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HomeMy WebLinkAboutCOI - Axon Enterprise, Inc. - Expires 2024-08-01MSC#17755 Aon Risk Services PO Box 1447 Lincolnshire, IL 60069 MDG2023 00003747 01 City of Gilroy 7351 Rosanna Street Gilroy CA 95020 00000 01 03 003747 014226 Certificate No: 570101846479 City of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA Thursday, September 28, 2023 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: 570101846479) 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. MSC# 17755 1 Aon P.O. Box 1447 Lincolnshire, IL 60069 SON 000000 02 03 003747 0 �----., Ato CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Insurance Services West, Inc. Phoeni x AZ offi ce 2555 East camel back Rd. Suite 700 - - Phoenix AZ 85016 USA CONTACT - - '- NAME: - - PHONE A/8662837122 N . Ext): FAX (800) 363-0105 C, No ): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED - Axon Enterprise, Inc. - 17800 N. 85th street uSA Scottsdale AZ 85255INSURER INSURER AI National casualty Company 11991 1NSURERBt Hartford Ins co of the Midwest 37478 C; Hartford Fire Insurance co. 19682 INSURER D: INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER: 570101846479 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 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 INSR LTR TYPE OF INSURANCE ADOL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY1Y� POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY NG00001132 - - 08/01/2023 08/01/2024 EACH OCCURRENCE $1,000,000 CLAIMS -MADE I X I OCCUR SIR applies per policy terns Si condi-ions DAMAGETO RENTED PREMISES (Ea occurrence) $1,000,000 X see Prod Liab Into att'd MED EXP (Anyone person) $ 50 , 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY I x I PRCTO- I I LOC JE PRODUCTS • COMP/OP AGG Excluded OTHER: Xcl Prod/Comp Ops Per OceSIR $1,000,000 C AUTOMOBILE LIABILITY 59-UEN FN6060 09/30/2023 08/01/2024 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY ( Per person) OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) A AUTOS ONLY HIRED AUTOS ONLY _ NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) A X UMBRELLALIAB X OCCUR UN00000164 08/01/2023 08/01/2024 EACH OCCURRENCE $9,000,000 EXCESSLIAB CLAIMS -MADE AGGREGATE $9,000,000 DED RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 59WEACOS6D 09/27/2023 08/01/2024 x PER STATUTE- OTH- ER ANY PROPRIETOR / PARTNER / EXECUTIVE Y / N 'N. N / A E.L. EACH ACCIDENT $1, 000 , 000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If E,L.DISEASE-EA EMPLOYEE $1,000,000 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) city of Gilroy is included as Additional insured in accordance with the policy provisions of the General Liability Policy. CERTIFICATE HOLDER CANCELLATION 5 O n P. reir City of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE tsze'„ �st L�s�rctauzrdna 000000 03 03 003747 014228 P ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000007117 LOC #: 4 R ADDITIONAL REMARKS SCHEDULE Page of AGENCY Aon Risk Insurance Services West, Inc. NAMEDINSURED Axon Enterprise, Inc. POLICY NUMBER ' See Certificate Number: 570101846479 CARRIER See Certificate Number: 570101846479 NAIL CODE 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 (200/3/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved.