HomeMy WebLinkAbout20062714 fitUn SISK MD WEIR
1of® COPY
Western Surety Company
CHANGE NOTICE
WESTERN SURETY COMPANY is hereby requested to make the following additions to anchor 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 tho 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
ADDrt7dN NO. NAME POSITION LOCATION AMOUNT PREMIUM
08-07-0671. Edward Bull Deputy District 5,000.00 $ 10.00AP
Attorney
08-07-06 70. Nigel Lush Deputy District 5,000.00 10.00AP
Attorney
DEDUCTIONS
DEDUCTION NO. NAME POSITION LOCATION AMOUNT CHARGE
08-07-06 43. William T. Mc Adams Deputy District 5,000.00 $ NRP
Attorney
08-07-06 69. Brandy Elliss Deputy District 5,000.00 NRP
Attorney
08-07-06 70. Susie Velasquez Deputy District 5,000.00 NRP
Attorney
Dated as 7th day of August 2006 .
S"SiCATET.Y�� / County o W Td '�; ,'
$.IC: W. 'F'i xr By } . Vt fr jlljllU`_
=eat ira / i OYERS Onm URE)
W.SC AVIn
N cfltja,s stbesignedby WESTEOSURE COMPANY
the M �o-partnership, by
a me Itll rm.if a corporation, By by a duly authorized officer. PAUL T.BRUPLAT, PRESIDENT
Poas x16-11-2002
CFI
•
�.�1td_enZ ozet
/a7/≥9 2006-2714
Hello