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HomeMy WebLinkAboutCAG2019-344 - Insurance Certificate - Axon Enterprise, Inc. - Liability Coverage - 02/01/2020 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I 02/03/2021 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:It 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: AOn Risk insurance Services West, Inc. Phoenix AZ office Na(Al2 .EIII: (866) 283-7122 FAX No.]: (800) 363-0105 2555 East Camelback Rd. E-MAIL 0 Suite 700 ADDRESS: _ Phoenix AZ 85016 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Lexington insurance Company 19437 Axon Enterprise, Inc. INSURERB: 17800 N. 85th Street Scottsdale AZ 85255 USA INSURERC: INSURER D: INSURER Eo INSURER F: COVERAGES CERTIFICATE NUMBER:570085961885 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. Limits shown are as requested LTA TYPE OF INSURANCE INS0 yyyO POLICY NUMBER MMIDOIYYYY MMIODIYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $10,000,000 77 CLAIMS-MADE �OCCUR GL excluding Products SIR applies per policy terns & conditions PREMISES Ea occurrence X see Prod Liab info atl'd IVIED EXP(Any one person) PERSONAL&ADV INJURY $10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 a2 X POLICY OjfCT LOC PRODUCTS-COMP/OPAGG Excluded OTHER: Xcl Prod/Comp Ops Per Occ SIR $1,000,000 r AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT rO E ciden ANYAUTO BODILY INJURY(Per person) 0 Z OWNED SCHEDULED BODILY INJURY(Per accident) � AUTOS ONLY AUTOS AUTOS NON-OWNED PROPERTY DAMAGEHIRED 0 ONLY AUTOS ONLY (Par accident) :C ll! UMBRELLA LIAB H OCCUR EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND PER STATUTE I OTH- EMPLOYERS'LIABILITY Y/ ER ANY PROPRIETOR/PARTNER/EXECUTIVE r-V E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ILJI N/A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT gig DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Kent Police Department is included as Additional Insured in accordance with the policy provisions of the General Liability policy. rIG_ .a■ CERTIFICATE HOLDER CANCELLATION '.L■ SHOULD ANY-OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 7 - EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE m POLICY PROVISIONS. g Kent Police Department AUTHORIZED REPRESENTATIVE o 220 Fourth Avenue South o Kent wA 98032 USA �n 9L. eMW yam- g 0 ©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 NAMEDINSURED Aon Risk Insurance services West, Inc. Axon Enterprise, Inc. POLICY NUMBER see certificate Number: 570085961885 CARRIER NAIC CODE see certificate Number: 570085961885 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Products Liability schedule Products/completed operations coverage 2/1/2021 - 2/1/2022: Policy #034064091 Lexington insurance Company claims Made coverage Form - Products Liability $10,000,000 Each occurrence Limit $10,000,000 Products/completed operations Aggregate Limit $ 5,000,000 Per Claim Self Insured Retention Policy #034064092 Lexington Insurance company occurrence Coverage Form - Products Liability $10,000,000 Each occurrence Limit $10,000,000 Products/completed operations Aggregate Limit $ 5,000,000 Per occurrence Self Insured Retention ACORD 101(2008/01) m 2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD