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15-0505_Bond_SUR21000007_Pacific Point Dev_TR 16752 Premium: $7,402.00 SUBDIVISION FAITHFUL PERFORMANCE BOND (GOVERNMENT CODE 66499.2) Bond No.SUR21000Q07 Replaces Bond No. SUR20000342 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: Street subdivision improvements within Tract 16752 as defined within Amendment#1 and Reinstatement of the Subdivision improvement Agreement for Tract 16752 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 Nine Hundred Eighty Six Thousand Nine Hundred Thirty Two Dollars and 00/100 _Dollars, ($9$6,032.00 ) 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) Margam F+. Ginem , Attorney-in-Fact C/O WILLIS OF FLORIDA Surety Phone No. 4211 W.BOY SCOUT BLVD,#1000 TAMPA, FL 33607 INQUIRIES:(813)2812095 Page 2of3 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 Co6unty f ) On 1 before me, 1�G pat Here Insert Name d Title of t e facer personally appeared -Phil, - 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. °^. Notary Public-California n Orange County M 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(ies) 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: ©2014 National Notary Association -www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 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 writte . Signature Anett Cardinale r;�ti�ts'•rvy,�, ANETT CARDINALE -, Commission#FF 138482 t r Expires July 28,2018 _y Bonded Ihru irvy Fein Insurance 000.3057018 This area for Official Notarial Seal e re.Pill I0% am-dAds--get-tioiis 1 l$9 aid ��95'q�tho Giv�l i�a�e std �eGtiq�i S�QZ of�fi e nt.Co ; telatang fo notmires:pitblib.'TWO,l eW.physical format of hip,hew dis.closiire natice,ls:an exarnple; for purposes ofiRusir4mn_ A bOOO.public of other officer 6oir00 nb thi'$: certifscate verifies only the identity of the indivI)nal whc.sunned the dou erit,t vlilcn ides: certificate.is attached,and not the trathfulnessh �C_Wradyl,Ot velzdity of that_60upiem 844te of California County of OM befare ine, ere insert nanie and title 4,officerj, pen 4,ppeorad AID prove-d to tA�,oil-the basis ofsatishctoty eYidence to be-the,person(s)Whose narpe(s)1s/4re suiiscgbedtp.. ,he withiri -i'&rwnent.and acknowledged -to me that he/she/they executed the.same,-'in his/bef/their autbprizet capacity(ies , Ond that.6 )iislhdrltf.eu Sigxatjire(s) '� the-iristrutit�pt je terson(s),: tir the entity upon behalf of whiph'tlie pefsoji(s)acted,executed t}ie:instrLut imt, Z,wflly v0der. PE14. L t Y,01? 'Elt]U, Y iirid�r.tlae laws ol`the.State 6f Callfori�ia tot th6 fo iego parmgcaph is true and carrea- WTI NESS fiiq hAnd aid official;seat. Sigature.; --- (Sea]): r POWER UP ATTORNEY Ironshore Indemnity Inc. III- 21000007 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 ,duty 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. sFxL re a By: Oan a L.5uss 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. AMYL TAYLOR .1.1 Public-State or Tennessee z z Davidson County'�, Am L.Tayl Q .•�',�,.' My Commission Expires 01-09-16 Y Y Notary Pu6fC 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 19Ih Day of MayZp 15 G 8F✓•L��i. m1e �s+` l•° ice/ Pauls.al dano 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 fNDEMNITY INC FINANCIAL STATEMENT SUMMARY As of December 31,2014 ASSETS LIABILITIES Bonds $179,140947 mases $63,582,066 Preferred stocks p Reinsurance payable on paid losses and loss adjustment expenses 0 Common stocks 31,840,141 loss adjustment expenses $10,384,957 Mortgage loans on real estate:lint kens 0 Commissions payable,contingent commissions and other similar charges $1,020,805 Mortgage Irons on real estate,,Odw then first Ilem 0 Other expenses(excluding taxes,licenses and fees) $5,435,126 Properties occupied by the company 0 Taxes,licenses and fees(exdudaug federal and foreign income taxes) $2,383.909 Properties heldfor the production of income 0 Current federal and foreign Income taxes $2,434,392 Properties held forsa'.e 0 Not deferred tax liability 0 Cash,cash equivalents and short-term investments $15,63Z951 Unearned premiums $29,158,576 Contract loam 0 Advance premium DetivatWes 0Coded reinsurance premiumspayable(riot ofcoding commissions] $58,222,187 Other invested assets 0 Funds held by company 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 for7nvestedassets 0 Provision for reinsurance $1,545,075 Subtotalc cash and Invested assets $226,614,039 Net adjustments In assets and labliftles due to foreign exchange rates Title plants less$,,,Charged off 0 Drafts outstandtng Investment Income due andaocrued $990,960 Payable to parent,subsidiaries and affiliates $12,458,110 Uncollected preps urns and agents'balances in the course of collection $73,567,547 Derivatives 0 Deferred premiums,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 recoveraWefrom reinsurers $33,586,257 Liability foramounts held under uninsured plans 0 Funds held by or deposited with reimuredcompanles 0 Aggregate write-ins for liabilities $4,185,929 Other amounts receivable under reinsurance contracts 0 Total liabilities excluding protected cell Ilabllldes $190,811,131 Amounts receivabe relating to uninsured plans 0 Protected cell liabilities Current federal and foreign income tax recoverable and Interest thereon 0 Net deferred tax asset $S,530,837 Total liabilities $190,811,131 Guaranty funds receivable or on deposit 0 Furniture and equipmem,Including health care delivery assets 0 POUCYHOLDEW5SURPLUS Net adjustment In assets and liabilities due to forrcgn exchange rates 0 Aggregate wnte-Ins for special surplus funds 0 Receivables from parent,subsidiaries and affiliates 0 Health are and other amounts receivable 0 Common aotal stock 51000.000 Aggregate wrHrinsfor other than Invested assets $7,724,971 Preferred capital stock Total assets excluding Separate Accounts,Segregated Accounts and Protected Cat, $347,414,611 Aggregate writer m for other than special surplus p Accounts From Separate Accounts,Segregated Accounts and Protected Cell Accounts 0 Surplus Notes TOTALS $347,434,611 Gross paid in and contributed surplus $156,938,671 unacslgned fundslsurplus; ($5,336,190) Surp us as regards pollcyholders $156,603,481 TOTALS $347,414,611 SUBSCRIBED and swomtomattdsday of My eomrNsscrt expires: 7•/U I r5 �z�, Notary Public CERTIFICATE Pfiited Name ALYSSA TURKOVIV I certify that the above financial Public,State Of NOW York al statements to the best of my AIO.01TU6044514 knowledge are a true and accurate reflection of the finarI&I ALYSSA TURKOVIT2 condition of the Company as of December 31,2014, Quallfied in Westchester Gw" Additionally,Icertify that the above financial statements are { ;s;.A.?.:-� -?"' Qx sionExpires July 10,201Fi In agreement with the Statutory Financial Statements filed with 0*,Texas Nora lq,%bi It,State of Neve York "f Department of Insurance as of the same date, No.O1TU6044514 WRIIamJ Gleason Qualified In Westchester County CFO.yp&Tre15yri ef, Commission Esrplres July 10,2014 SUBDIVISION LABOR AND MATERIAL BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000007 Replaces Bond No. SUR20000342 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: Street subdivision im rovements within Tract 16752 as defined within Amendment#1 and Reinstatement of the Subdivision improvement Agreement for Tract 16752 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 Nine Hundred Ei h Six Thousand Nine Hundred Thirty Two Dollars and 00/100 Dollars ($986.932.00 ) 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 1 stn 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: . S, Its: ., ®� SURETY: Ironshore Indemnity Inc. (NOTARIZATION AND SEAL) By: Marga t A. Ginem , Attorney-in-Fact vs1ILL15 OF FLORIDA. Surety Phone No. 4211 V+T 9QY°COUi OWD Mow `FAMPA, FI.33607 i CdVIRIES:(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 to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California /j ) County of f (I ) f,-, On 1 before me,41 tl��l / Date re I serf ame and T7t1 of the Officer personally appeared �y _4 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.CORD[ is true and correct. Commission#2088325 WITNESS my hand and official seal. -.� Notary Public-Czlifornla 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): _ ElPartner — ElLimited ❑General ❑ Partner — ElLimited ElGeneral _ ❑ 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.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 i l 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 writte Signature Anett Cardinale :"rr,, ANETT CARDINALE :.: Commission#FF 138482 • ���.,= Expires July 28,2018 •„R rti� bonded Thru Troy Fele Insurance 804385-701B This area for Oficial Notarial Seal Sedate dill IO$0, hrtldil0s.:Sections xA 99 ani. 110 of he':C-MR-todt �Wa Sec#i itz 9-20-of the .GoVen t4e4t.Co e;re ai%rtg to nqt es.pi�bj!b."The:be -Piysical format of the. rieav dis.olosure 4g0cej4_ari exainplq fqrpm posq pf illustra#axe A Yib%arypublic of oth&6f icer eo#ip ting W's: certificate verifies ondy the id6ntity-of the individual who"igiied the doiauiue..rix.i a wlilch .certificate,is attached,and not-the truthfulnessi gcoi rOy;Ci -04Wity off't.b4t.docu�ien#� Statex ofCaliforiiia .C.ounty.of oil 'insert mane and title o-f Officer},Pe!S-O nadly appwed. vvbq pto+.e'd to 1ci on td basis,of4atisfagory evidoAd--tri b4'the pexSui(&'} whose barrie(s}ssla�e sudi_scrjbed to ;the 'wifti -instrument and acknowledged -to me,'that h0shelthey excouted the