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15-0505_Bond_SUR21000025_Pacific Point Dev_TR 16749 Premium: $643.00 SUBDIVISION FAITHFUL PERFORMANCE BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000025 Replaces Bond No.SUR20000334 KNOW ALL MEN BY THESE PRESENTS, that Pacific Paint Development Partners LLC (hereafter designated as "Principal"), and Ironshore Indemni 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 16749 as defined within Amendment#1 and Reinstatement of the Subdivision Improvement Aareement for Tract 16749 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 Ei hty Five Thousand Six Hundred Seventy Three Dollars and 00/100 Dollars, ($85,673.00 ) 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) NO SURETY: Ironshore Indemnity Inc. (NOTARIZATION AND SEAL) By: F 1 Margar A. Ginem , Attorney-in-Fact Surety Phone No. C/O WILLIS OF FLORIDA 4211 W.0 O SCOUT BLVD,#110oo TAMPA, FL 33607 Page 2 of 3 INQUIRIES-(813)261-2095 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 ditcument3o-whiclLft certificateis attach ecir and nst ttie twt#+f+mess;a(;Guraey;or va+idity-af b State of California ) Coun of C ) &d, On I before me, Date H Insert Name and Titl the Officer personally appeared I . 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#E 2088325 WITNESS my hand and official seal. z :_ Notary Public-California Z Orange County My Comm.Expires Oct 31,2018 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above. F 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(1-800-676-6827) Item#5907 ACKNOWLEDGEMENT BY SURETY ST. _ OFF-L 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 ANETT CARDINALE COMMJSSiOn#FF 13B482 =� Expires July 28,2018 ''�.A,F,�`' 8urwad lacy Fdii,Imumw 8QA3&i.a01B This area for Official Notarial Seal l . -:spctons95=oMij,C. v M-66- wii ectioxi . . . Of Ob.Ye ent:Code;.t elatinglo notaries:publib."M;bel(?ttii thysicaY format o. xiew disclosure .p. Uce,js, example; for pur.q�q of iaust*jurt, A Yiot .pOlic of other Ofi,eef completing thh: cerfificati vetifies only the identity-6f the individual who,sighed,the do!�utnarit to which his. certificate:is attached,and not the truf ifulness, Sfa#e of California. .6unty of Ort _ .,-. ..before rne,_ este insert name,anii title ofnfl'xcer},personally appeared v✓hcr. pro!vf,d t+ tP.oii"thg bg.s s.of satisfactorxy.evidence t,otie the: ers ri{s)wlias n4meO isl�;e subscdbed to the withiri in rmnent and ackaowledged to me that:helshelthey executed iho.same:in his(her/their autl3tu ized capacity{ses , M.I d tljait;by..his hoAthek`fth4tute(s)' 4n the ItistruoJelit tie ersop(s),.of 016et�tit},!h�fi -Behalf of-whj4;t I.6 persoii+(t),acted,.ekecufed OW-instr+siuent, I, erk#j+'itiider}'ENAT,Z `�l' RY iiridu The Jaws 'of tie.State of Califciriiia f at the foie goii paragraph is true and'.correc WITNESS inyl and aiid..officiak seal: r gnafure (Sea)): DOWER OF ATTORNLY Ironshore Indemnity Inc. lit- 21000025 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 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 or other writings obligatory +a nature-Gf a- ond-notle-ex ,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 a uthority so granted may be revoked as specified i n 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,2413 IRONSHORE INDEMNITY INC. wroy{rr SEAL e ISIS By: Da4,1- 1-�Iws in Director ACKNOWLEDGEMENT On this 7 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. _`,M1'` •e. ,'� AMY L TAYLOR ; NotaryPublic-Slate of Tennessee Davidson County My Commission Expims a1-a9-16Artly NoL Tayi tary Publle 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 I!wr SEAL feast PaulS.Gi 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 Lasses $63,582,066 Preferred stocks 0 Reinsurance payable on paid losses and loss adjustment expenses 0 Common stocks 31,840,141 toss adjustment expenses $10,384,957 "age loans onreal estatcNritkens 0 Commissions payable,contingent commissions and other similar charges $1,020,805 Mortgage Irons 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 foes(excluding federal a nd forelgn Income taxes) $2,381,9m theproduE#ia+r0M le 0 Cli rrml MUIR anil 1weign Womme taxes $2,+34,392 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 company under reinsurance treaties 0 Receivables for securities 0 Amounts withheld or retained by Company for account of others Securities lending reinvested collateral assets 0 Remittances and Items not allocated Aggregate write-ins forinvestedassets 0 Provision for reinsurance $1,545,075 Subtotals.rash and Invested assets $226,614,039 Net adjustments In assets and&abilities due to foreign exchange rates Title plants less$."Charged off 0 Drafts outstanding Investment Income due and accrued $M960 Payable to parent,subsidiaries and afOfistes $12,458,110 Uncollected premums 