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15-0505_Bond_SUR21000001_Pacific Point Dev_TR 14196 Premium: $1,164.00 SUBDIVISION FAITHFUL PERFORMANCE BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000001 Replaces Bond No. SUR20000316 KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development-Partners, LLC (hereafter designated as "Principal"), and Ironshore Indemnity, Inc. , as Surety (hereinafter called "Surety") agree to install and complete certain designated public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and 03-09-16-06. WHEREAS, said Principal is required to furnish a bond pursuant to Municipal Code Section 9-5.101 and 9-5.109 et seq., for the faithful performance to guarantee certain work, more particularly described as follows: Landscape subdivision improvements within Tract 14196 as defined within Amendment#1 and Reinstatement of the Subdivision Improvement Agreement for Tract 14196 NOW, THEREFORE, we, the Principal and Surety are held firmly bound unto the City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of One Hundred Fifty Five Thousand One Hundred Ninety Two Dollars and oo/1oo Dollars, ($155,192.00 ) lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, successors, executors and administrators, jointly and severally, firmly by these presents. NOW, THEREFORE, the condition of this obligation is such that, if Principal shall promptly and faithfully perform said improvement obligations within the fully executed and recorded subdivision improvement agreement, then the obligation shall be null and void; otherwise it shall remain in full force and effect. Page 1 of 3 BE IT FURTHER RESOLVED: 1. As a part of the obligation secured hereby, and in addition to the face amount specified, there shall be included costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by City in successfully enforcing such obligation, all to be taxed as costs and included in any judgment rendered. 2. Said Principal, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or modification of the contract documents or of the work to be performed thereunder, shall in any way affect its obligations or this bond, and it does hereby waive notice of any such change, extension of time, alteration, or modification of the contract documents or of work to be performed thereunder. IN WITNESS WHEREOF, this instrument has been duly executed by the Principal herein named on the 19th day of May , 2015 , the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representatives pursuant to authority of its governing body. PRINCIPAL: Pacific Point Development Partners, LLC (NOTARIZATION AND SEAL) Its: ��a-1-ao�',zL� �; +�r✓.Foc SURETY: Ironshore Indemnity Inc. (NOTARIZATION AND SEAL) By: Margare . Ginem , Attorney-in-Fact Surety Phone No. CIO WILLIS of FLORIDA 4211 W!Boy SCOUT BLVD#tppp TAMPA, FL 33667 Page 2 of 3 INQUIRIES:(813)281-2095 APPROVED AS TO FORM: By: NOTE: Please attach Acknowledgement and Power of Attorney Page 3 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of Californiaor ) County of ) On � — ,�1U,�r before me, �1' ❑at (ire ert ame and Titl of a Officer Ppersonally appeared Name(s)of Signers) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity-upon behalf of which the person(s)acted,executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph W.CORDI is true and correct. Commission#2088325 Notary Public-California WITNESS my hand and official seal. z Orange County a My Comm.Expires Oct 31,2018 Signature I/ '>/t , jj Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): __-.- ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: , Signer Is Representing: 02014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 e en '189 and 1195.'ofthe 0761tode-and 'Sectiop 8-20 of the -Seftat� Dill W50, an 6. s.gec.tions I Government Cqk,rclafin es. ,'Tbo lielow.physiQ6.I format of the riew disclosure gjp no public -notice.is-on example; for pqrpQses of il usiration, A bototy public or other 6fficefdohi' plktingtbig certificate verifies only the identity of the individual who signed the doPurnpnt-to rah iCh'ihis .certificate.is attached,and not the truthfulness* accuracy,or validf th ity 6 ar.dodunient State'of California ,County of 01t before me, ere insert name and-title ofofficer),personally appeaTed -------------- who proved:to iop;:on the basis of satisfactory evidence to b6 the persons)wbo9b hanle.(s) subscribed bsqibed to - the within,-instrument and acknowledged to me that; he/she/they executed the sarne-- in his/her/their. authorized caipacity(ics), and that by bis/her/their sign4ture(s I) -on the instrument the p.erson(s), or the entity, Upon-behalf of which the person(s)acted,executed the-instrument. I certiy ifnf' flider PENALTY QV PERJURY'under the laws of tie.State Of'Chfifornia that the foregoing paragraph fs true and'correct WITNESS itiy hand -and offic-lait.seal, Signature (Seal), ACKNOWLEDGEMENT BY SURETY STATE OF FLORIDA COUNTY OF HILLSBOROUGH I SS. On this 19th day of May, 2015 before me, personally came Margaret A. Ginem, who is personally known to me (or proved to me on the basis of satisfactory evidence) to be the person who executed the within Instrument as Attorney-In-Fact on behalf of Ironshore Indemnity Inc., and acknowledged to me that he/she executed the within instrument on behalf of said surety company and was duly authorized to do. In witness whereof, I have signed and affixed my official seal on the date in this certificate first above writ,en. Signature Anett Cardinale ANETT CARDINALE =``' Gommissla #FF B 02 Expires JOY 28, gpp 865,T418 .X Ri,[Z" 8ondnd Shnrlrml Fain lnnaenaa This area for Official Notarial Seal POWER OF ATTORNEY Ironshore Indemnity Inc. III- 21000001 KNOW ALL MEN BY THESE PRESENTS,that IRONSHORE INDEMNITY INC.,a Minnesota Corporation,with its principal office in New York,NY does hereby constitute and appoint:David H.Carr,Anett Cardinale,Margaret A.Ginem its true and lawful Attorney(s)-In-Fact to make,execute,seal and deliver for,and on its behalf as surety,any and all bonds,undertakings or other writings obligatory in nature of a bond. This authority is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC.on the 22"d day of April,2013 as follows: Resolved,that the Director of the Company is hereby authorized to appoint and empower any representative of the company or other person or persons as Attorney-In-Fact to execute on behalf of the Company any bonds,undertakings,policies,contracts of indemnity or other writings obligatory in nature of a bond not to exceed$7,500,000 dollars, which the Company might execute through its duly elected officers,and affix the sear of the Company thereto. Any said execution of such documents by an Attorney-In-Fact shall be as binding upon the Company as If they had been duly executed and acknowledged by the regularly elected officers of the Company.Any Attorney-In-fact,so appointed,may be removed for good cause and the authority so granted may be revoked as specified in the Power of Attorney. Resolved,that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted,and the signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company.Any such power so executed and sealed and certificate so executed and sealed shall,with respect to any bond of undertaking to which it Is attached,continue to be valid and binding on the Company. IN WITNESS THEREOF, IRONSHORE INDEMNITY INC. has caused this instrument to be signed by its Director,and its Corporate Seal to be affixed this 7th day of August,2013 IRONSHORE INDEMNITY INC. �4 Pm�yt SEAL r By: Dan a L,Suss n Director ACKNOWLEDGEMENT On this 7th Day of August,2013,before me,personally came Daniel L.Sussman to me known,who being duly sworn,did depose and say that he is the Director of lronshore Indemnity, Inc.,the corporation described in and which executed the above instrument;that he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation. AMYLTAYLORd — Notary Public-Slate of Tennessee + Davidson County q, . �+ My Commission Expires 01-09-16 Amy L.Tp ,J ,` NotaryPublic CERTIFICATE I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of which the foregoing is a true and correct copy,is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and Sealed at this 19th Day of MaY 20 15 SEAL f� 19s9 Paul S.G dant J Secretary 'WARNING:Any person who knowingly and with intent to defraud any insurance company or other person,files and application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act,which is a crime and subjects such person to criminal and civil penalties." IRONSNORE INDEMNITY INC FINANCIAL STATEMENT SUMMARY As of December 31,2014 ASSETS LIABILITIES Bonds $179,140,947 Losse $63,582,066 Preferred stocks p Reinsurance payable on paid kisses and Inas adjustment expenses Common stocks 0 31,840,141 Lou adjustment expenses $10,384,957 Mortgage loans on real estate:Tint Eens 0 Commissions payable,contingent commissions and other similar charges $1,020,805 Mortgage loans on real estate,Other than first liens 0 Other expenses(04uding taxes.licenses and fees) $5,435,126 Properties occupied by the company 0 Taxes,licenses and fees(excluding federal and foreign Income taxes) $2,383,909 Properties held for the production of Income 0 Current federal and foreign Income taxes Properties held for sa e 0 $2,434,392 Net deferred tax liability 0 Cash,rash equivalents and short-term Investments $15,64951 Unearned premiums $29,158,576 Contract Barrs 0 Advance premium Derivatives 0 Ceded reinsurance premiums payable(net of ceding commissions) $58,222,187 Other invested assets 0 Funds held by oompany under reinsurance treaties p Receivables for securities 0 Amounts withheld or retained by company for account of others Securities lending reinvested collateral assets 0 Remittances and Items not allocated Aggregate write-Ins forinvestedassets 0 Provision for reinsurance $1,545,075 Subtotals.cash and Invested assets $226,614,039 Net adjustments Jew assets and kablitlesdue toforeign exchange rates Title plants less$_Charged off 0 Drafts outstanding Investment Income due and accrued $990,960 Payable to parent,subsidiaries a nd affiliates $12,458,110 Unoollected prem ums and agents'balancesin the course of collection $73,567,547 Derivatives 0 Deferred premiums,agents'balances and Installments booked but deferred and not 0 yet due Payablefor securitles 0 Accrued retrospective prerniums 0 Payable for securities lending 0 Amounts recoveraWe from reinsurers $33,586,257 Liability for amounts held under uninsured plans 0 Funds held by or deposited with reinsuredcompanles 0 Aggregate write-Ins for liabilities $4,185,928 Other amounts receivable under reinsurance contracts 0 Total liabilities excluding protected cell liabilities $190,811,131 Amounts reaNab;erelating touninsured plans 0 Protected call liabilities Current federal and foreign income tax recoverable and interest thereon 0 Nctdclenedtaxasset $5,530,837 Total liabilities $190,812,131 Guaranty funds receivable or on deposit 0 Furniture and equipment,Including healthcare deiveryessets 0 POUCYNOLDEIWSSURPWS Net adjustment In assets and liabilities due to fordgn exchange rates 0 Aggregate wnto-lns for special surplus funds 0 Receivables from parent,subsidiaries and affiliates 0 Health care and other amounts receivable 0 Common caotal stock 5 000 ODO Aggregate write4ns for other than Invested assets $7,124,971 Preferred capital stock Total assets excluding Separate Amounts,Segregated Amounts and Protected Cel. $347,414,611 Aggregate write mfor other than special surplusAccounts p From Separate Amounts,Segregated Accounts and Protected Cell Amounts 0 Surplus Notes TOTALS _ $3A7 414,611 Gross paid In and contributed surplus $156,938,671 Unassigned funds(surplus; ($5,33S,1901 Surp,us as regards policyholders $156,603,481 TOTALS $347,414,611 SUBSCRIBED and sworn to me this,relay of }��. ,"0.,�s f f1-5fr+ � Mycomrrdssen exwres_ ']-fU-/Sr NotaryPublic CERTIFICATE % Pti'ited Name Nt��LYSSPublic,State O V W ( I certify that the abovefinandal statements to thebestof my NO.U1f�4 knowledge are a true and amurate reflection of the financial ALYSSA TURKOVTrZ condition of the Company as of December 31,2014, +' , QUeffiad in Westchester County Additionally,Icertify that the above financial statements are I� � yli� r- i' 171i1jt397C1i1 7C�7¢fl r�ldI�f 10,2018 in agreement with the Statutory Financial Statements filed with the Tfxac No",IPONG Sbate of New York Department of insurance as of the same date, v No.01TU6044514 William Gesson Qualified In Westchester County L9xYP I Tr01WIL Commission Expires July 10,2014 SUBDIVISION LABOR AND MATERIAL BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000001 Raplaces Bond No. SUR20000316 KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Deveiopment Partners LLC (hereafter designated as "Principal"), and Ironshore Indemnity Inc. as Surety (hereinafter called "Surety") agree to install and complete certain designated public improvements as conditioned by City Council Resolution No's. 92-6-16-4 and 03-09-16-06. WHEREAS, said Principal is required to furnish a bond pursuant to Municipal Code Section 9-5.101 and 9-5.109 et seq., for the faithful performance to guarantee certain work, more particularly described as follows: Landscape subdivision improvements within Tract 14196 as defined within Amendment#1 and Reinstatement of the Subdivision Improvement Agreement for Tract 14196 NOW, THEREFORE, we the Principal and Surety are held firmly bound unto the City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of One Hundred Fifty Five Thousand One Hundred Ninety Two Dollars and 00/100 Dollars ($155,192.00 ) lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, successors, executors and administrators, jointly and severally, firmly by these presents. NOW, THEREFORE, the condition of this obligation is such that if the above bound Principal, his or its heirs, executors, administrators, successors or assigns, shat in all things stand to and abide by and well and truly keep and perform the covenants, conditions and provisions per City Council Resolution No's. 92-6-16-04 and 03-09-16- 06, on his or their part, to be kept and performed at the time and in the manner therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City, its offers, agents and employees as therein stipulated, and, as necessary enter into a Subdivision Agreement, then this obligation shall become null and void; otherwise it shall be and remain in full force and effect. Page 1 of 3 BE IT FURTHER RESOLVED: 1. As a part of the obligation secured hereby, and in addition to the face amount specified therefore, there shall be included costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by City in successfully enforcing such obligation, all to be taxed as costs and included in any judgment rendered. 2. Said Principal hereby stipulates and agrees that no change, extension of time, alteration, or modification of the terms of the agreement or of the work to be performed thereunder, shall in any way affect its obligations or this bond, and it does hereby waive notice of any such change, extension of time, alteration or modification of the terms of the agreement or of the work or to the specifications. IN WITNESS WHEREOF, this instrument has been duly executed by the Principal herein named on the 19th day of May , 2015 , the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representatives pursuant to authority of its governing body. PRINCIPAL: Pacific Point Development Partners, LLC (NOTARIZATION AND SEAL) By: Its: � 1A ac;. SURETY: Ironshore Indemnity Inc. (NOTARIZATION AND SEAL) By: MargareVA. Ginem , Attorney-in-Fact Surety Phone No. C/O WILLIS OF FLORIDA 4211 Wi Boy SCOUT BLVD.#1000 Page 2 of 3 TAMPA, FL 33607 INQUIRIES:(813)281-2095 APPROVED AS TO FORM: By: NOTE: Please attach Acknowledgement and Power of Attorney Page 3 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California j& C ) County of f{ �) ) On I r w before me, ld Date In rt ame and tie of the Officer personally appeared to. Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph W. CORDI is true and correct. Commission#2088325 WITNESS my hand and official seal. z Notary Public-California z Orange County My Comm.Expires Oct 31,2018 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _ _ Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association •www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907 -$eriatiD', kill 1050, =ehd'S$ec.fioris 1189 and 1195:of OvIt Code and Section 820of the Goyerninent Code., relating-to relating-tonota4es,publI"C_ The below physical format the hew disclosure notice;is-an exaTnpl e; for purposes of illustration: A notary public j4pjbtri"b, .: c or other order do i this certificate verifies only the ideritityof the individual who signed the do6u which this meTit.to certificate is attached,and not the truthfulness, accuracy,or validity of that document. State of California County df Oft before me, he�e insert name and title of officer),personally appeared w110 proved tai me on the basis of satisfactory evidence to bethe-person(i)whose name -ibed t(i (s) is/4rt s0srr the within instrument and acknowledged to me- that hehhe/thqy executed the same. in his/her/their authorized capacity(es), tkqd that'.by.11js/her/thpi signAtqre($) 'On the instrument the'person(s),: of the eri,tity tipbii behalf of.:which the person(s)ac , ted,ekec�ated tb&.