HomeMy WebLinkAbout04-1544COMMONWEALTH OF PENNSYLVANIA
INSURANCE DEPARTMENT
Harrisburg, PA April 1,2004
Whereas, the AMERICAN STATES 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 17tk 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 American States 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.
Insurance Commissioner
SAFECO'
AMERICAN STATES INSURANCE COMPANY
FINANCIAL STATEMENT -- DECEMBER 31, 2003
Assets
Cash and Bank Deposits ............................................. $ 6,I 19,950
*Bonds -- U.S Government .................................... 172,255,785
*Other Bonds ............................................................... 1,212,986,404
*Stocks .................................................................... 310,526,180
Real Estate ............................................................... 8,42g,510
Agents' Balances or Uncollected Premiums .......... 191,416,634
Accrued Interest and Rents ....................................20,593,139
Other Admitted Assets ........................................... .111,473,131
Total Admitted Assets .................................... ~g2,0~;3,79~;,733
Liabilities
Unearned Premiums ............................................... $ 381,581,443
Reserve for Claims and Claims Expense .............. 889,539,673
Funds Held Under Reinsurance Treaties ............ 716,551
Reserve for Dividends to Policyholders ................... 672,985
Additional Statutory Reserve .................................
Reserve for Commissions, Taxes and
Other Liabilities ............................................... 131,289,504
Total ............................................................ $1,403,800,156
Capital Stock ............................. $ 5,000,000
Paid in Surplus .......................... 557,757,202
Unassigned Surplus ...................... 67,238,375
Surplus to Policyholders .............................. 629,995.577
Total Liabilities and Surplus ...............................
lEAl
* Bonds are stated at amortized or investment value; Stocks at Association Market Values.
Securities carried at $67,042,878 are deposited as required by law.
1, MICHAEL C. PETERS, president of SAFECO National 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, 2003, to the best of my knowledge and belief.
IN WITNESS WHEREOF, 1 have hereunto set my hand and affixed the seal of said Corporation at Seattle, Washington, this 1st day of
March, 2004.
President