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<br />MIKE CAUSEY <br />INSURANCE COMMISSIONER <br />BRIAN TAYLOR <br />STATE FIRE MARSHAL <br /> <br /> <br /> <br />CERTIFICATE OF COVERAGE <br /> <br /> <br />Insurer: State of North Carolina <br /> <br /> <br />Authorization: North Carolina General Statute Sections 143-291 to 143-300.1A, commonly <br />referred to as the State Tort Claims Act. <br /> <br /> <br />Coverage: Tort Claims against Departments, Agencies, and Employees must be filed <br />in the North Carolina Industrial Commission and a legal defense is provided <br />by the State. <br /> <br />Limits $1,000,000 statutory damages cap per occurrence for Tort claims against <br />the State. <br /> <br />Description: UNC-Chapel Hill and its employees, officers, agents, as covered by the <br />Defense of State Employees as per NCGS § 143 300.2. The State Tort <br />does not expire. <br /> <br />Administrator: Department Insurance - Risk Management Division <br /> Office of State Fire Marshal <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 <br />Statutes of the State. <br /> <br /> <br />Verified By: <br /> Latarsha Y. Silver, CRM <br /> Risk Manager <br /> <br /> <br /> <br /> <br /> <br /> <br />OFFICE OF STATE FIRE MARSHAL <br />1202 MAIL SERVICE CENTER I RALEIGH NC 27699-1202 I TEL 919.647.0000 I Fax 866.851.6508. I WWW.NCOSFM.GOV <br />Docusign Envelope ID: DCA49963-4500-4BE3-8BCD-196F2E4AFAE2