Item N2BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: June 11, 2014 - MAR Department: County Attorney
Bulk Item: Yes _ No X
Staff Contact Person: Bob Shillinger 292-3470
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.
Under Ordinance 029-2013, the minimum bond amount is as follows:
a) Clerk of the Circuit Court $ 5,000
b) Sheriff $15,000
c) Tax Collector $50,000
d) Property Appraiser $10,000
e) County Commissioners $ 2,000
f) Supervisor of Elections $ 5,000
Section 2-28(2) authorizes the County Commission to waive the requirements for an officer to
purchase a bond if that officer purchases appropriate insurance coverage in excess of the required bond
amount.
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:
7/17/13 adopted Ordinance No. 029-2013
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval of finding that the current bonds are adequate.
TOTAL COST: N/A BUDGETED: Yes No
COST TO COUNTY: N/A SOURCE OF FUNDS:
REVENUE PRODUCING: Yes _ No _ AMOUNT PER MONTH Year
APPROVED BY: County Atty OMB/Purchasing Risk Management _
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM #
ORDINANCE NO. 02' 9 — 2013
1 1 f f f It. I /.
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WHEREAS, F.S. 137.01 authorizes the Board of County Commissioners to set the
amount of the bond each county officer must purchase to ensure the faithful performance of
duties while in office; and
WHEREAS, Chapter 98-34, Laws of Florida amended F.S. 137.01 giving county
commissions the authority to decide whether to make county officer bonds optional; and
'WHEREAS, in December 2000, the Board enacted Ordinance No. 055-2000, which set
public official bonds at thefollowing
a) Clerk of the Circuit Court $ 5,000
b) Sheriff $15,000
c) Tax Collector $ 5,000
d) Property Appraiser $10,000
e) County Commissioners $ 2,000
f) Supervisor of Elections $ 5,000
�--r,d WHEREAS, Ordinance No. 055-2000 was never codified in the Monme County Code;
WHEREAS, it has been thirteen years since the Board examined the amount of bond it
requires each county officer to post; and
WHEREAS, due to the large amount of cash being handled, the Monroe County Tax
Collector has requested that the bond amount for the Tax Collector's office be raised from
$5.000 to $50,000; and
Ordcmdag sa. 2-28. MCC M Pak otiica bomb Page 1 of 3
5/28/13 (M BOCC6JIW13
WHEREAS, modern insurance policies available to county officers provide errors and
omissions and public honesty coverage far greater in scope than traditional public official bonds;
and
WHEREAS, in 2009, the County Commission authorized the Monroe County Sheriff to
dispense with the required public officer bond in light of the insurance coverage the Sheriff had
purchased; and
WHEREAS, in January 2013, the County Commission directed staff to draft an amended
ordinance providing for an insurance alternative to public officer bonds;
NOW THEREFORE, BE IT ORDAINED by the Board of County Commissioners of
Monroe County, Florida:
SECTION 1. Ordinance No. 055-2000 is hereby repealed in its entirety.
SECTION 2. The Monroe County Code is hereby amended to create a new Section 2-28,
entitled "Public Offlcer Bonds" which shall read as follows:
(1) Bond amount required. Pursuant to Chapters 137, 28, and 30, Florida Statutes, the Board
hereby requires the following constitutional officers to give bond, conditioned on the
faithful performance of the duties of his/her office, in the following amounts:
a) Clerk of the Circuit Court $ 5,000
b) Sheriff $15,000
c) Tax Collector $50,000
d) Property Appraiser $10,000
e) County Commissioners $ 2,000
f) Supervisor of Elections $ 5,000
(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).
Ord cog Sec. 2-28, MCC re Pubes officer bonds Page 2 of 3
9/28/13 (KP) BOCC 6/19/13
SECTION 3. DELIVERY TO ALL COUNTY COMMISSIONERS AND
CONSTITUTIONAL OFFICERS. The Clerk shall deliver a copy of this Ordinance to all
County Commissioners and Constitutional Officers of Monroe County, Florida so that the proper
procedures and changes may be implemented.
SECTION 4. SEVERABILITY. Should any provision of this Ordinance be declared by a
court of competent jurisdiction to be invalid, the same shall not affect the validity of this
Ordinance as a whole, or any part thereof, other than the part declared to be invalid. If this
ordinance or any provision thereof shall be held to be inapplicable to any person, property or
circumstances, such holding shall not affect its applicability to any other person, property or
circumstances.
SECTIONS. CONFLICT WITII OTHER ORDINANCES. All ordinances or parts of
ordinances in conflict with this Ordinance are hereby repealed to the extent of said conflict.
SECTION 6. EFFECTIVE DATE. This Ordinance shall take effect upon filing with the
Department of State as provided in Section 125.66(2), Florida Statutes.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 17th day of jul , 2013.
Mayor Neugent
Mayor Pro Tem Carruthers
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Ord seating Sec. 2-28, MCC re public offices bonds
5/28/13 (KP) BOCC 6/19/13
Yes
Yes
Yes
Yes
Yes
Page 3 of 3
j • I-Ii ♦ �9
0 33040
Phone:! 1'11 1 1 0
Dec. 30, 2013
Mr. Bob Schillinger
County Attorney
Dear Bob:
As requested attached please find the information regarding this office Commercial
Crime Policy,
We have increased our covered amount from $50,000 to $1,000,000. A list is
attached giving the number of employees in each office and the amount of cash and
checks anticipated as requested. The new policy coverage will be effective Jan 1,
2014.
The Tax Collector's Bond has been renewed for $50,000 as required in the FI
Statutes and amount required by the BOCC.
In the list of employees in the KW office the tax collector is stated as handling the
funds also. The tax collector is listed with the employees as information only, as
there is a separate bond for the constitutional office.
If you require further information please let me know. A copy of the policy is forth
coming.
Res Ily,
_ . y
Danise D. Henriquez, CFC
Tax Collector
ri
Commercial Crime Policy
Date 12/11/2013
0
At your request, we are providing a
Renewal quotation for Office of Tax Collector Monroe County
Policy or Reference CCP2925143
Effective Date: 1 /1 /2014 Expiration Date: 1 /1 /2015
Please note the following:
Limit
Deductible
Premium
Employee Theft - Per Loss Coverage
S
1,000,000
$
25.000
included
Employee Theft - Per Employee Coverage
S
-
$
-
not included
Employee Theft - Scheduled Position
$
-
$
-
not included
Forgery or Alteration
S
1,000.000
$
25,000
included
Inside Premises - Theft of Money and Securities
$
1,000.000
$
25,000
included
Inside Premises - Robbery or Safe Burglary of Other
Property $
1,000,000
$
25,000
Included
Outside The Premises
$
1.000.000
$
25,000
included
Computer Fraud
$
1,000,000
$
25,000
included
Funds Transfer Fraud
$
1,000,000
$
25.000
included
Money Orders and Counterfeit Paper Currency
$
50,000
$
2,500
Included
Inside Theft of Other Property
$
-
$
-
not included
Inside Robbery or Burglary of Other Property
$
-
$
-
not included
Inside Robbery or Safe Burglary of M&S
$
-
$
not included
Agency Coverage
$
$
not Included
Clients Property
$
-
$
-
not included
Credit Card Forgery
$
-
$
-
not Included
Faithful Performance
$
-
$
-
not included
Guest Property - In Safe Deposit Boxes
$
-
none allowed
not included
Guest Property - Inside the Premises
$
-
none allowed
not Included
Other Coverage 1
$
$
-
not included
Other Coverage 2
$
-
$
-
not included
Other Coverage 3
$
-
$
-
not included
Other Coverage 4
$
-
$
not included
Other Coverage 5
$
-
$
-
not included
Endonements/Forms As per expiring
TERK- Antral
$5,084
FL (approximate)
$73.72
Total:
$5.137.72
Underwriting Conditions:
T6ie —.r. i. h. f I1-4.. —A—A 1,— X-
Confirmation that a CPA audit or review is perffirmied annually.
Confirmation that all bank accounts are reconciled by someone not authorized to
deposit or withdraw.
Confirmation that all checks require a countersignature or that the owner(s) sign all checks.
Receipt, and satisfactory review, of a signed and dated F&D application.
Receipt. acid satisfactory review, of the most recent CPA audit/report.
Confirmation that all deposits are made in the name of the applicant
Confirmation rhar securities are subject to joint control
Confirmation of no known losses
Management Solutions Group
MONROE COUNTY TAX COLLECTOR
1200 Truman Ave.., Key West, FL 33040
Phone: (305)295-5000 Fax: (305)295-5020
December 26, 2013
Key West Office: 29-Employees and Tax Collector
Cash Average: $16,732.13 Checks Average: $5,353,991.25
Cash Maximum: $60,428.10 Checks Maximum: $16,341,146.70
Office Bank: $3,000.00
Petty Cash Key West/Big Pine Key: $400 00
Cashiers: $1,100.00
Key West Drners License Office: 4-Employees
Cash Average- $2,049.64 Checks Average: $1,057.28
Cash Maximum: $3,209.28 Checks Maximum: $2,381.00
Office Bank: $200.00
Cashiers: $400.00
Marathon Office: 7-Employees
Cash Average. $4,944.32 Checks Average: $130,966.98
Cash Maximum: $13,842,79 Checks Maximum: $414,636.50
Office Bank. $650.00
Petty Cash: $25.00
Cashiers: $700.00
Marathon Drivers License Office:: 2-Employees
Cash Average: $942.61 Inclusive Checks Average
Cash Maximum. $1,520.25 Inclusive Checks Maximum
Office Bank: $200.00
Cashiers $200.00
Big Pine Key Office: 3-Employees
Cash Average. $4,060.62 Checks Average: $46,486.98
Cash Maximum: $14,039.59 Checks Maximum: $122,083.73
Office Bank: $200.00
Cashiers: $300.00
0 Page 2
Plantation Key Office: 6-Employees
Cash Average: $7,450.21
Cash Maximum: $31,947.59
Office Bank $800.00
Petty Cash $25.00
Cashiers. $500
Key Largo Office: 5-Employees
Cash Average: $5,480.96
Cash Maximum? $12,673.32
Office Bank: $500.00
Petty Cash- $25.00
Cashiers. $500.00
December 26, 2013
Checks Average: $193,111.50
Checks Maximum: $1,107,712.90
Checks Average: $53,459.81
Checks Maximum: $149,593.85
Funds not included above:
Internet payments: Credit cards, E-checks- Key West Office $10,246,507.23
Peters -Katherine
From: Lindsey Ballard [lballard@monroe-clerk.com]
Sent: Friday, December 13, 2013 3:40 PM
To: Shillinger-Bob
Cc: Peters -Katherine; Amy Heavilin
Subject: Amy's Bond
Attachments: Amy's Bond.pdf
Good Afternoon -
Per your request, I have attached a copy of Amy's $5000.00 Bond.
If you have any questions or if there is anything else that I can do for you please do not hesitate to ask.
Thank you and have a wonderful weekend!
Happy "oeidayoll
Lindsey Ballard
Administrative Assistant
Value Adjustment Board Clerk
Monroe County Clerk of Court
500 Whitehead Street
Key West, FL 33040
Office: 305-295-3130
Fax: 305-295-3663
Iballar_d@rnonroe_clerk.cQm
AMY HEAVILIN, CPA
I CLERK OF CIRCUff COURT & COMPTROLLER
MONROE COUNTY COURTHOUSE
500 WI-IITEHEAD STREET, SUITE 101
KEY WEST, FLORIDA 33040
TEL. (305) 294-4641
FAX (305) 295-3663
BRANCH OFFICE:
MARATHON SUB COURTHOUSE
3117OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 289-6027
FAX (305) 289-6025
Ken Detzner, Secretary of State
Florida Department of State
The R.A. Gray Building
500 S Bronough Street
Tallahassee FL 32399-0250
Dear Mr. Detzner,
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
www.clerk-of-the-court.com
January 23, 2013
BRANCH OFFICE:
PLANTATION KEY
GOVERNMENT CENTER
88820OVERSEAS HIGHWAY
PLANTATION KEY, FLORIDA 3.1070
TEL. (305) 852-7145
FAX (305) 852-7146
ROTH BUILDING
50 HIGH POINT ROAD
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-7145
FAX (305)853-7440
Enclosed please find a copy of the fully executed Public Official Bond for Amy Heavilin,
who posted a $5,000 bond, in connection with her service as Clerk. Also enclosed is the fully
executed Public Official Bond for Danny L. Kolhage, who posted a $2,000 bond, in connection
with his service as a County Commissioner. Please note that Mayor George R. Neugent signed
under the County Commissioner signature lines —1 have typed Chairman next to his signature to
identify him.
I hereby certify that the original bonds are on file in the Office of the Clerk of the Circuit
Court, Sixteenth Circuit, Monroe County, Florida. Should you have any questions, please feel
free to contact me at (305) 295-3130.
Sincerely,
Amy Heavilin
Clerk of the Circuit Court
and ex-officio Clerk to the
Board of County Commissioners
By. Pamela G. Hancock, D.C.
Enclosures
cc: File
WESTERN SURETY COMPANY
P.O. Boa 5077 Bond No. 71352861
Sioux Falls, SD 57117-6077
(605) 336-0850 Effective Date: January 8. 2013
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
KNOW ALL PERSONS BY THESE PRESENTS, That we, Amy Heavil in
(Oftiat'a 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
5,000.0Q 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 D appointed ® 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 haws of the State of Florida.
NOW, THEREFORE, If the oMcial shall faithfully perform the duties of their office as provided by law, this obligation is void.
X
(Si pwure o/ )
Signed and Sealed this 3 rd day of December 20
101Sout Phillips Avenue
WESTERN COMP _ Sioux Fall&. SD 57104-6703
. Mock, ASS1. Sec. (teao/Mattsurely Company)
THE PORTER-ALLEN CO.. —INC
����.�``,`SVRE t};.,,� 513 SOUTHARD STREET (Name of Local Bonding Company)
a. �,,........, '00���� Key west, FT. 1104n_68is
OR,�io ( na olLocal Bonding Company)
W V Z i (SEAL) By X
* (signature of licensed Resident Agenn)
Sy
CA , Q,�� 264 38 3239 0. ~� (Social Security Number of licensed Resident Agent)
•` ppointed Agent of Surety David W Freeman
/i1111111Nt1�� j �Q (Type Name of licensed Resident Agent)
The above is approved this I �� "" day of Zo /3
br. rA.n...;.u;n..nsIt
Chairman:
4bond.doc (02104)
Form 1345-12-2004
P
J . 's .
Western Surety Company
POWER OF ATrORNEY
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 South Dakota , with limited authority, its true and lawful Attomey-in-Fad, 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-coTTRT rT.Rux
bond with bond number 71352861
for AMY HEAVILIN
as Prindpal in the penalty amount not to exceed: $ 5 , 0 0 0.0 0
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
Attomeys4n-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 3rd day of December
2012
ATTEST I, i. WEST
Q V �.G7C.Q'l. By
A. Motor, Assistant Secretary
STATE OF SOUTH DAKOTA
ss
COUNTY OF MINNEHAHA
SURET COMPANY
r
Paul T. Bolliat. Vice President
u
On this 3rd day of December 2012 , before me, a Notary Public, personally appeared
Paul T. Bruflat and A. Vietor
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said Instrument to be the
voluntary �t•aDd¢•.�if1.GgRA0.ti
S. PETRIK
f NOTARY PUBLIC l
i SOUTH DAKOTA SEAL
i&i
♦titi•.•.ti•,•,•......,...,.,..%%%%%%%% ♦ Notary Public
My Commission Expires August 11. 2016
Form 672-8-2012
AO
10596
PAYEE: KEY WEST INSURANCE VEND IDM KVv i CHECK DATE: 4/4/2013
INVOICE NO.
INVOICE DATE
INVOICE AMOUNT
DISCOUNT TAKEN
NET AMOUNT PAID
MONRO-6
3/27/2013
$588.55
$0.00
$588.55
TOTAL
588.55
Key West Insumnce, Inc.
646 United Street, Suite 1
Key West FL 33040
Phone: 305-294-1096 Fax: 305-294-8016
W77T7 MIT-M
7 TZMAJ,
P.O. Box 1176
Key West, FL 33041-1176
STAIEMENT Page 1
ACCOUWNO- CSR STATEMENT AS OF
MONRO-6 DC 03/2712013
3:nv # Tr u Due Date DescrIptIoR )
10949 REN 02/28/13 Policy renewal C
10949 CFE 02/28/13 Company fee
Total Balance Due:
Balance Due
581.00
7.55
Key West Insurance, Inc. M—MO Page 1
646 United Street, Suite I ACCOUNTNO. OP DATE
Key West, Fl, 33040 MONRO-6 TM 02/11/2013
Phone: 305-294-1096 Fax: 305-29.4-40.16
POLICY INFORMATION
POLICY#
CCP994581719
1:111� 13 2`0 13 TYPE EFFECTIVE EXPIRATION
CR-S 02/28t2013 02/2812014
Z.*;*:.'� . . ........7,
Monroe Co Prop Appraiser
P.O. Box 1176
Key West, FL 33041-1176
Sherry
Re: Crime Policy Renewal
Please find enclosed a copy of the 13/14 Crime policy declaration page
and invoice. As you will note, the name has been corrected to read Mr.
