Item N03BOARD OF COUNTY COMMISSIONERS
C ounty of M onroe A(I Mayor George Neugent, District 2
T he Fl orida Keys 4� �� m Mayor Pro Tem David Rice, District 4
l Danny L. Kolhage, District 1
„ Y
„; ° W Heather Carruthers, District 3
Sylvia J. Murphy, District 5
County Commission Meeting
June 21, 2017
Agenda Item Number: N.3
Agenda Item Summary #2577
BULK ITEM: No DEPARTMENT: County Attorney's Office
TIME APPROXIMATE: STAFF CONTACT: Bob Shillinger (305) 292 -3470
None.
AGENDA ITEM WORDING: Semi - annual examination of public official bonds for County
Commissioners and Constitutional Officers pursuant to F. S. 137.05 and § 2 -28 of the Monroe
County Code and finding that all current bonds and /or insurance policies are adequate.
ITEM BACKGROUND:
Florida Statute 137.05 requires that each of the 67 County Commissions examine the sufficiency of
the bonds for County officers in their respective Counties every January and June. This statute
affords each Commission the discretion to determine if the current bonds are sufficient, and to
require a new bond if the Board has reason to believe that any of the current bonds have become
impaired.
Pursuant to § 2 -28 of the Monroe County Code, the minimum bond amounts are as follows:
a) Clerk of the Circuit Court
b) Sheriff
c) Tax Collector
d) Property Appraiser
e) County Commissioners
f) Supervisor of Elections
$ 5,000
$15,000
$50,000
$10,000
$ 2,000
$ 5,000
Section 2 -28(2) authorizes the County Commission to waive the requirements for an officer to
purchase a bond if the officer purchases appropriate insurance coverage in excess of the required
bond amount.
The County currently maintains sufficient insurance coverage for its county commissioners to satisfy
the requirements of the ordinance. Documentation of coverage for all constitutional officers is
included in the attached agenda backup.
At this time, there is no evidence to suggest that any of the current bonds are impaired or are likely
to become impaired.
PREVIOUS RELEVANT BOCC ACTION:
1/18/17 (N -4) January semi- annual examination of public official bonds /insurance by BOCC
7/20/16 (R -10) July semi - annual examination of public official bonds /insurance by BOCC
1/20/16 (0-7) January semi - annual examination of public official bonds /insurance by BOCC
CONTRACT /AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval of finding that the current bonds are adequate.
DOCUMENTATION:
Sec. 2 -28 Public officer bonds, Monroe County Code
Insurance: SHERIFF Insurance Documentation expiring October 1, 2017
Bond: SUPERVISOR OF ELECTIONS Public Official Bond expiring January 8, 2018
Bond: Commissioner Danny Kolhage expiring Nov 20 2020
Bond: Commissioner Heather Carruthers expiring Nov 18 2020
Bond: TAX COLLECTOR Public Official Bond expiring January 7, 2021
Bond: Public Official Bond Kevin Madok Clerk expiring January 3, 2021
FINANCIAL IMPACT:
Effective Date: N/A
Expiration Date:
Total Dollar Value of Contract:
Total Cost to County:
Current Year Portion:
Budgeted:
Source of Funds:
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: If yes, amount:
Grant:
County Match:
Insurance Required:
Additional Details:
REVIEWED BY:
Bob Shillinger Completed 05/29/2017 1:11 PM
Maria Slavik Completed 06/06/2017 7:33 AM
Kathy Peters Completed 06/06/2017 8:47 AM
Board of County Commissioners Pending 06/21/2017 9:00 AM
Sec. 2 -28. - Public officer bonds.
(2) Insurance coverage in lieu of bond. The commission may waive the requirement for a county
officer to purchase a bond if that officer purchases insurance that provides coverage in excess
of the amount of the bond required for that office for the errors and omissions and honest
services of that officer and his /her employees. The county commission shall approve each
waiver every January and June at its regular business meeting.
