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CERTIFICATE OF LIABILITY INSURANCE (556)AFRO CERTIFICATE OF LIABILITY INSURANCE DATE N (MMIDD ) 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 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 Mutual Insurance Inc 1900 1st Ave North PO Box 12350 St Petersburg FL 33713 NAME: ACT William Wanless ext. 2213 PHONE Fr,). (727) 896-0006 FAX No):(727) 821 -7483 E-MAIL SS, WWanless @mutualinsuranceinc.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Auto Owners Insurance Co 18988 INSURED Tropigas Of Florida Inc & Billy J Bowling 1163 54 Ave S St Petersburg FL 33705 -5005 INSURER B :Southern Owners Ins 10190 INSURER C : 01/01/2015 INSURER D $ 1,000,000 INSURER E $ 300,000 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. INSR TYPE OF INSURANCE ADDL !NCR SUBR wvn POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM /DDIYYYY) LIMITS B GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 20595818 01/01/2014 01/01/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PRFMISFS (Fa orciirranre) $ 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 X No Deductible PERSONAL & ADV INJURY $ 1 ,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L X AGGREGATE POLICY LIMIT APPLIES iF 0 PER: LOC PRODUCTS - COMP /OP AGG $ 1 ,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS 4261901000 01/01/2014 01/01/2015 (e rci dart) SINGLE LIMIT $ 500 �� BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ d` UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) if yes, describe under DESCRIPTION OF OPERATIONS below N N N I A 20628445 02/04/2014 02/04/2015 X I WC STATU- I 1°j11,;/- TORYLiMITS EP E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 30 Days notice of cancellation except for 10 days notice for non - payment of premium. RECEIVED DEC 2 4 2013 GAS SALES OFFICE CERTIFICATE HOLDER CANCELLATION Al 004307 Gas Sales Sales OFC/Tami Jo Watson 711 Maple St Clearwater FL 33755 -3833 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) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD