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HomeMy WebLinkAboutAgenda - 12-01-2008 - 4dORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: December 1, 2008 Action Agenda Item No. __`~~ SUBJECT: Examination of Bonds DEPARTMENT: Purchasing and Central PUBLIC HEARING: (Y/N) No Services ATTACHMENT(S): Bonds for: Sheriff Register of Deeds Tax Collector Blanket Coverage for All Employees Finance Director INFORMATION CONTACT: Pam Jones, (919) 245-2652 PURPOSE: To examine bonds for officials pursuant to G.S. 58-72-20. BACKGROUND: Certain positions or officials in County government are required by law to be covered by a fidelity bond. The bond will ensure the County is protected in the event the official or employee mishandles County funds. Statutes also require that each Board of Commissioners examine these bonds each year to determine whether they have been impaired in any way over the past year and to determine their sufficiency. The circumstances under which the bonds would be called upon to perform do not indicate that an increase is needed above the amounts currently carried. These amounts are as follows: • Sheriff $ 25,000 (on file with the Clerk of Court) • Register of Deeds $ 25,000 (on file with the Clerk of Court) • Finance Director $250,000 • Tax Collector $ 30,000 • All County Employees (for faithful performance) $250,000** **This coverage is part of the comprehensive policy through the County Commissioners Insurance pool. $250,000 is the standard limit. There have been no incidents or claims during the past year that would impair the security of these bonds. Therefore, it is recommended that the bonding limits remain at their current levels for the aforementioned positions. FINANCIAL IMPACT: There is no direct financial impact associated with the examination of bonds. RECOMMENDATION(S): The Manager recommends that the Board maintain the bonds at their present levels. a PUgL~C OF~T~~~L Bd~~ ~ Travelers Gasualty and Surety Company of America (Definife Term) One Tower Square 3P6, Hartford, CT 06183 Bond No. 250447'? KNOW ALL MEN BY THESE PRESENTS, That we. Albert T . Pendergrass of 400 Severin Street, Chapel Hi11, tdurth Carolina a5 Pnn•c; c~a!. Cn. Travelers Casualty and Surety GOIT1Rany of America, •a corporation duly inccroorated under the laws cf the State 'o' Connecticut. as Surety, are held and firmly bound unto t)ran;e County, Hil~.sbor~~ugh, Furth C:~rolina as Obligee. in the oenal sum of Twenty five thousand (S y 25 , 000.00 )Dollars, lawful money of the United States of Amerca, for the payment cf :vn;cr tivell and truly to be made, said Principal binds himself/herself, his/her heirs, executors. administrators and assigns. ar,c said Surety binds itself, its successors and assigns, jointly and severally, firmly by these presents. WHEREAS. the said Principal has been elected to the office of Sherif f for a der"mite term beginning December L; '?006 ,and ending :;~r-te-mbcr ~r zol0 .and a required to furnish a bond for the faithful performance of the duties of the said office or position. NOW, THEREFORE THE CONDITION OF THIS OBLIGATION is such that if the above bounden Principal shall (except as hereinafter provided) faithfully perform the duties of his/her said ofr"ice or position during the said term, and shall pa',' over to the persons authorized by law to receive the same all moneys that may come into hislher hands during the said term without fraud or delay, and at the expiration of said term, or in case of his/her resignation or removal from office. shad turn over to his/her successor all records and property which have come into his/her hands, then this obligation to be null and void; otherwise to remain in full force and effect. PROVIDED, HOWEVER, that the above named Surety shall not be liable hereunder for any loss of any public fund resulting from the insolvency of any bank or banks in which said funds are deposited; and. if this provision shall be held void. this entire bond shall be void. AND PROVIDED FURTHER, that the Surety may cancel bond at any time during the said term by giving to the oblioee a written notice of its desire so to cancel and at the expiration of thirty (30) days from the receipt of such notice by the oblioee the surety shall be completely released as to all liability thereafter accruing. If this provision. shall be held void: this entire bond shall be void. SEALED and dated this 29th day of November, 2006 ~n ~;~.~ By: C/ ~l~ Witness ~' Prinapal ~. Travelers Casual and Surety Company of America By: Attorney-in-Fact ~'\ '~ ,v y v '` ' v '~ r4\ ~ ` ` \J ...;r ,'\. S-2232 (08-99) __ _ 3 TRAVELERS CASGAI,T1' AND SUTtE'1'Y COMPANY OF AT•1~LRICA '1T2.4VIiLT,RS C:4:SL?A.L.TY AND SU12ET~' COT~II'Af~TY F,'CT2D~ITNC;7'ON CASU:~LTY CUIITYANI' Ii:r•iford, Connecticut 0(133 J0C,2 POD\%F.,R OF :~7~1'ORNL•'1' A~'ll CERTIF7CA`I'1~ OF :1U'1'110R1'T'l' OF AT`I'OK\LY(S1-f'~-FACT k110~1' :ALL PF:RSO\S Bl' THESE PRESIi\''1'S. THAT TR.4~%ELERS CASLIALTI' :tND SL1RETl•' CU;t9PANl` OF ANIFRICA, '1•I2AVLLERS CASII~ILTY AND SIfRH;'1'1' C01IPA:~'1' and F:4RIIIINGTON CASUAL"1.1' COi~7l'ANY. corporations duly organi-r_ed under the la~~s of the State of Connecticut, and ha,•ing their principal offices in the Cite of 1-fartford. County of Hartford; State of Connecticut, (hereinafter Ilse. "C'ompanies') bath made, constituted and apl7ointed, and do by these 17rescnls make, constitute and appoint: Larry A. Summers, Charles ll. "l'hompson. of Chapel hill, North Carolina., their true and la~~~ful Attorney(s)-in-1?tict, with full po~1•er and authority' hereby conferred to sign, execute and acknowledge, at an}~ place 1~•ithin the United States, life following instnJmcnt(s): by his/I+cr sole signature and act. any atld all bonds. r000g111%anCCS, C0171raClS of indemnity-, and other n•ritings obligatory. in life nature of a bond, recognizance, or Condltlonal Ullderlakillg and any and all consents incident thereto and to bind the Companies, thereby as full- and to the sank extent as if the same yycre signed b}' the duly authorized officers of the Companies. and all the acts of said Attorney(s)-in-Fact, pursuant to the authorit}• herein given. arc hereby cJtificd and COllfllll7ed. This appointment is n7ade under and. by authority oC the folloying Standing Resolutions of said Companies, which Resolutions are now in Cull force and effect: VOTI?l~: '117at life Chairman, life President, am' VJC2 Chalrnuul, any Executive Vice President, any Senior Vice President, any Vice !'resident, any Second Vice President, the Treasurer; any Assistvrt ']:reasurcr, life Corporate Secretary or any Assistant Secretary ma}' appoint Attarncy~s-in-Pact and Agents to act 1'or and on bchal,C of the company and may give such appointee such authority as his or her certificate of