Supporting Documentation · Mar 26, 2024
99-24 Exhibit to Temporary Extension Agreement.pdf
00d0dba76ba6d3d1d7a63a33656ba8a40ca72823740f177df05bad83d7b1ada0Indexed text
3,142,906 Surplus as Surplus as Regards Regards to to Pollcyholders Policyholders 7,123,851 7,123,851 Total Liabilities Total Liabilities and and Surplus Surplus $$ 11,944,101 11,944,101 1, Glenn I, Glenn A. Runne, Chief A. Runne, Financial Officer Chief Financial Officer of of First First Indemnity Indemnity ofof America Insurance Company, America Insurance Company, do hereby certify do hereby that the certify that the foregoing statement foregoing statement isis a a correct correct exhibit of the exhibit of assets and the assets and surplus surplus of the said of the said company, company, on the 31st on the 31st day day of December, 2017,
on the 31st day day of December, 2017, of December, 2017, according according toto the best information, the best information, knowledge, knowledge, andand belief, belief, .4a&n o R~ neveryera, ete Glenn A.A Runne Glenn Rutine . Chilef Officer Financial Officer Chleffim:mcial NED State of New State of New Jersey) Jersey) County of County of Morris) 55% Morris) SS» Subscribed and Subscribed and sworn to, before sworn to, before me, me, aa Notary Notary Public Public of the State of the State of of New Jersayinin the New Jersey the Township of Morris Township of Morris Plains, Plains, this 31st this 31st day of December, day of December, 2017. 2017.
1st this 31st day of December, day of December, 2017. 2017. of ~~hr£ I &/;ekJ) NAY Fed i oN ad SEA“2 J, I RA wed fe 3 Kathleen Fachesto a pt RoE My Commission My Commission Expires March Expires March 16, 16, 2020 2020 Shel, wd inns hI XE it Peart Jo Elz
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SE —— TN ~ RELIWOO0-01 RELIW00-01 BR. 1 Vl"!A I DOA (T~ ACCORD» (MMDDIYYYY) DATE (MMJDDNYYY) ACORD" I..--- N—— THIS CERTIFICATE IS THIS CERTIFICATE iS ISSUED ISSUED AS AS AA MATTER MATTER OF CERTIFICATE OF CERTIFICATE OF INFORMATION INFORMATION ONLY OF LIABILITY ONLY AND LIABILITY INSURANCE AND CONFERS INSURANCE CONFERS NO NO RIGHTS RIGHTS UPON
NO RIGHTS RIGHTS UPON UPON THE THE CERTIFICATE CERTIFICATE HOLDER. HOLDER. THIS THIS I 07/12/2018 OATE 07/1212018 CERTIFICATE DOES CERTIFICATE DOES NOT NOT AFFIRMATIVELY AFFIRMATIVELY OROR NEGATIVELY NEGATIVELY AMEND, AMEND, EXTEND EXTEND OR OR ALTER THE COVERAGE ALTER THE COVERAGE AFFORDED AFFORDED BY BY THE THE POLICIES POLICIES BELOW. BELOW. THIS CERTIFICATE THIS CERTIFICATE OFOF
POLICIES BELOW. BELOW. THIS CERTIFICATE THIS CERTIFICATE OFOF INSURANCE INSURANCE DOES DOES NOT NOT CONSTITUTE CONSTITUTE A A CONTRACT CONTRACT BETWEEN BETWEEN THE THE ISSUING ISSUING INSURER(S), INSURER(S), AUTHORIZED AUTHORIZED REPRESENTATIVE OR REPRESENTATIVE OR PRODUCER, PRODUCER, AND AND THE THE CERTIFICATE CERTIFICATE HOLDER. HOLDER. IMPORTANT: IMPORTANT: If the If the c&rtfflcato certificata holder holder rs is an an ADDITIONAL ADDITIONAL INSURED, INSURED, thethe pollcy(les) policy(les) must must have have ADDITIONAL
have ADDITIONAL ADDITIONAL INSURED INSURED provisions provisions or or be he endorsed. endorsed. If SUBROGATION If SUBROGATION IS IS WAIVED, subject to WAIVED, subject the terms to the terms and and conditions conditions ofof the the policy, policy, cenaln certain polfcles policies may may require require an an endorsement
an endorsement endorsement. A A statement statement on on this certificate does this c.ertlficata dogs notnot confer confer riahts rights to to the certificate holder the certificate holder In In lieu lleu of of such such endorsementts}, endorsement(s). PRODICER eewgrer f,Q!fJ:ACT Acisue LLG OIA chaglr Stuns BEE,co (oT 2270028 Blo 25 PRODUCeR Acrlsure, LLC 0/BfA Chadlir Solutfons 100 Passarc Aveb Suite 120 tA}g;wo, ExtJ: {973) 227·0025 Ir~ "•'' 973) 221-102s Fairfield, NJ Falrfleld, NJ 070 07004-3508 4-3508 l;;.M_ajf:. __ '
l;;.M_ajf:. __ ' AFF v••••• ... ~. INS'-•"AIG lnsuran~n Comoanv 26R83 INSURED ' 1N-· .... ~-"': Co ..... '"""erce and Jn"'"'"trv lnsur"" ... CA Co 19410 Reliable Wood Reliable Wood Products Products LLC LLC tN•'"""",. ·.New Jercu~\t Manufacturers Insurance Co 12122 482 Houses Corner 482 Houses Corner Road Road IN'""""'.. 0: Sparta, NJ Sparta, NJ 07871 07871 INC:URirA E • INSURl!RF: COVERA"'"S CERTIFICATE NllMBER: R""'S"'N NUMB"~: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NMiED ABOVE FOR THE POLICY PERIOD INDICATED. INDICATED. NOTWATHSTANDING ANY NOTWTHSTANOING ANY REQUIREMENT, REQUIREMENT, TERM TERM OR OR CONDITION CONDITION OF OF ANY CONTRACT OR
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