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 yet due 0 Accrued retrospective premiums 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-Ira for liabilities $4,185,928 Other amounts receivable under reinsurance contracts 0 Total liabilities excluding protected call liabilities $198811,131 Amounts receivabce 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 Nab Itties $190,811,131 Guaranty funds receivable or on deposit 0 Furniture andequlpmentincluding health are delivery assets 0 POUCYNOLDERVSSURPLUS Net adjustment In suets and liabilities due to for&gn exchange rates 0 Aggregate waste-Ins for special surplus funds 0 Receivables from parent,subsidiaries and affiliates 0 Health are and other amounts receivable 0 Common aotal stock 5000000 Aggregate writrinsfor other than Invested assets $7,124,971 Preferred capital stock Total assets excluding $347,414,611 Accounts Separate Accounts,Segregated Accounts and Protected Cat Aggregate svrlte=m for other than special surplus 0 From Separate Accounts,Segregated Accounts and Protected Cell Accounts Surplus Notes TOTALS 347,41a,6i1 Gross paid In and contributed surplus $156,938,671 Uncus fined funds(surplus,' ($5,335,190) Surp us as regards policyholders $156,603,481 TOTALS $347,414,611 SUBSCRiBf 0 arrd sxrom to me thls'�•day o1 M/� '��'j . `' -7 y: � f MycomnMsscncspires '7•1U—/tr Notary Public CERTIFICATE � � Fruited Name ALMA TURKOWTZ I certify that the above financial statements to the bestof my Notary Public,State Of Now Yc* knowledge are a true and accurate reflection of the nnW)al ALYSSA TURK01r1T2 No.01 TU6044514 condition of the - OL alffle t in We5tcheWe!f(you Company a of December 31,2014, � ] � " Additionally,I certify that the above financial statements are Cclmri7 e8irsr t F1eRiE rs July 10,20 116 M agreement with the Statutory Financial Statements filed with Ula Texas 'Notac# WiG Stats of Ns:w York , Department of Insurance as of the same date. No.01711.16044514 William Gleason qualified In Westchester County SFO.VP&Tit R VIM. CoramissionExpiresJuly 10,2014 SUBDIVISION LABOR AND MATERIAL BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000025 Replaces Bond No.SUR20000334 KNOW ALL MEN BY THESE PRESENTS, that Pacific Point Development Partners. LLC (hereafter designated as "Principal"), and Ironshore Indemnity Inc. ety-(trereirrai o Instail 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 16749 as defined within Amendment#1 and Reinstatement of the Subdivision improvement Areement for Tract 16749 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 Ei ht Five Thousand Six Hundred Seventy Three Dollars and 00/100 Dollars ($85.673.00 ) 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 SUM obligation, a o 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 2o15 , 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: .� r1-.��► t '(\F0Mr SURETY: Ironshore Indemnity Inc. C (NOTARIZATION AND SEAL) By: Margaret . Ginem , Attorney-In-Fact Surety Phone No- C/O WILLIS OF FLORIDA 4211 W.Boy SCou1'BLVD,poop Page 2 of 3 771M1'-'A, FL 33607 INQUIRIES:(813)261-2006 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 thettrvthfulness,,�y,or vald y 940cumen State of California ) County f ) r On before me, Datere In ert Name an a of the Officer personally appeared 1J • ' 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/shelthey executed the same in hWher/their authorized capacity(les),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph W. CORDI is true and correct. Commission#2088325 WITNESS my hand and official seal. z . • Notary Public-California z Orange County v My Comm.Expires Oct 31,2018 Signature r� Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: rlv"�'•.._�-9.'.'g'dci[:C' '�:�.'. .-_ .:. --a:- .- -,.. vl:'lryi%i3.R.4i`•frna-der+rx,f,��.ism':h�,'•i�.%d,*t�C"[=6.`�_-",£{ q.�'"4'�"cti"-4�.?�•b�-�={� a`SC."�i{."�:3�`-%��—..— ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 ACKNOWLEDGEMENT BY SURETY STATE OF F1� RIT1 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 *evA. ANE TT CARDINALE _*. *• Commission#FF 138482 ' Expires July 28,2418 �dk 6oWedThruTroy Fain ln*ur*no*800.365.10% This area for Official Notarial Seal 'Semtex Din 10$'0, 41WAss.S`ebtiolit 1:189 bW— .119$;'ul';[)xC'Civil. Gait; aU4 Seaiaxi 8201 of'the Ga erl ,Gocie; ela x3940 votaries:publfe;.* e.belQW.-lbysicAformat of e riew disclosure xzvizce js nex nple,,fqr puTqse4pfiljusiratitm, A notmy'public off`other cai�,id,er doi ipl frxtg s cerfi irate verifies only the identity•sif the sndi.Y`d'uat ,rho.sigma the do_s uinent.To w.'his -16is Certificate.is attached}anrd not-the triftbfulness., ratiraCy,or vka ty of I.b doCsu .Sit fd ofCaliforbia. .C.iUnty of 0ia _ bofore rne, (ietc insert name and title af-officerj,personally appeared who'. 'proved,t!AsY otp-thelasis,of'Ofisfactory.evidexice to he tltetperson(s)whose names( )is/'.e ki cr�ba to � s'ua :tile.within, &ruinent and acknowledged -to xne• that;belshelthey executes# the same in hislherhheit u ioii?ed capacity(ies), od that;by.bisl'lier/flieir'sigfaatui'e(s) '4tt:the ipstruf�;oot i�d terson(s),:oi= the Atity tilia�behalf of'which"ft per"soii(§)aeted,exeenied tlie•-snstrsuiaent I,o rtily':iiiider l'ENALT`S"Chi' PI.R;It�R�i h rr alae laws of t,�e_State pf ujtornia that the faregoixr�. 'P aPh is true and'.corrett WITNES&fitly Band and official seat. r Sea] POWER OF ATTORNEY Ironshore Indemnity Inc. 111- 21000025 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 Attcrney(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[RONSHORE 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 obli ator d-n^**exceed$73500,00Bdollais, whichmight 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 he 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. n„;Q0.n.ipi SEAL 1919 �x� f By: Dana 4.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 TAYLOR - _ Notary Public Slale of Tennessee ,� +e = David¢on County �,,,`` ••'',,� My Commission Expires 01-09-18 Airy L.To y', w!:•`' Notary PUNIC 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 May .Zp 15 j. - srrl- 19t4 agtvl',r f Paul S.GI 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." IRONSWRE MDEMNITY 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 adjustment expenses 0 Common stocks 31,840.141 loss adjustment expenses $10,394,957 Mortgage loans on real estate:Fant Lens 0 Commissions payable,contingent commissions end other similar charges $1,020,80S 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,licanses and fees(exdudarg federal and foreign Income taxes) $2 w." - R'STTnoome 0 Current federal andfocargn Income taxes $2,434,392 Properties head for We 0 Net deferred tax liability 0 Cash,cash equivalents and short-term Investments $15,631'„9S1 Unearned premiums $29,158,576 Contract bans 0 Advance premium Derivatives 0 Ceded reinsurance premiungPayable(netofcoding commissions) $58,222,187 Other invested assets 0 Funds held by company under reinsurance treaties 0 Receivables for securities 0 Amounts withheldor retained by company for account of others Securities lending reinvested collates;assets 0 Remittances and items not allocated Aggregate write-Ins forinvested assets 0 Provision for reinsurance $1,545,075 Subtotals.cash and Invested assets $226,614£039 Net adjustments In assets and tabllHles due to foreign exchange rates Title plants less$-Charged off 0 Drafts outstanding Investment income due and accrued $990,960 Payable to parent,subsidiaries and affi8ates $12,456,110 Uncollected plant ums 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 yetdue 0 Accrued retrospectiveprerroums 0 Payable for securities lending 0 Amounts recoverabiefrom reinsurers $33,586,257 Liability for amounts held under uninsured plans 0 Funds held by or deposited with reinsured companies 0 Aggregate wdlti-Ins for liabilities $4,165,928 Other amounts receivable under reinsurance contracts 0 Total liabilities excluding protected call liabilities $190,811,131 Amounts recelvabse 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 depo6it 0 Furniture and equipment,Including health care delivery assets D POLICYHOLDERS'SSURPLUS Net adjustment In assets and liabilities due to foregn exchange rates 0 Aggregate wnte4ns for special surplus funds 0 Receivables from parent,subsidiaries and affiliates 0 Health care and other amounts receivable 0 Common aptal stock 5 000 000 Aggregate wrtte-Ins for other than invested assets $7,124,971 Preferred capital stock Total assets exduc ing Separate Accounts,Segregated Accounts and Protected Cat $347,414,611 Accounts Aggregate wrlte+ns for other than specla I surplus 0 From Separate Accounts Segregated Accounts and Protected Cell Accounts 0 Surplus Notes TOTALS347,414 61, Gross paid In and contnbuted surplus 1 -- --- -,. �=� --- •-• -�- ,c_� $ 56,936,671 Unassigned funds jsurplusj ($5,33S,1901 Surp"us as regards polkyholders $156,603,481 TOTALS $347,414,611 SU85CIUSEDand s"mtomethisY'4ayofMJ� mss'¢ MYcomrMsscne les. 'FF�tIf .-s„ f ✓-•L-'L-._�.__.._ NoaryPublic CERTIFICATE T Painted Name ALYSSA TURKOVM I certify that the above financial statements to the bestof my W&y Public,State of New Yotil; knowledgeareatweandaccurate reflection ofthefinanelsip1Yg gr TtlRISOVir2 No.OITU6044514 condition of the Company as of December 91,2014, � � Qu8lftled In Westchester CoLlflty Additionally,I certify that the above financial statements aro 4 •�JJ.';!sf� /.�*/yf%--1c C0ff 1 i3$1(1t" Expii1Bs July 10,+2018 in agreement with the Statutory Financial Statements filed with the Texas No le,State of New York Department of Insurance as of the same date. Nm O1TU6044514 WHIlam1 Gleason qualified In Westchester County ..YPOLdaagt`� Coramisdon Expires July 10,2014