HomeMy WebLinkAbout319018 11/22/17 (2) ,C5q
CITY OF CARMEL, INDIANA VENDOR: 00352999
1 ' ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $********50.00*
CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 319018
M_roN, CINCINNATI OH 45263-8720 CHECK DATE: 11/22/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER? AMOUNT DESCRIPTION
1701 4347500 149858 50.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HYLANT GROUP IN SUM OF$ CITY OF CARMEL
PO BOX 638720 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CINCINNATI, OH 45263-8720
Payee
$50.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order# -
Clerk Treasurer Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
149858 43-475.00 $50.00 1 hereby certify that the attached invoice(s),or 11/16/17 149858 KAREN E.TAYLOR$5,000 E&0 NOTARY $50.00
1701 101 1701 101 BOND
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
Friday, November 17,2017
Quinn,Jacob
Deputy Clerk of City Business
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
, 20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
_
Item# Trans Eff Date bue Date Trans: Description Amount
Bond-Notary Policy# 63237900N Effective: 1/1118 - 12/31/25
Issuing Company Western Surety Company
1131626 1/1/2018 1/1/2018 RENB Karen E.Taylor$5,000+$5,000 E&O 50.00
Total Invoice Balance: $50.00
/t**t a t..'I..,A r Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
6/13/2017 City of Carmel Loan# Invoice#149858 FARWEI Page 1 of 1
77�
Indiana
V
W rr% Surety Company
V
NOTARIAL BOND
BOND No. 6323790ON
KNOW ALL MEN BY THESE PRESENTS, That we Karen E. Tal or
(Name of Applicant)
as principal (Applicant) and WESTERN SURETY COMPANY, of P. 0. Box 5077, Sioux Falls, SD
57117-5077, and Minnehaha County as corporate surety, are held and firmly bound unto the State of
Indiana, in the penal sum of Five Thousand and 00/100
DOLLARS(_i5,000.00 the payment of which,well and truly to be made, we bind ourselves,
our heirs, executors and administrators,firmly by these presents.
WITNESS our signatures as acknowledged below. THE CONDITION OF THE ABOVE OBLIGATION
IS AS FOLLOWS,TO-WIT:
WHEREAS, the above bound principal has applied for appointment by the Governor of the State of
Indiana As a Notary Public, in and for the State of Indiana, for an eight-year term.
Now, if the said principal shall truly and faith-fully perform and discharge the duties of said office of
Notary Public, in all things according to law, then the above obligation to be null and void, otherwise to
remain in full force and virtue in law. The term of this bond is from the effective date of the principal's
commission to the expiration date of the same.
(Signature of Principal) WESTERN3URETY COMPANY
By
Paul T.
Bruflat, Se or Vice President
June 13th, 2017
A
Form 1090-8-2010
Indiana
Wi
Western Surat Company
NOTARY PUBLIC ERRORS AND OMISSIONS POLICY
January 1st, 2018
Effective Date: Policy No. 63237900N00
WESTERN SURETY COMPANY(the"Company")will pay on behalf of JKa_rena. .Taylor
(the"Insured")
of 944 2nd Ave. NW., Carmel, IN 46032
....... all sums
(Address)
.which the Insuredshall become obligated to pay by reason of liability'for breach of duty while acting as a duly
commissioned and sworn Notary Public, claim for which is made against the Insured by reason of any -negligent act,
error or omission,-committed or alleged to have been committed by the Insured, arising out of the performance of
notarial service for others in the Insured's capacity as a duly commissioned and sworn Notary Public.
POLICY PERIOD:. This policy applies only to negligent acts, errors or omissions which occur during the policy
period and then only if claim, suit or other action arising therefrom is commenced during the policy period or within the
applicable.Statute of Limitations pertaining to the Insured.
The Policy Period ends December 31st, 2025
LIMITS OF LIABILITY INCLUDING DEFENSE COSTS: The total liability of the Company for all loss(defined
below)for all claims under this insurance including defense costs (defined below) shall not exceed the amount of
Five Thousand and 00/100 DOLLARS(_��5 000.00
This limit shall apply in the aggregate so that the Company's total liability for an claims and/or defense costs shall in no
event exceed this amount.
DEFENSE SETTLEMENT: With respect to such insurance as is afforded by this policy, the Company shall,
provided the policy Emit has not been exhausted, defend,in the Insured's name and behalf,any claim or suit against the
Insured alleging such negligent act, error or omission and seeking damages on account thereof, even if such claim or
suit is groundless, false, or fi.-audulent. The Company, in the Insured's name and behalf, shall have the right to make
such investigation,negotiation and settlement of any claim or suit as it may deem expedient.
DEFINITIONS: Wherever used in this policy,these words shall have the following meanings:
(a) "Defense costs"shall mean any and all: (1)expenses,including attorneys'or investigators'fees,paid or incurred
by the Company in the investigation, settlement or defense of claims or suits; (2) costs taxed against the
Insured in a suit defended by the Company; (3) premiums for bonds required in a suit defended by the
Company,which bonds the Company shall have no obligation to furnish,but only for bonds tip to the Company's
limit of liability; (4) interest on a judgment as required by law until the Company offers the amount due under
this insurance;and(5)reasonable expenses incurred by the Insured at the Company's request, other than loss
of earnings.
(b) Subject,to all of the Exclusions of this policy(stated below), "loss" shall mean the total of. (1)sums the Insured
legally must pay as direct compensatory damages because of claims covered by this insurance; (2) sums the .71
Company agrees to pay in settlement of such claims, whether or not the Insured's legal liability has been
determined;and(3)"defense costs"as defined above.
EXCLUSIONS: Coverage under this policy does not apply to any (i) dishonest, fraudulent, criminal, libelous
slanderous or malicious act or omission of the Insured; (ii)willful or intentional disregard of the law; (iii) bodily injury
to, or sickness, disease or death of any person, including but not limited to, emotional or mental distress and related
conditions; (iv) injury to or destruction of any tangible property, including the loss of use thereof, (v) fines or penalties
imposed by law on the Insured; (vi) punitive, treble, exemplary or similarly categorized damages, including fines and
penalties;or(vii) performance of notarial service for any business which the Insured owns, is a partner of, manages or
controls.
THIS POLICY NOT VALID IF PREMIUM NOT PAID
Form F7642-7-2007
WITHIN 30 DAYS OF EFFECTIVE DATE HEREOF.
OTHER INSURANCE: This insurance is excess over any other applicable insurance whether such insurance is
primary, excess, contributory, contingent, or otherwise and whether such insurance is collectible or not, unless such
other insurance is written to be specifically excess over the insurance provided by this policy.
INSURED'S DUTIES IN THE EVENT OF OCCURRENCE,CLAIM OR SUIT:
(a) Upon knowledge of any occurrence which may reasonably be expected to result in a claim or suit,written notice
containing particulars sufficient to identify the Insured and also reasonably obtainable information with respect
to the time, place and circumstances thereof, and the names and addresses of the potential claimant and of
available witnesses, shall be given by or for the Insured to the Company or any of its authorized agents as soon
as practicable,but in no event longer than forty-five(45)days after discovery.
(b) If claim is made or suit is brought against the Insured, the Insured shall immediately forward to the Company
every demand,notice,summons or other process received by it or its representative.
(c) The Insured shall cooperate with the Company and,upon the Company's request, assist in making settlements,
in the conduct of suits and in enforcing any right of contribution or indemnity against any person or
organization who may be liable to the Insured for acts, errors or omissions with respect to which insurance is
afforded under this policy; and the Insured shall attend hearings and trials and assist in securing and giving
evidence and obtaining the attendance of witnesses. The Insured shall not, except at his own cost, voluntarily
make any payment, admit any liability, assume any obligation or incur any expense except with.the prior
written consent of the Company.
. SUBROGATION: In the event of any payment for any loss under this insurance, the Company shall be subrogated
to all of the Insured's rights of recovery thereafter against any person or organization and the Insured shall execute and
deliver instruments and papers and do whatever else is necessary to secure such rights to the Company. The Insured
shall do nothing after loss to prejudice such rights.
ASSIGNMENT: This policy shall be void if assigned or transferred without the Company's written consent.
ACTION AGAINST COMPANY: No action shall lie against the Company unless, as a condition precedent'
thereto, there shall have been full compliance with all of the terms of this policy, nor,until the amount of the Insured's
obligation to pay shall have been finally determined either by judgment after actual trial or by written agreement of the
Insured,the claimant, and the Company.
Any person or organization or the legal representative thereof, who is signatory to such judgment or written
agreement,shall thereafter be able to recover under this policy to the extent of the insurance afforded by this policy. No
person or organization shall have any right under this policy to join the Company as a party to any action against the
Insured to determine the Insured's liability, nor shall the Company be impleaded by the Insured or the Insured's legal
representative.
CANCELLATION AND NONRENEWAL: This policy may be cancelled by the Insured by surrender hereof to the
Company or any of its authorized agents or by mailing to the Company written notice stating when thereafter the
cancellation shall be effective. If this policy has been in effect for ninety (90) days or less, it may be cancelled by the
Company for the following reasons and upon written notice provided to the Insured within the following time limits: if
the Insured has failed to pay a premium, at least ten (10) days; if the Insured has perpetrated a fraud or material
misrepresentation upon the Company, at least twenty(20) days;or for any other reason, at least thirty(30)days. If this
policy has been in effect for more than ninety (90) days, the Company may cancel it for the following reasons and upon
written notice provided to the Insured within the following time limits: if the Insured has failed to pay a premium, at
least ten (10) days; if the Insured has perpetrated a fraud or material misrepresentation upon the Company, at least
twenty(20) days;or if there is a substantial change in the scale of risk covered by the policy, if the Insured has failed to
comply with reasonable safety recommendations, or if reinsurance of the risk has been cancelled, at least forty-five (45)
days. The mailing of notice as aforesaid shall be sufficient proof of notice. The time of surrender or the effective date
and hour of cancellation stated in the notice shall become the end of the policy period and the end of the annual period.
Delivery of such written notice by either the Insured or the Company shall be equivalent to mailing. Upon cancellation
by either the Insured or the Company,earned premium shall be computed pro rata. Premium adjustment may be made
either at the time cancellation is effected or as soon as practicable after cancellation becomes effective, but payment of
unearned premium is not a condition of cancellation. The Company may refuse to renew this policy by providing
written notice of nonrenewal to the Insured at least forty-five (45) days before the expiration or anniversary date of the
policy.
Dated,signed and sealed this 13th day of June 2017
Address claims to: W E S T E8 R E T Y O M P A N Y
Western Surety Company
P.0.Box 5077 By—
Paul T.Bruflat,Senior ice President
Sioux Falls,77 57117-5077