Scott Russell, Monroe County Property Appraiser. Kindly attach this new
dec page to your file and make your payment made payable to Key West
Insurance. I have enclosed a return envelope for your convenience. If
you have any questions, please contact me. Thanks again.
The
Administrative Office GOVERNMENT (RIME POLICY
1400 American Lane
Schaumburg, IL 60196 DECLARATIONS °
Co es
This policy issued by: ® Fidelity and Deposit Company of Maryland Policy No. CCP 9945817 19
❑ Colonial American Casualty and Surety Company
(a stock insurance company)
Named Insured and Malting Address Producer Name and Address:
Scott Russell, Monroe County Property Appraiser Key West Insurance, Inc.
500 Whitehead Street, 4T" Floor (Rear) 646 United Street, Suite 1
Key West, FL 33040 Key West, FL 33040-3291
Policy Period: From 02128/2013 to 02/28/2014 at 12:01 A.M. Standard Time at Your mailina address shown above.
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS AND CONDITIONS OF THIS POLICY,
WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.
INSURING AGREEMENTS
1. Employee Theft — Per Loss Coverage
2. Employee Theft — Per Employee Coverage
3. Forgery Or Alteration
4. Inside The Premises — Theft of Money and Securities
5. Inside The Premises —Robbery Or Safe Burglary Of Other Property
6. Outside The Premises
7. Computer Fraud
8. Funds Transfer Fraud
9. Money Orders And Counterfeit Paper Currency
If Added By Endorsement, Insuring Agreement(s)
LIMIT OF INSURANCE DEDUCTIBLE AMOUNT
Per Occurrence Per Occurrence
$ 20,000.00 $ 500.00
Not Covered
Not Covered
Not Covered
Not Covered
Not Covered
Not Covered
Not Covered
Not Covered
If "Not Covered" is inserted above opposite any specified Insuring Agreement, such Insuring Agreement and any other reference
thereto in this policy is deleted.
*Policy Premium is payable: $ 588.55 at inception; $ 1st Anniversary° $ 2nd Anniversary
*Includes Taxes and/or Surcharges: $ 7.55 2005 Florida Hurricane CAT Fund Assessment
ENDORSEMENTS FORMING PART OF THIS POLICY WHEN ISSUED:
CR 00 26 05 06 CR 25 0103 00 CR 02 0611 06 U-CR-109-A 0102 U-GU-726-B FL (01/11)
CANCELLATION OF PRIOR INSURANCE ISSUED BY US: By acceptance of this Policy you give us notice canceling prior policy or
bond Nos. CCP 994581718
the cancellation to be effective at the time this Policy becomes effective.
COUNTERSIGNED:
(Date)
By:
Authorized Representative
IN WITNESS WHEREOF the Company has caused this policy to be signed by its president and secretary but this policy shall not be valid unless
completed by the attachment hereto of a declarations page countersigned by a duly authorized representative of the Company.
Attest By
Secretary President
U-CR-D-103-A FL (Ed. 07/11)
Includes copyrighted material of Insurance Services Office, Inc., with Its permission.
Copyright, Insurance Services Office, Inc., 1998
LG - 02/05/13
POLICY NUMBER: CCP 994581719
• if 11
4 1 �'
This endorsement modifies Insurance provided under the following:
COMMERCIAL CRIME COVERAGE FORM
COMMERCIAL CRIME POLICY
EMPLOYEE THEFT AND FORGERY POLICY
GOVERNMENT CRIME COVERAGE FORM
GOVERNMENT CRIME POLICY
and applies to the Employee Theft Insuring Agreement:
A. Schedule*
Persons Or Classes Of Persons
Scott Russell, Monroe Coun!y PropeLtL Appraiser
*Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Decla-
rations.
B. Provisions
"Employee" does not include any person named
or class of persons shown in the Schedule.
CR 25 0103 00 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1
Key West Insurance, Inc.
