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2020 Bergen JIF Safety Incentive Program

The materials for the 2020 Safety Incentive Program (SIP) are linked to this webpage.  In 2020, members will not need to mail or fax any SIP documentation to the JIF Risk Control Consultant. Only the quarterly report form should be completed and emailed to Valerie Faliveno at This email address is being protected from spambots. You need JavaScript enabled to view it.. In order to sumbit these forms, you must have an Adobe Reader on your computer. The following is a link for a Free download of an Adobe Reader:  http://get.adobe.com/reader

Copies of each submission should be maintained on-site for recordkeeping purposes as well for the Bergen JIF Safety Consultant to review during regular visits.  

In addition to the SIP, we are providing a link to an overview of the Safety Incentive Program. The overview provides a review of the various sections and points awarded per quarter.    

If you have any questions, please call Ken Schulz at 201-518-7006 to discuss. We look forward to a successful 2019 and thank everyone for their efforts!

QUARTERLY REPORT DEADLINES: Quarterly report due dates are listed below.

1st Quarter Report - due April 15, 2020 
2nd Quarter Report- due July 15, 2020
3rd Quarter Report - due October 15, 2020
4th Quarter Report- due January 15, 2021

Helpful Links

2020 SIP Cover Letter and Overview

2020 Safety Incentive Program Quarterly Report Form

Bergen JIF SIP Scorecard

Municipal Complex/Administration
Emergency Medical Services
Fire Department
Police Department
Public Works Department
Recreation Department
Utility Department (Open with Internet Explorer)
Recycling Center
Pump Stations (Open with Internet Explorer)
Swimming Pool
Job Site Observation - General Observation Report
Parking Garage

Safety Director Bulletin - MVR Record Checks


Bergen County Municipal Joint Insurance Fund
9 Campus Drive - Suite 16
Parsippany, NJ 07054

Phone: 201-881-7632
Fax: 201-881-7633
Email: nancyg@permainc.com