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Should any of the above described coverages be cancelled before <br />the expiration date thereof the issuing company will endeavor to <br />mail 30 days written notice to the certificate holder named to the left, <br />but failure to mail such notice shall impose no obligation or liability <br />of any kind upon the company, its agents or representatives. <br />Companies affording Coverage <br />Certificate of Insurance <br />This Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. <br />This Certificate does not amend, extend or alter the coverage afforded by the Policies below. <br />Named Participant <br />Triangle J COG <br />4307 Emperor Blvd, Suite 110 <br />Durham, NC 27703 <br />Type of Coverage Effective <br />Date <br />Limits of LiabilityExpiration <br />Date <br />Description <br />Evidence of Coverage <br />Orange County <br />200 S. Cameron St. <br />Hillsborough, NC 27278 <br />07/01/202207/01/2021GENERAL LIABILITY <br />Commercial General Liability <br />Claims Made Occurrence <br />Products-Comp/Operations <br />Aggregate <br />$5,000,000 <br />Interlocal Risk Financing Fund of North Carolina <br />Issue Date (MM/DD/YYYY) <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW IS AFFORDED TO THE PARTICIPANT NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE COVERAGE <br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PROGRAM. <br />Policy Number <br />North Carolina Interlocal Risk Management Agency <br />A = <br />B = <br />Co <br />Ltr <br />ý <br />PL-P-94006-2021A <br />¨ý <br />Personal & Adv. Injury $5,000,000 <br />Each Occurrence $5,000,000 <br />Fire Damage (Any one fire) <br />Med. Expense (Any one <br />person) <br />N/A <br />Deductible $500 <br />$1,000,000 <br />A AUTOMOBILE LIABILITY PL-P-94006-2021 07/01/2021 07/01/2022 Limit Deductible <br />CSLAny Auto (Symbol 1)ý <br />Hired Autos (Symbol 8)ý <br />Non-Owned Autos (Symbol 9)ý <br />Uninsured/Underinsured Motorists¨ <br />$500 <br />$500 <br />$5,000,000 <br />PROPERTY Limit Deductible <br />Real & Personal Property¨ <br />Auto Physical Damage (Symbol 7 & 8)¨ <br />Municipal Equipment¨ <br />Computer Equipment & Media¨ <br />Portable Equipment¨ <br />Fine Arts¨ <br />Police Professional Liability Deductible <br />Claims Made Occurrence¨¨ <br />Public Officials Liability Deductible <br />Claims Made Occurrence¨¨ <br />Workers' Compensation Limit <br />WC Statutory Limit¨ <br />Each Accident <br />Disease - Policy Limit <br />Disease - Each Employee <br />OTHER COVERAGE Limit Deductible <br />¨ <br />¨ <br />Workers' Compensation and Employer's <br />Liability <br />¨ <br />Certificate Holder Cancellation <br />Authorized Representative <br />07/01/2021 <br />$5,000,000 <br />07/01/202207/01/2021 <br />Builder's Risk¨ <br />A PL-P-94006-2021 <br />A PL-P-94006-2021 07/01/2021 07/01/2022 $5,000,000 $500 <br />Claims Made Occurrence <br />DeductibleEmployment Practices Liability <br />¨¨ <br />Limit(per occurrence/aggregate) <br />Limit(each claim/aggregate) <br />Limit(each claim/aggregate) <br />DocuSign Envelope ID: AFBE44DF-D656-41B4-8341-D1E4C393A084