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HomeMy WebLinkAbout512186 AXON ENTERPRISE INC - INSURANCE CERTIFICATE�1 ®F A�aRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 0/05/2017 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 ceri ficate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Insurance Services West, Inc. Phoenix AZ Office CONTACT NAME: (A/C NNo. Ext): (866) 283-7122 F C.No.): (800) 363-0105 E-MAIL ADDRESS: 2555 East Camelback Rd. Suite 700 Phoenix AZ 85016 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Chubb Indemnity Insurance Co. 12777 Axon Enterprise, Inc. INSURERB: Great Northern Insurance Co. 20303 17800 N. 85th Street INSURER C: Scottsdale AZ 85255 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTiFiCATE NUMBER: 570068871709 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/DDIYYYY MWDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE DAMAGERENTED PREMISES Ea occurrence MED EXP (Any one person) PERSONAL & ADV INJURY GEN'LAGGREGATE LIMITAPPLIES PER: POLICY ❑ PRO ❑ LOC JECT OTHER. GENERAL AGGREGATE PRODUCTS - COMP/OPAGG B AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS j( HIREDAUTOS NON -OWNED ONLY AUTOS ONLY 7359-99-24 09/30/2017 09/30/2018 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 71755025 09/27/2017 09/27/2018 X STATUTE EORH E.L. EACH ACCIDENT $1 , 000 , 000 E.L. DISEASE -EA EMPLOYEE S1,000,000 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 Automobile Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City Of Fort Collins AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins CO 80522 USA can �/�x���� ��� �>/fi• /�� w c m 'O Q 2 0 2 rn 0 r` oo OD OD 0 O Z 0) 16 U 0) U ='R a _2L ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD