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HomeMy WebLinkAbout306457 12/21/16 a w.4'M6 `' CITY OF CARMEL, INDIANA VENDOR: 00352999 4,� 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 HA RTFORMCONLECTICUT BOin F114AWRL STATEMENT AB OF LW 706 2016 CAPITAL STOCKSGABD.M ASSM Bows : smom 8 UNSMOMPRsimmi S►OOKB 801.921.818 I CBBE! BPRIWANABALANOW 0E.74B4O46 288,0118k742 LOWACASTABIITUPMEB 1011gLp,OBd CASH AID WY SM O H lm1 mw Commllm NB 1073mo I TM WSMAXA80ET 3A MM OTHER EKPW EB 228om �� 82.114.188 CURRENT FEDERAL AMFORO1MNDC1ETAM D�� J:LD 12,7FO" R9MITANCNAND LIEMBNOTALLCCIITSD WI9�l FANVEATBDCMUTERALASSM 21.8/0.174 AYOIAl(8VMJELA/RWANOdYCOW%WFOROMM 2i,2D4m �BW4 PADEM NFROMPARDIf.SUBMARIBBANDAFFtl.WTLE 27.8 YAN RETROAOTNENEWLUMUCERL WdMAIIK� oftlu 03)ER FORSECUFffTEB 4.?W.641 POLICYLLOLDERg IDENOB CIT8.2wis FROVLBIONFCRIVWffi Wb6.WA smilme AOMgNOE PREIIe 1 11101" MYABLEFOR LMM !1.844,174 RAV ABUT FOR 8190L811TI68 CED®RENISUR 1NCENETPRF,M UMS PAVAE NA44A93 88CHEAT LIAlaw E OTHEAACCIIDEAPETBESANDLI&INWI 8 �1>A2.9M 8 CAPITAL 8TOCK FAD N BI LAMS 9 BABOA80 O7FTO Bi m $ 499,8D9 788 MOM AJALWAL TDTALASBETB 4 i 'B�1 `� TOTAL LUWLM&BURPLUS BTATEOFOM#MMW ) COUFRYOFFYIRTFORD 188. 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