PROOF OF INSURANCE (2026)l 0 DATE (MMIDD/YYYY)
A V CERTIFICATE OF LIABILITY INSURANCE
09/15/2025
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 poli11 cy(ies) 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 does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Certificate Department
Newfront Insurance Services, LLC PHONE (415)
MAIL 754 3635 � arc
t� Nf.o. Fllt1, .... t. Nat .............
777 E techcertre uest newfront from
Suite 50 Mariners Island Blvd -ADDRESS,q ..
San Mateo CA 94404 Federal Insurance Company 20281
INSURERA ,,,,,, p y
''
INSURED ... ............. ..�.. •INS, .. r
INSURER B Lexington Insurance Company i 19437
Lexm .� _ .. .. I
Pair Software Holdings, LLC INSURERC.
INSURER D .
382 NE 191st St., PMB 58356 INSURERE.a ................ __, ..............
..
Miami FL 33179 INSURER F;
,------ nor r ^ATE uauA.e000. RFVISIAN 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. .... .....
INSR ..,.,,..�... .TYPE OF INSURANCE...... .... Abff[ SA1BR7 ................... ..._.... .,.•,.,.,.,.......,__._,_ ............POLICY EFFW POLICY EXP..,. ... ................. .......,.....
LTR I IT J I POLICY NUMBER MMIDDM/YY MMIDD/YYYY LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
__...,-
--
1,000,000
_ ---pp
CLAIMS -MADE OCCUR
a ❑X
i7AMHr=;F= Y`li EtEh)�'ED
P,RE,MI F , Ea-,occurrgnog)
. S t.
$ ,1,00
000 ..
MED EXP (An one person)
$ 1.0,0
.$,...1........
A
. ., .. .. ........
......... .... .... ..
X
X
3606-7534
09/01 /2025 09/01 /2026
ADV INJURY
PERSONAL &y
-
•E
�����..
,0000
000,000
�$....
GENLAGGREGATE LIMIT APPLIES ..............
PER:
,GENERAL AGGREGATE
....A
$ 2,000,000
POLICY ❑PROP LOC
JEC'7"
-COMP/O- AG--
PRODUCTS......... .._..
$ 1,000,000
...- -----
----
_
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea aCi.d�de7gq
(.,m....... -1 ..-. .... ............
$ 1,000,000
�.�......_- _ ------------- .......---..
ANY AUTO
erson BODILY INJURY er
( person)
$
A (- OWNED SCHEDULED
AUTOS ONLY AUTOS
7361-8838
09/01/2025 09/01/2026
BODILY INJURY (Per accident)
$
...---
._
HIRED NON -OWNED
AUTOS ONLY� AUTOS ONLY
PROPfRTYOAMiMAGf:
thmr l.w&ar„ti'•..... •--
......., ..... .....n
$
,
$...........
�
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$ 1,000,000
..........
/�
EXCESS LIAB CLAIMS MADE
7819-3888
09/01/2025 09/01 /2026
AGGREGATE
.. ...... A
000
$ 1,000,000
DED RETEN'710N5
$
WORKERS COMPENSATION
PER OTI-Y
STATUTE FR
A
AND EMPLOYERS' LIABILITY Y P N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUE
in NH)
NIA
3606-7534
09/01/2025
09/01/2026
_
LEACH A
E.L. DISEASECIDENT
OYES
$ 1,000,000
$ 1,000.000
(Mandatory
If yes, describe under
LIMIT
$ 1 OOO 000
DESCRIPTION OF OPERATIONS below
E.L.SEASE POLICY
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
(Insurer B) - Crime - 01398217 -04 - (09/0112025 - 09/01/2026) - Limit: $1,000,000
(Insurer A) - Commercial' Property - 3606-7534 - (09/01/2025 - 09/01/2026) - Limit: $250,000; Deductible: $5,000.
RE: All Operations of the Named Insured.
City of El Segundo Police Department is included as additional insured as respects to General Liability policy, but only to the extent required by written contract
or written agreement. Waiver of Subrogation applies to General Liability policy.
QhK 111-I'GA I I- KULLI'1=11 liF' NL l=LLM I IUM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of El Segundo Police Department ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORt ESENTATr51'E
348 Main Street
ElSegundo CA 90245
U 19BB-ZU15 AGUKU GUhU'UKA I IUN. Au ngnis reserves.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Who Is An Insured
Vendors Further, no person or organization from whom you have acquired your products, or any container,
(continued) ingredient or part entering into, accompanying or containing your products, is an insured under
this provision.
