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Home My WebLink AboutShannon & George RossA� o® CERTIFICATE OF LIABILITY INSURANCE TE °A 11g124a3"Y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER NAME: Arlene Rodriguez PHONE 866-750-8722 AX N.: 830 792 1144 Preferred Aviation Underwriter 3321 N. Berkley Lake Rd., Ste 200 E-MAILAppgF arodriguez@falconinsurance.00m INSURERS AFFORDING COVERAGE NAIC a Duluth, GA 30096-0000 INSURERA: Granite State Insurance Company INSURED INSURER B INSURER C : Shannon M. Ross & George W. Ross INSURER D : 5340 N. Goldie Place INSURER E : Boise, ID 83703 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE AODL S POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADEOCCUR RENTED PREMISES GE ToEa occurrence $ EXCLUDED MEO EXP (Any one person $ EXCLUDED PERSONAL BADVINJURY $ EXCLUDED X 02-LX-018520711-4 01/02/2024 01/02/2025 GEN'LAGGREGATE LIMIT APPLIES PER GENERALAGGREGATE S 1,000,000 POLICY ❑ PRI JECTLOC PRODUCTS-CpMPIOPAGG $ EXCLUDED $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAS OCCUR EACH OCCURRENCE S HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS'LUIBILITY YIN ANYPROPRIETORIPARTNERlEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below EA. DISEASE - POLICY LIMIT $ DESCRIPTION of OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate Holder is added as additional insured as respects the liability portion of the policy. Location: 5125 Airport Way, Unit 830. Caldwell, ID 83606 i l'_CJ IS �UU CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Caldwell Industrial Airport ACCORDANCE WITH THE POLICY PROVISIONS. Caldwell, ID 83606 AUTHORIZED REPRESENTATIVE Arlene Rodriguez 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD