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DocuSign Envelope ID:5COB7860-9C32-47EC-829F-BCA5B8OE52B3 <br /> RISK MANAGEMENT <br /> OSFMTel 919.647.0000 Fax 919.715.0067 <br /> MIKE CAUSEY,INSURANCE COMMISSIONER&STATE FIRE MARSHAL <br /> NC DEPARTMENT OF BRIAN TAYLOR,CHIEF STATE FIRE MARSHAL <br /> INSURANCE <br /> CERTIFICATE OF COVERAGE <br /> Certificate Holder: Orange County <br /> 200 S. Cameron St. <br /> P.O. Box 8181 <br /> Hillsborough, NC 27278 <br /> Insurer: State of North Carolina <br /> Authorization: Public Officers & Employee Liability Insurance Commission of North <br /> Carolina and the General Statutes of North Carolina, Chapter 143, <br /> Articles 31 to 31 D, Sections §143-291 to §143-300. <br /> Period: October 1, 2019 until October 1, 2020 <br /> Coverage: A) Tort Claims against Departments, Agencies, and Employees <br /> B) Excess Liability for State Employees <br /> BRIT Global Specialty USA - Policy# PK1035818 <br /> C) Workers' Compensation <br /> Limits A) $1,000,000 for Tort claims against the State <br /> B) $2,000,000 per employee/$10,000,000 aggregate for claims <br /> against state employees <br /> C) Statutory Limits for Workers' Compensation <br /> Description: North Carolina Department of Environmental Quality and its employees, <br /> officers, agents, as covered by the Defense of State Employees as per <br /> NCGS § 143 300.2. <br /> Administrator: Department Insurance - Risk Management Division <br /> Public Officers & Employees Liability Insurance Commission <br /> 1202 Mail Service Center, Raleigh, NC 27699-1202 <br /> Note: This Certificate is for informational purposes only and does not alter any <br /> provision of the Tort Claims or Defense of State Employees General <br /> Statutes of the State. <br /> Verified By: <br /> Margie Boyd <br /> Risk Manager <br /> NC Department of Environmental Quality— Orange County <br /> OFFICE OF STATE FIRE MARSHAL <br /> 1202 MAIL SERVICE CENTER I RALEIGH, NC 27699-1202 1 WWW.NCDOI.COM/OSFM <br />