authority nlely prescribe to sign with file Company's name ar7d seal ~;'itll the Conpany's scat bonds, reoo~tliztnlces, contracts of indemnity, and o111er ~~.ritings ohligatol~' in the nature of a bond, recognizance, or conditional undertaking, and any of said oCliccrs or Ule Poard of Directors at any time may remove tiny such appointee and revoke the power given 17i1n or her. VQTEI'~: '1"hat the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice I'resident may delegate all or any part of Qte foregoing auUlority to one or more ofiicers or employees oP this Company; provided that each such delegation is in ~iritine and a copy tllcreof is filed in the office of file Secretary. VUTI;D: That _any bond, recognizance, contract of indemnity, or uritine obligatory in the nature oC a bond, recognizance, or conditional undertaking shall he valid and binding upon the Company when (a) signed by the President, any Vice Chairman; any F-.xecutive Vice President; any Senior Vice President or a11y Vice President; any Second Vice President, the Treasurer, any Assistant Treasurer, t11e Corportlic Secretary or any Assistant Secretary and duly a.ttcsted grid sealed with the Company's seal by a Secretary or Assistant Secretary, or (b) duly executed (wider seal, if rctluiredj by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her ccrlilicate or (heir certificates of authority or by one or more Company officers pursuant to a yyn•itten delegation of authority. `I:his Potiver of Attorney and Certificate of Authority is silmed and sealed by facsimile (mechanical or printed) under and'by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY :AND SURETY COl!'IPANY and FARMINGTON CASUALTY COMPANY, which Resolution is now in full force and ci'fect: VOT>rl~: That the signature of each of the following ofiicers: President, any Executive Vice President; tuty Senior Vice President, any Vice ('resident; an}' Assistant Vice President, any Secretary, tiny Assistant Secretary. and the seal of the Company may be al fixed by CacsimiJe to any power of attorney or to any certifcate relating dlerelo uppontin~ Resident Vice Presidents, Kcsident Assistant Secretaries or Attorneys-in-Fact for purposes onl}' of executing and attesting bonds and undertakings and other ~y7•itines obligatory in the nature thereof; and an}'such power of attorney or certificate bearing such facsimile signature or facsullile seal shall be valid and hoofing upon the Company grid any such power so executed and certified by such lacsimilc signature and facsimile seal shall be valid and binding upon the Compaliy in the future with respect to any bond or iuldertakin~ to which it is attached: (D2-0> 1 I_hilimitcd [N ~Vt'I'NrSS WFIEItGOr. '1"I2A~rH LF,RS CASUALTI' AND SURE'CY CU;F•IP.~\1' OF A1-tERIC:~, TRA~r); I.,ERS C:1SUaL"f l' ;+~ND SLIRETI~' CUNTPAN3c' and FA.RNIItiGTON CASt;AL'1'Y COI~'II'Ati1' h~JVC caused this ins)nnnenl to be sif;ned b~ their Sc.nicJr Vitt President and dacir corporate seals to be hereto affixed this 17th da~~ of Tv9arch. ?f1Oj. ;~ti. ! isrtf~n~1 C'J )t !'~T't' C)I~ ! IAI2.'I l~ t ~!tt7 v4 H,~4irCP,a, i ~` ~` ~~ cc:Jr~. r ° a~ ~, ~ .~. ~~~~~r~r ,~ z r < cr`su,~~ f Lr~ ` ..G O ~~,yppl+~r L ~- a HARTFORD, ~ O 1 9 8 Z~' O m t:019~, n Z n •sd'yyE'~,c~ jL '`~,1 F`,,,n yy ~ ~,N I-R;1~'ELF}25 CASU:~l,1-1` :1ti[) SliRE.'I-1' C'O3}1':1\1' OF :',39Ei21C,~ 'f}2.,A\•'LL}~,t2S C~.aSti,1L:-I'Y .