HomeMy WebLinkAbout1980-1989STOCK COMPANIES
ROYAL INDEMNITY COMPANY
A NEW YORK CORPORATION
ROYAL GLOBE INSURANCE COMPANY
AN ILLINOIS CORPORATION
GLOBE INDEMNITY COMPANY
A NEW YORK CORPORATION
NEWARK INSURANCE COMPANY
A NEW JERSEY CORPORATION
East Orange, New Jersey
AMERICAN AND FOREIGN INSURANCE COMPANY
A NEW YORK CORPORATION
SAFEGUARD INSURANCE COMPANY
A CONNECTICUT CORPORATION
Hartford, Connecticut
Executive Office: 150 William Street, New York, New York 10038
BOND NO. 635906 PUBLIC OFFICIAL BOND
C.ow Ali By i hese resen s. that ARTHUR FANNING
as Principal (hereinafter called "Principal")
and the ROYAL GLOBE INSURANCE COMPANY ,,
a corporatioa having an office in the City of NEW YORK~ 150 WILLIAM STREET
as Surety (hereinafter called "Surety") are held and firmly bound unto .......................
MATTITUCK FIRE DISTRICTs MATTITUCKs NEW YORK
in the penalty of TWENTY-FIVE THOUSAND AND 00/I00 .... Dollars ($25,000.00 )
to the payment whereof, well and truly to be made and done, the said principal binds himself, his heirm,
executors and administrators, and the sa~d Surety binds itself, its successors and assigns, jointly and severally,
firmly by these presents.
~tgtt£~l, sealed and dated this . 12TH day of SEPTEMBERs 1980 A.D., Ninetee~
hundred and E I GliTY
· he (~onbttton of the eforegotng C~bltgetton ts such. that ~hereas. the said prin-
cipal was elected or appointed SECRETARY-TREASURER
for the term-heginning dANUARY I, .1~181 and ending DECEMBER 21 s 198 I
or until his successor is elected or appointed and qualifies.
~Tolla, ~l~ergfore, if the said Principal shall well and faithfully perform all and singular the duties
incumbent upon him by reason of his election or apl~_intment as saia SECRETARY-TREASURER FOR
THE YEAR COMMENCING JANUARY Is 1981 AND ENDING DECEMBER 31, 1981
except as hereinafter limited, and honestly account for all moneys coming into his hands as said ........
SECRETARY-'TREASURER FOR THE SAID YEAR ABOVE
according to law, then this obligation shall be null and void; it is otherwise to be and remain in full force and
virtue.
~h~lt ~illll~l is executed by the Surety subject to the following conditions:
FIRST--That t~v~A.~iyT~ h~l,vfl~e ~h~ ~ tel~?_.natl~lJ[Wio~16~[ _g. iv~t~i%~) days notice
in writing to the said
the said surety remaining liable for all or any act or acts covered by this bond which may have been committed
by the principal up to the date of such termination, and the surety shall, as soon as practicable after demand
therefor, refund the premium paid, less a pro rata part thereof, for the time that this bond shall have been in
force.
SECOND--That the Surety shall not be liable to the said .........................
MATTITUCK FIRE 01STRICTs MATIITUCKs NE~ YORK
by reason of the refusal, inability or failure of any bank, depository or depositories to pay upon demand
any public moneys which now are or may hereafter be placed on general or special deposit by or on
behalf of said Principal, or by reason of the allowance to or acceptance by said Principal of any
interest thereon, any Law, Ordinance or Statute of the State of NElt/ YORK
or any O,'dinance of the said MATTITUCK FIRE DISTRICT~ MATTITUCK ~ NEW YORK
to the contrary notwithstanding.
31n i~esttmon§ 1~lhereof.
Surety has caused this instrument of
NEW YORK~ NEW YORK
and year first above written.
the said Principal has hereunto set his hand and seal, and the said
writing to be signed by its duly authorized representative at
, and its corporate seal to be hereunto affixed, the day
Principal
Witness: ROYAL GLOBE INSURANCE COMPANY
CF22042B
12TH
SEPTEHBER
80
19~, before ~re personally
On this da) ol , MILDRED W. OEIIL
who, I,eing by me d.ly ~worn, said: that he resides~ Brooklyn,S,Y, ;
tlmt he is Attorney-in-Fact of the
Ihe coq,ornlion descril~d in ..d which exec.ted tim foregoing instru~nt; that he knows the cor-
pornle ~enl of die said Comlmny; that the seal affixed to said tnstrumenl is such cor~rate seal;
thai it was so affixed 5y order nnd mdhorlty of the Donrd of Direclors of said Company; and that
he sig.ed his name Ihemto as Atlorney-ln-Fnct by like ~uthorily; and that ~l~e liabilities of the
snld (;ompnny do ~1 exceed it~ assets,
the L.w~ of 1939, constitullng Chapter 20 of die Consolid~led Laws of the State of New Y~k, and
known ns the lnsnmnce [,nw, nnd that p, rsu~nt to ~c. 327 of t~ Insurance Law the S~erintendent
of In~nrnnce ~ the Stnto o[ Hew York
qnnli[icztion to [~come surety or guarantor on nil bonds, undertakings, recognizances, guarnntles
and other obligations m?~ired ~ permitted hE, aw; and that such certificate has not been revoked.
ROYAL GLOBE INSURANCE COMPANY
(Incorporated 1891 )
A Stock Company, Organized Under the
Laws of the State of Illinois
150 WILLIAM STREET, NEW YORK, N.Y. 10038
Financial Statement, December 31, ~979
ASSETS
Cash and Bank Deposits ........................................... $
Bonds .........................................................
Preferred Stocks .................................................
Common Stocks ..................................................
Real Estate .....................................................
Interest Due and Accrued ..........................................
Net Agents Balances or Uncollected Premiums not more than three months due.
Other Admitted Assets ............................................
TOTAL ADMITTED ASSETS .....................................
3,859,484
471,021,917
0
124,389,617
3,522,675
9,442,783
38,521,193
19,687,032
670,444,701
LIABILITIES
Reserve for Losses, Claims and Related Expenses ....................... $371,840,227
Reserve for Unearned Premiums ....................................
Reserve for Contingent COmmissions and other similar charges .............
Reserve for Taxes ................................................
Reserve for Accounts Due or Accrued ................................
Other Liabilities ..................................................
CAPITAL ......................................................
SURPLUS ......................................................
SURPLUS TO POLICYHOLDERS ..................................
TOTAL LIABILITIES AND SURPLUS ..............................
129,202,111
3,176,450
4,172,942
1,734,614
21,461,809
9,300,000
129,556,548
531,588,153
138,856,548
$670,444,701
Securities carried at $15,702,034 in the above statement are deposited as required by law.
Bonds and Stocks are valued on the basis prescribed by the National Association of Insurance Commissioners.
STATE OF NEW YORK ]
SS.
COUNTY OF NEW YORK ~
PAUL FILKA, Vice President and Comptroller and R.V. HILL, Assistant Comptroller of the ROYAL GLOBE
INSURANCE COMPANY being duly sworn, each for himself deposes and says that they are the above described
officers of the said Company and that on the 31st day of December, 1979 the Company was actually possessed of the
assets set forth in the foregoing statement and that such assets were available for the payment of losses and claims and
held for the protection of its policyholders and creditors, except as hereinbefore indicated, and that the foregoing
statement is a correct exhibit of such assets and liabilities of the said Company on the said 31st day of December,
1979 according to the best of their information, knowledge and belief.
Sworn and subscribed to before me
this 17 day of April 1980
NOTARY PUBLIC, State of New York
No. 31-4519480
Qualified in New York County
Commission Expires March 30, 1982
P26499B-1
P~e President a~i~l'C'o~nptroiler - "'
Assistant Comptroller
ower of
No.
KNOW ALL MEN BY THESE PRESENTS: That the MO~'tt?, ~T,O~, T~_~_~ COM?_A~N~r~
, a Corporation organized and existing under and by virtue of the
laws of the State of ILLINOIS , pursuant to Article V, Section 1 of the By-
Laws of said Company, an extract from which is hereunto attached, does hereby nominate, constitute
and appoint
MTT,BI~n W'= O~__;.!'r_.
of N~ng ¥01qK , in the State of 'r,r,~,r
its true and lawful attorney(s)-in-fact to make, execute, attest, seal and deliver for and on its behalf, as
surety, and as its act and deed, where required, any and all bonds, undertakings, recognizances and
written obligations in the nature thereof, the penal sum of no one of which is in any event, to exceed
UNLIMITED ..... .($ -.) Dollars.
Such bonds and undertakings, when duly executed by the aforesaid Attorney(s)-in-fact shall be
binding upon the said Company as fully and to the same extent as if such bonds and undertakings were
signed by the President and Secretary of the Company and sealed with its corporate seal.
IN ~ITNESS WHEREOF, the
has caused its corporate seal to be hereunto affixed, and these presents to be signed by its duly
authoriZed officers this 9 day of ]~o'n-m~ ,- ?? 19 tva:
Attest: ~T.~AlffO~ ~.!;j~___TSTT__~_~.SEN By O. B'. I)~-E'~'O~3g~.
Assistant Secretary Vice President
STATE OF NEW YORK '~ss.:
COUNTY OF NE~/YORK
ELEANOR CERISTIANSEN
, being duly sworn, deposes and says:
That She is an Assistant Secretary of the ]:{0~'_~_T.
the corporation described in and which executed the above instrument; that $he knows the corporate
seal of the said corporation; that the seal affixed to the aforementioned instrument is the corporate seal
of the said Company and was affixed thereto by order and authority of the Board of Directors of the said
Company, that She signed h eI~ame thereto by like order and authority; that she is acquainted with
. G, ,T. DYKHOUSE and knows him to be the Vice President of the said
Company; that the signature subscribed to the said instrument is in the handwriting of the said
Go ~'o DYKHOUOE and was subscribed thereto by order and authority of
the said Board of Directors and ~he further states that the following is a true copy of an extract from
the By-Laws of said Company, and that the By-Laws are now in full force and effect:
'The Presid~tat, any Vice President, or any other Officer designated by the Board of Directors, shall have power and
authority to appoint Resident Vice Presidents, Resident Secretaries, Resident Assistant Secretaries, and Attorneys-in-fact,
and to give such appointees full power and authority to sign and to seal with the Company's seal, where required, all policies,
bonds, recognizances, stipulations and all underwriting undertakings, and he may at any time in his judgment remove any such
appointees and revoke any authority given to them.'
ELEANOR CHRISTIANSEN
Assistant Secretary
Sworn to before me this 9 day of February , 1976-..
Thomas Buckley~ Notary Public~ State of New York
No. $1-~505615, Qualified in Queens County
Cert. filed in New York County
Commission Expires March ~0, 1977
STATE OF NE~ YORK ~ss.:
COUNTY OF NEW YORK
I, ELEANOR CHRIST~NSEN , Assistant
Secretary of the ROYAL GLOBE YNSUMANCE COMPANY
a corporation of the State of ILLINOIS . , do hereby certify daat the above and foregoing
is a full, true and correct copy of Power of Attorney issued by said'Company, and that I have compared
same with the original and that it is a correct transcript therefrom and of the whole of the original and
that. the said Power of Attorney is still in full force and effect and has not been revoked.
IN WITNESS II[HEREOF. I have her_eu_n_to.~_e~__my handand affixed the.~seal of said Company, at the
City of New York, this ,2TH dayof S~PD'MB~'R ~~~
Assistant Secretary
CF66683-
JAN ~ 0 ~1
The within Bond is hereby approved as
to Form and sufficiency of the Surety
this day 19
CF22169A-
CHANGE OF NAME NOTIFI,CATION
RO~I In~urance~ ~
THIS NOTIFICATION FORMS A PART OF THE POLICY TO WHICH IT IS ATTACHED.
The name of Royal Globe Insurance Company has been changed to Royal Insurance Company of America. This
is a change of name only and does not affect the liability and obligations of the Company under the terms and
conditions of its policies. If the name Royal Globe Insurance Company appears, the name Royal Insurance
Company of America is substituted in its stead,
83903
& 66279EI
STOCK COMPANIES
· ROYAL INDEMNITY COMPANY
A NEW YORK CORPORATION
ROYAL GLOBE INSURANCE COMPANY
AN ILLINOIS CORPORATION
GLOBE INDEMNITY COMPANY
A NEW YORK CORPORATION
NEWARK INSURANCE COMPANY
A NEW JERSEY CORPORATION
East Orange, New Jersey
AMERICAN AND FOREIGN INSURANCE COMPANY
A NEW YORK CORPORATION
SAFEGUARD INSURANCE COMPANY
A CONNECT I CUT CORPORAT I ON
Hartford, Connecticut
Executive Office: 150 William Street, New York, New York 10038
PUBLIC OFFICIAL BOND
Know All filch By hese lresents. fha, ArLhur
as Princi~ (hereinafter ~lled "Princi~")
a co~orati~ having an office ~ the Ci~ of ~ YOT~, ~ ~n ~i
as Surety (hereinafter c~lcd "Surety") are held ~d fir~y bound ~to
Mattituck Fire District, Mattituck, New York
~, ~h~ p~uahy o~ ~enty fiv~ thousand ~nd 00/100 D0~s ($ 25.000.00 )
to the payment whereof, well and tr~y to be made ~d done, the said princip~ binds himself, his heirs,
executors and administrators, and the ~id Surety binds itsdf, its successors and ~si~s, jointly and severally,
firmly by these presents.
~tBtle~, sealed and dated thi~day of M~mh~ ~. D., Ninete~
hundred and elqh~y one
o tttou of the aloregotng bl aiton ts s h, that ~tr~, the said prin-
cipal was elected or appointed Secretar~-~re~s~rer
for the term beginning ,T~,, .... ~ a oR9 and ending De~ember
or until his successor is elected or appointed and quahfies.
~a~, ~Prr{~r~, if the said Princi~ s~ll well and faithfully perform all and sin~lar the dufie~
in~mbent upon him by reason of his election or ap~in~ent as ~i3 Seevo~ar~-~rnauuver
~he year co~enctn9 g~uary ~: ~982 ~d end~n~ Dec,bet 3~_~982
except as hereinafter limited, and honestly account for all moneys coming into his hinds as hid
SecreLary-Treasurer ~or Lhe sa&d year above
according to law, then this obligation shall be nu~ and void; it is othe~ise to be and remain in full force and
virtue.
~[fi ~a~h is executed by the Sure~ subj<t to the following conditions:
FIRST--That th% Su[qt~ ~hall. haLe the right t9 ter~nate.this ~onO bygivinA thirty. (3Q) days notice
in writing to the said na=<~<uc< ~'&re ~&s<r~c=~ naL=~<uc<: ~ew Zor<
the said surety remaining liable for all or any act or acts covered by this ~nd which may have been committ~
by the principal up to the date of such termination, and the snrety shall, as soon as practi~ble after demand
therefor, refund the premium paid, less a oro rata part thereof, for the time that this bond shall have been
force.
SECOND--That the Surety shall not be liable to the said MaL~Lue~
by reason of the refusal, inability or failure of any bank, depository or depositories to pay upon dmand
any public moneys which now are or may hereafter be placed on general or special deposit by or
behalf of said Principal, or by reason of the allowance to or acceptance by said Principal of any
interest thereon, any ~w, Ordinance or Statute of the State of N~w York
orany Ordinance o[the said Ma~J~ua~ P~ D~~ M~q~o~, ~ YOrk
to the contrary notwithstanding.
la ~esltmon~ Whereof, t~e said Principal has here~to set his hand and seal, and the said
Surety bas ~used this instrument of writing to be si~ed by its duly anthorized representative
Hew Yor~: Hew York , and its corporate seal to be hereunto affixed, the day
and year first above written.
Witness:
Executed in Duplicate
CF22042B
By
Principal
Royal Insurnnce Com~nv oF Amm~ima
Virgi~a Solinske ,Atty-in-Fact
STAT~ OF New York
CouN~ oF Onondaga
On this_~ur.~_.__day al November
, 1981 , before we personally
appeared Virqinia Solinske
, with whOm I am personally acquainted,
who, being by me duly sworn, said: that tie resides in the City of Syracuse
that he is Attorney-in-Fact of the Royal Insurance Company of America
(Nm~ of Compl.7)
the corporation described in and which executed the foregoing instrument; that he knows the cor-
porate seal of the said Company; that the 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 Company; and that
he signed his name thereto as Attorney-in-Fact by like authority; and that the liabilities of the
said Company do not exceed its assets, as ascertained in the manner provided in Chapter 882 of
the Laws of 1939, constituting Chapter 28 of the Consolidated Laws of the State of New York, and
known as the Insurance Law, and that pursuant to Sec. 327 of the Insurance Law the Superintendent
of Insurance of the State of New York has issued to said Company a certificate of solvency and of
qualification to become surety or guarantor on all bonds, undertakings, recognizances, guaranties
and other obligations required or permitted by law; and that such certificate has not been revoked.
