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CERTIFICATE OF LIABILITY INSURANCE <br />DATo(MM�D019 YY) <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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Insurance Services West, Inc, <br />Phoenix AZ Office <br />CONTACT <br />NAME: <br />PHONE <br />(A1C. No. EMI; (866) 283-7122 (800) 363-0105 <br />E-MAIL <br />ADDRESS: <br />2555 East Camelback Rd. <br />Suite 700 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Phoenix A2 85016 USA <br />INSURED <br />INSURERA: Hartford Fire Insurance CO. <br />19682 <br />Axon Enterprise, Inc. <br />17800 N. 85th Street <br />INSURERB: Twin City Fire Insurance Company <br />29459 <br />INSURER C: <br />Scottsdale AZ 85255 USA <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />C.nVI=RAC:FS r:FRT1FiCAT1m NI IMRFR• _N711D77F66F67 RFVISION NIIMRI-R7 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br />LFrd INSR <br />TYPE OF INSURANCE <br />ADD <br />Ns0 <br />MD <br />POLICY NUMBER <br />MM[DDIYYW <br />MM1001YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />III �i� <br />EACH OCCURRENCE <br />PREMISES Ea occurrence <br />MED EXP (Any one person) <br />PERSONAL 8 ADV INJURY <br />GENII. AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JECT PRO ❑ LOC <br />OTHER: <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />A <br />AUTOMOBILE LIABILITY <br />OWNED SCHEDULED <br />XIANYAUTO <br />AUTOS ONLY AUTOS <br />HIREDAUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />59 UEN FN6060 <br />09/30/2018 <br />09/30/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />BODILY INJURY ( Per person) <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />Per accident <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />AGGREGATE <br />OED RETENTION <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION <br />NIA <br />59WEACOS6D <br />/ 0 <br />PERX STATUTE OTH- <br />E.L. EACH ACCIDENT <br />$1,000,000' <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />E. L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional insured in <br />accordance with the policy provisions of the Automobile Liability policy. Such insurance as is afforded by this policy shall <br />be primary, and any insurance carried by City shall be excess and noncontributory, A waiver of subrogation is granted in <br />favor of Certificate Holder in accordance with the policy provisions of the Automobile Liability and Workers' Compensation <br />policies. <br />t. �_ 21 11► ,► WCELLATION <br />CERTIFICATE HOLDER {i„ f?ir),!<IIA,.�.....,..�.._ r�:..:_ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />4SAMA <br />7 ��19 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />The City of Santa Ana AUTHORIZED REPRESENTATIVE <br />Risk Management Divii20 Civic center PlazaSanta Ana CA 92701 USAA M. LAMBEI j , ;, , ylmlaa off/Owl" "fiL <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />a <br />S1 <br />O <br />Z <br />r <br />v <br />d) <br />V <br />�R <br />M <br />*r <br />