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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 Boulevard, Durham, NC, USA <br />Durham, NC 27703 <br />Type of Coverage Effective <br />Date <br />Limits of LiabilityExpiration <br />Date <br />Description <br />Evidence of Coverage <br />EVIDENCE OF COVERAGE <br />, <br />07/01/202307/01/2022GENERAL 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-R-94006-2022-02A <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-R-94006-2022-02 07/01/2022 07/01/2023 Limit Deductible <br />CSLAny Auto (Symbol 1)ý <br />Hired Autos (Symbol 8)¨ <br />Non-Owned Autos (Symbol 9)¨ <br />Uninsured/Underinsured Motorists¨ <br />$500 <br />PROPERTYA PL-R-94006-2022-02 07/01/2022 07/01/2023 Limit Deductible <br />Real & Personal Propertyý <br />Auto Physical Damage (Symbol 7 & 8)ý <br />Municipal Equipment¨ <br />Computer Equipment & Mediaý <br />Portable Equipment¨ <br />Fine Arts¨ <br />$486,891 $500 <br />Per Scheduled ItemPer Scheduled Item <br />$500$150,000 <br />Police Professional Liability Deductible <br />Claims Made Occurrence¨¨ <br />Public Officials LiabilityA PL-R-94006-2022-02 07/01/2022 07/01/2023 Deductible <br />$5,000,000/$5,000,000 $10,000Claims Made Occurrenceý¨ <br />Workers' Compensation Limit <br />WC Statutory Limit¨ <br />Each Accident <br />Disease - Policy Limit <br />Disease - Each Employee <br />OTHER COVERAGE <br />A PL-R-94006-2022-02 07/01/2022 07/01/2023 <br />Limit Deductible <br />$100,000 $250Crime - Employee Dishonesty/Forgery Alterationý <br />$100,000 $0Public Officials Bondý <br />Workers' Compensation and Employer's <br />Liability <br />¨ <br />Certificate Holder Cancellation <br />Authorized Representative <br />06/10/2022 <br />$5,000,000 <br />07/01/202307/01/2022 <br />07/01/202307/01/2022 <br />PL-R-94006-2022-02 07/01/2022 07/01/2023 <br />Builder's Risk¨ <br />A <br />A <br />A <br />PL-R-94006-2022-02 <br />PL-R-94006-2022-02 <br />07/01/2022 <br />Claims Made <br />07/01/2023 <br />Occurrence <br />DeductibleA <br />$10,000$5,000,000/$5,000,000 <br />Employment Practices Liability <br />¨ý <br />PL-R-94006-2022-02 <br />Limit(per occurrence/aggregate) <br />Limit(each claim/aggregate) <br />Limit(each claim/aggregate) <br />DocuSign Envelope ID: 5AE067FF-886E-4F6C-BEC4-4A7853E492A8