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15-0505_Bond_SUR21000004_Pacific Point Dev_TR 16751 Premium: $1,062.00 SUBDIVISION FAITHFUL PERFORMANCE BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000004 Replaces Bond No. SUR20000341 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 16751 as defined within Amendment#1 and Reinstatement of the Subdivision improvement Agreement for Tract 16751 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 Fort One Thousand Five Hundred Sevent Eight Dollars and 001100 Dollars, ($141,578.00 ) 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) By: Its: SURETY: Ironshore Indemnity Inc. (NOTARIZATION AND SEAL) B y: At 0'� , a Marga-0- . Ginem r , Attorney-in-Fact Surety Phone No. 010 WILLIS OF FLORIDA 4211 W,BOY SCOUT BLVD,#1000 PAMPA, FL 33607 NQUIRIES:(813)281-2095 Page 2 of 3 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 te,%A^ }" z;;2attached, -mt-the-truthfuhess accu xacy;-or vafiditWtttat-dot. State of C ) County alifornia f tI • �,'lr �r' USG{ r(�/ On A before me, Date Here Insert e qn Title o thb Officer personally appeared i E Name(s)of Signer(s) 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. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph W.CORDI is true and correct. M+ Commission#2088325 WITNESS my hand and official seal. -* Notary Public•California x Orange County - My Comm.Ex Tres Oct 31,2016 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 Y ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: RN +. u. - - .> : - `L,.C"+" - _. _. ,._ "�'r,4y+aL a.-•r rHrm".[ -seerzca— .�,r '. ...r--0,,,.`-.._ 02014 National Notary Association - www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 ACKNOWLEDGEMENT BY SURETY S)TATE OF FLORIDA COUNTY OF HILLSBOROUGH 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 :? �:P''V4 ANETT CARDINALE ._ Commission#FF 1313482 Expires July 28,2018 Bonded Thru Troy Fein Irxurenoe 900-385.7019 This area for Official Notarial Seal s ec, ans aa b-OL Cort� ect o 't e �rQ.v e .Code;tea tc� noun es.publfo:'Thb;be].Qtoys cA format-of�jie., ew.disclosure vo ice:is-an.exa xfrle; dor .ptu poses a zTluStrat nrt nrff ja iblic of other Officer caftiplefind#fifs: cerfiffaate.verifses,onlythe identity ofthe indi!r0ii4i who.signed,the docuimerit,tO wbidh certificate.is attached,and not the truthfulness, cci r Cy,or vatid,pe of th4;donrt ent Stale'of 4 aliforinia C,6unty_of Ori ;beford ine, insert name andtitle of offrcerj,Personally app red Who.. pravt ra to nig oil fho'bas':s.of'wisfactcrry.byiOg.hOo to be#lie p�xsori(s�.Whose naaie6-)is/ore si 4scribed tp: thewilhid-ifisvuznent and acknowledged -to -me•'that: Wshe/they exenuted the same.in his/her/their c pac�tj+(ies), til At.by.,his/'her/thp* S#Rhatu a-W `t tfie'itistrfRof �e'v0son(s),:cif ,the -entity, upon.hehalf of wbjpp the per'sbfi(s).acted,cxecuted ffk6 nstrurnent 1; Citi y'uYider ]'EN;AP_,`l -OF.'P R7UR wider the laws of the. t w ofCalifomia tho,the f rf-$oiriR, para"h is true and correct W TNES-9 iiiy.l and and,6fficral seal, r Sgriatute fi�ealj� POWER OF ATTORNEY Ironshore Indemnity Inc. III- 21000004 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 xceec+-$_ 600-ftCompany might execute through its duly elected officers, and affix the seal 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. r�1 $FkL 1917 By. Dane L,Suss n Director ACKNOWLEDGEMENT On this 71h 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. ANIy L TAYLOR - Q, Notary Public-stale of Tennessee Davidson County q, My—misslon E%olres 0t-09-16 4A.yL8 •'.,,"�eawwF.+`�� - Notary Public 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.MayZD 15 Y�µp,60Rgr y - SEAL $015 - � A Paul S.Zal dark 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 MDEMNITY INC FINANCIAL STATEMENT SUMMARY As of December 31,2014 ASSETS LIABILITIES 0onds $179,140,947 lasses $63,582,066 Preferred stocks Ps Reinsurance D sable on paid losses and loss tsdjustment expenses p Cominco stocks 31,844 141 Inas adjustment expenses $10,384,957 Mortgage loans on real atate.first tens 0 Commissions payable,contingent commissiorss and otherslmilar charges $1,020,805 Mortgage loans on real estate;Other than first Bens 0 Other expenses(eva"rigtaxes.licenses and fees) $5,435,126 Properties occupied by the company 0 Taxes,licenses and few(excluding federal and foreign Income taxa) $2383909 Fropernes heFd for the production of Income 0 Current federal and fosellinIncome taxes $2,434,392 Properties held for sale 0 Net deferred taxllablllty 0 Cash.cash equivalents and short-term investments S15,632,9S1 Unearned premlums $29,158,576 Contract loans 0 Advance premium Derivatives 0 Ceded reinsurance premiums payable(net of coding commissions) $58,222,187 other invested assets 0 Funds held by company under reinsurance treaties 0 Recclvablts for securitlts 0 Amounts withheld or retained by company for acwUntof others Securities lending reinvested collateral assets 0 Remittances and Items not allocated Aggregate wrlWns forinvested assets 0 Provision for reinsurance $1,545,075 Subtotals.rash and Inresltd assail $226,614,039 Net adjustments In assets and labllRlw due to foreign exchange rates Title plants less S.•,Charged off 0 Drift outstandka Investment Income due and accrued $990„960 Payable to parent,subsidiaries and affiliates $12,456,110 Uncollected preW ums and agents'balances In the course of collection $73,567,547 Derivatives 0 Deferred premlums,agents'balances and Installments booked but deferred and not 0 yet due Payable for securities 0 Accrued retrospective premiums 0 Payable for securities lending 0 Amounts recoverstaefrom reinsurers $33,586,257 Liability for amounts held under uninsured plans 0 Funds held by or deposited with otinsured companies 0 Aggregate write-Ins for liabilities $4,185,928 Other amounts receivable under reinsurance contracts 0 Total liabilities excluding protected Bell liabilities $190,811 131 Amounts receintKe relating to uninsured plans 0 Protected call liabilities Current federal and foreign income tax recoverable and interest thereon 0 Nct dtfane6 Ws assts $5,530,837 Totalliabllltles $190,811,131 0 Guaranty funds receivable or on deposit Furrdtureand equipment Including health core delivery as" 0 POUCYMDERVS SURPLUS Net adjustment In assets and liabilities due to foregn exchange rates 0 Aggregate wnte-Ins for special surplus funds 0 Receivables from parent subsidlarles and affllhtes 0 Health care and other s mounts receivable 0 Common capital stock 5,000.000 Aggregate write-ins for other than Invested asset $7„124,971 Preferred capital stock Total assets excluding Separate Accounts,Segregated Accounts and Protected Cat $347,414,611 Aggregate write;res for other than special surplus p Accounts From Separate Accounts.Segregated Accounts and Protected Call Accuunts 0 Surplus Notes TOTALS $347,414611 Gross paidlnandcontributedsurplus . •._^_ r $156,938,671 l.inasslgned fundsjsurplus; ($5335,190) Surp us as regards policyholders $156,603,481 TOTALS / $347,414,611 SUBSCRIBED and sworn tome INsxday of ...... �'�_ Notary Public CERTIFICATE Pri,,ted Name ALYSSA TURKOVITZ I certify that the above financial statements to the heNotary Public,State of NOW Yo* tet my NO.t)1TUfi0445t 4 knowledge are atrueandaccurate reflectionofthefinwlal ALYSSATURKOVICI (�LT811fIeC1IFt ITU604 51 �`,CSl1 condition of the Company as of December 31,2014, '' Additionally,I certify that the above financial statements are 4 .