HomeMy WebLinkAboutContinuation Certificate for Platte River Insurance Company American Medical Response CONTINUATION
CERTIFICATE
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PLATTE RIVER INSURANCE COMPANY ,Surety upon
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a certain Bond No. 41154267
dated effective 01/01/2009
(MONTH-DAY-YEAR►
on behalf of AMERICAN MEDICAL RESPONSE, INC.
(PRINCIPAL)
and in favor of CITY OF BOZEMAN
(OBLIGEE)
does hereby continue said bond in force for the further period
beginning on 1/1/2016
(MONTH-DAY-YEAR)
and ending on 1/1/2017
(MONTH-DAY-YEAR)
Amount of bond $250,000.00
Description of bond License/Permit for Medical Transportation-Ordinance No. 1436
Premium: $ 2,188.00
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PROVIDED: That this continuation certificate does not create a new obligation and is executed upon the express condition and provision
that the Surety's liability under said bond and this and all Continuation Certificates issued in connection therewith shall not be cumulative
and that the said Surety's aggregate liability under said bond and this and all such Continuation Certificates on account of all defaults
committed during the period (regardless of the number of years) said bond had been and shall be in force, shall not in any event exceed
the amount of said bond as hereinbefore set forth. 1
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Signed and dated on 12/14/2015
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(MONTH-DAY-YEAR)
PLATTE RIVER INSURANC.E.COMPANY
By �
.-AT—ORNE IN-FACT Bryan J. Hutt
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iV} 04 PLATTE RIVER rNS URANE•:•COMPANY .:
�. POWER OF'ATTORNEY q ,,
��� •,)r IfaTOW ALL MEN BY THESE PRESENTS,.That the-PLATTE RIVER INSURANCE COMPANY,a corporation of the:State of Nebraska,having its
principal offices in the City of Middleton,.Wiscons in,'doesake,constitute and appointfR
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(ij'`'• i-'._ :-w �• - MARX,A CRAVES' BRYAN J.H[Jk'T--JANE GII�S4N-MARK P.HERENAEEN------------
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#,...r .its true and lawfuh'Attotne s-in-fact,to.make .execute,seal and delver,for And''uu its behalf,as surety,and as ifs act'
deed;-any An hit bonds, t -;
f{T p undertakings and contracts of suretyship,provided that no bond of undertaking or conhact of suretyship executed under this autUority shall exceed in }}
amount the sum of
Al `'- I ^----- ---- :-- ALL.WRITTEN.INSTRLJMENTS iN AN AMOUNT
'NOT TO ECEED$2Q,000,OO ----- -- u •`+
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�)t s This cEoaer o£Attoruey-€s granted and is signed aird sealed by`facsimile inter o;id by authority of the following.Ites3t,.4utiod? opt d;-li khe.13o$r'd ' 3'h•
of nirectots of PLATTE RIVER INSURANCE COMPANY at a meeting duly called and held on the kh day.of January,2002
��°a "RES.OLVED,that die*! sident arid.Vice-President the Secretar ,or Treasurer acting individuail or otherwise,be and the hereb are ranted the a
tjr i "t P Y ng Y Y Y g jr
t, a pckN+ i and audhorizdtion to appointby.a Power Qf Attorney for dhe.purposes only of executing and attesting bonds.and undertakings and other writings =
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obligatory in•the nah[re creof,oue:orphprevice-presiderhls assistant secretaries and attoruey(s)-in=fact,each appointee to have the powers and duties � y
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1 je V usual'to;.auch oicsa:to;tlie'.(iusiness of tlie.company;,the stgl#aEure of sucli offtee>s'1nd'Yhe seal of the Corporatton maybe affixed to such power-ofvs.
I4 atto ey_br.ta try celr{if eat6.rblatitig thgWo by facsimile,and any such power of attorney or.certificate bearing such facsimile signatures cr faestinile <
seal iQii be*Q;-j nd,;bindipg upon.the Corporation in:the future with respect to:.aEty.b'bnd or undertakiig or other willing obligatory in[[€':nature
tliereof to.whieh if is attaclied.Any such appointment may.be revoked,for.cause,or without cause,by any of said officers,at any time." ;
In connection with obltgations in favor`of.the Florida Department of Transportation only,it is agreed that the power and.authority hereby given to the
rSo- Attorney-in-Fact includes any and all censents*for the release:of retained percentages*and,/or final estimates on engineering and construction contracts
ttu oaak+i ['garret by the State of Florida Department of Tiausportation..It is fully understood that consenting to.the State of Florida Department of Transpoitation
ram• making payment ofthe t<inai_estimate to the Contractor and/or ifs assegnee s}iall rititYeleeve..this surety company of anyit I
o�its5o[iligafions under its b€yiiil.
y -_' In contiectlgn with olslijations iri fa4or.of the Kentucky Department of]hghways only it`is agreed that rile po4ver agd:;;aiitlif rity hereby gi3O r6 to the �9 +•
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Attorney-in Fact+rannbt be modified of revoked unless.prior written personal notice of such intent has been given to the C�on1inisslbne P.€
{s` a ;highways of the Commonwealth of Kentucky as least thirty(30)days prior to the.inodification or revocation. rC dw�+pll
IN.WITNESs,WHEREOF,the PLATTE RIVER INSURANCE COMPANfr has caused these presents to be signed by its officer undersigned and its .
�5{t r}i corporate.sean0 be hertito affixed duly attested,this 8th day of Februahy,.2015,
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}e`er-ta,�� Atto>Rt-0! IlithGNll11 �� �•`"
�t...;vda ,3s oa\\�\\viNsupArrrrnu�U PLATTE RIVERXNSURALYCC CO1VI'AN :' taro- �!Iy1
�, Gary W Shimpei z4 <= `1
t�tW. €r President � SEAL Stephen J.Sills s ®a
*r Surety&fidelity Operations CEO&President
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t;,L�° ° STAT>.Ql?WI5ONSIN "ze?ascn
COL11�i.TX"(F OW, S S uirrnafpiluiallam+sub g.�ti
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ry � ;CStY tNe.9 da3i,op Feb'tiiary,'1615 before me,peponally came Stephen J"Stills to me known,twho'being by me duly sworn;did depose antl'say:tliat he v.�•h.
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reS€des in the County•.ofNewYork,State of New Yoch;that he is President.of.PLATTE RIVER.INSURANCE COMPANY,the corporation described
h'r s herein And:which executed the above instrument;that he knows the seal of rile aaid.corporation;that the seat affixed to said instrument is such corporate
0. seal;'ihat it:was;so,affixed'by order of the; oard of Directors of said corpoi'aHon and that he signed rig natue themto-by*like order.
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;'`e r KRUbANIEL
ECER Daniel W,Krueger {
'STATE OF,WISCONSW. 2 a n Noiary.Public,Dane Co.,WI
��^oo`*ram" COUNTY:OF•DAIyE`:..:'': .. S`S My Cominissiog l5 Permanent
/}5 CBRTIIICATE its, Ys
I the undcrsi a dui elected to the office stated below now the'incumbent in PLATTE RIVER INSURANCE COMPANY a Nebraska Corporation,
it`;+t" Fl autliorzed't iia3ce'Xh s GertL}ioate,DO HEREBY CERTIFY that the foregoing attached.Power of Attorney,remains lii`:full force tint]liar not been i ?`
t`evoked;'dnii }trtliei�iore tliaY the Resolution of Board of Directors,set£pith iri the Po(er of Attorney is now in force
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" 3L Siguetl and sealed at'tlie Litt'+of Middleton State of Wisconsin this `�day of i.�l''t aA��s� ,2�r`t� +`• �4,�1�j
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