?htLj .

STATE OF TEXAS
COUNTY OF FORT BEND
Motorcycle Lease Agreement
I, Danny Beckworth, Badge No. WB, (hereinafter referred to as "Sheriff Employee"), Texas
Drivers License No. frflllHt, agree to lease and provide the following equipment and
insurance to Fort Bend County for my usage during the course of my duties as an employee of
the Fort Bend County Sheriffs Office. Fort Bend County agrees to pay the amount of $600.00
per month for the following:
1.
One (1) Police Motorcycle, not to exceed 3 years of age, 300,000 miles or less and all
required emergency equipment and all protective clothing; and
2.
Comprehensive, collision, liability, uninsured motorist and personal injury
protection/insurance with a deductible not to exceed $1,000.00, which shall be
reimbursed to Sheriff Employee only if it is determined by the Fort Bend County
Sheriff, or his designee, that Sheriff Employee was not "at fault" and the responsible
party is uninsured.
Sheriff Employee must be "on-duty" in order for this
reimbursement to be applicable.
Fort Bend County will provide an amount not to exceed thirty (30) gallons of County gasoline
per calendar week, uniform shirts and other standard issued items. Fort Bend County's vehicle
liability coverage will apply to Sheriff Employee only during Sheriff Employee's performance of
regularly scheduled working hours relating to County employment.
The Fort Bend County
vehicle liabilitj^coverake shall not be applicable if Sheriff Employee is working an "extra job"
for any entity, business cjr person rither tftan Fort Bend County.
This/Agreement shall automatically terminate upon Sheriff Employee's termination or separation
fr0m the employment qf the/ort-B^nd County Sheriffs Office.
/This Agreement is effectiyroppOctober L2 dld-and will terminate on September 30, 2011.
o
Date:
/O/J X />
Date:
10'13 "10
O
5'
fiL
er
Sheriff Mi^nWrij
?htLj
.
A
Approved: \ P^AilJiA^
Robert E. Hebert, Fort Bend County Judge
B
Date:
S3
a
^
°O''''
'°' U-XQI0
ATTEST: ^
/*!
<Jw&—
Dianne Wilson, Fort Bend County Clerk
Page 1 of 2
Auditor's Certificate
I hereby certify that funds are available to pay the^obligatipnof Fort Bend County within the
foregoing Agreement. A
J // jt
{&Jz£-^—-—■
/ £^^^ ""
Ed Sturdivant, Fort Bend County Auaftor"
MER:2010/Sheriff.:motorcycle agreement revised form.3357
Page 2 of 2
~~~)
TX
DRIVERS
(281)342-8127
AGENCY PHONE NO.
YEHIOLEIDENTIFJCATION NUMBER
multas de
de$15por<K)a}.
su vehOoulo por un perOodo de hasta 180 dOas (a un costo
y de su registro de vehOculo de <no!or, y )a retend/En de
hasla $1,000, suspension de su lioencia para conducir
en llenar eate requisito pudiera resuttai en
llennr Ins requisitos tegales cte resprY^sbilitf3rf civil. FaHo
dc responsBbilidad pata sas vehOculos. o de otra manera
Tados los oonductores en Texas deben de tener seguro
de la paz so la pide.
o su ™.'Eli?/! rie seguro si Irene un acridente o si ur> oficial
PuRrie ';'*.': ,.sted iangsi tambiAri <;ue mostrar esla t;irjeU'
» etiqueta de inspecri/En de saguricad para su vehOculo.
o licenda para conducir
j registro tie vehOculo de moior
seguro riebe ser mostrada cuando iisted solicite o renueve
IMPORTANTE: Es<a tarjela o un.* oopia de ,-u p/Bva dp.
Guarde estatarjeta.
TRADUCCJON DE ESPANOL
SPANISH TRANSLATION
days {at a cost of $15 per day).
© ACORDCORPORATION 1»1
All drivers in Texas must carry liability insurance on their
vehicles or otherwise meet legal requirements for financial
responsibility. Failure to do so could result in fines up to
$1,000, suspension of your driver's license and motor vehicle
registration, and impoundment of your vehicle for up to 180
have an accident or if a peace officer asks to see it.
You also may be asked to show this card or your policy if you
o motor vehicle safety inspection sticker.
o driver's license
o motor vehicle registration
be shown when you apply for or renew your:
IMPORTANT: This card or a copy of your insurance policy must
Keep this card.
Texas Liability Insurance Card
Motor Vehicle Safsty Responsibiliiy Ad for the Specified vehicle and named insured;; and may
provide coverage for other parsons and other vehicles as provided by ihe insurance policy.
Tarju?a (it? ."aguro de Responsabiiidad de Texas
su:
10/12/2011
This pofoy provides al least the minrmum amounts of labifty insurance required by ihe Texas
DANNY BECKWORTH
INSURSO
RICHMOND
P.O.BOX 400
1100 TRAVIS STREET
77406-0400
MAXE/MODEL
10/12/2010
EFFECTIVE DATE
Texas Auto Insurance Plan
OOWANY
GRAYLESS INS AGENCY
AGENCY
2011
YEAR
POUCYNUMBER
{800)580-8247
COMPANY PBOflENO
TEXAS LIABIUTYIMSURANCE CARD
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STATE OF TEXAS
§
§
COUNTY OF FORT BEND
§
Motorcycle Lease Agreement
I, Brett Frankie, Badge NoJHP, (hereinafter referred to as "Sheriff Employee"), Texas Drivers
License No. JHI^^P, agree to lease and provide the following equipment and insurance to Fort
Bend County for my usage during the course of my duties as an employee of the Fort Bend
County Sheriffs Office. Fort Bend County agrees to pay the amount of $600.00 per month for
the following:
1.
One (1) Police Motorcycle, not to exceed 3 years of age, 300,000 miles or less and all
required emergency equipment and all protective clothing; and
2.
Comprehensive,
collision,
liability,
uninsured
motorist
and
personal
injury
protection/insurance with a deductible not to exceed $1,000.00, which shall be
reimbursed to Sheriff Employee only if it is determined by the Fort Bend County
Sheriff, or his designee, that Sheriff Employee was not "at fault" and the responsible
Sheriff Employee must be "on-duty" in order for this
party is uninsured.
reimbursement to be applicable.
Fort Bend County will provide an amount not to exceed thirty (30) gallons of County gasoline
per calendar week, uniform shirts and other standard issued items. Fort Bend County's vehicle
liability coverage will apply to Sheriff Employee only during Sheriff Employee's performance of
regularly scheduled working hours relating to County employment.
The Fort Bend County
vehicle liability coverage shall not be applicable if Sheriff Employee is working an "extra job"
for any entity, business or person other than Fort Bend County.
This Agreement shall automatically terminate upon Sheriff Employee's termination or separation
from the employment of the Fort Bend County Sheriffs Office.
effective on October 1, 2010 and will terminate on September 30,2011.
Date:
Date:
By:
Sheriff/Milton Wright
Approved:
Robert E. Hebert, Fort Bend County Judge
Date:
ATTEST:
Dianne Wilson, Fort Bend County Clerk
Page 1 of2
/£>/"//(?
Auditor's Certificate
I hereby certify that funds are available to pay the obligation of Fort Bend County within the
foregoing Agreement.
j
J fl
Ed Sturdivant, Fort Bend County Au
MER:2010/Sheriff.:motorcycle agreement revised form.3357
Page 2 of2
TEXAS LIABILITY INSURANCE CARD
AUTOONE INSURANCE COMPANY
1-800-418-3280
vehicles as provided by the insurance policy.
Name and Address of Insured
BRETT FRANKIE
Policy Number:
Expiration Date:
Effective Date: 03/25/2010
2011
Year
HARLEY DAVID
Make
/
FLHTP
Model
03/25/2011
Identification
STATE OF TEXAS
COUNTY OF FORT BEND
§
§
§
Motorcycle Lease Agreement
I, Victor Garcia, Badge N^HF, (hereinafter referred to as "Sheriff Employee"), Texas Drivers
License No JHHNB! agree to lease and provide the following equipment and insurance to Fort
Bend County for my usage during the course of my duties as an employee of the Fort Bend
County Sheriffs Office. Fort Bend County agrees to pay the amount of $600.00 per month for
the following:
1.
One (1) Police Motorcycle, not to exceed 3 years of age, 300,000 miles or less and all
required emergency equipment and all protective clothing; and
2. Comprehensive, collision, liability, uninsured motorist and personal injury
protection/insurance with a deductible not to exceed $1,000.00, which shall be
reimbursed to Sheriff Employee only if it is determined by the Fort Bend County
Sheriff, or his designee, that Sheriff Employee was not "at fault" and the responsible
party is uninsured.
Sheriff Employee must be "on-duty" in order for this
reimbursement to be applicable.
Fort Bend County will provide an amount not to exceed thirty (30) gallons of County gasoline
per calendar week, uniform shirts and other standard issued items. Fort Bend County's vehicle
liability coverage will apply to Sheriff Employee only during Sheriff Employee's performance of
regularly scheduled working hours relating to County employment. The Fort Bend County
vehicle liability coverage shall not be applicable if Sheriff Employee is working an "extra job"
for any entity, business or person other than Fort Bend County.
This Agreement shall automatically terminate upon Sheriff Employee's termination or separation
from the employment of the Fort Bend County Sheriffs Office.
This Agreement is effective on OctoberJJZOJOand will terminate on September 30,2011
By:
By:
Approved:
Robert E. Hebert, Fort Bend County Judge
Date:
ATTEST:
Dianne Wilson, Fort Bend County Clerk
Page 1 of 2
Auditor's Certificate
I hereby certify that funds are available to pay the obligation of Fprt Ben^Countywithin the
foregoing Agreement.
fj /J /l ~-f
**
~~""
Sturdivant, Fort Bend County Auditor
MER:2010/Sheriff.:motorcycle agreement revised form.3357
Page 2 of2
™—.
| his policy provides at least me minimum amounts OT.iiaDiiity insuran
required by the Texas Motor Vehicle Safety Responsibility Act for the specified vehicle and named insureds and m
provide coverage for other persons and other vehicles as provided by the insurance policy.
Insurance Company
''■
,,
Vehicle - Year, Make, Model of Covered Vehicle, V
2009 HARLEY
FLHP
State Farm Mutual Automobile Insurance Company
Agent or Producer
GRAYLESS INSURANCE AGENCY LUC
PHONE#
TEXAS OPERATION CENTER PHONE*800-223-4397
Policy Number \
Coverages
VEH 1
garcia, victor jr
Drivers:
victor
Expiration Date
Effective Date
APR 23 2010
Insured
to
ARR23 2011
A B P1 U
:
61110-7-7
j
ISC Paymn
jMUTL AIP
■<o1b031le)
KEEP THIS LIABILITY INSURANCE CARD IN YOUR VEHICLE OR POSSESSION
§
§
§
STATE OF TEXAS
COUNTY OF FORT BEND
Motorcycle Lease Agreement
I, Joe Lancaster, Badge No^p (hereinafter referred to as "Sheriff Employee"), Texas Drivers
License NofBV, agree to lease and provide the following equipment and insurance to Fort
Bend County for my usage during the course of my duties as an employee of the Fort Bend
County Sheriffs Office. Fort Bend County agrees to pay the amount of $600.00 per month for
the following:
1.
One (1) Police Motorcycle, not to exceed 3 years of age, 300,000 miles or less and all
required emergency equipment and all protective clothing; and
2.
Comprehensive, collision, liability, uninsured motorist and personal injury
protection/insurance with a deductible not to exceed $1,000.00, which shall be
reimbursed to Sheriff Employee only if it is determined by the Fort Bend County
Sheriff, or his designee, that Sheriff Employee was not "at fault" and the responsible
party is uninsured.
Sheriff Employee must be "on-duty" in order for this
reimbursement to be applicable.
Fort Bend County will provide an amount not to exceed thirty (30) gallons of County gasoline
per calendar week, uniform shirts and other standard issued items. Fort Bend County's vehicle
liability coverage will apply to Sheriff Employee only during Sheriff Employee's performance of
regularly scheduled working hours relating to County employment. The Fort Bend County
vehicle liability coverage shall not be applicable if Sheriff Employee is working an "extra job"
for any entity, business or person other than Fort Bend County.
This Agreement shall automatically terminate upon Sheriff Employee's termination or separation
from the employment of the Fort Bend County Sheriffs Office.
This Agreement is_effective on October 1, 2010 and will terminate on September 30, 2011.
By:
\.VW<rQ
^N
Date:
IO
jo - )3'/o
Robert E. Hebert, Fort Bend County Judge
Date:
i*\oh
ATTEST:
Dianne Wilson, Fort Bend County Clerk
Page 1 of2
<£ j*
Auditor's Certificate
I hereby certify that funds are available to pay the obligation of Fort Bend County within the
foregoing Agreement.
// //W
//
Ed Sturdivant, Fort Bend County Auditor
MER:2010/Sheriff.:motorcycle agreement revised form.3357
Page 2 of 2
Vehicle(s) Covered
Year
Make/Model
2006
{^0-526-2252
Vehicle Identification
E
Number
HONDA
2006
MUTUAL
Vehicle Identification Number
HONDA
Agency/Company Issuing Card
Driver(s) Covered
LANCASTER
MARY ANN
JOSEPH
P
0
BOX
GRAYLESS
4103847
40 0
RICHMOND
281-342-8127
TX
77406
Insured
LANCASTER
This is part of your identification card, do not
This policy provides at least minimum amounts of liability insuran
detach.
specified vehicle and named insureds and may provide coverage for
This card not valid unless premium is paid and
insurance policy remains in force.
3,5S«
71-2
retiredI by the Texas Motor Vehicle Safety Responsibility Act for the
other persons and vehicles as provided by the insurance policy.
B4B0 00-171A-T2'!
STATE OF TEXAS
COUNTY OF FORT BEND
§
§
Motorcycle Lease Agreement
I, David Mejorado, Badge No. ^g§ (hereinafter referred to as "Sheriff Employee"), Texas
Drivers License No. fHM, agree to lease and provide the following equipment and
insurance to Fort Bend County for my usage during the course of my duties as an employee of
the Fort Bend County Sheriffs Office. Fort Bend County agrees to pay the amount of $600.00
per month for the following:
1.
One (1) Police Motorcycle, not to exceed 3 years of age, 300,000 miles or less and all
required emergency equipment and all protective clothing; and
Comprehensive, collision, liability, uninsured motorist and personal injury
protection/insurance with a deductible not to exceed $1,000.00, which shall be
reimbursed to Sheriff Employee only if it is determined by the Fort Bend County
Sheriff, or his designee, that Sheriff Employee was not "at fault" and the responsible
party is uninsured.
Sheriff Employee must be "on-duty" in order for this
2.
reimbursement to be applicable.
Fort Bend County will provide an amount not to exceed thirty (30) gallons of County gasoline
per calendar week, uniform shirts and other standard issued items. Fort Bend County's vehicle
liability coverage will apply to Sheriff Employee only during Sheriff Employee's performance of
regularly scheduled working hours relating to County employment. The Fort Bend County
vehicle liability coverage shall not be applicable if Sheriff Employee is working an "extra job"
for any entity, business or person other than Fort Bend County.
This Agreement shall automatically terminate upon Sheriff Employee's termination or separation
from the employment of the Fort Bend County Sheriffs Office.
This Agreement is effective^pn October 1, 2010 and will terminate on September 30,2011.
By:
A/rjT
//f/ **TDate:
Date:
By:
Jo - /3-/o
Sheriff Milton Wright
Approved:
Robert E. Hebert, Fort Bend County Judge
Date:
ATTEST:
Dianne Wilson, Fort Bend County Clerk
Page 1 of 2
x^^s0^
Auditor's Certificate
I hereby certify that funds are available to pay the obligation of Fort Bend ^County within the
foregoing Agreement.
^
f) / rf O
Ed Sturdivant, Fort Bend County Auditor
MER:2010/Sheriff.motorcycle agreement revised form.3357
Page 2 of 2
TEXAS LIABILITY INSURANCE CARD
AUTOONE INSURANCE COMPANY
1-800-418-3280
This policy provides at least the minimum amounts of liability insurance required by the ^
Responsibility Act for the specified-vehicle and named insureds and my provide coverage for other persons and
vehicles as provided by the insurance policy.
Name and Address of Insured
David Mejorado
Policy Number:
Effective Date:
2007
Year
Expiration Date:
03/25/2010
HARLEY DAVID - FLHFP
Make
/
Model.
03/25/2011
Identification Number
TARJETADE SEGURO DE RESPONSABILIDAD DE TEXAS
AUTOONE INSURANCE COMPANY
1-800-418-3280
Esta poliza provee por lo menos la cantidad minima de seguro de responsabilidad requerida por ley (Texas Motor
Vehicle Safety Responsibility Act) para el vehiculo especificado y para los asegurados nombrados, y puede proveer
cobertura para otras personas y otros vehiculos segun provisto en la poliza de seguro.
Nombrey Direccion del Asegurado
David Mejorado
Numero de Poliza:
Fecha Effectiva:
2007
Ano
03/25/2010
HARLEY DAVID
FLHFP
Marca de Vehiculo / Modelo
Fecha de Expiration:
03/25/2011
Numero de Identification
AO20
1104
STATE OF TEXAS
COUNTY OF FORT BEND
Motorcycle Lease Agreement
I, S. Reid Rader, Badge No.^P, (hereinafter referred to as "Sheriff Employee"), Texas Drivers
License NdHHlBVf agree to lease and provide the following equipment and insurance to Fort
Bend County for my usage during the course of my duties as an employee of the Fort Bend
County Sheriffs Office. Fort Bend County agrees to pay the amount of $600.00 per month for
the following:
1.
One (1) Police Motorcycle, not to exceed 3 years of age, 300,000 miles or less and all
required emergency equipment and all protective clothing; and
2. Comprehensive, collision, liability, uninsured motorist and personal injury
protection/insurance with a deductible not to exceed $1,000.00, which shall be
reimbursed to Sheriff Employee only if it is determined by the Fort Bend County
Sheriff, or his designee, that Sheriff Employee was not "at fault" and the responsible
party is uninsured.
Sheriff Employee must be "on-duty" in order for this
reimbursement to be applicable.
Fort Bend County will provide an amount not to exceed thirty (30) gallons of County gasoline
per calendar week, uniform shirts and other standard issued items. Fort Bend County's vehicle
liability coverage will apply to Sheriff Employee only during Sheriff Employee's performance of
regularly scheduled working hours relating to County employment. The Fort Bend County
vehicle liability coverage shall not be applicable if Sheriff Employee is working an "extra job"
for any entity, business or person other than Fort Bend County.
This Agreement shall automatically terminate upon Sheriff Employee's termination or separation
from the employment of the Fort Bend County Sheriffs Office.
This Agreement is effective on October 1,2010 and will terminate on September 30,2011.
Date: /£>- &~/O
By:
ipfoyee
Date:
Robert E. Hebert, Fort Bend County Judge
Date:
ATTEST:
Dianne Willon, Fort Bend County Clerk
Page 1 of 2
/0-/3-/0
Auditor's Certificate
I hereby certify that funds are available to pay the obligation of Fort Bendjllounty within the
foregoing Agreement.
// / / ^i I -~J-
A</
Sturdivant, Fort Bend County Auditor
MER:2010/Sheriff.:motorcycle agreement revised form.3357
Page 2 of2
COMPANY PHONE NO.
TX
RADER, SAMUEL R
DRIVERS
(281) 342-8127
AGENCY PHONE NO.
VEHICLE IDENTIFICATION NUMBER
10/22/2010
EXPIRATION DATE
licencia para conducir
o etiqueta de inspection de seguridad para su vehOculo.
o
o registro de vehOculo de motor
de$15pord6a).
su vehOculo por un perOodo de hasta 180 dOas (a un costo
llenar los requisitos legales de responsabilidad civil. Fallo
en llenar este requisito pudiera resultar en multas de
hasta $1,000, suspensi/En de su licencia para conducir
y de su registro de vehOculo de motor, y la retenci/En de
de responsabilidad para sus vehOculos, o de otra manera
Todos los conductores en Texas deben de tener seguro
de la paz se la pide.
o su p/Eliza de seguro si tiene un accidente o si un oficial
Puede que usted tenga tambiAn que mostrar esta tarjeta
i:
seguro debe ser mostrada cuando usted solicite o renueve
IMPORTANTE: Esta tarjeta o una copia de su p/Eliza de
Guarde esta tarjeta.
Tarjeta de Seguro de Responsabilidad de Texas
Keep this card.
Texas Liability Insurance Card
TRADUCCION DE ESPANOL
SPANISH TRANSLATION
ACORDS0TX(2/97)
days (at a cost of $15 per day).
© ACORD CORPORATION 1931
registration, and impoundment of your vehicle for up to 180
All drivers in Texas must carry liability insurance on their
vehicles or otherwise meet legal requirements for financial
responsibility. Failure to do so could result in fines up to
$1,000, suspension of your driver's license and motor vehicle
have an accident or if a peace officer asks to see it.
