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Home My WebLink AboutPension General_Documentation_Tab 15_11/06/2006Memo To: Finance Dept. From: Bob Garlo, Chair, General Employees Pension Board Date: October 11, 2006 Re: VOT General Employees Trust Fund & Public Safety Officers' Pension Trust Fund On behalf of Ed Saban, Chair of the Public Safety Pension Board and Bob Garlo, Chair of the General Employees Pension Board, please consider this authorization to disburse the necessary premium payment relative to the Board's Fiduciary Liability policy. Please make payment in accordance with the previously agreed upon percentages. Signed, Bob Garlo, Chair, General Employees Pension Board TO: Julie Clark/Karen Russo ~ SALEM TRUST COMPANY DEERFIELD BEACH '~ FAX: 954-725-4493 FROM: - " DATE: PAYMENT FROM STC ACCOUNT: Teauesta Public Safety Pension Fund A/C #7062037849 Please make the following payment from the above references d~, trust account: PAYABLE TO: ~7~~. ~liq ~!ili~~~ ST" ~i9 ~-rYJ ~i~}C~ p d . T3QX ~.o! ~ 3/ ~~A 5, ~X X15 3a o - I (a 31 AMOUNT: S~ . ~. - . PAYMENT DESCRIPTION: ~ 11,~..P~ `. - ~t ~7; e ~ .n G A :, m ,, ~ T. ' . , . . AUTHORIZED BY (Jignature~ atc ADDITIONAL COMMENTS: INFORMATION BELOW THIS LINE FOR USE BY VILLAGE OF TEQUESTA FINANCE DEPARTME[YT ONLY Vendor # Amount: _ _~ Charge to ccount 0 ~ ~~~/S; 3aQ ~ ~ °~ 5 35-~ Charge to Account # _ y~- 3 ~ ~ Charge to Account # TOTAL ____,, Requested By: ~ j Approved By: Sion oar oor orator REVIEWED BY FINANCE DEPT AND PROPER DOCUMENTATION ATTAGHEp: ~ tUt~7" --_- Vendor: ~ 04'79 ACORDIA SOUTHEAST Invoice # Invoice Date Description Distribution Amount 4904R 09/28/2006 POLICY# BINDER, FY 2007 Gross: 4,196.00 Check Amt Total: 4,196.00 Check Date: 10/12/2006 Check #: 73284 Check Date: 10/12/200f Check #: 73284 $4,196.00 FOUR THOUSAND ONE HUNDRED NINETY-SZX DOLLARS AND 00 CENTS*******************+ ACORDIA SOUTHEAST P_O. BOX 4237 WEST PALM BEACH FL 33402 I ~ VILLAGE OF TEQUESTA EMERGENCY /SPECIAL CHECK REQUEST Vendor #: ~ U / ~ 1 / ~ L Mail [] Return to Dept. Vendor Name: ~ ~ v r ~, (~ ddress: ~ ±~ a ~~S ~ X ~ G ( ~, ~ ~ ,T , , , . ~ ,, '` ~v ; ~ ~. Reason for Emerge /Special Request: ~ ~ ,~ Reason for Request: (Please attach appropriate support /documentation), ~ ~ Q Charge to Account No.: - - Amount: $ ,/~ / ~~-- =~-~-~_•~ ~/ X35 Total: $ i-{ (~ ~ _ c ~ Requested By: Approved By: (Departrnent Head) Special Instructions: _ ~U Z U ALL SPECIAL REQUESTS FOR CHECKS DURING THE "OFF" AP WEEK MUST BE RECEIVED BY THE FINANCE DEPARTMENT NO LATER THAT' S:OOPM ON WEDNESDAY. THESE REQUESTS WILL BE PROCESSED AND CHECKS ISSUED BY 4:OOPM ON THURSDAYS OF THE "OFF" AP WEEK, ~~-, Finance Approval (required): ~C> /~/ ~~ _ , r~coraia aourneaei raim nr_acn P.U. Box 201631 Dallas, Texas 75320-1631 Voice: 561.655.5500 Fax: 561.655.5509 www.acordia.com Village Of Tequesta Mr. Dan Gallagher P.O. Box 3273 Tequesta, FL 33469-0273 Amount Paid INVOICE #4904R Account Number Invoice Date VILLOFT-01 9/28/2006 Please detach here and remit with payment. Invoice #: 4904R Date Paid: Check #: _ Amount Paid: ~ Fidelity Bond Policy #: BINDER Effective 10!1/2006 to 10/1/2007 I Com~~__ St Paul -Travelers - Producer: Brian Cottrell CSR: Pam Nelson - ~ item # Trans Eff Date Due Date Trans Description 62441 10/1/2006 10/1/2006 RENB Renewal Business Total Invoice Balance: Amount $9,196.00 $4,196.00 "~ G~e1~t~ ~ ~3~ - z~ 1~~~ _._..__.._ __......w.~ o•* 3~356•rS~~lt =_ 001 3~35b•80~ 3~ 35o•tiUx 15.531 _ ..~- - ~> >~~ ~ 4t~- - .~ - ..:'J 9/28/2 PO~ ~ ~ ~" 8 2 ~ • ~ ~ ~ Acordia West Palm Beach - - Page l A Wells Fargo Company ~ f~ ~ ~~ ~~~ `~ -~ ~~ ~ -~ -~o ~n~~ air, General Employees Pension Board ~ 06 Employees Trust Fund & Public Safety Officers' Pension On behalf of Ed Saban, Chair of the Public Safety Pension Board and Bob Garlo, Chair of the General Employees Pension Board, please consider this authorization to disburse the necessary premium payment relative to the Board's Fiduciary Liability policy. Please make payment in accordance with the previously agreed upon percentages. Signed, ~~~~ Bob Garlo, Chair, General Employees Pension Board r _ - ~_ ~,. ~,> _:a .L „Y = _ ` ~' ~~a f 1 r[ H Y L L L f1t .