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Insurance Companies
EMPLOYERS MUTUAL CASUALTY COMPANY
BOND NO. S246260
PRINCIPAL
ADDRESS
OBLIGEE
TYPE OF BOND
RIGHT OF WAY
CONTINUATION CERTIFICATE
BATH,INC.
PO BOX 1966
FORT COLLINS, CO 80522-1966
CITY OF FORT COLLINS
BOND TERM: From 08/04/09 to 08/04/10
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BOND PENALTY:
$ 20,000
The Company indicated hereby continues in force, for the period described, the Bond
Designated above, subject to all the agreements, limitations, and conditions thereof and
Provides that the liability under said Bond and all continuations thereof shall not be cumulative
And shall not in any event exceed the amount of said Bond herein before set forth.
Signed, Sealed and Dated 05/28/09 B �.-�i �✓�
Y
PAUL BURTCH ,Attorney -in -fact
If Renewal Not Desired, Please Return Original Certificate Within 30 Days of Renewal Date for Flat Cancellation
DATE OF ENTRY: 05/28/09
Form 7887e Rev. 7-03 966 ST FNS S246260 10001