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I <br /> Arzronrs,<,,afy ic+uailY <br /> lnSuranry co".Pany <br /> 00 valum,Pe'knay st 9 <br /> 5111e 7oU qq% <br /> Allonta,GA 30,39 <br /> IwfRicaHSS47f7vlr�ixvdaa YOUfra0: 900,388.3647 <br /> rct: 77o-916.1908 <br /> Fay: 770.955.8339 <br /> American Setety Castattty imeirarace Company <br /> Statement of paeentber 31,2A08 <br /> Admitted A6,00M Llabffttlas,Capital antl 5urphxi. <br /> 1 Bonds $84,936,353 Unpaid(asses and loss $58,743,912 <br /> exp&n8e6 8,314,875 <br /> 1 44,784.194 Reinsurance payable 804.385 <br /> Cash 3.058,653 Reserve for underwriting <br /> expense* .. <br /> Shod-term Investments 5.838,910 Reserve for uneamed 9,418,853 <br /> prema!re <br /> Irwestmard income Cue and f.115,300 Ceded.reinsurance premiums 34,210,180 <br /> j accrued. Payable:. <br /> Agems and Premium -4,765,940 Provision for reinsurance 1,208.758 <br /> balances <br /> 1 Remurance r000verebiD 9.744;997 Payable to aNatles - 1.985,#45 <br /> I Current federal and foreign 455.221 Other Babumes 3?25.122 <br /> s indene tax recoverable - <br /> Met deferred tax a&.iel 1,183.891 Total L iabUdies 117 911.530 <br /> Receivable from a%Woe, 26.333,831 Capital Stock 3.506.000 <br /> Cxtmr admitted assets 6892 835 Surplus notes 2,500:000 <br /> k _ _ Special surplus funds 45,978,194 <br /> Unassigned funds 21.212.305 <br /> policy holler surplus 73.190199 <br /> f <br /> Totalin Total <br /> f1 <br /> rSecurities have been valued or,the basE pemiitted by the National Assooiation of Insurance Commissioners <br /> i <br /> STATE OF GEORGIA <br /> COUNTY OF COSS <br /> Rarxlotph L. Huttc,Secretary and Laura t.Ervin.Treasurer,.beingduly swcm each himseff deposae and says that they <br /> are the ebotna descnbed officers of the American Safety Casualty Insurance Company,Oklahoma.that said Company is a <br /> corporation duly organized existing and engagedin busmess as a Surety by virtue of laws ofthe State of Oklahoma and - <br /> I 'said Com ori and is duty qualified to act as Surety <br /> of said slate applicable tit Y . <br /> aH the requirementsPP P Y <br /> has du canptibd at <br /> • - attfte to act as Surer under Public La 9r- <br /> ne lead vYBh end a du u d Y <br /> .under a enacted <br /> taws:tember d Company s also 047 iY Q <br /> II 1 STAT.1047 as amended:31 U.S:C 8364-9308):that to die best of my knowledge <br /> 258 beetled abc au'to 3. t 982 l98 <br /> and UeBef the ebgve statement is a full,trod and correct Statement of Assets and Liab34ties of the said Company as of <br /> December 31,2008. _. .... <br /> I Subscribed and swom to bbfore one =--- <br /> r ., `I .Secretary <br /> - This day of .� -fit.."' .X2009. <br /> Tfeas* <br /> 1 <br /> Notary.F <br /> loft <br /> Sim of Gcoq�z <br /> If My Gammissiofl E.apira Nov..27,2011 <br /> r <br />