Item M9
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date:
12/15/04 - MAR
Division: Commissioner McCoy
Bulk Item: Yes X-No
Department: BOCC-3
AGENDA ITEM WORDING:
Approval of Elected Official Bond for Commissioner Charles "Sonny" McCoy.
ITEM BACKGROUND:
See attached.
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
STAFF RECOMMENDATION:
TOTAL COST:
N/A
BUDGETED: Yes
No
COST TO COUNTY: N/A
REVENUE PRODUCING: yes _ No..1L AMOUNT PER MONTH_YEAR_
DIVISION DIRECTOR APPROVAL:
s "Sonny" McCoy
APPROVED BY: County Attorney _ OMB/Purchasing
DOCUMENTATION: Included:~ To Follow:
DISPOSITION:
AGENDA ITEM# All q
Revised 2/27/01
..----'
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WESTERN SURETY COMPANY
P,O, Box 5077
Sioux Falls, SD 57117,5077
(605) ~3G-0850
~Wf@
Western Surety Company
Bond No, ~n_6911131 0 t
Effective Date:_ No~ember_)J)--,-_ 2,tLD4
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:
BOND
COUNTY OF ._
Monroe
KNOW ALL PERSONS BY THESE PRESENTS, Th"t Wp _ _
Charles "Sonnv" Me C(;,)~ ____'~,
----(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, III the sum of
$ 2.000.00
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
_ _______ day of
,A,D,
'_J appointed
[J elected Board Member
__, to hold office from
(Name of Office)
November 16. 2005
(Term Ending Date)
appointed and qualified according to the Constitution and Laws of the State of Florida,
the date of his/her commission, until
and until his/her successor is
x
NOW:T,fl~J}}<:F,ORE, If said official shall faithfully perform the duties of his/her office as
'p"
Signed alld sealed this
15th
day of__
November
(SEAL)
WESTUUR~OMP,ANY, Surety
, S. Eich, Ass't. Sec.
By ____ _ ,______ ___ , ___,,_
(Attorney,m,Fact)
101 S. Phillips, Sioux Falls, SO 57104-6703
-.--..-- ~----------
(Address of Surety Company)
By X
h~~_ _
WCL..rs,gnature of Licensed Resident Agent)
4 t1S:9~~_'1___ _______
(/rientdicatlOniill~~;r of Licensed Resident Agent)
0A~ge W<taA.~~Age~t) .----
__~THE PQRIER-ALLEN CO~-, INC.
(Name of Bonding Agency or Company)
513 SOUTHARD STREET
.KE:X _WI:.S T L fL-.~__]J...O 40 - 6835
(Address of Bonding Agency or Company)
The ahove hnnd is approved this
__~ day of
County Commissioners' Signatures:
-----
(Chalrm"n, Hoard of County CommissIOners)
bondrloc (06/2:~m5)
Form 1345,6,99
~
~
STATE OF SOUTH DAKOTA
County of Minnehaha
}ss
ACKNOWLEDGMENT OF SURETY
(Corporate Officer)
On this
15th
day of
November
S. Eich, Ass't. S";~
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 thereof to be the voluntary act and deed of said corporation.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal the day and year las,t above
written,
My commission expires
:.Ul.NOOON
I"V (',r""ml!'\\;ipn VlplrF.Iil 12.7,2'!))A
~) d~,L~ /
Notary Public
Form 103-12,98
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
S. Eich '_ of Sioux Falls ~_____,
State ofSout~ Dakota ,its regularly elected Assistant Secretary
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, poli" 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
wail(~ .'< or extend any bond or document executed for this Company, and to compromise and settle any and all claims or
d~;''':it '~inst said Company,
6: lil... rn' surety'~e!rt further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety
QOrtlpany duly adopted ar:l~1N in force, to-wit:
~'::~: ":;i' \, " "ij\ _,~~,~ '\ _~ /4-:- e!
'::~ "on ",~"A)J b,O' ".:;Policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
cor~~ e.of;'" " >'pany by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other
officer~d,"{' ,,~'Directors may authorize, The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer
may appoinFAffi;ffl~V~-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,
20Q4__
ATTEST
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Sen_ior"yic~ Psesi_d~nt_ _ with the corporate seal affixed this -..l5..t~._u_ day of _ !iovemQ~L,___ __,
.f1~_U_~_____
Assistant Secretary
WEST~SURET
By _u_,~~ 71
Paul T Bruflat,
STATE OF SOUTH DAKOTA 't
f ss
COUNTY OF MINNEHAHA
On this 15tll__ -.- day of _Nov~mbE;'L_____, 2_Qllil___ ,before me, a Notary Public, personally appeared
---- __~auLLB.r:LJf1aL__ ______ and _ ____ __A.Yietor___,______u_
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as __ilenlQr.Yi.<:EL.Er~sideI"1L_
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be
the voluntary act and deed of said Corporation.
+ .... ...... .......,.,...... ........ .............. t
s s
s D. KRELL s
s s
:~NOTARY PUBLIC~:
s SOUTH DAKOTA~.r
I I
+..............................................+
My CommiSSion Expires November 30, 2005
-tW--~
Notary Public
Form 672-4,2002