�instrui n'ent cQrtifyvo&r PENALTY OF' P�RJVkY wider the laws a*s of the,State of'CAlOornia. that the famo: Ing. paragraph is true and correct WITNESS.niy hand and officiaI sea], Signature (Sea]). ACKNOWLEDGEMENT BY SURETY STATE OF FLORIDA COUNTY OF HILLSBOROUGH I SS. On this 19th day of May, 2015 before me, personally came Margaret A. Ginem, who is personally known to me (or proved to me on the basis of satisfactory evidence) to be the person who executed the within Instrument as Attorney-In-Fact on behalf of Ironshore Indemnity Inc., and acknowledged to me that he/she executed the within instrument on behalf of said surety company and was duly authorized to do. In witness whereof, I have signed and affixed my official seal on the date in this certificate first above written. Signature Anett Cardinale *^"'V"41 ANETT CARDINALE I = Commission#FF 138482 4a Expires July 28,2018 "KV,�;',* Bonded Thru Troy Fein Inwranoe 60O.M.7olo This area for Oficial Notarial Seal POWER OF ATTORNEY Ironshore Indemnity Inc. III- 21000001 KNOW ALL MEN BY THESE PRESENTS,that IRONSHORE INDEMNITY INC.,a Minnesota Corporation,with its principal office in New York, NY does hereby constitute and appoint:David H.Carr,Anett Cardinale,Margaret A.Ginem its true and lawful Attorney(s)-In-Fact to make,execute,seal and deliver for,and on its behalf as surety,any and all bonds,undertakings or other writings obligatory in nature of a bond. This authority is made under and by the authority of a resolution which was passed by the Board of Directors of IRONSHORE INDEMNITY INC.on the 22nd day of April,2013 as follows: Resolved, that the Director of the Company is hereby authorized to appoint and empower any representative of the company or other person or persons as Attorney-In-Fact to execute on behalf of the Company any bonds,undertakings,policies,contracts of indemnity or other writings obligatory in nature of a bond not to exceed$7,500,000 dollars,which the Company might execute through its duly elected officers,and affix the seat of the Company thereto. Any said execution of such documents by an Attorney-In-Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company.Any Attorney-In-Fact,so appointed,may be removed for good cause and the authority so granted may be revoked as specified in the Power of Attorney. Resolved,that the signature of the Director and the seal of the Company may be affixed by facsimile on any power of attorney granted,and the signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company.Any such power so executed and sealed and certificate so executed and sealed shall,with respect to any bond of undertaking to which it Is attached,continue to be valid and binding on the Company. IN WITNESS THEREOF,IRONSHORE INDEMNITY INC.has caused this instrument to be signed by its Director,and its Corporate Seal to be affixed this 7th day of August,2013 IRONSHORE INDEMNITY INC. o<. - 6Ert — D,9 By.( L.Suss n Director ACKNOWLEDGEMENT On this 7th Day of August,2013,before me,personally came Daniel L.Sussman to me known,who being duly sworn,did depose and say that he is the Director of Ironshore Indemnity, Inc.,the corporation described in and which executed the above instrument;that he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation. U-1 _X_ lQ - _ NdY L.YhYLl7H a - - Notary Publlc-Slate of Tennessee Davidw,County '•4t_ ^'.c�sSY C ���Expree Ot-0316 J 7ay1 �au�` Notary FutilSC CERTIFICATE I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of which the foregoing is a true and correct copy,is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and Sealed at this 19th Day of May20 15 ,,ate Y f'Y 6914 Paul S.Gi danq r Secretary 'WARNING:Any person who knowingly and with intent to defraud any insurance company