U.S. Securities and Exchange Commission
Washington, D.C. 20549
FORM F-N
APPOINTMENT OF AGENT FOR SERVICE OF PROCESS BY FOREIGN BANKS
AND FOREIGN INSURANCE COMPANIES AND CERTAIN OF THEIR HOLDING
COMPANIES AND FINANCE SUBSIDIARIES MAKING PUBLIC OFFERINGS OF
SECURITIES IN THE UNITED STATES
A. Name of issuer or person filing ("Filer"): Platinum Underwriters
Holdings, Ltd.
B. This is (select one):
|X| an original filing for the Filer
|_| an amended filing for the Filer
C. Identify the filing in conjunction with which this Form is being
filed: S-3
Name of registrant: Platinum Underwriters Holdings, Ltd.
Form type: S-3
File Number (if known) No. 333-129182
Filed by: Platinum Underwriters Holdings, Ltd.
Date Filed (if filed concurrently, so indicate): October 21, 2005
D. The Filer is incorporated or organized under the laws of (Name of
the jurisdiction under whose laws the filer is organized or
incorporated)
Bermuda
and has its principal place of business at (Address in full and
telephone number)
The Belvedere Building, 69 Pitts Bay Road, Pembroke, Bermuda HM 08
telephone number: (441) 295-7195
E. The Filer designates and appoints (Name of United States person
serving as agent)
CT CORPORATION SYSTEM ("Agent") located at 111 Eighth Avenue, New
York, New York 10011, (212) 894-8940 as the agent of the Filer upon
whom may be served any process, pleadings, subpoenas, or other
papers in:
(a) any investigation or administrative proceeding conducted by the
Commission, and
(b) any civil suit or action brought against the Filer or to which
the Filer has been joined as defendant or respondent in any
appropriate court in any place subject to the jurisdiction of
any state or of the United States or any of its territories or
possessions or of the District of Columbia, arising out of or
based on any offering made or purported to be made in
connection with the securities registered by the Filer on Form
S-3 filed on October 21, 2005 or any purchases or sales of any
security in connection therewith. The Filer stipulates and
agrees that any such civil suit or action or administrative
proceeding may be commenced by the service of process upon, and
that service of an administrative subpoena shall be effected by
service upon, such agent for service of process, and that the
service as aforesaid shall be taken and held in all courts and
administrative tribunals to be valid and binding as if personal
service thereof had been made.
F. Each person filing this Form stipulates and agrees to appoint a
successor agent for service of process and file an amended Form F-N
if the Filer discharges the Agent or the Agent is unwilling or
unable to accept service on behalf of the Filer at any time until
six years have elapsed from the date of the Filer's last
registration statement or report, or amendment to any such
registration statement or report, filed with the Commission under
the Securities Act of 1933 or Securities Exchange Act of 1934.
Filer further undertakes to advise the Commission promptly of any
change to the Agent's name or address during the applicable period
by amendment of this form referencing the file number of the
relevant registration form in conjunction with which the amendment
is being filed.
G. Each person filing this form undertakes to make available, in
person or by telephone, representatives to respond to inquiries
made by the Commission staff, and to furnish promptly, when
requested to do so by the Commission staff, information relating to
the securities registered pursuant to the form referenced in
paragraph E or transactions in said securities.
The Filer certifies that it has duly caused this power of attorney,
consent, stipulation and agreement to be signed on its behalf by
the undersigned, thereunto duly authorized, in the City of
Pembroke, Country of Bermuda this 1st day of November, 2005 A.D.
Filer: Platinum Underwriters Holdings, Ltd.
By : /s/ Joseph F. Fisher
-----------------------------
Joseph F. Fisher
Executive Vice President
and Chief Financial Officer
This statement has been signed by the following persons in the capacities and on
the dates indicated.
CT CORPORATION SYSTEM
By: /s/ Jennifer Sodeno
-----------------------------
Name: Jennifer Sodeno
Title: Dept. Manager
Date: November 1, 2005