CERTIFICATE OF LIABILITY INSURANCE (5) DATE(MM/DD/YYYY)
ACCOR" CERTIFICATE OF LIABILITY INSURANCE 4/29/2022
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 have ADDITIONAL INSURED provisions or 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: Carson Lamle
Assurance, a Marsh &McLennan Agency LLC company PHONE FAX
20 N Martingale Road A/C No Ext): (847)463-7131 A/C,No):(847)890-6437
E-MSuite 100 ADDRESS: Carson.Lamie@marshmma.com
Schaumburg IL 60173 INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Illinois Union Insurance 27960
INSURED UNIBMAI-01 INSURER B: Starr Indemnity and Liability 38318
Olameter Corporation
Olameter DPG, LLC INsuRERc: Gemini Ins. Co. 10833
11020 W. Plank Court INSURERD:
Wauwatosa WI 53226 INSURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER:937512516 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 INSD WVD POLICYNUMBER MM/DD MM/DD
B X COMMERCIAL GENERAL LIABILITY 1000090533221 4/1/2022 4/1/2023 EACH OCCURRENCE $2,000,000
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence $300,000
MED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
POLICY� ECT � LOC PRODUCTS-COMP/OP AGG $4,000,000
OTHER: $
B AUTOMOBILE LIABILITY 1000635929221 4/1/2022 4/1/2023 COMBINED SINGLE LIMIT $3,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
X HIREDX NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
B X UMBRELLALIAB X OCCUR 1000095504221 4/1/2022 4/1/2023 EACH OCCURRENCE $8,000,000
EXCESS LAB CLAIMS-MADE AGGREGATE $8,000,000
DED X RETENTION$n $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
C Professional Liability VIPLO54798 4/1/2022 4/1/2023 Each Occ/Agg $2M/$2M
A Pollution Liability G71504335004 4/1/2022 4/1/2023 Each Occ/Agg $1M/$2M
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached 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
City of Clearwater ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Procurement Division, ITB#08-22
P.O. Box 4748 AU HORIZED REP ESENTATIVE
Clearwater FL 33758-4748
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