or other person,files and application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto,commits a fraudulent insurance act,which is a crime and subjects such person to criminal and civil penalties." IRONSHORE INDEMNITY INC FINANCIAL STATEMENT SUMMARY As of December 31,2014 ASSETS LIABILITIES Bonds $179,149,947 Losses $63,582,066 Preferred stocks pReinsurance payable on paid lasses and lass adjustment expenses p Common snicks 31,840,141 Loss adjustment expenses $10,384,957 Mortgage loans on real estate;Tint tens 0 Commissions payable,contingent commissions and other similar charges $1,020,805 Mortgage loans on real estate,Other than first Rens 0 Other expenses(excluding taxes.licenses and fees) $5,435,126 Properties occupied by the company 0 Taxa„licensesand fees(exdudmg federal and foreign hwome taxes) $2,383,909 Properties held for the production of income 0 Current federal and foreign income taxes $2,434,392 Properties held forsa!e 0 Net deferred tax liability 0 Cash,cash equivalents and short-term investments $15,632,951 unearned premiums $29,158,576 Contract Loans 0 Advance premium Derivatives 0 Ceded reinsurance prerniums payable(net of ceding commissions) $S8,222,187 Other invested assets 0 Funds held by company under reinsurance treaties p Receivables for securities 0 Amounts withheld or rebind by company for aecountof others Securities tending reinvested collaterg assets 0 Remittances and items not allocated Aggregate wrlteansforinvestedassets 0 Provision for reinsurance $1,545,075 Subtotals.cash and Invested assets $226,614,039 Net adjustments In assets and tabilltles due toforelgnexchange rates Title plants less$­Charged off 0 Drafts outstanding Investment Income due and accrued $990960 Payable to parent subsidiaries and affiliates $12,458,130 Uncollected premums and agents'balances in the course of collection $73,567,547 Derivatives D Deferred premlums,agents'balances and Installments booked but deferred and not 0 yet due Payable for securities 0 Accrued retrospecNvepremiums 0 Payable for securities tending 0 Asnounts recoverabi e from reinsurers $33,586,257 Liability foramounts held under uninsured plans 0 Funds held by or deposited with reirssumd companies 0 Aggregate wrlte4n&for liabilities $4,185,928 Other amounts receivable under reinsurance contracts 0 Total liabilities excluding protected cell liabilities $190,811131 Amounts receivable relating to unlnsured plans 0 Protected cell liabilities Current federal and foreign Income ax recoverable and interest thereon 0 Net deferred tax asset $5,530,837 Total gabilkies $190,812,131 0 Guaranty funds receivable or on deposit Furniture and equipment,including health are delivery assets 0 POUC44MDEWS SURPLUS Net adjustment In assets and liabilities due to foreign exchange rates 0 Aggregate waste-Ins for speclal surplus funds 0 Receivables from parent,subsidiaries and affiliates 0 Health are and other amounts receivable 0 Common notal stock 5 0001100 Aggregate write-ins for otherthanInvested assets $7,124x971 Preferred capital stock Total assets exduding Separate Accounts,Segregated Accounts and Protected Cel: $347,414,611 Aggregate write-ms for other than special surplus p Accounts From Separate Accounts Segregated Accounts and Protected Cell Accounts 0 Surplus Notes TOTALS 5347,414,611 Gross paid In and contobuted surplus $156,938,671 Unassigned funds{surplus; ($5r335,190) Surp us as regards policyholders $156,603,481 TOTALS $347,414,611 SUBSCRMEOand lvrora to mn 1lAiYi ay of M}q4 143/S Mymmrrds cnexpires: 7-/6'-/S Noaryf+ubllc CERTIFICATE Pri•rted Name ALYSSA TURKOV(TZ L certify that the above financial statements to the bestof my Notary Public,State of New YcricNO.01TU6044514 knowledge are a true and accurate reflection of the nnanclxl ALYS%WRKOV7f! condition of the Company es of December 31,2014, r} Quelffled tr1 Westchemer County Additionally,I certify that the above financial statements are I•Y ,�. ,+y /f' i4 , ' 01=91116610n EVM July%2018 in agreement with the Statutory Financial Statements filed with the Texa4 '1rpW416MIr.mo Of kewYork -. Department of Insurance as of the same date, r No.01TU6044514 WBllam16leason QuaflBed In Westchester County 9%YY_&1LU1VUL Conrmission Explres July 10,2014