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Home My WebLink AboutCOI - AmeriGas Propane, L.P. - Expires 2024-07-01A� " CERTIFICATE OF LIABILITY INSURANCE OAT6/3012D/YYYY) O6/30/2023 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, ANDTHE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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, LLC P.O. Box 10265 GUNTAUT NAME: PNCNEti. E , 1-800-078-2211 aC No: E-MAIL ADDRESS: Birmingham, AL 35202 INSURER(S) AFFORDING COVERAGE NAICM INSURER A:ACE Fire Undemriters Insurance Company 20702 INSURED AmenGas Propane, L.P. INSURER B:Indemnfty Insurance Company of North America 43575 P.O. Box 858 INSURER C ACE American Insurance Company 22667 Valley Forge, PA 19482 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:WVCREMZV 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 LTR102.111M TYPE OF INSURANCE ADDLSLIBR POLICY NUMBER MWDDCDm F MOMYDD YYYYP LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR HDO G4730328A 07/01/2023 07/012024 EACH OCCURRENCE $ 2.500,000 PREMISES Ea oommencel $ 2,500,000 MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 2,500,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC JECT OTHER: GENERAL AGGREGATE $ 2,500,000 PRODUCTS - COMP/OP AGO $ 2,500,000 $ C AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ISAH1069601A 07/012D23 07/01/2024 COMBINED SINGLE LIMIT(Ea accident) $ 2,500,000 BODILY INJURY (Par person) $ BODILY INJURY (Per acdtlanl) S PROPERTY DAMAGE Per acddeM $ UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE I EACH OCCURRENCE S AGGREGATE $ DELI I I RETENTION$ $ A B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEFIVEXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? F_N� (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A SCF C5067292A (WI) WLR C50672773 ((AmenGes ADS) WIL C50872878 (UGI ADS) 07/012023 07/01/2024 X PER OTH- E.L. EACH ACCIDENT s 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 S $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) L"Rill]RL J9lR CITY OF GILROY, DIVISION OF BUILDINGS Attn: LARRY JAMES 7351 ROSANNA STREET GILROY, CA 95020 JUL 17 2923 CITY CLERICS 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 ACORD 25 (2016/03) Pane 1 of 1 The ACORD name and logo are registered marks of ACORD reserved. A� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MNIDD/YYYY) 06/30/2023 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(ies) 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 McGri6 Insurance Services, LLC P.O. Box 10265 CONTACT NAME: PHONfEc. EH 1-800476-2211 FA/XX No E-MAIL ADDRESS: Birmingham, AL 35202 INSURERS AFFORDING COVERAGE NAIC a INSURER A ACE Fire Undelwnters Insurance Company 20702 INSURED AmeriGas Propane, L.P. INSURER Bdridemnity Insurance Company of North America 43575 INSURER C ACE American Insurance Company 22667 P.O. Box 858 Valley Forge, PA 19482 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:WVCREMZV 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. INIS LTRSURANCE TYPE OF IN POLICY NUMBEfl POLICY EFF MM/DD/YYYY POUCYEXP MWDD/YYY LIMITS C X COMMERCIAL GENERAL LIABILITY HDO G4730328A 07/01/2023 07/01/2024 EACH OCCURRENCE $ 2,500,000 CLAIMS -MADE a OCCUR PREMISES Ea occurrence $ 2,500.000 MED EXP (Anyone person) $ 10,000 PERSONAL $ ADV INJURY S 2,500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,500,000 X POLICY JECT LOC PRODUCTS AGG $ 2,500,000 $ OTHER: C AUTOMOBILE LIABILITY ISA H1069601A 07/01/2023 07/012024 COMBINED SINGLE LIMIT 2,500,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per eCditlenl) $ PROPERTY DAMAGE Peracddent S HIRED NON -OWNED AUTOS ONLY AUTOSONLV UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ I A B C WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? �N (Mandatory in NH) N/A SCF C5067292A (VN) WLR C50672773 AmenGas ADS) WLR C50672878 UGIAOS) 07/012023 07/012024 X PER OR' E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION V�l`_7�0 VJ LSD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF GILROY, DIVISION OF BUILDING Attn: LARRY JAMES JUL 17 nn THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 ROSANNA STREET AUTHORIZED REPRESENTATIVE wa p GILROY, CA 95020 GILROY CITY CLERKS OFFICE Page 1 of 1 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD