Item P6 } P.6
y;+ ' "tr, BOARD OF COUNTY COMMISSIONERS
County of Monroe , Mayor Michelle Coldiron,District 2
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{sJ ` °' Mayor Pro Tem David Rice,District 4
-Ile Florida.Keys Craig Cates,District 1
Eddie Martinez,District 3
w Mike Forster,District 5
County Commission Meeting
January 20, 2021
Agenda Item Number: P.6
Agenda Item Summary #7753
BULK ITEM: Yes DEPARTMENT: County Attorney's Office
TIME APPROXIMATE: STAFF CONTACT: Laurie Dastugue (305) 292-3576
N/A
AGENDA ITEM WORDING: Semi-annual examination of public official bonds for County
Commissioners and Constitutional Officers pursuant to F.S. 137.05 and Section 2-28 of the Monroe
County Code and finding that all current bonds and/or insurance policies are adequate.
ITEM BACKGROUND: Section 137.05, Florida Statutes, 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 $ 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 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: BOCC semi-annual examination every January and
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P.6
June.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval of finding that the current bonds are adequate.
DOCUMENTATION:
M.C.C. 2-28
F.S. 137.04
Declaration Sheet FMIT 0386
Kevin Madok Continuation Certificate
sam Steele public official bond
Coverage-BOCC & Constitutionals
Sheriff Public Officials Coverage Declaration
Sheriff Liability Declaration
Sheriff Ramsay Proof of Coverage
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: N/A
Additional Details:
REVIEWED BY:
Bob Shillinger Completed 01/06/2021 1:52 PM
Bob Shillinger Completed 01/06/2021 1:52 PM
Purchasing Skipped 01/06/2021 9:45 AM
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P.6
Budget and Finance Skipped 01/06/2021 9:45 AM
Maria Slavik Completed 01/06/2021 1:55 PM
Liz Yongue Completed 01/07/2021 9:05 AM
Board of County Commissioners Pending 01/20/2021 9:00 AM
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Sec. 2-28. - Public officer bonds.
(1) Bond amount required. Pursuant to F.S. chs. 137, 28, and 30, 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 0
76
CO
e) County commissioners $ 2,000 —
2
f) Supervisor of elections $ 5,000
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(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
76
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 0
or is otherwise insufficient, it must at once require the county officer to execute and file with the U)
clerk of court a new bond for the same amount as set forth in subsection (1). CO
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(Ord. No. 029-2013, § 2)
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Page 1
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137.04.County commissioners to give bond, FL ST§137.04
West's Florida Statutes Annotated
Title XI. County Organization and Intergovernmental Relations(Chapters 12 -16 )(Refs&Annos)
Chapter 137.Bonds of County Officers(Refs&Annos)
West's F.S.A. §137.04
137.04.County commissioners to give bond
Currentness
Each county commissioner, whether elected or appointed to such office, must give a bond conditioned for the faithful
performance of the duties of his or her office as required by the board of county commissioners. The premium of the bonds r_
given must be paid out of the county treasury.
12
.2
Credits
Laws 1913,c.6477, § 1;Rev.Gen.St.1920, § 1571;Comp.Gen.Laws 1927, §2419;Laws 1969,c.69-106, §§ 12,35.Amended Z
by Laws 1995, c. 95-147, § 838, eff. July 10, 1995; Laws 1995, c. 95-312, § 30, eff. June 15, 1995; Laws 1998, c. 98-34, § CL
23,eff. July 1, 1998.
Notes of Decisions(1) E
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West's F. S. A. § 137.04,FL ST§ 137.04 6
Current through Chapter 184 (End)of the 2020 Second Regular Session of the Twenty-Sixth Legislature
End or Document 2020't'horison Fig uteri.Ao c?airni to ori,glin c!t .S.Ceo rnmr nt r.or€pus.
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FLORIDA LEAGUE OF CITIES
SPONSORED INSURANCE PROGRAMS
DECLARATIONS
I. DESIGNATED MEMBER: Monroe County Board of County Commissioners
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Address; 1111 12th Street Suite 408
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Key West, FL 33040 100
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II. COVERAGE PERIOD
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From October 1„2020 to October 1„2021
12,01 A.M,Standard Time at the address of the Designated Member.
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III. AGREEMENT NUMBER
Florida Municipal Insurance Trust(FMIT) FMIT#0386
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IV. COVERAGES INCLUDED U)
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General Liability M
Automobile
Workers'Compensation
V. ESTIMATED ANNUAL PREMIUM
Normal Expense Incentive Net
Premium Constant Credit Premium �
$485,520 $160 $(32,535) $453,145
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October 1, 2020
Signature of Authorized Representative Date
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security
asssnoc Cates,inc.(��)
BOND RENEWAL REQUEST 7
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Date: 'a
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The Porter Allen Company, Inc.
