EFFECTIVE GROUP COMPANY* GROUP NAME* ADDRESS CITY/TOWN STATE ZIP HOME (H) DEV. (0.0%) DATE TYPE**
|
|
- Clarissa Washington
- 5 years ago
- Views:
Transcription
1 R Application Spreadsheet PROPOSED PROPOSED CU, E,M,U INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP COMPANY* GROUP NAME* ADDRESS CITY/TOWN STATE ZIP HOME (H) DEV. (0.0%) DATE TYPE** Metropolitan Property and Casualty American Association of School Administrators,Inc801 N. Quincy St. Suite 700 Arlington VA Auto 5% 2/1/2011 M Metropolitan Property and Casualty AMVETS (American Veterans) 4647 Forbes Blvd Lanham MA Auto 5% 2/1/2011 M Metropolitan Property and Casualty NRA-National Rifle Association of America Waples Mill Rd #1 Fairfax VA Auto 5% 2/1/2011 M Metropolitan Property and Casualty URS Corporation Meredith Dr Urbandale IA Auto 10% 2/1/2011 E
2 TOTAL ELIGIBLE NUMBER ORIGINAL EXPERIENCE NUMBER NUMBER OF CURRENT PLAN AGENCY OR SUBMITTED IN GROUP IN GROUP INSUREDS DATE MKT. REP. YES OR NO Sara Stein No Sara Stein No David Rutecki No /1/1992 Vincent Rocco No Perkin Elmer/EG&G was purchased by URS Corportion. We would like to notify you of the name change.
3 EXPENSE EXHIBIT FOR ALL AUTO & HOME 193R GROUP MARKETING PLANS Insurers are required to submit the expense ratios underlying their current rates and the expense ratio or average expense per unit associated with the group marketing plan (1) (2) (3) (4) Expenses Assumed Expenses Associated Reasons for Requested INSURANCE In Insurer's Rates With Group Marketing Expensed Group Rate COMPANY GROUPNAME Currently on File Plan Difference Deviation Metropolitan Property and Casualty Insurance Company American Association of School Administrators,Inc. 25.5% 21.5% Lower Acquisition Costs 5.0% Metropolitan Property and Casualty Insurance Company AMVETS (American Veterans) 25.5% 21.5% Lower Acquisition Costs 5.0% Metropolitan Property and Casualty Insurance Company NRA-National Rifle Association of America 25.5% 20.5% Lower Acquisition Costs 5.0% Metropolitan Property and Casualty Insurance Company URS Corporation 25.5% 21.5% Lower Acquisition Costs 5.0%
4 PREMIUM/LOSS EXHIBIT FOR 193R GROUPS AT LEAST 3 YEARS OLD WITH 1,000 or MORE INSURED UNITS Insurers are required to submit a minimum three (3) full years of data, but can at their option submit additional years of data by inserting additional columns. * 2010 data is through 6/30/10. Earned Premium Incurred Loss Incl. IBNR Incurred Loss Ratio INSURANCE 3 Yr. COMPANY GROUPNAME * * * Total
5 R Application Spreadsheet PROPOSED PROPOSED INSURANCE STREET AUTO (A) or RATE EFFECTIVE COMPANY* GROUP NAME* ADDRESS CITY/TOWN STATE ZIP HOME (H) DEV. (0.0%) DATE Metropolitan Property and Casualty American Association of School Administrators,Inc. 801 N. Quincy St. Suite 700 Arlington VA Auto 5% 2/1/2011 Metropolitan Property and Casualty AMVETS (American Veterans) 4647 Forbes Blvd Lanham MA Auto 5% 2/1/2011 Metropolitan Property and Casualty NRA-National Rifle Association of America Waples Mill Rd #1 Fairfax VA Auto 5% 2/1/2011 Metropolitan Property and Casualty URS Corporation Meredith Dr Urbandale IA Auto 10% 2/1/2011
6 CU, E,M,U TOTAL ELIGIBLE NUMBER ORIGINAL EXPERIENCE GROUP NUMBER NUMBER OF CURRENT PLAN AGENCY OR SUBMITTED TYPE** IN GROUP IN GROUP INSUREDS DATE MKT. REP. YES OR NO M Sara Stein No M Sara Stein No M David Rutecki No E /1/1992 Vincent Rocco No Perkin Elmer/EG&G was purchased by URS Corportion. We would like to notify you of the name change.
