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CERTIFICATE OF LIABILITY INSURANCE (546)'�• 6699 '4`CQ'R'a CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 12/10/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 endorsement(s). PRODUCER Commercial Lines - (813) 639 -3000 Wells Fargo Insurance Services USA, Inc. 2502 N. Rocky Point Drive, Suite 400 Tampa, FL 33607 NAMEACT Chrystal Hatcher PHONE 813- 639 -3000 (A/C. No. Extl: FAX No): 813- 639 -7180 E-MAIL ch stal.hatcher wellsfar o.com ADDRESS: rY @ g INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Mid Continent Casualty Company 23418 INSURED All American Gas Services LLC P 0 Box 745 Odessa FL 33556 INSURER B : American States Insurance Company 19704 INSURER C : 04GL000891737 INSURER D : 12/20/2014 INSURER E : $ 1,000,000 INSURER F : $ 100,000 • - ---- ---- - — - rccv.JIWIV IVUmDCR: JeeDelow 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X - - COMMERCIAL - - -- LIABILITY GENERAL CLAIMS -MADE LIABILITY X OCCUR 04GL000891737 12/20/2013 12/20/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 �GEN'L AGGREGATE X1 POLICY LIMIT APPLIES PRO- JECT JECT PER: LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ B AUTOMOBILE X X _._ LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X NON _AUTOS SCHEDULED AUTOS -OWNED 24CC3102041 12/20/2013 12/20/2014 SINGLE LIMIT COMBINED ccident) (Ea a $ 1,000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE • EACH OCCURRENCE $ AGGREGATE $ DED RETENT ON $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? iI:Sanr:otcrg ±'!H} If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMI I 1 $ • DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RECEIVED Proof Of Coverage. DEC 1 1 ?013 GAS ADMIN CANCELLATION CLEARWATER GAS SYSTEM 400 N MYRTLE AVENUE CLEARWATER FL 33755 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 (2010/05) The ACORD name and logo are registered marks of ACORD © 1988 -2010 ACORD CORPORATION. All rights reserved.