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Home My WebLink About497786 MARTIN MARIETTA MATERIALS - INSURANCE CERTIFICATE (26)�-1 AC"RD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/29/2017 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. 100 North Tryon Street, Suite 3600 Charlotte, NC 28202 Attn: CA NON-RESIDENT NO OB22889 CONTACT NAME: _ PHONE o E t • ______ FAX No: _ _____ E-MAIL ADDRESS: INSURER S AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 J56965-1.MMWGAXWX-17-18 RM201 INSURED Martin Marietta Materials, Inc. Attn: Todd Crump INSURER B : Indemnity Ins Co Of North America 43575 INSURER C : ACE Property And Casualty Ins Co 20699 INSURER D : 2710 Wycliff Road PO Box 30013-- Raleigh, INC 27622 INSURER E INSURER F : Cf1VFRAr%FR CFRTIFICATF NIIMRFR- ATL-004337914-09 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 ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY � X � CLAIMS -MADE OCCUR HDOG27871525 09/30/2017 09/30/2018 EACH OCCURRENCE $ 3,000,000 AGE TO RENTE PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 3,000,000 GENT AGGREGATE LIMIT APPLIES PER. POLICY JECT PRO ❑ LOC OTHER: GENERAL AGGREGATE $ 6,000.000 X PRODUCTS - COMP/OP AGG $ 6,000,000 1 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY ISAH09063717 09/30/2017 09/3012018 COMBINED SINGLE LIMIT Ea ccident a $ 5,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE G28167581002 09/30/2017 09/30/2018 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED I I RETENTION $ $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RI Y / N OFFICER/MEMBER EXC UDED?ECUTIVE � (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 X STATUTE ERH -"— E.LEACHACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE -POLICY LIMIT 2,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is/are 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. CERTIFICATE 1-101 DER CANCFLLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 N Mason Street 2nd Floor 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 O 1988-2016 ACORD CORPORATION. All rights reserveu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD