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Home My WebLink AboutCAG2019-344 - Insurance Certificate - Axon Enterprise, Inc. - Liability Coverage - 03/01/2022 w DATE0(MM/DD/Y YY) CERTIFICATE OF LIABILITY INSURANCE 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 a Aon Risk Insurance Services West, Inc. NAME. FAX 0) PHONE _ 1 ` Phoenix AZ Office (NC.No.Ext): 8662837122 (AeC (800) 363-0105 2555 East camelback Rd. E-MAIL p suite 700 ADDRESS: _ Phoenix AZ 85016 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Scottsdale Indemnity Company 15580 ,Axon Enterprise, Inc. INSURERB: 17800 N. 85th Street Scottsdale AZ 85255 USA INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570091853947 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 LTR TYPE OF INSURANCE INSD wVD POLICY NUMBER M O/YYYY MhV0D1YYYY LIMITS X COMMERCIAL GENERAL LIABILITY NGI EACH OCCURRENCE $1,000,000 SIR applies per policy terns & conditionsDAMAGE T(CLAIMS-MADE ❑X OCCUR PREMISES Eaoccurrencs $1,000,000 X see Prod Liab info aLI'd MED EXP(Any one person) $50,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREG.ATELIMITAPPLIESPER: GENERAL AGGREGATE $2,000,000 HPOLICY L-iPEO LOC PRODUCTS-COMP/OPAGG Excluded °Q OTHER: Xcl Prod/Camp Ops Per Doc SIR $1,000,000 C3 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO BODILY INJURY(Per person) C Z OWNED SCHEDULED BODILY INJURY(Per accident) 0) AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY (Per accidenU t UMBRELLA LIAB H OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND PER STATUTE OTH- EMPLOYERS'LIABILITY y/N ER ANY PROPRIETOR/PARTNER I EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ElN/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPEAATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) �-r Kent Police Department is included as Additional insured in accordance with the policy provisions of the General Liability N4 policy. ; CERTIFICATE HOLDER CANCELLATION M N - N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. g Kent Police Department AUTHOR FIED REPRESENTATIVE o 220 Fourth Avenue South Kent WA 98032 USA tXfG9A a�c177774YCt�NEY� �Gtrl41Cr10 /��lG(��JG 8 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000007117 LOC M. ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Insurance services West, Inc, Axon Enterprise, Inc. POLICY NUMBER See Certificate Number: 570091853947 CARRIER NAIC CODE see Certificate Number: 570091853947 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 2/1/2022 - 2/1/2023: 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) 0 2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD