HomeMy WebLinkAboutRob HerndonPolicy Number
SVRD97257395
COMMON POLICY DECLARATIONS
ACE American Insurance Company
436 Walnut Street , Philadelphia, PA 19106
Item 1. Named Insured and Mailing Address Agent Name and Address
ROB ::LRNJOti CR INSURANCE SERVICES
10194 W CAPELLA DR THE ABC PROGRAM
STAR ID 83669 ONE METROPLEX DR SUITE
BIRMINGHAM AL 35209
Agent No. Z09029
INC
400
Illem2. policy Period From: 04-05-2024 To: CIS'--05--2025
at 12:01 QM., Standard Time at your maiing address shown above.
Item 3. Business Description: PRIVATE HANGAR
Form of Business: INDIVIDUAL
Item 4. In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide
the insurance as stated in this policy.
This policy consists of the following coverage parts for which a premium is indicated. Where no premium is shown, there
is no ;Average. This premium may be Subject to adjustment.
Coverage P att(s) Premium
Commercial Property Coverage Part $
543.00
Commercial General Liability Coverage Part $
300.00
Crime and Fidelity Coverage Part
NOT COVERED
Commercial Inland Marine Coverage Part
NOT COVERED
Commercial Auto (Business or Truckers) Coverage Part
NOT COVERED
Commercial Garage Coverage Part
NOT COVERED
Total Policy Premium $
843.00
Item 5. Forms and Endorsements
Forrr:(s) and Endorsement(s) made a part of this policy at time of issue: BILL TYPE: Agent
See Schedule of Forms and Endorsements BILL PLAN: Annual
Billing
Countersigned:
Date:
By:
Authorized Representative
THIS COMMON POLICY DECLARATION AND THE SUPPLEMENTAL_ DECLARATION(S), TOGETHER WITH THE COMMON POLICY CONDITIONS,
COVERAGE PART(S), COVERAGE ��rRM(S) AND FORMS AND ENDORSEMENTS, IF ANY, COMPLETE THE ABOVE NUMBERED POLICY.
ALL-2.,1624 (01108)
IrsLred Copy