~\1) St_}2t•:1"Y C-'0391';1\1' f=:1i2191NG'fUl~' C':51.1:1LT1' C'U3tP.A\'1' George W. Thompson Senior Vice President On This 17th day of \~1;arch. 2UO:i before me personall}• came CEOR.GE ~'~~. TilOi\•iPSUN to nac kno+vn. ++~ho. being b) nae duly 5~1~01'tl. did depOSC aitd Sa\': that. lac/sllc is Senior Vicc President of `('IZaVEL1RS C.ASU:1L'I'1' A~'D SU12L•''fl' C0;11PAh'1' OF AMFItICA. 'TRAVELERS C;~SC7ALTY AND SURETY COll9i'ANl' and FARIt11VC"CON CASCIALTI' CONIPANI'. the corporations described in and +vhich executed the abo~~c iustrurnent: that. he/she kno++'s the. seals of said corporations:. that. the seals a9fixed to Ure said instrument arc such corporate seals; ;and that he/she executed the said instnunent on behalf of tlJC corporations by authority of his/her office under the Standing Resolutions thereof. ~~ c~rv:..~. C ~nkoua~' ~'~ ~.~' My commission expires June 30, 2006 Notary Public Marie C. Tetreault CI3RT1 F1 CATE (, the undersigned, Senior Vice President of TRAVELEKS CASUALTY AND SURE'C1' COMI'ANl' OF AMERICA, 'I`RAVILERS CASUALLTl' A.I~D SURETY COiVTPANY and FARIl1LNGTON CASUALTY COM:PANl', stock corporations of the State of Connecticut, DO HEREBY CERTIFY that the foregoing and attached Power of Attorne}~ anal Certil`icale of Authority remains in full force and has not been revoked; and furthermore, that tlae Stranding ResoluCions of the Boards of Directors, as set forth. in the Certil'ictt.te of Authority, are no«~ in force. Signed. and Sealed ai the Home Office of the Company, in the Cite of Hartford; State of Connecticut. Dated this day of ~0 .1~"H~.pNiUJfEtfcµ~<' Jptt'! Ay0 l 1 w~h ° a H i ti4Ri rORD,~ ~ ~ j HALO ORD, n CD."Itl. ~' ' _ ~ Y~'~ ... - •'.y~i~ ~~fr ,-too IuRS~~t~ O~,SU,~~ O ~pPP~ggr ~'c' ~ ~1482J. p ,~EL~^ 1 s-y ~ ~N ~~~ ._.._ _ Nicholas Seminara Senior Vice President \.\JS t Western Surety Company CONTINUATION CERTIFICATE Western Swety G+mpany hereby continues in force Band No. 68793590 briefly deeCribed a9 nr nRODS - for ae Printipal, in Lhe sum of $ T6 -"T'rr Tnnnceun erJn NO/ ~ 00 Dollars, 1'or the term beginning December 07 , ~Q9.6___, and ending December 07 2010 ,subject to all the covenants and conditions of the original bond referred to above. This continuation is issued upon the ezpresa condition that the liability of Western Surety Company under said Bund and this and all continuations thereof shall nut be cumulative and shall in nu event en~eed the tots! sum above written. Dated this 30 day of October snob ,;corona+,L WESTERN URETY COMPANY ,~ ~aR~rr'' , ° ;+;:4~ ~'~' ~= By Pact T. Hraflat, 'or Vice Preaideni ~~ ~.1~~ ~~~ c i +++utrunirrN` THIB "Continuation Certificate" MUST BE FII+ED Wl'I'H.THE ABOVE BOND. wc„ so-n-a-zooz t~ CI`~G ~1V~5.d1'tit-1i~~~ l..VlYtt°'~•~t~ 1 Public Official Bond ~; Bc7nd No. Ct~55~'+6U044 ~' ~; ~~; That We, .. J4. Ann .Swan. Rc~.hersan ......... .... • ..................... ....... ..... i ~,.. of ...Hillsiaorough.~..~...C ........................................................ 8S ~'rin-~i;;;ai, "~'~' and thte ERIE INSURANCE COMPANY, a corporalinn duly incorporated under the laws of the ~i~~e r.s r~l :a .^, Pennsylvania, having its principal office in the Ciiy of Erie in the silid Staia. and lir_enseci to do busi~;es; ;,; "~ 5': 4 ~^~ t~ ~ _ the State of Ngi=~~ •Gax4~7-Fla ....... with offices at .1.00• E•r.ie• I•nsur.anee• •Ptaee•; •Er•ie; ~ P.A. ~' 1~1 ' aS.Surety, are held and firmly bound unto .Counx.y. •of..Orange, • Nort:h• -Carol_t.na~ • '~• ......................................................................... ................ `~1 in the sum of .. ?.~~-t•tY..Tl1~.usarui..&. D.Q/.100 .................................... ......... ~cllars, ~, lawful money of the United States of America, for the payment of wl-~icn, well and t.ruti~ to ]r~ra m:3r+t~, .: c: ~.,' bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and sevr:'raliy, irr•:n~v by these presents. ` I ~a l SE.AL>Ea WITH OUR SFr4{.5 rind dated this ..Eouzth .... . ............. day at J•ar~uary • 2000' i Whereas, the above bounden Je.AFrrt.Swan.Rphersoa-t .................................... ... was on the ... ,Fourth , , ; , . , . , , , day of . January ................. 2000... duty appointed ar ?Iccted ......Tax Collector .. . ................ .. of ttte .. !/.ounty..of..Qran.~e .................. .... . Fourth of January, 2000 for a term beginning an tho .... ................................................ ........•. .. IAlomr, Thorefor~ the condition of this obligation is such: that if the above bounden Jo ,Ann ,Syaan ,Rpb.nZ;?PR ......... ...... ..... . ......... . .......... . shell wetl.antl faithfully discharge the duties of his office and promptly account for and pay over al(n;cr Heys o[ property Ceceived by him as such officer, in accordance with law, or in d.etault thersaf, the parties ~~xe- Cuting this undertaking will pay all damages, costs and expenses resulting tram such default, not exaeec- ing the sum above mentioned, then this obligation to tie void; otherwise to remasn in foil force and effect. This undertaking may not be changed or modified. or3lty. h1o change or rnaditication shat! ez effective unless made by written endorsement issued to form a part hereof. Irt Witrteas Whereof, said Principal has hereunto set his hand and se~i and the ERIE, Ih15UPA:h~i~„c ~~CI CO'MPAN'Y has affixed its corporate seal, attested by the signature ni its duly authorized P,tTOrnSy-ir -'= :• the day and year first above written. _ .:. rrincipal {:-~t'4xx~~; . ~ . ~,~L•.,.-1lG'-x;.__.: tki; ~^. . ~'. ,`::; EI~JE I~tS:Jf~S~trE CQMI~Al~" ~' ~~~ ,;,; tx i~ A.ttOrnSy-rn-Fact i. 7 ~ltiulc'.I.~IRr; ui (.r5r:>:I"\ 1. .rt`.;~il«IrrvlK~ 1VpS: ~ Jura l00 }'rrHC,rr Crrr+:i (':ffr NCACC LIABILITY AND PROPERTY POOL SECTION IV CRIME GOVERAGE CONTRACT DECLARATIONS Orange County Participant: LP-OR-067-OS Certificate Number: )uiy ~, 2008 to July 1, 2009 Contract Period: Effective Time: 12:01 a.m., Standard Time ' SCHEDULE OF COVERAGES AND LIMITS COVERAGE LIMIT Em to ee Theft Per Loss Covera e $250,000 For er or Alteration $250,000 Inside the Premises Theft of Mone and Securities 5250,000 Inside the Premises Robber or Safe Bur lar 5250,000 Outside the Premises 5250,000 Com uter Fraud $250,000 Mone Orders and Counterfeit. Pa er Currency $_ 250,000 DEDUCTIBLE Em to ee Theft Per Loss Covera e $1,000 For er or Alteration $1,000 Inside the Premises Theft of Mone and Securities $1,000 Inside the Premises Robber ar Safe Bur lar 51,000 Outside the Premises $1,000 Com uter Fraud 51 000 Mone Orders and Counterfeit Pa er Currenc 1 000 ~ NCACC CRIME SECTION Page ~ EDITION 7/1/2008 ERIE ~~ INSURANCE GROUP ~~ 30Q brie iris. Race .~.. Erie, Pq 16530 {Ito saof cbse a binder €or Ciaissts-Made Pa3icb; Bus'sness Ca3as4ropite or Fidelity and TYPE OF ^ PRt>G PASS. AttTO. ~ GAfiA&E ^ PERSOt1iAL t3gB~i SYY ~ COP16tAERCiAi.tlAt3~iY rRrcrrrisurc- ~}rY71&AR6C974?rAr nrrm ~PGRCdt4V61 PIkQ1PFFcR'Y ~f11MiU4FRt'3M PFYItPFt{iY 0 C]v~at~s i~N6? X Bond S~:iP,lS3c~liG~tt~ Qt$.SES~ SIB €~~~~~ G6~~AAiY ~ EXCi :anM If Auto in f}tf orlPttV: NAME: AND ADDRESS OF AGENGY AGENT'S Nt4. JJ1 01 0 ERiT= AVSURANCE Cf~Y CIERtt INSURANCE PROPERTY&CASUALTY COMPANY ^Preferred The Ballard Agenc IriC ^FLAGSHIPCfiYtNSURANCEGDMPANY ^Standard y, . P . O . Box 1 5 5 9 EFFECTtVE{TIMEj M '~~~ 1 1 20sittder tray not 6e in force atmrettvat9 ~ da s s fi0 d Hillsborough, NC 27278 y , { ay EKPtRES {TIME} M:~ ;~-2o-A-g~r~t~-srma~a>} Agent must merit Home O€-etce'~capY of this Binder to the Horne Office c2 ~ 04FSS thy' l~J tl ~ 8~4Ve. NAME AND MAILING ADDRESS OF ENSURED ~SCRh`rsltoNOF€1PERAt~iE}NP°vT~ifCi.E{S'1-mcF Year;fi~a[ce&wmpleteVtTtnolF~ropertY Public Officials Bond Orange County Board of Commissioners Charles Gary Humphreys P.O. Box 8181 Director of Finance Hillsborough, NC 27278 NAME OF POLtGY {Far[eity Personal Arrt[a ,Braadcs~ver HF', etc_} t~`~9R,t3E f g4P3LS d 3~Pa'#S Yt,~~~,~~; ltE~~itF~i~fArlFi€€ E1t71, Its. ~ Public Officials Bond. P t3i.~i9PAI~ti,'i L#3t,ATit3it4 QF f+RtiPt~FEi'f. ~ r~. 0 P E ~ T f~.illfE ~ Fi~Ii~fS. L[E~tTS tFF iPlSilt~t~E Y+ (If iiomePtofectpr,Nameororne ,also indicate ~L'ab. and.Mad_ F.aymartss below } Each GCC43t7eTiCB Limit $ ,GGO ~ TYPE (tF iP#{.ytlttANCE IJaxn~e to Premises ~ ~ PRE-USiSE:S/OPERATSi3N~ iNC_ PEi~St3f3AL & AL7ir'~2T 95iNG iN,tYStfil'' ~ieatecF to tRtsets $ ,000 firry~ePremis~ ~. DFRODt3CTS/COttllPt.E1'ED OPERATIONS 1~etlicai Expense Lim;t $ .000 lityOne Person ~' ^ CONT€2AGTLiAL Pa~l~<,P,d~~t'~~3~.~~4 S ,000 ~ C!THE~2 {Specify Bel~srrrj Setter,~Aggrec,~te Lund ~ .000 (~ ~t~Si~M LlilttED. PAY ~ Ptntdut~sf~~~ttpletedOpEtatiens $ ,000 ~ Ag omit titifSiS 4F P R OAt G'331EiT1461~ tlt~tTS OF Pt#[3TE GI30M f:f41[Et~i,E f~ch Petsan. lice ' t. LtAB*LBTY ~~17f7737iei".la1gL*'1['w~-2TaC~G ~~31VnE`d L_J;"'Ilii:d j,~,j~Cl-oLY71ed} ~GOt~IPREi-I~StVTE S DEDEACTiBLE t3t7Bi~Ydi4~1FSt2V $ ,4bOC} ca ,G00 ~ ~COLLISiON $ 'DEDUCTIBLE PRGPE#'r'tYt3~4MA{,E $ _,000 ~ ~ iv9fl3iCAL PRYMEN i S 4iVIED. E70=? j1C~j .rp ,4'e00 Each Person Cc3M8tNE33 s3NGi~ LIMft' {CSL} $ ,000 : S 'i0 00i} Eax~ Purr $ t~ttNS ~STATtFi'ORYt Hait;1T {il~Y otNt 'Y 20 Of~ cadt Accidestt I . . . j ~ , ,~ ~S~ I StlPPL ONtidS.fi.iTJt]E3itNS.\ lLMtlt~FtiSTS-BIYC?tdLY ~)`` $ ,OGO Eacdt Person $ ,OOO Eacra Atxaderrt COM&t1~EDS!lVCaLE tlMiY{GSt.7 ~ ,000 ~+4 ~It3NINS.~JND2=BINS. MQTURPSTS-{Bi} ~ ,GGO EacFr Petsen $ ,OGG Eaci~ Ac~dertt C~luietNED SttdGt~ tttdlE i (CSI.) S ,000 ~ {tF APPLIGA6LEl~D $ ,~ Eat A€xrii`.~ DcSuett~- ~ ~ ~ ST7AC°fED Q UNSTAC {Pfi~ Os'tLYj ^ FIRST PARTY BENEFITS {PA ONLY] ~ Med ;000. g Lass t ,0 00 C]P~s' E Fca~eral ,tl0i~_ ~ Ace I C~h ,OS lik; ~f Exizaurdis~ry E?~te~#icat PERSt3NAL IN3t3l:sY PROTEGTiOS~i $ ^ADDFTIONAL PIP (t+tY ONLY] ROAt.3 SERVICfc ~ OTHER Spe~S+ : RATE CLASS {A3AS, etc.) 1l~ 'iptORKERS COMPENSATION - Speci;y State{s}: ~ ^ EIPr{PLE3YERS LIABILITY - ~ Statidvcy Lir~ EYhec: $ £~Tl`IER COVERAGESf COMMENTS: P ublic Officials Bond for Charles Gary Humphreys,Director of Finance Bond Limit - $250,000 NAME AND ADDRESS OF: MORTGAGEE OP. LIcNNOLDER I CERTIFIGATE HOLDER IS ABOVE INSURED PRESENTLY A POLICYHOLDER? ^ YES ~NO iF YES, POLICY No. ~gnature of Authored Agent Date E1G-6211'3101 {SF~©TI-IFJ~S31:1E) 3