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Employers Mutual Companies
employers Mutual Casualty Company,an Iowa Corporation El Illinois Emcasco Insurance Company,an Illinois Corporation
❑Emcasco Insurance Company,an Iowa Corporation 0 Dakota Fire Insurance Company,a North Dakota Corporation
❑Union Mutual Insurance Company of Providence,a Rhode Island Corporation CI American Liberty Insurance Company,an Alabama Corporation
(Herein called the Surety)
Renewal of:
OFFICIAL BOND NO. S1 2 40 60
PRINCIPAL: (Official's Full Name and Address) Office Elected or Appointed to:
Mary Ann Feuerstein County Clerk/Recorder
2409 8th Street
Greeley, CO 80631
OBLIGEE: (Name of Governmental Body Penal Amount of Bond:
and Address where bond will be filed)
Weld County $5,000.00
915 10th Street
Greeley, CO 80631
SURETY: As checked above; Term of Office:
Administrative Office
EMPLOYERS MUTUAL COMPANIES From: January 3, 1988
717 Mulberry, Des Moines, Iowa 50309 To: January 3, 1989
KNOW ALL MEN BY THESE PRESENTS:
That we, the Principal and Surety, are held and firmly bound unto the Obligee in the stated penal sum,
lawful money of the United States, to be paid to said Obligee, for which payment well and truly to be made,
we bind ourselves,our heirs,executors,administrators,successors or assigns,jointly and severally,by these
presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, That, Whereas, the said Principal has been duly
elected or appointed to the office as aforesaid within the jurisdiction of and for the said Obligee.
NOW, THEREFORE, if the said Principal shall render a true account of his office and of his doings
therein to the proper authority when required thereby or by law,and shall promptly pay over to the person or
persons entitled thereto all money which may come into his hands by virtue of his office, and shall promptly
account for all balances of money remaining in his hands at the termination of his office, and shall exercise
all reasonable diligence and care in the preservation and lawful disposal of all money, books, papers and
securities, or other property appertaining to his said office, and deliver them to his successor or to any per-
son authorized to receive the same, if he shall faithfully and impartially, without fear,favor,fraud or oppres-
sion, discharge all other duties now or hereafter required of his office by law, then this bond to be void,
otherwise in full force.
SIGNED THIS 18th day of December 19 87
Principal
Emp]eyprs Mutual Casgalty Company
)) �' Surety
By:
Janet E. Gross • % Attorney-in-Fact
STATE OF COUNTY,ss:
solemnly swear that I will support
the Constitution of the United States and the Constitution of the State of
and that I will faithfully and impartially to the best of my ability discharge the duties of the office
in
as now or hereafter required by law.
Subscribed and sworn to before me,this, — day of 19_.
Notary Public
871 776
Form 7013 Rev. 9-79 2nd Reprint U <\Cr)
V mployers Mutual Companir"
P. 0. Box 712 Des Moines, Iowa 50303
CERTIFICATE OP AUTHORITY INDIVIDUAL ATTORNEY-IN-FACT
Notice: The warning elsewhere in this Power of Attorney affects the validity thereof. Please review carefully.
KNOW ALL MEN BY THESE PRESENTS, that:
Employers Mutual Casualty Company,an Iowa Corporation Illinois Emcasco Insurance Company,an Illinois Corporation
Emcasco Insurance Company,an Iowa Corporation Dakota Fire Insurance Company,a North Dakota Corporation
Union Mutual Insurance Company of Providence, American Liberty Insurance Company,an Alabama Corporation
a Rhode Island Corporation
hereinafter referred to severally as"Company"and collectively as"Companies", each does, by these presents, make, constitute and appoint:
JANET E. GROSS, INDIVIDUALLY, DES MOINES, IA
its true and lawful attorney-in-fact, with full power and authority conferred to sign, seal, and execute its lawful bonds, undertakings, and other
obligatory instruments of a similar nature as follows:
ANY AND ALL BONDS
and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such
Company,and all of the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed.
The authority hereby granted shall expire April 1, 1990 _ unless sooner revoked.
AUTHORITY FOR POWER OF ATTORNEY
This Power-of-Attorney is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the
Companies at meetings duly called and held on March 9. 1983.
RESOLVED: The Chairman of the Board of Directors, the President, any Vice President, the Treasurer and the Secretary shall have power and
authority to ill appoint attorneys-in-fact and authorize them to execute on behalf of the Company and attach the seal of the Company thereto,
bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, and 121 to remove any such
attorney-in-fact at any time and revoke the power and authority given to him.Attorneys-in-fact shall have power and authority,subject to the terms
and limitations of the power of attorney issued to them, to execute and deliver on behalf of the Company and attach the seal of the Company
thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, and any such
instrument executed by any such attorney-in-fact shall be fully and in all respects binding upon the Company. Certification as to the validity of any
power of attorney authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all respects binding upon this
company.The facsimile or mechanically reproduced signature of such officer, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power-of-attorney of the Company, shall be valid and binding upon the Company with the same force and affect as though
manually affixed.
IN WITNESS WHEREOF, The Companies have caused these presents to be signed for each by their Chairman and Assistant Secretary, and the
Corporate seals to be hereto affixed this 10th day of February , 19 87
WARNING: This power invalid if red diagonal imprint "Employers Mutual C.r panies" is not present in its entirety, and if the signatures of
the officers and notary public do not appear in blue,and if the"EMC"w erm k does ,of appear in the top half center of the page.
Seals
••o iNsuq• soRANC6 '., •' IN'S0�',, .rrn
Robb B. Kelley John M.Van Sloun
tY' OR �T. •.o P°Ram�o � N'Poxa;c��,�,
' ' gay ❑ ac; = Chairman Assistant Secretary
n-
SEAL )'- __ 1863 0 1953
'�c ' 7` e' ° ° 10th February 87 ii"•, a1. - � -, On this day of AD 19 before
,,,,,,r ." ##•�°0Nn "' 3rPa - ':fib"" 1" me a Notary Public in and for Polk County, Iowa, personally appeared Robb B-
/(,ino,5 ' ,, � Kelley and John M.Van Sloun,who being by me duly sworn,did say that they
are, and are known to me to be the Chairman and Assistant Secretary,
•,.•`,s qq,y, ,o°NS Un/1,vC, -� ��.JTUAi ,,, respectively, of each of The Companies above; that the seals affixed to this
�o Srpa� �e• Pi�aqr ; ��, .voxt o instrument are the seals of said corporations;that said instrument was signed
= .: and sealed on behalf of each of The Companies by authority of their respective
n - -
� SEAL ;? _ 6c SEAL _; SEAL ,:(17:i Boards of Directors; and that the said Robb B. Kelley and John M. Van Sloun
` :o'•,, <: : 't,",, `Q acknowledge the execution of said instrument to be the voluntary act and deed
lowC, '.,man, onw�ry '•I0iNEs:��. of each of The Companies.
'.,,,, ' ,'"'a,,,,,,•` August 19, 1988
•,,, ' ^'• My Commission Expires yq
KATHY E.KINGERY
SY
% MY COMMISSION EXPIRES --CC((ii
llAaa...444... August 19,1988
Notary Publ
CERTIFICATE
I, Richard E. Haskins of the Employers Mutual Casualty Company,do hereby certify that the foregoing resolution of the Boards of Directors by
each of The Companies,and this Power of Attorney issued pursuant thereto on — Fahruary in 1Q87
on behalf of Janet E. Gross
are true and correct and are still in full force and effect. 18th
In Testimony Whereof I have subscribed my na,�* and affixed the facsimile seal of each Company this day of
December _, 19 t3�
Vice-President
FORM 7832 Third Reprint
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