Document 6wN46xY2ORQo9db2jo6N7QJbd
Mailiii ,\<Jdrc'>v t'.O. Hf.\ J.J94 New York, NY IHDHS-KWl
CIGNA Properly & Casualty
Special Kbk Facilities
January 20, 1995
Mr. Jonathan C. Richmond Director/Financial Controller Welbeck Management limited P.O. Box HM 2446 Hamilton HM JX, Bermuda
195 llrojdw.iy New York, NY JD00H Telephone 212.618.50(10
Facsimile 212.6I8.52T6
RE: Hanson Industries: 10/1/94 - 10/1/95 Reinsurance Agreements and Addendums
Dear Jon,
Attached are three copies of each of the following January 10, 1995 I/anson Industries' Reinsurance agreements:
Sinclair Insurance Company Ltd. Major Insurance Company Limited Bulldog Insurance Company Limited
These agreements reflect the expiring Reinsurance Agreements with the following exceptions: s
1) The policy numbers and expenses have been updated to reflect the 10/1/94-95 updated proposals;
2) ARTICLE X has been modified to include all 10/1/94-95 Third Party Administrators; 3) Paragraph 3 of ARTICLE IX (in Sinclair) has been added; 4) Paragraphs 4, 5 & 6 of ARTICLE IX (in all three agreements) have been changed to
reflect quarterly reconciliations as opposed to monthly. Quarterly reconciliations were agreed to last year an should be reflected as such.
These agreements contemplate all program changes known to CIGNA as of December 21, 3994. Any further changes going further should be made by use of addendums. Please review them and have two of each returned to my attention. The third copy of each is your fully executed copy. I have inserted yellow tabs where your signature is requited. Please call me at (212) 6185173 if you have any questions on these agreements.
Sincerely,
Account Executive - Casualty
cc: Lisa Gallagher Richard Bennett
- CIGNA - SJNJ
N17691
CIGNA Property & Casualty
Special Risk I'aclIUics
March 17, 1995
Mr. Jonathan C. Richmond Director/Financial Controller Welbeck Management limited P.O. Box HM 2446 Hamilton HM JX, Bermuda
UMTB>
RE: Hanson Industries: 10/1/94 - 10/1/95 Reinsurance Agreements Replacement Pages
Dear Jon,
Attached are three copies of replacement pages 2, 28 and 29 (where applicable) to each of the following January 10, 1995 Hanson Industries' Reinsurance agreements:
Sinclair Insurance Company Ltd. 'Major Insurance Company Limited Bulldog Insurance Company limited
These replacement pages to the agreements sent to you on January 20th contemplate all program changes known tb CIGNA as of March 1, 1995. Any further changes going further should be made by use of addendums. Please review them and have two of each returned to my attention. The third copy of each is your fully executed copy. I have inserted yellow tabs where your signature is required. Please call me at 212.618.5173 if you have any questions on. these agreements.
Sincerely,
Emil Metropoulos Account Executive - Casualty
cc: Lisa Gallagher Richard Bennett
- CIGNA - SJNJ
wo/attachments w /attachments
GLD056773
0049-GLD-000056773
Sedgwick
Sedgwick James of New Jersey, Inc.
3 Becker Farm Road, Rosetand, New Jersey 07068-3786
Telephone 201 533-9393. Direct Telephone 201 533-476!
Facsimile 201
March 14, 1995
'535 - 0591
Mr. Jonathan Richmond Welbeck Management Limited P.O, Box HM2446
Hamilton HMJX, Bermuda
Wl u e c k u m\g ik iw
Re: Hanson Industries Reinsurance Agreements: Bulldog, Major & Sinclair Policy Period: 10/1/94 - 10/1/95
,
Dear Jon:
`
Further to our conversation earlier today, pleasefind enclosed the revised Captive Funding
pages (9 & 10) to each ofthe captioned agreements. We have reviewed thefunding andfound all
to be in order.
y
We trust you willfind all to be to your satisfaction, but shouldyou have any questionspleasefeel
frpp In o-ivp rrtP n f.nU
insurance Broking Bisk Services Employee Benefils
GLD056774
0049-GLD-000056774
REINSURANCE AGREEMENT
between
INSURANCE COMPANY OF NORTH AMERICA, a Pennsylvania corporation;
PACIFIC EMPLOYERS INSURANCE COMPANY, a California corporation;
ALASKA PACIFIC ASSURANCE COMPANY, an Alaska corporation; and
CIGNA INSURANCE COMPANY OF CANADA, a Canadian corporation;
(hereinafter collectively referred to as the "Company');
and
SINCLAIR INSURANCE COMPANY LTD., , a Bermuda company
(hereinafter referred to as "the Reinsurer")
WITNESSETH:
WHEREAS, the Company wishes to cede to the Reinsurer, and the Reinsurer wishes to reinsure, certain insurance under the terms and conditions hereinafter set forth;
NOW, THEREFORE, in consideration of the payment of premiums and losses, and of the mutual covenants and agreements herein set forth, the Company and the Reinsurer hereby covenant and agree as follows:
SINCLAIR INSURANCE COMPANY LTD. Jamy 10, I9>S
!_"
GLD056775
0049-GLD-000056775
ARTICLE I
POLICIES REINSURED:
A. Name of Insured: ,
HANSON INDUSTRIES U.S. Industries, Inc. Anderson Hickey Tnc. Axelson, Inc. Baylis Brothers Inc. Duke City Lumber Company, Inc. Georgia/Durango Boot Company
Grove North America National Crane Corporation Huron, Inc. USI Lighting, Inc. Columbia Lighting Inc. Keystone Lighting, Inc. Leon Plastics Inc. MW Manufactures, Inc. Prescolite Teters Floral Products, Inc. United Chair Inc.
SCM Chemicals, Inc. SCM Metal Products, Inc. Beazer USA, Inc.: (Benchmark Materials
Division-'and Spectrum Construction Group only) Quantum Chemical Corporation Suburban Propane Company (as stated in the Policy(ies) listed in Item B.)
B. Policy Numbers:
(I) WLR C4 115812-8 (DAS) (3) WLR C4 115827-A (DCI) (5) WLR C4 115832-3 (DBECI) (7) RSC C4 115813-A (CAS) (9) RSC C4 115816-5 (CBE) (II) RSC C4 115841-4 (CQ) (14) XLP G1 658890-8 (XEL) (16) CGL 033420 (GLCAN) (18) SCAHO 635052-5 (ALUS) (20) FAP-03724 (ALGU)
(2) WLR C2 419738-4 (DPMA) (4) WLR C4 115817-7 (DBE) (6) WLR C4 115839-6 (DQ) (8) RSC C4 115828-1 (CCI) (10) RSC C4 115829-3 (CBECI) (12) WC-00277 (GUWC) (15) CGO G1 658779-5 (GLUS) (17) 705-00139 (GLGU) (19) CAC 394400 (ALCAN)
which are incorporated herein by re
and made a part hereof.
SINCLAIR INSURANCE COMPANY LTD. Jinou, 10. 199S
GLD056776
0049-GLD-000056776
C. Policy Period: 12:01 A.M. Eastern Standard Time, October 1, 1994 to 12:01 A.M. Eastern Standard Time, October 1, 1995.
D. Insurance Coverage: As stated in the Policies listed in Item B.
E. Policy Limits:
(1) Policy Numbers: WLR C4 115812-8; WLR C2 419738-4; WLR C4 115827-A; WLR C4 115817-7; WLR C4 115832-3; WLR C4 115839-6; RSC C4 115813-A; RSC C4 115828-1; RSC C4 115816-5; RSC C4 115829-3; RSC C4 115841-4; WC-00277
(a)Worker's Compensation (Indemnity):
Statutory Limits.
(b)Worker's Compensation (Occupational Disease): Statutory Limits.
(c)EmpIoyers Liability: One Million Dollars ($1,000,000) per person,
One Million Dollars ($1,000,000) per accident,
One Million Dollars ($1,000,000) per policy limit.
(2) Policy Numbers: SCA HO 635052-5; CAC 394400; FAP-03724
Automobile Liability: Two Million Dollars ($2,000,000) per accident
(3) Policy Numbers: CGO G1 658779-5; CGL 033420; 705-00139
Genera! Liability (Excluding Products): Three Million Dollars ($3,000,000) per occurrence
(4) Policy Numbers: CGO G1 658779-5; CGL 033420; 705-00139
Products Liability: Five Million Dollars ($5,000,000) per occurrence
(5) Policy Number: XLP G1 658890-8
Excess Employer's Liability: $4,000,000 excess of $1,000,000 per person, $4,000,000 excess of $1,000,000 per accident, $4,000,000 excess of $1,000,000 per policy limit.
SINCLAIR INSURANCE COMfACT LTD. January 10,1995
3"
GLD056777
0049-GLD-000056777
ARTICLE H TERM:
This Agreement is effective at 12:01 A.M. Eastern Standard Time, the 1st day of October, 1994. This Agreement shall continue in effect until terminated.
The Reinsurer's Obligations to the Company under this Agreement will survive the termination of the Policies and of this Agreement
ARTICLE HI TERRITORY:
This Agreement shall cover Losses occurring within the territorial limits provided by the Policies reinsured hereynder and listed in Article I hereof.
ARTICLE IV
'
DEFINITIONS: A. The term ''Policies'' as used in this Agreement shall mean the Policies described in
Article I of this Agreement and any endorsements thereto, extensions or renewals thereof, and related binders or certificates issued to or on behalf of the Insured named in Article I hereof.
B. The term "Ultimate Net Loss" as used in this Agreement shall mean the actual Loss paid by the Company, such Loss to include, in addition to any limit of liability herein stated, Loss Expenses Paid. In those instances where no Loss is paid but there are Allocated Loss Expenses, the Reinsurer will assume all Allocated Toss Expenses. The Company will pay or credit the Reinsurer up to the amount of the Reinsurer's interest for amounts attributable to salvage, reimbursement obtained
SINCLAIR INSURANCE COMPANY LTD. )anuvy 10,1995
GLD056778
0049-GLD-000056778
or recovery made by the Company relating to the Policy, after deducting the actual cost (excluding Company salaries and office expenses) of obtaining such salvage or reimbursement or making such recovery, and after the Company has been reimbursed up to the amount of its interest. Nothing in this clause shall be construed to mean that Losses are not recoverable hereunder, until the Company's Ultimate Net Loss has been ascertained.
C. The term "Gross Premiums Written'1 as used in this Agreement shall mean Premiums received by the Company for Policies reinsured hereunder, adding all other Additional Premiums and subtracting all other Return Premiums and cancellations.
D. The term "Unearned Premiums Reserve" as used in this Agreement shall mean the premium for the unexpired portion of the Policy(ies) in force as of any specified date.
E. The term "Losses Paid" as used in this Agreement shall mean Losses Paid by the Company under the Policies less recoveries for salvage and subrogation.
F. The term "Loss Expenses Paid" as used in this Agreement shall mean Allocated and Unallocated Loss Expenses related to claims and Losses under the Policies.
(1) "Allocated Loss Expenses" as used in this Agreement shall mean all court costs, fees and expenses; interest; fees for service of process; fees to attorneys; costs of undercover operative and detective services; fees of independent adjusters or attorneys for investigation or adjustment of claims beyond initial investigation; cost of employing experts for preparation of maps, photographs, diagrams, chemical or physical analysis or for advice, opinion or testimony concerning claims under investigation, in litigation, or for which a Declaratory Judgment is sought; costs for legal transcripts of testimony taken at coroner's inquests, criminal or civil proceedings; costs for copies of any public records; costs of depositions and court reported or recorded statements; and any other similar fees, cost or expense reasonable chargeable to the investigation, negotiation, settlement or defense of a claim or Loss, or to the protection and perfection of the subrogation rights of any
SINCLAIR INSURANCE COMPANY LTD. January 10,1995
GLD056779
0049-GLD-000056779
insured covered by a Policy(ies) reinsured hereunder.
(2) "Unallocated Loss Expense" as used in this Agreement shall mean the Claims Service Fees charged hereunder as per Article X hereof.
G. The term "Outstanding Loss Reserves" as used in this Agreement shall mean Losses or claims reported to the Company under the Policies which have been reserved but are unpaid at any specified date.
H. The term "Losses" as used in this Agreement shall mean payments to claimants under Policies reinsured hereunder.
I. The term "Paid Loss Deposit Fund" as used in this Agreement shall mean a non interest bearing cash fund established in accordance with Article IX to fund payment of Losses and Allocated Loss Expenses. t
J. The term "IBNR" (Incurred But Not Reported) as used in this Agreement shall mean a reserve for liability for future payment of Losses which have already occurred but have not yet been reported to the Company (plus related Loss Expenses, if any) and shall also include expected future development, as estimated by the Company, on Outstanding Loss Reserves and Loss Expenses (Allocated and Unallocated).
K. The term "Obligations" as used in this Agreement shall mean: (a) Losses, Allocated Loss Expenses and Unallocated Loss Expenses paid by the Company (or on its behalf) but not recovered from the Reinsurer; (b) Outstanding Loss Reserves; (c) Reserves for Losses Incurred But Not Reported; (d) Reserves for Allocated Loss Expenses; (e) Reserves for Unearned Premium; and (f) Reserves for Unallocated Loss Expenses.
SINCLAIR INSURANCE COMPANY 1TD. January 10.1995
6- -
GLD056780
0049-GLD-000056780
ARTICLE V
INSURING CLAUSE: A. As respects Workers' Compensation coverage under the Company's Policy
Numbers: WLR C4 115812-8; WLR C2 419738-4; WLR C4 115827-A; WLR C4
115817-7; WLR C4 115832-3; WLR C4 115839-6; RSC C4 115813-A; RSC C4
115828-1; RSC C4 115816-5; RSC C4 115829-3; RSC C4 115841-4; WC-00277, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent
(100%) of the first Two Million Dollars ($2,000,000) of the Company's Ultimate
Net Loss, plus Outstanding Loss Reserves, for all states except Minnesota, where
the Reinsurer shall reinsure the Company and be liable for the first $450,000, of
the Company's Ultimate Net Loss, plus Outstanding Loss Reserves, for benefits
paid or payable per accident on behalf of the insured, such benefits being /
required by the Workmen's Compensation Law, Worker's Compensation Law or
any Occupational Disease Law of the United States Government, state or states
designated in Item 3 of th,e Declarations of the Company's Policy(ies) listed
herein.
X
B. As respects Occupational Disease coverage under the Company's Policy Numbers: WLR C4 115812-8; WLR C2 419738-4; WLR C4 115827-A; WLR C4 115817-7; WLR C4 115832-3; WLR C4 115839-6; RSC C4 115813-A; RSC C4 115828-1; RSC C4
115816-5; RSC C4 115829-3; RSC C4 115841-4; WC-00277, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first Two Million Dollars ($2,000,000) per accident of the Company's Ultimate Net
Loss, plus Outstanding Loss Reserves, for all states except Minnesota, where the
Reinsurer shall be liable for the first $450,000 of the Company's Ultimate Net
Loss, plus Outstanding Loss Reserves, per benefit paid or payable on behalf of the insured, such benefits being required by the Workmen's Compensation Law,
Worker's Compensation Law or any Occupational Disease Law of the United States Government, state or states designated in Item 3 of the Declarations of the Company's Policy(ies) listed herein.
SINCLAIR INSURANCE COMPANY LTD. January 10.1995
-7-
GLD056781
0049-GLD-000056781
C. As respects Employers' Liability Insurance under the Company's Policy Numbers: Wlit C4 115812-8; WLR C2 419738-4; WLR C4 115827-A; WLR C4 115817-7; WLR C4 115832-3; WLR C4 115839-6; RSC C4 H5813-A; RSC C4 115828-1; HSC C4 115816-5; RSC C4 115829-3; RSC C4 115841-4; WC-00277, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first One Million Dollars ($1,000,000) per occurrence of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves, for all states except Minnesota, where the Reinsurer shall be liable for the first $450,000 per occurrence of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves, for such sums as the insured thereunder is legally obligated to pay as damages because of bodily injury by accident or disease.
D. As respects Comprehensive General Liability Insurance under the Company's Policy Numbers CGO G1 658779-5; CGL 033420; 705-00139, the Reinsurer agrees to reinsure the Company ^nd be liable for One Hundred Percent (100%) of the first Two Million Dollars ($2,000,000) per occurrence, plus Sixty Six percent (66%) quota share of the next One Million Dollars ($1,000,000 excess of $2,000,000) per occurrence of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves.
E. As respects all coverages under the Company's Automobile Liability Policy Numbers SCA HO 635052-5; CAC 394400, FAP-03724, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first Two Million Dollars ($2,000,000) per accident of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves.
F. As respects Products Liability Insurance under the Company's Policy Number CGO G1 658779-5; CGL 033420; 705-00139, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first Two Million Dollars ($2,000,000) per occurrence, plus Sixty Six percent (66%) quota share of
SINCLAIR INSURANCE COMPANY LTD. Jammy 10. 1W5
-8-
GLD056782
0049-GLD-000056782
the next Three Million Dollars ($3,000,000 excess of $2,000,000) per occurrence, of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves.
G. As respects Excess Employer's Liability Insurance under the Company's Policy Number XLP GI 658890-8, the Reinsurer agrees to reinsure the Company and be liable for Sixty Six Percent (66%) quota share of $4,000,000 excess of the first $1,000,000 per occurrence of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves.
PREMIUM: A. Annual Estimated Premium.
ARTICLE VI
The total Net Ceded Premiums due the Reinsurer for the Reinsurance hereunder shall be calculated in accordance with the following schedule *. Gross Premiums "Written shown are estimates as of the beginning of the Agreement term.
1. Gross Premiums Written
$ 39,872,339
LESS
2. Insurance Charge
$ 240,131
(Minimum md adjustable at a rate of .0S2 perMOO
of Rdcjarer'j tfcare ofaudited WC payroll.)
EQUALS
3. Subject Premium
$ 39,632,208
LESS
* This schedule includes amounts payable for Reinsurer's Sixty Six (66%) quota share of Comprehensive General Liability ($1,000,000 excess of $2,000,000); Products Liability ($4,000,000 excess of $2,000,000) and Excess Employers' Liability ($3,000,000 excess of $1,000,000). Amounts payable in respect of these coverages are stated separately in Addendum #1.
SINCLAIR INSURANCE COMPANY LTD. January 10,199$
-9-
GLD056783
0049-GLD-000056783
4. Company Expenses (Profit and Administration) and
5. Board. Bureaus and Fixed % Residual Market Assessments (RML's)
and 6. Initial Adjustable RML's
and 7. Premium Taxes
EQUALS 8. Sub-total
(lines 4-7) 9. Gross Premium Ceded
(line 3 minus line 8)
LESS
10. Federal Excise Tax (line 3 X .01)
EQUALS
11. Net Premium Ceded (line 9 minus line 10)
SINCLAIRINSURANCE COMPANYLTD. January 10. 1995
10-
$ 1,367,249 (Flat Charge)
$ 686,900
(Minimum and adjustable, hated upon (1)2.6911% of audited Polity Number (7), (8). (9). (10). (U)& (12) premium; (2i) 1.014% of audited Policy Number. (1). <2>, 0), (4). (5) ft (6) premium; (18) 3% of audited Policy Number (14). (15), (16) ft (17) premium; (it ) 5.14% ofaudited Policy Number (18). (19) & (20) premium
$ 52,378
(Adjustable per Article VII)
$ 1,420,917
(Adjustable, based upon the following estimated percentages: (!) 3333% ofaudiced Policy Number. (7), (8). (9), (10). (11) ft (L2) premium: CO 6.03% of audited Policy Number: (1). (2). 0). (4). (5) & (6) premium; (110338% Ofaudited Policy Number: (1<). (15) ft (17) pretpiiun; (Iv) 5.47* ofaudited Policy Nucabee (16) 8l (20) premium; () 9% ofaudited Petty Number (l) premium; (ri) 11% of audited Policy Number (19) premium. 7he taxes and Lax rates are also subject to adjustability Per Article VI8 and Article VO).
$ 3,527,444
$ 36,104,764
$ 396,322
$ 35,708,442
GLD056784
0049-GLD-000056784
B. Monthly Reconciliation of Premium and Losses. Within five (5) days after each monthly installment payment of premium is received by the Company under the Policies, the Company will Issue to the Reinsurer a premium reconciliation statement reconciling such premium payment with (i) Items 2-10 above and, at the Company's discretion, (ii) any outstanding amounts owed by the Reinsurer to the Company for Losses Paid, Loss Expenses Paid, and Paid Loss Deposit Fund adjustments, if any. If the result of any such reconciliation is that the Reinsurer owes money to the Company, the Reinsurer will pay the amount so owed within five (5) days after the date of the reconciliation statement. If the result of any such reconciliation is that the Company owes money to the Reinsurer, the Company will pay the Reinsurer the amount so owed at the time the premium reconciliation statement is issued.
t
Upon termination of the Policies, the earned premium will be computed in accordance with the applicable rules, rates, rating plans, premiums and minimum premiums, based on the actual amounts payable under Items 2, 5, 6 and 7 above. The amount of Premium Taxes shown in Item 7 above is adjustable due to audit and due to changes in any applicable state laws or regulations (including, but not limited to, retroactive assessments). Amounts payable by the Company under Items 6 and 7 will be adjusted further in accordance with Article VU. If the earned premium as so determined is different from the estimated Gross Premiums Written (Item 1 above), all prior monthly reconciliations of premium will be recalculated utilizing the actual earned premium. If the recalculation of the reconciliations indicates that the Reinsurer owes money to the Company, the Reinsurer will pay that money within five (5) days after receipt of the Company's statement therefor. If the recalculation indicates that the Company owes money to the Reinsurer, the Company will pay the Reinsurer the amount so owed at the time such statement is issued.
SINCLAIR INSURANCE COMPANY LTD. Janiwy 10,1995
-11-
GLD056785
0049-GLD-000056785
ARTICLE VII RESIDUAL MARKET ASSESSMENTS
The Company will recalculate the adjustable Residual Market Assessment (Item 6, Article VI, A) annually. It will be adjusted promptly following the Company's receipt of the documents referred to below. If the first adjustment of the Residual Market Assessment is performed prior to the expiration of the Policy period and such adjustment produces additional Residual Market Assessments, the Company shall charge the amount of such additional assessments to the Reinsurer as an additional installment of Company Expenses.
The initial determination and redetermination of the adjustable Residual Market
Assessment shall be as follows:
r
A. Initial Adjustable Residual Market Assessments: (i) 8.41 % of written premium for Policy Numbers: WLR C4 ,115812-8; WLR C4 115827-A; RSC C4 115813-A and (ii) 6.31% of wriuen premium for policy numbers: WLR C4 115817-7; WLR C2 419699-9; WLR C4 115832-3 and (iii) 736% of written premium' for Policy Numbers: WLR C4 115839-6.
B. The initial adjustable Residual Market Assessments stated in A. above shall be determined by applying the most recently published annual Residual Market Assessments as set forth below to the amount of the Written Premiums under Policy Numbers: WLR C4 115812-8; WLR C4 115827-A; RSC C4 115813-A; WLR C4 115817-7; WLR C2 419699-9; WLR C4 115832-3; WLR C4 115839-6 for each respective state listed in Exhibit A (less the amount of the Residual Market Assessment which is included in the applicable state Premium Taxes). The Reinsurer will be liable for 84.042% of the total Initial and all Redetermined Assessments as determined in Exhibits A & B.
Residual Market Assessments constitute premiums on the Company's financial
SINCLAIR INSURANCE COMPANY LTD.
Jaouaty 10. 1995
"12'
GLD056786
0049-GLD-000056786
reports under applicable state insurance laws and regulations. The initial determination of the adjustable Residual Market Assessment (Item 6) and any redetermination thereof will be adjusted in order to include additional state Premium Taxes that shall apply to such premiums.
C. With respect to Policy Numbers: WLR C4 115812-8; WLR C4 115827-A; RSC C4 115813-A; WLR C4 115817-7; WLR C2 419699-9; WLR C4 115832-3; WLR C4 115839-6; the amount of the written premium to be used to redetermine the Residual Market Assessment shall be that (i) estimated premium or (ii) audited premium most recently determined by the Company as of the time the Company redetermines the applicable Residual Market Assessment.
D. The Company will redetermine annually the adjustable Residual Market Assessment for the affected Policies. In subsequent years the Company will redetermine the Residual Market Assessment by applying the amount of the most recent annual Residual Market Assessment for the applicable states (less the amount included in the applicable state Premium Taxes for each state respectively) to the amount of the applicable premiums as set forth in C above and Exhibit B. The resulting premium shall be subject to any additional state Premium Taxes that may apply. If the result of the above calculations is an additional premium based on what was initially charged in the applicable states, the Company will charge the Reinsurer for such additional amount; if the result is a return premium, the Company will subsequently refund the applicable amount to the Reinsurer.
E. The fourth redetermination of the Residual Market Assessment (after the fiftyfourth calendar month of this Agreement) shall be the final such determination.
SINCLAIR INSURANCE COMPANYLTD. January 10.199*
-13*
GLD056787
0049-GLD-000056787
F. If, after the effective date of this Agreement, (i) any state changes its basis for determining the amount of Residual Market Assessments, and (ii) the Company, as a result of such change, will be liable to pay additional amounts for Residual Market Assessments for the Policies, then the Company will bill the Reinsurer for, and the Reinsurer will pay to the Company, such additional amounts.
The Residual Market Assessment to be applied under this Article of this Agreement will be determined for all states by taking the individual state's Policy Year Assigned Risk Plan Net Operating Loss from the most recently published annual Management Summary by the National Council on Compensation Insurance (hereinafter the "Management Summary and "NCCI" respectively) and dividing such amount by the Calendar Year Voluntary Market Written Premium as published by the NCCI using the most recently published data as listed for the applicable policy year.
If the NCCI shall discontinue publication of its Management Summary or the Calendar Year Voluntary Market Written Premium, the Company will use whatever information the Company deems to be appropriate to implement or'continue the procedures for calculating Residual Market Assessments as provided above in this Article.
ARTICLE VUI WORKERS' COMPENSATION LOSS-BASED ASSESSMENTS:
With respect to the Workers' Compensation Policies reinsured hereunder, the Reinsurer shall be liable to the Company for the following loss-based assessments:
(i) New York Statutory Workers' Compensation Assessment will be collected on a separate 1.1767 multiplier applied to all New York Losses Paid. Such assessment will be billed annually.
(ii) Kansas Statutory Workers' Compensation Assessment will be collected on a
SINCLAIR INSURANCE COMPANY LTD. January 1C. 19*5
-14-
GLD056788
0049-GLD-000056788
separate 1.20 multiplier applied to all Kansas Losses Paid Such assessment will be billed annually.
(iii) The U.S. Longshoremen and Harbor Workers' (USL&H) Compensation Act Assessment will be collected on a separate 1.35 multiplier applied to all USL&H Act Losses Paid. Such assessment will be billed annually.
(iv) Any additional loss-based assessments, which will be billed to the Reinsurer promptly after receipt by the Company.
ARTICLE PC LOSSES:
The Reinsurer agrees to abide by the Loss settlements of the Company, it being understood, however, that when so requested, the Company will afford the Reinsurer an opportunity to be associated with the Company, at the expense of the Reinsurer, in the defense of any claim or suit or proceeding involving this reinsurance, and that the Reinsurer may cooperate in every respect in the defense or control Of such claim, suit or proceeding.
The Company will, with funds to be provided by the Reinsurer, establish and maintain a Paid Loss Deposit Fund in an amount determined by the Company, (subject to a minimum of $245,000), the purpose of which is to provide a source of funds for payment of Reinsurer's Obligations under this Agreement. The Company will have the right to increase the required level of the Paid Loss Deposit Fund each time the Reinsurer fails to make any payment to the Company within the time required by this Agreement.
Six months after the effective date of this Agreement and after each calendar quarter thereafter, the Company shall recalculate the required amount of the Paid Loss Deposit Fund, which will be an amount equal to the total of two months of Paid
SINCLAIR INSURANCE COMJANY LTD.
Januaiy 10. IW5
"15"
Losses plus Allocated Loss Expense, both increased by the Company's Claims Administration charges under the Policies during the preceding quarter; provided. however, that the minimum required amount of the Paid Loss Deposit Fund shall be $25,000.
Beginning October 1, 1994, the Reinsurer will make a budgeted weekly cash payment, in an amount determined by the Company, by wire transfer to a bank account designated by the Company. Such payments shall be due and payable on Wednesday of each week, and shall be used by the Company to pay Losses and Allocated Loss Expenses reinsured hereunder. The Company may, at its discretion, re determine the required amount of such payments, such that the budgeted weekly payment amount in each calendar month shall be no less than the average of the
I actual weekly Paid Losses plus Allocated Loss Expenses Paid during the previous quarter.
/
The budgeted weekly amounts paid by the Reinsurer to the Company will be reconciled each quarter with total actual Losses Paid and Allocated Loss Expenses during such quarter. If actual Paid Losses and Allocated Loss Expenses exceed the total amount of budgeted weekly premium payments to the Company in any month, the Reinsurer will pay to the Company the amount of such excess no later than ten (10) business days after receipt of the Company's Losses Paid reconciliation statement for such quarter; alternatively, the Company may, at its discretion, reconcile such amount against premium owed to the Reinsurer, as stated in Article VI B.
If the total amount of the Reinsurer's budgeted weekly payments to the Company exceeds the total actual Losses Paid plus Allocated Loss Expenses in any quarter, the Company will pay to the Reinsurer the amount of such excess no later than ten (10) days after the date of the Company's Losses Paid reconciliation statement for such quarter.
SINCLAIR INSURANCE COMPANY LTD. January 20.1995
-16-
GLD056790
0049-GLD-000056790
With respect to any Loss Paid in the amount of $50,000 or more, the Reinsurer shall pay to the Company the full amount of such Loss Paid, plus Allocated Loss Expenses by wire transfer no later than three (3) days after receipt of the Company's written demand for payment. If the Reinsurer fails to pay such amount, or any other amount payable under this Agreement, when due, the Company may draw upon any Letter of Credit provided by the Reinsurer to secure its liabilities to the Company under this Agreement.
ARTTCLB X CLAIMS SERVICE FEES:
The Company has engaged Constitution State Service Company to handle claims administration for claims under the Policies reinsured hereunder for fees equal to 10.5% of Losses paid plus Allocated Loss Expenses for all claims limited to a Loss limitation of $250,000. The fees and conditions are further outlined in the separate Constitution State Service Company - CIGNA Companies Claims Services Agreement.
The Company has engaged ESIS, Inc. to handle claims administration for claims under Policy Numbers: CGO G1 658779-5 and SCA HO 635052-5 as respect to the Quantum Chemical Corporation and Suburban Propane Company entities reinsured hereunder for fees and conditions as outlined in the separate ESIS Service Agreements for Contract numbers 3527 and 5528.
The Company has engaged PMA Management Corp. to handle claims administration for claims under Policy Number: WLR C2 419738-4 as respects to the Grove North America entity reinsured hereunder for fees and conditions as outlined in the separate PMA Management Corp. - CIGNA Companies Claims Services Agreement.
Such fees are payable by the Reinsurer, but may be billed to and paid by another entity on the Reinsurer's behalf.
SINCLAIR INSURANCE COMPANY LTD. January 10.1995
-17-
GLD056791
0049-GLD-000056791
Pacific Employers Insurance Company will handle claims under Policy Numbers: (i) WLR C4 115827-A; RSC C4 115828-1; WLR C4 115832-3 & RSC C4 115829-3 for a charge, payable by the Reinsurer, of 10.5% of all Losses Paid plus Allocated Loss Expenses limited to a Loss Limitation of 5250,000 and (ii) WLR C4 115839-6 & RSC C4 115841-4 for a charge, payable by the Reinsurer, of 8.5% of all Losses Paid plus Allocated Loss Expenses limited to a Loss Limitation of $250,000.
ARTICLE XI
COLLATERAL:
The Reinsurer shall provide to the Company a Letter of Credit (LOC) complying
with applicable insurance laws and regulations, in an amount and form, and issued by
a bank, acceptable to the Company as security for the payment of the Reinsurer's
Obligations hereunder.
r
Upon default by the Reinsurer of any sums due and owing to the Company, die Company may appropriate as much of the LOC as necessary to eliminate the default. The Company may. however, at its discretion, require payment of any sum in default, and it shall be no defense,to any such claim that the Company might have had recourse to the LOC.
The Company and the Reinsurer hereby agree that the LOC provided pursuant to this Agreement may be drawn upon at any time, notwithstanding any other provisions herein contained. The LOC may be utilized by the Company or any successor by operation of law, including, without limitation, any liquidator, rehabilitator, receiver or conservator of the Company for any of the following reasons:
(i) To reimburse the Company for the Reinsurer's share of premiums returned to the owners of the PoIicy(ies) reinsured hereunder due to cancellations of said Policy(ies);
(ii) To reimburse the Company for the Reinsurer's share of surrenders and benefits or losses paid by the Company under the terms and provisions of the Policy(ies) reinsured hereunder;
SINCLAIR INSURANCE CCMTANV LTD. January 10. W5
-18-
GLD056792
0049-GLD-000056792
(iii) To fund an account with the Company in an amount at least equal to the deduction, for reinsurance ceded, from the Company's liabilities for Policy(ies) ceded hereunder. Such amount shall include, but not be limited to, amounts for policy reserves, reserves for claims and losses incurred (including IBNR, Allocated Loss Expenses and Unearned Premiums); and
(iv) To pay any other amounts due to the Company under this Agreement.
All of the foregoing apply without diminution because of the insolvency of the Company or the Reinsurer.
Annually, as of each anniversary date of this Agreement, the Company shall review and redetermine the amount of the Reinsurer's Obligations. The required amount of the LOC shall be adjusted as of each such anniversary date. The Reinsurer will provide any needed increases in the amount of the LOC within thirty (30) days of the Company's request therefor.
t
The Reinsurer's duty to provide collateral security as aforesaid will extend until the Company is satisfied that the Reinsurer's Obligations under this Agreement have been or will be met. The Reinsurer recognizes and agrees that this duty may continue after this Agreement terminates or is cancelled.
The Reinsurer will, thirty (30) days prior to any termination or expiration of such LOC, provide to the Company a substitute LOC in an amount and form acceptable to the Company which will become effective immediately upon the termination or expiration of the prior LOC. The Reinsurer will likewise continue to provide such substitute LOC in an amount and form acceptable to the Company until the Company is satisfied that the Reinsurer's Obligations under this Agreement have been or will be met. If the Reinsurer foils to provide the Company with any such substitute LOC, or to provide the Company with any additional required amount of the LOC, the Company will have the right to draw upon the full amount of the existing LOC and to apply such funds to secure the Obligations of the Reinsurer hereunder.
SINCLAIR INSURANCE COMPANY LTD. January to, 1995
"19"
GLD056793
0049-GLD-000056793
The Company will have the right to require that any substitute IOC be in either an amount greater, equal to, or Jess than that of the LOC it is replacing based on the Company's determination. The Reinsurer shall deliver all collateral or replacement collateral to Company at 1601 Chestnut Street, Two Liberty Place, Philadelphia, PA 19192-0000; Atm: Collateral Manager.
ARTICLE Xn INDEMNIFICATION AND ERRORS AND OMISSIONS:
Any recitals in this Agreement of the terms and provisions of the original Policy or Policies are merely descriptive and the Reinsurer is reinsuring, to the amounts herein provided, the obligations of the Company under the original Policy or Policies. The Company shall be the sole judge as to what shall constitute a claim or Loss covered under the Company's original Policy or Policies and as to the Company's liability thereunder, and as to amount or amounts which it shall be proper for the Company to pay thereunder, ^nd the Reinsurer shall be bound by the judgment of the Company as to the liability and obligation of the Company under its Policy or Policies.
Any inadvertent delay omission or error shall not be held to relieve either party hereto from any liability which would attach to it hereunder if such delay, omission, or error had not been made, provided such delay, omission or error is rectified as soon as possible.
ARTICLE Xm TAXES:
The Company will be liable for all taxes (except Federal Excise Tax) on premiums collected under the Policies. Such taxes shall be deducted from Gross Premiums Written as shown in Article VI.
The Reinsurer will be liable for all taxes on reinsurance premiums paid hereunder.
SJNCUIR INSURANCE COWANVLTD. Janaary 10.1995
-20"
GLD056794
0049-GLD-000056794
The Reinsurer agrees to allow the Company to retain, for the purpose of paying the Federal Excise Tax on the Reinsurer's behalf, one percent (.01) of the subject premium shown in Article VI, or such other rate that may be in effect from time to time, to the extent such premium is subject to Federal Excise Tax.
ARTICLE XIV INSPECTION:
The Company shall place at the disposal of the Reinsurer, and the Reinsurer shall have the right to inspect, at all reasonable times, through its authored representatives, all books, records and papers of the Company in connection with the reinsurance hereunder, or any claims in connection herewith.
ARTICLE XV FOLLOW THE. FOJRTUNES CL^LSE:
The Reinsurer's liability shall attach simultaneously with that of the Company and all reinsurance for which the Reinsurer shall be liable by virtue of this Agreement shall be subject in all respects to the same risks, terms, rates, conditions, interpretations, assessments, waivers, and to the same modifications, alterations and cancellations, as the respective insurances (or reinsurances) of the Company to which such reinsurances relate. This Agreement shall further protect the Company for any Loss for which the Company may be legally liable to pay amounts in excess of the Policy limit incurred because of failure by the Company to settle within the Policy limit, or by reason of alleged or actual negligence, fraud or bad faith, in rejecting an offer of settlement, or in the preparation of the defense or in the trial of any action against the Insured, or in the preparation or prosecution of an appeal consequent upon such action.
The true intent of this Agreement being that the Reinsurer shall, in every case to which this Agreement applies, and in the proportions specified herein, follow the
SINCLAIR INSURANCE GOMMNY Lit).
Janusiy 10,1995
-21-
GLD056795
0049-GLD-000056795
fortunes of the Company.
This Article shall not apply insofar as it can be shown during a duly held Arbitration in accordance with Article XVII of this Agreement that the Company has been tortious, willful, wanton, or reckless in handling a claim reinsured under this Agreement.
ARTICLE XVI
INSOLVENCY: In the event of the insolvency of the Company, reinsurance under this Agreement
shall be payable by the Reinsurer on the basis of the liability of the Company under the Policy or Policies reinsured, without diminution or limitation because of the
t insolvency of the Company, directly to the Company or to its liquidator, receiver, or statutory successor, immediately on demand with reasonable provision for verification, except as provided by Section ,4118 (a) of the New York Insurance Law or except:
(1) where the Agreement specifically provides another payee gf such reinsurance in the event of the insolvency of the Company, and
(2) where the Reinsurer, with the consent of the direct insured or insureds, has assumed such Policy obligations of the Company as direct obligations of the Reinsurer to the payees under such Policies and in substitution for the obligations of the Company to such payees.
It is agreed, however, that the liquidator or receiver or statutory successor of the insolvent Company shall give written notice to the Reinsurer of the pendency of a claim against the insolvent Company on the Policy or Policies reinsured within a reasonable time after such claim is filed in the insolvency proceeding, and that during the pendency of such claim the Reinsurer may investigate such claim and interpose, at its own expense, in the proceeding where such claim is to be adjudicated, any defense or defenses which it may deem available to the Company or its liquidator or receiver or statutory successor. The expense thus incurred by the Reinsurer shall be chargeable, subject to court approval, against the insolvent Company as part of the
SINCLAIR INSURANCE COMPANY LTD. January to, 1995
-22-
GLD056796
0049-GLD-000056796
expense of liquidation to the extent of a proportionate share of the benefit which may accrue to the Company solely as a result of the defense undertaken by the Reinsurer.
ARTICLE XVn ARBITRATION CLAUSE:
As a condition precedent to any right of action hereunder (except any right of action by the Company against the Reinsurer for failure to pay any amount due hereunder), all disputes arising out of or related to this Agreement or its interpretation shall be submitted to the decision of a board of arbitration composed of two (2) arbitrators and an umpire, meeting in Philadelphia, Pennsylvania, unless otherwise agreed by the Company and the Reinsurer.
t
The members of the board of arbitration shall be active or retired disinterested executives of property and casualty insurance or reinsurance companies. Each party shall appoint its arbitrator an4 the two arbitrators shall choose an umpire before instituting the hearing. If the respondent fails to appoint its arbitrator within sixty (60) days after being requested to do so by the claimant, the latter shall also appoint the second arbitrator. If the two arbitrators fail to agree upon the appointment of an umpire within four (4) weeks after their nominations, each of them shall name three (3), of whom the other shall decline two (2) and the decision shall be made by drawing lots.
The claimant shall submit its initial brief within twenty (20) days from appointment of the umpire. The respondent shall submit its brief within twenty (20) days thereafter and the claimant may submit a reply brief within ten (10) days after the filing of the respondent's brief.
The board shall make an award with regard to the custom and usage of the insurance and reinsurance business. The board shall issue its award in writing based upon a hearing in which evidence may be introduced without following strict rules of
SINCLAIR INSURANCE COMPANY LTD. January 10.1995
*23"
GLD056797
0049-GLD-000056797
evidence, but in which cross examination and rebuttal shall be allowed. The board shall make its award within sixty (60) days following the termination of the hearing unless the parties consent to an extension. A decision by the majority of the members of the board shall become the award of the board and shall be final and binding upon all parties to the proceeding. Either party may apply to the United States District Court for the Eastern District of Pennsylvania for an order confirming the award; and a judgment of that Court shall thereupon be entered upon the award. If such an order is issued, the attorneys' fees of the party so applying and court costs will be paid by the party against whom confirmation is sought.
If more than one (1) reinsurer is involved in the same dispute, all such reinsurers
shall constitute and act as one (1) party for purposes of this clause and
t
communications shall be made by Company to each of the reinsurers constituting the
one (1) party; provided, however, that nothing therein shall impair the rights of such
reinsurers to assert several, rather than joint, defenses or claims, nor be construed as
changing the liability of the reinsurers under the terms of this Agreement from several
to joint.
y
Each party shall bear the expense of its own arbitrator and shall jointly and equally bear with the other party the expense of the umpire. The remaining costs of the arbitration proceedings shall be allocated by the board.
ARTICLE XVTII RESERVES;
The Reinsurer will maintain legal reserves with respect to Outstanding Losses and Loss Expenses and Unearned Premium Reserves.
ARTICLE XIX TERMINATION: A. This Agreement may be cancelled in whole or in part by the Company by giving
sixty (60) days' prior written notice to the Reinsurer. If any of the Policies
SINCLAIR INSURANCE COMPANY LTD. January 10.1995
-24-
GLD056798
0049-GLD-000056798
reinsured hereunder are cancelled, then this Agreement shall be terminated, with
respect to such Policies only, as of the effective date of cancellation of such
Policies.
B. However, the Company shall have the right to terminate this Agreement
immediately by giving the Reinsurer written notice:
(1) If the performance of the whole or any part of this Agreement be prohibited or rendered impossible, de jure or de facto, in particular and without prejudice to the generality of the preceding words in consequence of any law or regulation which is or shall be in force in any state or territory; or if any law or regulation shall prevent, directly or indirectly, the remittance of all or any part of the balance or payments due to or from the Reinsurer.
(2) If the Reinsurer at any time shall:
(a) Become insolvent, or
(b) Suffer any impairment of capital, or
(c) File a Petition in bankruptcy, or
(d) Go into liquidation or rehabilitation, or
(e) Have a receiver appointed, or
(f) Be acquired or controlled by any other entity through purchase of stock
or assets.
'
C. All notices of termination shall be served upon the Reinsurer, by certified mail, courier, or telecopy at:
SINCLAIR INSURANCE COMPANY LTD. c/o Welbeck Management Limited 504 International Centre, Bermudiana Road Hamilton, Bermuda HM 11 Attention: Mr. Jon Richmond Telephone: (809) 295-2240 Facsimile: (809) 295 2269
D. In the event this Agreement is terminated, the rights and obligations of both parties to this Agreement shall remain in full force until the effective date of termination.
E. Reinsurer's Obligations hereunder with respect to claims or losses incurred under the Policies prior to the termination of this Agreement will survive the termination of this Agreement.
SINCLAIR INSURANCE COMPANY LTD. January 10,1995
"25"
GLD056799
0049-GLD-000056799
ARTICLE XX RJRISDICTION/GOVERNTNG LAW:
The Reinsurer hereby irrevocably and unconditionally submits to the jurisdiction and venue of the United States District Court, Eastern District of Pennsylvania for any and all actions related to or arising from the subject matter of this Agreement. The Reinsurer and the Company agree that for purposes of any such action, this Agreement shall be governed by and interpreted in accordance with the laws of Pennsylvania.
Further, pursuant to any statute of any state, territory, or district of the United States which makes provisions therefor, Reinsurer hereby designates the Superintendent, Commissioner or Director of Insurance or other officer specified for
I that purpose in the statute, as its true and lawful attorney for service of any lawful process in any action, suit or proceeding instituted by or on behalf of the Company and related to or arising out of this Agreement.
ARTICLE XXI U S. CURRENCY:
Any payments or hinds required to be paid hereunder shall be payable in the currency of the United States.
ARTICLE XX1T OFFSET CLAUSE:
The Company and the Reinsurer shall have the right to offset any balance(s) due from one to the other under this Agreement. The party asserting the right of offset may exercise such right at any time whether the balance(s) due are on account of premiums or losses or otherwise. In the event of the insolvency of a party hereto, offsets shall only be allowed in accordance with the provisions of Section 7427 of the Insurance Law of the State of New York.
SINCLAIR INSURANCE COMPANYLTD. January 10.1995
-26-
6LD056800
0049-GLD-000056800
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed by their duly authorized representatives in New York, New York this tenth
day of January, 1995.
INSURANCE COMPANY OF NORTH AMERICA. on behalf of itself and each of the other corporations comprisingjh^ Company.
BY: ------- ----- -Name: Robert E. Lorer
TITLE:
Branch Casualty Manager
ADDRESS: 195 Broadway New York, NY 10007
and in Hamilton, Bermuda this
day of MA/frt-y 1995.
SINCLAIR INSURANCE COMPANY LTD.
BY: Name:
TITLE:
ADDRESS: 504 International Centre Bermudiana Road Hamilton HM11, Bermuda
SINCLAIR INSURANCE COMPANY LTD.
January 10,1993
"27*
GLD056801
0049-GLD-000056801
EXHIBIT A TO
REINSURANCE AGREEMENT
for SINCLAIR INSURANCE COMPANY LTD. Effective October 1. 1994 to 1995
Residual Market States - Initial Determination
Page 1 of 3
Policy Number WLR C4 115817-7
& WLR C2 419699-9
WLR C4 115832-3
BEAZEREAST POLICIES
Applicable State(s)
Initial Premium
Alabama Georgia Kentucky
New Jersey New Mexico North Carolina South Carolina
Tennessee Virginia
1,725 32,296 17,382
229 33,456 291,860 17,392
298 39,099
X Initial Assessment
Factor
.1300 .1800 .2800 .105Cl .0520 .0230 .0900 .3000 .1200
/Tax Factor
.9417 .8987 .9688 .9652 .9221 .9649 .8511 .9497 .9742
Initial Assessment
238 6,469 5,024
25 1,887 6,957 1,839
94 4,816
$433,737
Initial Subtotal - $27,349
GLD056802
0049-GLD-000056802
EXHIBIT A TO
REINSURANCE AGREEMENT
for SINCLAIR INSURANCE COMPANY LTD. Effective October 1. 1994 to 1995
Residua! Market States - Initial Determination
Page 2 of 3
QtfA#TJM CHEMICAL POLICIES
Policy Number
Applicable State(s)
Initial Premium
WLR C4 115839-6
Alabama Arkansas Delaware Georgia Kansas Kentucky Massachusetts Missouri New Hampshire New Jersey South Carolina Tennessee Vermont Virginia
1,390 63
5,405 2,657 500 3,382 60,423
816 2,241 60,322 2,355 2,067 1,842 10,297
X Initial Assessment
Factor
.1300 .0400 .1000 .1800 .0510 .2800 .0000 .1500 .1290 .1050 .0900 .3000 .0730 .1200
Tax Factor
.9417 .9425 .9217 .8987 .9003 ' .9688 .9720 .9716 .9599 .9652 .8511 .9497 ' .9612 .9742
Initial Assessment
192 3 586 532 28 977 0 126 301 6,562 249 653 140 1,268
$153,760
Initial Subtotal - $11,617
GLD056803
0049-GLD-000056803
EXHIBIT A TO
REINSURANCE AGREEMENT
for SINCLAIR INSURANCE COMPANY LTD. Effective October 1.1994 to 1995
Residual Market States - Initial Determination
Page 3 of 3
Policy Number WLR C4 115812-8
& WLR C2 419699-9
WLRC4 115827-A RSC C4 115813-A
' ;<}THER SINCLAIE
Applicable State(s)
Initial Premium
Alabama Arkansas Delaware Georgia Kansas Kentucky Massachusetts Missouri New Hampshire New Jersey New Mexico North Carolina South Carolina South Dakota Tennessee Vermont Virginia Hawaii
25,447 12,836
34 9,614 541
3,283 9,773 12,349 477 12,162 9,707 181,686 13,587
2 7,917
16 155,525
445
X Initial Assessment
Factor
.1300 .0400 .1000 .1800 .0510 .2800 .0000 .1500 .1290 .1050 .0520 .0230 .0900 .0800 .3000 .0730 .1200 .1200
Tax Factor
Initial Assessment
.9417 .9425 .9217 .8987 .9003 .9688 .9720 .9716 .9599 .9652 .9221 .9649 " .8511 .9671 .9497 .9612 .9742 N/A
3,513 545
4 1,926
31 949
0 1,906
64 1,323 547 4,331 1,437
0 2,501
1 19,157
53
Total -
$455,401 $1,042,898
Initial Subtotal - $38,288 Initial Total - $77,254
GLD056804
0049-GLD-000056804
EXHIBIT B TO
REINSURANCE AGREEMENT
for SINCLAIR INSURANCE COMPANY LTD. Effective October 1. 1994 to 1995
Residual Market States - Redetermination
Page I of 3
Policy Number WLR C4 215817-7
& W1R C2 419699-9
WLR C4 115832-3
BEAZER EAST POLICIES
Applicable State(s)
Premium
X Actual Assessment
Factor
Alabama Georgia Kentucky New Jersey New Mexico North Carolina South Carolina Tennessee Virginia
/
/Tax Factor
Redetermined Assessment
Initial Subtotal - $27,349 Adjusted Subtotal -
GLD056805
0049-GLD-000056805
EXHIBIT B
TO
REINSURANCE AGREEMENT
for SINCLAIR INSURANCE COMPANY LTD.
Effective October I. 1994 to 1995
V
Residual Market States ~ Redetermioation
Policy Number WLRC4 115839-6
QUANTUM CSe Bc &L POLICIES
Applicable State(s)
Alabama Arkansas Delaware Georgia Kansas Kentucky Massachusetts Missouri New Hampshire New Jersey South Carolina Tennessee Vermont Virginia
Premium
X Actual Assessment
Factor
4- Tax Factor
Page 2 of 3
Redetermined Assessment
Initial Subtotal - $11,617 Adjusted Subtotal -
GLD056806
0049-GLD-000056806
EXHIBIT B TO
REINSURANCE AGREEMENT
for SINCLAIR INSURANCE COMPANY LTD. Effective October 1. 1994 to 1995
Residual Market States - Redetermination
Page 3 of 3
OTHER SINCLAIR POLICIES .V:f)
Polity Number
Applicable State(s)
Premium
X Actual Assessment
Factor
* Tax Factor
WLRC4 115812-8 &
WLR C2 419699-9
WLR C4 115827-ARSC C4 115813-A
Alabama Arkansas
Delaware Georgia
Koncac
Kentucky Massachusetts
Missouri New Hampshire
New Jersey New Mexico North Carolina South Carolina South Dakota
Tennessee Vermont Virginia Hawaii
Redetermined Assessment
Initial Subtotal - $38,288
Adjusted Subtotal -
Initial Total - $ 77,254 Adjusted Total Additional or Return Assessment -
GLD056807
0049-GLD-000056807
ADDENDUM #1
to
REINSURANCE AGREEMENT
between INSURANCE COMPANY OF NORTH AMERICA,
a Pennsylvania corporation;
PACIFIC EMPLOYERS INSURANCE COMPANY, a California corporation;
ALASKA PACIFIC ASSURANCE COMPANY, an Alaska corporation; and
CIGNA INSURANCE COMPANY OF CANADA, a Canadian corporation;
(hereinafter collectively referred to as the "Company");
, and
SINCLAIR INSURANCE COMPANY LTD., a Bermuda company
*
(hereinafter referred to as "the Reinsurer")
Amounts included in the schedule in Article VI A which are attributable to Reinsurer's Sixty Six Percent (66%) quota share of Comprehensive General Liability ($1,000,000 excess of $2,000,000), Products Liability ($3,000,000 excess of $2,000,000) and Excess Employers' Liability ($4,000,000 excess of $1,000,000):
1. Gross Premiums Written
$ 1,881,000
EQUALS
2. Subject Premium
1,881,000
LESS
3. Company Expenses (Profit & Administration)
0
SINCLAIRINSURANCE COMPANY LTD. January 10, 1995
-28-
GLD056808
0049-GLD-000056808
and in Hamilton, Bermuda this
day of Mo l /v L\ _ 1991.
SINCLAIR INSURANCE COMPANY LTD.
BY: TITLE:
Name: JL/'e^tor-
ADDRESS:
504 International Centre Bermudiana Road Hamilton, HM11, Bermuda
SINCLAIR INSURANCE COMPANY LTD.
January 10, 1993
-30-
GLD056809
0049-GLD-000056809
April 27, 1995
Hanson Industries
99 Wood Avenue South, Iselin. NJ 08830 Main Telephone (908) 603-6600 Main Fax (908) 603-6878
Mr. Jonathon Richmond Welbeck Management 504 International Center Bermudiana Road Hamilton, Bermuda HM12
RE: REINSURANCE AGREEMENTS Dear Jon:
i
The enclosed documents (three duplicate originals) are for your signature. Also, enclosed is Richard Bennett's correspondence describing the purpose ofthesedocuments. Followingyour perusal, and approval, please sign and return two of the three copies to Richard Bennett.
ARF:lpb Enclosure
{L0427951)
A Hanson Company
GLD056810
0049-GLD-000056810
Sedgwick
Sedgwick dames of New Jersey, Inc.
3 Becker Farm Road, Roseiand, New Jersey 07066-3786
Telephone 201 533-9393. Direct Telephone 201
4761
. Facsimile 2OiS5s083/9S8QG59]
April 4, 1995
Mr. Anthony Ferrara Risk Manager Hanson Industries 99 Wood Avenue South Iselin, New Jersey 08830
Re: Reinsurance Agreements Hanson Industries October 1, 1993 though October l, 1994
Dear Anthony:
I
Enclosed please Find, three copies of Addendum #3 to the captioned Reinsurance Agreement. As we have discussed during the October 1, 1993 - 1994 policy period the New York Department of Transportation required that contractors (General Crushed Stone and Eastern Rock Products, Inc.) not only present a General Liability policy and an Owners Contractorsprotective, but also as a Special Protective and Highway Liability policy. In order to satisfy this requirement a Guaranteed Cost, Owners Protective policy was issued along with a fronted Special Protective policy. Essentially what this Addendum does is add the seven Special Protective and Highway policies to the October 1, 1993 through October 1, 1994 Reinsurance Agreement.
1 have also enclosed copies of the Certificates of Insurance which were issued, using the Special Protective policy numbers. Please forward all three copies of the Addendum to Jon Richmond to be executed and returned to CIGNA's attention.
We trust you will find the enclosed to be in order but should you have any questions, please feel free to contact me.
Sincerely,
Richard Bennett Senior Account Executive
insurance Broiling R>s- ae-vices Employee 3enefns
GLD056811
0049-GLD-000056811
ADDENDUM #3 to
REINSURANCE AGREEMENT
between INSURANCE COMPANY OF NORTH AMERICA,
a Pennsylvania corporation;
PACIFIC EMPLOYERS INSURANCE COMPANY, a California corporation;
ALASKA PACIFIC ASSURANCE COMPANY, an Alaska corporation;
CIGNA INSURANCE COMPANY OF CANADA, a Canadian corporation;
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA, a Pennsylvania corporation;
(hereinafter collectively referred to as the "Company");
/
and
SINCLAIR INSURANCE COMPANY LTD., a Bermuda company
(hereinafter referred to as "the Reinsurer')
<Qor<W 1,1*13 The Reinsurance Agreement dated May 27- 1994 between the Company and the Reinsurer is hereby amended as follows:1
1) Effective January 1, 1994; the following Named Insured is hereby added to ARTICLE I A. under the Reinsurance Agreement as respect to contracting work performed by Eastern Rock Products, Inc.:
New York State Department of Transportation.
The following policy number is hereby added to ARTICLE I B.
(21) CGO G1 658581-6
SINCLAIR INSURANCE COMPANYLTD. March 6.199*
-34-
GLD056812
0049-GLD-000056812
' Sr-Wi'-'
With respect to this policy number CGO G1 658581-6 only:
ARTICLE I C. is hereby amended to read:
12:01 A.M. Eastern Standard Time, January 1, 1994 to 12:01 AM. Eastern Standard Time, June 30, 1996.
The following is hereby added to ARTICLE I E.:
(6) Policy Number: CGO Gl 658581-6
Special Protective and Highway Liability: One Million Dollars ($1,000,000) per occurrence
The following is hereby added to ARTICLE V.:
H. With respect to Special Protective and Highway Liability Insurance under
the Company's Policy Number CGO Gl 658581-6, the Reinsurer agrees
to reinsure the Company and be liable for One Hundred Percent (100%)
of the first One Million Dollars ($1,000,000) per occurrence, of the
Company's Ultimate Net Loss, plus Outstanding Loss Reserves.
Furthermore, the Reinsurer agrees to reinsure the Company and be
Liable for One Hundred Percent (100%) of all Loss Expenses Paid under
Policy Number CGO Gl 658581-6.
'
Estimated Premium*for policy number CGO Gl 658581-6 is included in ARTICLE VI.
2) Effective January 1, 1994; the following Named Insured is hereby added to ARTICLE IA under the Reinsurance Agreement as respect to contracting work performed by Eastern Rock Products, Inc.:
New York State Department of Transportation.
The following policy number is hereby added to ARTICLE I B.
(22) CGO Gl 658582-8
With respect to this policy number CGO Gl 658582-8 only: ARTICLE I C. is hereby amended to read:
SINCLAIR INSURANCE COMPANYLTD. March 8, 199$
"35"
GLD056813
0049-GLD-000056813
12:01 A.M. Eastern Standard Time, January 1, 1994 to 12:01 AM. Eastern Standard Time, June 30, 1996.
The following is hereby added to ARTICLE I E.:
(7) Policy Number: CGO G1 658582-8
Special Protective and Highway Liability: One Million Dollars ($1,000,000) per occurrence
The following is hereby added to ARTICLE V.:
I. With respect to Special Protective and Highway Liability Insurance under the Company's Policy Number CGO G1 658582-8, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first One Million Dollars ($1,000,000) per occurrence, of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves. Furthermore, the Reinsurer agrees to reinsure the Company and be Liable for One Hundred Percent (100%) of all Loss Expenses Paid under Policy Number CGO G1 658582-8.
Estimated policy premium for policy number CGO G1 658582-8 is included in ARTICLE VI.
3) Effective March 1, 1994; the following Named Insured is hereby added to ARTICLE I A. under the Reinsurance Agreement as respect to contracting work performed by The General Crushed Stone Company:
New York State Department of Transportation.
The following policy number is hereby added to ARTICLE I B.
(23) OCP G1 658556-7
With respect to this policy number OCP G1 658556-7 only:
ARTICLE I C. is hereby amended to read:
12:01 AM. Eastern Standard Time, March 1, 1994 to 12:01 AM. Eastern Standard Time, October 1, 1995.
SINCLAIR INSURANCE COK7ANYLTD.
8,Much 199?
-36-
GLD056814
0049-GLD-000056814
The following is hereby added to ARTICLE I E.:
(8) Policy Number: OCP Crl 658556-7
Special Protective and Highway Liability: One Million Dollars ($1,000,000) per occurrence
The following is hereby added to ARTICLE V.:
J. With respect to Special Protective and Highway Liability Insurance under the Company's Policy Number OCP G1 658556-7, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first One Million Dollars ($1,000,000) per occurrence, of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves. Furthermore, the Reinsurer agrees to reinsure the Company and be Liable for One Hundred Percent (100%) of all Loss Expenses Paid under Policy Number OCP G1 658556-7.
Estimated policy premium for policy number OCP G1 658556-7 is included in ARTICLE VL
4) Effective April 1, 1994; the following Named Insured is hereby added to ARTICLE I A. under the Reinsurance Agreement as respect to Contracting work performed by Eastern Rock Products, Inc.:
New York State Department of Transportation.
The following policy number is hereby added to ARTICLE IB.
(24) OCP G1 658687-0
With respect to this policy number OCP G1 658687-0 only:
ARTICLE I C. is hereby amended to read:
12:01 A.M. Eastern Standard Time, April 1, 1994 to 12:01 A.M. Eastern Standard Time, June 30, 1996.
The following is hereby added to ARTICLE I E.:
(9) Policy Number: OCP G1 658687-0
SINCLAIR INSURANCE COMPANYLTD. March 8,1995
-37-
GIiD056815
0049-GLD-000056815
Special Protective and Highway Liability: One Million Dollars ($1,000,000) per occurrence
The following is hereby added to ARTICLE V.:
K. With respect to Special Protective and Highway Liability Insurance tinder the Company's Policy Number OCP G1 658687-0, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first One Million Dollars ($1,000,000) per occurrence, of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves. Furthermore, the Reinsurer agrees to reinsure the Company and be Liable for One Hundred Percent (100%) of all Loss Expenses Paid under Policy Number OCP G1 658687-0.
Estimated policy premium for policy number OCP G1 658687-0 is included in ARTICLE VI.
5) Effective June 1, 1994; the following Named Insured is hereby added to ARTICLE I A. under the Reinsurance Agreement as respect to contracting work performed by Eastern Rpck Products, Inc.:
New York State Department of Transportation.
The following policy number is hereby added to ARTICLE I B.
(25) CGO G1 658694-8
With respect to this policy number CGO G1 658694-8 only:
ARTICLE I C. is hereby amended to read:
12:01 A.M. Eastern Standard Time, June 1, 1994 to 12:01 A.M. Eastern Standard Time, December 31, 1994.
The following is hereby added to ARTICLE I E.:
(10) Policy Number: CGO G1 658694-8
Special Protective and Highway Liability: One Million Dollars ($1,000,000) per occurrence
SINCLAIR INSURANCE COMPACT LTD. March 8,1953
-38-
6LD056816
0049-GLD-000056816
The following is hereby added to ARTICLE V.:
L. With respect to Special Protective and Highway Liability Insurance under the Company's Policy Number CGO G1 658694-8, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first One Million Dollars ($1,000,000) per occurrence, of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves. Furthermore, the Reinsurer agrees to reinsure the Company and be Liable for One Hundred Percent (100%) of all Loss Expenses Paid under Policy Number CGO G1 658694-8.
Estimated policy premium for policy number CGO G1 658694-8 is included in ARTICLE VI.
6) Effective June 30, 1994; the following Named Insured is hereby added to
ARTICLE I A. under the Reinsurance Agreement as respect to contracting work
performed by The General Crushed Stone Company:
t
New York State Department of Transportation.
The following policy member is hereby added to ARTICLE IB.
(26) OCP G1 658702-3
With respect to this policy number OCP G1 658702-3 only:
ARTICLE I C. is hereby amended to read:
12:01 A.M. Eastern Standard Time, June 30, 1994 to 12:01 A.M. Eastern Standard Time, June 30, 1996.
The following is hereby added to ARTICLE I E.:
(11) Policy Number: OCP G1 658702-3
Special Protective and Highway Liability: One Million Dollars ($1,000,000) per occurrence
The following is hereby added to ARTICLE V.:
M. With respect to Special Protective and Highway Liability Insurance under the Company's Policy Number OCP G1 658702-3, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of
SINCLAIR INSURANCE COMPANYLTD.
March 8.199$
*39"
GLD056817
0049-GLD-000056817
the first One Million Dollars (11,000,000) per occurrence, of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves. Furthermore, the Reinsurer agrees to reinsure the Company and be Liable for One Hundred Percent (100%) of all Loss Expenses Paid under Policy Number OOP G1 658702-3-
Estimated policy premium for policy number OCP G1 658702-3 is included in ARTICLE VI.
7) Effective June 30, 1994; the following Named Insured is hereby added to ARTICLE IA under the Reinsurance Agreement as respect to contracting work performed by The General Crushed Stone Company:
New York State Department of Transportation.
The following policy number is hereby added to ARTICLE I B.
(27) OCP G1 658701-1
With respect to this policy number OCP G1 658701-1 only: t
ARTICLE I C. is hereby amended to read:
12:01 AM. Eastern Standard Time, June 30, 1994 t6 12:01 AM. Eastern Standard Time, June 30, 1995.
The following is hereby added to ARTICLE IE.:
(12) Policy Number: OCP G1 658701-1
Special Protective and Highway Liability: One Million Dollars ($1,000,000) per occurrence
The following is hereby added to ARTICLE V.:
N. With respect to Special Protective and Highway Liability Insurance under the Company's Policy Number OCP G1 658701-1, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first One Million Dollars ($1,000,000) per occurrence, of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves. Furthermore, the Reinsurer agrees to reinsure the Company and be Liable for One Hundred Percent (100%) of all Loss Expenses Paid under Policy Number OCP G1 658701-1.
SINCLAIR INSURANCE COMPANY LID.
March 8,1995
-40-
GLD056818
0049-GLD-000056818
Estimated policy premium for policy number OCP G1 658701-1 is included in ARTICLE VL
All other terms and conditions remain unchanged
IN WITNESS WHEREOF, the parties hereto have caused this Addendum #3 to be executed by their duly authorized representatives in New York, New York, this eight day of March, 1995.
INSURANCE COMPANY OF NORTH AMERICA. on behalf of itself and each of the other corporations comprising the Company.
BY: Name: Joseph L. Harris m
TITLE: ADDRESS:
" V...i.c..e. Presi dI1ent '
195 Broadway New York, NY 10007
and in Hamilton, Bermuda this
day of
1995.
SINCLAIR INSURANCE COMPANY LTD.
b y :____ ________________________
Name:
TITLE:
kCr^rbT s
ADDRESS:
504 International Centre Bermudiana Road Hamilton, HM11, Bermuda
SINCLAIR INSURANCE COMPANY LTD. March*. 1995
-4l-
GLD056819
0049-GLD-000056819
C 2V3n (8/82\ ,
c
c0
CERTIFICATE OF INSURANCE
New York State Department of Transportation 1220 Washington Avenue, State Campus Albany, New York 12232
NAME AND ADORESS OF INSURED CONTRACTOR:
ADDITIONAL INSURED:
Eastern teck Products, Inc. 404 Court Street '
Utica, fff 13502
SEND BOTH CERTIFICATES TO CONTRACT MANAGEMENT BUREAU IN ALBANY
LOCATION AND DESCRIPTION OF WORK
Asphalt tearfacing on Routes 5, SS, and 169 - Tows of Hanhein, Dante, and City of Little Falls. 10.6 miles
CONTRACT*
PP35&868
The subscribing insurance company, authorized to do business in the State of New York, certifies that insurance of the kinds
and types and for limits of Sabiiity herein stated, covering the work herein designated, has been procured by and furnished on be-
hatt of me insured contractor and is in full farce and effectforthe period listed below.
'
KINO OF INSURANCE
POLICY NUMBER
EFFECTIVE DATE
EXPIRATION DATE
LIMITS OF UABlLfTY fin thousand*) Each Occurrence
(a) Contractor*U*Wy
CGO 61 658513-0 ,
(b) Contractor*Protective liability
CGO G1 658513-0
(cf Compote* Operation* LiattUty
CGO 61 658513-0
(d)Pro(SGOwe Matter lumsned by
genera contneor h the nameof
the People and die State of New York, Comrauonar of Dm*
OCE
G1
6585798
poraaon and tneir emptoyece.
and any csnseueaen irgpecaon
engneer or inspector and such
others as apactlSed in Section
10746 of me Standard Speed*
cations.
(e) Commercial cenera naomty (Pre*
mass. Existence, no^nn >r the name ol tte Peoote are the
CGO
G1
6585816
10/01/93 10/01/93 10/01/93 ' 1/1/M
1/1/94
10/01/94 10/01/94 10/01/94 6/30/96
6/3Q/96
$1,000 CSL $1,000 CSL
si.ooo rs. $1,000 CSL
$1,003 CSL
$2,003 CS. $2,000 C3_ $2,000 053 $2,000 CSL
$2,003 CSL
er of Transportation mo meir employees, and anycoratfucboo impeenan engineer or inspector and sues otters as speeded In Section 10746 ol the Standard SpeedeadGns. Rairoaa Prottcme Liattktr
<3) Pipmnontt Liability
(h) Worker's CompansaMn (Q Disability Benefits
WLR C2 044656-0 10/01/93
10/01/94
Lima as required by <aw. Limastream* by law.
(Q Excess Umoreot
M AutomoMeLiability <1 Otter
SCA HD 502377-4 10/01/93
10/01/94 ' Una as nKMnM py w.
GLD056820
0049-GLD-000056820
fc
CERTIFICATE OF INSURANCE New York State Department of Transponation
1220 Washington Avenue, State Campus Albany, New York 12232
NAME AND ADDRESS OF INSURED CONTRACTOR:
ADDITIONAL INSURED:
Eastern Reck Products, Inc.
40* Court Street Utica, W 13502
SEND BOTH CERTIFIC TE
S Sc o n t a c t m
sem t bur eau
in Al b a n y
l o c a t io n a n d d e s c r ip t io n o f WORK:
Asphalt Resurfacing Route 20, in the towns of Eaten, Madison, and Sangerfield - 11 Miles.
c o nt r ac t *
2254S69
The subscribing insurance company, authorized to do business in the State of New York, certifies that insurance of the kinds
and types and for limits of liability herein stated, covering the work herein designated, has been procured by end furnished on be
half of the insured contractor and is in full force and effectfor the period listed below.
'
KIND OF INSURANCE
POLICY NUMBER
(a) CortiaeSort Liability
(b) Contractors Protecshre Liability
COD G1 658513-0 r
CG0 G1 658513-0
(cj Completed Operations Liability
COD G1 658513-0
(d) Protean* liability fumisned by general contractor m the name of the People and me State of New York, Commissioner of Trans* portion ana tneir employees, and any canscuetion inspection engineer or insoectsr and such omen as specified in Section
107-06 of the Standard Specrfcations.
OCP GX 6585804
.(e) Commercial general liability (Pre mises, Existsnee, Hazard) in name of he People end the State of New York. Commission er of Transportation and their employees, and any construction inspection engineer or inspector
and suen others as specified in
Section 107-06 of the Standard Specifications.
CGO G1 6585828
(f) Railroad Protective Liability
EFFECTIVE DATE
10/01/93 10/01/93 10/01/93 ` 1/1/94
1/1/94
EXPIRATION DATE
10/01/94
10/01/94
10/01/94
LIMITS OF LIABILITY fin thousands)
Each Occurrence
Aqaraoata
$1,000 CSL
$2,000 CSL
$1,000 CSL
$2,000 CSL
$1,003 CSL
$2,OCD CSL
6/30/96
$1,CC0 CSL
$2,000 CSL
6/30/96
$1,000 CSL
$2,000 CSL
(g) Professional liability
(h) Worker's Compensation
VLR C2 044656-0 10/01/93
10/01/94
Limits as required by law.
Disability Benefits
Limns as required by law.
0 Excess Umbrella
W Automobile Liability (9 Other
SCA HO 502377-4 10/01/93
10/01/94
Ltmns as required by taw.
GLD056821
0049-GLD-000056821
C2tBm (8/92)
CERTIFICATE OF INSURANCE
New York State Department of Transportation 1220 Washington Avenue, State Campus Albany, New York 12232
NAME AND ADDRESS OF INSURED CONTRACTOR:
ADDITIONAL INSURED:
Eastern Rock Products, Inc. 404 Court Street Utica, NY 13502
c o n t r a c t ma n a g e me n t b u r e a u
m Al b a n y
LOCATION AND DESCRIPTION OF WORK:
Asphalt Concrete resurfacing and guide rail replacement Route 55 8.5 miles Town of Frankfort, Herkimer Co.
CONTRACTS T
The subscribing insurance company, authorized to do business in the State of New York, certifies that insurance of the kinds
and types and for limits of liability herein stated, covering the work herein designated, has been procured by and furnished on be-
hatf of the insured contractor and Is in full force arid effectfor the period listed below.
KINO OF INSURANCE
(a) CorttradorS Liability
fb) Contraaor's Protective Liability
(c) Completed Operations Lability
(d) Protective liability furnished by general contractor in the name of the People end the State of New Yotk, Commissioner of Trans* portation and their employees, and any construction inspection engineer or inspector and such others as specified in Seaton 107-06 of the Standard Speed* cations.
(e) Commercial general liability (Pre mises. Existence. Hazard) in the name of the People and the fitarw of New York. Commission er of Transportation and their employees, and any construction inspection engineer or inspector and such others as specified in Section 107-06 of the Standard Specifications.
(f) Railroad Protective Liability
POLICY NUMBER
EFFECTIVE DATE
CG0G1658513-0 10/1 /93
CG0G1658513-0 10/1/93
CG0G1658513-0 10/1/93*
0CPG1658686-9
4/1/94
QCPG1653687-0
4/1/94
EXPIRATION DATE
10/1/94
10/1/94 10/1/94
LIMITS OF LIABILITY fin thousands)
Each Occurrence
Aooreoate
$1,000
$2,000
$3,000
$1,000
$2,000
j
p
ooo
6/30/96 $1,000
$2,000
6/30/96 $1,000
$2,000
(g) Professional UaMity
(h) Worker's Compensation 0 Disability Benefits
WLRC2044656-0
10/1/93
10/1 /94
Limits as required by law. Limits as required by law.
(D Excess Umbrela
04 Automobile Liability (I) Other
SCAH0502377-4 10/1/93'
10/1 /94 Limits as required by law.
*
GLD056822
0049-GLD-000056822
CERTIFICATE OF INSURANCE New York Stare Department of Transportation
1220 Washington Avenue, State Campus
Albany, New York 12232
n a me a n d ADDRESS OP INSURED CONTRACTOR:
ADDITIONAL INSURED:
OTH CERTIFICATE TO
c o n t r a c t ma n a g e me n t b u r e a u
m ALBANY
Eastern Rock Products, Inc. 404 Court Street Utica, NY 13502
LOCATION AND DESCRIPTION OP WORK:
New York State Office of General Services Corning Tower Building
Empire State Plaza Albany, NY 12242 cc: Region #9
Route166 Unty Mllford t0 Roseboom - Delivery & Installation of Bituminous Concrete
CONTRACT#
The subscribing insurance company, authorized to do business in the State of New York, certifies'feat insurance of the Wnds ` end types and forfimte-ofiiabHiry herein stated, covering the-wwk herein designatedrhas-boon procured by-and-famtehoe on be- hat! of the insured, contractor and is in fufl force and effect for the period listed below.
KIND OF INSURANCE
POUCY NUMBER
EFFECTIVE SATE
EXPIRATION
DATE
LIMITS OP LIABILITY fin thousands)
Each Occurrence
Acwreoata
{ajConMewrtLJaWiY '
ft) Contractor* ftweeitae UebiSty
(c) Completed Operations Uatflty
CGO G1 658513-C 10/1/93
CGO G1 558513-r 10/1/03 _
4
CGO G1 558513-0 10/1 /Q3
(d) Proactive Batttity furnished by
genera) contractor in the name of me People and the &a of He#
OCP
G1
6586936
Yertc, Commissioner of Trans
portation 8id the& employees,
and any construction Inspection
eogfneer or irapeew and such
others as specified:-!* Section
107-06 ot the Standard Spatt*
cations.
6/1/94
(e) Csmmanrialgeneral fiBHRy (Pre* rtttes, Erfstence, Hazard) hi the
name of t People and be IGO Gl
Stas of New York Commissonor of Transportation and their employees, and any-pMeuiofen inspection engineer or iiapcetar
and euch ethers as cpeeffied m Section 107-06 of the Standard
Specifications.
6586948
6/1/94
(9 RalioadProteebve ua&iftr
10/1 /QA in/i /a/i ir\/i fan
12/31/94
12/31/94
$2,000 CSL .; $2,000 CSL $1,000 CSL $1,000 CSL
IV/A N/A $2.oon C3i $2-,000 CSL
$1,000 CSL
$2,000 CSL
(g) Ptefeesienai Liability
(h) Worker's Compensation d) DisabiSty Benefits
WLR C2 044656- 1 10/1/93
10/1 /94
LlmltB as required bytaw. Limits u required byUrn.
{D Excess Umbrella Automobile Uab&ty 0 Other
SCA HO 502377-*! 10/J/93 -10/1 /94
Limits as required b/Is*
'
0049-GLD-000056823
G21&MB/92)
c
c er t if ic at e o f in s u r an c e
NewYork State Department cfTransportation 1220 Washington Avenue, State Campus Albany, NewYork 12232
NAMEAND ADDRESS OF M8UREDCONTRACTOR:
ADDITIONAL iNSURH*
General Crushed Stone Construction
a Div. of General Crushed STone Co. 4800 Janesville Rd. Janesville, N y 13078
w Sj u w
LOCATION AW30EBCWTIONOPWORK:
Asphalt Concrete Resurfacing on Route 264
...- - 0SWC90 CO.
CONTRACT# ttmile
The aubaarlbkig ksuranc* company, authoriad to do buctnee* in the State or NewYork, enrtfiw that insurance el the ttnde end types end tor knits or tatty iwati statad, oowifng the work herein deskpstsd, has bean procured by and fumehed on fa* half of the Insured contractor end Is In fas femeand ttocttef the period Bated below.
KIND OP INSURANCE MCMttEtttllaUKr
POLICY NUMSS1
EFPECTME DATE
CGO G1 6585t3rc 10/1/93
EXPIRATION DATE
10/1/94
UMTIS OF UABUTV (In tnaedd
EacftOmvmci
Anragw
$2,000 CSL
$2,000 CSL
Uabev ttOomptorfOpMlM
urn?
CGO G1 65B513-C CGO SI 658513--C
ftPraMw Utay *bt *had by yimlutfiuelu totta newer
oYorkP,*acpomnrMddoeo6vMaiT(rNePe- OOP 81 658700A
pottfe* -Mr-amptoipa* and qr eemndtaR kapadlM wgMw sr kMpHBr nd wen
otntei AS IPBCMQ fl 8BCW1
107-oe or * sanded ewe-
eatae.
ft) CameuM genre fctflly fitrataas. EsJaanct, Hind) to V
QCP Gt
6587023
ram at * PaagtoanV N
- BmWNerVMtGaanWo*
r or nwWMe*^ mr
IennippetoodyonmtflQkitcr,cr-fcweAv'
aSnWdttauneftt0o7n4ersof ft#mScaMnddetdo
fipKtfafScm.
(9 RoamdPrMdM IMS*
{flrrefeonetiitiav
10/1/93 10/1/93 06/30/94
06/30/94
10/1/94
10/1/94
$2,000 CSL $11000 CSL-
06/30/95 $1,000 esu
06/30/95 $1,000 CSL
$2,000 CSL $2,000 CSL $2,000 CSL
$2,000 CSL
ftWorkers Gornpemfen 01 OuBOyBeMoa
WLR C2 0446B6-C 10/1/93
10/1/94
LindanwMnvtv law. UmiaatnquM faytanft
Q ExamUntnAi
MAuaoHtaMlMMr 0 over
SCA HO 502377-4 10/1/93
10/1/94 LMawnqittdbrte*
.
GLD056824
0049-GLD-000056824
CSnSmfWp
L
CERTIFICATE OF INSURANCE
NmrYork State Department ofTransportation 1220 Washington Avenue, state Campus Albany, New York 12232
RAMSANDADDRESS OF INSURED CONTRACTOR:
AWmONAL INSURED;
General Crushed Stone Construction, a Dlv.
of The General Crushed Stone Cornpany
4800 damesvtlle fid.
Jaraesvllle, Nr 13078
8ENP BOTH CSOnCATEB TO CONTRACT MANAOEUEMTBUREAU IN ALBANY
LOCATION AND DESORPTION OF WORK:
9.0 miles of Asphalt concrete Resurfacing on Routes 3Bt 38A and 437
Cayuga County .
D25S11Q
The subttdttiB Inaumnee company, --homed to do buafneaa in the State of New Yorie, --tea*that Inaunmoe of Me Me and lypae and tee ferita ct Mtfhereto --tod. coveringthe work hamtodesign--4.1-- Men procured fay endfun-- on
halfoftheinsuredcontractorand U tomiforca end effectlor the period fated below.
KIND OF INSURANCE
POUCY NUMBER
EFFECTIVE DATE
EXPJRATK3N DATE
LIMITS OF LJABliTVffn MM*
EMhOeo--
a b b --it
i
MCunowiuear
CGO 81 658513-*
(b|C--iierntoi Utotoy-
CGO 81 658513-C
& Ge<np--dOperation* UtbSV
CGO 61 65B513-C
(d)Pwc*ch* labtop fumWwi by
o--rtaoreiear bite nine tf 8*PacdaWtitte8--efN**
OCP
81
6586997
Yertc, Cm--ar of "ton-
poetic* and tea an--
end anf coaeacttan tap--an
--ear or.*-- ad auto
alter* a* ipidUl b Saetien
187-06 o<t Sanded epeetf-
catiora.
to Cuiwitfd tfted W|I (Tw
M B-- Heed) to He
OCR Q1
6587011
new of t P--la an* fee
5--off--Vto Own--on
er of Ttoneonetoa and Adr
employ--, and anyact--
trapacaonene--rorn--aor
ns--a emem at e--oad h
Seeded 107-ca of a* --t
OpifWriflnni.
(0 1--toceetta uabUy
10/1/93 10/1/93 10/1/93 06/30/94
06/30/94
10/1/94 U0/T/94 10/1/94 06/30/95
06/30/95
32.000 CSL $2,000 CSL $1,000 CSL $1,000 CSL
$1,000 CSL
$2,000 CSL $2,000 CSL
$2,000 CSL $2,000 CSL
$2,000 CSL
{fl PfofMdonei LhbUty
PD w--compenaatisn 0 C--y--i
WLR CZ 044656- 3 10/1/93
|
10/1/94
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GLD056825
0049-GLD-000056825
CIGNA. Property & Casualty
Special Risk Facilities
June 1, 1994
175 Wnlci Street New York. NY 10038-4980 Telephone 212.709.8200 (aciinjile2l2.709.84.S0
Mr. Jonathan C. Richmond Director/Financial Controller Welbeck Management Limited
P.O. Box HM 2446 I-iamilton HM JX, Bermuda
VrcLEECK MANAGEMENT LIMITED
RE: Revised Hanson Industries Reinsurance Agreements and Addendu:
. \<\VJ A
Deal'Jon,
tWif
Attached are three copies of each of the following May 27, 1994 revised Hanson Industries'
Reinsurance Agreements:
Sinclair Insurance Company LTD. Major Insurance Company Limited
Bulldog Insurance Company Limited
These agreements revise those dated May 3, 1994 in accordance to Lisa Gallager's responses to Sedgwick's May 15th "Hanson Reinsurance Agreement comment list" as well as iny subsequent conversations with Sedgwick James and yourself. The agreements have been replaced in their entirety since the changes were made throughout the entire agreements. The only changes made to these agreements are as follows:
1) "LIMITED" has replaced "LTD." throughout the Major and Bulldog Reinsurance Agreements
2) The Underground Storage Tank Liability Policy and any reference to it has been eliminated front both the Sinclair and Major Reinsurance Agreements. It has been maintained in only the Bulldog Reinsurance Agreement.
3) The Gross Premium, Company Expenses and Net Premium Ceded categories in ARTICLE VI of the Bulldog Reinsurance Agreement have been increased to reflect the Underground Storage Tank Liability Policy premium of 36,000.
4) Addendum #2 of the Sinclair Reinsurance Agreement has been changed to exclude the Beazer Homes USA Inc. estimated divestiture funding effective March 2, 1994. These figures have been verified by Laurel Stone and Kathleen McKinley.
These changes contemplate all outstanding changes known to CIGNA as ofJune 1, 1994. Any further changes going further should be made by use of addendums. Please review them and
GLD056826
0049-GLD-000056826
Page 2 June 1, 1994 have two of each returned to me as soon as possible. The third is your fully executed copy. I have inserted yellow tabs where your signature is required. Please call me at (212) 709-8221 if you have any questions on these agreements. Sincerely, Emil Metropoulos Account Executive cc: Laurel Stone SJNJ with attachments
Donald Schoenewolf - HI without attachments
GLD056827
0049-GLD-000056827
REINSURANCE AGREEMENT
between
INSURANCE COMPANY OF NORTH AMERICA, a Pennsylvania corporation;
PACIFIC EMPLOYERS INSURANCE COMPANY, a California corporation;
ALASKA PACIFIC ASSURANCE COMPANY, an Alaska corporation;
CIGNA INSURANCE COMPANY OF CANADA, a Canadian corporation;
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA,
a Pennsylvanian corporation;
/
(hereinafter collectively referred to as the "Company');
and t
SINCLAIR INSURANCE COMPANY LTD., a Bermuda company
,
(hereinafter referred to as "the Reinsurer")
WITNESSETH:
WHEREAS, the Company wishes to cede to the Reinsurer, and the Reinsurer wishes to reinsure, certain insurance under the terms and conditions hereinafter set forth;
NOW, THEREFORE, in consideration of the payment of premiums and losses, and of the mutual covenants and agreements herein set forth, the Company and the Reinsurer hereby covenant and agree as follows:
StNCLMP.INSURANCECOMPANY LTD. May 27. 1994
-1-
GLD056828
0049-GLD-000056828
POLICIES REINSURED: A. Name of Insured:
ARTICLE I
HANSON INDUSTRIES
U.S. Industries, Inc.
Anderson Hickey Inc.
Axelson, Inc.
Baylis Brothers Inc.
Duke City Lumber Company, Inc.
Georgia/Durango Boot Company
Grove North America
National Crane Corporation
Huron, Inc.
UST Lighting, Inc.
Columbia Lighting Inc.
Keystone Lighting, Inc.
Leon Plastics Inc.
MW Manufactures, Inc.
Prescolite
'
Teters Floral Products. Inc.
United Chair Inc.
Procter & Schwartz. Inc.
SCM Chemicals, Inc.
SCM Metal Products. Inc.
Beazer USA, Inc.: (Benchmark Materials
Division and Spectrum
Construction Group only)
(as stated in the Policy(ies) listed in Item B.)
B. Policy Numbers:
(I) WLR C2 044647-A (DAS) (3) WLR C2 044654-7 (DAL) (5) WLR C2 044810-6 (CBE) (7) RSC C2 044797-7 (CCI) (9) RSC C2 044655-9 (CALBE) (II) RSC C2 044809-A (CBW)
(13) WC-00267 (GUWC) (15) CGO G1 658513-0 (GLUS) (17) 706-00208 (GLGU) (19) CAC 394400 (ALCAN)
(2) WLR C2 044796-A (DCI) (4) WLR C2 044656-0 (DBE) (6) RSC C2 044648-1 (CAS) (8) RSC C2 044653-5 (CAL) (10) RSC C2 044807-6 (CCIBE) (12) RSC C2 044808-8 (CALBW) (14) XLP G1 658524-5 (XEL) (16) CGL 033420 (GLCAN) (18) SCA HO 502377-4 (ALUS) (20) FAP-03716 (ALGU)
which are incorporated herein by reference and made a part hereof.
SINCLAIR INSURANCE COMPANY 1713. May 27.199a
GLD056829
0049-GLD-000056829
C. Policy Period: 12:01 A.M. Eastern Standard Time, October 1, 1993 to 12:01 A.M. Eastern Standard Time, October 1, 1994.
D. Insurance Coverage: As stated in the Policies listed in Item B.
E. Policy Limits:
(1) Policy Numbers:
WLR C2 044647-A; WLR C2 044796-A; WLR C2 044654-7; WLR C2 044656-0; WLR C2 044810-6; RSC C2 044648-1; RSC C2 044797-7; RSC C2 044653-5; RSC C2 044655-9; RSC C2 044807-6; RSC C2 044809-A; RSC C2 044808-8; WC-00267
(a) Worker's Compensation (Indemnity):
Statutory Limits.
(b) Worker's Compensation (Occupational Disease): Statutory Limits.
(c) Employers Liability: One Million Dollars (11,000,000) per person,
One Million Dollars (51,000,000) per accident,
One Million Dollars ($1,000,000) per policy
limit.
(2) Policy Numbers: ' SCA HO 502377-4; CAC 394400; FAP-03716
Automobile Liability: Two Million Dollars ($2,000,000) per accident
s
(3) Policy Numbers: CGO G1 658513-0; CGL 033420; 706-00208
General Liability (Excluding Products): Three Million Dollars ($3,000,000) per occurrence
(4) Policy Numbers: CGO G1 658513-0; CGL 033420; 706-00208
Products Liability: Five Million Dollars ($5,000,000) per occurrence
(5) Policy Number: XLP G1 658524-5
Excess Employer's Liability: $4,000,000 excess of $1,000,000 per person,
SINCLAIR INSURANCE COMPANY LTD. May 27, 199*
-3"
GLD056830
0049-GLD-000056830
4,000,000 excess of $1,000,000 per accident, $4,000,000 excess of $1,000,000 per policy limit.
ARTICLED TERM:
This Agreement is effective at 12:01 A.M. Eastern Standard Time, the 1st day of October, 1993. This Agreement shall continue in effect until terminated.
The Reinsurer's Obligations to the Company under this Agreement will survive the termination of the Policies and of this Agreement.
ARTICLE III
TERRITORY:
This Agreement shall cover Losses occurring within the territorial limits provided
by the Policies reinsured hereunder and listed in Article I hereof.
ARTICLE IV
DEFINITIONS: A. The term "Policies" as used in this Agreement shall mean the Policies described in
Article I of this Agreement and any endorsements thereto, extensions or renewals thereof, and related binders or certificates issued to or on behalf of the Insured named in Article I hereof.
B. The term "Ultimate Net Loss" as used in this Agreement shall mean the actual Loss paid by the Company, such Loss to include, in addition to any limit of liability herein stated, Loss Expenses Paid. In those instances where no Loss is paid but there are Allocated Loss Expenses, the Reinsurer will assume all Allocated Loss
SINCLAIR INSURANCE COMPANY LTD. May 27. 1994
-4-
GLD056831
0049-GLD-000056831
Expenses. The Company will pay or credit the Reinsurer up to the amount of the Reinsurer's interest for amounts attributable to salvage, reimbursement obtained or recovery made by the Company relating to the Policy, after deducting the actual cost (excluding Company salaries and office expenses) of obtaining such salvage or reimbursement or making such recovery, and after the Company has been reimbursed up to the amount of its interest. Nothing in this clause shall be construed to mean that Losses are not recoverable hereunder, until the Company's Ultimate Net Loss has been ascertained.
C. The term "Gross Premiums Written" as used in this Agreement shall mean
Premiums received by the Company for Policies reinsured hereunder, adding all
other Additional Premiums and subtracting all other Return Premiums and
cancellations.
'
D. The term "Unearned Premiums Reserve" as used in this Agreement shall mean the
0
premium for the unexpired portion of the Policy(ies) in force as of any specified
date.
y
E. The term "Losses Paid" as used in this Agreement shall mean Losses Paid by the Company under the Policies less recoveries for salvage and subrogation.
F. The term "Loss Expenses Paid" as used in this Agreement shall mean Allocated
and Unallocated Loss Expenses related to claims and Losses under the Policies.
(1) "Allocated Loss Expenses" as used in this Agreement shall mean all court costs, fees and expenses; interest; fees for service of process; fees to attorneys; costs of undercover operative and detective services; fees of independent adjusters or attorneys for investigation or adjustment of claims beyond initial investigation; cost of employing experts for preparation of maps, photographs, diagrams, chemical or physical analysis or for advice, opinion or testimony concerning claims under investigation, in litigation, or for which a Declaratory Judgment is sought; costs for legal transcripts of testimony taken at coroner's inquests, criminal or civil proceedings; costs for copies of any public records; costs of depositions and court reported or
SINCLAIR JNSIUANCB COMPANY LTD. May27.
-5"
GLD056832
0049-GLD-000056832
recorded statements; and any other similar fees, cost or expense reasonable chargeable to the investigation, negotiation, settlement or defense of a claim or Loss, or to the protection and perfection of the subrogation rights of any insured covered by a Policy(ies) reinsured hereunder.
(2) "Unallocated Loss Expense" as used in this Agreement shall mean the Claims Service Fees charged hereunder as per Article X hereof.
G. The term "Outstanding Loss Reserves" as used in this Agreement shall mean Losses or claims reported to the Company under the Policies which have been reserved but are unpaid at any specified date.
H. The term "Losses" as used in this Agreement shall mean payments to claimants under Policies reinsured hereunder.
I. The term "Paid Loss Deposit Fund" as used in this Agreement shall mean a non interest bearing cash fund established in accordance with Article IX to fund payment of Losses and Allocated Loss Expenses.
J. The term `'IBNR" (Incurred But Not Reported) as used in this Agreement shall mean a reserve for liability for future payment of Losses which have already occurred but have not yet been reported to the Company (plus related Loss Expenses, if any) and shall also include expected future development, as estimated by the Company, on Outstanding Loss Reserves and Loss Expenses (Allocated and Unallocated).
K. The term "Obligations" as used in this Agreement shall mean: (a) Losses, Allocated Loss Expenses and Unallocated Loss Expenses paid by the Company (or on its behalf) but not recovered from the Reinsurer; (b) Outstanding Loss Reserves; (c) Reserves for Losses Incurred But Not Reported; (d) Reserves for Allocated Loss Expenses; (e) Reserves for Unearned Premium; and (f) Reserves for Unallocated Loss Expenses.
SINCLAIR INSURANCE COWPA.VY LTD. May 27.
-6-
GLD056833
0049-GLD-000056833
**?<
ARTICLE V INSURING CLAUSE: A. As respects Workers' Compensation coverage under the Company's Policy
Numbers: WLR C2 044647-A; WLR C2 044796-A; WLR C2 044654-7; WLR C2 044656-0: WLR C2 044810-6; RSC C2 044648-1; RSC C2 044797-7; RSC C2 044653-5; RSC C2 044655-9; RSC C2 044807-6; RSC C2 044809-A; RSC C2 0448088; WC-00267. the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first Two Million Dollars ($2,000,000) of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves, for all states except Minnesota, where the Reinsurer shall reinsure the Company and be liable for the first $430,000, of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves, for benefits paid or payable per accident on behalf of the insured, such benefits being required by the Workmen's Compensation Law, Worker's Compensation Law or any Occupational Disease Law of the United States Government, state or states designated in Item 3 of the Declarations of the Company's Poiicy(ies) listed herein.
B. As respects Occupational Disease coverage under the Company's Policy Numbers:
WLR C2 044647-A; WLR C2 044796-A; WLR C2 044654-7; WLR C2 044656-0; WLR C2 044810-6; RSC C2 044648-1; RSC C2 044797-7; RSC C2 044653-5; RSC C2 044655-9; RSC C2 044807-6; RSC C2 044809-A; RSC C2 044808-8; WC-00267, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first Two Million Dollars ($2,000,000) per accident of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves, for all states except Minnesota, where the Reinsurer shall be liable for the first $430,000 of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves, per benefit paid or payable on behalf of the insured, such benefits being required by the Workmen's Compensation Law, Worker's Compensation Law or any Occupational Disease Law of the United States Government, state or states designated in Item 3 of the Declarations of the Company's Policv(ies) listed herein.
SINCLAIR INSURANCE COMPANY LTD. May 27.1994
-7-
GLD056834
0049-GLD-000056834
C. As respects Employers5 Liability Insurance under the Company's Policy Numbers: WLR C2 044796-A; WLR C2 044654-7; WLR C2 044656-0; WLR C2 044810-6; RSC C2 044648-1; RSC C2 044797-7; RSC C2 044653-5; RSC C2 044655-9; RSC C2 044807-6; RSC C2 044809-A; RSC C2 044808-8; WC-00267. the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first One Million Dollars ($1,000,000) per occurrence of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves, for all states except Minnesota, where the Reinsurer shall be liable for the first $430,000 per occurrence of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves, for such sums as the insured thereunder is legally obligated to pay as damages because of bodily injury by accident or disease.
D. As respects Comprehensive General Liability Insurance undeih the Company's Policy Numbers CGO G1 658513-0; CGL 033420; 706-00208, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the / first Two Million Dollars ($2,000,000) per occurrence, plus Thirty-Three and OneThird percent (3333%) quota share of the next One Million Dollars ($1,000,000 excess of $2,000,000) per occurrence of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves.
E. As respects all coverages under the Company's Automobile Liability Policy Numbers SCA HO 502377-4; CAC 394400, FAP-03716, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first Two Million Dollars ($2,000,000) per accident of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves.
F. As respects Products Liability Insurance under the Company's Policy Number CGO G1 658513-0; CGL 033420; 706-00208, the Reinsurer agrees to reinsure the Company and be liable for One Hundred Percent (100%) of the first Two Million Dollars ($2,000,000) per occurrence, plus Thirty-Three and One-Third percent
SINCLAIR INSURANCE COMPANY LTD. Map 27,19$>4
-8-
GLD056835
0049-GLD-000056835
(33-33%) quota share of the next Three Million Dollars ($3,000,000 excess of $2,000,000) per occurrence, of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves.
G. As respects Excess Employer's Liability Insurance under the Company's Policy Number XLP G1 658524-5, the Reinsurer agrees to reinsure the Company and be liable for Thirty-Three and One-Third Percent (33.33%) quota share of $4,000,000 excess of the first $1,000,000 per occurrence of the Company's Ultimate Net Loss, plus Outstanding Loss Reserves.
PREMIUM: A. Annual Estimated Premium.
ARTICLE VI
The total Net Ceded Premiums due the Reinsurer for the Reinsurance hereunder shall be calculated in accordance with the following schedule Gross Premiums Written shown are estimates as of the beginning of the Agreement term.
1. Gross Premiums Written LESS
2. Insurance Charge
EQUALS*
$ 26,631,561
$ 123,750
(Minimum and adjustable at a rate of .0 U221S per *109 of Reinsurer's share of audited WC payroll.)
* This schedule includes amounts payable for Reinsurer's Thirty-Three and OneThird (33.33%) quota share of Comprehensive General Liability ($1,000,000 excess of 2,000,000); Products Liability ($4,000,000 excess of $2,000,000) and Excess Employers' Liability ($3,000,000 excess of $1,000,000). Amounts payable in respect of these coverages are stated separately in Addendum #1.
SINCLAIR INSURANCE COMMNY LTD. May 27.199*
"9"
GLD056836
0049-GLD-000056836
3. Subject Premium
LESS
4. Company Expenses (Profit and Administration)
and
5. Board, Bureaus and Fixed % Residual Market Assessments (RML's)
and 6. Initial Adjustable RML's
and 7. Premium Taxes '
,
EQUALS
8. Sub-total (lines 4-7)
% Gross Premium Ceded (line 3 minus line 8)
LESS
10. Federal Excise Tax (line 3 X .01)
EQUALS
11. Net Premium Ceded (line 9 minus line 10)
SINCLAIR INSURANCE COMPANY LTD. May 27,199e
-10'
$ 26,507,811
$ 978,890 (Flat Charge)
$ 276,910
(KiiwAUn and adjustable, based upon (i! 1.6*5% of audited Policy Number: <6). (7), (8). (9), (10), <U> & (12) premium; fii) 2.662k faudited Policy Number: (1), (2). (3). (4) & (5) premium; (id) .23% of audited Policy Number (14). (13). (16) A (I7j premium: (rc) 4.70% of audited Policy Number: (18). (19) ft (20) premium
$ 102,211
(Adjustable per Article VII)
$ 985,738
(Adjustable, bused upon the following estimated percentages: (i) 3-97% of audited Policy Number: (6). (7). (8), (9). (10), (II) & (12) premium: fii) 5.22* of audited Policy dumber: (1). (2), (3). (4) ft (5) premium: (ill) 3.01% of audited Policy Number (lei. (15). (16) ft (17) premium: (K) 3.10* ofaudited Policy Number (18). (19) & (20) premium. The taxes and to rates are alto subject to adjustability Per Anielf V| Band Article VS).
$ 2,343,749
$ 24,164,062
$ 265,078
$ 23,898,984
GLD056837
0049-GLD-000056837
B. Monthly Reconciliation of Premium and Losses. Within five (5) days after each monthly installment payment of premium is received by the Company under the Policies, the Company will issue to the Reinsurer a premium reconciliation statement reconciling such premium payment with (i) Items 2-10 above and, at the Company's discretion, (ii) any outstanding amounts owed by the Reinsurer to the Company for Losses Paid, Loss Expenses Paid, and Paid Loss Deposit Fund adjustments, if any. If the result of any such reconciliation is that the Reinsurer owes money to the Company, the Reinsurer will pay the amount so owed within five (5) days after the date of the reconciliation statement. If the result of any such reconciliation is that the Company owes money to the Reinsurer, the Company will pay the Reinsurer the amount so owed at the time the premium reconciliation statement is issued. I
Upon termination of the Policies, the earned premium will be computed in accordance with the applicable rules, rates, rating plans, premiums and minimum premiums, based on the actual amounts payable under Items 2, 5, 6 and 7 above. The amount of Premium Taxes shown in Item 7 above is adjustable due to audit and due to changes in any applicable state laws or regulations (including, but not limited to, retroactive assessments). Amounts payable by the Company under Items 6 and 7 will be adjusted further in accordance with Article VII. If the earned premium as so determined is different from the estimated Gross Premiums Written (Item 1 above), all prior monthly reconciliations of premium will be recalculated utilizing the actual earned premium. If the recalculation of the reconciliations indicates that the Reinsurer owes money to the Company, the Reinsurer will pay that money within five (5) days after receipt of the Company's statement therefor. If the recalculation indicates that the Company owes money to the Reinsurer, the Company will pay the Reinsurer the amount so owed at the time such statement is issued.
SINCLAIR INSURANCE COMPANY LTD. May 27. 199,
-11-
GLD056838
0049-GLD-000056838
ARTICLE VI3 RESIDUAL MARKET ASSESSMENTS
The Company will recalculate the adjustable Residual Market Assessment (Item 6, Article VI, A) annually. It will be adjusted promptly following the Company's receipt of the documents referred to below. If the first adjustment of the Residual Market Assessment is performed prior to the expiration of the Policy period and such adjustment produces additional Residual Market Assessments, the Company shall charge the amount of such additional assessments to the Reinsurer as an additional installment of Company Expenses.
The initial determination and redetermination of the adjustable Residual Market Assessment shall be as follows:
i A. Initial Adjustable Residual Market Assessments: (i) 10.17 % of written premium for
Policy Numbers: WLR C2 044796-A; WLR C2 044654-7; WLR C2 044656-0 & M.R t
C2 044810-6 and (ii) 2.81% of written premium for policy numbers: RSC C2 044648-1; RSC C2 044797-7; RSC C2 044653-5; RSC C2 044655;?; RSC C2 0448076; RSC C2 044809-A; RSC C2 044808-8.
B. The initial adjustable Residual Market Assessments stated in A. above shall be determined by applying the most recently published annual Residual Market Assessments as set forth below to the amount of the Written Premiums under Policy Numbers: WLR C2 044796-A; WLR C2 044654-7; WLR C2 044656-0; WLR C2 044810-6; RSC C2 044648-1; RSC C2 044797-7; RSC C2 044653-5; RSC C2 0446559; RSC C2 044807-6; RSC C2 044809-A; RSC C2 044808-8 for each respective state listed in Exhibit A (less the amount of the Residual Market Assessment which is included in the applicable state Premium Taxes). The Reinsurer will be liable for 56.194% of the total Initial and all Redetermined Assessments as determined in Exhibits A & B.
SINCLAIR INSURANCE COMPANY LTD. May 27.199j
-12-
GLD056839
0049-GLD-000056839
Residual Market Assessments constitute premiums on the Company's financial reports under applicable state insurance laws and regulations. The initial determination of the adjustable Residual Market Assessment (Item 6) and any redetermination thereof will be adjusted in order to include additional state Premium Taxes that shall apply to such premiums.
C. With respect to Policy Numbers: WLR C2 044796-A; WLR C2 044654-7; WLR C2 044656-0; WLR C2 044810-6; RSC C2 044648-1; RSC C2 044797-7; RSC C2 044653-5; RSC C2 044655-9; RSC C2 044807-6; RSC C2 044809-A; RSC C2 0448088; the amount of the written premium to be used to redetermine the Residual Market Assessment shall be that (i) estimated premium or (ii) audited premium most recently determined by the Company as of the time the Company redetermines the applicable Residual Market Assessment.
D. The Company will redetermine annually the adjustable Residual Market
t
Assessment for the affected Policies. In subsequent years the Company will redetermine the Residual Market Assessment by applying the aipount of the most recent annual Residual Market Assessment for the applicable states (less the amount included in the applicable state Premium Taxes for each state respectively) to the amount of the applicable premiums as set forth in C above and Exhibit B. The resulting premium shall be subject to any additional state Premium Taxes that may apply. If the result of the above calculations is an additional premium based on what was initially charged in the applicable states, the Company will charge the Reinsurer for such additional amount; if the result is a return premium, the Company will subsequently refund the applicable amount to the Reinsurer.
E. The fourth redetermination of the Residual Market Assessment (after the fiftyfourth calendar month of this Agreement) shall be the final such determination.
SINCLAIR INSURANCE COMPANY LTD. Mayi7.1994
-13"
GLD056840
0049-GLD-000056840
F. If, after the effective date of this Agreement, (i) any state changes its basis for determining the amount of Residual Market Assessments, and (ii) the Company, as a result of such change, will be liable to pay additional amounts for Residual Market Assessments for the Policies, then the Company will bill the Reinsurer for, and the Reinsurer will pay to the Company, such additional amounts.
The Residual Market Assessment to be applied under this Article will be obtained for all states except Texas from the annual Management Summary prepared by the National Council on Compensation Insurance (hereinafter the "Management Summary and "NCCI" respectively) using the most recent data as listed for rhe applicable policy year. The Residual Market Assessments will be updated as they are published in each subsequent annual Management Summary. The most recent annual Management Summary will be used to determine the Residua! Market Assessments for each applicable state.
* For the State of Texas, the Residual Market Assessment shall be obtained from the annual Texas Workers' Compensation Insurance Facility Summary fqr the applicable policy year. The Company will incorporate annual updates of the Texas Residual Market Assessment as published in the Texas Workers' Compensation Insurance Facility Summary in subsequent determinations of the Texas Residual Market Assessment under this Agreement.
If the NCCI or the state of Texas shall discontinue publication of its Management Summary or Workers' Compensation Insurance Facility Summary respectively, the Company will use whatever information the Company deems to be appropriate to implement or continue the procedures for calculating Residual Market Assessments as provided above in this Article.
SINCLAIR tNSURANGE COMPANY LTD.
m*May 27.
-14-
GLD056841
0049-GLD-000056841
ARTICLE vm WORKERS' COMPENSATION LOSS-BASED ASSESSMENTS:
With respect to the Workers' Compensation Policies reinsured hereunder, the Reinsurer shall be liable to the Company for the following loss-based assessments:
(i) New York Statutory Workers' Compensation Assessment will be collected on a separate 1.22 multiplier applied to all New York Losses Paid. Such assessment will be billed annually.
(ii) Kansas Statutory Workers' Compensation Assessment will be collected on a separate 1.16 multiplier applied to all Kansas Losses Paid. Such assessment will be billed annually.
I
(iii) The U.S. Longshoremen and Harbor Workers' (USL&H) Compensation Act Assessment will be collected on a separate 1.35 multiplier applied to all / USL&H Act Losses Paid. Such assessment will be billed annually.
(iv) Any additional loss-based assessments, which will be billed to the Reinsurer promptly after receipt by the Company.
ARTICLE IX LOSSES:
The Reinsurer agrees to abide by the Loss settlements of the Company, it being understood, however, that when so requested, the Company will afford the Reinsurer an opportunity to be associated with the Company, at the expense of the Reinsurer, in the defense of any claim or suit or proceeding involving this reinsurance, and that the Reinsurer may cooperate in every respect in the defense or control of such claim, suit or proceeding.
The Company will, with funds to be provided by the Reinsurer, establish and
SINCLAIR INSURANCE COMPANY LTD. May 27. 1994
-15-
GLD056842
0049-GLD-000056842
maintain a Paid Loss Deposit Fund in an amount determined by the Company, (subject to a minimum of $50,000), the purpose of which is to provide a source of funds for payment of Reinsurer's Obligations under this Agreement. The Company will have the right to increase the required level of the Paid Loss Deposit Fund each time the Reinsurer fails to make any payment to the Company within the time required by this Agreement.
Beginning October 1, 1993, the Reinsurer will make a budgeted weekly cash
payment, in an amount determined by the Company, by wire transfer to a bank
account designated by the Company. Such payments shall be due and payable on
Wednesday of each week, and shall be used by the Company to pay Losses and
Allocated Loss Expenses reinsured hereunder. The Company may, at its discretion, re
determine the required amount of such payments, such that the budgeted weekly
payment amount in each calendar month shall be no less than the average of the
actual weekly Paid Losses plus Allocated Loss Expenses Paid during the previous
month.
/
The budgeted weekly amounts paid by the Reinsurer to the Company will be reconciled each month with total actual Losses Paid and Allocated Loss Expenses during such month. If actual Paid Losses and Allocated Loss Expenses exceed the total amount of budgeted weekly premium payments to the Company in any month, the Reinsurer will pay to the Company the amount of such excess no later than ten (10) business days after receipt of the Company's Losses Paid reconciliation statement for such month; alternatively, the Company may, at its discretion, reconcile such amount against premium owed to the Reinsurer, as stated in Article VI B.
If the total amount of the Reinsurer's budgeted weekly payments to the Company exceeds die total actual Losses Paid plus Allocated Loss Expenses in any month, the Company will pay to the Reinsurer the amount of such excess no later than ten (10) days after the date of the Company's Losses Paid reconciliation statement for such
SINCLAIR INSURANCE COMPANY LTD. May 27,109*
-16-
GLD056843
0049-GLD-000056843
month.
With respect to any Loss Paid in the amount of 50,000 or more, the Reinsurer shall pay to the Company the full amount of such Loss Paid, plus Allocated Loss Expenses by wire transfer no later than three (3) days after receipt of the Company's written demand for payment. If the Reinsurer fails to pay such amount, or any other amount payable under this Agreement, when due, the Company may draw upon any Letter of Credit provided by the Reinsurer to secure its liabilities to the Company under this Agreement.
ARTICLE X CLAIMS SERVICE FEES:
The Company has engaged Constitution State Service Company to handle claims administration for claims under certain of the Policies reinsured hereunder for a fee of $.
Such fee is payable by the Reinsurer, but may be billed to and paid by another entity on the Reinsurer's behalf.
Pacific Employers Insurance Company will handle claims under Policy Numbers: WLR C2 044796-5; RSC C2 044797-7; WLR C2 044810-6 & WLR C2 044807-6 for a charge, payable by the Reinsurer, of 10.2% of all Losses Paid plus Allocated Loss Expense.
ARTICLE XT COLLATERAL:
The Reinsurer shall provide to the Company a Letter of Credit (LOC) complying with applicable insurance laws and regulations, in an amount and form, and issued by a bank, acceptable to the Company as security for the payment of the Reinsurer's Obligations hereunder.
SINCLAIR INSURANCE COMPANY LTD. MeyJ7. 1994
-17"
GLD056844
0049-GLD-000056844
Upon default by the Reinsurer of any sums due and owing to the Company, the Company may appropriate as much of the LOC as necessary to eliminate the default. The Company may, however, at its discretion, require payment of any sum in default, and it shall be no defense to any such claim that the Company might have had recourse to the LOC.
The Company and the Reinsurer hereby agree that the LOC provided pursuant to this Agreement may be drawn upon at any time, notwithstanding any other provisions herein contained. The LOC may be utilized by the Company or any successor by operation of law. including, without limitation, any liquidator, rehabilitator, receiver or conservator of the Company for any of the following reasons:
(i) To reimburse the Company for the Reinsurer's share of premiums returned to the owners of the PoIicy(ies) reinsured hereunder due to cancellations of said Policy(ies);
(ii) To reimburse the Cpmpany for the Reinsurer's share of surrenders and
benefits or losses paid by the Company under the terms and provisions of
the Policy(ies) reinsured hereunder;
(iii) To fund an account with the Company in an amount at least equal to the deduction, for reinsurance ceded, from the Company's liabilities for Policy(ies) ceded hereunder. Such amount shall include, but not be limited to, amounts for policy reserves, reserves for claims and losses incurred
(including IBNR, Allocated Loss Expenses and Unearned Premiums); and
(iv) To pay any other amounts due to the Company under this Agreement.
All of the foregoing apply without diminution because of the insolvency of the Company or the Reinsurer.
Annually, as of each anniversary date of this Agreement, the Company shall review and redetermine the amount of the Reinsurer's Obligations. The required amount of the LOC shall be adjusted as of each such anniversary date. The Reinsurer will provide any needed increases in the amount of the LOC within thirty (30) days of the Company's request therefor.
SINCLAIR LNSl'RvNCB COMPANY LTD. May 27, 1991
'18-
GLD056845
0049-GLD-000056845
The Reinsurer's duty to provide collateral security as aforesaid will extend until the Company is satisfied that the Reinsurer's Obligations under this Agreement have been or will be met. The Reinsurer recognizes and agrees that this duty may continue after this Agreement terminates or is cancelled.
The Reinsurer will, thirty (30) days prior to any termination or expiration of such LOC, provide to the Company a substitute LOC in an amount and form acceptable to the Company which will become effective immediately upon the termination or expiration of the prior LOC. The Reinsurer will likewise continue to provide such substitute LOC in an amount and form acceptable to the Company until the Company is satisfied that the Reinsurer's Obligations under this Agreement have been or will be met. If the Reinsurer foils to provide the Company with any such substitute LOC, or to provide the Company with any additional required amount of'the LOC, the Company will have the right to draw upon the full amount of the existing LOC and to apply such funds to secure the Obligations of the Reinsurer hereunder.
t
The Company will have the right to require that any substitute JLOC be in either an amount greater, equal to, or less than that of the LOC it is replacing based on the Company's determination. The Reinsurer shall deliver all collateral or replacement collateral to Company at 1601 Chestnut Street, Two Liberty Place - 32th fl. Philadelphia, PA 19192-0000; Attn: Collateral Manager.
ARTICLE XH INDEMNIFICATION AND ERRORS AND OMISSIONS:
Any recitals in this Agreement of the terms and provisions of the original Policy or Policies are merely descriptive and the Reinsurer is reinsuring, to the amounts herein provided, the obligations of the Company under the original Policy or Policies. The Company shall be the sole judge as to what shall constitute a claim or Loss covered under the Company's original Policy or Policies and as to the Company's liability thereunder, and as to amount or amounts which it shall be proper for the
SINCLAIR INSURANCE COMPANY LTD. May 27. 1094
-19"
GLD056846
0049-GLD-000056846
Company to pay thereunder, and the Reinsurer shall be bound by the judgment of the Company as to the liability and obligation of the Company under its Policy or Policies.
Any inadvertent delay, omission or error shall not be held to relieve either party hereto from any liability which would attach to it hereunder if such delay, omission, or error had not been made, provided such delay, omission or error is rectified as soon as possible.
ARTICLE Xm
TAXES: The Company will be liable for all taxes (except Federal Excise Tax) on premiums
collected under the Policies. Such taxes shall be deducted from Gross Premiums
Written as shown in Article VI.
The Reinsurer will be liable for all taxes on reinsurance premiums paid
hereunder.
/
The Reinsurer agrees to allow the Company to retain, for the purpose of paying the Federal Excise Tax on the Reinsurer's behalf, one percent (.01) of the subject premium shown in Article VT, or such other rate that may be in effect from time to time, to the extent such premium is subject to Federal Excise Tax.
ARTICLE XTV INSPECTION:
The Company shall place at the disposal of the Reinsurer, and the Reinsurer shall have the right to inspect, at all reasonable times, through its authorized representatives, all books, records and papers of the Company in connection with the reinsurance hereunder, or any claims in connection herewith.
SINCLAIR INSURANCE COMPACT LTD. Map 27.1994
-20-
GLD056847
0049-GLD-000056847
ARTICLE XV FOLLOW THE FORTUNES CLAUSE:
The Reinsurer's liability shall attach simultaneously with that of the Company and all reinsurance for which the Reinsurer shall be liable by virtue of this Agreement shall be subject in all respects to the same risks, terms, rates, conditions, interpretations, assessments, waivers, and to the same modifications, alterations and cancellations, as the respective insurances (or reinsurances) of the Company to which such reinsurances relate. This Agreement shall further protect the Company for any Loss for which the Company may be legally liable to pay amounts in excess of the Policy limit incurred because of failure by the Company to settle within the Policy limit, or by reason of alleged or actual negligence, fraud or bad faith, in rejecting an offer of settlement, or in the preparation of the defense or in the trial of any action against the Insured, or in the preparation or prosecution of an appeal consequent upon such action.
* The true intent of this Agreement being that the Reinsurer shall, in every case to which this Agreement applies, and in the proportions specified herein, follow the fortunes of the Company.
This Article shall not apply insofar as it can be shown during a duly held Arbitration in accordance with Article XVII of this Agreement that the Company has been tortious, willful, wanton, or reckless in handling a claim reinsured under this Agreement.
ARTICLE XVI INSOLVENCY:
In the event of the insolvency of the Company, reinsurance under this Agreement shall be payable by the Reinsurer on the basis of the liability of the Company under the Policy or Policies reinsured, without diminution or limitation because of the insolvency of the Company, directly to the Company or to its liquidator, receiver, or
SINCLAIR INSURANCE GOMFA.NY LTD. May 27,1994
-21-
GLD056848
0049-GLD-000056848
statutory successor, immediately on demand with reasonable provision for verification, except as provided by Section 4118 (a) of the New York Insurance Law or except:
(1) where the Agreement specifically provides another payee of such reinsurance in the event of the insolvency of the Company, and
(2) where the Reinsurer, with the consent of the direct insured or insureds, has assumed such Policy obligations of the Company as direct obligations of the Reinsurer to the payees under such Policies and in substitution for the obligations of the Company to such payees.
It is agreed, however, that the liquidator or receiver or statutory successor of the insolvent Company shall give written notice to the Reinsurer of the pendency of a claim against the insolvent Company on the Policy or Policies reinsured within a reasonable time after such claim is filed in the insolvency proceeding, and that during the pendency of such claim the Reinsurer may investigate such claim and interpose, at its own expense, in the proceeding where such claim is to be adjudicated, any defense or defenses which it may deeifi available to the Company or its liquidator or receiver or statutory successor. The expense thus incurred by the Reinsurer shall be
chargeable, subject to court approval, against the insolvent Company as part of the expense of liquidation to the extent of a proportionate share of the benefit which may accrue to the Company solely as a result of the defense undertaken by the Reinsurer.
ARTICLE XVII ARBITRATION CLAUSE:
As a condition precedent to any right of action hereunder (except any right of action by the Company against the Reinsurer for failure to pay any amount due hereunder), all disputes arising out of or related to this Agreement or its interpretation shall be submitted to the decision of a board of arbitration composed of two (2) arbitrators and an umpire, meeting in Philadelphia, Pennsylvania, unless otherwise agreed by the Company and the Reinsurer.
The members of the board of arbitration shall be active or retired disinterested
SINCLAIR INSURANCE COMFANY LTD.
Mr 27,
-22-
GLD056849
0049-GLD-000056849
executives of property and casualty insurance or reinsurance companies. Each party shall appoint its arbitrator and the two arbitrators shall choose an umpire before instituting the hearing. If the respondent fails to appoint its arbitrator within sixty (60) days after being requested to do so by the claimant, the latter shall also appoint the second arbitrator. If the two arbitrators fail to agree upon the appointment of an umpire within four (4) weeks after their nominations, each of them shall name three 0), of whom the other shall decline two (2) and the decision shall be made by drawing lots.
The claimant shall submit its initial brief within twenty (20) days from
appointment of the umpire. The respondent shall submit its brief within twenty (20)
cays thereafter and the claimant may submit a reply brief within ten (10) days after
the filing of the respondent's brief.
*
The board shall make an award with regard to the custom and usage of the insurance and reinsurance business. The board shall issue its award in writing based upon a hearing in which evidence may be introduced without following strict rules of evidence, but in which cross examination and rebuttal shall be allowed. The board shall make its award within sixty (60) days following the termination of the hearing unless the parties consent to an extension. A decision by the majority of the members of the board shall become the award of the board and shall be final and binding upon all parties to the proceeding. Either party may apply to the United States District Court for the Eastern District of Pennsylvania for an order confirming the award; and a judgment of that Court shall thereupon be entered upon the award. If such an order is issued, the attorneys' fees of the party so applying and court costs will be paid by the party against whom confirmation is sought.
If more than one (1) reinsurer is involved in the same dispute, all such reinsurers shall constitute and act as one (1) party for purposes of this clause and communications shall be made by Company to each of the reinsurers constituting the
SKCLAIR INSURANCE COMMNY LTD. May 27. 1994
-23-
GLD056850
0049-GLD-000056850
one (1) party; provided, however, that nothing therein shall impair the rights of such reinsurers to assert several, rather than joint, defenses or claims, nor be construed as changing the liability of the reinsurers under the terms of this Agreement from several to joint.
Each party shall bear the expense of its own arbitrator and shall jointly and equally bear with the other party the expense of the umpire. The remaining costs of the arbitration proceedings shall be allocated by the board.
ARTICLE XVIII
RESERVES:
The Reinsurer will maintain legal reserves with respect to Outstanding Losses and
Loss Expenses and Unearned Premium Reserves. ARTICLE XIX
'
TERMINATION:
/
A. This Agreement may be cancelled in whole or in part by the Company by giving
sixty (60) days' prior written notice to the Reinsurer. If any of,the Policies
reinsured hereunder are cancelled, then this Agreement shall be terminated, with
respect to such Policies only, as of the effective date of cancellation of such
Policies.
B. However, the Company shall have the right to terminate this Agreement
immediately by giving the Reinsurer written notice:
(1) If the performance of the whole or any part of this Agreement be prohibited or rendered impossible, de jure or de facto, in particular and without prejudice to the generality of the preceding words in consequence of any law or regulation which is or shall be in force in any state or territory; or if any law or regulation shall prevent, directly or indirectly, the remittance of all or any part of the balance or payments due to or from the Reinsurer.
(2) If the Reinsurer at any time shall: (a) Become insolvent, or (b) Suffer any impairment of capital, or (c) File a Petition in bankruptcy, or (d) Go into liquidation or rehabilitation, or
SINCLAIR INSURANCE COMPANY LTD. May 27. IWh
-24-
6LD056851
0049-GLD-000056851
(e) Have a receiver appointed, or (f) Be acquired or controlled by any other entity through purchase of stock
or assets.
C. All notices of termination shall be served upon the Reinsurer, by certified mail, courier, or telecopy at:
SINCLAIR INSURANCE COMPANY LTD.
c/o Welbeck Management Limited 504 International Centre, Bermudiana Road Hamilton, Bermuda HM 11 Attention: Mr. Jon Richmond Telephone: (809) 295-2240 Facsimile: (809) 295 2269
D. In the event this Agreement is terminated, the rights and obligations of both
parties to this Agreement shall remain in full force until the effective date of
termination.
'
E. Reinsurer's Obligations hereunder with respect to claims or Losses incurred 0
under the Policies prior to the termination of this Agreement will survive the
termination of this Agreement.
,
ARTICLE XX TURISDICTION/GQVERJNTNG LAW:
The Reinsurer hereby irrevocably and unconditionally submits to the jurisdiction and venue of the United States District Court, Eastern District of Pennsylvania for any and all actions related to or arising from the subject matter of this Agreement. The Reinsurer and the Company agree that for purposes of any such action, this Agreement shall be governed by and interpreted in accordance with the laws of Pennsylvania.
Further, pursuant to any statute of any state, territory, or district of the United States which makes provisions therefor. Reinsurer hereby designates the Superintendent. Commissioner or Director of Insurance or other officer specified for
SINCLAIR INSURANCE COMPANY LTD. May 27.
v, . -25"
GLD056852
0049-GLD-000056852
that purpose in the statute, as its true and lawful attorney for service of any lawful process in any action, suit or proceeding instituted by or on behalf of the Company and related to or arising out of this Agreement.
ARTICLE XXI U.S. CURRENCY:
Any payments or funds required to be paid hereunder shall be payable in the currency of the United States.
ARTICLE XXD
OFFSET CLAUSE:
The Company and the Reinsurer shall have the right to offset any balance(s) due
from one to the other under this Agreement. The party asserting the right of offset
may exercise such right at any time whether the balance(s) due are on account of
r
premiums or losses or otherwise. In the event of the insolvency of a party hereto,
offsets shall only be allowed in accordance with the provisions of Section 7427 of the Insurance Law of the State of New York.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed by their duly authorized representatives in New York, New York this twenty-
seventh dav of Mav. 19Q4.
INSURANCE COMPANY OF NORTH AMERICA. on behalf of itself and each of the other corporations comprisingdie Company.
Name: ffobert E. Lorer
TITLE:
Branch Casualty Manager
ADDRESS: 175 Water Street New York, NY 10038
SINCLAIR INSfJUNCE COMPACTLTD May 27, 199-1
-26-
GLD056853
0049-GLD-000056853
and in Hamilton. Bermuda this tfK day of
19M-
SINCLAIR INSURANCE COMPANY LTD.
BY: 4i .(Lil MJb+A
Name:
TITLE:
JltwrfTa
ADDRESS: 504 International Centre Bermudiana Road Hamilton HM11, Bermuda
SINCLAIR INSURANCE COMPANTITD, May 27. 19W
-27-
GLD056854
0049-GLD-000056854
EXHIBIT A
TO
REINSURANCE AGREEMENT
for SINCLAIR INSURANCE COMPANY LTD. Effective October 1. 1993 to 1994
Page 1 of 2
Residual Market States - Initial Determination
BEAZER EAST POIiCIES
Policy Number
Applicable State(s)
Initial Premium
X Initial Assessment
Factor
WLR C2 044656-0
WLR C2 044810-6 RSC C2 044807-6
Alabama Georgia / Dlinois Indiana Kansas Kentucky Michigan New Mexico North Carolina South Carolina Tennessee Virginia Arizona Idaho
81,960 S1Q%149
$255 89,830
81,503 827,128 82,707 838,346 8264,158 824,436 894,075 817,911 8275.493 $12,817
.1582 .0508 .0000 .0040 .1356 .1696 .0000 .1192 .0710 .1650 .1668 .0686 .0080 .0100
r + Tax Factor
.9417 .8987 .9679 .9720 .9003 .9688 .9572 .9221 .9591 .8511 9497 .9648 N/A N/A
Initial Assessment
$329 86,170
80 $40 5226 84,749 80 84,957 819,555 84,737 $16,523 81,273 $2,149 $128
initial Subtotal - 558,559
GLD056855
0049-GLD-000056855
iiijfHTftlT A TO
REINSURANCE AGREEMENT
for SINCLAIR INSURANCE COMPANY LTD. Effective October 1. 1993 to 1904
Residual Market States - Initial Determination
Page 2 of 2
OTHER SINCLAIR POLICIES
Policy Number
Applicable State(s)
WLR C2 044647-A
WLR C2 044654-7 RSC C2 044648-1 RSC C2 044808-8
Alabama Arkansas Connecticut Delaware
Florida Georgia Illinois Indiana
Iowa Kansas f Kentucky Michigan Mississippi Missouri Nebraska N. Hampshire New' Mexico N. Carolina S. Carolina South Dakota Tennessee Texas Vermont Virginia Massachusetts New Jersey Hawaii Arizona Idaho Oregon
Initial Premium
$45,879 $39,900 $10,927
$833 8119,033 $39,237 $21,058
$1,074 $7,923 $2,223 $6,351 $119,118 $7,840 $12,288 $38,599 $902 $25,922 $197,826 $32,35?
$8 $125,206 $98,973
$27 $147,885 $15,760 $55,613
$3,748 $6,810 $53,003 $1,481
X Initial Assessment
Eactor
.1582 .2952 .0196 .0468 .2052 .0508 .0000 .0040 .0178 .1356 .1696 .0000 .1486 .0000 .0540 .0394 .1192 .0710 .1650 .1470 .1668 .0300 .0683 .0686 .2920 .0750 .0700 .0080 .0100 .0270
+ Tax Factor
.9417 9425 9670 -9217 .9372 .8987 .9679 .9720 .9679 .9003 .9688 .9572 -95^5 .9716 -9643 9591 .9221 .9591 .8511 .9671 9497 .9506 .9612 .9648 1.000 1.000 1.000 1.000 1.000 1.000
Initial Assessment
$7,707 $12,497
$221 $42 $26,062 $2,228 $0 84 $146 $333 81,112 $0 $1,222 $0 $2,162 $37 $3,351 $14,645 $6,273 $1 $21,990 $3,124 $2 $10,515 $4,596 $4,182 $262 $53 $530 $41
Initial Subtotal - $123,328 Initial Total - $181,8S8
GLD056856
0049-GLD-000056856
EXHIBITS TO
REINSURANCE AGREEMENT
for SINCLAIR INSURANCE COMPANY LTD. Effective October 1. 1993 to 1994
Page I of 2
Residual Market States - Retermination
Policy Number WLR C2 044636-0
WLR C2 044810-6 RSC C2 044807-6
BEAZER EAST POLICIES
Applicable State(s)
Initial Premium
X Actual Assessment
Factor
Alabama Georgia lilinois
Indiana Kansas Kentucky Michigan New Mexico North Carolina South Carolina Tennessee Virginia Arizona Idaho
+ Tax Factor
Initial Assessment
Total Redetermined Assessment initial Assessment -
Additional or Return Assessment -
GLD056857
0049-GLD-000056857
EXHIBIT B TO
REINSURANCE AGREEMENT
for SINCLAIR INSURANCE COMPANY LTD. Effective October 1. 1995 to 1994
Residual Market States - Retermination
Page 2 of 2
Policy Number WLR C2 044647-A
WLR C2 044654-7 RSC C2 044648-1 RSC C2 044808-8
OTHER SINCLAIR POLICIES
Applicable State(s)
Alabama Arkansas Connecticut Delaware
Florida Georgia Illinois Indiana
Iowa Kansas Kentucky Michigan Mississippi Missouri Nebraska
New Hampshire New Mexico North Carolina South Carolina South Dakota Tennessee
Texas Vermont Virginia Massachusetts New Jersey
Hawaii Arizona
Idaho Oregon
Initial Premium
X Actual Assessment
factor
+ Tax Factor
t
Initial Assessment
Initial Subtotal - 5125,328 Adjusted Subtotal -
TOTAL ADJUSTED ASSESSMENT TOTAL INITIAL ASSESSMENT - S 181,887
ADDITIONAL OR RETURN ASSESSMENT -
GLD056858
0049-GLD-000056858
ADDENDUM #1
to
REINSURANCE AGREEMENT
between INSURANCE COMPANY OF NORTH AMERICA,
a Pennsylvania corporation;
PACIFIC EMPLOYERS INSURANCE COMPANY, a California corporation;
ALASKA PACIFIC ASSURANCE COMPANY, an Alaska corporation;
CIGNA INSURANCE COMPANY OF CANADA,
a Canadian corporation;
9
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA, a Pennsylvania corporation;
(hereinafter c6llectively referred to as the "Company");
and ,
SINCLAIR INSURANCE COMPANY LTD., a Bermuda company
(hereinafter referred to as "the Reinsurer")
Amounts included in the schedule in Article VI A which are attributable to Reinsurer's Thirty-Three and One-Third Percent (3333%) quota share of Comprehensive General Liability ($1,000,000 excess of $2,000,000), Products Liability ($3,000,000 excess of $2,000,000) and Excess Employers' Liability ($4,000,000 excess of $1,000,000):
1. Gross Premiums Written
$ 690,000
EQUALS
2. Subject Premium
690,000
LESS
SINCLAIR INSURANCE COMPANY LTD. May 27. 1994
-28-
GLD056859
0049-GLD-000056859
3. Company Expenses (Profit & Administration)
0
and
4. Boards, Bureaus and Fixed % Residual Market Charges;
1,725
and
5. Premium Taxes
20,769
EQUALS
6. Gross Ceded Premium (line 2 less lines 3, 4 & 5)
712,494
LESS 7. Federal Excise Tax
6,900
EQUALS
8. Net Ceded Premium (line 5 less line 6)
$660,606 ,
All other Terms and Conditions remain unchanged.
IN WITNESS WHEREOF, the parties hereto have caused this Addendum #1 to be executed by their duly authorized representatives in New York, New York, this twenty-seventh day of May. 1994.
INSURANCE COMPANY OF NORTH AMERICA. on behalf of itself and each of the other corporations-comprising the Company.
SINCLAIR INSURANCE COMPANY LTD. May 27. 199,
TITLE:
Branch Casualty Manager
ADDRESS: 175 Water Street New York, NY 10038
-29-
GLD056Q60
0049-GLD-000056860
and in Hamilton, Bermuda this
day of 'rfohj 1994.
SINCLAIR INSURANCE COMPANY LTD.
X' /^BY:
_______
Name:
TITLE:
ADDRESS:
504 International Centre Bermudiana Road Hamilton, HM11, Bermuda
SINCLAIR INSURANCE COMPANY LTD. May 27,1994
-30-
G1<D056861
0049-GLD-000056861
ADDENDUM #2 to
REINSURANCE AGREEMENT
between INSURANCE COMPANY OF NORTH AMERICA,
a Pennsylvania corporation;
PACIFIC EMPLOYERS INSURANCE COMPANY, a California corporation;
ALASKA PACIFIC ASSURANCE COMPANY, an Alaska corporation;
CIGNA INSURANCE COMPANY OF CANADA, a Canadian corporation;
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
a Pennsylvania corporation;
'
(hereinafter collectively referred to as the "Company");
' and
SINCLAIR INSURANCE COMPANY LTD., a Bermuda company
(hereinafter referred to as "the Reinsurer")
The Reinsurance Agreement dated May 3, 1994 between the Company and the Reinsurer is hereby amended as follows:
1) Effective December 31, 1993; the following Named Insureds listed in ARTICLE I A. are hereby deleted and excluded from this program under the Reinsurance Agreement: Axelson, Inc.
2) Effective March 2, 1994; the following Named Insureds listed in ARTICLE I A. are hereby deleted and excluded from rhis program under the Reinsurance Agreement: Beazer Homes USA, Inc. subsidiary of Beazer USA, Inc. (Spectrum Construction Group only)
SINCLAIR INSURANCE COMPANY LTD. May 27,199i
31-
GLD056862
0049-GLD-000056862
Furthermore, ARTICLE VI is amended to exclude the following estimated amounts subject to any applicable adjustments as referenced within the Reinsurance Agreement:
1. Gross Premiums Written
$ 917,838
LESS 2. Insurance Charge
EQUALS
$0
(Minimum and adjustable at a rate of .012218 per *100 offleinuirer's shore of audited WC payroll.)
3. Subject Premium
$ 917,838
LESS
4. Company Expenses (Profit and Administration)
and
$0
(Flat Charge)
9
5. Board, Bureaus and Fixed% Residual Market Assessments (RML's)
and
$0
(Minimum and adjustable, bated upon (i) I .69% of audited Policy Nncaber (6). (7). (8), (9), (10). (11, & (121 prenium^iii 2.P62H of audited Policy Number: (t), (2). (}), (4) & (51 premium; (Hi) .25% of audited Policy Number: (La). (15). (10, & (!7) premium: (le> o.'O of audited Policy Number: Oft), (19) & (20,
premium
6. Initial Adjustable RML's and
$0
(Adjustable per Article VF)
7. Premium Taxes EQUALS
$0
(Adjustable, based upon the following estimated percentages: 6) 3.97% of audited Policy Number: lb). (7|. (ft). (9). (10). (11) & (12, premium; (11)5.22% of audited Policy Number: (L|. <2,. (3). (-1) & (5) premium; (iii) 3.01% of audited Policy Number; (l-t>. (15). (Id) & (17) premium: (jv) 3,19% of audited Policy Number; (I ft), (19) & (20) premium. Tlte UNe* and tax rates are also subject to adjustability Per Ancle VIB and Article VW).
3. Sub-total (lines 4-7)
$0
SINCLAIR INSURANCE COMPANY LTD. May 27. (99s
-32-
GLD056863
0049-GLD-000056863