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HomeMy WebLinkAbout497786 MARTIN MARIETTA MATERIALS - INSURANCE CERTIFICATE (20)AICOR" CERTIFICATE 6F LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/07/2017 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). CONTACT PRODUCER NAME: Marsh USA Inc. PHONE FAX 100 North Tryon Street, Suite 3600 lA/GN% EXt1= aC No : Charlotte, NC 28202 E-MAIL ADDRESS: Attn: CA NON-RESIDENT NO. OB22889 J56965-1.MMM-OAWX-16-17 INSURED Martin Marietta Materials, Inc. Attn: Todd Crump 2710 Wycliff Road PO Box 30013 Raleigh, NC 27622 INSURERS AFFORDING COVERAGE INSURER A: ACE American Insurance Company NAIC 0 22667 I INSURER B : Indemnay Ins Co Of North America 43575 INSURER C : North American Elite Insurance Company 29700 INSURER D : Agri General Insurance Company 42757 INSURER E : INSURER F : !"coTICIf ATF KIIIMR:'R• ATI-n0474A1lq-nl PIPWRION 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/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X HDOG27857012 09/30/2016 09/30/2017 EACH OCCURRENCE --RE $ 3,000,000 CLAIMS -MADE 1XI OCCUR DAMAGE TO PREMISES (Ea occuErrrence) $ 50,000 MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ 3,000,000 GEMLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGG $ 6,000,000 X POLICY ❑ PRO LOG JECT $ OTHER: A AUTOMOBILE LIABILITY X I ISAH09049617 09/30/2016 09/30/2017 COMBINED SINGLE LIMIT accident $ 3000000 ,,_ BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED Y NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE (Per accident $ $ X UMBRELLA LIAB UMB200030002 09/30/2016 09/30/2017 EACH OCCURRENCE $ 1,000,000 �LCLAIMS-MADEOCCUR AGGREGATE $ 1,000,000 EXCESS LIAR DED RETENTION $ $ B D D A WORKERS CO!ePENSATION EMPLOYERS' LIABILITY Y / N ANYPROPP,I ETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WLRC49100723 (AOS) WLRC49100735 (TI;) WLRC49103268 (CA) 09/30I2016 09/30/2016 09/30/2017 09/30/2017 09/3012017 X STATUTE H- E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE -POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 2017 12018 Snow and Ice Removal Project Carti6cate 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 Fort Collins 215 N Mason St. 2nd Floor Fort Collins, CO 80522 CLLHI SHCULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT4.TIVE of Marsh USA Inc. Annette Stefani .�. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name aI-nd logo are registered marks of ACORD