~ September 22, 2006 Pam Poe ACORDIA SOUTHEAST INC (OVE068) PO BOX 4237 WEST PALM BEACH, FL 33402 Phone: (407) 388-3256 Fax: (800)330-3109 Email: ACHINCHA@travelers.com RE: VILLAGE OF TEQUESTA GENERAL EMPLOYEES PENSION FUND Fiduciary Liability Insurance Policy - notation Form F-1191-B (05/98) Dear Pam Poe, On behalf of Travelers Casualty and Surety Company of America we are pleased to offer this quotation for Fiduciary Liability Insurance pursuant to the following terms & conditions: No. Annual Aggregate Limit of Liabili Deductible Per Claim Annual Premium 1 ,., ~-..,,~ r... $2,000,000.00 $5,000.00 $4,196.00 i~v i i~1L,: A scare surcuarge may apply. Please refer to your billing statement. Premium for this policy is paid by the Trust or Plan. The non-binding indication of premium above includes $25.00 for each Trustee. Endorsement to eliminate recourse will be added. ENDORSEMENTS (The titles & headings are for convenience only. Please refer to the policy and endorsements for a description of coverage): Applicable to Option No. 1 F-2817 09-98 F-2849 09-98 1LT-5103 02-02 ILT-5018 07-04 F-1280 02-95 F-2043 11-89 F-2100 07-90 F-2600 09-98 F-11978 OS-98 TERMS: Florida Amendatory Endorsement Amended Extension Clause Endorsement Non-renewal Advisement FL - Cancellation/Non-renewal Full Cancellation -Insurer Elimination of Recourse Government Plan Defense Within Amended Extension Clause Change Endorsement Policy Period: Inception: October 01.2006, Expiration: October O 1, 2007 Extended Reporting Period: 12 months at 25% of the annual Premium ~uotanon ZJxpiration uate: jU days from date of this letter This quotation is conditioned upon there being no material change in risk between the date of this letter and the inception date of the proposed coverage. In the event of such change, the Underwriter may, at its sole discretion, modify or withdraw this quotation. The coverage offered hereunder may not be accepted after quotation expiration date set forth above. This quote automatically includes at no additional cost Travelers Bond's Risk Management PLUS Online for Plan Fiduciaries, a loss control program for administrators and fiduciaries of employee benefit plans. This program combines online reference material and best practices audits with access to ERISA attorneys via a toll free number. Thank you for the opportunity to offer this insurance proposal for VILLAGE OF TEQUESTA GENERAL EMPLOYEES PENSION FUND. We look forward to discussing this opportunity with you further. Sincerely, Antony X Chinchay FF-QL001 (09-00) ~ 1 KAVtLtKS e . A - IMPORTANT DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE On November 26, 2002, President Bush signed into law the Terrorism Risk Insurance Act of 2002 (the "Act"). The Act establishes ashort-term program under which the Federal Government will share in the payment of covered losses caused by certain acts of international terrorism. We are providing you with this notice to inform you of the key features of the Act, and to let you know what effect, if any, the Act will have on your premium. Under the Act, insurers are required to provide coverage for certain losses caused by international acts of terrorism as defined in the Act. The Act further provides that the Federal Government will pay a share of such losses. Specifically, the Federal Government will pay 90% of the amount of covered losses caused by certain acts of terrorism which is in excess of an insurer's statutorily established deductible for that year. The Act also caps the amount of terrorism-related losses for which the Federal Governrrlent or an insurer can be responsible at $100,000,000,000.00, provided that the insurer has met its deductible. Please note that passage of the Act does not result in any change in coverage under the attached policy or bond (or the policy or bond being quoted). Please also note that no separate additional premium charge has been made for the terrorism coverage required by the Act. The premium charge that is allocable to such coverage is inseparable from and imbedded in your overall premium, and is no more than one percent of your premium. ILT-lol8 (9/04)