Loading...
15-0505_Bond_SUR21000031_Pacific Point Dev_TR 16751 Premium: $225.00 SUBDIVISION FAITHFUL PERFORMANCE BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000031 Replaces Bond No.SUR20000338 KNOW ALL MEN BY THESE PRESEN S, 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: Sanitary Sewer subdivision improvements within Tract 16751 as defined within Amendment#1 and Reinstatement of the Subdivision Improvement Agreement for Tract 16751 NOW, THEREFORE, we, the Principal and Surety are held firmly bound unto the City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of Twenty Two Thousand Seventy Three Dollars and 00/100 Dollars, $22,073.00 ) 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: c Its: Q2� C,c i r�r SURETY: Ironshore Indemnity Inc. p (NOTARIZATION AND SEAL) By: Nql�'aL '6�� Margare . Ginem , Attorney-in-Fact Surety Phone No. C/O WILLIS OF FLORIDA 4211 W.BOY SCOUT BLVD,#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 ) Countv of ) On before me, Y)AfVN Ok &_) at re insert Name andtit1d of the Officer personally appeared , dcw Name(s)of Signer(s) _7 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 z OrangeCounty M Comm.f_x alres 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): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 ACKNOWLEDGEMENT BY SURETY STATE OF 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 ANETT CARDINALE Commission#FF 138482 *,= Expires July 28,2018 Q!s ` Bonded Thru Troy Fein Insurance B00-395.7019 This area for Oficial Notarial Seal —Wiate-13M 105.0; aruefiO Sections 1-:199 ani. 119.5 gf;thie:Gini 1. ode-=d seot pt i 9- of the ra 'TPM4(:.Cade,reiafipgAo nQta4es.pAbjf6r.' e bcJowajSbysical format of tie new disclosure iiptice.;is an example,,,,f(?r pm r ses of ilXustrat* f public off'other b#ftcer plefiat tis certifieate Xedfies.only the identity`of the indiyr dual Who.signed,the dbooe'tto wlil .certificate.is atfachedr and not the truthfulness; accc�,ox^validity r��'t,�ag:�o►�upien�. Statd bfC,aliforimia County.df (tri , me, 'ihsert name and-fide of'Officer),,personally 4,ppeared Aa. 'prcMP4 t¢1ti o1)'tM'basis ofsatisfaatnry evidence txa bWtlai:':'Won s)'Whose iiam"l J sy xs/are suliscrjb'edv r,l7 � . the" vvithiri.-i>_*ument and acknowledged -to me-'that helshelthey.executed the same` in his/ber/their, au- qip ',capaGii}(ies), and #hat-by is/hexiCh 's acute s) 'qit7 the istru t ht tie p�sop(s),:'or tfie --Atity tipoii,it ehalf of which t ie petspd('s)acted,ekecuted-th6.-irkstruineat l Peiki j+'00&r PENALTY OF.',P lt1OkY under Elie laws o ilie.StAtd qT al3fnrnia 4t tie foii goixe paragraph-i' true and,correO WITNESS mg IAW and.official-sear; Sigz�atdte (Seal), POWER OF ATIFORNEY Ironshore Indemnity Inc. III- 21000031 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-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 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, seat 4Yii By, Dan e t Suss n Director ACKNOWLEDGEMENT On this 7111 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 C.TAYLOR .� _ _ Notary Public-Stale of Tennessee '• � �- _ DaviUson County � , Hly eammltsbn E,pew.61�9-1e Amy L.Ta "'•:;taw :`� 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 May 20 15 :�QNo� nr tiFAb l��y4R y Pauls.iii lona � � Secretary "WARNING:Any person who knowingly and with intent to defraud any insurance company or other person,files and application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act,which is a crime and subjects such person to criminal and civil penalties." IRONSHORE INDEMNITY INC FINANCIAL STATEMENT SUMMARY As of December 31,2014 ASSETS _ LIABILITIES Bonds $179,140,947 Asa $63,562,066 Preferred stocks p Reinsurance payable on paid losses and loss adjustment expenses 0 Common stocks 31,840141 toss adjustment expenses $10,384,957 Mortgage loans on real estate.First bens 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 see 0 Net deferred tax liability D 