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DocuSign Envelope ID: 7F8DFDB2-D81A-4AOF-AF96-9B69F601FC96 <br /> Ao f ALLIANCE OF NONPROFITS FOR INSURANCE <br /> Alliance <br /> ��� ����� RISK RETENTION GROUP <br /> P.O. Box 8546, Santa Cruz, CA 95061 <br /> f-hisuranCe P: (800) 359-6422 <br /> WA Retentign Gloup 459-0853 <br /> F: ($8 31) <br /> CC3MMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS <br /> PRODUCER: POLICY NUMBER: 2013-37160 <br /> BB&T Insurance Services-Research Triangle Region <br /> P.O, Box 13941 <br /> Research Triangle Park, NC 27709 <br /> NAME OF INSURED AND MAILING ADDRESS: <br /> North Carolina Public Health Foundation <br /> P.O. Box 18763 <br /> Raleigh, NC 27619 <br /> POLICY PERIOD: FROM 07/1912013 TO 07/1912014 <br /> AT 12:01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE <br /> BUSINESS DESCRIPTION: Public health program <br /> IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS <br /> POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. <br /> LIMITS OF COVERAGE: <br /> GENERAL AGGREGATE LIMIT(OTHER THAN PRODUCTS-COMPLETED OPERATIONS) $2,000,000 <br /> PRODUCTS-COMPLETED OPERATIONS AGGREGATE LIMIT ............................ $2,000,004 <br /> PERSONAL AND ADVERTISING INJURY LIMIT ................................................... $1,000,000 <br /> EACHOCCURRENCE LIMIT .................................................................................. $1,000,000 <br /> DAMAGE TO PREMISES RENTED TO YOU ........................................................ $500,000 any one premise <br /> MEDICALEXPENSE LIMIT ...................................................................................... 20,000 any one person <br /> ADDITIONAL COVERAGES: <br /> SOCIAL SERVICE PROFESSIONAL LIABILITY EXCLUDED <br /> CLASSIFICATION(S) SEE ATTACHED SUPPLEMENTAL DECLARATIONS SCHEDULE G <br /> PREMIUM $844 <br /> FORMS AND ENDORSEMENTS APPLICABLE TO THIS POLICY ARE INCLUDED IN COMMERCIAL LINES COMMMON POLICY DECLARATIONS <br /> 07/29/2013 BY <br /> (AUTHORIZED REPRESENTATIVE) <br /> THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS,IF APPLICABLE,TOGETHER WITH THE COMMON POLICY CONDITIONS,COVERAGE FORM(S) <br /> AND FORMS AND ENDORSEMENTS,IF ANY,ISSUED To FORM A PART THEREOF,COMPLETE THE ABOVE NUMBERED POLICY. <br /> "NOTICE :This Policy is issued by your risk retention group.Your risk retention group may not be subject to all <br /> the insurance laws and regulations of your State.State insurance insolvency guaranty funds are not available for <br /> your risk retention group." <br /> ANI .RRG -GI_ (02622) <br />