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TRAVELERS CASUAJ TY AND SURETY COWANY Or AMERICA
<br />HAJIT]TORD, CT, 06183
<br />AT rOTSNEY-aN-PACT nSTITICATION
<br />PRBNCITAL'S ACKNOIYLEDGhfENT--IP A CORPORATION
<br />Stale oFNcw York, County of
<br />On Hit$ day of '20 , befors me torsionally spptarad
<br />lomeknown,who, being byme dulyswom, deposes and says: That he7she rashim in the City of ,
<br />that ha7340 is dla of - flit
<br />corpomUon described in and which executed the within instrumanl; that hetsha knows the $eal of Sold corporallont that the seat Mutual] to said hla nconl is such continuous
<br />neat; that It was sa opined by order of the Board of Directors of said carpomllon, and that he/she sipped hlOW name thereto by like order,
<br />Slate of New York, County of
<br />PRINCIPAL'S ACKNOWLIMCNIENT—If INDCVBDUAL OR PIItM
<br />MW
<br />Coors day or ,20 , before me personatly nppcarod to me
<br />known to be (the individual) (one of flit Snn of ) described In and who saturated the wilbin
<br />instrument, and he/she Wercapoa duly acknowledged to at that Wshe encauted Dm soma (as the am and dead of said fins).
<br />SURETY CONIPANY'S ACKNONYLEBGMIENT
<br />Smltaf New Yeek, Couayof Nassau )IL
<br />OR Wis 4t11 dnyof October ,.2016befommepcoonmly up cited Rita Sagistan0 , to
<br />me known, who, being by me dulyswvarn, did depose and soy: That he/she resides In the County of Nassau, NY
<br />that heliho is Allamay-in-Fact of TWUYELERS CASUALTY AND SURETY COAR'ANY OR AMERICA, the cooperation described in and which bxecufed the within
<br />instrument: Brat he/she knows Use corporate nod of said Company; that the real ftMxeJ to sold Instrument Is such corporate such and U1at he/she signed sold instrument is
<br />Alicmeydn-Fact by authority of the Heard el'Diorelors ofsaid Company, and oRiant did Ndle r depose and say Wet the Supwiniondont of Discuss" of Use Shite of New Ymk
<br />has, puns ural to Chapter 612 at the Laws of the Slate of Naw York for the year 1939, constituting ahaptcr 23 of the Consolidating laws of the SIMa of'Nsw York m tho
<br />insurance Law &s amended, Issuer] to TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA hishor c4riifecala thal said Company Is qualified to
<br />become and be an6eplad W surety or suaramar on all bonds, undotakings, recognizances, guaranties, and other o ill no requht l or permitted by law; and thus such
<br />cadidcate has not been revoked. ll a IA _ A >_
<br />Secorlims onrried At $7,695,598 In the above statement are deposited with public aulhodtles, as required by law
<br />TRAVELERS CASUALTY AND SURETY COMPANY OFAMERICA GONNAMARIIC A KISSANE
<br />Hanford, Connecticut 06161 Many puhllD, State of New Yuck
<br />FINANCIAL STATEMENT AS OF DECEMBER 31, 2015 No. 01KI62MB3
<br />QUallifleAS FILED WITH THC INSURANCE DEPT. Of THE 5TA'�R. OF NEW.YORK Commission� IEnp1RD3 Marcssau h � 2018
<br />CAPITAL STOCK $ 6,400,000
<br />_
<br />ASSETS
<br />LIABILITIES A SURPLUS
<br />CASHANDINVEOTEDCASH
<br />S ,M.M,551
<br />UNEARNED PREMIUMS
<br />$ 562,837,466
<br />BONDS
<br />3,sn0,672,638
<br />LOSSES
<br />79.5,72071
<br />STOCKS
<br />24E,B0,111
<br />tOOBAIi,25STMENT WENSES
<br />278,9001166
<br />INVESTMENT INCOME DURAND ACCRUED
<br />43.006,720
<br />COMMISSIONS
<br />56,296,314
<br />OTHER INVERTED ASSETS
<br />3XIIAR76
<br />TAXES.LICENSES ANU iE-E5
<br />19,981,717
<br />FREMIUM"'ANCE3
<br />260,990,813
<br />OTHRRENPENSES
<br />30,463,867
<br />14ETDET'ERRED TAX ASSET
<br />05.751,126
<br />CURRENT FEDERAL AND FOREIGN INCOMETAXES
<br />14,16susto
<br />REINSURANCE RECOVERABLE
<br />22,632,866
<br />RRMrLTANCES AND ITEMS NOT ALLOCATED
<br />4,685,722
<br />SECURITIES LENDING REINVESTED COLLATERAL ASSETS 11,778,176
<br />AMOUNTS WITHHELD I RETAINED BY COMPANY FOR
<br />OTHERS 33,059,653
<br />RECEIVABLES FROM PARaNT, SUOSIOIARIES
<br />AND AFFILIATE 26,359,432
<br />R67ROACRVE REINSURANCE RESERVE ASSUMED
<br />698,144
<br />GrHERAWETS
<br />6,685,097
<br />POLK YHOLDER DIVIDENDS
<br />5,060,101
<br />PROVISIONFOR REINSURANCE
<br />3,831,304
<br />ADVANCE PREMIUM
<br />1,372,415
<br />PAYABLE FOR SECURITIES
<br />8,0001060
<br />PAYABLE FOR recusurh7S LENDING
<br />11,772,176
<br />CEOW RONSURANCB NET PREMIUMS PAYABLE
<br />26,0.75,326
<br />'
<br />ESOMAT LIABILITY
<br />684,921
<br />GTHERACCRUED EXPNSES AND LIABILITIES
<br />i 5350
<br />'
<br />TOTAL LIABILITIES
<br />2001,00 IMI
<br />WITAL STOCK
<br />S 8,400,OW
<br />PND IN SURPLUS
<br />433.805,700
<br />QUIET BURF'LUs9._...
<br />457,]17 Q_A_
<br />_ 71V-95271-11
<br />TOTAL SURPLUS TO FGLICYHOLPPRS
<br />i 2.l 99764
<br />TOTALASSEI3
<br />3 4,184,007,702
<br />TGrALLIABILITIES&SURPLUai_d�d,',760.,
<br />Secorlims onrried At $7,695,598 In the above statement are deposited with public aulhodtles, as required by law
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