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Home My WebLink AboutCOI - AmeriGas Propane, L.P. - Expires 2022-07-01ACORO® `� CERTIFICATE OF LIABILITY INSURANCE OATS (MM/DD/YYYY) 06/28/2021 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 policy(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 McGriff Insurance Services, Inc. P.O. Box 10265 Birmingham, AL 35202 CONTACY NAME: PHONE 800-47&2211 FAX A/C No Ext : A/C No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURER A :ACE Fire Underwriters Insurance Company 20702 INSURED AmeriGas Propane, L.P. INSURER B :ACE American Insurance Company 22667 INSURER C:Indemnity Insurance Company of North America 43575 P.O. Box 858 Valley Forge, PA 19482 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:V9Y755PT 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. INSR LTR TYPE OF INSURANCE ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR HDO G72487990 07/01/2021 07/01/2022 EACH OCCURRENCE $ 2.500,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 2,500,000 MED EXP (Any one person) $ 10.000 PERSONAL & ADV INJURY S 2,500,000 GENERAL AGGREGATE S 2,500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY PRRO LOC J> PRODUCTS - COMP/OP AGG S 2.500.000 $ OTHER: B AUTOMOBILE LIABILITY ISA H25552799 07/01/2021 07/01/2022 COMBINED SINGLE LIMIT Ea accident 2.500.000 BODILY INJURY (Per person) S X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ S A B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? N (Mandatory In NH) N / A SCF C67811872 (WI) WLR C67811835 Energy Services) WLR C67811793 (CA, MA, DC) WLR C67811756(AOS} 07/01/2021 07/01/2022 PER OTH- X ATUTE ER E.L. EACH ACCIDENT S 2,000.000 E.L. DISEASE - EA EMPLOYEE S 2.000,000 If ves. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT S 2,000,000 S S S $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached H more space Is required) CERTIFICATE HOLDER CANCELLATION CITY OF GILROY, DIVISION OF BUILDINGS Attn: LARRY JAMES 7351 ROSANNA STREET GILROY, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Page 1 of 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD