Concessionaires Bond
.'
Bond No.63 19949
Concessionaires Bond
KNOW ALL MEN BY THESE PRESENTS, that we, The Hertz Corporation, as Principal, and
Safeco Insurance Company of America, licensed to do business in the State of Washington, as
Surety, are held and firmly bound unto Board of Co un tv Commissioners of Monroe County. 3491
S. Roosevelt Blvd.. Key West, FL 33040 as Obligee, in the penal sum of Twenty Five
Thousand Dollars and no/100-($25,000.00) lawful money of the United States of America for
the payment of which sum, well and truly to be made, the Principal and Surety do bind
themselves, their heirs, executors, administrators, and successors and assigns, jointly and
severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the above bounded
Principal has entered into a certain written Concession Agreement with the above name Obligee,
effective the 21 st day of April 2004 , and terminating the 20th day of April 2014 for a
Lease Extension Agreement at Key West International Airport, and more fully described in said
Concession Agreement, a copy of which is attached, which agreement is made a part hereof and
incorporated herein by reference, except that nothing said therein shall alter, enlarge, expand or
otherwise modify the term of the bond as set out below.
NOW, THEREFORE, if Principal, its executors, administrators, successors and assigns shall
promptly and faithfully perform the Concession Agreement, according to the terms, stipulations
or conditions thereof, then this obligation shall become null and void; otherwise to remain in full
force and effect. This bond is executed by the Surety and accepted by the Obligee subject to the
following express conditions:
Notwithstanding the provisions of the Concession Agreement, the term of this bond shall apply
from the I st day of April. 2005 until the 20th day of April. 2006 and may be extended by the
Surety by Continuation Certificate. This bond may be canceled by the Surety at any time
provided notice is sent to the Obligee by Certified Mail at least sixty (60) days prior to the
effective date of such cancellation. However, neither cancellation or nonrenewal by the Surety,
nor failure or inability of the Principal to file a replacement bond in the event of cancellation or
nonrenewal by the Surety, shall itself constitute a loss to the Obligee recoverable under this bond
or any renewal or continuation thereof. The liability of the Surety under this bond and all
continuation certificates issued in connection therewith shall not be cumulative and shall in no
event exceed the amount as set forth in this bond or in any additions, riders or endorsements
properly issued by the Surety as supplements thereto.
Sealed with our hands and dated this 2nd day of Februarv. 2005.
The Hertz Corpo
Agreed and acknowledged this 6.c4.day of
By: ~~
, Principal
Safeco Insurance Company of America
By:2~~L~
Debra R. Keebler, Attorney-in-Fact
~~;..-- f~l)l~A~
(Obli e)
IMPORTANT NOTICE TO SURETY BOND CUSTOMERS REGARDING
THE TERRORISM RISK INSURANCE ACT OF 2002
As a surety bond customer of one of the SAFECO insurance companies (SAFECO Insurance
Company of America, General Insurance Company of Americas, First National Insurance
Company, American States Insurance Company or American Economy Insurance Company), it is
our duty to notify you that the Terrorism Risk Insurance Act of 2002 extends to "surety insurance".
This means that under certain circumstances, we may be eligible for reimbursement of certain
surety bond losses by the United States government under a formula established by this Act.
Under this formula, the United States government pays 90% of losses caused by certified acts of
terrorism that exceed a statutorily established deductible to be paid by the insurance company
providing the bond. The Act also establishes a $100 billion cap for the total of all losses to be paid
by all insurers for certified acts of terrorism. Losses on some or all of your bonds may be subject to
this cap.
This notice does not modify any of the existing terms and conditions of this bond, the underlying
agreement guaranteed by this bond, any statutes governing the terms of this bond, or any
generally applicable rules of law.
At this time, there is no premium charge resulting from this Act.
~' 5 A FEe O.
POWeR
OF ATTORNEY
SAFECO INSURANCE COMPANY OF AMERICA
GE/lERAI.. INSURANCE COMPANY Of AMERICA
HOME OfFICE: SAFECO PlAZA
SEATTLE, WASHINGTON 98185
No. 4831
KNOW ALL BY THESE PRESENTS:
Thlt SAFEOO INSURANCE OOMPANY OF AMERIOA and OENERAL INSURANOE COMPANY OF AMERICA, each a Washington corporation, does each
her.by appoint
.....THEOOORE C. SEVffiR. JR.; C. R. HERNANDEZ; DEBRA R. KEEBLER; RALPH E. NOSAL; KA TIiERINE J. FOREIT; SANDRA NOW AKOWSKJ i BARBARA R.
MAL TESS; LINH S, BUCHOLTZ; Chicago, Illinois........ ..... ...................................... ............................ ...... ... ...........
III true and 'awful altorney(s)-In-fact, with full authority to execute on Its behalf fidelity and surety bonds or undertakings and other documents or a similar
cheracter Issued In the course of Its business, and to bind the respective company thereby.
IN WITNESS WHEREOF, SAFEOO INSURANCE OOMPANY'OF AMERIOA and GENERAL INSURANCE COMPANY OF AMERICA have each executed and
ettested these presents
this 19th
day of December , 2003
~k fA~\~
MIKE MCGAVICK, PRESIDENT
CHRISTINE MEAD, SECRETARY
CERTIFICATE
Extract from the By-laws of SAFECO INSURANCE COMPANY OF AMERICA
and of OENERAL INSURANCE COMPANY OF AMERICA:
-AItIcIe V, Section 13. - FIDELITY AND SURETY BONDS ... the President, any Vk:e President, the Secretary, and any Assistant Vice President appointed for that
purpoae by the officer In charge of surety operations, shan each have authority to appoint individuals as attomeys-In..fact or under other appropriate titles with
authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company In the course of Its
business... On any Instrument making or evidencing such' appointment, the signatures may be affIXed by facsimile. On any Instrument conferring such authority
or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced; provided,
~ver, that the seal shall not be necessary to the validity of any such Instrument or undertaking."
Extract from a Resolution of the Soard of Directors of SAFECO INSURANCE COMPANY OF AMERICA
and of GENERAL INSURANCE COMPANY OF AMERICA adopted JUly 28, 1970.
"On any certificate executed by the Secretary or an assistant seoretary of the Company setting out,
(I) The provisions of Atticle V, Section 13 of the By-Laws, and
(Ii) A copy of the power-of-attomey appointment, executed pursuant thereto, and
(Ill) Certifying that said power-of-attorney appointment is in full force and effect,
the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof."
I, ChrIStine Mead, Secretary of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA, do her~by certify
thet the foregoing extracts of the By-Laws and of a Resolution of the Soard of Directors of these corporations, and of a Power of Attorney Issued pursuant thereto,
are true and correct, and that both the By-Laws, the Resolution and the Power of Attorney are still In full force and effect.
IN WITNESS WHEREOF, I h~ve hereunto set my hand and affixed the facsimile seal of said oorporation
2nd
day of
February
2005
this
CHRISTINE MEAD, SECRETARY
8-097 4/SAEF 2/01
, @ A registered tredemark of SAFECO Corporation
1211912003 POF
STATE OF ILLINOIS
COUNT\' OF COOk
I, Jennifer C. Carey
certify thaI Debra R. Keebler
, a Notary Public in and for said County, do hereby
, as Attorney-in-Fact, of the
SAFECO INSURANCE COMPANY OF
AMERICA
GENERAL INSURANCE COMPANY OF
AMERICA
who is personally known to me to be the same person whose name is subscribed to the
foregoing instrument, appeared before me this day in person, and acknowledged that they
signed, sealed, and delivered said instrument for and on behalf of
SAFECO INSURANCE COMPANY OF
AMERICA
GENERAL INSURANCE COMPANY OF
AMERICA
for the uses and pUrposes therein set forth.
Given under my hand and n~ttrial seal at my office in the City of Chicftl!o in said County,
this 2nd day of e ruary A.D. 2005
~(!-~
(/ Notary Public U
"OFFICIAL SEAL"
JENNIFER C. CAREY
NOTARY PUBLIC STATE OF ILLINOIS
M Commission ex Ires OS/24/2008
...
',<'1, r7'T\r~~DI
MAR 0 2 2005 I
';j'{: ~ ,}
The Hertz Corporation
225 Brae Boulevard, Park Ridge, N.J 07656-0713
March 1, 2005
Send Via DHL
Peter Horton
Airport Manager
Key West International Airport
3491 S. Roosevelt Blvd.
Key West, FL 33040
RE: Lease Extension Agreement - Performance Bond
Dear Mr. Horton:
Pursuant to Concession Fee/Security provision of the Lease Extension
Agreement, please find enclosed Concessionaires Bond 6319949 in the amount of
$25,000. The bond will be effective April 1, 2005 through April 20, 2006.
Sincerely,
/~ /V<'Zav~
Linda Dravin
Paralegal
cc: Mark McBee
^3N\:lOll'v' AlNf'108 30\:lNO~
/ld
Enclosure
~OOl t 0 MVH
a3^\3~3t1
Hertz rents Fords and other fine cars
-"
NOTICE OF BOND
CANCELLATION
SAFECO Insurance Company
PO Box 34526
SealUe, WA 98124-1526
CC: THE HERTZ CORPORATION
AON RISK SERVICES INC OF NY 58-2653
RECEIVED
(OBLIGEE'S NAME/ADDRESS)
TO: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
3491 S, ROOSEVELT BLVD,
KEY WEST FL 33040
OCT I I :ro;
AIRPORTS. BEM
You are hereby notified that
SAFECO INSURANCE COMPANY OF AMERICA
Surety upon
Type of Bond: CONCESSIONAIRES BOND
Bond No. 6320078
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date effective 08/01/2005
(MONTH, DAY, YEAR)
on behalf of (PRINCIPAL'S NAME/ADDRESS)
THE HERTZ CORPORATION
225 BRAE BOULEVARD
PARK RIDGE NJ 07656
desires to cancel and does hereby cancel said bond in accordance with the cancellation provisions contained therein or in
applicable laws or regulations, This notice is
mailed to you on /0/3/0 {p
;(M,.O, NT/H ;;/'OYE;~
and is effective ::X I{ ( lP
"SAFZ:1:E~~."^~
Cancellation Acknowkdged: (pLEASE SIGN, PRINT NAME, TITLE, AND RETURN THE DUPLICATE OF THIS NOTICE)
By:
(PRINT)
(TITLE)
Dated:
(SIGN)
(MONTH, DAY, YEAR)
CANCEL REASON:
UPLOADED CANCEL; TYPE = Pro-Rata
S.1209/SAEF 5/03
Safeco@ and the Safeco logo are trademarks of Safaea Corporation.
IFD
CONTINUA TlON
CERTIFICA TE
INTERNATIONAL FIDELITY INSURANCE COMPANY
, Surety upon
a certain Bond No. 0413320
dated effective 4/20/2006
(MONTH-DA Y - YEAR)
on behalf of THE HERTZ CORPORATION
(PRINCIPAL)
and in favor of BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY
(OBLIGEE)
does hereby continue said bond in force for the further period
beginning on 4/20/2009
(MONTH-DA Y - YEAR)
and ending on 4/20/201 0
(MONTH-DA Y - YEAR)
Amount of bond $ 25,000.00
Description of bond Concessionaire's Bond
Premium: $ 375.00
PROVIDED: That this continuation certificate does not create a new obligation and is executed upon the express condition and provision
that the Surety's liability under said bond and this and all Continuation Certificates issued in connection therewith shall not be cumulative
and that the said Surety's aggregate liability under said bond and this and all such Continuation Certificates on account of all defaults
committed during the period (regardless of the number of years) said bond had been and shall be in force, shall not in any event exceed
the amount of said bond as hereinbefore set forth.
Signed and dated on 4/1/2009
(MONTH-DAY -YEAR)
INT~~A TIONAL FIDELITY IN1S~fANCE COMPANY
7~ // ':~
By' 1" . / It-k I ~<<CJ7//-YZ/V'7 '. '( (-t.
"' . ," /)
ATTORNEY-IN-FACT Halina Kazmierczak
INTERNATIONAL FIDELITY INSURANCE COMPANY
ONE NEW ARK CENTER, 20TH FLOOR, NEWARK, NEW JERSEY 07102-5207
STATEMENT OF ASSETS, LIABILITIES, SURPLUS AND OTHER FUNDS
AT DECEMBER 31, 2008
ASSETS
Bonds (Amortized Value) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Common Stocks (Market Value) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cash & Bank Deposits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Short Term Investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Invested Assets .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unpaid Premiums & Assumed Balances . . . . . . . . . . . . . . . . . . . . . . . .
Reinsurance Recoverable from Reinsurers. . . . . . . . . . . . . . . . . . . . . . .
Electronic Data Processing Equipment .. . . . . . . . . . . . . . . . . . . . . . . .
Investment Income Due and Accrued . . . . . . . . . . . . . . . . . . . . . . . . . .
Net Deferred Tax Assets ...................................
Other Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTALASSETS .................................
LIABILITIES, SURPLUS & OTHER FUNDS
Losses (Reported Losses Net as to Reinsurance Ceded and
Incurred But Not Reported Losses) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loss Adjustment Expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contingent Commissions & Other Similar Charges . . . . . . . . . . . . . . . .
Other Expenses (Excluding Taxes, Licenses and Fees) ..............
Taxes, Licenses & Fees (Excluding Federal Income Tax) . . . . . . . . . . . . .
Current Federal & Foreign Income Taxes .......................
Unearned Premiums . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dividends Declared & Unpaid: Policyholders. . . . . . . . . . . . . . . . . . . .
Ceded Reinsurance Premiums Payable . . . . . . . . . . . . . . . . . . . . . . . . .
Funds Held by Company under Reinsurance Treaties . . . . . . . . . . . . . .
Amounts Withheld by Company for Account of Others . . . . . . . . . . . . .
Provisions for Reinsurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Liabilities .........................................
TOTAL LIABILITIES .. . . . . . . . . . . . . . . . . . . . . . . . .
Common Capital Stock ....................................
Gross Paid-in & Contributed Surplus . . . . . . . . . . . . . . . . . . . . . . . . . .
Surplus Note. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unassigned Funds (Surplus) ................................
Surplus as Regards Policyholders . . . . . . . . . . . . . . . . .
TOTAL LIABILITIES, SURPLUS & OTHER FUNDS. . . .
$93,492,066
11,589,564
443,000
77,449,815
8,568,232
2,000,000
5,146,080
565,381
206,913
1,225,270
4,000,000
1,843,939
$206.530.260
$15,639,577
4,164,062
1,911,053
4,399,457
1,013,996
718,905
30,157,844
550,000
2,372,929
1,031
53,100,957
4,279
3,292
$114.037.382
$1,500,000
374,600
16,000,000
74,618,278
$92.492,878
$206.530.260
I, Francis L. Mitterhoff, President of INTERNATIONAL FIDELITY INSURANCE COMPANY, certify that the
foregoing is a fair statement of Assets, Liabilities, Surplus and Other Funds of this Company, at the close of business,
December 31, 2008, as reflected by its books and records and as reported in its statement on file with the Insurance
Department of the State of New Jersey.
IN TESTIMONY WHEREOF, I have set my hand and affixed the
seal of the Company, this 23rd day of February 2009.
INTERNATIONAL FIDELITY INSURANCE COMPANY
~~
The Hertz Corporation
225 Brae Boulevard, Park Ridge, NJ 07656
Phone: (201)307-2000
May 12,2010
Send via Federal Express
Mr. Peter Horton
Airport Manager
Key West International Airport
3491 S. Roosevelt Blvd.
Key West, FL 33040
RE: Lease Extension Agreement
The Hertz Corporation and KWIA
Dear Mr. Horton:
Please find enclosed the Continuation Certificate to International Fidelity Insurance Company
bond number 0413320. The term of the bond is hereby extended to April 20, 2011.
Should you have any questions about this matter, please contact me at 201-307-2474 or
Idravin(Q)hertz.com.
Very truly yours,
~ f)/,-tt/u-~~-J
Linda Dravin
Senior Paralegal
cc: Mark McBee
By
Enclosure
~~@~Dill~
MAY 1 4 2010
Hertz rents Fords and other fine cars.
CONTINUA liON
CERTIFICA TE
INTERNATIONAL FIDELITY INSURANCE COMPANY
, Surety upon
a certain Bond No.
0413320
dated effective
on behalf of
(MONTH-DAY-YEAR)
THE HERTZ CORPORATION
225 BRAE BOULEVARD. PARK RIDGE, NJ,7656
(PRINCIPAL)
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY
3491 S. Roosevelt Blvd., Key West, FL, 33040
( OBLIGEE)
and in favor of
does hereby continue said bond in force for the further period
beginning on 4/20/2010
(MONTH-DA Y.. YEAR)
and ending on 4/20/2011
(MONTH-DA Y -YEAR)
Amount of bond $ 25,000.00
Description of bond Concessionaire's Bond
Premium: $ 375.00
PROVIDED: That this continuation certificate does not create a new obligation and is executed upon the express condition and provision
that the Surety's liability under said bond and this 3I1;<J. all Continuation Certificates issued in connection therewith shall not be cumulative
and that the said Surety's aggregate liability under' 'Said bond and this and all such Continuation Certificates on account of all defaults
committed during the period (regardless of the number of years) said bond had been and shall be in force, shall not in any event exceed
the amount of said bond as hereinbefore set forth.
Signed and dated on 5/7/201 0
(MONTH-DAY-YEAR)
;r-
By \ /"1
A TIORNEY -IN-FACT
11 . ~.__~
Il---.._._~---
..--"--- --+ . ..... . ~- .,......;- -~. .
/.
6(,J~
. Tel (973) 624-7200 PO WEROF · ATTORNEY
INTERNATIONATIFIDELITY INSURANCE COMPANY
HOME OFFICE: ONE NEWARK CENTER, 20TH FLOOR
NEWARK, NEW JERSEY 07102-5207
KNOW ALL.MEN BY THESE PRESENTS: .....That INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing
laws olthe State ofNewJersey~andhaving its principal office in the City ofNewark~ New Jersey~doeshereby constitute and appoint
::........................................................~......................,.......................................~..:--..............,............"............-...................y..,.,.......;...........,..,.,................,............;.............,...v.........v..."..................................;...............,................,.;.....,.............................,............................................................................................................................................................................:;
! ANNETTEM. LEUSCHNER, MICHAEL KUBIS, VALQRIESPATES. ROBERTP. MCDONOUGH., I
:~ DEBRAA.DEMlNG, HALINA KAZMIERCZAK, VIVIANCARTI, THOMAS RHATIGAN,. CYNTHIA FARRELL, ~:
EVANGELINA L. DOMINICKt GLENNPELLETIERE
New York, NY.
, ". , ., . .
its trueap~ lawful. attorney(s)-in-fact.toexecute~se.aland deliver for and on its beb~lfassurety~ any and all bonds andunde~gs~ contracts ofinde~ty and
Oth. er wn.. .. .tIn. gs. Obhga.t. O...TY1n.. the........ nature th.. . ereof,. .W......h.i.Ch.. . a... re or may b..e all. ..OW. ed. ~.... reg. urre. d..........or pe. . .nnt... .. ...tt. e.d. ... bY.J3.. W. t. ...8. ..tature.... t..rul... .... .e1T.e e..gl] ula.bon~contrac. t oroth~~~ to. .,and
the execution of. such instrument(s) in pursuance of these. presents~shall. be as. binamgupon the said INTERNATIONAL FIDELITYIN~lJ~CE
COMPANY~ as fully and amply~ to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its
principal office.
This.Power ofAtto~_ is executed~ and may 9.e revoked, pursuant to and by authority of Arti... .. cleo .... 3-SectioD. 3,. of tho .eB~Laws adopted by the Board of
Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting called and held on the 7th day ofFebruary~ 1974.
The President or any Vice President~ Executive Vice President~ Secretary or Assistant Secretary ~ shall have power and authority
(1) To appoint Attorneys-in-fact~ and to authorize them to execute on behalf of the Company ~ and attach the Seal of the Company thereto~ bonds and
undertakings~ contracts of indemnity and other writings obligatory in the nature thereof and,
(2) To remove~ at any time~ any such attorney-in-fact and revoke the authority given.
Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting
duly called and held on the 29th day of April~ 1982 of which the following is a true excerpt:
Now therefore the signatures of such officers and the seal of the Compan. y may be affixed to any such power of attorney or any certificate relating thereto by
facsimile~ and any such power of attorney or certificate bearing such facsimile sIgnatures or facsirilile seal shall be valid and bindmg u~n the Company and any
such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any
bond or undertaking to which it is attached.
IN TESTIMONY WHEREOFt INTERNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be
signed and its corporate seal to be affixed by its authorized officer~ this 16th day of October~ A.D. 2007.
INTERNATIONAL FIDELITY INSURANCE COMPANY
ST ATE OF NEW JERSEY
County of Essex
Secretary
On this 16th day of October 2007, bef1. ore. m. e... Came the individu.alwho ex~cu.te... d the. ..precedingin... strum.. ent,.... to_I.!!e..1 ...).~ ersonally.. known~ and~ being. by me dUly
sworn, said the he IS the therein described and authorized officer of the INTERNATIONAL FIDELITY INSURANCE COl\1PANY; that the seal affixed to
said instrument is the Corporate Seal of said Company; that the said. Corporate Seal and his. signature were duly. .affixedby order of the Board of Directors of
said Company.
IN TESTIMONY WHEREOF~. I have hereunto set my hand affixed my Official Seal~
at the City of Newark~ New Jersey tbe. day and year first above written.
~~~~
A NOTARY PUBLIC OF NEW JERSEY
My Commission EXpires Nov. 21, 2010
CERTIFICATION
I~the undersigned officer of: IN':I'ERNATIONAl,FIDELttY INSURANCECOl\1PA.NY4o bttrebycertify1hatlhave. compared the foregoing copy of the
Power of Attomeyand aftidavit~ and thecopyoftlJeSection of.tbe. By-Laws of.sa.i<J CompanY as set forth in said Power of Attorney, with the ORIGINALS ON
IN THE HOME OFFICE OFSAIl)COMPANY..j1l1d that the sattJearecorrect tr8.nscriptstbereof,allc.fof thcwl101eQftbe said originals. and that the said> Power
of Attorney has not been revoked and is now.irifUll force and effect
~...J1
IN TESTIMONY WHEREOH~lhave hereunto sefmy hand this . > ..1"
day of
rJn ~.M9IeJ
, <~~~~
Assistant Secretary
INTERNATIONAL FIDELITY INSURANCE COlVlPANY
.ONE NEW ARK CENTER, 20TH FLOOR, NEW ARK, NEW JERSEY 07102-5207
ST A TEMENT OF ASSETS, LIABILITIES, SURPLUS AND OTHER FUNDS
AT JUNE 30, 2009
ASSETS
Bonds (Amortized Value) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Common Stocks (Market Value) . . . . . . . . . . . . . . . . . . . '.' . . . . . . . . .
Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cash &1: Bank Deposits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Short Term mvest:JI\ents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ot1ler Invested Assets ................................ . . . . .
Unpaid Premiums &: Assumed Balances. . . . . . . . . . . . . . . . . . . . . . . .
Reinsurance Recoverable hom Reinsurers . . . . . . . . . . . . . . . . . . . . . . .
Electronic Data Processing Equipment . . . . . . . . . . . . . . . . . . . . . . . . .
Investment Income Due and Accrued . . . . . . . . . . . . . . . . . . . . . . . . . .
Current Federal & Foreign Income Tax Recoverable&: Interest Thereon. . .
Net Deferred Tax Assets ...................................
Other Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOT A L ASSElS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LIABILITIES, SURPLUS & OTHER FUNDS
Losses (Reported Losses Net as to Reinsurance Ceded and
Incurred But Not Reported Losses) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loss Adjustment Expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contingent Commissions & Other Similar Charges . . . . . . . . . . . . . . . .
Other Expenses (Excluding Taxes, Licenses and Fees) ..............
Taxes, Licenses & Fees (Excluding Federal Income Tax) . . . . . . . . . . . . .
Unearned PreuUUJIlS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DividendS Declared &: Unpaid: Policyholders . . . . . . . . . . . . . . . . . . . .
Ceded Reinsurance Premiums Payable . . . . . . . . . . . . . . . . . . . . . . . . .
Funds Held by Company under Reinsurance Treaties . . . . . . . . . . . . . .
AmOWlts Withheld by Company for Acco1:1Ilt of Others . . . . . . . . . . . . .
Provisions for Reinsurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OtIler Liabilities .........................................
TOT AL LIABILITIES ... . . . . . . . . . . . . . . . . . . . . . . .
Comm.on Capital Stock ....................................
Gross Paid-in & Contributed Surplus . . . . . . . . . . . . . . . . . . . . . . . . . .
Surplus Note. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unassigned Funds (Surplus) ................................
Surplus as Regards Policyholders . . . . . . . . . . . . . . . . .
TOTAL LIABILITIBS, SURPLUS &: OTHER FUNDS . . . .
$87,126,189
24,661,776
433,000
78,331,313
1,108,634
4,000,000
9,648,552
982,277
169,453
829,877
89,925
4,000,000
1,8901415
$213#271#411
i~;
JIt'
.~;~J
$15,879,344
3,936,835
778,991
2,576,907
178,494
31,661,916
556,986
2, 968,959
1,031
59,825,361
3,004
2061
$118#369.889
$1,500,000
314,600
16,000,000
77,026,922
S9~ 901,522
5213.271#411
I, Francis L Mitterhoff, President of INTBRNATIONAL FIDELITY INSURANCE COMPANY, certify that the
foregoing is a fair statement of Assets, Liabilities, Surplus and Other Funds of this Company, at the close of business,
June 30, 2009, as reflected by its books and records and as reported in its statement on file with the Insurance
Department of the State of New Jersey.
IN TBS'ITh10NY WHERBOF, I have set my hand and-affixed the
seal of the Company, this 7th day of August, 2009.
INTERNATIONAL FIDELITY INSURANCE COMPANY