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Home My WebLink About497786 MARTIN MARIETTA MATERIALS - INSURANCE CERTIFICATE (14)1 0 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) o912701s 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 Marsh 11$A Inc. 100 North Tryon Street, Suite 3600 Charlotte NC 28202 Attn: CA NON-RESIDENT NO OB22889 CONTACT NAME:_ _ _ - - FAX PHONE (AC No. Extl: IA/C. Not: E-MAIL ADDRE INSURER(S) AFFORDING COVERAGE NAIC• INSURER A: ACE American Insurance Company 22567 CN102458548-1.MMM-GAWX-19-20 _ INSURED Mahn Marietta Materials, Inc. Attn: Todd Crump INSURER B : indemnity Ins Co Of North America - 43575 -- 20699 - INSURER C : ACE Property And Casualty Ins Co INSURER D : 2710 Wycliff Road PO Box 30013 Raleigh. NC 27622 INSURER E : INSURER F : rnvoonr_oc r I=07I CI,"ATr MI Ia11RFD- ATI-0n4gi7916-04 RFVISInN NtIMBER: 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIODIYYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY HDOG71448368 09/30/2019 09/3012020 EACHOCCURRENCE $ 3,000,000 CLAIMS -MADE FX I OCCUR N D PREMISES Ea cmurrencel $ 50,000 MED EXP (Any one person) $ _ PERSONAL a ADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMPIOP AGG $ 6,000,000 X POLICY ❑ JECT LOC OTHER A AUTOMOBILE LIABILITY ISAH25285992 09/30/2019 09130/2020 EOMI IN�EDSINGLEUMIT $ 5,000,000 BODILY INJURY (Par Person) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLYNAUTOS X HIREO NON -OWNED AUTOS ONLYAUTOS ONLY PROPERTYDANAGE Per accident $ X UMBRELLA LIAB X OCCUR G28167581004 09/3012019 09130/2020 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAR CLAIMS -MADE DIED I RETENTION$ $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICEANYPROPRIETORIPARTNER�EXECUTIVE inN REXCLUDED'! (Mandatory in NH) (Mandatory NIA WLRC66042078 (ADS) WLRC6604211A (CA) 09/3012019 9130 09/30I2020 X 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 0 yes. describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Cerliflrate 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. General Liability and Automobile Liability insurance apply on a primary and non-contributory basis, if required by written contract, and subject to policy terms and conditions. rco Tr M- A= un1 ncD RANRFI I GTIr1N City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 2047 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 V 1W HII-LU1D At.vr<u L vrtrijKA I rvrv. Au rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD