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COMMONWEALTH OF PENNSYLVANIA
INSURANCE DEPARTMENT
Harrisburg, PA April 1, 2001
Whereas, the PEERLESS INSURANCE COMPANY, located at Keene, N.H., 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 Peerless Insurance Company, of Keene, N.H., 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.
~~o(~
Insurance Commissioner
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PEERLESS INSURANCE COMPANY
I certify '\hat the following individuals are officers of Peerless Insurance Company as of January 31. 2001. to wit:
Roger L. Jean........................................m........ Chairman of the Board Laffey, Joseph A. Lampert, Walter L. Mess, Bruce B. Monahan Gar
Michael R. Christiansen....................President/Chief Executive Officer J. Ostrow, Michael A. Simson, Timothy W. Stalker Da~id G
Mark E. Fiebrink ........Executive Vice President/Chief Financial Officer Thompson, Paul J. Venezia, Steven W. 'Westerdah
A. Alex Fontanes ... Executive Vice President/Chief Investment Officer ................................................................................... Vice President
Forr~st H. Johnson, Amy J. Leddy, William G. Mersch, Charles B. Daniel P. Baker. Nancy C. Callender, David J. Conway, Jacki E
Ruzicka............................................................. Semor Vice Presidents Gerson, Deborah M. Jansen, Myrna J. Harrington, Diana L. Kelly
Joseph P. Tracey............................... Senior Vice PresidentfTreasurer Manzall Mitchell-Dwyer, Stephen D. Powell, John J. Sansone
Jane F. Tayior................................................ Vice President/Secretary Kenneth J. Swymer, John J. Williams, Thomas F. Wilson Jr
Dwight W. Bowie, John T. Clifford, Richard Fee, Joseph W. Headd, ....................................................................Assistant Vice President
Stephen R. Myers..... ................................... Regional Vice Presidents Honore J. Fallon, Timothy Lickness, James R. Pug
Jane A. Barnett, Douglas A. Benedict, Kathryn A. Bieler, Richard A. ...........................................................................Assistant Secretarie
Bouchard, Donald D. Cheek, William A. Driskill, Donna C. Egyed, James E. Tuite, Richard C. Cloran, Denis M. Drummey
Steve Fulwood, Justin D. Healy, Frank J. Kotarba, Beth C. Elliot J. Williams ................................................. Assistant Treasurer
Kreidenweis, James E. Kuhnert, Bertrand J. LaChance, Danny E.
I further CERTIFY that the following Financial Statement of the Company is true. as taken from the books of said Company as of
December 31.2000 to wit:
ASSETS
Bonds at Amortized Values ......................................... $490.937.089
Stocks at Market Values....................................:.............. 24.470.558
Real Estate .......................................................................... 7.088.431
Cash .................................................................................... -3,789.335
Short - term investments .................................................10,415,999
Agent Balances................................................................. 97.381,064
Reinsurance Recoverable.................................................. 1.103,846
Accrued Interest and Dividends ........................................ 5.916.851
Other Assets .....................................................................16.132.059
Receivable from Parent, Subsidiaries and Affiliates ..... 81.887.203
TOTAL ADMITTED ASSETS ........................................... 731.543.765
LIABILITIES
Reserve for Losses......................................................$244.169,31
Reinsurance Payable on Paid Losses .............................2.340.55
Reserve for Loss Adjustment Expenses .......................69,735,52
Reserve for Contingent Commissions.............................6,273,55
Reserve for Other Underwriting Expenses......................6,484,29
Reserve for Taxes. Licenses and Fees............................3,121,41
Reserve for Federal Income Taxes................................................
Reserve for Unearned Premiums .................................173.224,42
Funds Held for Others.......................................................1.978,42
Reserve for Outstanding Loss Drafts .................................... 6.32
Other Liabilities .................................................................8,617,74
TOTAL LIABILITIES .......................................................515.951 ,57
Capital.................................................................................8,848,63
Surplus ...........................................................................206.909.26
Treasury Stock.......................... ............................................165.71
Surplus to Policyholders ..............................................215.592.18
TOTAL LIABILITIES AND CAPITAL..............................731.543.76
Securities carried at $10,166,043 on the above statement are deposited as required by law.
I further CERTIFY the following is a true copy of the By-Laws of Peerless Insurance Company, relating to the execution of bonds and
all other writings obligatory in the nature thereof.
ARTICLE IV. SECTION 12
"Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such
limitation as the Chairman or the President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of th
Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind th
Corporation by their signature and execution of any such instruments and to attach thereto the seai of the Corporation. When so executed, suc
instruments shall be as binding as if signed by the President and attested to by the Secretary."
Use of facsimiie signatures by Peerless Insurance Company is made pursuant to Resolution of the Board of Directors of Peerless Insurance
Company, dated April 28, 1 988.
IN TESTIMONY WHEREOF, I hereunto subscribe my name and affix the seal of said Company, this
day of
JJ'''(~
President
My """,m;.,.;on.>q>i"'.
Subscribed and Sworn to before me this
day of
~t:p~
Notary Pubiic
My Commission Expires March 18, 2003
341-335 (5/01)
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