Item O6BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: January 16, 2013 Division: Monroe Countylerk
Bulk Item: Yes X No Department: Administration
Staff Contact /Phone #: Pamela Hancock/29 5 -313 0
AGENDA ITEM WORDING: Approval of the Public Official Bond for Amy Heavilin, Clerk of the
Circuit Court.
ITEM BACKGROUND: Mrs. Heavilin was elected as Clerk of the Circuit Court and officially took
office on January 8, 2013. The bond is in the amount of $5,000.00.
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
STAFF RECOMMENDATIONS: Approval.
TOTAL COST: NIA INDIRECT COST: BUDGETED: Yes No
DIFFERENTIAL OF LOCAL PREFERENCE:
COST TO COUNTY: 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 #
WESTERN SURETY COMPANY
P.D. Box 5077 R Bond No. 71352861
Sioux Falls, SD 57117-5077 Effective Date: January 8, 2013
(605) 336-0850
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 ALL PERSONS BY THESE PRESENTS, That we, Amy Heavi 1 in
(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
5,000.00 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 Z Court Clerk - (Name of Office) to hold this office for
a term beginning . January 8, 2013 and ending _ January 3 , 2017 . 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.
Signed and Sealed this 3 rd day of
Tire.-.rm�e� r
WESTERN Y COMP Y
L. Mock, Ass't. See.
B
.
ss-b00
.c # xk�
SEAL
4 �AIP
s
k%'"r ' Appointed Agent of Surety
The above is approved this
by:
Chairman:
4bond. doc (02104)
Form 1345-12-2004
day of
(Signature of Official)
2❑12
101 South Phillips Avenue
Sioux Falls, SD� 57104-6703 _
(Address of Main Surety Company)
THE PORTER-ALLEN CO. INC.
513 SOUTHARD STREET (Name of Local Bonding Company)
Key WeSt, FL 33040-6835
( dress of Local Bonding Company}
X —a4 -
By
(Signature of Licensed Resident Agent)
264 38 3239
(Social Security Number of Licensed Resident Agent)
David W Freeman
County Commissioners
(Type Name of Licensed Resident Agent)
STATE OF SOUTH DAKOTA
County of Minnehaha SS
On this 3rd day of
ACKNOWLEDGMENT OF SURETY
(Corporate Officer)
December
and for said Count y L. � o c A 3 S��• SQ o3 c
y, personally appeared �
2012
, before me, a Notary Public in
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 thereof to 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
MY COMMfaslon Eapiore$ / -1 Y -2211S
Form 103-12-98
Notary Public
Western Surety Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and
authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut,
Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey,
New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United
States of America, does hereby make, constitute and appoint
L. Mock of Sioux Falls ,
State of , with limited authority, its true and lawful Attomey-in-Fact, with full power and
authority hereby conferred to sign, execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed, the
following bond:
One �OLTRT CLER K
bond with bond number
for AMY HEAVILIN
as Principal in the penalty amount not to exceed: $ 5 , 0 0 0 - 0 0 .
Westem Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company
duly adopted and now in force, to -wit:
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys -in -Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is
not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any
such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Vice President with the corporate seal affixed this 3 rd day of December
2012
ATTEST
lu
A. Vetor, Assistant Secretary
STATE OF SOUTH DAKOTA
ss
COUNTY OF MINNEHAHA
On this 3rd day of
Paul T. Bruflat
December
and
W EST R S-U RET COMPANY
By
Paul T. Bpfat, Vice President
� x � •W
V*
1Qx a�
10 , xw%
2012 , before me, a Notary Public, personally appeared
A. Vietor
who, being by me duly sworn, acknowledged that they signed the above Power of Attomey as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary## �q +
S. PETRIK
I SEALNOTARY PUBLIC UR� r
SOUTH DAKOTA l .
♦yyyyhyyyy4��y�y�gy��yyh Notary Public
My Commission Expires August 11, 2016
Form 672-8-2012