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COMMONWEALTH OF I'ENNSYL VANIA
INSIIRA\"CE DEPARTMENT
Harrisburg, PA A ril J 005
Whcrcas, thc lJNITED STATES FmELlTY AND GliARANTY INSURANCE COM PAN I, located at
Baltimore, MD, has filed in this Departmcnt a ccrtiJied copy of its charter and a detailed statement )1' its Assets
and Liabilities. and otherwise compiied with the requirements of Section 661 orthe Act of Assembl of the
Commonwealth of Pennsylyania, eniitled "An act relating to insur,mce; amending. revising and con olidating
the Law &c.," approved the 17'" day of May, A.D. 192 I, as well as with the requirements of the law of this
Commonwealth applicable to such company in doing business herein.
Now Thcl'cforc, I, M. Dianc Kokcn, Insurance Commissioncr of the Commonwealth of Pennsy vania, do
hereby certify, in accordance with Section 1, of the Act of Assembly approyed June 29, 1923 and kn wn as act
N'l. 373 of the Laws of I 923, that the United States Fidelity and Guaranty Insurance Company, f
Baltimorc, MD, is duly authorized to become and be accepted as sole surety on all bonds, undcrlaki gs and
obligations required or permitted by law or the ordinances, rules or regulations of any municipality, \ (lard,
body, organization, or publie oflicer.
In \Vitness Whereof, [ haye hereunto set my hand a d
affixed my oftieial seal, the day and year lirst above Titten.
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\. Insurance Commissioner
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Financial Statement - December 31. 2004
United States Fidelity and Guaranty Company
Assets
Bonds
Slocks
Mortgage Loans
Cash and Cash Equivalents
Short Term Investments
Other Invested Assets
Receivable for Securities
lnvestmenllncome Due and Accrued
Agents' Balances
Reinsurance: Amounts Reco....erable from Reinsurers
Reinsurance: Funds Held Dep. With Reins. Co
Federal and Foreign Income Tax Recoverable
Net Deferred Tax Asset
Receivable from Affiliates
Other Assels
$ 2.049.542,421
677,699,509
38.206,919
952,765,349
17,906.616
183,406,631
8.534
24,459.120
152.518.372
395.722,668
41.617,925
172,810,608
53.698,176
6.966,852
75.273.232
TOTAL ASSETS
$ 4.842,602,931
liabilities. Surolus. & Other Funds
losses
Loss Adjustment Expenses
Conligent Commissions
Other Expenses
Taxes, licenses and Fees
Uneamed Premiums
Advance Premiums
Dividends Unpaid. Policyholders
Ceded Reinsurance Premiums Payable
Funds Held - Reinsurance Treaties
Provision for Reinsurance
Net Adjustments Due to Foreign Exchange Rates
Payable to Affiliates
Payable for Securities
Other Liabilities
TOTAL UABILlTIES
Special Surplus Retroactive Reinsurance
Common Capital Stock
Surplus
Surplus as Regards Policyholders
TOTAL LIABILITIES & SURPLUS
STATE OF MINNESOTA
Securities carried at $413,662,727 in the foregoing statement. are deposited as required by law.
ss
COUNTY OF RAMSEY
20,876,814
35,214,015
1.685,274,038
Paul E. Munson, Assistant Vice President- Financial Reporting, of the United States Fidelity and Guaranty Company, being duly sworn, deposes and says
that he is the above described officer of said company: that said company is a corporation duly organized, existing and engaging in business as a surety
company under and by virtue of the laws of the State of Maryland. and hz,s duly complied with all requ'lrements of the laws of said state applicable to said
company and is duly qualified to act as a surety under such laws: that the above is a true statement of the assets and liabilities of said company of the
31st day of December. 2004
Subscribed and sworn to me before this 1.2!:L day of March 2005
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" M M DUBOIS
NOTARY PUBLIC. MINI\ESOTA
MY COMMISSION
~ EXPIRES JAN. 31,2010
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Paul E. Munson. sSlstant Vice President - Financial Reporting
$ 1.883,728.476
412,055,739
29,776.496
24,634,057
26,737,347
336.497,441
10,565,189
3,111,511
14,239.883
53,769
149,623,023
83,187
141,675,622
134,604.558
(66,1482941
3,101,238,004
1,741.364.927
4,842,602.931
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