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1025-00007 · Quorum Insurance Holdings · SPV Formation & Corporate
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STATE OF DELAWARE SECRETARY OF STATE DIVISION OF CORPORATIONS

Delivered 11:32 AM 08/03/2022 FILED 11:32 AM 08/03/2022 SR 20222638714 — File No. 7894228

STATE OF DELAWARE CERTIFICATE OF FORMATION OF LIMITED LIABILITY COMPANY

Pursuant to Section 18-201 of the Delaware Limited Liability Company Act (Title 6, Chapter 18 of the Delaware Code)

CERTIFICATE OF FORMATION

OF

QUORUM RECEIVABLES HOLDING LLC

The undersigned authorized person, desiring to form a limited liability company pursuant to the Delaware Limited Liability Company Act (Title 6, Chapter 18 of the Delaware Code) (the "Act"), hereby certifies as follows:

ARTICLE I — NAME

The name of the limited liability company formed hereby is:

Quorum Receivables Holding LLC

(hereinafter referred to as the "Company").

ARTICLE II — REGISTERED OFFICE AND REGISTERED AGENT

The address of the registered office of the Company in the State of Delaware is:

1209 Orange Street Wilmington, New Castle County, Delaware 19801

The name and address of the registered agent of the Company for service of process in the State of Delaware at such address is:

Ashgrove Services Inc. 1209 Orange Street Wilmington, New Castle County, Delaware 19801

ARTICLE III — AUTHORIZED PERSON

The name and address of the authorized person executing this Certificate of Formation are as follows:

Sandra Ling-Hwang Authorized Person 400 Atlantic Street, Suite 2200 Stamford, Connecticut 06901

ARTICLE IV — EFFECTIVE DATE

This Certificate of Formation shall be effective upon its filing with the Secretary of State of the State of Delaware.

ARTICLE V — PURPOSE

The purpose of the Company is to engage in any lawful act or activity for which a limited liability company may be formed under the Act.

IN WITNESS WHEREOF, the undersigned authorized person has duly executed this Certificate of Formation as of August 3, 2022.

By: ________

Name: Sandra Ling-Hwang

Title: Authorized Person

STATE OF DELAWARE SECRETARY OF STATE DIVISION OF CORPORATIONS

ENDORSEMENT

File No.: 7894228

I, Jeffrey W. Bullock, Secretary of State of the State of Delaware, hereby certify that the attached is a true and correct copy of the Certificate of Formation of Quorum Receivables Holding LLC, as received and filed in the office of the Secretary of State of the State of Delaware on the 3rd day of August, 2022, at 11:32 o'clock A.M.

A filed copy of this Certificate has been forwarded to the New Castle County Recorder of Deeds.

Jeffrey W. Bullock Secretary of State of the State of Delaware

Authentication: 204371288

Date: 08-03-22

You may verify this Certificate online at https://icis.corp.delaware.gov/Ecorp/EntitySearch/NameSearch.aspx