HomeMy WebLinkAbout03-2719COMMONWEALTH OF PENNSYLVANIA
INSURANCE DEPARTMENT
Harrisburg, PA
April 1~ 2003
Whereas, the PACIFIC INDEMNITY COMPANY, located at Milwaukee, Wisconsin, 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 &e.,"
approved the 17~ 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 1, of the Act of Assembly approved June 29, 1923 and known as act
No. 373 of the Laws of 1923, that the Pacific Indemnity Company, of Milwaukee, Wisconsin, 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.
· "' ~ Insurance Commissioner
PACIFIC INDEMNITY COMPANY
STATEMENT OF A~E'I'~, UA~ILrDES AND SURPLUS TO POLICYHOLDERS
Slalato~/Bes~
DECEMBER 31, 2002
(~n ~ o~ dollam)
ASSETS
Cash and Short Term In.~tments .......... $ 229,098
Un~ted Slates Go--merit, Slate and
Municipal Bonds .............................. 2,066.130
Sto~ ..................................................... 53,654
O~er IIlvaslad ~ ............................. 77~374
TOTAL INVESTMENTS ....................... 2,831
LIABILITIES
AND
SURPLUS TO POLICYHOLDERS
Outstanding Losses and Lo~s Expenses... $ 1.809.097
Unearned Premiums ................................. 654,908
Rein~Jrance Premiums Payable .............. 95.613
Pro~Ne~ fo~ Reinsucanoe ............................ 23.051
Olh~ Liablafies ..................................... 118,981
TOTAL LIABlUTIES ................................ 2.699~650
In~stmeflts ~ Affiliates ......................... 45,891
Premiums Receivable ............................ 302,437
Oth~ Aesets ........................................ 197,519
TOTAL ADMI'r'FEO ASSETS ............... $ 3.376.936
Capllal Stock ............................................. 5,5.35
Paid-In ~ ........................................... 370,019
Unaestg~e~ Funds ...................................... 301.732
SURPLUS TO POLICYHOLDERS .......... 67'7128~
TOTAL LIABILITIES AND SURPLUS
TO POLICYHOLDERS ......................... $ 313761936
Investmenla are valued in accoldance v~th requirements of I~e National Aesodatlan of Ip. surance C~mmiesk)ne~s.
In~estmants valued at $25,201 are de~ with go~mment autlxx'i~as as requi~d by law.
Slate, County & City of New Yo~k, -
being duly ~, delx)~es and saya that the fo~egolllg Slalament of Asesla, I.iabililies and Sur~les to Policytx)Ide~ o~
KENNETH C. WENDEL
Assistant Secr.eta~
Karen A. Price
Public State of New Jersey
No, 2231647