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HomeMy WebLinkAbout05-29-07 ."\! /'7 ,") '2 1/ :7~- - - t:);.) i "' -... ... 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 ~~::: ~;'as~Of Ame".aQ ;;::: r<~ \,.:;: i-'.") (" ~, ,.. . ..... .. 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 >- t:l.. o U Cl r.1.l ...... ~ E: 0::: r.1.l U 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." ~,""~~ ",,~....---,,~ CERTIFICATION ~?~~~ ..~"r,fj>;'~ ~~O~ 4~" e;, 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 ~~ Hl26 Y~.I! Signed this 22nd day of May , 2007 .~~Ifr . 91r:ff::~ ~1! Ir;.'t-.:_ 'iJt,~..~' /1J ...,.~-=~ //- ~ ~,' ~. --:;:..,. ~~::P" eCl "'1!lrj--.'-'" I I I ..J 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) ~r: T ...... ... 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)