Cities Index.
4. COI - Insurance - Pair Software Holdings LLC 2024

Redondo Beach City Council
September 3, 2024

Document
4. COI - Insurance - Pair Software Holdings LLC 2024
Meeting
September 3, 2024
Body
Redondo Beach City Council
Original file
1.6 MB
Text extracted from the city's file for reading and search. Open the original on redondo.legistar1.com. That file is the official record.

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE
INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A : NAIC #
NAME: CONTACT
(A/C, No): FAX
E-MAIL ADDRESS:

PRODUCER
(A/C, No, Ext): PHONE

INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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).

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.

OTHER:
(Per accident)
(Ea accident)
$
$
N / A

SUBR WVDADDL
INSD

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. $
$
$
$ PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person) COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) DESCRIPTION OF OPERATIONS below
If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEEE.L. EACH ACCIDENT EROTH- STATUTE PER
(MM/DD/YYYY) LIMITS POLICY EXP(MM/DD/YYYY) POLICY EFFLTR TYPE OF INSURANCE POLICY NUMBER INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $
$
OCCUR
CLAIMS-MADE DED RETENTION $
PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $
EACH OCCURRENCE $ DAMAGE TO RENTED
PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY
8/23/2024
Newfront Insurance Services
777 Mariners Island Blvd Suite 250
San Mateo, CA 94404
650-488-8565
www.newfront.com
Rod Sockolov
Cert Request
[email protected]
Pair Software Holdings, LLC
382 NE 191st Street PMB 58356
Miami, FL 33179-3899
81567777
✓
The City, its officers, elected and appointed officials, employees and volunteers are included as additional insured as respects General Liability the extent required by written contract or agreement.

City of Redondo Beach
401 Diamond St.

Redondo Beach, CA 90277
RE: All Operations of the Named Insured.
policy, but only to the extent required by written contract or agreement. General liability is primary & noncontributory, but only to 1,000,000
1,000,000
10,000
1,000,000
2,000,000
1,000,000
1,000,000
1,000,000
1,000,000
A ✓ 3606-75-34 WUC 9/1/2024 9/1/2025
✓ ✓
✓ Contractual Liability
✓
A 7361-8838 9/1/2024 9/1/2025
✓ ✓
A ✓ ✓ 7819-3888 9/1/2024 9/1/2025
Federal Insurance Company 20281
81567777 | 24-25 All Lines/BPP/E&O $1M (23-24) | Ryan Kiolbassa | 8/23/2024 2:18:37 PM (PDT) | Page 1 of 3 3606-75-34 WUC
81567777 | 24-25 All Lines/BPP/E&O $1M (23-24) | Ryan Kiolbassa | 8/23/2024 2:18:37 PM (PDT) | Page 2 of 3 81567777 | 24-25 All Lines/BPP/E&O $1M (23-24) | Ryan Kiolbassa | 8/23/2024 2:18:37 PM (PDT) | Page 3 of 3

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