`•�, ,� I`lt�9 ,.. ybion i:.xPIft$8 July 10,2018 In agreement with the Statutory Financial Statements filed with the Texas Notatl;�+ubllc,State of Hew York _ Department of Insurance as of the same date- r No.01YU6044514 WHIlamJ Gleason tluafified In Westchester County MU—P&Ire85S9er Commission Expires July 10,2014 SUBDIVISION LABOR AND MATERIAL BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000004 Replaces Bond No.SUR20000341 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 16751 as defined within Amendment#1 and Reinstatement of the Subdivision Improvement Agreement for Tract 16751 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 Forty One Thousand Five Hundred Seventy Eight Dollars and 00/100 Dollars ($141,578,00 ) 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, shal 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 Mav 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: �, - SURETY: Ironshore Indemnity Inc. (NOTARIZATION AND SEAL) Marg et A. Ginem , Attorney-in-Fact C10 WILLIS OF FLORIDA Surety Phone No, 4211 W,Boy SCOUT 8t.W,VIMO TAMPA, FL 33607 iNQUIRIES,(813)281-2095 Page 2 of 3 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 do cum ent to wiGla thiscertificate is allaghed,and not tha 1rtrtlt#tlfless,-a=rW Gt-vafidity of tl at dauumUS11. State of Califord ) County o ) r On III before me, Date ,Here Ins Nam d Toile 6f t e lbfflcer personally appeared {s) of Signer(s) 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(fes),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. Notary Public-California Orange County 5 Comm. x Tres Oct 31,2018 Signature lard 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)- El 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 ACKNOWLEDGEMENT BY SURETY STATE OF FLORID COUNTY OF HILLSBOROUGH SS. On this 191h 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 writte Signature fr Anett Cardinale ANETT CARDINALE Commission#FF 138482 Expires July 28,2018 Bonded Thni Troy Fein Ineumnee 800.38&7019 This area for Oficial Notarial Seal e3. , amen. 's ec#�ori <189 acid I o :t] b Czvi ou 'Section 822 of the 3 !e ei i.fade;-Ye�ating fi{ ript ie . The-:beipphysIcal forinat of thenew di sclosure -4p. 4ce.zs. example".forpm .0fiRusiratj ; A notary'public off'other 6ff�d, 6*pipt ng tws cert fcatevedfies only the identity of the individual Whv signect the do uinerit.t K+i7IC ltllis zertificate-is attached,and not the tTUth'fulness, Y �.eciira�r�.;o;validity��' �-dcicu�tcnt, .Staff'Of4Mifornia. Chanty.bf faceme, -ihsert name and�title of~-officer persv'nally appeared Who Proved tO II1;q,on tho basis ofsaftisffado�Y OviCl'dh6i to die th ptrsoo(g)wk�5t nan e(s�1s/arsCyto, alae within-Wtrument and acknowledged to me'that;belshelthey ex4muted the-same an his/her/their, autiao izefl ruapacity(ies}, tsd:that,F y. is;!l ez I# teior tutu.Ta) -qn.:oe iastr�Eta n't ire rsoia(S),. ifie fitity ti ,it.behalf of rvhiP]i the person(§ , fd;eitecu'ted#iiOttsfiruniaent, I; �rti Y Vider PENALT�C Or PER1U�Y undO.Oe )avvs of tie.�fia�t�gxt✓alifast�ia fat'the far�goisza paragraph i's true and correct WnNESSmy Rand and official seal, Si.gafu're Sea] POWER OF ATTORNEY Ironshore Indemnity Inc. 1111- 21000004 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 bands,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 nature of a bond not to exceed$7,500;0OU dollarsp which the Company might execute through its duly elected officers, and affix the seal 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 P fiEAt 57l9 By: Dart a L,Suss n Director ACKNOWLEDGEMENT On this 71h 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. j AM L TAYLOR NOWry Publlc-Slate WTonnessee Davldson County m 4WD.E.Nes 97.09.76 MY GaAmy L,78 �•.,?a � t�r _ Nalury PuNk 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 - V$FURL sfi 1919 Pauls.Gi ,lona + 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 $179,140,947 lasses $63,582,066 Preferred stocks p Reinsurance payable on paid losses and loss axijustmmt expenses 0 Common stocks 