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<br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />CERTIFICATE OF COVERAGE <br /> <br />Certificate Holder: To Whom This May Concern <br /> <br />Insurer: State of North Carolina <br /> <br />Authorization: Public Officers & Employee Liability Insurance Commission of North Carolina and <br />the General Statutes of North Carolina, Chapter 143, Articles 31 to 31D, Sections <br />§143-291 to §143-300. <br /> <br />Period: February 01, 2023 until February 01, 2024 <br /> <br />Coverage: A) Tort Claims against Departments, Agencies, and Employees <br /> B) Excess Liability for State Employees <br /> Ambridge Partners, LLC - Policy # PK1035823 <br /> Kinsale Insurance Company - Policy # 01000154762-2 <br /> C) Workers’ Compensation <br /> <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 against <br />state employees <br /> C) Statutory Limits for Workers’ Compensation <br /> <br />Description: UNC Hospitals and its employees, officers, agents, as covered by the Defense of <br />State Employees as per NCGS § 143 300.2. <br /> <br />Administrator: Department Insurance - Risk Management Division <br /> Public Officers & Employees Liability Insurance Commission <br /> 1202 Mail Service Center, Raleigh, NC 27699-1202 <br /> <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 Statutes of <br />the State. <br /> <br /> Verified By: <br /> Latarsha Y. Silver, CRM <br /> Risk Manager <br /> <br /> UNC Hospitals <br />DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DA