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P�l, Vl ST. rAUL FIRE AND MARINE INSURANCE COMPANY
SAINT PAUL, MINNESOTA
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Inanr,ne.......,......,,,Q A CAPITAL STOCK COMPANY
,--•--T["'?7 Name Form Bond No.._404._.GI_J.D43
"' FIDELITY SCHEDULE BOND
JAN 61984
With Automatic Coverage and Coverage of Losses Caused By Unidentified Employees
GREELEY. GOL9r
9 DECLARATIONS
` —Item 1. Insured: (Designation of more than one party shall not increase the Surety's liability beyond the amount
for which it would be liable had only one been designated and the one first designated shall be
deemed the authorized agent of the others).
WELD COUNTY
Item 2. Address:
915 10th Street
Greeley, Weld, Colorado 80631
Item 3. The Insured by the acceptance of this bond gives notice to the Surety terminating or canceling prior
bonds(s) No(s) 400 FV 7613
such termination or cancelation to be effective as of the time this bond becomes effective.
SCHEDULE
Coverage of the employees named in this schedule commences on the 1st day of January 19 84
NAME POSITION LOCATION Amount of Coverage
Norman Carlson County commissioner Greeley, Co $25,000.00
Chuck Carlson County Commissioner Greeley, Co $25,000.00
John Martin County Commissioner Greeley, Co $25,000.00
William Everett Starks Deputy Dist.Attorney Greeley, Co $ 5,000.00
David J. Plasters Deputy Dist.Attorney Greeley, Co $ 5,000.00
Judy Kron Chairperson(Housing Authority) Greeley, Co $25,000.00
Dennis Kahan Vice-Chairman(Housing Authority)Greeley, Co $25,000.00
James N. Sheehan Executive Director II i ; Greeley, Co $25,000.00
Stanley Peek District Attorney Greeley, Co $ 5,000.00
Thomas Qua®en Deputy Dist. Attorney Greeley, Co $ 5,000.00
Lee Schmidt Deputy Dist. Attorney Greeley, Co $ 5,000.00
Kenneth R. Storck Deputy Dist. Attorney Greeley, Co $ 5,000.00
Carolyn Ann Olson Deputy Dist. Attorney Greeley, Co 5,000.00
Thomas G. Hanselmann Deputy Dist. Attorney Greeley, Co 5,000.00
Linda Kaufman Deputy Dist. Attorney Greeley, Co 5,000.00
William G. Pharo Chief Trial Dist.Attorney Greeley, Co 5,000.00
Harold Lit drams County Sheriff Greeley, Co 20,000.00
Paul CCuntt �oroae GreeIe C� 9
ary Ann Feuerstein CYerky& Becorier Greeie;: Co 25;8 8 8:88
Jacqueline R. Johnson County Cmmmiscinnnr Grenlay, Ca 75:nno!nn
See attached sheet
Signed, sealed and dated. December 22a 1983
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
Countersigned: Br
���" �i ` I Authorized Rep esenteti Tlanata Nay Att -in Fact
11567 Rev. 12-70 Printed In U.B.A. (Over) Ats 4%, 238
PEOcx... o
Acts Covered The ST. PAUL FIRE AND MARINE INSURANCE COMPANY, Surety, in consideration
of the premium(s) hereby agrees to indemnify the Insured named in the Declarations hereof for
any loss of money or other property, owned by the Insured or for which the Insured is legally
liable or held by the Insured in any capacity whether or not the Insured is liable for the loss
thereof,caused by the fraudulent or dishonest acts of any of the Insured's employees while covered
hereunder (excluding however, any loss, or that part of any loss, the proof of which either as to
Time For Die- its factual existence or as to its amount, is dependent upon an inventory computation or a profit
covery of Loss- and loss computation),provided such loss is discovered not later than twenty-four(24)months after
Notice-Claim the termination of this bond in its entirety and reported to the Surety within fifteen (15) days
after discovery. Proof of Loss shall be submitted to the Surety within a reasonable time. •
Employees The employees covered, and the effective date and amount of coverage, are as stated in the
Covered— schedule hereof,or in any schedule or endorsement hereafter agreed upon. Coverage continues un-
Duration—Amount til terminated as herein stipulated,but the amount thereof shall not be cumulative from year to year.
Coverage for The Surety's maximum liability for all defaults of any employee covered for separate periods
Separate Periods for different amounts shall be the largest amount of coverage in force during any period in which
such defaults occur and coverage for one period shall not be available for defaults occurring in
any other period.
Automatic This bond automatically covers for the first ninety (90) days of service, any employee
Coverage (a) upon taking.a -position vacated within the preceding thirty (30) days by an employed then
covered, for the same amount as that employee, or (b) in a newly created position'within the
United States or Canada in.the largest amount for which any etttployee occupying an identical
position is then covered or,•if there is no other identical position, for$5,000.00. Recovery tinder
this section may not be made unless loss is reported to the Surety not later than fifteen (15)days
after the expiration of the ninety (90) day period, nor if, during the ninety (90) day period the
employee is covered hereunder by schedule or endorsement. •
Loss Caused by If evidence reasonably shows a loss was caused by one or more of a group of employees,
Unidentified identified by their names,while all of them were covered hereunder,and the Insured cannot desig-
Employees nate the specific employee(s) who caused the loss, the Surety shall nevertheless pay the loss to an
amount equal to the largest amount of coverage on any one such employee,not exceeding$5,000.00.
Salvage If any loss exceeds the amount of coverage, the Insured shall be entitled to all recovery on
account of such loss until fully reimbursed.
Termination Coverage terminates on any employee (a) by omission of the employee's name from any
schedule hereafter agreed upon,or by appropriate endorsement,or(b)when the Insured discovers
any fraudulent or dishonest act committed by that employee. This bond in its entirety, or cover-
age on any employee,may be terminated by written notice from the Insured or the Surety to the
other, notice to the Insured to be effective on the 30th day after its receipt. Any unearned
premium, computedpro rata, shall be refunded upon request.
Continuity This bond,subject to its terms,shall also cover any loss not recoverable under any terminated
fidelity suretyship carried by the Insured immediately prior to the inception date of the schedule
hereof or any endorsement hereafter agreed upon solely because the time specified for discovery
of loss has expired, and provided such loss would have been covered under this bond had this
bond been in effect when such loss occurred, but the Surety's liability for any such loss shall not
exceed the amount that would have been recoverable under such fidelity suretyship if it had con-
tinued in force or the amount of coverage specified in the said schedule or any endorsement here-
after agreed upon for such employee if the latter amount be the smaller. The indemnity afforded
by this paragraph shall be a part of and not in addition to the amount of coverage applicable to
such loss or losses under this bond.
When the period allowed for the discovery of loss(es) under another bond or bonds issued
by the Surety to the Insured has not expired at the time of the substitution of the coverage of this
bond for the coverage under such other bond(s), the Surety's liability under this bond and under
such other bond(s) shall not be cumulative.
In witness wi}Ereof, the Surety has caused this bond toe executed on the Declarations
page.
Ashur
Pnwn.,s,handily ENDORSEMENT OR RIDER NO. 1
The following spaces pre, Jed bran averist le)need not he completed if this endorsement or rider and the Bond or Policy hare the same Inception date.
— ATTACHED 10 AND FORMING PARTDATE ENDORSEMENT OR RIDER •EFFECTIVE DATE OF ENDORSEMENT OR RIDER
OF BOND OR POLICY NO. EXECUTED
12:01 A.M.STANDARD TIME AS
400 GJ 7043 12/22/83 SPECIFIED IN THE BOND OR POLICY
•IssUED TO --------.....
•
•
•
In consideration of the premium charged for the attached bond, it is
agreed that the Surety shall not be liable for loss caused by any
employee while covered by said bond unless the amount of such loss
shall exceed the sum of TWO HUNDRED FIFTY DOLLARS
($ 250.00 ) DOLLARS and unless such loss, after deducting all
recoveries made on amount thereof prior to payment of such loss by the
Surety, shall be in excess of said NO HUNDRED FIFTY DOLLARS
($ 250.00 ) DOLLARS and then for such excess only, not exceed-
ing the amount of_coverage applicable to such employee.
•
•
Deductiber Rider
❑ (If this box is x'd, the signature requested below is required.)
ACCEI'l LD BY INSURED By Title:
Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or
linntations of the abuse mentioned Bond or Policy,other than as above stated.
The
eI PlY IRS.
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
T Le is to he V unl) it this cnJuncu,c o' or ride: o an accepted
harm and.
I 1 is issued suhsquent to issuance of the Bond or Pon,y. or
(2)the Address of the Insured I Ott ccc is in Kansas and
lilt_
whether Iliq u dnneln n or ndsr I au rind to the Bond or _T �
P lil-the lour of Bowl: Ul. yu. nI titer B�,. _ti.1-2-aJ
By Ora May Attornes-m-Iac ---
I l0o2 Pcv. 4 lC ✓a:ec.,ii. ,, p a..
INSURED
w s. Page - 2
ST. ?AUL FIRE AND MARINE INSURANCE COMPANY
SAINT PAUL, MINNESOTA
A CAPITAL STOCK COMPANY
Name Form 400 GJ 7043
Bond No
FIDELITY SCHEDULE BOND
With Automatic Coverage and Coverage of Losses Caused By Unidentified Employees
DECLARATIONS
Item 1. Insured: (Designation of more than one party shall not increase the Surety's liability beyond the amount
for which it would be liable had only one been designated and the one first designated shall be
deemed the authorized agent of the others).
