HomeMy WebLinkAboutAxon Enterprise's COI_2022�1 DATE(MM/DDNYYY)
A�Ro CERTIFICATE OF LIABILITY INSURANCE I
01,31/2022
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. It
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 'O
Aon Risk Insurance Services West, Inc. NAME; Rural_
Phoenix AZ Office gip/—ry �866) 283-7122 FAX No,): 800-363-0105 D
2555 East Camelback Rd. ADDRESS:
Phoenix _
Suite 700
Phoenix AZ 85016 USA
INSURER(S) AFFORDING COVERAGE NAIC N
Axon Enterprise, Inc.
17800 N. 85th street
Scottsdale Az 85255 USA
INSURER B: NdVigatOrS Insurance CO 42307
NSUR INC
NSBEER D;
NSBEER E
IN•YNa3JL^
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
Cs
as
LTq
TYPE OF INSURANCE
INSD
MD
POLICY NUMBER
MM/DD/YYYY)
(MMIDD/YYYYI
LIMITS
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
see Prod Liab into card
GNI
GL excluding Products
SIR applies per policy terns
& condi
ions
EACH OCCURRENCE
$1, 000,000
PREMISES Ea occurrence
$1,000,000
NED EXP(Any one person)
$50,000
X
PERSONAL &ADV INJURY
$11000,000
GEN'LAGGREGATE
LIMITAPPLIES PER:
POLICY ❑ JECPROT ❑ LOC
OTHER: Xcl Prod/Comp Ops
GENERAL AGGREGATE
$21000,000
PRODUCTS - COMP/OP AGG
Excluded
%
Per Occ. SIR
$1,000,000
AUTOMOBILE LIABILITY
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIREDAUTOS NON OWNED
ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ca accident)
BODILY INJURY ( Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident
A
X
UMBHELLALIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
GU10000004
Commercial Umbrella
SIR applies per policy terns
03 O1 2021
& condi
03 OlIZOZZ
ions
EACH OCCURRENCE
$9,000,000
AGGREGATE
$9,0009000
DED X
gETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR I PARTNER I EXECUTIVE --1
OFFICERIMEMBER EXCLUDED'? ❑
(Mandatory in NH)
I(y describe under
DESCRIPTION OF OPERATIONS below
NIA
PER STATUTE
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE EA EMPLOYEE
E.L. DISEASE POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe atlacbed it more space is requlred)
Certificate Holder is included as Additional Insured in accordance With the policy provisions of the General Liability and
Excess Liability policies. General Liability, policy evidenced herein is Primary and Non -Contributory to Other insurance
available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in
favor of Certificate Holder in accordance with the policy provisions of the General Liability policy.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION PATE THEREOF, NOTICE WILL BE pELIVEREO IN ACCORDANCE WITH THE
POLICY PflOVISIONS,
Bremerton PO11 Ce Department gUTHOPIZEO REPRESENTATIVE
1025 Burwell Street
elan �liJk�itoteteana Jcbuizd fYio�Jna
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 #:
4C� ADDITIONAL REMARKS SCHEDULE
Page -of _
AGENCY
Aon Risk insurance services
west, Inc.
NAMEDINSURED
Axon Enterprise, Inc.
POLICY NUMBER
See Certificate Number:
570091431926
CARRIER
see Certificate Number:
570091431926
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
The ACORD name and logo ere registered marks of ACORD
AGENCY CUSTOMER ID: 570000007117
A� ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY
AOn Risk Insurance SerVices
West, Inc.
NAMED INSURED
Axon Enterprise, Inc.
POLICY NUMBER
see certificate Number:
570091431926
CARRIER
see certificate Number:
570091431926
NAIC CDDE
EFFECTIVE DATE:
ADDITIONAL REMARKS
�vv � .� The ACORD name antl logo ere registered marks of ACORD