2022/09/27 Axon Enterprise, Inc. (3)-A.(-()Rbd CERTIFICATE OF LIABILITY INSURANCE 0ATE(MII,UDD,YYYY)
09]29/2022
THIS CE FTIFICATE IS ssu ED AS MATTER OF INFORMATION ON LY AN D NFERS N o RIGHTS UPON THE c E RTIFICATE HOLDEB THIS
CEHTIFICATE DOES NOT AFFIB AIIVELY oB NEGATIVELY EXTE ND oF ALTE R THE COVEBAGE AFFORDE D BY TH
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A
REPRESENTATIVE OR PRODUCER. ANO THE CERTIFICATE HOLDEB.
CONTRACT ETW EEN TH€SSUIN NSURER(s)UTHORtzEo
tf cate I san ) must DITION provaSions or
suBBocATlot{ ts wAlvED, subiect to tho tsrft. and condition3 ol the policy, c€rtain policies may roquiro an endorgement-A stalemeht on this
cortificats does nol conlor righls lo the certilicato holdor in lieu ol stlch ondorsemenl(3)
PRODI'CEF
Aon Risk Insurance services west, Inc
Phoeni x Az offi ce2555 East camelback Rd.su'ite 700Phoenix az 85016 u5A
-lFo e,,r te66r zer-'122 -800 361 0105
INSUFEF(S) AFFORDING COVEBAGE
INSUFEO
axon Enterpri se, rnc.
17800 N. 85th streetscottsdale Az 85255 usA
rirsuFERA: Navi qators Insurance co 42307
INSUFER B: SCottsFa] e rndemniti company 1s 580
06UAER Cr HartfoiFri re tnsurance co 1968 2
|tasunEs or Hartford Ins Co of the Midwest 37 478
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COV E BAG ES CEFTIFICATE NUMBEB: 570095664789 REVISION NUMBERI
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CERTIFICATE HOLDER CANCELLATION
@1988-2015 ACORD CORPORATION. All rights ressrved.
The ACORD name and logo aro .ogEtered marks ol ACORD
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POL c ETHEDTE1..1 N UBES AMEDNNLOWENEVE8EUELNTPOLEEC]OFSRTHTISIS PEES TCTo c THN STHoEUMEDOCNTITHITDONANYOFCONTORACTINGEUoRIMEENTTOBE RI\,i CONINDEND,ITOTW SHc L HT TEERMSDE8EHDE1NESUECTBJTODDEBPOLTNEEcSsNUct,t AFFOEEMAEINTHEcFRTcEEBSSEUoD
N E N DRE CU BY cID IVSED LimilsLl\,1 STS NSHPOLESONSDNNcoION0oSUClcSLUEXC
t 1,000.000EACH OCCUFFENCE
t1,000,000PFEMISES rEa 6cunetu6)
150.000M€0 ExP (A.y ona porson)
s1,000,000PERSONAL& ADV INJURY
$2.000,0006€ NEFAL AGGREGAIE
ExcludedPFOOUCTS - COMP,OP AGG
$r,000,000
o!/oL/zotz
ns & condi'
01/ol/zol)
:ionssrR applies per policy terNGr0000057BCOMMEFC AL GENEFAL LLABLLIIY
GEN LAGGREGATE LIMIIAPPLLES PEF
OCCLJBCLA MS MADE
OTHER xcl Prodl
JECT
$1,000,000COMBINEO SINGLE LIMT
BOoILY lNJl..riY t Por p€6on)
BoolLY NJURY lPo. acodenrl
09/10/2022 09/30/202359 UEN FN6O6Oc
SCHEOULED
AUTOS
NON OWNEO
AL,]TOS ONLY
AUTOMOBILE LIABILITY
AUTOS ONLY
EACH OCCUFFENCE 9,000,
$9,000,000
OCCUH
EXCESS LIAE
03/01/20t3o3/o1/2O22uNr0000002
ETENTON 110'OOO
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x OTH.
E L EACHACCIOENT t1,000,000
s1,000,000E L OISEASE EA EMPIOYEE
$1,000,000
09/27 /2021
E.L DISEASE POLICY L MII
09/27 /2OZZtfwEAa0s6DowOiiKEFs coMP€NsATtott ANo
EllPLOYEFS' LIASILITY
ANY 9FOPRIETOA, PAAINER, EXECUTIIE
OtFICER,"EMEEF EXCLUOEO?
DESCFIPTION OF OPERAIIONS b€IOw
Cjtv of Menifee, i!s officers, agents and-employees.ar€ inc]uded as additional Insured in accordan(e with the policy provisions
of the ceneral Liability and Excess Liabi llty pol rcres.
DESCFTPTTON OFOpEBATTOI{S/ lOCArrOtiS I VEHICIES (ACOBD 1Ol, Addirton.l R.mrrs schadula, 6.y b. rnrch.d ll moG !p.c. li t.qok.d)
stolllo ANY of rxE aBovE oE9cFl6E0 POllclE9 BE CAI{CE!|-Eo SEFORE tHE
EXPIFAIION OAT€ THEBEOF. NOIICE WlL BE OETIVEFEO IX ACCOBOAIICE $IH THE
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AUTHOFIZED FEPFESENTATIVEcitv of Meni fee29844 Haun RoadMenifee ca 92586 usA
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acoRo 25 (2016i 03)
POLtCTESAMEND,
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AGENCY CUSTOMER lD: 570000007117
LOC #:.q,c-Rf ADDITIONAL REMARKS SCHEDULE eage _ of _
AGENCY
Aon R'isk lnsurance Services West, Inc.Axon Enterpri se, rnc.
POLICY NUMAER
See Certi fi cate Number 5 70095664789
See cert'i ficate Numberi 570095664789
NArC CO0E
EFFECT VE DATE
ADOITIONAL BEMARKS
EMARKS FORM IS A SCHEDULE TO ACORD FORM.
FORM NUMBER: ACORD 25 FORM TTTLE: Certificate ot Liabiti
THIS ADDITIONAL R
1y lnsurance
INSUBER(S) AFFOROING COVERAGE NAIC #
INSI ]RF R
INStiRhR
lNslRtiR
lNStrlthR
ADDITIONAL I,OLICIES ll a policy below does nol include linit information, rcfcr () the corrcsprrrding policy on the ACORI,
ccnificate l'ornr li)r policy limils.
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EXCESS L IAB II1'1Y
MR22Exc7443 58Iv 03/07/2022 01/01/2023 ag9 reqate t10,000,000
Each s10,000,000
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acoRD 10r (2008,01)
Th€ ACOBD name and logo aro rogislered marks ot ACOBO
O 2008 ACORD CORPORATION. Allrtghts rsservod.
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570000007117
o-G}r*ADDITIONAL REMARKS SCHEDULE Page - of -
AGENCY
aon Risk Insurance serv'ices west, Inc.
NAMED INSIJFED
Axon Enterpri se, Inc.
POLICY NIJMBER
see certificate Number: 570095664789
see certi ficate Number: 570095664789
NAICCODE
€FFECTIVE OAIE
ADDITIONAL BEMABKS
AGENCY CUSTOMER ID:
LOC #:
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THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FoBM NUMBER: ACORD 25 FORM TITLE: Cedilicale of Liabil lnsurance
Products Li ab'jl i ty Schedule
products/comp'l eted operati ons coverage
2/r/2022 - 2/ 7/2073 |
Pol i cy #034064091
Lex'i noton rnsu rance comDanvclain; Made coveraqe roim I products Liab'ility
910.000.000 Each occurrence Limit
110,000,000 Products/completed operations Aggregare Limit$ 5,000,000 per claim self rnsured Retention
Pol i cv *014064092rex'inlton rnsurance company - Products Liability
occurrence coveraoe Form
s10.ooo.O00 Each 6ccurrence Limit
f10:0oo:000 products/comp]eted operat'ions Aggregate Limitt 5,000,000 Per occurrence Self Insured Retention
E:1:iitrMI
acoBD r0, 12008/0'l)The ACOBD namo.nd logo are regisleled m.rks ol ACOBD
O 2ooo ACORD COFPOFATION- Allrighl! r83ewod.
Certificate No: 570095664790
Citv of [/eni{ee
29844 Haun Road
Menifee CA 92586 USA
Thursday, September 29, 2022
MSC# 17755lAon
P.O. Box 1447
Lincolnshire, lL 60069
AON
To whom it may concern:
Following a concentrated effort to reduce our environmental footprint and provi{e^timely certificate
delivery,-Aon will begin delivering our Certificates ot lnsurance eiectronically in PDF format.
Please utilize one of the following methods to ensure you will receive the electronic copy of your
Certificate (Certificate No: 570095664790) for future renewals:
- Visit aon.com/e-cert; or
- Utilize the QR Code below to enter/validate your informatton.
lf your email address has changed or will be changing in the future, or you no longer require this
cejrtificate, 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.
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A,(-C)r< i)@ CERTIFICATE OF LIABILITY INSURANCE
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COVER CEBTIFICATE NUMBER: 5700S5664790 BEVISION NUMBER:H}i+H4
DATE(MM/OD/YYYY)
0912912022
CEBTIFICATE DOES NOT AFFIRMATIVELY OF NEGATIVELY AMEND, EXT
BELOW. THIS CEBTIFICATE OF INSURANCE DOES NOT CONSTITUTE A
REPRESENTATIVE OR PBODUCER, AND THE CEBTIFICATE HOLDER.
