Item N10BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: January 16, 2013 Division: District I
Bulk Item: Yes No Department: Commissioner DgLiff KolhWe
Staff Contact /Phone #: Isabel DeSantis 292-3440
AGENDA ITEM WORDING: Approval of Public Official Bond for Monroe County
Commissioner Danny L. Kolhage, District One.
ITEM BACKGROUND: Commissioner Kothage was an unopposed candidate for the Office of
Board of County Commissioners, Monroe County, District One. His term began on November
20, 2012 and will end on November 20, 2016.
PREVIOUS RELEVANT BOCC ACTION:
N/A
CONTRACT/AGREEMENT CHANGES:
N/A
IV
STAFF RECOMMENDATIONS.
Approval.
TOTAL COST: $344.42 INDIRECT COST:
DIFFERENTIAL OF LOCAL PREFERENCE:
COST TO COUNTY:
BUDGETED: Yes No
SOURCE OF FUNDS:
REVENUE PRODUCING: Yes No AMOUNT PER MONTH Year
APPROVED BY: County Atty OMB/Purchasing _ Risk Management
DOCUMENTATION: Included Not Required
DISPOSITION:
Revised 7/09
AGENDA ITEM #
j4
WESTERN SURETY COMPANY
P.O. Box 5077 DBond No. 71339728
Sioux Falls, SD 57117-5077 ��� (605) 336-0850 Effective Date: November 20, 2012
Western Surety Company
State of Florida
Secretary of State
Division of Elections
500 South Bronough Street, Room 316
Tallahassee, Florida 32399-0250
Public Official Bond
County of Monroe
KNOW ALI, PERSONS BY THESE PRESENTS, That we, Danny L. Kolhage
(Official's Name)
as Principal, and
WESTERN SURETY COMPANY
as Surety, are bound unto the Governor of the State of Florida, and his successors in office, in the sum of
$ 2,000.00 Dollars, we hereby bind ourselves and each of our heirs, executors,
administrators, successors and assigns, jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That, whereas, said official was
elected appointed 0 count-y- cmmisaioilar (Name of Office) to hold this office for
a term beginning November 20, 2012 and ending November 20,2016 and until his/her
successor is qualified according to the Constitution and Laws of the State of Florida.
NOW, THEREFORE, If the official shall faithfully perform the duties of their office as provided by law, this obligation is void.
X
(Signature of Official)
Signed and Sealed this 26th day of
October
2012 —
101
South Phillips Avenue
WESTERN SUR TY COMP
Sioux Falls, SD 57104-6703
(Address of Main Surety Company)
By L. Mock, Asst
Sec.
C.
THE PORTER-ALLEN CO IN������
� Er )e !zz
513
SOUTHARD STREET (Name of Local Bonding Company)
z 0
Key —West,
FT, 31n4Q-6835
(Address of Local Bonding Company)
AW
-W
(SEAL)
By X
to z 4W
(Signature of Licensed Resident Agent)
A%0
44 9
wz N
e-*,, D Agent
of Surety
(Social Security Number of Licensed Resident Agent)
444#081141401111 pointed
(Type Name of Licensed Resident Agent)
V
0/0
The above is approved this —day
of
by:
County
Commissioners
Chairman:
4bond.doc (02104)
Form 1345-12-2004
STATE OF SOUTH DAKOTA
County of Minnehaha SS
On this
26th
day of
ACKNOWLEDGMENT OF SURETY
(Corporate Officer)
October
2012
, before me, a Notary Public in
and for said County, personally appeared L Mock, ASST Sec.
personally known to me, who being by me duly sworn, did say that he is the aforesaid officer of WESTERN SURETY
COMPANY, a corporation duly organized and existing under the laws of the State of South Dakota, that the seal affixed to the
foregoing instrument is the corporate seal of said corporation, that the said instrument was signed, sealed and executed on
behalf of said corporation by authority of its Board of Directors, and further acknowledge that the said instrument and the
execution tile,.-nof '1-o be the voluntary act and deed of said corporation.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal the day and year last above
written.
My commission expires
Form 103-12-98
r L- t ,. F3 END T
My Commission Expires 6-27-2017
2LN
Notary Public