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Insurance - TTS - 2011-04-27 FROM TTS ENGINEERING FAX NO. ,14R46'1d9 May 0q 2011 OF 55AM F 2 1 ri e CERTIFICATE OF LIABILITY INSURANCE a�zii2011 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOE$ NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder Is art ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policie4 may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such andorsement(a). I PRODUCER CONTACT Mary Doig James G Parker Insurance Associates PHONE (559)222-1722 _ rm.NOL•(559)222-1726 License #0554959 ADc sy.MaryDOige 7gparker oom 1753E Fir Ave PRODUCER 00078956 CUSTOMER'°#. Fresno CA 93720 //���a����� ffJJ� INSURER(SIAFFORPINO COVERAGE NAIC a_ AL tA/ INSURED ��Vr5� CA1 /^�FtwsuRERAEvarest Indemnity Insurance Co 10851 //T1' /�/� trl s. //Y'�aC ssunnLa:Praetorian Insurance Company 37257 _ A IA T T S Engineering In0 dba T T S Ergineering NSURERC. _ 16835 Algonquin Street #453 INSURER O. INSURER E Huntington Beach CA 92649 INSORERF COVERAGES CERTIFICATE NUMBER:10-11 Gl Ba Im 11 12 etc REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IM - ADOL SUER POLICY EFf� POLICY EXP LTa TYPE OF INSURANCE INSR MP POLICY NUMBER IMWDDIYYYf (MI%DO/YYYYI OMITS GENERAL LIABILITY EAC OCCURRENCE S 2,000,000 PAMAGES(Ea%RENTED X COMMERCIAL GENERAL LIABILITY 4MIll PREMISES ENU TO T(E5 flafl L_ $ 100,000 .,_ A — CLAIMS-MADE X OCCUR X EF 01954101 5/30/2010 5/30/2011 MEDEXP(Any ule per AO) IS 5 000 PERSONAL&ADV INJURY It 2 000 000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIITAPPI E6 PER I PRODUCTS COMP/OP AGG�1 2,000,000 POLICY IX I JECT ,LOC Per Paltry Aggregate ■1 6,000,000 'ABILITY ( COMBINED SINGLE LIMIT Idod) It 1,000 OOD & am X1 ANY AUTO O B I_I ALL O`ANEDAUTOS 010000693 9/26/2010 9/26/2911 HOORYIWIRY(PCrpevon) If BODILY INJURY(Pe aacdtr(l) S SCHEDULED AV rO) PROPERTY DAMAGE X HIRED AUTOS (PareoCdeni) 3 IX NON-0NNEDAUTOS Unnsuredmoan% ombnod s 1,000,000 I Medici payments S 5,000 EX UMBRELLA LIAB XI OCCUR EACH OCCURRENCE S 3,000,000 EXCESS LIAO I I CLAIMS-MADE AGGREGATE 3 3,000,000 I I DEDUCTIBLE 3 A X IRETENT.ON 3 10,000 EF40000317111 3/2/2011 15/30/2012 Is -WORKERS COMPENSATION J vN�g OTR_ AND EMPLOYERS'LIABILITY Y I N _ IOYL: SL_ EL. R.— �w- ANY PRCPRIETOR/PARTNERIE%ECUP E L EACH ACCIDENT I S OFFICERRAEM5ER EXCLUDED? NIA - - -- (Wnd4Wry In NH) EL DISEASE-EA EMPLOYEE S Ir yea,deacnba urda� DESCRIPTION OF OPERATIONS below I I _ I I EL DISEASE-POLICY OMIT J$_ B Rented/Leased Equipment I iCARO0E100693 ,9/25/2010 11,9/26/2011 $1000py„„ye $125,000 A Pollution Liability 1 &F4N 01954101 15/30/2010 5/30/2011 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 'Attach ACORD 101,Additional Remarks Sc/Ndu IT nor span Is required) Car t£loath holder named Additional Inbured per form CO2010 0704 attached CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN Coats Mesa Sanitary District ACCORDANCE WITH THE POLICY PROVISIONS District Engineering ____ 628 W 19th Street AUTHORIZEDREPRESENTA11VE Costa Mesa CA 92627 J Parker III/CARRIE ii se edb A ACORD 25(2009/09) I ID 1988-2009 ACORD CORPORATION, All rights reserved. IN$025(20 5091 The AGGRO,name and logo are registered marks of AGORD 1 Best's Credit Rating Center Company Information for Everest Indemnity Insurance Company Page 1 of 2• .� BE + Ratings & Analysis Center « :r Regional Centers:Asia Pacific I Canada I Europe,Middle East and Africa Home I About Us I Contact Us I Sitemap Raungs&Anarysis 1 Everest Indemnity Insurance Company P"nums page t Member Center Home (a me the of Everest Re Group Ltd) Fo stings nd product ace I Best's Credit Ratings A M Best#:012096 NAIC# 10851 FEIN#. 2235203471 Assigned to Biww sesig0 Abating Lsgin I Sgmup Finale,al Str ngth Ratngs cwnpa . Is uer Credit Ratings that ha A. 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Industry Informati Rating A+(Supe r) Long-Tenn as (Supe r) Affiliation Code g(Gr up) Outlook Stable Corpo ate Fr ial Size Category XV(82 Billi Acti Affirmed Support&Reso gr ater) Date July 29,2010 I Conte ces and Ev nts Outlook Stable ) Acto Affirmed Effective Date July 29,2010 De cite Under Rem v Best's Rabnos Offi A M Best Co teeny Se Fi al Analyst: Gale Gu As stant Vi Pr Went: Pete Dickey Reports and News Visit NewsRoom fo the latest news and press releases for thi ompany nd its A M Best Gr up {�— AMB Credit Report-Insurance Professional dude Best' Fi at Strength V Rating nd atio ale along with comprehe styli al imentary,detailed bu erview nd key fin al data Report Re Date 07/29/2010 irepr nts the latest signitic change) Historical Reports tlable AMB Credit Report Insurance Professional Archive Best's Ex utiv Summary Reports(Fi at Overview) dable thr the presentatio style eports featu balance sheet,income statement, key fin natal perform nce tests eluding profitability,liquidity nd erve analys Data Statu 2011 Best's Statement File P/C,US Conta data compiled of 5/9/2011$Quality Cr Checked) Single Company h ye of fi al data speci0 ally thi company Comparison side-by- ide fin al nalys of thi ompany with a pe gr up of up to fiv othe ompa yo select Composite evaluate thi ompany's ftnan als aga st pe group omposite Report displays both the age nd total omposite of yo elected pe rgroup �- AMB Credit Report Business Professional provide thr ye of key al tl data pr nted with colorful charts nd table Each eport als featu the latest Best's Ratings Rating Ratio ale nd xcerpt fron Bu Re ew ommentary Data Statu Cotta data ompiled of 5/9/2011(Oueh cr s check dl tia Best's Kev Retina Guide Presentation Report include Best's Fi al Str ngth O Rating nd fin al data as pr ided Best's Key Rating Guide products Data Statu 2009 Fi al Data(Cuality Cr s Checked) Financial and Analytical Products Best's Key Rating Guide P/C,US&Canada Best's Statement File P/C,US Best's Statement File Global Best's Insurance Reports P/C,US&Canada Best's State Line-P/C US Best's Insurance Expense Lxhibd BEE)-P/C,US Best's Schedule F(Reinsurance) P/C,US Best's Schedule 0(Preferred Stocks) US http.//wvirw3.ambest.com/ratings/FullProfile.asp?BI=0&AMBNum=12096&AltSrc=1&Alt. 5/9/2011 10:08:32 AM Best's Credit Rating Center Company Information for Praetorian Insurance Company Page 1 of 2 BE ratings & Analysis Center Regional Centers:Asia Pacific I Canada I Europe,Middle East and Africa Home'About Us I Contact Us I Sitemap Praetorian Insurance Company Print this page f�j Member Center Ratings&Analysis Fo s Home (a membe of QBE Americas Group) tings nd product ace Best's Credit Ratings i q M Best p:002643 NAIC p 3]25] FEIN F. 363O30611 Assigned to Raw strwigth Rating Login I Sxlnup Finals at Sir ngth Ratngs cornea - t r Issu rCredn Ratings that ha A Repellant Debt Raings our open Ft d Best's Credit Rau tg Pa nt Stock Ticker Australia Searitie Exchange ASX OBE �� Advanced Se ch xcellent ability to meet the Ente a Company Name About Best's Credit Ratings ( Addr Wall Street Plaza 88 Pin St 4th Flo ongo rig rice obligations Get Credit Rating New York,NY 10005 — - _ Advanced Search Bests Special Reports UNITED STATES Add Best's Credit Ratings Search To Your Site Pho 212-422-1212 BestMark for Sear -Rated Fa '12-422-1313 , lt- etRated By A.M.Best Insurers Web www OBE corn Contact Anaryst - - - Awards and Recognitio Best's Ratings Pies Ran tg Defi in News&Research I Fin al Str ngth Ratings View Definitions Is r Credit Ratings View Definitions Select o e _ Products&Servic Rating A(Ex client) Long-T rm (Ex client) Industry Information Fi at Siz Category IX($250 Mill* to Outlook Stable Corporate $500 Million) Act' Upgraded Support&Resources Outlook Stable Date Octobe 01,2010 Confe nd Ev nts Actio Upgraded / Effects/ Date Octobe 01,2010 De ote Under Re Best's Ratings Offi A M Best Company Se Fi at Analyst: David S Blade As stant Vi Pr Itlent Jo eph M Roethel Reports and News Visit NewsRoom for the latest news and press releases to Its ompany and its A M Best Gr up i=1 AMB Credit Report Insurance Professional dude Bests Financ al Strength N• Rating nd atm ale along vnh comprehe styli at imentary,detailed bu erview nd key It at data Report Re Date 10/01/2010 e.pr nts the latest signific nt change) Historical Reports stable AMB Credit Report Insurance Professional Archive `) Best' Ex uti Summary Reports(Fr at Overview) available thr the pr sentation style eports featu bale sheet. ncome state nt, key financial perfo tests eluding profitability,liquidity nd erve alys Data Statu 2011 Bests Statement File P/C,US Conta data compiled of 5/9/2011(Quality Checked) Single Company fiv ye of financial data specifically thi company Comparison side-by- ide fin al alysts of thi ompany with pe gr up of tp to fiv othe spa ies yo elect Composite aluate thi many fin als aga st pe gr up omposite Report displays both the age nd total omposite of yo elected pe gr up AMB Credit Report-Business Professional pr ide thr ye of key fin at data pr nted with colorful charts nd table Each eport als features The latest Best's Ratings Rating Ratio ale nd rpt from Bu Re ew ommentary Data Statu Conte data compiled as of 5/9/2011(Quality Cr s Checked) Best's Key Rating Guide Presentation Report dude Bests Fi at Sti ngth Rating nd fin at data pr ided Best's Key Rating Guide products Data Statu 2009 Fi at Data tOt iiiy Cr s Chediedl Financial and Analytical Products Best's Key Rating Guide P/C,US&Canada Best's Statement Fite P/C,US Best's Statement File Global Best's Insurance Reports P/C,US&Canada Best's State Line P/C,US Best's Insurance Expense Exhibit(lEE) P/C,US Best's Schedule F(Reinsurance) P/C,US Best's Schedule D(Municipal Bonds) US Best's Schedule O(Common Stocks)-US http.//www3.ambest.com/ratings/FullProfile.asp?BI=0&AMBNum=2643&AltSrc=1&AIIN. 5/9/2011 10:17 47 AM Company Profile Page 1 of 2 ‘ CALIFORNIA ti DEPARTMENTITINSURANCE' ° ° COMPANY PROFILE Company Profile Company Se ch („„Company-Information Company Search Results PRAETORIAN INSURANCE COMPANY Company Informati 88 PINE STREET, 16TH FLOOR Old Company Names NEW YORK, NY 10005 ld Com P 877-772-6771 Agent for Service Reference Information Old Company Name Effective Date NAIC Group List Li ies of Business INSURANCE CORPORATION OF HANNOVER 07/01/2006 Fi ncral Statements PDF' tack to top Annual Statements Quarterly Statements Agent For Service CA Supplements JERE KEPRIOS Company Compla nt C/O CT CORPORATION SYSTEM 818 WEST SEVENTH ST Company Performan LOS ANGELES CA 90017 &Compa son Data Company Enforcement back to top Acti Composite Compla nts Referen Information Studi Additional Info NAIC# 37257 Find A Company Representaov In yo Cahfor is Company ID tt 2991-8 Area View Fi ial Date Author zed Califo 01/08/1985 Disclaime Li Status: UNLIMITED-NORMAL Company Type Property&Casualty State of Domicile PENNSYLVANIA back to top NAIC Group List NAIC Gr ip 4' 0796 QBE INS GRP LTD back to top Lines Of Business The co ipany author zed to tr sact bus ness withi these lines of nsu For an expla ation of any of the terms,please refe to the glossary AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE http.//interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=co. 5/9/2011 10:49:27 AM FPOM TTS ENGINEERING FAk NO. '1484 '1R9 Ha-i 09 2011 08 SEAM F 5 Additional Named Insureds Other Named Insureds mT" Enq_ q ad: I Add'_ al Named as ed OFAPPINF(02/2007) COPYRIGHT 2007,AMS SERVICES INC FROM TTS ENGINEERING Fa: NO. —1-1846718; May 69 2011 CE S%RM P E i POLICY NUMBER' EF4ML01954101 COMMERCIAL GENERAL LIABILITY TTS Engineering Inc CG 20 10 07 04 THIS ENDORSEMENT C ANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insu-ance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Organization(: Locations)Of Covered Operations Blanket as required by Written Con ract ' Blanket as required by Written Contract Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II—Who Is An Insured is amended to B.With respect to the insurance afforded to these include as an additional insured the person(s)or additional insureds,the following additional Organization(s) shown in the Schedu e, but only exclusions apply with respect to liability for 'bodily injury" This insurance does not apply to bodily injury' or 'property damage' or personal and advertising 'properly damage' occurring after injury' caused, in whole or in part, by 1.All work,including matenals, parts or equip- 1 Your acts or omissions;or ment furnished in connection with such work, 2.The acts or omissions of thos acting on on the project(other than service,maintenance or your behalf; repairs)to be performed by or on behalf of the in the performance of your ongoing additional insured(s)at the location of the covered operations for the additional insured(s)at the operations has been completed;or location(s) designated above. 2.That portion of 'your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a pnncipal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc. 2004 Page 1 of 1 0 FFO11 TT- BIG'NEERIIIG FR X HO. ,1484E7189 May 09 2011 08:55011 F 1 FAX TTS Engineering 16835 Algonquin Street # 453 OGI®N IMMApQH* 0K-1a Huntington Beach, Ca 92649 General Engineering Cgntractor 714-840-6346 off WK«ringtee &act 714 846-7189 fax To Phyllis Company' Costa Mesa Sanitary District Fax: 949-548-6516 Date. May 9 2011 Pages Including 6 Special Please find the attached, as Instructions: requested Cover From Kelly S. ckilbert/ Office Manager kgilbert@ tsengineering.net Regarding CertificatiJs of Insurance rehab of 6 sewer transfers If you have any questions, or need further information, please do not hesitate to contact me. Comments Blessing$- Kelly S Gilbert FROM TT, EIOINEERING FR HO. ,1434671'9 Mau 09 2011 0E =5AM F ADDITIONAL COVERAGES Ref# Description Coverage Code Form No. Edition Date Policy Aggregate Limit 1 I Limit 2 Limit 3 Deductible Amount Deductible Type Premium 6,000,000 I Ref# Description Coverage Code Form No. Edition Date Pollution Liability POLUT Limit 1 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 2,000,000 10,000 Ref# Description f Coverage Code Form No. i Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date— Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit t Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description I Coverage Code Form No. Edition Date Limit 1 Limit2 i Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Data Limit 11 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Cede Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium _ l w Ref# 1 Description Coverage Code Form No. Edition Date I Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# I Description Coverage Code Form No. Edition Data Limit 1 I Limit 2 Limit 3 Deductible Amount Dedbctible Type Premium OFADTLCV Copyright 2001,AMS Services,Inc. List of Eligible Surplus Line Insurers (LESLI) Page 1 of 4 r a GAL'IFORNIA Skip to Content Home Check UCense Status Request for ASSislance ; Contact Us D&P.ARTMENTfOFjINSUIUII�CEi s ;: r i r• CONSUMERS'PPp� ,.�1 l'r SENIORS '(AGLNTS ABROKERSI , INSURERS _� FRAUD I� NEWS �n f .ABOUT US.' ' j' MULTIMEDIA L RGaiJ5 silt esea I I pest Google- SEARCH ©. Insurers Ov-rview/Insurers/ ull Get n &s Notces/Lis Eligible rplu Lin (LESLI) V Di urera Overview CONSUMERS: LIST OF ELIGIBLE SURPLUS LINE INSURERS(LESLI) Insurers Pre the"FIND' opts the"EDIT"me of yo brows to ch fo particula ompany AooLCahons.Forms& filings List of all 11°04 of I nndon Syndicates appr ed for the LESLI list Bulletins&Notices AS OF April 4,2011 Programs Officially Filed Reports of A I B-DIE-G 11:1 L I PL-C 1.0=Z Examination nnc A rc I eaal Information INSURER DATE Data&Reports APPROVED COIN Acceptance Casualty Insurance Company(Nebraska) 10/23/2007 P&C Rate Filing ACE European Group Limited(U K.) 06/20/2007 Health Insurance Rate Admiral Insurance Company(Delaware) 06/30/1995 Flings Adriatic Insurance Company(North Dakota) 06/30/1995 AIX Specialty Insurance Company(Delaware) 06/05/2009 Allia Global Corpo ate&Spe alty AG(Germany) 06/16/2004 (Name Changed from Allianz Mande&Aviation Versicherungs-AG effective 07/28/2006) Allied World Natio al As umn Company(New Hampshire) 12/18/1997 Qu ck Links (Name changed from Newmarket Underwriters Insurance Company effective 10/03/2007) For insurers I:I Alte Ex &Surplu In Company(Delawa e) (Name changed from Alte Spe alty In Company effectiv 09/27/2010. Name cha teed from 06/19/2008 Max Specialty Insurance Company effective 05/13/2010) gmerican Empire Surplus Lines Insurance Company(Delaware) 09/01/1995 Ame Safety Indemnity Company(Oklahoma) (Name changed from Trafalgar Insurance Company effective 04/10/2000) 11/20/1996 American Westem Home Insurance Company(Oklahoma) 09/01/1995 Arch Insurance Company(Europe)ILimited(U.K) 10/19/2009 Arch Spa alty In Companyi(Nebr ska) (Name changed from Rock Riv In Company effectiv 08/01/2002) 09/01/1995 (Domicile changed from Wisconsin to Nebraska effective 12/28/2006) Anel Reinsurance Company Ltd (Bermuda) 10/08/2010 Aspen Insurance UK limited(U K) 12/29/2004 Aspe Spe alty In Company(North Dakota) 03/03/1998 (Name changed from Dakota Specialty Insurance Company,effective 10/22/2003) Associated Electric&Gas Insurance Services Limited(Bermuda) 11/03/1995 Atlantic Casualty Insurance Company(North Carolina) 07/16/2009 Aviv ante atio al In Limited(U.K.) 12/22/1995 (Name Changed from CGU International Insurance PLC effective 09/01/2006) — AXA Corporate Solutions Assurance(France) 08/14/2003 AXIS Specialty Europe Limited(Ireland) 06/20/2007 AXIS Surplu In Company(Illi s) 12/15/1995 (Name changed from Sheffield Insurance Corporation effective 06/09/2003) pack to Too B D I INSURER DATE APPROVED Berkshire Hathaway International Insurance Limited(UK) 04/01/2008 The British Aviation Insurance Company Limited(UK) 12/01/1995 Burlington Insurance Company(North Carolina) 11/17/1995 Capitol Specialty Insurance Corporation(Wisconsin) 15/15/2008 Catlin Insurance Company UK Limited(U.K.) .14/10/2007 Catli Spa alty In umn Co npany(Delawa e) 06/14/2006 (Name changed from Wellington Specialty Insurance Company effective 03/31/2007) Century Surety Company(Ohio) 09/01/1995 http://www.insurance.ca.gov/0250-insurers/0300-insurers/0200-bulletins/eligible-surplus-li. 5/11/2011 List of Eligible Surplus Line Insurers (LESLI) Page 2 of 4 Olaf-Us Selctt 10 uran Company(Delawa e) i (Na changed from AIG Ex Liability In Company Ltd effectiv 11/01/2009 Na changed from Sta r 12/01/1999 Excess Liability Insurance Company,Ltd.effective 07/31/2007) harts Spe ally In Company(Illi s) •6/30/1995 (Name changed from American International Specialty Lines Insurance Company effective 11/01/2009) hubb Custom Insurance Company(Delaware) 18/04/1995 incinnati Specialty Underwriters Insurance Company(Delaware) 11/31/2011 larendon Amenca Insurance Company(New Jersey) 19/01/1995 olony Insurance Company(Virginia) 19/01/1995 olony Natio al In Company(Virg a) 12/17/1996 (Name changed from Preferred National Insurance Company effective 04/01/2002) i olumbia Casualty Company(Illinois) 17/06/1995 ' ommonweal[h Insurance Company(Canada) 10/27/1995 rum&Fo ste Spe alty In Company(Ar a) (Name changed from Tran abo al In uran Company effectiv 12/26/2000.Domicile changed from Co ecticut 14/20/1998 to Arizona effective 02/12/2002.) (CUMIS Specialty Insurance Company,Inc (Iowa) 15/15/2008 Darwi Select In Co many(Arka s) (Name changed from ULICO Indemnity Company effective 05/02/2005) 12/22/1995 Discover Specialty Insurance Company(Illinois) 12/22/1999 Sack to Too E G r INSURER DATE APPROVED Empire Indemnity Insurance Company(Oklahoma) 12/01/1995 Endu Ame Specialty In Company(Delawa e) 12/23/1996 (Name changed from Traders&Pacific Insurance Company effective 06/08/2006) Endurance Specialty Insurance Ltd.(Bermuda) 12/29/2008 Energy Insurance Mutual Limited(Barbados) 12/17/1997 Essex Insurance Company(Delaware) 17/06/1995 Evanston Insurance Company(Illinois) 18/11/1995 a C vcxrR emNtfil�lASUrau�GOalpanyT(DeWware1), _fl 4/+998• Executive Risk Specialty Insurance Company(Connecticut) 19/01/1995 Fede ated Natio al In Company(Florida) (Name changed from Ame Vehicle In uran Company 10/16/2007 effective 01/31/2011) Fireman's Fund Insurance Company of Ohio(Ohio) 15/19/1999 First Mercury Insurance Company(Illinois) 10/16/1997 First Specialty Insurance Corporation(Missouri) 19/01/1995 Founders Insurance Company(Illinois) 10/16/2007 Gemini Insurance Company(Delaware) 12/23/1998 Ge al Se my Indemnity Company of Ar (Ar a) (Name changed from Fulcrum Insurance Company effective 05/03/2002) 19/01/1995 General Star Indemnity Company(Connecticut) 18/11/1995 Genesis Indemnity Insurance Company(North Dakota) 8/04/1995 Glencoe Insurance Limited(Bermuda) 7/05/1996 Gotham Insurance Company(New York) 18/04/1995 Gr at An E&S In Company(Delawa e) 16/30/1995 (Name changed from Agricultural Excess and Surplus Insurance Company,effective 07/27/2000) Gr at An fidelity In Company(Deawa e) 09/01/1995 (Name changed from American Dynasty Surplus Lines Insurance Company,effective 06/27/2001) Great Lakes Reinsurance(UK)PLC(UK) 12/01/1995 Gulf Underwriters In Company(Co cticut) (Domicile changed from Missouri to Connecticut,effective 10/01/2001) 07/07/1995 HE kto TqQ H L INSURER DATE APPROVED Health Care Indemnity,Inc (Colo ado) 03/21/2001 Heddmgton Insurance(UK)Limited(UK) 11/03/1995 Hiscox Specialty Insurance Company Inc.(Illinois) 10/08/2010 Homeland Insurance Company of New York(New York) 09/24/2003 Houston Casualty Company(Texas) 09/01/1995 Ho sto Spe alty In Company(Delawa e) (Name changed from Naxos Insurance Company effective 12/30/10) 10/08/2009 Hods Spe ally In Company(New York) 11/09/1995 (Name changed from General Security Indemnity Company effective 12/29/03) Illinois Union Insurance Company(Illinois) 12/22/1995 Indian Harbor Insurance Company(North Dakota) 12/08/1995 http://www.insurance.ca.gov/0250-insurers/0300-insurers/0200-bulletins/eligible-surplus-li. 5/11/2011