PROOF OF INSURANCE (2025 - 2025)DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 08/30/2024
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.
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IMPORTANT. Ifthe 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).
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PRODUCER CONTACT
NAME: Kyle McCulloch
Kyle McCulloch (67028P) PHONE FAX
1275 Sweetwater Dr (A/C, No, EXT): 775-772-9470 (A/C, NO):
uu_.............
E-MAIL
Reno NV 89509-1450 ADDRESS: kminsurancegroup@outlook.com
INSURER(S) AFFORDING COVERAGE
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NAIL#
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INSURED
INSURERA:
Truck Insurance Exchange
21709
INSURERB:
Farmers Insurance Exchange
21652
KOA HILLS CONSULTING, LLC
.I.NS.0
INsuRERc:
._""
Mid Century Insurance Company
21687
PO BOX 58
INSURERD:
Travelers
INsuRERE:
Hiscox Insurance Company
REND NV 89504
_..
INSURERF:
HSB Specialty Insurance Company
_ �
COVERAGESmmmmmmmmmmmm UMBER: CERTIFICATE
REVISION NUMBER:
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THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE
POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.,
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INSR TYPE OF INSURANCE ADDTL SUER POLICYNUMBER POLICY EFF POLICYEXP LIMITS
LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY)
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" COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
DAMAGE TO RENTED X1
CLAIMS -MADE /�� OCCUR PREMISES (EaOccurrence} $ 75,000
MED EXP (Any one person) $ 5,000
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C Y Y 606256886 02/20/2024 02/20/2025 PERSONAL & ADV INJ URY $ 2,000,000
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GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4 000 QOO
OTHER: �......................._ITIT $ 2,000,000
POLICY PROJECT LOC PRODUCTS-COMP/OPAGG
$
ACOMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY (Ea accident} $ 2,000,000.
'...
ANYAUTO BODILY INJ URY (Per person) $
C OWNEDAUTOS SCHEDULED
606256886 02/20/2024 02/20/2025 BODILY INJURY (Per accident) $
ONLY AUTOS N
....... HIREDAUTOS X NON -OWNED PROPERTY DAMAGE $
X ONLY AUTOSONLY (Per accident)
UMBRELLA LIAB I OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS -MADE mAGGREGATE $
. ..... .- Ej
DED RETENTION $ $
..... .......... .._ WORKERS COMPENSATION
OTHER $
AND EMPLOYERS' LIABILITY^'. STATUTE
ANY PROPRIETOR/PARTNER/ Y/N N/A E.L. EACH ACCIDENT $.... 1,000,00
D EXECUTIVE OFFICER/MEMBER Y UB-6K318898-23-42-G 02/20/2024 02/20/2025 E.L DISEASE EA EMPLOYEE 1„00000 ',.
EXCLUDED? (Mandatory in NH) .........
Ifyes, describe under DESCRIPTION OF E.L.DISEASE- POLICY LIMIT $ 1,000,000''
OPERATIONS below
LIMIT 2,000,000
E Professional Liability/ E&O P1001328708 03/03/2024 03/03/2025 DEDUCTIBLE 500
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DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
=- Cyber and Privacy Liability Policy # 6772201-01 effective 05/17/2024 - 05/17/2025 $2,000,000 COVERAGE
Primary and non-contributory insurance applies.
CERTIFICATE HOLDER CANCELLATION
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tY o l 9und0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
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350 Main Street AUTHO RIZED REPRESENTATIVE
I-[ Segundo
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