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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 /> FOR <br /> THE STATE OF NORTH CAROLINA <br /> (For information purposes Only) <br /> Certificate Holder: Public Officers & Employee Liability Insurance Commission <br /> of North Carolina and the General Statutes of North Carolina, Chapter <br /> 143, Articles 31 to 31 D, Sections §143-291 to § 143-300. <br /> http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter-143/Article-31.html <br /> http://www.ncleg.net/EnactedLegislation/Statutes/HTMLByArticle/Chapter 143/Article_31A.html <br /> Period: February 01, 2022 until February 01, 2023 <br /> Coverage: A) Tort Claims against Departments, Agencies, and Employees <br /> B) Excess Liability for State Employees <br /> Ambridge Partners, LLC— Policy# PK1035822; <br /> Kinsale Insurance Company— Policy#0100154762-1 <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 /> Description: The State of North Carolina and its employees, officers, agents, as <br /> covered by the Defense of State Employees as per 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 /> Bryan Heckle, CIC, CPCU, CRM <br /> Deputy Commissioner of Risk Management <br /> POELIC Certificate <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 />