Loading...
HomeMy WebLinkAboutAxon Enterprise, Inc. - Insurance Certificate 2023-2025 A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM 2023 Y) 09/28/2023 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 °1 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 15 CONTACT d AOn R75AME:Insurance services west, Inc.ZDC PH L Phoenix AZ Office (A/C.No.Ext): 8662837122 (A/C.No.): (800) 363-0105 tv 25SS East camelback Rd. a E-MAIL C suite 700 ADDRESS: _ Phoenix Az 85016 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: National Casualty Company 11991 Axon Enterprise, INC. 17800 N. 85th street INSURERB: Hartford Ins CO of the Midwest 37478 178 Scottsdale AZ 85255 USA INSURERC: Hartford Fire Insurance Co. 19682 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570101847260 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 areas requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MWDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY NGO EACH OCCURRENCE $1,000,000 CLAIMS-MADE X❑OCCUR SIR applies per policy terns & condi ions DAMAGE TO RENTED $1,000,000 PREMISES Ea occurrence X see Prod Liab info att'd MED EXP(Any one person) $50,000 PERSONAL&ADV INJURY $1,000,000 m GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 � POLICY E PRO ❑LOC c`tp JECT PRODUCTS-COMP/OPAGG Excluded OTHER: XCl Prod/Comp Ops Per occSIR $1,000,000 c, C AUTOMOBILE LIABILITY 59 LIEN FN6060 09/30/2023 08/01/2024 COMBINED SINGLE LIMIT `n Ea accident $1,000,000 X ANYAUTO BODILY INJURY(Per person) O OWNED z AUTOS ONLY AUTOSULED BODILY INJURY(Per accident) N HIREDAUTOS NON-OWNED PROPERTY DAMAGE to ONLY AUTOS ONLY Per accident) V w 1r A X UMBRELLA LIAR X OCCUR UNOOOOO164 08/01/2023 08 01/2024 EACH OCCURRENCE 89,000,000 U EXCESS LIAR CLAIMS-MADE AGGREGATE $9,000,000 DED RETENTION B WORKERS COMPENSATION AND S9WEACOS6D 09 2 7/ 002 3 08 O1 2 224 X PER STATUTE OTH. EMPLOYERS'LIABILITY Y/N ER ANY,PROPRIETOR/PARTNER/EXECUTIVE OFF CER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S1,000,000 If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000- L � F _%!� DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. a, a CERTIFICATE HOLDER CANCELLATION 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THEJ-q POLICY PROVISIONS.The City of Fort Collins AUTHORIZED REPRESENTATIVE PO BOX 580 o Fort Collins CO 80522 USA o ��'an i �cJ9l�rcilt�tCL• e�Gtit4tY,d ��na o o ©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#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Insurance services West, Inc. Axon Enterprise, Inc. POLICY NUMBER See certificate Number: 570101847260 CARRIER NAIC CODE See Certificate Number: 570101847260 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 8/1/2023 - 8/1/2024: 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 ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) ,d►�iro CERTIFICATE OF LIABILITY INSURANCE 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 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. L Phoenix AZ office (A/C.No.Ext): 8662837122 FAX No.: t:800) 363-0105 M 4300 East Camelback Rd. E-MAIL suite 460 ADDRESS: _ Phoenix 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 Scottsdale Az 85255 USA INSURERC: National Casualty Company 11991 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570107536447 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 MM/DD/YYYYI (MM1DD/YYYY1 LIMITS X COMMERCIAL GENERAL LIABILITY NGO EACH OCCURRENCE $1,000,000 CLAIMS-MADE M OCCUR SIR applies per policy terns & conditions PREMISES Ea occurrence $1,000,000 X see Prod Liab info an'd MED EXP(Any one person) $50,000 PERSONAL&ADV INJURY $1,000,000 GEN•L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑X JET FILOC PRODUCTS-COMP/OPAGG Excluded o OTHER: XCl Prod/Comp Ops Per OccSIR $1,000,000 A AUTOMOBILE LIABILITY 59UENFN6060 08/01/2024 08/01/2025 COMBINED SINGLE LIMIT $1000000 U) Ea accident $1,000,000 , X ANYAUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) G! AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Per accident '.UC t d C 11 UMBRELLALIAB rX70 R UN00000235 08 01 2024 08 01 2025 EACH OCCURRENCE $9,000,000EXCESS LIAB S-MADE AGGREGATE $9,000,000 DED I X RETENTION410,000 B WORKERS COMPENSATION AND 59WEACOS6D 08 01 2 4 08 01 2025 X PER STATUTE OTH- EMPLOYERS'LIABILITY y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. 24 1 CERTIFICATE HOLDER CANCELLATION 8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE �o EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE N POLICY PROVISIONS. The City Of Fort Collins AUTHORIZED REPRESENTATIVE PO Box 580r o Fort Collins CO 80522 USA — 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#; A�ORL7® ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Insurance Services West, Inc. Axon Enterprise, Inc. POLICY NUMBER see Certificate Number: 570107536447 CARRIER NAIC CODE See Certificate Number: 570107536447 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, SD, 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#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Insurance Services West, Inc. Axon Enterprise, Inc. POLICY NUMBER see Certificate Number: 570107536447 CARRIER NAIC CODE see Certificate Number: 570107536447 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 a a u, m 0 0 m N N N C O 8 8 0 0 ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD