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HomeMy WebLinkAboutCAG2019-344 - Insurance Certificate - Axon - Insurance Certificate - 8/1/24-8/1/25 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) AC�� 08/06/2024 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 poitcy(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). _ to CONTACT PRODUCER NAME: Aon Risk insurance services west, Inc. 8662837122 FAX (800) 363-0105 0) Phoeni X AZ office (AIC.No.Ex* A+IX•Ne•: _ 4300 East camelback Rd. E-MAIL 0 suite 460 ADDRESS: _ Phoeni X AZ 85018 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Fire Insurance Co. 19682 AXon Enterprise, Inc. INSURERB: Nutmeg Insurance CO 39608 17800 N. 85th street INSURERc: National casualty company 11,391 Scottsdale AZ 85255 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570107536015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE 13EEN 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 AOUL INSD WV0 POLICY NUMBER MMfDD1YYYY MMIOl77YYY LIMITS X COMMERCIAL GENERAL LIABILITY NCOUL101114 EACH OCCURRENCE S1,000,000 SIR applies per policy terns & condi ions CLAIMS-MADE �X OCCUR PREMISES Eaoccum+n $1,0 ,000 X see Prod Liab info alt'd MED EXP(Any one person) $500,flOD PERSONAL&ADV INJURY S1,000,000 �2 GEtOLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 M POLICY ❑X PRO• ❑LOC PRODUCTS-COMP/OPAGG EXCluded o JECT OTHER: Xcl Prod/Comp aps Per Occ SIR S1,000,000 0 A AUTOMOBILE LIABILITY 59UENFN6060 08/01/2024oa/01/2025 COMBINED SINGLE LIMIT $1,000,000 ie BODILY INJURY(Per person) G X ANYAUTO Z OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS ONLY AUTOS PROP ERTY DAMAGE C) HIREDAUTOS NON-OWNED Peraxldani - ONLY AUTOS ONLY 1: tL UMBRELLALIAB H OCCUR EACH OCCURRENCE V EXCESS LIAB CLAIMS-MADE AGGREGATE OEO RETENTON B WORKERS COMPENSATION AND WEAL S D Dl 20 4 it D2 5 X PER STATUTE "ITFI• EMPLOYERS'LIABILITY v/p ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 31,000,000 OFFICF.RtMEMBER EXCLUDED? ❑ N/A (MandWoryInNN) E.L.DISEASE-EA EMPLOYEE $1,000,000 II yyas desclibo under E.L.DISEASE-POLICY LIMIT S1,000,000--- DESdRIPTIONOF OPERATIONS below _ F7 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 r.� policy. } �C CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE J EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. r- Kent Police Department AUTHORIZED REPRESENTATIVE _ 220 Fourth Avenue South l� Kent wA 98032 USA t /111 9191CL 1apsm yetw lli ©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 A`M" LOC#: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Insurance Services West, Inc. Axon Enterprise, Inc. POLICY NUMBER see Certificate Number: 570107536015 CARRIER NAIC CODE see Certificate Number: 570107536015 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance workers compensation Coverage • Hartford Fire Insurance Company • AL, OK, UT, VT • Nutmeg Insurance Company • AZ, IL, MI • Twin City Fire Insurance Company • AR, CT, DE, FL, ID, IN, IA, KS, KY, LA, ME, MA, MN, MS, MT,NE, NH, NM, NO, OH, RI, SC, SO, TN, TX, WA, WV, WI,WY • Sentinel Insurance Company Ltd. • CA, GA, MD, NY, OR, PA, VA, • Hartford Insurance Company of the southeast • co • Property and casualty Insurance Company of Hartford • DC • Hartford Underwriters Insurance Company • HI, NJ, MO • Hartford Accident and Indemnity company NC, NV ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. 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: 570107536015 CARRIER NAIC CODE See certificate Number: 570107536015 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 8/1/2024 - 8/1/2025: 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 occurrence 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 f r I a m N O O a 01 co O 8 0 o 8 a a ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD i �� - •' Certificate No: 570107536015 AON Kent Police ❑epartment 220 Fourth Avenue South Kent WA 98032 USA Wednesday, August 7, 2024 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570107536015) for future renewals: - Visit aon.com/e-cert; or - Utilize the QR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. Aon Risk Services 5801 Postal Road PO Box 818037 Cleveland, Ohio 44181-9600 ' a 1 ■ o a rn g v 0 0 0 0 A - �� l . � i f. 1 •I _ • ' Aon Risk Services 5801 Postal Road PO Box 818037 Cleveland,Ohio 44181-9600 MDG2024 00000894 01 f " Kent Police Department 220 Fourth Avenue South Kent WA 98032 013 e�o