115-25 Proposal - CPS.pdf

Bond No. 800025861 SURETY ACKNOWLEDGMENT State of New York County of New York On February, 2nd, 2023 beforeme, __!an M. Stevens personally appeared Sean Abrams who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/heri/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. | certify under PENALTY OF PERJURY under the laws of the State of New York that the foregoing paragraph is true “A sorract. WITNESS my hand and official seal. | i (seal) wise G| ey sa ornee York Mt OISToIS6T6) Qualified In Nassau County, ‘Commission Expires Jan. 17. 2,

Bond No. 800025861 intact INSURANCE Power of Attorney KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York corporation with its principal office in Plymouth, Mimesota, does hereby constitute and appoint: Sean H. Abrams, each individually if there be more than one named, its true and lawful Attorney-in-Fact, to make, execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof; provided that no bond or undertaking executed under this authority shall exceed in amount the sum of: unlimited and the execution of such bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof in pursuance of these presents, shall be as binding upon said Company as if they had been fully signed by an authorized officer of the Company and sealed with the Company seal. This Power of Attorney is made and executed by authority of the following resolutions adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012: Resolved: ‘That the President, any Senior Vice President ot Vice-President (each an “Authorized Officer”) may execute for and in behalf of the Company any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and affix the seal of the Company thereto; and that the Authorized Officer may appoint and authorize an Attorney-in-Fact to execute on behalf of the Company any and all such instruments and to affix the Company seal thereto; and that the Authorized Officer may at any time remove any such Attorney-in-Fact and revoke all power and authority given to any such Attorney-in- Fact. Resolved: ‘That the Atorney-in-Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney-in-Fact shall be as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attorney-in-Fact is hereby authorized to verify any affidavit required to be attached to bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature

and, further, the Attorney-in-Fact is hereby authorized to verify any affidavit required to be attached to bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof. ‘This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012: Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing an Attorney-in-Fact for purposes only of executing and sealing any bond, undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company to be affixed this first day of January, 2023. An Sarah A. Kolar, General Counsel By STATE OF MINNESOTA HENNEPIN COUNTY On this first day of January, 2023, before me personally came Sarah A. Kolar, General Counsel of ATLANTIC SPECIALTY INSURANCE COMPANY, to ine personally known to be the individual and officer described in and who executed the preceding instrument, and she acknowledged the execution of the same, and being by me duly sworn, that she is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company. fuif ir My Commission Expires January 31, 2026 Notary Public |, the undersigned, Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify that the foregoing power of attorney is in full force and has not been revoked, and the resolutions set forth above are now in force. Signed and sealed. Dated_2Nd day of February ,_ 2023 as fe: SEAL om: ie gi tL, ees" % 1986 $3 XE.

ney is in full force and has not been revoked, and the resolutions set forth above are now in force. Signed and sealed. Dated_2Nd day of February ,_ 2023 as fe: SEAL om: ie gi tL, ees" % 1986 $3 XE. se This Power of Attomey expires is Hey oR Se January 31, 2025 he rane Kara Barrow, Secretary Please direct bond verifications to surety@intactinsurance,com —— a a a

intact | Period Ended 12/81/2021 Dottars displayed in thousands Admitted Assats Liabilites and Surplus Investments: Liabilities Bonds $ 1,827,267 Loss Reserves $ 1,012,842 Preferred Stocks - Loss Adjustment Expanse Resenes 307,403 ‘Common Stocks 907,728 Total Loss & LAE Reserves 7,320,248 Mortgage Loans - Real Estate - Uneamed Premium Resene 656,903 Contract Loans - Total Reinsurance Liabiities 24,180 Derivatives - Commissions, Other Expenses, and Taxes due 63,766 Cash, Cash Equvelents & Short Term imestments 174,241 Demetnes . Other Investments 20,131 Payable to Parent, Subs or Affiiates : Total Cash & Investments —Fa28.367 ‘All Other Liabilities 442,340 Premiums and Considerations Due 288,964 Total Ltabllities 2,506,526 Reinsurance Recowrable 24,405 Receivable tron Parent, Subsidiary or Affilates 56,363 Capital and Surplus All Other Admitted Assets 58,690 Common Capital Stock 9,001 Tae e Preforted Capital Stock - Total Admitted Assots 3,358,479 ‘Surplus Notes - Unassigned Surplus 165,600 ‘Other Inchiding Gross Contributed 677,347 Capital & Surplus 351,964 Total Liabilities and C&S 3,358,479 State of Minnesota County of Hennepin Bond No. 800025861 Atlantic Speciafty Insurance Company I, Kara Barrow, Secretary of Atlantic Specialty Insurance Company do hereby certify that the foregoing statement is a correct exhibit of the assets and liabilities of the said Company, on the 31% day of December, 2021, according to the best of my information, knowledge and belief. KPa Secretary Subscribed and sworn to, before me, a Notary Public of the State of Minnesota on this 14" day of March, 2022. Notary Public My Commission Expires January 31, 2025