WELD COUNTY
Item 2. Address:
Item 3. The Insured by the acceptance of this bond gives notice to the Surety terminating or canceling prior
bonds(s) No(s) 400 FV 7613
such termination or cancelation to be effective as of the time this bond becomes effective.
SCHEDULE
Coverage of the employees named in this schedule commences on the is t day of January 1984
NAME POSITION LOCATION Amount of Coverage
Gene It. Brantner County Commissioner Greeley, Co $25,000.00
Herbert H. Hansen County Assessor Greeley, Co $ 6,000.00
Linda D. Lauchli Deputy Dist. Attorney Greeley, Co $ 5,000.00
David Goldberg Deputy Dist. Attorney Greeley, Co $ 5,000.00
Signed, sealed and dated. December 22, 1983
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
Countersigned: By;
i .
f Au razed Representative De ora Hay Atto -in Fact
11567 Rev. 12-70 Printed In U.S.A. (Over)
Acts Covered The ST. PAUL FIRE AND MARINE INSURANCE COMPANY, Surety, in consideration
of the premium(s) hereby agrees to indemnify the Insured named in the Declarations hereof for
any loss of money or other property, owned by the Insured or for which the Insured is legally
liable or held by the Insured in any capacity whether or not the Insured is liable for the loss
thereof,caused by the fraudulent or dishonest acts of any of the Insured's employees while covered
hereunder (excluding however, any loss, or that part of any loss, the proof of which either as to
Time For Dia- its factual existence or as to its amount, is dependent upon an inventory computation or a profit
covery of Loss- and loss computation),provided such loss is discovered not later than twenty-four(24)months after
Notice-Claim the termination of this bond in its entirety and reported to the Surety within fifteen (15) days
after discovery. Proof of Loss shall be submitted to the Surety within a reasonable time.
Employees The employees covered, and the effective date and amount of coverage, are as stated in the
Covered— schedule hereof,or in any schedule or endorsement hereafter agreed upon. Coverage continues un-
Duration—Amount til terminated as herein stipulated,but the amount thereof shall not be cumulative from year to year.
Coverage for The Surety's maximum liability for all default's of any employee covered for separate periods
Separate Periods for different amounts shall be the largest amount of coverage in force during any period in which
such defaults occur and coverage for one period shall not be available for defaults occurring in
any other period.
Automatic This bond automatically covers for the first ninety (90) days of service, any employee
Coverage (a) upon taking a position vacated within the preceding thirty (30) days by an employee then
covered, for the same amount as that employee, or (b) in a newly created position within the
United States or Canada in the largest amount for which any employee occupying an identical
position is then covered or, if there is no other identical position,for$5,000.00. Recovery under
this section may not be made unless loss is reported to the Surety not later than fifteen (15) days
after the expiration of the ninety (90) day period, nor if, during the ninety (90) day period the
employee is covered hereunder by schedule or endorsement.
Loss Caused by If evidence reasonably shows a loss was caused by one or more of a group of employees,
Unidentified identified by their names,while all of them were covered hereunder,and the Insured cannot desig-
Employees nate the specific employee(s) who caused the loss, the Surety shall nevertheless pay the loss to an
amount equal to the largest amount of coverage on any one such employee,not exceeding$5,000.00.
Salvage If any loss exceeds the amount of coverage, the Insured shall be entitled to all recovery on
account of such loss until fully reimbursed.
Termination Coverage terminates on any employee (a) by omission of the employee's name from any
schedule hereafter agreed upon,or by appropriate endorsement,or (b) when the Insured discovers
any fraudulent or dishonest act committed by that employee. This bond in its entirety,or cover-
age on any employee,may be terminated by written notice from the Insured or the Surety to the
other, notice to the Insured to be effective on the 30th day after its receipt. Any unearned
premium, computedpro rata, shall be refunded upon request.
Continuity This bond,subject to its terms,shall also cover any loss not recoverable under any terminated
fidelity suretyship carried by the Insured immediately prior to the inception date of the schedule
hereof or any endorsement hereafter agreed upon solely because the time specified for discovery
of loss has expired, and provided such loss would have been covered under this bond had this
bond been in effect when such loss occurred, but the Surety's liability for any such loss shall not
exceed the amount that would have been recoverable under such fidelity suretyship if it had con-
tinued in force or the amount of coverage specified in the said schedule or any endorsement here-
after agreed upon for such employee if the latter amount be the smaller. The indemnity afforded
by this paragraph shall be a part of and not in addition to the amount of coverage applicable to
such loss or losses under this bond.
When the period allowed for the discovery of loss(es) under another bond or bonds issued
by the Surety to the Insured has not expired at the time of the substitution of the coverage of this
bond for the coverage under such other bond(s), the Surety's liability under this bond and under
such other bond(s) shall not be cumulative.
In witness waereof, the Surety has caused this bond to be executed on the Declarations
- . page. _
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