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Home My WebLink About497786 MARTIN MARIETTA MATIERLAS - INSURANCE CERTIFICATEDATE(MMIDDIYYYY) ACORCI CERTIFICATE OF LIABILITY INSURANCE 04/20/2018 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 NAME: Marsh USA Inc. PHONE FAX 100 North Tryon Street, Suite 3600 A o xt ____ WC, Not: Charlotte, NC 28202 E-MAIL Attn: CA NON-RESIDENT NO. OB22889 ADDRESS: J56965-1. MMM-GAWX-17-18 INSURED Martin Marietta Materials, Inc. Aun. Todd Crump 2710 Wycliff Road PO Box 30013 Raleigh, NC 27622 r CUTICIf`ATC All IaAGC'D INSURER A: ACE American Insurance Company 22667 INSURER B : Indemnity Ins Co Of North America 43575 INSURER C : ACE Property And Casualty Ins Co 20699 INSURER D : INSURER E : INSURER F : ATI _n0AA1A791-01 RFVLSION 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 POLICY EFF MM/DDlYYYY POLICY EXP MMlDD1YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG27871525 09/30/2017 09/30/2018 EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE a OCCUR DAME RENTED 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 $ 6,000,000 X PRO ❑ LOC POLICY ❑ JECT OTHER: A AUTOMOBILE LIABILITY ISAH09063717 09/30/2017 09/30/2018 Ea BINEDtSINGLE LIMIT $ 5,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PP OPERde DAMAGE $ X UMBRELLA LIAB X OCCUR G28167581002 09/30/2017 09/30/2018 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRI ETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? [7N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WLRC64619457(ADS) WLRC64619792 (CA) 09/30/2017 09/30/2018 09/30/2018 FPER X STATUTE ERH '- E L EACH ACCIDENT $ 2,000,000 E L DISEASE - EA EMPLOYEE $ 2,000,000 EL DISEASE - POLICY LIMIT 2,000,000 $ DESCRIPTION OF OPERATIONS I 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. GERTIFIGA I It HULUtK trrilvNCLLN I IV17 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 V 19tStI-ZUIb AL UKU 1,UK1'UKA I IUIY. /11,11 rtgni5 re5erVVU. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD