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Walsh County Press
Park River , North Dakota
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May 13, 2020     Walsh County Press
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May 13, 2020
 

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LEGAL NOTICES THE WALSH COUNTY PRESS - WEDNESDAY, MAY I3, 2020 Page 9 11452 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the Hartford Steam Boiler Inspection Insurance Company In the state of Connecticut Total Assets 1572350084 Total Liabilities 980268310 Aggregate write-ins for special surplus fund 0 Common Capital Stock 10000000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds , 0 Surplus notes 0 Gross paid in and contributed surplus 343016174 Unassigned funds (surplus) 239065600 Total Capital and Surplus 592081774 Total Liabilities, Capital and surplus . 1572350084 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 574553 Total Direct Losses Incurred 48424 Total Accident and Health Direct Premiums Earned 0 Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company In this office. IN TESTIMONY WHEREOF, I have hereunto setmyhandandaffixed the seal ofthis office at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed In this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) 10885 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the Key Risk Insurance Company. In the state of Iowa Total Assets 53466632 Total Liabilities 19907499 Aggregate write-ins for special surplus fund 0 Common Capital Stock 4500000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds 0 Surplus notes 0 Gross paid in and contributed surplus 20750000 Unassigned funds (surplus) 8309133 Total Capital and Surplus 33559133 Total Liabilities, Capital and surplus 53466632 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 0 Total Direct Losses Incurred 0 Total Accident and Health Direct Premiums Earned 0 Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto setmyhandmdaffixedthesealofthisofficeat Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of the State regarding the business of Insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby cert'rfy that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021 . IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) 35246 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the Illinois Insurance Company In the state of Iowa Total Assets 72880894 Total Liabilities 36355484 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3420000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds 0 Surplus notes 0 Gross paid in and contributed surplus 4030000 Unassigned funds (surplus) 29075410 Total Capital and Surplus 36525410 Total Liabilities, Capital and surplus . 72880894 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 0 Total Direct Losses Incurred 0 Total Accident and Health Direct Premiums Earned 0 Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of thisofficeat Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021 . IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) 13722 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the KnightBrook Insurance Company In the state of Delaware Total Assets 176555288 Total Liabilities 75100749 Aggregate write-ins for special surplus fund 0 Common Capital Stock 4218200 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds 0 Surplus notes 0 Gross paid in and contributed surplus 114331396 Unassigned funds (surplus) -17095057 Total Capital and Surplus 101454539 Total Liabilities, Capital and surplus 176555288 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 21 50 Total Direct Losses Incurred 1 5 Total Accident and Health Direct Premiums Earned 0 Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA . OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto setmyhandandaffixedtl'iesealofthisoffioeat Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) 2:019 INSURANCE ABSTRACTS S 2019 INSURANCE ABSTRACTS S 2019 INSURANCE ABSTRACTS 35408 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the lmperium Insurance Company In the state of Texas Total Assets 496272312 Total Liabilities 304684031 Aggregate write-ins for special surplus fund 0 Common Capital Stock 4200000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds 0 Surplus notes 0 Gross paid in and contributed surplus 224068856 Unassigned funds (surplus) -36680575 Total Capital and Surplus 191588281 Total Liabilities, Capital and surplus 496272312 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 367470 Total Direct Losses Incurred 5815 Total Accident and Health Direct Premiums Earned 0 Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract -of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto setmyhandandaffixedmesealofmisofficeat Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021 . , IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) 20621 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the Lamorak Insurance Company In the state of Pennsylvania Total Assets 26414024 Total Liabilities 360299 Aggregate write-ins for special surplus fund 0 Common Capital Stock 6000000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds 0 Surplus notes 0 Gross paid in and contributed surplus 94455935 Unassigned funds (surplus) -7440221 Total Capital and Surplus 93015714 Total Liabilities, Capital and surplus 93376013 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 0 Total Direct Losses Incurred 0 Total Accident and Health Direct Premiums Earned 0 Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto setmyhandandaffixedthesealofthisofficeat Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, (2019 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021 . IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) Call tlle Walsla 43575 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the Indemnity Insurance Company of North America In the state of Pennsylvania Total Assets 337596866 Total Liabilities 179739545 Aggregate write-ins for special surplus fund 0 Common Capital Stock 4501500 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds 0 Surplus notes 0 Gross paid in and contributed surplus 42250750 Unassigned funds (surplus) 111105071 Total Capital and Surplus 157857321 Total Liabilities, Capital and surplus 337596866 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 69789575 Total Direct Losses Incurred 33484493 Total Accident and Health Direct Premiums Earned ‘ Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, have hereunto setmyhandandaffixedthesealofthisofficeat Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021 . IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 ‘ (SEAL). 0 -- JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) 38148 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the Lancer Indemnity Company In the state of New York Total Assets 20833804 Total Liabilities 8525928 Aggregate write-ins for special surplus fund -5304372 Common Capital Stock 4000000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds 0 Surplus notes 0 Gross paid in and contributed surplus 2800000 Unassigned funds (surplus) 10812248 Total Capital and Surplus 12307876 Total Liabilities, Capital and surplus 20833804. NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 0 Total Direct Losses Incurred 0 Total Accident and Health Direct Premiums Earned 0 Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal ofthis office at Bismarck, the first day_of,May, AD. 2020 (SEAL). _ JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021 . IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) 18468 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the Indemnity National Insurance Company In the state of Illinois Total Assets 169254544 Total Liabilities 93915866 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3000000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds 0 Surplus notes 0 Gross paid in and contributed surplus 70145502 Unassigned funds (surplus) 2193176 Total Capital and Surplus 75338678 Total Liabilities, Capital and surplus 169254544 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 64664 Total Direct Losses Incurred 9700 Total Accident and Health Direct Premiums Earned 0 Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, have hereunto setmyhandandaffixedthesealofthisofficeat Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of the State regarding the business of insurance and , WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021 . IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance _ . ~ . a. (May 6, 13, 27, 2020) 42404 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the Liberty Insurance Corporation In the state of Illinois Total Assets 238135772 Total Liabilities 8309478 Aggregate write—ins for special surplus fund 0 Common Capital Stock 3500000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds 0 Surplus notes 0 Gross paid in and ~ contributed surplus 156162500 Unassigned funds (surplus) 70163795 Total Capital and Surplus 229826295 Total Liabilities, Capital and surplus 238135773 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 2883787 Total Direct Losses Incurred 2023348 Total Accident and Health Direct Premiums Earned 0 Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, have hereunto setmy handandaffixed the seal ofthisoffice at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) Ctolllaty Press at 284—6333 today 16116 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the JM Specialty Insurance Company In the state of Wisconsin Total Assets 15567567 Total Liabilities 14405 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3500000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus funds 0 Surplus notes 0 Gross paid in and contributed surplus 12725565 Unassigned funds (surplus) -672402 Total Capital and Surplus 15553163 Total Liabilities, Capital and surplus 15567568 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 0 Total Direct Losses Incurred 0 Total Accident and Health Direct Premiums Earned 0 Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal ofthis office at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of‘ the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021 . IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) 23085 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2019 of the Liberty Mutual Fire Insurance Company In the state of Wisconsin Total Assets 7032602683 Total Liabilities 5206633485 Aggregate write-ins for special surplus fund 5242951 Common Capital Stock 10000000 Preferred Capital Stock 10 Aggregate write-ins for other than special surplus funds 1250000 Surplus notes 0 Gross paid in and contributed surplus 509999990 Unassigned funds (surplus) 1299476247 Total Capital and Surplus 1825969198 Total Liabilities, Capital and surplus 7032602683 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2019 Total Direct Premiums Earned 4319347 Total Direct Losses Incurred 5661042 Total Accident and Health Direct Premiums Earned c Total Accident and Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, have hereunto set my hand and affixed the seal of this office at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2019 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, AD. 2021 . IN TESTIMONY WHEREOF, have hereunto set my hand and affixed the seal at Bismarck, the first day of May, AD. 2020 (SEAL). JON GODFREAD Commissioner of Insurance (May 6, 13, 27, 2020) fo r rates -