HomeMy WebLinkAboutRichard RittenhouseGRANITE STATE INSURANCE COMPANY
A stock company
1271 Ave of the Americas FL 37, New York, NY 10020
COMMON POLICY DECLARATIONS
RENEWAL DECLARATION
POLICY NO: 02-LX-020471599-1
RENEWAL OF 02-LX-020471599-0
NAMED INSURED AND MAILING ADDRESS PRODUCER MAILING ADDRESS 93575
RICHARD P. RITTENHOUSE PREFERRED AVIATION UNDERWRITER
15191 TRINITY LANE 3321 N BERKLEY LAKE RD STE 200
CALDWELL, ID 83607 DULUTH, GA 30096
POLICY PERIOD: FROM 07/07/2024 TO 07/07/2025 AT 12:01 AM STANDARD TIME AT YOUR MAILING ADDRESS
SHOWN ABOVE.
THE NAMED INSURED IS: Individual BUSINESS DESCRIPTION:
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL TERMS OF THIS POLICY, WE AGREE
WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.
THIS POLICY CONSISTS OF THE COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED.
PREMIUM
COMMERCIAL PROPERTY
$
1,176
COMMERCIAL GENERAL LIABILITY
$
CRIME AND FIDELITY
$
COMMERCIAL INLAND MARINE
$
PROFESSIONAL LIABILITY
$
CYBEREDGE
$
TOTAL PREMIUM $
1,176
POLICY PREMIUM $
1,176.00
FORMS AND ENDORSEMENTS APPLICABLE TO ALL COVERAGE PARTS
See Forms Schedule
NOTE: IF NO ENTRY APPEARS ON THE ABOVE ENDORSEMENTS, INFORMATION REQUIRED TO COMPLETE
THE FORM WILL BE SHOWN ON THE SUPPLEMENTAL FORM DECLARATION IMMEDIATELY FOLLOWING THE
APPLICABLE ENDORSEMENT.
THESE DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE
FORM(S) AND ENDORSEMENTS, AND SUPPLEMENTAL FORM DECLARATION(S), IF ANY, ISSUED TO FORM A
PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY.
RECEh-, Irr
CA I A' i! LlNCLRK
AUG .202A
06-17-24 Page 1 of 1