HomeMy WebLinkAbout20260622 Resolution
Approve Proposal of Insurance and Application for Hull and Liability Insurance for
Unmanned Aircraft Systems (Drones), and Authorize Chair to Sign —
Arthur J. Gallagher Risk Management Services, LLC, and Global Aerospace, Inc.
Whereas, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
Whereas, the Board has been presented with a Proposal of Insurance and an Application
for Hull and Liability Insurance for Unmanned Aircraft Systems (Drones) between the
County of Weld, State of Colorado, by and through the Board of County Commissioners
of Weld County, on behalf of the Department of Human Resources, Arthur J. Gallagher
Risk Management Services, LLC, and Global Aerospace, Inc., commencing March 27,
2026, and ending March 27, 2027, with further terms and conditions being as stated in
said proposal and application, and
Whereas, after review, the Board deems it advisable to approve said proposal and
application, copies of which are attached hereto and incorporated herein by reference.
Now, therefore, be it resolved by the Board of County Commissioners of Weld County,
Colorado, that the Proposal of Insurance and the Application for Hull and Liability
Insurance for Unmanned Aircraft Systems (Drones) between the County of Weld, State
of Colorado, by and through the Board of County Commissioners of Weld County, on
behalf of the Department of Human Resources, Arthur J. Gallagher Risk Management
Services, LLC, and Global Aerospace, Inc., be, and hereby are, approved.
Be it further resolved by the Board that the Chair be, and hereby is, authorized to sign
said proposal and application.
The Board of County Commissioners of Weld County, Colorado, approved the above
and foregoing Resolution, on motion duly made and seconded, by the following vote on
the 18th day of March, A.D., 2026:
Scott K. James, Chair: Aye
Jason S. Maxey, Pro-Tem: Aye #SLZ%•
Perry L. Buck: Aye I i' 0
Lynette Peppler: Aye II
Y p p Y �,
Kevin D. Ross: Aye ,,,,r
Approved as to Form: °U.0
Bruce Barker, County Attorney
Attest:
Esther E. Gesick, Clerk to the Board
cc PC(.S/AD/13P/KL) 2026-0622
co-11 o‘\aly PE0037
C:uni-va 1 D (O 1
BOARD OF COUNTY COMMISSIONERS
PASS-AROUND REVIEW
PASS-AROUND TITLE: Weld County Drone Insurance Quote Approval
DEPARTMENT: Human Resources DATE: 3/10/26
PERSON REQUESTING: Jill Scott, Kelly Leffler
Brief description of the problem/issue:
The proposal and quote have been received for renewing the Unmanned Aircraft System insurance through
Global Aerospace for all 22 units owned by Weld County. We are asking for final signatures on the proposal
and final application to move forward with binding the agreement. The quote states that the estimated annual
premium will be$15,770 with the$1,000 administration fee to Gallagher, totaling $16,770 for the 26-27 renewal.
This is a $409 increase from the 25-26 plan.
What options exist for the Board?
The Board can agree to sign the authorization to bind coverage to provide insurance on the drones owned by
the county, or the Board can decide not to sign the authorization to bind coverage and risk the 22 unites being
uninsured.
Consequences:
If not signed, the drones become uninsured on March 27th, 2026
Impacts:
Insurance renewal will ensure adequate loss recover.
Costs (Current Fiscal Year/Ongoing or Subsequent Fiscal Years):
The cost of the term running from March 2026 through March 2027 has a total cost of$16,770
Recommendation:
Human Resources is recommending that the BOCC approve to sign the Client Authorization to Bind Coverage
on page 13 of the Proposal, and to sign page 4 of the final application.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck g9)
Scott K. James rn,
Jason S. Maxey UV
Lynette Peppier t"
Kevin D. Ross
2026-0622
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roposal of Insurance H. . _
Weld County, Colorado
1150 0 Street
Greeley, CO 80631
Presentation Date: March 5, 2026
Arthur J Gallagher Risk Management Services, LLC - Gallagher
AJG License Nos.IL 100292093/CA 0D69293
Insurance Risk Management Consulting
Weld County, Colorado
u osal Summary
We appreciate the opportunity to quote your business insurance. This proposal is a summary of policy terms and
conditions.
• We have been able to achieve renewal goals by negotiating your renewal with the incumbent carrier.
This proposal provides coverage highlights along with the attached carrier quotations for the following coverages:
• Unmanned Aircraft Systems
It is recommended that you consider purchasing coverage for the following,which are not included in your insurance
program:
• Active Shooter/Malicious Attack
• Excess Cyber Liability
We are not aware of any changes in your exposures to loss, nor are we aware of any changes in your business
operations that would necessitate additional coverage options. Please notify us immediately if you are planning any
new business operations.
The values and schedules are per the expiring policy or the information you have previously provided. It is your
responsibility to notify us of all necessary changes to your schedules.
Information contained in this proposal is intended to provide a brief overview of coverages. It should be used for
reference purposes only. It is not intended to provide a full list of policy exclusions, limitations, and conditions. The
provided quotes should be reviewed for further details. Coverage afforded to you is subject to all terms, conditions,
and exclusions of the bound and issued policies.
