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Home My WebLink About13-3240 � U -o Y NWEALTH OF PENNSYLVANIA. Nw E�(rH ofPE NN6 2613 JUN - PM 14MURANCE DEPARTMENT CU �EN�lSY1LVRP� CO UNTY Harrisburg, PA April 1, 2013 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 17` 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, 1, Michael Consedine, 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 Laws 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. -- a. l� 0 °-�d Insurance Commissioner C.- A Ko lb F-.t ol aISy7 !Tru es� A I certify that at the Annual Meeting of the Directors of the NGM Insurance Company duly called and held at Jacksonville, Florida on March 8, 2013 , the following officers were elected and still remain in office: THOMAS M. VAN BERKEL ..... .......................CHAIRMAN OF THE BOARD, PRESIDENT AND CHIEF EXECUTIVE OFFICER EDWARD J. KUHL ..................... ......................EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER & TREASURER STEVEN J. PEETERS ............................... ......................EXECUTIVE VICE PRESIDENT, CHIEF OPERATING OFFICER DOUGLAS EDEN, ANTONIA M. PORTERFIELD MICHAEL D. LANCASHIRE . .................................. ............................... .........................SENIOR VICE PRESIDENTS BRUCE FOX ............. ............................... ...........................VICE PRESIDENT, GENERAL COUNSEL & SECRETARY BRIAN J. BEGGS, DANIEL J. GAYNOR, DAVID S. MEDVIDOFSKY, JOHN THOMPSON, ROBERT HETZEL, DEBORAH E. MURPHY ............................ ...........................VICE PRESIDENTS RONALD A. JAMES .................... ............................... ...........................VICE PRESIDENT & CHIEF INFORMATION OFFICER THOMAS T. FRAZIER ......... ............................... ...........................VICE PRESIDENT & CHIEF INVESTMENT OFFICER EDWARD P. LOTKOWSKI ................................... ............................... ........................... VICE PRESIDENT & CHIEF ACTUARY RICHARD G. SCHULTZ ..... ............................... ...........................VICE PRESIDENT & CHIEF ACCOUNTING OFFICER CATHERINE PARRISH, DEBRA POSPIEL, DEBORAH COHEN- JANSEN, LISA MURMAN, RONALD PROFAIZER, CHRISTOPHER COX ............... ............................... ASSISTANT VICE PRESIDENTS TIMOTHY O. MUZZEY, DEAN DORMAN ................................ ............................... ASSISTANT VICE PRESIDENTS /ACTUARY TIMOTHY COTTON, MARK FRIEDLANDER, KATHLEEN KILLGORE, MATTHEW MCCOLLEY, NANCY PALMISANO, MICHELE SEYMOUR ALICE MORIARTY, JEFFREY PRICE ............................................................. ............................... ASSISTANT SECRETARIES REGIONAL PRESIDENTS (Appointed) MARK BERGER ............................................................... ............................... REGIONAL PRESIDENT, NORTHEAST REGION STEVE BERRY ..................................... ............................... .......................REGIONAL PRESIDENT, NEW ENGLAND REGION GREGG EFFNER .......................... ............................... .......................REGIONAL PRESIDENT SOUTHEAST REGION HENRY PIPPINS .............................. ............................... .......................REGIONAL PRESIDENT, MIDWEST REGION further certify that the following statement of the Company is true as taken from the records of said Company as of December 31, 2012. ADMITTED ASSETS LIABILITIES Bonds at Amortized Values .................... $1,342,051,074 Reserve for Losses.............. ............................... $ 570,221,577 Stocks at Market Value . ............................... 258,207,695 Reserve for Loss Adjustment Expenses ................ 105,960,489 First Mortgage Loans ....... ............................... 5,664,362 Reserve for Unearned Premiums ........................... 473,050,925 Real Estate ....................... ............................... 5,981,164 Reserve for Other Underwriting Expenses............... 36,771,881 Cash in Office and Banks . ............................... 9,595,534 Reserve for Taxes, Licenses, and Fees ..................... 7,475,380 Short Term Investments . ............................... 14,936,270 Loss Drafts in Transit................ ............................... 24,812,908 Agent's Balance (Less than 90 Days) ......... 260,605,239 Other Liabilities ............ 63,345,878 ............ ............................... Accrued Interest ............. ............................... 13,543,432 Total Liabilities..................... ............................... 1,281,639,038 Other Assets ................. ............................... 209,487,946 Policyholders' Surplus............. ............................... 838,433,678 TOTAL ADMITTED ASSETS ..............$2,120,072,716 TOTAL................. ............................... $2,120,072,716 Securities as deposited by law, included above = $ 9,295,451 1 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 IN WITNESS THEREOF I hereunto subscribe this 12th day of March, 2013 my name and affix the seal of said company TASHA PNtPOT this 12th day of March, 2013 NOTARY PUBLIC STATE OF FLORIDAr I Comrn*EE135737 ' - asza � 1 i0 Exgires 10P3/2015 �; v,yttwm�,�� 68 -1191 (3/13)