CATATIATE
ALTEB
FIBTI HE EOLD THR,SNOIGRUHTSTHPONCEEoNFOONONANDFECONBSSSSASUEDMATTREsTHIFICCERTI
E POLIC ESTHHEEAGDEOAFFORBENORoTCOVER
RIAUTHO DZENSBUENTBETWACTEETHNtssuNGEcoRB(S),
-iM-FOFmnTl-l th-o certilicatth iei is an AoDITIoNAL INSURED, lhe policy(ies) musl havo
SUBBOGATION tS WAIVEO, subiect to the tsrms 6nd conditions ol the policy, certain policlos may requiro 6n sndorsement. A stalement on this
certilicatg doos not conler aight3lo the certificate holdor in lieu ol Such ondorsemen(t).
AOOITIONAL INSUREO provisions or be ehdorsed. It
(866) 281-7122 800-363-0105
tNSUFEFlS) AFFOBOING COVEEAGE
PFODUCEB
Aon Ri5k rnsuranc€ Services west, Inc
Phoenix Az office
2555 East camelback Rd.
Sui te 700
Phoenix AZ 85016 UsA
42)O7t|lsuaEEA: NavigatorS Insurance co
15580rMruFEa B: Scottsda'le Indemnity company
19682NSUAES Cr Hartford co
17478rNsuFEF O: Hartford Ins Co of the Midwest
AXOn Enterpri 5e, Inc.
17800 N. 85th streets.otrsdal€ Az 85255 usa
1\,1AYIFlCAT
D T EF]FOOVBBNEESISTHEoTOU8EINSULCESDTETTHTNSTOSBTCEE HTENl\,4 T HT ESP TC TO ICHH SANRACTCONToHOTEUDOCTEotvcDONOFITIONNYEENTl\,4NOTWSTTHNt)N REOUNICAoTED [,1TOCTLLHTS.E TETHECSEEDSCEBHDEINESUsBJETEHEANCDEFOBBPOLoNINSURTEISBEESUoFlDMPERToCLA MS[,1iT N M E EN8E ER UCED D LIDroSNSUOFPOLICCHS,E s SHOWXCLE!oNUSS CONDIT
$1,000,000EACI.] OCCUBFENCE
s1,000,000
$ 50,ME0 EXP (A.y one p€6on)x
J1,000,PEASONALA ADV INJUFY
t2 .000,
Exc l udedPFOOI,]CTS. COMP/OPAG6
$1,000,000
& cond isrR appl ies per policY teCOMMEFCIAL GENEFAL LIAAILITY
GEN LAGGREGATE LIMIIAPPTES PER
orHEB Xc'l Prodlc
LOC
CLA MS-MADE
JECT
COIIBINED SINGLE LIM I $1,000,000
BOoILY lN..jUFY ( Pd p66on )x
BODILY |UURY lP6.accdo.l)
/202109/30/202259 UEN FN (,0
scsE0uLEo
AUTOS
NON,OWNEO
AUIOS ONLY
ALJTOMOAIfE UASILITY
OWNEO
AUTOSONLY
€ACH OCCUNFENCE
$9,000,000AGGREGAT€
occrJR
EXCESS LIAB
UNIg
DEO BETENiON t10,000
X PEF STATUTE
$1,000,E L EACHACCIDENINE! DISEASE,EA EMPLOYEE J1,000,
E L OISEASE'POLICY LlM T 1,
EMPLOYEiS' LIABITITY
^NY
PFOPFIEIOR/ PAFTNEA / EXECUIIVE
OFFICEAUEMAEF EXCLUDEO?
o€scFrPIroN oF oPEFArroNs bdh
rnterview Roons, TASER/Bwc/orone pqm. city of Menifee its officers, e,nploYees, ag
as additional Insured in ac(ordance trith the poli(y provislons ot the General Llabr I
iia'diiiiv-iioi i iv-eriaencea trerein !s Primarv and N6n:contributorv to other insurance
but only in ac(ordance with the policy s provlslons.
101. Addlrio..l F.h!rk3 schodul., mly be.tt.ched ll mor..p.c. 13f.qrk.d)OESCRIPTION OF OPEFATIONS / LOCaTtoNs r vEHtcLEs lAcoao
ents and authorized voluntee15 areity and Excess Liability policies.
ai/ai lable to an Additionali ncl udedGeneralInsu red,
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CERTIFICATE HOLOEB CANCELLATION
01988-2015 ACORO CORPORATION. All rlghts reserved.
