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Home My WebLink About320890 01/17/18 CITY OF CARMEL, INDIANA VENDOR: 00352999 v� 6 ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*******572.00* CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 320890 py TONS` CINCINNATI OH 45263-8720 CHECK DATE: 01/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT_ DESCRIPTION 1701 4347500 170293 572.00 GENERAL INSURANCE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER # HYLANT GROUP IN SUM OF$ 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 $572.00 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 170293 43-475.00 $572.00 1 hereby certify that the attached invoice(s),or 1/11/18 170293 CHRISTINE PAULEY JAN-DEC 2018 $572.00 1701 101 1701 101 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,January 12,2018 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Hylant-Indianapolis Invoice # 170293 10401 North Meridian St,Ste 200 bate Balance bue On Indianapolis,IN 46290 :HYLAK' P-(800)678-0361 1/9/2018 1/23/2018 hylant.com F-(317)817-5151 :'.Insured a City of Carmel Account'Number Amount Due CARMELO-02 $572.00 City of Carmel One Civic Square Carmel, IN 46032 Please Return Top with Remittance To:tRO ox 638720;Cincinnati OH 45263 8720 Item# °. Trans Effd Rafe Due Date °{ Trans Descri p n � Amoun# Bond-Public Official (Specify) Policy# 106469657 Effective: 1/1/18 - 12/31/18 Issuing Company Travelers Casualty&Surety Co 1307442 1/1/2018 1/23/2018 RENB 106469657 IN Christine S. Pauley Treasurer 572.00 $300,000 1/1/18$572 Total Invoice Balance: $572.00 oA 1"V HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290 1/9/2018 City of Carmel Loan# Invoice#170293 FARWEI Page 1 of 1 100 S.College Suite 230 Bloomington,IN 47404 P 812-3324484 F 812-333-3068 January 5, 2018 City of Carmel Attn: Ms. Christine Pauley 87 11th St., NW Carmel, IN 46032 RE: Public Official Bond - Renewal Dear Christine: The following bond has been processed in accordance with the terms and conditions of the statutory requirements for the State of Indiana with original bond forms. The bond is effective January 1, 2018 to December 31, 2018. Our invoice, is also included, which represents the annual premium charge for this bond. Please Note: The bond(s) are required by statute to be filed within ten (10) days of issuance or, if approval is required, within ten (10) days after approval by the person required to approve the bonds. The bond forms are to be signed by each individual and notarized. If you have any questions, or require anything further, please feel free to give me a call. Regards, Surety Service Asssitant Email: monica.mills@hylant.com Direct Line: (614) 932-1220 Enclosures HYLANT hyfant.com a�,rp PUBLIC OFFICIAL BOND mr: State Form 55947(11-15) Approved by State Board of Accounts,2015 INDIANA DEPARTMENT OF INSURANCE Bond number 106469657 Christine S.Pauley 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 1st day of January 2018 and ending on the 31st day of December 2018 . 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. (Seal) Christine S.Pauley By: Travelers Casualty and Surety Company of America Susan E.Hurd B Attorney in Fact Accepted and approved this day of 12 Page 1 of 2 State of Indiana, County,ss: Personally appeared before me, in and for said County and State aforesaid, who being sworn, upon his or her oath says: "I will support the Constitution of the United States and of the State of Indiana, and I will faithfully, honesty, and impartially fulfill the duties of the office of to the best of my skill and ability." Subscribed and sworn to before me, this day of IN WITNESS WHEREOF, I have hereunto set my hand affixed the seal of said at this day and year above written. 1, of the do certify the above to be a true and correct copy of the official oath of in and for said County as the same is endorsed on his or her commission. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said at this day of ,A.D. ACKNOWLEDGMENT OF PRINCIPAL State of Indiana, County,ss: Personally appeared before me, Principal upon the bond appearing on the reverse side hereof and acknowledges the execution of said bond This day of Notary Public Expiration date of commission, (if Notary Public)(month,day,year) ACKNOWLEDGMENT OF SURETY Ohio State of-Iodfarra; Franklin County,ss: Comes nowTravelers Casualty and Surety Company of Americaby Susan E.Hurd its agent,`!Wa�eysoW�;on the bond appearing on the reverse side hereof and acknowledges the execution of said t L °° bondo�lt � 9 ��°°° day of January, p () 2018 and confirms compliance with IC 5-4-1-18 i MONICAMILS -° *2 Notary Public,Stat®Of Ohb ,t o FMonica Mills Notary Public Expii$f ~��(if otary Public)(month,day,year) �-• Page 2 of 2 WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ,dW POWER OF ATTORNEY TRAVELERSJ Farmington Casualty Company St.Paul Mercury Insurance 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 Attorney-In Fact No. 231178 Certificate No.006926415 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,Monica M.Mills,and Kristie A.Pudvan of the City of Dublin State of Ohio their true and lawful Attorneys)-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 perms.ied`in any actions or.proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 9th day of August 2016 Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty'Ins6rance Company, _, Travelers Casualty and Surety Company Fidelity and Guaranty insurarice 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 OhSU,�� p'"•tlrr�/^�(/ ♦ @`Oy FiAE�fiimi*H jA,SG\\ ,.aj 1NS4qJP1.1Y Ary, 2 OJ7 �•,, 40 '"„ G tJ6�11 ............:4E = a HARTFORD,n; ��: 'ozCONN. n N. gSEALio5]EAT �am' `4,,a•1......:ya'P r o�.. ,:Na°< State of Connecticut By: "4 City of Hartford ss. Robert L.Raney,Senior Vice President On this the 9th day of August 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. �,Tl7 In Witness Whereof,I hereunto set my hand and official seal. +� My Commission expires the 30th day of June,202 1. ik Mane C.Tetreault,Notazy Public 55440-5-16 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA HARTFORD,CONNECTICUT 06103 FINANCIAL STATEMENT AS OF JUNE 30,2018 CAPITAL STOCK$61380,000 -ASSETS LIABILITIES&SURPLUS BONDS $ 3,632,716,349 UNEARNED PREMIUMS $ 881,177,858 STOCKS 310,194,103 LOSSES PREMIUM BALANCES 243,315,535 LOSS ADJUSTMENT EXPENSES 751,751,088 243,702,629 CASH AND INVESTED CASH 204,299,852 COMMISSIONS 26,918,117 INVESTMENT INCOME DUE AND ACCRUED 42,746,391 TAXES,LICENSES AND FEES 10,664,757 OTHER INVESTEDASSETS 3,343,421 OTHER EXPENSES 28,165,714 NET DEFERRED TAXASSET 68,860,340 CURRENT FEDERAL AND FOREIGN INCOME TAXES 17,105,679 REINSURANCE RECOVERABLE 15,905,985 REMITTANCES AND ITEMS NOT ALLOCATED 3,576,469 SECURITIES LENDING REINVESTED COLLATERAL ASSETS 13,048,445 AMOUNTS WITHHELD!RETAINED BY COMPANY FOR OTHERS 72,560,69B- RECEIVABLES FROM PARENT,SUBSIDIARIES AND AFFILIATES 24,172,079 RETROACTIVE REINSURANCE RESERVE ASSUMED 980,675 ASSUMED REINSURANCE RECEIVABLE AND PAYABLE 593,147 POLICYHOLDER DIVIDENDS 8,935,664 FUNDS HELD BYIDEPOSITED WITH REINSURED COMPANIES 693,881 PROVISION FOR REINSURANCE 3,834,904 OTHER ASSETS 6,460,103 REINSURANCE PAYABLE ON PAID LOSS ADJUSTMENTS EXPENSES 591,157 ADVANCE PREMIUM 1,157,779 PAYABLE FOR SECURITIES LENDING 13,040,445 PAYABLE FOR SECURITIES 59,075,015 CEDED REINSURANCE NET PREMIUMS PAYABLE 40,628,534 OTHERACCRUED EXPENSES AND LIABILITIES 1.595.352 TOTALLIABILITIES 4 2.165,671,734 CAPITAL STOCK $ 6,480,000 PAID IN SURPLUS 433,803,760 OTHER SURPLUS 1,958.394.137 TOTAL SURPLUS TO POLICYHOLDERS _$ 2,398,677,897 TOTALASSETS 6 4.664.349.631 TOTAL LIABILMES&SURPLUS 5 4,584.349,631 STATE OF CONNECTICUT j COUNTY OF HARTFORD )SS. CITY OF HARTFORD . MICHAEL J.DOODY,BEING DULY SWORN,SAYS THAT HE IS SECOND VICE PRESIDENT,OF TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, AND THAT TO THE BEST OF HIS KNOWLEDGE AND BELIEF,THE FOREGOING IS A TRUE AND CORRECT STATEMENT OF THE FINANCIAL CONDITION OF SAID COMPANYAS OF THE 30TH DAY OF JUNE,2018. SECOND VICE PRESIDUIT (f SUBSCRIBED AND SWORN TO BEFORE ME THIS NOTARY PUBLIC 15TH DAY OFAUGUST,2016 SUSAN M.1j1F.ISSLEDER Notmy Public My Commission Expires November 30,2077 cl