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HomeMy WebLinkAbout2025-668-E-Health Dept-UNC-CH-Services and support programs that serve persons with Opioid Use DisorderRevised 01/24 NORTH CAROLINA THIRD CONTRACT AMENDMENT ORANGE COUNTY THIS CONTRACT AMENDMENT (“Third Amendment”) is made and entered into this 13th day of October 2025 by and between ORANGE COUNTY (hereinafter referred to as “County”) and University of North Carolina at Chapel Hill (hereinafter referred to as “Provider”). WITNESSETH: THAT WHEREAS, the County and Provider entered into a contract dated December 1, 2023, (hereinafter the “Original Agreement”), for the provision of services for support programs that serve persons with Opioid Use Disorder (OUD); and WHEREAS, Client and Provider entered into the First Amendment to the Original Agreement effective May 20, 2024, under which the terms and conditions of the Original Agreement were extended until December 31, 2024: and WHEREAS, Client and Provider entered into the Second Amendment effective November 6, 2024, under which the terms and conditions of the Original Agreement were extended until June 30, 2025: and WHEREAS, the County and Provider desire to amend the Original Agreement and prior amendments while keeping in effect all terms and conditions of the Original Agreement and prior amendments not inconsistent with the terms and conditions set forth below. NOW THEREFORE, for and in consideration of the mutual covenants and agreements made herein, the parties agree to amend the Original Agreement and First Amendment as follows: 1. In order to ensure the completion of the Services, the term of the Original Agreement in Section 4(a) is amended to reflect an end date December 31, 2025. 2. The dates for which the Services are to be rendered shall be altered by this Amendment. The dates for reporting and invoicing shall be altered and as follows: a. Exhibit A to the Original Agreement, as amended, is further amended by changing and adding the following tasks and services to the Services to be provided by the Consultant: Metric reporting is due January 31, 2026 for July 1, 2025 through December 31, 2025. Narrative story is due January 31, 2026 for July 1, 2025 through December 31, 2025. b. Section 3(a) is amended to reflect final invoice due January 31, 2026 with final reporting for July 1, 2025 through December 31, 2025. 3. This Third Amendment shall supersede the Original and all prior amendments. In the event there is a conflict between the terms, this Amendment shall control. 4. Except for the changes made herein, the Original Agreement shall remain in full force and effect to the extent it is not inconsistent with this Amendment. IN TESTIMONY WHEREOF, this Third Amendment has been executed by the parties hereto, as of the date first above written. Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C Revised 01/24 ORANGE COUNTY PROVIDER ______________________________ __________________________________ Travis Myren Penny Gordon-Larsen County Manager Vice Chancellor for Research Lexi Damacus on behalf ofPenny Gordon-Larsen Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: UNC-CH Vendor Contact Person: Nathan Jones Phone: 984-966-3411 Address: 104 Airport Dr., Ste 2200 City Chapel Hill State: NC Zip: 27599 Department: Health Amount: $0 Purpose: Services and support programs that serve persons with Opioid Use Disorder Budget Code(s): 27411020-630000-92004 Vendor # 49882 R9 Vendor Status with NCSOS: Current-Active Non-Profit Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 12/1/23) (Most Recent Amendment 11/6/24) Effective Date 7/1/25 End Date 12/31/25 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: April 18, 2024); Made or Administered by Signature Authority - BOCC Express Delegation (Agenda Date: ) - Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 - Budget Policy Section XV (Capital Improvement Project: ) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) Department Affirmation This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement. This agreement is approved as to technical form and content. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: Didn’t want to stop needed services while working on Amendment. Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Received for record retention: Office of the Clerk to the Board __________________________________________Date:_________ Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C 11/3/2025 11/4/2025 11/4/2025 11/4/2025 Revised 04/23 1 Departmental Use Only] TITLE UNC SHAC Opioid FY 2023-2024 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this first day of December, 2023, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and University of North Carolina at Chapel Hill, (hereinafter, the "Provider"). WITNESSETH: That the County and Provider, for the consideration herein named, do hereby agree as follows: 1. Services a. Scope of Work. i) This Agreement is for services to be rendered by Provider to County with respect to (insert type of project): Services and support programs that serve persons with Opioid Use Disorder (OUD). ii) By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof. Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 2. Responsibilities of the Provider a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Provider is solely responsible for the professional DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DADocuSignEnvelopeID: 4623A3A4-B651-4253-B823-7F4B270A7270Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C Revised 04/23 2 quality, accuracy and timely completion and submission of all work related to the Basic Services. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, or assigns in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Provider represents that it or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) Should any documents, exhibits, or addenda be attached to this Agreement, the terms of this Agreement shall have priority in any conflict with or among the terms of such referenced documents, exhibits. vii) Should this Agreement involve project designs, the construction or creation of which is to be bid out or fulfilled by other contractors, and bidding or negotiation with contractors produce prices which, when added to the other elements of the approved total project cost, produce a cost that is in excess of the approved total project cost, the Provider shall participate with the County in negotiation and design adjustments to the extent such are necessary to obtain prices within the approved total project cost. All activity of the Provider with respect to these matters shall constitute Basic Services and shall be performed by the Provider without additional compensation. If negotiation and design adjustments fail to bring costs within the total project cost the County may reject all bids and Provider will redesign or reduce portions of the project in an effort to reduce the bid prices to within the total project cost and rebid the project. One such redesign is included within Basic Services. If this second letting for bids does not produce bids that are within the approved total project cost initially or after negotiations with the contractor the cost is not reduced to an amount within the total project cost, the Provider is not obligated to engage in further redesign. 3. Basic Services DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DADocuSignEnvelopeID: 4623A3A4-B651-4253-B823-7F4B270A7270Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C Revised 04/23 3 a.Basic Services. The Services to be rendered pursuant to this Agreement are as follows fully describe services to be provided): Services and support programs, as listed in Exhibit A, that serve persons with Opioid Use Disorder (OUD) or any co-occurring Substance Use Disorder (SUD) as stated in the National Settlement Agreement. Invoices are to be submitted to Orange County Health Department April 15, 2024 (for expenses dated December 1, 2023 through March 31, 2024) and July 30, 2024 (for expenses April 1, 2024 through June 30, 2024). 4.Duration of Services a.Term. The term of this Agreement shall be from December 1, 2023 to June 30, 2024. b.Scheduling of Services. i)The Provider shall schedule and perform its activities in a timely manner. ii)Should the County determine that the Provider is behind schedule, it may require the Provider to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform its services in accordance with the approved project schedule at no additional cost to the County. iii)The Commencement Date for the Provider's Basic Services shall be December 1, 2023. 5.Compensation a.Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services satisfactorily (as determined by the County) performed pursuant to this Agreement. The maximum amount payable for Basic Services shall not exceed Sixty Four Thousand Two Hundred Dollars ($64,200). Payment for satisfactorily performed Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Payment shall be subject to provisions of Section 5(b). b. Disputes. In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. c.Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such additional services in writing and such additional services are evidenced by a written amendment to this Agreement. 6.Responsibilities of the County DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DADocuSignEnvelopeID: 4623A3A4-B651-4253-B823-7F4B270A7270Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C Revised 04/23 4 a. Cooperation and Coordination. The County has designated (Orange County Health Director, Quintana Stewart) to act as the County's representative with respect to the Project who shall have the authority to render decisions within guidelines established by the County Manager or the County Board of Commissioners and who shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance a. General Requirements. Provider, an agency of the State of North Carolina, is responsible for its and its employees’ negligence as provided under North Carolina law. The Provider is a self-insured entity and carries insurance limits as required by the state of North Carolina. The Provider will be responsible for its own negligence in accordance with the North Carolina Tort Claims Act. A copy of Provider's Certificate of Insurance will be provided to County upon request. 8. Indemnity a. Indemnity. The Provider agrees to defend, indemnify, and hold harmless Orange County from all losses, liabilities, claims, demands, suits, costs, damages or expenses, to the extent provided by the North Carolina Torts Claims Act, arising from bodily injury, including death, to any person or persons or damage to or destruction of any property caused in whole or in part by any negligent act or omission on the part of the Provider, its agents, or assigns directly or indirectly related to the Services to be performed pursuant to this Agreement on the part of the Provider. 9. Amendments to the Agreement a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. 10. Termination a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and the Provider for its convenience upon thirty (30) days’ prior written notice. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. Either party may terminate this Agreement upon notice to the other party that obligations pursuant to this Agreement are made impractical due to declarations of emergency by Orange County or by North Carolina due to events directly impacting Orange County. Both parties shall remain responsible for all payment and performance due up to the receipt of such notice, but shall have no further obligation or responsibility beyond that date provided the DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DADocuSignEnvelopeID: 4623A3A4-B651-4253-B823-7F4B270A7270Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C Revised 04/23 5 terminating party has taken all reasonable steps to complete the performance of its obligations. c. Compensation After Termination. i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider. Upon request of the County, the Provider shall submit to County all relevant documentation, including but not limited to, job cost records, to support its claims for final compensation. ii) Should this Agreement be terminated, the Provider shall deliver to the County within thirty (30) days, at no additional cost, all deliverables including any electronic data or files relating to the Project. d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. e. Suspension. County may suspend the Basic Services and this Agreement at any time for County’s convenience and without penalty to County upon three (3) days’ notice to Provider. Upon any suspension by County, Provider shall discontinue work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal non-discrimination laws, policies, rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy (each policy DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DADocuSignEnvelopeID: 4623A3A4-B651-4253-B823-7F4B270A7270Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C Revised 04/23 6 is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Any violation of the Orange County Non-Discrimination Policy is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. d. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. e. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. f. Severability. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. g. Ownership of Work Product. Should Provider’s performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable or not appropriated for the performance of County’s obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability or non-appropriation of public funds. It is expressly agreed that County shall not activate this non-appropriation provision for its convenience or to circumvent the requirements of this Agreement. In the event of a change in the County’s statutory authority, mandate or mandated functions, by state or federal legislative or regulatory action, which adversely affects County’s authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County’s legal authority. DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DADocuSignEnvelopeID: 4623A3A4-B651-4253-B823-7F4B270A7270Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C Revised 04/23 7 i.Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. j. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested or by email to the following: Orange County Attention: Kimberlee Quatrone Provider’s Name The University of North Carolina at Chapel Hill P.O. Box 8181 104 Airport Dr., Suite 2200 Hillsborough, NC 27278 Chapel Hill, NC 27599 kquatrone@orangecountync.gov SIGNATURE PAGE TO FOLLOW] DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DADocuSignEnvelopeID: 4623A3A4-B651-4253-B823-7F4B270A7270Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C Revised 04/23 8 IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder set their hands and seal, all as of the day and year first above written. ORANGE COUNTY: PROVIDER: By: _________________________________ Bonnie Hammersley, County Manager By: _________________________________ Penny Gordon - Larsen Vice Chancellor for Research Printed Name and Title DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DADocuSignEnvelopeID: 4623A3A4-B651-4253-B823-7F4B270A7270Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C Revised 04/23 9 ORANGE COUNTY—INTERNAL USE ONLY Finance Information Vendor Name: UNC-CH Vendor Contact Person: Nathan Jones Phone: 919-966-3411 Address: 104 Airport Dr., Ste 2200 City Chapel Hill State: NC Zip: 27599 Department: Health Amount: $64,200 Purpose: Services and support programs that serve persons with Opioid Use Disorder Budget Code(s): 27411020-630000-92004 Vendor # 49882 R9 Vendor Status with NCSOS: Current-Active Non-Profit Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 12/1/23 End Date 6/30/24 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: April 18, 2023); Made or Administered by Signature Authority BOCC Express Delegation (Agenda Date: ) Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 Budget Policy Section XV (Capital Improvement Project: ) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) Department Affirmation This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: Grant work started in December. Working on contract process with UNC which took longer than expected. Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Received for record retention: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DA 1/9/2024 1/16/2024 1/16/2024 1/18/2024 DocuSign Envelope ID: 4623A3A4-B651-4253-B823-7F4B270A7270Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C MIKE CAUSEY INSURANCE COMMISSIONER BRIAN TAYLOR STATE FIRE MARSHAL OFFICE OF STATE FIRE MARSHAL 1202 MAIL SERVICE CENTER I RALEIGH NC 27699-1202 I TEL 919.647.0000 I Fax 866.851.6508 I WWW.NC OSFM.GOV February 19, 2024 Re: NC State Tort The State of North Carolina, being self-insured and holding sovereign immunity, is not susceptible to legal action without its explicit permission. Consequently, we do not procure liability insurance. However, pursuant to statute (Chapter 143, Article 31), the State has chosen to waive its sovereign immunity concerning suits related to the negligence of its employees or agents, leading to injuries. The indemnity extends up to a maximum of $1,000,000 for any single individual arising from a singular incident (NCGS § 143-299.2). The North Carolina Industrial Commission is constituted as a court for the purpose of hearing and passing upon tort claims against departments, institutions, or agencies. The State tort is not attached to a policy, therefore does not expire, or require an expiration date to be placed on the certificate of coverage. We trust that the above information provides the necessary certification needed by your organization. If you have any questions or need additional information, please let us know. Sincerely, Latarsha Y. Silver, CRM Risk Manager Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C MIKE CAUSEY INSURANCE COMMISSIONER BRIAN TAYLOR STATE FIRE MARSHAL OFFICE OF STATE FIRE MARSHAL 1202 MAIL SERVICE CENTER I RALEIGH NC 27699-1202 I TEL 919.647.0000 I Fax 866.851.6508 I WWW.NCOSFM.GOV CERTIFICATE OF COVERAGE Insurer: State of North Carolina Authorization: North Carolina General Statute Sections 143-291 to 143-300.1A, commonly referred to as the State Tort Claims Act. Coverage: Tort Claims against Departments, Agencies, and Employees must be filed in the North Carolina Industrial Commission and a legal defense is provided by the State. 1. Workers’ Compensation Limits $1,000,000 statutory damage to any one person arising out of any one occurrence. NCGS § 143-299.2 2. Statutory Limits for Workers’ Compensation Description: University of North Carolina at Chapel Hill and its employees, officers, agents, as covered by the Defense of State Employees as per NCGS § 143 300.2. The State Tort does not expire. Administrator: Department Insurance - Risk Management Division Office of State Fire Marshal 1202 Mail Service Center, Raleigh, NC 27699-1202 Note: This Certificate is for informational purposes only and does not alter any provision of the Tort Claims or Defense of State Employees General Statutes of the State. Verified By: Latarsha Y. Silver, CRM Risk Manager Docusign Envelope ID: 6EDA8E27-FCD1-431B-8A50-45530FC98B1C