By submitting this certification, I confirm that I have contacted every insured and driver identified to me in the CUIC Notice of Liquidation email and that I have provided each such insured and driver with the required Notice of Liquidation and related termination information, in accordance with the instructions issued by the Utah Insurance Receivers Office.

I understand and acknowledge that:

• This certification applies to all insureds and drivers listed for my agency in the notice provided;

• The Utah Insurance Receivers Office may rely on this certification as part of the official receivership record; and

• Any knowingly false statement or omission may be subject to applicable legal consequences.