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COMMONWEALTH OF PENNSYLVANIA
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°~,~T„°F~M"'a INSURANCE DEPARTMENT
Harrisburg, PA April 1, 2007
Whereas, the NGM INSURANCE COMPANY, located at Jacksonville, Florida, 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 of this Commonwealth
applicable to such company in doing business herein.
Now Therefore, I, Joel Ario1 Acting Insurance Commissioner of the Commonwealth of Pennsylvania, do
hereby certify, in accordance with Section 1, of the Act of Assembly approved June 29, 1923 and known as act
No. 373 of the La~~•s of 1923, that the NGM Insurance Company, of Jacksonville Florida, 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.
~~~'
Acting insurance Commissioner
w -® THE MAIN STREET AMERICA GROUP
NGM Insurance Company • Old Dominion Insurance Company
Main Street America Assurance Company ~ MSA Insurance Company
Information Systems and Services Corporation
I certify that at the Annual Meeting of the Directors of the NGM Insurance Company duly called and held at Jacksonville, Florida on
March 9, 2007, the following officers were elected and still remain in office:
THOMAS M. VAN BERKEL ..............CHAIRMAN OF THE BOARD, PRESIDENT AND CHIEF EXECUTIVE OFFICER
WILLIAM ANDERSON, SUSAN MACK ,
ANTONIA M. PORTERFIELD ........................................................................................... SENIOR VICE PRESIDENTS
EDWARD J. KUHL .............................EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER & TREASURER
BRIAN J. BEGGS, STEPHEN D. CANTY, MICHAEL LANCASHIRE,
GEOFFREY S. MOLINA, BARBARA A. PARKER, HENRY J. PIPPINS .........................................VICE PRESIDENTS
JOEL GELB ............................................................................ VICE PRESIDENT & CHIEF INFORMATION OFFICER
EDWARD P. LOTKOWSKI ................................................................... VICE PRESIDENT & CORPORATE ACTUARY
WILLIAM C. MCKENNA ..........................................................VICE PRESIDENT & ASSISTANT SECRETARY
MARLIN J. CRAWFORD DAVID S. MEDVIDOFSKY,
SHARON PETRELL, DEBRA POSPIEL DEBRA POSPIEL, RICHARD SCHULTZ,
KEVIN SMICK, JOHN THOMPSON, DENNIS B. UHLER .........................................ASSISTANT VICE PRESIDENTS
TIMOTHY O. MUZZEY ............................................................................... ASSISTANT VICE PRESIDENT/ACTUARY
WILLIAM GARVEY, MICHAEL GROGAN, DEBORAH JANSEN,
CATHERINE PARRISH, ROY VIANDS, MARLIN J. CRAWFORD ...................................ASSISTANT SECRETARIES
DEAN DORMAN ........................................................................................................................ ASSISTANT ACTUARY
THOMAS FRAZIER .............................................................................................................. ASSISTANT TREASURER
RESIDENT VICE PRESIDENTS (Appointed)
MARK BERGER ........................................................................................... VICE PRESIDENT, SYRACUSE REGION
KEVIN KOWAR ............................................................................................. VICE PRESIDENT, SOUTHERN REGION
I further certify that the following statement of the Company is true as take from the records of said Company as of December 31, 2006.
ADMITTED ASSETS
Bonds at Amortized Values ...................... $ 363,441,142
Stocks at Market Value ........................... ..... 480,490,333
First Mortgage Loans .............................. .........1,770,738
Real Estate ............................................. .........5,137,027
Cash in Office and Banks ....................... ........(1,986,406)
Short Term Investments ......................... .......18,285,927
Agent's Balance (Less than 90 Days)..... .......89,441,124
Accrued Interest ..................................... ......... 3,208,549
Other Assets ........................................... ....... 48,768,187
TOTAL ADMITTED ASSETS .............. $1,008,556,621
LIABILITIES
Reserve for Losses ............................................. $ 194,199,973
Reserve for Loss Adjustment Expenses ........ ........... 35,752,378
Reserve for Unearned Premiums .................. .........164,181,585
Reserve for Other Underwriting Expenses .... ...........14,745,943
Reserve for Taxes, Licenses, and Fees ........ .............5,071,198
Loss Drafts in Transit .................................... .............9,822,172
Other Liabilities ............................................ ........... 24,473,361
Total Liabilities .............................................. .........448,246,610
Policyholders' Surplus ................................... .........560,310,011
TOTAL ....................................................... .... $1,008,556,621
Securities as deposited by law, included above = $ 7,511,866
I further certify that the following is true and exact excerpt from Article IV, Section 2 of the By-Laws of NGM 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,
recognizances, contracts of indemnity or writings obligatory in the nature of a bond, 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 12th day
of March, 2007
~ ~ ~ ~ P. A. Han+Qll
~~~~~~ ""v'( Corrmis~ion t DW84125
Expires Auputt 21,2009
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My Commission Expires
IN WITNESS THEREOF,
I hereunto subscribe my
name and affix the seal of
said company this 12th day ~~~,,,,,,,,,,,,,~
of March, 2007 a
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