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Walsh County Press
Park River , North Dakota
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May 30, 2012     Walsh County Press
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May 30, 2012
 

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PAGE 10 THE PRESS MAY 30, 2012 2011 INSURANCE ABSTRACTS * 21!11 2011 P29980 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2011 of the First Colonial Insurance Company In the state of Florida Total Assets 349,660,457 Total Liabilities 199,227,289 Aggregate write-ins for special surplus fund 3,896,971 Common Capital Stock 2,500,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 126,261,672 Unassigned funds(surplus) 17,774,525 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 150,433,168 Total Liabilities, Capital and Surplus 349,660,457 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 211,631 Total Direct Losses Incurred 47,948 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2011 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, ADAM HAMM, 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, A.D. 2013. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) P38962 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2011 of the Genesis Insurance Company In the state of Connecticut Total Assets 175,335,193 Total Liabilities 66,656,253 Aggregate write-ins for special surplus fund 0 Common Capital Stock , 3,500,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 46,500,000 Unassigned funds(surplus) 58,678,940 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 108,678,940 Total Liabilities, Capital and Surplus 175,335,193 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 0 Total Direct Losses Incurred -2,000 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Harem, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2011 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, ADAM HAMM, 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, A.D. 2013. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) P24724 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2011 of the First National Insurance Company Of America In the state of Washington Total Assets 211,639,783 Total Liabilities 164,951,953 Aggregate write-ins for special surplus fund 979,557 Common Capital Stock 5,000,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 581,836 Unassigned funds(surplus) 40,126,437 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 46,687,830 Total Liabilities, Capital and Surplus 211,639,783 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 178,344 Total Direct Losses Incurred 240,322 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2011 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, ADAM HAMM, 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, A.D. 2013. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, ,1, 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) P 10799 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2011 of the Geovera Insurance Company In the state of California Total Assets 93,111,501 Total Liabilities 62,548,734 Aggregate write-ins for special surplus fund 0 Common Capital Stock 5,000,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 10,000,000 Unassigned funds(surplus) 15,562,767 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 30,562,767 Total Liabilities, Capital and Surplus 93,111,501 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 0 Total Direct Losses Incurred 0 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2011 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, ADAM HAMM, 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, A.D. 2013. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) Pl1185 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2011 of the Foremost Insurance Company In the state of Michigan Total Assets 1,691,560,299 Total Liabilities 743,164,319 Aggregate write-ins for special surplus fund 0 Common Capital Stock 4,800,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 623,006 Surplus notes 0 Gross paid in and contributed surplus 185,056,352 Unassigned funds(surplus) 757,916,622 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 948,395,980 Total Liabilities, Capital and Surplus 1,691,560,299 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 3,297,884 Total Direct Losses / Incurred 1,785,689 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Harem, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2011 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, ADAM HAMM, 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, A.D. 2013. IN TESTIMONY WHEREOF, t have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A,D. 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) P26832 ABSTRACT OF STATMEN'r FOR THE YEAR ENDING DECEMBER 31, 2011 of the Great American Alliance Insurance Company In the state of Ohio Total Assets 30,1 ;'0,196 Total Liabilities 6,668 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3,501,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 18,489,979 Unassigned funds(surplus) 8,172,549 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 30,163,528 Total Liabilities, Capital and Surplus 30,170,196 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 203,543 Total Direct Losses Incurred -44,218 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Harem, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2011 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, ADAM HAMM, 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, A.D. 2013. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) P21253 ABSTRACT OF STATMEIT FOR THE YEAR ENDING DECEMBER 31, 2011 of the Garrison Property And Casualty Insurance Company In the state of Texas Total Assets 972,661,323 Total Liabilities 609,447,704 Aggregate write-ins for special surplus fund 1,963,874 Common Capital Stock 3,500,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 369,644,173 Unassigned funds(surplus) -11,894,428 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 363,213,619 Total Liabilities, Capital and Surplus 972,661,323 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 799,451 Total Direct Losses Incurred 852,697 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2011 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, ADAM HAMM, 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 , A.D. 2013. IN TESTIMONY WHEREOFI I have ,. hereunto set my hand and affixed the seal at Bismarck, :the first day Of May, A:D. 2'012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) P26344 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2011 of the Great American Assurance Company In the state of Ohio Total Assets t 8,186,918 Total Liabilities 10,984 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3,510,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Grosspaid in and contributed surplus 8,716,521 Unassigned funds(surplus) 5,949,413 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 18,175,934 Total Liabilities, Capital and Surplus 18,186,918 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 342,526 Total Direct Losses Incurred 62,721 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Harem, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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 31,201t 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, ADAM HAMM, 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, A.D. 2013. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) P24414 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2011 of the General Casualty Company Of Wisconsin In the state of Wisconsin Total Assets 1,205,257,253 Total Liabilities 723,749,078 Aggregate write-ins for special surplus fund 11,826,287 Common Capital Stock 4,000,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 277,977,706 Unassigned funds(surplus) 207,606,320 Less treasury stock, at cost 19,902,138 750 shares common 150,000 # shares preferred 0 Surplus as Regards Policyholders 481,508,175 Total Liabilities, Capital and Surplus 1,205,257,253 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 3,992,725 Total Direct Losses Incurred 1,406,847 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2011 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, ADAM HAMM, 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 AprU, A.D. 2013. IN TESTIMONY WHEREOF, I have , ereuo set my hand and affi:ed the seal at Bismarck, the first day of Mayl AID.: 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) P16691 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2011 of the Great American Insurance Company In the state of Ohio Total Assets 5,273,621,832 Total Liabilities 3,862,328,713 Aggregate write-ins for special surplus fund 156,706,593 Common Capital Stock 15,440,600 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 302,508,415 Unassigned funds(surplus) 936,637,511 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 1,411,293,119 Total Liabilities, Capital and Surplus 5,273,621,832 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 74,064,088 Total Direct Losses Incurred 93,518,998 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I; Adam Hamm, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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 3t, 201t 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, ADAM HAMM, 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, A.D. 2013. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck,.the first day of May, A.D. 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) P24732 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2011 of the General Insurance Company Of America In the state of Washington Total Assets 2,114,431,039 Total Liabilities 1,696,340,278 Aggregate write-ins for special surplus fund 18,684,2t4 Common Capital Stock - 5,000,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 170,891,058 Unassigned funds(surplus) 223,515,489 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 418,090,761 Total Liabilities, Capital and Surplus 2,114,43t ,039 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 199,698 Total Direct Losses Incurred 11,294 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2011 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, ADAM HAMM, 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, A.D. 2013. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at ,B, isr0ar, ck the first day of May, A.D. 2012 (SEAL)I ' ............. ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012) P22136 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2011 of the Great American Insurance Company Of New York In the state of New York Total Assets 43,956,020 Total Liabilities 6,300 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3,800,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 20,250,000 Unassigned funds(surplus) 19,899,720 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 43,94.9,720 Total Liabilities, Capital and Surplus 43,956,020 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2011 Total Direct Premiums Earned 468,196 Total Direct Losses Incurred 201,497 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 this office at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2011 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, ADAM HAMM, 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, A.D. 2013. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 2, 9, 30, 2012)