Pano_AI__Inc_COI_Expires_11.01.2025.pdf

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

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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

WVD

ADDL

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

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

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 EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

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

6/11/2025

Arthur J. Gallagher Risk Management Services, LLC 341 Tres Pinos Road, Suite 207A Hollister CA 95023

Lindsey Roberts 559-436-0833 559-256-6590 lindsey_roberts@ajg.com

License#: 0D69293 Hartford Accident and Indemnity Company 22357 PANOAII-02 Underwriters at Lloyd's, London 32727

Pano AI, Inc

3130 20TH ST STE 175

San Francisco, CA 94110

Kinsale Insurance Company 38920 Underwriters at Lloyd's London 15792

598614172

D X 1,000,000 X 1,000,000

X Ded $5,000 5,000

1,000,000

2,000,000 X

Y Y GLX1860-02 1/10/2025 11/25/2025

2,000,000

D 1,000,000

X X

GLX1860-02 1/10/2025 11/25/2025

C X 5,000,000 X

0100227949-2 1/10/2025 11/25/2025

5,000,000

A XY 57WECBJ8MAM 11/20/2024 11/20/2025

1,000,000

1,000,000

1,000,000 B Cyber Liability

Professional Liability ESM0239941805 5/1/2024 11/1/2025 Limit

Limit $5,000,000 $2,000,000

Re: Solicitation No. BPM006753, Camera System for Wildland Smoke Detection.

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as additional insureds on the General Liability policy, as per attached. Coverage is primary as per attached. Waiver of subrogation applies, as respects General Liability and Workers' Compensation policies, as per attached.

State of Arizona Department of Forestry and Fire Management 1110 West Washington, Suite 500 Phoenix AZ 85007

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ENDORSEMENT

Named Insured

PANO AI, INC.

Endorsement Number

Policy Number

GLX1860-02

Policy Period 1/10/25 to 11/25/2

Effective Date of Endorsement 1/10/25

Issued by

UNDERWRITERS AT LLOYD’S

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

E0076

HIRED AUTO AND NON-OWNED AUTO LIABILITY

IT IS AGREED FOR A FLAT FULLY EARNED PREMIUM OF $ ,THIS ENDORSEMENT MODIFIES

INSURANCE PROVIDED UNDER THE FOLLOWING:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

INSURANCE IS PROVIDED ONLY WITH RESPECT TO THOSE COVERAGES FOR WHICH A SPECIFIC

LIMIT OF INSURANCE AND PREMIUM ARE SHOWN:

COVERAGE LIMIT OF INSURANCE

HIRED AUTO LIABILITY INSURANCE $1,000,000.00

NON-OWNED AUTO LIABILITY INSURANCE $1,000,000.00

(IF NO ENTRY APPEARS ABOVE, INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT

WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT.)

A. HIRED AUTO LIABILITY

THE INSURANCE PROVIDED UNDER COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE

LIABILITY (SECTION I – COVERAGES) APPLIES TO “BODILY INJURY” OR “PROPERTY

DAMAGE” ARISING OUT OF THE MAINTENANCE OR USE OF A “HIRED AUTO” BY YOU OR

YOUR “EMPLOYEES” IN THE COURSE OF YOUR BUSINESS.

B. NON-OWNED AUTO LIABILITY

THE INSURANCE PROVIDED UNDER COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE

LIABILITY (SECTION I – COVERAGES) APPLIES TO “BODILY INJURY” OR “PROPERTY

DAMAGE” ARISING OUT OF THE USE OF A “NON-OWNED AUTO” BY ANY PERSON OTHER THAN

YOU IN THE COURSE OF YOUR BUSINESS.

C. HIRED AUTO LIABILITY INSURANCE AND NON-OWNED AUTO LIABILITY INSURANCE

EXCLUSIONS

WITH RESPECT TO HIRED AUTO LIABILITY INSURANCE AND NON-OWNED AUTO LIABILITY

INSURANCE ONLY:

(PAGE 1 OF 3)

NOTHING HEREIN CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, OR LIMITATIONS OF THE POLICY TO WHICH THIS ENDORSEMENT IS ATTACHED OTHER THAN AS STATED ABOVE

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

E0076

1. SUBPARAGRAPHS B., C., E., G., H., J., K., L., M. AND N. OR PARAGRAPH 2., EXCLUSIONS

OF COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY (SECTION I –

COVERAGES) DO NOT APPLY.

