280851 WNITE - CiTV CIERK '
PINK - FINANCE G I TY OF SA I NT PAU L ��UIICIl (M� Q
CANARV - DEPARTMENT File NO• �v���
BLUE - MAVOR
u�c 'l Resolution
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED, That Surety Bond No. 96854, Officials' Surety Bond,
effective August 4, 1983 to August 4, 1984, submitted as required by
Section 17.05 of the St. Paul City Charter and Section 22.01 of the St. Paul
Administrative Code, be and is hereby approved by the City Council.
COUNCILN[EN
Yeas Nays Requested by Department of:
Fietcner Fin and Management Services
�+'°"'�"' ���FS [n Favor
Masanz �
Nicosia
schetbe� _ __ Against BY
Tedesco �
Wilson y
Adopted by Council: Date
SEP g �983 Form Approv d b it Att ey
Certifi Passe y cil S etary_ BY
r
By _
.- SEP 1 5 1983 Ap b a or for S mi td`Council
t�p ve by 1�avor: —
BY — — B
PUBUSHED �Er' G � i983
i
Finance & Mgmt. Serv. DEPARTI�IENT ��""�
Rpb rt T. n,� CONTACT
292-6748 PHONE ' ���� �� '
��7��� DATE
(Routing and Explanation Sheet)
Assign Number for Routing Order (C1ip Al1 Locations for Mayoral Signaturq�FCEIVf�
� Department Director �
ti'`' AUG � 6�1g�3
� City Attorney
a'�'or CITY ATTORNEI(
Finance and Management Serv Director
4 City C1erk _.
Budget Di rector AUG 2 91983
�.�i�a� C, "e,. , , .. .._
What Will be Achieved by Taking Action on the Attached Materials? (Purpose/Rationale):
Public Employees Faithful Performance Bond coverage in the amounti. of $250,000
as required, by Section 17.05 of the City Charter and Section 22.01 of the
Administrative Code.
Financial , Budgetary and Personnel Impacts Anti�ipated:
None
Funding Source and Fund Activity Number Charged or Credited:
09085 - 89$
20101 - 1$
28 81 - 10
Attac�ments (�ist and Nurt�ber all Attachments� :
Council Resolution
,�tachment�: Wolv�rj.�e Ins. .Co. Bond #96$54
Transamerica Ins. Group Assumption of Liability dated 8/4/81
Transamerica Ins. Co. - Application dated ?/5/83
urc ase r er o. a,�;�, �.& �6 3v �
Insurance Binder No. 8656 effective 8/4/83 thru 10/4/83
DEPARTMENT REVIEW CITY ATTORNEY REVIEW
X Yes No Council Resolution Required? Resolution Required? Yes No
Yes No Insurance Required? Insurance Sufficient? Yes _ No
Yes No Insurance Attached?
Revision of October, 1982
(See Reverse Side for �Instructions)
.,
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.._.."' ''� .'....�,i--M--',lL1C.Y� ... :
_ PU,BLIC �MPLOYEES BLANKET BOND I�� ,.�;��J
• ' Rev)sed to May, 1958 ' ' �7� /
WOLVERII�E Il�SIiRANCE COIVIPAI�Y
� �� ���
�] LOCATED AT i
- . � v✓C��vf/GG �1!GG/LJ �i��� .
(A Stock Company, herein called Surety) EOND �f96854
DECLARATIONS
Item 1. Name of Obligee:
CITY OF ST. PAUL
Item 2. Name of Insured:
� CITY OF ST. PAUL (AS PER SCHEDULE ATTAChED)
Item 3. Bond Period: from the beginning of ,�� 4� 1974
to 12 o'clock night on the effective date of the cancelation Tor��termination of this Bond as
an entirety.
Item 4. Table of Limits of Liability:
Insuring Agreement 1 Honesty Blanket Bond Coverage $
Insuring Agreement 2 Honesty Blanket Position Bond Coverage $
Insuring Agreement 3 Faithful Performance Blanket Bond Coverage $ 250,000.00
Insuring Agreement 4 Faithful Performance Blanket Position Bond Coverage $
Item 5. The liability of the Surety is subject to the terms of the following riders attached hereto:
1
�
1t�em 6. The Obligee and the Insured by Yhe acceptance of this Bond give notice to Surety terminating
or canceling prior bond(s) No.(s) NONE �
such termination or cancelation to be effert��A �� �F ��-_ � - �' • - '
' i
_� ....�.. � ---- . __ _-- �.�— . ---- _
• . ' Paul Breher Company
� �----� . MINNESUiH J�v�ri,u�tilr�flS AGENGY, INC.
