CERTIFICATE OF CERTIFIED REINSURER
I, _____________________________________, _____________________________________________ (name of officer) (title of officer)
of ____________________________________________________, the assuming insurer (name of assuming insurer)
under a reinsurance agreement with one or more insurers domiciled in ________________________
under a reinsurance agreement with one or more insurers domiciled in ________________________ in order to be considered for approval in this state, hereby certify that (name of state)
____________________________________________________________("Assuming Insurer"): (name of assuming insurer)
____________________________________ for the adjudication of any issues arising out of the reinsurance agreement, agrees to comply with all requirements necessary to give such court jurisdiction, and will abide by the final decision of such court or any appellate court in the event of an appeal. Nothing in this paragraph constitutes or should be understood to constitute a waiver of Assuming Insurer's rights to commence an action in any court of competent jurisdiction in the United States, to remove an action to a United States District Court, or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States. This paragraph is not intended to conflict with or override the obligation of the parties to the reinsurance agreement to arbitrate their dispute if such an obligation is created in the agreement.
Dated: ___________________________
___________________________________________
(name of assuming insurer)
BY: ________________________________________
(name of officer)
___________________________________________
(title of officer)
N.H. Admin. Code Ins, ch. Ins 600, pt. Ins 601, form Form CR-1