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DocuSign Envelope ID: 7F8DFDB2-D81A-4AOF-AF96-9B69F601FC96 <br /> ALLIANCE OF NONPROFITS FOR INSURANCE <br /> Allxanceof RISK RETENTION GROUP <br /> ".-iNonprofits P.O. Box 8546, Santa Cruz, CA 95061 <br /> f-Insurance P: (800) 359-6422 <br /> Risk Retention Group F: (831)459-0853 <br /> COMMERCIAL GENERAL LIABILITY <br /> EXTENSION OF DECLARATIONS <br /> Schedule L <br /> POLICY NUMBER: 2013-37160 Page I <br /> NAME OF INSURED: North Carolina Public Health Foundation <br /> PREMISES DESIGNATED PREMISES ADDITIONAL INSUREDS <br /> LOCJBLDG ADDRESS CITY STATE ZIP AND OTHER INTERESTS <br /> 1 Mailing only <br /> Raleigh, NC 27619 <br /> 07/29/2013 BY <br /> (AUTHORIZED REPRESENTATIVE) <br /> "NOTICE :This Policy is issued by your risk retention group.Your risk retention group may not be subject to all <br /> the insurance lags and regulations of your State.State insurance insolvency guaranty funds are not available for <br /> your risk retention group." <br /> ANI -RRG-SCHEDULE L (02522) <br />