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HomeMy WebLinkAboutCAG2019-344 - Insurance Certificate - Axon Enterprise, Inc. - Liability Coverage - 09/27/2020 771,MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCED/30/ZD20 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 poilcy(Ees) 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 2D certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk Insurance services West, Inc. Phoenix AZ Office (A1'C.N9.ExlJr (866) 283-7122 FAX (800) 363-0105 2555 East Camelback Rd. E-MAIL o Suite 700 ADDRESS: _ Phoenix Az 85016 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Fire Insurance Co. 19682 Axon Enterprise, Inc. INSURERB: Hartford Casualty Insurance Co 29424 17800 N. 85th Street Scottsdale AZ 85255 USA INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 57008428768£3 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE}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. LirnIts shown are as requested LTR TYPE OF INSURANCE 3NS0SUBS WVD POLICY NUMBER MMIDD+YYYY MMIQ YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE ❑OCCUR PREMISES Ea occurrence MED EXP(Any one person) PERSONAL&ADV INJURY co co GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE t. PRO- POLICY ❑JECT LOG PRODUCTS-COMP/OP AGG 00 OTHER: r A AUTOMOBILE LIABILITY 59 LIEN FN6060 09/30/202C 09/30/2021 COMBINED SINGLE LIMIT $1,000,000 Ea a..i en X ANYAUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) GJ AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY (Per accident) _v w 1= d UMBRELLA LAB OCCUR EACH OCCURRENCE U EXCESS LAB CLAIMS-MADE AGGREGATE DI RETENTION B WORKERS COMPENSATION AND 5 WEAC0S6D OS77772020 09/27/2021 X PER STATUTE OTH• EMPLOYERS'LIABILITY Y/N EF ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 11,000.000—� DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) zA1 r� Yww_ �A tom: a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE r EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Kent Police Department AUTHORIZED REPRESENTATIVE 220 Fourth Avenue south o Kent WA 98032 USA (� o n � akcJ�sdc�tczna tgeLoia X Lira — 8 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000007117 LOC#: �-- ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Insurance Services West, Inc. Axon Enterprise, Inc. POLICY NUMBER see Certificate Number: 570084287688 CARRIER NAIC CODE See certificate Number: 570084287688 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Participating WC/EL Insurance Companies -Twin City Fire Ins. Co. [AL, CO, FL, 1L, IN, LA, ME, MI, MN, MT, NO, NE, NH, NM, NV, OH, OK, PA WA] -Hartford Underwriters Ins. Co. [AR, DC, GA, MO, NC, N7, NY, OR, TN, UT] -Property & Casualty Ins. Co of Hartford [MD, VA] -Hartford Insurance company of the Midwest [CT] -Hartford Accident and Indemnity Insurance Company [MA] -Hartford Lloyds Ins. Co. [Tx] -Sentinel Ins. Co. [CA] ACORD 101(2008/01)�- ®2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD r Aon Client Services AoN, 4Overlook Point Lincolnshire,IL 800691 MDG202O 00010364 01 lll�llll' III'�"I.�'�'III 'IIII'I��II�II'lll"II�II'll'�II�"11� Kent Police Department 220 Fourth Avenue South Kent WA 98032 a n 0 0 o 0 0