� � � 200 S. Robert�`�"'
ST.PAUL,MINNESOTA '.i�10T
227-088f
� � Transamer�ca s�
l �'�l� �
II II insurance Services �i �Q�'�
l�il���V�..._
ASSUMPTION OF LIABILITY
CERTIFICATE
This will certify that Bond No. 96s54 originally executed by
The Wolverine Insurance Company on behalf of �ITY oF ST. PAtTL, t�N — VARIOUS EI�LOYEEs
as principal, in favor of CiTY oF ST. PAUL as obligee, in the amount
of S 250,000.00 , has been assumed by the Transamerica Insurance
Company as of its premium anniversary date of Auguat 4th. , �g 81 _
Annt�al Pramiu� $2.687.00
This bond, issued by the Wolyerine Insurance Company and cfescribed above,
is hereby continued in full force and effect, subject to all of the covenants and
conditions thereof.
TRANSAMERICA 1NSURANCE COMPANY
BY � La5ota
Attor y-in-Fact
13289
10-8U
I
; . _ . . ����5�
' ~ ' " ` ' :Transamerica Insurance roup
,Tr���a��ra�a ` . _, , : : �
1� ����� . � . : . . . _
insurance Services " Q , y , � _ „ . , . . , . .
O Transamerica Insu�ance Company � ';
A Stock CompanylHome Office:Los Angeles,Calitornia ' Application — C�uestionnaire !or
a Public Employees Blanket Bond
CI Transamerica Insurance Company � or a Public Schoo{System
ot MicMgan � � .
A Stock CompanylHome Office: Battle Creek, Michigan Employees Bianket Bond
(HEREINAFTER CALLED SURETY) • �
Application is hereby made by City of St. Paul
(Exact Nam�of Obligw)
(herein called Obligee)for the use and benefit of
City of St. Paul �
(Exact Nama ot Insurad)
of 234 Ci ty Hall St. Paul, MN 55102 (herein ca{!ed lnsured).
(sereee) Ic�evl Iscat.l
far coverage under the bond designated below with respect to such of the following Insuring Agreements apposite whieh an amount is -
stated,to become effective or to be continued as of �
Public Employees Blanket Bond � Public Scbooi System Employees Blanket Bond 0
Insuring Agreement 1 Honesty Blanket Bond Coverage. . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . .S
Insuring Ag�esment 2 Honesty Blanket Position Bond Coverage. . . . . . . . . . . . . . . . . . . . .. . . . . .S
Insuriog Agreerpent 3 Faithful Performance Blanket Bond Coverage. . . . . . . . . . .. . . .. . . . . .. . .S 250,000.00
tnsuring Agreement 4 Faithfu)Performance Bfanket Position Bond Coverage. . . . . . . . . . . . . . . . .,S -
Premium payable: prepaid �] 1 yrs., ❑ 2 yrs., ❑ 3 yrs., ❑ 4 yrs, instatlments ❑ 3 yrs., ❑ 4 y�s.
1. (a} Is the Insured a part of the government of the State �, county O, city � town O, village � or other political sub-
division 0, and if last,state which. '
(b) If this Application-Questionnaire is for a Public Employees Blanket Bond,is a Schoot System part af the(nsured?No
(c) List all subordinate departments, divisions, offices or institutions which the Insured is authorized 6y law to manage, govern
or control. '
SEE ATTACHED
2 Give total number of persons employed by the Insured 3098
3. b'Vill the Insured arrange to have new Employees complete personal applications(supplied by Surety)? �To
4. Is there likely to be a substantial increase in the number of Employees during the premium period by reason of seasonal activity
or other circumstances peculiar to Insured's function? No
5. Audits (a) Now frequently made? Annual (b) Are all locations included? Yes
(c) By whom?CPA;Staff Auditor;Others— (explain fully)
State Auditors; CPA's for selected financial programs
(d) When was last audit made? 1982 (e� Penod covered 1/1/82 — 12/31/82
(f) Were any discrepancies or loose practices cornmented upon? No If so,submit a copy of audit or auditor's comments.
