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"BIRCH HILLS" -
- Released 5/19/70
ERK
ALBERT W. RICHMOND
TDWN CLERK
REGISTRAR OF" VITAL STATISTICS
TELEPHONE::
765-3783
SOUTHOLD, L. I., N. Y. 11971
Please acknowledge receipt of enclosed
Bond #900772 of Republic Insurance Co.
for the Map of Birch Hills at Cutchogue,
New York, owned and developed
Birch
Southold Town Planning Board
SDUTHDLD, L. I., N. Y. 11971
PLANNING BOARD
MEMBERS
John Wickham, Chairman
Henry Molsa
Alfred Grebe
William Unkelbach
Frank Coyle
June 26, 1967
Southold Town Board
16 South Street
Greenport, New York
Re: Birch Hills At Cutchogue - Bond
Gentlemen:
We enclose herewith Bond #900772 of Republic Insurance
Company for the "Map of Birch Hills at Cutchogue" , owned
and developed by Birch Properties, Inc. This map has
received all approvals from the Planning Board and needs
only the final approval of the Town Board on the Bond in
order the map be signed by the Chairman of the Planning
Board and then filed. Please notify this office when said
Bond has been approved by the Town Board.
Very sincerely,
:~. c-fl jJC. ~(' IC\lo
Jot Wickham, Chairman
Southold,Town Planning
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SAMUEL L. GRIMES
BUILDING ARTS CENTER
501 HAUPPAUGE ROAD (RT. 111)
ATTORNEY AT LAW
POST OFFICE BOX 545 . SMITHTOWN, NEW YORK It7S?
AREA CODE 516
724-3100 (SUrrOLK)
PI 1<".74 (NASSAU TIE LINE)
BY HAND
June 23, 1967
Town Clerk
Town of Southo1d
Town Hall
Southo1d, New York
Map of Birch Hills
Dear Sir:
There is being delivered with this letter Bond
#900772 of Republic Insurance Company which has been
executed by all the parties therein contemplated.
This Bond is submitted in connection with the sub-
division map entitled "Map of Birch Hills" which has
received final approval of your Planning Board. I
would appreciate it very much if you would submit
this Bond to the Town Board at its next meeting with
our request that it be approved and accepted.
Sincerely yours,
~
SLG:dh
Encl.
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SAMUEL L. GRIMES
eUILDING ARTS CENTI[A
SOl HAUP,"AUGE ROAD (RT. Ill)
ATTOR N EY AT LAW
AREA CODE. 518
714-3tOO (SUFFOLK)
PI 1-7474 (NASS....U TIE. LIN!:}
POST OFfiCE BOX 545 . $MITHTOWN, NEW VOjqK 11787
BY IlAND
.June 23, 1967
Town Clerk
Town of Southold
Tovm [lall
Southold, New York
Nap of Birch Hills
Dear Sir:
There is being delivered with this letter Bond
1t900772 of Repuhlic Insurance Company ,~hich has heen
executed by all the parties therein contemplated.
This Bond is submitted in connection with the sub-
division map entitled "Map of Birch [lills" which has
received final approval of your Planning Board. I
would appreciate it very much if you would submit
this Bond to the Town Board at its next meet ing "Ii t.h
our request t.hat it be approved and accepted. .
Sincerely yours,
"J -~
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SLG:dh
Encl.
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Southold Town Planning Board
SDUTHDLD, L. I., N. Y. 11971
PLANNING BOARD
MEMBERS
John Wickham, Chairman
Henry Molsa
Alfred Grebe
Wjl1iam Unkelbach
Frank Coyle
June 26, 1967
Southold Town Board
16 South Street
Greenport, New York
Re: Birch Hills At Cutchogue - Bond
Gentlemen:
We enclose herewith Bond #900772 of Republic Insurance
Company for the "Map of Birch Hills at Cutchogue" , owned
and developed by Birch Properties, Inc. This map has
received all approvals from the planning Board and needs
only the final approval of the Town Board on the Bond in
order the map be signed by the Chairman of the Planning
Board and then filed. Please notify this office when said
Bond has been approved by the Town Board.
Very sincerely,
J (- Il_ I" Lc
JO~~ Wickham,
Southold, Town
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l(' I\.'\ to
Chairman
Planning
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REPUBLIC INSURANCE COMPANY
DALL,AS, TE:;XAS
129 Fulton Street
New York, New York 10038
BON D
KNOW ALL MEN BY THESE PRESENTS, That We, BIRCH PROPERTIES, INC. of
501 Route Ill, Hauppauge, New York ~s Principal and KITTEL ANDERSEN,
RICHARD PEIRCE, KRISTEN ANDERSEN, HALVARD FOSSNES, RICHARD GERMAIN,
BURTON IRWIN, EDMOND COMANS, ROLF BRUNN, GLEN PADEN, JR. and HOLLIS D.
HARPER as CO-Principals and the REPUBLIC INSURANCE COMPANY, a Texas
corporation authorized to do business in the State of New York and
having an office and place of business at 129 Fulton Street, New York,
New York, as Surety, are held and firmly bound unto the TOWN OF SOUTHOLD,
Suffolk County, New York, as Obligee, in the sum of THIRTEEN THOUSAND
AND OO/lOOths ($13,000.00) DOLLARS, lawful money of the United States,
for the payment whereof to the Obligee, the Principal, and Surety bind
themselves, their heirs, executors, administrators, successors and
assigns, jointly and severally, firmly by these presents.
SIGNED, SEALED AND DATED this 15th day of June, 1967.
WHEREAS, the above-named Principal has agreed to comply with the terms,
regulations and conditions of the Town of Southold in connection with
the completion of roads and other improvements in "Birch Hills at
Cutchogue", situated in the Town of Southold, Suffolk County, New
York, and in connection therewith the Obligee desires this bond to be
given:
WHEREAS, the CO-Principals have a beneficial interest in said project;
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the
principal shall, in connection with the installation of roads and
improvements in Birch Hills at Cutchogue within one year from the date
hereof, complete said improvements to be in accordance with the
construction specifications of the Town of Southold, all in conformance
with the plot plan approved by the Southold Town Planning Board and to
the satisfaction of the Town of Southold, then this obligation to be
void; otherwise to remain in full force and effect.
:~?~6PER~
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Kittel Andersen
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13%ton Irwin G
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Edm<;>nd Comans
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BOND #900772
AS 104
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ACKNOWLEDGMENTS
. .
COPARTNERSHIP
STATE OF
} SS:
COUNTY OF
On this
sonally appeared
be one of the firm of
described in and who executed the foregoing instrument and he thereupon acknowledged to me that he
executed the same as and for the act and deed of said firm.
day of
19 __ I before me per-
to me known and known to me to
CORPORATE
STATE OF
}ss:
COUNTY OF
On this // day of .7:/1..' e.. 19 ~ before me per-
sonally appeared \.,,"::7, ~." 0;;,.., /' ./.'. (..,..- ,,'~ ,. .'''' to me known, who, being by me
first duly sworn, did depose and say that he resides in .::// ./.'"... /. ,,/(..< l l/ ; that
he is the .S'ec_A/r /;-,;:> ,/ of I?",'': /; / ,;;- 1/,'7. ~ OJ !,L ("
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the corporation described in and which executed the foregoing instrument; that he knows the corporate
seal of said corporation; that the corporate seal affixed to said instrument is such corporate seal; that it
was so affixed by order and authority of the Board of Directors of said corporation, and that he signed his
name thereto by like order and authority.
INDIVIDUAL
/
STATL OF ,';LL Yf)i~ L)
55:
COUNTY or SUFrOLK)
On this Z3rd day of June, 1967, before me personally appeared
KITTEL ANDERSEN, RICHARD PIERCE, KRISTEN ANDERSL/" HALVARD FOSSNES,
RICHARD GER~rAIN, BURTON IRWIN, I:D' !OND CO!'lA~;S, ROLF BTUJUN. GLENN
PADEN, .JR. AND lJOI.LIS D. HARPEr., to me known and known to me to be
the individuals described in and who executed the foregoing instrument
and they acknowledged to me that they executed-t,he sa~e
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S"M l. GIU~
NOTARY PUB-L.le, State of New York'
No. 5::!-65H6'15
~ua'lfjed in Suffolk County I Q
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INSURANCE COMPANY
.
Dallas, Texas
Eastern Department, 129 FULTON STREET, NEW YORK, N. Y. 10038
Financial Statement December 31, 1966
ASSETS
Cash
Agents. balances and premiums receivable
Due from reinsurance companies, net.
Accrued investments income..
Premium notes, less unearned interest ;,'.
Short-term notes and other invested assets.
Savings and loan' association shares, at cost. .
~ond. at amortized value:
U. S. Government. . . , , . , . ..
Other bonds, (state, municipal and
miscellaneous) .
Stocks, other than subsidiaries, at market value..
Stocks of wholly-owned subsidiaries, at
underlying book value .. ..,..,.
Real Estate, at cost less mortgage note payable of
$1,362,794 and accumulated depreciation. . . .
Intercompany receivables
Other assets
$ 760,629
3,605,860
(513,866)
213,757
3,367,126
4,143,593
945,548
3,916,809
20,528,078
22,320,128
18,889,313
1,787,940
418,952
$80,383,847
LIABILITIES, RESERVES AND CAPITAL FUNDS
Liabilities:
Reserve for losses and loss adjustment expenses. $ 6,077~1O
Contingent commissions payable . 871,201
Intercompany payables . . .... 1,132,308
Unearned premium reserve ... . . . . 44,054.302-
Taxes, other than Federal taxes on income. . 636,000
Federal taxes on income............ .. 1,615,791
Dividends paYl,lble ,to stockhol~ers. ~,.' 250,000
Other liabilities~...:.. .. .:. ;'. .'.::.. 325,036
Statutory reserves:
Excess of statutory reserves over case
basis and loss expense reserves. . . . . . .
Reinsurance in companies not licensed
in Texas
Total liabilities and reserves.
Caplial funds:
Caplial slock,
Common - $5 par value per share;
2,000,000 shares authorized;
1,000,000 shares issued
Surplns:
Paid-in
Unassigned ......,. . . . . . . . . . , . . .
Total .........................
Excess of market value of stocks other than
subsidiaries over cost. . . . . . . . . . . . . . , . .
Excess of under!fing book value of stocks of
wholly-owned subsidiaries over cost. . . . , .. 1,281,766
Tntal capital funds-policyhnlders' surplus 24,856,356
$80,38.3,847
535,477
30,166
55,527,491
5,000,000
651,959
4,536,698
10,188,657
13,385,933
All securities are carried in accordance with the requirements of the National Association of Insurance Commissioners as
follows: eligible bonds at amortized values; stocks of associated insurance companies at pro rata share of capital and surplus; all
other securities at quotations prescribed by the Association,
.-.
BE IT REMEMBERED, that at a regular meeting of the Board of Directors of RepubUc lnsuninceCO....piuly"duIy.:c.ued '.'t
aDd held at the office of the Company in the City of Dallast Texast on the 28th day of February, 1967, a quorum tieing present, the
following By~Laws was duly adopted to become eHective February 28, 1967:
ARTICLE Xl- APPOINTMENT OF ATTORNEYS.IN-FACT
Appointment of Attomey~in-Fact. The President, or any Executive Vice President, may from time to time appoint by written
certi&cates attomeys.in-fact to act in behalf of the Company in the execution of policies of insurance, bonds, undertakings, and other
obligatory instmments of like nature. Such attomeys~in.fact, subject to the limitations set forth in their respective (:ertiGcates of
authority sball have full power to bind the Company by their signature and execution of any such instruments and to attach the seal
of the Company thereto. The President, or any Executive Vice President, or the Board of Directors, may at any time revoke aU power
and authority previously given to any attomey~in-fact. .
STATE OF NEW YORK
COUNTY OF NEW YORK
I ss:
"'. )lJa.J;'l,:j.p. .F.o.. ~erIY............, being dnly sworn, depo,es and says: 1 am Vic.e .president.........
of the Republic Insurance Company, I have compared the foreMoing By-Law with the original thereof, as recorded in the Minute
Book of the said Company, and do hereby certify that the same is a correct and true tranScript therefrom and of the whole Article XI,
of said original By-Law and that the same is now in full force and eHect, Pursuant to said By-Law, George J. McGovern, Thomas
J. Keenan, John F. Knight, Ralph L. Price, and Marlin F, Perry were ,duly appointed Attorneys-in-Fact of thisQ?mpan~ without
limitation as to, amount of bond executed and that said appointment is now in effect. 'i<":'~
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The above is a true statement of the assets and Jinbilities of said Company at the close of business December 31, 1966 takt'n
from the books and records of said Company and is prepared in Ul'l'Ordllnce with the statements on file with the Insurance Department
of the State of New York.
