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HomeMy WebLinkAbout- Permits - 740 TURNPIKE STREET (f1-r"nWQa& of Ma33achajalb Official Use Only l9j, -L�eparfn4snl o� �`ira �}arvica� Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev, 1 1/99) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he pedornied in aecordancc with tlic Massaellusclts [ilcclric:il Code(bICC},527 CMR 12,(]0 (PLC:ISC PiUNT I,V INK OR TYPE,,ILL IrYC01?W,-lT101V) ll; City Or TONY11 of: To the lnspectol•of 1•Yr1•es; fay this application die undersigned gives notice o(his or her intenliott to perform the electrical work described below, Location (Sheet & Number) -7Yo T v (I- ti Pl 1e S7 Owner or Tenant 1i'U tl C L'1 y 7 /Lu `> 7 C f U /�lo AT-N PIlonC t'o. �7 V 00 03y Owner's Address To r3 3 U `j I?v P0Vc—P- Is this peer€lit in coniun:ctioln ,vith a Building permit? Yes ❑ No ❑ (Clsceic Appropriate Box) Purpose or Building (' / t. .;LL11 it Utility Authorizallull No, t.' ,) .r)._ Exislintg Service Anrps i Volts Overhead ❑ Undgrd ❑ No, of tMcters . New Service j i t Amps 7/ i_ Volts Overhead ❑ Undgrd [Ii`lv. of Meters.' Number of Feeders and Anipacity Location and Nature of Proposed E[cctrical Work: Cour letion of the falluss ink rrrbie pray be ivaived 6 fire Grs crlot-00 vir•es. No. of Recessed Fixtures No.or COL-Susp. (Paddle)Fans �Transformers l{VA No. of Lighting Outlets No. of Hot Tuts Generators i{VA Above ❑ in- g r 0. o <mergency tg rtrn No. of Lighting Fixtures Stirintnning Paul prn Eld. rnd, I3ntte Uni#s No. of Receptacle Outlets No.or Oil Burners FIRE AL,=1-11�-Is o, of Zones No. oCStiyitclres No. of Gas Burners € o. oetecdoo an Initiating Devices No. of Ranges No.of Air Cond. Tons! r No. of Alerting Devices \o, of Wave Disposers Heat Putnp r umber Tons hl n o. of ell- ontained Totals: — Detection/Alerting Devices No. of Dishwashers SpQ"/At•ea Heating JIM Local ❑ tti urrrcrpa El other Connection No, of Dryers Heating Appliances 10V SecuritySystems; No.of Devices or Eq ulvnlent r ,No. of 1 ater KWt o. 01 No. or Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hvdronlassaae ]3athtubs i`Iv. orllators Total I P Ie ecommunica(ions 11•irsng: _ No,of Devices or E uivalent OTHER: Attach additional detail if desired, or as reruir•ed by the Inspector of Wires. In\SUP--i"NCE. COVERAGE': Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK O F: INSURANCE 1B/,-,I30,ND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work:' (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with ivIEC Rule 10, and upon completion. I Certify, trltrler the pains and penalties of perjrrry,thal the itrformatlot n1r this applieatlo ere and corrrplete. 1�1R--)I \Ail IE: A M O /L( C � c T"1z C N C LIC,NO.: Licensee: Il y 7 Hu t,s`I R I" orL C Signat re T.IC.iVO.: .� (If applicable, ender ••c.twrrp!-in the license rrrarrber lime.) 13us.Tel.No.: 97 - 7� S�7 7 Atidress: Co dl D U L) +}- F t ?L 1 i t / ) Alt. Tel,No.: OWNER'S INSURANCE 1V IV R; 1 ani aware ilrat the Licensee does 1 of!rave the liability insurance coverage normally required by la�v, By my signature below, 1 hereby %vaivc this requircmcnt. 1 am the (check oric) ❑ owner ❑ owtner's auent• OwncrlAgent S'sbnaturc 'Telephone No. ,� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date 20 Permit# A Building Location r. ee.,5 Owner's Name ell, Telephone Type of Occupancy Now Renovation E3 N Replacement Plans Submitted: Yes El 0 ai 0 *� 0 M ;!:! E C 0 0 0 2 12 Cn o Ome C *� 40 0 L d) V 41 (T 0 (0 = 0 to w r 0 > (Vd) > d) zs C MWoo0j50W4- W �0- SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RDFLOOR 4TH FLOOR 71-1 FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name EnergyUSA Propane,Inc. Check one: Certificate Address 100 Myles Standish Blvd.,Suite 101 Corporation 132 C Taunton, MA 02780 Partnership Business Telephone (800)822-1300 X8055 Mike Smith Cell(508)922-7891 El FirmfCo. Name of Licensed Plumber or Gasfitter William Kent Corson (800) 822-1300 X8051 Cell (508)294-6660 INSURANCE COVERAGE: EnergyUSA Propane, Inc. has a current liability Insurance policy or Its substantial equivalent,which