513 Southard Street
Key West, FL 33040 CONTINUATION CERTIFICATE ENCLOSE60
Plewsefonvard to the ObHgee
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PRINCIPAL: Kevin Madok
BOND NO: WI50278329
TYPE OF BOND: Public Official(3 Yrs)
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BOND AMOUNT: $5,000.00
PREMIUM: $355.00
RENEWAL AND/OR EXPIRATION DATE: January 3`d
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BOND IS CONTINUOUS X BOND EXPIRES-NEEDS A NEW BOND U)
OR A CONTINUATION CERTIFICATE
PLEASE FURNISH THE FOLLOWING: *.
YEAR-END BUSINESS FINANCIAL STATEMENT
CURRENT PERSONAL FINANCIAL STATEMENT FOR ALL D\DENMTORS °—
CURRENT BANK STATEMENTS FOR BUSINESS AND PERSONAL BANK ACCOUNTS
APPLICATION
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PREMIUM PAYMENT
REPLY: >
RENEWAL NOT REQUIRED
RENEWAL INFORMATION ENCLOSED E
RENEWAL PREMIUM ENCLOSED
REMARKS:
10131 sw 40th street. miami, florida 33165-3947 e phone: (305) 552-5414 . (800) 780-5414
fax: (305)226-7876 Packet Pg. 3108
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Old Republic Surety Company
PO Box 1635
Milwaukee,WI 53201-1635 CONTINUATION CERTIFICATE
BOND NUMBER BOND DESCRIPTION BONDAMOUNI EFFECTIVE DATE EXPIRATION I)ATE
W150278329 Clerk of the Court & Comptroller 5,000.00 01/03/2021 01/03/2025
PRINCIPAL
Kevin Madok
500 Whitehead Street
Key West,FL 33040
OBLIGEE
Governor of Florida-Rick Scott
400 S. Monroe Street 2
The Capitol
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Tallahassee, FL 32399
ORIGINAL FOR BOND RENEWAL
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THIS BOND CONTINUES IN FORCE TO THE ABOVE EXPIRATION DATE CONDITIONED AND PROVIDED THAT THE LOSSES OR RECOVERIES ON
IT AND ANY AND ALL ENDORSEMENTS SHALL NEVER EXCEED THE PENALTY SET FORTH IN THE BOND AND WHETHER THE LOSSES OR
RECOVERIES ARE WITHIN THE FIRST AND/OR SUBSEQUENT OR WITHIN ANY EXTENSION OR RENEWAL PERIOD,PRESENT,PAST OR FUTURE.,.
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.
15
SIGNED AND DATED THIS 30th DAY OF September 2020
0923637
SECURITY BOND ASSOCIATES, INC. Old Republic Surety Company
10131 SW 40TH ST SURETv
aJOO/'BUpEr�E�
9 nL rr"; t8
MIAMI, FL 33165 B
305-552-5414 ATTORNEY-IN-FACT
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ORSC 22054(8/94)
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OLD REPUBLIC SURETY COMPANY
PowEf2 of ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute an(
appoint: Elise Faust 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 an(
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 not(
guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, asbestos abatement contract bonds, roast(
management bonds,hazardous waste remediation bonds or black lung bonds),as follows: Effective Date: 1/3/2021 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 U
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.
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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 OL[
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 appoir
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 b
execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers ma, .
remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person.
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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 assistar
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 b�
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 authorit, °E
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 e .
certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the company;and sucl
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 N
affixed this 30th day of September 2020
su OLD REPUBLIC SURETY COMPANY
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_ O SEAL t D= s �
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Assistant secretary President
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STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS
On this 30th day of September 2020 personally came before me, Alan Pavlic
and Karen J. Haffner to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPAN`
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:the
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 see
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.
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•,AV84` Notary Public
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rot My Commission Expires: 09/28/2022
CERTIFICATE (Expiration of notary's commission does not invalidate this instrum
I, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attache(
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 o
Attorney,are now in force.
0923637 °eJ� s eaero
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;q �onocserE. cv 30th September 2020
o; SEAL R Signed and sealed at the City of Brookfield,WI this day,/of IP
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ORSC 22262(3-06) "'"�"��°"° ' ` Assistant Secretary
SECURITY BOND ASSOCIATES, INC.
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WESTERN SURETY CWMPANY
6 P,O.Box 5077 Bond No. 653224 32
fi Sioux Falls,SD 57117 5077 Effective Date: January 5t?�_-2�21 __ u
(605)336-0850
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WeAern Surety C
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State of Florida
Secretary of State
Division of Elections N
500 South Bronough Street, Room 316
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Tallahassee, Florida 32399-0250 ca
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Public Official Bond
Count.•y of MONROE _.
KNOW ALI,PERSONS-BY THESF PRESENTS,That we, Samuel Clifford Stecle
(Official's Nance)
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as Principal,and WEsT1,;RN SURETY CO'UP_ANY_-
as Surety, are bound unto the Governor of the State of Florida, and his ,,uecessors in office, in the sum of
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L 5 0,0-0.4.0 0 __ Dollars,we hereby}rind ourselves and each of our heirs,executors,
administrators,successors and assigns,jointly and severally-
THE CONDITION OF `!'HIS OBF,ICIATION IS SUCH, That, whereas, said of'ficiai was
elected ® appointed ❑ Tax Co lle for to hold this office for
(Name of Office) 15
a term beginning Ianua r.y.-5 th, Z 0...21 and ending _ JanuaL,�, 5 th, 2025 and until hisfher
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.
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(Signature of Offtriad}
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Signed and Scaled this 16th December 2.020
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1_. 01. S. Rol-cl St. , Ste. 300
Sioux Falls, SD 57103.-7046 _—
WE L SURETY COMPANY — -
(Address of hfain Sean etv Company) �
B The Porter—Allen Co. , Inc.
- (Name of Local Bonding
0)onycaiay)
azttxr�r�,. 513 Southard Street, Key West,
� ���- �;x.•,,....,,a `���� ddress of fncad I3ancling Company) N
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[Signature of I,icense Resident A#cot
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(Social Security Number of Licensed ItrNident, gent
By Elizabeth Mc Lcndon Freeman
° hinted Agent a Surety (Type Name of Licensed Resident AgunQ
s The above is approved this day of
s by: County Commir8ioners
n Chairman: -...
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Form 1345-12-2012
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Western Surety
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, N
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
.2
Elizabeth Mc Lendon Freeman of K�West
State of_.-.Florida _- with limited authority, its true and lawful Attorney-in-Fact,will 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: CL
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One Tax__Cc11ect.nr
bond with bond number 65322432
for Samuel Clifford S'eele
as Principal in the penalty amount not to exceed: $ 50,--.O00.00 __.
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 W
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—_ 16th day of December
.2
2020 _. -
ATTEST WE T RN SU ETY COMPANY
. By
A.Vietor,Assistant Secretary Paul T.Bruflat,Vice President
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STATE OF SOUTH DAKOTA
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COUNTY OF MINNEHAHA }
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On this -_ lath day of December _. before me,a Notary Public, persommy appeared
Paul T. Brufla'tr and _- .-- A. Viet-or
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as V .re President
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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TARY PUBLIC ^ x
sSEAL S0UTH DAKOTA 5t_— s - Notary Public
Co-mmissi-n Expires June 23, 2021
To validate bond authenticity,go to www.cilasurety..com a Owner/Obligee Services>Validate Bond Coverage.
Form 672-1-2016
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ACKNOWLEDGMENT OF SURETY
STATE OF Fl�rcala_.. _...... .� ss (Attorney-in-Fact) Bond No. 65322432 __.
COUNTY OF Monroe JJ
On this 16th _.__.day of December 2020 Before me, a notary public
and for said County,personally appeared ._?1, ?abeth Mc Lendo_.r___I reemari __.
to me personally known and being by me duly sworn, did say, that he/she is the Attorney-in-Fact of WESTERN SURETY Uj
COMPANY, a corporation of Sioux Falls, South Dakota, created, organized and existing under and by virtue of the law, of the
State of South Dakota, that the said instrument was executed on behalf of the said corporation by authority of its Board of
Directors and that the said_ Elizabeth Mc Len.dori...Freeman _
acknowledges said instrument to be the free act and deed of said corporation and that he/she has authority to sign said .=
instrument without affixing the corporate seal of said corporation. E
IN WITNESS WHEREOF, I have hereunto subscribed my na nd affixed my official seal at ___.. ... _....___ U)
Key West _Flo a e day and year ast above written.