7 EXPENSE EXHIBIT FOR ALL AUTO & HOME 193R GROUP MARKETING PLANS Insurers are required to submit the expense ratios underlying their current rates and the expense ratio or average expense per unit associated with the group marketing plan (1) (2) (3) (4) Expenses Assumed Expenses Associated Reasons for Requested INSURANCE In Insurer's Rates With Group Marketing Expensed Group Rate COMPANY GROUPNAME Currently on File Plan Difference Deviation Metropolitan Property and Casualty Insurance Company American Association of School Administrators,Inc. 25.5% 21.5% Lower Acquisition Costs 5.0% Metropolitan Property and Casualty Insurance Company AMVETS (American Veterans) 25.5% 21.5% Lower Acquisition Costs 5.0% Metropolitan Property and Casualty Insurance Company NRA-National Rifle Association of America 25.5% 20.5% Lower Acquisition Costs 5.0% Metropolitan Property and Casualty Insurance Company URS Corporation 25.5% 21.5% Lower Acquisition Costs 5.0%
8 PREMIUM/LOSS EXHIBIT FOR 193R GROUPS AT LEAST 3 YEARS OLD WITH 1,000 or MORE INSURED UNITS Insurers are required to submit a minimum three (3) full years of data, but can at their option submit additional years of data by inserting additional columns. * 2010 data is through 6/30/10. Earned Premium Incurred Loss Incl. IBNR Incurred Loss Ratio INSURANCE 3 Yr. COMPANY GROUPNAME * * * Total
9 MASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT Attached is the documentation required for the application for the listed Metropolitan Property and Casualty Insurance Company 2011 Group Marketing clients. We have verified that it is the intention of each of the following clients to participate in the Group Marketing program within their organization for the year 2011 and have confirmed their participation to them in writing: American Association of School Administrators,Inc. AMVETS (American Veterans) NRA-National Rifle Association of America URS Corporation You may contact any of our clients to verify information and confirm participation. Richard P. Lonardo, FCAS Vice President
MASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT
MASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT Attached is the documentation required for the application for the listed Metropolitan Property and Casualty Insurance Company 2010 Group Marketing clients.
More information193R Application Spreadsheet
193R Application Spreadsheet PROPOSED PROPOSED GROUP INSURANCE STREET AUTO (A) or RATE EFFECTIVE TYPE COMPANY GROUP NAME ADDRESS CITY/TOWN STATE ZIP CODE HOME (H) DEV. (0.0%) DATE (CU, E, M, U) Metropolitan
More informationEFFECTIVE GROUP NUMBER NUMBER COMPANY* GROUP NAME* ADDRESS CITY/TOWN STATE ZIP HOME (H) DEV. (0.0%) DATE TYPE** IN GROUP IN GROUP
2010 193R Application Spreadsheet PROPOSED PROPOSED CU, E,M,U TOTAL ELIGIBLE INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP NUMBER NUMBER COMPANY* GROUP NAME* ADDRESS CITY/TOWN STATE ZIP HOME (H) DEV.
More information193R Application Spreadsheet
193R Application Spreadsheet PROPOSED PROPOSED INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP COMPANY GROUP NAME ADDRESS CITY/TOWN STATE ZIP CODE HOME (H) DEV. (0.0%) DATE TYPE Metropolitan Property
More information193R Application Spreadsheet
193R Application Spreadsheet PROPOSED PROPOSED TOTAL INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP NUMBER COMPANY GROUP NAME ADDRESS CITY/TOWN STATE ZIP CODE HOME (H) DEV. (0.0%) DATE TYPE IN GROUP
More informationR Application Spreadsheet Year Plan Will be Applied 2011
2010 193R Application Spreadsheet PROPOSED PROPOSED CU, E,M,U TOTAL ELIGIBLE INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP NUMBER NUMBER COMPANY* GROUP NAME* ADDRESS CITY/TOWN STATE ZIP HOME (H) DEV.
More informationMASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT
MASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT Attached is the documentation required for the application for the listed Metropolitan Property and Casualty Insurance Company 2012 Group Marketing clients.
More information193R Application Spreadsheet
193R Application Spreadsheet PROPOSED PROPOSED GROUP INSURANCE STREET AUTO (A) or RATE EFFECTIVE TYPE COMPANY GROUP NAME ADDRESS CITY/TOWN STATE ZIP CODE HOME (H) DEV. (0.0%) DATE (CU, E, M, U) Metropolitan
More informationMASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT
MASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT Attached is the documentation required for the application for the listed Metropolitan Property and Casualty Insurance Company 2012 Group Marketing clients.
More informationArbella Insurance Group -ECSB R Application Spreadsheet Year Plan Will be Applied 2013
Arbella Insurance Group -ECSB06102013 193R Application Spreadsheet Year Plan Will be Applied 2013 INSURANCE STREET AUTO (A) or COMPANY* GROUP NAME* ADDRESS CITY/TOWN STATE ZIP HOME (H) Arbella Mutual Insurance
More informationMASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT
MASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT Attached is the documentation required for the application for the listed Metropolitan Property and Casualty Insurance Company 2012 Group Marketing clients.
More information193R Application Spreadsheet
193R Application Spreadsheet PROPOSED PROPOSED INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP COMPANY GROUP NAME ADDRESS CITY/TOWN STATE ZIP CODE HOME (H) DEV. (0.0%) DATE TYPE Metropolitan Property
More information193R Application Spreadsheet
193R Application Spreadsheet PROPOSED PROPOSED INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP COMPANY GROUP NAME ADDRESS CITY/TOWN STATE ZIP CODE HOME (H) DEV. (0.0%) DATE TYPE Metropolitan Property
More informationMASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT
MASSACHUSETTS GROUP MARKETING NEW/RENEWAL AFFIDAVIT Attached is the documentation required for the application for the listed Farm Family Casualty Insurance Company 2010 Group Marketing clients. We have
More information193R Application Spreadsheet Year Plan Will be Applied 2009
193R Application Spreadsheet PROPOSED PROPOSED CU, E,M,U TOTAL ELIGIBLE NUMBER ORIGINAL EXPERIENCE INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP NUMBER NUMBER OF CURRENT PLAN AGENCY OR SUBMITTED COMPANY*
More information193R Application Spreadsheet Year Plan Will be Applied 2010
193R Application Spreadsheet Year Plan Will be Applied 2010 PROPOSED PROPOSED CU, E,M,U TOTAL ELIGIBLE NUMBER ORIGINAL EXPERIENCE INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP NUMBER NUMBER OF CURRENT
More informationPROPOSED EXPERIENCE AUTO (A) LM Response
AUTO (A) PROPOSED TOTAL ELIGIBLE NUMBER OF ORIGINAL EXPERIENCE or HOME RATE Dev. EFFECTIVE CU, E,M, NUMBER IN NUMBER IN CURRENT PLAN AGENCY OR MKT. SUBMITTED GROUP NAME STREET ADDRESS City STATE ZIP (H)
More informationELIGIBL. EXPERIEN CE or AUT O (A) PROPOSE TOTAL SUBMITTE. LM Response NO COMMENTS. GROUP NAME STREET ADDRESS City STATE ZIP
AUT O (A) PROPOSE TOTAL ELIGIBL E PROPOS PROPOSE EXPERIEN CE or D NUMBE NUMBE ED D SUBMITTE HOM RATE Dev. EFFECTI CU, E,M, R IN R IN EFFECTI EFFECTIV AGENCY OR MKT. D YES OR GROUP NAME STREET ADDRESS City
More informationMASSACHUSETTS 2011 GROUP MARKETING NEW/RENEWAL AFFIDAVIT
MASSACHUSETTS 2011 GROUP MARKETING NEW/RENEWAL AFFIDAVIT Attached is the documentation required for the application for the listed Liberty Mutual Group 2011 Group Marketing clients. We have verified that
More informationCampaign Finance Report
PAGE 1 Commonwealth of Pennsylvania Campaign Finance Report (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification Number : 20120063 Report
More informationFACILITY ASSOCIATION 151 Yonge Street 18 th Floor Toronto Ontario M5C 2W7 Tel: (416) Fax: (416)
FACILITY ASSOCIATION 151 Yonge Street 18 th Floor Toronto Ontario M5C 2W7 Tel: (416) 863-1750 Fax: (416) 868-0894 E-mail: mail@facilityassociation.com TO: ATTENTION: MEMBERS OF THE FACILITY ASSOCIATION
More informationYOU, Retired. A pre-retirement seminar that will help you to get there. September 7, 2017
YOU, Retired. A pre-retirement seminar that will help you to get there September 7, 2017 Introducing Rocco Terranova, President and Business Manager Brenda Deming, Fund Administrator Kristine Lofquist,
More informationGun Club General Liability Application for Coverage
Club Name Club Address City State Telephone Contact Person ZIP Email Fax For Internal Use Only Account #: App Date: Target $: Indication? Yes No Need by: Rep: General Information Total Number of Locations:
More informationEach submission must be made on an individual insurer basis. Combined or consolidated reports will not be accepted.
