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Home My WebLink About497786 MARTIN MARIETTA MATERIALS - INSURANCE CERTIFICATE (7)A�� ® DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/28/2018 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 FAX 100 North Tryon Street, Suite 3600 1JC_AQ _EX0 ._ A/c No): _ Charlotte, NC 28202 E-MAIL Attn: CA NON-RESIDENT NO.OB22889 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # CN1 02458548-1.MMM-GAWX-1 8-19 NOC INSURER A: ACE American Insurance Company 22667 INSURED 43575 Martin Marietta Materials, Inc. INSURER e : IndemnityIns Co Of North America Attn: Todd Crump INSURER C : ACE Property And Casualty Ins Co 20699 2710 Wycliff Road INSURER D PO Box 30013 Raleigh, NC 27622 INSURER E : rnveDAr_I=e r`F0TII=1f ATF kitIMC2GD• ATI-Md7M7g9-n6 RFVICIf)N NIIMRFR- 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM POLICYEFF FOLIC EXP LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG71209659 09/30/2018 09/30/2019 EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE � OCCUR PREMISES Ea oVE ccurrence) $ 50,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGG $ 6,000,000 PRO- X POLICY � JECT LOC $ OTHER: A AUTOMOBILE LIABILITY ISAH25272274 09/30/2018 09/3012019 COMBINED Ea accident SINGLE LIMIT $ 5,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTYDAMAGE 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 DIED I I RETENTION $ $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑N (Mandatory in NH) NIA WLRC6543586A(AOS) WLRC65435901 (CA) T9=8 09130/2018 09/30/2019 09/3012019 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE -EA EMPLOYEE $ 2,000,000 E.L DISEASE - POLICY LIMIT $ 2,000,000 If yes describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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. A waiver of subrogation applies under General Liability, Automobile Liability, and Workers Compensation in favor of the certificate holder, if required by written contract with the named insured, subject to the terms and conditions of the policies. General liability and auto liability insurance apply on a primary and noncontributory basis, if required by written contract, and subject to policy terms and conditions. Please see additional page for Notice of Cancellation information f MMD IM^ATL L.1r%1 MOM r`AKIr Fl I ATIrIN City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.O. Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins, CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Annette Stefani �-:�ff'jc�lrc ca (c) 79tft$-ZUlb AUL)KL) GUF(rUKA I IUN. All rlgnLs reserve0. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD