encumbered funds must be claimed by February 1, 2020.

I. MEL Employment Practices Helpline –Authorized Contact List (pgs. 56-58) The MEL has established the MEL Employment Practices Helpline to assist our members by providing legal advice on employment related issues. The Members have unlimited access to the Helpline attorneys to seek advice on employment related issues. The Members can appoint up to two (2) municipal representatives who will be permitted to contact the Helpline attorneys with their inquiries. The appointment of the municipal representatives must be made by Resolution of the Governing Body. Enclosed please find the most recent list of authorized contacts for the MEL Employment Practices Helpline. These authorized contacts are the only representatives permitted to access this service. Please contact the Executive Director’s Office or David S. DeWeese, Esquire with any questions regarding the Helpline.

J. Employment Practices Liability Compliance – (pg. 59) A compliance status report regarding the Employment Practices Liability Coverage is attached for your review. Each member should review this report carefully to insure its accuracy. If you believe the report to be inaccurate regarding your town, please contact PERMA directly.

K. MEL Cyber Risk Management Plan Compliance (pg. 60) A compliance status report regarding the MEL Cyber Risk Management Plan is included for your review. Each member should review this report carefully to insure its accuracy. If you believe the report to be inaccurate regarding your town, please contact Ed Cooney, Fund Underwriter at 973-659-6424.

L. Statutory Bond Status (pg. 61 )

The latest listing of Statutory Bonds issued by the MEL for JIF members is included for our review. This list should be reviewed for accuracy. Any questions on the status of an application or a listed bond should be directed to Cate Kiernan at PERMA. Cate can be reached at 201-518-7031.

M. Skateboard Park Approval Status (pg. 62)

Enclosed, pleased find a spreadsheet depicting the current status of all approved skateboard parks or those currently under construction by a member municipality. The MEL has established a process, outlined in MEL Coverage Bulletin 2019-19, that must be followed by all members who wish to construct a skateboard park and have the Atlantic JIF and MEL provide said facility with coverage. Any member with a park currently under construction or in the review process should review the enclosed spreadsheet to be sure that it accurately depicts the current status of your facility. All members considering construction of a skateboard park should contact the Executive Director’s office prior to moving forward.

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Executive Director’s Report Page 3

N. Capehart & Scatchard Updates (pgs. 63-69) John Geaney, Esq. of the law firm of Capehart & Scatchard periodically provides updates on court cases dealing with workers’ compensation, ADA, and FMLA issues. Copies of his latest updates are included for your information.

O. Monthly Activity Calendars (pgs. 70-71)

Attached for your review is the monthly activity calendar for the months of May/June 2019. P. Employee Cyber Hygiene Training - MediaPro

To combat the rise in cybersecurity threats, the JIF has contracted with MediaPRO to deliver online technology risk training for Member Municipalities. MediaPRO specializes in cybersecurity and data privacy employee awareness programs. Every full time, part time, and seasonal municipal employee who utilizes a municipally owned computer will be assigned training. Training courses include password best practices, how to avoid malware, social media usage and many other important subjects. Members must provide the first name, last name, title, and email address of each employee that they want to have access to the training module. Once this information is received, the employees will receive an introduction on how to access and utilize the training program. Please contact Megan Matro in the Executive Directors Office if you have any questions.

Q. Pivot Point Newsletter (pgs. 72-73)

The JIF has contracted with Pivot Point Security to provide technology risk management services to the members. These services include phishing tests, the development of, and training on, various cyber related policies and procedures, the development of third party cyber risk standards, as well as network vulnerability assessments. Over the next few months, members will begin to see the role out of different risk management services from Pivot Point. Please do not hesitate to contact the Executive Director’s office if you have any questions.

R. Member Visitation Program

Beginning this month, a Representative from our office, contacted those members up for renewal this year to schedule an appointment with the Fund Commissioner, Risk Management Consultant, and Representatives of the Governing Body. These appointments are an opportunity to discuss the member’s participation in the JIF and the many programs available to them. The Executive Director’s office believes it is very important for the decision makers in each member municipality to understand the value of JIF membership. The member towns up for Renewal this year are: Avalon, Buena, Commercial, Dennis, Downe, Gallaway, Hamilton, Longport, Newfield, Northfield, Pleasantville, Somers Point, Upper Deerfield, Ventnor, Waterford.

S. Website (WWW.ACMJIF.ORG)

On or about February 15, 2019 the new ACMJIF website was launched. Please take a moment to explore the new site, which contains a plethora of information in an easy to read format and navigate site. If you have any questions, comments, or feedback, please contact Megan Matro at 856-446-9141 or [email protected].

T. New Member Activity

The Executive Director’s has completed processing an application from the Wildwood Special Improvement District.

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From 3/22/2019 To 4/22/2019

Atlantic County Municipal JIF Certificate of Insurance Monthly Report

04/22/2019

1 of 1

Holder (H)/ Insured Name (I)

Holder / Insured Address

Description of Operations

Issue Date/ Cert ID

Coverage

H - TAX-EXEMPT LEASING CORP. AND/OR I - Township of Middle

ITS ASSIGNS 203 E PARK AVE Libertyville, IL 60048

Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies, and is a Loss Payee on the above-referenced Property Policy if required by written contract as respects to a 019 Animal Transport Unit , value 20065.00 serial number 1ft7x2bt4ked40867 and model number 6ws7-h-l-s-0114

3/25/2019 #2136972

GL AU EX WC OTH

H - CAPE MAY COUNTY MUA I - Township of Middle

PO BOX 610 1523 U.S. ROUTE 9 NORTH, Cape May Court House, NJ 08210

CAPE MAY COUNTY MUA is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies, and is a Loss Payee on the above-referenced Property Policy if required by written contract as respects to OR MIDDLE TOWNHIP USING THE FACILITY AS A VOTING POLLING PLACE ON 6/4/19 AND 11/5/19.

3/25/2019 #2136973

GL AU EX WC

H - State of New Jersey I - Borough of Woodbine

C/O WoodbineDevelopmental Ctr 1175 DeHirsh Avenue Woodbine, NJ 08270

State of New Jersey is an Additional Insured on the above-referenced Commercial General Liability, and Excess Liability Policies if required by written contract as respects to Borough of Woodbine supplying water to the Woodbine Development Center in Woodbine NJ.

3/25/2019 #2136991

GL AU EX WC

H - GMH Restaurant Holdings LLC, and I - City of Somers Point

GMH Restaurant Enterprises LLC 998 Bay Avenue Somers Point, NJ 08244

GMH Restaurant Holdings LLC, and GMH Restaurant Enterprises LLC are included as Additional Insureds on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract with respect to Somers Point Fire Company will perform a fire drill at GMH Restaurant Enterprises, 998 Bay Avenue, Somers Point, NJ 08244 on 3/25/19-3/29/19 with approximately 30 firefighters participating.

3/25/2019 #2137192

GL AU EX WC

H - Foley Inc I - Borough of Avalon

855 Centennial Avenue Piscataway, NJ 08865

Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract, and is included as a Loss Payee on the above-referenced Automobile Liability Policy if required by written contract as respects TO THE FOLLOWING Leased vehicles and equipment ( see page two for list) for the period of April 1st until May 17th, 2019: 730C, Articulated Truck TFF01029 2015 $ 279,000.00 730C2, Articulated Truck 2T400837 2018 $ 360,000.00 730C, Articulated Truck TFF00530 2014 $ 259,000.00 735C, Articulated Truck TFJ00288 2017 $ 500,000.00 740B, Articulated Truck T4R02301 2014 $ 310,000.00 D6T LGP VPAT, Bull Dozer KSB01828 2014 $ 250,000.00 D6N LGP, Bull Dozer PBA01153 2014 $ 160,000.00 972M, Wheel Loader 0A8P00462 2015 $ 189,000.00 972M, Wheel Loader 0A8P00507 2015 $ 198,000.00

3/25/2019 #2137892

GL AU EX WC OTH

H - Atlantic Shore Babe Ruth League I - Township of Dennis

209 Alexander Ave Linwood, NJ 08221

The Babe Ruth League Inc and Atlantic Shore Babe Ruth League is an Additional Insured on the above referenced Commercial General Liability and Excess Liability Policies if required by written contract as

3/25/2019 #2138050

GL AU EX WC

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From 3/22/2019 To 4/22/2019

Atlantic County Municipal JIF Certificate of Insurance Monthly Report

04/22/2019

1 of 1

respect to Boys Baseball Season 2019. The JIF policies do not include exclusions for athletic participation or sexual abuse/molestation. However, coverage is subject to the terms and conditions of the JIF policies.

H - County of Atlantic I - City of Ventnor

133 Atlantic Ave Atlantic City, NJ 08401

The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to the closing of Ventnor Ave from Portland Ave to Troy Ave, Ventnor, NJ 08406 on May 11, 2019 (Rain Date May 12, 2019) for Block Party being held from 8am to 6pm

3/27/2019 #2139738

GL AU EX WC

H - ABRSL I - City of Ventnor

42 Robert Best Rd Egg Harbor Township, NJ 08234

Re: Girls Softball Season 2019 Evidence of insurance with respect to Girls Softball Season 2019 The JIF policies do not include exclusions for athletic participation or sexual abuse/molestation. However, coverage is subject to the terms and conditions of the JIF policies.

3/27/2019 #2140097

GL AU EX WC

H - Atlantic Shore Babe Ruth I - City of Ventnor

209 Alexander Drive Linwood, NJ 08221

Re: Boys Baseball Season 2019 Evidence of insurance with respect to Girls Softball Season 2019 The JIF policies do not include exclusions for athletic participation or sexual abuse/molestation. However, coverage is subject to the terms and conditions of the JIF policies.

3/27/2019 #2140098

GL AU EX WC

H - City of Ocean City I - City of Sea Isle City

861 Asbury Ave Ocean City, NJ 08226

The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to Using the Ocean City Aquatic & Fitness Center, 1735 Simpson Ave Suite 1, Ocean City NJ 08226.

3/29/2019 #2142119

GL AU EX WC

H - City of Ocean City I - City of Sea Isle City

861 Asbury Ave Ocean City, NJ 08226

The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to use the facilities for life guards trials on Sunday May 19, 2019 and Friday May 24, 2019.

3/29/2019 #2142120

GL AU EX WC

H - Township of Mullica I - Township of Mullica

4528 White Horse Pike, Box 317 Elwood, NJ 08217

Evidence of insurance as respects to Statutory Bond coverage for Bertha Cappuccio - Tax Collector, Eff 01/01/2007 and Dawn M Stollenwerk - Treasurer/CFO, Eff 01/01/2019.

3/29/2019 #2142430

OTH

H - USDA, Rural Development I - Township of Waterford

521 Fellowship Drive, Suite 130 Mt. Laurel, NJ 08054

Evidence of insurance with respects to the Water and Sewer Improvement USDA Loan project in the amount of $2,479,000.

3/29/2019 #2142432

GL AU EX WC OTH

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From 3/22/2019 To 4/22/2019

Atlantic County Municipal JIF Certificate of Insurance Monthly Report

04/22/2019

1 of 1

H - County of Atlantic I - City of Ventnor

1333 Atlantic Ave Atlantic City, NJ 08401

The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to road closing for Holiday Parade being held on 12/07/2019 (Rain Date 12/08/2019) on Ventnor Ave, from Derby to Troy Ave, Ventnor, NJ

4/2/2019 #2143724

GL AU EX WC

H - USDA Rural Development I - Borough of Folsom

8000 Mid Atlantic Drive 500N Mt. Laurel, NJ 08054

Evidence of Insurance. 4/3/2019 #2145273

GL AU EX WC OTH

H - Cumberland County Bd of Chosen I - Township of Upper Deerfield

Freeholders County Administration Bldg 164 W Broad Street Bridgeton, NJ 08302

Re: use of fire and EMS training center The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect use of fire and EMS training center at 637 Bridgeton Ave., Bridgeton, NJ 08302.

4/3/2019 #2145310

GL AU EX WC

H - MAURICE RIVER TOWNSHIP I - Township of Commercial

PO BOX 218 Port Elizabeth, NJ 08327

The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to Commercial Twp BOFC Dist #1 use of facilities for fire fighter training on 04/07/2019

4/3/2019 #2145391

GL AU EX WC

H - Millville Elks I - City of Millville

1815 E Broad Street Millville, NJ 08332

The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respect to use of premises for a Senior BBQ on May 24, 2019

4/4/2019 #2146636

GL AU EX WC

H - Atlantic County WDB I - City of Somers Point

2 South Main Street Attn: Michael Hull Pleasantville, NJ 08232

Evidence of Insurance with respect to The City of Somers Point plans to host two interns (18 years and over) to file and sleeve permanent documents in archival sleeves supervised by the City Clerk and the Deputy City Clerk for 21 hours per week from June through August 2019 in the City Clerk's Office. The interns will not be on the City's payroll. The program is called Atlantic County Workforce Development Board Youth Program.

4/4/2019 #2146640

GL AU EX WC

H - Hanson Aggregates BMC, Inc. I - Township of Dennis

7660 Imperial Way Allentown, PA 18195

Certificate Holder is amended to be included as additional insured the person(s) or organization(s) as shown in the description section of this certificate of insurance for General Liability & Excess Liability

4/8/2019 #2147227

GL AU EX WC OTH

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From 3/22/2019 To 4/22/2019

Atlantic County Municipal JIF Certificate of Insurance Monthly Report

04/22/2019

1 of 1

pursuant to the terms, conditions, limitations, and exclusions of the JIF Casualty Insurance Policy (but only with respect to liability caused in whole or in part by the acts or omissions of the named insured) in regards work being done by Dennis Vol Fire Co. Fire District #2 who is stalling a stand pipe at a gravel pit located at 1714 Route 83 and the Fire Co / district will use the stand pipe to get water

H - Hoffman Equipment Company Inc. I - Borough of Avalon

300 South Randolphville Rd. Piscataway, NJ 08854

Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract, and is included as a Loss Payee on the above-referenced Automobile Liability Policy if required by written contract as respects to Leased vehicles for the period of April 1st until May 17th, 2019 - 2015 Liebehr Model 724 Serial #14733 Value $250,000.00

4/9/2019 #2147749

GL AU EX WC OTH

H - New Jersey Dept of Health I - Borough of Buena

Office of EMS P.O. Box 360 Trenton, NJ 08625

Evidence of insurance to State to comply with requirement to have "Provider" appointment status as respects Borough of Buena an Buena EMS. The Professional Liability exclusion in the General Liability does not apply to nurses, EMT's, paramedics, first aid squads or emergency response teams while acting in the scope of their duties on behalf of the insured, including volunteers of the insureds first aid squad, rescue squads and emergency response teams arising out of rendering or failure to render medical emergency services at the scene of a medical emergency immediately following the occurrence of such emergency.

4/11/2019 #2148562

GL AU EX WC

H - New Jersey Dept of Health I - Borough of Buena

Office of EMS P.O. Box 360 Trenton, NJ 08625

Evidence of insurance to State to comply with requirement to have "Provider" appointment status as respects Borough of Buena an Buena EMS. The Professional Liability exclusion in the General Liability does not apply to nurses, EMT's, paramedics, first aid squads or emergency response teams while acting in the scope of their duties on behalf of the insured, including volunteers of the insureds first aid squad, rescue squads and emergency response teams arising out of rendering or failure to render medical emergency services at the scene of a medical emergency immediately following the occurrence of such emergency.

4/11/2019 #2148563

GL AU EX WC OTH

H - Atlantic County and the Atlantic I - Borough of Longport

County Board of Chosen Freeholders 201 Shore Road Stillwater Building Northfield, NJ 08225

The Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respects the Longport Volunteer Fire Department's coin drop to be held at Ventnor Avenue between 29th Avenue and 28th Avenue on 5/26/2019 from 7:30AM to 1:30PM.

4/16/2019 #2149967

GL AU EX WC OTH

H - Camden County College I - Township of Waterford

PO Box 200, College Drive Blackwood, NJ 08012

Evidence of insurance with respects to the use of facilities for training exercises from April-December 2019.

4/16/2019 #2149972

GL AU EX WC

H - Williams Scotsman Inc

1901 Old Cuthbert Road Cherry Hill, NJ 08034-1416

Certificate Holder is an Additional Insured on the above-referenced Commercial General Liability and Excess Liability Policies, and is

4/16/2019

GL AU EX WC 47

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From 3/22/2019 To 4/22/2019

Atlantic County Municipal JIF Certificate of Insurance Monthly Report

04/22/2019

1 of 1

I - City of Ventnor

included as a Loss Payee on the above-referenced Automobile Liability Policy if required by written contract as respects to the lease of Mobile Office $18,423 and Storage Container $8,500 located at 301 N. Surrey Ave., Ventnor, NJ 08406

#2149976

H - New Jersey Economic Development I - City of Ventnor

Authority State of New Jersey PO Box 990 Trenton, NJ 08625

Ref: Project - 44184 The New Jersey Economic Development Authority and the State of New Jersey are Additional Insureds on the above-referenced Commercial General Liability and Excess Liability Policies if required by written contract as respects to the project location described as: Atlantic Ave between Surrey Ave and Weymouth Ave., Ventnor NJ 08406 know as Project #44184

4/16/2019 #2150036

GL AU EX WC

H - Middle Township Board of I - Township of Middle

Education 216 South Main Street Cape May Court House, NJ 08210

Evidence of Insurance for the use of their facility - Home Track meets 4/18/2019 #2151291

GL AU EX WC OTH

H - Dr. William Morrow I - City of Somers Point

715 Bay Avenue Somers Point, NJ 08244

City of Somers Point's annual Bayfest event will use Dr. Morrow's parking lot for parking automobiles on 4/27/19.

4/18/2019 #2152183

GL AU EX WC OTH

H - Dr. William Wixted I - City of Somers Point

731 Bay Avenue Somers Point, NJ 08244

Evidence of Insurance with respect to City of Somers Point's annual Bayfest event will use Dr. Wixted's parking lot for parking automobiles on 4/27/19.

4/21/2019 #2152319

GL AU EX WC OTH

H - Shore Medical Center I - City of Somers Point

100 Medical Way Somers Point, NJ 08244

Evidence of Insurance with respect to City of Somers Point's annual Bayfest event will use Shore Medical Center's parking lot for parking automobiles on 4/27/19.

4/21/2019 #2152320

GL AU EX WC OTH

H - Somers Point I - City of Somers Point

Volunteer Fire Co. No. 1 Bethel Road Somers Point, NJ 08244

Evidence of Insurance with respect to City of Somers Point's annual Bayfest event will use Somers Point Volunteer Fire Company No. 1 parking lot for parking automobiles on 4/27/19.

4/21/2019 #2152321

GL AU EX WC OTH

Total # of Holders: 32 48

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AS OF March 31, 2019

THIS YTD PRIOR FUND

MONTH CHANGE YEAR END BALANCE

1. UNDERWRITING INCOME 1,880,974 5,635,529 433,680,552 439,316,0812. CLAIM EXPENSES

Paid Claims 1,223,365 2,685,210 210,914,525 213,599,735

Case Reserves 106,381 204,149 14,626,540 14,830,689

IBNR 150,387 671,928 6,807,307 7,479,235

Recoveries - - - -

TOTAL CLAIMS 1,480,133 3,561,287 232,348,372 235,909,6593. EXPENSES

Excess Premiums 500,657 1,497,330 91,822,983 93,320,313

Administrative 247,528 760,562 70,905,318 71,665,880

TOTAL EXPENSES 748,185 2,257,892 162,728,301 164,986,1934. UNDERWRITING PROFIT (1-2-3) (347,344) (183,649) 38,603,879 38,420,230

5. INVESTMENT INCOME 199,210 407,103 20,431,972 20,839,075

6. DIVIDEND INCOME 0 0 2,749,272 2,749,272

7. STATUTORY PROFIT (4+5+6) (148,134) 223,454 61,785,123 62,008,577

8. DIVIDEND 0 0 35,338,945 35,338,945

9. STATUTORY SURPLUS (7-8) (148,134) 223,454 26,446,178 26,669,632

SURPLUS (DEFICITS) BY FUND YEARClosed 73,206 173,822 16,202,103 16,375,925

MEL JIF Retro 4,400 9,025 21,072 30,097

(72,237) (48,162) 3,968,403 3,920,240

(371,466) (347,411) 2,389,463 2,042,052

86,413 117,472 2,967,722 3,085,194

(5,240) 41,417 897,415 938,832136,790 277,292 277,292

TOTAL SURPLUS (DEFICITS) (148,134) 223,454 26,446,178 26,669,632

TOTAL CASH 52,222,643

CLAIM ANALYSIS BY FUND YEAR

TOTAL CLOSED YEAR CLAIMS (50) (23,860) 186,534,314 186,510,454

FUND YEAR 2015

Paid Claims 371,055 561,713 8,420,928 8,982,641

Case Reserves (181,023) (469,485) 2,562,473 2,092,988

IBNR (95,460) 2,343 109,067 111,410

Recoveries 0 0 0 0

TOTAL FY 2015 CLAIMS 94,572 94,571 11,092,468 11,187,039

FUND YEAR 2016

Paid Claims 101,496 278,196 7,533,651 7,811,847

Case Reserves 110,610 148,289 3,480,021 3,628,310

IBNR 181,720 (32,659) 763,743 731,084

Recoveries 0 0 0 0

TOTAL FY 2016 CLAIMS 393,826 393,826 11,777,415 12,171,241

FUND YEAR 2017

Paid Claims 232,122 407,407 5,120,718 5,528,125

Case Reserves (130,689) (435,116) 4,212,338 3,777,221

IBNR (158,914) (29,772) 1,174,271 1,144,499

Recoveries 0 0 0 0

TOTAL FY 2017 CLAIMS (57,481) (57,482) 10,507,327 10,449,845

FUND YEAR 2018

Paid Claims 311,094 1,163,238 3,304,914 4,468,152

Case Reserves (13,568) 79,308 4,371,709 4,451,017

IBNR (249,700) (1,194,720) 4,760,226 3,565,506

Recoveries 0 0 0 0

TOTAL FY 2018 CLAIMS 47,826 47,826 12,436,848 12,484,674

FUND YEAR 2019

Paid Claims 207,648 298,517 298,517

Case Reserves 321,052 881,153 881,153

IBNR 472,741 1,926,736 1,926,736

Recoveries 0 0 0

TOTAL FY 2019 CLAIMS 1,001,441 3,106,406 3,106,406

COMBINED TOTAL CLAIMS 1,480,133 3,561,287 232,348,372 235,909,659

2019

This report is based upon information which has not been audited nor certified by an actuary and as such may not truly represent the condition of the fund.

Per Executive Director, professional fees other than RMC Fees reflect paid amounts.

ATLANTIC COUNTY MUNICIPAL FUNDFINANCIAL FAST TRACK REPORT

2015

2016

2017

2018

5/7/2019 ATLFFT_03

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C:\Users\kkristie\Documents\ACM\Exec Dir\Reg Filing Month.doc

Atlantic County Municipal Joint Insurance Fund

Monthly Regulatory Filing Check List

Fund Year 2019 for Month of April

ITEM FILING STATUS Meeting Minutes 5/16/19 Bylaws Amendments N/A Risk Management Program Changes N/A New Member Filings N/A Supplemental Assessments/Contributions N/A Budget Amendments (transfers, etc.) N/A Surplus Distribution (refunds/dividends) N/A Changes/Amendments/Additions to Service Providers N/A Executive Committee Changes N/A

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C:\Users\kkristie\Documents\ACM\Exec Dir\REg Filing Yrly.doc Date of last revision: 05/08/19

Atlantic County Municipal Joint Insurance Fund Annual Regulatory Filing Check List

Year: January 1, 2019 – December 31, 2019

ITEM FILING STATUS Ethics Filings (Notification emailed to FC’s and Prof’s) 4/3/19 Renewal Resolutions and Indemnity & Trust Agreements Budget and Actuarial Certification/Opinion Letter 1/22/19 Annual Assessments/Contributions 1/22/19 Supplemental Assessments/Contributions Risk Management Program 1/22/19 Annual Certified Audit List of Fund Commissioners & Executive Committee 1/22/19 Identity of Administrator 1/22/19 Identity of Treasurer 1/22/19 Excess Insurance /Group Purchase Insurance/Reinsurance Policies 1/22/19 Withdrawals Exhibit A – Certification of JIF Fund Professionals 1/22/19 Exhibit B - Certification of JIF Data Forms N/A Exhibit D - New Member Filings N/A New Service Providers 1/22/19 Annual Reorganization Resolutions, including Cash Management Plan 1/22/19

Professionals Contract Gen Ins. Fidelity E & O Surety Actuary – Actuarial Advantage X 8/7/19 N/A 7/16/19 N/A Administrative Consultant PERMA

X 12/10/19 N/A 12/10/19 N/A

Administrator - AJG X 10/1/19 5/1/18 10/1/19 N/A Asset Manager – Wilmington Trust X 10/1/19 JIF 10/1/18 N/A Banking – M & T X N/A 10/1/19 N/A N/A Attorney - DeWeese X 9/1/19 N/A 9/1/19 N/A Attorney (Subrogation) - DeWeese X 9/1/19 N/A 9/1/19 N/A Attorney (Conflict)-Lou Greco X 10/15/19 N/A 10/15/19 N/A Auditor- Bowman X 8/1/19 N/A N/A N/A Claims Administrator – Qual-Lynx X 7/1/19 5/1/18 10/1/19 12/31/18 Exposure Database Manger - Exigis X 3/31/19 NA 3/31/19 N/A Managed Care - QualCare X 7/1/19 N/A 10/1/19 N/A Payroll Auditor - Bowman X 8/1/19 N/A 8/1/19 N/A Property Appraiser - Assetworks X 9/27/19 N/A 9/27/19 N/A Safety Director – JA Montgomery X 12/10/19 N/A 12/10/19 N/A Underwriting Manager – Conner Strong

X 12/10/19 N/A 12/10/19 N/A

Website – Joyce Media X N/A N/A N/A N/A Treasurer – J. Hansen X N/A 5/1/18 N/A N/A Recording Secretary - T. Forlenza X N/A N/A N/A N/A Wellness Director X N/A N/A N/A N/A

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Atlantic County Municipal Joint Insurance Fund

2018 SIP Qualifiers Award

Member Opening January February March April May June July August September October November December Paid in Total YTD Ending EncumbMunicipality Balance 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2020 Expenses Balance Funds

Absecon 2,150.00 0.00 2,150.00

Avalon 2,150.00 0.00 2,150.00

Brigantine 2,400.00 0.00 2,400.00

Buena 1,900.00 0.00 1,900.00

Cape May 2,400.00 0.00 2,400.00

Cape May Point 1,650.00 1,650.00 1,650.00 0.00

Commercial 1,650.00 0.00 1,650.00

Corbin City 1,650.00 0.00 1,650.00

Deerfield 1,650.00 0.00 1,650.00

Dennis 1,900.00 0.00 1,900.00

Downe 1,650.00 0.00 1,650.00

Egg Harbor Twp. 2,650.00 2,650.00 2,650.00 0.00

Estell Manor 1,650.00 1,650.00 1,650.00 0.00

Folsom 1,650.00 0.00 1,650.00

Galloway 2,400.00 0.00 2,400.00

Hamilton 2,400.00 0.00 2,400.00

Linwood 2,150.00 0.00 2,150.00

Longport 1,900.00 1,900.00 1,900.00 0.00

Lower 2,400.00 0.00 2,400.00

Margate 2,400.00 0.00 2,400.00

Middle 2,400.00 0.00 2,400.00

Millville 2,650.00 2,650.00 2,650.00 0.00

Mullica 1,900.00 1,900.00 1,900.00 0.00

Newfield 1,650.00 0.00 1,650.00

North Wildwood 2,400.00 0.00 2,400.00

Northfield 2,150.00 2,150.00 2,150.00 0.00

Ocean City 2,650.00 0.00 2,650.00

Pleasantville 2,650.00 0.00 2,650.00

Sea Isle City 2,400.00 520.00 520.00 1,880.00

Somers Point 2,150.00 2,150.00 2,150.00 0.00

Stone Harbor 2,150.00 0.00 2,150.00

Upper Twp. 2,150.00 0.00 2,150.00

Upper Deerfield 1,900.00 1,900.00 1,900.00 0.00

Ventnor 2,400.00 0.00 2,400.00

Waterford 2,150.00 2,150.00 2,150.00 0.00

West Cape May 1,650.00 0.00 1,650.00

West Wildwood 1,650.00 0.00 1,650.00

Weymouth 1,650.00 0.00 1,650.00

Wildwood 2,650.00 2,650.00 2,650.00 0.00

Wildwood Crest 2,150.00 0.00 2,150.00

Woodbine 1,650.00 0.00 1,650.00

Total By Line $85,900.00 0.00 0.00 0.00 19,100.00 4,820.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 23,920.00 61,980.00

Must be Claimed or Encumbered by December 31, 2019. All Encumbered Funds Must be Claimed by February 1, 2020

ACMJIF Last Revision: 5/8/2019

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Member Opening January February March April May June July August September October November December Paid Total YTD Remaining DateMunicipality Balance 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2020 Paid Balance Encumbered

Absecon CityAvalon Borough $1,500.00 $0.00 $1,500.00Brigantine CityBuena Borough

Cape May City $1,500.00 $0.00 $1,500.00Cape May Point $1,000.00 $0.00 $1,000.00

Commercial Township $1,500.00 $0.00 $1,500.00Corbin City

Deerfield TownshipDennis TownshipDowne Township

Egg Harbor TownshipEstell Manor CityFolsom Borough

Galloway TownshipHamilton Township $2,000.00 $0.00 $2,000.00

Linwood $1,500.00 $0.00 $1,500.00Longport BoroughLower Township $2,000.00 $1,200.00 $1,200.00 $800.00

Margate CityMiddle Township

Millville CityMullica TownshipNewfield Borough $1,000.00 $0.00 $1,000.00

North Wildwood CityNorthfield City $1,500.00 $0.00 $1,500.00

Ocean City $2,500.00 $0.00 $2,500.00Pleasantville City $2,500.00 $0.00 $2,500.00

Sea Isle CitySomers Point City

Stone Harbor $1,500.00 $0.00 $1,500.00Upper Township

Upper Deerfield TownshipVentnor City

Waterford Township $1,500.00 $0.00 $1,500.00West Cape May $1,000.00 $0.00 $1,000.00West Wildwood

Weymouth Township $1,000.00 $0.00 $1,000.00Wildwood City $2,500.00 $0.00 $2,500.00

Wildwood Crest BoroughWoodbine Borough

Total By Line $26,000.00 $0.00 $0.00 $0.00 $0.00 $1,200.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,200.00 $24,800.00

Atlantic County Municipal Joint Insurance Fund

2019 Optional Safety Budget

Must be Claimed or Encumbered by December 31, 2019. All Encumbered Funds Must be Claimed by February 1, 2020

ACMJIF Updated as of 5/8/2019

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Atlantic County Municipal Joint Insurance Fund

2019 WELLNESS INCENTIVE PROGRAM ALLOWANCE

Member Opening January February March April May June July August Sept. October November December Paid in Total YTD Remaining DateMunicipality Balance 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2020 Paid Balance Encumbered

Absecon 800.00 0.00 $800.00

Avalon 1,000.00 0.00 $1,000.00Brigantine 1,500.00 0.00 $1,500.00Buena 600.00 0.00 $600.00Cape May City 1,000.00 0.00 $1,000.00Cape May Point 275.00 0.00 $275.00Commercial 275.00 0.00 $275.00Corbin City 275.00 0.00 $275.00Deerfield 275.00 0.00 $275.00Dennis 600.00 0.00 $600.00Downe Township 275.00 0.00 $275.00Egg Harbor Twp. 1,500.00 0.00 $1,500.00Estell Manor 275.00 0.00 $275.00Folsom 275.00 114.94 114.94 $160.06Galloway 1,000.00 0.00 $1,000.00Hamilton 1,000.00 0.00 $1,000.00Linwood 800.00 0.00 $800.00Longport 800.00 0.00 $800.00Lower 1,000.00 0.00 $1,000.00Margate 1,500.00 0.00 $1,500.00Middle 1,000.00 300.00 300.00 $700.00Millville 1,500.00 0.00 $1,500.00Mullica 600.00 0.00 $600.00Newfield 275.00 0.00 $275.00North Wildwood 1,000.00 340.21 340.21 $659.79Northfield 800.00 0.00 $800.00Ocean City 1,500.00 0.00 $1,500.00Pleasantville 1,500.00 0.00 $1,500.00Sea Isle City 1,000.00 0.00 $1,000.00Somers Point 1,000.00 0.00 $1,000.00Stone Harbor 1,000.00 0.00 $1,000.00Upper Twp. 800.00 0.00 $800.00Upper Deerfield 600.00 0.00 $600.00Ventnor 1,500.00 0.00 $1,500.00Waterford 800.00 0.00 $800.00West Cape May 275.00 0.00 $275.00West Wildwood 275.00 108.95 108.95 $166.05Weymouth 275.00 0.00 $275.00Wildwood 1,500.00 0.00 $1,500.00Wildwood Crest 1,000.00 0.00 $1,000.00Woodbine 275.00 0.00 $275.00

Total By Line $33,500.00 $0.00 $0.00 $300.00 $108.95 $455.15 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $864.10 $32,635.90

Must be claimed or encumbered by December 31, 2019. Encumbered Funds need to be claimed by February 1, 2020

Updated as of 5/8/201954

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Atlantic County Municipal Joint Insurance Fund

2019 EPL/CYBER Risk Management Budget

Member Opening January February March April May June July August Sept. October November December Paid in Total YTD EndingMunicipality Balance 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2019 2020 Expenses Balance Encumbered

Absecon 725.00 0.00 $725.00

Avalon 725.00 0.00 $725.00Brigantine 725.00 0.00 $725.00Buena 725.00 69.00 45.00 225.00 27.00 366.00 $359.00Cape May City 725.00 0.00 $725.00Cape May Point 725.00 0.00 $725.00Commercial 725.00 0.00 $725.00Corbin City 725.00 0.00 $725.00Deerfield 725.00 0.00 $725.00Dennis 725.00 0.00 $725.00Downe Township 725.00 0.00 $725.00Egg Harbor Twp. 725.00 0.00 $725.00Estell Manor 725.00 0.00 $725.00Folsom 725.00 37.50 87.50 125.00 $600.00Galloway 725.00 0.00 $725.00Hamilton 725.00 0.00 $725.00Linwood 725.00 0.00 $725.00Longport 725.00 0.00 $725.00Lower 725.00 0.00 $725.00Margate 725.00 0.00 $725.00Middle 725.00 0.00 $725.00Millville 725.00 0.00 $725.00Mullica 725.00 0.00 $725.00Newfield 725.00 0.00 $725.00North Wildwood 725.00 0.00 $725.00Northfield 725.00 0.00 $725.00Ocean City 725.00 0.00 $725.00Pleasantville 725.00 0.00 $725.00Sea Isle City 725.00 0.00 $725.00Somers Point 725.00 0.00 $725.00Stone Harbor 725.00 0.00 $725.00Upper Twp. 725.00 0.00 $725.00Upper Deerfield 725.00 0.00 $725.00Ventnor 725.00 0.00 $725.00Waterford 725.00 0.00 $725.00West Cape May 725.00 0.00 $725.00West Wildwood 725.00 0.00 $725.00Weymouth 725.00 0.00 $725.00Wildwood 725.00 0.00 $725.00Wildwood Crest 725.00 0.00 $725.00Woodbine 725.00 0.00 $725.00

Total By Line $29,725.00 $0.00 $106.50 $132.50 $225.00 $27.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $491.00 $29,234.00

Must be Claimed or Encumbered by December 31, 2019. All Encumbered Claims Must be Claimed by February 1, 2020

Updated as of 5/8/201955

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Questions about employment issues?Call the New MEL Employment Practices Helpline

The MEL Safety Institute is pleased to announce the establishment of a NEW MEL Employment Practices Helpline (EPL), a dedicated resource to guide members on employment related issues.

The MEL EPL Helpline is staffed by attorneys that specialize in New Jersey employment law and understand the MEL JIF system. The three law firms staffing the EPL Helpline are affiliated with local Joint Insurance Funds (JIFs).

Who can use the EPL Helpline? MEL member municipalities will select and approve two individuals to use the helpline.

What hours is the EPL Helpline available? The helpline will be staffed during normal business hours, 9 a.m. – 5 p.m. Voicemail can be left afterhours for a callback.

What kinds of issues can be addressed? Any employment related topics or policies and procedures related to issues such as:

What are the MEL EPL Helpline numbers? MEL members can choose to call any of the MEL EPL Helpline firms listed below.

What happens after the call? The attorney will provide the member with transcript of the call that includes recommendations. If the issue is beyond the scope of the MEL EPL Helpline the attorney will provide direction to the member on where to get appropriate assistance. All calls are confidential.

MEL EPL HELPLINE:732-583-7474

Jodi Howlett Cleary Giacobbe Alfieri Jacobs LLC

955 State Route 34, Suite 200 Matawan, NJ 07747955

MEL EPL HELPLINE:609-522-5599

David S. DeWeeseThe DeWeese Law Firm

3200 Pacific AvenueWildwood, New Jersey 08260

MEL EPL HELPLINE:973-334-1900

Fred SemrauDorsey & Semrau714 Main Street

Boonton, NJ 07005

• Hiring• Termination• Harassment

• Discrimination • Promotion/Demotion• And more…

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MEL EPL Helpline

Authorized Contact Person(s)

Atlantic County Municipal Joint Insurance Fund

P.O. Box 488, Marlton, New Jersey 08053 · P: 856-446-9100 · F: 856-446-9149 · www.acmjif.org

Date of Last Revision: 05/08/19

F:\DATA\Risk\WINWORD\Municipal\EPL\EPLAttorneyHotline\ACMJIF\ACMCKLST.DOC

TOWN AUTHORIZED CONTACT PERSON ADDITIONAL CONTACT PERSON(s)

Absecon City Jessica Thompson N/A

Avalon Borough Scott Wahl James Waldron

Brigantine City Mollye O’Neill James Bennett

Buena Borough David Zappariello, Mayor Maryann Coraluzzo

Cape May City Neil Young Patricia Harbora

Cape May Point Borough

Stephen O’Connor Elaine Wallace

Commercial Township

Hannah E. Nichols N/A

Corbin City Robert Schulte Rose Turner

Deerfield Township Karen Seifrit, Clerk N/A

Dennis Township Jessica Bishop, CFO Patrick Moran

Downe Township Robert Campbell Dennis Cook

Egg Harbor Township

Peter Miller, Administrator Jennifer McIver

Estell Manor City N/A Linda Kent

Folsom Borough Patricia Gatto Louis DeStefano

Galloway Township Christian Johansen Cheryl Prakash

Hamilton Township Michael Jacobs, Administrator Mary Kelly, HR Dir.

Linwood City Leigh Ann Napoli, Clerk N/A

Longport Borough Jenna Kelly/CFO Monica Kyle

Lower Township James Ridgway Julie Picard, Asst Clerk

Margate City Richard Deaney Johanna Casey

Middle Township Kim Krauss Vera Kalish, Personnel Officer

Millville City Regina Burke Pam Shaprio

Mullica Township Dawn Stollenwerk, CFO Kim Johnson, Clerk

Newfield Borough Toni Van Camp, Clerk/Administrator N/A

Northfield City Mary Canesi, Fund Commissioner Dawn Stollenwerk, CFO

North Wildwood City

Ron Simone Tracey Nordberg

Ocean City Elizabeth Wood, Asst Dir of HR N/A

Pleasantville City Linda Peyton, Administrator Davinna King, Personnel Officer

Sea Isle City George Savastano, Administrator Kellie Seib

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MEL EPL Helpline

Authorized Contact Person(s)

Atlantic County Municipal Joint Insurance Fund

P.O. Box 488, Marlton, New Jersey 08053 · P: 856-446-9100 · F: 856-446-9149 · www.acmjif.org

Date of Last Revision: 05/08/19

F:\DATA\Risk\WINWORD\Municipal\EPL\EPLAttorneyHotline\ACMJIF\ACMCKLST.DOC

TOWN AUTHORIZED CONTACT PERSON ADDITIONAL CONTACT PERSON(s)

Somers Point City Wes Swain, City Administrator Carol L. Degrassi, City Clerk

Stone Harbor Borough

Jill Gougher N/A

Upper Deerfield Township

Roy Spoltore, Clerk Vicki Vagnarelli, HR

Upper Township Barbara Spiegel Rhonda Sharp

Ventnor City Lisa Hand James Goos

Waterford Township

William Richardson Susan Danson

West Cape May Borough

Suzanne Schumann Lauren Viteilli

West Wildwood Borough

Chris Ridings, Administrator Donna Frederick, Clerk

Weymouth Township

Ken Haeser N/A

Wildwood City N/A N/A

Wildwood Crest Borough

Patricia Feketics Lynn Diem

Woodbine Borough Lisa Garrison, Clerk William Pikolycky

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JIF Entity No SubmissionAdd'l Info

RequiredTier 1 Tier 2

Atlantic Borough of Avalon XAtlantic Borough of Buena XAtlantic Borough of Cape May Point XAtlantic Borough of Folsom 4/10/2018 4/10/2018Atlantic Borough of Longport 10/5/2018 10/5/2018Atlantic Borough of Newfield XAtlantic Borough of Stone Harbor XAtlantic Borough of West Cape May 3/27/2019 3/27/2019Atlantic Borough of West Wildwood XAtlantic Borough of Wildwood Crest XAtlantic Borough of Woodbine XAtlantic City of Absecon XAtlantic City of Brigantine XAtlantic City of Cape May XAtlantic City of Corbin City XAtlantic City of Estell Manor XAtlantic City of Linwood XAtlantic City of Margate XAtlantic City of Millville XAtlantic City of North Wildwood XAtlantic City of Northfield XAtlantic City of Ocean City XAtlantic City of Pleasantville XAtlantic City of Sea Isle City XAtlantic City of Somers Point XAtlantic City of Ventnor XAtlantic City of Wildwood XAtlantic Township of Commercial XAtlantic Township of Deerfield XAtlantic Township of Dennis XAtlantic Township of Downe XAtlantic Township of Egg Harbor 12/27/2018 12/27/2018Atlantic Township of Galloway XAtlantic Township of Hamilton XAtlantic Township of Lower XAtlantic Township of Middle XAtlantic Township of Mullica 9/27/2018 9/27/2018Atlantic Township of Upper 5/29/2018 5/29/2018Atlantic Township of Upper Deerfield XAtlantic Township of Waterford XAtlantic Township of Weymouth X

Page 1 of 1Revision Date: 5/7/2019

MEL Cyber Risk Management Compliance

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Member Name Applicant Title Effective

DateATL Absecon Jessica A Snyder Tax Collector 06/01/19ATL AVALON Connie L. DiCola Tax Collector 01/01/07ATL AVALON Alexis Coan Tax Collector 09/01/16ATL AVALON James A. Thatcher Library Treasurer 11/14/07ATL AVALON James V. Craft Treasurer (CFO) 12/06/07ATL BRIGANTINE Dana Wineland Tax Collector 01/13/07ATL BUENA Maryann Coraluzzo Tax Collector 01/01/07ATL BUENA Cynthia LoGuidice Treasurer 10/01/13ATL CAPE MAY Neil Young Treasurer 09/30/13ATL CAPE MAY Joann Bradley Tax Collector 02/07/17ATL CAPE MAY POINT James Craft Treasurer 01/01/13ATL CAPE MAY POINT Kimberly Stevenson Tax Collector 03/01/18ATL CAPE MAY POINT David Carrick Utilities Collector 02/25/14ATL COMMERCIAL Leslie A. Kraus Tax Collector 09/01/10ATL DEERFIELD Lorraine Boyer Treasurer (CFO) 02/19/14ATL DEERFIELD Maria Schiano Branson Tax Collector 06/01/09ATL DENNIS Jessica Bishop Treasurer / CFO 05/31/18ATL DOWNE TOWNSHIP Jennafer Hernandez Tax Collector 01/01/09ATL EGG HARBOR TOWNSHIP Sharon D. Riley Tax Collector 01/01/07ATL EGG HARBOR TOWNSHIP Jennifer Lynn McIver Treasurer 01/01/10ATL ESTELL MANOR Terrence Graff Tax Collector 04/04/12ATL ESTELL MANOR Judson Moore Treasurer 01/01/08ATL FOLSOM Bertha Cappuccio Tax Collector 01/01/07ATL FOLSOM Dawn Stollenwerk CFO/Treasurer 01/01/18ATL GALLOWAY Christian Johansen Tax Collector 07/01/14ATL GALLOWAY Kristen Manning Treasurer 03/09/15ATL HAMILTON Renee DeSalvo Tax Collector 01/01/07ATL HAMMONTON Rosemarie F. Jacobs Tax Collector / Treasurer 01/01/07ATL LONGPORT Patricia C English Treasurer 01/01/19ATL LONGPORT Pamela Tomassi Tax Collector 01/01/16ATL LOWER Lauren Read Treasurer (CFO) 11/01/07ATL LOWER Bruce A Macleod Tax Collector (Interim) 09/04/18ATL LOWER Kathleen L. Brown Tax Collector 03/01/18ATL MARGATE Linda A. Morgan Tax Collector 01/01/15ATL MARGATE Lisa McLauglin Treasurer (CFO) 01/01/15ATL MIDDLE Sandra Beasley Tax Collector 06/30/07ATL MIDDLE Susan Anastasio-Quinones Chief Financial Officer 08/15/16ATL MILLVILLE Marcella D Shepard CFO 01/01/18ATL MILLVILLE Tracey L Gregoire Tax Collector 03/01/18ATL MULLICA Dawn M Stollenwerk Treasurer/CFO 01/01/19ATL MULLICA Bertha Cappuccio Tax Collector 01/01/07ATL NEWFIELD Robert E. Scharle Treasurer (CFO) 01/01/07ATL NEWFIELD Maria Schiano Branson Tax Collector 12/15/16ATL NORTH WILDWOOD Todd N. Burkey Treasurer (CFO) 01/01/13ATL NORTH WILDWOOD Todd N. Burkey Tax Collector 08/16/07ATL NORTHFIELD Dawn Stollenwerk Treasurer (CFO) 02/15/12ATL NORTHFIELD Michele L. Kirtsos Tax Collector 10/05/15ATL NORTHFIELD Cynthia L. Stafford Library Treasurer 06/29/16ATL OCEAN CITY Frank Donato III Treasurer 01/01/10ATL OCEAN CITY Terence S. Graff Tax Collector 02/23/15ATL OCEAN CITY Constance Jenkins Pritchard Library Treasurer 01/01/16ATL PLEASANTVILLE Barry Ludy Treasurer 03/04/13ATL PLEASANTVILLE Flor Roman Tax Collector 01/01/07ATL SEA ISLE CITY Paula G. Doll Tax Collector / Treasurer (CFO) 01/01/07ATL SOMERS POINT William E. Swain Treasurer (CFO) 03/22/14ATL SOMERS POINT Lisa King Tax Collector / Utility Collector 01/01/15ATL STONE HARBOR Deborah Candelore Tax Collector 04/01/11ATL STONE HARBOR James Craft Treasurer 05/05/14ATL UPPER Barbara A. Spiegel Treasurer 06/23/08ATL UPPER Rhonda L. Sharp Tax Collector 07/01/09ATL UPPER DEERFIELD Andrea A. Penny Tax Collector 01/01/07ATL UPPER DEERFIELD Amy L. Colaneri Treasurer 07/01/09ATL VENTNOR Albert Stanley Treasurer/CFO 01/24/19ATL VENTNOR Margaret Pacanowski Tax Collector 01/01/18ATL WATERFORD Francine Grubb Library Treasurer 07/01/17ATL WATERFORD Anita M. Wilson Tax Collector 01/01/09ATL WEST CAPE MAY David S. Carrick Water / Sewer Collector 01/01/07ATL WEST CAPE MAY Todd N. Burkey Tax Collector 01/01/09ATL WEST CAPE MAY Frank Donato III Treasurer (CFO) 06/01/09ATL WEST WILDWOOD Terence S. Graff Tax Collector 07/01/12ATL WEST WILDWOOD Elaine Brunkel-Crowley Treasurer (CFO) 03/04/11ATL WEYMOUTH Debra A. D'Amore Tax Collector 01/01/07ATL WILDWOOD CITY Lori J. Rosensteel Tax Collector 09/01/12ATL WILDWOOD CITY Donna Dennis Utilities Collector 01/03/00ATL WILDWOOD CITY Jeanette J. Powers Treasurer (CFO) 01/27/07ATL WILDWOOD CREST Lyndsey Herman Tax Collector 03/30/15ATL WILDWOOD CREST Francine B Springer Treasurer (CFO) 06/20/18ATL WOODBINE Lisa Garrison Tax Collector 07/01/07ATL WOODBINE John H. Miller Treasurer (CFO) 01/01/14

MEL STATUTORY BONDS as of 5/6/19

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Member

Municipality

AbseconAvalon Removed Removed Park Equipment Removed 6/2017

Brigantine Approved CompleteBuena General Inquiry Inactive The Executive Director/Safety Director are unaware of any ongoing activity

Cape MayCape May Point

Corbin CityCommercial Approved Complete

DeerfieldDennisDowne

Egg Harbor Twp.Estell Manor

FolsomGalloway Removed Removed Park Equipment RemovedHamilton Removed Removed Park Equipment Removed as of 11/1/08LinwoodLongport

Lower Removed Removed Park Equipment removed as of 4/26/07Margate Planning Inactive The Executive Director/Safety Director are unaware of any ongoing activityMiddle Removed Removed Removed effective 2/27/2018MillvilleMullica Removed Park Equipment removed as of 11/5/09

NewfieldNorth Wildwood Approved Complete

NorthfieldOcean City Approved Complete

PleasantvilleSea Isle City Approved CompleteSomers PointStone Harbor Approved Complete

Upper DeerfieldUpper Twp. Approved Complete

VentnorWaterford

West Cape MayWest Wildwood

WeymouthWildwood

Wildwood CrestWoodbine

Atlantic County Municipal Joint Insurance Fund

Skateboard Park Approval Status

Stage Status Notes

Last Update: 5/7/2019

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May 2019

Sun Mon Tue Wed Thu Fri Sat 1

9:30 AM/10:30 AM RCF Claims/MEL Claims @ Forsgate

2

3

4

5

6

7

8

9 9:00 AM Claims Comm Mtg @ Hamnilton Muni Bldg

10

11

12

13

14

15 1:30 PM Strat Plng Comm Mtg 3:30 PM Exec Comm Mtg @ Atlantic County Library

16

17

18

19

20

21

22

23 9:30 AM MEL Cov Comm Mtg @ Monroe

24

25

26

27 Memorial Day - Offices Closed

28

29

30

31 9:00 AM Finance Comm Mtg @ Folsom Muni Bldg)

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June 2019

◄ May 2019 June 2019 Jul 2019 ►

Sun Mon Tue Wed Thu Fri Sat 1

2

3

4

5 9:00 am – Noon – MEL/RCF/EJIF Mtgs @ Forsgate

6

7

8

9

10 PRIMA Conference - Orlando

11 PRIMA Conference - Orlando

12 PRIMA Conference - Orlando

13 9:00 AM – ACM Claims Comm Mtg @ Hamilton Muni Bldg

14 Flag Day

15

16 Father's Day

17

18

19 1:30 PM – ACM EPL/POL Claims Comm Mtg/ 3:00 PM ACMJIF Mtg @ Avalon Comm Hall

20 11:30 AM – ACM Safety Comm Mtg @ Avalon 39th Street

21

22

23

24

25

26

27

28

29

30

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"Security with a Smile" (Because Life is Too Short...)

This Month’s Cautionary Advice (Because Threats Evolve)

I am sure you are all too aware that it’s "tax season.” You are likely also aware that tax season brings tax scams via vishing and phishing. These attacks include social engineering tactics that invoke a sense of urgency and appear legitimate by using stolen IRS (or similar) branding. We have seen some clever attacks that now include tax preparation services like H&R Block, Jackson Hewitt, and TurboTax. To be clear, it is highly unlikely that any “urgent” email you receive regarding taxes is legitimate. We strongly recommend you avoid clicking on links contained in suspicious, tax-related emails. If you feel you should contact the sender, use an alternative, known good means; for example, a “contact us” form or phone number from their website.

If you suspect you may have made a mistake, immediately notify the IRS, your bank(s), and a credit reporting bureau.

Monthly Newsletter

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This Month’s Special News

Apologies, but this month’s special news is a bit on the boring side, althoughimportant. Adobe has recently fixed 24 critical arbitrary code executionvulnerabilities across multiple products, including Acrobat Reader, AdobeFlash, and Adobe Shockwave Player.

It’s a great reminder of the importance of regularly updating Adobe products,which are a notable attack vector. While you are at it – update your Chrome orFirefox browser as well (I don’t need to mention Windows because I know youall are already doing that regularly … right :>) ).

This is equally important for your home systems as well. Let’s be careful outthere…

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ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND SAFETY DIRECTOR’S REPORT

TO: Municipal Fund Commissioners, Safety Coordinators, Risk Managers FROM: Robert Garish, Senior Risk Control Consultant DATE: May 2, 2019 Service Team:

Keith Hummel Associate Director Public Sector

Risk Control [email protected]

Office: 856-552-6862 Fax: 856-552-6863

Mailing Address: 231 Main Street

P. O. Box 2017, Toms River New Jersey 08754

Toll-Free: 877-398-3046

Robert Holwitt Consultant

[email protected] Office: 856-552-4624 Cell: 856-628-5705

Danielle Sanders Administrative Assistant

[email protected] Office: 856-552-6898 Fax: 856-552-6899

Robert Garish Consultant

[email protected] Office: 856-552-4650 Cell: 609-947-9719

APRIL ACTIVITIES

LOSS CONTROL SERVICES · Borough of Buena – Conducted a Loss Control Survey on April 26 · Township of Egg Harbor – Conducted a Loss Control Survey on April 15 · Township of Galloway – Conducted Loss Control Survey on April 29 · Township of Middle – Conducted a Loss Control Survey on April 18 · Township of Mullica – Conducted a Loss Control Survey on April 26 · City of North Wildwood / Special Improvement District – Conducted New Member Survey on April 11 · City of Ocean City – Conducted a Loss Control Survey on April 4 · Borough of Stone Harbor – Conducted a Loss Control Survey on April 25 · City of Ventnor – Conducted a Loss Control Survey on April 17 · City of Wildwood – Conducted a Loss Control Survey on April 11 JIF MEETINGS ATTENDED · Executive Safety Committee Meeting – April 5 · Claims Meeting – April 11 · Excited Delirium Training – April 12 · Executive Committee Meeting – April 17 · Regional Training – Back to Basics – April 30

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MEL MEDIA LIBRARY The following members used the MEL Media Library during April. Please note the new e-mail address: [email protected] and telephone number: 856-552-4900. To either view, the full media catalog or rent videos, use the above website or NJMEL.org.

April Municipality # of Videos

City of Cape May 4 Township of Mullica 3

City of Ventnor 3 MEL MEDIA CATALOG To view the entire updated MEL Media Catalog with 100 new DVD titles go to NJMEL.org, click on the Video button at the top of the page, and then choose ‘Order Conventional Videos.’

NEW SAFETY DIRECTOR’S BULLETINS AND NOTICES Regional training announcements and Bulletins are distributed by e-mail to Fund Commissioners, Safety Coordinators, and Risk Consultants. Please access the Atlantic JIF (http://www.acmjif.org) to verify Fund Commissioners, Safety Coordinators and Risk Managers contact information is correct. If you find a discrepancy, please let us know. If applicable, a copy or copies of the Safety Director’s Bulletins are attached. The following Safety Director Bulletins and alerts were distributed by e-mail during April. If you are not receiving updates or would like to add other names to the distribution list, please let us know. Ø April 2 - Updated Bulletin – Playground Inspection Best Practices Ø April 3 - Regional Training - Back to Basics - April 30, 2019 Ø April 15 - Mandatory Regional Training - Back to Basics - April 30, 2019 Ø April 22 - Did You Know? – MSI Training Schedule – Atlantic JIF, May 2019 Ø April 23 - Regional Training Reminder - Back to Basics - April 30, 2019 Ø April 30 - Safety Bulletin: May 6 - 10 is National Stand-Down to Prevent Falls

UPCOMING EVENTS · Claims Meeting – May 9 · Executive Committee Meeting – May 15 · Regional Training – Summer Seasonal for Supervisors – May 17 MSI TRAINING PROGRAMS NOTE: We need to keep our list of MSI Training Administrators up-to-date. If there are any changes, deletions or you need to appoint a new Training Administrator, please advise ([email protected]). Listed below are upcoming MSI training programs scheduled for May, June and July of 2019. Enrollment is required for all MSI classes. MSI classes are subject to cancellation or rescheduling at any time. Members are reminded to log on to the www.njmel.org website, then click on the MSI logo to access the Learning Management System where you can enroll your employees and verify classes. Enrolling your staff ensures you will be notified of any schedule changes.

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If you need assistance using the MSI Learning Management System, please call the MSI helpline at 866-661-5120. DATE LOCATION TOPIC TIME 5/1/19 City of Vineland Excavation/Trenching/Shoring 8:00 - 12:00 pm

5/6/19 Township of Hamilton #3 Ladder Safety/Walking-Working

Surfaces 8:30 - 10:30 am 5/7/19 City of Margate #6 CMVO 8:30 - 12:30 pm 5/8/19 City of Ventnor Flagger/Work Zone Safety 9:00 - 1:00 pm 5/9/19 City of Brigantine #3 Heavy Equipment Safety 8:30 - 11:30 am 5/9/19 City of Vineland Excavation/Trenching/Shoring 8:00 - 12:00 pm 5/10/19 City of Somers Point #1 BBP 8:00 - 9:00 am 5/10/19 City of Somers Point #1 Hearing Conservation 9:15 - 10:15 am 5/20/19 City of Wildwood #3 Fast Track to Safety 8:30 - 12:30 pm 5/29/19 City of Pleasantville #1 DDC-6 8:30 - 3:00 pm w/lunch brk 6/4/19 City of Ocean City #1 Playground Safety Inspections 8:30 - 10:30 am 6/4/19 City of Ocean City #1 LOTO 10:45 - 12:45 pm 6/5/19 City of Vineland LOTO 9:00 - 11:00 am 6/13/19 City of Millville #1 Fast Track to Safety 8:30 - 12:30 pm

6/18/19 Borough of Avalon #4 Seasonal (Summer) Employee

Orientation 8:30 - 12:30 pm 6/20/19 City of Vineland LOTO 9:00 - 11:00 am 6/26/19 City of Pleasantville #1 Playground Safety Inspection 8:30 - 10:30 am

6/26/19 City of Pleasantville #1 Employee Conduct/Violence

Prevention 10:45 - 12:15 pm

6/27/19 City of Ocean City #1 Seasonal (Summer) Employee

Orientation 8:30 - 12:30 pm

7/11/19 City of Ocean City #1 Seasonal (Summer) Employee

Orientation 8:30 - 12:30 pm

7/15/19 Township of Egg Harbor

#5 Heavy Equipment Safety 8:30 - 11:30 am 7/17/19 Lower Township MUA Back Safety/Material Handling 8:30 - 9:30 am 7/17/19 Lower Township MUA BBP 9:45 - 10:45 am 7/25/19 City of Ocean City #4 Landscape Safety 8:30 - 11:30 am

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MSI Course CEU's/Cat. MSI Course CEU's/Cat.Accident Investigation 2 / M HazCom with Globally Harmonized System 1 / T,GAdvanced Safety Leadership 10 / M Hazardous Materials Awareness w/ HazCom & GHS 3 / TAsbestos, Lead & Silica Industrial Health Overview 1 / T,G Hazard Identification - Making Your Observations Count 1 / T,MBack Safety / Material Handling 1 / T Hearing Conservation 1 / T,GBloodborne Pathogens Training 1 / G Heavy Equipment Safety 1 / G - 2 / TBloodborne Pathogens Administrator Training 1 / T,M Hoists, Cranes and Rigging 2 / T BOE Safety Awareness 3 / T Housing Authority Safety Awareness 3 / TCDL – Supervisors Reasonable Suspicion 2 / M Jetter Safety 2 / T CDL - Drivers' Safety Regulations 2 / G Landscape Safety 2 / T Coaching the Maintenance Vehicle Operator 2 / T,M Leaf Collection Safety Awareness 2 / TConfined Space Entry – Permit Required 3.5 / T Lockout Tagout 2 / TConfined Space Awareness 1 / T,G Personal Protective Equipment (PPE) 2 / TDefensive Driving-6-Hour 6 / M Playground Safety Inspections 2 / TDriving Safety Awareness 1.5 / T Sanitation and Recycling Safety 2 / TEmployee Conduct and Violence in the Work Place 1.5 / E Safety Committee Best Practices 1.5 / MExcavation Trenching & Shoring 2 / T,M Safety Coordinator's Skills Training 3 / M,GFall Protection Awareness 2 / T,M Shop and Tool Safety 1 / TFast Track to Safety 4 / T Seasonal Public Works Operations 3 / TFire Extinguisher 1 / T Snow Plow Safety 2 / TFire Safety .5/ T - .5/ G Special Events Management 2 / MFlagger / Workzone Safety 2 / T,M Shift Briefing Essentials 1 / M

MSI Course CEU's/Cat. MSI Course CEU's/Cat.Asbestos, Lead & Silica Industrial Health Overview 1 / P Hazard Identification - Making your Observations Count 2 / PBloodborne Pathogens Training 1 / P Safety Committee Best Practices 1.5 / PEmployee Conduct and Violence in the Work Place 1.5 / E Safety Coordinator's Skills Training 6 / P

Special Event Management 2 / P

MSI Course TCH's/Cat. MSI Course TCH's/Cat.Accident Investigation 1.5 / S Hazardous Materials Awareness w/ HazCom & GHS 3 / SAdvanced Safety Leadership 10 / S Heavy Equipment Safety 3 / SAsbestos, Lead & Silica Industrial Health Overview 1 / S Housing Authority Safety Awareness 3 / SBack Safety / Material Handling 1 / S Hazard Identification - Making your Observations Count 1.5 / SBloodborne Pathogens Training 1 / S Hearing Conservation 1 / SBloodborne Pathogens Administrator Training 2 / Non S Hoists, Cranes and Rigging 2 / SBOE Safety Awareness 3 / S Jetter Safety 2 / SCDL – Supervisors Reasonable Suspicion 1.5 / S Ladder Safety/Walking Working Surfaces 2 / SCDL - Drivers' Safety Regulations 2 / S Landscape Safety 2 / SConfined Space Awareness 1 /S Leaf Collection Safety Awareness 2 / SConfined Space Entry - Permit Required 3.5 / S Lockout Tagout 2 / SDefensive Driving-6-Hour 5.5 / S Shop and Tool Safety 1 / SDriving Safety Awareness 1.5 / S Office Safety 2 / SEmployee Conduct and Violence in the Work Place 1.5 / Non S Personal Protective Equipment (PPE) 2 / SExcavation Trenching & Shoring 4 / S Safety Committee Best Practices 1.5 / SFall Protection Awareness 2 / S Safety Coordinator's Skills Training 5 / Non SFast Track to Safety 4 / S Seasonal Public Works Operations 3 / SFire Extinguisher 1 / S Shift Briefing Essentials 1.5 / SFire Safety 1 / S Snow Plow Safety 2 / SFlagger / Workzone Safety 2 / S Special Event Management 2 / SHazCom with Globally Harmonized System 1.5 / S

MSI Course CEU's/Cat. MSI Course CEU's/Cat.Employee Conduct and Violence in the Work Place 1.5 / E Employee Conduct and Violence in the Work Place 1.5 / E

MSI Course CEU's/Cat. MSI Course CEU's/Cat.Fire Extinguisher Safety 1 / CRP Employee Conduct and Violence in the Work Place 1.5 / EHazard Recognition- Making your Observations Count 2 / CRPHeavy Equipment 3 / CRPSanitation and Recycling Safety 2 / CRP

MSI Course CEU's/Cat.Playground Safety Inspections (CEUs for all Park and Rec Professionals) .2

***Categories ***Categories(cont.)E - Ethics Non S - Non Safety (Management)T - Technical P - Professional DevelopmentG - Governmental M - ManagementS - Safety / Non S - Non Safety CRP - Certified Recycling Professional Classroom CEU

CEU's for Certified Recycling Professionals CEU's for Qualified Purchasing Agents

CEU's for Park and Rec Professionals

CEU's for Certified Publics Works Managers

CEU's for Registered Municipal Clerks

TCH's For Water/ Wastewater

CEU's for Tax Collectors CEU's for County/Municipal Finance Officers

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April 2019

Comprehensive Playground Inspection and Maintenance Programs

As spring approaches, now is a great time inspect playgrounds and to review the maintenance program for your playgrounds. A comprehensive maintenance program consists of inspections at three basic frequencies.

Annual Audits

Document the condition of each piece of playground equipment and the surrounding areas by taking pictures. A comprehensive annual playground risk management program starts with an audit. The audit consists of inventorying and examining each piece of playground and ancillary equipment, the park’s grounds and structures, and perimeter streets and curbs.

Periodic (weekly to monthly) Inspections

Define the frequency of inspections in the written Playground Maintenance Program. Many departments begin to ramp-up the inspection program’s frequency rate beginning in the Spring. The frequency of a playground’s inspection is determined by several factors; the season, how many children use the playground, harsh environments such as on a beach, neighborhood demographics, age of equipment, history of damage, and more.

Use a checklist. A sample checklist is on the MEL website (www.njmel.org). A checklist offers the advantage of documenting what was inspected and found to be in satisfactory condition. By only reporting deficiencies, the worker who completed the report is open to questions of what conditions were or were not inspected, possibly months or years later. Remember the rule of documentation, “If it is not written down, it did not happen.”

Daily Inspections

Instruct workers to visually check the playground equipment and grounds for obvious problems such as broken equipment, graffiti, etc. Workers are in the parks almost every day; cutting grass, picking up trash, or even just driving by on their way to other assignments. Paperwork is not needed unless a deficiency is found.

Instruct workers to immediately correct conditions that can be fixed, or report conditions as soon as possible conditions that cannot be corrected. The maintenance program should describe the documentation process for when repairs are made, or how a deficiency report is submitted.

Record even routine maintenance activities such as replenishing mulch or closing the gaps on S-hooks. Playground owners should have a ‘paper trail’ of work performed by employees. Document all repairs to playground equipment. Repairs should be made using manufacturer’s parts. Use tamper-resistant hardware. Have a stock of spare hardware on hand.

Hold a Safety Briefing to remind employees what to look for, what deficiencies should be addressed immediately, and how to report deficiencies that cannot be corrected on the spot. A sample Safety Briefing lesson plan is provided on page 2 of this Bulletin.

Please use the bolded italicized items above as an Action Plan to ready your playgrounds for the summer season. We also want to remind our members of three other resources;

1. The MSI has a Playground Safety Inspector class. Check the website for a class near you. 2. The MSI has an online Playground Safety Inspection class for Public Works and Recreation. 3. Your Safety Consultant is ready to assist with any aspect of your program.

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Safety Briefing The conditions of our playgrounds and parks are important to the residents of our community. Let’s take a moment to discuss the policies and procedures we have in place to ensure our playgrounds are safe. Our playgrounds are inspected [INSERT FREQUENCY] by [INSERT DEPARTMENT OR NAME OF INDIVIDUAL]. But we are in, or driving past, playgrounds and parks almost every day. We can have a bigger impact on the appearance and safety of our parks and playgrounds than a periodic inspection. I want to review this department’s policies if you see problems in our parks, such as:

Damaged playground equipment Broken glass Graffiti [ADD ADDITIONAL OR LOCAL CONCERNS]

If you are in a park, cutting grass or collecting trash, etc., and see a condition that you can correct such as: Mulch around playground equipment that has been significantly kicked out such as under swings Objects, such as tables or toys that were moved into the fall zones of playground equipment Swings over the top of the swing set’s top support bar A loose or damaged component that can be quickly tightened, fixed, or replaced.

Our policy is to take care of it right then and record it [Describe HOW - write it down where or call it in to who.]. For example, if you are collecting trash and see that the mulch at the bottom of the sliding board is kicked out, we want you to take 5 minutes to rake mulch back under the slide. Or, to sweep up broken glass. But, we also need to document it. This helps the town protect itself from liability claims. If you see a condition that will require lengthy repairs, call [WHO] at your first opportunity. If the condition is severe enough, stay there until we can make it safe. If it is not a severe hazard, and you have a cone or CAUTION tape, secure the scene as best you can. If you are not sure of how dangerous a condition is, contact [WHO] for guidance. If you see conditions such as:

Arson Intentional damage Significant graffiti Any other criminal activity

Call [Police or WHO – department and / or the police on their non-emergency number].

What questions do you have?

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April2019

National Safety Stand-Down to Prevent Falls in Construction

The 2019 National Stand-Down is the week of May 6 – 10. Falls from heights continue to be among the most dangerous hazards to workers, nationally and within the MEL / JIF system. Falls can be prevented if leaders plan the job properly, provide the right equipment, and train and retrain workers on the proper use of the equipment and safety best practices. Work sites that involve working at heights should be visited frequently by crew leaders.

The Safety Director encourages all members to participate in the National Stand-Down.

OSHA has provided a number of resources to help employers participate in the Stand-Down.

There is a series of fall safety videos at https://www.osha.gov/dts/vtools/construction.html. These are 2 – 4 minutes, suitable for morning Briefings, and cover topics such as fixed scaffolds, and leading-edge work.

OSHA has a more general video, 5 Ways to Prevent Workplace Falls, also available on their YouTube channel https://www.youtube.com/watch?v=Qpowg5Ynh0w&feature=youtu.be

OSHA has developed a number of QuickCards™ and Fact Sheets on ladders, scaffolding, and working on roofs and other elevated surfaces. Go to their website www.osha.gov and enter the topic you wish to cover in the search engine at the top of the page.

These resources on OSHA’s Stand-Down home page https://www.osha.gov/StopFallsStandDown/. The site also includes ideas on how employers around the nation have effectively used the resources in their organizations. There is even a Certificate of Participation available.

The MEL Safety Institute offers two classes that can be attended as part of your Stand-Down activities; Ladder Safety / Walking & Working Surfaces and Fall Protection Awareness. Upcoming classes are provided below.

Ladder Safety / Walking & Working Surfaces May 6, 2019 Township of Hamilton Town Hall, Court Room 8:30 a.m.

May 17, 2019 Township of Stafford Municipal Building 8:30 a.m.

May 21, 2019 Township of East Hanover Fire Department 8:00 a.m.

June 3, 2019 Borough of Fort Lee Fire House #3 8:00 AM

Fall Protection Awareness

May 7, 2019 Township of Barnegat #1 Fire House 8:30 a.m.

June 5, 2019 Evesham Township MUA Woodstream Wastewater Treatment Plant 10:45 a.m.

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May 7, 2019 To the Members of the Executive Board of the Atlantic County Municipal Joint Insurance Fund I have enclosed for your review and, in some cases consideration, documents of presentation relating to claims, transfers, and the financial condition of the Fund. The statements included in this report are prepared on a “modified cash basis” and relate to financial activity through the one month period ending April 30, 2019, for Closed Fund Years 1987 to 2014, and Fund Years 2015, 2016, 2017, 2018 and 2019. The reports, where required, are presented in a manner prescribed or permitted by the Department of Insurance and the Division of Local Government Services of the Department of Community Affairs. All statements contained in this report are subject to adjustment by annual audit. A summary of the contents of these statements is presented below. INVESTMENT INTEREST & INVESTMENTS: ACTIVITY FOR MONTH In terest Income: Interest received from Account Balances $ 13,692.03 Coupon Interest Payment $ 81,799.48 Amortization and/or interest cost {net} $ -0- Unrealized gain/<loss> $ 29,649.18 Management Fee < $ 5,564.00> misc. ____________ Net gain/<loss> in interest $ 119,576.69 Interest Accrual: Beginning Interest Accrual at M&T/Wilmington Trust $183,196.33 Change in Accrued interest at M&T/Wilmington Trust $ 20,346.45 Ending Interest Accrual $ 162,849.88 Unrealized Gain/Loss: Current Month <$ 50,775.35> Prior Month <$ 80,424.53> Change in Unrealized Gain/Loss $ 29,649.18

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Investment Balance beginning of month: $44,635,696.37 end of month- $44,603,295.06 Overall yield 2.34% {from CIR_ACM file} Portfolio: US Treasury Bonds $ 37,176,018.05 83.32% US Treasury Bills & Notes $ 7,427,277.01 16.68% RECEIPT ACTIVITY FOR THE PERIOD

Subrogation Receipts- $ 68,420.57 {ytd:$173,733.14} Other- $ 4,950.00 {ytd:$10,150.00} Adjustment Receipts-other- $ 3,196.98 {ytd:$5,616.06} CY assessments $1,507,693.00 (ytd 4,477,787.00}

CLAIM ACTIVITY FOR THE PERIOD: ACTIVITY The enclosed report shows claim activity during the reporting period for claims paid by the fund and claims payable by the Fund at period end in the amount of $1,065,311.40. The claims detail shows 473 checks totaling 1,038 claims payments issued and are categorized as follows: Further Analysis: Payments: $ 1,065,311.40 Adjustments-void ck <$ 83,492.53> Adjustments-receipts <$ 3,196.98> Less Recoveries <$ 73,370.57> Net Total $ 905,251.32 CASH ACTIVITY FOR THE PERIOD: ACTIVITY The enclosed reconciliation report details that during the reporting period the Fund’s “Cash Position” changed from an opening balance of $52,222,644.55 to a closing balance of $51,397,272.26 showing a decrease in the fund's cash position of $825,372.29. A detailed account reconciliation of this change, including its affect on our banking instruments, is included in my report.

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A.E.L.C.F. PARTICIPANT YEAR-END BALANCES 4/30/2019 UNAUDITED Hamilton Township $ 61,341.52 Hammonton Township $ 219,141.02 Middle Township $ 101,991.17 Mullica Township $ 26,335.89 Northfield $ 56,548.09 Pleasantville $ 479.39 Upper Deerfield Township $ 61,477.37 Waterford Township $ 26,564.45 Upper Township $ 58,454.01 Stone Harbor $ 8,936.43 $621,269.34 Include interest allocations-to be verified SUMMARY REPORT OF AELCF/DIVIDENDS/RETRO PROGRAM -attached BILL LIST FOR THE PERIOD: Vouchers to be submitted for your consideration at the scheduled meeting show on the accompanying bill list at the end of my report. The information contained in this cover report is a summary of key elements related to activity during the reporting period. Other detailed information is contained in the attached documents and, if desired, a more specific explanation on any question can be obtained by contacting me at 609-425-1136 or email [email protected]. Respectfully Submitted, John J. Hansen John J. Hansen, Treasurer

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ACM JIF DEPOSITS

YTD TO APRIL 2019 CONTROL

4,736,063.16$ 173,733.14$ 4,950.00$ 5,200.00$ 5,616.06$ 4,477,787.00$ -$ 68,776.96$ -$ -$ 0.00$

RECOVERY REGISTER: RECOVERY REGISTER:CONTROL MONTH DATE GROUP NAME TOTAL SUBROGATION EXCESS REIMB/REFUNDS/ALL OTHER OTHER ADJUSTMENT REGISTER CY ASSESSMENT PY ASSESSMENT INTEREST RETURN FROM M&T OTHER COMMENT

APRIL 4/8/2019 FOLSOM 5,908.04$ 5,908.04$

APRIL 4/8/2019 PLEASANTVILLE 1,207.22$ 1,207.22$

APRIL 4/8/2019 EGG HARBOR TWP 50.00$ 50.00$

APRIL 4/8/2019 GALLOWAY 3,015.52$ 3,015.52$

APRIL 4/11/2019 PLEASANTVILLE 1,723.20$ 1,723.20$

APRIL 4/14/2019 GALLOWAY 544.30$ 544.30$

APRIL 4/15/2019 BUENA VISTA TWP 30.00$ 30.00$

APRIL 4/19/2019 FOLSOM 9.87$ 9.87$

APRIL 4/19/2019 GALLOWAY 196.00$ 196.00$

APRIL 4/19/2019 SOMERS POINT CITY 144.00$ 144.00$

APRIL 4/19/2019 MILLVILLE 1,200.00$ 1,200.00$

APRIL 4/19/2019 EGG HARBOR TWP 3,500.00$ 3,500.00$

APRIL 4/19/2019 HAMILTON 351.40$ 351.40$

APRIL 4/19/2019 WATERFORD 5,000.00$ 5,000.00$

APRIL 4/19/2019 EGG HARBOR TWP 35,148.98$ 35,148.98$

APRIL 4/19/2019 EGG HARBOR TWP 76.05$ 76.05$

APRIL 4/20/2019 HAMILTON 1,751.66$ 1,751.66$

APRIL 4/30/2019 EGG HARBOR TWP DIT 1,413.78$ 1,413.78$

APRIL 4/30/2019 CAPE MAY DIT 250.00$ 250.00$

APRIL 4/30/2019 SEA ISLE CITY DIT 2,313.98$ 2,313.98$

APRIL 4/30/2019 MILLVILLE DIT 10,657.00$ 10,657.00$

APRIL 4/30/2019 NORTH WILDWOOD DIT 296.75$ 296.75$

APRIL 4/30/2019 MIDDLE DIT 298.00$ 298.00$

APRIL 5/1/2019 SEA ISLE CITY DIT 1,421.80$ 1,421.80$

APRIL 5/1/2019 CY ASSESSMENTS DIT 965,063.00$ 965,063.00$

APRIL 5/1/2019 CY ASSESSMENTS 542,630.00$ 542,630.00$

APRIL 5/1/2019 INVESTOR INTEREST 13,692.03$ 13,692.03$

1,597,892.58$ 68,420.57$ 4,950.00$ -$ 3,136.98$ 1,507,693.00$ -$ 13,692.03$ -$

4,736,063.16$ 173,733.14$ 4,950.00$ 5,200.00$ 5,616.06$ 4,477,787.00$ -$ 68,776.96$ -$

4,736,063.16$

FILE:C:\Users\kkristie\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\PZCSRXEF\YTD DEPOSITS TO APRIL 2019\2019 5/8/201984

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SUMMARY OF CASH AND INVESTMENT INSTRUMENTS

ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND

ALL FUND YEARS COMBINED

CURRENT MONTH April

CURRENT FUND YEAR 2019

Description: Instrument #1 Instr #2 Instr #3 Instr #4 Instr #5

ID Number: INVESTORS LOSS INVESTORS EXPENSEINVESTORS:IMPRESS 0 Wilmington Trust

Maturity (Yrs) 0 0 0 0 0

Purchase Yield: 0 0 0 0 0

TOTAL for All

Accts & instruments

Opening Cash & Investment Balance $52,222,644.55 6870796.38 750 693995.94 21405.86 44635696.37

Opening Interest Accrual Balance $181,196.33 0 0 0 0 181196.33

1 Interest Accrued and/or Interest Cost $63,453.03 $0.00 $0.00 $0.00 $0.00 $63,453.03

2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

5 Interest Paid - Cash Instr.s $8,128.03 $13,692.03 $0.00 $0.00 ($5,564.00) $0.00

6 Interest Paid - Term Instr.s $81,799.48 $0.00 $0.00 $0.00 $0.00 $81,799.48

7 Unrealized Gain (Loss) $29,649.18 $0.00 $0.00 $0.00 $0.00 $29,649.18

8 Net Investment Income $101,230.24 $13,692.03 $0.00 $0.00 ($5,564.00) $93,102.21

9 Deposits - Purchases $24,925,441.18 $1,584,200.55 $1,547,390.66 $750,000.00 $10,593,849.97 $10,450,000.00

10 (Withdrawals - Sales) ($25,870,390.16) ($2,297,390.66) ($1,547,390.66) ($981,758.87) ($10,450,000.00) ($10,593,849.97)

Ending Cash & Investment Balance $51,397,272.26 $6,171,298.30 $750.00 $462,237.07 $159,691.83 $44,603,295.06

Ending Interest Accrual Balance $162,849.88 $0.00 $0.00 $0.00 $0.00 $162,849.88

Plus Outstanding Checks $427,435.08 $0.00 $16,513.26 $410,921.82 $0.00 $0.00

(Less Deposits in Transit) ($981,714.31) ($981,714.31) $0.00 $0.00 $0.00 $0.00

Balance per Bank $50,842,993.03 $5,189,583.99 $17,263.26 $873,158.89 $159,691.83 $44,603,295.06

Annualized Rate of Return This Month 2.34% 2.52% 0.00% 0.00% -73.74% 2.50%

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Investment Income Allocation

Prop Liab Auto WC Ded Cont EJIF MEL Admin Total

2019 Opening Cash & Investment Balance 47,109.23 277,984.94 43,100.48 750,470.37 250,558.88 0.00 0.00 0.00 (1,579,592.99) ($210,369.09)

Opening Interest Accrual Balance $158.73 $406.12 $68.41 $1,282.30 $362.79 $0.00 $0.00 $0.00 $64.56 $2,342.91

1 Interest Accrued and/or Interest Cost $52.92 $312.26 $48.42 $843.01 $281.45 $0.00 $0.00 $0.00 $0.00 $1,538.06

2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

5 Interest Paid - Cash Instr.s $6.78 $40.00 $6.20 $107.99 $36.05 $0.00 $0.00 $0.00 $0.00 $197.02

6 Interest Paid - Term Instr.s $71.66 $183.34 $30.88 $578.88 $163.78 $0.00 $0.00 $0.00 $29.15 $1,057.68

7 Unrealized Gain (Loss) $24.73 $145.91 $22.62 $393.91 $131.51 $0.00 $0.00 $0.00 $0.00 $718.68

8 Net Investment Income $84.42 $498.17 $77.24 $1,344.90 $449.02 $0.00 $0.00 $0.00 $0.00 $2,453.75

9 Interest Accrued - Net Change ($18.74) $128.92 $17.53 $264.13 $117.68 $0.00 $0.00 $0.00 ($29.15) $480.37

Ending Cash & Investment Balance $31,683.10 $418,822.41 $63,346.05 $1,093,909.50 $377,783.69 $0.00 $0.00 $0.00 ($2,428,602.20) ($443,057.45)

Ending Interest Accrual Balance $139.99 $535.04 $85.94 $1,546.42 $480.47 $0.00 $0.00 $0.00 $35.42 $2,823.28

Prop Liab Auto WC Ded Cont EJIF MEL Admin Total

2018 Opening Cash & Investment Balance (294,936.53) (787,098.70) 299,044.43 3,480,035.47 1,770,553.21 0.00 0.00 (1,603,413.50) 6,487,843.97 $9,352,028.35

Opening Interest Accrual Balance $28.91 $0.78 $933.00 $12,623.97 $5,480.89 $0.00 $0.00 $0.00 $20,659.28 $39,726.83

1 Interest Accrued and/or Interest Cost $0.00 $0.00 $335.92 $3,909.15 $1,988.88 $0.00 $0.00 $0.00 $7,287.84 $13,521.79

2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

5 Interest Paid - Cash Instr.s $0.00 $0.00 $43.03 $500.74 $254.77 $0.00 $0.00 $0.00 $933.54 $1,732.08

6 Interest Paid - Term Instr.s $13.05 $0.35 $421.19 $5,698.98 $2,474.30 $0.00 $0.00 $0.00 $9,326.45 $17,934.33

7 Unrealized Gain (Loss) $0.00 $0.00 $156.96 $1,826.60 $929.33 $0.00 $0.00 $0.00 $3,405.33 $6,318.21

8 Net Investment Income $0.00 $0.00 $535.91 $6,236.49 $3,172.97 $0.00 $0.00 $0.00 $11,626.71 $21,572.08

9 Interest Accrued - Net Change ($13.05) ($0.35) ($85.27) ($1,789.83) ($485.42) $0.00 $0.00 $0.00 ($2,038.61) ($4,412.54)

Ending Cash & Investment Balance ($336,284.39) ($809,823.49) $299,654.36 $3,278,230.45 $1,774,211.60 $0.00 $0.00 ($1,603,413.50) $6,482,409.29 $9,084,984.32

Ending Interest Accrual Balance $15.86 $0.43 $847.72 $10,834.14 $4,995.47 $0.00 $0.00 $0.00 $18,620.67 $35,314.29

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Prop Liab Auto WC Ded Cont EJIF MEL Admin Total

2017 Opening Cash & Investment Balance 79,641.16 2,033,974.13 256,377.61 3,224,865.19 1,984,794.57 0.00 0.00 256,376.86 319,326.49 $8,155,356.01

Opening Interest Accrual Balance $286.76 $6,503.03 $806.00 $11,107.15 $6,238.09 $0.00 $0.00 $804.86 $1,066.28 $26,812.16

1 Interest Accrued and/or Interest Cost $89.46 $2,284.78 $287.99 $3,622.51 $2,229.53 $0.00 $0.00 $287.99 $358.70 $9,160.97

2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

5 Interest Paid - Cash Instr.s $11.46 $292.67 $36.89 $464.03 $285.59 $0.00 $0.00 $36.89 $45.95 $1,173.48

6 Interest Paid - Term Instr.s $129.46 $2,935.74 $363.86 $5,014.23 $2,816.13 $0.00 $0.00 $363.35 $481.36 $12,104.12

7 Unrealized Gain (Loss) $41.80 $1,067.59 $134.57 $1,692.66 $1,041.78 $0.00 $0.00 $134.57 $167.61 $4,280.57

8 Net Investment Income $142.72 $3,645.04 $459.45 $5,779.20 $3,556.90 $0.00 $0.00 $459.45 $572.26 $14,615.02

9 Interest Accrued - Net Change ($39.99) ($650.96) ($75.87) ($1,391.71) ($586.60) $0.00 $0.00 ($75.36) ($122.66) ($2,943.14)

Ending Cash & Investment Balance $80,019.88 $2,000,675.32 $256,912.93 $3,044,346.20 $1,988,938.07 $0.00 $0.00 $256,911.66 $320,021.41 $7,947,825.47

Ending Interest Accrual Balance $246.77 $5,852.07 $730.13 $9,715.44 $5,651.49 $0.00 $0.00 $729.50 $943.62 $23,869.02

Prop Liab Auto WC Ded Cont EJIF MEL Admin Total

2016 Opening Cash & Investment Balance 11,314.12 1,626,505.73 328,886.74 2,060,389.02 2,056,524.49 125,400.24 0.00 113,709.23 57,734.50 $6,380,464.07

Opening Interest Accrual Balance $31.99 $5,314.32 $1,043.46 $6,986.77 $6,464.60 $394.16 $0.00 $357.41 $181.92 $20,774.64

1 Interest Accrued and/or Interest Cost $12.71 $1,827.07 $369.44 $2,314.45 $2,310.11 $140.86 $0.00 $127.73 $64.85 $7,167.22

2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

5 Interest Paid - Cash Instr.s $1.63 $234.04 $47.32 $296.47 $295.91 $18.04 $0.00 $16.36 $8.31 $918.09

6 Interest Paid - Term Instr.s $14.44 $2,399.10 $471.06 $3,154.12 $2,918.39 $177.94 $0.00 $161.35 $82.13 $9,378.53

7 Unrealized Gain (Loss) $5.94 $853.72 $172.63 $1,081.45 $1,079.43 $65.82 $0.00 $59.68 $30.30 $3,348.97

8 Net Investment Income $20.28 $2,914.82 $589.39 $3,692.37 $3,685.45 $224.73 $0.00 $203.78 $103.46 $11,434.28

9 Interest Accrued - Net Change ($1.73) ($572.04) ($101.62) ($839.67) ($608.28) ($37.08) $0.00 ($33.62) ($17.27) ($2,211.30)

Ending Cash & Investment Balance $10,763.93 $1,603,036.78 $322,221.25 $2,014,247.90 $2,060,818.22 $125,662.04 $0.00 $113,946.63 $57,855.24 $6,308,551.99

Ending Interest Accrual Balance $30.26 $4,742.28 $941.84 $6,147.11 $5,856.32 $357.08 $0.00 $323.79 $164.65 $18,563.33

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Prop Liab Auto WC Ded Cont EJIF MEL Admin Total

2015 Opening Cash & Investment Balance 175,544.88 1,395,783.01 323,539.34 1,449,562.28 2,211,634.18 123,105.84 0.00 274,648.17 149,972.64 $6,103,790.34

Opening Interest Accrual Balance $551.63 $5,411.45 $1,022.80 $5,060.85 $6,951.62 $386.95 $0.00 $863.28 $471.39 $20,719.98

1 Interest Accrued and/or Interest Cost $197.19 $1,567.89 $363.43 $1,628.30 $2,484.34 $138.29 $0.00 $308.51 $168.47 $6,856.43

2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

5 Interest Paid - Cash Instr.s $25.26 $200.84 $46.55 $208.58 $318.23 $17.71 $0.00 $39.52 $21.58 $878.28

6 Interest Paid - Term Instr.s $249.03 $2,442.95 $461.73 $2,284.68 $3,138.25 $174.68 $0.00 $389.72 $212.81 $9,353.85

7 Unrealized Gain (Loss) $92.14 $732.62 $169.82 $760.84 $1,160.84 $64.62 $0.00 $144.16 $78.72 $3,203.75

8 Net Investment Income $314.59 $2,501.35 $579.81 $2,597.73 $3,963.42 $220.62 $0.00 $492.19 $268.76 $10,938.47

9 Interest Accrued - Net Change ($51.84) ($875.06) ($98.30) ($656.37) ($653.90) ($36.40) $0.00 ($81.20) ($44.34) ($2,497.42)

Ending Cash & Investment Balance $175,911.31 $1,353,759.81 $324,217.45 $1,403,935.89 $2,216,251.50 $123,362.85 $0.00 $275,221.56 $150,285.74 $6,022,946.11

Ending Interest Accrual Balance $499.79 $4,536.39 $924.50 $4,404.48 $6,297.72 $350.55 $0.00 $782.07 $427.05 $18,222.56

Prop Liab Auto WC Ded Cont EJIF MEL Admin Total

Closed Opening Cash & Investment Balance 23,912.85 0.00 0.00 1,576.46 0.00 0.00 0.00 0.00 21,140,401.58 $21,165,890.89

Opening Interest Accrual Balance $30.03 $0.00 $0.00 $3.38 $0.00 $0.00 $0.00 $0.00 $66,779.69 $66,813.10

1 Interest Accrued and/or Interest Cost $26.86 $0.00 $0.00 $1.77 $0.00 $0.00 $0.00 $0.00 $23,747.17 $23,775.80

2 Interest Accrued - discounted Instr.s $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

3 (Amortization and/or Interest Cost) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

4 Accretion $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

5 Interest Paid - Cash Instr.s $3.44 $0.00 $0.00 $0.23 $0.00 $0.00 $0.00 $0.00 $3,041.90 $3,045.57

6 Interest Paid - Term Instr.s $13.56 $0.00 $0.00 $1.53 $0.00 $0.00 $0.00 $0.00 $30,147.11 $30,162.19

7 Unrealized Gain (Loss) $12.55 $0.00 $0.00 $0.83 $0.00 $0.00 $0.00 $0.00 $11,096.15 $11,109.52

8 Net Investment Income $42.85 $0.00 $0.00 $2.83 $0.00 $0.00 $0.00 $0.00 $37,885.21 $37,930.89

9 Interest Accrued - Net Change $13.31 $0.00 $0.00 $0.24 $0.00 $0.00 $0.00 $0.00 ($6,399.94) ($6,386.39)

Ending Cash & Investment Balance $27,892.27 $0.00 $0.00 $1,579.04 $0.00 $0.00 $0.00 $0.00 $21,168,404.73 $21,197,876.04

Ending Interest Accrual Balance $43.33 $0.00 $0.00 $3.63 $0.00 $0.00 $0.00 $0.00 $60,379.75 $60,426.71

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Page 1 of 18 www.wilmingtontrust.com

Corporate Headquarters

1100 North Market Street

Wilmington, DE 19890-0001

Accounts Included

WILMINGTON TRUST, NA AS INVESTMENT AGENT UNDER AGREEMENTDATED 2/23/2017 WITH ATLANTIC COUNTY MUNICIPAL MANAGEMENT JOINTINSURANCE FUND120772-000

Accounting Statement120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

Your Portfolio at a GlanceOpening Market Value w/Accrued Income $44,816,892.70Net of Contributions & Withdrawals -$143,849.97Net Investment Change $93,102.21Closing Market Value w/Accrued Income $44,766,144.94

Your Relationship Team

SUSAN T O'NEAL (302) 636-6448Relationship Managerso'[email protected]

ZIA E QASIM (302) 651-8413Portfolio [email protected]

JOHN HANSENATLANTIC COUNTY MUNICIPAL JIF105 SIMPSON AVEOCEAN CITY, NJ 08226

20190502 11.50.02 : 1927358 : 107119190

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Relationship Summary

Asset Allocation ..............................................................................3

Accrued Income by Asset Class Summary.........................................3

Portfolio Valuations & Activity Summary ..........................................4

Income Received Summary ..............................................................4

Realized Gain/Loss Summary ...........................................................4

Cash Activity Summary ....................................................................5

Asset Allocation

Asset & Sub Asset Allocation...........................................................6

Holdings Detail

Fixed Income...................................................................................7

Cash & Equivalents .......................................................................10

Activity Detail

Transaction Activity Detail .............................................................11

Realized Gain / Loss Detail ............................................................14

Disclosures

Statement Disclosures ...................................................................15

Glossary

Glossary........................................................................................17

20190502 11.50.02 : 1927358 : 1071191

Table of Contents

Accounting Statement120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

Please see Glossary for descriptions of key fields depicted in this statement.

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Page 3 of 18 www.wilmingtontrust.com

Relationship Summary

Asset Allocation

Asset ClassTotal

Market ValueAllocation

(%)

Fixed Income $37,176,018.05 83.35%

Cash & Equivalents 7,427,277.01 16.65

TOTAL $44,603,295.06 100%

Accrued Income by Asset Class SummaryAccrued Market Value + Estimated

Asset Class Market Value Income Accrued Income Annual Income Yield (%)

Fixed Income $37,176,018.05 $122,887.06 $37,298,905.11 $567,806.25 1.53%

Cash & Equivalents 7,427,277.01 39,962.82 7,467,239.83 183,180.10 2.47

TOTAL $44,603,295.06 $162,849.88 $44,766,144.94 $750,986.35 1.68%

Fixed Income

Cash & Equivalents

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 1071191

Market Values may be generated using market quotations, closing price, mean bid or ask, or estimated market value obtained from quotation services. Mutual fund balances are incorporated into appropriate asset classifications. Derivative instru-ments are classified based upon the corresponding underlying security and does not represent a comprehensive risk assessment of your account.Asset values will fluctuate. Estimated Annual Income is provided for comparison purposes only. Estimated Annual Income is based on historical data or other assumptions and is not a guarantee of future results. This report should not beused to prepare tax documents.Yield for Cash & Equivalents is calculated based on Market Value of investments and does not include Uninvested Cash (Cash Balance) or Cash Payables and Receivables for pending trades.

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Portfolio Valuations & Activity Summary

Category Current Period Year-to-Date

Opening Market Value $44,635,696.37 $44,172,194.17

Accrued Income 181,196.33 92,090.44

Opening Market Value w/Accrued Income $44,816,892.70 $44,264,284.61

Contributions

Cash Receipts 10,357,462.53 20,780,865.10

Intra-Account Transfers - -

Other Receipts - -

Securities Transferred In - -

Tax Refunds - -

Total Contributions $10,357,462.53 $20,780,865.10

Withdrawals

Cash Disbursements - -

Intra-Account Transfers - -

Other Disbursements -10,501,312.50 -20,729,625.00

Other Fees - -

Securities Transferred Out - -

Tax Payments - -

Taxes Withheld - -

Wilmington Trust Fees - -

Total Withdrawals -$10,501,312.50 -$20,729,625.00

Net Contributions & Withdrawals -$143,849.97 $51,240.10

Closing Market Value 44,603,295.06 44,603,295.06

Accrued Income 162,849.88 162,849.88

Closing Market Value w/Accrued Income $44,766,144.94 $44,766,144.94

Net Investment Change $93,102.21 $450,620.23

Net Investment Change Detail Current Period Year-to-Date

Net Investment Change $93,102.21 $450,620.23

Income Earned

Dividends - -

Net Interest 81,799.48 200,089.80

Other Income - -

Change in Accrual -18,346.45 70,759.44

Total Income Earned $63,453.03 $270,849.24

Market Appreciation $29,649.18 $179,770.99

Management and advisory fees charged through accounts not listed under the Market Value Summarywill not be shown in this schedule. Transactions classified in Other (Receipts, Fees, and Disbursements)categories are identified in the Transaction Activity Detail.

Relationship Summary

Income Received Summary

Category Current Period Year-to-Date

TaxableDividends - -Interest 120,724.89 244,509.52Other Income - -

Total Taxable $120,724.89 $244,509.52

Tax-ExemptDividends - -Interest - -Other Income - -

Total Tax-Exempt - -

TOTAL RECEIVED $120,724.89 $244,509.52

Actual income received may differ from that presented on this schedule due to restatements related tocorporate actions. Purchase of Accrued Interest on securities is not included in the Summary.Taxable andTax-exempt status is determined by security, rather than account type, so tax-exempt accounts may haveholdings included in the Taxable category. This is not a tax document and should not be used for taxpreparation.

Realized Gain/Loss Summary

Category Current Period Year-to-Date

Short TermGain - -Loss - -

Total Short Term - -

Long TermGain - 16,093.74Loss - -

Total Long Term - $16,093.74

TOTAL GAIN/LOSS - $16,093.74

Realized Gain/Loss estimates are preliminary, are reliant upon accurate cost basis information, andmay not reflect all cost basis adjustments. Corporate actions and income reclassifications will alter aholding’s basis and subsequent gain/loss values. Gain/Loss estimates include results for both Taxableand Tax-exempt accounts. This is not a tax document and should not be used for tax preparation.

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 1071191

Market Appreciation reflects your Closing Market Value w/Accrued Income, less the net of contribu-tions, withdrawals, and income earned, less your Opening Market Value w/Accrued Income.

(continued)

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Relationship Summary

Cash Activity Summary

Current Period Year-to-Date Category Cash Cash

Opening Balance - -

ReceiptsCash Receipts 10,357,462.53 20,780,865.10Dividends - -Intra-Account Transfers - -Maturities 10,380,587.61 22,760,115.48Net Interest 81,799.48 200,089.80Other Income - -Other Receipts - -Sales - -Tax Refunds - -

Total Receipts $20,819,849.62 $43,741,070.38

DisbursementsCash Disbursements - -Intra-Account Transfers - -Other Disbursements -10,501,312.50 -20,729,625.00Other Fees - -Purchases -10,318,537.12 -23,011,445.38Tax Payments - -Taxes Withheld - -Wilmington Trust Fees - -

Total Disbursements -$20,819,849.62 -$43,741,070.38

TOTAL CLOSING BALANCE - -

Net Total Payables and Receivables -

NET OF CASH BALANCE -

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 1071191

(continued)

Opening and Total Closing Balances include holdings of cash and money market funds in USD currency.Pending purchases, pending sales and foreign currency holdings are not included.

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Asset Allocation

Asset & Sub Asset Allocation

Total Market Closing Unrealized Market Value Asset Class Value (%) Market Value Cost Gain/Loss Accrued Income w/ Accrued Income

Fixed Income

U.S. Taxable Fixed Income 83.35% $37,176,018.05 $37,226,793.40 -$50,775.35 $122,887.06 $37,298,905.11

Total Fixed Income 83.35% $37,176,018.05 $37,226,793.40 -$50,775.35 $122,887.06 $37,298,905.11

Cash & Equivalents

Taxable 16.65 7,427,277.01 7,427,277.01 - 39,962.82 7,467,239.83

Total Cash & Equivalents 16.65% $7,427,277.01 $7,427,277.01 - $39,962.82 $7,467,239.83

TOTAL ASSETS 100% $44,603,295.06 $44,654,070.41 -$50,775.35 $162,849.88 $44,766,144.94

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 107119195

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Holdings Detail  

Fixed Income

Security Name Quantity Market Price Market Value CostUnrealizedGain/Loss

AccruedIncome

EstimatedAnnual Income

EffectiveDuration

Yield to Worst

(%)

MarketValue

(%)

U.S. Taxable Fixed Income

U.S. Treasury BondsUNITED STATES TREASURY NOTES DTD05/15/2016 0.875% 05/15/2019CUSIP: 912828R44Moody's: AAA

1,000,000 $99.941 $999,410.00 $991,914.06 $7,495.94 $4,036.60 $8,750.00 0.06 2.26% 2.24%

UNITED STATES TREASURY NOTES DTD07/15/2016 0.750% 07/15/2019CUSIP: 912828S43Moody's: AAA

2,000,000 99.648 1,992,960.00 1,972,968.75 19,991.25 4,392.27 15,000.00 0.22 2.42    4.47   

UNITED STATES TREASURY NOTES DTD09/30/2012 1.000% 09/30/2019CUSIP: 912828TR1Moody's: AAA

1,000,000 99.398 993,980.00 994,140.63 -160.63 846.99 10,000.00 0.43 2.43    2.23   

UNITED STATES TREASURY NOTES DTD12/15/2016 1.375% 12/15/2019CUSIP: 912828U73Moody's: AAA

2,000,000 99.340 1,986,800.00 1,997,656.25 -10,856.25 10,350.27 27,500.00 0.63 2.43    4.45   

UNITED STATES TREASURY NOTES DTD02/28/2013 1.250% 02/29/2020CUSIP: 912828UQ1Moody's: AAA

1,950,000 99.039 1,931,260.50 1,941,164.06 -9,903.56 4,106.66 24,375.00 0.84 2.44    4.33   

UNITED STATES TREASURY NOTES DTD03/31/2015 1.375% 03/31/2020CUSIP: 912828J84Moody's: AAA

2,250,000 99.059 2,228,827.50 2,227,500.00 1,327.50 2,620.39 30,937.50 0.92 2.43    5.00   

UNITED STATES TREASURY NOTES DTD04/30/2013 1.125% 04/30/2020CUSIP: 912828VA5Moody's: AAA

3,900,000 98.758 3,851,562.00 3,848,203.13 3,358.87 119.23 43,875.00 1.00 2.42    8.64   

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 107119196

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Holdings Detail  

Fixed Income (continued)

Security Name Quantity Market Price Market Value CostUnrealizedGain/Loss

AccruedIncome

EstimatedAnnual Income

EffectiveDuration

Yield to Worst

(%)

MarketValue

(%)

UNITED STATES TREASURY NOTES DTD05/31/2013 1.375% 05/31/2020CUSIP: 912828VF4Moody's: AAA

1,000,000 $98.918 $989,180.00 $996,601.56 -$7,421.56 $5,741.76 $13,750.00 1.08 2.41% 2.22%

UNITED STATES TREASURY NOTES DTD08/15/2017 1.500% 08/15/2020CUSIP: 9128282Q2Moody's: AAA

2,000,000 98.934 1,978,680.00 1,975,625.00 3,055.00 6,215.47 30,000.00 1.29 2.39    4.44   

UNITED STATES TREASURY NOTES DTD10/31/2015 1.375% 10/31/2020CUSIP: 912828L99Moody's: AAA

1,000,000 98.613 986,130.00 992,500.00 -6,370.00 37.36 13,750.00 1.48 2.37    2.21   

UNITED STATES TREASURY NOTES DTD12/15/2017 1.875% 12/15/2020CUSIP: 9128283L2Moody's: AAA

2,200,000 99.305 2,184,710.00 2,181,867.19 2,842.81 15,525.41 41,250.00 1.60 2.36    4.90   

UNITED STATES TREASURY NOTES DTD01/31/2016 1.375% 01/31/2021CUSIP: 912828N89Moody's: AAA

2,000,000 98.402 1,968,040.00 1,973,671.88 -5,631.88 6,837.02 27,500.00 1.73 2.36    4.41   

UNITED STATES TREASURY NOTES DTD02/15/2018 2.250% 02/15/2021CUSIP: 9128283X6

2,065,000 99.914 2,063,224.10 2,060,966.80 2,257.30 9,626.21 46,462.50 1.76 2.36    4.63   

UNITED STATES TREASURY NOTES DTD05/31/2016 1.375% 05/31/2021CUSIP: 912828R77Moody's: AAA

1,000,000 98.176 981,760.00 986,679.69 -4,919.69 5,741.76 13,750.00 2.04 2.33    2.20   

UNITED STATES TREASURY NOTES DTD08/15/2011 2.125% 08/15/2021CUSIP: 912828RC6Moody's: AAA

1,000,000 99.699 996,990.00 991,171.88 5,818.12 4,402.62 21,250.00 2.23 2.32    2.24   

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 107119197

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Holdings Detail  

Fixed Income (continued)

Security Name Quantity Market Price Market Value CostUnrealizedGain/Loss

AccruedIncome

EstimatedAnnual Income

EffectiveDuration

Yield to Worst

(%)

MarketValue

(%)

UNITED STATES TREASURY NOTES DTD11/30/2016 1.750% 11/30/2021CUSIP: 912828U65Moody's: AAA

1,050,000 $98.750 $1,036,875.00 $1,048,281.26 -$11,406.26 $7,673.08 $18,375.00 2.51 2.31% 2.32%

UNITED STATES TREASURY NOTES DTD01/31/2015 1.500% 01/31/2022CUSIP: 912828H86Moody's: AAA

1,000,000 98.020 980,200.00 986,210.94 -6,010.94 3,729.28 15,000.00 2.68 2.31    2.20   

UNITED STATES TREASURY NOTES DTD02/28/2017 1.875% 02/28/2022CUSIP: 912828W55Moody's: AAA

5,135,000 98.977 5,082,468.95 5,065,998.44 16,470.51 16,221.30 96,281.25 2.75 2.31    11.39   

UNITED STATES TREASURY NOTES DTD03/31/2015 1.750% 03/31/2022CUSIP: 912828J76Moody's: AAA

2,000,000 98.621 1,972,420.00 1,998,046.88 -25,626.88 2,964.48 35,000.00 2.83 2.30    4.42   

UNITED STATES TREASURY NOTES DTD06/30/2017 1.750% 06/30/2022CUSIP: 912828XW5Moody's: AAA

2,000,000 98.527 1,970,540.00 1,995,625.00 -25,085.00 11,698.90 35,000.00 3.05 2.29    4.42   

Total U.S. Treasury Bonds $37,176,018.05 $37,226,793.40 -$50,775.35 $122,887.06 $567,806.25 1.62 2.37% 83.35%

Total U.S. Taxable Fixed Income $37,176,018.05 $37,226,793.40 -$50,775.35 $122,887.06 $567,806.25 1.62 2.37% 83.35%

TOTAL FIXED INCOME $37,176,018.05 $37,226,793.40 -$50,775.35 $122,887.06 $567,806.25 1.62 2.37% 83.35%

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 107119198

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Holdings Detail  

Cash & Equivalents

Security Name Quantity Market Price Market Value CostUnrealizedGain/Loss

AccruedIncome

EstimatedAnnual Income

EffectiveDuration

Yield to Worst

(%)

MarketValue

(%)

Taxable

U.S. Treasury BillsUNITED STATES TREASURY BILLS DTD01/03/2019 DUE 07/05/2019CUSIP: 912796RW1

1,078,000 $98.90 $1,066,115.65 $1,066,115.65 - $7,174.09 $26,086.52 0.18 2.42% 2.39%

UNITED STATES TREASURY BILLS DTD02/07/2019 DUE 08/08/2019CUSIP: 912796SC4

2,075,000 98.81 2,050,288.51 2,050,288.51 - 10,889.81 50,260.65 0.28 2.42    4.60   

UNITED STATES TREASURY BILLS DTD11/08/2018 DUE 11/07/2019CUSIP: 912796RM3

2,325,000 98.14 2,281,842.19 2,281,842.19 - 13,339.69 56,495.18 0.53 2.43    5.12   

UNITED STATES TREASURY BILLS DTD12/06/2018 DUE 12/05/2019CUSIP: 912796RN1

1,050,000 98.02 1,029,203.71 1,029,203.71 - 5,323.28 25,551.75 0.61 2.43    2.31   

UNITED STATES TREASURY BILLS DTD01/03/2019 DUE 01/02/2020CUSIP: 912796RT8

1,020,000 98.02 999,826.95 999,826.95 - 3,235.95 24,786.00 0.69 2.43    2.24   

Total U.S. Treasury Bills $7,427,277.01 $7,427,277.01 - $39,962.82 $183,180.10 0.44 2.43% 16.65%

Total Taxable $7,427,277.01 $7,427,277.01 - $39,962.82 $183,180.10 0.44 2.43% 16.65%

TOTAL CASH & EQUIVALENTS $7,427,277.01 $7,427,277.01 - $39,962.82 $183,180.10 0.44 2.43% 16.65%

Grand Total $44,603,295.06 $44,654,070.41 -$50,775.35 $162,849.88 $750,986.35 100%Accrued Income $162,849.88

Grand Total Market Value w/ Accrued Income $44,766,144.94

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 107119199

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Page 11 of 18 www.wilmingtontrust.com

Activity Detail

Transaction Activity DetailTrade DateSettlement Date Transaction Type Transaction Description Quantity

Cash Value

Cash Management

OPENING BALANCE - -

04/01/2019 Interest CASH RECEIPT OF INTEREST EARNED ON U.S. TREASURYNOTES 1.000% 9/30/19 AT $0.005000 /SHARE ON1000000 PAR VALUE DUE 2019-03-31

- $5,000.00 -

04/01/2019 Interest CASH RECEIPT OF INTEREST EARNED ON U.S. TREASURYNOTES 1.750% 3/31/22 AT $0.008750 /SHARE ON2000000 PAR VALUE DUE 2019-03-31

- 17,500.00 -

04/01/2019 Other Disbursements CASH DISBURSEMENT MISCELLANEOUS - ACH-CHK PAID TOM&T BANK ATLANTIC COUNTY MUNICIPAL JIF 9871761889

- -22,500.00 -

04/04/201904/04/2019

Maturities MATURED 6450000 PAR VALUE OF U.S. TREASURY BILLS4/04/19 AT 100 TRADE DATE 2019-04-04 SETTLEMENTDATE 2019-04-04

6,450,000 6,408,211.17 -

04/04/2019 Interest CASH RECEIPT OF INTEREST EARNED ON U.S. TREASURYBILLS 4/04/19 ON 6450000 PAR VALUE DUE 2019-04-04

- 41,788.83 -

04/04/2019 Other Disbursements CASH DISBURSEMENT MISCELLANEOUS - ACH-CHK PAID TOM&T BANK ATLANTIC COUNTY MUNICIPAL JIF 9871761889

- -6,450,000.00 -

04/04/201904/05/2019

Purchases PURCHASED 2200000 PAR VALUE OF U.S. TREASURYNOTES 1.875% 12/15/20 AT 99.1758 TRADE DATE2019-04-04 SETTLEMENT DATE 2019-04-05 $2,181,867.19PAYABLE SATISFIED

2,200,000 -2,181,867.19 -

04/04/201904/05/2019

Purchases PURCHASED 2250000 PAR VALUE OF U.S. TREASURYNOTES 1.375% 3/31/20 AT 99 TRADE DATE 2019-04-04SETTLEMENT DATE 2019-04-05 $2,227,500.00 PAYABLESATISFIED

2,250,000 -2,227,500.00 -

04/04/201904/05/2019

Purchases PURCHASED 2065000 PAR VALUE OF U.S. TREASURYNOTES 2.250% 2/15/21 AT 99.8047 TRADE DATE2019-04-04 SETTLEMENT DATE 2019-04-05 $2,060,966.80PAYABLE SATISFIED

2,065,000 -2,060,966.80 -

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 1071191100

Page 105: AGENDAPACKET2019/05/05  · Kellie Seib, Sea Isle City Roy Spoltore, Upper Deerfield Twp Rick Yeatman, Waterford Twp DJ Ayres, Weymouth Twp Connie Mahon, Wildwood Crest Borough Lisa

Page 12 of 18 www.wilmingtontrust.com

Activity Detail

Trade DateSettlement Date Transaction Type Transaction Description Quantity

Cash Value

Cash Managment

04/05/2019 Cash Receipts CASH RECEIPT ACH TRANSFER FROM CHECKING9871761889

- $6,489,624.73 -

04/05/2019 Interest PAID ACCRUED INTEREST ON PURCHASE OF U.S. TREASURYNOTES 1.875% 12/15/20

- -12,578.98 -

04/05/2019 Interest PAID ACCRUED INTEREST ON PURCHASE OF U.S. TREASURYNOTES 1.375% 3/31/20

- -422.64 -

04/05/2019 Interest PAID ACCRUED INTEREST ON PURCHASE OF U.S. TREASURYNOTES 2.250% 2/15/21

- -6,289.12 -

04/11/2019 Cash Receipts CASH RECEIPT ACH TRANSFER FROM CHECKING9871761889

- 3,867,837.80 -

04/11/201904/11/2019

Maturities MATURED 4000000 PAR VALUE OF U.S. TREASURY BILLS4/11/19 AT 100 TRADE DATE 2019-04-11 SETTLEMENTDATE 2019-04-11

4,000,000 3,972,376.44 -

04/11/2019 Interest CASH RECEIPT OF INTEREST EARNED ON U.S. TREASURYBILLS 4/11/19 ON 4000000 PAR VALUE DUE 2019-04-11

- 27,623.56 -

04/11/2019 Other Disbursements CASH DISBURSEMENT MISCELLANEOUS - ACH-CHK PAID TOM&T BANK ATLANTIC COUNTY MUNICIPAL JIF 9871761889

- -4,000,000.00 -

04/11/201904/11/2019

Purchases PURCHASED 3900000 PAR VALUE OF U.S. TREASURYNOTES 1.125% 4/30/20 AT 98.6719 TRADE DATE2019-04-11 SETTLEMENT DATE 2019-04-11

3,900,000 -3,848,203.13 -

04/11/2019 Interest PAID ACCRUED INTEREST ON PURCHASE OF U.S. TREASURYNOTES 1.125% 4/30/20

- -19,634.67 -

04/30/2019 Interest CASH RECEIPT OF INTEREST EARNED ON U.S. TREASURYNOTES 1.125% 4/30/20 AT $0.005625 /SHARE ON3900000 PAR VALUE DUE 2019-04-30

- 21,937.50 -

04/30/2019 Interest CASH RECEIPT OF INTEREST EARNED ON U.S. TREASURYNOTES 1.375% 10/31/20 AT $0.006875 /SHARE ON1000000 PAR VALUE DUE 2019-04-30

- 6,875.00 -

Transaction Activity Detail (continued)

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 1071191101

Page 106: AGENDAPACKET2019/05/05  · Kellie Seib, Sea Isle City Roy Spoltore, Upper Deerfield Twp Rick Yeatman, Waterford Twp DJ Ayres, Weymouth Twp Connie Mahon, Wildwood Crest Borough Lisa

Page 13 of 18 www.wilmingtontrust.com

Activity Detail

Trade DateSettlement Date Transaction Type Transaction Description Quantity

Cash Value

Cash Managment

04/30/2019 Other Disbursements CASH DISBURSEMENT MISCELLANEOUS - ACH-CHK PAID TOM&T BANK ATLANTIC COUNTY MUNICIPAL JIF 9871761889

- -$28,812.50 -

CLOSING BALANCE - -

Transaction Activity Detail (continued)

120772-000 - ATLANTIC COUNTY MUNICIPAL JIFApril 01, 2019 - April 30, 2019

20190502 11.50.02 : 1927358 : 1071191102

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103

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ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND

SUMMARY OF CASH TRANSACTIONS - ALL FUND YEARS COMBINED

Current Fund Year: 2019

Month Ending: April

Prop Liab Auto WC Ded Cont EJIF MEL Admin TOTAL

OPEN BALANCE 42,585.71 4,547,149.11 1,250,948.60 10,966,898.79 8,274,065.33 248,506.08 0.00 (958,679.24) 27,851,170.20 52,222,644.58

RECEIPTS

Assessments 68,533.69 142,718.22 23,972.32 482,604.99 126,893.47 0.00 0.00 0.00 662,970.30 1,507,692.99

Refunds 26,829.48 0.00 0.00 41,451.22 0.00 0.00 0.00 0.00 0.00 68,280.70

Invest Pymnts 716.92 11,528.86 2,585.33 24,066.73 17,044.28 518.81 0.00 1,345.59 61,770.17 119,576.69

Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Subtotal Invest 716.92 11,528.86 2,585.33 24,066.73 17,044.28 518.81 0.00 1,345.59 61,770.17 119,576.69

Other * 5,089.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5,089.87

TOTAL 101,169.96 154,247.08 26,557.65 548,122.94 143,937.75 518.81 0.00 1,345.59 724,740.47 1,700,640.25

EXPENSES

Claims Transfers 152,629.57 134,925.36 11,154.21 678,772.75 0.00 0.00 0.00 0.00 0.00 977,481.89

Expenses 1,140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,547,390.66 1,548,530.66

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 153,769.57 134,925.36 11,154.21 678,772.75 0.00 0.00 0.00 0.00 1,547,390.66 2,526,012.55

END BALANCE (10,013.90) 4,566,470.83 1,266,352.04 10,836,248.98 8,418,003.08 249,024.89 0.00 (957,333.65) 27,028,520.01 51,397,272.28

$51,397,272.26$0.02

Report Month:April

Balance DifferencesOpening Balances: Opening Balances are equal $0.00Imprest Transfers: Imprest Totals are equal $0.00Investment Balances: Investment Payment Balances are equal $0.00

Investment Adjustment Balances are equal $0.00Ending Balances: Ending Balances are equal $0.00Accural Balances: Accural Balances are equal $0.00

Claims Transaction Status:

Allocation variance 1: Daily xactions add to monthly totals 0.00

Allocation variance 2: Monthly transactions and allocation totals are equal 0.00

Allocation variance 3: Treasurer/TPA net payments NOT equal-reconciliaiton needed Max/Min 0.00 / (0.00)

Pre-existing variance: Prior period unreconciled variance exists Max/Min 0.00 / (0.00)

104

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

21994 4/2/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019151632 8/28/2018 $3.00 2018/2018 Expense21995 4/2/2019 COOPER LEVENSON, PA $1,640.00

INDEMNITY - - /2018115566 10/14/2017 $755.50 2017/2017 Legal

INDEMNITY - - /2017092245 1/17/2017 $884.50 2017/2017 Legal

21996 4/2/2019 INDEMNITY AFFANATO MARUT LLC Z37391/001249606 4/13/2016 $248.50 2016/2016 Legal 21997 4/2/2019 INDEMNITY PIETRAS, SARACINO, SMITH, & MEEK Z39256/001251525 5/23/2016 $493.50 2016/2016 Legal 21998 4/2/2019 INLAND MARINE GALLOWAY TOWNSHIP - - /2019169784 10/2/2018 $3,923.04 2018/2018 Loss 21999 4/2/2019 3RD PARTY PD Cheri Broschard - - /2019168136 3/6/2019 $3,091.46 2019/2019 Loss 22000 4/2/2019 INDEMNITY SEA ISLE CITY - - /2019150119 8/11/2018 $129.00 2018/2018 Loss 22001 4/2/2019 INDEMNITY SOMERS POINT CITY - - /2019164343 1/28/2019 $1,315.71 2019/2019 Loss 22002 4/2/2019 BODILY INJURY [Expired] LAW OFFICES OF THOMAS G SMITH PC - - /2017090919 12/2/2016 $1,571.25 2016/2016 Legal 22003 4/2/2019 INDEMNITY Dominick Jones - - /2019168813 3/18/2019 $492.00 2019/2019 Loss 22004 4/2/2019 3RD PARTY PD Ashley Blakeslee - - /2019166332 2/19/2019 $500.00 2019/2019 Loss 22005 4/2/2019 INDEMNITY DENNIS FELSING Z18589/001230478 5/25/2015 $1,596.00 2015/2015 Loss 22006 4/2/2019 INDEMNITY JONI FRANGIEH Z41781/001254090 7/14/2016 $999.00 2016/2016 Loss 22007 4/2/2019 INDEMNITY WILDWOOD CITY - - /2019166800 2/19/2019 $1,263.30 2019/2019 Loss 22008 4/2/2019 MEDICAL ONLY ATLANTICARE URGENT CARE & - - /2019165760 2/11/2019 $102.77 2019/2019 Loss 22009 4/2/2019 INDEMNITY IVY REHAB NETWORK INC - - /2019162793 1/10/2019 $85.00 2019/2019 Loss 22010 4/2/2019 INDEMNITY SHORE MEDICAL CENTER - - /2019163232 1/15/2019 $1,699.80 2019/2019 Loss

22011 4/2/2019 INDEMNITY TWIN BORO PHYSICAL THERAPY ASSOCIATES, P.A. - - /2019164343 1/28/2019 $80.00 2019/2019 Loss

22012 4/2/2019 MEDICAL ONLY OCEAN CITY FAMILY PRACTICE - - /2018108586 7/26/2017 $59.80 2017/2017 Loss 22013 4/2/2019 INDEMNITY THE FRANKEL ORTHOPEDICS AND SPORTS - - /2017104597 6/6/2017 $59.80 2017/2017 Loss 22014 4/2/2019 MEDICAL ONLY QUALCARE, INC. - - /2019169059 3/20/2019 $495.00 2019/2019 Loss 22015 4/5/2019 POLICE PROF PI VERITEXT CORP - - /2018139002 1/22/2018 $1,073.26 2018/2018 Expense22016 4/5/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2018131491 4/1/2018 $3.00 2018/2018 Expense22017 4/5/2019 INDEMNITY RALPH G. CATALDO, DO, PA - - /2017095184 2/17/2017 $600.00 2017/2017 Loss 22018 4/5/2019 COOPER LEVENSON, PA $4,341.00

INDEMNITY - - /2018129612 3/22/2018 $1,716.50 2018/2018 Legal

INDEMNITY - - /2017095228 2/18/2017 $262.50 2017/2017 Legal

INDEMNITY Z49521/001264066 11/4/2016 $623.00 2016/2016 Legal

INDEMNITY Z21364/001233332 7/3/2015 $1,739.00 2015/2015 Legal

22019 4/5/2019 GOLDENBERG, MACKLER & SAYEGH, PA $11,705.00

Run Date: 5/7/2019 09:50:40 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 1 of 34

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2018108045 7/19/2017 $8,901.00 2017/2017 Loss

INDEMNITY - - /2017105918 6/21/2017 $2,804.00 2017/2017 Loss

22020 4/5/2019 MADDEN & MADDEN, P.A. $2,636.95

PERSONAL INJURY - - /2017097096 12/14/2016 $195.00 2016/2016 Legal

BODILY INJURY [Expired] Z44404/001256723 7/22/2016 $345.00 2016/2016 Legal

GL PROPERTY DAMAGE - - /2019165675 2/5/2016 $726.95 2016/2016 Legal

BODILY INJURY [Expired] Z29206/001241268 8/19/2015 $1,370.00 2015/2015 Legal

22021 4/5/2019 INDEMNITY STATE SHORTHAND REPORTING SERV - - /2017095184 2/17/2017 $90.00 2017/2017 Expense22022 4/5/2019 INDEMNITY STARK & STARK, P.C. - - /2017093643 1/30/2017 $4,901.00 2017/2017 Loss 22023 4/5/2019 I.C.U. INVESTIGATIONS INC $406.84

INDEMNITY - - /2019168296 3/12/2019 $126.68 2019/2019 Expense

INDEMNITY - - /2019165901 2/13/2019 $130.16 2019/2019 Expense

INDEMNITY - - /2018122931 1/14/2018 $150.00 2018/2018 Expense

22024 4/5/2019 BARKER, GELFAND & JAMES $11,502.00

POLICE PROF PI - - /2018124217 7/16/2016 $1,303.50 2016/2016 Legal

BODILY INJURY [Expired] Z25634/001237652 9/6/2015 $5,085.50 2015/2015 Legal

POLICE PROF BI Z17715/001229570 2/14/2015 $5,113.00 2015/2015 Legal

22025 4/5/2019 D'ARCY JOHNSON DAY, PC $5,082.00

INDEMNITY - - /2018122241 1/9/2018 $2,652.00 2018/2018 Loss

INDEMNITY Z43046/001255362 8/6/2016 $2,430.00 2016/2016 Loss

22026 4/5/2019 INDEMNITY DWYER & BARRETT LLC - - /2017095184 2/17/2017 $2,630.00 2017/2017 Loss 22027 4/5/2019 INDEMNITY HOWARD HAMMER PSYD MLT-Z45918/001258246 10/3/2016 $150.00 2016/2016 Loss 22028 4/5/2019 INDEMNITY ARVIND BALIGA, MD - - /2018122241 1/9/2018 $600.00 2018/2018 Loss 22029 4/5/2019 BODILY INJURY [Expired] MBC INSPECTIONS INC Z29206/001241268 8/19/2015 $800.00 2015/2015 Expense22030 4/5/2019 THE DEWEESE LAW FIRM $1,452.20

INDEMNITY - - /2017095184 2/17/2017 $370.00 2017/2017 Expense

1ST PARTY COLL PD - - /2017089982 12/13/2016 $410.00 2016/2016 Legal

INDEMNITY Z49521/001264066 11/4/2016 $370.00 2016/2016 Expense

Run Date: 5/7/2019 09:50:40 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 2 of 34

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

1ST PARTY COLL PD Z41242/001253538 7/1/2016 $162.20 2016/2016 Legal

BLDG/CONTENT X63745/001174297 10/29/2012 $140.00 2012/2012 Legal

22031 4/5/2019 AFFANATO MARUT LLC $3,829.59

INDEMNITY - - /2019148368 7/20/2018 $385.00 2018/2018 Legal

INDEMNITY - - /2019148009 7/14/2018 $126.50 2018/2018 Legal

INDEMNITY - - /2018150142 6/11/2018 $261.98 2018/2018 Legal

INDEMNITY - - /2018131877 4/19/2018 $157.50 2018/2018 Legal

INDEMNITY - - /2018130569 4/9/2018 $305.26 2018/2018 Legal

INDEMNITY - - /2018121832 1/5/2018 $356.74 2018/2018 Legal

INDEMNITY MLT-2018111450/2018111456

8/30/2017 $175.50 2017/2017 Legal

INDEMNITY - - /2018110789 8/23/2017 $259.00 2017/2017 Legal

INDEMNITY - - /2018108045 7/19/2017 $163.00 2017/2017 Legal

INDEMNITY - - /2017105918 6/21/2017 $201.11 2017/2017 Legal

INDEMNITY - - /2017101045 4/26/2017 $161.50 2017/2017 Legal

INDEMNITY - - /2017094501 2/8/2017 $332.00 2017/2017 Legal

INDEMNITY MLT-Z45915/001258244 10/3/2016 $212.50 2016/2016 Legal

INDEMNITY Z43046/001255362 8/6/2016 $392.00 2016/2016 Legal

INDEMNITY Z32859/001244985 1/14/2016 $163.00 2016/2016 Legal

INDEMNITY Z08071/001219761 1/8/2015 $177.00 2015/2015 Legal

22032 4/5/2019 INDEMNITY JERSEY SHORE REPORTING, LLC Z08071/001219761 1/8/2015 $90.00 2015/2015 Expense22033 4/5/2019 PIETRAS, SARACINO, SMITH, & MEEK $985.50

INDEMNITY - - /2017095184 2/17/2017 $428.50 2017/2017 Legal

INDEMNITY - - /2017093643 1/30/2017 $224.00 2017/2017 Legal

INDEMNITY Z40100/001252382 4/15/2016 $333.00 2016/2016 Legal

22034 4/5/2019 INDEMNITY NORTH WILDWOOD CITY - - /2019165901 2/13/2019 $263.14 2019/2019 Loss 22035 4/5/2019 INDEMNITY NORTH WILDWOOD CITY - - /2019165901 2/13/2019 $1,842.00 2019/2019 Loss 22036 4/5/2019 INDEMNITY PETRO COHEN PETRO MATARAZZO PC Z08071/001219761 1/8/2015 $2,099.00 2015/2015 Loss

Run Date: 5/7/2019 09:50:40 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 3 of 34

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

22037 4/5/2019 INDEMNITY PETRO COHEN PETRO MATARAZZO PC Z08071/001219761 1/8/2015 $2,710.00 2015/2015 Loss 22038 4/5/2019 INDEMNITY PETRO COHEN PETRO MATARAZZO PC Z08071/001219761 1/8/2015 $300.00 2015/2015 Loss 22039 4/5/2019 INDEMNITY PETRO COHEN PETRO MATARAZZO PC Z08071/001219761 1/8/2015 $300.00 2015/2015 Loss 22040 4/5/2019 INDEMNITY JOSEPH STACKHOUSE Z43046/001255362 8/6/2016 $6,834.00 2016/2016 Loss 22041 4/5/2019 INDEMNITY TULLY O'CLISHAM - - /2017093643 1/30/2017 $19,490.00 2017/2017 Loss 22042 4/5/2019 INDEMNITY LOWER TOWNSHIP - - /2019148301 7/19/2018 $1,376.34 2018/2018 Loss 22043 4/5/2019 INDEMNITY The Estate of Natalie Dempsey - - /2019161647 12/25/2018 $3,500.00 2018/2018 Loss 22044 4/5/2019 INDEMNITY OCEAN CITY - - /2019166665 2/22/2019 $1,331.68 2019/2019 Loss 22045 4/5/2019 INDEMNITY MARGATE CITY - - /2018119057 11/28/2017 $1,180.12 2017/2017 Loss 22046 4/5/2019 INDEMNITY CAPE MAY CITY - - /2019166243 2/19/2019 $1,105.44 2019/2019 Loss 22047 4/5/2019 INDEMNITY HOWARD BLOOM - - /2018122241 1/9/2018 $11,614.00 2018/2018 Loss 22048 4/5/2019 INDEMNITY DANIEL GLEASON - - /2018108045 7/19/2017 $32,805.00 2017/2017 Loss 22049 4/5/2019 INDEMNITY MICHAEL MAJANE Z08071/001219761 1/8/2015 $20,186.50 2015/2015 Loss 22050 4/5/2019 INDEMNITY MICHAEL SWEENEY - - /2017105918 6/21/2017 $9,508.00 2017/2017 Loss 22051 4/5/2019 INDEMNITY JOHANNA HOVIK - - /2018113608 7/3/2017 $478.00 2017/2017 Loss

22052 4/5/2019 INDEMNITY GARY BRENNER MLT-2017106164/2017106165 6/22/2017 $1,792.00 2017/2017 Loss

22053 4/5/2019 INDEMNITY KEVIN CRAIG - - /2017095184 2/17/2017 $11,824.88 2017/2017 Loss 22054 4/5/2019 INDEMNITY JOSEPH COADY Z23386/001235389 8/5/2015 $1,596.00 2015/2015 Loss 22055 4/5/2019 INDEMNITY JAMES LUDWIG Z33140/001245272 1/24/2016 $1,624.00 2016/2016 Loss 22056 4/5/2019 INDEMNITY HEATH PER Z38199/001250461 4/30/2016 $2,088.00 2016/2016 Loss 22057 4/5/2019 INDEMNITY SAMUEL JOHNSON - - /2017103741 5/26/2017 $1,672.00 2017/2017 Loss 22058 4/5/2019 INDEMNITY ERNEST DUNSON - - /2018112985 9/19/2017 $1,056.28 2017/2017 Loss 22059 4/5/2019 1ST PARTY COLL PD WILDWOOD CITY - - /2019170237 8/8/2018 $386.60 2018/2018 Loss 22060 4/5/2019 INDEMNITY QUAL-LYNX - - /2019165901 2/13/2019 $4.25 2019/2019 Expense22061 4/5/2019 COASTAL SPINE, PC. $1,146.12

INDEMNITY - - /2019158055 11/9/2018 $1,020.00 2018/2018 Loss

INDEMNITY - - /2018129248 3/21/2018 $126.12 2018/2018 Loss

22062 4/5/2019 ATLANTICARE PHYSICIAN GROUP, PA $409.63

INDEMNITY - - /2019165232 2/6/2019 $146.63 2019/2019 Loss

MEDICAL ONLY MLT-2019161926/2019161926

12/31/2018 $263.00 2018/2018 Loss

22063 4/5/2019 ATLANTICARE URGENT CARE & $226.65

MEDICAL ONLY - - /2019167196 2/28/2019 $102.77 2019/2019 Loss

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2019166665 2/22/2019 $123.88 2019/2019 Loss

22064 4/5/2019 INDEMNITY IVY REHAB NETWORK INC - - /2019155580 10/13/2018 $170.00 2018/2018 Loss 22065 4/5/2019 STRIVE PHYSICAL THERAPY AND $160.00

INDEMNITY - - /2019165901 2/13/2019 $80.00 2019/2019 Loss

INDEMNITY MLT-2019161846/2019161846

12/29/2018 $80.00 2018/2018 Loss

22066 4/5/2019 MEDICAL ONLY REGIONAL DIAGNOSTIC, IMAGING, PA - - /2019165421 2/5/2019 $111.31 2019/2019 Loss 22067 4/5/2019 INDEMNITY INSPIRA MEDICAL CENTER VINELAND - - /2019146873 6/29/2018 $20,840.23 2018/2018 Loss

22068 4/5/2019 BACHARACH INSTITUTE FOR REHABILITATION, INC $1,683.00

INDEMNITY - - /2019165232 2/6/2019 $396.00 2019/2019 Loss

INDEMNITY - - /2019161852 12/31/2018 $594.00 2018/2018 Loss

INDEMNITY - - /2018119057 11/28/2017 $693.00 2017/2017 Loss

22069 4/5/2019 INDEMNITY CAPE REGIONAL MEDICAL CENTER - - /2019165901 2/13/2019 $795.00 2019/2019 Loss 22070 4/5/2019 INDEMNITY LOURDES ANESTHESIA ASSOC PA - - /2019158055 11/9/2018 $1,085.00 2018/2018 Loss

22071 4/5/2019 INDEMNITY HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC - - /2018131877 4/19/2018 $126.00 2018/2018 Loss

22072 4/5/2019 TWIN BORO PHYSICAL THERAPY ASSOCIATES, P.A. $1,280.00

INDEMNITY - - /2019164888 2/4/2019 $480.00 2019/2019 Loss

INDEMNITY MLT-2019163511/2019163511

1/18/2019 $80.00 2019/2019 Loss

MEDICAL ONLY MLT-2019163511/2019163512

1/18/2019 $160.00 2019/2019 Loss

INDEMNITY - - /2019161181 12/14/2018 $160.00 2018/2018 Loss

INDEMNITY - - /2019161183 12/13/2018 $80.00 2018/2018 Loss

INDEMNITY - - /2019160161 12/6/2018 $160.00 2018/2018 Loss

MEDICAL ONLY - - /2019159688 11/29/2018 $80.00 2018/2018 Loss

INDEMNITY - - /2019158055 11/9/2018 $80.00 2018/2018 Loss

22073 4/5/2019 SHORE ORTHOPAEDIC UNIVERSITY ASSOCIATES $4,636.36

INDEMNITY - - /2019166800 2/19/2019 $3,854.33 2019/2019 Loss

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2019164642 1/31/2019 $120.11 2019/2019 Loss

INDEMNITY MLT-2019163511/2019163511

1/18/2019 $212.52 2019/2019 Loss

MEDICAL ONLY MLT-2019163511/2019163512

1/18/2019 $121.80 2019/2019 Loss

INDEMNITY - - /2019161181 12/14/2018 $121.80 2018/2018 Loss

INDEMNITY - - /2019160386 12/8/2018 $84.00 2018/2018 Loss

INDEMNITY - - /2019154199 10/1/2018 $121.80 2018/2018 Loss

22074 4/5/2019 INDEMNITY CAPE EMERGENCY PHYSICIANS, PA - - /2019165901 2/13/2019 $558.00 2019/2019 Loss 22075 4/5/2019 ONE CALL CARE DIAGNOSTICS $2,165.00

INDEMNITY - - /2019166886 2/26/2019 $485.00 2019/2019 Loss

INDEMNITY - - /2019167080 2/24/2019 $485.00 2019/2019 Loss

INDEMNITY - - /2019166665 2/22/2019 $150.00 2019/2019 Loss

INDEMNITY - - /2019164888 2/4/2019 $485.00 2019/2019 Loss

INDEMNITY MLT-2019163511/2019163511

1/18/2019 $485.00 2019/2019 Loss

INDEMNITY - - /2017089483 12/8/2016 $75.00 2016/2016 Loss

22076 4/5/2019 PACE ORTHOPEDICS ANDSPORTS MED.,PC $627.40

INDEMNITY - - /2019165901 2/13/2019 $502.40 2019/2019 Loss

INDEMNITY - - /2019164888 2/4/2019 $125.00 2019/2019 Loss

22077 4/5/2019 MEDICAL ONLY SOUTH JERSEY HS EMG PHYS SV, PA - - /2019165421 2/5/2019 $225.47 2019/2019 Loss 22078 4/5/2019 INDEMNITY ROTHMAN INSTITUTE - - /2018143668 5/21/2018 $252.47 2018/2018 Loss 22079 4/5/2019 NovaCare Rehabilitation $415.00

INDEMNITY - - /2019160386 12/8/2018 $145.00 2018/2018 Loss

MEDICAL ONLY - - /2019160377 12/7/2018 $270.00 2018/2018 Loss

22080 4/5/2019 CAPE REGIONAL URGENTCARE $461.29

INDEMNITY - - /2019166886 2/26/2019 $166.85 2019/2019 Loss

MEDICAL ONLY - - /2019166708 2/23/2019 $82.54 2019/2019 Loss

INDEMNITY - - /2019165901 2/13/2019 $82.54 2019/2019 Loss

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

MEDICAL ONLY - - /2019166245 2/4/2019 $129.36 2019/2019 Loss

22081 4/5/2019 MEDICAL ONLY SHORE URGENT CARE - - /2019166756 2/25/2019 $140.00 2019/2019 Loss

22082 4/5/2019 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $356.23

MEDICAL ONLY - - /2019163243 1/15/2019 $268.14 2019/2019 Loss

INDEMNITY Z33611/001245741 1/28/2016 $88.09 2016/2016 Loss

22083 4/5/2019 CAPE PHYSICAL THERAPY LLC $348.00

INDEMNITY - - /2019160973 12/13/2018 $300.00 2018/2018 Loss

MEDICAL ONLY - - /2019160731 12/7/2018 $48.00 2018/2018 Loss

22084 4/5/2019 BAYFRONT EMERGENCY PHYSICIANS, PA $1,242.00

MEDICAL ONLY - - /2019166078 2/7/2019 $779.00 2019/2019 Loss

MEDICAL ONLY - - /2019164777 2/2/2019 $463.00 2019/2019 Loss

22085 4/5/2019 MEDICAL ONLY ATLANTICARE REGIONAL MEDICAL CENTER - - /2019165532 2/9/2019 $2,511.00 2019/2019 Loss 22086 4/5/2019 INDEMNITY COMP X MEDICAL MANAGEMENT - - /2018131188 4/15/2018 $169.00 2018/2018 Loss 22087 4/5/2019 INDEMNITY DONALD T. WU MD - - /2017094501 2/8/2017 $1,151.00 2017/2017 Loss 22088 4/5/2019 INDEMNITY CITY OF BRIGANTINE - - /2019158002 11/8/2018 $689.00 2018/2018 Loss 22089 4/5/2019 ISO SERVICES, INC. $22.50

INDEMNITY - - /2019165901 2/13/2019 $11.25 2019/2019 Expense

INDEMNITY Z25282/001237291 8/31/2015 $11.25 2015/2015 Expense

22090 4/5/2019 QUALCARE, INC. $2,475.00

MEDICAL ONLY - - /2019169832 3/28/2019 $495.00 2019/2019 Loss

INDEMNITY - - /2019169622 3/23/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019169177 3/21/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019169190 3/20/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019168151 3/10/2019 $495.00 2019/2019 Loss

22091 4/9/2019 ADMINISTRATIVE CLAIM SERVICES $12.00

INDEMNITY - - /2019168813 3/18/2019 $3.00 2019/2019 Expense

INDEMNITY - - /2019166886 2/26/2019 $3.00 2019/2019 Expense

MEDICAL ONLY - - /2019166865 2/21/2019 $3.00 2019/2019 Expense

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2019166243 2/19/2019 $3.00 2019/2019 Expense

22092 4/9/2019 INDEMNITY COOPER LEVENSON, PA - - /2017092245 1/17/2017 $1,159.00 2017/2017 Legal 22093 4/9/2019 INDEMNITY MRO CORPORATION - - /2019166243 2/19/2019 $30.00 2019/2019 Expense22094 4/9/2019 INDEMNITY BEST MED CONSULTANTS, PA - - /2018126503 2/20/2018 $950.00 2018/2018 Expense22095 4/9/2019 1ST PARTY COLL PD I.C.U. INVESTIGATIONS INC - - /2019170237 8/8/2018 $150.00 2018/2018 Expense22096 4/9/2019 BARKER, GELFAND & JAMES $9,885.71

POLICE PROF PI - - /2019165817 4/7/2018 $2,270.50 2018/2018 Legal

POLICE PROF PI - - /2019163825 2/14/2018 $858.00 2018/2018 Legal

PERSONAL INJURY - - /2017094500 2/9/2017 $396.00 2017/2017 Legal

POLICE PROF PI Z43146/001255463 8/8/2016 $264.00 2016/2016 Legal

POLICE PROF PI Z42498/001254808 7/27/2016 $3,019.50 2016/2016 Legal

POLICE PROF BI Z45460/001257785 3/15/2016 $297.00 2016/2016 Legal

POLICE PROF BI Z37350/001249564 1/18/2016 $774.00 2016/2016 Legal

POLICE PROF PI Z28707/001240762 6/18/2015 $2,006.71 2015/2015 Legal

22097 4/9/2019 PERSONAL INJURY BIRCHMEIER & POWELL LLC - - /2019156446 11/25/2017 $2,318.50 2017/2017 Legal 22098 4/9/2019 State of New Jersey - Div of Worker's Comp $10.39

INDEMNITY - - /2019165094 2/5/2019 $0.59 2019/2019 Expense

INDEMNITY MLT-2019163330/2019163330

1/17/2019 $5.37 2019/2019 Expense

INDEMNITY - - /2019161645 12/25/2018 $2.66 2018/2018 Expense

INDEMNITY - - /2019151429 8/29/2018 $0.59 2018/2018 Expense

INDEMNITY - - /2018130564 4/9/2018 $0.59 2018/2018 Expense

INDEMNITY - - /2018126842 2/24/2018 $0.59 2018/2018 Expense

22099 4/9/2019 THE DEWEESE LAW FIRM $1,265.00

MEDICAL ONLY MLT-2018111019/2018111019

8/26/2017 $150.00 2017/2017 Expense

MEDICAL ONLY - - /2017105729 6/19/2017 $150.00 2017/2017 Expense

MEDICAL ONLY - - /2017103744 5/25/2017 $150.00 2017/2017 Expense

INDEMNITY - - /2017092149 1/12/2017 $365.00 2017/2017 Expense

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

MEDICAL ONLY - - /2017090878 12/26/2016 $150.00 2016/2016 Expense

MEDICAL ONLY - - /2017090177 12/17/2016 $150.00 2016/2016 Expense

MEDICAL ONLY - - /2017090725 12/16/2016 $150.00 2016/2016 Expense

22100 4/9/2019 AFFANATO MARUT LLC $493.50

INDEMNITY - - /2018113730 9/27/2017 $155.00 2017/2017 Legal

INDEMNITY - - /2017092149 1/12/2017 $338.50 2017/2017 Legal

22101 4/9/2019 INDEMNITY JERSEY SHORE REPORTING, LLC MLT-2018112577/2018112578 9/14/2017 $90.00 2017/2017 Expense

22102 4/9/2019 INDEMNITY GALLOWAY TOWNSHIP MLT-2019161846/2019161846 12/29/2018 $963.94 2018/2018 Loss

22103 4/9/2019 1ST PARTY COLL PD GALLOWAY TOWNSHIP - - /2018122377 1/8/2018 $544.30 2018/2018 Loss 22104 4/9/2019 INDEMNITY NEW JERSEY IME ASSOCIATES LLC - - /2018113092 8/31/2017 $850.00 2017/2017 Expense22105 4/9/2019 INDEMNITY JOHN WISGO - - /2019146873 6/29/2018 $1,257.66 2018/2018 Loss 22106 4/9/2019 INDEMNITY Daniel Ravese - - /2019169622 3/23/2019 $1,578.86 2019/2019 Loss 22107 4/9/2019 INDEMNITY Daniel Ravese - - /2019169622 3/23/2019 $109.08 2019/2019 Loss 22108 4/9/2019 INDEMNITY DAVID DAISEY Z39069/001251334 5/20/2016 $1,624.00 2016/2016 Loss 22109 4/9/2019 INDEMNITY PAUL WELDON - - /2018121894 1/5/2018 $1,098.40 2018/2018 Loss 22110 4/9/2019 INDEMNITY ERIC BITTMANN Z26659/001238702 9/22/2015 $1,006.12 2015/2015 Loss 22111 4/9/2019 INDEMNITY KYLE GROSSMAN Z27150/001239192 10/1/2015 $1,596.00 2015/2015 Loss 22112 4/9/2019 INDEMNITY KEVIN BRADY - - /2018118071 11/15/2017 $956.00 2017/2017 Loss 22113 4/9/2019 1ST PARTY COLL PD PLEASANTVILLE CITY - - /2019158003 10/31/2018 $1,000.00 2018/2018 Loss 22114 4/9/2019 INDEMNITY STRIVE PHYSICAL THERAPY AND - - /2019161851 12/30/2018 $80.00 2018/2018 Loss

22115 4/9/2019 INDEMNITY BACHARACH INSTITUTE FOR REHABILITATION, INC Z49521/001264066 11/4/2016 $99.00 2016/2016 Loss

22116 4/9/2019 MEDICAL ONLY CAPE REGIONAL MEDICAL CENTER - - /2019168927 3/18/2019 $1,207.40 2019/2019 Loss

22117 4/9/2019 TWIN BORO PHYSICAL THERAPY ASSOCIATES, P.A. $560.00

INDEMNITY - - /2019165951 2/14/2019 $80.00 2019/2019 Loss

INDEMNITY - - /2019164343 1/28/2019 $80.00 2019/2019 Loss

INDEMNITY MLT-2019153495/2019153493

9/21/2018 $320.00 2018/2018 Loss

INDEMNITY MLT-2018119705/2018119715

12/5/2017 $80.00 2017/2017 Loss

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

22118 4/9/2019 SHORE ORTHOPAEDIC UNIVERSITY ASSOCIATES $686.99

INDEMNITY - - /2019165951 2/14/2019 $248.27 2019/2019 Loss

INDEMNITY - - /2019164343 1/28/2019 $121.80 2019/2019 Loss

INDEMNITY - - /2019161851 12/30/2018 $195.12 2018/2018 Loss

INDEMNITY - - /2019157702 11/6/2018 $121.80 2018/2018 Loss

22119 4/9/2019 MEDICAL ONLY CAPE EMERGENCY PHYSICIANS, PA - - /2019168927 3/18/2019 $321.00 2019/2019 Loss 22120 4/9/2019 INDEMNITY PACE ORTHOPEDICS ANDSPORTS MED.,PC - - /2019159939 12/3/2018 $75.00 2018/2018 Loss 22121 4/9/2019 MEDICAL ONLY NovaCare Rehabilitation - - /2019165178 2/5/2019 $180.00 2019/2019 Loss 22122 4/9/2019 INDEMNITY FELLOWSHIP SURGICALCENTER, LLC - - /2018129248 3/21/2018 $896.00 2018/2018 Loss 22123 4/9/2019 INDEMNITY QUEST DIAGNOSTICS - - /2018119797 12/7/2017 $17.76 2017/2017 Loss 22124 4/9/2019 INDEMNITY NEUROSURGICAL AND SPINE SPECIALIST - - /2019161183 12/13/2018 $144.35 2018/2018 Loss 22125 4/9/2019 INDEMNITY AVIA PARTNERS INC Z49521/001264066 11/4/2016 $7.63 2016/2016 Loss 22126 4/9/2019 MEDICAL ONLY QUALCARE, INC. - - /2019169998 3/27/2019 $495.00 2019/2019 Loss 22127 4/12/2019 MEDICAL ONLY RK PSYCHOLOGY & NEUROPSYCHOLOG - - /2019162106 11/24/2018 $200.00 2018/2018 Loss 22128 4/12/2019 BODILY INJURY [Expired] GOLKOW TECHNOLOGIES INC Z43769/001256091 8/11/2016 $481.45 2016/2016 Expense22129 4/12/2019 COOPER LEVENSON, PA $858.50

INDEMNITY - - /2019148821 7/26/2018 $519.00 2018/2018 Legal

INDEMNITY - - /2018107226 7/7/2017 $339.50 2017/2017 Legal

22130 4/12/2019 INDEMNITY BEST MED CONSULTANTS, PA - - /2018111537 9/3/2017 $200.00 2017/2017 Expense22131 4/12/2019 D'ARCY JOHNSON DAY, PC $5,702.00

INDEMNITY - - /2018119429 12/2/2017 $2,043.00 2017/2017 Loss

INDEMNITY - - /2018118817 11/22/2017 $3,659.00 2017/2017 Loss

22132 4/12/2019 INDEMNITY American Legal Records, LLC Z40528/001252818 6/21/2016 $69.16 2016/2016 Expense22133 4/12/2019 INDEMNITY ATLANTIC SECURITY INT'L - - /2019160047 12/4/2018 $1,575.00 2018/2018 Expense22134 4/12/2019 BODILY INJURY [Expired] JAMES A ROSSI CCR - - /2018108459 6/3/2017 $405.00 2017/2017 Expense22135 4/12/2019 1ST PARTY COLL PD LEO PETETTI LLC - - /2019170507 4/4/2019 $350.00 2019/2019 Expense22136 4/12/2019 ARVIND BALIGA, MD $1,200.00

INDEMNITY - - /2018119429 12/2/2017 $600.00 2017/2017 Loss

INDEMNITY - - /2018118817 11/22/2017 $600.00 2017/2017 Loss

22137 4/12/2019 THE DEWEESE LAW FIRM $1,756.20

INDEMNITY MLT-2018120130/ 12/11/2017 $150.00 2017/2017 Expense

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

2018120205

INDEMNITY - - /2018119997 12/9/2017 $150.00 2017/2017 Expense

MEDICAL ONLY - - /2018111213 8/28/2017 $150.00 2017/2017 Expense

INDEMNITY - - /2017095900 2/28/2017 $150.00 2017/2017 Expense

INDEMNITY MLT-2017093365/2017093366

1/27/2017 $155.00 2017/2017 Expense

MEDICAL ONLY MLT-2017093365/2017093365

1/27/2017 $155.00 2017/2017 Expense

INDEMNITY MLT-2017091071/2017091062

12/31/2016 $350.00 2016/2016 Expense

INDEMNITY Z50177/001264730 11/19/2016 $89.00 2016/2016 Expense

INDEMNITY Z44026/001256351 8/25/2016 $82.00 2016/2016 Expense

INDEMNITY Z23096/001235095 7/30/2015 $200.00 2015/2015 Expense

MEDICAL ONLY MLT-Z21242/001233365 7/5/2015 $125.20 2015/2015 Expense

22138 4/12/2019 AFFANATO MARUT LLC $4,494.76

INDEMNITY - - /2019148368 7/20/2018 $138.00 2018/2018 Legal

INDEMNITY - - /2018145002 5/31/2018 $520.50 2018/2018 Legal

INDEMNITY - - /2018143897 5/24/2018 $299.00 2018/2018 Legal

INDEMNITY - - /2018130524 4/6/2018 $115.00 2018/2018 Legal

INDEMNITY - - /2018131491 4/1/2018 $154.00 2018/2018 Legal

INDEMNITY - - /2018129182 3/21/2018 $315.00 2018/2018 Legal

INDEMNITY - - /2018121889 1/4/2018 $126.00 2018/2018 Legal

INDEMNITY - - /2018121065 12/15/2017 $370.50 2017/2017 Legal

INDEMNITY - - /2018118817 11/22/2017 $160.50 2017/2017 Legal

INDEMNITY - - /2018117920 10/12/2017 $262.50 2017/2017 Legal

INDEMNITY - - /2018113300 9/25/2017 $401.26 2017/2017 Legal

INDEMNITY - - /2018112214 9/9/2017 $290.50 2017/2017 Legal

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2018113092 8/31/2017 $335.50 2017/2017 Legal

INDEMNITY - - /2017104597 6/6/2017 $361.00 2017/2017 Legal

INDEMNITY Z47077/001260137 9/30/2016 $183.00 2016/2016 Legal

INDEMNITY Z44026/001256351 8/25/2016 $225.50 2016/2016 Legal

INDEMNITY Z22661/001234660 7/24/2015 $237.00 2015/2015 Legal

22139 4/12/2019 JERSEY SHORE REPORTING, LLC $180.00

INDEMNITY - - /2018145002 5/31/2018 $90.00 2018/2018 Expense

INDEMNITY - - /2018119429 12/2/2017 $90.00 2017/2017 Expense

22140 4/12/2019 PIETRAS, SARACINO, SMITH, & MEEK $973.50

INDEMNITY - - /2018119429 12/2/2017 $713.50 2017/2017 Legal

INDEMNITY MLT-Z32555/001244670 1/10/2016 $260.00 2016/2016 Legal

22141 4/12/2019 INDEMNITY EGG HARBOR TOWNSHIP - - /2019168126 3/9/2019 $1,167.96 2019/2019 Loss 22142 4/12/2019 INDEMNITY EGG HARBOR TOWNSHIP - - /2019168126 3/9/2019 $83.43 2019/2019 Loss 22143 4/12/2019 INDEMNITY HAMILTON TOWNSHIP - - /2018129248 3/21/2018 $1,806.00 2018/2018 Loss 22144 4/12/2019 INDEMNITY EGG HARBOR TOWNSHIP - - /2018143668 5/21/2018 $1,806.00 2018/2018 Loss 22145 4/12/2019 INDEMNITY GALLOWAY TOWNSHIP - - /2019160047 12/4/2018 $516.00 2018/2018 Loss 22146 4/12/2019 INDEMNITY SOMERS POINT CITY - - /2019161181 12/14/2018 $774.00 2018/2018 Loss 22147 4/12/2019 INDEMNITY CAPE MAY CITY - - /2019166243 2/19/2019 $473.76 2019/2019 Loss 22148 4/12/2019 INDEMNITY LOWER TOWNSHIP - - /2019165094 2/5/2019 $1,109.38 2019/2019 Loss

22149 4/12/2019 INDEMNITY HAMILTON TOWNSHIP MLT-2019163330/2019163330 1/17/2019 $1,842.00 2019/2019 Loss

22150 4/12/2019 INDEMNITY EGG HARBOR TOWNSHIP - - /2019168296 3/12/2019 $1,100.02 2019/2019 Loss 22151 4/12/2019 BLDG/CONTENT GALLOWAY TOWNSHIP - - /2019153764 9/24/2018 $1,482.50 2018/2018 Loss 22152 4/12/2019 INDEMNITY MILLVILLE CITY - - /2018131877 4/19/2018 $1,032.00 2018/2018 Loss 22153 4/12/2019 INDEMNITY BRIGANTINE CITY - - /2019161852 12/31/2018 $258.00 2018/2018 Loss 22154 4/12/2019 INDEMNITY EGG HARBOR TOWNSHIP - - /2019163258 1/16/2019 $1,842.00 2019/2019 Loss 22155 4/12/2019 INDEMNITY OCEAN CITY - - /2017094501 2/8/2017 $1,336.44 2017/2017 Loss 22156 4/12/2019 INDEMNITY HAMILTON TOWNSHIP Z49521/001264066 11/4/2016 $1,742.00 2016/2016 Loss 22157 4/12/2019 NEW JERSEY IME ASSOCIATES LLC $2,350.00

INDEMNITY - - /2018130569 4/9/2018 $750.00 2018/2018 Expense

INDEMNITY - - /2018121889 1/4/2018 $100.00 2018/2018 Expense

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2018110789 8/23/2017 $750.00 2017/2017 Expense

INDEMNITY Z40528/001252818 6/21/2016 $750.00 2016/2016 Expense

22158 4/12/2019 INDEMNITY KRISTI WARE - - /2018118817 11/22/2017 $13,966.00 2017/2017 Loss 22159 4/12/2019 BODILY INJURY [Expired] SHERRI HOLLOWAY - - /2017098170 2/19/2017 $812.00 2017/2017 Loss 22160 4/12/2019 INDEMNITY JOHN BRUNELL Z14796/001226561 4/1/2015 $1,903.08 2015/2015 Loss 22161 4/12/2019 INDEMNITY JOSEPH DIXON MLT-Z41885/001254194 7/16/2016 $1,026.20 2016/2016 Loss 22162 4/12/2019 1ST PARTY COLL PD MARGATE CITY - - /2019170507 4/4/2019 $3,420.04 2019/2019 Loss 22163 4/12/2019 COASTAL SPINE, PC. $2,081.58

INDEMNITY - - /2019150119 8/11/2018 $1,020.00 2018/2018 Loss

INDEMNITY - - /2018121832 1/5/2018 $1,020.00 2018/2018 Loss

INDEMNITY - - /2017094501 2/8/2017 $41.58 2017/2017 Loss

22164 4/12/2019 MEDICAL ONLY ATLANTICARE PHYSICIAN GROUP, PA - - /2019162198 1/4/2019 $63.85 2019/2019 Loss 22165 4/12/2019 STRIVE PHYSICAL THERAPY AND $560.00

INDEMNITY - - /2019165901 2/13/2019 $400.00 2019/2019 Loss

INDEMNITY MLT-2019161846/2019161846

12/29/2018 $160.00 2018/2018 Loss

22166 4/12/2019 SHORE MEDICAL CENTER $1,811.55

MEDICAL ONLY - - /2019166829 2/23/2019 $1,477.80 2019/2019 Loss

INDEMNITY - - /2019158806 11/19/2018 $333.75 2018/2018 Loss

22167 4/12/2019 CAPE REGIONAL MEDICAL CENTER $777.80

INDEMNITY - - /2019163829 1/23/2019 $137.00 2019/2019 Loss

INDEMNITY - - /2019160973 12/13/2018 $640.80 2018/2018 Loss

22168 4/12/2019 INDEMNITY THE PLASTIC SURGERY CENTER - - /2018131877 4/19/2018 $5,839.60 2018/2018 Loss

22169 4/12/2019 INDEMNITY HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC - - /2018131877 4/19/2018 $252.00 2018/2018 Loss

22170 4/12/2019 TWIN BORO PHYSICAL THERAPY ASSOCIATES, P.A. $1,680.00

MEDICAL ONLY - - /2019159688 11/29/2018 $80.00 2018/2018 Loss

INDEMNITY - - /2019158806 11/19/2018 $480.00 2018/2018 Loss

INDEMNITY MLT-2019153495/ 9/21/2018 $80.00 2018/2018 Loss

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

2019153493

INDEMNITY - - /2018143281 5/18/2018 $320.00 2018/2018 Loss

INDEMNITY MLT-2018131125/2018131162

4/13/2018 $320.00 2018/2018 Loss

MEDICAL ONLY - - /2018116650 10/24/2017 $400.00 2017/2017 Loss

22171 4/12/2019 SHORE ORTHOPAEDIC UNIVERSITY ASSOCIATES $987.07

INDEMNITY - - /2019165232 2/6/2019 $121.80 2019/2019 Loss

INDEMNITY - - /2019165094 2/5/2019 $121.80 2019/2019 Loss

INDEMNITY - - /2019164840 1/28/2019 $84.00 2019/2019 Loss

MEDICAL ONLY - - /2019160731 12/7/2018 $121.80 2018/2018 Loss

MEDICAL ONLY - - /2019159688 11/29/2018 $327.12 2018/2018 Loss

INDEMNITY - - /2018131841 4/20/2018 $210.55 2018/2018 Loss

22172 4/12/2019 INDEMNITY CAPE MAY COURT HOUSE ASSOCIATES IN RADIOLOGY - - /2019165901 2/13/2019 $34.63 2019/2019 Loss

22173 4/12/2019 INDEMNITY FERNANDO J. DELASOTTA MD - - /2018143281 5/18/2018 $115.00 2018/2018 Loss 22174 4/12/2019 INDEMNITY TARIQ S. SIDDIQI, MD - - /2018138966 5/2/2018 $119.17 2018/2018 Loss 22175 4/12/2019 ONE CALL CARE DIAGNOSTICS $1,795.00

INDEMNITY - - /2019165901 2/13/2019 $485.00 2019/2019 Loss

INDEMNITY - - /2019163258 1/16/2019 $75.00 2019/2019 Loss

INDEMNITY - - /2019161030 12/16/2018 $750.00 2018/2018 Loss

MEDICAL ONLY - - /2018122163 1/8/2018 $485.00 2018/2018 Loss

22176 4/12/2019 MEDICAL ONLY PACE ORTHOPEDICS ANDSPORTS MED.,PC - - /2018122163 1/8/2018 $125.00 2018/2018 Loss

22177 4/12/2019 INDEMNITY PROFESSIONAL PAIN MANAGEMENT ASSOC MLT-2019163330/2019163330 1/17/2019 $374.55 2019/2019 Loss

22178 4/12/2019 MEDICAL ONLY CAPE REGIONAL URGENTCARE - - /2019166239 2/19/2019 $119.56 2019/2019 Loss 22179 4/12/2019 INDEMNITY QUEST DIAGNOSTICS - - /2019146873 6/29/2018 $29.20 2018/2018 Loss 22180 4/12/2019 CAPE PHYSICAL THERAPY LLC $180.00

INDEMNITY - - /2019165094 2/5/2019 $60.00 2019/2019 Loss

INDEMNITY - - /2019163829 1/23/2019 $60.00 2019/2019 Loss

MEDICAL ONLY - - /2019160731 12/7/2018 $60.00 2018/2018 Loss

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

22181 4/12/2019 MEDICAL ONLY ATLANTICARE REGIONAL MEDICAL CENTER MLT-2019163750/2019163751 1/23/2019 $2,511.00 2019/2019 Loss

22182 4/12/2019 INDEMNITY COMP X MEDICAL MANAGEMENT - - /2018131188 4/15/2018 $338.00 2018/2018 Loss 22183 4/12/2019 AVIA PARTNERS INC $1,126.44

MEDICAL ONLY - - /2019168472 3/13/2019 $28.50 2019/2019 Loss

INDEMNITY - - /2019168126 3/9/2019 $66.84 2019/2019 Loss

INDEMNITY - - /2019164840 1/28/2019 $15.49 2019/2019 Loss

INDEMNITY - - /2019163258 1/16/2019 $17.77 2019/2019 Loss

INDEMNITY - - /2019148301 7/19/2018 $23.11 2018/2018 Loss

INDEMNITY - - /2019146873 6/29/2018 $40.49 2018/2018 Loss

INDEMNITY - - /2018131188 4/15/2018 $195.14 2018/2018 Loss

INDEMNITY MLT-2017106164/2017106165

6/22/2017 $354.24 2017/2017 Loss

INDEMNITY - - /2017094501 2/8/2017 $384.86 2017/2017 Loss

22184 4/12/2019 QUALCARE, INC. $3,960.00

INDEMNITY - - /2019170429 4/4/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019170257 4/3/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019170212 4/1/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019169722 3/27/2019 $495.00 2019/2019 Loss

INDEMNITY - - /2019169665 3/26/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019170310 3/20/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019169765 3/13/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019169874 3/11/2019 $495.00 2019/2019 Loss

22185 4/16/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019166665 2/22/2019 $3.00 2019/2019 Expense22186 4/16/2019 INDEMNITY J H BUEHRER & ASSOCIATES - - /2018122931 1/14/2018 $90.00 2018/2018 Expense22187 4/16/2019 INDEMNITY COOPER LEVENSON, PA - - /2018126503 2/20/2018 $1,324.00 2018/2018 Legal 22188 4/16/2019 INDEMNITY SHORE ORTHOPAEDIC UNIVERSITY ASSOCIATES - - /2019163258 1/16/2019 $500.00 2019/2019 Loss 22189 4/16/2019 POLICE PROF PI INVESTECH - - /2018138583 2/14/2017 $650.80 2017/2017 Expense22190 4/16/2019 INDEMNITY PACE ORTHOPEDICS & SPORTS MED - - /2019148368 7/20/2018 $250.00 2018/2018 Loss 22191 4/16/2019 INDEMNITY D'ARCY JOHNSON DAY, PC - - /2018122931 1/14/2018 $1,535.00 2018/2018 Loss

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

22192 4/16/2019 INDEMNITY LAW OFFICE OF DONER & CASTRO Z48817/001263344 10/20/2016 $9,985.00 2016/2016 Loss 22193 4/16/2019 1ST PARTY COLL PD LEO PETETTI LLC - - /2019162021 12/31/2018 $55.00 2018/2018 Expense22194 4/16/2019 INDEMNITY ARVIND BALIGA, MD - - /2018122931 1/14/2018 $600.00 2018/2018 Loss 22195 4/16/2019 INDEMNITY ADVANCED EXPERT MEDICAL EVALUATIONS INC Z48817/001263344 10/20/2016 $600.00 2016/2016 Loss 22196 4/16/2019 INDEMNITY THE DEWEESE LAW FIRM Z45833/001258161 10/2/2016 $370.00 2016/2016 Expense22197 4/16/2019 AFFANATO MARUT LLC $438.00

INDEMNITY - - /2018122931 1/14/2018 $238.00 2018/2018 Legal

INDEMNITY Z48817/001263344 10/20/2016 $200.00 2016/2016 Legal

22198 4/16/2019 STONERIVER PHARMACY SOLUTIONS $219.76

MEDICAL ONLY - - /2019157784 11/6/2018 $59.50 2018/2018 Loss

INDEMNITY - - /2019149364 8/1/2018 $71.69 2018/2018 Loss

MEDICAL ONLY - - /2019147837 7/14/2018 $88.57 2018/2018 Loss

22199 4/16/2019 INDEMNITY ABSECON CITY - - /2018131188 4/15/2018 $1,806.00 2018/2018 Loss 22200 4/16/2019 INDEMNITY GALLOWAY TOWNSHIP - - /2019160047 12/4/2018 $1,290.00 2018/2018 Loss 22201 4/16/2019 INDEMNITY Eileen Casey - - /2019166800 2/19/2019 $180.47 2019/2019 Loss 22202 4/16/2019 INDEMNITY Eileen Casey - - /2019166800 2/19/2019 $1,082.83 2019/2019 Loss 22203 4/16/2019 INDEMNITY NEW JERSEY IME ASSOCIATES LLC - - /2018129182 3/21/2018 $750.00 2018/2018 Expense22204 4/16/2019 INDEMNITY CHRISTOPHER BAUMGARTEL - - /2018119429 12/2/2017 $4,180.72 2017/2017 Loss 22205 4/16/2019 INDEMNITY Dominick Jones - - /2019168813 3/18/2019 $492.00 2019/2019 Loss 22206 4/16/2019 INDEMNITY RYAN BRADY - - /2018122931 1/14/2018 $5,365.00 2018/2018 Loss 22207 4/16/2019 INDEMNITY LUZ MORA Z48817/001263344 10/20/2016 $20,732.08 2016/2016 Loss 22208 4/16/2019 INDEMNITY LUZ MORA Z48817/001263344 10/20/2016 $12,000.00 2016/2016 Loss 22209 4/16/2019 INDEMNITY TYLER KRUMAKER Z37287/001249501 4/11/2016 $1,624.00 2016/2016 Loss 22210 4/16/2019 INDEMNITY DEBRA MURPHY Z17982/001229840 5/19/2015 $1,824.00 2015/2015 Loss 22211 4/16/2019 1ST PARTY COLL PD FOLSOM BOROUGH - - /2019162021 12/31/2018 $600.00 2018/2018 Loss 22212 4/16/2019 1ST PARTY COLL PD WATERFORD TOWNSHIP - - /2019171063 4/11/2019 $1,497.10 2019/2019 Loss 22213 4/16/2019 BLDG/CONTENT PLEASANTVILLE CITY - - /2019152632 6/24/2018 $1,430.00 2018/2018 Loss 22214 4/16/2019 INDEMNITY ATLANTICARE PHYSICIAN GROUP, PA - - /2019162793 1/10/2019 $98.23 2019/2019 Loss

22215 4/16/2019 INDEMNITY STRIVE PHYSICAL THERAPY AND MLT-2019161846/2019161846 12/29/2018 $240.00 2018/2018 Loss

22216 4/16/2019 MEDICAL ONLY CAPE REGIONAL MEDICAL CENTER - - /2019162388 1/7/2019 $864.00 2019/2019 Loss

22217 4/16/2019 TWIN BORO PHYSICAL THERAPY ASSOCIATES, P.A. $834.00

INDEMNITY - - /2019165951 2/14/2019 $160.00 2019/2019 Loss

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2019161183 12/13/2018 $80.00 2018/2018 Loss

INDEMNITY MLT-2019153495/2019153493

9/21/2018 $240.00 2018/2018 Loss

INDEMNITY - - /2018143281 5/18/2018 $194.00 2018/2018 Loss

INDEMNITY MLT-2018131125/2018131162

4/13/2018 $160.00 2018/2018 Loss

22218 4/16/2019 INDEMNITY ONE CALL CARE DIAGNOSTICS - - /2018131188 4/15/2018 $940.00 2018/2018 Loss 22219 4/16/2019 INDEMNITY PACE ORTHOPEDICS ANDSPORTS MED.,PC - - /2019161183 12/13/2018 $75.00 2018/2018 Loss 22220 4/16/2019 MEDICAL ONLY CAPE REGIONAL URGENTCARE - - /2019167517 3/4/2019 $193.91 2019/2019 Loss 22221 4/16/2019 INDEMNITY CAPE PHYSICAL THERAPY LLC - - /2019155835 10/15/2018 $288.00 2018/2018 Loss 22222 4/16/2019 INDEMNITY ALIGN DIRECT BILL LLC - - /2019146873 6/29/2018 $168.53 2018/2018 Loss 22223 4/16/2019 INDEMNITY QUALCARE, INC. - - /2019169546 6/1/2017 $495.00 2017/2017 Loss

22224 4/19/2019 INDEMNITY RK PSYCHOLOGY & NEUROPSYCHOLOG MLT-2017106164/2017106165 6/22/2017 $200.00 2017/2017 Loss

22225 4/19/2019 ADMINISTRATIVE CLAIM SERVICES $15.00

INDEMNITY - - /2019151048 8/25/2018 $3.00 2018/2018 Expense

INDEMNITY - - /2019150734 8/19/2018 $3.00 2018/2018 Expense

INDEMNITY - - /2019146863 6/30/2018 $3.00 2018/2018 Expense

MEDICAL ONLY - - /2018142449 5/10/2018 $3.00 2018/2018 Expense

INDEMNITY - - /2018142013 5/5/2018 $3.00 2018/2018 Expense

22226 4/19/2019 BODILY INJURY [Expired] GEMMEL,TODD & MERENICH PA - - /2019161994 12/17/2016 $2,231.30 2016/2016 Legal 22227 4/19/2019 INDEMNITY SHORE ORTHOPAEDIC UNIV ASSOC PA - - /2018129801 3/27/2018 $750.00 2018/2018 Loss 22228 4/19/2019 INDEMNITY RITA R. KAMMIEL, M.D. & ASSOC. - - /2018113608 7/3/2017 $250.00 2017/2017 Loss 22229 4/19/2019 INDEMNITY I.C.U. INVESTIGATIONS INC - - /2019160047 12/4/2018 $400.00 2018/2018 Expense22230 4/19/2019 BIRCHMEIER & POWELL LLC $14,287.50

BODILY INJURY [Expired] - - /2018110066 8/5/2017 $891.00 2017/2017 Legal

BODILY INJURY [Expired] - - /2017093740 1/25/2017 $1,980.00 2017/2017 Legal

BODILY INJURY [Expired] Z47097/001260157 10/11/2016 $4,030.00 2016/2016 Legal

BODILY INJURY [Expired] Z49984/001264529 8/25/2016 $907.50 2016/2016 Legal

BODILY INJURY [Expired] Z44992/001257318 6/19/2016 $3,152.50 2016/2016 Legal

BODILY INJURY [Expired] Z38888/001251153 5/9/2016 $3,326.50 2016/2016 Legal

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

22231 4/19/2019 INDEMNITY Howard Hammer PSY D. PA MLT-Z45918/001258247 10/3/2016 $150.00 2016/2016 Loss 22232 4/19/2019 INDEMNITY State of New Jersey - Div of Worker's Comp - - /2018107168 7/7/2017 $0.59 2017/2017 Expense22233 4/19/2019 3RD PARTY PD CLIFF GRAY APPRAISAL SERVICE - - /2019171011 4/8/2019 $195.00 2019/2019 Expense22234 4/19/2019 POLICE PROF PI DON C. TAYLOR ASSOC LLC - - /2018139002 1/22/2018 $1,575.38 2018/2018 Expense22235 4/19/2019 INDEMNITY JERSEY SHORE REPORTING, LLC Z40238/001252522 6/13/2016 $90.00 2016/2016 Expense22236 4/19/2019 INDEMNITY PIETRAS, SARACINO, SMITH, & MEEK Z40238/001252522 6/13/2016 $984.00 2016/2016 Legal 22237 4/19/2019 INDEMNITY ABSECON CITY - - /2018131188 4/15/2018 $1,806.00 2018/2018 Loss 22238 4/19/2019 INDEMNITY MARGATE CITY - - /2018119057 11/28/2017 $1,180.12 2017/2017 Loss 22239 4/19/2019 INDEMNITY LOWER TOWNSHIP - - /2019148301 7/19/2018 $1,376.34 2018/2018 Loss 22240 4/19/2019 INDEMNITY MILLVILLE CITY - - /2019157922 11/7/2018 $1,109.14 2018/2018 Loss 22241 4/19/2019 INDEMNITY OCEAN CITY - - /2019166665 2/22/2019 $1,331.68 2019/2019 Loss 22242 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES Z27231/001239275 9/15/2015 $3.00 2015/2015 Expense22243 4/19/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES Z29497/001241577 11/5/2015 $3.00 2015/2015 Expense22244 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES MLT-Z40532/001252822 6/20/2016 $3.00 2016/2016 Expense22245 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES Z32859/001244985 1/14/2016 $3.00 2016/2016 Expense22246 4/19/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES - - /2017093829 1/31/2017 $3.00 2017/2017 Expense22247 4/19/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES Z34779/001246919 2/17/2016 $3.00 2016/2016 Expense22248 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2017098159 3/22/2017 $3.00 2017/2017 Expense22249 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES Z35308/001247464 3/1/2016 $3.00 2016/2016 Expense22250 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES Z35898/001248057 3/11/2016 $3.00 2016/2016 Expense22251 4/19/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES - - /2017100597 4/21/2017 $3.00 2017/2017 Expense22252 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2018144207 5/28/2018 $3.00 2018/2018 Expense22253 4/19/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES - - /2018144569 6/1/2018 $3.00 2018/2018 Expense22254 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2018119797 12/7/2017 $3.00 2017/2017 Expense22255 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES Z36730/001248924 2/22/2016 $6.00 2016/2016 Expense22256 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2018145972 6/19/2018 $3.00 2018/2018 Expense22257 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019151271 8/28/2018 $3.00 2018/2018 Expense22258 4/19/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES - - /2018124394 1/30/2018 $3.00 2018/2018 Expense22259 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019151370 8/29/2018 $3.00 2018/2018 Expense22260 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2018132240 4/23/2018 $3.00 2018/2018 Expense22261 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019151415 8/30/2018 $3.00 2018/2018 Expense22262 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2018143325 5/19/2018 $3.00 2018/2018 Expense22263 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2018144262 5/30/2018 $3.00 2018/2018 Expense22264 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES MLT-Z37189/001249399 4/10/2016 $3.00 2016/2016 Expense22265 4/19/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES - - /2019154030 9/28/2018 $3.00 2018/2018 Expense22266 4/19/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES - - /2018115008 10/10/2017 $3.00 2017/2017 Expense

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

22267 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES Z37606/001249852 4/14/2016 $3.00 2016/2016 Expense22268 4/19/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES - - /2019147944 7/16/2018 $3.00 2018/2018 Expense22269 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019148693 7/25/2018 $6.00 2018/2018 Expense22270 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2017096940 3/7/2017 $3.00 2017/2017 Expense22271 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019148870 7/26/2018 $3.00 2018/2018 Expense22272 4/19/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019150758 8/17/2018 $3.00 2018/2018 Expense22273 4/19/2019 INDEMNITY STONE HARBOR BOROUGH - - /2019166886 2/26/2019 $293.41 2019/2019 Loss 22274 4/19/2019 INDEMNITY STONE HARBOR BOROUGH - - /2019166886 2/26/2019 $821.54 2019/2019 Loss 22275 4/19/2019 INDEMNITY STONE HARBOR BOROUGH - - /2019166886 2/26/2019 $821.54 2019/2019 Loss 22276 4/19/2019 INDEMNITY STONE HARBOR BOROUGH - - /2019166886 2/26/2019 $176.04 2019/2019 Loss 22277 4/19/2019 BODILY INJURY [Expired] Thomas Ciocco and Reagan Law Offices, LLC Z24260/001236265 3/6/2015 $22,500.00 2015/2015 Loss 22278 4/19/2019 INDEMNITY NEW JERSEY IME ASSOCIATES LLC - - /2019148007 7/17/2018 $750.00 2018/2018 Expense22279 4/19/2019 INDEMNITY KEVIN GRAHAM Z11990/001223707 3/1/2015 $2,964.00 2015/2015 Loss 22280 4/19/2019 INDEMNITY JOHANNA HOVIK - - /2018113608 7/3/2017 $478.00 2017/2017 Loss 22281 4/19/2019 INDEMNITY JONATHAN CAMPO Z35564/001247720 3/5/2016 $1,059.20 2016/2016 Loss 22282 4/19/2019 INDEMNITY MARK MENSCH - - /2018109782 8/10/2017 $1,028.00 2017/2017 Loss 22283 4/19/2019 INDEMNITY HAROLD SPIVEY - - /2017101380 4/28/2017 $1,056.28 2017/2017 Loss

22284 4/19/2019 INDEMNITY NENAD NINKOVIC MLT-2018109813/2018109813 8/10/2017 $1,028.00 2017/2017 Loss

22285 4/19/2019 1ST PARTY COLL PD HAMILTON TOWNSHIP - - /2019164409 1/28/2019 $351.40 2019/2019 Loss 22286 4/19/2019 INLAND MARINE MILLVILLE CITY - - /2019165895 2/11/2019 $2,181.00 2019/2019 Loss 22287 4/19/2019 QUALCARE, INC. $4,461.00

MEDICAL ONLY - - /2019171016 4/11/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019170760 4/9/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019170665 4/8/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019170518 4/4/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019170532 4/4/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019170822 4/2/2019 $501.00 2019/2019 Loss

MEDICAL ONLY - - /2019170732 3/22/2019 $495.00 2019/2019 Loss

INDEMNITY - - /2019170606 12/21/2018 $495.00 2018/2018 Loss

INDEMNITY - - /2019170591 10/20/2018 $495.00 2018/2018 Loss

22288 4/19/2019 COASTAL SPINE, PC. $30,225.85

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2019160047 12/4/2018 $25,193.78 2018/2018 Loss

INDEMNITY - - /2019158055 11/9/2018 $83.27 2018/2018 Loss

INDEMNITY - - /2019150119 8/11/2018 $1,128.80 2018/2018 Loss

INDEMNITY - - /2018121832 1/5/2018 $1,020.00 2018/2018 Loss

INDEMNITY - - /2017094501 2/8/2017 $2,800.00 2017/2017 Loss

22289 4/19/2019 ATLANTICARE PHYSICIAN GROUP, PA $558.26

INDEMNITY - - /2019168296 3/12/2019 $135.79 2019/2019 Loss

MEDICAL ONLY MLT-2019163750/2019163751

1/23/2019 $157.71 2019/2019 Loss

INDEMNITY - - /2019162793 1/10/2019 $196.46 2019/2019 Loss

MEDICAL ONLY - - /2019159351 11/24/2018 $68.30 2018/2018 Loss

22290 4/19/2019 ATLANTICARE URGENT CARE & $512.36

INDEMNITY - - /2019168126 3/9/2019 $102.77 2019/2019 Loss

INDEMNITY - - /2019166233 2/19/2019 $256.18 2019/2019 Loss

MEDICAL ONLY MLT-2019163750/2019163750

1/23/2019 $153.41 2019/2019 Loss

22291 4/19/2019 INDEMNITY RANCOCAS ANESTHESIOLOGY, PA - - /2017094501 2/8/2017 $3,193.00 2017/2017 Loss 22292 4/19/2019 INDEMNITY ATLANTIC EMERGENCY ASSOCIATES - - /2019166233 2/19/2019 $1,273.00 2019/2019 Loss 22293 4/19/2019 STRIVE PHYSICAL THERAPY AND $1,040.00

INDEMNITY - - /2019165901 2/13/2019 $560.00 2019/2019 Loss

INDEMNITY - - /2019161851 12/30/2018 $240.00 2018/2018 Loss

INDEMNITY MLT-2019161846/2019161846

12/29/2018 $240.00 2018/2018 Loss

22294 4/19/2019 INDEMNITY MDS MEDICAL DEVICE SPECIALTY INC - - /2019160047 12/4/2018 $704.92 2018/2018 Loss

22295 4/19/2019 MEDICAL ONLY BACHARACH INSTITUTE FOR REHABILITATION, INC - - /2019165287 2/6/2019 $495.00 2019/2019 Loss

22296 4/19/2019 MEDICAL ONLY SHORE MEDICAL CENTER - - /2019166078 2/7/2019 $1,846.80 2019/2019 Loss

22297 4/19/2019 INDEMNITY HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC - - /2018131877 4/19/2018 $315.00 2018/2018 Loss

22298 4/19/2019 TWIN BORO PHYSICAL THERAPY ASSOCIATES, P.A. $2,560.00

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2019168126 3/9/2019 $480.00 2019/2019 Loss

INDEMNITY - - /2019166233 2/19/2019 $720.00 2019/2019 Loss

INDEMNITY MLT-2019163511/2019163511

1/18/2019 $80.00 2019/2019 Loss

INDEMNITY - - /2019161181 12/14/2018 $240.00 2018/2018 Loss

INDEMNITY - - /2019161183 12/13/2018 $320.00 2018/2018 Loss

INDEMNITY - - /2019160161 12/6/2018 $80.00 2018/2018 Loss

MEDICAL ONLY - - /2019159688 11/29/2018 $80.00 2018/2018 Loss

INDEMNITY - - /2019158806 11/19/2018 $80.00 2018/2018 Loss

INDEMNITY - - /2018143281 5/18/2018 $80.00 2018/2018 Loss

INDEMNITY MLT-2018131125/2018131162

4/13/2018 $80.00 2018/2018 Loss

MEDICAL ONLY - - /2018116650 10/24/2017 $320.00 2017/2017 Loss

22299 4/19/2019 SHORE ORTHOPAEDIC UNIVERSITY ASSOCIATES $1,491.35

INDEMNITY - - /2019166665 2/22/2019 $411.55 2019/2019 Loss

MEDICAL ONLY - - /2019159898 12/4/2018 $630.40 2018/2018 Loss

INDEMNITY - - /2019150570 8/17/2018 $365.40 2018/2018 Loss

INDEMNITY - - /2019150391 6/21/2018 $84.00 2018/2018 Loss

22300 4/19/2019 MEDICAL ONLY CAPE MAY COURT HOUSE ASSOCIATES IN RADIOLOGY - - /2019167010 2/27/2019 $13.35 2019/2019 Loss

22301 4/19/2019 INDEMNITY FERNANDO J. DELASOTTA MD - - /2019155580 10/13/2018 $115.00 2018/2018 Loss 22302 4/19/2019 ONE CALL CARE DIAGNOSTICS $847.10

INDEMNITY - - /2019161183 12/13/2018 $150.00 2018/2018 Loss

INDEMNITY - - /2019160047 12/4/2018 $75.00 2018/2018 Loss

INDEMNITY - - /2019157922 11/7/2018 $62.10 2018/2018 Loss

INDEMNITY - - /2019155580 10/13/2018 $560.00 2018/2018 Loss

22303 4/19/2019 MEDICAL ONLY ATLANTICARE CLINICAL LABORATORY - - /2019147407 7/9/2018 $50.50 2018/2018 Loss 22304 4/19/2019 PACE ORTHOPEDICS ANDSPORTS MED.,PC $713.20

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

MEDICAL ONLY - - /2019169190 3/20/2019 $115.70 2019/2019 Loss

INDEMNITY - - /2019168935 3/17/2019 $170.00 2019/2019 Loss

INDEMNITY - - /2019165901 2/13/2019 $125.00 2019/2019 Loss

INDEMNITY MLT-2019153495/2019153493

9/21/2018 $102.50 2018/2018 Loss

MEDICAL ONLY - - /2018122163 1/8/2018 $125.00 2018/2018 Loss

MEDICAL ONLY - - /2018116650 10/24/2017 $75.00 2017/2017 Loss

22305 4/19/2019 PROFESSIONAL PAIN MANAGEMENT ASSOC $470.65

INDEMNITY MLT-2019163330/2019163330

1/17/2019 $168.96 2019/2019 Loss

MEDICAL ONLY - - /2019157935 11/7/2018 $301.69 2018/2018 Loss

22306 4/19/2019 MEDICAL ONLY NovaCare Rehabilitation - - /2019160377 12/7/2018 $270.00 2018/2018 Loss 22307 4/19/2019 AMERICAN WORKCARE, PC $464.91

INDEMNITY - - /2019146873 6/29/2018 $212.37 2018/2018 Loss

INDEMNITY - - /2017094501 2/8/2017 $252.54 2017/2017 Loss

22308 4/19/2019 CAPE REGIONAL URGENTCARE $443.33

MEDICAL ONLY - - /2019168614 3/14/2019 $193.91 2019/2019 Loss

MEDICAL ONLY - - /2019167010 2/27/2019 $82.54 2019/2019 Loss

INDEMNITY - - /2019165838 2/13/2019 $166.88 2019/2019 Loss

22309 4/19/2019 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $28,849.73

MEDICAL ONLY - - /2019168151 3/10/2019 $132.13 2019/2019 Loss

INDEMNITY - - /2019163829 1/23/2019 $88.09 2019/2019 Loss

MEDICAL ONLY - - /2019163243 1/15/2019 $268.14 2019/2019 Loss

INDEMNITY - - /2019162848 1/11/2019 $88.09 2019/2019 Loss

INDEMNITY - - /2019153195 9/20/2018 $167.37 2018/2018 Loss

INDEMNITY - - /2019146873 6/29/2018 $28,105.91 2018/2018 Loss

22310 4/19/2019 CAPE PHYSICAL THERAPY LLC $690.00

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2019166886 2/26/2019 $210.00 2019/2019 Loss

INDEMNITY - - /2019165094 2/5/2019 $360.00 2019/2019 Loss

MEDICAL ONLY - - /2019160731 12/7/2018 $120.00 2018/2018 Loss

22311 4/19/2019 INDEMNITY ALIGN DIRECT BILL LLC - - /2019146873 6/29/2018 $190.00 2018/2018 Loss 22312 4/19/2019 INDEMNITY COMP X MEDICAL MANAGEMENT - - /2018131188 4/15/2018 $826.00 2018/2018 Loss 22313 4/19/2019 MEDICAL ONLY WILDWIRE FIRE RESCUE - - /2019167010 2/27/2019 $990.00 2019/2019 Loss 22314 4/19/2019 INDEMNITY TARA I FRANZ, OD - - /2018131188 4/15/2018 $280.00 2018/2018 Loss 22315 4/23/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2018115991 10/22/2017 $3.00 2017/2017 Expense22316 4/23/2019 INDEMNITY COOPER LEVENSON, PA - - /2018121894 1/5/2018 $782.00 2018/2018 Legal 22317 4/23/2019 INDEMNITY Hyberg, White, & Mann P.C. - - /2017093198 1/18/2017 $22,550.10 2017/2017 Loss 22318 4/23/2019 I.C.U. INVESTIGATIONS INC $450.00

INDEMNITY - - /2018122931 1/14/2018 $150.00 2018/2018 Expense

INDEMNITY - - /2018122196 1/9/2018 $300.00 2018/2018 Expense

22319 4/23/2019 INDEMNITY ATLANTIC SECURITY INT'L - - /2019169546 6/1/2017 $305.00 2017/2017 Expense22320 4/23/2019 LEO PETETTI LLC $480.00

1ST PARTY COLL PD - - /2019168382 3/11/2019 $425.00 2019/2019 Loss

1ST PARTY COLL PD - - /2019162544 12/21/2018 $55.00 2018/2018 Expense

22321 4/23/2019 BODILY INJURY [Expired] ISO SERVICES, INC. - - /2019165582 12/21/2018 $11.25 2018/2018 Expense22322 4/23/2019 INDEMNITY JERSEY SHORE REPORTING, LLC - - /2017093198 1/18/2017 $90.00 2017/2017 Expense22323 4/23/2019 INDEMNITY PIETRAS, SARACINO, SMITH, & MEEK - - /2017093198 1/18/2017 $851.00 2017/2017 Legal

22324 4/23/2019 INDEMNITY GALLOWAY TOWNSHIP MLT-2019161846/2019161846 12/29/2018 $963.94 2018/2018 Loss

22325 4/23/2019 INDEMNITY Eileen Casey - - /2019166800 2/19/2019 $1,263.30 2019/2019 Loss 22326 4/23/2019 INDEMNITY STEWART SEGIN Z26298/001238327 9/18/2015 $1,824.00 2015/2015 Loss 22327 4/23/2019 INDEMNITY WILLIAM WARD - - /2017093198 1/18/2017 $2,149.71 2017/2017 Loss 22328 4/23/2019 INDEMNITY JOHN WISGO - - /2019146873 6/29/2018 $1,257.66 2018/2018 Loss 22329 4/23/2019 INDEMNITY BRYAN CASEY Z31124/001243229 12/8/2015 $1,006.12 2015/2015 Loss 22330 4/23/2019 INDEMNITY JOSEPH DESTEFANO Z47077/001260137 9/30/2016 $1,138.12 2016/2016 Loss 22331 4/23/2019 INDEMNITY RICHARD HEILER - - /2017089337 12/7/2016 $1,856.00 2016/2016 Loss 22332 4/23/2019 1ST PARTY COLL PD WATERFORD TOWNSHIP X79073/001190062 12/7/2013 $1,000.00 2013/2013 Loss 22333 4/23/2019 1ST PARTY COLL PD EGG HARBOR TOWNSHIP - - /2019165504 2/7/2019 $30,503.14 2019/2019 Loss 22334 4/23/2019 1ST PARTY COLL PD LONGPORT BOROUGH - - /2019168278 3/8/2019 $5,762.30 2019/2019 Loss 22335 4/23/2019 INLAND MARINE PLEASANTVILLE CITY - - /2019152475 8/25/2018 $17,310.00 2018/2018 Loss

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

22336 4/23/2019 BLDG/CONTENT SOMERS POINT CITY - - /2019159538 10/17/2018 $17,639.00 2018/2018 Loss 22337 4/23/2019 BLDG/CONTENT CAPE MAY CITY - - /2019164586 1/11/2019 $17,846.80 2019/2019 Loss 22338 4/23/2019 1ST PARTY COLL PD MULLICA TOWNSHIP - - /2019168382 3/11/2019 $12,122.35 2019/2019 Loss 22339 4/23/2019 COMPREHENSIVE PLEASANTVILLE CITY - - /2019167199 2/27/2019 $24,087.00 2019/2019 Loss 22340 4/23/2019 1ST PARTY COLL PD PLEASANTVILLE CITY - - /2019162544 12/21/2018 $897.95 2018/2018 Loss 22341 4/23/2019 MEDICAL ONLY NovaCare Rehabilitation - - /2019160377 12/7/2018 $90.00 2018/2018 Loss 22342 4/26/2019 BLDG/CONTENT FIREFIGHTER ONE LLC - - /2019171958 10/17/2018 $130.08 2018/2018 Loss 22343 4/26/2019 COOPER LEVENSON, PA $2,133.00

INDEMNITY - - /2018118805 11/27/2017 $1,562.50 2017/2017 Legal

INDEMNITY Z32171/001244287 12/30/2015 $570.50 2015/2015 Legal

22344 4/26/2019 PERSONAL INJURY GEMMEL,TODD & MERENICH PA - - /2018112937 9/14/2017 $693.00 2017/2017 Legal 22345 4/26/2019 POLICE PROF BI MADDEN & MADDEN, P.A. - - /2017093087 10/24/2016 $164.45 2016/2016 Legal 22346 4/26/2019 INDEMNITY SHORE ORTHOPAEDIC UNIV ASSOC PA Z17982/001229840 5/19/2015 $500.00 2015/2015 Loss 22347 4/26/2019 BLDG/CONTENT CONTINENTAL FIRE & SAFETY INC - - /2019171958 10/17/2018 $3,417.00 2018/2018 Loss 22348 4/26/2019 INDEMNITY OCEAN CITY FAMILY PRACTICE PA - - /2018112453 9/13/2017 $49.00 2017/2017 Expense22349 4/26/2019 INDEMNITY BEST MED CONSULTANTS, PA - - /2018126503 2/20/2018 $200.00 2018/2018 Expense22350 4/26/2019 I.C.U. INVESTIGATIONS INC $300.00

INDEMNITY - - /2018118071 11/15/2017 $150.00 2017/2017 Expense

MEDICAL ONLY - - /2018109883 8/13/2017 $150.00 2017/2017 Expense

22351 4/26/2019 POLICE PROF PI BARKER, GELFAND & JAMES - - /2018138583 2/14/2017 $6,802.00 2017/2017 Legal 22352 4/26/2019 MEDICAL ONLY EASTERN DENTAL OF NORTHFIELD - - /2019156426 10/23/2018 $6,204.00 2018/2018 Loss 22353 4/26/2019 BIRCHMEIER & POWELL LLC $3,905.90

BODILY INJURY [Expired] Z39281/001251549 2/27/2016 $1,635.00 2016/2016 Legal

PERSONAL INJURY - - /2017096167 2/12/2015 $2,270.90 2015/2015 Legal

22354 4/26/2019 INDEMNITY State of New Jersey - Div of Worker's Comp - - /2019164840 1/28/2019 $0.59 2019/2019 Expense22355 4/26/2019 INDEMNITY NAGLE & ASSOCIATES, LLC - - /2019170539 2/27/2019 $895.00 2019/2019 Expense22356 4/26/2019 DAVID S DEWEESE $3,750.00

EPL PI - - /2019171687 4/12/2019 $750.00 2019/2019 Legal

EPL PI - - /2019170479 4/4/2019 $750.00 2019/2019 Legal

PERSONAL INJURY - - /2019170561 4/4/2019 $750.00 2019/2019 Legal

EPL PI - - /2019170696 6/15/2018 $750.00 2018/2018 Legal

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

EPL PI - - /2019172010 2/13/2018 $750.00 2018/2018 Legal

22357 4/26/2019 THE DEWEESE LAW FIRM $6,475.08

MEDICAL ONLY MLT-2017099450/2017099451

4/6/2017 $776.19 2017/2017 Expense

MEDICAL ONLY MLT-2017099450/2017099450

4/6/2017 $426.54 2017/2017 Expense

INDEMNITY Z37853/001250105 4/22/2016 $5,272.35 2016/2016 Expense

22358 4/26/2019 REYNOLDS & HORN, P.C. $33,344.00

POLICE PROF PI - - /2018139002 1/22/2018 $13,880.50 2018/2018 Legal

BODILY INJURY [Expired] - - /2017103574 4/17/2017 $11,378.50 2017/2017 Legal

POLICE PROF BI - - /2019150506 7/27/2016 $1,006.50 2016/2016 Legal

BODILY INJURY [Expired] Z36658/001248854 1/21/2016 $825.00 2016/2016 Legal

POLICE PROF BI - - /2017093081 2/23/2015 $1,699.50 2015/2015 Legal

POLICE PROF BI Z17838/001229694 2/6/2015 $4,554.00 2015/2015 Legal

22359 4/26/2019 INDEMNITY AFFANATO MARUT LLC Z25601/001237620 9/7/2015 $226.00 2015/2015 Legal 22360 4/26/2019 MEDICAL ONLY STONERIVER PHARMACY SOLUTIONS - - /2019152505 9/12/2018 $44.41 2018/2018 Loss 22361 4/26/2019 INDEMNITY SEA ISLE CITY - - /2019168935 3/17/2019 $1,842.00 2019/2019 Loss 22362 4/26/2019 INDEMNITY SEA ISLE CITY - - /2019168935 3/17/2019 $1,842.00 2019/2019 Loss 22363 4/26/2019 INDEMNITY EGG HARBOR TOWNSHIP - - /2018143668 5/21/2018 $1,806.00 2018/2018 Loss 22364 4/26/2019 INDEMNITY GALLOWAY TOWNSHIP - - /2019160047 12/4/2018 $1,806.00 2018/2018 Loss 22365 4/26/2019 MEDICAL ONLY MITCHELL PHARMACY SOLUTIONS - - /2019151833 9/4/2018 $47.57 2018/2018 Loss 22366 4/26/2019 MEDICAL ONLY MITCHELL PHARMACY SOLUTIONS - - /2019151833 9/4/2018 $23.46 2018/2018 Loss 22367 4/26/2019 INDEMNITY WEST WILDWOOD BOROUGH - - /2018129801 3/27/2018 $1,289.66 2018/2018 Loss 22368 4/26/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2017099778 4/10/2017 $3.00 2017/2017 Expense22369 4/26/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES - - /2017103127 5/19/2017 $3.00 2017/2017 Expense22370 4/26/2019 MEDICAL ONLY ADMINISTRATIVE CLAIM SERVICES - - /2018131121 4/13/2018 $3.00 2018/2018 Expense22371 4/26/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2018131839 4/20/2018 $3.00 2018/2018 Expense22372 4/26/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2018143453 5/22/2018 $3.00 2018/2018 Expense22373 4/26/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019146887 7/2/2018 $3.00 2018/2018 Expense22374 4/26/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019147350 7/9/2018 $3.00 2018/2018 Expense22375 4/26/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019150420 8/16/2018 $3.00 2018/2018 Expense22376 4/26/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019151997 9/7/2018 $3.00 2018/2018 Expense

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

22377 4/26/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019152165 9/7/2018 $3.00 2018/2018 Expense22378 4/26/2019 INDEMNITY ADMINISTRATIVE CLAIM SERVICES - - /2019152801 9/17/2018 $3.00 2018/2018 Expense22379 4/26/2019 INDEMNITY EGG HARBOR TOWNSHIP - - /2019163258 1/16/2019 $1,842.00 2019/2019 Loss 22380 4/26/2019 INDEMNITY OCEAN CITY - - /2017094501 2/8/2017 $1,336.44 2017/2017 Loss 22381 4/26/2019 INDEMNITY HAMILTON TOWNSHIP - - /2018129248 3/21/2018 $1,806.00 2018/2018 Loss 22382 4/26/2019 INDEMNITY HAMILTON TOWNSHIP Z49521/001264066 11/4/2016 $1,742.00 2016/2016 Loss 22383 4/26/2019 INDEMNITY NEW JERSEY IME ASSOCIATES LLC - - /2018119997 12/9/2017 $1,100.00 2017/2017 Expense22384 4/26/2019 INDEMNITY Samantha Kelly - - /2019168342 3/11/2019 $105.43 2019/2019 Loss 22385 4/26/2019 INDEMNITY Samantha Kelly - - /2019168342 3/11/2019 $492.00 2019/2019 Loss 22386 4/26/2019 INDEMNITY HOMMY QUINONES - - /2018107921 7/19/2017 $956.00 2017/2017 Loss 22387 4/26/2019 INDEMNITY JULIO PUMAREJO Z14548/001226308 3/30/2015 $1,824.00 2015/2015 Loss 22388 4/26/2019 INDEMNITY CHRISTOPHE ZAMMIT Z31423/001243531 12/9/2015 $1,596.00 2015/2015 Loss 22389 4/26/2019 INDEMNITY LOUIS BORKOWSKI Z37191/001249401 4/5/2016 $614.72 2016/2016 Loss 22390 4/26/2019 INDEMNITY CHRISTOPHER LEARY - - /2018111625 9/1/2017 $956.00 2017/2017 Loss

22391 4/26/2019 INDEMNITY PAUL SCAPELLATO MLT-2018114007/2018114007 9/29/2017 $956.00 2017/2017 Loss

22392 4/26/2019 1ST PARTY COLL PD MILLVILLE CITY - - /2019164307 1/25/2019 $1,000.00 2019/2019 Loss 22393 4/26/2019 COASTAL SPINE, PC. $665.31

INDEMNITY - - /2019161183 12/13/2018 $250.04 2018/2018 Loss

INDEMNITY - - /2019150119 8/11/2018 $83.27 2018/2018 Loss

INDEMNITY - - /2018129248 3/21/2018 $332.00 2018/2018 Loss

22394 4/26/2019 ATLANTICARE PHYSICIAN GROUP, PA $430.37

MEDICAL ONLY - - /2019168295 3/11/2019 $65.90 2019/2019 Loss

MEDICAL ONLY - - /2019168301 3/11/2019 $101.47 2019/2019 Loss

MEDICAL ONLY - - /2019159345 11/28/2018 $263.00 2018/2018 Loss

22395 4/26/2019 ATLANTICARE URGENT CARE & $513.85

MEDICAL ONLY - - /2019169018 3/19/2019 $102.77 2019/2019 Loss

MEDICAL ONLY - - /2019168301 3/11/2019 $102.77 2019/2019 Loss

INDEMNITY - - /2019168126 3/9/2019 $102.77 2019/2019 Loss

INDEMNITY - - /2019166233 2/19/2019 $102.77 2019/2019 Loss

MEDICAL ONLY - - /2019162198 1/4/2019 $102.77 2019/2019 Loss

22396 4/26/2019 INDEMNITY RANCOCAS ANESTHESIOLOGY, PA - - /2019157922 11/7/2018 $1,030.00 2018/2018 Loss

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Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

22397 4/26/2019 MEDICAL ONLY LABCORP HOLDINGS - - /2019168472 3/13/2019 $839.05 2019/2019 Loss 22398 4/26/2019 INDEMNITY STRIVE PHYSICAL THERAPY AND - - /2019165901 2/13/2019 $160.00 2019/2019 Loss 22399 4/26/2019 INDEMNITY INSPIRA MEDICAL CENTER VINELAND - - /2018119057 11/28/2017 $1,427.29 2017/2017 Loss 22400 4/26/2019 INDEMNITY VIRTUA WEST JERSEY HEALTH, INC. - - /2018146818 6/29/2018 $2,602.63 2018/2018 Loss

22401 4/26/2019 BACHARACH INSTITUTE FOR REHABILITATION, INC $4,158.00

MEDICAL ONLY - - /2019166769 2/22/2019 $198.00 2019/2019 Loss

INDEMNITY - - /2019166243 2/19/2019 $198.00 2019/2019 Loss

MEDICAL ONLY - - /2019165287 2/6/2019 $396.00 2019/2019 Loss

INDEMNITY - - /2019165232 2/6/2019 $297.00 2019/2019 Loss

INDEMNITY - - /2019164840 1/28/2019 $198.00 2019/2019 Loss

MEDICAL ONLY - - /2019162198 1/4/2019 $594.00 2019/2019 Loss

INDEMNITY - - /2019161852 12/31/2018 $396.00 2018/2018 Loss

INDEMNITY - - /2018131188 4/15/2018 $693.00 2018/2018 Loss

INDEMNITY - - /2018119057 11/28/2017 $594.00 2017/2017 Loss

INDEMNITY Z49521/001264066 11/4/2016 $594.00 2016/2016 Loss

22402 4/26/2019 SHORE MEDICAL CENTER $4,227.75

INDEMNITY - - /2019168139 3/8/2019 $1,947.00 2019/2019 Loss

MEDICAL ONLY - - /2019167192 2/28/2019 $1,947.00 2019/2019 Loss

INDEMNITY - - /2019163258 1/16/2019 $333.75 2019/2019 Loss

22403 4/26/2019 CAPE REGIONAL MEDICAL CENTER $7,876.08

INDEMNITY - - /2019169665 3/26/2019 $795.00 2019/2019 Loss

INDEMNITY - - /2019166800 2/19/2019 $6,761.08 2019/2019 Loss

INDEMNITY - - /2019155835 10/15/2018 $320.00 2018/2018 Loss

22404 4/26/2019 MEDICAL ONLY INSPIRA MEDICAL CENTER WOODBURY - - /2019164251 1/25/2019 $756.47 2019/2019 Loss 22405 4/26/2019 LOURDES ANESTHESIA ASSOC PA $5,455.40

INDEMNITY - - /2019160047 12/4/2018 $4,370.40 2018/2018 Loss

INDEMNITY - - /2018129248 3/21/2018 $1,085.00 2018/2018 Loss

22406 4/26/2019 INDEMNITY HEARTLAND REHABILITATION SERVICES OF NEW - - /2018131877 4/19/2018 $189.00 2018/2018 Loss

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Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

JERSEY LLC22407 4/26/2019 INDEMNITY ATLANTIC MEDICAL IMAGING - - /2019161183 12/13/2018 $286.04 2018/2018 Loss

22408 4/26/2019 TWIN BORO PHYSICAL THERAPY ASSOCIATES, P.A. $1,840.00

INDEMNITY - - /2019168126 3/9/2019 $240.00 2019/2019 Loss

INDEMNITY - - /2019165951 2/14/2019 $480.00 2019/2019 Loss

INDEMNITY - - /2019164343 1/28/2019 $80.00 2019/2019 Loss

INDEMNITY MLT-2019163511/2019163511

1/18/2019 $160.00 2019/2019 Loss

INDEMNITY - - /2019161183 12/13/2018 $240.00 2018/2018 Loss

INDEMNITY MLT-2019153495/2019153493

9/21/2018 $240.00 2018/2018 Loss

INDEMNITY - - /2018143281 5/18/2018 $240.00 2018/2018 Loss

INDEMNITY MLT-2018131125/2018131162

4/13/2018 $80.00 2018/2018 Loss

MEDICAL ONLY - - /2018116650 10/24/2017 $80.00 2017/2017 Loss

22409 4/26/2019 SHORE ORTHOPAEDIC UNIVERSITY ASSOCIATES $6,306.51

INDEMNITY - - /2019168813 3/18/2019 $210.82 2019/2019 Loss

INDEMNITY - - /2019166665 2/22/2019 $84.00 2019/2019 Loss

MEDICAL ONLY - - /2019166865 2/21/2019 $376.49 2019/2019 Loss

INDEMNITY - - /2019166800 2/19/2019 $246.66 2019/2019 Loss

INDEMNITY - - /2019165951 2/14/2019 $156.38 2019/2019 Loss

INDEMNITY - - /2019165838 2/13/2019 $250.39 2019/2019 Loss

INDEMNITY - - /2019165232 2/6/2019 $121.80 2019/2019 Loss

MEDICAL ONLY - - /2019165178 2/5/2019 $243.60 2019/2019 Loss

INDEMNITY - - /2019164343 1/28/2019 $243.60 2019/2019 Loss

INDEMNITY - - /2019164254 1/28/2019 $121.80 2019/2019 Loss

INDEMNITY - - /2019164840 1/28/2019 $121.80 2019/2019 Loss

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Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY MLT-2019163511/2019163511

1/18/2019 $121.80 2019/2019 Loss

MEDICAL ONLY MLT-2019163511/2019163512

1/18/2019 $121.80 2019/2019 Loss

INDEMNITY - - /2019163258 1/16/2019 $1,994.55 2019/2019 Loss

INDEMNITY - - /2019161851 12/30/2018 $160.23 2018/2018 Loss

INDEMNITY - - /2019161030 12/16/2018 $84.00 2018/2018 Loss

MEDICAL ONLY - - /2019160377 12/7/2018 $84.00 2018/2018 Loss

INDEMNITY - - /2019160161 12/6/2018 $84.00 2018/2018 Loss

MEDICAL ONLY - - /2019159688 11/29/2018 $121.80 2018/2018 Loss

MEDICAL ONLY - - /2019158757 11/17/2018 $84.00 2018/2018 Loss

INDEMNITY - - /2019154348 9/28/2018 $84.00 2018/2018 Loss

INDEMNITY - - /2019150570 8/17/2018 $130.00 2018/2018 Loss

INDEMNITY - - /2018131841 4/20/2018 $202.01 2018/2018 Loss

INDEMNITY - - /2018131188 4/15/2018 $243.60 2018/2018 Loss

INDEMNITY MLT-2018131125/2018131162

4/13/2018 $121.80 2018/2018 Loss

INDEMNITY - - /2018129801 3/27/2018 $34.89 2018/2018 Loss

INDEMNITY - - /2018120744 12/15/2017 $121.80 2017/2017 Loss

INDEMNITY Z49521/001264066 11/4/2016 $300.00 2016/2016 Loss

INDEMNITY Z17982/001229840 5/19/2015 $34.89 2015/2015 Loss

22410 4/26/2019 INDEMNITY FERNANDO J. DELASOTTA MD - - /2019155580 10/13/2018 $115.00 2018/2018 Loss

22411 4/26/2019 INDEMNITY KINEMATIC CONSULTANTS INC MLT-2019153495/2019153493 9/21/2018 $720.00 2018/2018 Loss

22412 4/26/2019 ONE CALL CARE DIAGNOSTICS $5,675.00

INDEMNITY - - /2019168296 3/12/2019 $600.00 2019/2019 Loss

INDEMNITY - - /2019166665 2/22/2019 $485.00 2019/2019 Loss

INDEMNITY - - /2019165951 2/14/2019 $485.00 2019/2019 Loss

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Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2019164840 1/28/2019 $800.00 2019/2019 Loss

INDEMNITY - - /2019159939 12/3/2018 $1,075.00 2018/2018 Loss

INDEMNITY - - /2019155580 10/13/2018 $485.00 2018/2018 Loss

MEDICAL ONLY - - /2018122163 1/8/2018 $700.00 2018/2018 Loss

INDEMNITY Z47077/001260137 9/30/2016 $560.00 2016/2016 Loss

INDEMNITY Z25282/001237291 8/31/2015 $485.00 2015/2015 Loss

22413 4/26/2019 INDEMNITY MONMOUTH-OCEAN NEUROLOGY P C - - /2018131877 4/19/2018 $173.94 2018/2018 Loss 22414 4/26/2019 PACE ORTHOPEDICS ANDSPORTS MED.,PC $592.87

INDEMNITY - - /2019168935 3/17/2019 $75.00 2019/2019 Loss

MEDICAL ONLY - - /2019169765 3/13/2019 $119.17 2019/2019 Loss

MEDICAL ONLY - - /2019169874 3/11/2019 $170.00 2019/2019 Loss

INDEMNITY Z25282/001237291 8/31/2015 $228.70 2015/2015 Loss

22415 4/26/2019 INDEMNITY ATLANTICARE SURGERY CENTER EHT MLT-2019163330/2019163330 1/17/2019 $911.56 2019/2019 Loss

22416 4/26/2019 INDEMNITY SHORE AMBULATORY SURGICAL CTR, LLC - - /2019163258 1/16/2019 $9,405.00 2019/2019 Loss 22417 4/26/2019 MEDICAL ONLY NovaCare Rehabilitation - - /2019165178 2/5/2019 $540.00 2019/2019 Loss 22418 4/26/2019 INDEMNITY MEDIKINE GROUP, LLC - - /2019163258 1/16/2019 $775.24 2019/2019 Loss 22419 4/26/2019 CAPE REGIONAL URGENTCARE $420.00

MEDICAL ONLY - - /2019169134 3/20/2019 $119.56 2019/2019 Loss

INDEMNITY - - /2019168342 3/11/2019 $180.88 2019/2019 Loss

MEDICAL ONLY - - /2019167010 2/27/2019 $119.56 2019/2019 Loss

22420 4/26/2019 PREMIER ORTHOPAEDIC ASSOCIATES OF SOUTHERN NJ $8,235.40

MEDICAL ONLY - - /2019168151 3/10/2019 $88.09 2019/2019 Loss

INDEMNITY - - /2019157922 11/7/2018 $8,147.31 2018/2018 Loss

22421 4/26/2019 MEDICAL ONLY QUEST DIAGNOSTICS - - /2019164777 2/2/2019 $26.88 2019/2019 Loss 22422 4/26/2019 MEDICAL ONLY INSPIRA HEALTH NETWORK URGENT CARE PC - - /2019169148 3/18/2019 $305.77 2019/2019 Loss 22423 4/26/2019 CAPE PHYSICAL THERAPY LLC $108.00

INDEMNITY - - /2019166886 2/26/2019 $60.00 2019/2019 Loss

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Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

INDEMNITY - - /2019160973 12/13/2018 $48.00 2018/2018 Loss

22424 4/26/2019 MEDICAL ONLY BAYFRONT EMERGENCY PHYSICIANS, PA - - /2019166829 2/23/2019 $397.00 2019/2019 Loss 22425 4/26/2019 INDEMNITY ADVANCED RADIOLOGY SOLUTIONS LLC - - /2019168139 3/8/2019 $140.65 2019/2019 Loss 22426 4/26/2019 INDEMNITY ALIGN DIRECT BILL LLC - - /2019146873 6/29/2018 $285.00 2018/2018 Loss 22427 4/26/2019 INDEMNITY SHORE SPECIALTY CONSULTANTS, PA - - /2019148009 7/14/2018 $73.41 2018/2018 Loss 22428 4/26/2019 ATLANTICARE REGIONAL MEDICAL CENTER $13,916.00

MEDICAL ONLY - - /2019168951 3/18/2019 $2,511.00 2019/2019 Loss

INDEMNITY - - /2019166233 2/19/2019 $11,405.00 2019/2019 Loss

22429 4/26/2019 INDEMNITY UNIV OF PENN MEDICAL GROUP - - /2018110940 8/21/2017 $32.00 2017/2017 Loss

22430 4/26/2019 MEDICAL ONLY ATLANTIC EMERGENCY ASSOCIATES-KESSLER, SED, L L C - - /2019165532 2/9/2019 $456.00 2019/2019 Loss

22431 4/26/2019 INDEMNITY COMP X MEDICAL MANAGEMENT - - /2018131188 4/15/2018 $507.00 2018/2018 Loss 22432 4/26/2019 INDEMNITY TARA I FRANZ, OD - - /2018131188 4/15/2018 $16.00 2018/2018 Loss 22433 4/26/2019 AVIA PARTNERS INC $158.82

MEDICAL ONLY - - /2019165178 2/5/2019 $9.03 2019/2019 Loss

INDEMNITY Z25601/001237620 9/7/2015 $149.79 2015/2015 Loss

22434 4/26/2019 QUALCARE, INC. $4,455.00

MEDICAL ONLY - - /2019171653 4/18/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019171361 4/16/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019171314 4/16/2019 $495.00 2019/2019 Loss

INDEMNITY - - /2019171347 4/15/2019 $495.00 2019/2019 Loss

INDEMNITY - - /2019171260 4/15/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019171226 4/13/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019171198 4/12/2019 $495.00 2019/2019 Loss

INDEMNITY - - /2019171168 4/5/2019 $495.00 2019/2019 Loss

INDEMNITY - - /2019170539 2/27/2019 $495.00 2019/2019 Loss

22435 4/30/2019 RK PSYCHOLOGY & NEUROPSYCHOLOG $600.00

MEDICAL ONLY - - /2019162106 11/24/2018 $400.00 2018/2018 Loss

INDEMNITY MLT-2017106164/2017106165

6/22/2017 $200.00 2017/2017 Loss

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Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

22436 4/30/2019 POLICE PROF PI MADDEN & MADDEN, P.A. - - /2018108999 3/29/2016 $840.00 2016/2016 Legal 22437 4/30/2019 INDEMNITY QUAL-LYNX - - /2019154348 9/28/2018 $75.00 2018/2018 Expense22438 4/30/2019 INDEMNITY SHORE ORTHOPAEDIC UNIV ASSOC PA - - /2017104597 6/6/2017 $500.00 2017/2017 Loss 22439 4/30/2019 BODILY INJURY [Expired] BARKER, GELFAND & JAMES - - /2017103574 4/17/2017 $10,690.50 2017/2017 Legal 22440 4/30/2019 BODILY INJURY [Expired] BIRCHMEIER & POWELL LLC - - /2017090589 12/13/2016 $6,214.91 2016/2016 Legal 22441 4/30/2019 State of New Jersey - Div of Worker's Comp $8.73

INDEMNITY - - /2019165281 2/7/2019 $0.59 2019/2019 Expense

INDEMNITY MLT-2019163511/2019163511

1/18/2019 $1.33 2019/2019 Expense

INDEMNITY - - /2019157922 11/7/2018 $4.45 2018/2018 Expense

INDEMNITY - - /2019170591 10/20/2018 $1.18 2018/2018 Expense

INDEMNITY - - /2019169546 6/1/2017 $0.59 2017/2017 Expense

INDEMNITY Z49262/001263806 10/31/2016 $0.59 2016/2016 Expense

22442 4/30/2019 INDEMNITY HOWARD HAMMER PSYD MLT-Z45918/001258246 10/3/2016 $150.00 2016/2016 Loss 22443 4/30/2019 1ST PARTY COLL PD LEO PETETTI LLC - - /2019172108 4/20/2019 $110.00 2019/2019 Expense22444 4/30/2019 INDEMNITY MED REQUEST SOLUTIONS INC - - /2019155580 10/13/2018 $100.00 2018/2018 Expense22445 4/30/2019 REYNOLDS & HORN, P.C. $2,145.00

POLICE PROF BI - - /2019166636 6/18/2018 $1,567.50 2018/2018 Legal

POLICE PROF BI - - /2019168363 1/27/2017 $577.50 2017/2017 Legal

22446 4/30/2019 MEDICAL ONLY RICHARD C DIVERNIERO MD - - /2019156087 10/19/2018 $900.00 2018/2018 Loss 22447 4/30/2019 INDEMNITY JERSEY SHORE REPORTING, LLC - - /2017104597 6/6/2017 $74.35 2017/2017 Expense22448 4/30/2019 INDEMNITY SEA ISLE CITY - - /2019150119 8/11/2018 $129.00 2018/2018 Loss 22449 4/30/2019 POLICE PROF PI PATRICK PRIN - - /2018124217 7/16/2016 $1,001.00 2016/2016 Loss 22450 4/30/2019 INLAND MARINE Amano McGann, Inc. - - /2019152289 9/9/2018 $80,479.00 2018/2018 Loss 22451 4/30/2019 INDEMNITY Dominick Jones - - /2019168813 3/18/2019 $492.00 2019/2019 Loss 22452 4/30/2019 INDEMNITY DENNIS FELSING Z18589/001230478 5/25/2015 $1,596.00 2015/2015 Loss 22453 4/30/2019 INDEMNITY JONI FRANGIEH Z41781/001254090 7/14/2016 $999.00 2016/2016 Loss 22454 4/30/2019 1ST PARTY COLL PD SEA ISLE CITY - - /2019172108 4/20/2019 $2,307.40 2019/2019 Loss 22455 4/30/2019 1ST PARTY COLL PD VENTNOR CITY - - /2019168921 3/11/2019 $1,230.60 2019/2019 Loss 22456 4/30/2019 ATLANTICARE URGENT CARE & $639.62

MEDICAL ONLY - - /2019169177 3/21/2019 $102.77 2019/2019 Loss

MEDICAL ONLY - - /2019169041 3/19/2019 $106.08 2019/2019 Loss

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Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

MEDICAL ONLY - - /2019168295 3/11/2019 $195.77 2019/2019 Loss

INDEMNITY MLT-2019161926/2019161927

12/31/2018 $235.00 2018/2018 Loss

22457 4/30/2019 INDEMNITY ATLANTICARE PHYSICIAN GROUP, PA - - /2018131188 4/15/2018 $75.00 2018/2018 Loss

22458 4/30/2019 BACHARACH INSTITUTE FOR REHABILITATION, INC $2,164.00

MEDICAL ONLY - - /2019166769 2/22/2019 $396.00 2019/2019 Loss

MEDICAL ONLY - - /2019165287 2/6/2019 $99.00 2019/2019 Loss

INDEMNITY - - /2019165232 2/6/2019 $184.00 2019/2019 Loss

INDEMNITY - - /2019164840 1/28/2019 $396.00 2019/2019 Loss

INDEMNITY - - /2018131188 4/15/2018 $396.00 2018/2018 Loss

INDEMNITY Z49521/001264066 11/4/2016 $693.00 2016/2016 Loss

22459 4/30/2019 INDEMNITY HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC - - /2018131877 4/19/2018 $126.00 2018/2018 Loss

22460 4/30/2019 MEDICAL ONLY TWIN BORO PHYSICAL THERAPY ASSOCIATES, P.A. - - /2019167196 2/28/2019 $560.00 2019/2019 Loss

22461 4/30/2019 SHORE ORTHOPAEDIC UNIVERSITY ASSOCIATES $764.69

INDEMNITY - - /2019168296 3/12/2019 $212.52 2019/2019 Loss

INDEMNITY - - /2019165838 2/13/2019 $121.80 2019/2019 Loss

MEDICAL ONLY - - /2019159898 12/4/2018 $430.37 2018/2018 Loss

22462 4/30/2019 INDEMNITY NovaCare Rehabilitation - - /2018131841 4/20/2018 $180.00 2018/2018 Loss 22463 4/30/2019 CAPE REGIONAL URGENTCARE $627.85

MEDICAL ONLY - - /2019169134 3/20/2019 $121.31 2019/2019 Loss

MEDICAL ONLY - - /2019168927 3/18/2019 $119.36 2019/2019 Loss

INDEMNITY - - /2019168813 3/18/2019 $188.14 2019/2019 Loss

INDEMNITY - - /2019168935 3/17/2019 $119.56 2019/2019 Loss

MEDICAL ONLY - - /2019167010 2/27/2019 $79.48 2019/2019 Loss

22464 4/30/2019 INDEMNITY PENN PRESBYTERIAN MEDICAL CENTER - - /2018110940 8/21/2017 $45.60 2017/2017 Loss 22465 4/30/2019 INDEMNITY TARA I FRANZ, OD - - /2018131188 4/15/2018 $160.00 2018/2018 Loss 22466 4/30/2019 QUALCARE, INC. $3,465.00

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AJF-ATL.JOINT INS.FUND

Check Register ReportBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage : All ,Claimant Type: All

Check Number

Check Date Claimant (Case) Type Payee Name QL File / Claim Number Loss Date Payment Amount Policy Year Exp./Legal

MEDICAL ONLY - - /2019171886 4/24/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019171918 4/24/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019171783 4/23/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019171708 4/21/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019171714 4/16/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019171189 4/14/2019 $495.00 2019/2019 Loss

MEDICAL ONLY - - /2019171907 9/1/2018 $495.00 2018/2018 Loss

Total for AJF-ATL.JOINT INS.FUND $1,065,311.40 Total for AJF-ATL.JOINT INS.FUND $1,065,311.40

Number of Checks: 473 First Check Number: 21994Number of Payments: 1,038 Last Check Number: 22466

Expense Payments: $29,335.82

Legal Payments: $139,950.52

Loss Payments: $896,025.06

Run Date: 5/7/2019 09:50:40 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 34 of 34

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SUBROGATION BY YEAR

AND ADJUSTMENT RECEIPTS PER MONTH

DESCRIPTION TOTAL JANUARY FEBRUARY MARCH APRIL

RECOVERY REGISTER

EXCESS REIMBURSEMENTS -$

SUBROGATION 173,733.14$ 37,757.12$ 34,990.13$ 32,565.32$ 68,420.57$

REFUNDS -$

ALL OTHER 10,150.00$ 5,200.00$ -$ 4,950.00$

TOTALS 183,883.14$ 42,957.12$ 34,990.13$ 32,565.32$ 73,370.57$

ADJUSTMENT REGISTER:TOTAL 5,676.06$ 692.49$ 1,757.59$ 29.00$ 3,196.98$

OTHER RECEIPTS

-$ -$ -$ -$ -$

INTEREST:INVESTORS BANK 68,776.96$ 19,447.81$ 18,835.15$ 16,801.97$ 13,692.03$

ASSESSMENTS:

PRIOR YEAR -$

CURRENT YEAR 4,477,787.00$ 639,194.00$ 2,330,900.00$ 1,507,693.00$

4,477,787.00$ 639,194.00$ 2,330,900.00$ -$ 1,507,693.00$

TOTAL 4,736,123.16$ 702,291.42$ 2,386,482.87$ 49,396.29$ 1,597,952.58$

CHECK EQUAL -0- -$

BANK STATEMENT= 3,138,170.58$

CHECK EQUAL -0- 1,597,952.58$

RECOVERY REGISTER

SUBROGATION BY YEAR

2019 15,867.02$ 1,843.10$ 14,023.92$

2018 38,295.43$ 5,766.42$ 24,869.45$ 7,659.56$

2017 18,157.01$ 4,582.68$ 1,279.75$ 7,548.00$ 4,746.58$

2016 39,594.98$ 4,288.00$ 158.00$ -$ 35,148.98$

2015 30,686.23$ 28,836.57$ 98.00$ 1,751.66$

2014 25,792.99$ 25,792.99$

2013 5,039.48$ 9.87$ 9.87$ 9.87$ 5,009.87$

2012 -$

2011 30.00$ 10.00$ 10.00$ 10.00$

2010 120.00$ 30.00$ 30.00$ 30.00$ 30.00$

2009 150.00$ 100.00$ 50.00$

2007 -$

2006 -$

2005 -$

2004 -$

2003 -$

2002 -$

173,733.14$ 37,757.12$ 34,990.13$ 32,565.32$ 68,420.57$

CHECK EQUAL -0- -$

FILE:C:\Users\kkristie\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\PZCSRXEF\RECOVERY- ADJUSTMENT- OTHER-INTEREST-ASSESSMENT REGISTER 2019\2019139

Page 144: AGENDAPACKET2019/05/05  · Kellie Seib, Sea Isle City Roy Spoltore, Upper Deerfield Twp Rick Yeatman, Waterford Twp DJ Ayres, Weymouth Twp Connie Mahon, Wildwood Crest Borough Lisa

AJF-ATL.JOINT INS.FUND

Recovery RegisterBank Account : ALL

iVOS Line: PropertyProcessed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage: All ,Claimant Type: All

Processed Check Date

Check Number

QL File Number / IVOS Claim Number

Claimant Type Claimant Loss Date Transaction Type Payee Examiner Policy Year Amount Exp. / Legal

4/2/2019 U76470 / 000966742 1ST PARTY COLL PD

EGG HARBOR TWP 2/9/2009 R-SUBROGATION COLL/COMP

EGG HARBOR TOWNSHIP

Eileen Stasuk [Expired]

2009/2009 50.00 Loss

Year 2009/2009 Totals: 1 $50.00Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 1 $50.00Refund Totals: 0 $0.00

All Other Totals: 0 $0.00

4/10/2019 W48335 / 001055219 BLDG/CONTENT BUENA VISTA TWP 6/2/2010 R-SUBROGATION BLD & CNT

BUENA VISTA TOWNSHIP

Joseph Lisciandri

2010/2010 30.00 Loss

Year 2010/2010 Totals: 1 $30.00Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 1 $30.00Refund Totals: 0 $0.00

All Other Totals: 0 $0.00

4/17/2019 X79073 / 001190062 1ST PARTY COLL PD

WATERFORD TWP 12/7/2013 R-SUBROGATION COLL/COMP

WATERFORD TOWNSHIP

Eileen Stasuk [Expired]

2013/2013 5,000.00 Loss

4/17/2019 X78759 / 001189736 COMPREHENSIVE FOLSOM 12/4/2013 R-SUBROGATION COLL/COMP

FOLSOM BOROUGH

James Mercanto 2013/2013 9.87 Loss

Year 2013/2013 Totals: 2 $5,009.87Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 2 $5,009.87Refund Totals: 0 $0.00

All Other Totals: 0 $0.00

4/17/2019 - - / 2018113085 MONEY/SEC INSIDE

GALLOWAY 8/30/2017 R-SUBROGATION OTR LOSS PR

GALLOWAY TOWNSHIP

DORIS MOORE1

2017/2017 196.00 Loss

Year 2017/2017 Totals: 1 $196.00Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 1 $196.00Refund Totals: 0 $0.00

All Other Totals: 0 $0.00

Run Date: 5/7/2019 09:54:38 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 1 of 5

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AJF-ATL.JOINT INS.FUND

Recovery RegisterBank Account : ALL

iVOS Line: PropertyProcessed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage: All ,Claimant Type: All

Processed Check Date

Check Number

QL File Number / IVOS Claim Number

Claimant Type Claimant Loss Date Transaction Type Payee Examiner Policy Year Amount Exp. / Legal

4/3/2019 - - / 2019162021 1ST PARTY COLL PD

Folsom 12/31/2018 R-SUBROGATION COLL/COMP

FOLSOM BOROUGH

Eileen Stasuk [Expired]

2018/2018 5,908.04 Loss

4/3/2019 - - / 2019158003 1ST PARTY COLL PD

Pleasantville 10/31/2018 R-SUBROGATION COLL/COMP

PLEASANTVILLE CITY

Eileen Stasuk [Expired]

2018/2018 1,207.22 Loss

4/10/2019 - - / 2018122377 1ST PARTY COLL PD

GALLOWAY 1/8/2018 R-SUBROGATION COLL/COMP

GALLOWAY TOWNSHIP

DORIS MOORE1

2018/2018 544.30 Loss

Year 2018/2018 Totals: 3 $7,659.56Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 3 $7,659.56Refund Totals: 0 $0.00

All Other Totals: 0 $0.00

4/25/2019 - - / 2019166323 1ST PARTY COLL PD

CAPE MAY 2/19/2019 R-SALVAGE COLL/COMP

CAPE MAY CITY Eileen Stasuk [Expired]

2019/2019 250.00 Loss

4/17/2019 - - / 2019165504 1ST PARTY COLL PD

EGG HARBOR TOWNSHIP 2/7/2019 R-SALVAGE COLL/COMP

EGG HARBOR TOWNSHIP

James Mercanto 2019/2019 3,500.00 Loss

4/17/2019 - - / 2019164409 1ST PARTY COLL PD

HAMILTON TOWNSHIP 1/28/2019 R-SUBROGATION COLL/COMP

HAMILTON TOWNSHIP

James Mercanto 2019/2019 351.40 Loss

4/17/2019 - - / 2019164307 1ST PARTY COLL PD

MILLVILLE 1/25/2019 R-SALVAGE COLL/COMP

MILLVILLE CITY James Mercanto 2019/2019 1,200.00 Loss

4/24/2019 - - / 2019164307 1ST PARTY COLL PD

MILLVILLE 1/25/2019 R-SUBROGATION COLL/COMP

MILLVILLE CITY James Mercanto 2019/2019 10,657.00 Loss

4/2/2019 - - / 2019163639 1ST PARTY COLL PD

GALLOWAY 1/18/2019 R-SUBROGATION COLL/COMP

GALLOWAY TOWNSHIP

DORIS MOORE1

2019/2019 3,015.52 Loss

Year 2019/2019 Totals: 6 $18,973.92Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 3 $14,023.92Refund Totals: 0 $0.00

All Other Totals: 3 $4,950.00

All Property Totals: 14 $31,919.35Excess Reimbursement Totals: 0 $0.00

Run Date: 5/7/2019 09:54:38 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 2 of 5

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AJF-ATL.JOINT INS.FUND

Recovery RegisterBank Account : ALL

iVOS Line: PropertyProcessed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage: All ,Claimant Type: All

Processed Check Date

Check Number

QL File Number / IVOS Claim Number

Claimant Type Claimant Loss Date Transaction Type Payee Examiner Policy Year Amount Exp. / Legal

Subrogation Totals: 11 $26,969.35Refund Totals: 0 $0.00

All Other Totals: 3 $4,950.00

Run Date: 5/7/2019 09:54:38 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 3 of 5

142

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AJF-ATL.JOINT INS.FUND

Recovery RegisterBank Account : ALL

iVOS Line: Workers CompensationProcessed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage: All ,Claimant Type: All

Processed Check Date

Check Number

QL File Number / IVOS Claim Number

Claimant Type Claimant Loss Date Transaction Type Payee Examiner Policy Year Amount Exp. / Legal

4/18/2019 Z31253 / 001243362 INDEMNITY JEREMY HARTMAN 12/5/2015 R-SUBROGATION MED HAMILTON TOWNSHIP

Kaitlyn Leonard 2015/2015 1,751.66 Loss

Year 2015/2015 Totals: 1 $1,751.66Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 1 $1,751.66Refund Totals: 0 $0.00

All Other Totals: 0 $0.00

4/17/2019 Z37853 / 001250105 INDEMNITY CARL PETERSON 4/22/2016 R-SUBROGATION TTD EGG HARBOR TOWNSHIP

Chelsea Quitter 2016/2016 3,235.14 Loss

4/17/2019 Z37853 / 001250105 INDEMNITY CARL PETERSON 4/22/2016 R-SUBROGATION MED EGG HARBOR TOWNSHIP

Chelsea Quitter 2016/2016 20,314.68 Loss

4/17/2019 Z37853 / 001250105 INDEMNITY CARL PETERSON 4/22/2016 R-SUBROGATION PPD EGG HARBOR TOWNSHIP

Chelsea Quitter 2016/2016 11,599.16 Loss

Year 2016/2016 Totals: 3 $35,148.98Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 3 $35,148.98Refund Totals: 0 $0.00

All Other Totals: 0 $0.00

4/16/2019 - - / 2018113256 INDEMNITY STEPHEN TOLAN 9/23/2017 R-SUBROGATION MED NORTH WILDWOOD CITY

Courtney Chialastri

2017/2017 296.75 Loss

4/16/2019 - - / 2018111982 INDEMNITY JULIO RUIZ 9/8/2017 R-SUBROGATION MED MIDDLE TOWNSHIP

Courtney Chialastri

2017/2017 298.00 Loss

4/10/2019 - - / 2018110421 MEDICAL ONLY ANTHONY VENUTO 8/18/2017 R-SUBROGATION MED EGG HARBOR TOWNSHIP

Arlee Boyd-Smith

2017/2017 76.05 Loss

4/17/2019 - - / 2017103669 INDEMNITY JOSEPH SWITZER 5/25/2017 R-SUBROGATION MED SOMERS POINT CITY

Chelsea Quitter 2017/2017 144.00 Loss

4/24/2019 MLT-2017099450 / 2017099450

MEDICAL ONLY BRIAN TEEFY 4/6/2017 R-SUBROGATION MED SEA ISLE CITY Arlee Boyd-Smith

2017/2017 1,421.80 Loss

Run Date: 5/7/2019 09:54:38 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 4 of 5

143

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AJF-ATL.JOINT INS.FUND

Recovery RegisterBank Account : ALL

iVOS Line: Workers CompensationProcessed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage: All ,Claimant Type: All

Processed Check Date

Check Number

QL File Number / IVOS Claim Number

Claimant Type Claimant Loss Date Transaction Type Payee Examiner Policy Year Amount Exp. / Legal

4/24/2019 MLT-2017099450 / 2017099451

MEDICAL ONLY MATTHEW STEELMAN 4/6/2017 R-SUBROGATION MED SEA ISLE CITY Arlee Boyd-Smith

2017/2017 2,313.98 Loss

Year 2017/2017 Totals: 6 $4,550.58Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 6 $4,550.58Refund Totals: 0 $0.00

All Other Totals: 0 $0.00

All Workers Compensation Totals: 10 $41,451.22Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 10 $41,451.22Refund Totals: 0 $0.00

All Other Totals: 0 $0.00

Grand Total: 24 $73,370.57Excess Reimbursement Totals: 0 $0.00

Subrogation Totals: 21 $68,420.57Refund Totals: 0 $0.00

All Other Totals: 3 $4,950.00

Run Date: 5/7/2019 09:54:38 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 5 of 5

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AJF-ATL.JOINT INS.FUND

Adjustment RegisterBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage: All ,Claimant Type: All

Processed Check Date

Check Num QL File Number /

Claim Num

Claimant Claimant (Case) Type

Loss Date Payee Insured Payment Method

Amount Policy Year

Exp. / Legal

4/2/2019 - - / 2019153315

Giovanny Garcia INDEMNITY 9/20/2018 PLEASANTVILLE CITY PLEASANTVILLE CITY~0017832025~17832025

Paper Transaction

($1,723.20) 2018/2018 Loss

4/14/2019 - - / 2019150391

Viviana Lara INDEMNITY 6/21/2018 EGG HARBOR TOWNSHIP EGG HARBOR TOWNSHIP~0017831710~17831710

Paper Transaction

($1,413.78) 2018/2018 Loss

Paper Transaction Total: 2 ($3,136.98)

Run Date: 5/7/2019 09:47:24 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 1 of 5

145

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AJF-ATL.JOINT INS.FUND

Adjustment RegisterBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage: All ,Claimant Type: All

Processed Check Date

Check Num QL File Number /

Claim Num

Claimant Claimant (Case) Type

Loss Date Payee Insured Payment Method

Amount Policy Year

Exp. / Legal

4/30/2019 4/9/2019 22117 MLT-2018119705 / 2018119715

GIRARD TELL INDEMNITY 12/5/2017 TWIN BORO PHYSICAL THERAPY ASSOCIATES, P.A.

PLEASANTVILLE CITY~0017832025~17832025

Reversal ($80.00) 2017/2017 Loss

Reversal Total: 1 ($80.00)

Run Date: 5/7/2019 09:47:24 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 2 of 5

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AJF-ATL.JOINT INS.FUND

Adjustment RegisterBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage: All ,Claimant Type: All

Processed Check Date

Check Num QL File Number /

Claim Num

Claimant Claimant (Case) Type

Loss Date Payee Insured Payment Method

Amount Policy Year

Exp. / Legal

4/30/2019 4/9/2019 22117 - - / 2019167196

Girard Tell MEDICAL ONLY

2/28/2019 TWIN BORO PHYSICAL THERAPY ASSOCIATES, P.A.

PLEASANTVILLE CITY~0017832025~17832025

Reverse/Copy $80.00 2019/2019 Loss

Reverse/Copy Total: 1 $80.00

Run Date: 5/7/2019 09:47:24 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 3 of 5

147

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AJF-ATL.JOINT INS.FUND

Adjustment RegisterBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage: All ,Claimant Type: All

Processed Check Date

Check Num QL File Number /

Claim Num

Claimant Claimant (Case) Type

Loss Date Payee Insured Payment Method

Amount Policy Year

Exp. / Legal

4/10/2019 3/29/2019 21951 - - / 2019169777

Egg Harbor Twp. 1ST PARTY COLL PD

3/26/2019 T-Masters Collision EGG HARBOR TOWNSHIP~0017831710~17831710

Void ($157.23) 2019/2019 Loss

4/22/2019 4/2/2019 22007 - - / 2019166800

Eileen Casey INDEMNITY 2/19/2019 WILDWOOD CITY WILDWOOD CITY~0017835001~17835001 Void ($1,263.30) 2019/2019 Loss

4/1/2019 3/29/2019 21920 - - / 2019154348

John Gifford INDEMNITY 9/28/2018 QUAL-LYNX OCEAN CITY~0017834827~17834827 Void ($75.00) 2018/2018 Expense

4/1/2019 3/29/2019 21920 - - / 2019153195

Luz Mora INDEMNITY 9/20/2018 QUAL-LYNX WILDWOOD CITY~0017835001~17835001 Void ($750.00) 2018/2018 Expense

4/1/2019 3/29/2019 21920 - - / 2019153341

Robert Lane INDEMNITY 9/19/2018 QUAL-LYNX SEA ISLE CITY~0017834856~17834856 Void ($75.00) 2018/2018 Expense

4/1/2019 3/29/2019 21920 - - / 2019152801

Robert Craft INDEMNITY 9/17/2018 QUAL-LYNX SEA ISLE CITY~0017834856~17834856 Void ($75.00) 2018/2018 Expense

4/1/2019 3/29/2019 21920 - - / 2019152485

Patrick Finnerty INDEMNITY 9/12/2018 QUAL-LYNX VENTNOR CITY~0017832083~17832083 Void ($75.00) 2018/2018 Expense

4/29/2019 1/18/2019 20816 - - / 2019152289

Sea Isle City INLAND MARINE

9/9/2018 Amano McGann, Inc. SEA ISLE CITY~0017834856~17834856 Void ($80,479.00) 2018/2018 Loss

4/1/2019 3/29/2019 21920 - - / 2019150119

Michael Hohman INDEMNITY 8/11/2018 QUAL-LYNX SEA ISLE CITY~0017834856~17834856 Void ($75.00) 2018/2018 Expense

4/1/2019 3/29/2019 21920 - - / 2019148274

ANTHONY REBARDO

INDEMNITY 7/19/2018 QUAL-LYNX EGG HARBOR TOWNSHIP~0017831710~17831710

Void ($75.00) 2018/2018 Expense

4/1/2019 3/29/2019 21920 - - / 2019148301

MARIA BREWSTER

INDEMNITY 7/19/2018 QUAL-LYNX LOWER TOWNSHIP~0017834740~17834740

Void ($75.00) 2018/2018 Expense

4/1/2019 3/29/2019 21920 - - / 2019147887

KEVIN MULLER INDEMNITY 7/16/2018 QUAL-LYNX OCEAN CITY~0017834827~17834827 Void ($75.00) 2018/2018 Expense

4/1/2019 3/29/2019 21920 - - / 2018145833

THOMAS DRUMM

INDEMNITY 6/18/2018 QUAL-LYNX NORTH WILDWOOD CITY~0017834798~17834798

Void ($75.00) 2018/2018 Expense

4/1/2019 3/29/2019 21920 MLT-2018131125 / 2018131162

DAVID ARISTIZABAL

INDEMNITY 4/13/2018 QUAL-LYNX PLEASANTVILLE CITY~0017832025~17832025

Void ($75.00) 2018/2018 Expense

4/22/2019 3/2/2018 16019 MLT-2018120130 / 2018120130

MATTHEW HANN MEDICAL ONLY

12/11/2017 ADMINISTRATIVE CLAIM SERVICES EGG HARBOR TOWNSHIP~0017831710~17831710

Void ($3.00) 2017/2017 Expense

4/1/2019 3/29/2019 21920 - - / 2018112766

PATRICK A SCHELL

INDEMNITY 9/18/2017 QUAL-LYNX MARGATE CITY~0017831940~17831940 Void ($75.00) 2017/2017 Expense

Run Date: 5/7/2019 09:47:24 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 4 of 5

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AJF-ATL.JOINT INS.FUND

Adjustment RegisterBank Account : ALL

Processed Date: Apr 1, 2019 - Apr 30, 2019Instance Type: AllCoverage: All ,Claimant Type: All

Processed Check Date

Check Num QL File Number /

Claim Num

Claimant Claimant (Case) Type

Loss Date Payee Insured Payment Method

Amount Policy Year

Exp. / Legal

4/1/2019 3/29/2019 21920 MLT-Z30544 / 001242631

JOSEPH RICCI INDEMNITY 11/23/2015 QUAL-LYNX PLEASANTVILLE CITY~0017832025~17832025

Void ($75.00) 2015/2015 Expense

Void Total: 17 ($83,552.53)

Grand Total: 21 ($86,689.51)Reimbursement Total: 2 ($3,136.98)

Reversal Total: 0 $0.00Reverse/Copy Total: 0 $0.00

Stop Pay Total: 0 $0.00Void Total: 17 ($83,552.53)

Run Date: 5/7/2019 09:47:24 Run by: Shateela Skaggs AJF-ATL.JOINT INS.FUND Reporting System: RiskConsole V1 Page 5 of 5

149

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150

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SUMMARY OF CASH TRANSACTIONS

FUND YEAR 2019

Month Ending: April

Prop Liab Auto WC Ded Cont EJIF MEL Admin TOTAL

OPEN BALANCE 47,109.23 277,984.94 43,100.48 750,470.37 250,558.88 0.00 0.00 0.00 (1,579,592.99) (210,369.09)

RECEIPTS

Assessments 68,533.69 142,718.22 23,972.32 482,604.99 126,893.47 0.00 0.00 0.00 662,970.30 1,507,692.99

Refunds 18,973.92 0.00 0.00 0.00 18,973.92

Invest Pymnts 103.16 369.25 59.71 1,080.77 331.34 0.00 0.00 0.00 29.15 1,973.38

Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Subtotal Invest 103.16 369.25 59.71 1,080.77 331.34 0.00 0.00 0.00 29.15 1,973.38

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 87,610.77 143,087.47 24,032.03 483,685.76 127,224.81 0.00 0.00 0.00 662,999.45 1,528,640.29

EXPENSES 0.00

Claims Transfers 103,036.90 2,250.00 3,786.46 140,246.63 0.00 0.00 0.00 0.00 0.00 249,319.99

Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,512,008.66 1,512,008.66

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 103,036.90 2,250.00 3,786.46 140,246.63 0.00 0.00 0.00 0.00 1,512,008.66 1,761,328.65

END BALANCE 31,683.10 418,822.41 63,346.05 1,093,909.50 377,783.69 0.00 0.00 0.00 (2,428,602.20) (443,057.45)

SUMMARY OF CASH TRANSACTIONS

FUND YEAR 2018

Month Ending: April

Prop Liab Auto WC Ded Cont EJIF MEL Admin TOTAL

OPEN BALANCE (294,936.53) (787,098.70) 299,044.43 3,480,035.47 1,770,553.21 0.00 0.00 (1,603,413.50) 6,487,843.97 9,352,028.35

RECEIPTS

Assessments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Refunds 7,659.56 0.00 0.00 0.00 7,659.56

Invest Pymnts 13.05 0.35 621.18 8,026.32 3,658.39 0.00 0.00 0.00 13,665.32 25,984.61

Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Subtotal Invest 13.05 0.35 621.18 8,026.32 3,658.39 0.00 0.00 0.00 13,665.32 25,984.61

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 7,672.61 0.35 621.18 8,026.32 3,658.39 0.00 0.00 0.00 13,665.32 33,644.17

EXPENSES

Claims Transfers 49,020.47 22,725.14 11.25 209,831.34 0.00 0.00 0.00 0.00 0.00 281,588.20

Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19,100.00 19,100.00

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 49,020.47 22,725.14 11.25 209,831.34 0.00 0.00 0.00 0.00 19,100.00 300,688.20

END BALANCE (336,284.39) (809,823.49) 299,654.36 3,278,230.45 1,774,211.60 0.00 0.00 (1,603,413.50) 6,482,409.29 9,084,984.32

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SUMMARY OF CASH TRANSACTIONS

FUND YEAR 2017

Month Ending: April

Prop Liab Auto WC Ded Cont EJIF MEL Admin TOTAL

OPEN BALANCE 79,641.16 2,033,974.13 256,377.61 3,224,865.19 1,984,794.57 0.00 0.00 256,376.86 319,326.49 8,155,356.01

RECEIPTS

Assessments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Refunds 196.00 0.00 0.00 4,550.58 4,746.58

Invest Pymnts 182.72 4,295.99 535.32 7,170.92 4,143.50 0.00 0.00 534.80 694.92 17,558.17

Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Subtotal Invest 182.72 4,295.99 535.32 7,170.92 4,143.50 0.00 0.00 534.80 694.92 17,558.17

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 378.72 4,295.99 535.32 11,721.50 4,143.50 0.00 0.00 534.80 694.92 22,304.75

EXPENSES

Claims Transfers 0.00 37,594.80 0.00 192,240.49 0.00 0.00 0.00 0.00 0.00 229,835.29

Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 0.00 37,594.80 0.00 192,240.49 0.00 0.00 0.00 0.00 0.00 229,835.29

END BALANCE 80,019.88 2,000,675.32 256,912.93 3,044,346.20 1,988,938.07 0.00 0.00 256,911.66 320,021.41 7,947,825.47

SUMMARY OF CASH TRANSACTIONS

FUND YEAR 2016

Month Ending: April

Prop Liab Auto WC Ded Cont EJIF MEL Admin TOTAL

OPEN BALANCE 11,314.12 1,626,505.73 328,886.74 2,060,389.02 2,056,524.49 125,400.24 0.00 113,709.23 57,734.50 6,380,464.07

RECEIPTS

Assessments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Refunds 0.00 0.00 0.00 35,148.98 35,148.98

Invest Pymnts 22.01 3,486.86 691.01 4,532.04 4,293.73 261.80 0.00 237.40 120.74 13,645.59

Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Subtotal Invest 22.01 3,486.86 691.01 4,532.04 4,293.73 261.80 0.00 237.40 120.74 13,645.59

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 22.01 3,486.86 691.01 39,681.02 4,293.73 261.80 0.00 237.40 120.74 48,794.57

EXPENSES

Claims Transfers 572.20 26,955.81 7,356.50 85,822.14 0.00 0.00 0.00 0.00 0.00 120,706.65

Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 572.20 26,955.81 7,356.50 85,822.14 0.00 0.00 0.00 0.00 0.00 120,706.65

END BALANCE 10,763.93 1,603,036.78 322,221.25 2,014,247.90 2,060,818.22 125,662.04 0.00 113,946.63 57,855.24 6,308,551.99

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SUMMARY OF CASH TRANSACTIONS

FUND YEAR 2015

Month Ending: April

Prop Liab Auto WC Ded Cont EJIF MEL Admin TOTAL

OPEN BALANCE 175,544.88 1,395,783.01 323,539.34 1,449,562.28 2,211,634.18 123,105.84 0.00 274,648.17 149,972.64 6,103,790.34

RECEIPTS

Assessments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Refunds 0.00 0.00 0.00 1,751.66 1,751.66

Invest Pymnts 366.43 3,376.41 678.11 3,254.10 4,617.32 257.01 0.00 573.39 313.10 13,435.87

Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Subtotal Invest 366.43 3,376.41 678.11 3,254.10 4,617.32 257.01 0.00 573.39 313.10 13,435.87

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 366.43 3,376.41 678.11 5,005.76 4,617.32 257.01 0.00 573.39 313.10 15,187.53

EXPENSES

Claims Transfers 0.00 45,399.61 0.00 50,632.15 0.00 0.00 0.00 0.00 0.00 96,031.76

Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 0.00 45,399.61 0.00 50,632.15 0.00 0.00 0.00 0.00 0.00 96,031.76

END BALANCE 175,911.31 1,353,759.81 324,217.45 1,403,935.89 2,216,251.50 123,362.85 0.00 275,221.56 150,285.74 6,022,946.11

SUMMARY OF CASH TRANSACTIONS

FUND YEAR Closed

Month Ending: April

Prop Liab Auto WC Ded Cont EJIF MEL Admin TOTAL

OPEN BALANCE 23,912.85 0.00 0.00 1,576.46 0.00 0.00 0.00 0.00 21,140,401.58 21,165,890.89

RECEIPTS

Assessments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Refunds 0.00 0.00 0.00 0.00 0.00

Invest Pymnts 29.55 0.00 0.00 2.58 0.00 0.00 0.00 0.00 44,285.15 44,317.28

Invest Adj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Subtotal Invest 29.55 0.00 0.00 2.58 0.00 0.00 0.00 0.00 44,285.15 44,317.28

Other * 5,089.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5,089.87

TOTAL 5,119.42 0.00 0.00 2.58 0.00 0.00 0.00 0.00 44,285.15 49,407.15

EXPENSES

Claims Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Expenses 1,140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16,282.00 17,422.00

Other * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL 1,140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16,282.00 17,422.00

END BALANCE 27,892.27 0.00 0.00 1,579.04 0.00 0.00 0.00 0.00 21,168,404.73 21,197,876.04

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CERTIFICATION AND RECONCILIATION OF CLAIMS PAYMENTS AND RECOVERIES CERTIFICATION AND RECONCILIATION OF CLAIMS PAYMENTS AND RECOVERIES

ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND ATLANTIC COUNTY MUNICIPAL JOINT INSURANCE FUND

Month April

Current Fund Year 2019

1. 2. 3. 4. 5. 6. 7. 8.

Calc. Net Monthly Monthly Calc. Net TPA Net Variance Delinquent Change

Policy Paid Thru Net Paid Recoveries Paid Thru Paid Thru To Be Unreconciled This

Year Coverage Last Month April April April April Reconciled Variance From Month

2019 Prop 88,156.68 103,036.90 18,973.92 172,219.66 172,219.66 (0.00) 0.00 (0.00)

Liab 3,817.50 2,250.00 0.00 6,067.50 6,067.50 0.00 0.00 0.00

Auto 4,234.10 3,786.46 0.00 8,020.56 8,020.56 0.00 0.00 0.00

WC 202,308.44 140,246.63 0.00 342,555.07 342,555.07 0.00 0.00 0.00

Total 298,516.72 249,319.99 18,973.92 528,862.79 528,862.79 (0.00) 0.00 (0.00)

2018 Prop 1,170,741.59 49,020.47 7,659.56 1,212,102.50 1,212,102.50 0.00 0.00 0.00

Liab 66,355.58 22,725.14 0.00 89,080.72 89,080.72 0.00 0.00 0.00

Auto 47,163.89 11.25 0.00 47,175.14 47,175.14 0.00 0.00 0.00

WC 3,183,890.69 209,831.34 0.00 3,393,722.03 3,393,722.03 0.00 0.00 0.00

Total 4,468,151.75 281,588.20 7,659.56 4,742,080.39 4,742,080.39 0.00 0.00 0.00

2017 Prop 913,106.94 0.00 196.00 912,910.94 912,910.94 0.00 0.00 0.00

Liab 326,539.04 37,594.80 0.00 364,133.84 364,133.84 0.00 0.00 (0.00)

Auto 110,531.49 0.00 0.00 110,531.49 110,531.49 (0.00) (0.00) 0.00

WC 4,177,947.36 192,240.49 4,550.58 4,365,637.27 4,365,637.27 0.00 (0.00) 0.00

Total 5,528,124.83 229,835.29 4,746.58 5,753,213.54 5,753,213.54 0.00 (0.00) 0.00

2016 Prop 1,050,927.42 572.20 0.00 1,051,499.62 1,051,499.62 0.00 0.00 (0.00)

Liab 1,087,271.70 26,955.81 0.00 1,114,227.51 1,114,227.51 0.00 0.00 0.00

Auto 70,944.24 7,356.50 0.00 78,300.74 78,300.74 0.00 0.00 0.00

WC 5,602,703.73 85,822.14 35,148.98 5,653,376.89 5,653,376.89 (0.00) (0.00) 0.00

Total 7,811,847.09 120,706.65 35,148.98 7,897,404.76 7,897,404.76 (0.00) (0.00) (0.00)

2015 Prop 672,284.46 0.00 0.00 672,284.46 672,284.46 0.00 0.00 0.00

Liab 1,447,844.50 45,399.61 0.00 1,493,244.11 1,493,244.11 0.00 0.00 0.00

Auto 136,617.92 0.00 0.00 136,617.92 136,617.92 0.00 0.00 0.00

WC 6,725,894.18 50,632.15 1,751.66 6,774,774.67 6,774,774.67 0.00 0.00 0.00

Total 8,982,641.06 96,031.76 1,751.66 9,076,921.16 9,076,921.16 0.00 0.00 0.00

TOTAL 27,089,281.45 977,481.89 68,280.70 27,998,482.64 27,998,482.64 (0.00) (0.00) 0.00

Bud 1 CRC_REPORTS Page 1 5/8/2019 9:42 AM

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Payable To: FY 2019 FY 2018 Closed Yrs Appropriation Description

1 The Actuarial Advantage 2,673.00 Prof Services/Actuary March 2019 Fees

2 Arthur J. Gallagher Risk Management Services, Inc. 76,036.00 Prof Services/Administration May 2019 Fee (new rate)

3 Arthur J. Gallagher Risk Management Services, Inc. 497.42 Misc/Postage/Copies/Fax March 2019 Fees

4 Arthur J. Gallagher Risk Management Services, Inc. 311.76 Misc/Other Ad for Wellness Coord. Monster/SJ ad(PF amex)

5 The DeWeese Law Firm, P.C. 10,608.00 Prof Services/Attorney May 2019 Fees

6 Qual-Lynx 64,603.00 Prof Services/Claims Administration May 2019 Fees

7 Joyce Media 375.00 Misc/JIF Website May 2019 Fees

8 Tracy Forlenza 527.00 Misc/Recording Secretary May 2019 Fees

9 J.A. Montgomery Risk Control Services 18,006.00 Prof Services/Safety Director/Loss Control May 2019 Fees

10 J.A. Montgomery Risk Control Services 843.25 Misc/Meeting Expense F/B for Regional Training 4-30-19

11 John Hansen 2,003.00 Prof Services/Treasurer May 2019 Fees

12 Conner Strong & Buckelew 1,001.00 Prof Services/Underwriting Mgr May 2019 Fees

13 Conner Strong & Buckelew 2,486.00 Misc/Fidelity Bond (Admin/TPA/Treasuer) 5/1/19-5/1/20; Policy #B6024104

14 MEL JIF 531,760.00 MEL MEL 2019 WC & Excess Liability - 2nd installmt

15 MEL JIF 4,914.00 Faithful Performance/Fidelity Bond MEL 2019 Fidelity Bond - 2nd installmt

16 MEL JIF 293,151.00 Property Claims and Premium MEL 2019 Property claims & prem. -2nd installmt

17 MEL RCF JIF 1,678,666.05 Transfer to RCF Transfer of FY 2014 as of 12/31/18 to the RCF

18 ARC Reprographics 1,023.07 Misc/Printing Inv#275076 and 205077; new FC orientation

19 Avalon Supermarket 226.16 Misc/Meeting Expense F&B for ACM Safety Comm 4/5/19

20 Capehart & Scatchard, P.A. 27.00 EPL/CYBER/EPL/Cyber Incentive Program EPL hotline; Inv 624648; Buena

21 Jennifer Cincotti 200.00 Misc/Meeting Expense F&B for ACM Claims Review Comm 5/9/19

22 Connell Consulting 1,600.00 Training/Training SLEO 4/29/19; Proactive Police Sup 4/29-5/1/19

23 Dino's Subs and Pizza 84.00 Misc/Meeting Expense F&B for ACM Strategic Comm 4/4/19

24 Iron Mountain 130.69 Misc/Records Retention Service

Inv#APKX440 Storage 5/1-31/19; Service 3/27-

4/23/19

25 Merighi's Savoy Inn 424.56 Training/Training 4/12/19 Excited Delirium training F/B-split

26 Pivot Point Security 2,798.42 EPL/CYBER/Technology Risk Management Services'Inv#4232; May fee

27 PRIMA 590.00 Misc/AGRIP/PRIMA PRIMA conf reg 6/9-12/2019; Rich Hirsch

28 Egg Harbor Township 2,650.00 Safety Incentive Program Full check - direct reimbursement

29 City of Estell Manor 1,650.00 Safety Incentive Program Full check - direct reimbursement

30 Borough of Folsom 114.94 Wellness/Wellness Incentive Program Yeti bottles; balance

31 Township of Lower 1,200.00 Optional Safety Budget CPR/AED/First aid courses

32 City of North Wildwood 340.21 Wellness/Wellness Incentive Program wooden forks/knifes; sunscreen

33 City of Sea Isle City 520.00 Safety Incentive Program CPR/AED/First aid courses

Subtotals 1,018,554.48 4,820.00 1,678,666.05

JIF BILL LIST TOTAL 2,702,040.53

RMC BILL LIST TOTAL 166,634.00

COMBINED BILL LIST TOTAL 2,868,674.53

ATLANTIC COUNTY MUNICIPAL JIF

BILL LIST -APRIL 2019

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Payable To: FY 2019 Appropriation Description

1 CJ Adams 19,150.00 Risk Management Consultants 2nd Qtr Pymts - Longport, Margate, Ventnor

2 Assured Partners 1,062.00 Risk Management Consultants 1st and 2nd Qtr Pymts - Downe Twp

3 Atlantic Associates 11,119.00 Risk Management Consultants 2nd Qtr Pymts - Pleasantville

4 BCA Insurance 2,426.00 Risk Management Consultants 2nd Qtr Pymts -Newfield and Upper Deerfield

5 J. Byrne Agency 43,774.00 Risk Management Consultants

2nd Qtr Pymts -Deerfield, Lower, North Wildwood, Stone Harbor, West Wildwood,

Wildwood, and Wildwood Crest

6 Conner Strong & Buckelew 4,825.00 Risk Management Consultants 2nd Qtr Pymts -Waterford

7 Glenn Insurance Agency 19,405.00 Risk Management Consultants 2nd Qtr Pymts -Absecon, Hamilton, Linwood(1st and 2nd), Somers Pt, Weymouth

8 Hardenbergh Group 15,230.00 Risk Management Consultants 2nd Qtr Pymts -Estell Manor, Folsom, Millville, Mullica and Northfield

9 Thomas Heist Insurance Agency 1,750.00 Risk Management Consultants 2nd Qtr Pymts -Upper Twp

10 Insurance Agencies Inc 2,139.00 Risk Management Consultants 2nd Qtr Pymts -Buena Borough

11 Marsh & McLennan Agency, LLC 29,273.00 Risk Management Consultants

2nd Qtr Pymts -Avalon, Cape May, Cape May Pt, Dennis, Galloway, Middle, Sea

Isle, West Cape May. Woodbine

12 McMahon Agency Inc 325.00 Risk Management Consultants 2nd Qtr Pymts -Corbin City

13 William Mints Agency 1,122.00 Risk Management Consultants 2nd Qtr Pymts -Commercial

14 Siracusa Kaufman Insurance Agency 15,034.00 Risk Management Consultants 2nd Qtr Pymts -Brigantine, EHT

RMCS BILL LIST GRAND TOTAL 166,634.00

ATLANTIC COUNTY MUNICIPAL JIF

RMCS BILL LIST (2nd Installment) - MAY 2019

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ACMJIF

ACCOUNT ACTIVITY RECONCILIATION

FY 2019

Year To Date

January February March April Total

Opening Balance for the Period: 54,682,349.45 54,371,609.16 53,557,475.29 52,222,644.55RECEIPTS:

Interest Income ( Cash ) 83,042.95 78,616.79 156,337.89 119,576.69 437,574.32Premium Assessment Receipts 639,194.00 2,330,900.00 - 1,507,693.00 4,477,787.00

Prior Yr. Premium Assessment Receipts 0.00Subrogation & Reimb. Receipts:

Fund Year 2019 1,843.10 18,973.92 20,817.02Fund Year 2018 5,200.00 5,766.42 24,869.45 7,659.56 43,495.43Fund Year 2017 4,582.68 1,279.75 7,548.00 4,746.58 18,157.01Fund Year 2016 4,288.00 158.00 - 35,148.98 39,594.98Fund Year 2015 28,836.57 - 98.00 1,751.66 30,686.23

RECEIPT NOT POSTED IN REPORTS 0.00Closed Fund Year 49.87 25,942.86 49.87 5,089.87 31,132.47

Total Subrogation & Reimb.Receipts 42,957.12 34,990.13 32,565.32 73,370.57 183,883.140.00

VOID CHECK #20223:CLOSED YEAR 2014 1,572.00 1,572.00RECONCILING ITEM:CK CREDIT=DEC (928.00) 928.00 0.00

THEN DEBITED=JAN 0.00QUAL-LYNX ADJUSTED IN JAN {ck14676} 0.00

0.000.000.000.000.00

TOTAL RECEIPTS: 765,838.07 2,445,434.92 188,903.21 1,700,640.26 5,100,816.46

DISBURSEMENTS: Net Claim Payments:

Fund Year 2019 24,996.93 67,715.08 207,647.81 249,319.99 549,679.81Fund Year 2018 510,193.86 352,916.66 335,963.46 281,588.20 1,480,662.18Fund Year 2017 73,409.38 107,737.53 239,670.27 229,835.29 650,652.47Fund Year 2016 61,447.35 119,698.97 101,495.98 120,706.65 403,348.95Fund Year 2015 91,849.72 127,644.75 371,152.95 96,031.76 686,679.18

0.000.00

Closed Fund Year 2,182.15 1,140.00 3,322.15Total Net Claim Payments 761,897.24 777,895.14 1,255,930.47 978,621.89 3,774,344.74Exp.& Admin Bill List Payments:

Exp. & Cont. Charges FY 2019 208,689.58 2,458,019.25 218,954.47 1,512,008.66 4,397,671.96Exp. & Cont. Charges FY 2018 67,153.06 14,860.99 7,150.00 19,100.00 108,264.05Exp. & Cont. Charges FY 2017 38,838.46 8,793.42 47,631.88Exp. & Cont. Charges FY 2016 0.00

Closed Fund Year 41,699.00 16,282.00 57,981.000.000.000.000.000.000.00

MISC:ROUNDING 0.02 (0.01) 0.01 0.02Total Bill List Payments 314,681.12 2,481,673.65 267,803.48 1,547,390.66 4,611,548.91

Auditor's Adjustments 0.00TOTAL DISBURSEMENTS: 1,076,578.36 3,259,568.79 1,523,733.95 2,526,012.55 8,385,893.65

Closing Balance for the Period: 54,371,609.16 53,557,475.29 52,222,644.55 51,397,272.26

INVESTORS Account Net Cash Change During the Period:

Loss Account (612,389.68) (595,190.79) (1,218,407.18) (699,498.08) -3,125,485.73Investment Account 228,093.03 104,553.56 130,855.61 (32,401.31) 431,100.89

Wealth Management Account (164,497.91) (44,771.91) 8,680.30 138,285.97 -62,303.55Exp & Contin Reconciliation Account - - - 0.00

Claims Imprest Reconciliation Account 238,054.27 (278,724.73) (255,959.47) (231,758.87) -528,388.80Total Change in Account Net Cash: (310,740.29) (814,133.87) (1,334,830.74) (825,372.29) -3,285,077.19

Proof: 0.00 0.00 0.00 0.00 file:\\C:\Users\kkristie\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\PZCSRXEF\ACM RECONCILIATION REPORT 2019\2019 5/8/2019

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2019 INTEREST

AELCF: 12/31/2018 ALLOCATION 12/31/2018 1/31/2019 2/28/2019 3/31/2019 4/30/2019

MEMBERS

Hamilton Township 60,456.38$ 885.14 61,341.52$ 61,341.52$ 61,341.52$ 61,341.52$ 61,341.52$

Hammonton 216,667.06$ 2473.96 219,141.02$ 219,141.02$ 219,141.02$ 219,141.02$ 219,141.02$

Middle Township 100,613.72$ 1377.45 101,991.17$ 101,991.17$ 101,991.17$ 101,991.17$ 101,991.17$

Mullica Township 25,930.00$ 405.89 26,335.89$ 26,335.89$ 26,335.89$ 26,335.89$ 26,335.89$

Northfield 56,113.00$ 435.09 56,548.09$ 56,548.09$ 56,548.09$ 56,548.09$ 56,548.09$

Pleasantville 472.00$ 7.39 479.39$ 479.39$ 479.39$ 479.39$ 479.39$

Upper Deerfield 60,736.55$ 740.82 61,477.37$ 61,477.37$ 61,477.37$ 61,477.37$ 61,477.37$

Waterford 26,155.04$ 409.41 26,564.45$ 26,564.45$ 26,564.45$ 26,564.45$ 26,564.45$

Upper Township 57,519.51$ 934.5 58,454.01$ 58,454.01$ 58,454.01$ 58,454.01$ 58,454.01$

Stone Harbor 8,798.70$ 137.73 8,936.43$ 8,936.43$ 8,936.43$ 8,936.43$ 8,936.43$

613,461.96$ 7,807.38$ 621,269.34$ 621,269.34$ 621,269.34$ 621,269.34$ 621,269.34$

DIVIDENDS FORMER MEMBERS 12/31/2018 12/31/2018 1/31/2019 2/28/2019 MARCH 3/31/2019 ACTIVITY 4/30/2019

BUENA VISTA 16,282.00$ 16,282.00$ 16,282.00$ 16,282.00$ 16,282.00$ -16282 -$

EGG HARBOR CITY 40,952.00$ 40,952.00$ 40,952.00$ 40,952.00$ (40,952)$ -$ -$

HAMMONTON 99,089.00$ 99,089.00$ 99,089.00$ 99,089.00$ 99,089.00$ 99,089.00$

PORT REPUBLIC 747.00$ 747.00$ 747.00$ 747.00$ (747)$ -$ -$

157,070.00$ 157,070.00$ 157,070.00$ 157,070.00$ (41,699.00)$ 115,371.00$ (16,282.00)$ 99,089.00$

THIS SCHEDULE IS FOR MEMO INFORMATION ONLY/UPDATED THROUGHOUT YEAR

RETRO PROGRAM

FISCAL YEAR 2011 2012 2013 SUBJECT TO CHANGE & AUDIT

EGG HARBOR TOWNSHIP

BALANCE 12/31/2016 112,335.60$ 33,055.50$

2017 INVOICED 86,963.00$

2017 AUDIT ADJUSTMENT (1.00)$

2017 DIVIDEND APPLIED (37,445.20)$ (11,018.50)$ (21,740.75)$ (70,204.45)$ 2017 DIVIDEND APPLIED

2018 DIVIDEND APPLIED (37,445.20)$ (11,018.50)$ (21,740.75)$ (70,204.45)$ 2018 DIVIDEND APPLIED

BALANCE 2/28/2019 37,444.20$ 11,018.50$ 43,481.50$

FILE://C:\Users\kkristie\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\PZCSRXEF\AELCF APRIL 2019160