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 PO’s 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:
- Email: airgasvendorsetup@ptgfleet.com
- Fax: 801-886-4891
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