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Home My WebLink AboutDocumentation_Pension Public Safety_Tab 19_11/06/2006 Village of Tequesta Memo 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, ~~~r ~~, Bob Garlo, Chair, General Employees Pension Board • TO: Julie Clark/Karen Russo SALEM TRUST COMPANY DEERFIELD BEACH FAX: 954-725-4493 FROM: -~..~s~,-_ ~- ~ -- -- - _. -~------ ~---.__-_.__ _ ---- .. DATE: ~~ PAYMENT FROM STC ACCOUNT: Teauesta Public Safety Pension Fund A/C #7062037849 Please make the following payment from the above referenced trust account: PAYABLE TO: ~CU ~. DlA ~GG~ f}i ST J ~19 ~tYJ ~}Gt`-~ Pd~ ~3QX~ ~.0l~3/ AMOUNT: S~ , ). y _ ~ - PAYMENT DESCRIPTION: ~ ~ ~ ' AUTHORIZED BY: (2 SIGNA ~~"~ ~ • (S~gnature~ ate ADDITIONAL COMMENTS: INFORMATION BELOW THIS LDYE FOR USE BY VILLAGE OF TEQUESTA FINANCE DEPARTMENT ONLY Vendor # ~ Amount_ _~, Charge to ccount (aD ~ ~OGY~- ~/s 3Q~ ~ ~ , Charge to Account # Charge to Account # y'S' 3 ~ ~~~~-~ TOTAL Requested By: Approved By: Sion oar oor inator REVIEWED BY FINANCE DEPT AND PROPER DOCUMENTATION AT"1'AGHE)p: Vendor: ~ 04'19 Invoice # 4904R • • Check Date: 10/12/2006 ACORDIA SOUTHEAST Invoice Date 09/28/2006 Description POLICY# BINDER, FY 2007 Distribution Amount Gross: 4,196.00 Check Amt Total: 4,196.00 Check #: 73284 Check Date: 10/12/200f I Check #: 73284 $4,196.00 FOUR THOUSAND ONE HUNDRED NINETY-SIX DOLLARS AND 00 CENTS******************** ~ACORDIA SOUTHEAST P.O. BOX 4237 WEST PALM BEACH FL 33402 VILLAGE OF TEQUESTA EMERGENCY /SPECIAL CHECK REQUEST endor #: ~ U / ~ 1 / ~ ~ Mail Q Return to Dept. Vendor Name: ~ ~ v y- ~ ~ Address: ~ is ~~5~ x ~ G ( ~, j ~ f ~+ ~~ ~ ~' ~c~~l~~, ~X ~~`~ ~~~-I~~I Reason for Emerge /Special Request: ~ ,~ Reason for Request: (Please attach appropriate support /docum ntation), 'L Q Charge to Account No.: - - Amount: $ ~1_ -0~--~-~_•~ ~~ 535 cx~>t -mac -.~.~• ~oZ- ~ q , ~~ Total: $ y ~ ~ ~ - C ~ Requested By: Approved By: ; (Department Head) Special Instructions: _ ~~ 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. lance Approval (required): ~C) /~/ jj(~, . __ • Acordia Southeast Palm Bcach P.O. Box 201631 Dallas, Texas ?5320-1631 Voice: 56L655.5500 Fax: 561.655.5509 www.acordia,rom Village Of Tequesta Mr. Dan Gallagher P.O. Box 3273 Tequesta, FL 33469-0273 Amount Paid INVOICE #4904R Account Number Invoice Date VILLOFT-O1 9/28/2006 Please detach here and remit with payment. lnvoice #: 4904R Date Paid: ~ Fidelity Bond Policy #: BINDER ~ ComPany;_ St Paul -Travelers Producer: Brian Cottrell item # Trans Eff Date Dux Date "Trans Description 62441 10/1/2006 10/1/2006 RENB Renewal Business Check #: _ Amount Paid: Effective: 10/1/2006 to 10/1;2007 CSR: Pam Nelson J Amount 54,196.00 Total lnvoice Balance: $4,196.00 Pa.~ ~~ is ~~ X33 s6 ~$D ~ ~ ~i l~~ _._..___...___...~.~ t n•* ~. 3~356•a:s0* _~ 0~7 3~35b•8~~ 5~356.8ux '75.53/ 2~ 53541-3- 9/28/2 I O~ +~ ~" s 2 ~ ~ 4 ~ * Acordia West Palm Beach !` ,k _ __ ". ~J Page 1 A Wells Fargo Company • ___ _ ~ ~ ~ 1 ~~ ~ ~~ `~ ~~ ~ ~ -~ a ~ ~~~~ 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~' ,, . _ Y 4 • ~ TR~iVELERS ember 22, 2006 Pam Poe ACORDIA SOUTHEAST INC (OVE068) PO BOX 4237 WEST PALM BEACH, FL 33402 UKLANllU, r'L 33814 Phone: (407) 388-3256 Fax: (800) 330-3109 Email: ACHINCHA@travelers.com RE: VILLAGE OF TEQUESTA GENERAL EMPLOYEES PENSION FUND Fiduciary Liability Insurance Policy - uotation 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 $2,000,000.00 $5,000.00 $4,196.00 NOTICE: A state surcharge 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. F~sement 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 Florida Amendatory Endorsement F-2849 09-98 Amended Extension Clause Endorsement ILT-5103 02-02 Non-renewal Advisement ILT-5018 07-04 FL - Cancellation/Non-renewal Full Cancellation -Insurer F-1280 02-95 Elimination of Recourse F-2043 11-89 Government Plan F-2100 07-90 Defense Within F-2600 09-98 Amended Extension Clause F-I 197B OS-98 Change Endorsement TERMS: Policy Period: Inception: October O 1, 2006, Expiration: October O l .2007 Extended Reporting Period: 12 months at 25% of the annual Premium • Quotation Expiration Date: 30 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 ytception date of the proposed coverage. In the event of such change, the Underwriter may, at its sole ~cretion, 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 forwazd to discussing this opportunity with you further. Sincerely, Antony X Chinchay FF-QL001 (09-00) • • fir' TRAVELERS .,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 Government 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-1018 (9/04) •