HomeMy WebLinkAboutONEIL COMPANY - INSURANCE CERTIFICATE® Ohio Farmers Insurance Co.
Continuation ❑ Westfield Insurance Co.
Certificate Westfield Companies
Westfield Center, Ohio 44251-5001
In consideration of an agreed premium payable in advance, the Bond described below is hereby continued in force for the period
indicated. Continuation is subject to the condition that the maximum aggregate liability under the Bond and any and all continuations thereof
shall in no event exceed the amount of liability shown herein. This endorsement shall be valid only when executed by an attorney -in -fact of this
Company.
BOND NO.
ORIGINAL EFFECTIVE DATE
BOND AMOUNT
RENEWAL PREMIUM
FROM CONTINUEDTO
09/12/03
09/12/04
6748646
09/12/98
$2,000
$100
PRINCIPAL
ONEIL COMPANY, INC. PO BOX 1113 WILLISTON ND 58801
OBLIGEE
CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80622
TYPE OF BOND DESCRIBE
EXECUTED AT (City - State)
DATE EXECUTED
PUB. OFFICIAL
SURETY
XX
RAPID CITY SD
071/03
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BLACK HILLS AGENCY,-INC.------------------------------------------- By
*a""
-------------------------------- - --------------------------
Agency DANIEL P. MAGUIRE
Attorney -in -Fact
RAPID CITY -SD___-
BD 5403 (11-91)
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City & State