From the pages of
Sublette Examiner
Volume 5, Number 13 - June 23, 2005
brought to you online by Pinedale Online

Public Notices

Notice of Application For A Renewal of A
Restaurant Liquor License
Notice is hereby given on the 27th day of May, 2005, Randy and Shawna McNinch filed for a renewal for a restaurant liquor license for Rio Verde Grill in the office of the clerk of the Town of Marbleton, Wyoming, for the described place to witt: frame building located at Block 25 lots 13-14 of the original town site of Marbleton. Protests, if any, against the issuance of this license, will be heard on June 24, 2005, at 3 p.m. at the clerk's office at the Marbleton Town Hall.
Town of Marbleton
/s/ Alice Griggs/Clerk
Published in the Sublette Examiner June 2, 9, 16 and 23, 2005.


STATE OF WYOMING )
) ss.
COUNTY OF SUBLETTE )
IN THE DISTRICT COURT
NINTH JUDICIAL DISTRICT
ELWOOD TALLMAN, )
)
Plaintiff, )
)
vs. )
)
T.B.C. LAND AND RECREATION )
DEVELOPMENT CORPORATION, )
a Wyoming Corporation, )
)
Defendant. )
CIVIL ACTION NO. 2005-6717
LEGAL NOTICE
TO: T.B.C. LAND AND RECREATION DEVELOPMENT CORPORATION, a Wyoming Corporation
Address Unknown
TAKE NOTICE that ELWOOD TALLMAN has filed a complaint in the District Court, Ninth Judicial District, Sublette County, Wyo., sitting in the Town of Pinedale, to quiet title to lot fifty-nine (59), block three (3) of the Barger Subdivision, second filing, Sublette County, Wyo., as fee simple owner of said lot naming you as defendant, alleging that you claim estate, rights, titles, liens and interests therein which are adverse to those of the plaintiff, and that plaintiff is seeking to have his title to said real property forever quieted and a judicial determination that you have no estates, rights, titles, liens or interests therein and that a certain Statement of Claim For Lien of Assessments, recorded Feb. 6, 1981, at Book 38 of Miscellaneous, Page 37, in the office of the county clerk of Sublette County, Wyo., be found not to be a lien or encumbrance on said real property.
FURTHER, you are notified that you are required to answer plaintiff's complaint on or before July 25, 2005, by filing the same with the clerk of this court; otherwise, said complaint shall be taken as true and judgment shall be rendered against you accordingly.
/s/ MARILYN M. JENSEN
Clerk of District Court
Box 764, Pinedale, Wyo., 82941
Published in the Sublette Examiner June 2, 9, 16 and 23, 2005.


INVITATION FOR BIDS
UPPER GREEN RIVER CEMETERY
DISTRICT
MUNICIPAL WATER SERVICE
FOR THE PINEDALE CEMETERY
Sealed bids are requested for work described in the project manual for the municipal water service for the Pinedale Cemetery for the Upper Green River Cemetery District, dated June 13, 2005, prepared by Rio Verde Engineering, 201 West Pine Street, P.O. Box 642, Pinedale, Wyo., 82941. Copies of the project manual and the design drawings specifying the work to be performed may be obtained from Rio Verde Engineering.
Bids will be received by Rio Verde Engineering, at their office, until 2 p.m. local time on June 30, 2005, at which time said bids will be publicly opened and read aloud.
The work consists of 500 LF of 8" DIP, 900 LF of 6" DIP, 3 fire hydrants, 1-4" water service, 1-3/4" copper water service, miscellaneous appurtenances and street repair.
Bidders shall be required to accompany each bid with a bid bond with sufficient surety, or a certified check, cashier's check or bank draft upon some reputable bank payable to the Upper Green River Cemetery District for at least ten (10) percent of the total amount of the bid. The bond, check or bank draft shall be forfeited as liquidated damages if the bidder, upon the letting of the contract to him, fails to enter into the contract within ten (10) days after it is presented to him for that purpose or fails to proceed with the performance of the contract. The bid bond, draft or check shall be retained by the Upper Green River Cemetery District until proper bond to secure performance of the contract has been filed and approved. All the above is to be in accordance with 15-1-112, Wyoming Statutes, 1977, July 1980 Supplement.
The right is reserved by the Upper Green River Cemetery District to reject any and all bids, and to waive any irregularity or informality in the bidding. Bids may not be withdrawn for thirty (30) days after the date of opening.
UPPER GREEN RIVER CEMETERY DISTRICT
Dated this 13th day of June, 2005.
Published in the Sublette Examiner June 16, 23 and June 30, 2005.


INVITATION FOR BIDS
Sealed bids, entitled Plainview Cemetery - Pump Station & Supply Line Replacement, Big Piney, Wyo. - will be received by CARL THUESEN ASLA, 1925 Grand Avenue, Suite 105, Billings, Mont., 59102 until 2 p.m. mountain standard time, July 14, 2005 in accordance with the plans, specifications and other contract documents.
At said place and time, and promptly thereafter, all proposals that have been duly received will be publicly opened and read aloud. No bid may be withdrawn within a period of thirty (30) days after the scheduled time for the opening of bids, which is 2 p.m. mountain standard time, July 14, 2005.
The scope of the project shall generally include, but not necessarily be limited to:
Removal of existing pump station, enclosure, supply line, and installation of new intake structure, pump station, enclosure and supply line.
All bidders must submit documentation and evidence of successful installation of two pump stations of similar flow capabilities and design, acceptable to the owner. Documentation of experience shall accompany all bids.
A pre-bid conference will be held at the Plainview Cemetery Office, 436 County Road 151, Big Piney, Wyo., beginning at 8:30 a.m. on July 7, 2005. Attendance at the pre-bid conference is mandatory for all contractors wishing to bid the project as a prime contractor.
The contractor must ensure that employees and applicants for employment are not discriminated against because of their race, color, religion, sex or national origin.
Plans and specifications may be examined in the Plainview Cemetery office or in the architect's office. Copies of said documents may be obtained from the Landscape Architect, Carl Thuesen ASLA, 1925 Grand Avenue No. 105, Billings, Mont., 59102, telephone 406-252-5545, for a non-refundable reproduction charge of $75.00 per set.
Each bid or proposal must be accompanied by a certified check, cashier's check or bid bond payable to Big Piney Cemetery District, Wyo., in an amount not less than five percent (5%) of the total amount of the bid. Successful bidder(s) shall furnish an approved performance bond, labor and material payment bond, each in the amount of one hundred percent (100%) of the contract amount. Insurance as required shall be obtained by the successful bidder(s) and a certificate of that insurance shall be provided.
The right is reserved to reject any or all proposals received, to waive informalities, to postpone the award of the contract for a period of not to exceed thirty (30) days and to accept the bid that is in the best interests of the Big Piney Cemetery District.
Published in the Sublette Examiner June 23 and 30, 2005.


In The District Court of Sublette County, Wyoming
Ninth Judicial District
In the Matter of the )
) SS
Fayette Irrigation District )
Docket No. 5930
ORDER SETTING HEARING
Kerry Morgan and Larry Ivie, being all of the duly elected, qualified and acting commissioners of Fayette Irrigation District, having filed their report pursuant to the requirements of W.S. 41-7-402 (1997), showing that each landowner in the district should be assessed a minimum of $25 for the current expense and a further assessment of $7 per acre upon the benefited lands of the district for the purpose of raising funds for new work and maintenance, loan payments and current expenses of said district, in the fiscal year beginning July 1, 2005;
IT IS ORDERED THAT the hour of 10 a.m. on the 24th day of June, 2005, in the courtroom of the Sublette County Courthouse at Pinedale, Wyo., be fixed as the time and place for examination of said annual report and for the hearing of objections thereto.
IT IS FURTHER ORDERED THAT notice of such hearing be published one (1) time in the Sublette Examiner.
DATED this 16th day of June 2005.
/s/ Marilyn M Jensen
Clerk of the District Court
Published in the Sublette Examiner June 23, 2005.


