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Home My WebLink About20073558.tiff -'or ® Western Surety Company CHANGE NOTICE WESTERN SURETY COMPANY is hereby requested to make the following additions to and-or deductions from the Schedule of Employees attached to Bond No. 158425466 issued to County of Weld __. ___ Address Greeley, co subject to all the terms, limitations and conditions therein set forth. This acceptance notice is issued with the distinct understanding that the liability of WESTERN SURETY COMPANY shall under no circumstances be cumulative, and shall not exceed the amount of bond in effect as to any employee or employees when the dishonest act of the employees shall have been committed, and shall in no event exceed the maximum amount at any time specified as to such employee or employees. ADDITIONS DATE OF ITEM PREMIUM ADDITION NO. NAME POSITION LOCATION AMOUNT CHARGE 03-19-07 81. Manuel Pellicer Deputy District $ 5, 000.00 $ NAP Attorney 03-19-07 82. Anita Jain Deputy District 5, 000.00 NAP Attorney 03-19-07 83 . Katie Conner Deputy District 5, 000.00 NAP Attorney 03-19-07 84 . Benjamin Whitney DAucyners)ristrict 5, 000.00 NAP DEDUCTIONS DATE OF ITEM PREMIUMNAME POSITION LOCATION AMOUNT DEDUCTION NO. CHARGE 03-19-07 52. Jennifer Clegern Deputy District $ 5, 000.00 $ NRP Attorney 03-19-07 54. Matt Maillaro Deputy District 5, 000.00 NRP Attorney 03-19-07 63. Amy Broughton Deputy District 5, 000.00 NRP Attorney 03-19-07 71. Edward Bull Deputy_ District 5, 000.00 — NRP Dated this ._...19th.. day of__. . March , 2007 - '-� e" -; County of Weld r vY (EMPLOYER) By 'MPLOYER'S SIGNATURE) 1' a EE- 1...A9 . ." NCITL _.This for a must be signed by WESTE S T E ' N SURE COMPANY the tinembgtyet' 'arm;i arcorporat nby ��!≤ a membllzr'sfthe firm;if a corporation, By by a duly authorized officer. PAUL T.BRUFLAT,SENIOR E PRESIDENT Form 216-11-2002 e:en 1�/JZ-' a /JZG � 2007-3558 �D ® Western Surety Company CHANGE NOTICE WESTERN SURETY COMPANY is hereby requested to make the following additions to and-or deductions from the Schedule of Employees attached to Bond No. _ 158425466 , issued to county-_of Weld _- __-. -_. Address Greeley, CO subject to all the terms, limitations and conditions therein set forth. This acceptance notice is issued with the distinct understanding that the liability of WESTERN SURETY COMPANY shall under no circumstances be cumulative, and shall not exceed the amount of bond in effect as to any employee or employees when the dishonest act of the employees shall have been committed, and shall in no event exceed the maximum amount at any time specified as to such employee or employees. ADDITIONS DATE OF ITEM PREMIUM NAME POSITION LOCATION AMOUNT ADDITION NO. CHARGE 04-24-07 85. Hollie Wilkinson Deputy District S 5, 000.00 $ 20.OOAP Attorney DEDUCTIONS DATE OF ITEM PREMIUM NAME POSITION LOCATION AMOUNT DEDUCTION N0. CHARGE 04-24-07 20. Susan Knox Deputy District $ 5, 000.00 $ NR Attorney Dated this.,. . 24th day of April 2007 ''''�� .'- _-_ County of Weld _._. . (EMPLOYER) By MPLOYER'S SIGNATURE) NOTE't This forgCmnst be signed by WESTE S T E N SURE COMPANY the Ee m ditf-t t irm;if Co-partnership, by n, ��t � � a memberro$thb`Firm;if a corporation, by a duly authorized officer. By ------ - - PAUL T.BRUFLAT.SENIOR V E PRESIDENT Fn,,726-11- 002 n w ® Western Surety Company CHANGE NOTICE WESTERN SURETY COMPANY is hereby requested to make the following additions to and-or deductions from the Schedule of Employees attached to Bond No. 158425466 , issued to county_of_Weld__. — __ Address Greeley, CO_ subject to all the terms, limitations and conditions therein set forth. This acceptance notice is issued with the distinct understanding that the liability of WESTERN SURETY COMPANY shall under no circumstances be cumulative, and shall not exceed the amount of bond in effect as to any employee or employees when the dishonest act of the employees shall have been committed, and shall in no event exceed the maximum amount at any time specified as to such employee or employees. ADDITIONS DATE OF ITEM PREMIUM NAME POSITION LOCATION AMOUNT ADDITION NO. CHARGE 06-29-07 86. Kent J. Leier Deputy District $ 5,000.00 $ 10.OOAP Attorney 06-29-07 87. Milena Rodionov Deputy District 5, 000.00 10.OOAP Attorney DEDUCTIONS DATE OF ITEM PREMIUM NAME POSITION LOCATION AMOUNT DEDUCTION NO. CHARGE $ $ 06-29-07 77. Matthew C. Cassell Deputy District 5, 000.00 NT Attorney 06-29-07 74. Priscilla J. Loew Deputy District 5, 000.00 NF Attorney Dated this,_.. 29th_._ .day of June 2007 . t i ice .^ County of Weld -. _"A'r'` , a ,ate (EMPLOYER) ,7,f aril, . s By �-',, a+, MPLOYER'S SIGNATURE) N&Ttn:This fn "st be signed by WEST N SURE COMPANY ta he emb efthaFrtfirm;if arcorporati by n, 7.--- by membdYn �thd'Firm;if a corporation, By _ 6 a duly authorized officer. PAUL T.BRUFLAT,SENIOR E PRESIDENT ��'Ifty 21 -11-200 ////01 Hello