OF CORONA 400 S VICENTIA AVE; STE 315 CORONA CA 92882 5/26/2009 2164181 RN00211482 B $0.00 $0.00...
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Transcript of OF CORONA 400 S VICENTIA AVE; STE 315 CORONA CA 92882 5/26/2009 2164181 RN00211482 B $0.00 $0.00...
EXHIBIT A
Proof Of Claim Statistics - Inception To Date
June 30, 2017
CLASS DESCRIPTIONTOTAL POCS
RECEIVED
POCS RECEIVED
AFTER 12-31-03
BARRED POCS
RECEIVED AFTER
3-30-16
TOTAL NODS
ISSUED
LIQUIDATOR ALLOWED
AMOUNTS
NODs APPROVED FOR
DISTRIBUTION
NODs AMOUNT
APPROVED FOR
DISTRIBUTION
NO CLASS ASSIGNED 33 33 33 0 $0.00 0 $0.00
A - ADMIN COSTS AND EXPENSES 3,870 399 0 3,870 $0.00 3,865 $0.00
B - POLICY HOLDER CLAIMS 61,969 4,831 0 61,155 $1,169,932,451.13 60,716 $1,127,683,411.89
C - FEDERAL GOVT 9 0 0 9 $0.00 9 $0.00
D - EMPLOYEES 0 0 0 0 $0.00 0 $0.00
E - GEN CREDITORS/UNEARNED PREM 65,584 3,867 0 65,551 $149,386,088.03 65,432 $149,303,926.54
F - STATE/LOCAL GOVT 189 3 0 189 $7,039.85 189 $7,039.85
G - LATE FILED/SUBROGATION 29,463 3,676 0 29,332 $32,849,168.02 29,288 $32,849,168.02
H - SURPLUS, PREM REFUNDS 0 0 0 0 $0.00 0 $0.00
I - SHAREHOLDERS, OTHER OWNERS 3 0 0 3 $0.00 3 $0.00
TOTAL: 161,120 12,809 33 160,109 $1,352,174,747.03 159,502 $1,309,843,546.30
OTHER COUNTS INCEPTION TO DATE
POCs With Claims at GAs 185
Contingent Unliquidated POCs 248
Ready to Evaluate 10
Awaiting Information 535
TOTAL: 978
EXHIBIT B
Objection Statistics - Inception To Date
June 30, 2017
CLASS DESCRIPTION
NUMBER OF NOD
OBJECTIONS
RECEIVED
LIQUIDATOR ALLOWED
AMOUNTS ON OBJECTIONS
RECEIVED
NUMBER OF NOD OBJECTIONS
RESOLVED
LIQUIDATOR ALLOWED AMOUNTS
ON OBJECTIONS RESOLVED
NO CLASS ASSIGNED 0 $0.00 0 $0.00
A - ADMIN COSTS AND EXPENSES 141 $518.00 141 $518.00
B - POLICY HOLDER CLAIMS 334 $32,632,410.47 333 $32,632,410.47
C - FEDERAL GOVT 0 $0.00 0 $0.00
D - EMPLOYEES 0 $0.00 0 $0.00
E - GEN CREDITORS/UNEARNED PREM 926 $22,276,220.28 926 $22,276,220.28
F - STATE/LOCAL GOVT 1 $0.00 1 $0.00
G - LATE FILED/SUBROGATION 446 $9,108,593.00 446 $9,108,593.00
H - SURPLUS, PREM REFUNDS 0 $0.00 0 $0.00
I - SHAREHOLDERS, OTHER OWNERS 0 $0.00 0 $0.00
TOTAL: 1,848 $64,017,741.75 1,847 $64,017,741.75
CLASS DESCRIPTION
NUMBER OF
OBJECTIONS
UNRESOLVED
LIQUIDATOR ALLOWED
AMOUNTS ON OBJECTIONS
UNRESOLVED
NUMBER OF OBJECTIONS
UNRESOLVED ASSIGNED TO
REFEREES
LIQUIDATOR ALLOWED AMOUNTS
ON OBJECTIONS UNRESOLVED
ASSIGNED TO REFEREES
NUMBER OF OBJECTIONS
UNRESOLVED NOT ASSIGNED
TO REFEREES
LIQUIDATOR ALLOWED AMOUNTS
ON OBJECTIONS UNRESOLVED NOT
ASSIGNED TO REFEREES
NO CLASS ASSIGNED 0 $0.00 0 $0.00 0 $0.00
A - ADMIN COSTS AND EXPENSES 0 $0.00 0 $0.00 0 $0.00
B - POLICY HOLDER CLAIMS 1 $0.00 0 $0.00 1 $0.00
C - FEDERAL GOVT 0 $0.00 0 $0.00 0 $0.00
D - EMPLOYEES 0 $0.00 0 $0.00 0 $0.00
E - GEN CREDITORS/UNEARNED PREM 0 $0.00 0 $0.00 0 $0.00
F - STATE/LOCAL GOVT 0 $0.00 0 $0.00 0 $0.00
G - LATE FILED/SUBROGATION 0 $0.00 0 $0.00 0 $0.00
H - SURPLUS, PREM REFUNDS 0 $0.00 0 $0.00 0 $0.00
I - SHAREHOLDERS, OTHER OWNERS 0 $0.00 0 $0.00 0 $0.00
TOTAL: 1 $0.00 0 $0.00 1 $0.00
EXHIBIT C
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
ADVENTIST HEALTH
SYSTEM
900 HOPE WAY
WORKERS
COMPENSATION DEPT
ALTAMONTE SPRINGS
FL 32714
1/20/2015 2166235 000101570601 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
ADVOCAT, INC. 1621 GALLERIA BLVD.
BRENTWOOD TN 37027
12/29/2003 2106463 02067802 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
ALSTOM CANADA INC. 1430 BLAIR PLACE
SUITE 600
GLOUCESTER, ON K1J
9N2
12/24/2003 2081959 93034563 B $13,366,583.77 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ASHLAND INC. 3475 BLAZER PARKWAY
LEXINGTON KY 40509
5/21/2004 2133205 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ASHLAND INC. 3475 BLAZER PARKWAY
LEXINGTON KY 40509
12/15/2004 2137918 04000095 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ASHLAND INC. 3475 BLAZER PARKWAY
LEXINGTON KY 40509
12/15/2004 2137919 04021503 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ASHLAND INC. 3475 BLAZER PARKWAY
LEXINGTON KY 40509
3/26/2008 2161865 04020808 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ASSIST
TRANSPORTATION
SERVICE INC.
933 REMSEN AVE.
BROOKLYN NY 11236
12/15/2003 2067172 97082081 B $0.00 $0.00 AUTOMOBILE; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
BAILEY, PEGGY 6980 WESTGATE DR.
BEAUMONT TX 77706
4/15/2002 1915636 01035988 B $500,000.00 $0.00 GENERAL LIABILITY; Claim by insured under
first party RIL policy for policy benefits, or claim
by third party claimant for amounts claimed to be
due under an insured's RIL policy.
BEECH, DAN W. 23 MO HUNTER LN.
POPLARVILLE MS 39470
5/22/2006 2154103 00009815 B $0.00 $0.00 ACCIDENT & HEALTH; Claim by insured under
first party RIL policy for policy benefits, or claim
by third party claimant for amounts claimed to be
due under an insured's RIL policy.
BELLMORE MERRICK
CENTRAL HIGH
1260 MEADOWBROOK
RD. NORTH MERRICK
NY 11566
12/23/2008 2163827 08000961 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
BERTSCHI, DEBRA 25 ACKERSON LN.
UPPER SADDLE RIVER
NJ 07458
12/31/2003 2123438 000498206111 B $0.00 $0.00 AUTOMOBILE; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
Page 1 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
BITTERMAN, EDWARD
LEON
15434 CHILLICOTHE RD.
RUSSELL OH 44072
12/24/2003 2082169 00065154 B $500,000.00 $0.00 PROFESSIONAL LIABILITY; Claim by insured
under first party RIL policy for policy benefits, or
claim by third party claimant for amounts
claimed to be due under an insured's RIL policy.
BLUE BIRD BODY
CORPORATION
P.O. BOX 937 FORT
VALLEY GA 31030
11/11/2013 2166010 99805002 B $1,055,277.90 $1,055,277.90 ENVIRONMENTAL; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
BOSTON SCIENTIFIC TWO MONUMENT
SQUARE C/O MARSH
PORTLAND ME 04104
3/30/2016 2166833 CALZARETTE B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
BOSTON SCIENTIFIC TWO MONUMENT
SQUARE C/O MARSH
PORTLAND ME 04104
3/30/2016 2166835 000179651572 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
BUSBY MAINTENANCE &
CONSTRUCTION CO,
INC
500 SEAWALL BLVD
#1003 GALVESTON TX
77550
12/7/2006 2159004 06001042 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
BUSH INDUSTRIES, INC. 5789 WIDEWATERS
PARKWAY C/O PMA
COMPANIES DEWITT
NY 13214
3/3/2016 2166073 14000078 B $107,146.86 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CABOT, HILARY WEBER 1813 ZIMMERMAN RD.
HONOR MI 49640
3/3/2002 1553338 03096813 B $0.00 $0.00 AUTOMOBILE; Claim by insured under first
party RIL policy for policy benefits, or claim by
third party claimant for amounts claimed to be
due under an insured's RIL policy.
CHAUTAUQUA COUNTY
SELF INSURED
3 N. ERIE STREET
MAYVILLE NY 14757
3/8/2016 848222 99189827 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CIRCLE INTERNATIONAL
GROUP INC
15350 VICKERY DRIVE
C/O EAGLE GLOBAL
LOGISTICS HOUSTON
TX 77032
4/21/2008 2161937 07004549 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITRUS COUNTY
SCHOOL BOARD
P.O. BOX 10709 C/O
FLORIDA SCHOOL
BOARD INSURANCE
TRUST TALLAHASSEE
FL 32302
9/3/2014 2166095 14000100 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITY OF BREA 1 CIVIC CENTER CIRCLE
BREA CA 92821
2/1/2016 2166336 13000221 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITY OF BREA 1 CIVIC CENTER CIRCLE
BREA CA 92821
2/1/2016 2166337 11000594 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 2 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
CITY OF CORONA 400 S VICENTIA AVE;
STE 315 CORONA CA
92882
5/26/2009 2164181 RN00211482 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITY OF GADSDEN P.O. BOX 267
GADSDEN AL 35902
7/29/2013 2165944 96100711 B $0.00 $504,950.79 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITY OF GADSDEN P.O. BOX 267
GADSDEN AL 35902
4/7/2014 2166036 00147972 B $0.00 $434,029.20 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITY OF
IRVINE/OCCRMA
MEMBER
1470 SOUTH VALLEY
VISTA DR. SUITE 230
C/O ADMINSURE
DIAMOND BAR CA 91765
2/18/2016 2166363 16000033 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITY OF LAGUNA
BEACH
1470 SOUTH VALLEY
VISTA DRIVE, SUITE 230
C/O ADMINSURE
DIAMOND BAR CA 91765
2/18/2016 2166366 08000385 B $0.00 $4,000.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITY OF MODESTO 1010 10TH ST. STE. 5600
MODESTO CA 95354
9/5/2013 2165981 10000826 B $150,204.26 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITY OF MORENO
VALLEY
PO BOX 88005
MORENO VALLEY CA
92552-0805
7/7/2009 2164284 07003237 B $0.00 $130,000.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITY OF PEEKSKILL 849 MAIN ST.
PEEKSKILL NY 10566
3/22/2007 2159291 07002713 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CITY OF PHOENIX 200 WASHINGTON
STREET PHOENIX AZ
85003
12/19/2013 2166021 000101370486 B $308,592.44 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
CITY OF WILDWOOD 100 DECADON DRIVE
C/O QUAL-LYNX EHT
EGG HARBOR TWP NJ
08234
8/3/2011 2165476 00147378 B $0.00 $365,117.09 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CNF TRANSPORTATION
INC.
P.O. BOX 4150
PORTLAND OR 97208
10/28/2008 2163659 99194359 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
COLEMAN AMERICAN
MOVING SERVICES, INC.
P.O. BOX 960 MIDLAND
CITY AL 36350
12/31/2003 2132709 00183456 B $132,732.03 $0.00 AUTOMOBILE; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
COMMUNITY
RESIDENCE INSURANCE
SAVINGS PLAN
14 LAFAYETTE SQUARE
STE. 700 C/O NCA COMP
INC BUFFALO NY 14203
3/17/2016 2166479 BARBARA
GELBLAT
B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 3 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
COOPER/T. SMITH CO.,
INC., ET AL
P.O. BOX 1566 118
NORTH ROYAL STREET
MOBILE AL 36633
6/10/2015 2166276 03041586 B $0.00 $589,208.04 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CORNELL UNIVERSITY 395 PINE TREE RD.,
SUITE 102 C/O
GALLAGHER BASSETT
ITHACA NY 14850
3/30/2016 2166818 96034206 B $210,405.20 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CSAC EXCESS
INSURANCE AUTHORITY
75 IRON POINT CIRCLE
SUITE 200 FOLSOM CA
95630
3/30/2016 2166853 13000025 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CSAC EXCESS
INSURANCE AUTHORITY
75 IRON POINT CIRCLE
SUITE 200 FOLSOM CA
95630
3/30/2016 2166854 13000194 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CSAC EXCESS
INSURANCE AUTHORITY
75 IRON POINT CIRCLE
SUITE 200 FOLSOM CA
95630
3/30/2016 2166858 15000050 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CSAC EXCESS
INSURANCE AUTHORITY
75 IRON POINT CIRCLE
SUITE 200 FOLSOM CA
95630
3/30/2016 2166871 15000136 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
CSAC EXCESS
INSURANCE AUTHORITY
75 IRON POINT CIRCLE
SUITE 200 FOLSOM CA
95630
3/30/2016 2166889 05029800 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
DESANTI, JOHN P.O. BOX 576
GLENROCK WY 82637
11/10/2003 1141943 000988302456 B $88,386.00 $29,117.94 GENERAL LIABILITY; Claim by insured under
first party RIL policy for policy benefits, or claim
by third party claimant for amounts claimed to be
due under an insured's RIL policy.
DETYENS SHIPYARDS,
INC.
825 LOWCOUNTRY
BLVD SUITE 101 C/O
AS&G CLAIMS
ADMINISTRATION INC
MT. PLEASANT SC 29464
12/23/2003 2094792 00022601 B $0.00 $341,696.13 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
DETYENS SHIPYARDS,
INC.
825 LOWCOUNTRY
BLVD SUITE 101 C/O
AS&G CLAIMS
ADMINISTRATION INC
MT. PLEASANT SC 29464
11/6/2014 2166180 04001639 B $0.00 $311,435.02 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
EDEN MEDICAL CENTER P.O. BOX 160066
SACRAMENTO CA 95816
1/17/2012 2165636 11000257 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 4 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
EDEN MEDICAL CENTER P.O. BOX 160066
SACRAMENTO CA 95816
3/23/2016 2166563 16000093 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
EDEN MEDICAL CENTER P.O. BOX 160066
SACRAMENTO CA 95816
3/23/2016 2166564 16000087 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
EDEN MEDICAL CENTER P.O. BOX 160066
SACRAMENTO CA 95816
3/23/2016 2166565 16000092 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
ELSA BENSON, INC. 2089 W. DEVON AVENUE
HANOVER PARK IL
60103
3/18/2004 2131091 001429900860 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ELSA BENSON, INC. 2089 W. DEVON AVENUE
HANOVER PARK IL
60103
3/18/2004 2136133 1429900860-01 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ELSA BENSON, INC. 2089 W. DEVON AVENUE
HANOVER PARK IL
60103
6/8/2006 2157488 1429900860-02 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ESTRA SELF-INS TRUST C/O NCA COMP INC 14
LAFAYETTE SQ, STE
700; RAND BUILDING
BUFFALO NY 14203
12/31/2003 2128596 02138253 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
FANSTEEL INC. 1746 COMMERCE ROAD
CRESTON IA 50801
2/9/2010 2164697 000560050690 B $153,896.15 $65,000.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
FLORIDA POWER 2211 7TH AVE. S.
BIRMINGHAM AL 35233
10/17/2012 2165572 11000540 B $883,284.76 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
FLORIDA SCHOOL
BOARDS INSURANCE
TRUST
P.O. BOX 10709 CLAIMS
ADMINISTRATION
TALLAHASSEE FL 32302
12/22/2003 2074557 02072792 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
FLORIDA SCHOOL
BOARDS INSURANCE
TRUST
P.O. BOX 10709 CLAIMS
ADMINISTRATION
TALLAHASSEE FL 32302
12/29/2003 2079326 04000759 B $24,223.53 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
FLORIDA SCHOOL
BOARDS INSURANCE
TRUST
P.O. BOX 10709 CLAIMS
ADMINISTRATION
TALLAHASSEE FL 32302
12/29/2003 2079334 04002688 B $89,950.22 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 5 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
FMAC INSURANCE
SERVICES INC.
127 HEADQUARTERS
PLAZA WEST TOWER
3RD FLOOR
MORRISTOWN NJ 07960
1/9/2017 2167018 00065154 B $0.00 $0.00 PROFESSIONAL LIABILITY; Claim by insured
under first party RIL policy for policy benefits, or
claim by third party claimant for amounts
claimed to be due under an insured's RIL policy.
GARDNER DENVER, INC. 1800 GARDNER EXPY.
QUINCY IL 62305
1/10/2013 2165839 00223846 B $0.00 $510,651.05 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
GENEX SERVICES INC
#2
440 E. SWEDESFORD
RD. STE. 3000 WAYNE
PA 19087
5/6/2003 1945679 01024563 B $391.23 $0.00 WORKERS COMPENSATION; Claim by insured
under first party RIL policy for policy benefits, or
claim by third party claimant for amounts
claimed to be due under an insured's RIL policy.
GEORGIA-PACIFIC
CORPORATION
133 PEACHTREE ST. NE
STE. 4810 ATLANTA GA
30303
2/12/2015 602369 00075946 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
GIRALDEZ, SECUNDINO 285 HICKS ST
BROOKLYN NY 11201-
4520
2/17/2002 1077323 01003759 B $0.00 $0.00 AUTOMOBILE; Claim by insured under first
party RIL policy for policy benefits, or claim by
third party claimant for amounts claimed to be
due under an insured's RIL policy.
GIRALDEZ, VIRTUDES 285 HICKS ST
BROOKLYN NY 11201-
4520
2/11/2002 1077314 01003759 B $0.00 $0.00 AUTOMOBILE; Claim by insured under first
party RIL policy for policy benefits, or claim by
third party claimant for amounts claimed to be
due under an insured's RIL policy.
GRAYCOR INDUSTRIAL
CONSTRUCTORS INC
TWO MID AMERICA
PLAZA SUITE 400
OAKBROOK TERRACE IL
60181
3/2/2016 2166389 15000162 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
GUIDO, JESS 1001 MANOR RD. NEW
KENSINGTON PA 15068
9/9/2005 1869703 000078533653 B $0.00 $0.00 AUTOMOBILE; Claim by insured under first
party RIL policy for policy benefits, or claim by
third party claimant for amounts claimed to be
due under an insured's RIL policy.
GWINNETT COUNTY
PUBLIC SCHOOLS
53 GWINNETT DRIVE
BLDG. A
LAWRENCEVILLE GA
30046
1/22/2015 2166237 06001221 B $0.00 $1,757,846.71 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
HEALTHCARE
PROVIDERS SELF
INSURED TRUST
14 LAFAYETE SQ; SUITE
700 C/O NCA COMP INC -
RAND BUILDING
BUFFALO NY 14203
12/31/2003 2128589 02062399 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 6 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
HEALTHCARE
PROVIDERS SELF
INSURED TRUST
14 LAFAYETE SQ; SUITE
700 C/O NCA COMP INC -
RAND BUILDING
BUFFALO NY 14203
12/31/2003 2128591 06001900 B $122,169.27 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
HEALTHCARE
PROVIDERS SELF
INSURED TRUST
14 LAFAYETE SQ; SUITE
700 C/O NCA COMP INC -
RAND BUILDING
BUFFALO NY 14203
12/31/2003 2128594 02063960 B $107,384.68 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
HEALTHCARE
PROVIDERS SELF
INSURED TRUST
14 LAFAYETE SQ; SUITE
700 C/O NCA COMP INC -
RAND BUILDING
BUFFALO NY 14203
12/31/2003 2128595 02069006 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
HEALTHCARE
PROVIDERS SELF
INSURED TRUST
14 LAFAYETE SQ; SUITE
700 C/O NCA COMP INC -
RAND BUILDING
BUFFALO NY 14203
12/20/2010 2165279 98108606 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
HEALTHCARE
PROVIDERS SELF
INSURED TRUST
14 LAFAYETE SQ; SUITE
700 C/O NCA COMP INC -
RAND BUILDING
BUFFALO NY 14203
2/16/2016 2166362 12001011 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
HEALTHCARE
PROVIDERS SELF
INSURED TRUST
14 LAFAYETE SQ; SUITE
700 C/O NCA COMP INC -
RAND BUILDING
BUFFALO NY 14203
3/17/2016 2166473 07004057 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
HENRY COUNTY BOARD
OF EDUCATION
33 N. ZACK HINTON
PKWY. MCDONOUGH
GA 30253
1/7/2015 2166187 98076763 B $0.00 $1,478,504.66 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
HOLIDAY MARKETS,
INC.
6499 SACKETT ST.
PHILADELPHIA PA 19149
12/24/2003 2096200 02069312 B $193,600.00 $12,917.87 MULTI-LINE POLICY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
HOLIDAY MARKETS,
INC.
6499 SACKETT ST.
PHILADELPHIA PA 19149
12/24/2003 2096242 04001473 B $193,600.00 $0.00 MULTI-LINE POLICY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ILLINOIS TOOL WORKS 155 HARLEM AVE
GLENVIEW IL 60025-
4075
12/31/2003 2087783 03103541 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ILLINOIS TOOL WORKS 155 HARLEM AVE
GLENVIEW IL 60025-
4075
12/31/2003 2088895 04003018 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
Page 7 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
ILLINOIS TOOL WORKS 155 HARLEM AVE
GLENVIEW IL 60025-
4075
12/31/2003 2088906 04003017 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ILLINOIS TOOL WORKS 155 HARLEM AVE
GLENVIEW IL 60025-
4075
12/31/2003 2088942 04001940 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ILLINOIS TOOL WORKS 155 HARLEM AVE
GLENVIEW IL 60025-
4075
12/31/2003 2088951 04003016 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ILLINOIS TOOL WORKS 155 HARLEM AVE
GLENVIEW IL 60025-
4075
12/31/2003 2089022 04003013 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ILLINOIS TOOL WORKS 155 HARLEM AVE
GLENVIEW IL 60025-
4075
12/31/2003 2089035 04003015 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ILLINOIS TOOL WORKS 155 HARLEM AVE
GLENVIEW IL 60025-
4075
12/31/2003 2089110 04001958 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
INDEPENDENT
GROCERS WC TRUST
P.O. BOX 1248
WILLIAMSVILLE NY
14231
2/9/2016 2165693 12000851 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
JOHN MUIR HEALTH C/O CCMSI 1800
SUTTER ST, BOX 29,
SUITE 460 CONCORD
CA 94520
2/7/2014 2166027 06000004 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
JOHN MUIR HEALTH C/O CCMSI 1800
SUTTER ST, BOX 29,
SUITE 460 CONCORD
CA 94520
12/12/2014 2166186 05043946 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
JOHNSON CONTROLS
WORLD SERVICES, INC
411 E. WISCONSIN
AVENUE C/O MARSH
U.S.A. INC MILWAUKEE
WI 53202
12/9/2008 2163772 08001111 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
JOHNSON CONTROLS,
INC.
411 E. WISCONSIN
AVENUE C/O MARSH
U.S.A. INC MILWAUKEE
WI 53202
3/30/2016 2166825 97014701 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
JOHNSON CONTROLS,
INC.
411 E. WISCONSIN
AVENUE C/O MARSH
U.S.A. INC MILWAUKEE
WI 53202
3/30/2016 2166827 97015055 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
JOHNSON CONTROLS,
INC.
411 E. WISCONSIN
AVENUE C/O MARSH
U.S.A. INC MILWAUKEE
WI 53202
3/30/2016 2166828 10000661 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 8 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
JOHNSON CONTROLS,
INC.
411 E. WISCONSIN
AVENUE C/O MARSH
U.S.A. INC MILWAUKEE
WI 53202
3/30/2016 2166829 10000046 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
KELLWOOD COMPANY
LLC
600 KELLWOOD
PARKWAY SUITE 200
CHESTERFIELD MO
63017
11/17/2015 2166312 000500050103 B $160,448.55 $554,707.68 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
KOHR, AARON 248 E LIBERTY ST
SCHUYLKILL HAVEN PA
17972-1706
7/30/2002 1540221 03052250 B $25,000.00 $0.00 AUTOMOBILE; Claim by insured under first
party RIL policy for policy benefits, or claim by
third party claimant for amounts claimed to be
due under an insured's RIL policy.
KOHR, EMMA S. 248 E LIBERTY ST
SCHUYKL HAVN PA
17972-1706
7/30/2002 1540220 03052250 B $25,000.00 $0.00 AUTOMOBILE; Claim by insured under first
party RIL policy for policy benefits, or claim by
third party claimant for amounts claimed to be
due under an insured's RIL policy.
LOMPOC HEALTHCARE
DISTRICT
P.O. BOX 1058 1515 E
OCEAN AVE LOMPOC
CA 93436
2/14/2003 1935380 99092287 B $365,237.11 $56,663.89 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
MARTINEZ, MICHAEL 2142 STEVENS ST.
PHILADELPHIA PA 19149
7/22/2002 1063694 98032492 B $0.00 $0.00 ACCIDENT & HEALTH; Claim by insured under
first party RIL policy for policy benefits, or claim
by third party claimant for amounts claimed to be
due under an insured's RIL policy.
MEDIVATORS INC. ATTN: KEITH UTECHT
14605 28TH AVE. N.
MINNEAPOLIS MN 55447
1/9/2014 2166022 000649850014 B $0.00 $83,135.63 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
MIDAMERICAN ENERGY
CO.
P.O. BOX 657 DES
MOINES IA 50306
5/21/2014 2166047 000358500734 B $0.00 $340,763.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
MINTZER SAROWITZ
ZERIS LEDVA & MEYERS
LLP
1500 MARKET STREET,
SUITE 4100 CENTRE
SQUARE, WEST TOWER
PHILADELPHIA PA 19102
11/23/2011 2165591 99155970 B $12,212.64 $12,212.64 WORKERS COMPENSATION; Claim for claim-
related legal fees incurred post-liquidation on
behalf of a Reliance insured or Reliance.
NASSCO HOLDINGS,
INC.
P.O. BOX 85278 SAN
DIEGO, CA 92186
9/15/2014 578826 02065159 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
NEW ENGLAND
ELECTRIC
100 EAST OLD
COUNTRY ROAD
HICKSVILLE NY 11801
3/30/2016 2166941 JOHN
HAYWARD
B $33,312.87 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
NEW ENGLAND
ELECTRIC
100 EAST OLD
COUNTRY ROAD
HICKSVILLE NY 11801
3/30/2016 2166944 11000662 B $284,203.71 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 9 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
NEW JERSEY TURNPIKE
AUTHORITY
P.O. BOX 5042
WOODBRIDGE NJ 07095
2/26/2016 2166382 01036012 B $407,839.36 $3,577.26 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
NEW YORK
AGRICULTURAL
COMPENSATION TRUST
5001 BRITTONFIELD
PKWY. EAST
SYRACUSE NY 13057
5/31/2002 1916165 99219752 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
NORTH COUNTY FIRE
PROTECTION DISTRICT
330 SOUTH MAIN
AVENUE FALLBROOK
CA 92028
3/25/2016 2166586 09001082 B $91,320.40 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
NURSING HOMES
MANAGEMENT INC
PO BOX 192 305
BEVILLE STREET
WINNFIELD LA 71483-
0192
12/30/2003 655263 00110008 B $0.00 $0.00 PROFESSIONAL LIABILITY; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
OFFSHORE LOGISTICS,
INC.
4605 INDUSTRIAL DR.
NEW IBERIA LA 70560
5/19/2015 2166270 95043144 B $0.00 $474,202.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
ORANGE COUNTY
BOARD OF COUNTY
COMMISSIONERS
201 S. ROSALIND AVE.
ORLANDO FL 32801
12/5/2003 2060218 00115091 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
ORANGE-ULSTER
SCHOOL DISTRICTS
P.O. BOX 348 C/O
BENETECH INC
WYNANTSKILL NY 12198
12/31/2003 2083840 02066756 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
ORANGE-ULSTER
SCHOOL DISTRICTS
P.O. BOX 348 C/O
BENETECH INC
WYNANTSKILL NY 12198
12/31/2003 2083849 08000593 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
PAJARO VALLEY
COMMUNITY HEALTH
TRUST/WATSONVILLE
COMMUNITY HOSPITAL
PO BOX 2805 CLINTON
IA 52733-2805
1/17/2012 2165643 09000507 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
PHOTOENGRAVING
INCORPORATED
PO BOX 20768 TAMPA
FL 33622-0768
3/30/2016 2166726 N/A B $320,675.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
PHOTOENGRAVING
INCORPORATED
PO BOX 20768 TAMPA
FL 33622-0768
3/30/2016 2166727 000101670675 B $320,675.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
PHOTOENGRAVING
INCORPORATED
PO BOX 20768 TAMPA
FL 33622-0768
3/30/2016 2166728 000101670678 B $320,675.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
PHOTOENGRAVING
INCORPORATED
PO BOX 20768 TAMPA
FL 33622-0768
3/30/2016 2166729 000101670676 B $320,675.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
Page 10 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
PHOTOENGRAVING
INCORPORATED
PO BOX 20768 TAMPA
FL 33622-0768
3/30/2016 2166730 000101670677 B $320,675.00 $585,000.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
QUEENSCARE, FKA
QUEEN OF ANGELS
950 S. GRAND AVE, 2ND
FLOOR SOUTH LOS
ANGELES CA 90015-
1422
3/30/2016 2166855 16000091 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
R. O. BUSBY ENG. &
CONSTRUCTION
500 SEAWALL BLVD
#1003 GALVESTON TX
77550
12/7/2006 2159005 06001042 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
ROGERS GROUP, INC P.O. BOX 25250
NASHVILLE TN 37202
12/3/2003 2059801 000308303626 B $0.00 $50,357.31 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
ROSS, WILLIAM J. 24 SWABY ST. SENECA
FALLS NY 13148
5/19/2016 2167011 99173373 B $0.00 $31,513.00 ACCIDENT & HEALTH; Claim by insured under
first party RIL policy for policy benefits, or claim
by third party claimant for amounts claimed to be
due under an insured's RIL policy.
RPC INCORPORATED 2170 PIEDMONT RD. NE
ATLANTA GA 30324
12/31/2003 2116189 99054021 B $0.00 $634,649.71 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SAN ANTONIO
INDEPENDENT
P.O. BOX 2805
CLINTON IA 53723
9/8/2014 2165568 10000076 B $0.00 $55,317.77 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SAN FRANCISCO
UNIFIED SCHOOL
555 FRANKLIN ST. SAN
FRANCISCO CA 94102
2/20/2009 2163920 06001872 B $0.00 $370,217.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SAN FRANCISCO
UNIFIED SCHOOL
555 FRANKLIN ST. SAN
FRANCISCO CA 94102
2/20/2009 2163923 05029497 B $0.00 $38,245.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SAN FRANCISCO
UNIFIED SCHOOL
555 FRANKLIN ST. SAN
FRANCISCO CA 94102
2/20/2009 2163925 06000866 B $0.00 $88,949.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SAN FRANCISCO
UNIFIED SCHOOL
555 FRANKLIN ST. SAN
FRANCISCO CA 94102
5/21/2010 2164871 10000397 B $0.00 $8,422.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SAN FRANCISCO
UNIFIED SCHOOL
555 FRANKLIN ST. SAN
FRANCISCO CA 94102
9/3/2010 2165088 05029500 B $0.00 $441,951.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SAN FRANCISCO
UNIFIED SCHOOL
555 FRANKLIN ST. SAN
FRANCISCO CA 94102
9/18/2014 2166140 05029502 B $0.00 $78,660.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 11 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
SB DECKING, INC. 901 E. HECTOR ST. ONE
QUAKER PARK
CONSHOHOCKEN PA
19428
12/15/2003 2067504 001429100404 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
SB DECKING, INC. 901 E. HECTOR ST. ONE
QUAKER PARK
CONSHOHOCKEN PA
19428
12/15/2003 2067506 001429100402 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
SB DECKING, INC. 901 E. HECTOR ST. ONE
QUAKER PARK
CONSHOHOCKEN PA
19428
12/15/2003 2067507 001429100400 B $0.00 $750,000.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
SB DECKING, INC. 901 E. HECTOR ST. ONE
QUAKER PARK
CONSHOHOCKEN PA
19428
12/15/2003 2067508 001429100401 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
SB DECKING, INC. 901 E. HECTOR ST. ONE
QUAKER PARK
CONSHOHOCKEN PA
19428
12/15/2003 2067509 001429100398 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
SB DECKING, INC. 901 E. HECTOR ST. ONE
QUAKER PARK
CONSHOHOCKEN PA
19428
12/15/2003 2067511 000100650654 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
SB DECKING, INC. 901 E. HECTOR ST. ONE
QUAKER PARK
CONSHOHOCKEN PA
19428
12/15/2003 2067513 001429100399 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
SB DECKING, INC. 901 E. HECTOR ST. ONE
QUAKER PARK
CONSHOHOCKEN PA
19428
12/15/2003 2067514 001429100405 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
SB DECKING, INC. 901 E. HECTOR ST. ONE
QUAKER PARK
CONSHOHOCKEN PA
19428
12/15/2003 2067545 001429122088 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
SB DECKING, INC. 901 E. HECTOR ST. ONE
QUAKER PARK
CONSHOHOCKEN PA
19428
12/15/2003 2077533 001429100403 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
SCHOOL BOARD OF
CLAY COUNTY
P.O. BOX 110279 C/O
JOHNS EASTERN
COMPANY LAKEWOOD
RANCHE FL 34211
3/14/2016 848474 16000057 B $192,874.86 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 12 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
SCHOOL BOARD OF
CLAY COUNTY
P.O. BOX 110279 C/O
JOHNS EASTERN
COMPANY LAKEWOOD
RANCHE FL 34211
3/14/2016 2166429 02137241 B $184,950.86 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SCHOOLS ALLIANCE
FOR WORKERS' COMP
EXCESS II
P.O. BOX 4328 C/O
KEENAN & ASSOCIATES
TORRANCE CA 90510
9/4/2012 2165801 05022508 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SCHOOLS ALLIANCE
FOR WORKERS' COMP
EXCESS II
P.O. BOX 4328 C/O
KEENAN & ASSOCIATES
TORRANCE CA 90510
2/11/2016 2166347 13000043 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SCHOOLS ALLIANCE
FOR WORKERS' COMP
EXCESS II
P.O. BOX 4328 C/O
KEENAN & ASSOCIATES
TORRANCE CA 90510
2/11/2016 2166356 13000122 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SEQUACHEE VALLEY
ELECTRIC COOP.
PO BOX 31 SOUTH
PITTSBURG TN 37380-
0031
2/17/2016 743849 95084218 B $56,302.83 $106,820.58 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SISTERS OF CHARITY
OF LEAVENWORTH
4200 S. 4TH ST.
LEAVENWORTH KS
66048
5/31/2005 2140056 05029781 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SNYDER TANK
CORPORATION
14 LAFAYETTE SQUARE
STE. 700 C/O NCA COMP
INC BUFFALO NY 14203
3/17/2016 2166484 97025094 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SOUTH GEORGIA
MEDICAL CENTER
P.O. BOX 740042 C/O
AMTRUST ATLANTA GA
30374
12/30/2003 2080762 09000908 B $0.00 $40,628.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SPX CORPORATION 13320 BALLANTYNE
CORPORATE PLACE
CHARLOTTE NC 28277
12/22/2003 2074300 94014705 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
SPX CORPORATION 13320 BALLANTYNE
CORPORATE PLACE
CHARLOTTE NC 28277
9/8/2014 2166106 92085918 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
STATE OF NEW YORK OFFICE OF THE
ATTORNEY GENERAL
CIVIL RECOVERIES
BUREAU; THE CAPITOL
ALBANY NY 12224-0341
11/18/2003 2077523 99801172 B $0.00 $0.00 ENVIRONMENTAL; Claim by insured under first
party RIL policy for policy benefits, or claim by
third party claimant for amounts claimed to be
due under an insured's RIL policy.
TENNESSEE OIL
MARKETERS ASSOC.
1900 WINSTON ROAD
SUITE 100 KNOXVILLE
TN 37919
1/23/2012 2165644 97133204 B $0.00 $466,352.15 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 13 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
TENNESSEE SCHOOL
BOARD ASSOCIATION
404 BNA DRIVE SUITE
208 NASHVILLE TN
37217
11/10/2011 2165583 01030945 B $0.00 $195,023.84 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
THE DUVAL COUNTY
SCHOOLS
P.O. BOX 110279 C/O
JOHNS EASTERN
COMPANY INC
LAKEWOOD RCH FL
34211
3/14/2016 2166427 07004349 B $119,286.67 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
THE DUVAL COUNTY
SCHOOLS
P.O. BOX 110279 C/O
JOHNS EASTERN
COMPANY INC
LAKEWOOD RCH FL
34211
3/14/2016 2166428 07004353 B $68,970.52 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
THE MAY DEPARTMENT
STORES COMPANY
7 WEST SEVENTH
STREET C/O MACY'S
CORPORATE SERVICES
CINCINNATI OH 45202
7/11/2003 1952756 03102268 B $382,700.00 $27,599.01 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
THE MAY DEPARTMENT
STORES COMPANY
7 WEST SEVENTH
STREET C/O MACY'S
CORPORATE SERVICES
CINCINNATI OH 45202
7/11/2003 1952814 03103186 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
THE MAY DEPARTMENT
STORES COMPANY
7 WEST SEVENTH
STREET C/O MACY'S
CORPORATE SERVICES
CINCINNATI OH 45202
7/11/2003 1952835 03103199 B $216,300.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
THE PREMCOR
REFINING GROUP, INC.
P.O. BOX 696000 C/O
VALERO SAN ANTONIO
TX 78269
12/30/2003 2029935 08000894 B $0.00 $1,250,000.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
THE PREMCOR
REFINING GROUP, INC.
P.O. BOX 696000 C/O
VALERO SAN ANTONIO
TX 78269
12/24/2003 2080142 08000894 B $0.00 $0.00 GENERAL LIABILITY; Claim by insured for
reimbursement of defense and indemnity paid
due to Liquidation.
TORRANCE UNIFIED
SCHOOL DISTRICT
2335 PLAZA DEL AMO
TORRANCE CA 90501
3/17/2016 2166465 03004469 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
TRANSPORTATION
WORKERS' COMP
TRUST
14 LAFAYETTE SQUARE,
SUITE 700 C/O NCA
COMP - STEVE GIDWITZ
BUFFALO NY 14203
4/4/2016 2166990 04002285 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 14 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
TRANSPORTATION
WORKERS' COMP
TRUST
14 LAFAYETTE SQUARE,
SUITE 700 C/O NCA
COMP - STEVE GIDWITZ
BUFFALO NY 14203
4/4/2016 2166992 GAIL HESKIN 15-
8
B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
TRANSPORTATION
WORKERS' COMP
TRUST
14 LAFAYETTE SQUARE,
SUITE 700 C/O NCA
COMP - STEVE GIDWITZ
BUFFALO NY 14203
4/4/2016 2166995 15000038 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
TRANSPORTATION
WORKERS' COMP
TRUST
14 LAFAYETTE SQUARE,
SUITE 700 C/O NCA
COMP - STEVE GIDWITZ
BUFFALO NY 14203
4/4/2016 2166997 04002296 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
TRANSPORTATION
WORKERS' COMP
TRUST
14 LAFAYETTE SQUARE,
SUITE 700 C/O NCA
COMP - STEVE GIDWITZ
BUFFALO NY 14203
4/4/2016 2166998 04002298 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
TRANSPORTATION
WORKERS' COMP
TRUST
14 LAFAYETTE SQUARE,
SUITE 700 C/O NCA
COMP - STEVE GIDWITZ
BUFFALO NY 14203
4/4/2016 2166999 04002289 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
TYLER PIPE
INDUSTRIES INC
11910 COUNTY ROAD
492 TYLER TX 75706
12/29/2003 2084089 95042386 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
TYLER PIPE
INDUSTRIES INC
11910 COUNTY ROAD
492 TYLER TX 75706
12/29/2003 2084092 95042384 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
UNION THEOLOGICAL
SEMINARY
C/O PMA MANAGEMENT
CORPORATION 5789
WIDEWATERS
PARKWAY DEWITT NY
13214
11/1/2007 2161128 07004729 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
UNIVERSAL HEALTH
SERVICES, INC.
P.O. BOX 61558 367
SOUTH GULF ROAD
KING OF PRUSSIA PA
19406
12/24/2003 2095045 00074144 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
UNIVERSITY OF MIAMI 1395 BRICKELL AVE.
ESPIRITO SANTA PLAZA
14TH FL. MIAMI FL
33131
11/13/2007 2161434 08000407 B $0.00 $12,607,504.09 PROFESSIONAL LIABILITY; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
Page 15 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
VOZAR, BRYAN MARY CHRIS HOMES-
PHASE 1 BLOCK 18, LOT
32 BUCANDALA, IMUS
CAVI
2/9/2016 2166352 00072606 B $0.00 $140,932.00 ACCIDENT & HEALTH; Claim by insured under
first party RIL policy for policy benefits, or claim
by third party claimant for amounts claimed to be
due under an insured's RIL policy.
WALKER, ALFRED 7611 SAVANNAH LANE
TAMPA FL 33637
4/5/2002 1915748 00031953 B $2,000,000.00 $0.00 GENERAL LIABILITY; Claim by insured under
first party RIL policy for policy benefits, or claim
by third party claimant for amounts claimed to be
due under an insured's RIL policy.
WASHINGTON
HOSPITAL HEALTHCARE
PO BOX 2805 C/O
TRISTAR CLINTON IA
52733-2805
12/31/2003 2105824 04020750 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
WCB C/O TRIAD GROUP LLC
PO BOX 629 ARMONK
NY 10504
10/8/2014 2166171 00087661 B $0.00 $0.00 WORKERS COMPENSATION; Claim by insured
for reimbursement of defense and indemnity
paid due to Liquidation.
AMERICAN
RESTAURANT GROUP,
INC. AND ITS WHOLLY
OWNED SUBSIDIARY
ARG ENTERPRISES,
INC.
4410 EL CAMINO REAL
STE. 201 LOS ALTOS
CA 94022
12/30/2003 2103570 E $1,301,614.00 $0.00 Claims by miscellaneous general creditors.
CATHOLIC HEALTH
INITIATIVES
3900 OLYMPIC BLVD.
STE. 400 ERLANGER
KY 41018
12/12/2008 2163774 08001692 E $0.00 NA Claim against a Reliance reinsurance contract
issued by Reliance.
CATHOLIC HEALTH
INITIATIVES
3900 OLYMPIC BLVD.
STE. 400 ERLANGER
KY 41018
4/16/2010 2164814 03041172 E $0.00 NA Claim against a Reliance reinsurance contract
issued by Reliance.
CATHOLIC HEALTH
INITIATIVES
3900 OLYMPIC BLVD.
STE. 400 ERLANGER
KY 41018
7/16/2012 2165719 03040488 E $0.00 NA Claim against a Reliance reinsurance contract
issued by Reliance.
GEORGE, HARTZ, &
LUNDEEN PA
4800 S. LE JEUNE RD.
CORAL GABLES FL
33146
5/28/2002 1923585 000829960237 E $19,063.43 NA WORKERS COMPENSATION; Claim for pre-
rehabilitation, claim-related legal services on
behalf of a Reliance insured or Reliance; or,
Claim pursued against another state's special
deposit.
MAYFLOWER
CONTRACT SERVICES,
INC.
600 VINE STREET SUITE
1400 C/O FIRST GROUP
AMERICA CINCINNATI
OH 45202
12/15/2003 2067148 E $0.00 $0.00 Claims unrelated to Reliance policy or Reliance
matter, claim for reinsurance cut-through, or
claim relating to a policy novated to, assumed
by, or issued by a carrier other than Reliance.
MCCOY TREE SURGERY
COMPANY
P.O. BOX 817 NORMAN
OK 73070
3/29/2016 2166702 E $0.00 $0.00 Claims by miscellaneous general creditors.
Page 16 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166504 E $274,855.56 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166532 E $7,803.04 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166533 E $87,766.86 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166534 E $11,314.18 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166535 E $15,470.83 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166536 E $15,302.95 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166537 E $402,366.85 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166538 E $266,576.36 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166539 E $22,593.61 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
Page 17 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166540 E $6,537,117.63 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166541 E $2,539,242.35 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166542 E $108,816.53 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166543 E $86,860.63 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166544 E $24,763.07 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166545 E $129,145.09 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166546 E $58,287.60 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166547 E $0.68 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1121
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166548 E $299,521.10 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
Page 18 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166503 E $30,982.11 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166520 E $0.99 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166521 E $9,864.76 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166522 E $8,713.35 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166523 E $43,632.46 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166524 E $44,689.11 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166525 E $97,974.63 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166526 E $155,060.31 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166527 E $20,932.00 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
Page 19 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166528 E $39,780.23 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166529 E $34,342.11 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166530 E $3,176.27 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1236
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166531 E $6,810.85 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1243
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166502 E $2,885.36 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1243
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166511 E $5,268.52 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1243
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166512 E $2,224.82 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1243
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166513 E $189.41 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1243
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166514 E $62,879.00 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
Page 20 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
SHELBOURNE LLOYDS
SYNDICATE 1243
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166515 E $1,184.39 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1243
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166516 E $119,240.51 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1243
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166517 E $2,362.25 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1243
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166518 E $39,486.65 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1243
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166519 E $13,779.25 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1308
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166501 E $0.00 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1308
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166505 E $133,312.50 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1308
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166506 E $1,795.00 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1308
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166507 E $158,332.26 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
Page 21 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
SHELBOURNE LLOYDS
SYNDICATE 1308
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166508 E $117,200.28 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1308
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166509 E $169,562.50 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1308
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166510 E $942.60 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 1999
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166500 E $420,483.60 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 55
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166554 E $1,414,481.05 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 55
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166556 E $2,125,255.90 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 55
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166557 E $41,400.00 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 55
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166558 E $150,000.00 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 55
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166559 E $435.06 $0.00 Claims unrelated to Reliance policy or Reliance
matter, claim for reinsurance cut-through, or
claim relating to a policy novated to, assumed
by, or issued by a carrier other than Reliance.
Y
Page 22 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
SHELBOURNE LLOYDS
SYNDICATE 55
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166560 E $5,627.16 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 55
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166561 E $228.18 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
SHELBOURNE LLOYDS
SYNDICATE 55
AVAYA HOUSE, 2
CATHEDRAL HILL C/O
ENSTAR (EU) LIMITED
GUILDFORD SURREY
GU2 7YL
3/22/2016 2166562 E $10.61 NA Claim against a Reliance reinsurance contract
issued by Reliance.
Y
CITY OF SANTA
BARBARA
P.O. BOX 1990 SANTA
BARBARA CA 93102
11/17/2003 2025918 02069013 G $182,013.87 NA WORKERS COMPENSATION; Claim against
the estate for which the claimant failed to
provide information pursuant to the Claims
Information Order
CITY OF TORRANCE 3031 TORRANCE BLVD.
TORRANCE CA 90503
12/23/2003 2076606 01056061 G $0.00 NA WORKERS COMPENSATION; Claim against
the estate for which the claimant failed to
provide information pursuant to the Claims
Information Order
CITY OF WESTMINSTER 1470 SOUTH VALLEY
VISTA DRIVE, SUITE 230
C/O ADMINSURE
DIAMOND BAR CA 91765
2/18/2016 2166365 06000041 G $0.00 NA WORKERS COMPENSATION; Claim against
the estate for which the claimant failed to
provide information pursuant to the Claims
Information Order
LEMANS CORPORATION 3501 KENNEDY RD., P.O.
BOX 5222 JANESVILLE
WI 53547-5222
3/28/2016 2166414 000101670665 G $0.00 NA GENERAL LIABILITY; Claim against the estate
for which the claimant failed to provide
information pursuant to the Claims Information
Order
LOS ANGELES
COMMUNITY COLLEGE
DISTRICT
770 WILSHIRE BLVD.
LOS ANGELES CA 90017
11/21/2007 2161534 05021950 G $0.00 NA WORKERS COMPENSATION; Claim against
the estate for which the claimant failed to
provide information pursuant to the Claims
Information Order
MANDELBLATT,
BEVERLY
5206 BEETMAN AVE
NORTH HOLLYWOOD
CA 91607
2/16/2016 2166361 03099814 G $10,000.00 $0.00 Late filed Claim not allowed under 221.37
POWER PROCESS
PIPING
45780 PORT ST.
PLYMOUTH MI 48170
9/17/2014 2166134 000100750120 G $0.00 NA GENERAL LIABILITY; Claim against the estate
for which the claimant failed to provide
information pursuant to the Claims Information
Order
Page 23 of 24
Reliance Insurance Company (In Liquidation)
Resolved Claims as of 06/30/2017
Claimant Name AddressDate Poc
Filed
Poc
NumberClaim Number Class Claimed Amount Allowed Amount Claim Particulars
Resolved
Objection
REYES, JUAN &
PHILOMENA
414 STATE ST.
BROOKLYN NY 11217
2/21/2002 1929606 00205737 G $0.00 NA GENERAL LIABILITY; Claim against the estate
for which the claimant failed to provide
information pursuant to the Claims Information
Order
SCOTT CO. OF
CALIFORNIA
11400 WEST OLYMPIC
BLVD, SUITE 200 LOS
ANGELES CA 90064
3/30/2016 2166909 001429400274 G $6,218,508.00 NA GENERAL LIABILITY; Claim against the estate
for which the claimant failed to provide
information pursuant to the Claims Information
Order
SCOTT CO. OF
CALIFORNIA
11400 WEST OLYMPIC
BLVD, SUITE 200 LOS
ANGELES CA 90064
3/30/2016 2166910 001429400275 G $6,218,508.00 NA GENERAL LIABILITY; Claim against the estate
for which the claimant failed to provide
information pursuant to the Claims Information
Order
SOUTHEASTERN
GROCERS, LLC
5050 EDGEWOOD
COURT JACKSONVILLE
FL 32254
3/28/2016 2166589 G $0.00 NA WORKERS COMPENSATION; Claim against
the estate for which the claimant failed to
provide information pursuant to the Claims
Information Order
SOUTHEASTERN
GROCERS, LLC
5050 EDGEWOOD
COURT JACKSONVILLE
FL 32254
3/29/2016 2166597 99042986 G $0.00 $0.00 WORKERS COMPENSATION; Claim against
the estate for which the claimant failed to
provide information pursuant to the Claims
Information Order
WESTGATE, LLC PO BOX 1942 BATON
ROUGE LA 70821
5/15/2014 2166044 000101370455 G $0.00 NA GENERAL LIABILITY; Claim against the estate
for which the claimant failed to provide
information pursuant to the Claims Information
Order
Page 24 of 24
EXHIBIT D
Reliance Insurance Company (In Liquidation)
Resolved Claims As of 06/30/2017
Summary Report by Class
Class NODs Issued
Allowed
Amount
A 0 $0.00
B 179 $27,083,155.96
C 0 $0.00
D 0 $0.00
E 64 $0.00
F 0 $0.00
G 13 $0.00
H 0 $0.00
I 0 $0.00
Total 256 $27,083,155.96
Resolved Claims