JEANETTE M. WHITNEY
NOTARY PUBLIC, ..~at* of 'qew York
,No. 4.555424
Qualified in Or~onr'.o~'~ C~unty
CF22087C- Term Expires March 30, 19~_~
ROYAL INSURANCE COMPANY OF AMERICA
(Incorporated 1891 )
A Stock Company, Organized-Under the
Laws of the State of Illinois
150 WILLIAM STREET, NEW YORK, N.Y. 10038
Financial Statement, December 31, 1980
ASSETS
Cash and Bank Deposits ..........................................
Bonds ........................................................
Preferred Stocks ................................................
Common Stocks ................................................
Real Estate ....................................................
Interest Due and Accrued .........................................
Net Agents Balances or Uncollected Premiums not more than three months due.
Other Admitted Assets ............................................
TOTAL ADMITTED ASSETS ....................................
$ 3,554,121
476,763,336
658,600
176,104,839
3,398,314
10,657,835
51,84t,171
18,307,541
$741,285,757
LIABILITIES
Reserve for Losses, Claims and Related Expenses ......................
Reser~;e for Unearned Premiums ....................................
Reserve for Contingent Commissions and other similar charges ............
Reserve for Taxes ...............................................
Reserve for Accounts Due or Accrued ...............................
Other Liabilities ................................................
CAPITAL .....................................................
SU~RPLUS ............. ~ .......................................
SU'RPLUS TO POLICYHOLDERS ................................
TOTAL LIABILITIES AND SURPLUS ............................
$386,546,491
137,794,5¢3
3,734,410
4,348,676
888,132
27,359,664
9,300,000
171,313,841
560,671,916
180,613,841
$741,285,757
Securities carried at $16,324,680 in the above statement are deposited as required by law.
Bonds and Stocks are valued on the basis prescribed by the National Association of Insurance Commissioners.'
STATE OF NEW YORK ~ ss.
COUN~"Y OF NEW YORK
PAUL FILKA, Vice President and Comptroller and J.F. DONOHUE, Assistant Comptroller of the ROYAL INSURANCE
CO.MP.~NT OF AMERICA being duly sworn, each for himself deposes and says that they are the above described officers
of the said Company and that on the 31st day of December, 1980 the Company was actually possessed of the assets set
forth in the foregoing statement and that such assets were available for the payment of losses and claims and held for the
protection of its policyholders and creditors, except as hereinbefore indicated, and that the foregoing statement is a correct
exhibit.°f..such assets and liabilities of the said Company on the said 31 st day of December, 1980 according to the best of
their information, knowledge and belief.
Sworn and subscribed to before me
this 7th da~ of April, 1981
PATRICIA HARyEY
NOTARY PUBLIC, Stale~f New York
No. 01HA67~700
Oua!ified i~ Soffolk County
Cert. Filed in New York County
Commission Expires March 30, 1982
P2649~D-1
ssistant Comptroller
ower of
No.
6
KNO~ ALL MEN BY THESE PRESENTS: That the , ROY~L INSUPd~t~ COHPAI~
~? _~_M~_ _T~ , a Corporation organized and existing under and by virtue of the
laws of the State of _TT.T_._TN0_Ts , pursunnt to Article V, .Section I of the By-
Laws of said Company, an extract from which is hereunto attached, does hereby nominate, constitute
and appoint
of BYRICU,~E , in the State of ~ FflR
its ~e ~d law~l atmrn~(s)-in-fact m ma~e, excite, artes~ seal ~d deliver for ~d on its beh~f,
~re~, ~d ~ frs act and ~eed, where required, any ~d ~I ~nds, undert~ings, re~iz~ces
wH~m obHga~ons [n ~e nature ~er~f, ~e pmal sum o~ no ~e of whi~ [s in any ev~ ~ ezce~
~ITED
~ch ~nds ~d unde~in~ wh~ duly exe~t~ ~y ~e aforesaid Attorney(s)-in-fac~ sh~ be
~g upon ~e s~ ~mp~y as ~lly ~d to ~e s~e extmt as if such ~n~s ~ under~ings were
s[~ed by ~e Presidmt ~ ~creta~ of ~e Comply ~d se~e~ wi~ its co~o~te se~.
~ ~ESS ~HEREOF, ~e ROYAL INS~NCE ~O~A~ fl~
hns c useO its be hereunto a[fized, presents its duly
· .~o~z.d o[fic~m ~is__ tiny of Auks , 19~.
Attes~ E~NOR ~ISTI~R~ By ~: ~:
Assistant $~e~ Vice President
~OFNEWYO~~
, 5eing dul~ sworn, deposes ~d says:
~ts~e is ~ Assistan~ Se~re~ o~ ~e R0~A~ ~~C~ C0~ O~ ~CA ,
~e co.option desk, bed in and wMc~ executed ~he ~ve ins~ment; ~SSe knows ~e
s~ of ~e s~d ~oradon; ~t the seal ~ffixed ~o ese a~oremendoned instmm~ is ~e ~o~or~te se~I
of ~e s~ ~omp~ ~n~ ~s ~fixed there~ 5y order and ~u~od~ of ~e ~oard of D~re~mrs of ~e said
Comply, ~atS ~e s~ed he~ame ~erem 5~ Hk~ order an~ aurora; ~a~ ~e ~s ~quain~ed
~..T. ~~ and knows him to be the Vice Presider of ~e s~d
Comply; ~at ~e si~amre subscribed to the said instmm~t is in the handwriting of the said
~..T. ~OU~ and was subscribed ~ereto by order ~d authofi~ of
· e said Board of Directors and she ~rther states that the following is a tree copy of an extract from
· e By-Laws of s~d Company, ~d that ~e By-Laws are now in hll force md effect:
'~ Presiding may Vie~ P~sldeut, or zuy other Officer desigu~ted by th~ Bo=d of Directors, shall have powe~
~fi~ m ~p~iat Resider Vice Presidents, Resident Secretaries, Resideut Assistant Seceet,eies, ~d Atromeys-~-f~ct,
~d m giv~ such a~inte~ f~l ~wee and ~u~oeity to si~n aad to se~l wi~ the Comp~uy's seal, where requ~ed, all ~licies,
~d~, e~cog~zauces, stipulations aud ~11 uud~eidu8 ~de~akiugs, ~d h~ rosy at auy dine i~ his jud~eut rmove ~y
Sworn to before me this 26 day of
Doris illiams,
No. 03-b636521,
Certificate filed with N. Y.
Commission Expires March 30,
ELEANOR CHRISTIANSEN
Assistant Secretary
Notary Public, State of New York
Qualified in Bronx County
Co. Clerk
1982
STATE OF NEW YOEK '~ss.:
COUNTY OF NEW YORK
I, ELEANOR CHRISTIANSEN , Assist t
Secretary of the ROYAL INSURANCE COMPANY Oil' AM*RRTP.~
a corporation of the State of ILLINOIS , , do hereby certify that the above and foregoing
is a full, true and correct copy of Power of Attorney issued by said Company, and that I'have compared
same with the original and that it is a correct transcript therefrom and of the whole of the original and
that the said Power of Attorney is still in full force and effect and has not been revoked.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company, at the
Assistant Secretary
CF66683-
RECEIVED
'¥ow~ Cleft( Southoid
Royal Insurance
[/il'.
The ~t~n Bond. ~s.Aere~y approved as
to Form ~d ~fficiency of t~e Surety
this day 19
22169A
ROYAL INDEMNITY COMPANY
A DELAWARE CORPORATION
ROYAL INSURANCE COMPANY OF AMERICA
AN ILLINOIS CORPORATION
GLOBE INDEMNITY COMPANY
A DELAWARE CORPORATION
Royal
Insurance
NEWARK INSURANCE COMPANY
A NEW JERSEY CORPORATION
AMERICAN AND FOREIGN INSURANCE COMPANY
A DELAWARE CORPORATION
SAFEGUARD INSURANCE COMPANY
A CONNECTICUT CORPORATION
Executive Office: 150 William Street, New York, New York 10038
PUBLIC OFFICIAL BOND
now Aft llien By lhese reseuts, fha, Arthur Fanning
as Principal (hereinafter called "Principal")
8nS me Royal Insurance Company of America ,
a corporatios having an office in the City of New York, 150 William St.
as Surety (hereinafter ca.lled "Surety") are held and firmlybound unto
Mattituck Fire DistricT, Mattituck, NY
in the penalty of Twen..ty-five Thousand and 00/100 Dollars ($ 25,000. O0 )
tO the payment whereof, well and truly to be made and done, the said principal binds himself, his heirs,
executors and administrators, and the said Surety binds itself, its successors and assigns, jointly and severally,
firmly by these presents.
~tgttr~, sealed and dated this 1 st. day of. December A.D., Nineteen
hundred and Eighty-two
· he (IIoni ttton the aforegotng ( bllgatton ts su ll, that Whereas. the said prin-
cipal was elected or appointed
for the term beginning January 1 , 198~ and ending December 31, 1983
or until his successor is elected or appointed and qualifies.
~am. i~tterrt~nre, if the said Principal shall well and faithfully perform ali and singular the duties
incumbent upon him by reason of his election or appointment as said Secretary-Treasurer for
the year commencing January 1, 1983 and ending December 31, 1983
except as hereinafter limited, and honestly account for all moneys coming into his hands as said
._q~e~.n~y-T~_a.~ur~r for the said year above
according to law, then this obligation shall be null and void; it is otherwise to be and remain in full force and
virtue.
~l~{g ~OIl~l is executed by the Surety subject to the following conditions:
FIRST--That the Surety shall ~ave the_right, to.tergmna, t.e t,hi$ J~gnd ~y gbL~g thirty (30) days notic~
in writing to the said Mattj, tuck ,,'ire g~.s'l;ra.c'g~ Mal;~;a.~;ucK, NX-
the said surety remaining liable for all or any act or acts covered by this bond which may have been eommitte41
by the principal up to the date of such termination, and the surety shall, as soon as practicable after demand
therefor, refund the premium paid, less a pro rata part thereof, for the time that this bond shall have been in
force.
SECOND--That the Surety shall not be liable to the said Mattituck Fire District,
Mattituck, Ny
by reason of the refusal inability or failure of any bank, depository or depositories to pay upon demand
any public moneys which now are or may hereafter be placed on general or special deposit by or on
behalf of said Principal, or by reason of the allowance to or acceptance by said Principal of any
interest thereon, any Law, Ordinance or Statute of the State of New York ..
or any O:dinance of the said Mattituc$ Fire District, Mattituck, NY
Lo the contrary notwithstanding.
~Jtt ~ei~limo~t§ lll~er.,'i3f.,
Surety has caused this instrument of
N~_w Ynr'k; NY
and year first above written.
the said Principal has hereunto set his hand and seal, and the said
writing to be signed by its duly authorized representative at
, and its corporate seal to be hereunto affixed, the day
Witness:
Principal
Bond # 635906 By
C~22042C
Bo_val Insurance Compap~y of AmeriGa
Surety
V~rg~n~a So~s~e~ A~y-~n-Eac~
CHANGE OF NAME NOTIFICATION
Ro~l Immrance ~
THIS NOTIFICATION FORMS A PART OF THE POLICY TO WHICH IT IS ATTACHED.
