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<br />.lIC EMPLOYEES BLANKET <br />Revised to.May, 1958 <br /> <br />B04t <br /> <br /> <br />Bond No. <br /> <br />CM 1229871 <br /> <br />...,."""..... <br /> <br />THE WESTERN CASUALTY AND SURETY COMPANY <br /> <br />FORT SCOTT, KANSAS <br /> <br />(A Stock Company, herein called Surety) <br /> <br />DECLARATIONS <br />Item 1. Name of Obligee: <br /> <br />Cucharas Sanitation and Water District and Farmers Home Administration <br /> <br />Item 2. Name of Insured: <br /> <br />Cucharas Sanitation and Water District <br /> <br />Item 3, Bond Period: from the beginning of <br /> <br />to 12 o'clock night on the effective <br />an entirety. <br /> <br />October 2, 19B4 <br />'MONTH. 01,'. TUR. <br />date of the cancelation or termination <br /> <br />of this Bond as <br /> <br />Item 4, Table of Limits of Liability: <br />Insuring Agreement 1 Honesty Blanket Bond Coverage $ <br />Insuring Agreement 2 Honesty Blanket Position Bond Coverage $ <br />Insuring Agreement 3 Faithful Performance Blanket Bond Coverage $ <br />Insuring Agreement 4 Faithful Performance Blanket Position Bond Coverage $ 50.000.00 <br /> <br />Item 5, The liability of the Surety is subject to the terms of the following riders attached hereto: <br /> <br />Nil <br /> <br />Item 6. The Obligee and the Insured by the acceptance of this Bond give notice to Surety terminating <br />or canceling prior bond(s) No.(s) <br /> <br />such termination or cancelation" to be effective as of the time this Bond becomes effective. <br /> <br />Signed, sealed and dated <br /> <br />October 2, 1984 <br />THE WESTERN CASUALTY AND SURETY COMPANY <br /> <br />In W,tness Whereof, The Western Casualty and Surety Com- <br />pany has caused this endorsement to be signed by its President <br />and Secretary, but the same shall not be binding upon the Com- <br />pany unless countersigned by an Authorized Agent or Attorney- <br />in-Fact. <br /> <br />Countersigned <br />Webster <br /> <br />October 2. 1984 <br />Insurance Agency <br /> <br />212-121 <br /> <br />)It I)"" 21 dt- <br /> <br />Secretary <br /> <br />cr e:- f?7 ~ <br />, President <br /> <br />By: <br /> <br />Agent or Attorney-In-Fact <br /> <br />Form F$ 5749 (58 56551 <br />