HomeMy WebLinkAbout02-2436COMMONWEALTH OF PENNSYLVANIA
INSURANCE DEPARTMENT
Harrisburg, PA April 1, 2002
Whereas, the PACIFIC INDEMNITY COMPANY, located at Milwaukee, Wisconsin, has filed in this
Department a certified copy of its charter and a detailed statement of its Assets and Liabilities,
and otherwise complied with thc 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 17m day of May, A.D. 1921, as well as with the requirements of the laws 0fthis 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 thc Act of Assembly approved June 29, 1923 and known as act
No. 373 of the Laws of 1923, that the Pacific Indemnity Company, of Milwaukee, Wisconsin, is duly
authorized to become and 10c 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
PACIFIC INDEMNITY COMPANY
STATEMENT OF ASSETS, LIABILITIES AND SURPLUS TO POLICYHOLDERS
Statutory Basis
DECEMBER 31, 2001
(in thousands of dollars)
ASSETS
Cash and Short Term Investments ............. $ 59,855
United States Govemment, State and
Municipal Bonds ...................................... 1,806,427
Other Bonds ............................................... 431,454
Stocks ......................................................... 24,661
Other Invested Assets ................................ 65.661
LIABILITIES
AND
SURPLUS TO POLICYHOLDERS
Outstanding Losses and Loss Expenses ..... $ 1,623,545
Unearned Premiums ....................................514,045
Reinsurance Premiums Payable .................. 83,877
Provision for Reinsurance ............................20,624
Other Liabilities ............................................. 58,234
TOTAL INVESTMENTS ........................... 2~3881058 TOTAL LIABILITIES ................................... 2,300,325
Investments in Affiliates .............................. 44,179
Premiums Receivable ................................. 259,019
Other Assets ............................................... 166,550
Capital Stock ................................. 5,535
Paid-In Surplus ............................................. 190,020
Unassigned Funds ....................................... 361,926
SURPLUS TO POLICYHOLDERS ............ 557,481
TOTAL ADMITTED ASSETS .................... $ 2,857,806
TOTAL LIABILITIES AND SURPLUS
TO POLICYHOLDERS ........................... $ 2,857,806
Investments are valued in accordance with requirements of the National Association of Insurance Commissioners.
Investments valued at $6,931 are deposited with government authorities as required by law.
A CORRECT STATEMENT:
Karen A. Price
Notary Public State of New Jersey
No. 2231647
Commission Expires Oct, 28,
Assistant Secreta~y.e~