The ACORD name and logo are registeted marks ol ACORO
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SHOUTO ANY OT THE AOVE DESCFIAED POLICIES BE CAI{CEILED BEFOF€ THE
E)(PN NON OATE TXEFEOF. NOTICE WTL BE OELIVEFED II.I ACCOFOA'.ICE V'IIH IHE
POLTCY PAOVlstOiS,
M-%g*,-,*9* %'r-f*
AUTHORITED REPFESENTATIVEcity of Meni fee
29844 Haun Road
M€ni fee cA 92586 usA
E/iiitl
H4
acoRD 25 (2016/03)
AGENCY CUSTOMER lO: 570000007117
LOC #:A,<:<)frrif ADDITIONAL REMARKS SCHEDULE eage _ of _
AGENCY
Aon Risk Insurance Services lriest, Inc.axon Enterpri se, Inc
See Certi fi cate Number: 570095664790
5ee Certi fi cate Number: 570095664790
NAIC CODE
EFFECTIVE DAlE
ADDITIONAL FEMARKS
FORM IS A SCHEOULE TO ACORD FOBM,
FORM NUMBER: ACORD 25 FORM TITLEi Cerlilicate oI Liabj
THIS ADOITIONAL REMABKS
llty lnsuranc€
INSUREB(S) AFFORDING COVERAGE NAIC #
INSLIRI]R
INStiRtlR
tNsLrRtrR
INS UR trR
AI)l)r1 t()N,\1. P()t.t(- is lf a pol icy hclow does Dot include linril ini)rnlrlion. rclcr lo thc col!sp(rndi[g policy on rhc ACORI)
ccrtillcatc li)rnt lbr policy limils.
t\sR
L'I'R I YPE Or I\St k,\N(',u .\Dt)t.
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H)t,tctutP[l"l.l\'t:
DAT'
FtxH*,\'l.lON
DAlr.l
t.ntIIs
EXCE55 LIABlLITY
MR22Exc744 358rv 03/ot/2022 01/0L/2023 aggregate $10,000,000
occurTence s10,000,000
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TIIrr
IrIrrttll
acoBD 101 (?008/0r)
Th6 aCOBD name and logo 6re rogisterecl marks o, ACOFD
O 20Og ACORD COBPOFATTON. Attrlghts reserved.
AGENCY CUSTOMER ID:
LOC #:
5 70000007117
AiaoRtt)-ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY
Aon R'isk rnsurance services west, Inc.
NAMED NSUFEO
Axon Enterpri se, Inc
POLICYNUMBEF
see certif icate Number: 570095664790
NArC COO€
EFFECT VE OATE
ffi
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H
THIS ADDITIONAL REMARKS FOFM IS A SCHEDULE TO ACORO FORM,
FORM NUMBER: ACORD 25 FORM TITLE: CeTtifiCATo OI LiAbi|it lnsurance
Products Li ab'i l'ity schedule
Products/completed operations coverage2/l/2022 - 2/7/2023 t
Pol i cy #034064091
Lexi ngton lnsurance companyclaims [4ade coverage Form - Products L'iability
$10,000.000 Each occ.rrrence Limit$10,000,000 p roducts/comp l e ted operations Aqgregate Limi t$ 5,000,000 Per claim self rnsured Retention
Pol i cv #034054092rexinlton rnsurance company - Products Liabilityoccurrence Coveraqe Form
$10.000.000 Each occurrence Limi t
J10,000;000 products/completed operations Aggregate LimitS 5,000,000 Per occurrence Self rnsured Retention
ffi
acoFD 101 (2008/0r)
The ACOBD name 5nd logo are rogisterod msils ol ACOHD
@ 20oo aCOBD COBPORATIOI{. Altrlghts rcsorv€d.
see certificate Number: 570095664790
AOOITIONAL REMARKS
Certificate No: 570095664789
Thursday, September 29, 2022
AON
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City of Menifee
29844 Haun Road
Menifee CA 92586 USA
To whom it may concern:
Following a concentrated effort to reduce our environmental footprint and provi{e_timely certificate
delivery,-Aon will begin delivering our Certificates of lnsurance eiectronically in PDF format.
Please utilize one of the following methods to ensure you will receive the electronic copy of your
Certificate (Certificate No: 570095664789) for future renewals:
- Visit aon.com/e-cert; or
- Utilize the QR Code below to enter/validate your information.
lf your email address has changed or will be changing in the future, or you no longer require this
cdrtilicate, 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 | Aon
P.O. Box 1447
Lincolnshire, lL 60069