15-0505_Bond_SUR21000012_Pacific Point Dev_TR 15609 Premium: $455.00 SUBDIVISION FAITHFUL PERFORMANCE BOND (GOVERNMENT CODE 66499.2) Bond No.SUR21000012 Replaces Bond No. SUR20000320 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: Water subdivision improvements within Tract 15609 as defined within Amendment#1 and Reinstatement of the Subdivision Improvement A reement for Tract 15609 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 Sixty Thousand Six Hundred Sixty Five Dollars and 00/100 _Dollars, ($60,665.00 ) 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: I. 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 Noint Development Partners, LLC (NOTARIZATION AND SEAL) Its: SURETY: Ironshore Indemnity Inc. (NOTARIZATION AND SEAL) By: zv 1.: . Marga t A. Ginem , Attorney-in-Fact Surety Phone No. C/O WILLIS OF FLORIDA 4211 W BOY SCOUT BLVD,41000 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 California ) County of ) On/I I before me, • �� "prn!dj77tie lf Date . , Here serf Namthe Officer personally appeared 1 ( + 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.OOROI is true and correct. Commission#2088325 WITNESS m hand and official seal. e Notary Public-California y Orange County iM Comm.Expires Oct 31,2018 SignatureA 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: 02014 National Notary Association -www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 S'mate;$ 4 1'0$0. Seal,ris 1-:189 �� 1195:�Qf tlie:��i1 Code-end se�ti�r� $20t of-th6 a erp;Gn it.Co e; telafing-lo riai�.fies—t� i;.'T a liew ysical format ofOip-.neW.disclosure notice,Xs.an mWPIC<.for vg"ses.gHIUSbzagpnU i1 t ry pG]iiic of other ofld,�r coi ipl-t n�# #S: certificate vetifies.only the identity'of the indiwiauai whosigned the d6�Ntaeritjp w.luch.tli�s. certifrcaft,is attached,and not the truthfulness;, �o�;��y��'v�lz'c#aty oi`iha�docur�enrt� Sta d ofCa]iforimia C.Q.unty of Ori 'insert name"andtitle of omccr,laersunally appeared y p peof-4 ,ttrq oo'tho'basis-of satisfactory evidence tohe-,* pe sari{s}` 3 os riarrie(s}is/are su bedtiz %6' *Ahiii-instrument -and acknowledged to me, that helshe/they executed th$ same.in .his/]rer/their ut r[xl eti pacitj+ es), hcid thAt by �io[drfih `4Paf00(r[ ) 'i tt#.fie uistniftnt i}ie [ rsbn(s),.a5r the ;PfItity,bpoh.behalf of",Whia'66 Oeasoil(t).acfed,eitecurted tb6instrui nent, I:.i✓-oti 'under PENH ,'l< "C3t? l' RI R iinde Th laves oP die.Staff of,Cal vrriia .iit the'fer eg®iig paragraph is true anii correct WUNESS io band and offlciak seal, `s 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. -----------r Signature a�� - Anett Cardinale ANETT CARDINALE *: COMMission#FF 138482 r A'enl Expires July 28,2018 Bonded Thru Troy Pain Insurance 800.395.7019 This area for Official Notarial Seal POWER OF ATTORNEY III- 21000012 Ironshore Indemnity Inc. 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 Attorneys)-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-4n-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 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 � SEAL 1919 By; Dane 1.Suss n Director ACKNOWLEDGEMENT On this 7t"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 Publla Slate of Tennessee Davidson Cnty C My Comoumission Ewires 01-19-16 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 setforth are now in force. Signed and Sealed at this 19th Day of May20 15 t� 3 L A aeAl '5n,t , 1!119 * v7 Paul S.GE dano + 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 ossa $63,582,066 Preferred stocks p Reinsurance payable on paid bases and lass e40slment expenses Common stocks 0 31,M,141 loss adjustment expenses $10,394,957 Mortgage loans on real est"Arat bens 0 Cmmmissions payable,oontingenl eomminlons and other similar charges $1,020,805 Mortgage loans on"estate:Other than first liens 0 Other expenses(excluding taxes.licenses and fees) $5,43S,126 Properties occupied by the company 0 Taxes,Rcames and fees(excluding federal and foreign income taxes( $2,383,909 Properties held for the production of Inoome 0 Current federal and foreign Income taxes $2,434,392 Properties held for sale 0 Net deferred tax liability 0 Cash cash equivalent%and short-term Investments $15,637,951 Unearned premiums $29,158,576 Conti loans 0 Advance premium Derivatives 0 Ceded reinsurance premiums payable(net of ceding commissions) $58,222,187 Other invested assets 0 Funds held by company under reinsurance trestles 0 Receivables for securities 0 Amounts withheld or retained by company for account of others Securities(ending reinvested collateral assets 0 Remittances and items not allocated Aggregate write-Ins forinvested assets 0 Provision for reinsurance $1,S4S,075 Subtotals.cash and Invested assets $226,614,039 Net adjustments les assets and tabllitles due to foreign exchange rates Tole plants less$.