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NORTH CAROLINA <br /> DEPARTMENT OF INSURANCE <br /> RISK MANAGEMENT DIVISION <br /> f WOQFM <br /> ; <br /> Wayne Goodwin I Commissioner of Insurance <br /> CERTIFICATE OF COVERAGE <br /> CERTIFICATE HOLDER: For Information Purposes Only <br /> Insurer: State of North Carolina <br /> Authorization: Public Officers& Employee Liability Insurance Commission of <br /> North Carolina and the General Statutes of North Carolina, <br /> Sections §143-291 to§143-305. <br /> Period: July 1, 2013 until June 30, 2014 <br /> Coverage: A) Tort Claims against Departments, Agencies, and <br /> Employees <br /> B) Excess Liability for State Employees <br /> C) Workers Compensation. <br /> Limits A) $1,000,000 for Tort claims against the State <br /> B) $10,000,000 for claims against state employees <br /> C) Statutory Limits for Workers'Compensation <br /> Description: The University of North Carolina-Chapel Hill and its employees, <br /> officers, agents, as covered by the Defense of State Employees <br /> as per NCGS § 143-300.2. <br /> Administrator: Department Insurance-Risk Management Division <br /> Public Officers& Employees Liability Insurance Commission <br /> 1202 Mail Service Center <br /> Raleigh, NC 27699-1202 <br /> Note: This Certificate is for informational purposes only and does not <br /> alter any provision of the Tort Claims or Defense of State <br /> Employees General Statutes of the State. <br /> Verified By: <br /> Joseph D. Rippard, CPCU <br /> Risk Manager <br /> UNCH-2013 Cerlificate.doc <br /> 1202 Mail Service CenteriRaleigh NC 27699-12021919/661-5880 x234/Fax 919/662-4416 <br />