Airgas Vendors

Airgas and its affiliated companies are transitioning vendor insurance and indemnity document storage from individual Airgas locations to Premier Truck Group Fleet Services. The following documentation needs to be submitted as soon as possible:

  • Airgas Vendor Agreement
  • W-9 Form
  • Certificate of Insurance
  • Tier 1 Indemnity Statement or Tier 2 Indemnity Statement (see left side for example)

Failure to submit these documents in a timely manner may lead to delays in obtaining POs to perform work on Airgas equipment. There are two categories for Airgas vendors: Tier 1 and Tier 2. All vendors performing services for Airgas shall maintain the following tier I or tier II insurance coverage: See definition of tier I and tier II vendors to determine needed coverage requirement.

Tier I Vendor Requirements

Tier I vendors are vendors with minimum hazardous exposures (i.e., wiper replacement, light replacement, fluid changes, glass replacement, decals)

MINIMUM REQUIRED INSURANCE COVERAGE

Types of Insurance                                                         Requirement

Workers' Compensation                                                       Statutory

        Employees Liability                                                    $500,000

Comprehensive General

        Liability

                Bodily Injury                                                $1,000,000

                Property Damage                                         $1,000,000

Contractual Liability

                Bodily Injury                                               $1,000,000

                Property Damage                                        $1,000,000

Automobile Liability

                Combined Single Limit                                 $1,000,000

                Property                                                     $100,000

Tier II Vendor Requirements

Tier II vendors are vendors with intermediate to high hazardous exposures. (i.e., tire changes, brake repair or replacement, drive train work, towing)

MINIMUM REQUIRED INSURANCE COVERAGE

Types of Insurance                                                         Requirement

Workers' Compensation                                                       Statutory

        Employees Liability                                                  $1,000,000

Comprehensive General

        Liability

                Bodily Injury                                                $2,000,000

                Property Damage                                          $2,000,000

Contractual Liability

                Bodily Injury                                                 $2,000,000

                Property Damage                                          $2,000,000

Automobile Liability

                Combined Single Limit                                   $1,000,000

                Property                                                       $1,000,000

Umbrella/Excess Liability                                                   $4,000,000


 

Please print and sign the Airgas Vendor Agreement and Indemnity Statement. When submitting your file please include the first page of the signed Vendor Agreement, Indemnity Statement, current W-9 and Certificate of Insurance. All documentation will need to be submitted at the same time. There are 3 options to submit this file:

  1. Email: airgasvendorsetup@ptgfleet.com
  2. Fax: 801-886-4891
  3. Mail:
    Premier Truck Group Fleet Services
    Attention: Vendor Set-up
    2240 South 5370 West
    West Valley City, UT 84120

If you have any questions please contact us at 1-800-350-1555 option 2 then 4 or email airgasvendorsetup@ptgfleet.com