The Superintendent of Insurance of the State of New York has, pursuant to Section 327 of the New York Insurance Law
(Chapter 882 of the Laws of 1939 of the State of New York, constituting Chapter 28 of the Consolidated Laws of the State of New
Yark, as amended) issued to the Republic Insurance Company his certificate that said Company is qualified to become and be
accepte4 as surety or guarantor on all bonds, undertakings and other obligations or guarantees, as provided i Insurance Law
of the State of New York, and all laws amendatory thereof and supplementary t ; at such certificR a.s ot ,befm, revoked..
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Sworn to before me this
15th
STATE OF NEW YORK
COUNTY OF NEW YORK
I ss:
,19~
On thi. 15th day of June. 1962-, before me personally came
Thomas J 0 Keenan to me knnwn, who being by me first duly sworn, die! e!epose and say
that he resides in Massapequa Park, New Y9rklhat he is an attorney-in-fact of th~,~epu!>lle~. .~Company,
the corpqration described in, and which executed, the foregoing instrument;, that he kQ9WS th!;~~~~' ~.~~i, b"
that the seal affixed to the foregoing instnlment is such corporate seal; that it was affixed thereto by thp 0 r 'oru;'~Oafd fiE
Directo~ of said corpomtion and that he signed his name thereto, as attorneY-in-~ authority.
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Appointment of Attorney-in-Fact. The President, or any Executive Vice President, may from time to time, appoint by written
certificates attorneys-in-fact to act in behalf of the Company in the execution of policies of insurance, bonds, undertakings, and other
obligatory instruments of like nature. Such attorneys-in-fact, subject to the limitations set forth in their respective certiGcates of
authority shall have full power to bind the Company by their signature and execution of any such instruments and to attach the seal
of the Company thereto. The President, or any Executive V ice President, or the Board of Directors, may at any time revoke all power
and authority previously given to any attorney-in-fact.
ARTICLE XI-APPOINTMENT OF ATTORNEYS-IN-FACT
STATE OF NEW YORK
COUNTY OF NEW YORK
l ss:
.... . Ma,r1:ii:l .F.... Perry .. .. beIng duly sworn. deposes and says: I am Vice President.
of the Republic Insurance Company, I have compared the foregoing By. Law with the original thereof, as recorded in the Minute
Book of the said Company, and do hereby cNtify that the same is a corn>d and tme transcript therefrom and of the whole Article XI,
of said original By-Law and that the same is now in full force and effect. Pursuant to said By-La\\', George J. ~fcCovern, Thomas
J. Keenan, John F. Knight, Ralph L. Price, and Marlin F. Perry were duly appointed Attorneys-in-Fact of this Company without
limitation as to amount of bond executed and that said appointment is now in effect.
The above is a true statement of the assets and liHbi]jties of said Company at the close of business December 31. 1966 tnken
from the books and records of said Company and is prcpared ill accordance with the statements on fill' with the- Insurance Dl'partmt'l1t
of the State of New York.
The Superintendent of Insurance of the State of New York has, pursuant to Section 327 of the New York Insurance Law
(Chapter 882 of the Laws of 1939 of the State of New York, constituting Chapter 28 of the Consolidated Laws of the State of Nt'w
York, as amended) issued to the Republic Insurance Company his certificate that said Company is qualified to become and be
accepted as surety or guarantor on all bonds, undertakings and other obligations or guarantees, as provided i Insurance Law
of the State of New York, and all laws amendatory thereof amI supplementary t ; at such certifica as ot been revoked.
Sworn to before me this
15th
June
STATE OF NEW YORK
COUNTY OF NEW YORK
I ss:
19 67
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On this 15th day of June. l~. before me personally came
Thomas J. Keenan to me known, who being by me first duly sworn, did depose and say
that he resides in Massapequa Park, New Yorkthat he is an attorney-in-fuct of the Republic Insurance Company,
the corporation described in, and which executed, the foregoinj:t instrument; that he knows the corporate seal of said corporationj
that the seal affixed to the foregoing instrument is such corporate :;t'al; that'it was affixed thereto by the order of the Board of
Directors of said corporation and that he siglwd his name thereto, as attorney-in-f.lct, by lik' ord, nn authority.
RS 109 (67)