HomeMy WebLinkAbout05-29-07
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B 1037614
REGISTER OF WILLS OF Cumberland COUNTY
BOND AND SURETY FOR PERSONAL REPRESENTATIVE
KNOW ALL BY THESE PRESENTS, Th,at JuneCHuy
5605 Old National Pike Frederick, MD 21702
40 WantalZe Avenue Branchville, NJ 07890
as principal(s) and Selective Insurance Company of ~merica
as surety (sureties) are held and firmly bound unto the Commonwealth of Pennsyl-
vania in the sum of Three Hundred Fifty Thousand Dollars ($350,000.00) to be paid to
the Commonwealth, for which payment we do bind ourselves, jointly and severally,
our heirs, executors, administrators and successors, the condition of this obligation
being that if June C Huy
as (state fiduciary capacity) Administrator
of the estate of Walter J Tumas , deceased,
or any of them, shall well and truly administer the estate according to law, then this
obligation shall be void as to the personal representative or representatives who
shall so administer the estate and his or their surety or sureties; but otherv/ise it
shall remain in full force.
Signed and sealed this 22nd day of
intending to be legally bound he~eby.
May
2007
, each
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Selective Insurance Company of America
40 Wantage Avenue
Branchville, New Jersey 07890
973-948-3000
BondNo.B 1037614
SELECTIVE@
POWER OF ATTORNEY
Administrator
SELECTIVE INSURANCE COMPANY OF AMERICA, a New Jersey corporation having its principal office at 40
Wantage Avenue, in BranchviIle, State of New Jersey ("SICA"), pursuant to Article VII, Section I of its By-Laws, which
state in pertinent part:
The Chairman of the Board, President, Chief Executive Officer, any Executive Vice President,
any Senior Vice President or any Corporate Secretary may, from time to time, appoint attorneys
in fact, and agents to act for and on behalf of the Corporation and they may give such appointee
such authority, as his/her certificate of authority may prescribe, to sign with the Corporation's
name and seal with the Corporation's seal, bonds, recognizances, contracts of indemnity and
other writings obligatory in the nature of a bond, recognizance or conditional undertaking, and
any of said Officers may, at any time, remove any such appointee and revoke the power and
authority given himlher.
does hereby appoint Diane Cosby
, its true and lawful attorney(s)-in-fact, full authority to execute on SICA's behalf fidelity and surety bonds or undertakings
and other documents of a similar character issued by SICA in the course of its business, and to bind SICA thereby as fully
as if such instruments had been duly executed by SICA's regularly elected officers at its principal office, in amounts or
penalties not exceeding the sum of: Three Hundred Fifty Thousand Dollars ($350,000.00)
Signed this 22nd day of
2007
May
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By:
STATE OF NEW JERSEY:
:ss. Branchville
COUNTY OF SUSSEX
On this 22nd day of May , 2007 before me, the undersigne
appeared Antonio C. Albanese, who acknowledged himself to be the Senior Vice President ofS
Senior Vice President, being authorized so to do, executed the foregoing instrument for the pu
signing the name ofthe corporation by himself as Senior Vice President and that the same w
free act and deed of SICA JUDITH E. CHAMBERLAIN
Notary Public of New "'--I
CornmI88lon Expires 1011712008
N Public
My Commission Expires:
The power of attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by
the Board of Directors of SICA at a meeting duly called and held on the 6th of February 1987, to wit:
"RESOL VED, the Board of Directors of Selective Insurance Company of America authorizes and approves the use of a
facsimile corporate seal, facsimile signatures of corporate officers and notarial acknowledgements thereof on powers of
attorney for the execution of bonds, recognizances, contracts of indemnity and other writing obligatory in the nature ofa
bond, recognizance or conditional undertaking." ~,""~~
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CERTIFICATION ~?~~~ ..~"r,fj>;'~
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I do hereby certifY as SICA's Corporate Secretary that the foregoing extract of SICA's By-Law ~~lutiO~.~.. . ~....\in
force and effect and this Power of Attorney issued pursuant to and in accordance with the By- is valRF.II.L ,\\'firl
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Signed this 22nd day of May , 2007 .~~Ifr . 91r:ff::~ ~1!
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Important Notice: If the bond number embedded within the Notary Seal does not match the
number in the upper right hand comer of this Power of Attorney contact us at 973-948-3000.
B9\ (04/07)
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POLICYHOLDER DISCLOSURE
NOTICE OF TERRORISM INSURANCE COVERAGE
The Terrorism Risk Insurance Act of 2002 establishes a program within the Department of the
Treasury under which the federal government shares, with the insurance industry, the risk of
loss from future terrorist attacks. The Act applies when the Secretary of the Treasury certifies
that an event meets the definition of an act of terrorism. The Act provides that to be certified an
act of terrorism the event must cause losses of at least five million dollars and must have been
committed by an individual or individuals acting on behalf of any foreign person or foreign
interest to coerce the government or population of the United States.
Coverage for acts of terrorism is already included in your current bond. In accordance with the
federal Terrorism Risk Insurance Act of 2002, we are required to provide you with a notice
disclosing the portion of your premium, if any, attributable to the coverage for terrorist acts
certified under that Act.
DISCLOSURE OF PREMIUM
Your current bond includes coverage for terrorist acts certified under the Act for no additional
premium.
DISCLOSURE OF FEDERAL PARTICIPATION IN PAYMENT OF TERRORISM LOSSES
The United States Government, Department of the Treasury, will pay a share of terrorism losses
insured under the federal program. The federal share equals 90% of that portion of the amount
of such insured losses that exceeds the applicable insurer retention.
8-876 (01/03)