HomeMy WebLinkAbout20132368.tiffMcGEADY SISNEROS
August 6, 2013
Weld County Clerk & Recorder
1402 17th Avenue
P.O. Box 459
Greeley, CO 80632
M`Geady Sisneros P.C.
450 E. 17th Avenue, Suite 400
Denver, Colorado 80203-1214
303.592.4380 tel 303.592.4385 fax
www.mcgeadysisneros.com
RECEIVED
AUG 1 2 21113
WELD TY
COMMISSIONERS
Re: Pioneer Metropolitan District No. 5 ("District") — Oath of Director
Dear Sir or Madam:
Enclosed per the requirements of Sections 8 and 9 of Article XII of the Colorado Constitution are
copies of Oath of Director, Certification of Board Appointment, and the District's
Comprehensive Crime Coverage Certificate (which serves as its Public Official Position
Schedule Bond) for the following new director of the District:
1. Barry L. Fehr — Appointed June 20, 2012 to fill a vacancy on the Board.
Please contact me if you have any questions. Thank you.
Very truly yours,
MCGEADY SISNEROS, P.C.
Jennifer S. Henry
Paralegal
Enclosures
QbnvVIt C s *h3
2013-2368
{00282882.DOC v:1 }
SD OW
A COURT USE ONLY A
DISTRICT COURT, COUNTY OF WELD, STATE OF
COLORADO
901 9th Avenue
Greeley, Colorado 80631
970-351-7300
PETITIONER: IN RE PIONEER METROPOLITAN
DISTRICT NO. 5
MaryAnn M. McGeady
MeGEADY SISNEROS, P.C.
450 E. 17th Ave., Suite 400
Denver, Colorado 80203-1214
Phone: (303) 592-4380
Fax: (303) 592-4385
E-mail: mmcgeady@mcgeadysisneros.co
Atty. Reg. #: 12417
Case Number: 2006 CV 235
Div.: 1 Ctiui.:
OATH OF DIRECTOR
The undersigned solemnly swears (or affirms) that he will faithfully perform the duties of
this office as required by law and will support the Constitution of the United States, the
Constitution of the State of Colorado, and the laws made pursuant thereto.
Barry I :`Fehr
Address: 23275 County Road 22
Hudson, Colorado 80642
STATE OF COLORADO )
) ss.
COUNTY OF )
Subscribed and sworn to before me this 3-0411 day of June, 2013.
WITNESS rw and official seal.
Ye
B
POet� S
My commission expires:
{00275383.DOC v:1 }
CERTIFICATE OF APPOINTMENT
1, Joel H. Farkas, President of the Board of Directors of the Pioneer Metropolitan District
No. 5 of Weld County, Colorado hereby certify that a special meeting of the Board of Directors
of said District held June 20, 2013, at 1:00 p.m. at the offices of McGeady Sisneros, P.C., 450 E.
17`h Avenue, Suite 400, Denver, Colorado, the Board determined that due to a vacancy on the
Board, it was necessary to appoint a new Director to act until the next regular election of the
District. Nominations were open for appointment of a new Director, and that upon unanimous
vote there was appointed to the Board the following qualified elector of the District to act until
the next regular election of the District:
Name:
Address:
Barry L. Fehr
23275 County Road 22
Hudson, Colorado 80642
I further certify that I have caused this Certificate of Appointment to be delivered to said
new Director and to the Division of Local Government of the State of Colorado.
PIONEE' R ROPOLITAN DISTRICT NO. 5
By:
[SEAL]
. Farkas, President
{00275384.DOCX v:1 )
"')11)166.
25
years
Colorado Special Districts Property and Liability Pool
Public Entity Liability Certificate Holder Declaration
Master Coverage Document Number: PEL 01 01 13
Certificate Number: 26C50237-710
Named Member:
Pioneer Metropolitan District No. 5
c/o McGeady Sisneros, P.G.
450 E. 17th Ave., Suite 400
Denver, CO 80203
Coverage Is provided only those coverages indicated below for which a contribution is shown.
Coverage Period: 1/1/2013 to 1/1/2014
Broker of Record:
Coverage
Per Occurrence
Limit
Annual Aggregate
Limit
Deductible
Contribution
Public Entity Liability Coverage
including:
$1,000,000
None
None
$470.00
Included
General Liability
Included
None
None
Medical Payments - Premises
$10,000
$10,000
None
Included
Employee Benefits Admin. Liability
Included
None
None
Included
Public Officials Liability
Included
None
$1,000
$1,018.00
Included
Included
Employment Practices Liability
Pre Loss Legal Assistance
Included
' $2,000
None
$4,000
" See Below
None
No -Fault Water & Sewer Backup
No Coverage
No Coverage
N/A
No Coverage
Cyber Liability
$200,000
**$1,000,000
None
Included
Fiduciary Liability
f— $200,000
"*$1,000,000
None
Included
Excess Liability
No Coverage
No Coverage
N/A
No Coverage
Auto Liability
No Coverage
No Coverage
N/A
No Coverage
Medical Payments - Auto
No Coverage
No Coverage
No Coverage
No Coverage
No Coverage 1
No Coverage
N/A
N/A
N/A
No Coverage
No Coverage
Non-Owned/Hired Auto Liability
Uninsured Motorist
No Coverage
Auto Physical Damage
No Coverage
No Coverage
N/A
No Coverage
Hired Auto Physical Damage
Auto Physical Damage - Employee
Deductible Reimbursement
No Coverage
$2,500
No Coverage
N/A
N/A
No Coverage
None
Included
Total Contribution:l
$1,488.00
* Employment Practices Liability Deductible: 50% of loss subject to a maximum deductible of $100,000 each
occurrence.
**Cyber Liability and Fiduciary Liability each have a $1,000,000 All Member Annual Aggregate Limit.
Additional endorsements that may be applicable to Member:
Public Entity Liability: No -Fault Water & Sewer Backup "Opt Out"
This Certificate Holder Declaration is made and is mutually accepted by the CSD Pool and the Named
Member subject to all terms which are made a part of the Public Entity Liability Coverage Document. This
Certificate represents only a brief summary of coverages. Please refer to the Master Coverage Document
for actual coverage, terms, conditions, and exclusions.
Countersigned by:
Authorized Representative
Monday, November 19, 2012
Entity ID#: 60237
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