HomeMy WebLinkAbout12-5086 ~ _
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' ~~~~~~Q~~3~(Rl`'IMONWEALTH OF PENNSYLVANIA
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,t 2a~2 AUG ~ ~ AK INSURANCE DEPARTMENT
cur~~~R~aNO couA Tit 5~ I
PEN'NSYLV~N Harrisburg, PA Aril 1 20 2
Whereas, the SENECA INSURANCE COMPANY, INC., located at New York, N. Y., has sled in
this Department a certified copy of its charter and a detailed statement of its Assets and Liabilities, an
otherwise complied with the requirements of Section 661 of the Act of Assembly of the Commonweal h of
Pennsylvania, entitled "An act relating to insurance; amending, revising and consolidating the Law &
approved the 17th day of May, A.D. 1921, as well as with the requirements of the laws of this Commo wealth
applicable to such company in doing business herein.
Now Therefore, I, Michael Consedine, Insurance Commissioner of the Commonwealth of
Pennsylvania, do hereby certify, in accordance with Section 1, of the Act of Assembly approved June 9, 1923
and known as act No. 373 of the Laws of 1923, that the Seneca Insurance Company, of New York, .Y., is
duly authorized to become and be accepted as sole surety on all bonds, undertakings and obligations r c.;uired 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 wri ten.
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Insurance Commissioner
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COMMONWEALTH OF PENNSYLVANIA
INSURANCE DEPARTMENT
CERTIFICATE OF AUTHORITY
Property Effective Date: April 1, 201
SENECA INSURANCE COMPANY, TNC.
NAIC NO. 10936
HAS COMPLIED WITH THE REQUIREMENTS OF THE LAWS OF THE COMMONWEALTH O
PENNSYLVANIA RELATING TO ADMISSION IN SAID COMMONWEALTH FOR THE PURPOSE O
TRANSACTING INSURANCE BUSINESS IN PENNSYLVANIA AND THAT THE ABOVE NAMED COMPAN
IS HEREBY AUTHORIZED TO TRANSACT THE BUSINESS OF:
Auto Liability 40 P.S. s 382(c)(I 1) Boiler and Machinery 40 P.S. s 382(c)(5)
Burglary and Theft 40 P.S. s 382(cX6) Elevator 40 P.S. s 382(cX9)
Fidelity and Surety 40 P.S. s 382(c)(1) Glass 40 P.S. s 382(c)(3)
Inland Marine and Physical Damage 40 P.S. s 382(6X2) Mine and Machinery 40 P.S. s 382(c)(12)
Ocean Marine 40 P.S. s 382(6)(3) Other Liability 40 P.S. s 382(cX4)
Personal Property Floater- 40 P.S. s 382(c)(13) Property and Allied Lines 40 P.S. s 382(6X1)
Water Damage 40 P.S. s 382(cX8) Workers Compensation 40 P.S. s 382(c)(14)
FOR THE YEAR ENDING MARCH 31, 2013, IN ACCORDANCE WITH iTS CHARTER AND IN CONFORMIT
WITH THE LAWS OF SAID COMMONWEALTH OF PENNSYLVANIA.
IN WITNESS WHEREOF, I HAVE HEREUNTO SET M
~s' ~ ~ HAND AND AFFIXED MY OFFICIAL SEAL, TH
DATE AND YEAR FIRST ABOVE WRITTEN.
Z
~ ~ C~r~
O 4
~trr,cF MICHAEL CONSEDINE
INSURANCE COMISSIONER
- - - I
VIII
• DEPARTMENT OF THE TREASURY II
FINANCIAL MANAGEMENT SERVICE
h HYATTSVILLE, MD 20782
I
Mr. Gary N. Dubois, President
Seneca Insurance Company, Inc.
160 Water Street
New York, NY 10038 - 4922
Dear Mc Dubois:
Your Company's Certificate of Authority to qualify as an accept~le surety and/or reinsurer on Federate
bonds is hereby renewed and will remain in effect until June 30, 2013, unless revoked prior to that date.
On the basis of our review of the Company's Annual Finanaal Statement as of the close of the last
calendar year, the following underwriting limitation has been established, effective July 1, 2012, under the
renewed Certificate:
POLICYHOLDERS' SURPLUS at December 31, 2011 $129,155,820
UNDERWRITING LIMITATION $12,916,000
We are following the practice of making no deductions from policyholders' surplus reported where the
amount of adjustment (e.g., for unauthorized reinsurance, inadequate loss reserves, etc.) wowld have a
nominal effect on the surplus and where it has been determined that the Company is soh!ent per
Treasury's guidelines. This practice facilitates the review work and should rat be interpreted as changing
or nullifying applicable Treasury requirements.
The list of approved sureties (Circular 570) is available on our website ~ www.fms.treas.gov/c570. Please
disseminate this information to your assoaates, agents, reinsurers and even Government agencies
whenever possible.
If you wish to comment on the underwriting limitation established, please contact Laura Alexander at
(202) 874-6765, immediately.
Sincerely, ,
L`~~'ZZ~~.~CJ
Rose M. Miller
Manager
Surety Bond Branch
SURETY BOND BRANCH - 3700 EAST
WEST HIGHWAY - RM. 6F01
HYATTSVILLE, MD 20782 -FAX: (202) 8749978 ' INTERNET ADDRESS www.fms.treas.govlc.570
. I~~
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PROPERTY AND CASUALTY COMPANIES -ASSOCIATION EDITION
ANNUAL STATEMENT
FOR THE YEAR ENDED DECEMBER 31, 2011
OF THE CONDITION AND AFFAIRS OF THE
Seneca Insurance Company, inc.
NAIL Group Code 0758 0158 NAIL Company Code 10936 Empbyers ID Number 13-2941133
(Cwrom) (Prior)
Organized under tyre Laws of New York ,State of Danlcile a Port of Entry NY
Country of Domicile United States of America
IncorporeEetYOrganized 03/29/1978 Commenced Business 07ro1/1978
Statutory Home Office 160 Water Street New York , NY 10038-4922
(Street and Number) (City w Town, State and Zrp Code)
Main Administrative Office 160 W afar Street
(Stmt and Number)
New York NY 111038.4SY12 212344-3000
(City or Town, State and Zip Code) (Area Code) Relephone Number)
Mail Address 160 Water Street New York NY 100384822
(Street and Number or P.O. Box) (Criy a Town, State and ZP Code)
Primary Location of Books and Recorids 160 Water Street
(Street and Number)
New Yak , NY 10039-4922 212-344-3000
(City or Town, State and Zip Code) (Area Code) (Telephone Number)
Internet Website Address www.Senecalnsurerrce.oom
Statutory Statement Contact Vincent Isadore Maids 212-3443000
(Name) (Area Code) (Telephone Number)
vmaida~senecainsurance.com 212-344567
(E-maN Address) (FAX Number)
OFFICERS
President, CEO Gary Norman Dubois # Vk:e President Viroent Isadore Malda
SrVP, COO, Treasurer,
Sepetary Marc Todd Andrew Wolin
OTHER
David W Nes Bishop Vine President John Christopher Brennan Vice President Apterl Jceeph Caredonio Vice Pre~idant
Grapey Akiert Craganzsro # Vice President Thomas Alan Diaczynaky Vice Prea~ant FreMc Vinarrt DortNrue Jr. Via Prhidwrt
Me1Mn George FuNc Via Presidenx David Afar Fhneen Vice PreNdertt John WiNam HaYrres # Vbe
AA'arireel Statlatf KMte Jr. Yrce President Mettirew W Warn KuMsh Vloe Prosfdem Kent Ain K Yioe
RobMt Card LeBrun Vice fhasiderK Kedh 1Ar:Cartlw Senor Yrce Presklent KaWeen Arrn McNamare Vida P
ENen Caramo?e O'Connor Swrbr Vacs Pnesidenl MBrony Pad Oltati # Yia President__ _ Midrael Jamsa Skadra Via
