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HomeMy WebLinkAboutGamradt, Miral ~.,.~~~~-~--~~~, ~ . . ' ~Y Western Surety Company LICENSE AND PERMIT BOND KNOW ALL MEN BY THESE PRESENTS: That we, Mira1 Duane Gamradt of the City of Bozeman , State of Montana , as Principal, and the WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Montana , as Surety, are held and firmly bound unto the City of Bozeman, State of Montana , Obligee, in the penal Rum of One Hundred Thousand and no/100 ($ 100,000.00 ) DOLLARS, lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, jointly and severally by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the said Principal has been licensed Financial-Duector BOND No. 58149973 by the said Obligee. N(:)W TIIERE1;Jf(J)RE, if the said Principal shall faithfully perform the duties and in all things c!)Nlplsr ~:th tlhe la:ws and ordinances, includmg all Amendments thereto, appertaining to the license or ~rJnit applied f~;ll:, flien this obligation to be void, otherwise to remain in full force and effect until ......... October 9.. ..... ....... ' 19~, unless renewed by Continuation Certificate. .'fpisMpQ:ura.y~11ermina.t~d. at arw time by t~e Surety upon sending notic~ if,1 writing, by certified mail, to thed~kof the J?pl~t!~al SubdIVISIon wIth whom thIS bond IS filed and to the PrmcIpal, addressed to them at the Politi<:;;l.l,.~~6tij:wsi!,>fi named herein, and at the expiration of thirty-five (35) days from the mailing of said notice, this botidshall.ipsb facto terminate and the Surety shall thereupon be relieved from any liability for any acts or omissions of the Principal subsequent to said date. Dated this lOth day of October , 19~. ?14~ ..4(. ;1( 0 ~n /j a lJef Principal Countersig By Principal COMPANY By I " ACKNOWLEDGMENT OF S (Corporate Officer) STATE OF SOUTH DAKOTA} ss County of Minnehaha On this lOth day of October , 19~, before me, the undersigned officer, personally appeared Joe P. Kirby , who acknowledged himself to be the aforesaid officer of the WESTERN SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, executed the foregoing instrument for the purposes therein contained, by sigtling the name of the corporation by himself as such officer. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. +~~~~~~~~~~~~~~~+ t' D. MUTHf. ~ NOTARY PUBLIC ~ 'f. ~ SOUTH DAKOTA ~:~ : My Cummission Expires 11-10-91 ~ ~~~~~~~~~~~~~~~~~~~~~+ ;Q~ Notary Public - South Dakota 532 - 3.84 .. ~ ~ ....~..~....... ,!r , , p . ~ ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) STATE OF Monr.qn.q }ss County of Gallatin On this 10th day of October , 19~, before me personally appeared Miral Duane Gamradt known to me to be the individuaL described in and who executed the foregoing instrument and acknowledged to_mfl that Je_ executed the same. My commission expir-es l~pr iJ. 30 \fi ~ ,1988 I,~~ (). '. Notary Public Residing at Bozeman, Montana ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ~ ss County of On this day of ,19~, before me, personally appeared , who acknowledged himself to be the of , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself as such officer. My commission expires ,19~ Notary Public ~~~~~~~~~~~~~~~~ 1o:.1:.~"'L:..IC...""''''~~i:.l:...o:.lo:.l:.. >- J J c ('ij 0.. E-4 ,..., ,..., E - 3 ::s -+.:> ~ $:I ~ I;Il <:.J p., ...... ~~ -< 0 ~~ p. '" ~ '" Z ~z'" ~ ~~ -+.:> 0< 'H "'0 's ~~ 0 "'0 VJ "" Q) < Q) 00. ~ C ll.. Z '" l..- I-< ~ Z ~ 0 ~ Q) I.,.) "'0 '" - 'H ~ V) c ....:l . 0 ; ~ Q) 0 'H <:.J ~ "'0 "" 0 , ;.::s ..s:l 0.. , ~ ~ , 'H -+.:> , . ~ . 0 rn .t "0 , , r;; iLlk.~.....~~I::..~VLII:.."'1l::.1.:... 