HomeMy WebLinkAbout920109.tiff RESOLUTION
RE: APPROVE SURETY BOND FOR SELF-INSURING EMPLOYERS WITH STATE DIVISION OF
WORKERS' COMPENSATION AND AUTHORIZE CHAIRMAN TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado,
pursuant to Colorado statute and the Weld County Home Rule Charter, is vested
with the authority of administering the affairs of Weld County, Colorado, and
WHEREAS, pursuant to Colorado statute, self-insuring employers are required
to post a surety bond with the State Division of Workers' Compensation, and
WHEREAS, the Director of Finance has obtained a surety bond for self-
insuring employers from The Aetna Casualty and Surety Company, Bond No. 19 S
100729968 BCA, and
WHEREAS, the Board deems it advisable to approve said surety bond.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the surety bond for self-insuring employers from The Aetna
Casualty and Surety Company, Bond No. 19 S 100729968 BCA, be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said bond.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 5th day of February, A.D. , 1992.
BOARD OF COUNTY COMMISSIONERS
ATTEST: 4/744114
WELD COUNTY, COLORADO
Weld County Clerk to the Board
Geor a Kennedy Chairman
BY: 44,4Q-Al 4iC'srG �? Gre'-[ /J fig!]�' d"
4-4.44-
Deputy Clerk to the Boar.- onstance L. Harbert, Pro-Tem
APPROVED AS TO FORM: ! ---y�
/ C. W. Ki
4 `'Count`y Attorney Gord ac
l�S�
W. H. Webster
920109
/too/ — cc ; � J /071,-
,
Bond No. 19 S 100729968 B�CgA�,
EXECUTIVE DIRECTOR l� fi
DEPARTMENT OF LABOR AND EMPLOYMENT U
DIVISION OF WORKERS' COMPENSATION 6,2j ltl
1120 LINCOLN STREET RM. 1403 5ril-To
DENVER, COLORADO 80203 \' ,2,f2t- o l Lifea Z
SURETY BOND FOR SELF-INSURING EMPLOYERS
KNOW ALL MEN BY THESE PRESENTS: That
WELD COUNTY, COLORADO
of P.O. Box 578, Greeley, CO 80632
as Principal, and THE AETNA CASUALTY AND SURETY COMPANY
of 151 Farmington Avenue, Hartford, CT 06156
as Surety, are held and firmly bound unto the Executive Director,
Department of Labor and Employment, as Obligee, for the use and
benefit of claimants entitled to benefits under the Colorado
Workers' Compensation Act in respect to the employees of said
Principal, in the penal sum of Three Hundred Thousand and No/ 100
Dollars ($ 300,000.00 ) , for the payment of which, the
Principal and the Surety bind themselves respectively, and their
respective heirs, administrators, executors, successors and
assigns, jointly and severally, by these presents.
WHEREAS, In accordance with the provisions of said Workers '
Compensation Act of Colorado, the Principal has elected and been
permitted by the Executive Director to operate as a self-insurance
carrier; and,
WHEREAS, In consideration thereof, and in consideration of the
acceptance of this bond, the Principal hereby agrees as follows:
To pay compensation according to the terms and provisions of
said Act to its employees, or to their dependents when death
ensues, and to furnish medical aid pursuant to C.R.S. section
8-42-101, as amended, and to pay funeral expenses, as provided by
said Act, and to pay, perform and discharge any lawful award
entered in regard to such injured or killed employees, or
dependents of deceased employees, and to cover all administrative
and other costs incidental to the payment of said compensation
benefits under the Colorado Workers' Compensation Act.
And it is further agreed by said Principal and Surety that any
lawful award entered against said Principal, shall likewise be
accepted as an award against said Surety, and notice to said
Principal shall be deemed notice to the Surety.
And it is further agreed by said Principal that said
Self-Insurance Permit is accepted subject to authority of the
Executive Director to prescribe the rules and regulations, upon
which said Permit shall be granted or continued, and subject to the
full right and authority of the Executive Director to at any and
all times during the life of said Permit prescribe new and
additional rules and regulations.
920109
And it is further agreed, that the proceeds of this bond can
be used for no other purpose than to pay workmen's compensation in
behalf of claimants subject to Title 8 Articles 40 to 47 of the
Colorado Revised Statutes and cannot be used for compensating
employees of the employer not subject to the Colorado Workers '
Compensation Act.
And it is further agreed that the Surety does undertake and
agree that the obligation of this bond shall cover and extend to
all past, present, existing and potential liability of said
Principal as a self-insurer to the extent of the penal sum herein
named, without regard to specific injuries, date or dates of
injuries, happenings or events which have or shall be granted by
any award or awards entered or made under the Workers' Compensation
Act of Colorado.
And it is further agreed that the Surety will become liable
for workers compensation obligations of the Principal on the date
that workmen's compensation benefits are suspended and the Surety
will begin payment within thirty (30) days after receipt of written
notification by the Executive Director to begin payments under the
terms of this bond.
And it is particularly understood and agreed that the
liability of said Principal for any such award or compensation is
not limited to or by the amount of this bond, nor diminished,
curtailed nor lessened by anything herein contained, and it is
further understood and agreed that the said Surety shall be liable
to the full penal sum herein mentioned for the default of the
Principal in fully discharging any liability on the part of the
Principal accruing hereunder. The liability herein imposed shall
be and Suety,
and,oint and several and etween aid Pricipa each and them. The word "Surety"nwh nl heeinrused
includes plural as well as singular.
NOW, THEREFORE, If said Principal and Surety shall perform or
cause to be performed, each and every agreement, stipulation, term
and covenant herein set forth and to pay or cause to be paid, all
awards entered or made under the Workers' Compensation Act of
Colorado, as provided by this bond, or under and in accordance with
the terms, provisions and limitations of said Act, then this
obligation to be null and void, otherwise to remain in full force
and effect.
PROVIDED, HOWEVER: (a) This bond shall continue in force
until canceled as herein provided; (b) This bond may be canceled by
the Surety by sending of notice in writing to the Obligee, stating
when, not less than ninety (90) days thereafter, liability '
hereunder shall terminate. Such cancellation, however, shall not
affect any liability incurred or accrued under this bond, prior to
the effective date of such cancellation specified in such notice.
.92,01,^3
/ . . ,
IN TESTIMONY WHEREOF, Said Principal and said Surety have
caused this instrument to be duly executed and have hereunto
affixed their se/ /als this 31st day of December , A.D. 19 91
Attest: z4' /
�� WELD COUNTY, COLORADO
/ (Prin ipal)
By ; 17X ��ti,+.- By George Kennedy. Chairman
(Title) --c (Title)Board of County Commissioners
(Seal) By THE AETNA CASUALTY AND SURETY COMPANY
(Surety)
By ,---66.6e;,,\--Y1144,11
(Attorney—in—Fact)
Brian Sandy,
B-2 Rev. 01/15/91
0C./0123
• r� THE /ETNA - SUALTY AND SURETY COMPANY
one, Connecticut 06156
LIFE&CASUALTY
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT
KNOW ALL MEN BY THESE PRESENTS,THATTHE ETNA CASUALTY AND SURETY COMFANY,a corporation duly organized under the laws of the
State of Connecticut.and having its principal office in the City of Hartford.County of Hartford.State of Connecticut,hath made,constitute()and
appointed.and does by these presents make.constitute and appoint Phillip R. Fierro, D. J. Robinson, Christopher
A. Perrin, Lora L. Cottrell, Greg Michels, P. J. McKinnis, Nora 0. Garza, Ellen G. Potter,
Rebecca L. Schmuecker, Mary Bescher or Brian Sandy - -
of Denver, Colorado .its true and lawful Attornevisl-in-Fact,with full power and au chancy hereby ccnferrec
to sign, execute and acknowledge,at any place within the United States, or.if the following line be filled in, within the area there desig-
nated .the following instrumentlsl:
by his/her sole signature and act any and all bonds,recognizances,contracts of indemnity,and other writings colic atory in the nature of a bond.
recognizance,or conditional undertaking,and any and all consents incidents thereto
and to bind THE ETNA CASUALTY AND SURETY COMPANY,thereoy as fully and to the same extent as if the same were signed by the duly
authorized officers of THE'ETNA CASUALTY AND SURETY COMPANY,and ail the acts of said Attomeyisl-in-Fact.pursuant to the authority herein
given,are hereby ratified and confirmed.