31,840,141 Loss adjustment expenses $10,384,957 Mortgage loans on real estate;Antfms 0 Commissions payable,contingent commissions and other slm8archarges $1,020,805 Mortgage loans on real estate;Other then first liens 0 Other expenses(excluding taxes.licenses and(ees( $5,435,126 Properties occupied by the company 0 Taxes,licenses and fees(excluding federal and foreign kseometaxes) $2,383 909 rrupernes held For the production ofincome 0 Current federal and foreign income taxes $2,434,392 Properties held for We 0 Not deferred hu liability 0 Cash,cash equivalents aril short-term Investments $15,632,951 Uneamed premiums $29,158,576 Contract bans 0 Advance premium Derivatives 0 Ceded reinsurance premiums payable(net of ceding commissions) $58,24187 Other invested assets 0 Funds held by company under relnsurancetreatles 0 Receivables for securities D Amounts withheld or retained by company for account of others Securities lending reinvested collateral assets 0 Remittances and Nems not allocated Aggregate write-Ins forinvestedassets 0 Provision for reinsurance $1,545,075 Subtotals.cash and invested assets $226,614,039 Net adjustments In assets and tabllttles due to foreign exchange rates Thie plants less$.„Charged off 0 Drafts outstanding Investment Income due and accrued $990,960 payable to parent,subsidiaries and affiliates $12,458,110 Uncollected prom umsand agents'balances In the course of collection $73,567,547 Derivatives u yDeferred eeff er ed premiums.agents'balances and Installments booked but deferred and not 0 Payable for securities 0 Accrued retrospective prerniums 0 Payable for securities lending 0 Amounts recoverable from reinsurers $33,586,257 Liability for amounts held under uninsured plans 0 Funds held by or deposited with reinsured companies 0 Aggregate write-Ins for liabilities $4,185,928 Other amounts receivable under reinsurance contracts 0 Total Ilabllitles excluding protected cell liablllties 5190,811,131 Amounts receive"relating to uninsured plans 0 Protected cell liabilities Current federal and foreign Income ax recoverable and interest thereon 0 Net deferred tax asset $5,530,837 Total galblities $190,811,131 Guaranty funds receivable or on deposit 0 Furniture and equipment,including health care delivery assets 0 POUCYHOLDEWS SURPLUS Net adjustment In assets and liabilities due to foreign exchange rates 0 Aggregate write-Ins for special surplus funds 0 Receivables from parent'subsidiaries and affiliates 0 Health are and other amounts receivable 0 Common capital stock 5000000 Aggregate write-Ins for other than invested assets $7,124.971 Preferred capital stock Total assets excluding Separate Accounts,Segregated Accounts and protected Cel; $347,414,511 Accounts Aggregate write dru for other then special surplus p From Separate Accounts.Segregated Accounts and Protected Cell Accounts 0 Surplus Notes TOTALS $347,414,,11 Gross paid In and contributed surplus $156,930,671 Unassigned funds(surplusj ($5,335,1901 Surp us as regards polleyhoiders $156,603,481 TOTALS $347,414,611 SUBSCAMED and awom to con thisydad of MJ jY��7 j �. Myromrmsacnex{xFes: 7 le) }/ Notary Public CERTIFICATE r" ^^ Printed Name ALYSSA TURKOVITZ 1 certify that the above0nancial statements to thebestof my Notary Public,State Of NOW York knowledge are a true and accurate reflection of the financial ALYSSA TURKOVIIZ No.0171,16044514 condition of the Company as of December 33,2014, f Cluelf1ied in S Westchester cour y Additionally,lcertify that the above financial statements are ti r.y�,`gr��� / / {.'i3iTtmlas1L7f1EY im July 10,2016 M agreement with the Statutory Financial Statements flied with tie`:Texan Nota44ubtl0tate of New York Department of Insurance as of the some date s No.OlIU6044514 WHllam J Gleason Qualified In Westchester County JL4.V P&Tr4asvT[cr Conamissksn Explres July 10,2014