IN THE DISTRICT COURT
NINTH JUDICIAL DISTRICT
STATE OF WYOMING )
) ss
COUNTY OF SUBLETTE )
)
)
IN THE MATTER OF )
)
HIGHLAND IRRIGATION DISTRICT )
DOCKET NO. 931
ORDER SETTING HEARING
Van Huffman, James P. Meiring and Jack Roberts, the duly elected, qualified and acting commissioners of the Highland Irrigation District, having filed their report pursuant to the requirements of Section 41-7-402, Wyoming Statutes, 1977, showing that each landowner in the district should be assessed a minimum of $30 for the current expenses and a further assessment of $1.50 per acre upon the benefited lands of the district for the purpose of raising funds for new work, maintenance and current expenses, and that each landowner should also be assessed and additional assessment of a minimum of $5 and a further assessment of $1.50 per acre upon the benefited lands of the district for the purpose of loan amortization of said district, in the fiscal year beginning July 1, 2005;
IT IS ORDERED THAT the hour of 10 a.m. on the 24th day of June 2005, in the courtroom of the Sublette County Courthouse at Pinedale, Wyoming, be fixed as the time and place for examination of said annual report and for the hearing of objections thereto.
It is further ordered that notice of such hearing be published one (1) time in the Sublette Examiner.
DATED this 15th day of June 2005.
/s/ Marilyn M Jensen
Clerk of District Court
Published in the Sublette Examiner June 23, 2005.


Notice of Public Hearing
Notice is hereby given of a public hearing on the proposed budget of Sublette County Mosquito Abatement District No. 1.
The said hearing will be held Thursday, July 14, at 8 a.m. at 38 Pine Creek Drive in Pinedale, at which time any and all persons in said district may appear to be heard.
Dated in Pinedale, Wyoming this 20 day of June 20, 2005
Sublette County Mosquito Abatement District No. 1
/s/ Gil Winters
Chairman
Published in the Sublette Examiner June 23, 2005.


Resolution of Intent
Be it resolved by the Board of Directors of Sublette County Mosquito Abasement District No. 1 that it intends to order improvements to be paid for by special assessment, specified as follows:
1. The improvement proposed is to abate mosquito nuisance in Sublette County District No. 1
2. The improvement proposed is to extend over the area of Sublette County District No. 1
3. The probable cost per business or residence is $20 as estimated by the Board of Directors, based upon Robert Harrower, Licensed Professional Engineer, as per attached estimate;
4. The assessment will be for $9,080,75 and will be assessed on each business or residence within the district;
5. The assessment will be paid at the same time and in the same manner as Sublette County property taxes for 2006.
6. A resolution authorizing such improvement shall be considered on July 14 at 8 a.m. at 38 Pine Creek Drive.
Dated: This 20th day of June, 2005
Board of Directors
Sublette County Mosquito Abatement District No. 1
By: Gil Winters
By: Rose Grossman
By: Peggy Winters
Published in the Sublette Examiner June 23, 2005.


Sublette County Rural Health Care District
Regular Meeting
May 9, 2005
7:30 p.m.
Marbleton Fire Hall
Marbleton, Wyo.
Jerry Jensen, president, chaired this meeting held in the Marbleton Fire Hall, Marbleton, Wyo. Mary Lynn Worl, vice president, Bill Barney, secretary/treasurer, Garry Eiden, trustee, and Randy Johnson, director, were in attendance. Walt Bousman, trustee, was absent. Jauna McGinnis, clerk, took the minutes.
Others in attendance:
Marbleton Clinic: Geneal Bailey, Carol Mackie
Big Piney EMS: Katie Krieger, Joe Ahlstrom
Pinedale EMS: Wil Gay, Andy McGinnis, Lacey Haygood, Wendy Boman
Press Reps: Bill Boender, Sublette Examiner, Noah Brenner, Pinedale Roundup
Others: Joyce Mitchell, Dr. Burnett, Rich Anderson, Bill Schertz
CALL TO ORDER
Jerry Jensen called the meeting to order at 7:35 p.m. and set the agenda. Mary Lynn Worl motioned to accept the agenda as amended. Seconded by Bill Barney and carried unanimously.
MINUTES/PHYSICAN CHECKS APPROVAL
Mary Lynn Worl motioned to accept the March 28, April 11 regular, April 25 special and executive minutes as presented. Seconded by Bill Barney and carried unanimously.
The checks to the physicians were reviewed. Bill Barney motioned to approve the physician checks. Seconded by Garry Eiden and carried unanimously.
PRIORITIZED ISSUES
MARBLETON-BIG PINEY CLINIC
Doctor search committee update - Randy Johnson reported there will be one interview this week for a permanent physician. The locum schedule is filling up. Dr. Boyle has offered to fill in as needed.
Other - The board reviewed the check for Wyoming Range Medical. Bill Barney motioned to approve the check for Wyoming Range Medical. Seconded by Mary Lynn Worl and carried unanimously. The windsock of the heliport was run over this weekend and will need to be replaced. The lease agreements for locum housing were reviewed by the board. Mary Lynn Worl motioned to approve the lease agreements with Teresa Barney and Sue Hoefer. Seconded by Garry Eiden and carried with Bill Barney abstaining.
Equipment rental policy - A revised policy was reviewed. The board discussed the procedure for billing for medical equipment usage. It was decided x-rays will be billed to the patient and lab and stress tests will be billed to Wyoming Range Medical. Dr. Burnett will assist the clinic staff to catalog the x-rays from April 16 forward. Bill Barney motioned to adopt the equipment rental policy. Seconded by Mary Lynn Worl and carried unanimously.
Medical waste contract - The board discussed the disposal of bio-hazardous waste. Pinedale Clinic has been utilizing this service through the Sublette Center. Bill Barney motioned to contract with Steri-cycle. Seconded by Mary Lynn Worl and carried with Garry Eiden opposed. Enclosures for the containers were discussed. A plan needs to be submitted to the board at the next meeting. Containers may be stored at the Marbleton clinic ambulance bay if tire racks were built for the extra tires. Bill motioned to have Garry Eiden arrange to have tire racks built under his direction. Seconded by Mary Lynn Worl and carried unanimously.
BUDGET REQUEST-BPEMS - The requests for the Big Piney EMS fiscal year 2006 budget were discussed. Katie Krieger asked to remove the Lifepak 12 simulator.
AMBULANCE UPDATE - Katie Krieger reported the new ambulance will be here Wednesday evening or Thursday. Jeff Alexander will install the radio on Thursday afternoon. Jeff Alexander still has two new radios which may belong to Pinedale EMS.
QUARTERS - Pinedale EMS is now in need of accommodations for male quarters. Options were discussed (i.e., adapt weight room, addition, rental). Wil Gay indicated the barn needs a bigger hot water tank. The board suggested an on-demand one. Bill Barney motioned to approve up to $2500 a month and Randy Johnson and Jauna McGinnis are to search for accommodations. Seconded by Mary Lynn Worl and carried unanimously.
OTHER - Jerry Jensen reported that Jeff Alexander was going to work on the radio console. The EMTs report there are still problems.
EQUIPMENT REQUEST - Wil Gay reported that the new medical director, Dr. Schmitz requested an IO trainer/equipment ($2,670) be instituted in Pinedale EMS. Both EMS divisions were directed to add this to the budget requests. Wil Gay also reported that the medical director will not let the paramedic use his skills.
EXECUTIVE SESSION - The board retired into executive session at 9 p.m. Jerry Jensen brought the meeting back to order at 9:34 stating no action was taken.
PERSONNEL - Applicant Barbara Harris was presented to the board for the Marbleton-Big Piney Clinic receptionist/scheduler position. Bill Barney motioned to hire Barbara Harris at a salary based $12/hour waiving the waiting period for health insurance and retirement. Seconded by Garry Eiden and carried unanimously.
TEMPORARY OFFICE SPACE UPDATE - Randy Johnson reported the variance for the roof pitch and the application for the placement of the building was approved at the town planning and zoning meeting for a two-year period. The state fire marshal application is in process.
BILLING - Jauna McGinnis reported the billing position for the Marbleton Clinic will continue under advertisement and the plan is to use a contracted biller in the interim. The cost for a contracted biller for the Marbleton Clinic will be obtained by Jauna McGinnis.
BUILDING PROJECTS UPDATE - The board is waiting for word from the County Commissioners regarding the ambulance barn. There is no update on the clinic projects.
AUDIT ENGAGEMENT LETTER - Mary Lynn Worl motioned to accept the engagement letter from Leo Riley & Company. Seconded by Bill Barney and carried unanimously.
DRUG TESTING UPDATE - This item tabled to the next meeting.
BUDGET WORKSHOP DATE - This date will be discussed at the next meeting.
INTERN - Randy Johnson questioned whether or not a high school student could be brought in for a work experience. This item tabled to the next meeting.
NEBRASKA MEDICAID PROVIDER - A patient requested the board to make application to become a provider through Nebraska Medicaid. Bill Barney motioned to apply for Nebraska Medicaid. Seconded by Garry Eiden and carried unanimously.
BILL SCHERTZ - Bill Schertz suggested the board use a satellite radio system and to go forth with the decision to build two clinics and forget the Daniel clinic. Jerry Jensen stated to Mr. Schertz he was not happy with his actions. Mary Lynn Worl stated she wished Mr. Schertz would respect the decisions of the board. It was further stated that this board intends to have other individuals express their thoughts through the public meetings.
PUBLIC COMMENTS
None
DISBURSEMENT APPROVAL
The check registers were reviewed for accountability of checks. No discrepancies were noted. Mary Lynn Worl motioned to pay the bills as presented. Seconded by Garry Eiden and carried unanimously authorizing vouchers for payroll and vendors numbered 4859 through 4956, DD5131-10 through DD5131-31, DD5146-1 through DD5146-4, EFT5132-162, and EFT5147-1 totaling $338,725.26.
ADJOURNMENT
Without any further business, Bill Barney motioned to adjourn the meeting. Seconded by Mary Lynn Worl and carried unanimously. Meeting adjourned at 10:25 p.m.
Respectfully submitted this 23rd day of May 2005
Sublette County Rural Health Care District Board of Trustees
/s/ Jerry A. Jensen, Chairman
/s/ Jauna M. McGinnis, Clerk
Published in the Sublette Examiner June 23, 2005.


Sublette County Rural Health Care District
Regular Meeting
April 25, 2005
7:30 p.m.
Marbleton Fire Hall
Marbleton, Wyo.
Jerry Jensen, president, chaired this meeting held in the Marbleton Fire Hall, Marbleton, Wyo. Mary Lynn Worl, vice president, Bill Barney, secretary/treasurer, Garry Eiden, trustee, and Randy Johnson, director, were in attendance. Walt Bousman, trustee, was absent. Jauna McGinnis, clerk, took the minutes.
Others in attendance: Marbleton Clinic: Geneal Bailey, Carol Mackie
Big Piney EMS: Katie and Bill Krieger, Kenna Tanner, Joe Ahlstrom, David and Vashti Kinnamon
Pinedale EMS: Wil Gay, Andy McGinnis, Lacey Haygood
Press Reps: Bill Boender, Sublette Examiner, Anna Gustafson, Pinedale Roundup
Others: Scott Mackie, Bill Schertz
CALL TO ORDER
Jerry Jensen called the meeting to order at 7:30 p.m. and set the agenda. Mary Lynn Worl motioned to accept the agenda as read. Seconded by Bill Barney and carried unanimously.
PRIORITIZED ISSUES
MARBLETON-BIG PINEY CLINIC
Emergency services contract - The board reviewed the contract with Wyoming Range Medical. Mary Lynn Worl motioned to accept the contract with Wyoming Range Medical PC as presented. Seconded by Garry Eiden and carried unanimously. The board signed the contract. Dr. Turner was not present to sign.
Equipment requests - A request was made for four computers for the Marbleton Clinic and the Lytec software in the amount of $13,800. One computer at the clinic will be brought to the district office. Bill Barney motioned to approve the computer and software purchase. Seconded by Mary Lynn Worl and carried unanimously.
Equipment exchange - Dr. Burnett made a request to trade a PC server that he owns for one of our Macintosh computers. The district will not be able to use a Macintosh in the billing system. Bill Barney motioned to accept the trade. Seconded by Mary Lynn Worl and carried unanimously.
Equipment rental policy - Randy Johnson suggested modifying the policy to charge a rental fee for appropriate public/provider use. The board directed a policy be written and ratified at the next meeting.
DSL - Jauna McGinnis requested the ability to switch to Wyoming.com and add DSL in the Marbleton Clinic. Bill Barney motioned to switch and add DSL with a domain to Marbleton Clinic. Seconded by Mary Lynn Worl and carried unanimously.
Doctor search committee update - A locum coverage grid was presented to the board and discussed. Housing is being obtained. The two top choices for permanent physicians have taken other positions.
ONE VS TWO CLINICS - Jerry Jensen read a statement from Walt Bousman. The board discussed the misconception that a decision has been made, the opportunity to conduct forums to gather and disburse information and the process that will be necessary before a decision can be made. The board will make every effort to inform the community of various issues.
The ambulance barn issue was discussed.
MEDICAL DIRECTOR UPDATE - A letter from Dr. Boyle's attorney was read reporting her resignation as the medical director for Pinedale EMS, a request to pay her attorney costs and two years of malpractice tail and the cessation of the $1000 contract fee. Dr. Doug Schmitz accepted the position as of May 1, 2005, and has sent a copy to the state. Bill Barney motioned to approve the letter as read. Seconded by Mary Lynn Worl and carried unanimously.
TEMPORARY OFFICE SPACE UPDATE - The variance request and building permit application has been submitted to the Town of Pinedale. This will coincide with the application to the State Fire Marshal.
EXECUTIVE SESSION - The board retired into executive session at 8:30 p.m. Jerry Jensen brought the meeting back to order at 9 p.m. with no action taken.
PERSONNEL - The Big Piney EMS has not yet decided how to fill the open position. Bill Barney motioned to approve Big Piney EMS to construct a schedule for coverage and pay $10 if at barn, $7.50 if not. Seconded by Mary Lynn Worl and carried unanimously.
Pinedale EMS has three candidates for the open positions. Bill Barney motioned for Pinedale EMS to use the priority list to make offers. Seconded by Garry Eiden and carried unanimously.
BONDURANT BEC - Wil Gay reported the course is completed. Seven individuals are awaiting official certification from the state. Mr. Gay requested to have these individuals establish their own group rather than coming under the Pinedale EMS auspices and to equip them with radios and jump kits at approximately $1,400. The board will need more information before forming another group. The radio system was discussed. It is still not working correctly. Mary Lynn Worl motioned to equip the seven BEC's in Bondurant separate from the Pinedale EMS budget. Seconded by Bill Barney and carried unanimously. Wil Gay is to document the issuance of items.
JONAH FIELD FIRST RESPONDER - The responders are presently operating on a phone tree system. Wil Gay requested the board to purchase pagers for their use. The sheriff's office has approved the process of using pagers. The sheriff's office would coordinate with Jeff Alexander to set up the dispatch. The oilfield employers are purchasing equipment. The board directed the request for pagers be put through the budget process.
TRAILER DECK - The Big Piney EMS trailer deck has rotted through. Katie Krieger was directed to call the building maintenance crew to replace the deck.
NEWSPAPER/RADIO/GENERATOR MAINTENANCE CONTRACTS - Mary Lynn Worl motioned that the newspaper, radio and generator maintenance contracts be put out for bid. Seconded by Garry Eiden and carried unanimously.
AUDIT ENGAGEMENT LETTER - The letter has not yet arrived. This item tabled until the next meeting.
BACKGROUND CHECKS/DRUG TESTING UPDATE - This item tabled until the next meeting.
BUDGET WORKSHOP - Individual budgets will be reviewed at the May meetings as part of the agenda.
INTERN/LOGO/BUSINESS CARDS - Randy Johnson presented an idea to get involved with the community by having a logo contest with the graphic artists at the high schools then finished by a professional artist. Rock Rabbit has offered their services. Bill Barney motioned that Randy Johnson establish a logo competition with the local schools with a $100 award. Seconded by Mary Lynn Worl and carried unanimously.
CREDIT CARD - Jauna McGinnis requested a credit card be established for the director. Mary Lynn Worl motioned to establish a card with a $2,000 limit. Seconded by Bill Barney and carried unanimously.
OTHER - Bill Boender suggested to the board to have two public meetings for public comment. Jerry Jensen added that this is the direction of the board and intends to broadcast the meetings by radio.
Dr. Turner joined the meeting and signed the contract.
Jerry Jensen has received letters from the community to hire Dr. Alex to practice in the Pinedale Clinic. The present contract does not allow the board to decide which physicians are in the clinic. A new contract would need to be negotiated with Dr. Boyle.
A lease to house the locum tenens was reviewed by the board. Mary Lynn Worl motioned to approve the lease with R n R Suite. Seconded by Bill Barney and carried unanimously.
Randy Johnson questioned whether or not a checklist of tasks should be included as a review at the meetings. The board agreed it was a good suggestion.
DISBURSEMENT APPROVAL
The check registers were reviewed for accountability of checks. No discrepancies were noted. Mary Lynn Worl motioned to pay the bills as presented. Seconded by Garry Eiden and carried unanimously authorizing vouchers for vendors numbered 4836 through 4858 totaling $25,365.52.
ADJOURNMENT
Without any further business, Mary Lynn Worl motioned to adjourn the meeting. Motion seconded by Bill Barney and carried unanimously. Meeting adjourned 10:21 p.m.
Respectfully submitted this 23rd day of May 2005
Sublette County Rural Health Care District Board of Trustees
Jerry A. Jensen, Chairman
Jauna M. McGinnis, Clerk
Published in the Sublette Examiner June 23, 2005.


STATE OF WYOMING )
COUNTY OF SUBLETTE ) ss.
TOWN OF PINEDALE )
The Town Council of the Town of Pinedale met in special session, Monday, June 6, 2005, at 6 p.m. in the town hall. Those present: Rose Skinner, Barbara Boyce, Nylla Kunard, Gary Heuck and Miriam Carlson. Also present: Bob Johnson, representing JFC Engineering; Ron Brown, public works director; Ed Wood, town attorney; Noah Brenner, representing the Pinedale Roundup; and Rhonda Swain, representing the Sublette Examiner.
The meeting was called to order.
Ed Wood, town attorney, stated the meeting was called for discussing the new town shop and dog pound and possible pending litigation.
Motion by Boyce to go into executive for possible pending litigation. Motion seconded. Motion carried unanimously.
Motion by Boyce to return to regular session. Motion seconded. Motion carried unanimously.
Bob Johnson, representing JFC Engineering, discussed his concerns with the pouring of the concrete floor in the town shop. Johnson stated KM Construction did not follow specifications during the pour, the contractor did not use synthetic fibers in the concrete, did not vibrate the concrete or use supporting mesh. Johnson stated snow melt resulting from pouring the slab with no roof in place resulted in excessive water on the floor; Johnson reported that water softens concrete. Johnson added that during the scoring hydronic tubes were cut, and in excavating the pipes it was discovered that the concrete, which was to have been six inches deep, was only three inches in places. After lengthy discussion Johnson recommended getting definitive data regarding the thickness and hardness of the slab; Johnson stated he had contacted two companies and he recommended having another engineer, Mark Eatinger of Rio Verde Engineering as well as himself.
After discussion, motion by Boyce to authorize Bob Johnson to hire PSI out of Salt Lake City to do the testing of the concrete floor in the amount of $2,000. Motion seconded. Motion carried unanimously.
Motion by Boyce to adjourn the meeting. Motion seconded. Motion carried unanimously.
Meeting adjourned at 6:45 p.m.
ATTEST:
MAYOR
CLERK/TREASURER
Published in the Sublette Examiner June 23, 2005.