2. THE FOLLOWING EXCLUSIONS ARE ADDED TO PARAGRAPH 2., EXCLUSIONS OF COVERAGE A –

BODILY INJURY AND PROPERTY DAMAGE LIABILITY (SECTION I – COVERAGES):

a. “BODILY INJURY” OR “PROPERTY DAMAGE” FOR WHICH THE INSURED IS OBLIGATED TO

PAY DAMAGES BY REASON OF THE ASSUMPTION OF LIABILITY IN A CONTRACT OR

AGREEMENT. THIS EXCLUSION DOES NOT APPLY TO LIABILITY FOR DAMAGES:

(1) THAT THE INSURED WOULD HAVE IN THE ABSENCE OF THE CONTRACT OR AGREEMENT;

OR

(2) ASSUMED IN A CONTRACT OR AGREEMENT THAT IS AN “INSURED CONTRACT”,

PROVIDED THE “BODILY INJURY” OR “PROPERTY DAMAGE” OCCURS SUBSEQUENT TO

THE EXECUTION OF THE CONTRACT OR AGREEMENT.

b. “BODILY INJURY” TO:

(1) AN “EMPLOYEE” OF THE INSURED ARISING OUT OF AND IN THE COURSE OF:

(a) EMPLOYMENT BY THE INSURED; OR

(b) PERFORMING DUTIES RELATED TO THE CONDUCT OF THE INSURED’S BUSINESS;

OR

(2) THE SPOUSE, CHILD, PARENT, BROTHER OR SISTER OF THAT “EMPLOYEE” AS A

CONSEQUENCE OF PARAGRAPH (1) ABOVE.

THIS EXCLUSION APPLIES:

(1) WHETHER THE INSURED MAY BE LIABLE AS AN EMPLOYER OR IN ANY OTHER

CAPACITY; AND

(2) TO ANY OBLIGATION TO SHARE DAMAGES WITH OR REPAY SOMEONE ELSE WHO MUST

PAY DAMAGES BECAUSE OF THE INJURY.

THIS EXCLUSION DOES NOT APPLY TO:

(1) LIABILITY ASSUMED BY THE INSURED UNDER AN “INSURED CONTRACT”; OR

(2) “BODILY INJURY” TO DOMESTIC “EMPLOYEES” NOT ENTITLED TO WORKERS

COMPENSATION BENEFITS.

c. “PROPERTY DAMAGE” TO:

(1) PROPERTY OWNED OR BEING TRANSPORTED BY, OR RENTED OR LOANED TO THE

INSURED; OR

(2) PROPERTY IN THE CARE, CUSTODY OR CONTROL OF THE INSURED.

D. WHO IS AN INSURED

SECTION II – WHO IS AN INSURED IS DELETED WITH RESPECT TO ALL COVERAGES PROVIDED

UNDER THIS ENDORSEMENT AND REPLACED BY THE FOLLOWING:

(PAGE 2 OF 3)

E0076

1. EACH OF THE FOLLOWING IS AN INSURED WITH RESPECT TO HIRED AUTO LIABILITY INSURANCE

AND NON-OWNED AUTO LIABILITY INSURANCE ONLY, TO THE EXTENT SET FORTH BELOW:

a. YOU.

b. ANY OTHER PERSON USING A “HIRED AUTO” WITH YOUR PERMISSION.

c. WITH RESPECT TO A “NON-OWNED AUTO”, ANY PARTNER OR “EXECUTIVE OFFICER” OF

YOURS, BUT ONLY WHILE SUCH “NON-OWNED AUTO” IS BEING USED IN YOUR BUSINESS.

2. NONE OF THE FOLLOWING IS AN INSURED WITH RESPECT TO HIRED AUTO LIABILITY INSURANCE

AND NON-OWNED AUTO LIABILITY INSURANCE:

a. ANY PERSON ENGAGED IN THE BUSINESS OF HIS OR HER EMPLOYER WITH RESPECT TO

“BODILY INJURY” TO ANY CO-EMPLOYEE OF SUCH PERSON INJURED IN THE COURSE OF

EMPLOYMENT;

b. ANY PARTNER OR “EXECUTIVE OFFICER” WITH RESPECT TO ANY “AUTO” OWNED BY SUCH

PARTNER OR OFFICER OR A MEMBER OF HIS OR HER HOUSEHOLD;

c. ANY PERSON WHILE EMPLOYED IN OR OTHERWISE ENGAGED IN PERFORMING DUTIES RELATED

TO THE CONDUCT OF AN “AUTO BUSINESS”, OTHER THAN AN “AUTO BUSINESS” YOU

OPERATE;

d. THE OWNER OR LESSEE (OF WHOM YOU ARE A SUBLESSEE) OF A “HIRED AUTO” OR THE

OWNER OF A “NON-OWNED AUTO” OR ANY AGENT OR “EMPLOYEE” OF ANY SUCH OWNER OR

LESSEE;

e. ANY PERSON OR ORGANIZATION WITH RESPECT TO THE CONDUCT OF ANY CURRENT OR PAST

PARTNERSHIP, JOINT VENTURE OR LIMITED LIABILITY COMPANY THAT IS NOT SHOWN AS

A NAMED INSURED IN THE DECLARATIONS.

