PROOF OF INSURANCE (2027 - 2027)M ...,
�"R" CERTIFICATE OF LIABILITY INSURANCE DA E( 1/DD/YYYY
/2026
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTI FICATE 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., Ifthe certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endors � ROGAT ON I I �, subject
u ... mmm ed.IfSUBROGATIONISWAIVED,subjecttothetermsand
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
NAME:
Matthew
5594 L ngley L(670285X) PHONE FAX
(A/C, NO, EXT): 775-825-3200� � (A/c, No): 775-825-3200 � ®
..........................
E-MAIL...................................................................... -..............................................................................................................................................,....,..,,............
Reno NV 89511-1825 ADDRESS: mwatty@farmersagent.:.°.m.........................................................................................
DING COVERAGE NAIC #
InsuRanceFExc..� .................................................. ......�_
Exchange 21709
Insurance Exchange 21652
Century Insurance Company ...................................��� .....21687..�..�.-.-�-�
25658
ox 10200
-Specialty Insurance Company 14438
INSURED
INSURERA: Truck
INSURERS: Far
KOA HILLS CONSULTING, LLC
INSURERC: Mid
200 W 2nd St. Suite 605
INSURER D: Travelers
RENO NV 89501
wsuRE c RE HIS
INSURER F: HSB
.............._�__....................................,,,,,,,,..,..,...,.......�..._._._................................ .,,,,.,.,.,.,.,,........,.,,,...,.-�m_____..................
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE —
BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OFANY 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.
.
A ANSDL,.
INSR
TYPE OF INSURANCE
SUBREFF
POLICY NUMBER �EYXYPYY) LIMITS
�--
..................,,,,......_____ ....__
_ ............................COMMERCIAL
(MPOLICY
M/DD/YYYY) (MM/DD
GENERAL LIABILITY
EACH OCCURRENCE $
2,OOQ00C)
CLAIMS -MADE � OCCUR
DAMAGE OREN
$
PREMISES u�ence)
1,000,0010
.............................
MED EXP (Any one person) $
-
10,000
�2....�........................
C _ _ Y
......—.
Y 606256886 02/20/2026 02/20/2027 PERSONAL &ADVINJURY $
,000,000
GENT AGGREGATE LIMITAPPLIESPER:
GENERAL AGGREGATE $
4,000,00
. PROJECT (I LOC
^ POLICY I—]
PROD UCTSm-mCOMP/OPAGG $
2,000,000
OTHER:
...................... .......... -----
..................................................................................$................................................
AUTOMOBILE LIABILITY
1
COMBINED SINGLE LIMIT
$
2,000,000
(Ea accident)
--m____................................. ".
................ .......................
ANYAUTO
BODILYINJURY(Perperson) $
C
BODILYINJURY(Peraccident)
SCHEDULED
ONLY AUTOS
N 606256866 02/20/2026 02/20/2027 ,,,,....�...........,
................................................
HIRED AUTOS NON -OWNED
PROPERTY DAMAGE
PROP D
�
ONLY AUTOS ONLY
cTY
_
$
UMBRELLALIAB OCCUR
EACH OCCURRENCE $
EXCESS LIAB CLAIMS -MADE
AGGREGATE ...........................................$................................................
.$..................._-�..
DED ..........RETENTION
...........................................................................................$................................................
WORKERSO TIOITY............................................__.....................__
COMPENSATION
n ... m m...... PER L........
AND MPE LIA
EMPL
STATUTE,,,,,,,, OTHER $„
ANY PROPRIETOR/PARTNER/ Y/N
CH IDENT
1,000,OOG,
ICER/ N/A
UB-6K318898-25-42-G 2-20-2026 2-20-2027
D EXCLUDED?
(Mandatory
^E^L^65EASE-CEAEMPLOYEE 9
k
j'QQQ'QQO
Ifyes, describe under DESCRIPTION OF
OPERATIONS below
—
E,L.DISEASE- POLICY LIMIT $
_..............m.
1.000,000
Professional Liability
E
P100.132.870.10 03-03-2026 03-03-2027 LIMIT
2,000,000
_ _ _ _ DEDUCTIBLE
_......................................
500
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD
101, Additional Remarks Schedule, may be attached if more space is required)
- Cyber & Privacy Liability Policy # 6772201-01 eft:05/1/2025 — 05/17/2026 $2,000,000 Coverage
olicies for "D" & "E" are held by KM Insurance Group Reno, NV 775-900-0599 - Kyle@KMIG.Biz
CERTIFICATE HOLDER
CANCELLATION
C..TM.........F..E.L................................
I O SEGUNDO
_ _..._.,.,.,.,........................... _ ., .
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
350 MAIN STREET
DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE Matt Watt.............�,,,,,,........................................................-�
EL SEGUNDO
CA 90245
ACORD 25 (2016/03) @1988-2015 ACORD CORPORATION. All Rights Reserved
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