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2020/02/01 Axon Enterprise, Inc. (3)
CERTIFICATE OF LIABILITY INSURANCEF7; TE(MM/DD/YYYY) 02/02/2021 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(les) must have ADDMONAL 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. SAC. No. Eal]: (866) 283-7122 C Na 800-363-0105 2555 East Camelback Rd. Suite 700 EMAIL ADDRESS: Phoenix Az 85016 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Lexington Insurance Company 19437 Axon Enterprise, Inc. 17800 N. 85th Street INSURERS: Navigators specialty Insurance Company 36056 INSURERC: Scottsdale Az 85255 USA INSURER D: INSURER E: INSURER F: lIU V IlZ'lAf.7t.7 L;t:K l tt'il;Al t NUMIitH: 0/UUtiS'J49/l U REVISION NIIMRFR- 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 requester) INSH LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER POLICY eff MkU DIYYYY POLICY EXP M DOrYYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR GL excluding Products SIR applies per policy terns & conditions EACH OCCURRENCE $10,000,000 PREMISES Ea occurrence X MED EXP (Any one person) see Prod Liab info atl'd PERSONAL & ADV INJURY $10,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRO - POLICY EJECT LOC GENERAL AGGREGATE $10,000,000 PRODUCTS - COMP/OPAGG Excluded OTHER: Xcl Prod/Comp Ops Per Occ.SIR $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT en ANYAUTO BODILY INJURY ( Per person) OWNED SCHEDULED AUTOS ONLY AUTOS HIREOAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident) B UMBRELLALIABHOCCUR Is20EXC74 5 IC 02/0120 0 1 1 EACH OCCURRENCE 15, 137 000 X EXCESSLIAB CLAIMS -MADE Xs Liab XCl Products Liab AGGREGATE $15,000,000 ]DED1 IRETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER /EXECUTIVE OFFICERMEMBER EXCLUDED? (Mandatory In NH) ❑ If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER STATUTE I OTH. EB E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is raqulrad) RE: Axon Interview Rooms, TASER/BWC/Drone pgm. City of Menifee, its officers, employees, agents and authorized volunteers are 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. IN CERTIFICATE HOLDER CANCELLATION ;W SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ~ j EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Menifee AUrHORIZEDREPRESENTATIVE 29844 Haun Road _ Menifee CA 92586 usA n y W "FM ©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 o LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Insurance services west, Inc. Axon Enterprise, Inc. POLICY NUMBER see certificate Number: 570085949710 CARRIER NAIC CODE See certificate Number: 570085949710 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 2/1/2020 - 2/1/2022: 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 claim self insured Retention Policy #034064092 Lexington Insurance company - Products Liability Occurrence Coverage Form $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) 02008 AGORD WHPUMAiwN. mi rigors reserves. The ACORD name and logo are registered marks of ACORD