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Home My WebLink About497786 MARTIN MARIETTA MATERIALS - INSURANCE CERTIFICATE (15)i 1 ® ACORia CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 0912n2019 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 USA Inc. T on Street, Suite 3600 100 North ry Charlotte, NC 28202 Attn: CA NON-RESIDENT NO.OB22889 CONTACT NAME_ PHONE FAX A/C No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC p INSURER A: ACE American Insurance Company 22667 CN102458548-1.MMWGAWX-19-20 INSURED Martin Marietta Materials, Inc. Attn: Todd Crump INSURER B : Indemnity Ins Cc Of North America 43575 INSURER C : ACE Property And Casualty Ins Co 20699 INSURER D : 2710 Wycl'iff Road PO Box30013 Raleigh, NC 27622 INSURER E: INSURER F: rnVFRAr.Fs CFRTIFICATF NtIMRFR- ATL-004748119-11 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 LTR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDNYYV LIMITS A X COMMERCIAL GENERAL LIABILITY X HDOG71448368 09/30/2019 09/30/2020 EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE FxI OCCUR DAMAGE PREMISES Ea occurrence $ 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 $POLICY 6,000,000 ❑ PRO X JECT❑LOC $ OTHER: A AUTOMOBILE LIABIUTY X ISAH25285992 09/30/2019 09/30/2020 COMBINED SINGLE LIMIT Ea accident) $ 5,000.000 BODILY INJURY (Per person) $ AUTO OWNED SCHEDULED XIANY AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X UMBRELLALIAB X OCCUR G28167581004 09/30/2019 09/30/2020 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/E%ECUTIVE OFFICER/MEMBER EXCLUDED' ❑N (Mandatory in NH) N/A WLRC66042078 (ADS) WLRC6604211A (CA) MIK1012019 09/30/2019 09/30/2020 09/30/2020 X 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 It yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: 2018 / 2019 Snow and Ice Removal Project 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. City of Fat Collins 215 N Mason SL 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 A,,. ,C, 6_ U 198S-ZU76 AGUKU GUKVUKA I IUN. All rlgms reserveld. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD