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HomeMy WebLinkAbout20051275.tiff r^°Ctl1/4 Page 1 of 3 W �1a�7r 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 attorhed 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 net exceed the amount of bond in eiiect as to any employee or employees when the dishonest act of the employees shall have been committed, and shall in no event exceed the nuximum amount at any time specified as to such employee or employees. ADDITIONS DATE OF ITEM PREMIUM ADDITION NO. NAME POSITION LOCATION AMOUNT CHARGE 02-02-05 50. Philip Clark Assistant District s 5,000.00 a NAP Attorney 02-02-05 51. Steve Bastard Chief lkpzity District 5,000.00 NAP Attorney 02-02-05 52. Jennifer Clegem Deprty District 5,000.00 NAP Attorney . 02-02-05 53. C. l3+at Kelly Deputy District 5,000.00 NAP Attorney DEDUCTIONS DATE OF ITEM PREMIUM NAME POSITION LOCATION AMOUNT DEDUCTION NO. CRAWL 02-02-05 10. A. M. tbrdnguez, Jr. District Attorney s • 7.5,O00i 00 a 4.94 W 02-02-05 U. Moms 4x+mm Assistant District. 5,000.00 4.94 EP Attorney 02-02-05 14. Patrice Engel Dep.ity District 5,000.00 4.94 FP Atton2sy 02-02-05 19. Fttert KDepel Ia puty District 5,000.00 4.94 AP Attorney Dated day of February 2005 . 4IrSErYN-we frt Count t f Weld / jia, �ARF9i Sun :maBy . /Y' . /. / .14V 43\ s V 11 N • be signed by WESTE : N ' URET COMPANY the partnership,by a mew • •if a corporation, By �... by a duly authorized officer. PAUL T.BEUFLAT,SENIOR 4=PEESIDENM Fam 218-11.2002 '!!rnetin _ �0s 2005-1275 Page 2 of 3 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 ADDITION 100. NAME POSITION LOCATION AMOUNT CHARGE • 02-02-05 54. Matt Maillaro Deputy District $ 5,000.00 *NAP Attorney 02-02-05 55. Michael Rourke Chief Deputy 5,000.00 NAP District Attorney 02-02-05 56. Jamie Tholeon Deputy District 5,000.00 . Attorney DEDUCTIONS DATE OF ITEM PREMIUM DEDUCTION NO. NAME POSITION LOCATION AMOUNT CHARGE 02-02-05 24. Dale Pugh Deputy District $ 5,000.0O $ 4,94 RP Attorney 02-02-05 26. Kenneth Storck Deputy District 5,000.00 4.95 RP Attorney 02-02-05 27. Chris Vogt Deputy District 5,000.00 4.95 PP Attorney 02-02-05 36. Stephanie Deputy District 5,000.00 4.95 RP Frango1ia Attorney • Dated Znd day of February , 2005 , Cws�, Co of W `aj o% qj�q- W 1�.1 } By TIMM NV. S�p4''* � �� WESTE N URET COMPANY the sign partnership,by -a me •if a corporation, By by a duly authorized officer. PAUL T.ERUFIAT.SENIOR PRI3)ENT • • Fain 21611-2002 Page 3 of 3 OD% \A€stern 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 CE $ $ DEDUCTIONS DATE OF unt PREMIUM DEDUCTION NO. NAME POSITION LOCATION AMOUNT CHARGE 02-D2-05 4D. U,tcbaela Rinker Canners Investigator *25,000.00 *4.95 IP Dated day of February 2005 /6 C-TX Count f Weld ter/antqt A'f``y!WC, § By 3t• I,S�AvrZi * ! ffi N t��gned� WEST* N URET COMPANY the partnership,by a mem if a aaparation By by a duly authorized officer. PAUL T.BEUFIAT,SENIOR PaS4IDBNT tam 21611-]002 Hello