N.J. Admin. Code § Tit. 11, ch. 2, subch. 36, app B
NOTICE OF APPOINTMENT OF ATTORNEY
TO ACCEPT SERVICE
STATE OF .........
DEPARTMENT OF BANKING AND INSURANCE
The ..........................., a Risk Retention Group (called the Group) duly organized under the laws of the State of .........., appoints the Commissioner of Banking and Insurance of the State of New Jersey and his or her successors in office, to be its lawful attorney upon whom all legal process in any action or proceeding against it shall be served and further agrees that any lawful process against it which is served upon this attorney shall have the same legal validity as if served personally upon the Group.
The Group gives the Commissioner and his or her successors, full authority to do every act necessary to be done under this appointment as fully as the Group could do if personally present, and ratifies all that lawfully do under the power granted by this appointment. This authority may be withdrawn only upon a written notice of revocation and in any case shall continue in effect so long as any liability arising out of this appointment remains outstanding in the State. This constitutes full compliance with Section 2(a)(1)(D) of the Liability Risk Retention Act of 1986.
The Group designates [..........] whose address is [..........] as the person to whom process against the Group served upon the Commissioner shall be forwarded.
IN WITNESS OF THIS APPOINTMENT, said Group pursuant to a resolution duly adopted by its Board of Directors, has caused this instrument to be executed in its name by its President and Secretary, and its corporate seal to be affixed at the City of .........., State of .........., this ......... day of .........., ....
| Attest: | |
| .................................. | .......................................... |
| Secretary | (Name of Risk Retention Group) |
| By | |
| .......................................... | |
| President |
N.J. Admin. Code Tit. 11, ch. 2, subch. 36, app B
See: 32 New Jersey Register 3530(a), 33 New Jersey Register 85(a).