Florida Office of Insurance Regulation Florida Calendar Year Experience Report If you have any questions during your submission process, please contact Data Collection and Statistical Reporting Unit Via
More informationAIRB 2017 Annual Review Bill Adams, Vice-President, Western Ryan Stein, Director of Policy August 15, 2017
AIRB 2017 Annual Review Bill Adams, Vice-President, Western Ryan Stein, Director of Policy August 15, 2017 Annual Review 2017 Agenda Overview of Alberta s auto insurance market Analysis of bodily injury
More informationNEW JERSEY CAPTIVE ANNUAL REPORT FORM INSTRUCTIONS
NEW JERSEY CAPTIVE ANNUAL REPORT FORM INSTRUCTIONS A. GENERAL INSTRUCTIONS This New Jersey Captive Annual Report Form (NJCARF) is an Excel spreadsheet that is to be used by all pure, group, and sponsored
More informationAttachment C. Bickmore. Self- Insured Workers' Compensation Program Feasibility Study
Attachment C Bickmore Wednesday, May 21, 2014 Mr. David Wilson City of West Hollywood 8300 Santa Monica Blvd. West Hollywood, CA 90069 Re: Self- Insured Workers' Compensation Program Feasibility Study
More informationSan Mateo County Reissued Mortgage Credit Certificate Program Application For Reissued Mortgage Credit Certificate
Main Office Department of Housing 264 Harbor Blvd., Building A Belmont, CA 94002 017 Housing Community Development Tel: (650) 802 5050 Housing Authority of the County of San Mateo Tel: (650) 802 3300 Board
More informationRetiree Open Enrollment May 7 18, 2018
Open Enrollment May 7 18, 2018 Open Enrollment is the opportunity for retirees to make insurance changes. Insurance changes are effective July 1 st. Notable Changes for July 1 st Plan Design Changes Kaiser
More informationWCIRB Financial Call Data Certification through March 31, 2018 (CA-DC-2017)
WCIRB Financial Call Data Certification through March 31, 2018 (CA-DC-2017) Due Date: May 31, 2018 This Data Certification form must be completed by (a) a Company Officer or (b) an Actuary (who is a member
More informationNEW YORK FINANCIAL DATA CALLS CARRIER BULLETINS
NEW YORK COMPENSATION INSURANCE RATING BOARD NEW YORK FINANCIAL DATA CALLS CARRIER BULLETINS 2017 New York Compensation Insurance Rating Board 733 Third Avenue New York, NY 10017 Tel: (212) 697 3535 To:
More informationStatutory Statement Contact Priscilla Carter (Area Code) (Telephone Number) (Extension)
PROPERTY AND CASUALTY COMPANIES - ASSOCIATION EDITION *15989201220100100* ANNUAL STATEMENT For the Year Ended December 31, 2012 of the Condition and Affairs of the NAIC Group Code... 4574, 4574 NAIC Company
More informationTo the new members of our practice,
To the new members of our practice, John J. Denison, DDS PC 895 City Center Blvd #106 Newport News, VA 23606 757.873.9000 drdenison.com Dr. John J. Denison and his staff want to thank you for making the
More informationMETROPOLITAN PROTECTIVE SERVICES, INC Forbes Boulevard, Suite 440, Lanham, MD Telephone: (301) Fax: (240)
METROPOLITAN PROTECTIVE SERVICES, INC. 4500 Forbes Boulevard, Suite 440, Lanham, MD 20706 Telephone: (301) 772-2412 Fax: (240) 374-7031 EMPLOYMENT APPLICATION APPLICANT INFORMATION Last Name First M.I.
More informationAnnual Statement FOR THE YEAR ENDED 12/31/2010
Annual Statement OF THE FINANCIAL CONDITION OF THE DUKES COUNTY RETIREMENT SYSTEM TO THE PUBLIC EMPLOYEE RETIREMENT ADMINISTRATION COMMISSION FOR THE YEAR ENDED 12/31/2010 Annual Statement for the Year
More informationSend white copy to: Blue Cross Blue Shield of Massachusetts P.O. Box 9145 North Quincy, MA
F PRINTED BY STANDARD REGISTER U.S.A. ZIPSET Thank you for choosing a Cross Shield plan. Please take a few minutes to help us set up your membership by filling out the attached enrollment form. Before
More informationEach submission must be made on an individual insurer basis. Combined or consolidated reports will not be accepted.
Florida Office of Insurance Regulation Florida Calendar Year Experience Report If you have any questions during your submission process, please contact Market Research and Technology Unit Via email: AnnualP&CReporting_308@floir.com
More informationPolicy Endorsement The following endorsement changes your policy. Please read this document carefully and keep it with your policy.
Policy Endorsement The following endorsement changes your policy. Please read this document carefully and keep it with your policy. Claim Satisfaction Guarantee Amendatory Endorsement AP4791 Claim Satisfaction
More informationRaub Brock Capital Management, LP Verification and Raub Brock Dividend Growth Portfolio Composite Performance Examination Report.
Raub Brock Capital Management, LP Verification and Raub Brock Dividend Growth Portfolio Composite Performance Examination Report December 31, 2017 Verification and Performance Examination Report Mr. Richard
More informationSheet Metal Workers' National Pension Fund Actuarial Certification of Plan Status as of January 1, 2014 under IRC Section 432
Sheet Metal Workers' National Pension Fund Actuarial Certification of Plan Status as of January 1, 2014 under IRC Section 432 Copyright 2014 by The Segal Group, Inc. All rights reserved. 101 NORTH WACKER
More informationPatient Financial Responsibility Policy
Patient Financial Responsibility Policy 650 Peter Jefferson Parkway, Suite 100 Charlottesville, VA 22911 Office: (434) 293-4072 Fax: (434) 293-4265 www.cvilleheart.com Cardiovascular Associate s goal is
More informationApplication for Standby Letter of Credit Advance/Confirmation
Application for Standby Letter of Credit Advance/Confirmation TO THE FEDERAL HOME LOAN BANK OF DALLAS: DATE:, 20 Pursuant to, and subject to the terms and conditions of, that certain Agreement for Standby
More informationTOWN OF PALMER BUILDING PERMIT APPLICATION FOR OTHER THAN ONE AND TWO FAMILY DWELLINGS (or their accessory structures)
BP20 - P. 1 of 7 TOWN OF PALMER BUILDING PERMIT APPLICATION FOR OTHER THAN ONE AND TWO FAMILY DWELLINGS (or their accessory structures) Amount: Received: From: Ck.or Rcpt.# Ck Date: The applicant should
More informationANNUAL STATEMENT OF THE SAFECO INSURANCE COMPANY OF ILLINOIS TO THE. Insurance Department OF THE FOR THE YEAR ENDED.
ANNUAL STATEMENT OF THE SAFECO OF ILLINOIS of in the state of WARRENVILLE ILLINOIS TO THE Insurance Department OF THE FOR THE YEAR ENDED December 31, 2011 PROPERTY AND CASUALTY 2011 PROPERTY AND CASUALTY
More informationIllinois Department of Financial and Professional Regulation
Illinois Department of Financial and Professional Regulation Division of Banking PAT QUINN Governor BRENT E. ADAMS Acting Secretary JORGE A. SOLIS Director of Banking DEFAULT AND FORECLOSURE REPORT FOR
More informationWELCOME TO YOUR NEW APARTMENT! Date APPLICATION FOR RESIDENCY
WELCOME TO YOUR NEW APARTMENT! APPLICATION FOR RESIDENCY APT# ADDRESS RENT TENTATIVE M/I DATE LEASE TERM PERSONAL INFORMATION PLEASE PRINT FULL NAME HOME PH: ( ) LAST FIRST MIDDLE INIT DO YOU HAVE A PET?
More informationThe Commonwealth of Massachusetts
State Tax Form 96 Revised 11/2016 The Commonwealth of Massachusetts Name of City or Town 17 22 37 41 42&43 Assessors Use only Date Received Application. Parcel Id. SENIOR -- SURVIVING SPOUSE OR MINOR --
More informationCasualty Loss Reserve Seminar Roll-forward Reserve Estimates September 15, 2014
www.pwc.com 2014 Casualty Loss Reserve Seminar Roll-forward Reserve Estimates Mechanics Underlying Roll-forward Reserve Estimates 2 Agenda Section 1 Roll-forward Example Section 2 Potential roll-forward
More informationANNUAL STATEMENT OF THE PEERLESS INSURANCE COMPANY
ANNUAL STATEMENT OF THE PEERLESS of in the state of KEENE NEW HAMPSHIRE TO THE Insurance Department OF THE FOR THE YEAR ENDED December 31, 21 PROPERTY AND CASUALTY 21 PROPERTY AND CASUALTY COMPANIES -
More informationSHEET METAL WORKERS NATIONAL PENSION FUND 8403 ARLINGTON BLVD. SUITE 300 FAIRFAX, VA
SHEET METAL WORKERS NATIONAL PENSION FUND 8403 ARLINGTON BLVD. SUITE 300 FAIRFAX, VA 22031-4601 INFO@SMWNBF.ORG Notice of Benefit Changes for Persons working in Covered Employment with National Metal Fabricators
More informationFinancial Assistance Application
Financial Assistance Application The Johnston Urbandale Soccer Club wants to ensure all children are given the opportunity to participate in the sport of soccer regardless of their household income. Please
More informationIndividual Income Tax Organizer 2016
MICHAEL R. ANLIKER, CPA, P.C. 5348 Twin Hickory Rd. Glen Allen, VA 23059 TELEPHONE: (804) 237-6044 FAX: (804) 237-6064 www.anlikerfinancial.com Individual Income Tax Organizer 2016 This Tax Organizer is
More informationGroups 1-50 Employer Application for HRAs and FSAs
Groups 1-50 Employer Application for HRAs and FSAs Please note, handwritten options or deviations from this form will not be accepted. Application Information Once your application is received, you will
More informationOne Pennsylvania Plaza, 38th Floor Tel Tel Fax Re: CAR Proposed 10/1/2003 Rates OBSERVATIONS 1. Data
One Pennsylvania Plaza, 38 th Floor New York, NY 10119 Tel +1 212 279.7166 CORRESPONDENCE ADDRESS 1325 Franklin Avenue, Suite 555 Garden City, NY 11530 Tel +1 516 535.6400 Fax +1 516 877.1316 www.milliman.com,
More informationAffordable Housing Lottery Checklist 357 Washington Avenue Revere, MA 02151
Affordable Housing Lottery Checklist 357 Washington Avenue Revere, MA 02151 Applicant(s) must be a First Time Home Buyer (Defined as not having ownership interest in a principal residence in the past three
More informationCENTRAL OHIO RISK MANAGEMENT ASSOCIATION (CORMA) ACTUARIAL REPORT ON UNPAID LOSS AND LOSS ADJUSTMENT EXPENSES AS OF SEPTEMBER 30, 2017
CENTRAL OHIO RISK MANAGEMENT ASSOCIATION (CORMA) ACTUARIAL REPORT ON UNPAID LOSS AND LOSS ADJUSTMENT EXPENSES AS OF SEPTEMBER 30, 2017 October 25, 2017 October 25, 2017 Sent Via Email Ms. Angel Mumma Director
More informationApplication Information Regency at Stow, Moderate Units at 150% of median income Stow, MA
Application Information Regency at Stow, Moderate Units at 150% of median income Stow, MA OPEN HOUSE Wednesday, July 11, 2018 5:00 p.m. 7:00 p.m. Lot 61/22 Ridgewood Drive Regency at Stow, located at 242
More informationa. Family b. Elderly/ Handicapped c. Handicapped d. MRVP
LEXINGTON HOUSING AUTHORITY One Countryside Village Lexington, MA 02420 781-861-0900 STANDARD APPLICATION FOR STATE-AIDED HOUSING THIS BOX IS FOR OFFICE USE ONLY Date of receipt: Time of Receipt: Control
More informationSELF FUNDED WORKERS COMPENSATION STATE OF THE PROGRAM JANUARY 1, 2015
SELF FUNDED WORKERS COMPENSATION STATE OF THE PROGRAM JANUARY 1, 2015 PRESENTED BY: Charlesworth & Associates, L.C. Consultants, Insurance & Risk Management 1 EXECUTIVE SUMMARY March 15, 1987, the City
More informationProject Cost Management
PDHonline Course P104 (8 PDH) Project Cost Management Instructor: William J. Scott, P.E. 2012 PDH Online PDH Center 5272 Meadow Estates Drive Fairfax, VA 22030-6658 Phone & Fax: 703-988-0088 www.pdhonline.org
More information* * Beneficiary Designation With Restricted Payout (for Annuity Contracts Only)
Mail or fax completed form to: P.O. Box 1555, Des Moines, IA 50306-1555 Fax: 866 709 3922 Contact us: Annuity Customer Contact Center - Tel: 888 266 8489 Athene Annuity and Life Company 7700 Mills Civic
More informationShort Form OMB No Return of Organization Exempt From Income Tax
Form 990-EZ Short Form OMB No. 1545-1150 Return of Organization Exempt From Income Tax Department of the Treasury Internal Revenue Service Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue
More informationApplication Packet. Winter 2019
FIRE PROTECTION PROGRAM Application Packet Winter 2019 APPLICATION CLOSE: September 14, 2018 CLASSES BEGIN: January 7, 2019 Chemeketa Community College Brooks Regional Training Center, Building 2 PO Box
More informationANNUAL STATEMENT OF THE THE OHIO CASUALTY INSURANCE COMPANY TO THE. Insurance Department OF THE FOR THE YEAR ENDED.
ANNUAL STATEMENT OF THE THE OHIO CASUALTY of in the state of FAIRFIELD OHIO TO THE Insurance Department OF THE FOR THE YEAR ENDED December 31, 21 PROPERTY AND CASUALTY 21 PROPERTY AND CASUALTY COMPANIES
More informationVTC Ownership Change Form
Privacy Notice: All information submitted during the application process will be managed in accordance with ARC s Privacy Policy. For more information, please visit www.arccorp.com/legal/arc-privacy-policy.jsp
More informationMary Jean King, FCAS, FCA, MAAA Consulting Actuary 118 Warfield Road Cherry Hill, NJ P: F:
Mary Jean King, FCAS, FCA, MAAA Consulting Actuary 118 Warfield Road Cherry Hill, NJ 08034 P:856.428.5961 F:856.428.5962 mking@bynac.com September 27, 2012 Mr. David H. Lillard, Jr., Tennessee State Treasurer
More informationMassachusetts Department of Transitional Assistance
DTA - DPC P.O. Box 4406 Taunton, MA 02780-0420 Massachusetts Department of Transitional Assistance Name: Address: City/Town: Your Monthly Report From To Name If your name, address or telephone is DIFFERENT,
More informationVerification Worksheet Federal Student Aid Programs Dependent Students
OFFICE OF FINANCIAL AID 2018-2019 Verification Worksheet Federal Student Aid Programs Dependent Students Your 2018 2019 Free Application for Federal Student Aid (FAFSA) was selected for review in a process
More informationPROGRESSIVE CASUALTY INSURANCE COMPANY BEST'S RATING RATING RATIONALE
Best's Insurance Reports - Property Casualty, US, 2008 Edition (2008 9-Month Supplement, Version 2008.3) Page 1 Ultimate Parent: Progressive Corporation PROGRESSIVE CASUALTY INSURANCE COMPANY 6300 Wilson
More informationANNUAL STATEMENT OF THE AMERICAN STATES PREFERRED INSURANCE COMPANY TO THE. Insurance Department OF THE FOR THE YEAR ENDED.
ANNUAL STATEMENT OF THE AMERICAN STATES PREFERRED of in the state of INDIANAPOLIS INDIANA TO THE Insurance Department OF THE FOR THE YEAR ENDED December 31, 2011 PROPERTY AND CASUALTY 2011 PROPERTY AND
More informationStatutory Statement Contact Priscilla Carter (Area Code) (Telephone Number) (Extension)
PROPERTY AND CASUALTY COMPANIES - ASSOCIATION EDITION *24503201320100100* ANNUAL STATEMENT For the Year Ended December 31, 2013 of the Condition and Affairs of the NAIC Group Code... 4574, 4574 NAIC Company
More informationSOMERVILLE HOUSING AUTHORITY 30 Memorial Road, Somerville, Massachusetts Telephone (617) Fax (617) TDD (617)
SOMERVILLE HOUSING AUTHORITY 30 Memorial Road, Somerville, Massachusetts 02145 Telephone (617) 625-1152 Fax (617) 623-8151 TDD (617) 628-8889 Date of receipt: Time of Receipt: Control Number: Priority
More informationARLINGTON PUBLIC SCHOOLS Policy Implementation Procedures 40-1 Financial Management Sales and Use Tax
ARLINGTON PUBLIC SCHOOLS Policy Implementation Procedures 40-1 Financial Management Sales and Use Tax Title 58.1, Chapter 6, of the Code of Virginia empowers the Commonwealth of Virginia to impose a retail
More informationUpgrade My Credit Client Agreement
Upgrade My Credit Client Agreement 901 W. Bardin Rd. Suite 306 Arlington, Texas 76017 817-886-0302 off. 817-887-0816 fax www.upgrademycredit.com APPLICANT INFORMATION Mr. Mrs. Ms. PLEASE PRINT CLEARLY
More informationCambridge Associates LLC U.S. Venture Capital Index And Selected Benchmark Statistics
CAMBRIDGE ASSOCIATES LLC Cambridge Associates LLC U.S. Venture Capital Index And Selected Benchmark Statistics Non-Marketable Alternative Assets December 31, 2009 Official Performance Benchmark of the
More informationSHEET METAL WORKERS NATIONAL PENSION FUND 8403 ARLINGTON BLVD., SUITE 300 FAIRFAX, VA 22031
SHEET METAL WORKERS NATIONAL PENSION FUND 8403 ARLINGTON BLVD., SUITE 300 FAIRFAX, VA 22031 INFO@SMWNBF.ORG Notice of Benefit Changes for Persons working in Covered Employment with Air System Components
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationTYPE 5 APPLICATION AGREEMENT
TYPE 5 APPLICATION AGREEMENT Applicant submits this Application ( Application ) to Airlines Reporting Corporation ( ARC ) for approval as an ARC accredited Agency ( Agent ). In consideration of ARC's evaluation
More informationAffordable 1-BR Condominium at Campion Estates in North Andover
Affordable 1-BR Condominium at Campion Estates in North Andover Unit Information: 45 Cochichewick Drive Price: $115,600 Monthly condo fee: $475 One bedroom, one bathroom Approximately 810 sq. ft. This
More informationShort Intermediate Municipal Bond
Second Quarter 2018 1 Investment Objective The Composite seeks to maximize current income exempt from federal income tax consistent with the preservation of capital. To achieve this objective, the composite
More informationCIRCULAR LETTER NO. 2332
March 29, 2018 CIRCULAR LETTER NO. 2332 To All Members and Subscribers of the WCRIBMA: GUIDELINES FOR WORKERS COMPENSATION RATE DEVIATION FILINGS TO BE EFFECTIVE ON OR AFTER JULY 1, 2018 -----------------------------------------------------------------------------------------------------------
More informationQuarterly Call for First Quarter of Calendar Year 2013 (CA-QT-1Q13) Due Date: May 7, 2013
February 1, 2013 525 Market Street, Suite 800 San Francisco, CA 94105-2767 Voice 415.778.7008 www.wcirbonline.org escad@wcirbonline.org David M. Bellusci Executive Vice President, COO & Chief Actuary To:
More informationBANNED GUNS GIVEAWAY
NATIONAL RIFLE ASSOCIATION of AMERICA BANNED GUNS GIVEAWAY OFFICIAL REPLY TO WAYNE LAPIERRE FINAL ENTRY DEADLINE: 11:59 p.m. EDT October 15, 2018 To enter by mail, please print and use this form. Be sure
More informationGSA CONNECTIONS II. Appendix C SUBCONTRACTING PLAN [RFP# QTA010ABA0023] October 8, 2010
Volume 3 Management Volume Appendix C GSA CONNECTIONS II Appendix C SUBCONTRACTING PLAN [RFP# QTA010ABA0023] October 8, 2010 Qwest Government Services, Inc. 4250 North Fairfax Drive Arlington, VA 22203
More informationSECTION 7: SITE INFORMATION (refer to 780 CMR for details on each item) Sewage Disposal: Indicate municipal or on site system
The Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code (780 CMR) Building Permit Application for any Building Demolition The City of Holyoke Building Department
More informationLoudoun County School Board. Budget Work Session. Teacher Salaries Update December 12, 2017
Loudoun County School Board Budget Work Session Teacher Salaries Update December 12, 2017 1 2 Competitive Compensation to Attract & Retain Excellent Teachers DIVISION FY18 BA Step 1 Loudoun $49,674 Arlington
More informationHOMETOWN CONTRACTOR BOND PROGRAM
123 Tice Blvd Ste 250 Woodcliff Lake, NJ 07677 (201) 573-8788 Email: bonddept@colonialsurety.com Fax (866) 449-8004 HOMETOWN CONTRACTOR BOND PROGRAM For Single Bond Limits up to $250,000 and Aggregate
More informationDependent Special Conditions Academic Year
DSC20 Dependent Special Conditions Academic Year 2019-2020 The Department of Education recognizes that special conditions may exist for families who have suffered major reductions in income for various
More informationCOMMERCIAL LOAN APPLICATION
Southern Capital Funding Network, LLC 2011 N. Commerce Drive, Peachtree City, GA 30269 800-277-2809 www.southcapfunding.com COMMERCIAL LOAN APPLICATION MANAGEMENT INFORMATION AND ACKNOWLEDGMENTS Please
More informationAUTO DEALER LICENSE CLASS I & CLASS II NEW OR AMEND FORMS LIST
Town of Barnstable Regulatory Services Licensing Division 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Telephone: 508-862-4771 Fax: 508-778-2412 Regulatory Service Director Richard Scali
More informationShort Form Return of Organization Exempt From Income Tax. F Group Exemption q Application pending tianta, GA Number
Form 990-EZ Short Form Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) OMB No 1545-1150 2015 Department
More informationHousing Market Trends in the Washington Area
Housing Market Trends in the Washington Area Mark White, Ph.D. Deputy Director, Center for Regional Analysis Schar School of Policy and Government George Mason University March 1, 218 6. U.S. Gross Domestic
More informationSHEET METAL WORKERS NATIONAL PENSION FUND EIN /Plan No. 001 APPLICATION & INSTRUCTIONS
SHEET METAL WORKERS NATIONAL PENSION FUND EIN 52-6112463/Plan No. 001 APPLICATION & INSTRUCTIONS You can use these forms to get an estimate of your potential benefits or to apply for a benefit. If you
More informationANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2010 OF THE CONDITION AND AFFAIRS OF THE ADRIATIC INS CO
PROPERTY AND CASUALTY COMPANIES - ASSOCIATION EDITION ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2010 OF THE CONDITION AND AFFAIRS OF THE ADRIATIC INS CO NAIC Group Code 0000, 0000 NAIC Company Code
More informationSTOCKHOLDERS INFORMATION SUPPLEMENT SCHEDULE SIS
Model Regulation Service April 2001 STOCKHOLDERS INFORMATION SUPPLEMENT SCHEDULE SIS Table of Contents Section 1. Section 2. Section 3. Section 4. Section 5. Section 1. General Instructions Financial Reporting
More informationGlobal ex US PE / VC Benchmark Commentary
Global ex US PE / VC Benchmark Commentary Quarter Ending September 30, 2014 Overview During the third quarter, the Cambridge Associates LLC Global ex US Developed Markets Private Equity and Venture Capital
More informationArlington Public Schools Food Service Program 869 Massachusetts Ave Arlington, MA Phone: /3643 Fax:
Arlington Public Schools Food Service Program 869 Massachusetts Ave Arlington, MA 02476 Phone: 781-316-3641/3643 Fax: 781-316-3644 Dear Parent/Guardian: Children need healthy meals to learn. The Arlington
More informationLattice Model of System Evolution. Outline
Lattice Model of System Evolution Richard de Neufville Professor of Engineering Systems and of Civil and Environmental Engineering MIT Massachusetts Institute of Technology Lattice Model Slide 1 of 48
More informationConfinement Waiver Instructions
Confinement Waiver Instructions Mail or fax completed form to: P.O. Box 1555, Des Moines, IA 50306-1555 Fax: 866 709 3922 Contact us: Annuity Customer Contact Center Tel: 888 266 8489 Athene Annuity and
More informationQUALIFIED PAID CIRCULATION BY ISSUES. Digital Only. Total Paid. Print Only
BUSINESS PUBLICATION Publisher s Statement Six months ended December 31, 2013 Subject to Audit Field Served: CRAIN S CLEVELAND BUSINESS serves the general business information needs of executives, managers
More information