HomeMy WebLinkAboutOhio Farmers Insurance Co.Public
Official
Schedule
Bond
(Position Form)
Ohio Farmers Insurance Co.
West'field Center, Ohio 44251-5001
Bond Number: 5963697
THE
OBLIGATION
CONDITION
OF THE
OBLIGATION
WHEN
COVERAGE
EFFECTIVE
EXTENT OF
SURETY'S
LIABILITY
ADDITION OF
POSITIONS -
CHANGE OF
AMOUNTS
1. KNOW ALL MEN BY THESE PRESENTS, that OHIO FARMERS INSURANCE
COMPANY, an Ohio corporation, authorized to transact business as Surety in the State of
Indiana , as Surety, is held and firmly bound unto City of Jeffersonville
Police Department as Obligee, in the respective sums set opposite the positions listed in the
appropriate schedule, or in an endorsement, for the payment of which well and truly to be made
the Surety does hereby bind itself, its successors, and assigns, firmly by these presents.
SIGNED, SEALED AND DATED the 19th , day of July ,2002
2. The condition of this 051igation is such that if each employee occupying any such
position shall faithfully discharge the duties thereof while such position is covered hereunder
and shall promptly account for and pay over, according to law, all money or property received
by them by virtue of such position or, in default thereof, shall pay all damages, costs, and
expenses resulting from such default or defaults, then this obligation shall be void, otherwise to
remain in full force and effect, subject, however, to the terms and conditions hereinafter set
forth.
3. This bond shall be effective as of May 13 ,2002 . Positions named in the
attached schedule are covered on and after the effective date; positions added by being
included in a new schedule identified by the signature of the Surety by an Officer or Attorney-in-
Fact and attached as of any premium anniversary date, shall be covered on and after that
anniversary date; positions added by endorsement shall be covered on and after the date
specified therein.
4. The coverage on each position is Continuous from its inception of coverage to
termination thereof, and the coverage for separate periods shall not be cumulative. The liability
of the Surety for the failure of any employee to'account for and pay over shall be limited to the
failure to account for and pay over funds actually in such employee's possession during the
period within which he is covered. If the coverage on any position for separate periods be for
different amounts, the maximum liability of the Surety for all the defaults of any employee who
may occupy that position shall not exceed the largest amount of coverage in force during any
period within which defaults shall have occurred, nor shall the coverage for one period be
available for defaults occurring within any other period. A failure to account in one period shall
not be considered a default occurring during that period unless the funds were actually in the
possession of the employee during such period. If an employee occupy, at one time or at
different times, two or more covered positions, the maximum liability of the Surety for all defaults
of that employee shall not exceed in the aggregate the largest amount of coverage on any
position in which defaults of that employee shall have occurred, nor shall the coverage for one
position be available for defaults in any other position.
5. Positions may be added to the schedule, or the amount of coverage on a position may
be changed, upon the written application of the Obligee; such addition or change shall not be
effective until the Surety has executed and mailed to the Obligee an endorsement accepting
such addition or change, nor until the effective date specified therein.
BD 5038 (1/95)
Page i of 4
TEMPORARY
AUTOMATIC
COVERAGE
DISCOVERING
AND REPORTING
LOSS, OR FACTS
INDICATING LOSS
TERMINATION
CHANGES IN
PRINTED
PROVISIONS-
HOW MADE
6. Any newly created position shall be covered automatically for the first sixty days for the
smallest amount for which any position of that class is then covered, but in no event for more
than Five Thousand Dollars ($5000), or if there be no other position of that class, for the largest
amount for which any position is then covered, but in no event for more than Five Thousand
Dollars ($5000). Recovery under this clause for defaults of any occupant of any such position
may not be made unless claim be filed wi~:h the Surety within ten days after the expiration of
such sixty day period, nor if during such sixty day period such position be covered by schedule
or addition thereto as hereinbefore provided.
7. Upon discovery by the Obligee of any loss, or of facts indicating loss, the Obligee shall
promptly, and in any event within ten days thereafter, notify the Surety thereof by registered
mail addressed to the Surety's Home Office at Westfield Center, Medina County, Ohio 44251-
5001.
8. The coverage on any position shall terminate if such position is omitted from the
schedule attached as of any anniversary date. The coverage on any employee shall terminate
when the employment terminates or the Obligee discovers or becomes aware of any default
committed by such employee. The coverage on any employee, or on any position, or the bond
in it entirety, may be terminated by written notice from either of the parties to the other. Such
notice from the Surety shall become effective thirty days after receipt thereof by the Obligee;
such notice from the Obligee shall become effective immediately upon receipt thereof by the
Surety.
9. The liability of the Surety shall not be affected by any attempt by anyone representing or
purporting to represent the Surety to construe or interpret this bond, nor by any change in the
printed provisions of the bond made otherwise than by written instrument duly executed by a
Vice-President of the Surety or by a printed endorsement duly executed by an Attorney-in-Fact.
OHIO FARMERS INSURANCE COMPANY
~,,_~r~ ~owell AttorneyAn.Fac[
BD5038 (1/95)
Page 2 of 4
SCHEDULE OF POSITIONS COVERED HEREUNDER
ACCEPTANCE
NUMBER POSITION CITY STATE AMOUNT
1. Police Chief Jeffersonville IN $5,000
2. Assistant Police Chief Jeffersonville IN $1,000
3. Chief of Detectives Jeffersonville IN $1,000
4. Shift Commander Jeffersonville IN $1,000
5. Shift Commander Jeffersonville IN $1,000
6. Shift Commander Jeffersonville IN $1,000
7. Shift Commander Jeffersonville IN $1,000
8. Police Major Jeffersonville IN $1,000
9. Police Major Jeffersonville IN $1,000
t0. Police Major Jeffersonville IN $1,000
11. Police Major Jeffersonville IN $1,000
12. Police Major Jeffersonville IN $1,000
13. Police Major Jeffersonville IN $1,000
14. Police Major Jeffersonville IN $1,000
15. Police Major Jeffersonville IN $1,000
16. Police Captain Jeffersonville IN $1,000
17. Police Captain Jeffersonville IN $1,000
18. Police Captain Jeffersonville IN $1,000
19. Police Captain Jeffersonville IN $1,000
20. Police Lieutenant Jeffersonville IN $1,000
Rate $ per hundred, Annual Minimuxn Premium per position, $
Annual Minimum Earned Prem/um per position, $.
5038 (1/95)
Page 3 o£4
SCHEDULE OF POSITIONS COVERED HEREUNDER
ACCEPTANCE
NUMBER POSITION CITY STATE AMOUNT
21. Police Lieutenant Jeffersonville IN $1,000
22. Police Lieutenant Jeffersonville IN $1,000
23. Police Sergeant Jeffersonville IN $1,000
24. Police Sergeant Jeffersonville IN $1,000
25. Police Sergeant Jeffersonville IN $'1,000
26. Police Sergeant Jeffersonville IN $1,000
27. Police Sergeant Jeffersonville IN $1,000
28. Police Sergeant Jeffersonville IN $1,000
29. Police Sergeant Jeffersonville IN $1,000
30. Police Sergeant Jeffersonville IN $1,000
31. Police Corporal Jeffersonville IN $1,000
32. Police Corporal Jeffersonville IN $1,000
33. Police Corporal Jeffersonville IN $1,000
34. Police Patrolman Jeffersonville IN $1,000
35. Police Patrolman Jeffersonville IN $1,000
36. Police Patrolman Jeffersonville IN $1,000
37. Police Patrolman Jeffersonville IN $1,000
38. Police Patrolman Jeffersonville IN $t ,000
39. Police Patrolman Jeffersonville IN $1,000
40. Police Patrolman Jeffersonville IN $1,000
Rate $ per hundred, Annual Minimum Premium per position, $
Annual Minimum Earned Premium per position, $
BD 5038 (1/95)
Page 3 of 4
SCHEDULE OF POSITIONS COVERED HEREUNDER
ACCEPTANCE
NUMBER POSITION CITY STATE AMOUNT
4'1. Police Patrolman Jeffersonville IN $1,000
42. Police Patrolman Jeffersonville IN $1,000
43. Police Patrolman Jeffersonville IN $1,000
44. Police Patrolman Jeffersonville IN $1,000
45. Police Patrolman Jeffersonville IN $1,000
46. Police Patrolman Jeffersonville IN $1,000
47. Police Patrolman i Jeffersonville IN $1,000
48. Police Patrolman Jeffersonville IN $1,000
49. Police Patrolman Jeffersonville IN ~ $1,000
50. Police Patrolman Jeffersonville IN $1,000
51. Police Patrolman Jeffersonville IN $1,000
52. Police Patrolman Jeffersonville IN $'1,000
53. Police Patrolman Jeffersonville IN $1,000
54. Police Patrolman Jeffersonville IN $1,000
55. Desk Officer Jeffersonville IN $1,000
56. Desk Officer Jeffersonville IN $1,000
57. Training and Public Relations Jeffersonville IN $1,000
58. Dispatcher Jeffersonville IN $1,000
59. Dispatcher Jeffersonville IN $1,000
60. Dispatcher Jeffersonville IN $1,000
Rate $ per hundred, Annual Minimum Premium per position, $
Annual Minimum Earned Premium per position, $
BD 5038 (I/95)
Page 3 of 4
SCHEDULE OF POSITIONS COVERED HEREUNDER
ACCEPTANCE
NUMBER POSITION CITY STATE AMOUNT
61. Dispatcher Jeffersonville IN $1,000
62. Dispatcher Jeffersonville IN $1,000
63. Dispatcher Jeffersonville IN $1,000
64. Police Clerk Jeffersonville IN $1,000
65. Secretary Jeffersonville IN $1,000
66. Secretary Jeffersonville IN $1,000
Rate $ per hundred, Annual Minimum Premium per position, $
Armual Minimum Earned Premium per position, $
BD 5038 (1/95)
Page 3 of 4
General
Power
of Attorney
CERTIFIED COPY
POWER NO. 0000022 01
Ohio Farmers Insurance Co.
Westfield Center, Ohio
Know Ali Men by These Presents, That OHIO FARMERS INSURANCE COMPANY, a corporation duly organized and existing under the laws of
the state of Ohio, and having its principal office in Westfleld Center, Medina County, Ohio, does by those presents make, constitute and appoint
TAMMY M. POWELL
of LOUISVILLE and State of KY its true and lawful Attomey(s)-in-Fact, with full power and authority hereby conferred in its name,
place and stead, to execute, acknowledge and deliver any and all bonds, recogniza~nces, undertakings, or other instruments or contracts of
suretyship to include waivers to the conditions of contracts and consents of surety and to bind the Company thereby as fully and to the same
extent as if such bonds were signed by the Presidont, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby
ratifying and cdnfirming all that the said Attorney(s)-in-Fact may do in the premises; Said appointment is made under and by authority of the
following resolutions adopted by the Board at Directors of the Ohio Farmers Insurance Company:
"Be tt Resolved, that the Presidont, any Vico-Prosident, any Secretary or any Assistant Socretary shall be and is hereby vested with full
power and authority to appoint any one or moro suitablo persons as Attorney(s)-in-Fact to represent and act for and on behalf of the
Company subject to the following provisions:
'Section f. Attorney-in-Fact. Afforney-in-Fact may be givon full power and authority for and in the name of and on behalf of the Company,
to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of Indemnity and other conditional or
obligatory undertakings ahd any and all notices and documents canceling or terminating tho Company's liability thereunder, and any such
instruments so executed by any such Afforney-in-Fact shall be as binding upon the Company as if signed by the President and sealed and
attested by the Corporate Secretary.~ (Adopted at a meeting held on the 3rd day of July, 1957.)
"Be it Resolved, that the power and authority to appoint Attornay(s)-in-Fact granted to certain officers by a resolution Of this Board on the
3rd day of July, 1957, is hereby also granted to any Assistant Vice-President.' (Adopted at a meeting held on the 13th day of July, f976.)
This power of attorney and certificate is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the
Board of Directors of the Ohio Farmers Insurance Company at a meeting duly called and held on the 9th day of June, 1970:
"Be it Resolved, that the signature of any authorized officer and the seal of the Company heretofore or hereafter affixed to any power of
attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal
shall be valid and binding upon the Company with respect to any bond or undertaking to which it is aftached.~
in Witness Whereof, OHIO FARMERS iNSURANCE COMPANY has caused these presents to be signed by its Vice President, and its corporate
seal to be hereto affixed this 07th day of JUNE A.D., 1993 .
Corporate
Seal
Affixed
State of Ohio
County of Medina
SS,:
OHIO FARMERS INSURANCE COMPANY
By F~ch~?d L. t<inn~ h d, Jr. J Vice P~.s~ident
On this 07th day of JUNE A.D., 1993, before me personally came Richard L, Kinnaird, Jr., to me known, who, being by me duly
sworn, did depose and say, that he resides in Medina, Ohio; that he is Vice President of OHIO FARMERS INSURANCE COMPANY, the company
described in and which executed the above instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such
corporate seal; that it was so affixed by order of the Board of Directors of said Company; and that he signed his name thereto by like order.
Notarial
Seal
State of Ohio
County of Medina
CERTIFICATE
James M. Walker Notary Public
My Commission Does Not Expire
Sec. 147.03 Ohio Revised Code
I, Richard A. Wallet, Assistant Secretary of the OHIO FARMERS INSURANCE COMPANY, do hereby certify that the above and foregoing is
a true and correct copy of a Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions
of the Board of Directors, set out in the Power of Attorney are in full force and effect.
in Witness Whereof, nave hereunto set my nana an(3 affixed the seal of said Company at Westfield Center, Ohio, this Jq~ day of
Richard A. Wallet Assistant Secretary
BPOAO3 (03-99)