HomeMy WebLinkAbout306457 12/21/16 a w.4'M6
`' CITY OF CARMEL, INDIANA VENDOR: 00352999
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ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*******572.00*
f � CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 306457
.'�,;i�o„..- CINCINNATI OH 45263-8720 CHECK DATE: 12/21/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4347500 133171 572.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
$ 570 .ofl
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
�33r( 1 4347500 5 or bill(s) is (are) true and correct and that
the materials or services itemized thereon
for which charge is made were ordered and
received except
�2w 20/G
ignat
C`
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720
Bond-Public Official(Specify) Policy# 106469657 Effective: 111/17 - 111/18
Issuing Company Travelers Casualty&Surety Co
985669 1/1/2017 1/1/2017 RENB 106469657 IN Christine S. Pauley Treasurer 572.00
$300,000 01/01/17$572
Total Invoice Balance: $572.00
AI HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
12/20/2016 City of Carmel Loan# Invoice#133171 FARWEI Page 1 of 1
PUBLIC OFFICIAL BOND
Bt b Forth 96947(11-15)
App om ad by state Board of Accounts,2016 I
INDIANA DEPARTMENT OF INSURANCE
l�
I
Bond number 106469657
Christine S.Paule ,as Principal,and
Travelers Casualty and Surety Company of America , as Surety,as well as all heirs,executors,and
administrators of the Principal and Surety,are bound,jointly and severally,to the State of Indiana, In the
amount of$ 300,000.00 , If subparagraph(b)is violated. in all other respects,the following
conditions apply to this Public Official Bond.
a) The Principal is duly elected,commissioned,appointed,or employed as Treasurer
for City of Carmel in the State of Indiana.
b) The Principal shall faithfully perform and fulfill his or her duties of the position named in subparagraph
(a);including compliance with iC 5-11 and paying over on demand to the persons entitled or authorized
to receive the same,all moneys that may come into his or her hands during the term of this Public
Official Bond.
c) The term of this Public Official Bond is for a one(1)year term beginning on the ist day of
January 12 oil and ending on the 1st day of January —,2 018
d) This Public Official Bond cannot be continued,extended, or renewed as provided by iC 5-4-1-18(m).
e) This Public Official Bond complies with IC 5.4-1-18,and any conflict between this bond and the Indiana
Code shall be resolved in favor of the statutory provisions.
f) The Legislature may change,modify,or repeal any relevant law now In force and exact any and all laws
during the existence of this Public Official Bond,but this Public Official Bond will remain in full force and
effect,except for that which was directly altered by the change In law.
i
(Seal) j
Christine S. Pauley
TraveV Casualty and Surety ConnDany of bmerica
By )LW� / '0
/Susan E. Hurd,A rney-In-Fa Q�6�
Accepted and approved this day of ---.2—
Page
2Page 1 of 2
I
WARNINt3:THIS POWER OF ArIORNEY IS INVALID Wf11iO1JTTHE RED BORDER
AAS POWER OF ATTORNEY
TRAVELERSFarmington Casualty Company St.Paul Mercury hw ranee Company
Fidelity and Guaranty Insurance Company Trawlers Casualty and Surety Company
Fkielity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of Amerlcs
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Gu=*=Insurance Company
Attorney-In Fact No. 230286 Certificate No. 006753238
KNOW ALL MEN BY THESE PRESENTS:That Farmington Casualty Company,St.Paul Fire and Marine Insurance Company,St,Paul Guardian Insurance
Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States
Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,that Fidelity and Guaranty Insurance Company is a
corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the
laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint
Debra J.Fischer,Craig S.Markos,Susan E.Hurd,Robert A.Brewster,Michael M.Hylant,Judy K.Wilson,and Monica M.Mills
of the City of Dublin State of Olio ,their true and lawful Atboaney(s)-in-Fact,
each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted in arty actions or proceedings allowed by law.
IN WITNESS WHEREOF,the Companies have caused this instttunent to be signed and their corporate seals to be hereto affixed,this 15th
day of April 2016
Farmington Casualty Company St.Paul Mercury Innarance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company A.
1677 1951 y 3�seALlBr. s s DDlW + rasa
State of Connecticut By:
City of Hartford as. Robert L.Raney,Kir Vice]resident
On this the 15th day of APril 2016 before me personally appeared Robert L.Raney,who acknowledged himself to
be the Senior Vice President of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul
Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers
Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing
instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
In Witness Whereof,I hereunto set my hand and official seal. ' a \W�" C • V
My Commission expires the 30th day of June,2016. * Tk Maria C.Tetreault,Notary Public
5844043-12 Printed In U.S.A.
WARNING:THIS POWER OF ATTORNEY IS INVALD WM-iOUTTHE RED BORDER
TRAVELERS CABUALTYAND WW-TY CWANYOF AHWCA
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