Joseph Edward Stanton Vice President Chris Ivan Stonno Senior Vice President Ahmed Kernel Yakrrour VP 6 Cirbt atbn Oilier
DIRECTORS OR TRUSTEES
Pad WWam Bassaline Harvey Childs Stephan Artirur Efserunann
Donald Ross Fisdrer David John l3hezzi Gabriel A Kreusman
hlattitnv WWia+t IGerish Albert Beniamin Lewis Douglas Mandel LBrby
Steotaa Mid>•el Mtisadv # May Jane R~ertaon CMis Ivan Stwmo
Marc Todd Andrew W din
Slate of Y°* SS:
County of New York
The offlcere d this reporting entity 6eirrg duly sworn, each depose and say that they are the described officers of saki reporting entity, and that on the reporting parr elated above,
aN of the herein described assetr were lhre absolute property of the said reporting entty, free and dear from arty liens w daims thereon, except es herekr stated, and That this
statement. logetlter with related exh~rits, schedules and explanations trrereirt cattained, arwtexed w referred to, Is a irrN and true statement of ~ the assets anct Niles end of the
condition and affairs of the saki reporting entriy as of the reporting perbd staled above, and of its income and deductions thsrehom iw the perbd ended, aril bare bsert completed
in accordance with the NAIL Annual Statement Inslrucliorrs and Acceurting Practices and Procedures manual except to th extent that: (1) state few may dNbr; e¢, (21 that state
ntes w regale' dillererrces 1n reporting not related to accounting practces and procedures, according io the best of then Inlormatbn, and beNe1,
respectively. F re, the scope of this atlestatron by the descrtbed officers also indudes trre related conesporxArg electronic thing witir the NAIL, when
r~red, that Is an
exact copy ( for 'ng differences due to ebclronic filing) of rldosed statement The electronic 1Ning may be requested blr various regulaors in freu df or in addition
to the endosed s t %
Marc Todd Andrew W olio Marc Todd Andrew W din Vincent Isadore Mslda
SlVP, COO, Treasurer, Secretary SrVP, COO, Treasurer, Secretary Vice President
a. is this an original 1Ning? Yes [ X ] No ( )
Subscribed and is b. Ii no,
ay of F 2012 1. Stale the amendment number.T--.-
2. Date filed
3. Numfxr of pages attached___--.
Lancelot L Tromas
Notary PubNc State of New York
No. 241843150, Ouaflfied {n Kkrgs Cou
Commision Expires October 17, 20t4
M
ANNUAL STATEMENT FOR THE YEAR 2011 OF THE SENECA INSURANCE COMPANY, INC.
ASSETS
Current Year Prior Year
1 2 3 4
Net Admkted Assets Net Admitted 7
Assets Nonedmitted Assets Cols. 1 - 2 Assets 2.
t. Bonds (Schedule D) 227,342,213 --•_-----227.342.213 _._..___265,631,299 3.
2. Stocks (Schedule D):
4.
2.1 Preferredstodcs-.----------.._.---.-.._..-----.......-----__-_--- •-----•--10,023,100 ----.-.----•-10,023,100 ----._°----10,172,600
5.
2.2 Common stodcs_-...._._.--_._. ---.._._61,660,488 ------._--61,660,488 48,031.548
6.
3. Mortgage baize on real estate (Schedule B):
7.1
3.1 Ftrst Oens
7.2
32 Other than first liens...----------------.-
8.
4. Real estate (Schedule A):
4.1 Properties occupied by the company (less i 9.
encumbrances)
4.2 Properties held for the production of income (less
i encumbrances)
4.3 Propertles Reid for sale (less i 10.
encumbrances) - t 1.
5. Cash (S ---------.(6,795,903) , Schedule E -Part 7), cash equivalents
(i , SchedWe E -Part 2) and short-term
Investments (i -_-.-_90,212,435 .Schedule DA) .------..23,416,532 .-._23,416,532 ......._..__29.804,540 12.
6. Contract bans (including S premium notes)
13.
7. Derivatives (Schedule DB) - 14.
8. Other invested assets (Schedule BA)
--........1,000.000 15.
