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ACOJTC1` CERTIFICATE OF LIABILITY INSURANCE DATE((MMIODD19 YY) 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 pollcy(les) 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 do" 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: PHONE Wc. Na. Ertl: C866) 283-7121. No., C800) 363-0]AS E-MML ADDRESS, 2555 East Camelback Rd. Suite 700 IMSURER(S) AFFORDING COVERAGE NAIC# Phoenix AZ 85016 USA INSURED INSUPERA: Hartford Fire Insurance CO. 3.9682 Axon Enterprise, Inc. 17800 N. 85th Street INSURER B: Twin City Fire Insurance Company 29459 INSUiERC: Scottsdale AZ 85255 USA INSURER D: INSURERS: INSURERF: COVERAGES CERTIFICATE NUMBER: 570077544542 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 WSR L TYPE OF INSURANCEMEN SD 0 POUOYNUMBER FOLICYeFf M LIMITS cOMmeRCIN. GENERAL LIMLITY CLAIMS -MADE ❑ OCCUR�� EACH OCCURRENCE PREMISES IF, oaueer..)_,-- MED EXP (Any on. person) PERSONAL& AM INJURY OEM LAGGREGATE UNTAPPLIE6 PER: POLICY ❑PEST LOG OTHER: GENERALAGGREGATE PRODUCTS -COMPIOPAGG A AUTOMOBILE UABIUTY % ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS % HIREDA.. MONOWNED ONLY AUTOS ONLY 59 DEN FN6060 09/30/201809/30/2019 COMBINED SINGLE UNIT S1r000,000 BODILY INJURY(Par parson) BODILY INJURY(Par aGGWe0) (RFr TYDAMAGE araWtlenI UMBRELIAUAe EXCESS LIM OCCUR CLAIMSWADE EACH OCCURRENCE AGGREGATE DEO RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PAWNER I EXECUTIVE YIN OFFICEJVLIEWEN EXCLUDED? N IMantlelary W Me XYee, tleaetlbeender DESCRIPTION OF OPERATIONS below NIA 59WEACOS6D 09/27/201 09/27 22019 X 5 ARWTE 00 E.L. EACH ACCIDENT S1,000,000 E.L. DISEASE -EA EMPLOYEE $1.000,000 E.L. DISEASE -POLICY LIMN $1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional RemeHu Schemes, may ee aMehed a more, ... Is nWlmd) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured in accordance with the policy provisions Of the Automobile Liability policy. such insurance as Is afforded by this policy shall be primary, and any insurance carried by city shall be excess and noncontributory.A Waiver of subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the Automobile Liability and Workers' Compensation policies. CERTIFICATE HOLDER rT 1- . v rn I aYv Y aACELLATION 8V r(IGIGnMdhJAr:rMCNT llh,ic SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ^ 1 YEL EXPIRATION DATE THEREOF, NOTICE L BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City Of Santa Ma LOI� AUTHORIZED REPRESENTATIVE Risk Management DivisiL4 CenterPlazaMMA SantaVAna ic CCAZ701 A M. LAMBERT% :lleik✓iraYeesP2es �,,,,,�„ �' e�An ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD i