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COMMONWEALTH OF PENNSYLVANIA
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INSURANCE DEPARTMENT
Harrisburg, P A April 1, 2001
Wherells, the NATIONAL GRANGE MUTUAL INSURANCE COMPANY, located at Keene, NH,
has filed in this Department a certified copy of its charter and a detailed statement of its Assets and Liabilities,
and otherwise complied with the requirements of Section 661 of the Act of Assembly of the Commonwealth of
Pennsylvania, entitled "An act relating to insurance; amending, revising and consolidating the Law &c.,"
approved the 17th day of May, A.D. 1921, as well as with the requirements of the laws ofthis Commonwealth
applicable to such company in doing business herein.
Now Therefore, I, M. Diane Koken, Insurance Commissioner of the Commonwealth of Pennsylvania, do
hereby certify, in accordance with Section I, of the Act of Assembly approved June 29,1923 and known as act
No. 373 of the Laws of 1923, that the National Grange Mutual Insurance Company, of
Keene, NH, is duly authoriZed to become and be accepted as sole surety on all bonds, undertakings and
obligations required or permitted by law or the ordinances, rules or regulations of any municipality, board,
body, organization, or public officer.
In Witness Whereof, I have hereunto set my hand and
affixed my official seal, the day and year first above written.
Y{..~o(~
Insurance Commissioner
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@NATIONAL GRANGE MUTUAL
INSURANCE COMPANY
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I certify that at the. Annual Meeting of the Directors of the National Grange Mutual Insurance Company duly called and held at
Keene, New Hampshire on March 9, 2001, the following officers were elected and still remain in office:
PHILIP D. KOERNER ....
THOMAS M. VAN BERKEL
JEANNE H. EDDY
SCOTT B. GERLACH
LARRY ACORD,STEPHEN CANTY,
MARK DORCUS, JOSEPH GRAUWILER,
RICHARD HYATT .........
EDWARD J. KUHL
WILLIAM C. MCKENNA
L YN E. LANDRY,
KEVIN SMICK,
WALLACE H. SMITH
JEFFREY H. GRAHAM,
TIMOTHY O. MUZZEY
GEOFFREY MOLINA
MICHAELiGROGAN, JOHN M. HERRON,
MARLIN JACK CRAWFORD,
GERALD GANLEY, MIKE ROBIE,
DENNIS UiHLER
..... CHAIRMAN OF THE BOARD, AND CHIEF EXECUTIVE OFFICER
PRESIDENT
. EXECUTIVE VICE PRESIDENT
.........VICE PRESIDENT, ACTUARY
..... VICE PRESIDENTS
VICE PRESIDENT, TREASURER AND CONTROLLER
VICE PRESIDENT AND SECRETARY
.... ASSISTANT VICE PRESIDENTS
ASSISTANT ACTUARY
ASSISTANT TREASURER
ASSISTANT SECRETARIES
RESIDENT VICE PRESIDENTS (APPOINTED)
WILLIAM ANDERSON. ... ........... .............. ......... VICE PRESIDENT, NEW ENGLAND REGION
MARK BERGER ..... ......... ................. VICE PRESIDENT, SYRACUSE REGION
JAMES R'PARKER ......... .............. VICE PRESIDENT, SOUTHERN REGION
ADMITTED ASSETS
I further certify that the following statement of the Company is true as taken from the records of said Company as of December
31,2000
LIABILITIES
Bonds at Amortized Values ......... .......239,019,010
Stocks at Market Value ............. .......190,964,165
First Mortgage Loans. ...........2,165,886
Real Estate. ..................... 5,617,258
Cash in Office and Banks ........... ........... 2,565,818
Short Term Investments 2,012,818
Agent's Balance (Less than 90 Days) .. ........47,881.787
Accrued Interest. . . ... ...... ..........3,667,154
Other Assets ........... .... ........ ...... 16,968,070
TOTAL ADMITTED ASSETS .... ....510,861,966
Reserve for Losses.... .. 108,833,973
Reserve for Loss Adjustment Expenses.. 14,223,083
Reserve for Unearned Premiums. ...................86.427,017
Reserve for Other Underwriting Expenses. 5,302,605
Reserve for Taxes, Licenses, and Fees .................,,1,573,125
Loss Drafts in Transit ............. 4,882,649
Other Liabilities. .. ............ 18,176,282
Total Liabilities. ..................239.418.734
Policyholders' Surplus .......... .........271,443,232
TOTAL ....................510,861,966
Securities as deposited by law, included above - $ 5,369,140
I further certify that the following is a true and exact exerpt from Article V, Section 2 of the By-Laws of National Grange
Mutual Insurance Company which is still valid and existing.
'The board of directors, the president, any vice president, secretary, or the treasurer shall have the power and authority to
appoint attorneys-in-fact and to authorize them to execute on behalf of the company and affix the seal of the company thereto,
bonds, recognizance or conditional undertaking and to remove any such attorneys-in-fact at any time and revoke the power and
authority given to them....
Subscribed and Sworn to before me
on this 9th day of March, 2001
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My Commission Expires May 13,2003
68.1191 (3/01)
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National
Grange
Mutual
Insurance
Company
@
55 West Street, P.O. Box 2300
Keene, NH 03431-7000
(603) 352-4000
CUMBERLAND COUNTY
Prothonotary
Court House
Carlisle, PA 17013
Gentlemen:
Enclosed you will find Certificate of Surety from the Insurance Department of
your state which we are filing with you in order to become and be accepted as
sole Surety on all bonds, undertakings, and obligations required or permitted by
law or the ordinances, rules or regulations of any municipality, board, body,
organization, or public officer.
Also enclosed, is our check in the amount of $7.00 for the filing fee and our
current fiscal year end financial statement.
Sincerely,
Q
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BD-28-l/Enclosures
A Main Street America company
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