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HomeMy WebLinkAbout497786 MARTIN MARIETTA MATERIALS - INSURANCE CERTIFICATE (2)AoC"RL7® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) L I 09/12/2018 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 Marsh USA Inc. NAME: PHONE - - 100 North Tryon Street, Suite te 3600 LAIC No Ext): _IL/C No): Charlotte, NC 28202 E-MAIL Attn: CA NON-RESIDENT NO.OB22889 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # C N 102458548-1. MMM-GA W X-18-19 INSURED Martin Marietta Materials, Inc. Attn: Todd Crump 2710 Wycliff Road PO Box 30013 Raleigh, NC 27622 COVFPAnFR rFRTIFIr _ATF NI IMRFR INSURER A: ACE American Insurance INSURER B : Indemnity Ins Co Of North INSURER C : ACE Property And Casua INSURER D : INSURER E : INSURER F : ATI_nnAA1R7Q1_n7 DC1/IQ1r%K1 KI11AADGD. 22667 43575 20699 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 _ - ADD L SUBR --- POLICY LICY E EFF PDXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE CLJ OCCUR HDOG71209659 09/30/2018 09/30/2019 EACH OCCURRENCE $ 3,000,000 DAMAGES(RENTED PREMISES Ea oc currence $ 50,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 3,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER. POLICY PRO- JECT LOC GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGG $ 6,000,000 $ OTHER A AUTOMOBILE LIABILITY ISAH25272274 09/30/2018 09/30/2019 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS P BODILY INJURY (Per accident ( ) $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR G28167581003 09/30/2018 09/30/2019 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B A WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N] N/A WLRC6543586A (AOS) WLRC65435901 (CA) 09/30I2018 9/30/2019 09130/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT _ $ 2,000,000 E L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 2018 CITY OF FORT COLLINS OVERLAY - JOB # 1633272607 CERTIFICATE HOLDER IS ADDITIONAL INSURED UNDER GENERAL LIABILITY AND AUTOMOBILE LIABILITY AS THEIR INTEREST MAY APPEAR, IF REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED, SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICIES. WAIVER OF SUBROGATION IS APPLICABLE WHERE REQUIRED BY WRITTEN CONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS, THIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY OVER ANY EXISTING INSURANCE AND LIMITED TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED SUBJECT TO POLICY TERMS AND CONDITIONS WITH RESPECT TO GENERAL LIABILITY AND AUTOMOBILE LIABILITY. I.CK I Ir l%,A I C MULUCK GANGtLLA I IUN CITY OF FORT COLLINS - PURCHASING DIV. 215 N. MASON ST. 2ND FLOOR FORT COLLINS, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Annette Stefani`_�, ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD