76236

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

The Cincinnati Life Insurance

Company

In the state of Ohio

Total Assets 4,809,651,904

Total Liabilities 4,568,195,573

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 3,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 1,000,000

Unassigned Funds 237,456,331

Total Capital and Surplus

241,456,331

Total Liabilities, Capital

and Surplus 4,809,651,904

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 1,891,628

Total Life and Annuity Direct Losses

Paid 521,887

Total Accident and Health Direct

Premiums Written 6,378

Total Accident and Health Direct

Losses Paid 26,691

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

60142

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

TIAA-CREF Life Insurance

Company

In the state of New York

Total Assets 15,760,719,440

Total Liabilities 14,941,936,072

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,500,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 777,500,000

Unassigned Funds 38,783,368

Total Capital and Surplus

818,783,368

Total Liabilities, Capital

and Surplus 15,760,719,440

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 1,789,071

Total Life and Annuity Direct Losses

Paid 1,624,592

Total Accident and Health Direct

Premiums Written 0

Total Accident and Health Direct

Losses Paid 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

86231

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Transamerica Life Insurance

Company

In the state of Iowa

Total Assets 200,268,216,641

Total Liabilities 192,158,595,295

Aggregate Write-ins for

Special Surplus Funds -145,350,655

Common Capital Stock 6,791,900

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 4,562,518,963

Unassigned Funds 3,685,691,138

Total Capital and Surplus

8,109,651,346

Total Liabilities, Capital

and Surplus 200,268,246,641

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 22,486,047

Total Life and Annuity Direct Losses

Paid 27,323,534

Total Accident and Health Direct

Premiums Written 11,860,540

Total Accident and Health Direct

Losses Paid 22,346,765

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

60227

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Trinity Life Insurance Company

In the state of Oklahoma

Total Assets 330,535,170

Total Liabilities 316,896,939

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 1,500,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 250,000

Gross Paid in and

Contributed Surplus 16,624,574

Unassigned Funds -4,736,343

Total Capital and Surplus

13,638,231

Total Liabilities, Capital

and Surplus 330,535,170

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 3,631,802

Total Life and Annuity Direct Losses

Paid 4,755,370

Total Accident and Health Direct

Premiums Written 0

Total Accident and Health Direct

Losses Paid 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

80314

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Unicare Life & Health Insurance

Company

In the state of Indiana

Total Assets 1,033,164,436

Total Liabilities 766,887,697

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 3,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 202,054,487

Unassigned Funds 61,222,252

Total Capital and Surplus

266,276,739

Total Liabilities, Capital

and Surplus 1,033,164,436

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 0

Total Life and Annuity Direct Losses

Paid 2,027

Total Accident and Health Direct

Premiums Written 0

Total Accident and Health Direct

Losses Paid 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

11121

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Unified Life Insurance Company

In the state of Texas

Total Assets 220,799,551

Total Liabilities 194,928,847

Aggregate Write-ins for

Special Surplus Funds -1,194,746

Common Capital Stock 1,750,000

Preferred Capital Stock 750,000

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 16,298,618

Unassigned Funds 8,266,832

Total Capital and Surplus

25,870,704

Total Liabilities, Capital

and Surplus 220,799,551

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 14,041

Total Life and Annuity Direct Losses

Paid 73,878

Total Accident and Health Direct

Premiums Written 5,389

Total Accident and Health Direct

Losses Paid -383

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

91529

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Unimerica Insurance Company

In the state of Wisconsin

Total Assets 450,010,984

Total Liabilities 208,607,346

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,600,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 82,849,470

Unassigned Funds 155,954,168

Total Capital and Surplus

241,403,638

Total Liabilities, Capital

and Surplus 450,010,984

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

ACCIDENT & HEALTH

Total Premiums Earned 824,572

Total Amount Incurred 36,839

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

62596

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Union Fidelity Life Insurance

Company

In the state of Kansas

Total Assets 20,129,958,237

Total Liabilities 19,353,181,798

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,903,775

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 6,108,781,964

Unassigned Funds -5,334,909,301

Total Capital and Surplus

776,776,438

Total Liabilities, Capital

and Surplus 20,129,958,236

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 38,547

Total Life and Annuity Direct Losses

Paid 57,207

Total Accident and Health Direct

Premiums Written 33,239

Total Accident and Health Direct

Losses Paid 12,803

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

69744

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Union Labor Life Insurance

Company

In the state of Maryland

Total Assets 4,306,595,998

Total Liabilities 4,164,951,946

Aggregate Write-ins for

Special Surplus Funds 750,000

Common Capital Stock 3,578,700

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 141,056,800

Unassigned Funds -3,741,448

Total Capital and Surplus

141,644,052

Total Liabilities, Capital

and Surplus 4,306,595,998

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 49,287

Total Life and Annuity Direct Losses

Paid 38,000

Total Accident and Health Direct

Premiums Written 11,147

Total Accident and Health Direct

Losses Paid 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

85766

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

United Concordia Insurance

Company

In the state of Arizona

Total Assets 293,152,464

Total Liabilities 108,766,031

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,500,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 36,747,124

Unassigned Funds 145,139,309

Total Capital and Surplus

184,386,433

Total Liabilities, Capital

and Surplus 293,152,464

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

ACCIDENT & HEALTH

Total Premiums Earned 286,009

Total Amount Incurred 231,229

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

69892

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

United Farm Family Life Insurance

Company

In the state of Indiana

Total Assets 2,474,937,503

Total Liabilities 2,117,442,180

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,500,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 1,000,000

Unassigned Funds 353,995,323

Total Capital and Surplus

357,495,323

Total Liabilities, Capital

and Surplus 2,474,937,503

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 5,942

Total Life and Annuity Direct Losses

Paid 663

Total Accident and Health Direct

Premiums Written 0

Total Accident and Health Direct

Losses Paid 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

87645

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

United Fidelity Life Insurance

Company

In the state of Texas

Total Assets 867,559,388

Total Liabilities 246,948,921

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 4,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 86,085,754

Gross Paid in and

Contributed Surplus 179,649,940

Unassigned Funds 350,874,773

Total Capital and Surplus

620,610,467

Total Liabilities, Capital

and Surplus 867,559,388

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 1,792

Total Life and Annuity Direct Losses

Paid 1,511

Total Accident and Health Direct

Premiums Written 0

Total Accident and Health Direct

Losses Paid 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

79413

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

UnitedHealthcare Insurance

Company

In the state of Connecticut

Total Assets 21,587,265,693

Total Liabilities 13,976,035,179

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 3,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 558,595,764

Unassigned Funds 7,049,634,750

Total Capital and Surplus

7,611,230,514

Total Liabilities, Capital

and Surplus 21,587,265,693

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 110,070

Total Life and Annuity Direct Losses

Paid 10,000

Total Accident and Health Direct

Premiums Written 33,636,679

Total Accident and Health Direct

Losses Paid 26,326,247

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

67601

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Unum Insurance Company

In the state of Maine

Total Assets 79,043,670

Total Liabilities 30,120,128

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,500,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 48,800,000

Unassigned Funds -2,376,458

Total Capital and Surplus

48,923,542

Total Liabilities, Capital

and Surplus 79,043,670

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 1,257

Total Life and Annuity Direct Losses

Paid 0

Total Accident and Health Direct

Premiums Written 145,252

Total Accident and Health Direct

Losses Paid 18,965

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

62235

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Unum Life Insurance Company of

America

In the state of Maine

Total Assets 21,791,489,322

Total Liabilities 20,192,743,396

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 5,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 4,142,102

Surplus Notes 0

Gross Paid in and

Contributed Surplus 1,097,211,213

Unassigned Funds 492,392,610

Total Capital and Surplus

1,598,745,925

Total Liabilities, Capital

and Surplus 21,791,489,321

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 9,308,883

Total Life and Annuity Direct Losses

Paid 5,198,730

Total Accident and Health Direct

Premiums Written 12,245,012

Total Accident and Health Direct

Losses Paid 6,266,765

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

70319

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Washington National Insurance

Company

In the state of Indiana

Total Assets 5,742,109,772

Total Liabilities 5,380,459,317

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 25,036,850

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 1,249,375,943

Unassigned Funds -912,762,338

Total Capital and Surplus

361,650,455

Total Liabilities, Capital

and Surplus 5,742,109,772

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 299,340

Total Life and Annuity Direct Losses

Paid 1,948,609

Total Accident and Health Direct

Premiums Written 22,825,729

Total Accident and Health Direct

Losses Paid 12,224,929

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

64467

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

WellCare Health Insurance

Company of Kentucky, Inc.

In the state of Kentucky

Total Assets 1,065,669,870

Total Liabilities 727,514,278

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,500,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 137,298,516

Unassigned Funds 198,357,076

Total Capital and Surplus

338,155,592

Total Liabilities, Capital

and Surplus 1,065,669,870

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

ACCIDENT & HEALTH

Total Premiums Earned 0

Total Amount Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

10155

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

WellCare Prescription Insurance Inc.

In the state of Florida

Total Assets 2,089,629,231

Total Liabilities 1,745,682,388

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,500,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 37,500,000

Unassigned Funds 309,946,843

Total Capital and Surplus

349,946,843

Total Liabilities, Capital

and Surplus 2,095,629,231

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

ACCIDENT & HEALTH

Total Premiums Earned 14,916,488

Total Amount Incurred 10,066,420

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

70335

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

West Coast Life Insurance Company

In the state of Nebraska

Total Assets 4,374,551,587

Total Liabilities 4,004,144,324

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 5,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 296,907,115

Unassigned Funds 68,500,148

Total Capital and Surplus

370,407,263

Total Liabilities, Capital

and Surplus 4,374,551,587

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 1,572,806

Total Life and Annuity Direct Losses

Paid 205,309

Total Accident and Health Direct

Premiums Written 0

Total Accident and Health Direct

Losses Paid 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

70483

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Western and Southern Life In-

surance Company

In the state of Ohio

Total Assets 11,180,126,486

Total Liabilities 5,522,385,248

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,500,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 497,604,225

Gross Paid in and

Contributed Surplus 417,102,515

Unassigned Funds 4,740,534,498

Total Capital and Surplus

5,657,741,238

Total Liabilities, Capital

and Surplus 11,180,126,486

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 2,468

Total Life and Annuity Direct Losses

Paid 60,467

Total Accident and Health Direct

Premiums Written 168

Total Accident and Health Direct

Losses Paid 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

85189

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Western United Life Assurance

Company

In the state of Washington

Total Assets 1,283,404,604

Total Liabilities 1,187,870,225

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,500,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 56,657,002

Unassigned Funds 36,377,377

Total Capital and Surplus

95,534,379

Total Liabilities, Capital

and Surplus 1,283,404,604

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Life and Annuity Premiums

Written 13,049,703

Total Life and Annuity Direct Losses

Paid 20,892,833

Total Accident and Health Direct

Premiums Written 818,110

Total Accident and Health Direct

Losses Paid 676,661

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D. 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thoized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D. 2022. IN

TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL)

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

12963

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

21st Century Insurance Company

In the state of California

Total Assets 1,105,563,169

Total Liabilities 14,217,917

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 3,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 487,322,625

Unassigned Funds (Surplus)

601,022,627

Total Capital and Surplus

1,091,345,252

Total Liabilities, Capital

and Surplus 1,105,563,169

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 0

Total Direct Losses

Incurred 0

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

23795

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

21st Century Pacific Insurance

Company

In the state of Colorado

Total Assets 46,189,559

Total Liabilities 35,956

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 3,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 1,204,950

Unassigned Funds (Surplus)

41,948,653

Total Capital and Surplus

46,153,603

Total Liabilities, Capital

and Surplus 46,189,559

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 0

Total Direct Losses

Incurred 6,450

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

31325

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Acadia Insurance Company

In the state of Iowa

Total Assets 162,634,118

Total Liabilities 106,816,726

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 5,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 48,301,000

Unassigned Funds (Surplus)

2,516,392

Total Capital and Surplus

55,817,392

Total Liabilities, Capital

and Surplus 162,634,118

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 254,252

Total Direct Losses

Incurred 59,376

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

22667

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

ACE American Insurance Company

In the state of Pennsylvania

Total Assets 26,082,643,060

Total Liabilities 21,209,522,905

Aggregate Write-ins for

Special Surplus Funds 114,013,431

Common Capital Stock 5,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 4,196,093,651

Unassigned Funds (Surplus)

558,013,073

Total Capital and Surplus

4,873,120,155

Total Liabilities, Capital

and Surplus 26,082,643,060

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 6,298,491

Total Direct Losses

Incurred 7,150,393

Total Accident and Health Direct

Premiums Earned 68,119

Total Accident and Health Direct

Losses Incurred 2,152

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

20702

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

ACE Fire Underwriters Insurance

Company

In the state of Pennsylvania

Total Assets 105,570,887

Total Liabilities 22,078,545

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 4,250,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 8,529,527

Unassigned Funds (Surplus)

70,712,815

Total Capital and Surplus

83,492,342

Total Liabilities, Capital

and Surplus 105,570,887

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 76,702

Total Direct Losses

Incurred 12,026

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

20699

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

ACE Property and Casualty

Insurance Company

In the state of Pennsylvania

Total Assets 12,629,014,325

Total Liabilities 9,918,233,654

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 10,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 1,261,674,995

Unassigned Funds (Surplus)

1,439,105,676

Total Capital and Surplus

2,710,780,671

Total Liabilities, Capital

and Surplus 12,629,014,325

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 131,519,690

Total Direct Losses

Incurred 202,309,588

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

14184

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

ACUITY, A Mutual Insurance

Company

In the state of Wisconsin

Total Assets 5,191,596,275

Total Liabilities 2,546,013,816

Aggregate Write-ins for

Special Surplus Funds 18,186,000

Common Capital Stock 0

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 0

Unassigned Funds (Surplus)

2,627,396,459

Total Capital and Surplus

2,645,582,459

Total Liabilities, Capital

and Surplus 5,191,596,275

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 25,853,995

Total Direct Losses

Incurred 9,184,996

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

10324

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Addison Insurance Company

In the state of Iowa

Total Assets 127,018,989

Total Liabilities 88,556,604

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 2,500,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 10,608,723

Unassigned Funds (Surplus)

25,353,662

Total Capital and Surplus

38,462,385

Total Liabilities, Capital

and Surplus 127,018,989

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 1,726,166

Total Direct Losses

Incurred 106,958

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

36153

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Aetna Insurance Company of

Connecticut

In the state of Connecticut

Total Assets 5,680,430

Total Liabilities 138,011

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 3,000,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 2,394,785

Unassigned Funds (Surplus)

147,634

Total Capital and Surplus

5,542,419

Total Liabilities, Capital

and Surplus 5,680,430

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 0

Total Direct Losses

Incurred 0

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

10014

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Affiliated F M Insurance Company

In the state of Rhode Island

Total Assets 3,907,156,260

Total Liabilities 1,514,522,696

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 4,000,000

Preferred Capital Stock 7,250,000

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 270,210,661

Unassigned Funds (Surplus)

2,111,172,903

Total Capital and Surplus

2,392,633,564

Total Liabilities, Capital

and Surplus 3,907,156,260

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 517,253

Total Direct Losses

Incurred -556,573

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

32670

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Agraria Insurance Company

In the state of North Dakota

Total Assets 154,630,822

Total Liabilities 68,568,625

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 1,000

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 0

Unassigned Funds (Surplus)

86,061,196

Total Capital and Surplus

86,062,196

Total Liabilities, Capital

and Surplus 154,630,821

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 73,819,663

Total Direct Losses

Incurred 30,723,285

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

42757

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Agri General Insurance Company

In the state of Iowa

Total Assets 138,778,476

Total Liabilities 176,808

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 16,837,810

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 35,775,437

Unassigned Funds (Surplus)

85,988,421

Total Capital and Surplus

138,601,668

Total Liabilities, Capital

and Surplus 138,778,476

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 26,616,409

Total Direct Losses

Incurred 40,831,676

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

24899

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Alea North America Insurance

Company

In the state of New York

Total Assets 110,276,343

Total Liabilities 58,802,880

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 13,924,900

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 88,817,013

Unassigned Funds (Surplus)

-51,268,450

Total Capital and Surplus

51,473,463

Total Liabilities, Capital

and Surplus 110,276,343

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 0

Total Direct Losses

Incurred 0

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

19186

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Alliance Insurance Company Inc.

In the state of Kansas

Total Assets 29,855,912

Total Liabilities 16,024,005

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 1,516,466

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 758,660

Unassigned Funds (Surplus)

11,556,778

Total Capital and Surplus

13,831,904

Total Liabilities, Capital

and Surplus 29,855,909

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 1,257,276

Total Direct Losses

Incurred 667,896

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

21911

ABSTRACT OF STATEMENT

FOR THE YEAR ENDING

DECEMBER 31, 2020

of the

Allianz Reinsurance America, Inc.

In the state of California

Total Assets 2,882,541,551

Total Liabilities 2,413,215,667

Aggregate Write-ins for

Special Surplus Funds 0

Common Capital Stock 3,921,500

Preferred Capital Stock 0

Aggregate Write-ins for Other Than

Special Surplus Funds 0

Surplus Notes 0

Gross Paid in and

Contributed Surplus 401,633,647

Unassigned Funds (Surplus)

63,770,737

Total Capital and Surplus

469,325,884

Total Liabilities, Capital

and Surplus 2,882,541,551

NORTH DAKOTA BUSINESS

ONLY FOR THE YEAR 2020

Total Direct Premiums

Earned 0

Total Direct Losses

Incurred 0

Total Accident and Health Direct

Premiums Earned 0

Total Accident and Health Direct

Losses Incurred 0

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

I, Jon Godfread, Commissioner of

Insurance of the State of North

Dakota, do hereby certify that the

foregoing is a true Abstract of State-

ment, as officially filed by the Com-

pany in this office.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and affixed

the seal of this office at Bismarck,

the first day of May, A.D., 2021

(SEAL).

JON GODFREAD

Commissioner of Insurance

STATE OF NORTH DAKOTA

OFFICE OF THE COMMISSIONER

OF INSURANCE

COMPANY’S CERTIFICATE OF

AUTHORITY

WHEREAS, the above corporation

duly organized under the laws of its

state or country of domicile, has filed

in this office a sworn statement exhi-

biting its condition and business for

the year ending December 31, 2020

conformable to the requirements of

the laws of this State regarding the

business of insurance and

WHEREAS, the said company has

filed in this office a duly certified

copy of its charter with certificate of

organization in compliance with the

requirements of insurance law afore-

said, NOW THEREFORE, I, JON

GODFREAD, Commissioner of In-

surance of the State of North Dako-

ta, pursuant to the provisions of said

laws, do hereby certify that the

above named company is fully em-

powered through its authorized

agents and representatives, to tran-

sact its appropriated business of au-

thorized insurance in the state ac-

cording to the laws thereof, until the

30th day of April, A.D., 2022.

IN TESTIMONY WHEREOF, I have

hereunto set my hand and seal at

Bismarck this first day of May, A.D.,

2021 (SEAL).

JON GODFREAD

Commissioner of Insurance

(May 6-13-20, 2021)

MINOT CITY COUNCIL

SCHEDULED MEETING

MAY 3, 2021 AT 5:30 P.M.

Members Present: Evans, Jantzer,

Olson, Pitner (Teams), Podrygula,

Ross, Sipma

Members Absent: None

Mayor Sipma presiding and led the

City Council in the Pledge of Allegi-

ance.

The Mayor described some of his

meetings and activities over the past

month. He also said, there were

numerous other meetings, phone

calls, e-mails, and individual contact

concerning City business.

The Mayor Proclaims May Building

Safety Month.

The City Manager provided a written

update describing events and activi-

ties for various departments.

Mr. Stewart said, since the expira-

tion of the state of emergency de-

claration, and after discussions with

staff, they have decided to cease ra-

pid testing after May 6th. They are

still waiting for information from Se-

nator Hoeven’s Office regarding im-

pacts to funding for the Binax test-

ing. He also reminded the Council

about the budget tours coming up

later in the month and a work ses-

sion May 24th focused on economic

development.

The City Attorney submitted a writ-

ten report.

Olson moved Ross seconded and

was carried unanimously to approve

the minutes of the April 19 regular

City Council meeting; approve pay-

roll for March 14- April 24 of

$3,112,241.91; approve bills and

transfers for April in the amount of

$1,991,858.29 and as follows: 3D

SPECIALTIES, INC. 3,386.20; ACK-

ERMAN ESTVOLD 9,649.23; ACME

RENTS 179.00; ACME TOOLS

12.15; ADVANCED BUSINESS

METHODS 226.71; AMERICAN

BANK CENTER 58,975.72; AMERI-

CAN WELDING & GAS, INC.

15,868.68; AMERITAS LIFE IN-

SURANCE CORP 1,629.28; ARCH-

KEY TECHNOLOGIES 1,250.00;

AT&T 339.84; BLUESTONE CON-

STRUCTION, INC. 104,833.89;

BLUETARP FINANCIAL, INC. 2.52;

BNSF 0.00; BNSF 0.00; BOGER &

SON 700.00; BRAUN INTERTEC

CORPORATION 412.50; BUTLER

MACHINERY CO. 57.40; CITY OF

MINOT 10.00; COLONIAL LIFE

2,517.44; COMPUTER STORE

72,563.00; CROWN ASSET

MANAGEMENT, LLC 449.17; CUM-

MINS POWER, LLC 19,296.02;

DAKOTA BUSINESS SOLUTIONS

214.00; DAKOTA FLUID POWER,

INC. 1,091.27; DAKOTA TRUCK &

FARM 82.52; DEERE CREDIT, INC.

88,093.22; DIVISION OF CHILD

SUPPORT 102.00; DOOLEY EN-

TERPRISES, INC. 10,287.52; DOO-

LEY ENTERPRISES, INC.

8,560.00; DPC INDUSTRIES, INC.

3,125.00; ELDORADO NATIONAL –

CALIFORNIA 117.48; EMERGEN-

CY AUTOMOTIVE TECHNOLO-

GIES 68.07; ENERBASE 8,686.19;

FACTORY MOTOR PARTS

1,133.04; FARSTAD OIL CO

21,224.71; FIRE EQUIPMENT CO.

300.00; FIRST DISTRICT HEALTH

UNIT 173.88; FIRST INTERNA-

TIONAL BANK & TRUST 650.00;

FIRST WESTERN INSURANCE

4,143.00; FLOW MEASUREMENT

AND CONTROL 1,083.00; GEN-

ERAL TRADING 99.45; GOETTLE

LAW, PLLC 7,500.00; GRAVEL

PRODUCTS, INC. 214.89; HAW-

KINS, INC. 5,627.16; HOME

DEPOT CREDIT SERVICES

224.75; JEROMES COLLISION

CENTER 570.00; JOSEPH ER-

NEST DUNCAN BEAR 25.00;

KALIX 36.26; LEARNING OPPOR-

TUNITIES, INC. 831.24; LHOIST

NORTH AMERICA OF MISSOURI

33,598.10; MAGIC CITY GARAGE

DOOR COMPANY 300.00; MARCO,

INC. 381.33; MELANIE MOORE

157.00; MIDSTATES WIRELESS,

INC. 1,250.00; MINOT AUTO

1,098.33; MINOT DAILY NEWS

741.76; MINOT EMPLOYEE DONA-

TIONS 761.24; MINOT PARK DIS-

TRICT 10,101.00; MINOT RURAL

FIRE DEPT 502.65; MOTOROLA

45,338.08; NAPA AUTO PARTS

478.08; ND CHILD SUPPORT

300.00; ND FRATERNAL ORDER

OF POLICE 637.50; NDDEQ

1,024.86; NDIRF 195.50; NEBRAS-

KA CHILD SUPPORT PAYMENT

563.08; NORMONT EQUIPMENT

CO 832.00; NORTH PRAIRIE RUR-

AL WATER DISTRICT 54.80;

NORTHERN BRAKE 171.22;

NORTHWEST TIRE AND RE-

TREAD 7,571.44; NOVA FIRE

PROTECTION CO. 225.00; O’DAY

EQUIP., INC. 141.80; OFFICE OF

ADMINISTRATIVE HEARINGS

2,310.00; POWER PROCESS

EQUIPMENT 729.92; PREFERRED

CONTROLS CORP 2,247.00; PRO-

TECH INTEGRATIONS, LLC

299.88; PROVIDENT LIFE & ACC

INS CO 626.88; RDO EQUIPMENT

153.21; REFUND ONE TIME PAY

20.00; REFUND ONE TIME PAY

100.00; REFUND ONE TIME PAY

50.00; REFUND ONE TIME PAY

36.33; REFUND ONE TIME PAY

316.67; REFUND ONE TIME PAY

316.67; ROBYN KELLER 2,324.20;

SANITATION PRODUCTS

2,054.27; SCHEELS 40.00; SHAUN

SIPMA 616.00; SNAP ON TOOLS

549.01; SOLTIS BUSINESS

FORMS CO. 1,034.40; SOUTH

DAKOTA CHILD SUPPORT 188.31;

STATE WATER COMMISSION

181,327.60; SUN LIFE FINANCIAL

73.00; SWANSTON EQUIPMENT

1,971.02; UNITED MAILING SER-

VICE 169.69; UNUM LIFE IN-

SURANCE 12,722.04; VERIZON

CONNECT NWF, INC. 151.30;

VISIT MINOT 23,249.67; WARD

COUNTY RECORDER 20.00; WA-

TER BILLING ONE TIME PAY

49.28; WATER BILLING ONE TIME

PAY 32.64; WATER BILLING ONE

TIME PAY 10.94; WATER BILLING

ONE TIME PAY 11.52; WATER BIL-

LING ONE TIME PAY 20.21; WA-

TER BILLING ONE TIME PAY

31.72; WATER BILLING ONE TIME

PAY 66.10; WATER BILLING ONE

TIME PAY 12.70; WESTLIE FORD

1,959.94; WESTLIE TRUCK

CENTER 893.15; 3D SPECIAL-

TIES, INC. 271.56; ACME TOOLS

194.55; ADVANCED BUSINESS

METHODS 486.64; ALL AMERI-

CAN TROPHIES 185.00; AMERI-

CAN TRUCK & TRAILER, LLC

170.00; AMERICAN WELDING &

GAS, INC. 3,233.88; AQUA-PURE,

INC. 21,086.40; ARAMARK 163.28;

BAKKE GRINOLDS WIEDERHOLT

991.80; BALCO UNIFORM COM-

PANY, INC. 5,515.05; BCBS 50.00;

BENTZ DELIVERY 37.95;

BLUETARP FINANCIAL, INC.

51.94; BORDER STATES INDUS-

TRIES, INC. 1,056.86; BORSHEIM

CRANE SERVICE 890.00; BRIT-

TANY RUST 136.64; CAPFIRST

EQUIPMENT FINANCE 48,025.00;

CAROLINA SOFTWARE 250.00;

CASHWISE 21.89; CITY LAUNDRY

& DRY CLEANERS 28.00; CLASSI-

FIED DIRECTORIES INC 0.00;

COLE STRANDEMO 374.00;

COOKIES FOR YOU 900.00; CPS,

LTD 37,294.50; CREATIVE PRINT-

ING 260.00; CROWN ASSET

MANAGEMENT, LLC 449.17;

DACOTAH PAPER CO. 160.30;

DAKOTA FLUID POWER, INC.

134.15; DAKOTA TRUCK & FARM

41.68; DIVISION OF CHILD SUP-

PORT 102.00; DOMESTIC

VIOLENCE CRISIS CENTE

1,814.76; DORSEY & WHITNEY

1,097.99; ECOLAB PEST ELIMI-

NATION DIVISION 909.44; EILEEN

BEAN 18.48; ELDORADO NA-

TIONAL – CALIFORNIA 1,043.66;

EMPLOYEE ONE TIME PAY

300.00; ENERBASE 12,221.06;

FACTORY MOTOR PARTS

1,094.15; FARSTAD OIL CO

21,656.08; FASTENAL COMPANY

286.51; FEDEX 6.18; FIRE EQUIP-

MENT CO. 1,081.00; FIRST DIS-

TRICT HEALTH UNIT 50,000.00;

FIRST INTERNATIONAL BANK &

TRUST 0.00; FIRST WESTERN IN-

SURANCE 108.00; FRONTIER

PRECISION 35,813.25; GAGE DE-

GROOT 110.00; GALE 129.70;

GALLAGHER BENEFIT SER-

VICES, INC. 13,200.00; GENERAL

ONE TIME PAY 100.00; GENERAL

ONE TIME PAY 150.00; GENERAL

ONE TIME PAY 2,682.00; GEN-

ERAL TRADING 48.73; GILLIG,

LLC 470.84; GRAINGER 456.24;

HANSON AUTO CRUSHING &

TRUCKING 8,848.10; HECK BUILT

LCC 430.00; HP, INC. 7,885.90;

INTERSTATE BATTERY SYSTEM

263.95; JAMES B STUDDARD

TRANSFER & STORAGE, INC.

16,520.88; KIWANIS CLUB OF

MINOT 150.00; LANDRUM AND

BROWN, INC. 2,770.00; LEVEL UP

BUILDER’S CONSTRUCTION

485.00; LHOIST NORTH AMERICA

OF MISSOURI 23,709.09; LUKE

TILLEMA 126.50; LYLE’S MOVING

2,815.00; M & S SHEET METAL,

INC. 240.00; M&T FIRE AND SAFE-

TY, INC. 10,080.00; MARCO, INC.

171.02; MARSHAL LIDDELL

100.00; MATERIAL TESTING

14,333.00; MATHRE COMMUNI-

CATIONS, INC. 250.00; MID-

STATES WIRELESS, INC.

2,931.60; MIDWEST TAPE

5,011.24; MILLER LAW OFFICE,

P.C. 1,447.50; MINOT AUTO

1,188.80; MINOT AUTOMOTIVE

CENTER 80.10; MINOT CHAMBER

OF COMMERCE 27,375.00; MINOT

COMMISSION ON AGING

12,500.00; MINOT DAILY NEWS

2,156.12; MINOT EMPLOYEE DO-

NATIONS 745.08; MINOT PARK

DISTRICT 381.00;MINOT’S FINEST

COLLISION CENTER 921.00;

MOUSE RIVER FIREFIGHTER’S

ASSN 25.00; NAPA AUTO PARTS

770.89; NATIONAL PAYMENT

CORPORATION 212.32; ND CHILD

SUPPORT 340.00; ND DEPT OF

TRANSPORTATION 5,417.60; ND

FRATERNAL ORDER OF POLICE

637.50; ND ONE CALL, INC.

549.20; ND STATE LIBRARY 27.99;

ND STATE RADIO COMM.

3,900.00; NDDEQ 31.78; NEBRAS-

KA CHILD SUPPORT PAYMENT

563.08; NORTHERN BRAKE 11.75;

NORTHERN TESTING 500.00;

NORTHWEST TIRE AND RE-

TREAD 2,724.33; OLSON’S TOW-

ING 3,560.00; ONE CALL CON-

CEPTS, INC. 161.55; PITNEY

BOWES RESERVE ACCOUNT

1,000.00; PRINGLE & HERIGSTAD,

P.C. 1,139.75; PROCOLLECT

268.45; PROTECH INTEGRA-

TIONS, LLC 262.97; QUADIENT

LEASING USA, INC. 1,296.00;

RANDI LACROIX 32.03; REFUND

ONE TIME PAY 935.00; REFUND

ONE TIME PAY 675.00; REFUND

ONE TIME PAY 25.00; REFUND

ONE TIME PAY 705.57; REFUND

ONE TIME PAY 1,109.00; REFUND

ONE TIME PAY 290.00; REFUND

ONE TIME PAY 74.90; REPUBLIC

PARKING SYSTEM 29,684.33;

RICK WALKER 110.00; SANITA-

TION PRODUCTS 6,162.95;

SCHEELS 114.95; SECRETARY

OF STATE 36.00; SERTOMA CLUB

OF MINOT 100.00; SIGNS TODAY

1,393.60; SINCLAIR 0.00; SOURIS

RIVER JOINT WATER RESOURCE

342,517.99; SOUTH DAKOTA

CHILD SUPPORT 188.31;

SOUTHEAST MUFFLER 103.00;

SRF CONSULTING GROUP

3,231.15; STREICHER’S 4,144.44;

SWANSTON EQUIPMENT 19.48;

TAMRA SIVERTSON 200.00; TAR-

GET 50.00; TEAM ELECTRONICS,

INC. 25.00; TIMMONS GROUP

60,668.08; TRINITY HEALTH 30.00;

TRINITY MEDICAL GROUP 408.75;

TUFF TRUCKS 42.76; TYLER

TECHNOLOGIES, INC. 17,237.42;

U.S. POST OFFICE 5,000.00; UN-

ITED MAILING SERVICE 235.15;

VANTAGEPOINT TRANSFER —

10### 524.19; VERIZON CON-

NECT NWF, INC. 571.44; WALL-

WORK TRUCK CENTER 76.55;

WARD COUNTY AUDITOR

10,835.00; WARD COUNTY

RECORDER 20.00; WATER BIL-

LING ONE TIME PAY 99.88; WA-

TER BILLING ONE TIME PAY

29.78; WATER BILLING ONE TIME

PAY 14.79; WATER BILLING ONE

TIME PAY 143.20; WATER BIL-

LING ONE TIME PAY 45.07; WA-

TER BILLING ONE TIME PAY 4.93;

WATER BILLING ONE TIME PAY

11.52; WATER BILLING ONE TIME

PAY 10.22; WATER BILLING ONE

TIME PAY 9.43; WAYNE MOE

700.00; WESTLIE FORD 416.50;

WESTLIE TRUCK CENTER 899.44;

FIRE SAFETY USA, INC.

200,000.00; FIRST INTERNATION-

AL BANK & TRUST 650.00; SIN-

CLAIR 2.33; WATER BILLING ONE

TIME PAY 227.35; VERENDRYE

ELECTRIC 66,508.02; TOTAL

1,991,858.29; place and pass ordi-

nance 5595 on second reading to

amend the 2021 annual budget for

the 2021 Watermain Replacement

project; place and pass ordinance

5596 on second reading amending

the 2021 annual budget for a tow

vehicle funded by the FY 2019

SHSG; place and pass ordinance

5597 on second reading to add a

right turn on red prohibition to the

following locations: Northbound 16th

Street SW at W Burdick Express-

way, Northbound 6th Street SW at

W Burdick Expressway, Southbound

6th Street SW at W Burdick Ex-

pressway, Westbound W Burdick

Expressway at 6th Street SW; place

and pass ordinance 5598 on second

reading amending the 2021 annual

budget for the addition of a Business

Systems Analyst Position with the

use of General Fund cash reserves;

place and pass ordinance 5600 on

second reading amending the 2021

annual budget for the Wayfinding

Signage Design with the use of

Sales Tax Improvements cash

reserves; place and pass ordinance

5601 on second reading amending

the 2021 annual budget for the addi-

tion of a Community Survey and City

Council and Management Facilitator

utilizing The Novak Consulting

Group and ETC Institute; approve

the bid from Swanston Equipment in

the amount of $57,182 for the pur-

chase of a commercial grade skid

steer loader with heavy duty bucket

and box broom sweeper attachment;

select Ackerman-Estvold as the con-

sultant for the Downtown Planning

Services Study and authorize the

Community & Economic Develop-

ment Director to negotiate a scope

and fee; place and pass ordinance

5602 on first reading amending the

2021 annual budget for the portion

of a data collection camera system

that does not meet capital require-

ments purchased with funding from

the Project Safe Neighborhoods

Grant; approve the Retail Beer &

Wine License for Lor Spa, LLC

operating at 1412 2nd Ave SW; ap-

prove the Airport Lease, T-Hangar

between the City of Minot and Dillon

Ouellette for T-Hangar No. 3 for

$75.00 per month; grant approval of

the Lifepak CR2 Defibrillator

Transfer of Ownership from the ND

Department of Health to the City of

Minot, Police Department and au-

thorize the Chief of Police to sign the

Agreement; approve the plans and

specifications for the first phase of

construction of the Tierrecita Vallejo

levee segment, and adopt the Reim-

bursement Resolution; approve the

plans and specifications for the West

Peterson Coulee Drainage Improve-

ments and adopt the Reimburse-

ment Resolution; approve the en-

gineering contract for Houston En-

gineering and Barr Engineers and

forward approval to the SRJB for

design engineering on MI-6 and

MI-7 and adopt the Reimbursement

Resolution for MI-6 and MI-7; ap-

prove of the Right of Way Encroach-

ment Permit requested by Indigo

Signs on behalf of Trinity Health for

the projecting sign on their building

at 101 3rd Avenue SW; approve the

Right of Way Encroachment permit

requested by Kenn Simenson of

LASR, LLC for the installation of

private storm sewer to tie into a City

catch basin at 1303 South Broad-

way; approve a temporary construc-

tion easement for Ward County to

replace culverts across County

Road 12 west of Minot adjacent to

City owned land used for the pistol

range with new box culverts; place

and pass ordinance 5603 on first

reading to add a stop sign restriction

to the following approaches: West-

bound 32nd Avenue NW at 16th

Street NW, Westbound 35th Avenue

NW at 16th Street NW, Northbound

Kodiak St NW at 36th Avenue NW;

adopt resolution 3706 to approve the

amendment to the Engineer’s Re-

port for Paving & Utility District

2021-1 to add the adjacent Magic

City Discovery Center parking lots

and related items to the improve-

ment district; adopt resolution 3707

to enlarge improvement district

2021-1; place and pass ordinance

5604 on first reading to amend the

2021 annual budget for the en-

largement of the Minot Park District

paving and utility improvements; ap-

prove the funding agreement for

Paving District 499 Family Recrea-

tion Addition.

The City has been made aware of a

Harrison Township project that will

close 33rd Street SW at the BNSF

crossing. 33rd Street SW is a gravel

township road. Harrison Township is

working with BNSF and the NDDOT

to remove the railroad crossing on

33rd Street SW. Removing the

crossing will close that portion of the

roadway, resulting in dead ends on

either side of the railroad tracks.

This project is slated for 2021 con-

struction.

Mayor Sipma pointed out a notable

change in ordinance 5599 since the

first reading. The number of allow-

able gaming sites within the city was

changed to six. Since there were

numerous conversations leading up

to the Council meeting, he asked if

anyone wished to speak regarding

the issue.

Josh Ressler, Gaming Manager for

Magic City Lions said, the ordinance

was in place before e-tabs came

out. The introduction of electronic

gaming completely changed charit-

able gaming so non-profits can do

very well. He said he would be in

favor of a limit of six total sites,

whether the games were manned or

unmanned. He said he would be op-

posed to an unlimited number of

sites.

Jon Ries, Gaming Manager for

Minot Junior Golf, Minot State

University Beaver Boosters and

MSU Alumni Association, explained

that Minot Junior Golf currently has

five manned sites and one un-

manned site which would be the lim-

it under the proposed change and

would eliminate his options for ex-

panding. He agreed there should be

a set number and while unsure what

the number should be, he suggested

eight.

Upon questioning by Ross regarding

growth for Minot Junior Golf, Mr.

Ries said there are potential projects

in the works and he would hate to

have to turn them down or discontin-

ue a current partnership.

Robert Teets, Gaming Manager for

Minot Hockey Boosters said he is on

board with six locations. There is lit-

tle to no cost for organizations to

have e-tabs so it would be possible

for one non-profit to overrun the

market if they allowed an unlimited

number of unmanned sites. He also

brought up an issue where organi-

zations are permitted to operate on

40% of the gaming profits and pock-

et the other 60%.

Upon questioning by Ross, Mr.

Teets explained that organizations

can solicit sites in which to operate.

It has been a gentleman’s agree-

ment not to steal sites from another

organization but the issue has come

up across the state. Minot Hockey

Boosters currently has five sites.

Ross moved Podrygula seconded

and after discussion was carried

unanimously to place and pass ordi-

nance 5599 on second reading

modifying the CMCO relating to vari-

ous permits and licenses amending

the ordinance to read, “Sec. 18-186

(b) No organization shall be allowed

authorization for more than eight (8)

sites at the same time within the city

during one license period.”

Olson asked about the recommen-

dation of six sites, to which the May-

or explained that after conversations

with Gaming Managers and staff,

there is one provider already operat-

ing at six sites. They also con-

sidered the number of sites allowed

in other cities across the state and

decided six was a reasonable place

to start.

Ross described his reasoning for the

motion by saying, the larger charit-

able gaming organizations are reput-

able and operate smoothly. He does

not want to penalize them and

prevent them from growing.

Mayor Sipma commented that he

was introduced to the issue not

knowing much about gaming sites

but was quite surprised to find out

that 60% of the funding can go to-

wards overhead costs. Since gam-

ing began with manned sites it is

understandable the costs to operate

were higher before electronic games

were included. There is a lot of

movement from new organizations

getting into gaming and he reminded

that the ordinance can be revised as

the industry changes.

The City Council held a public hear-

ing to consider a request from John

Thompson to relocate an accessory

building from 2263 62nd Ave NW,

Ryder, ND 58779 to 811 3rd St NE,

Minot, ND 58701, also known as

Lakeview Addition Lot 2 Block 16,

subject to conditions.

John Thompson, the applicant, said

he would like to add a shop to his

property. Once it is relocated, he will

improve the exterior of the structure

with paint.

There being no further comment,

Jantzer moved Ross seconded and

carried unanimously to close the

public hearing and approve the re-

quest.

Olson moved Pitner seconded and

was carried unanimously to approve

resolution 3708 authorizing special

counsel for Eminent Domain to com-

mence proceedings for acquisition of

properties needed for flood control

projects for 1209 6th Avenue SW

owned by John and Susan Dokken,

partial parking lot take at 400 9th

Street SW owned by the Loyal Order

of Moose Lodge No. 822, and 2816

14th Ave. SW and 1318 28th Street

SW owned by Robert and Annelies

Roberts.

Olson moved Jantzer seconded and

was carried unanimously to approve

the MAGIC Fund Agreement

between the City of Minot and MSU

Foundation relating to the CTE Pro-

ject.

The City Engineer introduced Doug

Larson, of JLG to present the op-

tions for City Hall. Mr. Larson ex-

plained both options but recom-

mended Option #2 which minimizes

construction on the first floor of the

new building and leaves room for fu-

ture growth. It also keeps the En-

gineering and Community Develop-

ment departments at Public Works

along with the other infrastructure

departments.

Olson moved Ross seconded and

was carried unanimously to approve

Program Space Option #2 which in-

cludes keeping the engineering and

community development depart-

ments at the Public Works Building.

Olson said, the Building Committee

held a lot of discussions on both op-

tions. They believe Option #1 would

take up a great amount of space, not

only inside the building but will affect

customer parking as well.

Pitner said he appreciates that staff

thoroughly considered both options.

Ross moved Olson seconded and

after discussion was carried to adopt

the 2021-2025 CIP excluding the

Anne Street Bridge Reconstruction

project.

City Engineer, Lance Meyer,

presented the CIP. He said, every

year, City departments submit pro-

jects for inclusion into the five-year

Capital Improvement Plan. The plan

becomes the guiding document for

City staff to program and budget

capital construction projects

throughout the city. He explained the

process to evaluate a project and

summarized the funding sources.

Staff has included dozens of pro-

jects for Council’s consideration for

program years 2021-2025.

After the City Engineer’s presenta-

tion, the Mayor asked what would

happen with program funding allo-

cated to the Anne Street Bridge pro-

ject if it is removed from the CIP.

Mr. Meyer said, the recommended

funding for the project would be a

tax levy so if they move forward with

the project, the City Council would

levy taxes for it and if not, they could

rededicate those dollars to some-

thing else or not levy the taxes.

Josh Wolsky, the Downtown Busi-

ness & Professional Association In-

terim Director, spoke in support of

the Anne Street Bridge reconstruc-

tion. He provided letters to Council

representing testimony on behalf of

DBPA.

Evans requested Ross split the mo-

tion to consider the Anne Street

Bridge project separately from ap-

proval of the CIP.

Ross confirmed, his motion is to ap-

prove the CIP without inclusion of

the Anne Street Bridge project. He

said, the motion does not intend to

tear it down but he believes there

are more important projects to fund

at this point and the Anne Street

Bridge should be put on a back

burner. He also said, maybe this is a

good opportunity for DBPA to find

grant funding to support the bridge.

Podrygula addressed the overall CIP

process. He said it is very staff

driven and would prefer it highlight

opportunities for input from the ci-

tizens and Council. He suggested

there be a mechanism clarified for

Council input, similar to the form

submitted by staff. He commented

on the data-driven nature of the re-

port and wondered if there’s too

much precision in the ranking sys-

tem. He raised concerns that it

doesn’t consider priorities and

values. He also said he would like to

focus on human capital improve-

ment to identify areas to grow staff,

enhance functions and advance em-

ployees. He concluded by saying,

they can discuss ideas in more de-

tails during a future planning ses-

sion.

Mayor Sipma stated, the evaluation

questions create a picture of the pro-

jects included in the CIP. It explains

why we are spending where we’re

spending and why emphasis is put

on one project over another. He then

said, the Anne Street Bridge project

was estimated at $1.97 million dol-

lars but since then, lumber prices

have tripled. He agreed with Ross

that grants should be identified to

find a solution for the bridge and pro-

perty taxes could be better served

elsewhere.

Evans said, she supports all of the

projects in the CIP but is opposed to

the motion.

Pitner asked about the timeframe

and funding for Anne Street Bridge

project.

Mr. Meyer responded by saying, the

2022 budget would include

$130,000 for design and permitting

and the construction would take

place in 2023.

A vote was taken on the motion by

Ross seconded by Olson and car-

ried by the following roll call vote:

ayes: Jantzer, Olson, Pitner, Po-

drygula, Ross, Sipma; nays: Evans.

Olson moved Pitner seconded and

was carried unanimously to approve

using the recruitment services of

ADK Consulting and Executive

Search for the Airport Director posi-

tion; place and pass ordinance 5605

on first reading amending the 2021

annual budget for the hiring of a con-

sulting firm to assist with recruiting

the new Airport Director, using Air-

port cash reserves.

Mike Stamness, a Minot resident,

brought several issues before Coun-

cil. He asked why four-wheelers are

allowed to go 50 mph in the ditches

on north hill. He said the 21st Ave-

nue area has ditches that were nev-

er completed and there are trees on

the property that haven’t been

hauled out. The land is overgrown

and is only hayed once a year. He

said, there’s also a business in that

area with mounds of garbage in their

alley. Mayor Sipma said the City

Manager will talk with staff and ad-

dress the issues for Mr. Stamness.

Traffic Engineer, Stephan Joersz,

gave a brief presentation of the

second virtual public input oppor-

tunity for the Broadway Corridor

Study. He said, there will be a Virtu-

al Open House April 19th through

May 17th; there will be two live

Question and Answer Sessions May

5th and May 6th; and six listening

sessions with stakeholders. He

demonstrated the interactive survey

on the website and showed where

the public could find videos and

descriptions of various sections of

Broadway. After the presentation,

Mayor Sipma encouraged everyone

to take the survey and to explore the

information provided.

The Fire Chief and Public Works

Director presented information re-

garding the Hydrant Flushing and In-

spection Program. They explained

their goals in which they will create

an inspection/flushing program of all

public hydrants in Minot, create an

accurate inventory and maintenance

program utilizing asset management

for the documenting and mainte-

nance of the hydrant system, identify

long term replacement program for

cast iron piping, create an

inspection/flushing program of all

private hydrants to ensure they are

flushed and operational, and

achieve the highest ISO rating pos-

sible for residents of Minot.

After their presentation, Ross asked

who would conduct inspection on

private hydrants.

Fire Chief Kronschnabel said, they

are done by contractors, who will

complete the same inspection as is

done for public hydrants. If any is-

sues are found, they could potential-

ly be cited under the Fire Code.

Podrygula thanked members of the

Fire Department for a guided tour of

the new fire truck. He said it is im-

portant the citizens know the amount

of effort put into the specifications for

such equipment and understand the

professional manner in which those

purchases are made.

There being no further business, Ol-

son moved Ross seconded and car-

ried unanimously to adjourn the

meeting at 7:10 pm

APPROVED: Shaun Sipma, Mayor;

ATTEST: Kelly Matalka, City Clerk –

PURSUANT TO NDCC 40-01-09.1,

THESE MINUTES PUBLISHED

SUBJECT TO THE COUNCIL’S RE-

VIEW AND REVISION.

(May 13, 2021)

NOTICE TO CREDITORS

Case No. 51-2021-PR-00068

IN THE DISTRICT COURT OF

WARD COUNTY, STATE OF

NORTH DAKOTA, NORTH

CENTRAL JUDICIAL DISTRICT

In the Matter of the Estate of

Carole Anderson, Deceased.

NOTICE IS HEREBY GIVEN that

Lori Thom has been appointed per-

sonal representative of the above

estate. All persons having claims

against the said deceased are re-

quired to present their claims within

three months after the date of the

first publication of this notice or said

claims will be forever barred. Claims

must either be presented to Lori

Thom, personal representative of

the estate in care of Michael Ward,

at Martin Law, 201 South Main St.

Suite 200, Minot, North Dakota

58701, or filed with the Court.

Dated this 21st day of April, 2021.

/s/Michael Ward

(N.D. Bar I.D. 02830)

Martin Law

201 S. Main St., Suite 200

Minot, ND 58701

701-852-4837

mike.9273@yahoo.com

(April 29; May 6-13, 2021)

NOTICE TO CREDITORS

Probate No. 51-2021-PR-00034

IN THE DISTRICT COURT OF

WARD COUNTY, STATE OF

NORTH DAKOTA

In the Matter of the Estate of Lorene

E. Gerhart

NOTICE IS HEREBY GIVEN that

Jeffrey Gerhart has been appointed

as personal representative of the

above estate. All persons having

claims against the said deceased

are required to present their claims

within three months after the date of

the first publication of this notice or

said claims will be forever barred.

Claims must either be presented to

Jeffrey Gerhart, c/o Justin Hager, At-

torney at Law, 1110 College Drive,

Suite 211, Bismarck, ND 58501, or

filed with the above-named Court.

Dated this 3rd day of May 2021.

/s/Justin D. Hager

JUSTIN D. HAGER, P.C.

Attorney for the Personal Represen-

tative

1110 College Drive, Suite 211

Bismarck, North Dakota 58501

(701) 258-0250

justins_law2005@yahoo.com

Bar ID#06003

(May 6-13-20, 2021)

REQUEST FOR QUALIFICATION

INFORMATION

Please provide your response to the

following questions which will be

used to select firms for consideration

and then final selection of the firm to

provide Need Assessment, Consul-

tation and Architecural Design ser-

vices for potential construction of a

9-12 school building. The due date

for the requested information is June

1, 2021 by 3:00 pm. Information is to

be mailed to Dunseith Public School

Dist. #1, Attn David Sjol, Superin-

tendent, P.O. Box 789 Dunseith ND

58329 or may be dropped off at the

District Business Office located at

101 2nd Avenue SW, Dunseith ND.

1. (10 points) Provide a company

profile including history, organiza-

tion, experience, past and present

workload and staffing, financial ca-

pability, ownership, and a summary

of typical services provided by your

firm.

2. (15 points) Identify the architec-

tural and engineering disciplines you

provide with full-time, in-house per-

sonnel, and those, which would be

sub-contracted from outside

sources. If you will be

sub-contracting any portion of the

services, please provide similar in-

formation as requested herein for

each sub-consultants. Please be

specific as to who your preferred

sub-consultants would be.

3. (10 points) List your experience

with the last five (5) years of educa-

tional or public projects that demon-

strate your ability to provide services

for this consultation project:

a. Provide the name, address, loca-

tion, phone numbers, and names of

contact persons for each project.

b. Briefly describe the projects

scope, size and dates of each pro-

ject.

4. (20 points) List at least five (5)

educational clients as references

that you have worked with in the last

five (5) years. These references

should be architectural design of

major renovation, new construction

of educational spaces. Please only

list projects where your firm held the

architectural contract directly to the

educational owner.

a. Provide the name, address, loca-

tion, phone numbers and names of

contact persons for each project.

b. Describe the project scope, size,

architectural, mechanical, and elec-

tric systems of each of the projects.

Provide a summary of project

timeframes, including a comparison

of planned to actual durations.

5. (15 points) Demonstrate your con-

cern and ability to provide the most

operationally efficient and sustain-

able architectural design of facility

systems. What experience do you

have in this area?

6. (10 points) List the personnel who

will be assigned to this project, with

current resumes for each. Identify

the proposed responsibilities for

each person on this proposed pro-

ject, and number the projects that

they might be concurrently assigned.

7. (15 points) Outline your educa-

tional approach and influence in the

construction process and demon-

strate at least five (5) examples of

how your firm has positively impact-

ed the effectiveness of the educa-

tional spaces.

8. (5 points) Other benefits. Briefly

describe other benefits the owner

will realize as a result of working

with your firm.

9. Enclose your proposed Owner/

Architectural contract.

10. Submitted by:

a. Firm Name:

b. Address:

c. Phone Number:

d. Signature:

e. Name and Title:

f. Date:

Sincerely,

David Sjol

Dunseith Public School Dist. #1

Superintendent

(May 13-14-15-17-18-19-20-21-22-24-25-26-27-28, 2021)

Request for Qualifications

1. INTRODUCTION:

Dunseith Public School District #1 is

undertaking the construction of a

new 9-12 High School facility that

has a strong CTE component. The

facility will be located within the city

limits of Dunseith, North Dakota.

The new school will be constructed

to meet the needs of the students of

the School District that includes, but

is not limited to the following:

a. A fully functional enclosed school

facility that includes all required

classrooms, common areas, sup-

port, and storage spaces.

i. Educational

ii. Administrative

iii. Physical Education

iv. CTE Spaces and Labs

v. Special education

b. On-site roads, parking lots, curb

and gutter, lighting, security, and

striping as required.

c. Outdoor common areas

d. On-site infrastructure:

i. Electrical

ii. Storm water drainage

iii. Sanitary sewer

iv. Domestic and fire water lines

v. Communication including security

e. Coordination with the City of Dun-

seith to develop off-site infrastruc-

ture.

i. Off-site roads, lighting and striping

ii. Off-site sanitary sewer

iii. Off-site domestic water

f. Mechanical and electrical systems

and support spaces.

g. Landscaping and green space

development.

2. SCOPE OF CMAR SERVICES:

a. Estimating services for prelim-

inary design, as well as estimating

service cost for schematic design

through construction documents.

b. Construction feasibility recom-

mendations through the design and

construction document phases.

c. Complete, phased project con-

struction delivery with a total budget

that includes all construction costs,

fees, and other costs typical of large

capital projects (excluding furniture,

fixtures, and equipment).

3. SUBMITTAL REQUIREMENTS:

Dunseith Public School District #1

requests the following in information

be submitted with an 8.5″ x 11″ soft

bound document for use in selecting

a Construction Manager at Risk.

a. Format:

Paper submittal: Submittals should

be twenty pages or less, excluding

front and back covers and section

dividers, submittals should be a soft

bound document using 8.5″ x 11″

paper. Eight copies shall be submit-

ted.

Electronic Submittal: One electronic

format copy of the submittal shall in-

clude in the submittal on a USB

Drive. This copy will be non-editable

PDF version of the paper copy.

b. Project Experience:

I. Each firm will supply project

names, size, cost and schedules for

a minimum of four comparable pro-

jects based on the total project cost,

function, and typical construction

methods. Reference information

shall also be included indicating ex-

perience with CMAR projects.

c. Ability of Key Personal:

I. Qualifications of Principal

In-Charge, Project Manager, and

on-site Superintendent.

d. Project Schedule:

I. Based on the assumed Project

Completion Date, please provide an

estimated project schedule, includ-

ing timeline.

e. Current and Projected Workload:

I. Indicate the availability of key per-

sonnel, workforce, and consultants

as it relates to project commitments

and schedule.

f. Sub-Contractors:

I. Services required from

Sub-Contractors will be procured

through a Competitive Bid Selection

Process administrated and pro-

cessed by the CMAR. Dunseith

Public School Dist. #1 reserves the

right to approve any and all

Sub-Contractors, includes but is not

limited to the following:

1. The number and quality of

Sub-Contractors the CMAR will ob-

tain.

2. The ability to demonstrate a posi-

tive working relationship with

Sub-Contractors (or other construc-

tion related services) including refer-

ences from Key Mechanical and

Electric Contractors attesting to the

ability of the CMAR to complete the

project and coordinate the various

aspects of the work.

3. Demonstrating an ability to fore-

cast local bidding and construction

conditions as it relates to sufficient

work force and costs.

4. Open Book Bidding to be re-

viewed by owner.

g. Fees:

I. Each firm will provide a proposed

fee based on a percentage of the

Guaranteed Maximum Price (GMP)

for the construction project.

h. Self-Performance and Bidding:

I. The CMAR will be allowed to

self-perform, without bidding, no

more than 10% of the total of all

construction. 90% of the construc-

tion must be competitively bid

through an advertised bid process.

II. The CMAR may self-perform any

component of the work for the

amount of the lowest bid in-lieu of

accepting bids by Sub-Contractors.

i. Guaranteed Maximum Price:

I. The Guaranteed Maximum Price

(GMP) will be provided to the owner

at the completion of the Construction

Documents. The CMAR will be re-

quired to obtain bids and/or qualify

costs for all work so that the GMO

amendment may be executed after

completion of the Construction Do-

cument Phase.

II. The GMP must be equal to or

less than the last estimate provided

to the Owner during the Design

Development Phase or result in for-

feiture of all design phase fees.

j. Savings of the Guaranteed Max-

imum Price:

I. The CMAR will receive, as bonus,

10% of the amount that the actual

construction costs are less than the

GMP (GMO Savings).

II. The GMP saving will not exceed

5% of the GMP. In the event the

GMP Savings exceed 5% of the

GMP, the CMAR will expand the

scope of the work without additional

fees to include work that was re-

moved or omitted during the design

and estimating phase in order to ob-

tain a GMP that was within the Own-

ers budget.

III. The intent of the restrictions on

GMP Savings is to ensure the Own-

er obtains the broadest and most

complete scope of work possible,

yet still offer the CMAR incentive to

find savings within the project during

the Construction Phase.

k. Bonds and Insurance:

I. Proof of liability to provide a bind

in an amount at least equal to the

amount of the Guaranteed Maximum

Price of the project as well as meet

necessary insurance requirements

of the state of North Dakota. Note

that any mechanical or electrical

contractors are to provide a separate

bond for their work, which may im-

pact the cost and ability of obtaining

a bond by the CMAR.

I. Procedure for Submissions:

I. Firms wishing to be considered

will submit eight (8) paper copies

and one (1) electronic copy of the

qualification materials on Tuesday

June 1, 2021 no later than 3:00 pm.

CDT at the offices of:

Dunseith Public School District #1

Atten: Mr. David Sjol

Superintendent

P.O. Box 789

101 1st Avenue SW

Dunseith, ND 5832

Tel: 701-244-0480

Email: David.Sjol@k12.nd.us

II. The following sequence of events

is contemplated for selection pro-

cedure of a Construction Manager at

Risk:

RFQ Advertisement May 10, 2021

Qualifications Due June 1, 2021

Shortlisting of CMAR Candidates

June 7, 2021

Interviews with Select CMAR Candi-

dates June 14, 2021

Select CMAR Services

June 21, 2021

Begin CMAR Services June 28, 2021

Complete Project July 2022

Special Note: This Request for Qual-

ifications (RFQ) for Construction

Manager at Risk (CMAR) does not

obligate the Dunseith Public School

District #1 to award a contract or

complete the proposed project. The

Dunseith Public School Dist. #1

reserves the right to cancel this RFQ

if it is considered to be in the best in-

terest of the District. Proposals must

be clear and concise. Proposals that

are difficult to follow or that do not

conform to the RFQ format or have

binding specifications may be reject-

ed. Responding vendors must in-

clude the required information called

for in this RFQ. Dunseith Public

School District also reserves the

right to change any provision in this

RFQ. Nothing in this RFQ obligates

or commits Dunseith Public School

District to any arrangement regard-

ing the project.

(May 13-14-15-17-18-19-20-21-22-24-25-26-27-28, 2021)

SUMMONS

Case No. 51-2021-DM-00252

STATE OF NORTH DAKOTA,

COUNTY OF WARD, IN DISTRICT

COURT, NORTH CENTRAL

JUDICIAL DISTRICT

State of North Dakota, and

Kaitlyn Jean Bruns,

Plaintiffs,

v.

Gunner W. Pelham,

Defendant.

The State of North Dakota to

Gunner W. Pelham:

You are summoned and required to

defend against the Complaint by

serving an Answer, which is a writ-

ten response, on the State of North

Dakota and Kaitlyn Jean Bruns

within 21 days after service of this

Summons and by also filing that

Answer with the court. If you do not

serve and file an Answer, the court

can grant the requests made in the

Complaint by ordering that a default

judgment be entered against you.

Dated this 10th day of March, 2021.

/s/Stephen Williamson

Stephen Williamson

Special Assistant Attorney General

Bar I.D. Number: 09282

1015 S. Broadway Suite 18, Minot,

ND 58701

1-800-231-4255; minotcse@nd.gov

Attorney for Child Support

(May 6-13-20, 2021)

SUMMONS

Case No. 51-2021-DM-00253

STATE OF NORTH DAKOTA,

COUNTY OF WARD, IN DISTRICT

COURT, NORTH CENTRAL

JUDICIAL DISTRICT

State of North Dakota, and

Latia Lanika Lanea Ondieki,

Plaintiffs,

v.

Walter Oseko Ondieki,

Defendant.

The State of North Dakota to Walter

Oseko Ondieki:

You are summoned and required to

defend against the Complaint by

serving an Answer, which is a writ-

ten response, on the State of North

Dakota and Latia Lanika Lanea On-

dieki within 21 days after service of

this Summons and by also filing that

Answer with the court. If you do not

serve and file an Answer, the court

can grant the requests made in the

Complaint by ordering that a default

judgment be entered against you.

Dated this 29th day of March, 2021.

/s/Tina M. Heinrich

Tina M. Heinrich

Special Assistant Attorney General

Bar I.D. Number: 04088

1015 S. Broadway Suite 18, Minot,

ND 58701

1-800-231-4255; minotcse@nd.gov

Attorney for Child Support

(May 6-13-20, 2021)

SUMMONS

Case No. 51-2021-DM-00251

STATE OF NORTH DAKOTA,

COUNTY OF WARD, IN DISTRICT

COURT, NORTH CENTRAL

JUDICIAL DISTRICT

In the Interest of R.A.P., a Minor

Child

State of North Dakota,

Plaintiff,

v.

Brandy Patino,

Defendant.

The State of North Dakota to Brandy

Patino:

You are summoned and required to

defend against the Complaint by

serving an Answer, which is a writ-

ten response, on the State of North

Dakota within 21 days after service

of this Summons and by also filing

that Answer with the court. If you do

not serve and file an Answer, the

court can grant the requests made in

the Complaint by ordering that a de-

fault judgment be entered against

you.

Dated this 2nd day of March, 2021.

/s/Tina M. Heinrich

Tina M. Heinrich

Special Assistant Attorney General

Bar I.D. Number: 04088

1015 S. Broadway Suite 18, Minot,

ND 58701

1-800-231-4255; minotcse@nd.gov

Attorney for Child Support

(May 6-13-20, 2021)

SUMMONS

Civil No. 51-2021-DM-00215

STATE OF NORTH DAKOTA,

COUNTY OF WARD, IN DISTRICT

COURT, NORTH CENTRAL

JUDICIAL DISTRICT

Dan J. Tompkins,

Plaintiff,

vs

Megan W. Tompkins, A.K.A. Magan

W. Tompkins,

Defendant.

THE STATE OF NORTH DAKOTA

TO THE ABOVE-NAMED DEFEN-

DANT: YOU ARE HEREBY SUM-

MONED and required to appear and

defend against the Complaint for Di-

vorce in the above-entitled action,

copy of which is herewith served

upon you, by serving upon the un-

dersigned attorney an answer or oth-

er proper response within

twenty-one (21) days after the ser-

vice of this Summons upon you, ex-

clusive of the day of service. If you

fail to do so, judgement by default

will be taken against you for the re-

lief demand in the Complaint. You

are hereby notified that pursuant to

Rule 8.4 of the North Dakota Rules

of Court, you must comply with the

following provisions:

(1) Neither spouse shall dispose of,

sell, encumber, or otherwise dissi-

pate any of the parties’ assets, ex-

cept: (a) For necessities of life or for

the necessary generation of income

or preservation of assets; or (b) For

retaining counsel to carry on or to

contest the proceeding. If a spouse

disposes of, sells, encumbers, or

otherwise dissipates assets during

the interim period, that spouse shall

provide to the other spouse an ac-

counting within thirty (30) days. (2)

Neither spouse shall harass the oth-

er spouse. (3) All currently available

insurance coverage must be main-

tained and continued without change

in coverage or beneficiary designa-

tion. IF EITHER SPOUSE

VIOLATES ANY OF THESE PRO-

VISIONS, THAT SPOUSE MAY BE

IN CONTEMPT OF COURT.

Dated this 12th day of April, 2021.

FRANTSVOG LAW, P.C.

/s/Remington M. Kostenko

Remington M. Kostenko (ID #09033)

Dean A. Frantsvog (ID #05753)

P.O. Box 667

Minot, ND 58702-667

701-833-6371

rklaw@srt.com

frantsvoglaw@srt.com

ATTORNEYS FOR PLAINTIFF

(April 29; May 6-13, 2021)

SUMMONS

CIVIL NUMBER: 51-2021-CV-00677

IN THE STATE OF NORTH

DAKOTA, COUNTY OF WARD

IN THE DISTRICT COURT, NORTH

CENTRAL JUDICIAL DISTRICT

Quicken Loans, LLC,

Plaintiff,

v.

Jerry W. Vaughn, Jr.; any person in

possession,

Defendants.

THE STATE OF NORTH DAKOTA

TO THE ABOVE-NAMED DEFEN-

DANTS: To the above-mentioned

Defendants including all persons

unknown, claiming any estate or in-

terest in, or lien or encumbrance

upon, the real estate described

below and in the complaint. You are

hereby summoned and required to

appear and defend against the Com-

plaint in this action, which is here-

with served upon you, by serving

upon the undersigned a copy of an

Answer or other proper response

within twenty-one (21) days after the

service of this Summons upon you,

exclusive of the day of service. If

you fail to do so, Judgment by de-

fault will be taken against you for the

relief demanded in the Complaint.

This Summons and Complaint will

be filed with the Clerk of this Court.

This action relates to the foreclosure

of a mortgage upon the following

described real property in the Coun-

ty of Ward, State of North Dakota:

Lot 3, Block 3, Parkland Addition

to the City of Minot, Ward County,

North Dakota.

Property Address: 317 7th Street

NW, Minot, ND 58703

The Plaintiff is not seeking a per-

sonal judgment against the

above-named Defendants.

Dated April 16, 2021

/s/ Scott S. Skeen

Scott S. Skeen

376 East 400 South, Suite 300

Salt Lake City, UT 84111

Tel: 801-355-2886

Email: scott@hwmlawfirm.com

Bar Number: 09334

HWM: ND10238

(April 29; May 6-13, 2021)