Exhibit 4
NEW JERSEY AUTOMOBILE INSURANCE RISK EXCHANGE
STATEMENT OF COMPLIANCE
(To be completed by the company’s CFO or other officer designated by the CFO)
During the course of the (prior year) calendar/fiscal year, (Company’s Name) has conducted various financial and operational reviews. These reviews included the operations of (Company’s Name) as they relate to the New Jersey automobile Insurance Risk Exchange. Corrective action has been taken on any findings of a significant or material nature.
Based on the results of our reviews, and any corrective action taken, it is our opinion that (Company’s Name) operations are in substantial compliance with the Rules of Operations and the Accounting and Statistical Manual requirements of the New Jersey Automobile Risk Exchange.
Sincerely,
Date Signature
Title