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10-126 Public Official Bond, Kimberly Smith I ca
December 21, 2010
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95123
Line of Coverage: Public Official Bond # 105539571 for Kim Marie Smith
Effective Date: 12/03/2010
Alliant embraces a policy of transparency with respect to its compensation from
insurance transactions and a policy of disclosure as to the insurance carriers with which
Alliant does business.
Alliant customarily receives a commission paid by the insurance carrier as a percentage
of the annual premium. Alliant or its affiliates may also receive compensation for
additional services provided to the carrier or to you in connection with your insurance
placement. To the extent such insurance carrier compensation exists, it is included in the
cost of the insurance offering. Your invoice will include a fee for any additional services
provided to you by Alliant or its affiliates.
As a result of this placement, Alliant may also receive a supplemental commission from
the carrier as part of a portfolio -based supplemental agreement that the carrier offers to its
select, preferred agents or brokers among which Alliant is included. Eligibility for, and
the amount of such supplemental compensation, are based upon the amount and quality
of business that Alliant has placed or places with the insurer.
Please note that, should you so desire, you may request in writing within 90 days after
Alliant's delivery of this disclosure to have the premiums associated with your placement
excluded from calculations under any supplemental commission agreement that might
exist between Alliant and any insurance carrier. Should you elect to do so, any proceeds
already received during the calendar year in question will be returned to the carrier. Such
a request shall remain in force for successive periods unless revoked by you. A request
to be excluded should be mailed to the address below.
Upon written request made to the address below, Alliant will provide you with the quotes
and indications sought and received by Alliarit in connection with your insurance
placement, and with the terms, including any contractual agreement with any of the
prospective insurers, of all compensation to be received by Alliant.
For additional information, or to request that your premiums be opted out of any
calculation of supplemental compensation, please send a written request to:
Alliant Insurance Services, Inc.
701 B. Street, 6th Floor
San Diego, California 92101 -8156
Attention: General Counsel
2010.12.03 Cupertino, City of PO Bond# 105539571 U30Comm[ 1 ]
PUBLIC OFFICIAL BOND Travelers Casualty and Surety Company of America
(Continuous for Indefinite Term)
Bond No.105539571
KNOW ALL MEN BY THESE PRESENTS, That we Kim Marie Smith
of1421 Millich Court,SAN JOSE, CA 95117
as Principal, and Travelers Casualty and Surety Company of America , a corporation duly incorporated under the laws of
the State of CT , as Surety, are held and firmly bound unto City of Cupertino
as Obligee, in the penal sum of Fifty Thousand
( $50,000.00 ) Dollars, lawful money of the United
States of America, for the payment of which well and truly to be made, said principal binds himself/herself, his/her heirs, executors,
administrators and assigns, and said Surety binds itself, its successors and assigns, jointly and severally, firmly by these presents the
liability of the Surety, however, being limited to the penal amount above named regardless of the number of years this bond remains
in force or the number of premiums paid.
WHEREAS, the said Principal has been Appointed to the office of City Clerk
for an indefinite term beginning December 03, 2010 , and s required to furnish a bond for the faithful performance of the
duties of the said office or position.
NOW, THEREFORE THE CONDITION OF THIS OBLIGATION is such that if the above bounden Principal shall (except as
hereinafter provided) faithfully perform the duties of his/her said office or position during the time this bond remains in force, and
shall pay over to the persons authorized by law to receive the same all moneys that may come into his/her hands during the said time
without fraud or delay, and at the expiration of said time, shall turn over to his/her successor all records and property which have
therefore come into his/her hands, then this obligation to be null and void; otherwise to remain in full force and effect.
PROVIDED, HOWEVER, that the above named Surety shall not be liable hereunder for any loss of any public fund resulting from
the insolvency of any bank or banks in which said funds are deposited; and, if this provision shall be held void, this entire bond shall
be void.
AND PROVIDED FURTHER, that any party to this instrument may cancel the same at any time, with or without cause, by notifying
both of the others by certified mail of an intention thereby to cancel, in which event such cancellation shall be fully effective at the
expiration of thirty (30) days from the mailing of such notice. In the absence of such a notice, and if there should be no cancellation
by agreement between all of the parties hereto, the bond shall remain continuously in force and effect, in the penal amount above
named, as long as the principal holds the said office or position.
SEALED and dated this December 17, 2010 .
Witness By: Kim Marie Smith, Principal
Travelers and Surety Company of America
By: Kelly Ziemann, Attrn -r -Fact
S -2233 (06 -08)
ATTORNEY IS INVALID WITHOUT THE RED BORDER
POWER OF ATTORNEY
TRAVELERSJ� Farmington Casualty Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St. Paul Guardian Insurance Company
Attorney -In Fact No. 220721 Certificate No. 003339051
KNOW ALL MEN BY THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance
Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and
Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty
Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under
the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin
(herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint
Steve Sullivan, David A. Allsop, Diane L. O'Shea, Rick Fakiri, Kiren Pegany, Andre I. Buford, Brian Kavanagh, Kelly Ziemann, and Noel Rodgers
of the City of WalnutCreek , State of C2'1}fernaa , their true and lawful Attorney(s)-in-Fact,
each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this
day of November , 2009
Farmington Casualty Company
Fidelity and Guaranty Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc.
St. Paul Fire and Marine Insurance Company
St. Paul Guardian Insurance Company
11th
St. Paul Mercury Insurance Company
Travelers Casualty and Surety Company
Travelers Casualty and Surety Company of America
United States Fidelity and Guaranty Company
pASUq� TYU(pi. �F1REp4� *N NSG j
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bey FNa i� � �'%2sb e c°d7•........ •=L'�I � v!••..., .� `•da 'Oai �� �''0,,(�
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.,,,,,, • wwesA`
State of Connecticut
City of Hartford ss.
By:
Georg Thompson, emor ice President
On this the 11th day of November 2009 , before me personally appeared George W. Thompson, who acknowledged
himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters,
Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety
Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do,
executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
G•T�
In Witness Whereof, I hereunto set my hand and official seal.
My Commission expires the 30th day of June, 2011.«G
'19VECC'�'$
58440-4-09 Printed in U.S.A.
WARNING: THIS POWER OF ATTORNEY
Marie C. Tetreault, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity
and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance
Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States
Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice
President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf
of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the
Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any
of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may
delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy
thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking
shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the
Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power
prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President,
any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any
certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds
and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal
shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on
the Company in the future with respect to any bond or understanding to which it is attached.
I, Kori M. Johanson, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance
Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and
Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing
is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of 20 ho.
Kori M. JohansJuJAssistant Secretary
a �N MS � INSU, goo
F�yTYAypGI,SIIq��Q,�,p}"QTY�D� �1`�°no°.°gr GyEJY���O �lV t � ryN%�41FDf. 3 b^ c�o IHCONPORATED��!� 1� 19 8 2 0� 19%7 � �< 1896 �Z 7 of■ sr 1951 4�'•SEAEALJS1.Nbry � tiNii �� daa '� 1�J AfNd{`-
To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney -In -Fact number, the
above-named individuals and the details of the bond to which the power is attached.
WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
State of California
County of Contra Costa
On 1 Z I 11 )JD before me, Diane O'Shea, Notary Public, personally appeared
Kelly Ziemann,
Who proved to me on the basis of satisfactory
evidence to be the person(s) whose name(s)
is /are. subscribed to the within instrument and
acknowledged to me that he /she /they executed
the same in his /her /their authorized capacity(ies),
and that by his /her /their signature(s) on the
instrument the person(s), or the entity upon behalf
of which the person(s) acted, executed the
instrument.
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature:L�
Place Notary Seal Above Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
❑ Individual ❑ Individual
❑ Corporate Officer - Title(s): ❑ Corporate Officer- Title(s):
❑ Partner- ❑ Limited ❑ General ❑ Partner- ❑ Limited ❑ General
❑ Attorne rn fact aroht Right bPrirn
y ' oftener ❑ Attorney in fact orsigner
❑Trustee ❑Trustee
['Guardian or Conservator ['Guardian or Conservator
❑Other: ❑Other:
Signer is Representing: Signer is Representing:
TRAVELERS Arm.
December 17, 2010
Kim Marie Smith
1421 Millich Court
SAN JOSE, CA 95117
Re: Important Information about Claims Information Line
Dear Kim Marie Smith
Travelers Bond and Financial Products is pleased to announce its 1- 800 - 842 -8496 Claims
Information Line. This line is designed to provide insureds with an additional resource on how to
report claims or those circumstances or events which may become claims.
Policyholders will be able to obtain assistance on the following topics from the Claims
Information Line:
•The information that needs to be included with the claim notice
•The address, electronic mail address and /or facsimile number to which the policyholder
can send claims related information
• Get questions on the claim process answered
The Declarations Page of your policy sets forti where you should report claims and claims
related information. You should also review the policy's reporting requirements to be aware of
how much time you have to report a claim to Travelers. The sooner Travelers is notified, the
sooner we can become involved in the process and offer assistance to our policyholder. A delay
in reporting may result in all or part of a matter to fall outside of the coverage provided.
The Claims Information Line should streamline the claim reporting process and allow
policyholders to ask questions on what information is needed as well as other questions which
will assist them in working with Travelers. While the Claims Information Line provides
policyholders a valuable resource by answer questions and providing information, the line does
not replace the reporting requirements contained in the Policy.
We hope this improvement to customer service is something our policyholders will find helps
them understand the claim process and provides them a resource for reporting.
Best regards,
Kelly Ziemann
LTR -4035 Ed. 06 -09 Printed in U.S.A. Page 1 of 1
©2009 The Travelers Companies, Inc. All Rights Reserved
TRAVELERS
IMPORTANT NOTICE REGARDING COMPENSATION DISCLOSURE
For information about how Travelers compensates independeit agents, brokers, or other insurance producers, please
visit this website: www.travelers.com /w3c /legal /Producer Compensation_Disclosure.html
If you prefer, you can call the following toll -free number: 1- 866 - 904 -8348. Or you can write to us at Travelers, Enterprise
Development, One Tower Square, Hartford, CT 06183.
ILT -1037 Ed. 01 -09 Printed in U.S.A. - Page 1 of 1
©2009 The Travelers Companies, Inc. All Rights Reserved