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EXHIBIT 10.5
COLLATERAL ASSIGNMENT SPLIT DOLLAR AGREEMENT
Insurer: Westfield Life Insurance Company
Policy #: 80202433
Issue Date: October 18, 1995
Planned Annual
Premium: $6,700
Owner: Xxxxxx X. Xxxxxxxx
Insured: Xxxxxx X. Xxxxxxxx
Lender: The Middlefield Banking Company
Parent Company: Middlefield Banc Corp.
Effective Date: October 18, 1995
The Owner, being applicant and Owner of subject policy, hereby assigns
and conveys to Lender all right, title and interest in the policy as collateral
security for indebtedness as evidenced by a promissory note executed this date
and to secure such future notes and indebtedness as may subsequently exist
between the parties hereto at the time of settlement of the policy. All
incidents of ownership shall remain in Owner, including the power to surrender,
terminate, or cancel the above described policy.
The meaning of terms in this Agreement and the respective rights and
duties of Owner and Lender in the subject policy shall be defined in the
following numbered paragraphs, namely:
I. DEFINITIONS
"DEATH PROCEEDS": Death Proceeds as used in this Agreement shall mean
the death benefits described as Option 2 in the policy contract.
"CASH VALUES": Cash Values as used in this Agreement shall mean, for
purposes of policy surrender, the Cash Surrender Value, as that term is defined
in the policy contract, and, for purposes of measuring premium payments and
obligations, Accumulated Value, as that term is described in the policy
contract.
II. BENEFICIARY DESIGNATION RIGHTS
Owner may designate a beneficiary or beneficiaries to receive any
proceeds payable on death of the Insured that are in excess of Lender's share of
such Proceeds.
III. PREMIUM PAYMENT METHOD
Owner shall pay the planned annual premium annually as of the date of
issue and upon each subsequent premium due date. Lender shall lend to Owner for
this purpose an amount equal to the planned annual premium upon each policy
anniversary.
Amounts loaned to Owner by Lender shall constitute indebtedness of
Owner for all purposes. No interest shall be payable on such indebtedness.
IV. OWNER'S RETAINED INCIDENTS OF OWNERSHIP
Except for the limited policy security rights specifically granted
Lender herein, Owner retains all incidents of ownership, including the right to
surrender or cancel the policy and the right to borrow or withdraw against the
policy.
Owner's right to borrow shall be limited to an amount equal to the
maximum loan value, reduced by the cumulative premiums loaned by Lender.
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Owner's right to withdraw from the policy cash values under any
"Partial Surrender Provision" of the policy (the cash value, less any
indebtedness, less the cost of insurance until the next month anniversary),
shall be limited to such "partial surrender value," as above defined, reduced by
the cumulative premiums paid by the Lender and subject to any policy surrender
limitations.
V. LENDER'S LOAN AND WITHDRAWAL RIGHTS
Lender shall have the limited right from time to time to obtain policy
loans from the Insurer, limited to the extent of its interest as defined herein
and subject to the policy's maximum loan value.
VI. VARIATIONS OF PREMIUM PAYMENT METHODS
The premium payment and loan obligations of the parties are those
selected under Paragraph III. Alternatively, Lender and Owner may agree that
Lender should lend to Owner some amount other than that stated in Paragraph III.
If that occurs, the rights under the policy shall be altered in the manner
described in Paragraph IX.
VII. DIVISION OF DEATH PROCEEDS OF POLICY
Division of death proceeds of the policy when premiums are financed in
strict accord with Paragraph III and when Insured's death occurs before the end
of the grace period for any premium in default, shall be:
A. Lender shall be entitled to an amount equal to the cumulative
loans extended to Owner by Lender, reduced by any existing
Lender policy loans or cash withdrawals exercised by Lender
under the provisions of Paragraph V above. The
beneficiary(ies) designated by the Owner in accordance with
Paragraph II shall be entitled to any remainder of such
proceeds,
B. If any Interest is due upon the death proceeds under the terms
of the insurance contract, Owner and Lender shall share such
interest as their respective share of the death proceeds (as
defined in the preceding paragraph) bears to the total death
proceeds excluding such Interest,
C. If, upon the death of the Insured, there is a refund of
unearned premium under the policy provisions, then, if that
occurs, any refund shall be apportioned as follows:
A. Where Owner (or his assignee) has contributed to the
policy premium at the last required premium interval,
the refund of unearned premiums shall be divided
between the Lender and the Owner (or his assignee) as
their respective share of the periodic premium (or
loan) shall bear to the total planned periodic
premium for such interval, and
B. Where the Owner (or his assignee) has not contributed
to the premium at the last premium interval, the
refund of unearned premium shall be refunded in total
to the Lender.
VIII. DIVISION OF THE NET CASH SURRENDER VALUE OF THE POLICY
Divisions of the cash surrender value of the policy when premiums are
financed in strict accord with Paragraph III and when surrender occurs not later
than 60 days after the due date of any premium in default shall be:
Lender shall be entitled to an amount equal to the cumulative
loans extended by Lender to Owner, less any existing policy loans or
cash withdrawals exercised by Lender under the provisions of Paragraph
IV above. Owner shall be entitled to any remainder of such cash value.
IX. PARTIES' RIGHTS WHERE PREMIUM PAYMENT VARIATIONS EXIST
When premiums are not financed in strict accordance with Paragraph III,
Lender's share of the policy death proceeds or the policy cash value upon
surrender (each as defined in Paragraphs VII and VIII, respectively) shall be as
follows:
In the event that aggregate loans of the Lender shall be more
or less than the amounts defined in Paragraph III, then Lender's share
of the death proceeds or the cash value shall be increased or
decreased, respectively, in corresponding dollar amount. The Owner's
designated beneficiary, in the event of death, and the Owner, in the
event of surrender, shall be entitled to any remainder of proceeds or
cash values, as the case may be.
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To the extent that loans under this Agreement exceed the proceeds or
cash value of the policy, as the case may be, Owner or his heirs shall be
personally responsible for repayment of same.
X. TERMINATION OF AGREEMENT
The Agreement shall terminate upon the occurrence of any one of the
following events:
A. Termination by either party upon submission of 30-day
written notice to the other party,
B. Termination of the Insured's employment by Lender,
C. The Owner's failure to pay its proportionate share of
premium, if any, as mutually agreed upon by Owner and
Lender under the option provided within Paragraphs
III and VI, herein,
D. The Owner's failure to apply Lender's premium loans
to the policy premiums as similarly agreed upon under
Paragraphs III and VI, herein,
E. The Owner's election, at any time, to receive a
release of assignment of the policy from Lender.
If this Agreement terminates, Owner shall have a 90-day option to
receive from Lender a release of assignment of the policy in consideration of a
cash payment to Lender of the total premium loans advanced. Lender, its
successor or assigns, agrees (solely for purposes of facilitating such
termination and payment of its loans secured by said policy) that Owner (or its
assignees) may borrow or withdraw from the policy cash values amounts in excess
of Owner's share of cash value as defined in this Agreement. Should Owner (or
its assignees) fail to exercise such option within the described 90-day period,
Owner agrees that the subject policy will be surrendered to the Insurer and the
proceeds distributed between Lender and Owner as prescribed by Paragraphs VII
and VIII herein.
XI. PREMIUM WAIVER
If subject policy contains a disability waiver of premium provision or
waiver of monthly deduction, any waived amounts shall be considered for all
purpose of this agreement as having been paid by Owner.
XII. OWNER'S ASSIGNMENT RIGHTS
Owner may, at any time, assign to any individual, trust or other
organization all right, title and interest in the subject policy and all rights,
options, privileges and duties created under this Agreement.