You also may be asked to show this card or your policy if you
o motor vehicle safety inspection sticker.
o driver's license
o motor vehicle registration
be shown when you apply,for or renew your:
IMPORTANT: This card or a copy of your insurance policy must
provide coverage for other persons and other vehicles as provided by the insurance policy.
Motor Vehicle Safety Responsibility Act for the Specified vehicle and named .nsureds and may
This policy provides at least the minimum amounts of liability insurance required by the Texas
SAMUEL "REID" RADER
INSURED
RICHMOND
P. O. BOX 400
1100 TRAVIS STREET
GL 1800
77406-0400
MAKE/MODEL
HONDA
10/22/2009
EFFECTIVE DATE
Texas Auto Insurance Plan
COMPANY
GRAYLESS INS AGENCY
AGENCY
2008
YEAR
POLICY NUMBER
(800)580-8247
TEXAS LIABILITY INSURANCE CARD
STATE OF TEXAS
§
§
COUNTY OF FORT BEND
§
Motorcycle Lease Agreement
I, Roger Thurman, Badge No. Ml (hereinafter referred to as "Sheriff Employee"), Texas
Drivers License No.flHBKlt agree t0 lease anc^ Provide the following equipment and
insurance to Fort Bend County for my usage during the course of my duties as an employee of
the Fort Bend County Sheriffs Office. Fort Bend County agrees to pay the amount of $600.00
per month for the following:
1.
One (1) Police Motorcycle, not to exceed 3 years of age, 300,000 miles or less and all
required emergency equipment and all protective clothing; and
2. Comprehensive, collision, liability, uninsured motorist and personal injury
protection/insurance with a deductible not to exceed $1,000.00, which shall be
reimbursed to Sheriff Employee only if it is determined by the Fort Bend County
Sheriff, or his designee, that Sheriff Employee was not "at fault" and the responsible
party is uninsured.
Sheriff Employee must be "on-duty" in order for this
reimbursement to be applicable.
Fort Bend County will provide an amount not to exceed thirty (30) gallons of County gasoline
per calendar week, uniform shirts and other standard issued items. Fort Bend County's vehicle
liability coverage will apply to Sheriff Employee only during Sheriff Employee's performance of
regularly scheduled working hours relating to County employment. The Fort Bend County
vehicle liability coverage shall not be applicable if Sheriff Employee is working an "extra job"
for any entity, business or person other than Fort Bend County.
This Agreement shall automatically terminate upon Sheriff Employee's termination or separation
from the employment of the Fort Bend County Sheriffs Office.
This Agreement is effective on October 1, 2010 and will terminate on September 30, 2011.
By:
Date:
-e
/£> ' / -2
Employee
By:
I X jt^AJ^N^^"^
Sheritrfailtor
Approved:
Date:
/<?'/3''O
__
Robert E. Hebert, Fort Bend County Judge
Date:
ATTEST:
^
_
= , :
vk wkax /• i
Dianne Wilson, Fort Bend County Clerk
Page 1 of 2
Auditor's Certificate
I hereby certify that funds are available to pay the obligation of Fort BencKJounty within the
foregoing Agreement.
'■—=fid Sturdivant, Fort Bend County Auditor
MER:2010/Sheriff.:motorcycle agreement revised form.3357
Page 2 of 2
TEXAS LIABILITY INSURANCE CARD
LINCOLN GENERAL INSURANCE COMPANY
Policy Number:
Effective Date:
ROGER THURMAN
Expiration Date: 03/17/11
03/17/10
08 HONDA MOTORCYCLE
Year Make / Model
Identification Number
STATE OF TEXAS
COUNTY OF FORT BEND
§
§
§
Motorcycle Lease Agreement
I, Jesse Zamaripa, Badge NdflBR, (hereinafter referred to as "Sheriff Employee"), Texas Drivers
License No.^HH0, agree to lease and provide the following equipment and insurance to Fort
Bend County for my usage during the course of my duties as an employee of the Fort Bend
County Sheriffs Office. Fort Bend County agrees to pay the amount of $600.00 per month for
the following:
1.
One (1) Police Motorcycle, not to exceed 3 years of age, 300,000 miles or less and all
required emergency equipment and all protective clothing; and
2. Comprehensive, collision, liability, uninsured motorist and personal injury
protection/insurance with a deductible not to exceed $1,000.00, which shall be
reimbursed to Sheriff Employee only if it is determined by the Fort Bend County
Sheriff, or his designee, that Sheriff Employee was not "at fault" and the responsible
party is uninsured.
Sheriff Employee must be "on-duty" in order for this
reimbursement to be applicable.
Fort Bend County will provide an amount not to exceed thirty (30) gallons of County gasoline
per calendar week, uniform shirts and other standard issued items. Fort Bend County's vehicle
liability coverage will apply to Sheriff Employee only during Sheriff Employee's performance of
regularly scheduled working hours relating to County employment. The Fort Bend County
vehicle liability coverage shall not be applicable if Sheriff Employee is working an "extra job"
for any entity, business or person other than Fort Bend County.
This Agreement shall automatically terminate upon Sheriff Employee's termination or separation
from the employment of the Fort Bend County Sheriffs Office.
This Agreement is^ffe^tr^erfOctober 1, 2010 and will terminate on September 30, 2011.
By:
By:
Sheriff Miltorf Wright
Approved:
Robert E. Hebert, Fort Bend County Judge
Date:
ATTEST:
Dianne Wilson, Fort Bend County Clerk
Page 1 of 2
Auditor's Certificate
I hereby certify that funds are available to pay the obligation of Fort Bend County within the
foregoing Agreement.
>7_
//////
/
/;£/■/ C A
•r' / £CC. ^ Ed Sturdivant, Fort Bend County Auditor
MER:2010/Sheriff.motorcycle agreement revised form.3357
Page 2 of 2
DECLARATIONS FOR A BUSINESS AUTO
RENEWAL QUOTE
ITEM ONE Namedlnsured and Address
Policy No:
09/29/2010
iTName and Address
GRAYLESS INS AGENCY LLC
PO BOX 400
RICHMOND, TX 77406
Broker: 26789
Name Insured's Business:
Report Basis:
Security Services
WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY
ED AUTOS
..theDremiurn c0|umri on the covered autos schedule. Each of these coverages
ere a charge is shown injhejromium coi ^^ ^ ^ ^^ overage ^ ^ ^ of Qne or more
COVEREDAUTOS
(Entry :df one ormore of the
COVERAGES
LIMIT
The most we will pay for any one accident or loss
symbols from the
COVERED AUTOS
Section of the Business Auto
Coverage Form shows
which autos
—
are covered autos'
$25 000 PER PERSON
$50,000 PER ACCIDENT
$25 000 PER ACCIDENT
LIABILITY
BODILY INJURY
PROPERTY DAMAGE
PERSONAL INJURY PROTECTION
Separately stated in each PIP endorsement
(or equivalent No-fault coverage)
Separately stated in each added PIP endorsement
$2,500
ADDED PERSONAL INJURY PKO I fcOTION
(or equivalent added No-fault coverage)
Separately stated in each P.P.I, endorsement
PROPERTY PROTECTION INSURANCE
| (Michigan only)
AUTO MEDICAL PAYMENTS
$25,000 PER PERSON
$50,000 PER ACCIDENT
UNINSURED MOTORISTS
$25 000 PER ACCIDENT
UNDERINSURED MOTORIS1S
(When not indued in Uninsured
ACTUAL CASH VALUE OR COST OF REPAIR, WHICHEVER
IS LESS MINUS $ Ded. FOR EACH COVERED
AUTO BUT NOT DEDUCTIBLE APPLIES TO LOSS CAUSED
Motorists Coverage)
PHYSICAL DAMAGE
COMPREHENSIVE COVERAGE
BY FIRE OR LIGHTNING. See ITEM FOUR for hired or
borrowed "autos."
ACTUAL CASH VALUE OR COST OF REPAIR, WHICHEVER
IS LESS MINUS $
PHYSICAL-DAMAGE
COLLISION COVERAGE
See ITEM FOUR for hired or borrowed "autos."
ACTUAL CASH VALUE OR COST OF REPAIR, WHICHEVER
IS LESS MINUS $
PHYSICALDAIvlAGE SPECIFIED
CAUSES OF LOSS COVERAGE
Ded. FOR EACH
COVERED
AUTO. See ITEM FOUR for hired or
borrowed "autos."
for each disablement of a private passenger auto.
PHYSICALTJ3AMAGE
tOWNG~AND LABOR
t Available in California)
CA 00 03 01 87
Ded. FOR EACH COVERED
AUTO. FOR LOSS CAUSED BY MISCHIEF OR VANDALISM.
INSURED COPY