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COMMONWEALTH OF PENNSYLVANIA
INSURANCE DEPARTMENT
Harrisburg, P A April 1, 2001
Whereas, the FEDERAL INSURANCE COMPANY, located at Indianapolis, IN, has filed in this
Department a certified copy of its charter and a detailed statement of its Assets and Liabilities,
and otherwise complied with the requirements of Section 661 of the Act of Assembly of the Commonwealth of
Pennsylvania, entitled "An act relating to insurance; amending, revising and consolidating the Law &c.,"
approved the 17th day of May, A.D. 1921, as well as with the requirements of the laws of this Commonwealth
applicable to such company in doing business herein.
Now Therefore, I, M. Diane Koken, Insurance Commissioner of the Commonwealth of Pennsylvania, do
hereby certify, in accordance with Section I, of the Act of Assembly approved June 29,1923 and known as act
No. 373 of the Laws of 1923, that the Federal Insurance Company, of Indianapolis, IN, is duly authorized to
become and be accepted as sole surety on all bonds, undertakings and obligations required or permitted by law
or the ordinances, rules or regulations of any municipality, board, body, organization, or public officer.
In Witness Whereof, I have hereunto set my hand and
affixed my official seal, the day and year first above written.
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Insurance Comrmssloner
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FEDERAL INSURANCE COMPANY
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STATEMENT OF ASSETS, LIABILITIES AND SURPLUS TO POLICYHOLDERS
ASSETS
Cash ........................................................... $
United States Government, State and
Municipal Bonds ......................................
Other Bonds ...............................................
Stocks.... ............... ............. .........................
Short Term Investments ..............................
Other Invested Assets ................................
TOTAL INVESTMENTS ...........................
Investments in Affiliates:
Pacific Indemnity Company......................
Executive Risk Indemnity Inc. ..................
Great Northern Insurance Company........
CC Canada Holdings Ltd. ........................
Chubb Insurance Company of Europe .....
Vigilant Insurance Company....................
Other Affiliates ..........................................
Net Premiums Receivable ..........................
Other Assets ...............................................
Statutory Basis
DECEMBER 31, 2000
(in thousands of dollars)
(119,636)
7,196,780
1 ,733,846
261,059
64,539
304,194
9,440,782
533,000
306,193
136,978
98,109
61,383
54,770
280,416
638,320
720.380
TOTAL ADMITTED ASSETS .................... $ 12,270,331
LIABILITIES
AND
SURPLUS TO POLICYHOLDERS
Outstanding Losses and Loss Expenses ..... $
Unearned Premiums ....................................
Provision for Reinsurance ............................
Other Liabilities .............................................
TOTAL LIABILITIES ...................................
Capital Stock ................................................
Paid-In Surplus.. ..................... .......... ............
Unassigned Funds .......................................
Unrealized Depreciation of Investments ......
SURPLUS TO POLICYHOLDERS ............
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6,351,035
1,991,909
71,958
460,512
8,875,414
20,980
672,878
2,798,283
(97,224)
3,394,917
TOTAL LIABILITIES AND SURPLUS
TO POLICYHOLDERS ........................... $ 12,270,331
Investments are valued in accordance with requirements of the National Association of Insurance Commissioners.
Investments valued at $37,141 are deposited with government authorities as required by law.
KAREN A. PRICE
Notary Public. State of New Jersey
No. 2231647
Commission Expires Oct. 28. 2004
Form 27-10.0073 (Rev, 4-01)
A CORRECT STATEMENT:
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