6. Losses of a nature which would have been covered by the bond applied for (past 5 years}—Check if none [�
Date Amount Employee's Position Corrective Measures Taken lOther Than Discharge)
7. Present covera e in force— Check if none ❑
Form oF Bond Effactiva Date Amount Name of Company
Faithful Performan e
Blanl�et Bond B9685 8/4/82 $250,000.00 Transamerica Insurance Co.
Use ssparate sheet if necessary.
8. Complete the Classification of Employees on reverse side.
9. If additional indemnity under any Insuring Agreement is desired on any position,complete the following:
Amount of
M Totat Number Additional
Insuring of Employees Indemnity on
Position Locatio� Agreement in Each Pos+tion Each Employea
� -----
&
Date at_St,_Paul, TID1 this 5th_ day of July, �g 83
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PiN►c -�epAarMeNr JOINFT PURCHASWG OFFICE � � � ��
-PURCHASING � , - � �,- •
GREEN ROOM 233 CITY HALL—COURTHOUSE -
SAINT PAUL,MINNESOTA 55102 ����
. . DATE: � �$.D�r.i:3
VENDOR ;-
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P.O. RECEIVE�BY THE DEPARTMENT GOODS RECEIVED
DEPT.VOUCHER NO.
DATE 19 19_
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INVOICE RECEIVED BY
DATE 19 TITLE ENTERED
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SAINT PAUL,MiNNESOTA 55102
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;� . -
� ' Binder No.
;� � � � � �
.
��� r .� . , � 8656
`:,
' � , s • a � � o � • •
�. NAME AND ADDRESS OF AGE1fCV COM�AIVY
MINNESOTA UNDERWRITERS AGENCY INC T '
200 South Robert Street Effective12:01 Am Aug. 4, , 19 83
ST Paul, MN 55107 Expires � 12:01 am ❑ Noonpc , i9 g
6�This binder is issued ta extend coverage in the above named
company per expiring policy# �ex�e���s�a�c�w�►
- NAME AND MAIUNG ADDRESS OF INSURED Description of Operation/Vehicles/Property
CITY OF ST PAUL PUBLIC EMPLOYEE BLANKET BOND
�` 234 CITY HALL s)�(j.p�h�
S T PAUL, MN 5 510 2 ��� W�-���
:f;: GC'�i�� : �-�jQiJ? �
T�pe and Location of Property CoveragelPerils/Forms Amt of tnsurance Ded. �"
P
'�. �
` � .
?
E
;;. � ,
'� T
M1' Y �
Limits of Liabiii
'fype of Insurance Coverage/Forms �act�Occur►ence A e ate
�- --
� t � Scheduled Form ❑Comprehensive Form Bodily Injury $ $
A ❑ Premises/Operations Pro ert
g P Y
' 4 ❑ Products/Completed Operations Damage $ $
�, ❑Contractual
! ❑Other (specify below) °o p'erty Da age
�. Y � PAed. Pay. $ Pe, $ Pe� Combined - $
Person Acadent
� Personal Injury O A O B p C Personal lnjury $
p Limits of Liabili
` U 0 Liability � Non-owned ❑ Hired Bodily Injury (Each i'erson) $
' T 0 Comprehens�ve-Deductible $ Bodily Injury(Each Accident) $
�.� � ❑Collision-Deductible $
� � 0 Medical Paymer.ts $ Property Damage $
_ $ ❑Uninsured Motorist $
� ❑ No Fault (specify): � Bodily Injury & Property damage
� ! ❑Other (specify): Combined $
_
- ❑ WORKERS' Ci'1MP�NSATION — Statutory Limits (specify states below) ❑ EMPLOYERS' UABILITY — Limit $
:: �PEClAL COPiDIT10�YS/OTH�R CAVERAGES
�;
PUBLIC E1�IPLOYEE BLANKET BOND IN THE P,NIOUNT OF $250,000 ON CITY EMPLOYEES. :�
;��
(Bond will follow shortly replacing this binder. )
;<:; ��:
� r�lA_"+� �ND Ai)��tF.�s �� C.'; , �' - �,�r�„ 'v���� .'.-�
-•ti�EE l.s �,�a`.>FAYEE L:
:� COPY TO: CITY ST PAUL _ �� '
PURCHAS ING DEPT. L0�'�'°�`;��i3``'
� 233 CITY HALL _
;� ST PAUL, T�dN 55102
_��� ATTENTION: JANET GIULIANI _� $-4-83
s,.�-
Signature of Aut i_ d Representative Date
� --- ---- --- -- Paul J reher
:.�:o�� �5(�1 �;� .�.
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