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DocuSign Envelope ID:A4C366A3-F5D9-473B-9218-AF49BCCA02E0 <br /> N O R T II C; A R o L r N A NCACC Risk Management: Pools <br /> 1 Asso(:IATION OP C 01JNTY COMMISSIONERS Liability and PCppel'ty <br /> SECTION X <br /> EXCESS LIABILITY (FOLLOWING FORM) COVERAGE <br /> CONTRACT DECLARATIONS <br /> Participant ORANGE COUNTY <br /> Contract Number LP-OR-067-14 <br /> Contract Period July 1, 2014 to July 1, 2015 <br /> Effective Time 12:01 A.M., Eastern Daylight Time <br /> LIMITS OF COVERAGE: Excess Liability(Following Form) Coverage provides excess coverage <br /> only after an Applicable Underlying Coverage Limit has been met as a result of an Accident, <br /> Occurrence or Wrongful Act during the above Contract Period. The Limits of this coverage are <br /> referenced below: <br /> Coverage Limit <br /> Each Accident, Occurrence, or Wrongful Act Limit $4,000,000 <br /> Combined Aggregate Limit $4,000,000 <br /> Deductible $0 <br /> Pool Sponsored by North Carolina Association of County Commissioners <br /> 215 North Dawson Street <br /> Raleigh, North Carolina 27602 <br /> Pool Adminstered by North Carolina Association of County Commissioners <br /> 215 North Dawson Street <br /> Raleigh, North Carolina 27602 <br /> Claims Administrator Sedgwick Claims Management Services, Inc. <br /> 5250 Parkway Plaza Boulevard, Suite 190 <br /> Charlotte, North Carolina 28217 <br /> NCACC RMP Excess Liability Declarations Page Issued <br /> Edition 7/1/2014 6/25/2014 <br />