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DocuSign Envelope ID e1F43AFA-8004-4861-887A'F304o7A6614o <br /> 111111 � <br /> — ALLIANCE OF <br /> NONPROFITS FOR ALLIANCE OF NONPROFITS FOR INSURANCE <br /> � K���V�U� /k �T��l� �|�k�RETENT|{�NC�RDUP(�\N|) <br /> � � Xx�u'«�x~�������m~ <br /> vvmxwineuranoofornonpnofito.org•DAWN MINKNIMEMMEMMWDMWIM <br /> A Head for Insurance.A Heart for Nonprofits. <br /> COMMERCIAL GENERAL LIABILITY <br /> EXTENSION OF DECLARATIONS <br /> Schedule G <br /> POLICY NUMBER: 2015-37160 Page 1 <br /> NAME OF INSURED: North Carolina Public Health Foundation <br /> PREMISES PREMIUM *ADVANCED <br /> CODE/CLASS *LOC BASIS RATE PREMIUM <br /> 47366/Sales, Service or Consulting Organizations- 1 600.842 .652 $451 <br /> NOC-includes products and/or completed <br /> operations <br /> ADDITIONAL COVERAGES <br /> Increased Aggregate $117 <br /> Additional Premium to Meet Minimum $276 <br /> *See Common Declarations for Total Advanced Premium and Schedule L for locations. <br /> �� <br /> /O. <br /> 07/10/2015 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 laws and regulations of your State.State insurance insolvency guaranty funds are not available for <br /> your risk retention group." <br /> ANI - RRG - SCHEDULE G (02051) <br />