646 United Street Suite 1
Key West, FL 33b40
Phone: 305-294-1096 305-294-8016
Monroe Co Prop Appraiser
P.O. Box 1176
Key West, FL 33041-1176
Itm # Date 7m Policy #
INVOICE q 10949
194697 02/11/13 CCP9%581719
194698 02/11/13 CCP994581719
INVOICE # 10949
wage 1
ACCOUNT NO. CSR
DATE
MONRO-6 DC
02/11/13
Crime
POLICY 0
CCP994581719
COMPANY
Zurich North America Surety
EFFECTIVE EXPIRATION BALANCE DUE ON
02/28/13 02/28/14 02/28/13
AMOUNT PAID
AMOUNT DUE
S 588.55
Description Amount
Policy renewal $ 591.00
Company fee $ 7.55
Invoice Balance: $ 589.55
Crime bond naming Scott Russell the Appraiser
QA NGM INSURANCE COMPANY
A memhm of The Main Buell Ammlo 3taup
POWER OF ATTORNEY
S-820491
KNOW ALL MEN BY THESE PRESENTS: That the NGM Insurance Company, a Florida corporation having its principal office
in the City of Jacksonville, State of Florida, pursuant to Article IV, Section 2 of the By -Laws of said Company, to wit:
"SECTION 2. The board of directors, the president, any vice president, secretary, or the treasurer shall have the power
and authority to appoint attomeys-in-fact and to authorize them to execute on behalf of the company and affix the seal
of the company thereto, bonds, recognizances, contracts of indemnity or writings obligatory in the nature of a bond,
recognizance or conditional undertaking and to remove any such attomeys-in-fact at any tiene and revoke the power
and authority given to them."
does hereby make, constitute and appoint Darlene May Cullen its true and lawful Attorney -in -fact, to make,
execute, seal and deliver for and on its behalf, and as its act and deed bond number S-820491 dated January 1, 2013 ,
on behalf of ` Scott P Russell """
in favor of Florida Secretary of State
for Ten Thousand and 00/100 Dollars ($ 10.000.00 )
and to bind NGM Insurance Company thereby as fully and to the same extent as if such instrument was signed by the duly authorized
officers of the NGM Insurance Company; this act of said Attorney is hereby ratified and confinned.
This power of attorney is signed and sealed by facsimile under and by the authority of the following resolution adopted by the Directors
of NGM Insurance Company at a meeting duly called and held on the 2nd day of December 1977.
Voted: That the signature of any officer authorized by the By -Laws and the company seal may be affixed by facsimile to any
power of attorney or special power of attorney or certification of either given for the execution of any bond, undertaking,
recognizance or other written obligation in the nature thereof; such signature and seal, when so used being hereby adopted
by the company as the original signature of such officer and the original seal of the company, to be valid and binding upon
the company with the same force and effect as though manually affixed.
/N WITNESS WHEREOF, NGM Insurance Company has caused these presents to be signed by its Assistant Vice President, General
Counsel and Secretary and its corporate seal to be hereto affixed this 3rd day of January, 2012
NGM INSURANCE COMPANY By:1923
Bruce Fox hal
Assistant Vice President, General Counsel and Secretary
State of Florida,
County of Duval
On this 3rd day of January, 2012 before the subscriber a Notary Public of State of Florida in and for the County of Duval duly
commissioned and qualified, came Bruce Fox of the NOM Insurance Company, to me personally known to be the officer described
herein, and who executed the preceding instrument, and lie acknowledged the execution of same, and being by me fully swum, deposed
and said that he is an officer of said Company, aforesaid: that the seal affixed to the preceding instrument is the corporate seal of said
Company, and the said corporate seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority
and direction of the said Company; that Article IV, Section 2 of the By -Laws of said Company is now in force.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed by official seal at Jacksonville, Florida this 3rd day of January, 2012
TAM
T6 Wow
h`\Y''Ji I�Tanvr�
OTEfaRlM
com o"out
EMeM t
1, Brian J Beggs, Vice President of the NGM Insurance Company, do hereby certify that the above and foregoing is a true and correct
copy of a Power of Attorney executed by said Company which is still in force and effect. IN WITNESS WHEREOF,1 have hereunto
set my hand and affixed the seal of said Company at Jacksonville, Florida this 21 day of December , 2012
a 1923
WARNING: Any unauthorized reproduction or alteration of this document is prohibited.
TO CONFIRM VALIDITY of the attached bond please call 1-603-358-1343.
TO SUBMIT A CLAIM: Send all correspondence to 55 West Street, Keene, NH 03431 Attn: Bond Claitn Dept.
or call our Bond Claim Dept. at 1-603-358-1229.
