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Technology Insurance Company, Inc. A Stock Insurance Company WORKERS COMPENSATION WC 99 00 01 B AND EMPLOYERS LIABILITY 1 of 5 INSURANCE POLICY INFORMATION PAGE Ncci Code: 39071 1. Insured: Grow Your World 901 W Main St Carrboro, NC 27510 Other workplaces not shown above: None Producer: Business Insurers of the Carolinas, LLC P. O. Box 2536 Chapel Hill, NC 27515 Policy Number: TWC4513657 Individual Partnership Corporation X Other Federal Tax ID: Risk Id: Renewal of: New 2. The policy period is from 10/25/2024 to 10/25/2025 12:01 a.m. at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: North Carolina B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: State Bodily Injury by Accident Bodily Injury by Disease Bodily Injury by Disease $1,000,000 each accident $1,000,000 policy limit $1,000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All states except ND, OH, WA, WY and State(s) Designated in Item 3.A D. This policy includes these endorsements and schedules: See Extension of Information Page 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. See Extension of Information Page TOTAL ESTIMATED ANNUAL PREMIUM 866 STATE ASSESSMENT 0 TOTAL ESTIMATED COST 866 Minimum Premium 278 Deposit Premium 866 Issue Date: 10/25/2024 Countersigned by: Authorized Representative Docusign Envelope ID: 3F291284-28EA-4C38-99B9-60DFE2A69BE8