XIII. NAMED FIDUCIARY AND PLAN ADMINISTRATOR
is hereby designated the "Named Fiduciary" until resignation or removal
by the Board of Directors. As Named Fiduciary, shall be responsible for the
management, control and administration of the Split Dollar plan as established
herein and may allocate to others certain aspects of the management and
operation responsibilities of the plan, including the employment of advisors and
the delegation of any ministerial duties to qualified individuals.
XIV. FUNDING
The funding policy for the Split Dollar arrangement shall be to
maintain the subject policy in force by paying all required premiums when due.
XV. AMENDMENT
The Split Dollar plan may be amended at any time and from time to time
by a written instrument executed by the Lender and Owner, their successors and
assigns.
XVI. BASIS OF PREMIUM PAYMENTS AND BENEFITS
Payments to and from the Split Dollar Plan adopted herein shall be in
accordance with the provisions of Paragraphs III through VIII, inclusive.
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XVII. CLAIMS PROCEDURE FOR LIFE INSURANCE AND SPLIT DOLLAR PLAN
When the Named Fiduciary has a claim that may be covered under the
insurance policy provisions, he or she should contact The Xxxxx Agency Inc.,
currently located at 00000 Xxxx Xxxx Xxxxxx, X.X. Xxx 000, Xxxxxxxxxxx, Xxxx
00000 (telephone number (000) 000-0000), which will either complete a claim form
and forward it to an authorized representative of the Insurer or advise the
Named Fiduciary what further requirements exist. The Insurer will evaluate the
claim and make a decision as to payment within 90 days of the date the claim is
received by the Insurer. If the claim is payable, a benefit check will be issued
to the Named Fiduciary and forwarded through the office or person named above.
If a claim is not eligible under the policy, the Insurer will notify the Named
Fiduciary of the denial. Such notification will be made in writing within 90
days of the date the claim is received and will be transmitted through the
office or person named above. The notification will include the specific reasons
for the denial, as well as specific reference to the policy provisions upon
which the denial is based. The Named Fiduciary will also be informed as to the
steps that may be taken to have the claim denial reviewed.
A decision as to the validity of a claim will ordinarily be made within
10 working days of the date the claim is received by the Insurer. Occasionally,
however, certain questions may prevent the Insurer from rendering a decision on
the validity of the claim within the specific 90-day period. If that occurs, the
Named Fiduciary will be notified of the reasons for the delay as well as the
anticipated length of the delay in writing and through the office or person
named above. If further information or other material is required, the Named
Fiduciary will be so informed.
If the Named Fiduciary is dissatisfied with the denial of the claim or
the amount paid, he or she has 60 days from the date he or she receives notice
of a claim denial or receipt of the amount paid to file his or her objections to
the action taken by the Insurer. If the Named Fiduciary wishes to contest a
claim denial, he or she should notify the person or office named above, which
will assist in making inquiry to the Insurer. All objections to the Insurer's
actions should be in writing and submitted to the person or office named above
for transmittal to the Insurer.
The Insurer will review the claim denial or amount paid and render a
decision on such objections. The Named Fiduciary will be informed in writing of
the decision of the Insurer within 60 days of the date the claim review request
is received by the Insurer. This decision will be final.
Once a decision has been rendered as to the distribution of proceeds
under the claim procedure described above, claims for any benefits due under the
plan or the surrender of the policy may be made in writing by the Owner or the
Owner's designated beneficiary and the Insured (or its assignee) or his
designated beneficiary, as the case may be, to the Named Fiduciary.
If a claim for benefits is wholly or partly denied or disputed, the
Named Fiduciary shall, within a reasonable period of time after receipt of the
claim, notify Owner or Owner's designated beneficiary and Insured (or his
assignee) or their designated beneficiary, as the case may be, of such total or
partial denial or dispute, listing:
A. the specific reason or reasons for the denial or
dispute,
B. specific reference to pertinent plan provisions upon
which the denial or dispute is based,
C. a description of any additional information necessary
for the claimant to perfect the claim and an
explanation of why such material or information is
necessary, and
D. an explanation of the plan's review procedure.
Within 60 days of denial or notice of claim under the plan, a claimant
may request that the claim be reviewed by the Named Fiduciary in a full and fair
hearing. A final decision shall be rendered by the Named Fiduciary within 60
days after receipt of request for review.
XVIII. AGREEMENT BINDING UPON PARTIES
This Agreement shall bind Lender and Owner, their heirs, successors,
personal representatives and assigns.
XIX. INSURANCE COMPANY NOT A PARTY TO AGREEMENT
The Insurer is not responsible for the legal or tax validity or effect
of this Agreement. Further, the Insurer shall not be deemed a party to this
Agreement but will respect the rights of the parties as herein developed upon
receiving an executed copy of this Agreement.
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Insurer shall not be responsible to account for the actual premium
contributions of the parties hereunder but shall rely solely upon the written
declarations of the parties in any distributions or settlement of the policy's
lifetime or death values. Payment or other performance of its contractual
obligations in accordance with the policy provisions shall fully discharge the
Insurer from any and al1liability.
XX. INSURER'S RELIANCE UPON OWNER
The Insurer is hereby authorized to recognize Owner's claim to rights
hereunder without investigating the reason for any action taken by Owner,
including Owner's statement of the amount of premiums Owner has paid on the
policy. The signature of Owner shall be sufficient to exercise any rights under
this Agreement.
XXI. CONTROLLING STATE LAW
This Agreement shall be subject to and construed under the laws of the
State of Ohio.
IN WITNESS WHEREOF, this Agreement has been executed as of this 18th
day of October, 1995.
OWNER
/s/ Xxxx X. Xxxxxxx /s/ Xxxxxx X. Xxxxxxxx
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Witness Xxxxxx X. Xxxxxxxx
Print Name: Xxxx X. Xxxxxxx
LENDER:
THE MIDDLEFIELD BANKING COMPANY
/s/ Xxxxxx X. Xxxxxxx By: /s/ Xxxxx X. Xxxxxx XX
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Witness Xxxxx X. Xxxxxx XX
Print Name: Xxxxxx X. Xxxxxxx Its: Executive Vice President
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Insurer: Westfield Life Insurance Company
Policy #: 80202433
Owner: Xxxxxx X. Xxxxxxxx
Insured: Xxxxxx X. Xxxxxxxx
Lender: The Middlefield Banking Company
This Policy Collateral Assignment and Split Dollar Agreement was
recorded by Westfield Life Insurance Company on , 2001.
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BY:
----------------------------
Print Name:
--------------------
Title:
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DEMAND NOTE
I, Xxxxxx X. Xxxxxxxx, the undersigned owner of policy no. 80202433
insuring the life of Xxxxxx X. Xxxxxxxx, which policy has been issued by
Westfield Life Insurance Company, having obtained a premium loan or loans from
The Middlefield Banking Company in the aggregate amount of $40,200 since October
18, 1995, do hereby agree to pay such loan upon demand, without interest.
I have this date executed a collateral assignment of said policy to
secure this note and any future notes or indebtedness as may exist in the future
between The Middlefield Banking Company and the undersigned.
IN WITNESS WHEREOF, the parties hereto have executed this note this
23rd day of April, 2001.
OWNER
/s/ Xxxx X. Xxxxxxx /s/ Xxxxxx X. Xxxxxxxx
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Witness Xxxxxx X. Xxxxxxxx
Print Name: Xxxx X. Xxxxxxx
LENDER:
THE MIDDLEFIELD BANKING COMPANY
/s/ Xxxxxx X. Xxxxxxx By: /s/ Xxxxx X. Xxxxxx XX
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Witness Xxxxx X. Xxxxxx XX
Print Name: Xxxxxx X. Xxxxxxx Its: Executive Vice President