FLORIDA SHERIFFS RD RAM
MW CMUMI&I r
Poft Office Ow 12900, awwa FL 32317-2909
•() 320-6880
FkA. On:
W ENFORCEMENT LIABILITY
COVERAGE RA
Certificate 4- F-"
COVERED MEMBER: Monme County SherWs
Road,PRINCIPAL ADDRESS: 5525 College
ANNUAL Key West, PL 33040
r 2013 EXPIRATION DATE:
LEL REINSURANCE RETROACTIVE ON: October r
5ECOND MILLION: October 1, 19M
THIRD :ION: October 1, 1998
DEDUCTIBLE:
aj
•.C'.�= H
i I •'— M :" .' M •',.r.�/ �' r � •' ` '' ; i ! i 4 3 4� r ti •r 1.. r c,. r :.
:e,,,.. 1..:... i• it i. C . �.,• i r ' oil
r♦ i MI• . ; 1
1 r •;e�«,. rll` rr-�•�r - r i . r � •rsr.. •• • i• .�,= r, ••
r�k .7• i........ i it^•t3 •. t•40........i r �• w
r • w r r• r • r r • 1 1 r .:i ■ r �r
ucl j =1 L f 4 ki I A iaLOZ * '•
r
11 !I1 Per Occurrence 10.000 111 Annual Autregpte
Contrac.. . :^ _
111 i!1 . !r
Agqr«.,� - {'.
* � 1 � � -rl Ih � •• ��.ii u�rr rrr�r.ri
. 2 r r r--25,000
M r cne
. i. Person
High Hazard
341
709.88
$242.069.08
K-9's(Apprehension)
0
@ $815.85
.00
Medium Hazard
38
10.39
$15,594.82
Low Hazard
235
@ $202.22
$47,521.70
Volunteers
0
36,68
Subtotal
.00
Multi-Proram Dlsoount
305 185.60
_ 155,57
TOTAL ANNUAL CONTRIBUTION
296 030.03
FLORIDA SHERIFFS SELF INSURANCE PROGRAM
2600 Cameo hd Place, Sint@ 200, Tallahassee, FL 32308
Post OfHoe Baas 12909, Tallahassee, FL 32317-2909
Telephone: (850) 320-6880
Faeshnlle: (850) 320-6939
PUBLIC OFFICIALS LIABILITY
COVERAGE DECLARA77ONS
Certificate Number: 14-FSRMF-44
COVERED MEMBER: Monroe County Sheriffs Office
PRINCIPAL ADDRESS: 5525 College Road, Key West, FL 33040
ANNUAL AGREEMENT PERIOD: October 1, 2013 EXPIRATION DATE: October 1, 2014
POL REINSURANCE RETROACTIVE DATE: October 1,1992
DEDUCTIBLE:
None
THIS DECLARATIONS PAGE IS ISSUED TO THE COVERED MEMBER NAMED ABOVE, TO IDENTIFYTHE ANNUALAGREEMENT PERIOD AS WELL AS
THE LIMITSOF COVERAGE AFFORDED. ALLTERMS, 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 UNDERTHE APPLICABLE SELF INSURANCE COVERAGE AGREEMENTATIrACHED, HERETO. THE
LIMITS SET FORTH UNDER THIS AGREEMENT APPLY ONLY TO THE DCTENT THAT EXCESS LIMITS ARE COLLECTABLE FROM REINSURERS
COVERING THIS AGREEMENT. INCONSIDERATION OFTHE PAYMENT OFTHE CONTRIBUTION AND IN RELIANCE UPON THE STATEMENTIN THE
DECLARATIONS AND THE APPLICATION FOR COVERAGE HEREUNDER AND SUBIECT TO THE INSURANCE AGREEMENTS, DEFINITIONS,
EXCLUSIONS, AND CONDITIONS OF THIS SELF INSURANCE COVERAGE AGREEMENT, THE LIMITS OF LIABILITY AFFORDED FORTHE ANNUAL
AGREEMENT PERIOD ARE AS FOLLOWS:
Liability
CONTRIBUTION PER EXPOSURE CATEGORY
Per OccurTence
High Hazard
341
@ 105.97
36135.77
Medium Hazard
38
@ 61.26
$2,327.88
Low Hazard
235
30.18
$7,092.30
Volunteers _
0
@ $5.47
0.00
Subtotal
$45 5S5.95
Multi -Pro ram Discount
- 131a6.68
TOTAL ANNUAL CONTRIBUTION
189.27