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COMMONWEALTH OF PENNSYLVANIA
LINof r INSURANCE DEPARTMENT
Harrisburg, PA April 1, 2011
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 17`h 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, Michael Consedine, Acting 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,
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and obligations required or permitted by law or the ordinances, rules or regulations of any nj
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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.
Acting Insurance Commissioner
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SELECTIVE O
Selective Insurance Company of America
40 Wantage Avenue
Branchville, New Jersey 07890
973-948-3000
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 31.2010:
ADMITTED ASSETS (in thousands) LIABILITIES AND SURPLUS (in thousands)
Bonds $ 1,680,252 Reserve for losses and loss expenses $1,243,967
Preferred stocks at convention value 0 Reserve for unearned premiums
353,068
Provision for unauthorized
Common stocks at convention values 38,328 reinsurance 452
Subsidiary common stock at Commissions payable and
convention values 0 contingent commissions 21,577
Short-term investments 60,901 Other accrued expenses
15,581
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
38,785 Other liabilities 160,975
113,443 Total liabilities 1,795,620
17,965
271,538 Surplus as regards policyholders 542,611
117,019
Total liabilities and surplus as
$ 2,338,231 regards policyholders $2,338,231
I further certify that the following is a true and exact excerpt from Article VII, Section I 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 af#the seal of SW4(his .2_?jday of
Michael H. Lanza
SICA Corporate S
a,
STATE OF NEW JERSEY :
:ss. Branchville
COUNTY OF SUSSEX
On thisaaLday of 2i-6arq 2011, before me, the undersigned officer, personally appeared Michael H.
acknowledged himself to the Corporate Secretary of SICA, and that he, as such Corporate Secretary,
to do, executed the foregoing instrument for the purposes therein contained, by signing the name of tt
himself as Corporate Secretary.
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