VI Update

USVI Public Records

A VI Update Project · Brian LoudenThe territory’s public record — kept public.

APPOINTMENT OF COMMISSIONER OF INSURANCE AS AGENT

Collection
Executive Agency Records
Sub-shelf
ltg.gov.vi (Internet Archive recovery)
Kind
Government Report
Pages
2
Text
Native Text

APPOINTMENT OF COMMISSIONER OF INSURANCE AS AGENT FOR SERVICE OF PROCESS ~ײ~ KNOW ALL MEN BY THESE PRESENTS That the _______________________________________________________________ a foreign corporation, incorporated and organized under the laws of the State of_______ ______________________________________, now authorized or having applied for authority to act as a Third Party Administrator in the Virgin Islands, hereby appoints the Commissioner of Insurance of said Virgin Islands and his successors in office, its true and lawfully ATTORNEY, in and for the Virgin Islands, upon whom all lawful process against said third party administrator may be served in any action or proceeding in the Virgin Islands, subject to and in accordance with all provisions of the laws of said Virgin Islands in force at the time of such service, which shall not be terminated so long as there are in effect any contracts, or liabilities or duties arising out of contracts, which were issued or delivered by such third party administrator in the said Virgin Islands. …

Download the original document · Plain text (TXT) · Browse the archive · How this archive works

Original source: https://web.archive.org/web/20210423061607id_/https://ltg.gov.vi/wp-content/uploads/2019/01/TPA-Appointment-for-Ins-Agent.pdf

SHA-256 58b011e0da68afdb0a80f1785170b9ff43ea7909d23cce34bb5876b9242b42f9

Re-using this document

A public record of the Government of the Virgin Islands, published by the agency itself. No copyright is asserted on it and 17 U.S.C. § 105 does not reach territorial government, so it publishes as a territorial public record.

Our description, tagging, arrangement, extracted text and machine transcripts are released under CC0 1.0. We assert nothing about the document itself.

Archive identifier LF-58b011e0da68

Document text

APPOINTMENT OF COMMISSIONER OF INSURANCE AS AGENT FOR SERVICE OF PROCESS ~ײ~ KNOW ALL MEN BY THESE PRESENTS That the _______________________________________________________________ a foreign corporation, incorporated and organized under the laws of the State of_______ ______________________________________, now authorized or having applied for authority to act as a Third Party Administrator in the Virgin Islands, hereby appoints the Commissioner of Insurance of said Virgin Islands and his successors in office, its true and lawfully ATTORNEY, in and for the Virgin Islands, upon whom all lawful process against said third party administrator may be served in any action or proceeding in the Virgin Islands, subject to and in accordance with all provisions of the laws of said Virgin Islands in force at the time of such service, which shall not be terminated so long as there are in effect any contracts, or liabilities or duties arising out of contracts, which were issued or delivered by such third party administrator in the said Virgin Islands. IN WITNESS WHEREOF, The said________________________ ___________________________________ in accordance with the resolution of its Board of Directors duly passed on the _____ day of ________________, 20 ____, a copy of which is filed herewith, has to these presents affixed its corporate seal, and caused the same to be subscribed and attested by its President and Secretary, at the city of________________________________ in the State of __________________________________________ on the ___________ day of ____________________, 20 ________ ______________________________________________________ By _____________________________________, President ATTEST: _________________________________, Secretary STATE OF ________________________________ County of ____________________, To Wit: I, _______________________________________, a Notary Public in and for the County and State aforesaid, do certify that _____________________________ personally appeared before me and being by me duly sworn, did depose and say, that they are respectively the President and the Secretary of the Corporation described in writing above, bearing date the ____________ day of ______________________, 20__________, authorized by said corporation to execute and acknowledge deeds and other writings of said Corporation, and that the seal affixed to said writing is the Corporate seal of said Corporation and that said writing was signed by them in behalf of said Corporation by its authority duly given. And the said _________________________ acknowledged the said writing to be the act and deed of said Corporation. Given under my hand and official seal this ____ day of ______________, 20 ____ ____________________________________ Notary Public Notary Seal: