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enutled to a c.orrffllete{Y-fll ed-
of thl Under the Ia ,
you hav"b the h! to pay: off n Name of Insured (Print or Type)
advanco fh.e fir! amount and
under condition$ to obr&ln a
partial refund ofthe seMc& charge.
{4} Keep your copy of this a.greemant By. Signature
tQ p.rotecl:your legal rights. -------------
5G, 1.21.., lf7 J?So
ADDmONAL PROVISIONS OF PREMIUM FINANCE
WARRAN'TY OF ACCURACY. The lnslJrecl represen!s and warran1s l..ENDER INTEREST llUE AFTER CANCELLATION. TQ the permfltad by applicable
lhet the. lnstJJanoe polldes listed In 1he SchedUle of Policies am In rurr force and law, If cance?laUon occlU$, the Insured agrees to pay LENDER Interest on lha
effect and that Ute has- not as$1gned' any lnteoosl in the polrcks except for balanoe due al tlul <:ontmct ral& or at 1hf! maxrmum rate allowed by app/H:able law
the- lolme.;t of mortgagees and IQ!iS payees, The lnsured furthe:r repmaen!s- and' Wflk;hevet Ia less, 1,1nlll the balant;e- Is paid In fulf or unlli such other dele <'IS provid!KI
warrants to LENDER that: {J) none of the /Murance policies Jlsled In the Schedu!& by applicable Jaw.
Gf Polfcies SM for (amUy ot hoUsehold purposes, atu;l {II) the Insured has
no lnd&bWdneS9 to the Insurers Issuing the nsted Jl(llleles am;! none ot those RIGHT TO DEMAND IMMtaliAT:E PA'r'MENT JN FULL. A1 any 11me altar default,
insuNrshaveasserlad!myelalmsforpaymaniagalnstltJefnsumd. L.ENQER can demand and has the light to Immediate payment of the tutal
unpaid amount due under lhls agmemenl even If- Ll:lNDER hils nat any
REPRESENTATlON Ol= SOLVENCY. The ln11ured repfflsents thal lhe Jnaumd Is tefuntlofunellmed pwm!Urn.
not Insolvent nor subjecl oJ any CANCEl.LATI:ON 11 a default br th& Insured resulls In cancellation of any
COLLATeRAL.. To secure- paYiflent of all amounts. due vnder this JnstnanQit po!lcv /!Sled In the Suhedule a Pollcles, the Insured wlll pay LENOER a
ltJsured grants LENDER a interest In fhe polldes, fncludlng aU telum chargeequa!lolhtHnijld"mumcl'tafyepennlttedbyiaw.
<IMdend and loss payments whlch JtidUCt.l unearned
prem)l.lms, subject to env mortgagee or loss
RIGHT TO CANCeL. Jr lnsurnd does not make a when lt duo. or If
Insured is Ill defatJ!l mder !his lENDER I'Tl!Y cancel the
and act In lnwred's place with regaro to the pollcle$, indtldln'l. endorsing
any c!Jeck ot draft Issued in Uw Insured's rot funds assigned fg !:NDj:;R as
securfly herefn. This- ri;ght given by Insured to LENDER comrlitu!es a "Power of
Marne}"'. Before LENDER cancels !he LENDER will provide nollc:e lo
lhe lnstnW, as- required bv law. lnstJtod agress- that !his rklht llJ. canool which
Insured has- granted to be revoked, and !hiD: U!NbER'$-rt;ghl to
cancel will fermlnale only after aU of rnsur&d's lndebladt1e6S under this agreement
fs paid In fUll.
DEf:AULT. Insured Is In defaull under !his agreement if, {a) a payment fs not
reCeived by l.END!m 1.\lhen II Js dUe, (b) Insured or Its are
Insolvent or Jnvo]Vtid In a .bankruptcy- or Simlfar proceeding -as- a debtor, {c) Insured
falls to -compl_y with any of uw lell'rls- of this agreemel'll. (d} tnsuram;e companies
-Ci:!ncel coverages, (e) premiums !nerease under any policy lhi!ed In this a,greemonl,
and Insured falli!! to pay -SUch increased premium Within thirty (30) days ol
noUHcatlon, or (f} lnsumQ Is In del'aull under any ()!her agreement Willi lENOER.
Wherewr the wOrd Ia wed In thl!i agreamsnt.. it means any one or the
II 1tle Insured is In defaull, LENDER has no further Obligation uru:klr thls
agreGment !o pay premlUITI$ on the lneuted's behalf, and lENDER m<ty pursue any
of the ratnodles ptOV!ded In this agreement.
LATI: CHARGI;i$, A late ch<true Wlll be lm(ll)S9d on any payment which Is not
by LENDER wlthfn ffve (6) days or lis due dale (Unfe6S a longer (l;ace
period Is &peciRed under ;appllcabfa- le!W, In Which case a fate charge Will be
lltlpostJd on .anY !JBYmanl not recelvrui by LENDER WllhTn a!Jeh graCe PSfod} This
lata olu11ga wur be 5% or the overdue amount or the maklml.lm late oliarge
psrmJttad by applicable Jaw, whtchaver Is Jess. The lna}d'mum late charge Is $5.00
in DE, MT, and NO,
DISRONOI'lto CHECk FEE. If an lnsumti's check Is dl6honored ror any reason
and If permltmd by laW, tho WiJ[ pay LENDER e dll>honored Check rea
to the rna!dmum fee perm!Ued bylaw,
PAYMENTS RECEIYEOA.FTatNOTICE OF CANCElLATION. Once a Notice of
Canctlllatlon ltas been sent to any Insurance oompany, LENDER baSI no duty to
rescind II or to ask that the polk;y_ be evan If lENDER later receives
Insured's paymanL Payments WhiCh l..E:NDER ret:el\1'$11 aRer sanding a Notice of
cancellallon may be appt/Eid to /nsurud'&_ eC<XIunt Without changing any of
Lf::NDER's rlghls under !hl!l agreernenl
LENDEA.'S RIGHTS AFTR THE POLICIES ARE CANCELLEr). After any policy Is
cancelled [whether by Insured or LENDER or Ql'lyone elsellENDEFl has tha right
to recslvlit 811 unB<Ifne<f prellliums and -other fund&- asslgn&cf to LENOER as aecufily
herein to BllDIY lhum to ln:Jured's unpdd balance under this agreement or any
olher e_greement "batwaan the IJ1S1,1red alld LliNDER.Ifthe amount _fllCelved Is more
than the .amounl owAI;I by Insured, any amnunt will bEl- reft1nd&d to rnsUJtld.
'' the amount reoelvQCI is less Uum the amoun! owed bv ill!lured, lnsllffl(f wlU pay
LeNDER the belom(:e due. LENDER may act lo lnsured'"s place to dO whatever fs
neawsary 1<> collect sur.;h refunds. Th& lnsumnc comoanlas may m!Y on Whate-ver
LENDER tells them regarding Cha policies; does nm: flf!ve to any PIQOf from
Insured oranyona e[SQ.
ASSJGtlMENTS. 11J8Y not eqalgn any policy "Mthout I..ENDEifs- WJ'itlen
oonsenl However. LENDER"$ ronsent ls not needed to add murtmJ;gees or other
persons as loss payetW. LENOE;R may lram;Jer ils righls !hi$ agr&(ffnen! to
anyone wllhOI,II: !hlil' OO!l5ent of /flsurad.
COLI..ECTJONS Atm ATTORNEY FEES. LENDER may enroroe It$ rl;ghts to tolla<:l
amounts dua to ft without usjng the security itlleff35t In this '!gree!mai!L If
LENDER uses an atmlnY \linD Is no! a salaried ernptoyeg f !..ENDER or rncurs
-other wllectron costs to eollecl $flY. mp)ley owad under !his -agreement, lllsuwd
to f!B.Y- reasonable attorney fees; court o:miB, and o!h.or collection casl.!i
lncurr&d by LENDER, nr;>l to 20 paroent of the amount dU& and payable under
lhla a.gruernenl.
PREPAYMENT. At any time, lnsurod may pay ltle enllr$ amount sHU ungatd, If
lllSured paYs the ruq unpaid amount baforu It Js due,'fnsllllld will a rehlnd of
unearned Finance Charge computOO by the actuarial method or the RulE! of 7B-'$, as
bY appllcat)la law. TtJJs roftmd will ba .subJact to the mmd'mum
llOJI.ferundabla- stzNIOO fee PB'rmHted by_ applicable taw. Th&rn Is nQ refund made if
the amount to bo refunded is lese than $1.00.
AUDrr AND QEPORTlNG FORNI POLICJES. Wllh t;4.!gard to any policy in the
Schedule Qf P.oUclas, which !s an auditable or raPOrlli11Jrorm lypa, Insured agrees 1o
Promptly pay 1o the insurance company the between tho actual eaml'td
prefl'llWil {lenaiillad for lha po!Jcy. and the premiums ffnancSd undgr this agreement
:FfNANCE CHARGE. The finance charge begins l)n tho .gm!fesl eff&G!Ive dale of Qle
DDIIcles. listed fn tile Sch!O!duk!l of P'ollcles MH;:tlon. The finance charye !IKlfu(l'es
interest and may Include a non-refundable &ervfca fee to lha 111ax!mum feu
perm/Had by The11nl'll'lt8 charge fs compu!ed using a 365 daY year.
AGENT OR BROKER.. The a.ganr or bro){w handling this agseenumt Is not the aae:nf
or OrokBr-oflENDER, and cannot le.gallyblnd LENDE!R in any way.
permlSslble by law some- portion offhlr:; ifnance charge maybe paid by LENDER to
theagentorbroker oxeciiilng this agroement as payment for the servfc.as In mm:klrlng1he
finanCing of too Insurance Any snda/1 queslkms &boot !his pa}lment shotlk,t
ba directed lo !he ag:entor"brokBr.
CORRECTIONS. LENDI:R ruay Insert the names of th& lnsurtmoo companies and
_policy
If these are not known el the Urne lnsumd signs !his agreement.
LENDER !a aumodzed 10 correct patent eJTOfS or omissions In tflls agro&ment.
EFFECTIVE bATE. This agreement will not .become until II ts acceplarl fn
wrttlng by LENOER.
GOVERNING J.AW. Is by and under the laws
of 100 'Sial& wher& l.l:NbER accept!!; this :agmemenl. In AR, this .agreement shall b&
governed bv the Jaws of the> s!ale of 11... If anyt::ourt tlnd$ Dart Of thll;l ameement
to be SJ,ich finding $hah not affoot the remalnder Df tllfs sgroemonl Stngu!ar
word's In thrs agrvernenl shall mB{!II'I .P.Iural tind vl(;:e verna as may be: _ _p:q\IJred to give
the aglGQl\'\$nf. mean! ng. North Carolfrni Depsrtment of Insurance Penni! 11'6-.462.
SIGNATURE AND ACKNOWLEDGMENT. Insured has thla. agtGement and
recelved a copy of H, If Insured fs a OOIPQ!llUon, tile person signing is an officer of
that co!JXnSI!on autlwrit.Eid to skm this If the lnsum:d IS- not a
corpO!<ItiOil, all lrmure<ls listed in anypDifey haves
WABli-JTY, lnsuffld understands and NO.ER hEU;. no Uabllilyto Insured
or any pcrwn or entHy upon Ule exercise of LeNDER'S IlrJht -of caracellaUon, except
Jn the ev&n! of wiUrul wfuf&n1i(mat ml8C01ld\.1Gt by lENDER.
AGENT OR BROKER REPRESENTATIONS AND WARRANTIES
the lnsur6d'.$ s1gneWre Is DEp0SITIPROVIS/ONAL PRaMIUMS. Any Audit or Reporting Foml policies or
policies subject to llllrospectlve Included Jn this agreement are tlQied b$10Vf In
sectloll (a). Ths doJK)Sit (11 provisloo<il Pmt:tlums for 1Msa POlicies are no! kiss !han
lhunUclpal$d PlliiTIIUms to be e8med tor ll\8 full term of lhll policies.
or !Ills
the b&s! of our know!OOge, neither the Insured nor the
<1re Insolvent Dr InvolVed frt a bani(OJplcy or similar
, OJXCBp! as clearly fndicaled Dn page 1 oflh[s agreement.
FOR THE SCHeDULED POLICIES, AGENT OR BROKER WARRANTS 'fRAT:
(a) No policies are Audl!eble, ReP9f'iil!g form policies or po}JC!eS S1,1blact lo Retrospetlive
Rellng, except polfcfes lfsled at rfsl:it or as fndfce.ted on !he Sched"ula of Policies.
t.OSS PAYEES NAME;D. Anv pot!ctes Which provide that 100 pr&miUJTt may be
eamed earlier Jn tile evenl of loss. e.re- nDted below In section (bJ and/qr {cl. The
ht!S no!lfied !he companJoo ani:f the Insure& that
lENDER l9 IDbe munedas. a /OS$ payee--on any such. poiloles.
AUTHORIZED ISSU!N:G AGENT. For !he !OehadUied policies, !he Agani/Brok_er Is
either 1he fnsu!'ilnce CQmpanys authorized policy B9Bnl or "!he broker placing
!he ooVerage dlreclfy vMb the lnSl,lrance rnmpa!l)', except where the name and
addlass of !$:S-Uing Agent or Gan$ral Agent Is lis!Eidln llie Sched"llle of Policies.
and any inslallments
PoJlcy Number
Of EXceptJons Comments
(b) No pdlol"" or.o !'bi,.ttu Mlolm"m Eamoo P"'mim ax<Ot>t oollol,. al ""'" ,,.,
lridicated on lila of,PQIIcles. ThoMlnlmurn Earnl!dPremlum for lls!eOpobcfes Is $ ___ _
[a)
(b)
(o)
(d)
(c) All policies ftrovide !hat unearned pramknns arecompuled by the standard short ralo or
exoepf those policies listed e.t right or as fndfcated on Sdlectufe or
(d) No policies oontllln provisions wltloh prohibit caneellellon ellhsrby the Insured arbyth9
insurance tompan}':v.ilhln ten f1C) -day$, e.JOOept ltlosao policies !1&-led attfghtor
lndfe&IW on the Schedl)]Er of P'oi!Cies
. FiF ST 0206
SCHEDULE OF POLICIES
Polley Number
Arid Prefix
Full Nama OfJnaurance and Nama
and A dress of General Agant
or Company Office to Which Premium I$ Paid
Type of
Insurance
Term
Effectivs Date
In onths Mo. Day. Yr.
Polley
Ptem!ums
'
TBD 02713..005- Chubb Custom insurance Company CRME 12 07-2.-2009 (Looo.o
[ME%: 0.000 C
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FIN TXSIFEES o.o
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...
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EXHIBIT B
Proposed Order
Inre
IN THE UNITED STATES BANKRUPTCY COURT
FOR THE DISTRICT OF DELAWARE
Chapter 11
CRDENTIA CORP., et al./
CaseNo. 1 0 - - - ~
Debtors. (Joint Administration Requested)
ORDER AUTHORIZING DEBTORS AND DEBTORS
IN POSSESSION TO PAY INSTALLMENTS UNDER
INSURANCE PREMIUM FINANCING AGREEMENT
Upon consideration of the motion (the "Motion")
2
of the above-captioned debtors
and debtors in possession (the "Debtors") for entry of an order, pursuant to section 105(a) and
363(b) of title 11 of the United States Code (the "Bankruptcy Code"), authorizing it (a) to pay all
valid, outstanding pre-petition obligations to Heritage Premium Assignment Company
("Heritage") pursuant to a pre-petition Commercial Premium Finance Agreement dated in July
2009 (the "Premium Finance Agreement"), by and between the Debtors and Heritage; and (b) to
pay all postpetition installments of the Premium Finance Agreement as they come due; and this
Comt having the jurisdiction to consider the Motion and the relief requested therein in
accordance with 28 U.S.C. 157 and 1334; and this Comt having determined that granting the
relief requested in the Motion is in the best interest of the Debtors, their estates, creditors and
equity security holders; and it appearing that no other or further notice need be given; and after
2
The Debtors, along with the last four digits of their federal tax identification numbers, are: Crdentia
Corp.(5701), ATS Universal, LLC (3980), Baker Anderson Christie, Inc. (3631), CRDE Corp. (2509),
GHS Acquisition Corporation (9736), Health Industry Professionals, LLC ( 4246), HIP Holding, Inc.
(3468), MP Health Corp. (4403), New Age Staffing, Inc. (1214) and Nurses Network, Inc. (6291). The
Debtors' mailing address for purposes of these cases is 1964 Howell Branch Road, Ste. 206, Winter Park,
Florida.32792.
Capitalized terms used but not otherwise defined shall have the meanings set forth in the Motion.
due deliberation and sufficient cause appearing therefor;
IT IS HEREBY ORDERED THAT:
1. The Motion is GRANTED.
2. The Debtors are hereby authorized and empowered, but not directed, to
pay monthly postpetition installment payments due to Heritage pursuant to the Premium Finance
Agreement as these amounts become due.
3. The relief granted in this Order shall be subject to the Tenns of the
Ratification Agreement, the Budget and (as applicable) the Interim Order or Final Order (each as
defined in the Debtors' Motion to obtain post-petition financing).
Dated: Wihnington, Delaware
March , 2010
THE HONORABLE
UNITED STATES BAN-:-=-=KR=UP=Tc=y=-=JU:-::D::-G-:::E::-
2