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Home My WebLink About497786 MARTIN MARIETTA MATERIALS - INSURANCE CERTIFICATE (11),acoRo� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09/27/2019 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 endorsements). PRODUCER CONTACT Marsh USA Inc. NAME: 100 North T you Street, Suite 3600 E-MAIL FAX Charlotte, NC 28202 Arc No Attn: CA NON-RESIDENT NO. OB22889 ADDRESS: CN 10245854&1.MMM-GAWX-14-20 INSURED Martin Marietta Materials, Inc. Attu Todd Crump 2710 Wycliff Road PO Box 30013 Raleigh, NC 27622 E: COVERAGES CERTIFICATE NUMBER: ATL-004822417-08 REVISION NUMBER: 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 LTR TYPE OF INSURANCE ADDL U R POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG71448368 09/30/2019 09/3012020 EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE O OCCUR PREMISES ER ommence $50•000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 3'000•000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE IS 6,000,000 PRODUCTS - COMP/OP AGG $ 6,0DO,000 X PEO LOC POLICY ❑ IS OTHER. A AUTOMOBILE LIABILITY ISAH25285992 09/3012019 09/302020 COMBINED SINGLE LIMIT Ea accident) $ 5000000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS IXX HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accdent S _ $ X UMBRELLALIAB I XJ OCCUR G28167581004 09130/2019 19/302021 EACH OCCURRENCE $ 1,000,000 I AGGREGATE S 1,DOO,000 EXCESS LIAR I CLAIMS -MADE DEC) I I RETENTIONS $ B A WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y r N ANYPROPRI ETORfPARTNE R/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WLRC66042078 (ADS) WLRC6604211A (CA) 09/30/2019 9/ / 020 09/30/2020 X PER OT STATUTE ERH- E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000Ifyes, E.L. DISEASE -POLICY LIMIT $ 2,000,000 describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Asphalt Supply - 8729 Certificate Holder is additional insured under the General Liability and Auto Liability policy, if required by written contract with the named insured, subject to the terms and conditions of the policy. Waiver of Subrogation is included in favor of the Certificate Holder, when; required by written contract and subject to policy terms and conditions.The insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to general liability and auto liability, subject to policy terms and conditions. City of Fort Collins - Purchasing Dept. P O Box 580 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 L ,vcc =- A_k� "_- l1 T8Ct3-zuTD AL.LJrcu L.urcrurva I tun. Aii ngnLs reserveu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD