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DocuSign Envelope ID:3A8322DF-7E96-4ECD-9623-106BF4E7D3FD <br /> Coalition Insurance Solutions,Inc. <br /> Coalition NC License No. 1000532874 <br /> 1160 Battery Street,Suite 350 <br /> San Francisco,CA 94111 <br /> Producer Code: 1035616 <br /> COALITION CYBER POLICY <br /> POLICY DECLARATIONS <br /> NOTICE: YOUR POLICY CONTAINS CLAIMS-MADE AND REPORTED COVERAGE. CLAIMS-MADE AND REPORTED <br /> COVERAGE APPLIES ONLY TO CLAIMS THAT ARE FIRST MADE AND REPORTED DURING THE POLICY PERIOD OR <br /> EXTENDED REPORTING PERIOD, IF PURCHASED. THE LIMIT OF LIABILITY AVAILABLE TO PAY DAMAGES WILL BE <br /> REDUCED AND MAY BE EXHAUSTED BY CLAIMS EXPENSES. FURTHERMORE, CLAIMS EXPENSES WILL BE APPLIED <br /> AGAINST THE RETENTION. <br /> PLEASE READ YOUR POLICY CAREFULLY AND CONSULT YOUR INSURANCE ADVISOR ABOUT ANY QUESTIONS YOU <br /> MIGHT HAVE. <br /> Filing Policy No.: C-4LRL-109339-CYBER-2021 <br /> Renewal of: New <br /> Broker: Aimee Pineiro <br /> Broker License Number: 3106019 <br /> Agency: IIAA Agency Administrative Services,Inc. <br /> Agency Address: 127 S.Peyton St. <br /> Alexandria,VA 22314 <br /> Item 1. Named Insured North Carolina Coalition To End <br /> Homelessness Inc <br /> Address 310 N Harrington St <br /> Raleigh,NC 27603 <br /> Item 2. Policy Period From: March 17,2021 <br /> To: March 17,2022 <br /> Both dates at 12:01 AM at the address <br /> stated in Item 1. <br /> Item 3. Policy Premium Premium without TRIA $1,408.59 <br /> TRIA Premium $1.41 <br /> Policy Premium $1,410.00 <br /> Broker Fee $125.00 <br /> NC Stamping Fee(0.4%) $5.64 <br /> NC Surplus Lines Tax(5%) $70.50 <br /> Total $1,611.14 <br /> Item 4. Aggregate Policy Limit of Liability $1,000,000 <br /> SP 14 797 0519 1 of 7 <br />