E. DEFINITIONS

FOR THE PURPOSE OF THIS ENDORSEMENT ONLY, THE DEFINITION OF “INSURED CONTRACT” IN THE

DEFINITIONS SECTION IS AMENDED BY THE ADDITION OF THE FOLLOWING:

1. “INSURED CONTRACT” MEANS:

a. THAT PART OF ANY CONTRACT OR AGREEMENT ENTERED INTO, AS PART OF YOUR BUSINESS

PERTAINING TO THE RENTAL OR LEASE, BY YOU OR ANY OF YOUR “EMPLOYEES” OF ANY

“AUTO”. HOWEVER, SUCH CONTRACT OR AGREEMENT SHALL NOT BE CONSIDERED AN

“INSURED CONTRACT” TO THE EXTENT THAT IT OBLIGATES YOU OR ANY OF YOUR

“EMPLOYEES” TO PAY FOR “PROPERTY DAMAGE” TO ANY “AUTO” RENTED OR LEASED BY

YOU OR ANY OF YOUR “EMPLOYEES”.

2. WITH RESPECT TO HIRED AUTO LIABILITY INSURANCE AND NON-OWNED AUTO LIABILITY

INSURANCE ONLY, THE FOLLOWING DEFINITIONS ARE ADDED:

a. “AUTO BUSINESS” MEANS THE BUSINESS OR OCCUPATION OF SELLING, REPAIRING, SERVICING, STORING OR PARKING “AUTOS”.

b. “HIRED AUTO” MEANS ANY “AUTO” YOU LEASE, HIRE, RENT OR BORROW. THIS DOES NOT

INCLUDE ANY “AUTO” YOU LEASE, HIRE, RENT OR BORROW FROM ANY OF YOUR

“EMPLOYEES”, YOUR PARTNERS OR YOUR “EXECUTIVE OFFICER”, OR MEMBERS OF THEIR

HOUSEHOLDS.

c. “NON-OWNED AUTO” MEANS ANY “AUTO” YOU DO NOT OWN, LEASE, HIRE, RENT OR BORROW

WHICH IS USED IN CONNECTION WITH YOUR BUSINESS. THIS INCLUDES “AUTOS” OWNED

BY YOUR “EMPLOYEES”, YOUR PARTNERS OR YOUR “EXECUTIVE OFFICERS”, OR MEMBERS

OF THEIR HOUSEHOLDS, BUT ONLY WHILE USED IN YOUR BUSINESS.

(PAGE 3 OF 3)

Countersigned by Authorized Representative

Form WC 00 03 13 Printed in U.S.A.

Process Date: Policy Expiration Date: 11/20/25

WAIVER OF OUR RIGHT TO RECOVER

FROM OTHERS ENDORSEMENT

Endorsement Number:Policy Number: 57 WEC BJ8MAM Effective Date: 11/20/24 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: Pano AI, Inc.

3130 20TH ST STE 175

SAN FRANCISCO CA 94110

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule.

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

SCHEDULE

Any person or organization for whom you are required by contract or agreement to obtain this waiver from us.

Endorsement is not applicable in KY, NH, NJ or for any MO construction risk

Countersigned by Authorized Representative

(1) Printed in U.S.A.Form WC 04 03 06 Process Date: Policy Expiration Date: 11/20/25

WAIVER OF OUR RIGHT TO RECOVER FROM

OTHERS ENDORSEMENT - CALIFORNIA

Endorsement Number:Policy Number: 57 WEC BJ8MAM Effective Date: 11/20/24 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: Pano AI, Inc.

3130 20TH ST STE 175

SAN FRANCISCO CA 94110

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.

The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration.

SCHEDULE

Person or Organization Job Description Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us

Form WC 42 03 04 B Printed in U.S.A.

Process Date: Policy Expiration Date: 11/20/25

TEXAS WAIVER OF OUR RIGHT TO

RECOVER FROM OTHERS ENDORSEMENT

Endorsement Number:Policy Number: 57 WEC BJ8MAM Effective Date: 11/20/24 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: Pano AI, Inc.

3130 20TH ST STE 175

SAN FRANCISCO CA 94110

This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page.

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us.

This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

The premium for this endorsement is shown in the Schedule.

Schedule

1. ( ) Special Waiver Name of person or organization

(X) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.

2. Operations:

All Texas Operations

3. Premium:

The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described.

4. Advance Premium: