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..,~~; ~'ARTNER~ P~IALTY VRt~UP, LLC. • 1 /12/10 BINDER # 17530 Page 1 of 3 In accordance with your instructions, we have effected insurance as follows: Insured: City of Jeffersonville Producer: Maverick Insurance 500 Quartermaster Depot 826 W. Main St. Jeffersonville, IN 47130 New Albany, IN 47150 Binder Period: 01/12/10 to 04/12/10 12:01 Standard Time at above location(s) Policy Period: 01/12/10 to 01/12/11 12:01 Standard Time at above location(s) Insurer Indemnity Insurance Company of North America Admitted Policy # N01892794 Coverage Hull and P&I Crew: not covered Passengers: not covered Limits P&I Limit of Liability: $1,000,000 • Vessel Insured: The Swamp (port risk only) 152' x 33' -Floating Community Center Agreed Value: $400,000 Deductibles P&I Deductible: $2,500 BI / $8,000 PD Hull Deductible: $8,000 Rate Annual Hull Premium: $4,752 Annual SR&CC Premium: $500 Annual P&I Premium: $1,588 Premium $ 6,840.00 Total Account Premium Broker Fee 500.00 (for Partners Specialty Group ) Total $ 7,340.00 Conditions Hull Rate: Chg Crew: Not covered Passengers: Not covered TRIA Premium: Rejected Navigation Warranty: Not navigating -port risk only • ACE Participation: 100% 8044 Montgomery Road, Suite 382 Cincinnati, OH 45236 Phone: (513) 563-3940 Fax: (513) 563-3941 F~ARTNER~ .PE~I~,LTY .'' ~.7ROUP, LLC. • 1/12/10 BINDER # 17530 Page2of3 Confirmation of Coverage cont.. Forms and Endorsements: IND Commercial Hull Policy P&I SP-38 Policy Clauses (1955) Collision Liability is being deleted from the Hull and added to the P&I coverage SR&CC AIMU Radioactive Contamination Exclusion Clause AIMU Chemical, Biological, Bio-Chemical and Electromagnetic Exclusion Clause TRIA Endorsement (No Additional Premium) Excluding crew liability Excluding passenger liability Pollution Exclusion Clause (P&I) and Buyback Endorsement American Institute Nuclear Exclusion Clause U.S. Economic & Trade Sanctions Exclusion / OFAC Notification P&I Limits of Liability Endorsement Loss Payee Endorsement 10 Days Notice of Cancellation Policy Dec Page • Please review this quotation carefully as the limits, coverage and other terms & conditions may vary significantly from those initially requested in your submission and/or from the expiring policy. Date of issuance: January 12, 2010 PARTNERS SP LTY GRO , LL ti,, Signature: An Lightc , CI IW • 8044 Montgomery Road, Suite 382 Cincinnati, OH 45236 Phone: (513) 563-3940 Fax: (513) 563-3941 __ --~..,,, GRfJUP, LLC. 1/12/10 B/ N D E R # 17530 Page 3 of 3 Forms applicable are subject in all respects to the terms, conditions and limitations of the policy(ies) or certificate(s) in current use by the company, unless otherwise specified. CONDITIONS: The policy premium stated on the front page of this binder is due and payable to Partners Specialty Group, LLC (hereafter "PSG") within (20) days of the effective date of the binder. Failure of the insured to make timely payment of premium shall be considered a request by the insured for the company to cancel. In the event of such cancellation by the company for non-payment of premium, the minimum premium shall be immediately due and payable. Non-payment cancellation shall be rescinded at the discretion of the company if the insured remits the full premium due within (10) days of receiving the cancellation notice upon company verification that the subject of this insurance is in proper insurable condition. This binder is based upon written correspondence and/or telephone advices from the insurer(s) stated on this binder and is issued by PSG without liability whatsoever as an insurer. This binder will be terminated and superseded upon delivery of formal policy(ies) or certificates issued to replace it. CANCELLATION: This binder may be cancelled by the insured by surrender thereof to PSG or any of its authorized agents, or by mailing to PSG written notice stating when thereafter the cancellation shall be effective. The insurance under this binder cannot be cancelled flat; earned premium must be paid for the time insurance has been in force. binder may be cancelled by the insurer(s) or by PSG on behalf of the insurer(s) by mailing to the insured at the ress stated on this binder, written notice stating when, not less than FIVE (5) days thereafter, such cancellation shall be effective. The mailing of notice as aforesaid shall be sufficient proof of notice. Delivery of such written notice either by the insured, the insurer(s), or by PSG shall be equivalent to mailing. In the event of cancellation by the insured, the earned premium will be computed short rate, the minimum premium shall be due and payable by the insured regardless of any conditions of the binder to the contrary, and if cancelled by the insurer, the earned premium will be computed pro rata. CERTIFICATES OF INSURANCE: The responsibility for the accuracy of the information set forth in any certificate of insurance is the sole responsibility of the person or entity which issues the certificate. Although PSG may retain copies of certificates of insurance forwarded to us, PSG does so strictly without prejudice as to their accuracy. Neither the insurers, their representatives, nor PSG will be responsible for an;~ liability resulting from your issuance of any certificate of insurance. We also draw your attention to the fact that unless the policy is physically endorsed, the issuance of a certificate does not amend, extend, or alter the coverage afforded by the policy or change the person(s) or entities to whom such coverage is afforded under the policy. Moreover, neither the underwriters, their representatives, nor PSG will be responsible for any liability resulting from the issuance of any unauthorized endorsement or the issuance of an endorsement which has been authorized by the insurer but where the authorized wording has been amended or revised in any way, without the prior written approval of the insurers. PLEASE REFER TO THE POLICY FORM FOR FULL DETAILS ON TERMS AND CONDITIONS. SAMPLE FORMS ARE AVAILABLE ON REQUEST. THIS BINDER MAY NOT CONFORM TO THE TERMS AND CONDITIONS REQUESTED. • ___ .__ 8044 Montgomery Road, Suite 382 Cincinnati, OH 45236 Phone: (513) 563-3940 Fax: (513) 563-3941 U.S. SPECIALTY INSURANCE COMPANY ENDORSEMENT NO. 10 ATTACHED TO AND FORMING ENDORSEMENT EFFECTIVE AGENCY A PART OF (Standard time) INSURED AND POLICY NUMBER MO DAY YR 12:01 NOON CODE AM PKG80210163 12/5/2008 X City of Jeffersonville 99900 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY In consideration for the premium charged it is hereby understood and agreed the following change(s) have been made to the AUTOMOBILE section(s) of this policy: Veh Comp Coll # Status Year Make Model VIN Type Value Ded Ded 1 ADD 2009 Peterbilt Garbage Truck 36PZLOOX39F7193148 3 $ 250,132 $ 1,000 $ 2,500 ADD AS LOSS PAYEE AS THEIR INTEREST MAY APPEAR IN REGARDS TO: VEHICLE # 1 Republic Bank & Trust Company 601 W. Market Street Louisville, KY 40202 ADD FORM PKGCA0016 2006 Loss Payable Clause See Attached Forms PREMIUM DUE: $ 998 ADDITIONAL ALL OT'H',~E_R_T~ERM+SAND CONDITIONS OF THIS POLICY REMAIN UNCHANGED 12/11 /2008 AUTHORIZED REPRESENTATIVE DATE AGENT; 40 B&F Group DATE: 12/11 /2008 ENTRY PERSON E. Barr PKGIL0014 2006 Original U.S. SPECIALTY INSURANCE COMPANY ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFEC FORMING A PART OF (Standard Time) POLICY NUMBER MO. DAY YR. 12:01 A.M. PKG80210163 ~ 12 ~ 05 ~ 2008 ~ X INSURED City of Jeffersonville 99900 I h115 ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LOSS PAYABLE CLAUSE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. We will pay, as interest may appear, you and the Cancellation ends this agreement as to the loss loss payee named in the Schedule below for "loss" payee's interest. If we cancel the policy we will to a covered "auto". mail you and the loss payee the same advance B. The insurance covers the interest of the loss notice. payee unless the "loss" results from conversion, D. If we make any payments to the loss payee, we secretion or embezzlement on your part. will obtain his or her rights against any other party. C. We may cancel the policy as allowed by Condition A. Cancellation contained in the Common Policy Conditions. SCHEDULE Covered Auto Year, Model, Trade Name, Body Type, Serial Number (S) Vehicle Identification Loss Payee Number (VIN) 2009 Peterbilt Garbage Truck - $250,132 Republic Bank & 36PZLOOX39F7193148 Trust Company 601 W. Market Street ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED AUTHORIZED REPRESENTATIVE PKGCA0016 2006 10 AGENCY AND CODE December 11 2008 DATE Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1993 U.S. SPECIALTY INSURANCE COMPANY Richard P. Jones COMMON POLICY -DECLARATIONS CLARK COUNTY Filed for Record as Policy No. PKG80310163 1200921622 C1 Date 11/30/2009 Replacement No. PKG80210163 NAMED INSURED AND ADDRESS: CITY OF JEFFERSONVILLE 500 QUARTERMASTER DEPOT JEFFERSONVILLE IN 47130 18F RECORDER Presented Page 1 of 11 Time 11:13:0E AGENT NAME AND ADDRESS: MUNICIPAL INSURANCE ALLIANCE AGENCY BURNHAM AND FLOWER AGENCY, INC. 315 SOUTH KALAMAZOO MALL KALAMAZOO, MI 49007 AGENT NO. 99900 POLICY PERIOD: From: 08/06/2009 To: 08/06/2010 at 12:01 a.m. Standard Time at your mailing address shown above. PAYMENT PLAN: ANNUAL BUSINESS DESCRIPTION: GOVERNMENTAL SUBDIVISION In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is indicated. This premium may be subject to adjustment. COVERAGE PART PREMIUM Commercial Property Coverage Part $ Included Commercial General Liability Coverage Part $ Included Public Officials Liability Coverage Part $ Included Law Enforcement Liability Coverage Part $ Included Commercial Inland Marine Coverage Part $ Included Commercial Crime Coverage Part $ Included Commercial Auto Coverage Part $ Included Boiler & Machinery Coverage Part $ Inc-uded Commercial Umbrella Coverage Form $ Included TRIA Property $ $1,179 TRIA Casualty $ $930 TOTAL ANNUAL PREMIUM $ $312,291 FORMS APPLICABLE TO ALL COVERAGE PARTS: Refer to PKGIL0002 2006 Schedule of Forms and Endorsements THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE PART DECLARATIONS, COVERAGE PART COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. COUNTERSIGNED 08/06/2009 BY ~~)'Ml ~d~. AUTHORIZED REPRESENTATIVE DATE PKGIL0016 2006 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, inc., 199f1 ORIGINAL In Witness Whereof, we have caused this policy to be executed and attested, and, ff required by state law, this policy shall not be valid unless countersigned by our authorized representative. BY ~~~.~(IC~ ~ ~ .i~K' PRESIDENT SECRETARY PKGIL0011 2006 U.S. SPECIALTY INSURANCE COMPANY CRIME COVERAGE PART SUPPLEMENTAL DECLARATIONS These Supplemental Declarations form a part of policy number PKG80310163 SCHEDULE OF COVERAGES, LIMITS OF INSURANCE AND DEDUCTIBLE Insurance is only provided for the coverages indicated by an X. ~ Deductible Coverage Form(s) Limit of Insurance ^ Self-Insured Retention ^ A Employee Dishonesty -Blanket $ $ ^ A Employee Dishonesty -Schedule D B Forgery or Alteration $ 500,000 $1,000 ~ C Theft, Disappearance and Destruction Inside $ 500,000 $1,000 Outside $ 500,000 $1,000 Tax Time Limit 12/1 - 3/1 $ 500,000 $1,000 Optional Tax Periods: From: 01/01/1900 To: 01/01/1900 $ $ From: 01 /01 /1900 To: 01 /01 /1900 $ $ ^ D Robbery and Safe Burglary - Robbery Inside $ $ Property Other Than Money Safe Burglary $ $ And Securities Robbery $ $ ~ O Public Employee Dishonesty -Per Loss $ 500,000 $1,000 ^ P Public Employee Dishonesty -Per Employee $ $ ^ Q Robbery and Safe Burglary - Inside $ $ Money and Securities Outside $ $ ~ F. Computer Fraud $ 500,000 $1,000 CANCELLATION OF PRIOR INSURANCE: By acceptance of this Coverage Part you give us notice cancelling prior policy or bond numbers the cancellation to be effective at the time this Coverage Part becomes effective. FORMS AND ENDORSEMENTS Forms and endorsements applying to this Coverage Part and made part of this policy at time of issue: See PKGIL0002 2006 Premium: $ INCL. THIS SUPPLEMENTAL DECLARATIONS AND THE COMMON POLICY DECLARATIONS, TOGETHER WITH THE COMMON POLICY CONDITIONS, THE CRIME GENERAL PROVISIONS, COVERAGE FORM(S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY. PKGCR0002 2006 U.S. SPECIALTY INSURANCE COMPANY CRIME GENERAL PROVISIONS LOSS SUSTAINED FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is or is not covered. Throughout this policy, the words "you" and "your" refer to the Named Insured shown in the Declarations. The words "we", "us" and "our" refer to the Company providing this insurance. Words and phrases in quotation marks are defined in the policy. Unless stated otherwise in any Crime Coverage Form, Declarations or endorsement, the following General Exclusions, General Conditions and General Definitions apply to all Crime Coverage Forms forming part of this policy. War And Military Action GENERAL EXCLUSIONS Loss or damage caused directly or indirectly by the We will not pay for loss as specified below: following. Such loss or damage is excluded regardless of any other cause or event that contributes Acts Committed by You or Your Partners concurrently or in any sequence to the loss. Loss resulting from any dishonest or criminal act committed by your or any of your partners whether acting alone or in collusion with other persons. Governmental Action Loss resulting from seizure or destruction of property by order of governmental authority. Indirect Loss Loss that is an indirect result of any act or ''occurrence" covered by this insurance including, but not limited to loss resulting from: 1. Your inability to realize income that you would have realized had there been no loss of, or loss from damage to Covered Property. 2. Payment of damages of any type for which you are legally liable. But, we will pay compensatory damages arising directly from a loss covered under this insurance. 3. Payment of costs, fees or other expenses you incur in establishing either the existence or the amount of loss under this insurance. 1. War, including undeclared or civil war; or 2. Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or 3. Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. With respect to any action that comes within the terms of this exclusion and involves nuclear reaction or radiation, or radioactive contamination, this War And Military Action Exclusion supersedes the Nuclear Exclusion. GENERAL CONDITIONS Concealment, Misrepresentation or Fraud This insurance is void in any case of fraud by you as it relates to this insurance at any time. It is also void if you or any other insured, at any time, intentionally conceal or misrepresent a material fact concerning: Legal Expenses Expenses related to any legal action. Nuclear 1. This insurance; 2. The Covered Property; 3. Your interest in the Covered Property; or Loss resulting from nuclear reaction, nuclear radiation 4. A claim under this insurance. or radioactive contamination, or any related act or incident. PKGCR0003 2006 Page 1 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission Copyright, Insurance Services Office, Inc., 2001 U.S. SPECIALTY INSURANCE COMPANY Consolidation -Merger If through consolidation or merger with, or purchase or acquisition of assets or liabilities of, some other entity: 1. Any additional persons become "employees"; or 2. You acquire the use and control of any additional "premises"; any insurance afforded for "employees" or "premises" also applies to those additional "employees" and "premises," for a period of 60 days after the effective date of such consolidation, merger, or purchase or acquisition of assets or liabilities. You must give us written notice within this 60 day period and obtain our written consent to extend this insurance to such additional "employees" or "premises". Upon obtaining our written consent, you must pay us an additional premium. If you fai- to notify us in writing within this 60 day period, then this insurance shalt automatically terminate as to such additional "employees" or "premises". Coverage Extensions Unless stated otherwise in the Coverage Form, our liability under any Coverage Extension is part of, not in addition to, the Limit Of Insurance applying to the Coverage or Coverage Section. Duties in the Event of Loss After you discover a loss or a situation that may result in loss of, or loss from damage to, Covered Property you must: 1. Notify us as soon as possible. 2. Submit to examination under oath at our request and give us a signed statement of your answers. 3. Give us a detailed, sworn proof of loss within 120 days. 4. Cooperate with us in the investigation and settlement of any claim. Extended Period To Discover Loss We will pay only for covered loss discovered no later than one year from the end of the policy period. Joint Insured 1. If more than one Insured is named in the peclarations, the first named Insured will act for itself and for every other Insured for all purposes of this insurance. If the first named Insured ceases to be covered, then the next named Insured will become the first named Insured. 2. If any Insured or partner or officer of that Insured has knowledge of any information relevant to this insurance, that knowledge is considered knowledge of every Insured. 3. An "employee" of any Insured is considered to be an "employee" of every insured. 4. If this insurance or any of its coverages is cancelled or terminated as to any Insured, loss sustained by that Insured is covered only if discovered no later than one year from the date of that cancellation or termination. 5. We will not pay more for loss sustained by more than one Insured than the amount we would pay if all the loss had been sustained by one Insured. Legal Action Against Us You may not bring any legal action against us involving loss: 1. Unless you have complied with all the terms of this insurance; and 2. Until 90 days after you have filed proof of loss with us; and 3. Unless brought within 2 years from the date you discover the loss. Liberalization If we adopt any revision that would broaden the coverage under this insurance without additional premium within 45 days prior to or during the policy period, the broadened coverage will immediately apply to this insurance. Loss Covered Under More Than One Coverage of This Insurance If two or more coverages of this insurance apply to the same loss, we will pay the lesser of: 1. The actual amount of loss; or 2. The sum of the limits of insurance applicable to those coverages. PKGCR0003 2006 Page 2 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission Copyright, Insurance Services Office, Inc., 2001 U.S. SPECIALTY INSURANCE COMPANY Loss Sustained During Prior Insurance 1. 1f you, or any predecessor in interest, sustained loss during the period of any prior insurance that you or the predecessor in interest could have recovered under that insurance except that the time within which to discover loss had expired, we will pay for it under this insurance, provided: a. This insurance became effective at the time of cancellation or termination of the prior insurance; and b. The loss would have been covered by this insurance had it been in effect when the acts or events causing the loss were committed or occurred. 2. The insurance under this Condition is part of, not in addition to, the Limits of Insurance applying to this insurance and is limited to the lesser of the amount recoverable under: a. This insurance as of its effective date; or b. The prior insurance had it remained in effect. Loss Covered Under This Insurance and Prior Insurance Issued by Us or Any Affiliate If any loss is covered: 1. Partly by this insurance; and ?. Partly by any prior cancelled or terminated insurance that we or any affiliate had issued to you or any predecessor in interest; the most we will pay is the larger of the amount recoverable under this insurance or the prior insurance. Regardless of the number of years this insurance remains in force or the number of premiums paid, no Limit Of Insurance cumulates from year to year or period to period. Other Insurance This insurance does not apply to loss recoverable or recovered under other insurance or indemnity. However, if the limit of the other insurance or indemnity is insufficient to cover the entire amount of the loss, this insurance will apply to that part of the loss, other than that falling within any deductible amount, not recoverable or recovered under the other insurance or indemnity. However, this insurance will not apply to the amount of loss that is more than the applicable Limit Of Insurance shown in the Declarations. Ownership of Property; Interests Covered The property covered under this insurance is limited to property: 1. That you own or hold; or 2. For which you are legally liable. However, this insurance is for your benefit only. It provides no rights or benefits to any other person or organization. Policy Period 1. The Policy Period is shown in the Declarations. 2. Subject to the Loss Sustained During Prior Insurance condition, we will pay only for loss that you sustain through acts committed or events occurring during the Policy Period. Records You must keep records of all Covered Property so we can verify the amount of any loss. Recoveries 1. Any recoveries, less the cost of obtaining them, made after settlement of loss covered by this insurance will be distributed as follows: a. To you, until you are reimbursed for any loss that you sustain that exceeds the Limit of Insurance and the Deductible Amount, if any; b. Then to us, until we are reimbursed for the settlement made; c. Then to you, until you are reimbursed for that part of the loss equal to the Deductible Amount, if any. 2. Recoveries do not include any recovery: a. From insurance, suretyship, reinsurance, security or indemnity taken for our benefit; or b. Of original "securities" after duplicates of them have been issued. Territory This insurance covers only acts committed or events occurring within the United States of America, U. S. Virgin Islands, Puerto Rico, Canal Zone, or Canada. PKGCR0003 2006 Page 3 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission Copyright, Insurance Services Office, Inc., 2001 U.S: SPECIALTY INSURANCE C©MPANY Transfer of Your P.ights of Recovery Against Others to Us You must transfer to us all your rights of recovery against any person or organization for any loss you sustained and for which we have paid or settled. You must also do everything necessary to secure those rights and do nothing after loss to impair them. Valuation -Settlement 1. Subject to the applicable Limit of Insurance provision we will pay for: a. Loss of "money" but only up to and including its face value. We may, at our option, pay for loss of "money" issued by any country other than the United States of America: (1) At face value in the "money" issued by that country; or (2) In the United States of America dollar equivalent determined by the rate of exchange on the day .the loss was discovered. b. Loss of "securities" but only up to and including their value at the close of business on the day the loss was discovered. We may, at our option: (1) Pay the value of such "securities" or replace them in kind, in which event you must assign to us all your rights, title and interest in and to those "securities"; or (2) Pay the cost of any Lost Securities Bond required in connection with issuing duplicates of the "securities." However, we will be liable only for the payment of so much of the cost of the bond as would be charged for a bond having a penalty not exceeding the lesser of the: (a) Value of the "securities" at the close of business on the day the loss was discovered; or (2) Cost of repairing the property or "premises"; or (3) Cost of replacing the property with property of like kind and quality. We may, at our option, pay the actual cash value of the property or repair or replace it. If we cannot agree with you upon the actual cash value or the cost of repair or replacement, the value or cost will be determined by arbitration. 2. We may, at our option, pay for loss of, or loss from damage to, property other than "money": a. In the "money" of the country in which the loss occurred; or b. In the United States of America dollar equivalent of the "money" of the country in which the loss occurred determined by the rate of exchange on the day the loss was discovered. 3. Any property that we pay for or replace becomes our property. GENERAL DEFINITIONS 1. "Employee" means: a. Any natural person: (1) While in your service (and for 90 days after termination of service); and (2) Whom you compensate directly by salary, wages or commissions; and (3) Whom you have the right to direct and control while performing services for you; or b. Any natural person who is furnished to you to: (1) Substitute for a permanent "employee" on leave; or (2) Meet seasonal or short-term work load conditions; (b) Limit of Insurance. c. Loss of, or loss from damage to, "property other than money and securities" or loss from damage to the "premises" for not more than the: (1) Actual cash value of the property on the day the loss was discovered; while that person is subject to your direction and control and performing services for you, excluding, however, any such person while having care and custody of property outside the "premises". PKGCR0003 2006 Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission Copyright, Insurance Services Office, Inc., 2001 U.S.-SPECIALTY INSURANCE COMPANY But "employee" does not mean any (1) Agent, broker, .person leased to you by a labor leasing firm, factor, co-~mission merchant, consignee, independent contractor or representative of the same general character; or (2) Director or trustee except while performing acts coming within the scope of the usual duties of an employee. 2. "Money" means: a. Currency, coins and bank notes in current use and having a face value; and b. Travelers checks, register checks and money orders held for sale to the public. 3. "Property Other Than Money and Securities" means any tangible property other than "money" and "securities" that has intrinsic value but does not include any property listed in any Crime Coverage Form as Property Not Covered. 4. "Securities" means negotiable and non-negotiable instruments or contracts representing either "money" or other property and includes: a. Tokens, tickets, revenue and other stamps (whether represented by actual stamps or unused value in a meter) in current use; and b. Evidences of debt issued in connection with credit or charge cards, which cards are not issued by you; but does not include "money". PKGCR0003 2006 Page 5 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission Copyright, Insurance Services Office, Inc., 2001 U.S. SPECIALTY INSURANCE COMPANY ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE POLICY NUMBER MO. DAY YR. 12:01 NOON A.M. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. VOLUNTEER WORKERS, OTHER THAN FUND SOLICITORS, AS EMPLOYEES This endorsement modifies insurance provided under the following: CRIME GENERAL PROVISIONS "Employee" also includes any non-compensated natural person, other than one who is a fund solicitor, while performing services for you that are usual to the duties of an "employee". ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED AUTHORIZED REPRESENTATIVE DATE PKGCR0008 2006 IL 09 52 01 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following: BOILER AND MACHINERY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART STANDARD PROPERTY POLICY A. Cap On Certified Terrorism Losses "Certified act of terrorism" means an act that is certified by the Secretary of the Treasury, in con- currence with the Secretary of State and the Attor- ney General of the United States, to be an act of terrorism pursuant to the federal Terrorism Risk Insurance Act. The criteria contained in the Terror- ism Risk Insurance Act fora "certified act of terror- ism" include the following: 1. The act resulted in insured losses in excess of $5 million in the aggregate, attributable to all types of insurance subject to the Terrorism Risk Insurance Act; and 2. The act is a violent act or an act that is dan- gerous to human life, property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian popu- lation of the United States or to influence the policy or affect the conduct of the United States Government by coercion. If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a Program Year (Janu- ary 1 through December 31) and we have met our insurer deductible under the Terrorism Risk Insur- ance Act, we shall not be liable for the payment of any portion of the amount of such losses that ex- ceeds $100 billion, and in such case insured losses up to that amount are subject to pro rata al- location in accordance with procedures estab- lished by the Secretary of the Treasury. B. Application Of Exclusions The terms and limitations of any terrorism exclu- sion, or the inapplicability or omission of a terror- ism exclusion, do not serve to create coverage for any loss which would otherwise be excluded under this Coverage Part or Policy, such as losses ex- cluded by the Nuclear Hazard Exclusion or the War And Military Action Exclusion. IL 09 52 01 08 ©ISO Properties, Inc., 2007 Page 1 of 1 ^ U.S. SPECIALTY INSURANCE COMPANY THEFT, DISAPPEARANCE. AND DESTRUCTION COVERAGE FORM CRIME -COVERAGE FORM C COVERAGE We will pay for loss of Covered property resulting directly from the Covered Causes of Loss. Section 1. -Inside the Premises 1. Covered property: "Money" and "securities" inside the "premises" or a "banking premises." 2. Covered Causes of Loss a. "Theft" b. Disappearance c. Destruction 3. Coverage Extensions Containers of Covered Property: We will pay for loss of, and loss from damage to, a locked safe, vault, cash register, cash box or cash drawer located in the "premises" resulting directly from an actual or attempted: (1) "Theft" of; or (2) Unlawful entry into those containers. b. Premises Damage: We will pay for loss from damage to the "premises" or its exterior resulting directly from an actual or attempted "theft" of Covered Property if you are the owner of the "premises" or are liable for damage to it. Section 2. -Outside the Premises 1. Covered Property: "Money" and "securities" outside the "premises" in the care and custody of a "messenger." 2. Covered Causes of Loss a. "Theft" b. Disappearance c. Destruction 3. Coverage Extension Conveyance of Property by Armored Motor Vehicle Company: We will pay for loss of Covered Property resulting directly from the Covered Causes of Loss while outside the "premises" in the care and custody of an armored motor vehicle company. But we will pay only for the amount of loss that you cannot recover: a. Under your contract with the armored motor vehicle company; and b. From any insurance or indemnity carried by, or for the benefit of customers of, the armored motor vehicle company. LIMIT OF INSURANCE The most we will pay for loss in any one "occurrence" is the applicable Limit of Insurance shown in the Declarations. DEDUCTIBLE We will not pay for loss in any one "occurrence" unless the amount of loss exceeds the Deductible Amount shown in the Declarations. We will then pay the amount of loss in excess of the Deductible Amount, up to the Limit of Insurance. In the event more than one Deductible Amount could apply to the foss, only the highest Deductible Amount may be applied. ADDITIONAL EXCLUSIONS, CONDITIONS AND DEFINITIONS In addition to the provisions in the Crime General Provisions, this Coverage Form is subject to the following: Additional Exclusions: We will not pay for loss as specified below: 1. Accounting or Arithmetic Errors or Omissions: Loss resulting from accounting or arithmetic errors or omissions. 2. Acts of Employees, Directors, Trustees or Representatives: Loss resulting from any dishonest or criminal act committed by any of your "employees," directors, trustees or authorized representatives: a. Acting alone or in collusion with other persons; or b. While performing services for you or otherwise. 3. Exchanges or Purchases: Loss resulting from the giving or surrendering of property in any exchange or purchase. 4. Fire: Loss from damage to the "premises" resulting from fire, however caused. S. Money Operated Devices: Loss of property contained in any money operated device unless the amount of "money" deposited in it is recorded by a continuous recording instrument in the device. PKGCR0004 2006 Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission U.S. SPECIALTY INSURANCE COMPANY 6. Transfer or Surrender of Property a. Loss of property after it has been transferred or surrendered to a person or place outside the "premises" or "banking premises": (1) On the basis of unauthorized instructions; or (2) As a result of a threat to do: (a) Bodily harm to any person; or (b) Damage~to any property. b. But this exclusion does not apply under COVERAGE, Section 2. to foss of Covered Property while outside the "premises" or "banking premises" in the care and custody of a "messenger" if you: (1) Had no knowledge of any threat at the time the conveyance began; or (2) Had knowledge of a threat at the time the conveyance began, but the loss was not related to the threat. 7. Vandalism: Loss from damage to the "premises" or its exterior or to containers of Covered Property by vandalism or malicious mischief. 8. Voluntary Parting of Title to or Possession of Property: Loss resulting from your, or anyone acting on your express or implied authority, being PKGCR0004 2006 Page 2 of 2 induced by any dishonest act to voluntarily part with title to or possession of any property. Additional Condition Duties in the Event of Loss: If you have reason to believe that any loss of, or loss from damage to, Covered Property involves a violation of law, you must notify the police. Additional Definitions 1. "Banking Premises" means the interior of that portion of any building occupied by a banking institution or similar safe depository. 2. "Messenger" means you, any of your partners or any "employee" while having care and custody of the property outside the "premises." 3. "Occurrence" means an: a. Act or series of related acts involving one or more persons; or b. Act or event, or a series of related acts or events not involving any person. 4. "Premises" means the interior of that portion of any building you occupy in conducting your business. 5. "Theft" means any act of stealing. Includes copyrighted material of Insurance Services Office, Inc., with its permission U.S. SPECIALTY INSURANCE COMPANY PUBLIC EMPLOYEE DISHONESTY COVERAGE FORM CRIME COVERAGE FORM O -PER LOSS COVERAGE b. Inventory Shortages: loss, or that part of any loss, the proof of which as to its existence or We will pay foss of, and loss from damage to, Covered amount is dependent upon: Property resulting directly from the Covered Cause of (1)An inventory computation; or Loss. 1. Covered Property: "Money," "securities," and "property other than money and securities." 2. Covered Cause of Loss: "Employee dishonesty." 3. Coverage Extension Employees Temporarily Outside Coverage Territory: We will pay for loss caused by any "employee" while temporarily outside the territory specified in the Territory General Condition for a period not more than 90 days. LIMIT OF INSURANCE The most we will pay for loss in any one "occurrence" is the applicable Limit of Insurance shown in the Declarations. DEDUCTIBLE 1. We will not pay for loss in any one "occurrence" unless the amount of loss exceeds the Deductible Amount shown in the Declarations. We will then pay the amount of loss in excess of the Deductible Amount, up to the Limit of Insurance. 2. You must: a. Give us notice as soon as possible of any loss of the type insured under this Coverage Form even though it falls entirely within the Deductible Amount. b. Upon our request, give us a statement describing the loss. ADDITIONAL EXCLUSIONS, CONDITIONS AND DEFINITIONS: In addition to the provisions in the Crime General Provisions, this Coverage Form is subject to the following: 1. Additional Exclusions: We will not pay for loss or damages as specified below: a. Employee Cancelled Under Prior Insurance: loss caused by any "employee" of yours, or predecessor in interest of yours, for whom similar prior insurance has been cancelled and not reinstated since the last such cancellation. (2) A profit and loss computation. c. Bonded Employee: loss caused by any "employee" required by law to be individually bonded. d. Treasurer or Tax Collector: loss caused by a treasurer or tax collector by whatever name known. e. Damages: damages for which you are legally liable as a result of: (1) The deprivation or violation of the civil rights of any person by an "employee"; or (2) The tortious conduct of an "employee," except conversion of property of other parties held by you in any capacity. 2. Additional Conditions: a. Cancellation as to Any Employee: This insurance is cancelled as to any "employee": (1) Immediately upon discovery by you or any official or employee authorized to manage, govern or control your employees, of any dishonest act committed by that "employee" whether before or after becoming employed by you. (2) On the date specified in a notice mailed to you. That date will be at least 30 days after the date of mailing. The mailing of notice to you at the last mailing address known to us will be sufficient proof of notice. Delivery of notice is the same as mailing. b. Sole Benefit: This insurance is for your sole benefit. No legal proceeding of any kind to recover on account of loss under this coverage may be brought by anyone other than you. c. Indemnification: We will indemnify any of your officials who are required by law to give bonds for the faithful performance of their service against loss through dishonest acts of persons who serve under them, subject to the Limit of Insurance. PKGCR0006 2006 Page 1 of 2 U.S. SPECIALTY INSURANCE COMPANY 3, Additional Definitions course of employment, including: salaries, a. "Employee Dishonesty" in Paragraph 2., commissions, fees, bonuses, promotions, COVERAGE Section, means only dishonest awards, profit sharing, or pensions) for: acts committed by an "employee," whether (a) The "employee"; or identified or not, acting alone or in collusion with other persons, with the manifest intent to: (b)Any person or organization intended by the "employee" to receive that benefit. (1) Cause you to sustain loss; and also b. "Occurrence" means all loss caused by, or (2) Obtain financial benefit (other than involving, one or more "employees", whether employee benefits earned in the normal the result of a single actor series of acts. PKGCR0006 2006 Page 2 of 2 U.S. SPECIALTY INSURANCE COMPANY ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE FORMING A PART OF (Standard Time) INSURED POLICY NUMBER MO. DAY YR. 12:01 NOON AGENCY AND CODE A. M. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADD FAITHFUL PERFORMANCE OF DUTY This endorsement modifies insurance provided under the following: PUBLIC EMPLOYEE DISHONESTY COVERAGE FORM O or P PROVISIONS 1. The following is added as a Covered Cause of Loss: Failure of any "employee" to faithfully perform his or her duties as prescribed by law, when such failure has as its direct and immediate result a loss of your Covered Property. 2. The following Additional Exclusion is added: Depository Failure: loss resulting from the failure of any entity acting as a depository for your property or property for which you are responsible. 3. Part 2.a.(1) of the Additional Condition, Cancellation as to Any Employee, is deleted and the following substituted: Immediately upon discovery by you or any official or employee authorized to manage, govern or control your employees of any act on the part of an "employee" whether before or after becoming employed by you -which would constitute a loss covered under the terms of this Coverage Form, as amended by this endorsement. 4. Part 2.c. of the Additional Condition, Indemnification, is deleted and the following substituted: Indemnification: We wilt indemnify any of your officials who are required by law to give bonds for the faithful performance of their service against loss through the failure of any "employee" under the supervision of that official to faithfully perform his or her duties as prescribed by law, when such failure has as its direct and immediate result a loss of your Covered Property. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED AUTHORIZED REPRESENTATIVE DATE PKGCR0009 2006 U.S. SPECIALI( INSURANCE COMPANY FORGERY OR ALTERATION COVERAGE FORM CRIME -COVERAGE FORM B COVERAGE We will pay for loss involving Covered Instruments resulting directly from the Covered Causes of Loss. 7. Covered Instruments: Checks, drafts, promissory notes, or similar written promises, orders or directions to pay a sum certain in "money" that are: a. Made or drawn by or drawn upon you; b. Made or drawn by one acting as your agent; or that are purported to have been so made or drawn; 2. Covered Causes Of Loss: Forgery or alteration of, on or in any Covered Instrument. 3. Coverage Extension Legal Expenses: If you are sued for refusing to pay any Covered Instrument on the basis that it has been forged or altered, and you have our written consent to defend against the suit, we will pay for any reasonable legal expenses that you incur and pay in that defense. The amount we will pay under this extension is in addition to the Limit of Insurance applicable to this insurance. LIMIT OF INSURANCE The most we will pay for loss in any one "occurrence" is the applicable Limit of Insurance shown in the Declarations. DEDUCTIBLE We will not pay for loss in any one "occurrence" unless the amount of loss exceeds the Deductible. Amount shown in the Declarations. We will then -pay the amount of loss in excess of the Deductible Amount, up to the Limit of Insurance. This provision does not apply to legal expenses paid under the Coverage Extension. ADDITIONAL EXCLUSION, CONDITIONS AND DEFINITION In addition to the provisions in the Crime General Provisions Form, this Coverage Form is also subject to the following: 1. Additional Exclusion Acts of Employees, Directors, or Trustees: We will not pay for loss resulting from any dishonest or criminal act committed by any of your "employees," directors, or trustees: a. Whether acting alone or in collusion with other persons; or b. Whether while performing services for you or otherwise. 2. Additional Conditions a. Facsimile Signatures: We will treat mechanically reproduced facsimile signatures the same as handwritten signatures. b. General Amendment: As respects this Coverage Form, the words Covered Property in the Crime General Provisions mean Covered Instruments. c. Proof of Loss: You must include with your proof of loss any instrument involved in that loss, or, if that is not possible, an affidavit setting forth the amount and cause of loss. d. Territory: We will cover loss you sustain anywhere in the world. The Territory General Condition does not apply to this Coverage Form. 3. Additional Definition "Occurrence" means all loss caused by any person or in which that person is involved, whether the loss involves one or more instruments. PKGCR0001 2006 U.S. SPECIALTY INSURANCE COMPANY ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE POLICY NUMBER MO. DAY YR. 12:01 NOON A.M. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BONDED EMPLOYEE AMENDMENT This endorsement modifies insurance provided under the following: PUBLIC EMPLOYEE DISHONESTY COVERAGE FORM O -PER LOSS PUBLIC EMPLOYEE DISHONESTY COVERAGE FORM P -PER EMPLOYEE Item 1.c. in the ADDITIONAL EXCLUSIONS, CONDITIONS AND DEFINITIONS section is deleted in its entirety and replaced by: c. Bonded Employee: loss caused by any "employee" required by law to be individually bonded. This exclusion does not apply to any "employee" required to be bonded under the provisions of ERISA. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED AUTHORIZED REPRESENTATIVE DATE PKGCR0011 2006 COMMERCIAL CRIME Coverage Form F COMPUTER FRAUD COVERAGE FORM A. COVERAGE-We will pay for loss of, and loss from damage to, Covered Property resulting directly from the Covered Cause of Loss. 1. Covered Property: "Money," "Securities" and "Property Other Than Money and Securities." 2. Covered Cause of Loss: "Computer Fraud" B. LIMIT OF INSURANCE The most we will pay for loss in any one "occur- rence" is the applicable Limit of Insurance shown in the DECLARATIONS. C. DEDUCTIBLE 2. Additional Conditions a. Duties in the Event of Loss: If you have reason to believe that any loss of, or loss from damage to, Covered Property involves a violation of law, you must notify the police. b. Special Limit of Insurance for Specified Property: We will only pay up to $5,000 for any one "occurrence" of loss of, and loss from damage to, manuscripts, drawings, or records of any kind or the cost of recon- structing them or reproducing any informa- tion contained in them. We will not pay for loss in any one "occurrence" unless the amount of loss exceeds the Deductible Amount in the DECLARATIONS. We will then pay the amount of loss in excess of the Deductible Amount, up to the Limit of Insurance. In the event more than one Deductible Amount could apply to the loss, only the highest Deductible Amount may be applied. D. ADDITIONAL EXCLUSIONS, CONDITIONS AND DEFINITIONS: In addition to the provisions in the Crime General Provisions, this Coverage Form is subject to the following: 1. Additional Exclusions: We will not pay for loss as specified below: a. Acts of Employees, Directors, Trustees or Representatives: Loss resulting from any dishonest or criminal act committed by any of your "employees," directors, trustees or authorized representatives: (1) Acting alone or in collusion with other persons; or (2) While pertorming services for you or otherwise. b. Inventory Shortages: Loss, or that part of any loss, the proof of which as to its exis- tence or amount is dependent upon: (1) An inventory computation; or (2) A profit and loss computation. 3. Additional Definitions a. "Banking Premises" means the interior of that portion of any building occupied by a banking institution or similar safe deposi- tory. b. "Computer Fraud" means "theft" of prop- erty following and directly related to the use of any computer to fraudulently cause a transfer of that property from inside the "premises" or "banking premises" to a per- son (other than a "messenger") outside those "premises" or to a place outside those "premises." c. "Messenger" means you, any of your part- ners or any "employee" while having care and custody of the property outside the "premises." d. "Occurrence" means an: (1) Act or series of related acts involving one or more persons; or (2) Act or event, or a series of related acts or events not involving any person. e. "Premises" means the interior of that por- tion of any building you occupy in conduct- ing your business. f. "Theft" means any act of stealing. CR 00 07 10 90 Copyright, Insurance Services Office, Inc., 1983, 1989 Page 1 of 1 p ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID PF DATE (MM/DOmYY) PRODUCER JEFFE-0 07 21 DB THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Maverick Insurance (NAj ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 626 West Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. New Albany IN 47150 Phone:812-941-4110 FaX:812-944-•6010 INSURERS AFFORDINGCDVERAGE INSURED NAIC IF INSURER A: IndSana puD11c alnPloyars~ plan City of Jeffersa{~ villa INSURER B: Houston Casualt Insurance 42374 Mayor Thomas Galk~kigan INSURER C. JeffesonvilletYN 47130-3672 INSURER O: -~._.,.-_..._._....~-•~_ INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUiREMENT, TERM OR CONDITION OF ANY CONTRACTOR OYHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLIWES. AGGREGATE LIMITS SHOW N MAV HAVE BEEN REDUCED BY PAID CLAIMS. roD LTR NSR TYPE OF INSURANCE POLICY NUMBER D TEYMMIQDlYY PUATEY MM~IIDWYYpN LIMITS GENERAL LIABILfTY EACH OCCURRENCE S 1 OOO OOO B X COMMERCIAL GENERAL LIABILITY PRG90110271 08/06/07 08/06/08 PREMISES Eaotarenee S 150 000 CLAIMS MADE ~ OCCUR MED EXP (My an! person) S 1 O OOO X Prof Liability PKG90110271 OB/06/07 08/06/08 PERSONAL6AOViNJUav S 1,000,000 X Law $nforecement PKG90110271 08/06/07 08/06/08 GENERALAGGRf:GATE s 3 000 000 GENt AGGREGATE LIMIT APPLIES PER: ~•--~-•°•---~^ POLICY EC07 LOC PRODUCTS-COMP/OP AGG S 3 OOO OOO AUTOMOBILE LIABILITY 8 X ANY AUTO PKG90110271 (Ea ~eDISINGLE LIMIT S 1 , OOO , OOO 08/06/07 08/06/08 ALL OWNED AUTOS SCHEDULED AUTOS ROPILY INJURY (Per plrgpn) a HIRED AUTOS ---~._.... " NON-0WNEDAUTOS BODILY INJURY S (Per ateident) B X $5,000 dad PKG90110271 08/06/07 08/06/08 -- PROPERTYDAMAGE s (Per accident) GARAGE LIABILRY AUTO ONLY - EA ACCIDENT $ ANY AUTO .-._._.........-._._.. OTHER THAN EA ACC S AUTO ONLY: qGG S EXCESSARJBRELLA LUIBILRI' H X OCCUR ~ CLAIMSMApE PKG9OSSO271 EACH OCCURRENCE S 4 OOO OOO 08/06/07 08/06/06 AGGREGATE s 4 OOO OOO s PEOVCTIBLE ." X RETENTION S 10 000 S WORKERS COMPENSATION AND S HYPLOYERS'LIABILfTY X T RY LIMIT R A ANY PROPRIETOR/PARTNERIEXECUTIVE 0066-GIGO O7/15/O7 07/15/08 E.L. EACH ACCIDENT s1000O00 OFFICER/MEMBER EXCLUDED9 ____ If yes, descAbe under E.L. DISEASE - EA EMPLOYEES 1 OO OOOO SPECIAL PROVISIONS bebw OTHER E.L.DISEASE•POLICYLIMIT 81000000 B Crime/Bonds PKG90110271 08/06/07 08/06/08 Crimes 500,000 DESCRIPTION OF OPERATIONS / LOCAiIpNS I HICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECVIL PROVISIONS To whom it may concern a insured has Crime coverage in the amount $500,000 to substitute for the require blanket bond to insure the faithful performance of all elected officials, employees, commission members and persons acting on behalf of Jeffersonville's Local Government. CERTIFICATE HOLDER CANCELLATION 1111111 SHOULD ANY OF THE ABOVE DESCRIBEp POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN TO Whom I t May Concern NOTICE TO 7NE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LMBILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. AUT REP ACORD 25 (2001/OS) pb( COUNTY RECORDER ®ACORD CORPORATION 1988 Ftlsd.f Reeord as Prsssnlsd 12e081 30 Paps 1 of S C2 Da!• !7/20/2008 Tilllf 10:23:00 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the cert~cate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ifeu of such endorsement(s). ' DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 2s tsoovosl i ~ ~~- ~C`' 1 Ordinance 200$-OR- ~~ 2 --- 3 4 AN ORDINANCE AUTHORIZING THE PURCHASE OF 5 A BLANKET BOND TO INSURE THE FAITHFUL 6 PERFORMANCE OF ALL ELECTED OFFICIALS, EMPLOYEES, 7 COMMISSION MEMBERS, AND PERSONS ACTING ON BEHALF OF 8 JEFFERSONVILLE'S LOCAL GOVERNMENT 9 10 11 WHEREAS, Indiana Code 5-~4-1-18 provides that the City Council may fix 12 the amount of the bond of City Judges, City Controllers, City Clerk-Treasurers, 13 Commission Members Barrett Law Fund Custodians and persons acting on 14 behalf of any government unit of the City of Jeffersonville; 15 16 WHEREAS, in order to comply with the law the City presently purchases 17 individual bonds for each of the elected officials, commission members and 18 Barrett Law~l=und Custodians; 19 20 WHEREAS, IC 5-4-1-18(b) allows the City to consolidate all of those 21 bonds required by IC 5-4-1-Et. Seq. and secure a single bond which results in a 22 substantial financial savings to the citizen taxpayers of the City of Jeffersonville, 23 Indiana; 24 25 WHEREAS, in order to save money and insure that atl elected officials, 26 commission members and Barrett Law Fund Custodians have sufficient bond 27 security the Jeffersonville City Council, pursuant to IC 5-4-1-18(b) does hereby 28 authorize the City of Jeffersonville to purchase a blanket bond not less than the 29 sum of Three Hundred Thousand Dollars ($300,000) to insure the faithful 30 pertormance of all employees, commission members and persons acting on 31 behalf of Jeffersonville government; 32 33 WHEREAS, the blanket bond shall cover the following City elected officials and employees: 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20 Z1 22 23 24 25 Z6 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 City Judge, City Clerk-Treasurer, City Council Members, Mayor, Deputy Clerk-Treasurers, All City Employees, All Members of All Boards, and any and all individual employees directed to file an individual bond by the fiscal body of the city, all of which is in compliance with Indiana Code 5-4-1-18 as adopted July 1, 2004 THEREFORE, BE IT ORDAINED THAT: A. That in order to save taxpayer money the City Council authorizes the City Executive to purchase a Blanket Bond to Insure the Faithful Performance of All Elected Officials, Employees, Commission Members, and Persons Acting on Behalf of Jeffersonville Local Government in lieu of purchasing individual pertormance bonds for each elected official, commission member and employee; B. That the City, pursuant to IC 5-4-1-18 purchase a Blanket Bond which provides the City and its taxpayers protection from Forgery, Alteration, Theft, Disappearance and Destruction, Computer Fraud, Employee Dishonesty and insurance of faithful performance. The amount of said bond shall be not less than Three Hundred Thousand Dollars ($300,000); C• That this ordinance shall be in full force and effect until that time wherein the City Executive produces evidence that it shall be more economically prudent for the City to purchase individual pertormance bands. If, upon presentation of such evidence to the council, this circumstance shall exist in the: future, this ordinance shall be deemed null and void. 1 2 3 4 5 6 7 8 9 Voted Against: 10 11 12 Passed this day of , 2008. 13 14 , 15 M o Thomas a liga 16 17 18 19 Attest: , 20 21 Pegg der, Clerk-Treasurer 22 23 24 Presented by me, Peggy Wilder, as the Cler and Treasurer to th ~ Mayor of said 2S City of Jeffersonville, Indiana on this ~j~tlay of , 2008. 26 27 , 28 29 Peg ilder, Clerk-Treasurer 30 31 32 I 33 34 This ordinance approved and signed by Thomas Galligan, Mayor of the City of 3s Jeffersonville, Indiana on this ~ day of _~_~ C , 2008. 36 37 ~ 38 .~ 39 Thomas Galli an, a or