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15-0505_Bond_SUR21000020_Pacific Point Dev_TR 15687 Premium: $225.00 SUBDIVISION FAITHFUL PERFORMANCE BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000020 Replaces Bond No. SUR20000323 KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners LLC (hereafter designated as "Principal"), and Irorrshore 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: Monument subdivision improvements within Tract 15687 as defined within Amendment#1 and Reinstatement of the Subdivision improvement Agreement for Tract 15687 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 Ten Thousand Five Hundred Dollars and 00/100 Dollars, ($10,500.00 ) 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: SURETY: Ironshore Indemnity Inc, (NOTARIZATION AND SEAL) By: �r . MargarekkGinern , Attorney-in-Fact Surety Phone No. C/O WILLIS OF FLORIDA 4211 W.BOY SCOLRBLVD,#1000 TAMPA, FL 33607 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 } ) Count of ! ) + On I before me, Date ff' re Insert 04mePnd Title a Officer personally appeared l + 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. e Commission#2088325 x WITNESS my hand and official seal. Notary Public-California 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(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 i Sepate-Bill 1,0$0, amehd'g":'gectiorig 1:189 tib4l 1195'-6 `he:dvit Lode"and Seaivi 9102-of"the Ye :Code; relating-to noi%ies:li�blie Ikie,liel b 1 ys cal format"oft ie tierov disclosure ptice.is;an example, for pwruses f iTlt>stira-i m A M-My public of other officer corriplpfing this cerfiflote verifies.only the identrty of the ind v' dual who sib ed.the domme it,tt 'hichthis certificate.is attached,and not the trrithTUJness, accurgLdy,Os validityo that"ddcuwnt Stat bf C-liforniA .ounty bf n ":before me ! ChD .ihsext name and"f tle ofofftcee5,personally AppeaMd , -- — who .PPYed XO W ota'the bas'i's of satisfactory-evjdence to b4Ihe penOTI{s)Aose riarne{s) sl�re." scritreil tf: %e.*!hid•instrament.and acknowledged to me-'that: h0shelthey exeouted the same:in his/her/their. au#lt4 ? #i s ipaciiy es}, 00d-I*.by l islkier/then' t nat ite{s onthe t strufaoi ztt f e" evson(s),, r i the ;etitityti ,lreha]fofwhiphthepersoji(s).acted;.ekeeutedth&,instruruenf, 1; eikify'itrider PEN;Ati;TS' pl? 1? R6U1Y iiridec tae ] fie.Stag oalifarnia fat the"£orgor% p�l�ph is true andcarrert WTINESS itiy.liand and..officid-se i ; SgaCurea -- -- (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 written. Signature Anett Cardinale ANF7 CAROINALE Commission#FF 138482 , ,•�= Expires July 28,2018 i 11 Bonded Thru Troy Fein Ineurerm 800385.7010 This area for Official Notarial Seal P©WER Of ATTORNEY Ironshore Indemnity Inc. III- 21000020 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 seal of the Company thereto. Any said execution of such documents by an Attorney 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 he 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. a,:, - SEAL 1919 'f By: Dan a L.su&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. �ShYj )MY � �J AMYL TAYLORn/,r,� `�TPublic-Slate of Tennesseev vW 6DavidsoCountyyCommission Expires 01-09-15 Notary Pubfk 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 HEAL 1 1a1f "1 �cae' Pauls-61 ann ` 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 Losses $63,582,066 Preferred stocks 0 Reinsurance payable on paid losses and loss axqustment expenses 0 Common stocks 31,e40,141 Loss adjustment expenses $10,384,957 Mortgage loans on real estate:Tint lens 0 Commissions payable,contingent commission and other similar charges $1,0204805 Mortgage loans on real estate;Other then first liens 0 Other expenses(excluding taxes.licenses and fees) $5,435,126 Properties occupied by the company 0 Taxes,licenses and fees(exdudrng federal and foreign income taxes) $2,383,909 Properties held for the production of Income 0 Current federal and foreign Income taxes $2,434,392 Properties held for We 0 Net deferred tax liability 0 Cash,cash equivalents and short-term investments $15,632,9S3 Unearned premiums $29,158,576 Contract brans 0 Advance premium Derivatives 0 Ceded reinsurance premiums payable(net of ceding commissions) $58,224187 Other invested assets 0 Funds held by company under reinsurance treaties 0 Re lvaNits for securities 0 Amounts withheld or retained by company for account of others Securities lending reinvested coilaterai assets 0 Remittances and Items not allocated Aggregate wrlteansforJnvested assets 0 Provision for reinsurance $1,545,075 Subtotals.ash and Invested assets $226,614,039 Nat adjustments In assets and tabllltlesdue toforeign exchange rates Title punts less$..,charged off 0 Drafts outstanding Investment Income due and accrued $990,960 Payable to parent,subsidiaries and affiliates $12,458,110 Uncollected prem 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 Payable for securities 0 yet due Accrued retrospective premiums D Payable for secudtles lending 0 Amounts recoverabtefrom 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 $4,195,928 Other amounts receivable under reinsurance contracts 0 Total liabilities excluding protected cell liabilities $190,811,131 Amounts receivaKe relating to uninsured plans 0 Pretectedcel IWbiImes . Current federal and foreign income tax recoverable and Interest thereon 0 Net deferred tax asset $5,530,837 Toted Rabllities $190,811,131 0 Guaranty funds receivableor on deposit Furniture and equlpmeK Including healthcare delivery asses 0 POUCY14MDEIWS SURPLUS Net adjustment In assets and liabilities due to fore gn 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 aµtal stock 5 000 000 Aggregate wr12e-ins for other than Invested assets $7„124,971 preferred capital stock Total assets excluding Separate Accounts,Segregated Accounts and Protected Cele $347,414,611 Aggregate write=m far other than special surplus 0 Accounts From Separate Accoants,Segregated Accounts and Protected Cell Accounts 0 Surplus Notes TOTALS _. $347,414,611 Gross paid In and contributed surplus $155,938,671 Unassigned funds(surplus; ($5,335,190) Surp in as regards policyholders $156,603,481 TOTALS $347,414,611 IV SUBSCRIBED and swom to me this"day of Mycomrrdsslanexperes.; 7-/O'/T Notary Public ALYSSA TURKOVITZ CERTIFICATE Pri«tad Name Notary Public,State of New York I certify that the above financial statements to the bestof my No.01 TU6044514 knowledge are a true and accurate reflection of the Financial ALYSSATURKOVITt ❑Ueiifltad In Westchester C€w rity condition of the Company as of December 31,2014, Addlllona , f@fl JUIrlly,l certify that the above financial statements are f,✓9l --;” . in agreement with the Statutory FlnanclalStatements filedwith the,Texas Nota.tg.MublJc,$tateofNewYOrk__,_ 1 Department of insurance as of the same date, el No.O1TU6044514 WBllam 1 Gleason Quall8ed In Westchester County 9-Q,yU rMt1- 1L Coramission Expires July 10,2014 SUBDIVISION LABOR AND MATERIAL BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000020 Replaces Bond No. SUR20000323 KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners LLMC (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: Monument subdivision improvements within Tract 15687 as defined within Amendment#1 and Reinstatement of the Subdivision Improvement Agreement for Tract 15687 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 Ten Thousand Five Hundred Dollars and 00/100 Dollars ($10,500.00 ) 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) Its: r� ..o��Z u.�ar SURETY: Ironshore Indemnity Inc. (NOTARIZATION AND SEAL) By: Margar . Ginem , Attorney-in-Fact Surety Phone No. C/O WILLIS OF FLORIDA 4211 W.BOY SCOUT BLVD#1000 page 2 of 3 TAMPA, FL 33667 INQUIRIES.(813)281-2095 APPROVED AS TO FORM: By: NOTE: Please attach Acknowledgement and Power of Attorney Page 3 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLIEDGMENY 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 ) Coun of ) rn I ►'�1�1 b On before me, Date II' Ne lass anW and Ttl f the Officer personally appeared l 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. Notary Public-California Orange County f d My Comm.Ex Ices Oct 31,2018 Signature to 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(lies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer —Title(s): _ - ❑ Partner — ElLimited ❑General ❑ Partner — ElLimited El Ge ❑ 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 `$e ate,NfT 105:0; ez s:Sectiojig, :1189 wid. X9 :of;fha:Gxv ac1e Kaci seotfo— 8 2 of the oYef.Cace, elating:�o xi�ic�s,pultl �..Tlie bel�gav'15h}+sca� format ofcYosiire xz+at cSJ§- n�XaMple,for'1?W.oses of iliustira#op, X wity public off'other ofbcex 6oi4OIgirtgthi.s certificate vedfies onlythe identity 6f the"indiu pal viiia"signed the d6opMea to,vbiA.t s cerfifwata-is attached and not the truthfulness; Acoilr9y,or v.4&jty cif that,doourient. .State af(aIifbmi.a. -.aunty of Oil _ before Tne, __ e `insert name and title ofofficerj,personally appeared T r hn -provgd XO)At ora the basis,of satisfactory evidence to bgthe.po on(O Whose names)is/4re su6scribed:to. tie vva#hiii-•instriunent and acknowledged 4o -me-•thait;helshelthey ex u#ec# the.same:.in1.hi�s/herltheir y, Y Pth r xeti rapacity es), tLgd that by}is/horltfi* "s PA .v--W '00,:the'Wtraiolt �e V�rson(s),.cir Ole ;4Atity upaft-behalf of which'ffie pefsWi( )J ted,ekecnted th&.Ias#ruioent;. 1, ert fj+ iiiider PENALT 'OF.' 1? R1tIRi rider.A laws 'of tie.St��of California khat the i�c+r�egoai� paragraph f true and,correct WITNESS-niy.lxand and officiak seat. r Sigaaturei (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 writte s Signature Anett Cardinale :;� •. ANETT CARDINALE Commission#FF 138482 ..q 'T �6Tz Expires July 28,2018 Bonded Thru Troy Fern Ineurence 900.385.7018 This area for Official Notarial Seal POWER OF ATTORNEY ill- 21000020 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 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 tile 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 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 bund 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. 9EAL - 7919 4eL. 9y:Dass n Director ACKNOWLEDGEMENT On this 7th Day of August,2013,before me,personally came Daniel L.Sussman tome 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 TAYLOR —L Notary Public-Stale of Tennessee Davidson County - My Commission Expires 01-09-19 Akmy L.Tayl 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 Zp 15 GfAL 4 { 19191915 Paul S. 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." IRONSNORE INDEMNITY 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 loss adjwlment expenses 0 Common stocks 31,840,141 Loss adjustment expenses $10,384,957 Mortgage loans on real estate:Arst Lens 0 Commissions payable,contingent commissions and other similar charges $1,020,805 Mortgage loans on real estate,,Other than first liens 0 Other expenses(excluding 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 $2,434,392 Properties held for We 0 Not deferred tax liability 0 Cash,cash equivalents and short-term investments 515,632,951 Unearned premiums $29,158,576 Contract loans 0 Advance premium Dwivadves 0 Ceded reinsurance premiums payable(net of cedkhgcommisslons) $58,222,187 Other invested assets 0 Funds held by company under reinsurance treader 0 Receivables for securities 0 Amounts withheld or retained by company for account of others Securities lending reinvested colhteral asseb D Remittances and items not allocated Aggregate wrlte-Insforinvestedassets 0 Provision for reinsurance $1,545,075 Subtotals.cash and invested assets $226,614,039 Net adjustments In assets and lablikles due to foreign exchange rates Title plants less$..,Charged off 0 Drafts outstanding Investment income due and accrued $990,960 Payable to parent,subsidiaries and affiliates $12,458,110 Uncollected prom.urns and agents'batancesinthe course ofcollection $73,567,547 Derivative 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 recoverable fromrelmurers $33,586,257 Liability for amounts held under uninsured plans 0 Funds held by or deposited with reinsured companies D Aggregate write-Ins for liabilities $4,185,928 Other amounts receivable under reinsurance contracts 0 Total liabilities excluding protected ce011abindes $190,811,131 Amounts receivake relating to uninsured plans 0 Protected cell liabllltles Current federal and foreign income tax recoverable and Interest thereon 0 Net deferred tax asset $5,530,837 Total Babilities $190,811,131 Guaranty funds receivable or an deposit 0 Furniture and equipment,Including health are delivery asseb 0 POUCYHOLDERYS SURPLUS Net adjustment In assets and liabilities due to foreign exchange rates 0 Aggregate wnte-Ins for special surplus funds 0 Receivables from parent,subsidiaries and affiliates 0 Health are and other amounts recelvable 0 Common capital stock 5000000 Aggregate write-ins for other than Invested assets $7,124,971 preferred capital stock Tobi assets excluding Separate Accounts,Segregated Accounts $347,414,611 and Protected CeP Aggregate write-tns for other than special surplus p Accounts From Separate Accounts.Segregated Accounts and Protected Cell Accounts 0 Surplus Notes TOTALS $347,4;d,6.31 Gross paid In and contnbuted surplus $156,938,671 Unassigned funds(a urplus; ($5,335,190) Surp'us as regards policyholders $156,603,481 TOTALS , $347,414,611 SUBSCRIBED andswom to metl lsyf u';a'of1113 p'S MYrommisftnexpires, 7-/0—/T r � Noaryfwbllc CERTIHCATE Prihted Name ALYSSA TURKOVITZ I certify that the above financial statements Public State of New York tements to the bestof my No.01 TU6044514 knowledge are a true and accurate reflection of the flmntiat ALY5SA TU RKOVTrZ condition of the Company as of December 31,2014, r QLlailfted h1 Westa teWer.Courcy Addklonelly,Icertifythatthe above financial statements aa4 �,,�r',; y7rC 1Al2. � E7L}�ir@S,�LilytQ,2(118 In agreement with the Statutory Financial Statements filed with tht Texas 'No"A-ubitA,State of New York `*I Department of Insurance as of the same date, r No.01YU6044514 Wflllaml Gleason ouanned In Westchester County CED,VPS Treasurer_ Coramissfon Expires July 10,2014