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UNDERWRITING AND INVESTMENT EXHIBIT
STATEMENT OF INCOME
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Generol Power Of Allomey
Connecticut Indemnity Com piny
c/o 9800 S. Merldlon Blvd.
Englewood, Colorodo 80155
Know All Men By ThOle PrOlenll, thlt Connectlcullndemnll'l Company. a corporation organized under the
lawl of the State of Connecticut, with Its pnnclpal off,cslocated In Farmington, Connecticut, hereby conslitutss and appoinls
Jason Wolgemuth
in the City 01 , County of Cumberland , State 01 PAnngylv"ni"
its true and lawful AttorneY.In.Fact for 'I and In ,Is name, place and stead. to execute on behalf of the said company, as Sole
Surety. subject to the hmltalions herBln set forth Ball Bondi and Recognlzancea only. in a penalty not to exceed
Two Hundred Fifty Thousand Dollars ($250,000) for each bond or recognizance
Each bail bond or recognizance must be accompanied by an ,ndlvldual, numbered Power of Attorney properly r-
CICQP Ng 003276
execuled.
This General Power of Attorney shall become void on 12/31/99 unless previously revoked.
The execution of such bonds or undertakings in pursuance of these presents shall be binding upon said Company as
fully and amply. to all inlents and purposes, as if they had been duly executed and acknowledged by the regularly elected
officers of the Company at its offics in Farmington. Connecticut, in their own proper psrsons.
In Witness Whereof, Connecticut Indemnity Company has caused these presents to be signed by its duly
authorized officer, and its corporate seal to be hereunto affixed this 5th day of July, 1998.
.,<
Connecticut Indemnity Company
By -fJD-l4 R..r?~
Executive Vice PreSident
.~
State Of Colorado
County Of Arapahoe } ..
Qualifying Power Only. Not To Be Attached To Any Bond.
Valid Only If Individual Power Of Attorney Is Attached To Each Bond Executed.
Jim Pouliot being duly sworn, deposes and says that he is an officer of Connecticut Indemnity Company, the
corporation which is described in and which executed the foregoing instrument; that he knows the corporate seal of said
corporation; that the seal affixed to the said instrument is the corporate seal of Connecticut Indemnity Company and was
Ihereto affixed by authority of a resolution is now in full force and effect. as follows:
Be It Resolved, that anyone of the following officers of Connecticut Indemnity Company: President, Vice President,
and Executive Vice President, is hereby aulhorized to execute on behalf of Connecticut Indemnity Company Powers of
Attorney aulhorizing and qualifying the Attorney-in-Fact named therein to execute on behalf of Connecticut Indemnity Company
Criminal bail bonds in a principal sum not to exceed five hundred thousand ($500,000.00) dollars on anyone bond. and further
that anyone of the aforesaid officers of Connecticut Indemnity Company is hereby authorized to affix the corporate seal of the
said Company to Powers of Attorney executed pursuant hereto
,;':~
Sworn to before me this
51h day of Julv , 1991L
1!fe~~ ~t:r~~(J:f Notary Public
My Commission Expires April 15. 2002
Form CICQP
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:11 COMMONWEALTH OF PENNSYLVANIA .f
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~ INSURANCE DEPARTMENT .(
= CERTIFICATE OF QUALIFICATION :~
,~ ISSUED TO: :~
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. ~
III WOLGEMUTH JASON MICHAEL 'I
,f) 24 VINEHONT ROAD ;
.~ REINHOLDS PA 17569 'l
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~ C OF Q #: CQ516843939 PRINTED ON: 12/03/1997 EXPIRATION DATE: 12/31/1999 .j
~ ;
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~ AUTHORIZED POWERS: :
i~ .~
I~ 0400 PROPERTY AND ALLIED LINES 0500 CASUALTY AND ALLIED LINES ,.
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[I ~,~_dL.._) :~
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I; _ ACTING INSUllANCE CllMMISSIONER :~
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