meets the requirements of MGL Ch.142. Y., r—V1 No[A 1 1:1 If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy El Other type of indemnity El Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Law nd that m ture on this permit application waives this requirement. Law Check one: Owner E] Agent Sig�tature of Owner j9r"0w9erKs Agent _7 I hereby certify that all of the details and information I have submitted(or entered)In above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be In compliance with all pertinent provisions of the Massachusetts State Code and Chapter 142 of the eneral Laws. Type of License: J A x f By OPlumber Gasfitter Signature of Licensed Plumber or Gasfitter Title MX CitylTown FlMaster ,APPROVED(OFFICE USE ONLY) DJourneyman License Number 3707 1�r/. -_.......r~"•��...VfLff VI ,r-aRx5Sacnuse1tS_ Official i�set}nly J.. Department of Fire Services S Permit No, 7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee checked [Rev, 1/07] '----- APPLICATION FOR PERMIT TO PEp �eaveblank All work to bepcdorm d in accordance with the MassacE�t F OR�M�ELEC�ELECTRICAL WORK (PLEASE PPW NflX OR TYPE ALL R&ORM-4TLO B City or Town of. NORTH ANDOR Date. �t - �6v Y this a gn pplication the undersi ed gives not ,To the rnrpector of Wires; ice of his or her intention to perform the electrical work described below. Location(Street&Number) "I 1 p 711 f F\ Owner or Tenant f%A r S Owner's Address `+u 1� >t 'Telephone No. Is this permit in conjunction with a building permit? " Purpose of Building �, r t,�c��1t Yes No ❑ (Check Appropriate Box) Utility Authorization No. -Mdsfiug Service Amps / `Volts Overhead'❑ Undgrd ❑ Na;of Meters A Amps --- -Volts Number of Feeders and Ampacity Overhead ❑ Undgrd No.of Meters Location and Nature of Proposed Electrical Work; ..r, • 5��. ��v� car c io �,w4 R cons,letion o the ollowin 'table may be waived by the Ins ector of Aires.N No. of Recessed Luminaires o.of CeB..SUg Na p. (Paddle)Fans . of otal Na, of Luminaire Outlets Na, of Hot TubsTransformersrA Generators KVA Na, of Lnminair es Swimming Pool .A nodve In- o, o met, e!p tg g No. of Receptacle Outlets d. $atte Units p No. of OiT$hers No, of Switches FJEPX CMS No, of Zones No. of Gas$inners n. of erection and 1 No.of Ranges No. of Air Corkd, otal Inifia ' Devices Tons Nn. of Alerting Devices No.of waste Disposers ' eat uxuP _ her ons of elf,Contained No. of Dishwashers DetectionlAlerfin Devices Space/Area$eating KW unicip No.of Dryers g Connection Other fin A g PPliiances KW Sec:i27ity$ysterus:* o, of water o. of Na,of Devices ar E nivalent Heaters KW Signs � n. of .Data Wiring: Ballasts. No.of Dvices or E uivalent Na.Hydromassage Bathtubs Nn. of Motors Total HP eleaommunications iriag; O.TH:cR: . . No,of Devices or E uivalent Estimated Value of Electrical Work: r{ S J o-uU Attach additional detail tf 61 1 In 1tl, or as reguired by the Inspector of Wires, Work to Start;- b- t ct .l�e; Q. (When required by municipal policy.) _Inspections to h O aested in accordance with 1VIEC Rule 10, and upon completion, INSURANCE COVERAGE: Unless waived by flze owner,no permit for the performance a electrical work may issue unless the licensee provides proof of liability insurance including '°completed operation"coverage or its substantial equivalent, The le undersigned certifies that such coverage is in force,and has CHECK ONE; exhibited proof ofsame to the permit issuing office, . INSURANCE []� BOND �. O� I cert fy, under the aims and enalfies a ❑ (Specify) p fp�lu�, that the information on this appiieadon is true and complete FIRM NAME: w�ua r (��� c� Licensee: Pa„� �u: LIC.NO.: (If cpplicable, enter " empt"in t e icense number line,) Stature �� l Address: ( LTC.N©.: '3► l3 S , c ku�r1.��{ YV1 ct Bus.Tel.No.: '?-1'� *Per M.G.L c. 147,s.57-61, security work requires Department ofpuhlic Safety S License; Alt.Tel.No,; "off~3nS <<�i't 2 OWNER'S INSURANCE WAIVER; I am aware that the Licensee does not have"L License: Lip.No, -required by law. By my signature below,I hereby waive thzs re -liability insurance coverage normally igOwner/Agenttore B ement I am the(check one) [ owner [�owner's agent. Signature Telephone No. The Common " weuft of Massachuret& 4- Department Of b2dustr'ial Accidents Dice o Inv 'f estcd atoms !! ADOrarhinn Street {`�• Sasx`ort, MA 02.111• Workers' Compensation A Ins" �� 'H'.mari~gnv/dxa i rsnce A d�vi BnildBrs/CnnttraC Lcsat IQfo�iatiou turs/Eiectricians/plumbe," Please Print La�i6l Name;.(BttsincsslQrgeni�tiatillndividuai); — nC � C_ Address' � r City/Staf /Zip: VY\C�L (JNIS ... Pl?t5ne #: .'e� . Are you an employer?Check the gpPpriafe baz: ' t•Q[lam a employer with 1 '1'Ype•of prefect(r of employees(foil and/arpaT 4 iTaam a general contractor and C. eq. *" 2. .I am,a.sale hired the sub-mmractors 6. []Now caristructlon prapriatnr:ar, partner- listt~d on'the attached sheet f 7. ❑Remodaiing ' ship working have no employees These su&cotrtractors have working for me an any capacity, work $• Q Demolition [l+ia warkm' comp. insurance 5. camp, insurance.. squired.] ❑ We era a corporation and hs .. 9' ❑Building addition �.d 1 sin a homeowner do' officers have tsxeraised their 10•0 Electrical repairs or additions m self doing all work right of e�tnmption per MGL 1 t.. Y [No,worktrs'corrip, c. L5 ❑Plumbing repairs.or additions insurance required:]'# 1(�),'and we have na employees. [No workers! 12Q RaoFrepairs norrtp, insurance requim4l '. 13.13.Othm t Ho spplioem#that checks botL#1 mutt also fill ot;t the seatiun below phowing their worked'unto t[nmenwnerr whn submit this e$i'davit indicating thW am 8vin all wo 4c.ntmatottr that ahcok this box pdmotion Policy information rmtstahmchnd an eddifioosl shearshowi g,end hi:e'outaido cantraotms must submit a nawatr davit indi the name aFthc sub,antMefi s and their w)&=I comp,pofiry inTnrtaeiieualL M. I ar�x an errrployer titat.tsprovrditrg:wat'kern'cont�ve►rsativri snsura►,ce nr infnrntufinrt f n{v.emplayam Below is the o ° lnstMmc`e Company Narne, ' P y mad job site Policy#or Self-inn. Lic.0; Job Site Address; Expitafinn"Date; Attach a copy of the.w+orkarx',cotTt retrsafion policy deeF rating s 'CityIS�JZip: Failure to secure coverage as raguimd under Section 25A of p �(shawrng the policy "umber attd 8zpirafion date). fine up to$1,500,00 andior ore ear MC3L a. 152 can lead to.the imposition of crh iinal penahies of a Of up to$250.00 a-day against- y tmprtsanment,as we1I as alvil penalties in the farm of a:STpp WopK ORDER and a fine Investigations of the DIA for imumc coverage veH ficatiort e advised that a Dopy of this statement Tway be forwarded t6 the Office of I do herebj,certify - der the pains and ertuLies a P l PerJury hrn the s4foinn provided above is true and tarrad Si tttre: CuQ, ,cam) Phone#: Q - 3�2 Date: `� q �J(t U i/ - �.:_1 [J trial use rMly. Do nit rvtzte iri t&is urerc,to-be complerzd j city or town affmW City or Towst• lst:eing AuthorityPersrtit/1.icensc# (circle one): I• go$rri afHe$ttb 2 Building pepartduent 6.Otbe'r 3.Cityl3'awn Clerk 4. Electrical Inspector S. Plumbing. g inspector Contact Person; Phone ff: C NORTdy '9 0 of _ s: - � : Andover O z „r V No. b $o F .. , _ *yy yy dover, Mass., - T Q LAKE �_ T COCH$CkEwTti pOfATED `s BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System � BUILDING INSPECTOR THIS CERTIFIES THAT................... .....,........ ....................... ........................... ................................................ Foundation ....... buildings on 1 ?... z. ' ...... ...- ..................... Rough has permission to erect........................................ g .......,�. ... .. �-. � to be occupied as.... . . . . ,..�.� ....,lc-.. --..... 4��3 r- Chimney provided that the person accepting this permit shall in eve6 respect conform to the terms A6- application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERNIIT EXPIRES,IN 6 MONTHS UNLESS CONSTRUCTION ARTS ELECTRICAL INSPECTOR Rough :.... ........... Service BUII.DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises -- Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPART Until Inspected and Approved by the Building Inspector. Buser Street No. SEE REVERSE SIDE Smoke Det. z V� 0 1'77 and ry -� 3 Werlca'sProp CWT"flly� DISPENSING UNIT AGREEMENT DATE: CU.4`70i41EH NAME ABED BIL LIAIG i4Ci1 iESS` AMER P.DISC ICT;t}tiFICE OCATiOfV. ("CUSTOMER") ("AMERIGAS"OR"DISTRICT OFFICE") LQCATIP OF l]ISP N5ING UNIL' "CUSTOMER FACILITY" 1.Fouipment to be Provided try_ medGas.AmeriGas will tease to Customer for Customer's use coverage under Customer's policies of insurance shall be primary 10 any other insurance maintained it the Customer Facility a propane dispensing unit.The equipment making up the dispensing unit by AmeriGas that may be in effect.The failure by AmeriGas to request proof of such insurance shall ogelher with all replacements,repairs,substitutions,additions and accessories(collectively referred not constitute a waiver of Customer's obligation to maintain such insurance. n as'Equipment")shall be used only for the dispensing of propane purchased from AmeriGas,and 13 Ass'lorimenl Neither this Agreement nor any interest herein may be transferred or assigned by shall at all times be and remain personal property and title to the Equipment shall at all times be andema Customer without the prior written consent of Americas.Subject to this restriclian,this Agreement shall nentl n In ArnerlGas.The l pmoM s mattell be of a size, daenecessary and appropriate for Customer sbusass operation,Customer meriGas,In Its sole u Gustomer shall sign and Inure to the benefit of and be binding upon the respective successors and assigns of the parties. ielivor to AmeriGas financing statements and/or other documents in form reasonably satisfactory to 14.Force Maleure. AmeriGas shall be excused from delay or nonperformance it AmeriGas is UneriGas evidencing AmeriGas'ownership of the Equlpment.Customer shall return the Equipment unable to meet the demand for propane or equipment from its normal and usual source points for ipon the expiration or termination of this Agreement in the same condition as it was originally received, supplying Customer(regardless of whether or not AmeriGas may have been forced to diverl certain easanaNe wear and tear excepted. supplies from such source points in order to alleviate shortages at other distribution points),or in the 2.Rental Payments for Equipment.Customer wilt pay to AmeriGas the amount of �; event of failure or delay in delivery due to exhaustion, reduction or unavailabilify of propane or Dollars{S r7 j per month(pr the use of the Equipment. equipment.AmeriGas shall be excused from delay or nonperformance in the event of any condition beyond its reasonable control,including without limitation,Acts of God,labor difficulties,fire,riots,war 3.Services to be Performed by.Customer,Customer at its sole expense will provide a suitable conditions in this or any other country, and compliance with any governmental order, regulation, acafion and electrical service for the Equipment.All services performed by Customer shall be done recommendation,request or allocation program(whether voluntary or involuntary)affecting(Jifecily or 1 a neat and workmanlike manner and in compliance with all federal,state and local laws,statutes, indirectly Its ability to perform hereunder.In the event of any of the contingencies or conditions set forth ules and regulations,as wel(as all applicable safety codes,standards and regulations,and must meet above.AmeriGas shall have the right to allocate its supply of propane and equipment for sale among all Alh AmeriGas'reasonable satisfaction.Customer at its sole expanse shall obtain all necessary state of its customers in any manner which in its sole discretion is fair and reasonable under the end local permits and zoning approvals. _ circumstances and Customer shall not hold AmeriGas responsible in any manner for any losses or 4.Term.The farm o1 this Agreement shall be for ? ( )years beginning on the date set damages which Customer may claim as a rosglt of such allocation by AmeriGas. )dh above("Original Term')and will automatically renew from year•16•year thereafter until terminated 15. Disclaimer of Warieiles. THERE IS NO REPRESENTATION OR WARRANTY, EITHER y either