CERTIFICATE OF LIABILITY INSURANCE (1114) - CERTIFICATE_ PROPERTY €)ATE DIYYYY)
INSURANCE 1 CI-n
11/30 2022
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.
PRODUCER [ADDRESS2
NTACT
Aon Rask Services Southwest, Inc. ONE Fax
Houston TAS Office c.Na.Exll (866) 283-7122 qnC,r .y (800) 363-0105
5555 San Felipe Suite 15DD
HOUStOn TX 77056 USA
OOMERIDUCER
STtyU0p058326
INSURER(S)AFFORDING COVERAGE MAIC#
Z
INSURED INSUPER A: Starr specialty insurance company 15109 s
Trillium Transportation Fuels, LLC INSURER B:
C
PO sox 26210 INSURERC:
Oklahoma city OK 73126 USA INSURERM
INSURER E:
INSURER F„
COVERAGES CERTIFICATE NUMBER. 570045619159 REVISION NUMBER:
LOCATION OF PREMISES;DESCRIPTION OF PROPERTY(Attach ACORD 109,.AdOlonal RemaAs Schedule,H More SPWO IS required)..
EZI
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 POLICY NUMB ER POLICY EFFECTIVE POLICY EXPIRATION to LTR GATE(MIuI1DDIYYYY) DATE(MIu4'rAp1YYYY) COVERED PROPERTY LIMITS gy
A SLCFM k.2 9'R 722 1
X r"ROPERT"4' BUILDING. q
CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY Ln
BASIC BUILDING BUSINESS INCOME ••
BROAD EXTRA EXPENSE Lu
CONTENTS
X SPECIALRENTAL VALUE
BLANKET BUILDING Z
EARTHQUAKE Uj
WIND BLANKET PERS PROP
ti
FLOOD X BLANKET BLDG&PP 55.000400 0
N_
aim B&PP Ded X Loss Limit $5,000'no
cc
Uj
Ca
INLAND MARINE TYPE OF POLICY
CAUSES OF LOSS
POLICY NUMBER
NAMED PERILS
CRIME
TYPE OF POLICY
BOILER IZ MACHINERY MOLL
EQUIPMENT BREAKDOWN
JAM,
SPECIAL CONDITIONS f OTHER COVERAGES(ACORD 107,Additional Remarks Schedule,may 9e attached if more space is required) - m
CERTIFICATE HOLDER CANCELLATION
0
SHOULD ANY OF THE ABOVE DESCRIaED POLICIES SE CANCELLED BEFORE THE EXPIRATION �
DATE. THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY .,
0
PROVISIONS.
Clearwater Gas System) I ( 9$
400 N. myrtle Avenue
Clearwater FL 33755 USA AUTHORIZED REPRESENTATIVE �
GAS AMe. I
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