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HomeMy WebLinkAboutAXON ENTERPRISE INC - INSURANCE CERTIFICATEA�RO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) I 09/08/2017 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 certificate 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.PHONE Ext): (866) 283-7122 FAX No ): (800) 363-0105 E-MAIL ADDRESS: 2S55 East Camelback Rd. Suite 700 INSURERS) AFFORDING COVERAGE NAIC # Phoenix AZ 85016 USA INSURED INSURER A: Twin City Fire Insurance Company 29459 Axon Enterprise. Inc. INSURERB: Hartford Casualty Insurance CO 29424 17800 N. 85th Street Scottsdale AZ 85255 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570068276408 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 ILTR TYPE OF INSURANCE NSD WVD POLICY NUMBER MM/DD MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE ❑ OCCUR DAMA ES( aoccu PREMISES Ea occurrence MED EXP (Any one person) PERSONAL & ADV INJURY GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG OTHER: B AUTOMOBILE LIABILITY 59 UUN ZM9776 09/30/2016 09/30/2017 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED X ONLY X AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLA LIAR EACH OCCURRENCE AGGREGATE EXCESS LIAB HOCCUR CLAIMS -MADE DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER / EXECUTIVE Y❑ 59WEPE1196 09/11/2016 09/27/2017 )( STATUTE EORH E.L. EACH ACCIDENT $1, 000 , 000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N I A 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 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 c�Q'an ��e:�ifc�Jnc�itanx cJcta�� 1�'c��Jna Q d c d d 6 2 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD