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DocuSign Envelope ID: A7C82420-9AFB-4DE5-AC53-2A4656D3D7F5 <br /> <br /> <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 31D, 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 /> <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 /> <br />Description: The University of North Carolina at Chapel Hill 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 /> <br />Verified By: <br />Bryan Heckle, CIC, CPCU, CRM <br />Deputy Commissioner of Risk Management <br />UNCCH <br />DocuSign Envelope ID: 479EB9E9-3499-44BC-9266-9DFD2AA74981