-,Charged off 0 Drafts outstanding Investment Income due and accrued $990,960 Payable to parent,subsidiaries and aKNates $12,458,110 Uncollected prem urns and agents'balances in the course of collection $73,567,547 Derivatives D Deferred premiums,agents'balances and Installments booked but deferred and not 0 yetdue Payable for securities a Accrued retrospective premiums 0 Payable for securities lending 0 Amounts recovers life from reinsurers $33,586,257 Oablllty for amounts held under uninsured plans p Funds held by or deposed with reinsured companies 0 Aggregate write-Ins for liabilities $4,185,928 Other amounts receivable under reinsurance contracts 0 Total llabllltlesexcluding protected cell liabilities $190,811,131 Amounts receivaee 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 Habiltles $190,811,131 Guaranty funds receivableor on deposit 0 Furniture and equipment,Including health care delivery assets 0 POUCYHOLDEWSSURPWS Net adjustment In assets and liabilities due to foregn 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 aptal stock 5000000 Aggregatewrtle-Ins for otherthanInvested$$sets $7,124,971 Preferred capital stock Total assets excluding Separate Accounts,Segregated Accounts and Protected Cat $347,414,611 Aggregate write;ns for other than special surplus p Accounts From Separate Accounts,Segregated Accounts and Protected Cell Accounts 0 Surplus Notes TOTALS $347414,611 Gross paid In and contributed surplus $156,938,671 Unassigned funds(y urplusj ($5,335,190) Surp:us as regards policyholders $156,603,481 TOTALS $347,414,611 SUBSCRIBED and sworn tome this Y: Mycomrnissc.nexphres. 7•/o /Ss NotaryPubllc G� f CERTIFICATE r Printed Name ALYSSA TURKOVIIZ I terrify that the above financial statements to the lustof my afy Public,State of New YOfIC knowledge arc a true and accurate reflectlon of the financial ALYSSA TU RKOVITL No.01 TU6044,514 condition of the Company as of December 31,2014, - ; - -- .. Quallfled In Westchester County Additionally,Icertify that the above financial statements are =�e� fr � Commission Expires July W 201a In agreement with the Statutory Financial Statements filed with the Trus$ tlotac$Mubllc,State of New Yerk Department of Insurance as of the same date, No.01YU6044514 WRllam J Gleason qualified In Westchester County 9Q,Va kTraU=L- Coramissfon Expires July 10,2014 SUBDIVISION LABOR AND MATERIAL BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000012 Replaces Bond No. SUR20000320 KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development partners LLC (hereafter designated as "Principal"), and Ironshore Indemnitor 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: Water subdivision improvements within Tract 15609 as defined within Amendment#1 and Reinstatement of the Subdivision improvement Agreement for Tract 15609 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 Sixty Thousand Six Hundred Sixty Five Dollars and 00/100 Dollars ($60.665.00 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 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: ti i SURETY: Ironshore Indemnity Inc. &&A4z6z—' 4/to j�XK�- (NOTARIZATION AND SEAL) By: MargaretZ Ginem , Attorney-in-Fact Surety Phone No. C/O WILLIS OF FLORIDA 4211 W 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 Californi ) County of_ _ ' 9 ) I r4_ �_ On 11 Z4 before me, [ ! I A(uDa te a re J sert Name and f1t14 of the Officer personally appeared V 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. .,, Commission 2088325 WITNESS my hand and official seal. z Notary Public-Czlifornla z Orange County My Comm.Expires Oct 31,2010 s r,►,�-.,,. ,,; 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: ElCorporate 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: r Signer Is Representing: 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 eriate 1301110$0, ehas-:Sections a:189 alai, 1 XIS:gf;ttia:Civil ��rle �d ���ti�m 82Q� of't�ie GoVerPMeAt,Co46j t'ela6pg.-Jo rtgtai e ; >rl l m "T'1r ;l eJ�W. hysjca format o ,the nevi disclosure -notice.-is."exappJe; far poses cif i ustratzt ;. .1�YOtary p*ic at other dfider canipl�efii certificate verifies only the id0tity pf the ind vidual who signed the docutnera,to,,hi&tl .cer-ificate.is attached,and nof the trufhfulness� apoi4r4q,o valWity of dIAT do,�urtie t 8tlte bf California. E,6unty of t}� :before me, . �h 'ihsert name''an&btle of offiicerl,Personally appCar$ti .. 'ha droved td rt► oit'the basis of'satisfa�tbiry.eviden a tc, ,tCke-.person(s)v+�haset nanie(s)is/are l2�crlbe t the within °irzstrurnent and acknowledged -to xme,'that'hdshe/they exccuted tbo same_ in .His/her/their autUori tl capaciiy(*), and that;�y.Iislfiexftheir ligbatufe(s) -qn#lie itistrufnOf tbO j*rsb i(s),.cif the —e ititxtipaia,behalf of'w�ich-the pefsosi("),acted,.ekdeatedthe;.ipsirmi mt, I:.Cerkif .OFF UIZX under.:klae Jaws of t e.Stato of California ith. t tl2s forte aii paragraph is true au&correct- WUNESS40 hAnd and oficla.sear, r �ignatare �Seal� F 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 writt yy Signature Anett Cardinale ^t ANETT CARDINALE E-,,� Commission#FF 138482 Z;4 Bonded Thru TroyExpires July o19 This area for Official Notarial Seal I POWER OF ATTORNEY III- 21000012 Ironshore Indemnity Inc. 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 Attorneys)-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-1n-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. -�pp99R�tji 6eA� r•� 1919 By. Dane L.Sus 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. AMY L aAYLOR Notary Wk.61 le of Tennessee +. DdVld—County Myr y Commisslon Expires 01-09-16 Amy L.Tay ,'�`'; 1nvt„'.a'•. - Notary Fi0c 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 191h Day of MayZp 15 t.'`�P4oq*r $FA4 1419 1 Paul s.Gf dans 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 3NDEMNRY INC FINANCIAL STATEMENT SUMMARY As of December 31,2014 ASSETS LIABILITIES Bonds $179,140,947 Losses $63,582,066 Preferred stocks p Reinsurance payable on paid losses and Inns adjustment expenses Common stocks 0 31,840,141 less adjustment expenses $10,384,957 Mortgage loans on real estate:Arst kens 0 Commissions payable,contingent oommistions and other similar charges $1,020805 Mortgage loans on real estate;Other then first liens 0 other expenses WOuding taxes.licenses and fees) $5,435,126 Properties occupied by the company 0 Taxes,licenses and fees(exdudmg federal and foreign income taxes) Properties $2,383,909 p production of income 0 Current federal and foreign Income fixes $2,434,392 Properties held for Me 0 Nat 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) $58,222,187 Other invested assets 0 Funds held by company under reinsurance treaties 0 Receivables for securities 0 Amounts withheld or retained by company foraecountofothen Securities lending reinvested colhtera assets 0 Remittances and items not allocated Aggregate wrlteAns forinvested assets D Provision for reinsurance $1,545,075 Subtotals.cash and Invested assets $226,614,039 Net adjustments In assets and tabllltles due to foreign exchange rates Tide plants Ins$,.;Charged off 0 Drafts outstanding Investment Income due and accrued $990,960 Payable toparent subsidiaries and affiliates $12,458,1.10 Uncollected premlumsand agents'balancesInthe course Ofcollection $73,567,547 Derivative: 0 Deferred premiumsr a{ente balances and installments booked but deferred and not 0 payable for securitiesyet due 0 Accrued retrospective premiums 0 Payable for securities lending 0 Amounts recoverabie from reinsurers $33,58Q257 Liability foramounts held under uninsured plans 0 Funds held by or deposited with reinsurcdcompanies 0 Aggregate write-Ins forllabllkaes $4,185,828 Other amounts receivable under reinsurance contracts 0 Total liabilities excluding protected eefiliabllides $190,811.131 Amounts receivab a 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 Totalkabilitiet $190,811,131 Guaranty funds receivable or on deposit 0 Furniture and equipment,including health care delivery assets 0 POUCYNDLDERSS SURPLUS Net adjustment In assets and liabilities due to foregn exchange rates D Aggregate waste-Ins for special surplus funds 0 Receivables from parent subsidiaries and affiliates 0 Nealth are and other amounts receivable 0 Common cap tal stock 5 000 000 Aggregate write-Ins for other than Invested assets $7,124,971 Preferred capital stock Total asset.excluding Separate Accounts,Segregated Accounts and Protected Cat $347,414,611 Aggregate write;ra for other than special surplus 0 Accounts From Separate Accountr,Segregated Accounts and Protected Cell Accounts 0 Surplus Notes TOTALS $147,414 611 Gross paid In and contributed surplus $156,938,671 Unassigned funds(surplus! ($5,335,190) Surp t"as regards policyholders $156,603,481 TOTALS / $347,414,611 SUBSCRIBED and sworn to methlsrysdayofHq)l ,'Py3/rj -•� r;' My commatsc n expires ']'.to— NotaryPublic CERTIFICATE i ry Phited Name ALYSSA TURKOVITZ I certify that the above financial statements to the best of my Note"Public,State of New York knowledge area true and accurate renectionofthe nnanclal ALYSSAITURKCIVII17 No.01TU6044514 condition of the Company as of December 31,2014, Oua pried M Westchester Courtly Addklonally,I certify that the above flnenclal statements are :.� l,rs„` 1114w. you '# Cot ]"l Expirm July 10.2018 In agreement with the Statutory Financial Statements filed with liar,Texas Notag10,bilc,state or"ew York -� Department of Insurance as of the same date. No.01TU60WS14 William Gleason Qualified In Westchester County gFD_yPJUM*surdf Commission Expires July 10,2014