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DocuSign Envelope ID:7DAEBBB3-CD7F-4D87-A6B2-79322833D3E5 <br /> (4 <br /> MIKE CAUSEY <br /> OSFMINSURANCE COMMISSIONER& STATE FIRE MARSHAL <br /> NC DEPARTMENT OF' BRIAN TAYLOR,CHIEF STATE FIRE MARSHAL <br /> INSURANCE <br /> CERTIFICATE OF COVERAGE <br /> Certificate Holder: To Whom This May Concern <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: February 01, 2021 until February 01, 2022 <br /> Coverage: A) Tort Claims against Departments, Agencies, and Employees <br /> B) Excess Liability for State Employees <br /> BRIT Global Specialty USA- Policy# PK1035819 <br /> C) Workers' Compensation <br /> Limits A) $1,000,000 for Tort claims against the State <br /> B) $2,000,000 per employee/$5,000,000 aggregate for claims <br /> against state employees <br /> C) Statutory Limits for Workers' Compensation <br /> Description: North Carolina Emergency Management and its employees, officers, <br /> agents, as covered by the Defense of State Employees as per NCGS § <br /> 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 /> t <br /> Verified By: <br /> Bryan Heckle, CIC, CPCU, CRM <br /> Deputy Commissioner of Risk Management <br /> NCEM <br /> OFFICE OF STATE FIRE MARSHAL • RISK MANAGEMENT <br /> 1202 MAIL SERVICE CENTER I RALEIGH,NC 27699-1202 1 Tel 919.647.0000 1 Fax 919.715.0067 <br />