Item G1
Dee 23 02 05:32p
James L Roberts Co Admin
305-292-4544
p.3
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: December 16. 2004
Division: Meso
Bulk Item: Yes
No xx
Department: Sheriff
AGENDA ITEM WORDING:
Approval of $15,000.00 Bond for Sheriff's Reappointment
ITEM BACKGROUND:
"
N/A
PREVIOUS RELEVANT HOCC ACTION:
Approval upon re-election
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATIONS:
Signatures
TOTAL COST:
BUDGETED: Yes
No
COST TO COUNTY:
SOURCE OF FUNDS:
REVENUE PRODUCING: Yes
No"':" AMOUNT PER MONTH_ Year
APPROVED BY: County Atty _
07:- :k];~l_
(TYPE NAME HERE)
DMSION DIRECTOR APPROVAL:
DOCUMENTATION:
Included ~
To Follow_
Not Required_
DISPOSITION:
AGENDA ITEM #a
Revised 1/03
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NESTERN SURETY COMPANY
P.O, Box 5077
Sioux Falls, SD 57117-5077
(605) 336-0850
~y@
Western Surety Company
Bond No,
Effective Date: _~ January__2....~2005___
25140495
STATE OF FLORIDA
Katherine Harris
Secretary of State, Division of Elections
Room 1802, The Capitol
Tallahassee, Florida 32399-0250
FOR OFFICE USE ONLY
Approved by Secretary of State:
o
..-
BOND
-.
~,
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COUNTY OF
Monro~
t'"' )
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)
'.
KNOW ALL PERSONS BY THESE PRESENTS, That we,
Richard D. Roth
(Official's Name)
as Principal, and
WESTERN SURETY COMPANY
(Name of Surety Company)
as Surety, are bound unto the Governor of the State of Florida, and his successors in office, in the sum of
L_1S, 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, on the,
_Jnd___ day of _______J-1ovembe~_______~__~_, A.D, ~_'L_______,
appointed = elected Sheriff Monroe County Board of County Commissioners _ to hold office from
(Name of Office)
the date of his/her commission, until J armE!_J:'L2 , 2009 and until his/her successor is
(Term Ending Date)
appointed and qualified according to the Constitution and Laws of the State of Florida,
NOW, TIlRB~FORE, If said official shall faithfully perform the duties of his
,"j"""!f~/f:
d~TY
.',.<- . "'>
x
day of __
October
2004
ByX
(Signature of Licensed Resident Agent)
A269599
---_._.__._.~ -~-_.- - -~---
(Identification Number of Licensed Resident Agent)
WES~R St:hUCOMPANY, Surety
I' S, Eich, Ass't. Sec.
By ____ _ ____ __ _ -..---- ----..---------.--------.
(Attorney-in-Fact)
101 S, Phillips, Sioux Falls, SD 57104-6703
~- --- -----~-(A(fdress of Surety Comp'any)~ -" --------~
Nanc y__~_._Jtlrll~.!::_______
(Type Name of Licensed Resident Agent)
__________H_UNT INS, GRQU1',_ INC..______.
(Name of Bonding Agency or COmpany)
p, O. BOX 12909
T ALLA.HbS.s...E;E I__ElL_ 3...2311-=..2_9..0 9 ________
(Address of Bonding Agency or Company)-
The above bond is approved this
_u__ day of
County Commissioners' Signatures:
(Chairman. Board of County Commission-ers)~---
bond,doc (06/23/95)
Form 1345-6-99
~
.. ~
STATE OF SOUTH DAKOTA
County of Minnehaha
}~
ACKNOWLEDGMENT OF SURETY
(Corporate Officer)
On this
4th
day of
October
2004
, before me, a Notary Public in
and for said County, personally appeared
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 the!'!lof t.o be the voluntary act and deed of said corporation,
S. Eich, Ass't. Sec.
IN WI'l'NESS WHEP.EOF, I have hereunto subscribed my name and affixed my official seal the day and year last above
written.
My commisgion expires M BENT
My C?mmissicn Expires 3-~ ,701.8
/};,A...;t-
Form 103-12-98
Notary Public
~ ~"'~ ~~@
HIG / HRH
--.----.-----..---
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
~~~~gh._~_~~____~_________m__~___ _ of ~Lo_ux_X~lls___ _____________________,
State of~.':l~Da!()_~__________, its regularly elected As..sistant Secrat.ar4'-._____________,
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, all of the following classes of documents to-wit:
Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action or proceeding in any court of law or
equity, policital\Jn~ nifying employers against loss or damage caused by the misconduct of their employees; official, bail, and surety and
fidelity, ' in all cases where indemnity may be lawfully given; and with full power and authority to execute consents and
wai - .. or extend any bond or document executed for this Company, and to compromise and settle any and all claims or
de inst said Company,
further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety
in force, to-wit:
-
.~~olicies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
"'~
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
___ Selli.QX_. Vice P}::esiden_t_ _ with the corporate seal affixed this H:h_____._ day of __Q_<;::J:oJLe:Lu_~__
2004
ATTEST
_ n_a_.JJ_~________.._
Assistant Secretary
By:ES~_;rT
Paul T, Bruflat, nior Vice President
STATE OF SOUTH DAKOTA )
J ss
COUNTY OF MINNEHAHA
On this 4tD_ day of October 200L, before me, a Notary Public, personally appeared
Paul T, Bruflat and A Vii:!~or
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as S~l1ior Vice Presicl.i:!nt
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be
the voluntary act and deed of said Corporation,
+~~~~~~~~~~~~~~~~~~~~~~~~+
$ D. KRELL $
I I
$~NOTARY PUBLIC~:
I SOUTH DAKOTA I
I I
+~~~~~~~~~~~~~~~~~~~~~~~+
My Commission Expires November 30,2006
tW--~
Notary Public
Form 672-4-2002