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Bonds - Tecta America - 2018-01-25
FAITHFUL PERFORMANCE BOND PAGE 1 Bond No. K13517794 Premium: $1,751.00 COSTA MESA SANITARY DISTRICT FAITHFUL PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: THAT, WHEREAS, COSTA MESA SANITARY DISTRICT (DISTRICT), a California Sanitary District, has on January 25, 2018 awarded to (Name and Address of Contractor) Tecta America Southern California, Inc. 1217 E. Wakeham Avenue, Santa Ana, CA 92705 hereinafter designated as the "PRINCIPAL," an AGREEMENT for the work described as follows: CMSD Headquarters Roof Repairs at Costa Mesa Sanitary District Headquarters. Said AGREEMENT is fully incorporated herein by reference. WHEREAS, the said PRINCIPAL is required under the terms of said AGREEMENT to furnish a bond for the faithful performance of said AGREEMENT. NOW, THEREFORE, WE, the undersigned CONTRACTOR, as PRINCIPAL, and Westchester Fire Insurance Company 436 Walnut Street, P.O. Box 1000, Philadelphia PA 19106 hereinafter designated as the "SURETY," duly authorized to transact business under the laws of the State of California, as SURETY, are held and firmly bound unto the Costa Mesa Sanitary District, in the penal sum of: One Hundred Forty Seven Thousand Four Hundred and 00/100 ($147,400.00), said sum being not less than one hundred percent(100%)of the estimated amount payable under the terms of the AGREEMENT for which payment well and truly be made, we bind ourselves and our heirs, executors and administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that, if the above burdened PRINCIPAL, his/her/its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by, and well and truly keep and perform all the undertakings,terms, covenants, conditions, and agreements in the said AGREEMENT and any alteration thereof made as therein provided, 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 Costa Mesa Sanitary District, its officers, and its agents, as therein stipulated, then this obligation shall become null and void, otherwise it shall be and remain in full force and virtue. FAITHFUL PERFORMANCE BOND PAGE 2 Bond No. K13517794 In case suit is brought upon this bond, SURETY further agrees to pay all court costs and reasonable attorney's fees as fixed by the court. And the said SURETY, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the AGREEMENT or to the work to be performed thereunder or the specifications accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration, or addition to the terms of the AGREEMENT or to the work or to the specifications. IN WITNESS WHEREOF, we have hereunto set our hands and seals this 25th day of January, 2018. Tecta America Southern California, Inc. 1217 E. Wakeham Avenue, Santa Ana, CA 92705 PRINCIP L By: Company Representative Rex Souders,President In accordance with the AGREEMENT, all bonds shall have been issued by an admitted surety insurer, and the DISTRICT reserves the right to object to any such surety, in accordance with Code of Civil Procedure Section 995.660. By signing below, SURETY certifies that the bonds are issued by admitted surety. II Westchester Fire Insurance Company 436 Walnut Street, P.O. Box 1000, Philadelphia, PA 19106 SURETY By: /taLet4A-- Susan Lupski, ttor - n-Fact APPROVED AS TO FORM: District Counsel Costa Mesa Sanitary District By/s/ CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 C. .�.,�C •c�!�..�<�.• tom:.•�� <�. � ...�t!wc.T..s�.�,:�C,:�a , .!cl..�.• .:c�t�C!�<!�..�.�.-gid <�<�.�.�C�C .!.�< C .!�<. 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 0rci, y r ) On 0Z.�AP✓ before me, \-A-/c/1 c/� „7 ,% / Wo7&r fCL 64t, Date Here Insert Name and Title of the Officer personally appeared /fe x .IocePi-,f- Name%4 of Signer who proved to me on the basis of satisfactory evidence to be the person(gY whose namecstrOafe subscribed to the within instrument and acknowledged to me thatshefthey executed the same in la/her/their authorized eapacity(ierg), and that signature�s3`on the instrument the persons) or the entity upon behalf of which the person(a'j acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. r".14"4"4"4""68".41"6- •. WANOA J.KOHL WITNESS my hand and official seal. ��- Notary Public•California '2" Orange County N `j Commission re 2160205 f M Comm.ES Fres Au 14,2020 Signature Signature of Ndfary Pub " 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 C/1✓'.D -/1Q Title or Type of Document: cc 24::::54o7 Document Date: /- S--/P Number of Pages: O.S` Signer(s) Other Than Named Above: efy Capacity(ipsf Claimed by Signer(sj ahm y- -mac f Signer's Name: TeX Sc3c-ec%rf- Signer's Name: Il Corporate Officer — Title(s): /ofc si'c/c t i 1 Corporate Officer — Title(s): ❑ Partner — Limited ❑ General [ Partner — I I Limited L I Gene ❑ Individual 1 I Attorney in Fact I I Individual I Attor in Fact Cl Trustee I I Guardian or Conservator ill Trustee I ardian or Conservator ❑Other: i-1 Other: Si ner Is Representing: Te c7`- /94/) e.-/c, Signer epresenting: ©ci/X cap,�o�,�,� z�c L4`✓4�✓4�4�✓,4��,4�✓4�✓4'.ei4�✓:4�4�'v.4`✓4�✓•4�✓.4�✓4�4�✓4�4�.'v{�.4�4L✓4�4�4�.4�4's4�y,4\=S4C�.G�'✓.A�'4�✓4�✓4�4�4`✓,4�✓4�✓4�4�4�✓4�✓4�%4�✓4 ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 ACKNOWLEDGEMENT OF SURETY COMPANY STATE OF NEW YORK COUNTY OF NASSAU On this January 25, 2018 before me personally came Susan Lupski to me known, who, being by me duly sworn, did depose and say;that he/she resides in Nassau County, State of New York,that he/she is the Attorney-In-Fact of the Westchester Fire Insurance Company the corporation described in which executed the above instrument;that he/she knows the seal of said corporation;that the seal affixed to said instrument is such corporate seal;that is was so affixed by the Board of Directors of said corporation; and that he/she signed his/her name thereto by like order; and the affiant did further depose and say that the Superintendent of Insurance of the State of New York, has, pursuant to Section 1111 of the Insurance Law of the State of New York, issued to Westchester Fire Insurance Company (Surety) his/her certificate of qualification evidencing the qualification of said Company and its sufficiency under any law of the State of New York as surety and guarantor, and the propriety of accepting and approving it as such; and that such Certificate has not been revoked. Notary Public DANA GRANICE Notary Public,State of New Yodi No.01GR6099128 Qualified in Suffolk County Commission Expires 9/22/2019 Power of WESTCHESTER FIRE INSURANCE COMPANY Attorney Know all men by these presents:That WESTCHESTER FIRE INSURANCE COMPANY,a corporation of the Commonwealth of Pennsylvania pursuant to the following Resolutionc adopted by the Board of Directors of the said Company on December 11,2006,to wit: "RESOLVED,that the follovring authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings.recognizances,contracts and other written somrritimeng Of the Company entered into the ordinary course of business(each a"Written Commitment): (I) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise. (2) Each duly appointed atmlney-in-fact of the Company is hereby authorized to execute any Written Commitment(tweed on behalf of the Company.under the seal of the Company or othertthse,to the extent that such action is authorized by the grant of powers provided for in such persons written iththaintment as such attomey-in-fact (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to appoint in writing any person the attorney-in-fact of the Company with full power and authority to execute,for and on behalf of the Company,under the seal of the Company or otherwise,such Wntten Commitments of the Company as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of the Chairman,the President and Vice Presidents of the Company in hereby authorized,for micron behalf of the Company,to delegate in writing any other officer a$ho Company the authority to execute,for and on behatfof theCompany,wider the Company's seal orothenose.anch Written Commitments of the Company as are specified in such written delegation,which specification may be by general type or close of Written commitments or by specification of oneor mom particular Written Commitments: (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by facsimile on such Written Commitment or written appointment or delegation MATHER RESOLVED,that the foregoing Resolution shall not be deemed to he on otioi wive statement of the potversancl authority of officers,employees and other persons to act for widen behalf of the Company.Arai such Resolution shall not limit or otherwise affect the exercise or any such power or authority otherwise validly granted or vested Does hereby nominate,constitute and appoint Camille Maitland,Colette R Chisholm,Dana Granice,Desiree Cardlin,George 0 Brewster,Gerard S Macholz,Mia Woo-Warren,Michelle Wannamaker,Nelly Renchiwich,Rita Sagistano,Robert T Pearson,Susan Lupski,Thomas Bean,Vincent A Walsh,all of the City of UNIONDALE,New York,each individually if there be more than one named,its true and lawful attorney-in-fact,to make,execute,seal and deliver on its behalf,and as its act and deed any and all bonds,undertakings,recognizances,contracts and other writings in the nature thereof in penalties not exceeding Ten million dollars& zero cents(S10,000,000.00)and the execution of such writings in pursuance of these presents shall be as binding upon said Company,as fully and amply as if they had been duly executed and acknowledged by the regularly elected officers tithe Company at its principal office, IN WITNESS WHEREOF,the said Stephen M.Haney,Vice-President,has hereunto subscribed his name and affixed the Corporate seal of the said WESTCHESTER FIRE INSURANCE COMPANY this 18 day of November2016, WESTCHESTER FIRE INSURANCE COMPANY • t• YVIt , Steplsen ft,t/fancy,Vate gait COMMONWEALTH OF PENNSYLVANIA COUNTY OF PHILADELPHIA ss. On this 18 day of November,AD.2016 before me,a Notary Public of the Commonwealth of Pennsylvania in and for the County of Philadelphia came Stephen M.Haney,Vice-President of the WESTCHESTER FIRE INSURANCE COMPANY to me personally known to be the individual and officer who executed the preceding instrument,and he acknowledged that he executed the same,and that the seal affixed to the preceding instrument is the corporate seal of said Company; that the said corporate seal and his signature were duly affixed by the authority and direction of the said corporation,and that Resolution,adopted by the Board of Directors of said Company,referred to in the preceding instrument,is now in force. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my official seal at the City of Philadelphia the day and year first above written. Pir f•ie.., ,;„,..'47: • orowoottIP!"."1", -0 ANAL SEAL 4r7.z. V1•-+ 1.4 r.; allitlitilittist41141%.7itte ---falak 'esitr1440,4104f4"' .ss,„ Pie. *...;•tf4stais, WIX*111/Wig SIft•Ifit • • .. ca.; •t, I,the undersigned Assistant Secretary of the WESTCHESTER FIRE INSURANCE COMPANY,do hereby certify that the original POWER OF ATTORNEY,of which the foregoing is a substantially true and correct copy,is in full force and effect. In witness whereof I have hereunto subscribed my name as Assistant Secretary,and affixed the corporate seal of the Corporation,this day of JAN at. 2.5 7016 .4„.„ Nt1/4 • ," Wrenn 3..Irotliy.Matt THIS POWER OF ATTORNEY MAY NOT BE USED TO EXECUTE ANY BOND WITH AN INCEPTION DATE AFTER April 14,2018cue, ?$' ; • DocuGard#04546 contains a security pantograph,blue background,heat-sensitive Ink,coin-reactive watermark,and microtext printing on border 4*"•,, i';‘:4 WESTCHESTER FIRE INSURANCE COMPANY FINANCIAL STATEMENT DECEMBER 31,2016 ADMITTED ASSETS BONDS $1,492,813,519 SHORT-TERM INVESTMENTS 34,890,369 STOCKS 450,903 REAL ESTATE 0 CASH ON HAND AND IN BANK 19,880,440 PREMIUM IN COURSE OF COLLECTION* 69,254,246 INTEREST ACCRUED 14,505,011 OTHER ASSETS 132,649,982 TOTAL ASSETS $1,764,444,470 . LIABILITIES RESERVE FOR UNEARNED PREMIUMS $200,260,562 RESERVE FOR LOSSES 851,003,190 RESERVE FOR TAXES 16,081,016 FUNDS HELD UNDER REINSURANCE TREATIES 5,666,051 OTHER LIABILITIES (11,412,992) TOTAL LIABILITIES 1,061,597,827 CAPITAL: 70,000 SHARES,$71.43 PAR VALUE 5,000,100 CAPITAL: PAID IN 304,543,059 AGGREGATE WRITE-INS FOR SPECIAL SURPLUS FUNDS 113,661,643 SURPLUS(UNASSIGNED) 279,641,841 SURPLUS TO POLICYHOLDERS 702,846,643 TOTAL $1,764,444,470 (*EXCLUDES PREMIUM MORE THAN 90 DAYS DUE.) STATE OF PENNSYLVANIA COUNTY OF PHILADELPHIA John Taylor, being duly sworn,says that he is Senior Vice President of Westchester Fire Insurance Company and that to the best of his knowledge and belief the foregoing Is a true and correct statement of the said Company's financial condition as of the 31 st day of December,2016. Sworn before mthis March 22,2017 714,777. ...... ...Sor Vice President AI. . : ,Lt-.t..e t x(_2,4-4.,.EES L.Z_LA. ci/ / ti f Z-C i Notary Public - C! My col: mission expires COMMONWEALTH OF PENNSYLVANIA i NOTARIAL SEAL Diane Wright, Notary Public City of Philadelphia, Philadelphia County t My Commission Expires Aug. 8,2019 4EMBe-,P NNSYLVANIA ASSOCIATION OF NOTARIES PAYMENT BOND PAGE 1 Bond No. K13517794 Premium: Included in Premium for Performance Bond COSTA MESA SANITARY DISTRICT PAYMENT BOND (LABOR AND MATERIAL BOND) KNOW ALL MEN BY THESE PRESENTS: THAT, WHEREAS, the COSTA MESA SANITARY DISTRICT, a municipal corporation, by minute order of the Board of Directors, adopted on January 25, 2018, has awarded to CONTRACTOR Tecta America Southern California, Inc. 1217 E.Wakeham Avenue, Santa Ana, CA 92705 Hereinafter designated as the "Principal", a contract for the work described as follows: CMSD Headquarters Roof Repairs at Costa Mesa Sanitary District Headquarters WHEREAS, said Principal is required by the provisions of said contract and of the Civil Code to furnish a bond in connection with said contract, as hereinafter set forth. NOW, THEREFORE, WE, the undersigned CONTRACTOR, as Principal and Westchester Fire Insurance Company 436 Walnut Street, P.O. Box 1000, Philadelphia, PA 19106 (Name and Address of Surety) Duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto the Costa Mesa Sanitary District, in the penal sum of: One Hundred Forty Seven Thousand Four Hundred and 00/100 Dollars ($147,400.00), said sum being set per Civil Code Section 9554 at one hundred (100%) percent of the estimated amount payable under the terms of the contract for which payment well and truly be made, we bind ourselves, our heirs, executors and administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that, if said Principal or his subcontractors, or the heirs, executors, administrators, successors or assigns thereof, shall fail to pay any of the persons named in Section 9100 of the Civil Code of the State of California for any materials, provisions, provender or other supplies used in, upon, for or about the performance of the work contracted to be done, or for any work or labor performed by any such claimant or any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the CONTRACTOR and his subcontractors pursuant to Section 13020 of the Unemployment Insurance Code, with respect to such work and labor, then said Surety will pay for the same, in an amount not exceeding the sum set forth hereinabove, and in addition, in case suit is brought upon the bond, will pay a reasonable attorney's fee to be fixed by the court. This bond shall inure to the benefit of any and all persons named in the aforesaid Civil Code Section 9100 so as to give a right of action to them or their assigns in any suit brought upon the bond. PAYMENT BOND PAGE 2 Bond No. K13517794 • Further, the said Surety, 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 obligation on this bond; and it hereby waives notice of any and all such changes, extensions of time, and alterations or modifications of the contract documents and/or of the work to be performed thereunder. IN WITNESS WHEREOF, we have hereunto set our hands and seals this 25th Day of January, 2018. Tecta America Southern California, Inc. Contractor Name 1217 E. Wakeham Avenue Street Address Santa Ana, CA 92705 City, State, Zip Code PRINCI AL By: Company Representative ex Souders, President In accordance with the Contract for CMSD Headquarters Roof Repairs at Costa Mesa Sanitary District Headquarters, all bonds shall be issued by an admitted surety insurer and the DISTRICT reserves the right to object to any such surety, in accordance with Code of Civil Procedure Section 995.660. By signing below, Surety certifies that the bonds are issued by an admitted surety. Westchester Fire Insurance Company Name 436 Walnut Street, P.O. Box 1000 Street Address Philadelphia, PA 19106 City, State,Zip Code SURETY By: wAl Susan Lupski, Attorney-In--� t APPROVED AS TO FORM: Alan R. Burns, District Counsel Costa Mesa Sanita By/s/ CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 e.�!�c!�c •�c!�.!c�,�c!:.a�¢�c!:�c�e!:..�, ._..�<!�e.Tc.vc!�e!�¢ a vc�,-�.�.�¢!�:e!:�<_.�.�.�. c .-:.�.�c e�e�. .!=.e .�.. 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 ('rr! c,e On / -23 /fi before me, \/✓a.,da J.. /-Q e// /(/ofa.y , Date Here Insert Name and Title of the Officer personally appeared /fex f000C/er. Name f4 of Signer who proved to me on the basis of satisfactory evidence to be the person(s'j whose names d Yar-e subscribed to the within instrument and acknowledged to me that Ichc/they executed the same in 0o/her/their authorized eapacity(isisl, and that by eghei4their signature(S)'on the instrument the person, 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 is true and correct. WANDA J.KOEHL WITNESS my hand and official seal. ��. Notary Public-California 1 Orange County z 155, Commission #2160205 Signature • _ m. ComExpires Aug 14_2020 Signature of tary Puatc fr 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 e/' ctO Title or Type of Document: /'G y,.i Gnt /3onDocument Date: / - L$- /6' Number of Pages: .,5 Signer(s) Other Than Named Above: S u.J.-a/1 L Lir Capacity(lees) Claime,by Signers, cr f/v)y — /01 — /0c 74 Signer's Name: c X.�ozc c/ 'J Signer's Name: KCorporate Officer — Title(s): /oi c J/c/e,if I I Corporate Officer — Title(s): ❑ Partner — LI Limited ❑ General I -'I Partner — I I Limited LI - eral ❑ Individual I Attorney in Fact I I Individual I Ate ey in Fact ❑Trustee ! ! Guardian or Conservator Ii Trustee uardian or Conservator ❑Other: i_l Other: Signer Is Representing: 7ecfa. ,�}M r�i c�- Signer Is '-presenting: J t i47Xrrn G'Cz/i Oin��. ZhL. LG'�.�✓.4�G�4�d.4�✓.4C✓G'ei6�✓4�GC✓.1✓.4C✓4�4�✓G�G�✓6�'.�.✓.'ri.1".4�G�✓4�G�4�:Z�G'y4�4'✓'.��,4C✓GC✓4�✓4�✓GC✓GC✓.1"�.G�✓.�✓G�✓G�✓G�✓G�✓G<✓4�✓4' ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 ACKNOWLEDGEMENT OF SURETY COMPANY STATE OF NEW YORK COUNTY OF NASSAU On this January 25, 2018 before me personally came Susan Lupski to me known, who, being by me duly sworn, did depose and say;that he/she resides in Nassau County, State of New York,that he/she is the Attorney-In-Fact of the Westchester Fire Insurance Company the corporation described in which executed the above instrument;that he/she knows the seal of said corporation;that the seal affixed to said instrument is such corporate seal;that is was so affixed by the Board of Directors of said corporation; and that he/she signed his/her name thereto by like order; and the affiant did further depose and say that the Superintendent of Insurance of the State of New York, has, pursuant to Section 1111 of the Insurance Law of the State of New York, issued to Westchester Fire Insurance Company (Surety) his/her certificate of qualification evidencing the qualification of said Company and its sufficiency under any law of the State of New York as surety and guarantor, and the propriety of accepting and approving it as such; and that such Certificate has not been revoked. 411111 eyr 1 Notary Public DANA GRANICE Notary Public,State of New York No.01GR6099128 Qualified in Suffolk County Commission Expires 9/22/2019 Power of WESTCHESTER FIRE INSURANCE COMPANY Attorney Know all men by these presents:That WESTCHESTER FIRE INSURANCE COMPANY,a corporation of the Commonwealth of Pennsylvania pursuant to the following Resolution,adopted by the Board of Directors of the said Company on December 11,2006,to wit: *'RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognizance,contracts and 00)01'w/in-en cumnutmenns of the Company entered into the ordinary course of business(each a"Written Commitment"): (I) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise. (2) Each duly appointed aturmey4in•fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise,to the extent that such action is authorized by the grant of powers provided for in such persons written appoinlmetas such attorney-in-fact. (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to appoint in writing any person the attorney-in-fact of the Company with full power and authority to execute,for and on behalf of the Company,under the seal of the Company or otherwise,such Written Commitments of the Company as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. 44) Each of the Chairman,thePresident and Vice Presidents of the Company in hereby authorized,for and on behalf of the Company.to delegate in writing any other officer of the Company the authonty to execute for and on bdnalf of the Company,under the Company's seat lir otherwise.such Written commitments orate Company as are specified in such written delegation,which specification may be by general type or class of Written Commitmems orhy specification of one or more particular Written Commitments _1 (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by facsimile on such Written Commitment or mitten appointment or delegation. FURTHER.RESOLVED,that the foregoing Resolution shall not be deemed tope an exclusive statement of the powers and authority of officers,employees and other persons to act for and our behalf of the Company,and such Resolution shall not limit or otherwise affect the exorcise of any auth power or authority otherwise validly granted or vested III Does hereby nominate,constitute and appoint Camille Maitland,Colette R Chisholm,Dana Granice,Desiree Cardlin,George 0 Brewster,Gerard S Macholz,Mia Woo-Warren,Michelle Wannamaker,Nelly Renchiwich,Rita Sagistano,Robert T Pearson,Susan Lupski,Thomas Bean,Vincent A Walsh,all of the City of UNIONDALE,New York,each individually if there be more than one named,its true and lawful attorney-in-fact,to make,execute,seal and deliver on its behalf,and as its act and deed anyand all bonds,undertakings,deco izances,contracts and other writingsin the nature thereof in gn penalties not exceeding Ten million dollars& zero cents($10,000,000.00)and the execution of such writings in pursuance of these presents shall be as binding upon said Company,as fully and amply as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office, IN WITNESS WHEREOF,the said Stephen M.Haney,Vice-President,has hereunto subscribed his name and affixed the Corporate seal of the said WESTCHESTER FIRE INSURANCE COMPANY this 18 day of November 2016. WESTCHESTER FIRE INSURANCE COMPANY • -i: Yv / 3 . StephenM,lianrar,Vete Pteatistent COMMONWEALTH OF PENNSYLVANIA COUNTY OF PHILADELPHIA ss. On this 18 day of November,AD.2016 before me,a Notary Public of the Commonwealth of Pennsylvania in and for the County of Philadelphia came Stephen M.Haney,Vice-President of the WESTCIKESTER FIRE INSURANCE COMPANY to me personally known to be the individual and officer who executed the preceding instrument,and he acknowledged that he executed the same,and that the seal affixed to:the preceding instrument is the corporate seal of said Company, that the said corporate seal and his signature were duly affixed by the authority and direction of the said corporation,and that Resolution,adopted by the Board of Directors of said Company,referred to in the preceding instrument,is now in force. { IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my official seal at the City of Philadelphia the day,and year first above written. y.+nr 1F .„.. 6,44 ,'{fa 4, M "ir�►l1NA e �I.���ttt e ,;!?.1i !:�n i �a�d� a�� r'1ral' I,the undersigned Assistant Secretary of the WESTCHESTER FIRE INSURANCE COMPANY,do hereby certify that the original POWER OF ATTORNEY,of which the foregoing is a substantially true and correct copy,is in full force and effect. In witness whereof,I have hereunto subscribed my name as Assistant Secretary,and affixed the corporate seal of the Corporation,this day of • JAN 2 2018 s,) j '••• ^lir a zliele"/.44....\.4. ,zte.,k,„ . t , a 1VIThal m L.K:elb,road THIS POWER OF ATTORNEY MAY NOT BE USED TO EXECUTE ANY BOND WITH AN INCEPTION DATE AFTER April 14,2018. ENSITIVES .1$!.';`-'9'9';'-. 'tphlG t DocuGard A04546 contains a security pantograph,blue background,heat-sensitive ink coin-reactive watermark,and microtext printing on border os Eu'on''''4 WESTCHESTER FIRE INSURANCE COMPANY FINANCIAL STATEMENT DECEMBER 31,2016 ADMITTED ASSETS BONDS $1,492,813,519 SHORT-TERM INVESTMENTS 34,890,369 STOCKS 450,903 REAL ESTATE 0 CASH ON HAND AND IN BANK 19,880,440 PREMIUM IN COURSE OF COLLECTION* 69,254,246 INTEREST ACCRUED 14,505,011 OTHER ASSETS 132,649,982 �- TOTAL ASSETS $1,764,444,470 I` LIABILITIES RESERVE FOR UNEARNED PREMIUMS $200,260,562 RESERVE FOR LOSSES 851,003,190 RESERVE FOR TAXES 16,081,016 FUNDS HELD UNDER REINSURANCE TREATIES 5,666,051 OTHER LIABILITIES (11,412,992) TOTAL LIABILITIES 1,061,597,827 CAPITAL: 70,000 SHARES,$71.43 PAR VALUE 5,000,100 CAPITAL: PAID IN 304,543,059 AGGREGATE WRITE-INS FOR SPECIAL SURPLUS FUNDS 113,661,643 SURPLUS(UNASSIGNED) 279,641,841 SURPLUS TO POLICYHOLDERS 702,846,643 TOTAL $1,764,444,470 (*EXCLUDES PREMIUM MORE THAN 90 DAYS DUE.) • STATE OF PENNSYLVANIA COUNTY OF PHILADELPHIA John Taylor, being duly sworn,says that he is Senior Vice President of Westchester Fire Insurance Company and that to the best of his knowledge and belief the foregoing Is a true and correct statement of the said Company's financial condition as of the 31 st day of December, 2016. Sworn before m this March 22,2017 is . • Se for Vice President e r., Notary Public My co 'mission expires COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Diane Wright, Notary Public City of Philadelphia, Philadelphia County My Commission Expires Aug. 8, 2018 4Eu6c�i,PENNSYLVANIA ASSOCiAT10N OF NOTARIES 1/25/2018 Company Profile CALIFORNIA DEPARTMENT OF INSURANCE COMPANY PROFILE Company Profile Company Search Company Information Company Search Results WESTCHESTER FIRE INSURANCE COMPANY Company 436 WALNUT STREET Information PHILADELPHIA, PA 19106 Old Company 800-352-4462 Names Agent for Service Old Company Names Effective Date Reference Information ACE INDEMNITY INSURANCE COMPANY 01/01/2011 NAIC Group List ALASKA PACIFIC ASSURANCE COMPANY 03/06/1996 Lines of Business CIGNA INDEMNITY INSURANCE COMPANY 11/01/1999 Workers' Compensation Agent For Service Complaint and Request for Vivian Imperial Action/Appeals 818 WEST SEVENTH STREET Contact Information SUITE 930 LOS ANGELES CA 90017 Financial Statements PDF's Annual Statements Reference Information Quarterly Statements NAIC #: 10030 Company Complaint California Company ID #: 2190-7 Company Performance& Date Authorized in California: 03/26/1975 Comparison Data Company License Status: UNLIMITED-NORMAL Enforcement Action Composite Company Type: Property&Casualty Complaints Studies State of Domicile: PENNSYLVANIA Additional Info Find A Company back to top Representative In Your Area View Financial Disclaimer NAIC Group List NAIC Group #: 0626 Chubb Ltd Grp Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT FIRE • LIABILITY • MARINE https://interactive.web.insurance.ca.gov/com panyprofile/companyprofile?event=companyProfile&doFunction=getCompa nyProfile&eid=5928 1/2 1/25/2018 Company Profile MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE WORKERS' COMPENSATION back to.top © 2008 California Department of Insurance https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyprofile&doFunction=getCompanyProfile&eid=5928 2/2