9. Receivable for securities
18.
10. Secudtles lending reirnested collateral assets (Schedule DL)
17.
11. Aggregate write-Ins for Invested assets
12 Subtotals, cash and irwested assets (Lines 1 b 11) .322.442.333 _ - ------322.442.333 --•-----354,439.987 18.
13. Title plants less i charged ott (for Title insurere 19.
14. Investment income due and accrued.-----..-..__---._._..-__._._ _-._..-_..3,566,460 _---._..._..__3,566,460 4,399.569 21.
15. Premiums and considerations: 22•
15.1 Uncotleded premiums and agents' balances in the course of ccilection __---.._.---9,998,779 ----..--.__._80.6.51 _----__.._.4.918,128 _.____-2.534,223 23.
t 52 Deferred premiums, agents' balances and instatlments booked but 24.
deferred and not yet due (Including i
25.
earned but untitled premiums)---•--.._.._._..._-..___.-.._...._-- _.---.__25.815.173 - •--•-------25,815,173 ------_--_.13,534.914
26.
15.3 Accrued retrospective premiums
27.
16. Reinsurance:
16.tAmounlsrecovereblefromreirtsurers_..---•------.--_.._._. ~--...3,2,113 .9,289.113 1,616,580 28.
162 Funds held by or deposited with rebsured crompanies . _ 29
16.3 Other amounts receivade under rensurence contracts..-...-_.-_ 30
17. Amounts receivable relating to uninsured plans 31
18.1 Current federal and foreign income tax recoverable and interest thereon 32
182 Net deferred tax asset.---_.--._~.._---------____..-_..- -.._-__10,356,397 1,968,530 ---.._-----..B.387.867 .------_.---.-6,780,221 33
19. Guaranty funds receivable or on deposft 34
20. Electronic data processing equipment and sofhvare _.-__..__.1.373,183 _._......_.__....8.91.518 ..__._._._..._481,665 _--.._...._._..-...104.080 35
21. Furniture and equipment, including health care delivery assets ~
li ------------..._431.065 __...._----_.431,065
22. Net adjustment In assets and IiabNities due b foreign exchange rates
23. Receivables from parent, subsidiaries and atfilietes .33.858 -------••-_-•--._33,859 ..-----._.----•-424,524
- 37
24. Health care (i )and other amounts receivable
_521.581 1,390,570 - 38
25. Aggregate write-ins for other than invested assets _.-._.-...1,902,151
26. Total assets exrtludng Separate Accoums, Segregated Accounts and
Protected Cell Accounts (Ones t2 to 25) _ 374.200.513 -..__..3,893.345 -•-•-•-----•-•3711,315,168 ___...-----384;646,fl90 2501
27. From Separate Accounts, Segregated Accounts and Protected Cell 2502
Accounts
28. Total Lines 26 and 2 374,208,513 3,893,345 370.315,168 384,846,0 250:
259E
DETAILS f>F WRITE-INS
259E
1101.
2901
1103. 290:
1198. Summary of remaining write-ins for Une 11 horn overflow page - . 290:
1199. Totaks Lines t 107 tfau 1103 s 1198 Line 11 above 299E
2501. Equities and deposits in pools end auociatioru _._._.._..-__684,118 _....__..-_.-...-X9,216 299!
' ----------684.118
2502. Deposits with claims facilities --------•-----626.000 ----------------626,000 320'
2503. Miscellaneous receivables --°---------•----70.452 ------------•_70.452 ------°-----------..113.576
a..tnwrta.s s aa..vy vv... - - I ~
If 1 2
j Current Year Prior Year
' 2. Reinsurance pay
ble on paid lasses and loss adjustment expenses (Schedule F, Pan 1, Column 6J .•••--108-644,618 .:_._-,._.-----:.-92,6201,967
~ 3. Loss atl stment ex es Part 2A, Line 35, Column 9
~ W P~ ( ---._.._....._91,180.180 .....-..-------....34,092.016
' 4. Commissons payable, condngent commissions and other similar chargas __.._._.......1,104,449 ......-._........_...-.794,897
I
5. Other expenses (excluding taxes, licenses and fees) _ .---___..-.-3,920.261 ---._....__......3, ,573
!1 6. Taxes, Ikenses and fees (excluding fetleral and foreign income taxes) .-_.-_....._...-_.._-.__.._..._..._.._.-.-..._.._._-.__._._._....._......_._..3,479,248 ..---..._.._..._..3,0
2 ,383
7.1 Current federal and foreign income taxes (including $ ...-__..._.._.(1,589,927) on realizetl capital gains (losses)) ._.._...-.._.._.1,152,813 ............_._...2,97
,129
7.2 Net deterred tax Ilebility
B. Borrowt3d money $ and interest thereon $
• 9. Unearned premiums (Part 1A, Line 38, Column 5) (after deducting unearned premiums fa ceded relnsurertce of
t~
$ ._..__.._....._4,478,824 and Including warranty reserves of $ and accrued atx:itlent and
health experience rating refunds including $ for medical loss ratio rebate par the Public Health
Service Act) . . - ...77,573,791 ...___.._..._62, ,708
t0. Atlvance premium
11. Dividends declared and unpaid:
11.1 Stockholders
1 t .2 Policyholders
t2. Ceded reinsurance premlrxns payable (net of cetlinp commissbns) _.__....._.._..2.248,212 ._.~.____t, ,627
13. Funds bald by comparry under relnsurertce treaties (Schedule F, Part 3, GWumn 19) _.__..._...-.....-139,557 .....1 5,593
14. Amounts withheld or reffiIned ___.._.._....---....57,888 7.144
by company for acxount of others
15. Remittances end kerns not allocated
16. Provision for reinsurance (Schedule F, PaA 7) ..534,710
• 17. Net ad(rtstmenffi In assets arxf liabilkies due to foreign exchange rates
16. Drafts outsffi~
ng
19. Payaftta [o parent, subsidiaries and affiliates
20. Derrvatives.........._.
21. Payable for securities
22. Payable for securities lending
23. Liability for amourns held urWer uninsured plans
24. Ce 'tat notes S and Interest thereon $
p
25. Aggregate write-ins for Ifabilkies 1 123.821 1, 12,429
26. Total iiebi8tles excluding protected call Iia1~illties (Lines 1 through 25) -.--.-.-_-.-_-._-..._.._._.-___....._.___._.._.•-.....__...-_._.241,159,348 _.__.__202, ,466
27. Protected call Uabill0es
28. Total liablltties (Lures 26 arW 27) __..-_---..241,159,348 __._.._..202, .466
29. Aggregate carne-ins for spertial surylus funds
30. Common capitaletock.---.._....__.._.._._ _....•....._.._..4,800,000 -_._._---_-..4, ,OOD
31. Preferred capital stock
32. Aggregate wr(te-ins for other than special surplus funds
33. Surplus notes
34. Gross paid in and contributed surplus .............._.._26.275,586 -......-__....26, ,566
35. Unassigned funds (surplus) •-._....----....98,080,254 ..--.---_...151 ,85B
96. Less treasury stock, et cost:
. .
36.7 shares common (value included in Line 30 S j
96.2 shares preferred (value includedrn Lrne 31 $ )
37. Su us as
rpl regards polcyholders (Lines 29 to 35, less 36) (Pape 4, Line 39) 129,155,820 182 084,424
~ 38. TOTALS P e 2, Lina 28 Cof. 3 370,315,168 384 616,890
DETAILS OF WRITE-INS
~ 2501. Yiscal hneous psyables •----••--------..1,123,621 -----.._...._.1 112,429
4' Y502.
8509.
r g6QS. Summary of remaining wrka-ins for Une 25 from overfow page
,y Totsk Liras 2501 thru 2503 us 2598 Line 25 above 1,123,821 ,112,429
` k _ _
_
'R902i
f,
~ ,
?k•,
1',.,' ~ > 6ummary of remaining write-ins for Line 29 from overtbw page
TOffiIS Line6 2901 Ihru 2903 lus 2998 Line 29 above
`.y
n,,
y ;c; 9201.
r+ '.v: 821Y2.
n:
, p
' 3286. Summary of remaining write-ins for Line 321rom overflow pape
` 3288. Taffila Lines 3201 ihru 3203 lus 3298 Line 32 above
_ _ _
I
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ANNUAL STATEMENT FOR THE YEAR 2011 OF THE SENECA INSURANCE COMPANY, INC.
STATEMENT OF INCOME ~
2
Curcent Year Prior Year
UNDERWRffING INCOME
1. Premiums eamed (Part 1, Line 35. Column 4)__....-___._._-.__-......__.-.-...__ --..._.._.._-14i,0i3,580 _._-._...-..i 16,751,402
DEDUCTIONS:
2. Losses incurred (Part 2. Lme 35, Column 7) ___...._.._55.751,412 _..-.-___....39,422,164
3. Loss ad)uatmehl expenses incurred (Part 3, Line 25, Column 1) _._-_._-21,264.085 .__.___-..17,001.351
4. Other urWerwntirtg expenses Incurred (Pan 3, Line 25. Column 2) -._._-.•..57,654.551 .___._-_...47,833, 918
5. Aggregate write•ins for underwntinp deductions
6. Total underwrithrp deductons (tines 2 through Sj 134 670 820 104 257 433
7. Net Income of protected ce~ -
6. Net underwriting gain or (loss) (Lure 1 minus Line 6 plus Line 7) -_-_....._..__8,342.752 -_.:.-....._-...12,493,969
INVESTMENT INCOME
9. Net investment income earned (Exhibt of Net irnestment htcome, Line t 7j...--.._._.-_....._......._ .............._.....-.._......-.....--...-..._._.-....._..-.15,104,356
_--•------.._....14,769,366
10. Net realized capital gains or (losses) less capital gains tax of S __.._.._--_...».-..670,394 (Exhibit of Capital
Gains (Lases)) 6,732 4 6,082,554.
11. Net investment gain (bss) (Lines 9 + 10) -_._.-_..._._.._-_._.._..__..--._..---.._..._...__.._._---..._._._.__.._._..._._......_.-.___..__..._._..21,838,828 - ................20.851.920
OTHER INCOME
12. Net gain (loss) from agents' or premium balances charged off {amount recovered
S amount charged otl L )
13. Finance and service charges not inducted in premiums
14. Aggregate wrhe-ins for miscellaneous Income -
15. Total other income (Lines 12 through 14)
16. Net Incwne before dividend to policyholdere, after capital gains tax and before all other federal and foreign income taxes
(Lines 8+ ii + t5) .............._-----........._.._._28.179,580 -..._33,345,8&9
17. Dividends ro
poitcyflolders
18. Net income, after dividends to policyholders, after capita! gains tax arxi before all other federal and foreign income taxes
(une 16 minusUne i7).-_-._._._..__.__~.._-._.____......_..._.____.._.._......__.:_:___.-_-...----•----.•--•---._.--•----...- .-_._-_....28,179.560 ._.----_..-.-..33,345,889
t 9. Federei and foreign income taxes ircurred - 5,402,945 6.731.5!4
20. Net Income (tine 18 minus Line 19)(to Line 22) - 22,718 635 26 614, 315
CAPRAL AND SURPLUS ACCOUNT
21. Surplus as regards policyholders, December 31 prior year (Page 4, Line 39, Column 2) ..............._......_..182,084,424 -_.-__.-__..167,070,400
22. Net income (from Line 20} -..._-_._...22.776.635 -----°-..6,614,315
23. Net transfers (to) from Protected Cell accounts
24. Change in net unrealized capital pains or (losses) less capital gains tax of S .....---._--_...-._.(077,936) -..-_.-......_.854,550) ---._....-_.-.....1.3,049
25. Change in net unrealized foreign exchange capital gain (loss)
26. Chargeinnetdeknedincometax.._._..-...__~.._-_.._.----»____.__....---..._.....-__.__._-_-.._-_..-----•--....-.-..._-...._.-_.._-._ _-_._._._._1346.512) _.-.---..----...1.061,978
27. Change In nonadmfaed assets (6dlibit of Nonadmitted Assets, Line 28, Col. 3) ._--__._._~..T99,899 ....-.--•_-----°•-1740.882
28. Change in provision for reinsurance (Page 3, Line 16, Column 2 minus Column 1 } _-_._.._.-.....1534,710) ..-._..-...._._..._.139,f>'36
29. Change In surplus notes
30. Surplus (contributed to) withdrawn from protected cells
31. Cumulative effect d changes in accounting principles
32. Capital changes:
32.1 Paid in _...-•--•-••---••----_._....._-.._..-r_.-.._.
32.2 Transterted from surplus (Stock Dividend)
32.3 Transferred fo surplus
33. Surplus adjustments:
33.1 Paid in
33.2 Transferred to capital (Stock Dividend)
33.3 Transferred from capltai._.._._.-_.-_..--.
34. Net remittances from or (to} Home C4fice
35. Dividandsrostockholders.___.._._.._.._._-._.__.-..._..__ ........................_...__..__»_._-....._....._.._...-...._..-_.-..___.----.._.__......-_,..----•-(74,769,366)..--_-----...(13.
479,0 )
36. Change in treasury stock (Pape 3, Lines 36.1 acrd 36.2, Column 2 minus Column t)
37. Aggregate write-ins for gains and bases Msurplus
38. Change in surplus as regards policyholders for the year (Lines 22 through 37) (52,928 604) 15,014,02
39. Surplus as ands policyholders, December 31 curcent year (Line 21 plus line 38) (Page 3, Line 37) 129,155,820 182,064,42
DETAILS OF WRITE-INS
0501.
0502. -
0503.
0598. Summary of remaining write-ins for Line 5 hom overtlow page .
0599. Totals (Lines 0501 thru 0503 plus 0598)(LMe 5 above)
1401.
_
1402.
1403. -
1498. Summary of remaining write-ins for Lme 14 from overtlow page
1499. Totals (Lines 1401 thru 1403 plus 1498)(Llne 14 above)
3701.
No. ~ 00047592
INSU7ANCE COMP/UJY, INC.
ONLY VALID IF RED IN RED
160 WATER ST., NEW YORK, NY 10038
QUALIFYING POWER OF ATTORNEY
Valid in Cumberland County only
KNOW ALL MEN BY THESE PRESENTS:
That SENECA INSURANCE COMPANY, INC., a corporation of the State of New York, does hereby make,
constitute and appoint: Richard R. Leslie o-F i_ibert Bail Bonds
its true and lawful attorney-in-fact with full power and authority, for and on behalf of the Company as surety, to xecute and
deliver and affix the seal of the Company thereto, if a seal is required, on all documents necessary or incidental to execution
of bail bonds not exceeding $ ***~~pp~0e0... per bond.
The execution of a bail bond by said attorney-in-fact shall be binding upon this Company as if such bond has been a ecuted and
acknowledged by the regulazly elected officers of this Company.
SENECA INSURANCE COMPANY, INC. certifies that this appointment is made in accordance with a resol tion of the
Boazd of Directors of SENECA INSURANCE COMPANY, INC., by unanimous written consent dated Janu 1, 1998, a
true and exact copy of which follows:
The Company authorizes the President, Executive Vice Presidents, Senior Vice Presidents, and Secre to
appoint attorneys-in-fact or agents who shall have the authority to issue bail bonds in the name of the Comp y.
The signature of any of these authorized Company officers and the Company seal may be affixed by facsimil to
a qualifying power of attorney for the execution of a bail bond. The facsimile signature and seal used in his
manner is hereby adopted by the Company as the original and, therefore, is binding upon the Company with he
same force and effect as though manually affixed.
IN WITNESS WHEREOF, SENECA INSURANCE COMPANY, INC., has caused this document to be s' ned by its
duly authorized officer and its corporate seal to be hereunto affixed this 1st day of January, d/off
SENECA INSURANCE COMPANY, INC.
Qualifying Power only, not to be /
attached to any Bond. Valid only if SEAL
individual Power of Attorne is W K=
Y ~.~.~,.o~.,: B
attached to each Bond executed. /~"o~~~///nimm~~~~~°~~ y.
Mazc T.A. Wolin, Chief Q ratin O cer
state of Mew York ) NOTARY PUBLIC
)
Borough of Manhattan )
On the 1st day of January in the year 20 ~a' before me, the undersigned, personally appeazed Marc T. A. Woli personally
known to me or proved to me on the same basis of satisfactory evidence to be the individual whose name is subs 'bed to the
within instrument and acknowledged to me that he executed the same in his capacity and that by his signa re on the
instrument, the individual, or the person upon behalf of which the individual a ~teci-the,,.j~strument.
LANCELOT L. THOMAS
Notary Pu~;iic, State of New York
No. 24-4943150 No Public, State of York
QualiSed in Kings County
:ommission Expires October 17° 2014 Commission Expires:
SENQP122.0198
i _
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i
RICHARD RALPH LESLIE
Detach this wallet size license and License Number 561920
cant' on your person.
License Type: Resident Producer Indv
Effective Date: October 19, 2009
Expiration Date: July 31, 2014
RICHARD RALPH LESLIE Lines of Authority:
881 HEX HIGHWAY Casualty and Auied Li s,
HAMBURG, PA 19526 Property and Allied Lin s
1186105155
• This is your new License. Please note your new license number and check your lines of authority t be
certain they are correct.
• If your license is subject to Continuing Education (CE) requirements, this requirement I!vIUST BE
SATISFIED prior to your license expiration date.
• To obtain information on your CE requirements and current CE status, access
www. s ircon. com/pennsylvania
• You must notify the Insurance Department of address changes within 30 days of the change.
• You may report the address change via a-mail sent to ra-in-producer@pa.gov
• For additional information on the services of the Insurance Department visit our website at
www.insurance.pa.gov
• You must notify the Insurance Department in writing within 30 days of being charged with any
misdemeanor or felony.
Visit the Pennsylvania Insurance Department's WEB Site at www.insurance.pa.gov
DETACH BELOW
RICHARD RALPH LESLIE
License Number 561920
is licensed to engage in the business of insurance in the Commonwealth of Pennsylvania in the capaci
stated below, subject to applicable laws and rules
License Type: Resident Producer Indv Lines of Authority:
Casualty and Allied Lines, Property. and Allied Line
Effective Date: October 19, 2009
Expiration Date: July 31, 2014
RICHARD RALPH LESLIE
881 HEX HIGHWAY
HAMBURG, PA 19526
I
~ ~ Rr;~ n~ ~
I
_1 . _
CERTIFICATE OF COMPLETION
PENNSYLVANIA
Pennsylvania Insurance Department
Bureau of Producer Licensing
1209 Strawberry Square
Harrisburg, PA 17120
NOBLE CONTINUING EDUCATION
PROVIDER NO. 37780
335 PENNBRIGHT DR STE 104
HOUSTON TX 77090-5909
Service Line (800) 275-2589
Noble reports credits to the CE administrator (Sircon www.sircpn.com).
This is your certificate of completion to keep for your recards.
LESLIE, RICHARD SS1920
Agent's Name {As ft appears on license) License Number
1139 PENN AVE PITTSBURGH, PA 15222
Agent's Address
Completion Course Cr dit
Course Titie Date Number Ho rs
NOBLE/PROPERTY 8~ CASUALTY INSURANCE 07/23/2012 117130 .00
I do hereby certify that the above listed information is true and correct to the best of my knowledge aryd belief, and
I understand that a false statement is cause for denial, suspension or revocation of license.
Z
Agent's i nature Date
I do hereby certify that the student has successfully completed the above listed course(s) for the number of ours
indicated.
07/23/2012
Director/ r Authorized Si nature Date