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CERTIFICATE OF LIABILITY INSURANCE TE ACCOR" CERTIFICATE OF LIABILITY INSURANCE DA 3/2g/20 9 ) 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 CONTACT NAME: Chris Dalstrom Assurance Agency, Ltd. PHONE FAX One Century Centre A/C No Ext: (847)463-7218 A/c No:(847)440-9126 1750 E. Golf Road ADODRESS: cdalstrom@assuranceagency.com Schaumburg IL 60173- INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Travelers Property Casualty 25674 INSURED UNIBMAI-01 INSURER B:Travelers Casualty&Surety Co 31194 Olameter Corporation Olameter DPG, LLC INsuRERc: IL Union Ins 27960 1150 Crews Road., Suite"I" INSURER D: Starr Indemnity and Liability 38318 Matthews NC 28105 INSURER E: Endurance American Specialty 1 41718 INSURER F: COVERAGES CERTIFICATE NUMBER: 10360240 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYY MM/DD/YYY D GENERAL LIABILITY 1000090533191 4/1/2019 4/1/2020 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISESS Ea occurrence) $300,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 JECT FX] LOC $ POLICY X PRO- D AUTOMOBILE LIABILITY 1000635929191 4/1/2019 4/1/2020 COMBINED SINGLE LIMIT Ea accident $3,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOSX NOTOSWNED Per a RTY DAMAGE $ A X UMBRELLA LAB X OCCUR ZUP21 P0866519NF 4/1/2019 4/1/2020 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$10,000 $ B WORKERS COMPENSATION UB8M755194 4/1/2019 4/1/2020 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? F N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E Professional Liability PRO10006785804 4/1/2019 4/1/2020Each Occ/Agg $2M/$2M C Pollution Liability CPYG71504335001 4/1/2019 4/1/2020 Each Occ/Agg $1M/$2M DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Olameter DPG, LLC formerly known as UNIBAR Damage Prevention Group, LLC Olameter Corporation formerly known as ACCU-READ Services, UNIBAR Services, Inc.,AMS Utiliserv, Inc.,and UNIBAR Maintenance Services, Inc. Olameter Corporation and Olameter DPG, LLC formerly known as ACCU-READ Services, UNIBAR Services, Inc., UNIBAR Damage Prevention Group, LLC, and AMS Utiliserv, Inc. Proof of Insurance Only It is agreed that City of Clearwater is Additional Insured,when required by written contract,on the General Liability,Automobile Liability and Pollution Liability with respect to operations performed by the Named Insured in connection with this project. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Clearwater, FL dba Clearwater Gas System 400 North Myrtle Avenue AUTHORIZED REPRESENTATIVE Clearwater FL 33755 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD