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DocuSign Envelope ID: 7F8DFDB2-D81A-4AOF-AF96-9B69F601FC96 <br /> Al.la<anceof ALLIANCE OF NONPROFITS FOR INSURANCE <br /> Nonprofits RISK RETENTION GROUP <br /> f-Insurance P.O, Box 8546, Santa Cruz, CA 95061 <br /> Risk Retention Cfo-p P: (800) 359-6422 <br /> F: (831)459-0853 <br /> DIRE TOR ' & OFFICERS' LIABILITY POLICY <br /> DECLARATIONS <br /> Item 1. Named Member: North Carolina Public Health Foundation <br /> Address: P.O. Box 18763 <br /> Raleigh, NC 27619 <br /> Item 2. Policy Number: 2013-37160-DO <br /> Policy Period: 07119/2013 to 47119/2014 <br /> (12:01 A.M. Standard time at the address stated in Item 1.) <br /> tern 3. Limit of Liability: $ 1,000,000 Each Wrongful Act <br /> $ 1,000,000 Annual Aggregate <br /> Item 4. Deductible: N/A <br /> Item 5. Premium $ 2,077 <br /> (premium includes Terrorism Coverage- Certified Acts :$19) <br /> Item 6. Applicable policy form(s) and Endorsement(s)effective at inception: <br /> ANI-RRG EDO13 02 11, ANI-RRG-DODEC 04 01, ANI-RRG-DOET 02 11, <br /> AN]-RRG-DOPWA 07 09, ANI-RRG-E3DO 01 99, ANI-RRG-E42 07 06, <br /> ANI-RRG-EDO1 08 91, ANI-RRG-ED011 07 13, ANI-RRG-ED018 04 13, <br /> ANI-RRG-ED034 01 02, ANI-RRG-ED04 03 94, ANI-RRG-ED07 02 11, <br /> CG 2170 01 08, IL 09 85 0,1 08, <br /> Producer: 02522 <br /> BB&T Insurance Services- Research Trian <br /> P.O. Box 13941 <br /> Research Triangle Park, NC 27709 <br /> "NOTICE" <br /> ;'his policy is Issued by your risk retention group.Your risk <br /> retention group may not be subject to all of the insurance laws Authorized Company Representative <br /> and regulations of your State.State insurance insolvency President, ANI-RRG a7�zsr2aa <br /> guaranty funds are not available for your risk retention group.•` <br /> ANI -RRG - DODEC <br />