Lessors Of Equipment Persons or organizations from whom you lease equipment are insureds; but they are insureds only
with respect to the maintenance or use by you of such equipment and only if you are contractually
obligated to provide them with such insurance as is afforded by this contract.
However, no such person or organization is an insured with respect to any:
• damages arising out of their sole negligence; or
• occurrence that occurs, or offense that is committed, after the equipment lease ends.
Lessors Of Premises Persons or organizations from whom you lease premises are insureds; but they are insureds only
with respect to the ownership, maintenance or use of that particular part of such premises leased to
you and only if you are contractually obligated to provide them with such insurance as is afforded
by this contract.
However, no such person or organization is an insured with respect to any:
• damages arising out of their sole negligence;
• occurrence that occurs, or offense that is committed, after you cease to be a tenant in the
premises; or
• structural alteration, new construction or demolition operations performed by or on behalf of
them
Subsidiary Or Newly If there is no other insurance available, the following organizations will qualify as named insureds:
Acquired Or Formed a subsidiary organization of the first named insured shown in the Declarations of which, at
Organizations the beginning of the policy period and at the time of loss, such first named insured controls,
either directly or indirectly, more than fifty (50) percent of the interests entitled to vote
generally in the election of the governing body of such organization; or
• a subsidiary organization of the first named insured shown in the Declarations that such first
named insured acquires or forms during the policy period, if at the time of loss such first
named insured controls, either directly or indirectly, more than fifty (50) percent of the
interests entitled to vote generally in the election of the governing body of such organization.
Limitations On Who Is An A. Except to the extent provided under the Subsidiary Or Newly Acquired Or Formed
Insured Organizations provision above, no person or organization is an insured with respect to the
conduct of any person or organization that is not shown as a named insured in the
Declarations.
B. No person or organization is an insured with respect to the:
1. ownership, maintenance or use of any assets; or
2. conduct of any person or organization whose assets, business or organization;
Liability Insurance
Form 80-02-2000 (Rev. 4-01) Contact Page 8 of 32
C H U B B® General Liability
Who Is An Insured
Limitations On Who Is An you acquire, either directly or indirectly, for any:
Insured • wily injury or property damage that occurred; or
(continued)
• advertising, injury or personal injury arising out of an offense first committed;
in whole or in part, before you, directly or indirectly, squired such assets, business or
organization.
Limits Of Insurance The Limits Of insurance shown in the Declarations and the rules below fix the most we will pay,
regardless of the number of:
• insureds;
• claims made or suits brought; or
• persons or organizations making claims or bringing suits.
The Limits Of Insurance apply separately to each consecutive annual period and to any remaining
period of less than twelve (12) months, starting with the beginning of the policy period shown in
the Declarations, unless the policy period is extended after issuance for an additional period of less
than twelve (12) months. In that case, the additional period will be deemed part of the last
preceding period for purposes of"detenTfining the Limits Of Insurance.
General Aggregate Limit Subject to the Each Occurrence Limit, the General Aggregate Limit is the most we will pay for the
sum of:
• damages for bodily injury and property damage, except damages included in the
products -completed operations hazard; and
• medical expenses.
Products -Completed Subject to the Each Occurrence Limit, the Products -Completed Operations Aggregate Limit is the
Operations Aggregate most we will pay for the sum of damages for bodily injury and property damage included in the
Limit products -completed operations hazard.
Advertising Injury And The Advertising Injury And Personal Injury Aggregate Limit is the most we will pay for the sum of
Personal Injury, Aggregate damages for advertising injury and personal injury.
Limit
Each Occurrence Limit The Each Occurrence Limit is the most we will pay for the sum of:
• damages for bodily injury and property damage; and
• medical expenses;
arising out of any one occurrence.
Any amount paid for damages or medical expenses will reduce the amount of the applicable
aggregate limit available for any other payment.
l "MI Insurance
Form 80-02-2000 (Rev. 401) Contract Page 9 of 32
ConT�lon�
(continued)
Transfer Or Waiver Of
Rights Of Recovery
Against Others
Liability Insurance
We will waive the right of recovery we would otherwise have had against another person or
organization, for loss to which this insurance applies, provided the insured has waived their rights
of recovery against such person or organization in a contract or agreement that is executed before
such loss.
To the extent that the insured's rights to recover all or part of any payment made under this
insurance have not been waived, those rights are transferred to us. The insured must do nothing
after loss to impair them At our request, the insured will bring suit or transfer those rights to us
and help us enforce them
This condition does not apply to ntedicW expenses.
Form 80-02-2000 (Rev. 4-01) Contract Page 24 of 32