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 coding commissions) $59,222,187 Other invested assets 0 Funds held by company under reinsurance treaties 0 Receivables forsecurities 0 Amounts withhold or retained bycompany for accountofothers Securities lending reinvested colhtem,assets 0 Remittances and items not allocated Aggregate write-ins fortnveitedassets 0 Provision for reinsurance $1,545,075 Subtotals.cash and Invested assets $226,6140039 Nei adjustments In assets and tabilitles due to foreign exchange rites Title plants less$..,Charged off 0 Draf 3 oubtandln8 Investment Income due and accrued $990960 Payable to parent,subsidiaries and ofRhates $12,458,110 Uncollected prenEums and agents'balances In the course of collection $73,567,547 Derivatives 0 Deferred premiums,germ'balances and installments booked but deferred and not 0 yet due Payable for securities 0 Accrued retrospective prerniums 0 Payable for securities leading 0 Amounts recoveroWe from reinsurers $33,58k257 liability foramountsheld under uninsured plans p Furls held by or deposited with reinsured companies 0 Aggregate write-Ins for liabilities $4,185,928 Other amounts rw&Wbleunder reinsurance contracts 0 Total liabilities excluding protected call liabilities $M,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 $5,530,837 Totel.labjlities $190,811,131 Guaranty funds receivable or on deposit 0 Furniture and equlpment,Including health tare delivery assets 0 POUCYHQLDEWSR;RPLUS Net adjustment In assets and liabilities due to foregn exchange Fates 0 Aggregate waste-Ins for special surplus funds 0 Receivables from parent,subsidiaries and affiliates 0 Health care and other amounts receivable 0 Common capital stock 5,0D0.000 Aggregate write-Ins for other than lnvestedassets $7„124,971 Preferred capital stock Segregated Accounts and Protected Cat $347,414,611 Tool assets exdudi ng Separate Accounts,Segregated write-ins for other than special surplus 0 Accounts From Separate Accounts,Segregated Accounts and Protected Call Accounts 0 Surplus Notes TOTAL$ 4�147,did,611 Gross paid In and contributed surplus $156,938,671 Unassigned funds o urplusj ($5,335,190) SuWur as regards policyholders $156,603,481 TOTALS $347,414,611 SUBSCRIBED and swam to me this%day of M/�y ,'G' (j r/f Mymmmisscnesplrtss: 7-/U—/5T Notarypublic CERTIFICATE Printed Name ALYSSA TURKOVI1Z I certHy that the above financial statementsstatementsNotary Public,State of New York to the bestof my No.Q�jTU�S�4 knowkdgeareatrue and acuatereflectionofthe financial AL S&TURKOV condition of the Company as of December 31,2014, /' Oualllted In Westchester County Additionally,I certify that the above financial statement are IA4 — COMMl it l IE01;PiMS JUly M 2DIS in agreement with the Statutory Financial Statements filed with the Texas N"h4i__ic,Spee of New York Department of insurance as of the same date, No.OITU6044514 William Gleason Qualified In Westchester County CFO.Vp&Treast- Commission Expires July 10,2014 SUBDIVISION LABOR AND MATERIAL BOND (GOVERNMENT CODE 66499.2) Bond No. SUR21000031 Replaces Bond No. SUR20000338 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: Sanitary Sewer subdivision improvements within Tract 16751 as defined within Amendment#1 and Reinstatement of the Subdivision improvement Agreement for Tract 16751 NOW, THEREFORE, we the Principal and Surety are held firmly bound unto the City of San Juan Capistrano, (hereafter called "Obligee") in the penal sum of Twenty Two Thousand Seventy Three Dollars and 00/100 —Dollars ($2zm.00 } lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, successors, executors and administrators, jointly and severally, firmly by these presents. NOW, THEREFORE, the condition of this obligation is such that if the above bound Principal, his or its heirs, executors, administrators, successors or assigns, shal in all things stand to and abide by and well and truly keep and perform the covenants, conditions and provisions per City Council Resolution No's. 92-6-16-04 and 03-09-16- 06, on his or their part, to be kept and performed at the time and in the manner therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City, its offers, agents and employees as therein stipulated, and, as necessary enter into a Subdivision Agreement, then this obligation shall become null and void; otherwise it shall be and remain in full force and effect. Page 1 of 3 BE IT FURTHER RESOLVED: 1. As a part of the obligation secured hereby, and in addition to the face amount specified therefore, there shall be included costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by City in successfully enforcing such obligation, all to be taxed as costs and included in any judgment rendered. 2. Said Principal hereby stipulates and agrees that no change, extension of time, alteration, or modification of the terms of the agreement or of the work to be performed thereunder, shall in any way affect its obligations or this bond, and it does hereby waive notice of any such change, extension of time, alteration or modification of the terms of the agreement or of the work or to the specifications. IN WITNESS WHEREOF, this instrument has been duly executed by the Principal herein named on the 19th day of Mav _, 2015 , the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representatives pursuant to authority of its governing body. PRINCIPAL: Pacific Point Development Partners, LLC (NOTARIZATION AND SEAL) By. S Its: -�•.o�' - r SURETY: Ironshore Indemnity Inc. r (NOTARIZATION AND SEAL) By: Margare k Ginem , Attorney-in-Fact Surety Phone No. C/O WILLIS OF FLORIDA 4211 W.BOY SCOUT BLVD,#1000 TAMPA, FL 33607 page 2 of 3 ENQUIRIES:(613)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 document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of &M ) _Nd �Offlcer� On before me,Date R ere Insert Name an t e of th personally appeared 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(es),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 z WITNESS my hand and official seal. Z Notary Public•California a 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: �:+w a�v_L-•�'aC. ?kr�-'.�.'- ��'^:e�{.:r�4.''�^ti=4"Thr.=G.�.G+�4ST=�"�3'z•-�' -> '. --4��"'C_-x.%�`.�'3Gt:�s¢4^Tom.'Y:r�'.`S`%'C^�" CS�'i.'�;:�5"x4.�.' �'' 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 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 written. ,ly ., I A+ Signature Anett Cardinale :rs ANETT CARDINALE Commission#FF 138482 Expires July 28,2018 Bonded Thre Troy Feln Ineuronoe 800a6-7019 This area for Oficial Notarial Seal R"'-C Q& an e,ion f the Siatat&NIT 110$0, =wgis.-$pttl lig -1-:199 iind 119$-'Of1hd:C.-Ia dg.et 91 b '060.-,fiew(hsosure rmat -jqq?#%js-an,qpTple,-for pur of. mustm#�m mtory.POUe or other 056of cah*l ting tfifs- cerfifibale verifies only the i4ntity-of the individ4a.i vvho,signed,the doptocrit.fq whi&ihig .certificate.is attahed,an I d not the tnithfidnessi :.40 y;Ot IaSegy Of Ib4t-d6qu�em. 8.tgtd'pf Califoriiia County 6f 0. 'fiiscrt name and-title 6P-officer5,,'person.ally APPWO Who. P,WVf-d:Fo ffig'Db tho'bg' Ofsatisfktory ey'deji��itolkthe.Verson(*who -- ' 1 §0 dame(s)jlskrl�9*946edta fbe WAWA id�ixwnent.and acknowledged lo -me�'tbat, hell' he/they executed ihe, same-in his/her/fbeir *00'ptj�'capacity(ies),"d •tot.�y�is/herftfieir s! -�lh� 911*fe(s) '0,: trutko'M gi.6 Orsofi(s),.of the �fitity bpbh 6ehalf of-)yhM'&;,O&ftbfi(t)-wfed,executed th6,31astrume"ant, I ixAi-fYvj&r PEN ,TV-O. P "I'URY tinder tae awgpie. WdCaIjfI paragraph-is true MY and'correct- WUNESS.- IAM and.6f—ficid-seal. (Seal) POWER OF ATTORNEY Ironshore Indemnity Inc. III- 21000031 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-ln-Fact to execute on behalf of the Company any bands,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. +ea�9gi v'•. �p L: �eEpL 1979 yet f By, Dan a L.Suss 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. - - NOWry Publlo-Slale of Tennessee Alt DaMsont~1 Vis, ra. r A9rCammles!ufEmreiaf-09•re Amy L.Tayl ,,'•',°? °A- Notary PuNk CERTIFICATE I, the undersigned, Secretary of IRONSHORE INDEMNITY INC., a Minnesota Company, DO HEREBY CERTIFY that the original Power of Attorney of which the foregoing is a true and correct copy,is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and Sealed at this 19th Day of May ZD 15 dey r.FhL Ipl9 �{tt Paul S.Gi 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 fInsurance act,which is a crime and subjects such person to criminal and civil penalties." IRONSHORE tNDEMWTY INC FINANCIAL STATEMENT SUMMARY As of December 31,2014 ASSETS LIABILITIES Bonds $179,140,947 losses $63,582,066 Preferred stocks p Relmurence payable on paid losses and loss adjustment expenses Common stocks 0 31,840,141 loss adjustment expenses $10,384,957 Mortgage loans on real estate.Fant tem 0 Commissions payable,contingent commissions and other similar charges $1,020,805 Mortgage loans on real estate;Other than first Item 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 Inoome 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 $15,632,951 Unearned premiums $29,158,576 Contract bans 0 Advance premium Derkatives 0 Ceded reinsurance premiums payable(net of ceding commissbns) $58,222,187 Other invested assets 0 Funds held by company under reinsurance treatks 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 forinvested assets 0 Provision for reinsurance $1,545,075 Subtotals.cwhand Invested assets $226,614,039 Not adjustments In assets and liabilities due to foreign exchange rates Title plants less$..,Charged off 0 Drafts outstanding Investment Income due and accrued $990,960 Payable to parent,subsidiaries and affi8ates $12,456,110 Uncollected prem ums and agents'balances in the course of collection $73,567,547 Derivative 0 1Defeer ed premiums,agents'balances and Installments booked but deferred and not 0 payable for securities 0 Accrued retrospective premiums 0 Payable for securities lending 0 Amounts recoveraWefrom reinsurers $33,586,257 Uablllty,foramounts 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 cell liabilities $190,811,131 Amounts recehalaerelating touninsured plans 0 Notecsedcell hablillies Current federal and foreign Income tax recoverable and interest thereon 0 Net deferred tax asset $5,530,837 Total Rabilitles $190,811,131 Guaranty funds receivable or on deposit 0 Furniture and equipment,including health pre delivery assets 0 POUCYHOLDERYS SURPLUS Net adjustment In assets and liabilities due to forGgn 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 caotal stock 5 D00 000 Aggregate write-Ins for other than Invested assets $7124,971 Preferred capital stock Total assets excluding Separate Acoounts,Segregated Accounts and Protected Cel: $347,414,611 Aggregate writr m Por other than special surplus 0 Accounts From Separate Accounts,Segregated Accounts and Protected CellAccounts 0 Surplus Notes TOTALS 5347,434,611 Gross paid In and contributed surplus $156,938,671 Unauigned funds(surplus) ($5,335,190) Suri us as regards policyholders $156,603,481 TOTALS $347,414,611 SUBitRIBEDandswomromol#lsdayofM/>?v1Qjrj hlYcommiv%on expires: 7/V Notary Public CERTIFICATE Ngted Name ALYSSA TURKOVITZ I certify that the above financial statements to the sestet my Notary Public,State of New YorkNO.01 4 TU604451 knowledgeareatrue and accurate reflection oftheRnandal ALYSSATURmiriI Qualified�1ITU6lk 451 (`i11EJf�}y condition of the Company as of December 31,2014, ." j Additionally,I certify that the above financial statements are ;"�{,-t.� �A . Cession Exorm July 10.2018 In agreement with the Statutory Financial Statements filed with the Taxa< NOtaeltRrbllc,$tate of New York­_- Department of Insurance as of the same date. No.01TU6044514 William 1 Gleason Qualified In Westchester County I UVIOL COmmlaslon Explres July 10,2014