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TRAVELERS CASUALTY AND SURETY COMPANY OF AMWCA
<br />HARTFORD, cT. 06183
<br />ATTORNEY-IN-FACT .M ST[FICATION
<br />PRINCIPAL'S ACKNOWLEDGMUNT---1F A CORPORATION
<br />Stale ofNcw Yark, County of ) ss.
<br />On this day of 20 before me personally appeared ,
<br />to me known, who, being by me duly swum, deposes and says! That hclshc resides in the City of
<br />that he/she Is the of the
<br />corporation described in and which executed the within instrument; that helshe knows the seal of said corporation; that the seal affixed to said instrument is such corporate
<br />Seal; that it was so affixed by order of the Board of Directors of said corporation, and that he/she signed hisNer name thereto by like order,
<br />Slate of New York, County of
<br />PRINCIPAL'S ACKNOWLEDGMENT m -IF INDIV W VAL OR FIRM
<br />ow
<br />On Ilds day of , 20 , before me personally appeared to me
<br />known to he (fire individual)(one ofthe firm of ) described in and who executed the within
<br />instrument, and he/she thereupon duly acknowledged to me that he/she excepted the surae (as the act mid deed of said fin),
<br />SURETY CONIPANY'S ACH NOWLEDGMENT
<br />Stoic of New York, County of Nassau )sa.
<br />On this 2nd day of _ December 21116,befsmmepersonally appeared Camille Maitland to
<br />me known, who, being by me duly sworn, did depose and say:.. That he/she resides in W(Rf" Kings County, NY
<br />that ho/she is ARomcydn-Fact of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, the corporation described in Bad which executed the within
<br />instrument; that he/she knows the corporate seal of said Company; that the seal affixed to said insimment is such corporate seal; and that he/she signed said btstmment es
<br />Attorney -in -Fact by authority of ilia Board of Directors of said Company, and affiant did further depose and say that rho Superinlendent of limn nce of the State of New York
<br />has, pursuant to Chapter 882 of the Laws of tiro Slate of New York for the year 1939, constituting chapter 28 of the Consolidating Laws of the State of New York as the
<br />Insurance Law as amended, issued to TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA hisiber certificate that said Company Is qualifiad to
<br />become and be accepted as surety or guammur on all bonds, undertakings, recognburnes, guaranties, and other obtigeN as required or permitted by law, and that such
<br />cedifrcate has not been revoked,
<br />Notary Public
<br />Securities carried at $7,695A38 In the above statement are deposited with public authorities, as required by law
<br />TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
<br />Radford, Connecticut 06183 DONNAMARIE A KISSANE
<br />Notary
<br />Public, State of New York
<br />FINANCIAL STATEMENT A$ OF DECEMBER 31, 2015
<br />No. 01 KI6297783
<br />AS FILED WITH THE INSURANCE DEPT, OF THE STAT9 OF NEW Qualified
<br />in Nassau County
<br />-Y.ORK
<br />CAPITAL STOCK $ 6,400,000 Commission Expires March 3, 2018
<br />ASSETS
<br />LIABILITIES&SURPLUS
<br />CASH AND INVESTED CASH
<br />g 54,650,001
<br />UNEARNED PREMIUMS
<br />; 862,1337,464
<br />BONDS
<br />3,500,572,830
<br />LOSSES
<br />735,720,271
<br />STOCKS
<br />24S,90Litt
<br />LOSS ADJUSTMENT EXPENSES
<br />278.900,105
<br />INVESTMENT INCOME DUE AND ACMUM
<br />43,005,720
<br />COMMISSIONS
<br />35,790,014
<br />OTHER INVESTED ASSETS
<br />31500,975
<br />TAMES, LICENSES AND BEES
<br />11,751,717
<br />PREMIUMBAIUWCES
<br />20D,aao,913
<br />OTHER EXPENSES
<br />39,468,087
<br />NET DEFERRED TAX ASSET
<br />05,751,198
<br />- CURRENT FEDERAL AND FOREIGN INCOME TAMES
<br />1s,1safelo
<br />REINSURANCERECOVERABLE
<br />22,532,988
<br />REMITTANCES AND ITEMS NOT ALLOCATED
<br />4,995,722
<br />SECURITIES LENDING REINVESTED COLLATERAL ASSETS 11,772,170
<br />AMOUNTS WRHHeUU I RETANEO UY COMPANY FOR
<br />OTHERS 33,959,553
<br />RECEIVABLES FROM PARENT, SUBSIDIARIES
<br />AND A}Fh1ATES 29,659,492
<br />RETROACTIVE REINSURANCE RESERVE ASSUMED
<br />890,144
<br />OTHERASSETS
<br />$686,697
<br />POLICYHOLDER DIVIDENDS
<br />e,D80,m1
<br />PROVISION FOR REINSURANCE
<br />3,830,904
<br />ADVANCEPFlEM1UM_
<br />1,672,635
<br />PAYABLEFORSECURITIES
<br />8,000,000
<br />PAYARLE FOR SECURITIES LENDING
<br />11,772,176
<br />-
<br />CEDED REINSURANCE NET PREMIUMS PAYABLE
<br />26,0.38,220
<br />ESCHEAT WiLTTY
<br />664,927
<br />-
<br />OTHER ACCRUED EXPENSES AND LIASILiTIE$
<br />1,am 550
<br />TOTALUADILITIES
<br />$ 2.OAi,307,801
<br />CAPITAL STOCK
<br />i 6,480,000
<br />PND IN SURPLUS
<br />433,807,708
<br />OTHER SURPLUS
<br />5.8!0.712,028
<br />TOTAL SURPLUSTO POLICYHOLDERS
<br />i l,fas.be5,786
<br />TOTALASSETS
<br />i 4,184,903,769
<br />TOTAL LWBILITIES B SURPLUS
<br />i 4,138.37.7,769
<br />Securities carried at $7,695A38 In the above statement are deposited with public authorities, as required by law
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