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my commission expir s /g
IN— Notary Public ,2
Form 106-9-2013 1MMWISOM
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EXECUTIVE SUMMARY
November 2020
TYPE: Employee Dishonesty
DATES: October 1,2020 to October 1,2023
INSURER: Hanover Insurance
AGENT: Arthur J.Gallagher
POLICY NUMBER: BDJ-H334206 ca
PREMIUM: $20,571 (Three Year)
$6,5766(Annual) 2
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INSURED
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Monroe County Board of County Commissioners o
Cla*of the Circuit Court&Comptroller—Monroe County _
Monroe County Tax Collector
Monroe County Property Appraiser
COVERAGE
fhdhm Des
Losses resulting from the dishonest acts of employees. Coverage is provided on a"Blanket"
basis.
Foreery or Alterations
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Losses resulting from Forgery or alterations of any written document,
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DAR
Loss of money or securiteis resulting from a theft.
In Transit
Loss of money or securities casued by theft,disappearance,damage or destruction while in
transit outside the premises of the Insureds.
MongY Orders and Coggftrfeit Money
Losses resulting from the acceptance of counterfeit money or money orders.
These Are Comments Only-See Policy For Complete Description of Coverage
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Comnater Crime
Losses resulting from computer fraud relating to money,securities and other property.
Funds Transfer Fraud
Losses of Money or Securities contained in the Insureds' Transfer Account directly caused by
Funds Transfer Fraud.
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Claim Eraense
.2
The reasonable expenses incurred by the County to establish the existence,amount and
preparation of a proof of loss supporting a covered claim.
LEWTS
0
Employee Dishonesty $1,000,000
Theft $1,000,000
Forgery or Alterations $1,000,000
In Transit $1,000,000
Money Orders and Counterfeit Money $50,000
Compter Fraud $1,000,000
Funds Transfer Fraud $1,000,000 ,
Claim Expense $100,000 E
DEDUCTIBLESIRETENTION
Employee Dishonesty $25,000
0
Forgery or Alertations $25,000
Theft $25,000
In Transit $25,000 0
Money Orders and Conterfeit Money $2,500 06
Computer Crime $25,000
Funds Tranfer Fraud $25,000
Claim Expense None
SPECIAL CONDITIONS
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Ma'or 1 rsions:
• Accounting or Arithmetical Errors
Can a Yari nr newaY:
The insurer must furnish forty-five(45)days notice of cancellation or nonrenewal.
These Are Comments Only-See Policy For Complete Description of Coverage
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F LORI DA 4x� � SHERIFFS RISK MANAGEMENT FUND
Established 197$ Protecting Those Who Protect Us
PUBLIC OFFICALS COVERAGE DECLARATIONS
Certificate Number:21-FS F- o
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COVERED EMBER: Monroe County Sheriff's Office
PRINCIPAL ADDRESS: 5525 College Rd 2
Key West,FL 33040
ANNUAL AGREEMENT PERIOD October 1,2020 EXPIRATION DATE: October 1,2021 CL
0
POL REINSURANCE RETROACTIVE DATES: October 1,1992
DEDUCTIBLE: None
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THIS DECLARATIONS PAGE IS ISSUEDTOTHE COVERED MEMBER NAMED ABOVE,TO IDENTIFYTHE ANNUAL AGREEMENT PERIOD AS WELLAS THE LIJ
LIMITS OF COVERAGE AFFORDED.ALLTERMS,LIMITS,DEFINITIONS,REGULATIONS,CONDITIONS,EXCLUSIONS,AND LIMITATIONS OF THE t8
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 AGREEMENT APPLY ONLY TO THE EXTENT THAT 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 0)
THIS SELF INSURANCE COVERAGE AGREEMENT,THE LIMITS OF LIABILITY AFFORDED FOR THE ANNUAL AGREEMENT PERIOD ARE AS FOLLOWS:
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Public Officials Liability $5,000,000 Per Occurrence
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$10,000,000 Annual Aggregate
Subtotal $107,366.11
Multi-Program Discount ($3,220.98)
TOTAL ANNUAL CONTRIBUTION $104,145.13
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Signed:
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FLORIDA,lRISK MANAGEmENT FUND
Established 1978 Protecting Those Who Protect Us
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LAW ENFORCEMENT LIABILITY COVERAGE DECLARATIONS
Certificate Number:21-FSRMF-44
COVERED MEMBER: Monroe County Sheriff's Office
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PRINCIPAL ADDRESS: 5525 College Rd
Key West, FL 33040
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ANNUAL AGREEMENT PERIOD October 1,2020 EXPIRATION DATE: October 1,2021 0
LEL REINSURANCE RETROACTIVE DATES: FIRST MILION: October 1, 1985 CL
4-
SECOND MILLION: October 1, 1988 0
THIRD MILLION: October 1, 1998 —
DEDUCTIBLE:$0.00
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x
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 UNDERTHE APPLICABLE SELF INSURANCE COVERAGE AGREEMENT ATTACHED HERETO.THE LIMITS SET
FORTH UNDER THIS AGREEMENT APPLY ONLY TO THE EXTENT THAT EXCESS LIMITS ARE COLLECTABLE FROM REINSURERS COVERING THIS E
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:
Law Enforcement Liability $5,000,000 Per Occurrence
$10,000,000 Annual Aggregate
UBLIMITS: 0
Contracts/Agreements $1,000,000 Per Person,Per Occurrence,Annual
Aggregate =
Jail Deficiencies Defense Costs/Legal Expenses $100,000 Per Occurrence
Property to Structures p rty Damage g $50,000 Per Occurrence
Claim by Family Member/Household Member $25,000 Per Any One Person
Firearms Training $1,000,000 Per Person,Per Occurrence,Annual
Aggregate
0
0
Subtotal $503,643.90
Multi-Program Discount ) 0
g ( 15,109.32
TOTAL ANNUAL CONTRIBUTION $488,534.58
Signed: r
Packet Pg. 3117
P.6.i
FLORIDA,l , SHERIFFS RISK MANAGEmENT FUND
Established 1978 Protecting Those Who Protect Us
'W
LAW ENFORCEMENT LIABILITY COVERAGE DECLARATIONS
Certificate Number:21-FSRMF-44 N
COVERED MEMBER: Monroe County Sheriff's Office o
PRINCIPAL ADDRESS: 5525 College Rd
Key West, FL 33040
ANNUAL AGREEMENT PERIOD October 1,2020 EXPIRATION DATE: October 1,2021
CL
-
LEL REINSURANCE RETROACTIVE DATES: FIRST MILION: October 1, 1985
SECOND MILLION: October 1, 1988 0
THIRD MILLION: October 1, 1998
DEDUCTIBLE:$0.00
Uj
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 0)
THE COVERAGE OTHERWISE PROVIDED UNDERTHE APPLICABLE SELF INSURANCE COVERAGE AGREEMENT ATTACHED HERETO.THE LIMITS SET
FORTH UNDER THIS AGREEMENT APPLY ONLY TO THE EXTENT THAT EXCESS LIMITS ARE COLLECTABLE FROM REINSURERS COVERING THIS W
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 C
THIS SELF INSURANCE COVERAGE AGREEMENT,THE LIMITS OF LIABILITY AFFORDED FOR THE ANNUAL AGREEMENT PERIOD ARE AS FOLLOWS:
Law Enforcement Liability $5,000,000 Per Occurrence
$10,000,000 Annual Aggregate
UBLIMITS:
Contracts/Agreements $1,000,000 Per Person,Per Occurrence,Annual
Aggregate CL
Jail Deficiencies Defense Costs/Legal Expenses $100,000 Per Occurrence
Property Damage to Structures $50,000 Per Occurrence
Claim by Family Member/Household Member $25,000 Per Any One Person
Firearms Training $1,000,000 Per Person,Per Occurrence,Annual
Aggregate
Subtotal $503,643.90
Multi-Program Discount ( 15,109.32)
TOTAL ANNUAL CONTRIBUTION $488,534.58
Signed: r
Packet Pg. 3118
P.6.i
F LORI DA 4x� � SHERIFFS RISK MANAGEMENT FUND
Established 197$ Protecting Those Who Protect Us
PUBLIC OFFICALS COVERAGE DECLARATIONS
Certificate Number:21-FS F- N
0
COVERED EMBER: Monroe County Sheriff's Office
PRINCIPAL ADDRESS: 5525 College Rd .2
Key West,FL 33040
ANNUAL AGREEMENT PERIOD October 1,2020 EXPIRATION DATE: October 1,2021 2
POL REINSURANCE RETROACTIVE DATES: October 1,1992 0
CL
DEDUCTIBLE: None
0
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.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 LIJ
THE COVERAGE OTHERWISE PROVIDED UNDER THE APPLICABLE SELF INSURANCE COVERAGE AGREEMENT ATTACHED HERETO.THE LIMITS SET t8
FORTH UNDER THIS AGREEMENT APPLY ONLY TO THE EXTENT THAT 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:
w
Public Officials Liability $5,000,000 Per Occurrence
$10,000,000 Annual Aggregate
Subtotal $107,366.11 >
0
Multi-Program Discount ($3,220.98)
TOTAL ANNUAL CONTRIBUTION $104,145.13 0
4-
0
0
CL
Signed: �
0
m
0
Packet Pg. 3119