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~,
COURT ORDER # ~~ ~~
(01/08/01)
BUDGET AMENDMENT REQUEST FORM
DEPARTMEt1T NAME: SHERIF'F'S DEPARTMENT
NON DEPAR'!MENTAL
t I I		I UNEXPENDED	I RE~UESTEG
I I CURRENT I	CURRENT	I BUDGET	I AMENDMENT
EXPENSE CODE I LINE ITEM DESCRIPTION I BUDGET I
I I I	EXPENSE	I BALANCE
I	I ~iNCR/O DE
I
I I I
10-560-207 I Insurance-Liability IS 44,340.00 I$	
47,754.00	I
I$ 43,239.00	I
~ 4,515.00
			
I I I
10-409-571 t Contingency I $ 24,536.15 I		I
I $ 24,448.15	I
I( 4,515.00)
I I
I i I		I
I	I
t
I I I
I I I		I
I	I
I
I I I
I I I		
I	I
1
I I I
I I I		I
I	I
I I		I	I
January 3, 2001
DATE
-----------------------------------
----------------------------------t
I FOR AUDITOR'S OFFICE USE OxLY I
~---------------------------------y
VERDOR ~
PAID T0: FIRST
L A T E B I L L F O R 0 1/ 0 8/ 0 1 !!!
W I L L N E E D A H A N K C H E C K
IxvoICE x
AMOUNT: $ 47,754.00
EXPENSE CODE: 10-560-207
DESCRIPTIOx ReneGrnl of Law Ec:f. .~~ .ins
p¢ofessioa~al liability policy:l/1/01-1/1/02
INV.# 005718
I.D_ 1/3/01
Rec.-vd. I/3/01
T7[7F. i]ATF.• 1/8/Ol
First Ins. Agency INVOICE
123 B Commerce Street
POB 291549
Kerrville, TX 78029-1549
Entered by: JRF
Entered on: 01/0312001
Producer: FUR
Kerr Co. Sheriffs Dept.
Go W.R. Hierholzer
400 Clearwater Paseo
Kerrville, TX 78028-0000
r 5 ~stoMer, ~
.m
~~~ :„	k x. - Date ~
~- .
u	fnvaice#
4020	01/03/2001	005718
`'P& :Nt~aitserm ~	;AolicyEfEecttYe	:POlicyExpiration-
195793898	01/01/2001	01/0112002
Company	Cl2ssiflcaUon ~	Transaction	, '' ~;, ,Description ' ~•,	°., . ium ~ ,	_ Credit
JWF Specialty
JWF Specialty	Professional Liability
Professional Liability	Renewal Business
Renewal Business	Law Enf. Liao.
NSA Fee	45,184.00
2,570.00	
PREMIUMS ARE DUE AND PAYABLE ON EFFECTNE DATE OF POLICY Please Pay This Amount	47,754.00	
Printed Wednesday January 3, 2001 at 9:13AM
J W F SPECIALTY CO Fax~3172366170 Jan 3 '01 933 P. 02
CONTINENTAL CASUALTY
PO BOX 1684
1NDLANAPOLTS,11V1)IANA 462061684
INSURANCE BINDER
This binder is a temporary insurance contract and is subject to the terms, conditions and
limitations of the law enforcement liability policy in current use by Continental Casualty.
Named Insured: Kerr County Sheriffs Dept.
Maiin¢ Address: 700 Main Street
Kerrville, T3C 78028
Binder Effective Date: 01(01/2001 (12:ot a.m. sdndard tlmc ae the named insUtcd's mailing address anown above)
Binder Expiration Date: 02102/Olas:ot dm. rtandard rime az the named irtsured's mailing address shown about)
Prior Acts Date: 10/01/98
Coverage: Law Enforcement Liability
Limits of Liability: S 1,000,000 Each Wrongful Act
$2,000,000 Aggregate
Deductible: $10,000 Each Wrongful Act, including loss adjustment expenses
Policv Forms: G-129286-A (I 1/97), G-129300-A, G-129291-A, G-129292-A,
G-129306-A, G-129296-A, G-129293-A, G-129311-A, G-129317-A,
IL0017, LI.0275
S~recial Conditions, Restrictions or Coverages: Refer to special conditions of quote. Need
written confirmation from the insured of their understanding that this renewal is for three months
(refer to the Special Conditions of the quote), copies of policies & procedures, provide details of
prevention of future suicides, provide name of person who committed suicide on 3/17/00, and
payment of Net Annual Premium and NSA Fces. The check is to be made payable to JWF
Specialty Company, Inc.
Continental Casualty hereby binds the coverage described above. This binder may be cancelled
by the Insured by surrender of this binder or by written notice to Continental Casualty stating
when cancellation wil[ be effective. This binder may be cancelled by Continental Casualty by
notice to the insured in accordance with the policy conditions. This binder is cancelicd when
replaced by a policy. If this binder is not replaced by a policy, Continental Casualty is entitled to
chazge a premium for the binder according to the rules and rates in use by Continental Casualty.
Date Issued ~
,, n
Authorized Repzescntativc ~,~yLy~jy~,(u'rl3a_e `~1w6tY