The name of Royal Globe Insurance Company has been changed to Royal Insurance Company of America. This
is a change of name only and does not affect the liability and obligations of the Company under the terms and
conditions of its policies. If the name Royal Globe Insurance Company appears, the name Royal Insurance
Company of America is substituted in its stead.
83903
66279D
STOCK COMPANIES
ROYAL INDEMNITY COMPANY
A DELAWARE CORPORATION
ROYAL INSURANCE COMPANY OF AMERICA
AN ILLINOIS CORPORATION
GLOBE INDEMNITY COMPANY
A DELAWARE CORPORATION
Royal
Insurance
NEWARK INSURANCE COMPANY
A NEW JERSEY CORPORATION
AMERICAN AND FOREIGN INSURANCE COMPANY
A DELAWARE CORPORATION
SAFEGUARD INSURANCE COMPANY
A CONNECTICUT CORPORATION
Executive Office: 150 William Street, New York, New York 10038
PUBLIC OFFICIAL BOND
By hese
as Principal (hereinafter called "Principal")
and the, Royal Ins~ce Company of America
a corporation having an office in the City of NeW York, 150 William St.
as S~re~y. ~hfrein~ft~led~urfty'~) ye heLeJd ~ ~rnd r~bo~
Nl~to
to the payment whereof, well and truly to be made ~d done, the smd pr[nc[p~ b{nds h[mseff, his heirs,
executors ~nd ~dmhfistrators, and the ~[d Surety binds hs~, hs successors a~d ~s[~s, jo{ntly and
firmly by these presents.
~tgtte~, sealed and dated this,,1at' day of. ~c~mb~r A.D., Ninete~
hundred and
o Mtto. the aforegotng bl atton ts s h. that Whereas. the said prin-
cipal was elected or appointed ~¢y~&~--~_~%lT~
for the term beginning J~~ 1~ 1~ and ending ~cem~= ~ $ 198~
or until his successor is elected or appointed and qualifies.
~am. ~errfnre. if the said Princi~ shall well and faithfully perform all and sin~lar the dufie~
in~mbent upon him by reason of his election or a~in~ent as ~id ~C~~-~S~r ~Or
~e year cc~nenc~ J~~- 1, ~3 ~d end~ ~cember 31, 1983
except as hereinafter limited, and honestly account for all moneys coming into his hands as said
Secretary-Treasurer for the said year above
according to law, then this obligation shall be null and void; it is otherwise to be and remain in full force and
virtue.
~llts t!tanh is executed by the Surety subject to the following conditions:
FIRST--That t~il~l[~;~u~h~1~l"eve thej~{~%l,,],c.~r~' h to te 'n~l[~¢]~!'s b nd gi'~g thirty (.30) days notice
in writing to the said
the said surety remaining liable for all or any act or acts covered by this bond which may have been committed
by the prir. cipal up to the date of such termination, and the surety shall, as soon as practicable after demand
there£or, refund the premium paid, less a pro rata part thereof, for the time that this bond shall have been in
force.
SECOND--That the Surety shall not be liable to the said
l~ttttuck ~ NY
by reason of the refusal, inability or failure of any bank, depository or depositories to pay upon demand
any public moneys which now are or may hereafter be placed on general or special deposit by or on
behalf of said Principal, or b~ reason of the allowance to or acceptance by said Principal o{ an)'
interest thereon, any Law, Ordinance or S~tute of the State of },I~W ~'ork
or any Oldinance of the said hatt:Ltucll: Fire Dlst;ri¢t;, MattttUck, NY
to the contrary notwithstanding.
3hi ~,~Itmml§ ttt[ler,of, the said Principal has hereunto set his hand and seal, and the said
Surety has caused this instrument of writing to be signed by its duly authorized representative at
New York, NY
, and its corporate seal to be hereunto affixed, the day
and year first above written.
Bond ~ 6 0 ' Vlrgin~a $ol~e, Atty-~-Fact
~T E'~V 1' ~
~ ...........
ST^~ oF New York
cou~ oF Onondaga
On this
appeared
1 St. da} ot December
Virginia Solinske
, 1982, before me personally
, with whom I am personally acquainted,
who, being by me duly sworn, said: that he resides in tile c'-~+,, ~* e,~ ..... try ·
that he is Attorney-in-Fact of the RO.Sm_! 'rn=,,,.~,,,o r,,.,,,,,.,o,.,,, ,,.e ^,,,.,.,.,.~
the corporation described in and which executed the foregoing instrument; that he knows the cor-
porate seal of the said Company; that the 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 Company; and that
he signed his name thereto as Attorney-in-Fact by like authority; and that the liabilities of the
said Company do not exceed its assets, as ascertained in the manner provided in Chapter 882 of
the Laws of 1939, constituting Chapter 28 of the Consolidated Laws of the State of New ~ork, and
known as the Insurance Law, and that pursuant to Sec. 327 of the Insurance Law the Superintendent
of Insurance of the State of New York has issued to said Company a certificate of solvency and of
qualification to become surety or guarantor on all bonds, undertakings, recognizances, guaranties
and other obligations required or permitted by law; and that such certificate has not been revoked.
JF.~HETTE M. W~ITHEY
~K)'r~R.Y PUOLIC, Stot~ of New
N~. 4655424
CF22087C- ' 10ualiCded i~ Onondaga Count~
Term Exl~ire~ March 30, 1 ~ ¢~.
ROYAL INSURANCE COMPANY OF/ r ERICA
(Incorporated 1891)
A Stock Company, Organized Under the
Laws of the State of Illinois
150 WILLIAM STREET, NEW YORK, N.Y. 10038
Financial Statement, December 981
ASSETS
Cash and Bank Deposits ...................... ' ....................
Bonds ........................................................
-Preferred stOCks .................................................
common Stocks ................................................
Real Estate ....................................................
Interest'Due and Accrued .........................................
Net Agents Balances or Uncollected Premiums not more than three months due.
Other Admitted Assets ....................... ......................
TOTAL ADMITTED ASSETS ....................................
$ 3,398,013
477,371,302
17,640,097
145,682,401
4,005,099
11,563,938
73,159,243
30,331,976
$ 763,152,069 ·
LIABILITIES
Reserve for Losses, Claims and Related Expenses ......................
Reserve for Unearned Premiums ....................................
Reserve for Contingent Commissions and other similar charges ............
Reserve for Taxes . .. ..............................................
Re~erve for Accounts Due Or Accrued ........... ; ...................
Other Liabilities ................................................
CAPITAL ............................ ' .........................
.sURPLUS ........................ :~ ......: ....................
SURPLUS TO POLICYHOLDERS ................................
TOTAL LIABILITIES AI~ SURPLUS . .. ..........................
$412,101,435
164,899,221
4,403,000
4,528,023
1,344,761
22,766,613 610,043,053
9,300,000 ---
143,809,016
153,109,016
$763',152,069
Securities carried at $18,521,427 in the above statement are deposited as required by law.
Bonds and Stocks are valued on the basis prescribed by the National Association of Insurance Commissioners.
STATE OF NEW YORK } ss.
COUNTY OF NEW YORK
PAUL FILKA, Vice President and Comptroller and J.F. DONOHUE, Assistant Comptroller of the ROYAL INSURANCE
CO~ANY OF AMERICA being duly sworn, each for himself deposes and says that they are the above described officers
of the said Company and that on the 31st day of December, 1981 the Company was actually possessed of the assets set
forth in the foregoing statement and that such assets were available for the payment of losses and claims and held for the
protection of its policyholders and creditors, except as hereinbefore indicated, and that the foregoing statement is a correct
exhibit of such assets and liabilities of the said Company on the said 31st day of December, 1981 according to the best of
their information, knowledge and belief.
Sworn and subscribed to before me
this 30th day of March, 1982
NOTARY PUBLIC, State of New York
No. 01HA6796700
Qualified in Suffolk County
Cert. Filed in New York County.,
Commission Expires March 30, 198~Il
Vice President and Comptroller
d Assistant Comptroller
ower
No. 6
·NOW ALL MEN BY THESE PRESENTS: That thb ROYAL INSI~CE COMPAIf~
~ ~!~ , · Co.option org~ized ~d e~sdng under ~d by vi~e of ~e
l~ws of ~e S~te of ~T.T~T~n~ , pumu~t co Article V, .Section I of ~e By-
Laws of s~d Comps?, ~ extract from which is her~nm ~[~ched, does he.by nominate, constitute
~d appoint
of S~I~_~C~JSR , in the State of
ic~ ~e ~d law~ atmrn~(s)-in-fact m make, excite, accesL se~ ~d deliver for ~d on its beh~f,
~teW, ~d ~ hs act ~d de~ wh~e re~ired, any ~d ~I ~nds, undert~gs, re~iz~ces ~d
~ o~ga~ns ~ ~e nature ~er~f, ~e p~al ~ of ac ~e of whi~ is in ~n~ ev~ m exce~
~ ~n~ ~d ~de~in~ wh~ duly exe~t~ ~y ~e aforesaid Atwrney(s)-in-fact sh~ be
~g upon &e s~d ~mp~y ~ ~lly ~d to &e s~e ext~t as if ~ch ~n~ ~d unde~ings =ere
si~ed ~ ~e Pr~i~t ~d ~rem~ of &e Comply ~d se~ed =i~ its co~o~te seal.
~ ~S WHEREOF, ~e ROYA~ IN~AN~R Cfi~a~ D~
h~ c~sed its co~omte~g~ m be her~nm affixed, ~d ~ese presents m be si~ed by im duly
~~ officem ~is__ day of Au~g , 19~.
A=~c E~0R ~IS~IINg~ By C-: .T_
Assismt $e~ - - Vice ~esid~t
~ATR OF N~ YO~
, berg duly sworn, de¢oses ~d says:
~ats he is ~ Assist~ Secre~ of ~e ~0~ I~~~ ~~ O~ ~OA ,
s~ of ~e s~d ~o~fiou; ~a~ ~e se~ affixed co ~e aforem~doned ~stmm~
of ~ s~d ~omp~y ~d ~ affixed ~e,em by order ~d au~o~ of ~e ~ard of Birecmrs of ~e said
~mp~, ~a~8 he si~ed ho~ame ~e,~m ~ like orde~ ~d au~od~; ~a~ ~e. is acquainted ~i~
~. ~. B~~ and knows him to be the Vice Presider of ~e s~d
~mp~y; ~at ~e si~amre subsc~bed m the said instmm~t is ia ~e h~dwddng of the s~d
~..T_ ~0~ ~d was subscibed ~ereto by order ~d au&odw of
· e s~d Board of Direcm~ and she ~er states that ~e following is a tree copy of an ex~ct from
· e By-Laws of s~d ComPly, ~d &at ~e By-Laws are now in ~11 force ~d effect:
~ P~si~g ~T ~ce Ptesid~g or ~T oth~ Offic~ desigaat~ bT the Bo~d of Directors, shall ha~e ~wer and
~fiW m ap~iat Resider Vice Presid~t~, Resident Secret~es, Resident Asaist~t ~cr~ies, ~d
~d m ~v~ such a~te~ ~1 ~v~ and au~ority to sign ~d to seal vi~ the ~mpaay*s s~l, wh~e re~ed, aU ~li~es,
~ te~g~ces, afi~latioas and ~1 ~de~iting ~den~ngs, ~d he may ~ ~y ~me ia ~s jud~eat ~ove ~y such
~tees ~d t~ke ~y ~u~W ~v~ co ~.'
E~0R C~STI~8~
Assistgnt Secreta~
Sworn to he, re me tis 26 day of l~et , 19~.
Doris~illiams' Notary Publics State of New York
No. 03-~636521, qualified in Bronx County
Certificate filed with N. Y. Co. Clerk
Co...ission Expires Narch 30, 1982
STATE OF NEW YORK '5
COUNTY OF NEY YORK!ss':
I, ELEiNOR CHRISTIANS~ , Assistant
Secretary of the ROY_iL INSIIRINCR COMPANY
a corporation of the Share of ILLINOIS , do hereby certify chat the above and foregoing
is a full, true and correct copy of Power of Attorney issued by said Company, and that [ have compared
same with the original and that it is a correct transcript therefrom and of the whole of the original and
that the said Power of Attorney is still in full force and effect and has nor been revoked.
IN WITNESS ~.HEREOF, I have hereunto set my hand and affixed the seal of said Company, at the
0'7 of New York, this 3at. day of December .... 19 82...~ .
Assistant Secretary
CF66683-
Royal Insurance
The within Bond ks'hereby approved as
to Form and sufficiency o~ the Surety
this ~.' ~ ._.~ 19
22169A
qcord,
PRODUCER
New York State Regional Director
84 Court Street
Blnghamton, NY 13901
INSURED
Mattituck Fire District
Pike Street
Mattituck, NY 11952
ISSUE DATE (MM/DD/YY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANY A
LETTER
COMPANIES AFFORDING COVERAGE
&
COMPANY
LETTER B
Ins. Co. of North America
COMPANY
LETTER C
COMPANY D
LETTER
COMPANY
LETTER E
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES.
DESCRIPTION OF OPERATION~L~ATIONSNEHICLES/SPEClAL ITEMS
Proof of Insurance for a Street Dance being held
insured.
' ' '.]i']~; ~.'*d~]~
POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
TYPE OF INSURANCE POLICY NUMBER 0ATE (MM/00/Y~ 0ATE (MM/00/Y~
OCCUR.ENCE
GENE~L LIABILITY
BODILY
X COMPREHENSIVE FORM ~PPD15381978 12/1/87 12/1/88 ,.~u.~ $ $
X PREMISE~OPE~TIONS
UNDERGROUND PROPER~
DAMAGE
~PLOSION & COL~E H~RO
X CONT~CTUAL B~ & PD
COMBINED $
INDEPENDENT CONT~CTORS [ e 000 ,000
X BRO~ FORM PROPER~ DAMAGE
X PERSONAL INJURY PERSONAL INJURY
,000
AUTOMOBILE UABILITY ~OlLY
INJURY
ANY AUTO , {~R PER.N) $
ALL OWNED AUT~ (PRIV. PPSS.) ~OlLY ~ ~,f~
~L OWNED A~OS (OTHER THAN~ INJURY
~PRIV. PASS. ] (~R ~IOENT , $
HIRED AUTOS
NON-OWNED AUTOS DAMAGE $
~GE LIABILI~
COMBINED ~ I:~ r~;~ ~
EXCESSj LIABILITY
~ UMBRELLA FORM BI & PD
cou~,.~o $ $
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION STATUTORY
.,~ "$ (,Ac, ,cC~9~h~
~a,LO~,S' u~e~u~ $ (O~SEAS~.POU~:U~m
0~.~. $ ~i~EAS":,~h E~,LOYE,~
7/30/88 by the
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX
IRATIO~ DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ~0 DAYS WRI~EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LE~, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLI~TION OR LIABIL~
~F ANY KIND UPON THE COMPANY, ITS A~NTS ~ REPRESENTATIVES.
i AU~D REPRESENTAT,VE ~~ --
ISSUE DATE (MM/DD/YY)
7~29~88
PRODUCER
V.F.I.S.
New York State Regional Director
84 Court Street
Binghamton, NY 13901
INSURED
Mattituck Fire District
Pike Street
Mattituck, NY 11952
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER Ins. Co. of North America
COMPANY
LETTER B
COMPANY
LE'Iq'ER C
COMPANY
LE'I-rER
COMPANY
LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES.
I POLICY EFFECTIVE
TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY)
GENERAL LIABILITY
X COMPREHENSIVE FORM GPPD15381978 12/1/87 12/1/88
X PREMISES/OPERATIONS (PROPERTY
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
X PRODUCTS/COMPLETED OPERATIONS
B,
X CONTRACTUAL COMBINED
INDEPENDENT CONTRACTORS
X BROAD FORM PROPERTY DAMAGE
X PERSONAL INJURY PERSONAL INJURY
AUTOMOBILE LIABILITY I BODILY
INJURY
ANY AUTO
ALL OWNED AUTOS (PRIV. P/~SS.)
ALL OWNED AUTOS/OTHER THAN~ AUI~ ' ' 'NJuR~
~ PR~v. PASS. / ~ ~ i <P~R A~C,DE~ $
HIRED AUTOS
PROPERTY
DAMAGE $
NON-OWNED AUTOS
~GE LIABILI~ ~ BI & PD
~ COMm"ED $
EXCESS LIABILITY
, BI & PD
UMBRELLA FORM
I OTHER THAN UMBRELLA FORM
STATUTORY
WORKERS' COMPENSATION $ (EACH
AND
EMPLO .S' L,A ,L,TY
DESCRIPTIONOFOPERATIONS/L~ATIONSNEHICLES/SPECIALITEMS
~The Certificate Holder is an Additional Insured per the KK-6G11
~endorsement with respects to a street fair being held on July 30, 1988.
~ ~ ;lll~[;:~l;: [~I,] ~; ~:~II:~
Town of Southold
--~ Main Road
Southold, NY 11971
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND_UPON.THE C~MPA.~TS OR REPRESENTATIVES.