Exhibit F - CERTIFICATE OF INSURANCE (COI).Pdf

PDF 235 KB Posted

Attached to
Medicare Reporting Services Mandatory Section 111
Solicitation number
BPM007093
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Certificate of Insurance issued by The Hartford Business Service Center on August 28, 2025, for the policyholder Aditi Nanda DBA Talisman Solution Inc, located at 17304 Preston Road, Suite 800, Dallas, Texas 75252-5645. The certificate documents comprehensive liability coverage provided through policy number 46 SBA BN2E13, effective January 15, 2025, through January 15, 2026. The insured maintains Commercial General Liability coverage with limits of $1,000,000 per occurrence and $2,000,000 general aggregate, along with Automobile Liability coverage with a combined single limit of $1,000,000 per accident. Additionally, the policy includes Umbrella Liability/Excess Liability coverage with limits of $2,000,000 per occurrence and $2,000,000 aggregate, subject to a $10,000 deductible retention. Data Breach Defense and Liability Coverage is also included with a $50,000 limit.

The insurance is underwritten by the Property and Casualty Insurance Company of Hartford (NAIC #34690) and is represented by Paragon Independent Insurance Agencies Inc., located in Plano, Texas. The certificate holder is listed as Aditi Nanda DBA Talisman Solution Inc at the same Dallas address. The certificate explicitly states it is issued for informational purposes only and confers no rights upon the certificate holder unless policies are properly endorsed to reflect additional insured status or waiver of subrogation requirements. The certificate will remain in effect through the policy expiration date of January 15, 2026, with cancellation notice to be provided in accordance with policy provisions should early termination occur.

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Text version

WLTR005

THE HARTFORD

BUSINESS SERVICE CENTER

3600 WISEMAN BLVD

SAN ANTONIO TX 78251 August 28, 2025

For Informational Purposes

17304 PRESTON RD STE 800

DALLAS TX 75252-5645

Account Information:

Policy Holder Details : ADITI NANDA DBA TALISMAN

SOLUTION INC

Contact Us Need Help?

Chat online or call us at

(866) 467-8730.

We're here Monday - Friday.

Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns.

Sincerely, Your Hartford Service Team

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

08/28/2025 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 policy(ies) must be endorsed. If SUBROGATIONIS 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

PARAGON INDEPENDENT INS AGCYS INC

46507334

6305 PRESTON ROAD SUITE 1000

PLANO TX 75024

CONTACT NAME:

PHONE

(A/C, No, Ext):

(972) 473-4813 FAX

(A/C, No):

E-MAIL ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC#

INSURER A : Property and Casualty Insurance Company of Hartford 34690

INSURED

ADITI NANDA DBA TALISMAN SOLUTION INC

17304 PRESTON RD STE 800

DALLAS TX 75252-5645

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

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

LTR

TYPE OF INSURANCE ADDL

INSR

SUBR

WVD

POLICY NUMBER POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/Y YYY)

LIMITS

A

COMMERCIAL GENERAL LIABILITY

46 SBA BN2E13 01/15/2025 01/15/2026

EACH OCCURRENCE $1,000,000

CLAIMS-MADE X OCCUR DAMAGE TO RENTED

PREMISES (Ea occurrence) $1,000,000

X General Liability MED EXP (Any one person) $10,000

PERSONAL & ADV INJURY $1,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000

X POLICY PRO-

JECT

LOC PRODUCTS - COMP/OP AGG $2,000,000

OTHER:

A

AUTOMOBILE LIABILITY

46 SBA BN2E13 01/15/2025 01/15/2026

COMBINED SINGLE LIMIT

(Ea accident)

$1,000,000 ANY AUTO BODILY INJURY (Per person)

ALL OWNED

AUTOS

SCHEDULED

AUTOS BODILY INJURY (Per accident)

X HIRED

AUTOS X NON-OWNED

AUTOS

PROPERTY DAMAGE

(Per accident)

A

X UMBRELLA LIAB

EXCESS LIAB

X OCCUR

CLAIMS-

MADE 46 SBA BN2E13 01/15/2025 01/15/2026

EACH OCCURRENCE $2,000,000

AGGREGATE $2,000,000

DED RETENTION $ 10,000

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY

PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

N/ A

PER

STATUTE

OTH-

ER

Y/N E.L. EACH ACCIDENT

E.L. DISEASE -EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

A Data Breach - Defense & Liab Covg

46 SBA BN2E13 01/15/2025 01/15/2026 Limit $50,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Those usual to the Insured's Operations.

CERTIFICATE HOLDER CANCELLATION

For Informational Purposes

17304 PRESTON RD STE 800

DALLAS TX 75252-5645

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED

BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED

IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

File details come from the government source that posted it. Updated .