CERTIFICATE OF LIABILITY INSURANCE (2) -� a CERTIFICATE OF LIABILITY INSURANCE °ATE`>yM»°n"""'
3/3112020
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 o#.such endorsement(s).
PRODUCER CONTACT
NAME:. Rachel Uhlar
Assurance Agency,Ltd. PHONE
20 North Martingale.Road _A1C.W:.1 xt]:.,.(312)625-5933 �(g1CN,j._(8A7).440-9126
E-MAIL .
Suite 100 ADDRESS: ruhlar@assuranceaencyxom
Schaumburg 1L.60173R(S�AFFORDING COVERAGE
INSURER A:Travelers Prop!jgy.CasualtyCa _ m 2_5674
INSURED UNIBMAI-01�hlsunrR a;Illinois Union Insurance 27960
OIarneter Corporation .__
Olanieter DPG,LLC INSURER c.:Starr Indemnity+and Lia�il - 38318_
1:150 Crews Road.,Suite"I" INSURER 0;Steadfast 25387
Matthews NC 28105 INSURERS: �M _ _ --- - mm
INSURER E
COVERAGES CERTIFICATE NUMBER:407501170 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.HERi W IS.:SUBJECT TO ALL THE.TERMS,
EXCLUSIONS AND.CONDITIONS OF.SUCH POLICIES:.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CL:1IM5,
ItJSR TYPE INSURANCE - DSL s[tR � POLICY EFF POLICY EXP LIMITS
LTR - POLICY NUMBER MOLIC YY MOLICY'YY I-...W......._........_...�W
MID
C GENERAL LIABILITY 7000090533201 4/1/2020 -1118021 EACH OCCURRENCE S 2,000,000
x COMMERCIAL GENERAL LIABILTY REMI ES(a o TED
PREMISES_[Ea ocCUrfenCe) S 300,400
CLA[MS4AAOE.F-k]OCCUR MED EXP(Any one person $10,000
PERSONAL&AIN INJURY $2,000,000
GENERAL AGGREGATE 510,000,000
GEN'L AGGREGATE LIMIT.APPLIES PER PRODUCTS COMPIOP AGG .S 4,000,000 - ^
POLICY' x JFCT PRD X LOC $
C AUTOMOBILE LIABILITY 1600635929201 41112020 41.112a21 COMB INED.SINGLE LIMIT
Ea accide�,-��__ _3,000 000
x ANY.AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $ _
_
X, FiifiEA AUTOS NOWO W NED PROPERTY I7AMAG E $
AUTOS Per acciden4
A X. UMBRELLA LIAB. x OCCUR ZUP21POSfi6520NF 411/2420 4!112021 EACH.000URRENCE $10.000,000 _T
-
EXCESS LIAR CLAIMS-
WADE AGGREGATE 5 10,000,000.
DED x E RETENTION S 1 0.000
WORKERS COMPENSATION .WC STATU- OTH-
AND EMPLOYERS'LEABILITI[ YINOR ER
ANY PROPRIETORIPARTNERfEXECUT[VE EL.EACH ACCIDENT 5.
OFFICERIMEMBER EXCLUDED? N IA
(Mandator
y.hiHH] E.L,.DISEASE-E-A EMPLOYE S
If yyees,.describe under
DESCRIPTION DF OPERATIDNS trelaw E.L.DISEASE POLICY LIMIT 5.
DProfesslonal UaNllly EOC647204800 4/112020 4/1/2021 .Each Occ 1 Agg. $2M 1$2M
B Pollution Liability .CPYG71504335002 411/2420 4/112021 Each.00c l Agg. $1M 1$2M
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule;if more space.Is required)
Diameter DPG,LLC formerly khown:a.s UNI.BAR DAinage.PeeVention Group;.LLC
Obirleter Corpgration formerly known as ACLU-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 Clearwateris 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 DESCRIBEb POLICIES BE CANCELLED BEFORE=
THE EXPIRATION DATE THEREOF, NOTICE WILL BE. DELIVERED. IN
ACCORDANCE WFIH THE POLICY PROVISIONS.
City of Clearwater,.FL dba Clearwater.Gas:System
400 North Myrtle Avenue. ES
AUTHORIZED REPRENTATIVE
Clearwater FL 33755
d 1.588-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD