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<br />RLI Insurance Company RLI Insurance Company
<br />R L F P.O. Box 3%7 Peoria IL 61612 -3967
<br />Phone: 309 - 692 -1000 Fax: 309 - 692 -8637 December 31, 2009
<br />Admitted Assets
<br />Liabilities and Surplus
<br />Investments:
<br />Liabilities:
<br />Fixed maturities ...............................
<br />$ 555,772,021
<br />Reserve for unpaid losses and loss
<br />Equity securities ..............................
<br />742,288,610
<br />adjustment expenses ........................
<br />$
<br />373,351,197
<br />Short-term investments .........................
<br />53,365,475
<br />Unearned premiums ...........................
<br />153,088,592
<br />Real estate ...... ...............................
<br />8,270,110
<br />Accrued expenses ............................
<br />43,598,664
<br />Cash on hand and on deposit .......................
<br />1,362,488
<br />Funds held ... ...............................
<br />779,814
<br />Other invested assets .............................
<br />1,000,000
<br />Advance premiums ............................
<br />3,922,921
<br />Receivables for securites ..........................
<br />0
<br />Amounts withheld .............................
<br />47,344,613
<br />Agents' balances . . ...............................
<br />45,043,314
<br />Ceded reinsurance premium payable .............
<br />9,831,655
<br />Investment income due and accrued .................
<br />6,497,019
<br />Payable for securities .........................
<br />0
<br />Funds held ...... ...............................
<br />4,000
<br />Statutory penalties ............................
<br />883,400
<br />Reinsurance recoverable on paid losses ..............
<br />4,862,173
<br />Current federal 8 foreign income taxes ............
<br />3,512,672
<br />Federal income taxes receivable ....................
<br />0
<br />Federal income tax payable .....................
<br />0
<br />Net deferred tax asset ............................
<br />6,055,029
<br />Borrowed money and accrued interest ............
<br />0
<br />Electronic data processing equipment,
<br />Drafts outstanding ................................
<br />0
<br />net of depreciation .. . ........ . ................
<br />373,439
<br />Payable to affiiliate ...............................
<br />5,763,640
<br />Receivable from affiliates ..........................
<br />0
<br />Other liabilities ... ...............................
<br />573,015
<br />Other admitted assets .............................
<br />1,917,353
<br />Total Liabilities ... ...............................
<br />$
<br />642,650,183
<br />Total Admitted Assets .............................
<br />$ 1,426,811,031
<br />Surplus:
<br />Common stock ...............................
<br />$
<br />10,000,375
<br />Additional paid -in capital .......................
<br />242,451,084
<br />Unassigned surplus ...........................
<br />531,709,389
<br />State of Illinois l
<br />Total Surplus
<br />$
<br />784,160,848
<br />County of Peoria I `
<br />Total Liabilities and Surplus
<br />$ 1,426,811,031
<br />The undersigned, being duly sworn, says: That he is the President of RLI Insurance Company; that said Company is a
<br />corporation duly organized, in the State of Illinois, and licensed and engaged in business in the State of
<br />and has duly complied with all the requirements of the laws of said State applicable of
<br />said Company and is duly qualified to act as Surety under such laws; that said Company has also complied with and is duly
<br />qualified to act as Surety under the Act of Congress approved July 1947, 6U.S.0 sec. 6 -13; and that to the best of his
<br />knowledge and belief the above statement is a full, true, and correct statement of the financial condition of the said
<br />Company on the 31st day of December 2009.
<br />Attest:
<br />"ttO
<br />'gJ ECO ''.
<br />a • ..,.....,.,,
<br />O OVWORAr e '9< Corporate Michael J. Stone President
<br />-•-
<br />S E A L . e Seal
<br />Affixed �11
<br />Cynthia S. Dohm Assistant Secretary
<br />Sworn to before me this 4th day of March, 2010.
<br />7 ��:.,i "OFFICIAL SEAL Notarial
<br />OvMEI MONTGOMERY � Seal
<br />Affixed Cherie L. Montgomery N tary P lic, State of Illinois
<br />M0058310
<br />Attachment number 3
<br />F -12 Page 224
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