HomeMy WebLinkAbout08-2984.`~
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INSURANCE DEPARTM
I, Joel Ario, Acting Insurance Commissioner of the Commonwealth of Pennsylvania, do hereby
certify that the attached is a full, true and correct copy of the Certificate of Authority of
AMERICAN STATES INSURANCE COMPANY, as the same appears of record and
remains on file with this Department.
In Witness Whereof, I have hereunto set my hand
and caused my official seal to be affixed this
2nd day of April, 2008.
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Joel Ario
Acting Insurance Commissioner
ENT
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COMMONWEALTH OF PENNSYLVANIA
INSURANCE DEPARTMENT
CERTIFICATE OF AUTHORITY
Casualty Effective Date: April 01, 2008
AMERICAN STATES INSURANCE COMPANY
NAIC NO.19704
IN WITNESS WHEREOF, I HAVE HEREUNTO SET MY HAND AND
AFFIXED MY OFFICIAL SEAL, THE DATE AND YEAR FIRST ABOVE
WRITTEN.
JOEL ARIO
ACTING INSURANCE COMMISSIONER
HAS COMPLIED WITH THE REQUIREMENTS OF THE LAWS OF THE COMMONWEALTH OF
PENNSYLVANIA RELATING TO ADMISSION IN SAID COMMONWEALTH FOR THE PURPOSE OF
TRANSACTING INSURANCE BUSINESS IN PENNSYLVANIA AND THAT THE ABOVE NAMED
COMPANY IS HEREBY AUTHORIZED TO TRANSACT THE BUSINESS OF:
Accident and Health 40 P.S. s 382(c)(2)
Boiler and Machinery 40 P.S. s 382(c)(5)
Elevator 40 P.S.s 382(c)(9)
Glass 40 P.S. s 382(c)(3)
Livestock 40 P.S. s 382(c)(10)
Ocean Marine 40 P.S. s 382(b)(3)
Personal Property Floater 40 P.S. s 382(c)(13)
Water Damage 40 P.S. s 382(c)(8)
Auto Liability 40 P.S. s 382(c)(11)
Burglary and Theft 40 P.S. s 382(c)(6)
Fidelity and Surety 40 P.S. s 382(c)(1)
Inland Marine and Physical Damage 40 P.S. s 382(b)(2)
Mine and Machinery 40 P.S. s 382(c)(l2)
Other Liability 40 P.S. s 382(c)(4)
Property and Allied Lines 40 P.S. s 382(b)(I )
Workers Compensation 40 P.S. s 382(c)(14)
FOR THE YEAR ENDMG MARCH 31, 2009, IN ACCORDANCE WITH ITS CHARTER AND
IN CONFORMITY WITH THE LAWS OF SAID COMMONWEALTH OF PENNSYLVANIA.
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AMERICAN STATES INSURANCE COMPANY
FINANCIAL STATEMENT -DECEMBER 31, 2007
Assets
Cash and Bank Deposits ........................................... $ 16,581,270
*Bonds - U.S Government .................................... 104,799,776
*Other Bonds ...............................................................1,317,441,153
*Stocks .................................................................... 235,289,524
Real Estate ............................................................................. 0
Agents' Balances or Uncollected Premiums.......... 270,284,016
Accrued Interest and Rents .................................... 18,782,292
Other Admitted Assets ........................................... 106.814.590
Total Admitted Assets .................................... 52.1169.992.619
Liabilities
Unearned Premiums ............................................... $ 419,458,971
Reserve for Claims and Claims Expense .............. 898,708,032
Funds Held Under Reinsurance Treaties .............. 10,019
Reserve for Dividends to Policyholders ................ 1,394,261
Additional Statutory Reserve .................................
Reserve for Commissions, Taxes and
Other Liabilities ............................................... 238.357.069
Total ............................................................ $1,557,928,351
Capital Stock ............................. $ 5,000,000
Paid in Surplus .......................... 557,757,202
Unassigned Surplus ................... (50.692.934)
Surplus to Policyholders .............................. 512.064.268
Total Liabilities and Surplus ............................... Sio69.99z_619
* Bonds are stated at amortized or investment value; Stocks at Association Market Values.
Securities carried at $69,771,229 are deposited as required by law.
I, TIM MIKOLAJEWSKI, Senior Vice-President of American States Insurance Company, do hereby certify that the foregoing is a true,
and correct statement of the Assets and Liabilities of said Corporation, as of December 31, 2007, to the best of my knowledge and belief.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Corporation at Seattle, Washington, this 1st day of
March, 2008.
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Senior Vice-President
57282ASUa 3108 ®A ropistered Vadetnerk of SAFECO Corporatlon
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