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COMMONWEALTH OF PENNSYLVANIA
'4tThofpEN"S? INSURANCE DEPARTMENT
Harrisburg, PA April 1, 2010
Whereas, the SELECTIVE INSURANCE COMPANY OF AMERICA, located at Branchville, N.J.,
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. 192 1, as well as with the requirements of the laws of this Commonwealth
applicable to such company in doing business herein.
Now Therefore, I, Joel Ario, 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 Selective Insurance Company of America, of Branchville, N. J.,
is duly authorized to become and be accepted as sole surety on all bonds, undertakings and o*bgattDbs required
or permitted by law or the ordinances, rules or regulations of any municipality, board, bod}? 0rgan;mAior44 zr
public officer.
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In Witness Whereof, I have hereunto set my hand and
affixed my official seal, the day and year first above written.
Commissioner
?1?` ? ll3?C?a3
SELECTIVE
STATEMENT OF FINANCIAL CONDITION
I hereby certify that the following information is contained in the Annual Statement of Selective Insurance Company of
America ("SICA") to the New Jersey Department of Banking and Insurance as of December 31, 2009:
ADMITTED ASSETS (in thousands) LIABILITIES AND SURPLUS (in thousands)
Bonds $ 1,583,273 Reserve for losses and loss expenses $1,223,557
Preferred stocks at convention value 0 Reserve for unearned premiums 365,966
Common stocks at convention values
Subsidiary common stock at
convention values
Short-term investments
Mortgage loans on real estate
(including collateral loans)
Other invested assets
Interest and dividends due or accrued
Premiums receivable
Other admitted assets
Total admitted assets
Selective Insurance Company of America
40 Wantage Avenue
Branchville, New Jersey 07890
973-948-3000
Provision for unauthorized
50,787 reinsurance 59
Commissions payable and
0 contingent commissions 25,200
79,062 Other accrued expenses 17,743
39,408 Other liabilities 174,901
117,674 Total liabilities 1,807,426
16,126
298,616 Surplus as regards policyholders 489,145
111,625
Total liabilities and surplus as
2?22?26.571 regards policyholders 2,226,571
I further certify that the following is a true and exact excerpt from Article VII, Section 1 of the By-Laws of SICA, which is
still valid and existing.
The Chairman of the Board, President, Chief Executive Officer, any Executive Vice President,
any Senior Vice President or any Corporate Secretary may, from time to time, appoint attorneys
in fact, and agents to act for and on behalf of the Corporation and they may give such appointee
such authority, as his/her certificate of authority may prescribe, to sign with the Corporation's
name and seal with the Corporation's seal, bonds, recognizances, contracts of indemnity and
other writings obligatory in the nature of a bond, recognizance or conditional undertaking, and
any of said Officers may, at any time, remove any such appointee and revoke the power and
authority given him/her.
IN WITNESS WHEREOF, I hereunto subscribe my name and
STATE OF NEW JERSEY :
:ss. Branchville
of
SEAL
2 1926
?w JE`
COUNTY OF SUSSEX
On this3( day ofAIT4 0 2010,
before me, the undersigned officer, personally appeared Michael H. Lanza, w o
acknowledged himself to be the Corporate Secretary of SICA, and that he, as such Corporate Secretary, being a qrpai0ad,$9?
to do, executed the foregoing instrument for the purposes therein Lcontcb signing the name of the corpnj? *Ne 1?f
himself as Corporate Secretary. -\?. o - -
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