This appointment is made under and by authority of the following Standing Resolutions of said Company which Resolutions are now in full farce
ano effect:
VOTED:That each of the following officers:Chairman,ViceChairman,President.Any Executive Vice President.Any Senior Vice President.Any Vice
President,Any Assistant Vice PresidentAny Secretary,Any Assistant Secretary,may from time to time appoint Resident Vice Presidents,Resident
Assistant Secretaries.Attomeys-in-Fact.and Agents to act for and on behalf of he Company and may give any such appointee such authority as his
certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of
indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of
Directors may at any time remove any such appointee and revoke the power and authority given him.
VOTED:That any bond.recognizance,contract of indemnity.orwriting obligatory in the nature of a bond.recognizance,or conditional undertaking
shall be valid and binding upon the Company when lal.signed by the Chairman.the Vice Chairman,the President.an Executive Vice President.a
Senior Vice President.a Vice President,an Assistant Vice President or by a Resident Vice President, pursuant to the power prescribed in the
certificate of authonry of such Resident Vice President,and duly attested and sealed with theCompany's seal by a Secretary or Assistant Secretary
or by a Resident Assistant Secretary,pursuant to the power prescribed in the certificate of authonry of such Resident Assistant Secretary:or lb)duly
executed!under seal,if required)by one or more Attorneys-in-Fact pursuant to the power prescribed in his or their certificate or certificates of
authority.
This Power of Attorney and Certificate of Authority is signed and sealed by facsimile under and by authority of the following Standing Resolution
voted by the Board of Directors of THE ETNA CASUALTY AND SURETY COMPANY which Resolution is now in full force and effect:
VOTED: That thesignanire of each of the following officers:Chairman.Vice Chairman,President Any Executive Vice President.Any Senior Vice
PresidentAny Vice President Any Assistant Vice President.Any Secretary.Any Assistant Secretary,and the seal of the Company may be affixed by
facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents.Resident Assistant Secretaries or
Anornevs-in-Fact for purposes only of executing and attesting bonds and undertakings and otherwrirings obligatory in the nature thereof.and any
such power of attorney or cerdficate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such
power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with
respect to any bond or undertaking to which it is attached.
IN WITNESS WHEREOF,THE'ETNA CASUALTY AND SURETY COMPANY has caused this instrument to be signed by its Senior
Vice President ,and its corporate seal to be hereto affixed this 12th
day of June . 1991
sr., THE £TNA CASUALTY AND URETY COMPANY
By
State of Connecticut J,y eph P. Kierna
ss.Hartford Senior Vice President
County of Hartford
On this 12th day of June , 19 91 .before me personally came JOSEPH P. KIERNAN
to me known,who,being by me duly sworn.did depose and say:that he/she is Senior Vice President of
THE ETNA CASUALTY AND SURETY COMPANY,the corporation descn bed in and which executed the above instrument that he/sne knows the
seal of said corporation:that the seal affixed to the said instrument is such corporate seal:and that he/she executed the said instrument on denaif
of the corporation by authority of his/her office under the Standing Resolutions thereof.21;1 /
."0 omim3eGn moues Mare,31. tg .a Notary P'a Dnc
Rosalind R. Christie
CERTIFICATE
I.the undersigned. Secretary of THE/ETNA CASUALTY AND SURETY COMPANY.a sock corporation of the
State of Connecticut.DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority remains in lull force and
has not been revoked:and furthermore,that the Standing Resolutions of the Board of Directors.assn forth in the Certificate of Authority,are now
in force.
Signed and Sealed at the Home Office of the Company,in the City of Hartford.State a(Connecticut Oated this 3 I S t day of
December .19 91 Q✓t,0
s
only- Welch
•
15.1922-FI IM19159 By S etary PAINTED in u.S.A.
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