(3) Semi - annual review. If at any time, the board determines there is reason to believe that the
sufficiency of any county officer's bond has become impaired or insurance coverage has lapsed
or is otherwise insufficient, it must at once require the county officer to execute and file with the
clerk of court a new bond for the same amount as set forth in subsection (1).
M OIT 4 111111111 4 1 R OX IMP4411i
Page 1
PUBLIC OFFICIAL INSURANCE
(IN LIEU OF BOND):
SHERIFF
M S HERIFFS �,
Established 1978 m Protecting Those Who Protect Us
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THIS DECLARATIONS PAGE IS ISSUED TO THE COVERED MEMBER NAMED ABOVE, TO IDENTIFY THE ANNUAL AGREEMENT PERIOD AS WELL AS THE
LIMITS OF COVERAGE AFFORDED. ALL TERMS, LIMITS, DEFINITIONS, REGULATIONS, CONDITIONS, EXCLUSIONS, AND LIMITATIONS OF THE
APPLICABLE SELF INSURANCE COVERAGE AGREEMENT WHICH ACTUALLY AFFORDS COVERAGE BY VIRTUE OF PARTICIPATION IN THIS SELF
INSURANCE PROGRAM BY THIS PARTICIPATING COVERED MEMBER APPLY. THIS DECLARATIONS PAGE DOES NOT INCREASE, AMEND, OR MODIFY
THE COVERAGE OTHERWISE PROVIDED UNDER THE APPLICABLE SELF INSURANCE COVERAGE AGREEMENT ATTACHED HERETO. THE LIMITS SET
FORTH UNDER THIS AGREEMENTAPPLY ONLY TO THE EXTENTTHAT EXCESS LIMITS ARE COLLECTABLE FROM REINSURERS COVERING THIS
AGREEMENT, IN CONSIDERATION OF THE PAYMENT OF THE CONTRIBUTION AND IN RELIANCE UPON THE STATEMENT IN THE DECLARATIONS AND
THE APPLICATION FOR COVERAGE HEREUNDER AND SUBJECT TO THE INSURANCE AGREEMENTS, DEFINITIONS, EXCLUSIONS, AND CONDITIONS OF
THIS SELF INSURANCE COVERAGE AGREEMENT, THE LIMITS OF LIABILITY AFFORDED FOR THE ANNUAL AGREEMENT PERIOD ARE AS FOLLOWS:
2600 Centennial Place, Suite 200, Tallahassee, FL 32308
P.O. Box 12909, Tallahassee, FL 32317
Telephone: (850) 320 -6880 Facsimile: (850) 320 -6939
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PUBLIC OFFICIAL BOND:
SUPERVISOR OF ELECTIONS
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Signed and Sealed this '� th day of Feb
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101 S. Reid St., Ste. 300
WHSTERN s 3 TY COMPANY
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(4ddnw aJMaix sweV Cun= y)
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TH$ PORTER -ALLEN CO. INC.
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513 SOUTHARD STREET
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The above is approved this day of
l4Pe Name of L.iwosod Raddant Ag
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County Commissioners
Chairman:
4boncLdoc (02104)
Farm 1345-12 -1012
W estem Surety Companj
POV ER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporetbn organlaed and exisikhg 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, Connectlad.
Delaware, Dlst W of Columbia, Florida, Georgia, Hawall. Idaho. Illinois. Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine.
Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire. New Jersey,
New Metdco, 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
H. nahlatrm Of ----Sioux Falls
Slate of south _t>alra) -,8 _ , with limited authority, Its true and lawful Attomey4fl - Fad, with fuN power and
autttorgy hereby conferred to sign, execute, acknowledge and deliver for and on Its behalf as Surety and as its ad and deed, the
following bond:
One SIMBRUTAMR inV 13LE ION. MMM QF MANROR _ _ ..-
bond with bond number
for R. JOYCE gRIPPIm
as Pdncpal in the;renalty amokukt not to exceed: 65-Ang no
Western Surety Company further c"Nes that the fotkhrvl V Is a true and exact loopy of Section 7 of the Wawa of Wedom Swely Company
duly adopted and now in farce, b-wt
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bds, lea' undertak npa, Powers of Attorney. or other obliptlons of the owporation shell be ez msW in the corporate
name
Company by the Preawent, Secretary. any Assistant Secrslwy. Troasurer. or any Vice Prosldant, or by such other of dxn as the
Bawd of Dkectora may authorize. The President, aryr Vice President. Secretary, Say AX 313101 t Secretary, or the Tnm rrer may appoint
Attu W04nfact or agents who shall have sulhortty to Issue bonds, polldea, or undertakings in 1 he name of the Company. The caporals seat Is
not aeosssary for the validtly of any bands. potides, undvtakhrgs. Powers of Attorney or other obligations of the corporation. The signature of any
such oHber and the corporate said may be printed by fakelmiie.
In Wltrtess Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by ft
with the corporate seal affixed this 4th _ day of February .
ATTEST WEST SURET OMPANY
-— BY
A Vlet4r, Aulstant Setaelary Paul T. Vice President
.
STATE OF SOUTH DAKOTA
ss
COUNTY OF MINNEHAHA �� � „ _ .... ''
On this 4th day of — _ February 2014 ,before me, a Notary Public, personally appeared
Paul T- Aruf3at —0 and
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vir& President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said Instrument to be the
voluntary —4-4 t 1 ,. 4
S. PETRIK
i SOUTH DIAKdrA
tr •titiiti�4'►�tiMbtiti�tititititiyti ♦ Notary Public
My Commission Exom August 11, 2018
Farm 672. 8.2012
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I ACK140WIZ15GMIINII OF SURETY
STATE OF SOUTH DAKOTA (Corporate Offkar)
County of Minnehaha S9
On this 4th February 2014 , before me, a Notary Public in
My commission ex
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My COMM"S$6 Expas 4-10-2017
Notary PubUc
Form I00 -120
MINWA
Western Siurety Company
CONTINUATION CERTIFICATE
Western Surety Company hereby continues in force Bond No. 713 9728 briefly
described as COU OMM . 0 0 R
for D
, as Principal,
in the sum of $ TWO THOUAiT AND NO / 1(0 Dollars, for the term beginning
A0V —eXber 20 2016 , and ending November 20 , 2020 , subject to all
the covenants and conditions of the original bond referred to above.
This continuation is issued upon the express condition that the liability of Western Surety Company
under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed
the total sum above written.
Dated this 23 day of Noy-e 2016
WESTERN URETY COMPANY
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Paul T. Br at, Vice President
THIS "Continuation Certificate" MUST BE FILED WITH THE ABOVE BOND.
Form 90 -A -8 -2012
ttachment: Bond: Commissioner Danny Kolhage expiring Nov 20 2020 (2577 : Semi annual examination
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
Paul T. Bruflat o f Sioux Falls
State of South Dakota , its regularly elected Vice President
3
as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for
and on its behalf as Surety and as its act and deed, the following bond:
bond with bond number 713397
for DANNY L, KOLHAGE
as Principal in the penalty amount not to exceed: $2.000.00
Western 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 23 day of November , 2016
ATTEST WE N SUR COMPANY
' By
L. Nelson, Assistant Secretary PauA Bruflat, Vice President
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STATE OF SOUTH DAKOTA
SS
COUNTY OF MINNEHAHA
On this 23 day of November 2016 , before me, a Notary Public, personally appeared
Paul T. Bruflat and L. Nelson
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice Pre sident
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged
be the voluntary act and deed of said Corporation.
#h�h�,�hhhh�h�hhhh�ti t
said instrument to
MCI
Western Surety Company
CONTINUATION CERTIFICATE
Western Surety Company hereby continues in force Bond No. briefly
described as
for
HEATHER ANN CARRLITHEgs-
as Principal,
in the sum of $ Dollars, for the term beginning
November JA , _2016 , and ending November 18 , 2020 , subject to all
the covenants and conditions of the original bond referred to above.
This continuation is issued upon the express condition that the liability of Western Surety Company
under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed
the total sum above written.
Dated this 04 . day of Ngvember , 201 .
pr WESTERN URETY
'� COMPANY
Ns
p By
Paul T. Br at, Vice President
SSA
THIS "Continuation Certificate" MUST BE FILED WITH THE ABOVE BOND.
Form 90 -A- &2012
Western Surety Company
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, Calitomia, 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, Now Jersey, New Mexico, Now 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
Paul T. Bruflat of . Sioux Falls
State of South Dakota its regularly elected Vice President
as Attorney-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for
and on its behalf as Surety and as its act and deed, the following bond-
bond with bond number
for )ZATHER—A CAE'RUIBEIRS
as Principal in the penalty amount not to exceed: 2, 000.00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety
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Company duly adopted and now in force, to-wit:
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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
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Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
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Attomeys-in-Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate
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sea] is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The
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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
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Vice President with the corporate seal affixed this --04- day of November 20 16 .
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ATTEST W E N R CO P A N Y
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. ................. . . . .........
• By . .....
L. Nelson, Assistant Secretary PauA, Bruflat, Vice President
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STATE OF SOUTH DAKOTA
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ss
COUNTY OF MINNEHAHA
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On this 04 - day of November N. before me, a Notary Public, personally appeared
Paul T. Bruflat and L. Nelson
who, being by me duly swom, acknowledged that they signed the above Power of Attorney as Vi oe President
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and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to
be the voluntary act and deed of said Corporation.
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+44451 4444444444444444444
.r J. MOHR 9
s NOTARY PUBLIC (R
EAL s s(RSOUTH DAKOTA Notary Public
My Commission Expires June 23, 2021
To validate bond authenticity, go to www.enasuretyxom > Owner/Obligee Services > Validate Bond
Coverage. ft
Form F1 1 -2016
Packet Pg. 2055
PUBLIC OFFICIAL
PERFORMANCE BOND:
TAX COLLECTOR
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Western Surety Company hereby continues in force Bond No.
briefly described as -,,,T;kx COLLECTOR COUNTY OF Ff#XROE
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in the sum o f ty_Thousa,ndand_00/100 Dollars, for the term beginnirE
and ending . .......... 2021 -, su bj ec t to all
11 1 i
H Iffl If, asem"; -Ann
This continuation is issued upon the express condition that the liabty of Western Surety Company
the total sum above written.
Dated this day of I
WES/ "SURETY COMPANY
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Form 90-A-8-2012
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We3c`L Surety Company
One . ............
for
as Principal in the penalty amount not to exceed Q_
In Nitness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by itz
V December
ice Prasislemt with the corporate seal affixed this _1 day of
2016
A17EST
�_.Nelson, Assistant Secretary"'
STATE OF SOUTH DAKOTA � ss
COUNTY OF MINNEHAHA
On this — 19 th — day of December -2 a 16 —, before me, a Notary Public, personally appeared
Paul T. Bruflat L. Nelson
and
who, being by me duly sworn, acknowledged that they signed the above Power orAttomey as
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary act and deed of said Corporation.
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J. MOHR
S(R INOTARY PUBLIC(M—
SOUTH DAKOTA L
It s My Commission Expires June 23, 2021 4 Notary Pub'ic
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OLD REPUBLIC SURETY COMPANY
(800) 217 -1792
PUBLIC OFFICIAL BOND
Bond Number W150278329
KNOW ALL PERSONS BY THESE PRESENTS:
That we. Kevin Madok
of 500 Whitehead Street, Key West State of Florida , as Principal, and
the Old Republic Surety Company organized under the Laws of the State of
Wisconsin as Surety, with its Home Office in
Brookfield in said state, are held and firmly bound unto
Governor of Florida - Rick Scott
400 S. Monroe Street The Capitol Tallahassee FL 32399
as Obligee, in the penal sum of Five Thousand Dollars ($ 5.000.00 ) ,
for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
SIGNED, SEALED AND DATED this 31st day of January 1 2017
WHEREAS, the above -named Principal
Clerk of the Court & Comptroller of the
has been duly appointed or elected
Governor of Florida - Rick Scott
State of Florida for the definite /indefinite term beginning on the
January 3. 2017 and ending on the January 3. 2021
NOW, THEREFORE, the condition of the foregoing obligation is such, that if the above bounded Principal
shall faithfully perform such duties as may be imposed on him by law and shall honestly account for all
money that may come into his hands in his official capacity during the said term, then his obligation shall
be void; otherwise to remain in full force and effect; provided, however, that the Surety shall not be liable
hereunder for any loss of public money deposited by or in behalf of the Principal with any bank when such
loss is occasioned by the failure of such bank faithfully to account for and pay over such money on legal
demand; any law, decision, or statute to the contrary notwithstanding.
This bond is further conditioned that the liability of the Surety shall be fully terminated as to future acts of
the Principal thirty (30) days after the receipt by the Obligee, of the Surety's written notice of cancellation.
Witness: � B if
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Kevin Madok Principal
Old Republic Surety Company
Surety
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Witness: aWl A P By: /C� Z — - lJ�.tfiszeAar $ S
Attorney -in- fact,„ , ,�
ORSC 46111 (08/2015) Page 1 of 1
* OL REPUBLIC SURETY COMPANY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and
appoint: Roberta S. Witherow of Brookfield, WI
its true and lawful Attorney(s) -in -Fact, with full power and authority, not exceeding $10,000,000, for and on behalf of the company as surety, to execute and
deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof,
(other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note
guaranty bonds, self - insurance workers compensation bonds guaranteeing payment of benefits, asbestos abatement contract bonds, waste
management bonds, hazardous waste remediation bonds or black lung bonds), as follows: Effective Date: 1/3/2017 12:00:00 AM
Bond Number: W150278329 Bond Amount: Five Thousand Dollars $ 5,000.00
Principal Name: Kevin Madok
Obligee Name: Governor of Florida - Rick Scott of Tallahassee, FL
and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are ratified and confirmed.
This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982.
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD
REPUBLIC SURETY COMPANY on February 18,1982.
RESOLVED that the president, any vice president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint
attorneys -in -fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to
execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may
remove any such attomey -in -fact or agent and revoke any Power of Attorney previously granted to such person.
RESOLVED FURTHER that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company
(i) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant
secretary; or
(ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be
required) by a duly authorized attorney -in -fact or agent; or
(iii) when duly executed and sealed (if a seal be required) by one or more attorneys -in -fact or agents pursuant to and within the limits of the authority
evidenced by the Power of Attorney issued by the company to such person or persons.
RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or
certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such
signature and seal when so used shall have the same force and effect as though manually affixed.
IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and its corporate seal to be
affixed this 31 st day of January 2017
c "suit,`'-, OLD REPUBLIC SURETY COMPANY
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Assistant Secretary 1 0 01 , * President
STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS
On this 31 st day of January 2017 personally came before me, Alan Pavlic
and Jane E. Cherney to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY
who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that
they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation.
�: ?OSAgI� i
Notary Public
My Commission Expires: 09/28/2018
CERTIFICATE (Expiration of notary's commission does not invalidate this instrumen
I, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached
Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of
Attorney, are now in force.
0923637 ,.ovc „suREr�, ,
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SEAL i Signed and sealed at the City of Brookfield, WI this 31 st day of January 2017
ORSC 22262 (3-06) " a ^u `
Assistant Secretary
SECURITY BOND ASSOCIATES, INC.