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ACORO® DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 11/04/2025
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain w� p y, policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT 'a
<br /> NAME:
<br /> AOn Risk Insurance services West, Inc. PHONE O FAX N
<br /> Phoenix AZ Office (A/C.No.Ext): 8662837122 (A/C.No.): (800) 363-0105 'O
<br /> 4300 East Camelback Rd. E-MAIL =
<br /> Suite 460 ADDRESS:
<br /> Phoenix AZ 85018 USA
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURERA: National Casualty Company 11991
<br /> Axon Enterprise, Inc. INSURERB: Scottsdale Ins Company 41297
<br /> 17800 N. 85th street
<br /> Scottsdale AZ 85255 USA INSURER C:
<br /> INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 57011 651 66 52 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
<br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br /> PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY
<br /> HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> Limits shown are as requested
<br /> INSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDNYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y N000001949 08 08 2025 08 01 2026 EACH OCCURRENCE $2,000,000
<br /> SIR applies per policy terns & condi ions PREMISES(Ea occurrence)CLAIMS-MADE OCCUR $1,000,000
<br /> X see Prod Liab info afl'd MED EXP(Any one person) $50,000
<br /> PERSONAL&ADV INJURY $2,000,000 N
<br /> P'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY FTPEO ❑LOC PRODUCTS-COMP/OPAGG Excluded
<br /> OTHER: Xcl Prod/Comp ops
<br /> A y Y NG00001948 08/08/2025 08/01/2026 COMBINED SINGLE LIMIT
<br /> AUTOMOBILE LIABILITY
<br /> $1,000,000(Ea accident)
<br /> )( ANYAUTO BODILY INJURY(Per person) 0
<br /> O
<br /> OWNED
<br /> SCHEDULED BODILY INJURY(Per accident) Z
<br /> AUTOS ONLY AUTOS N
<br /> HIREDAUTOS NON-OWNED PROPERTY DAMAGE R
<br /> ONLY AUTOS ONLY (Per accident) U
<br /> N
<br /> B X UMBRELLA LAB X OCCUR Y Y UNS0000106 08/08/2025 08/01/2026 EACH OCCURRENCE $10,000,000 U
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED I X RETENTION $10,000
<br /> A WORKERS COMPENSATION AND Y WCC600103A 08/08/2025 08/08/2026 X I PERSTATUTE 0TTH-
<br /> EMPLOYERS'LIABILITY
<br /> YIN JER
<br /> A PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? ENNIA
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> UID SCes, un
<br /> der $1,000,000
<br /> RIPTION OPERATIONS below E.L.DISEASE-POLICY LIMIT
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Certificate Holder and City of Santa Ana, its City Council, officers, officials, employees, agents and volunteers are
<br /> included as Additional Insured in accordance with the policy provisions of the General Liability, Automobile Liability and
<br /> Umbrella Liability policies. General Liability= Automobile Liability and Umbrella Liability policies evidenced herein are
<br /> Primary to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver
<br /> of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability,
<br /> Automobile Liability, Umbrella Liability and Workers' Compensation policies.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION M
<br /> By Tu Tran Nguyen at 9:18 am,Nov 12,2025
<br /> y
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ��
<br /> DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. '.2—
<br /> r
<br /> Digitally signed
<br /> Cl ty Tu Tran by Tu Tran Of Santa And Nguyen AUTHORIZED REPRESENTATIVE
<br /> Risk Management Division
<br /> 20 Civic Center Plaza, 4th F1oorNguyen Date:2025.11.1 ,yn ��W1 r wilw
<br /> e�/Y111
<br /> Santa Ana CA 92701 USA 09:18:38-08'00' J(4Y�/
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<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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