11... IlL...... 11..... III .. ~ "- ~ .. ~ ~~.~..~.,.. .." IlrJ ~Wf Western Surety Company Western Surety Company hereby continues in force Bond No. CONTINUATION CERTIFICATE 58149973 briefly described as Financial Director, City of Bozeman, Montana on behalf of Miral Duane Gamradt in the sum of $ 100,000.00 Dollars, for the term beginning October 9. 1986 and ending October 9, 1987 , subject to all the covenants and conditions of the original bond referred to above. This continuation is issued upon the express condition that the liability of the Western Surety Company under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed the total sum above written. Dated this 9th day of .1" 1 Y , 19--2.6.-. WESTERN SURETY COMPANY By resident , , , , Fonn 9O-A - 1'>-82 , , ~ ... ~ ~ . . "', ,- ~ . . .'. ~ ~ THIS "Continuation Certificate" MUST BE FILED WITH THE ABOVE BO :"~~ :1...&1....- WIIIIIl1IIl'lll{llVl;: qcorq ,,~, ~[Ij =I.If~'.[']~;:[.111:;(""1..;.[.m~il=l.:r~l-1... NAME ANrDADDRESS OF AGENCY COMPANY , o F'tr2~r fUt7ST PO Box A Bozeman, MT 59715 ... _...3!i..~_.__ .._.. ,,__~._---,-_' Western Surety Company ___ KINDOFPOLlCY -I-;Lee /0/c.~ . cc -r~-l tV IQIVL'~ PUBI t' (/{' r / {' 1 I:'U/V ! - POLICY NUMBER .. .. lAGENCY CODE 58149973 486 EFFECTIVE DATE/HOUR OF CANCELiATIQ'iii--- MONTH DAY YEAR HOUR OF CANCELLATION /7: 01 1iJ1r} /oq-J 0 I POlicy PERIOD MONTH DAY YEAR MON. ..T. H. ..DA..Y. .YEA. .R. 12at.a ~O-9.:-8' ,TO 10r-9-87 _______________ NAME AND MAILING ADDRESS OF IN~ED () I 7,! Or 12:> tJ i!t.~1 n If) / P.o. Box 640 BOZllll\an, NT 59715 o CANCELLATION REQUEST (Policy attached) G9 POLICY RELEASE (Policy not attached) RELEASE STATEMENT The undersigned agrees that The above referenced policy is lost, destroyed or being retained No claims of any type will be made against the Insurance Company under this policy for losses which occur aft e date of cancellation shown above. Any pr iuri adjustment will be made in accordance with the terms and conditions of the policy / ?Jl..LAA I At ~~ ~L1 SIGNATURE NAMED INS RED /(:' # 7 { I::. DATE WITNESS DATE SIGNATURE NAMED INSURED DATE D LIEN HOLDER D MORTGAGEE D LOSS PAYEE AUTHORIZED SIGNATURE TITLE DATE D LIEN HOLDER D MORTGAGEE D LOSS PAYEE AUTHORIZED SIGNATURE TITLE DATE ~ D I ;;( .liI:ltl;lRlIlnti[iJ~T::T.:."~'-'-"I- i REASON FOR CANCELLATION COMPANY ~ METHOD OF CANCELLATION FLAT SHORT RATE D PRO RATA NOT TAKEN REQUEST OF INSURED REWRITTEN POLICY NUMBER DATE D OTHER (Identify) FULL TERM PREMIUM $ __~NED FACTOR R:TURN PREMIUM I PRODUCER S SIGNATURE D PREMIUM CALCULATION SUBJECT TO AUDIT I DATE '''.If]:I.......... INSTRUCTIONS TO D INSURED D LOSS PAYEE D MORTGAGEE D LIEN HOLDER D COMPANY .:.1 ~HIU['l~[:]"If.]:j' .., ') " New York Only: "If you do not keep your insurance in force during the entire registration period, your registration will be suspended. If your vehicle is still uninsured after 90 days, your driver's license will be suspended. To avoid these penalties you must surrender your registration certificate and plates before your insurance expires. By law, we must report the termination of this coverage of vehicle insurance to the Department of Motor Vehicles." "If you have a lapse in insurance coverage of under ninety days the law permits you to avoid a suspension of your registration by the payrm.'I1t of a clvI! pc'nnlty of one tmndrerl dollars fo-r ""a~h thirty dAY!! or portion thereof your insurance coverage was not in e1fect. This grace provision applies only 01'1(;'(; during 811,' 36 month period, Thus:, if you have had a lapse in insurance coverage it is important that you contact the Departml2nt of Motor Vehicles immediately."