same:in .Es/her/their uLb l t o pactty(es), "d that:tiy. 3slherltheix'st natute(s} -oft the iaisirufneilt e ¢rson(s),:o the �Wjtitytipp. h.d ehadf of"wditcdi"tdie perst]ii('s , ted;executed tIki.instrament, I ertify'4'jder PE1V;AL`T OF'PM ORX ii.tider.0c )avis Qt tie-Stato p,f'Cali.forma dot the'A&OgOz*- paragraph is true and.correct WITNES-Smy hAnd aid 6'M64—sea'[, Sxgz]atute __ (Sea)}. I POWER OF ATTORNEY Ironshore Indemnity Inc. 111- 21000007 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 duty 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 duty executed and acknowledged by the regularly elected officers of the Company.Any Attorney-fn-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. SEAL r 7979 aSuss By:d 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. AMYL TAYLOR _ Notary Public-State of Tennessee ,..d. 7 tt-n County _a My 1.,nVN e'...E..f+lms of-09-is Amy L.Toy 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 May20 15 -�OyaOTy'J�i r fiF.AL }a!a P2e�i S. _ 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 losses $63,582,066 Preferred stocks 0 Reinsurance payable on paid losses and loss adJushnent expenses 0 Common stocks 31,840,141 Lou adjustment expenses $10,384,957 Mortgage loans on real estate.fart kens 0 Commissions payable,oontingent commissions and other similar charges $1,020,80S Mortgage loans on real estate;Odwthen first liens 0 Other expenses(excluding taxes.licenses and fees) $5,435,124 Properties occupied by the company 0 Taxes,licenses and few(exdudkaQ federal and foreign Income taxes) $2,383,9D9 Properties hold for the production of Income 0 Current federal and foreign Income taxes $2,434,392 Properties held for sale 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 premiums payable(net of ceding commissions) $58,222,187 Other invested assets 0 Funds held by oompany under reinsurance trestles 0 Receivables for securities 0 Amounts wlthheldor retalned by company for account of others Securities lending reinvested collateralassets 0 Remittances and Items fiat allocated Aggregate write-Ins forinvested assets 0 Provision for reinsurance $1,545,075 Subtecals.cash arid Invested assets $226,614,039 Not adjustments In assets and tabllltles due toforeign exchange rates Title plants less$..,Charged off 0 Drafts outstanding Investment Income due and accrued $99(,960 Payable to parent subsidiaries and of hates $12,458,110 uncollected prenrumsand agents'batancesInthe course ofcollection $73,567,547 Derivatives 0 Deferred premiums,agents'balances and Installments booked but deferred and not 0 Payable for securities yet due 0 Accrued retrospective prem ums 0 Payable for securities lending 0 Amounts recoveralee from reinsurers $33,5861257 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 liabilities excluding protected call liabilities $190,811,131 Amounts receivahe relating to uninsured plans 0 protected cell liabilities current federal and foreign Income tax recoverable and Interest thereon 0 Net deferred tax asset $5,530,837 Total liabilities $190,811,131 Guaranty funds receivable or on deposit 0 Furniture and equipment,Including healthearadelivery assets 0 POUCYHOLDL7tS'SSURPWS Net adjustment In assets and liabilities due to foregn exchange rates 0 Aggregate wntrins for special surplus funds 0 Reeelvablesfrom parent'subsidiaries and affiliates 0 Health are and other amounts receivable 0 Common capital stock 5 000 000 Aggregate write-Ins faatherthanInvested assets $7124,971 Preferred capital stock Total assets excludingSeparate Accounts, $347,414,611 W Segregated Accounts and Protected Cat, Aggregate vmlpt;ns for other than special surplus 0 Accounts From Separate Accounts,Segregated Accounts and Protected Cell Accounts 0 rp Su lus Notes TOTALS 5347 414 611 Gross paid In and contributed surplus . $156,938,671 Unassigned fundstsurplus,' 1$5,335,190) Surp'us as regards policyholders $156,603,481 TOTALS $347,414,611 SUBSCRIBED and s orn to ma this'y-r1day of HAj My mmmfs-:'n expires f A 7r +-^► ,f° 1't '�- NotaryPublic CERTIFICATE Printed Name ALYSSA TURKOVIIZ 1 certify that the above financial statements to the bestof my Notary Public,State Of New York knowledge area true and accurate reflection of the Nnanclsl. ALYSSA TUNKOM No.U1 TU6044514 condition of the Com panyas of December 31,2014, .�-,; OuallfieCj In Westchester C,Ck,fnly Additionally,I certify that the above fins nclaI statements am t C-L3Tilt Lcri Sr1 Expifw9rt3 July 10,2019 In agreement with the Statutory Financial Statements filed with the Texas -N4talC, bllq State 0114m York Department of Insurance as of the same date r No.01TU6044514 WN[lam 1 Gleason qualified in Westchester County CFO,VP Ureasy),ti. Commission Expires)uty 10,2014