party as provided hereinafter.Either party may terminate this Agreement upon the expiration EXPRESS OR IMPLIED, WITH RESPECT TO ANY PROPANE OR EQUIPMENT NOW OR .f the Originat Term or any anniversary thereafter by giving the other party at least thirty(30)days'prior HEREAFTER SUPPLIED BY AMERIGAS,INCLUDING ANY WARRANTIES OF MERCHANTABILITY rrihen notice of termination. OR FITNESS FOR AN INTENDED PURPOSE,OR LtABiLITY FOUNDED IN SECTION 402A OF THE 5. Propane Supoiv, During the term of this Agreement. Customer agrees to purchase from RESTATEMENT(SECOND)OF TORTS OR OTHERWISE.UNDER NO CIRCUMSTANCES SHALL rmeriGas and AmeriGas agrees to sell to Customer all of Customer's propane requirements at the AMERIGAS BE LIABLE FOR CONSEQUENTIAL OR SPECIAL DAMAGES, INCLUDING WITHOUT;ustomer Facility. LIMITATION,DAMAGES FOR BUSINESS INTERRUPTION DAMAGES AND LOST PROFITS. B. rice of Propane-Customer agrees to pay AmeriGas'fees,rates and charges In effect on the 16. Training. Customer will train each of Its employees who handle propane or uses the ate that propane is delivered or services are rendered.AmeriGas reserves the sight 10 change its fees, Equipment In the sate filling procedures set forth in How to Safely Fill An LP-Gas Container.If Customer nice and charges from lime•lo-time wilhoul prior notice to Customer. `, does not have sufficient quantities of How to Safely 174f An LP-Gas Container,Customer will notify 7, inimum Purchases.In the event Customer does not purchase �c",', gallons("annual AmeriGas In writing and AmeriGas will provide copies to Customer,Customer will not allow any of its iinimum gallons") during any twelvemonth period after the commencement of this Agreement, employees to handle propane or use the Equipment unless and until the employee has been property ,meriGas has the option to remove the Equipment and terminate Ihis Agreement,AmeriGas may Inslati trained to do so.If Customer wants AmeriGas to train Customer's new employees,then Customer must maller Equipment,or AmeriGas may bill Customer the price in effect on the date of Invoice for the notify AmeriGas in writing,requesting this training. ilference between the annual minimum gallons and the number of gallons purchased during the receding twelve(1?)months. 17, Promotional and/or Safely falatedals Decals �.Customer agrees that it will distribute to S.Payment Terms.Payment for all propane delivered and services rendered during any calendar each of its customers any and all promotional and/or safety materials provided to it by AmeriGas and ionth shall be due and payable on the tenth(101h)day of the following month at the District Office.All that it wilt place the safety decals provided by AmeriGas on each propane cylinder Customer fills.In the mlal payments for the use of AmeriGas'Equipment shall be due and payable on the first of each event Customer exhausts the supply of promotional and/or warning materials or safety decals, tenth.If Customer la€Is to pay any amount when due,AmeriGas may add a late charge of 1'fa%or the Customer will notify the District Office immediately and will make arrangements for the replenishment of laximum legal interest rate to all pas(due balances and will be entitled to recover a4 reasonable costs its supply. T colfectivn,including attorneys Peps. 18.Termination Fee.If this Agreement is terminated because of a default or breach by Oustomar 3.Inslallation,and Renairs.Customer will promptly notify AmeriGas when repairs to the Equipment prior to the expiration of the Originat Term,Customer shall bear the costs to remove and relocate the re required.AmeriGas at its sole expense will instaif the Equipment at the Customer Facility, All Equipment. !pairs made to the Equlpmeilt shall be made at AmeriGas'usual and customary rates,which are 19.Waiver or Estoppel.The failure of either party to Insist on stric(performance of this Agreement uhject to change from time-lo-lime without notice,Customer shall use the Equipment with reasonable or any provision of this Agreement shall not constitute a waiver of or estop any perky from asserting the are at all times and in conformity with all federal,state and local laws,statutes,rules and regulations right to require such performance in the future,nor shall a waiver in any one instance constilule a s well as applicable safety codes and standards. CUSTOMER WILL NOT REMOVE THE waiver with respect to a later breach of a similar nature or otherwise. QUIPMENT FROM THE CUSTOMER FACILITY OR MAKE ANY ALTERATIONS,CONNECTIONS 20.Notices.Any notice required by this Agreement shall be in writing and shall be deemed to have rR DISCONNECTIONS TO THE EQUIPMENT UNLESS WRITTEN PERMISSSON IS RECEIVED IN been made when delivered by overnight courier or when placed in the United States mail,postage DVANCErFROM AMERIGAS, prepaid,by certified mail return receipt requested,addressed to AmeriGas at the District Office and to 0. rcess to Eguimenl.Customer grants AmeriGas the right,privilege and authority to enter the Customer at the Customer Facility.From fto-to-lime,either party may designate another address by ustomer Facility at any time to deliver propane or to install,repair,service or remove any or all of lha delivering to the other party a written notice of such change of address in accordance with the above quipment or to perform any other services that AmeriGas deems necessary under this Agreement,If provisions. ustomer denies AmeriGas access to the Customer Facility or refuses to surrender the Equipment 21,Governifici Lam,This Agreement shall be interpreted,construed and enforced in accordance non the expiration or termination of this Agreement, AmeriGas sisal) beentitled to recover from ustomer all costs,including ey fees,Iha1 AmeriGas incurs to gain access to the Customer with the laws of the state in which the District Office Is located.The language of this Agreement shall in acilily or to recover possession all cases be construed as a whole according to its fair meaning and shaii not be strictly construed for or o of f the Equipment, against either party, 11.fod_emnity.Customer shall indemnify,defend and hold AmeriGas harmless from and against all 22.Sever bilit ,4 any provision of this Agreement or its application to any person Or circumstance alms and suits for personal Injury{including death)and property damage er sing out of or€n any way Is declared to be Invalid or unenforceable to any extent,then the remainder of this Agreement and the �lafing to the Equipment,or the use,sale or transportation of any propane sold hereunder,except only application of such provision to other persons or circumstances shall not be affected and shalt be here such personal injury or property damage Is caused by the sole negligence of AmeriGas.This enforceable 10 the extent permitted by law, demnification obligation shall survive the termination of this Agreement. 12.Insurance.Customer will maintain comprehensive general liability Insurance in the amount not 23. eadin s, The headings used in this Agreement are included for the convenience of the ss than nsura g - Combined single maintain Customer will maintain worker's compensationt camera a In parties Only and shall not affect the construction or Interpretation of any of its provisions. g9 24,Entire Agreement.This Agreement constitutes the entire agreement between the parties and a amount required by law. Customer shall furnish a certificate of insurance to AmeriGas evidencing supersedes any and all prior and contemporaneous agreements,representations and understandings, art may n I required coverages. All such policies of insurance shall provide that the insurance Coverage either oral or written,relating in any way to the subject of this Agreement.This Agreemot be ,rounder shall not be reduced or cancelled or otherwise changed prior to The 301h day following the modified,supplemented or amended In any way except In a written document executed by all parties. slivery by the insurer of a written notice of such action to the Customer and AmeriGas, The I WITNESS WHEREOF,the parties hereto have executed and delivered this Agreement on the date first above writlen. USTOMER AMERIGAS PROPANE,LP. Y; BY: