KRS 304.28-030: Application for license.

Underwriters shall file with the commissioner for an original certificate of authority, an

application, signed and sworn to by their duly authorized attorney, setting forth in

addition to matters required in KRS 304.3-150:

(1) The name of the attorney and title under which the business is to be conducted,

which title shall contain the name Lloyd's and shall not be so similar to any name or

title in use in this state as to be likely to confuse or deceive;

(2) The names and addresses of all the underwriters p roposing to engage in the

business;

(3) The number of underwriters, which shall not be less than twenty -five (25), and that

each underwriter is worth in his or her own right not less than $20,000 over and

above all his or her liabilities;

(4) A copy of each form of policy or contract by which such insurance is to be effected;

(5) A copy of the form of power of attorney by virtue of which the attorney is to act for

and bind the several underwriters and a copy of the articles of agreement entered

into between the underwriters themselves and the attorney;

(6) A financial statement showing in detail the assets contributed or accumulated in the

hands of the attorney, committee of underwriters, trustees and/or other officers of

such underwriters at Lloyd's, togeth er with the liabilities incurred and outstanding

and the income received and disbursements made by the attorney for the

underwriters; and

(7) An instrument executed by each and all of the underwriters specially empowering

the attorney to accept services of process for each underwriter in any action on any

policy or contract of insurance and an instrument from the attorney to the

commissioner, delegating the attorney's powers in this respect to the commissioner.