STATE OF WYOMING )
COUNTY OF SUBLETTE ) ss.
TOWN OF PINEDALE )
The Town Council of the Town of Pinedale met in regular session, Monday, June 13, 2005, at 6:30 p.m., in the town hall. Those present: Rose Skinner, Miriam Carlson, Nylla Kunard and Gary Heuck. Not present: Barbara Boyce. Also present: Mindi Crabb and John Godfrey, representing the Visitor Center Steering Committee; Kay Oakley; Aaron Seehafer and Mark Eatinger, representing Rio Verde Engineering; Bob Johnson, representing JFC Engineering; Craig S. Lowham, representing the Bank of Pinedale; Mike Peterson, representing the Sublette County Sheriff's Office; Eric Bruesewitz; Ron Brown and Randy Hubbard, representing the public works department; Julie Early, animal control officer; Laurie Latta, mayor's assistant; Andrew Slaton, presenting the Pinedale Roundup; and Isabel Rucker, representing the Sublette Examiner.
The meeting was brought to order. Motion by Kunard to approve the minutes of the May 9, 23 and June 2 meetings as written. Motion seconded. Motion carried unanimously.
Julie Early, animal control officer, reported the monthly activities of the animal control department.
Ron Brown, public works director, reported the monthly activities of the public works department. Laurie Latta, mayor's assistant, presented Bob Maxam's request for a letter of support for lowering the speed limit on Pine Street to 25 miles per hour from South Fremont Lake Road to Madison Avenue, then 30 mph to 1033 West Pine Street. After discussion, motion by Carlson to write a letter of support of the 25 mph speed limit to WyDOT for Pine Street. Motion seconded. Motion carried unanimously.
Brown discussed valley pans to be put in at Wilson Street and Cole Avenue and North Madison Avenue. Motion by Heuck to approve the valley pans and paving at Wilson Street and Cole Avenue in the amount of $6,000. Motion seconded. Motion carried unanimously. Motion by Heuck to approve the North Madison Avenue project for valley pans for $9,300, excluding paving. Motion seconded. Motion carried unanimously. After discussion, motion by Kunard to approve a raise of $.50 an hour for Rocky Johnson, summer help. Motion seconded. Motion carried unanimously.
Mike Peterson, representing the Sublette County Sheriff's Office, reported the monthly activities of the sheriff's department.
Laurie Latta, mayor's assistant, reported her monthly activities.
Pinedale Natural Gas not present at scheduled time. Motion by Heuck to work with Pinedale Natural Gas installing valley pans at 108 North Jackson Avenue. Motion seconded. Motion carried unanimously.
John Godfrey and Mindi Crabb, representing the Visitor Center Steering Committee, gave an update on the activities of the tourism board and on the proposed visitors' center to be located at the corner of Pine Street and North Tyler Avenue. Godfrey discussed parking and hoped the town would consider converting Mills Street between South Tyler Avenue and South Fremont Avenue to a parking area. Godfrey addressed the request of having five joint tourism board members instead of nine board members. Council agreed to send a letter.
Aaron Seehafer, representing Rio Verde Engineering, presented a request from LWI Investments, Inc. to replace the current irrevocable letter of credit in the amount of $456,281 with a irrevocable letter of credit in the amount of $195,957.16 because of the partial completion of the required improvements of the Favazzo West Subdivision. Motion by Heuck to release the $456,281 irrevocable letter of credit for LWI Investments and accept a irrevocable letter of credit in the amount of $195.957.16 for the improvements for the Favazzo West Subdivision upon receipt of the signed original copy. Motion seconded. Motion carried unanimously.
Laurie Latta, mayor's assistant, representing the Pinedale Planning and Zoning, reported the board had approved Mark Hines's variance request at 115 South Franklin Avenue. Mark Eatinger, representing Rio Verde Engineering, presented Victor and Robyn McMurry's request for final plat approval for amended plat lots 30 and 31 of the Sublette Golf Course Subdivision as amended to the Town of Pinedale and the creation of Lots 32 and 33. Motion by Heuck to approve the final plat for amended plat lots 30 and 31 of the Sublette Golf Course Subdivision as annexed to the Town of Pinedale and the creation of Lots 32 and 33. Motion seconded. Motion carried unanimously.
Mark Eatinger, representing Rio Verde Engineering, presented Pine Creek Properties' request for final plat approval for amended plat lots 6 and 7, block 1 of the Redstone Second Addition to the Town of Pinedale and the creation of lots 19 and 20. Motion by Kunard to approve the final plat for amended plat lots 6 and 7, block 1 of the Redstone Second Addition to the Town of Pinedale and the creation of lots 19 and 20. Motion seconded. Motion carried unanimously.
Latta, representing the Pinedale Planning and Zoning Board, reported the board had approved Eric Bruesewitz's request for a multi-family building permit for lot 1 Redstone 5th. Motion by Carlson to issue the multi-family building permit for lot 1 Redstone 5th as proposed. Motion seconded. Motion carried unanimously.
Bob Johnson, representing JFC Engineering, gave an update on the new town shop. Johnson reported the testing done on the concrete floor showed that the floor is way out of requirements and Johnson recommended the town reject the floor. After lengthy discussion, motion by Heuck to direct JFC Engineering to advise KM Construction to remove and replace the concrete floor and all material in there, including heating, plumbing and whatever is necessary, according to written specifications in the project manual, at the contractor's expense, throughout the town shop including the bathrooms, utility room and office. Motion seconded. Motion carried unanimously.
Randy Hubbard, representing the public works department, gave an update on the Sewer Lagoon Rehabilitation project.
Aaron Seehafer, representing Rio Verde Engineering, gave an update on the Sublette Avenue Sewer and Water Rehabilitation Project.
Lil Penton, representing the Pinedale Airport Board, requested approval for paying administrative settlement in the amount of $3,400 for land purchase. Motion by Carlson to authorize paying an extra $3,400 on purchase of parcel 22 as administrative settlement. Motion seconded. Motion carried unanimously.
Bob Coleman, a resident of Skyline Street, requested placement of two street lights on South Skyline Street. Motion by Carlson to advise Pacific Power to place two additional street lights on South Skyline Street as requested. Motion seconded. Motion carried unanimously.
Motion by Heuck to put out to bid the valley pans for the Sublette Avenue Sewer and Water Rehabilitation Project. Motion seconded. Motion carried unanimously.
Motion by Kunard to approve Ordinance 373, an ordinance annexing adjacent and contiguous land (Fear Annexation) to the Town of Pinedale, Wyo., and establishing zoning therefore, on the third reading. Motion seconded. Motion carried unanimously.
Meeting was opened to budget discussion. Department heads discussed their budget requests. After lengthy discussion, motion by Heuck to approve Ordinance 374, Annual Appropriation Ordinance for the Fiscal Year Ending June 30, 2006, as discussed on the second reading. Motion seconded. Motion carried unanimously.
The following bills were presented for payment:
A to Z Hardware 264.48; American Linen 102.00; American Water Works Assn 275; Animal Clinic of Pinedale 25.00; ATCO 415.30; Big J's Auto Parts 400.64; Binning Custom Products, Inc. 5,254.00; Bob Penton/Honey Truck 200.00; Bucky's Outdoors 28.59; Miriam Carlson 305.51; Casper Star Tribune 72.80; CDW Government, Inc. 2,763.21; Chambers Design-Build, Inc. 40,527.65; Country Lane Groceries & Gas 1,924.26; Crank Companies, Inc. 90.00; Dew lumber Company 48.97; Display Sales 196.44; Faler's General Store 706.26; Wayne Fornstrom 1,375.00; HACH 512.90; City of Kemmerer 98.00; Ruth Neely 449.23; Northern Hydraulics 1,343.58; Office Outlet 1,282.56; Pacific Power 4,519.35; Petty Cash/Patty Racich 43.04; Pinedale Auto Supply 415.70; Pinedale Natural Gas 635.49; R & E Computer Service 824.00; Patty Racich 76.75; Rainbow Park Motel 150.00; Rio Verde Engineering 13,582.50; Rocky Mountain Wash 28.80; Rocky MT Turf & Indust Equipment 367.63; Scott Machinery Company 92.46; Mary Sour 80.00; Sublette County Joint Tourism 9,875.41; Sublette Examiner 373.00; Team Laboratory Chemical Corp 332.50; Tegeler & Associates 250.00; The Tire Store 1,079.54; Unisource/Deckers 217.23; Western State Industries 462.62; Wind River Web Services, LLC 25.00; Ralph Wood, Attorney 5,561.25; WYDOT 1,386.89; Wyoming Analytical 366.00; wyoming.com, LLC 60.00; Zee Medical Service 46.30.
Motion by Heuck to pay the bills as presented. Motion seconded. Motion carried unanimously.
Motion by Carlson to adjourned. Motion seconded. Motion carried unanimously.
Meeting adjourned at 8:40 p.m.
ATTEST:
/s/ Rose Skinner
MAYOR
/s/ Patty Racich
TOWN CLERK
Published in the Sublette Examiner June 23, 2005.


RESOLUTION OF INTENT
BE IT RESOLVED BY the Board of Directors of the Upper Green River Cemetery District that it intends to order improvements to be paid for by special assessment, specified as follows:
1. The improvement proposed is the Maintenance and upkeep of the cemeteries in the Upper Green River Cemetery District.
2. The improvements proposed is to extend to all properties within the district.
3. The probable cost $145,785.00 as estimated by the Board of Directors.
4. The assessment will be for $97,498.00 and will be assessed by the County of Sublette.
5. The assessment will be paid at the same time and in the same manner as the Sublette County property taxes for 2005-2006.
6. A resolution authorizing such improvement shall be considered on June 27 at 1 p.m. in the Upper Green River Cemetery District Office at the Pinedale Cemetery.
DATED: This 16th day of June 2005
BOARD OF DIRECTORS
UPPER GREEN RIVER
CEMETERY DISTRICT
/s/ Ron Wilson, Chairman
/s/ Betty Lou McLoughlin, Secretary/Treasure
/s/ Connie Binning
/s/ Wilma Shriver
/s/ Holly Thaynes
/s/ Barb Wise
Published in the Sublette Examiner June 23, 2005.


ADVERTISEMENT FOR BIDS
PROJECT:
Marbleton Town Hall
Marbleton, Wyo.
OWNER:
Town of Marbleton
11 East Second Street
Marbleton, Wyo., 83113
ATTN: Anita Bartosh
ARCHITECT:
GSG Architecture
606 S. David Street
Casper, Wyo., 82601
307-234-8968; Fax 307-234-2132
BID DATE:
July 21, 2005 - 7 p.m.
BID LOCATION:
Marbleton Town Hall
11 East Second Street
Marbleton, Wyo., 83113
CONTRACT DOCUMENTS AVAILABLE:
June 22, 2005
DEPOSIT FOR CONTRACT DOCUMENTS:
$100 for one (1) set; documents available to sub-bidders and/or suppliers. Refundable if plans are returned in good, usable condition after bidding.
PRE-BID CONFERENCE:
July 14, 2005, 2 p.m.
DESCRIPTION OF PROJECT:
The project consists of the construction of a new town hall for the Town of Marbleton, Wyo. The building will be one story. This facility will be constructed on a new site consisting of 3/4 of a block within the city. Phase 1 of the project is accomplished and consisted of developing the site for construction and preparation of some of the utilities. The building construction will consist of concrete work, masonry, engineered wood studs, wood truss framing and metal roofing. The interior will generally be painted gypsum board, carpet and tile flooring, wood and plastic laminate casework and gypsum and acoustic tile ceilings. Civil site work, Mechanical HVAC and plumbing and electrical will be included.
ESTIMATED COST:
$2,000,000
CONTRACT DOCUMENTS ON FILE AT:
Bid Center (Casper), Billings Builders Exchange, 307-234-9331, 307-237-4014, fax: 406-652-1311, 406-652-1391
Builders Exchange of Ft. Collins, Cheyenne Planning Service, 970-484-1616, 970-484-3109, fax: 307-638-9779, 307-778-9830
Daily Journal (Denver), McGraw Hill Plan Center (Salt Lake City), 303-584-6728, 303-584-6764, fax: 801-972-4400, 801-972-8975
Mountainlands Area Plan Room (Salt Lake), N.E. Wyo. Contractors Plan Service (Gillette), 801-288-1188, 801-288-118, fax: 307-682-3673, 307-682-0538
Wyoming Construction News (Casper), Wyoming Plan Service (Casper), 307-265-6483, 307-265-5013, fax: 307-265-1284, 307-266-2339
BID SECURITY REQUIRED: 5% (Base bid plus all add alternates)
PERFORMANCE/PAYMENT BOND REQUIRED: 100%
WYOMING PREFERENCE: YES
MINIMUM WAGE RATES: NO
BID GOOD FOR: 30 DAYS
BID OPENING: PUBLIC
AWARD:
The owner reserves the right to reject any or all bids and waive any irregularities or informalities in the bidding process, and to award the bid as may be in the best interest of the owner.
BY:
Owner
DATED: June 17, 2005
Published in the Sublette Examiner June 23 and 30, 2005.


ORDINANCE NO. 374
ANNUAL APPROPRIATION ORDINANCE
FOR THE FISCAL YEAR ENDING JUNE 30, 2006
BE IT ORDAINED BY THE GOVERNING BODY OF THE TOWN OF PINEDALE, SUBLETTE COUNTY:
SECTION 1 - That the following sums of money are anticipated as cash on hand and revenue for the General Fund, Enterprise Fund (Water and Sewer Funds) and Debt Service Fund of the Town of Pinedale for the fiscal year beginning July 1, 2005 and ending June 30, 2006, to-wit:
CASH ON HAND
Cash on Hand at July 1, 2005
Water/Sewer Fund $ 375,947.00
General Fund 3,350,627.00
Equipment Depreciation 281,699.00
Vehicle - Animal Control 3,328.00
Capital Improvement Reserve 196,000.00
Curb/Gutters 166,000.00
Parking 30,000.00
Animal Bldg 0
Maint Bldg 0
Airport Reserve 80,000.00
Water Reserve 100,000.00
Water Fund 984,620.00
Sewer Fund 863,009.00
Sewer Depreciation 143,058.00
Water Depreciation 30,000.00
TOTAL cash on hand 6,408,288.00
GENERAL FUND REVENUES
Taxes-State of Wyoming
Motor vehicle tax $ 6,000.00
Sales and use tax 2,200,000.00
Cigarette tax 8,000.00
Gasoline tax 42,000.00
Mineral royalties 153,108.00
Mineral severance 60,102.00
Lodging Tax 125,000.00
TOTAL State of Wyoming 2,634,210.00
Intergovernmental Revenue
Farm Load Grant $ 0
State Funding - One Time 175,456.00
TOTAL intergovernmental 175,456.00
Taxes - Town of Pinedale
General property -8- mill levy $ 107,000.00
TOTAL Town of Pinedale 107,000.00
Licenses and permits
Dog licenses/impound fees $ 2,500.00
Building permits 10,000.00
Liquor licenses 12,000.00
Franchise 36,000.00
TOTAL licenses and permits 60,500.00
Fines and forfeits
Court costs $ 1,500.00
Court fines 10,500.00
TOTAL fines and forfeits 12,000.00
Miscellaneous revenue
Interest on deposits $ 40,000.00
Fire department 303,720.00
Miscellaneous revenue 3,000.00
TOTAL miscellaneous 346,720.00
TOTAL general fund revenues $ 9,744,174.00
ENTERPRISE FUND (water and sewer) REVENUES
Water revenues
Water connect fees $ 40,000.00
Water rents 289,800.00
Miscellaneous/Interest 40,000.00
Bulk water sales 2,000.00
Water meters 6,500.00
Farm Loan Board 3,366,879.00
WY Water Development - loan 0
WY Water Development - grant 0
TOTAL water revenues 3,745,179.00
Sewer revenues
Sewer connect $ 40,000.00
Sewer rent 85,000.00
Holding tanks 6,200.00
Farm Loan Grant 3,577,948.00
TOTAL sewer revenues 3,709,148.00
TOTAL enterprise revenues $ 7,454,327.00
TOTAL revenues 17,198,501.00
SECTION 2 - The following sums of money are hereby appropriated to defray the expenses and liabilities of the Town of Pinedale, Wyoming, for the fiscal year beginning July 1, 2005 and ending June 30, 2006:
EXPENDITURES
Administration $ 527,886.00
Municipal Court 16,931.00
Animal Control 42,828.00
Police 246,229.00
Fire 374,960.00
Streets 354,663.00
Water 409,225.00
Sewer 233,800.00
Pest 18,162.00
Recreation 11,000.00
Parks 66,600.00
Planning 39,000.00
Maintenance 275,100.00
Airport 161,000.00
Sanitation 3,000.00
Cash reserves: .00
Equipment Depreciation 281,699.00
Vehicle Depreciation/animal control 3,328.00
Water System Expansion 0
Airport Reserve 80,000.00
Water Reserve 100,000.00
Water System Depreciation 30,000.00
Sewer System Depreciation 143,058.00
Capital improvements 1,690,000.00
Shop/Dog Pound 650,000.00
Streets 950,000.00
Parks 90,000.00
Capital improvements wate 6,798,758.00
Capital improvements sewer 7,155,896.00
Water Fund
Sewer Fund
Capital improvements reserve 196,000.00
TOTAL expenditures 19,259,123.00
SECTION 3 - The amount of general taxes upon all property within the Town of Pinedale, to provide for the current expenses of the Town is 8 mill; the Town Clerk shall, under supervision of the Mayor, certify the foregoing amounts of money to be collected by taxes upon all property within the Town of Pinedale to the County Clerk of Sublette County, Wyoming;
SECTION 4 - This ordinance shall be in full force and effect from and after its approval, passage and adoption in accordance with the provisions of Section 15-2-201, Wyoming Statues, 1977, 1988 Cumulative Supplement, June 1988 Pamphlet.
APPROVED AND PASSED the 23rd day of May 2005.
APPROVED AND PASSED the 13th day of June 2005.
APPROVED, PASSED AND ADOPTED the day June of 2005
THE TOWN OF PINEDALE, WYOMING
A Municipal Corporation
ATTEST:
BY:
/s/ Rose Skinner
MAYOR
BY:
/s/ Patty Racich
TOWN CLERK
Published in the Sublette Examiner June 23, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Property and Casualty Company
Century Indemnity Company
COMPANY NAME
20710 06-6105395
NAIC NUMBER FEIN
1601 Chestnut Street, PO Box 41484, TL14F, Philadelphia, PA 19101-1484
COMPLETE HOME ADDRESS
1601 Chestnut Street, PO Box 41484, TL14F, Philadelphia, PA 19101-1484
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
DIRECT PREMIUM WRITTEN $ 0
DIRECT LOSSES PAID $ 2,643
DIRECT LOSSES INCURRED $ 243,524
TOTAL ADMITTED ASSETS $ 845,128,880
LIABILITIES $ 820,128,880
CAPITAL STOCK $ 4,250,000
SURPLUS AS REGARDS POLICYHOLDERS $ 25,000,000
INCOME $ 309,894,241
EXPENDITURES $ 592,672,445
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Property and Casualty Company
Century-National Insurance Company
COMPANY NAME
26905 94-1368770
NAIC NUMBER FEIN
16600 Sherman Way, Van Nuys CA 91406
COMPLETE HOME ADDRESS
PO Box 3999, North Hollywood CA 91609-0599
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
DIRECT PREMIUM WRITTEN $ 5,000
DIRECT LOSSES PAID $ 0
DIRECT LOSSES INCURRED $ 1,737
TOTAL ADMITTED ASSETS $ 495,115,962
LIABILITIES $ 362,090,257
CAPITAL STOCK $ 5,000,000
SURPLUS AS REGARDS POLICYHOLDERS $ 133,025,705
INCOME $ 230,913,422
EXPENDITURES $ 213,184,129
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Charter National Life Insurance Company
COMPANY NAME
61808 43-0708954
NAIC NUMBER FEIN
Northbrook, IL 60062-7154
COMPLETE HOME ADDRESS
3075 Sanders Road, Suite H1A Northbrook, IL 60062-7127
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 0
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 0
DIRECT BENEFITS & LOSSES PAID $ 50,390
DIRECT BENEFITS & LOSSES INCURRED $ (204)
TOTAL ADMITTED ASSETS $ 288,283,390
LIABILITIES $ 279,679,275
CAPITAL STOCK PAID UP $ 3,410,000
SURPLUS $ 5,194,115
INCOME $ 1,210,840
EXPENDITURES $ 435,440
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Property and Casualty Company
The Charter Oak Fire Insurance Company
COMPANY NAME
25605 06-0291290
NAIC NUMBER FEIN
One Tower Square, Hartford, CT 06183
COMPLETE HOME ADDRESS
One Tower Square, Hartford, CT 06183-6014
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
DIRECT PREMIUM WRITTEN $ 1,526,820
DIRECT LOSSES PAID $ 91,657
DIRECT LOSSES INCURRED $ 201,379
TOTAL ADMITTED ASSETS $ 796,643,431
LIABILITIES $ 602,224,229
CAPITAL STOCK $ 4,200,000
SURPLUS AS REGARDS POLICYHOLDERS $ 194,419,202
INCOME $ 262,711,715
EXPENDITURES $ 214,185,625
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Chase Insurance Life Company
COMPANY NAME
70661 36-6071398
NAIC NUMBER FEIN
2500Westfield Drive Elgin IL 60123
COMPLETE HOME ADDRESS
2500 Westfield Drive Elgin IL 60123
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 22,780,135
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 389,022
DIRECT BENEFITS & LOSSES PAID $ 100,000
DIRECT BENEFITS & LOSSES INCURRED $ 100,000
TOTAL ADMITTED ASSETS $ 356,850,209
LIABILITIES $ 260,271,002
CAPITAL STOCK PAID UP $ 2,660,000
SURPLUS $ 93,919,207
INCOME $ 102,691,067
EXPENDITURES $ 104,754,924
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Chase Insurance Life and Annuity Company
COMPANY NAME
63207 04-6046830
NAIC NUMBER FEIN
2500 Westfield Drive Elgin IL 60123
COMPLETE HOME ADDRESS
2500 Westfield Drive Elgin IL 60123
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 30,714,830
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 782,370
DIRECT BENEFITS & LOSSES PAID $ $398,110
DIRECT BENEFITS & LOSSES INCURRED $ 256,592
TOTAL ADMITTED ASSETS $ 5,370,134,221
LIABILITIES $ 4,970,384,546
CAPITAL STOCK PAID UP $ 2,272,020
SURPLUS $ 397,002,655
INCOME $ 696,308,293
EXPENDITURES $ 651,609,968
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Chase Life & Annuity Company
COMPANY NAME
67164 31-0501247
NAIC NUMBER FEIN
2-OPS-1, 500 Stanton Christiana Road, Newark, DE 19713-2107
COMPLETE HOME ADDRESS
2-OPS-1, 500 Stanton Christiana Road, Newark, DE 19713-2107
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 0
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 0
DIRECT BENEFITS & LOSSES PAID $ 0
DIRECT BENEFITS & LOSSES INCURRED $ 0
TOTAL ADMITTED ASSETS $ 384,564,664
LIABILITIES $ 280,340,288
CAPITAL STOCK PAID UP $ 2,500,000
SURPLUS $ 101,724,376
INCOME $ 88,519,342
EXPENDITURES $ 74,037,968
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
The Chesapeake Life Insurance Company
COMPANY NAME
61832 52-0676509
NAIC NUMBER FEIN
1331 West Memorial Road, Suite 112, Oklahoma City, OK 73114
COMPLETE HOME ADDRESS
9151 Grapevine Highway, North Richland Hills, TX 76180
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 38,781
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 43,687
DIRECT BENEFITS & LOSSES PAID $ 5,731
DIRECT BENEFITS & LOSSES INCURRED $ 11,556
TOTAL ADMITTED ASSETS $ 90,201,233
LIABILITIES $ 64,275,004
CAPITAL STOCK PAID UP $ 2,668,000
SURPLUS $ 23,258,229
INCOME $ 79,391,640
EXPENDITURES $ 82,074,881
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Property and Casualty Company
Chicago Insurance Company
COMPANY NAME
22810 36-6042949
NAIC NUMBER FEIN
33 West Monroe Street Chicago, IL 60603
COMPLETE HOME ADDRESS
33 West Monroe Street Chicago, IL 60603
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
DIRECT PREMIUM WRITTEN $ 118,040
DIRECT LOSSES PAID $ 0
DIRECT LOSSES INCURRED $ 45,223
TOTAL ADMITTED ASSETS $ 284,250,381
LIABILITIES $ 175,501,178
CAPITAL STOCK $ 3,600,000
SURPLUS AS REGARDS POLICYHOLDERS $ 108,749,203
INCOME $ 75,659,586
EXPENDITURES $ 64,660,182
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
TITLE COMPANY
Chicago Title Insurance Company
COMPANY NAME
50229 36-2468956
NAIC NUMBER FEIN
Mark Twain Tower, 106 W. 11th Street, Suite 1800, Kansas City, MO 64105
COMPLETE HOME ADDRESS
171 North Clark Street, 8th Floor, Chicago, IL 60601
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
DIRECT PREMIUM WRITTEN $ 2,550,584
DIRECT LOSSES PAID $ 19,621
DIRECT LOSSES INCURRED $ 5,058
TOTAL ADMITTED ASSETS $ 1,351,062,584
LIABILITIES $ 858,857,299
CAPITAL STOCK PAID UP $ 2,000,000
SURPLUS $ 492,205,285
INCOME $ 2,567,045,829
EXPENDITURES $ 2,315,553,954
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Christian Fidelity Life Insurance Company
COMPANY NAME
61859 74-0483480
NAIC NUMBER FEIN
2721 N Central Avenue, Phoenix, AZ 85004
COMPLETE HOME ADDRESS
2721 N Central Avenue, Phoenix, AZ 85004
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 0
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 19,735
DIRECT BENEFITS & LOSSES PAID $ 7,388
DIRECT BENEFITS & LOSSES INCURRED $ 7,098
TOTAL ADMITTED ASSETS $ 79,062,507
LIABILITIES $ 58,621,479
CAPITAL STOCK PAID UP $ 2,520,000
SURPLUS $ 18,461,028
INCOME $ 64,930,743
EXPENDITURES $ 62,520,808
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Central Reserve Life Insurance Company
COMPANY NAME
61727 34-0970995
NAIC NUMBER FEIN
17800 Royalton Road Strongsville Ohio 44136
COMPLETE HOME ADDRESS
17800 Royalton Road Strongsville Ohio 44136
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 0
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 16,532
DIRECT BENEFITS & LOSSES PAID $ 2,495
DIRECT BENEFITS & LOSSES INCURRED $ 5,859
TOTAL ADMITTED ASSETS $ 82,894,132
LIABILITIES $ 44,574,524
CAPITAL STOCK PAID UP $ 2,500,000
SURPLUS $ 35,819,608
INCOME $ 147,030,469
EXPENDITURES $ 146,719,727
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
The Central National Life Insurance Company of Omaha
COMPANY NAME
61700 47-0397286
NAIC NUMBER FEIN
501 Silverside Road, Suite 3, Wilmington, DE 19809
COMPLETE HOME ADDRESS
69 Lydecker Street, Nyack, NY 10960
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 509
DIRECT BENEFITS & LOSSES PAID $ 0
DIRECT BENEFITS & LOSSES INCURRED $ -4
TOTAL ADMITTED ASSETS $ 12,111,243
LIABILITIES $ 311,736
CAPITAL STOCK PAID UP $ 2,500,000
SURPLUS $ 9,299,507
INCOME $ 504,455
EXPENDITURES $ 315,170
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Celtic Insurance Company
COMPANY NAME
80799 06-0641618
NAIC NUMBER FEIN
233 South Wacker Drive, Suite 700, Chicago, IL 60606-6393
COMPLETE HOME ADDRESS
233 South Wacker Drive, Suite 700, Chicago, IL 60606-6393
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 2,090,663
DIRECT BENEFITS & LOSSES PAID $ 1,315,126
DIRECT BENEFITS & LOSSES INCURRED $ 1,162,330
TOTAL ADMITTED ASSETS $ 102,112,719
LIABILITIES $ 53,575,231
CAPITAL STOCK PAID UP $ 2,500,000
SURPLUS $ 46,037,488
INCOME $ 147,877,654
EXPENDITURES $ 141,914,615
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Property and Casualty Company
Colorado Casualty Insurance Company
COMPANY NAME
47185 84-0856682
NAIC NUMBER FEIN
10700 E. Goddes Ave., Suite 300, Englewood, CO 80112
COMPLETE HOME ADDRESS
P.O. Box 173636, Denver, CO 80217-3636
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
DIRECT PREMIUM WRITTEN $ 12,411,210
DIRECT LOSSES PAID $ 3,993,394
DIRECT LOSSES INCURRED $ 4,527,797
TOTAL ADMITTED ASSETS $ 22,392,708
LIABILITIES $ 9,433,975
CAPITAL STOCK $ 3,000,000
SURPLUS AS REGARDS POLICYHOLDERS $ 12,958,733
INCOME $ 607,026
EXPENDITURES $ <630,840>
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Colorado Bankers Life Insurance Company
COMPANY NAME
84786 84-0674027
NAIC NUMBER FEIN
5990 Greenwood Plaza Blvd #325, Greenwood Village, Colorado 80111
COMPLETE HOME ADDRESS
5990 Greenwood Plaza Blvd #325, Greenwood Village, Colorado 80111
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 17,306
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 32,143
DIRECT BENEFITS & LOSSES PAID $ 6,941
DIRECT BENEFITS & LOSSES INCURRED $ 2,563
TOTAL ADMITTED ASSETS $ 114,933,707
LIABILITIES $ 100,892,420
CAPITAL STOCK PAID UP $ 2,500,000
SURPLUS $ 11,541,287
INCOME $ 43,836,507
EXPENDITURES $ 41,345,472
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Colonial Penn Life Insurance Company
COMPANY NAME
62065 23-1628836
NAIC NUMBER FEIN
Philadelphia, PA 19181
COMPLETE HOME ADDRESS
399 Market Street, Philadelphia, PA 19181
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 147,157
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 197,875
DIRECT BENEFITS & LOSSES PAID $ 144,469
DIRECT BENEFITS & LOSSES INCURRED $ 140,466
TOTAL ADMITTED ASSETS $ 774,680,564
LIABILITIES $ 738,173,826
CAPITAL STOCK PAID UP $ 2,500,000
SURPLUS $ 34,006,738
INCOME $ 120,925,673
EXPENDITURES $ 107,748,820
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Colonial Life & Accident Insurance Company
COMPANY NAME
62049 57-0144607
NAIC NUMBER FEIN
1 Fountain Square, Chattanooga, TN 37402
COMPLETE HOME ADDRESS
1 Fountain Square, Chattanooga, TN 37402
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 14,482,432
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 840,091
DIRECT BENEFITS & LOSSES PAID $ 348,153
DIRECT BENEFITS & LOSSES INCURRED $ 294,528
TOTAL ADMITTED ASSETS $ 1,504,904,207
LIABILITIES $ 1,209,994,321
CAPITAL STOCK PAID UP $ 15,076,209
SURPLUS $ 279,833,677
INCOME $ 891,739,375
EXPENDITURES $ 787,256,006
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Property and Casualty Company
Colonial American Casualty and Surety Company
COMPANY NAME
34347 52-1096670
NAIC NUMBER FEIN
3910 Keswick Road, Baltimore, MD 21211
COMPLETE HOME ADDRESS
1400 American Lane, Schaumburg, IL 60196-1056
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
DIRECT PREMIUM WRITTEN $ 3,158
DIRECT LOSSES PAID $ -
DIRECT LOSSES INCURRED $ (446)
TOTAL ADMITTED ASSETS $ 25,948,203
LIABILITIES $ 4,930,830
CAPITAL STOCK $ 5,000,000
SURPLUS AS REGARDS POLICYHOLDERS $ 21,017,373
INCOME $ 917,246
EXPENDITURES $ -
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Property and Casualty Company
Clearwater Select Insurance Company
COMPANY NAME
10019 23-2745904
NAIC NUMBER FEIN
1209 Orange Street, Wilmington, Delaware 19801
COMPLETE HOME ADDRESS
300 First Stamford Place, Stamford, Connecticut 06902
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
DIRECT PREMIUM WRITTEN $ 0
DIRECT LOSSES PAID $ 0
DIRECT LOSSES INCURRED $ 0
TOTAL ADMITTED ASSETS $ 117,983,491
LIABILITIES $ 56,146,061
CAPITAL STOCK $ 5,000,000
SURPLUS AS REGARDS POLICYHOLDERS $ 61,837,429
INCOME $ 16,547,109
EXPENDITURES $ 19,604,102
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Property and Casualty Company
Clarendon National Insurance Company
COMPANY NAME
20532 52-0266645
NAIC NUMBER FEIN
224 West State Street, Trenton, NJ 08608
COMPLETE HOME ADDRESS
7 Times Square, 36th Floor, New York, NY 10036
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
DIRECT PREMIUM WRITTEN $ 225,460
DIRECT LOSSES PAID $ 383,495
DIRECT LOSSES INCURRED $ 367,395
TOTAL ADMITTED ASSETS $ 2,022,626,413
LIABILITIES $ 1,458,369,692
CAPITAL STOCK $ 4,800,000
SURPLUS AS REGARDS POLICYHOLDERS $ 564,566,243
INCOME $ 439,338,302
EXPENDITURES $ 560,143,181
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Citizens Ins. Co. of America
COMPANY NAME
71463 84-0583103
NAIC NUMBER FEIN
1560 Broadway, Denver CO 80202-0000
COMPLETE HOME ADDRESS
P.O. Box 149151, Austin TX 78714-0000
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 0
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 3,625
DIRECT BENEFITS & LOSSES PAID $ 5,809
DIRECT BENEFITS & LOSSES INCURRED $ 0
TOTAL ADMITTED ASSETS $ 288,774,638
LIABILITIES $ 214,121,033
CAPITAL STOCK PAID UP $ 3,150,000
SURPLUS $ 71,503,605
INCOME $ 78,058,700
EXPENDITURES $ 74,751,231
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Citicorp Life Insurance Company
COMPANY NAME
80322 43-0979556
NAIC NUMBER FEIN
3225 North Central Avenue, Phoenix, Arizona 85012
COMPLETE HOME ADDRESS
P.O. Box 990027, Hartford, Connecticut 06199-0027
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 0
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 348
DIRECT BENEFITS & LOSSES PAID $ 0
DIRECT BENEFITS & LOSSES INCURRED $ 0
TOTAL ADMITTED ASSETS $ 1,076,687,776
LIABILITIES $ 213,446,420
CAPITAL STOCK PAID UP $ 3,205,000
SURPLUS $ 860,036,356
INCOME $ 53,895,283
EXPENDITURES $ 24,406,031
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.


DEPARTMENT OF INSURANCE
STATE OF WYOMING
Life and Health Company
Cincinnati Life Insurance Company
COMPANY NAME
76236 31-1213778
NAIC NUMBER FEIN
6200 South Gilmore Road, Fairfield, OH 45014
COMPLETE HOME ADDRESS
P.O. Box 145496, Cincinnati, OH 45250
COMPLETE MAILING ADDRESS
WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31, 2004
POLICY AMOUNT ISSUED DURING YEAR $ 1,587,000
DIRECT PREMIUM & ANNUITY CONSIDERATIONS RECEIVED $ 10,383
DIRECT BENEFITS & LOSSES PAID $ 1,730
DIRECT BENEFITS & LOSSES INCURRED $ 1,348
TOTAL ADMITTED ASSETS $ 2,155,577,464
LIABILITIES $ 1,716,907,589
CAPITAL STOCK PAID UP $ 3,000,000
SURPLUS $ 435,669,875
INCOME $ 289,915,339
EXPENDITURES $ 261,642,957
PURSUANT TO SECTION 26-3-126 OF THE WYOMING INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AUTHORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING.
Dated this first day of March 2005.
Kenneth G. Vines
Insurance Commissioner
State of Wyoming
Published in the Sublette Examiner June 2, 9, 16, 23, 30 and July 7, 2005.

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