To Bind Coverage:
Please refer to the attachment document titled, "Client Authorization to Bind Coverage":
• Note any changes you desire to be made
• Place a check mark next to the coverage(s)you wish to accept
• Date and Sign
• Return prior to the effective date of coverage
Thank you for allowing Gallagher to service your insurance needs.We appreciate your business and look
forward to working with you in the coming year. Please contact me if you have any questions.
Sincerely,
Natha.w Ka tho&
Nathan Kathol
Client Service Executive
r Gallagher
Insurance Risk Management Consulting
2 )
Ga agher
Insurance I Risk Management I Consulting
Weld County, Colorado
Your Gallagher Team
Your Gallagher team is a true partner. We have the expertise to understand your business and we're here to service
and stay alongside you,every step of the way.
Service Team Role Em: Phone
Jeff Kassa! Producer Jeff Kassal(a�ajq.com (303)889-2530
Area President
Noelle Diak Client Service Manager Noelle Diaka.aiq.com (303)889-2580
Associate Client Service Manager
Nathan Kathol Client Service Executive Nathan Katholaig.com (303)889-2548
Client Service Executive
3 Gr.)
Gallagher
Insurance I Risk Management I Consulting
Weld County, Colorado
Premium Summary
The estimated program cost for the options are outlined in the following table:
Line of Coveraglir Expiring Renewal Option IMO
American Alternative
Insurance Corporation: American Alternative Insurance
;,American Commerce Corporation
Insurance Company merican Commerce Insurance Compa
National Indemnity National Indemnity Company
Company Tokio Marine America Insurance
Tokio Marine America Company
' Insurance Company
$15,361.00 $15,770.00
Unmanned Aircraft $15,361.00 $15,770.00
Systems
Gallagher Policy Fee
Agency Bill Administration Fee $1,000 $1,000
Total Cost $16,361.00 $16,770
*Estimated Cost includes all taxes,fees,surcharges and TRIA premium(if applicable)
Premiums are due and payable as billed and may be financed,subject to acceptance by an approved finance company.Following
acceptance,completion(and signature)of a premium finance agreement with the specified down payment is required. Note:Unless
prohibited by law,Gallagher may earn compensation for this optional value-added service.
Gallagher is responsible for the placement of the following lines of coverage: Unmanned Aircraft Systems,Bond,Workers'
Compensation
It is understood that any other type of exposure/coverage is either self-insured or placed by another brokerage firm other than
Gallagher. If you need help in placing other lines of coverage or covering other types of exposures,please contact your Gallagher
representative.
Where permitted by law,Gallagher may assess a$100 Agency Bill Administration Fee on all new and renewal policy placements
where Gallagher is responsible for collecting client premium and remitting payment to insurance carriers and other third parties.In
connection with such billing obligations,Gallagher assumes additional administrative,financial and compliance obligations that
introduce significant risks to Gallagher's business.Should you change to direct bill,where available,or premium finance the
transaction,you will not incur the Agency Bill Administration Fee.
Named Insured
Named Insured Unmanned Aircraft
Systems
Weld County, Colorado X
Note: Any entity not named in this proposal may not be an insured entity.This may include affiliates, subsidiaries,
LLCs, partnerships, and joint ventures.
4 " ;
Gallagher
Insurance I Risk Management I Consulting
Weld County, Colorado
Market Review
We approached the following carriers in an effort to provide the most comprehensive and cost-effective insurance
program.
Line Of Coverage Insurance Company**(AM Best Market Response* Admitted***
Rate/Financial Strength)
American Alternative Insurance I
Corporation(A+XV)
Unmanned Aircraft American Commerce Insurance Company
Systems (A XV) Recommended Quote Admitted
National Indemnity Company(A++XV)
Tokio Marine America Insurance Company
(A++XV)
*If shown as an indication,the actual premium and acceptance of the coverage requested will be determined by the market after a
thorough review of the completed application.
**Gallagher companies use AM Best rated insurers and the rating listed above was verified on the date the proposal document was
created.
Best's Credit Ratings"'reproduced herein appear under license from AM Best and do not constitute,either expressly or impliedly,
an endorsement of Gallagher's service or its recommendations.AM Best is not responsible for transcription errors made in
presenting Best's Credit Ratings"".Best's Credit Ratings."'are proprietary and may not be reproduced or distributed without the
express written permission of AM Best.
A Best's Financial Strength Rating is an independent opinion of an insurer's financial strength and ability to meet its ongoing
insurance policy and contract obligations.It is not a warranty of a company's financial strength and ability to meet its obligations to
policyholders.Best's Credit Ratings""are under continuous review and subject to change and/or affirmation.For the latest Best's
Credit Ratings"'and Guide to Best's Credit Ratings,visit the AM Best website at http://www.ambest.com/ratinqs.
***If coverage placed with a non-admitted carrier,it is doing business in the state as a surplus lines or non-admitted carrier and is
neither subject to the same regulations as an admitted carrier nor do they participate in any state insurance guarantee fund.
Gallagher companies make no representations and warranties concerning the solvency of any carrier,nor does it make any
representation or warranty conceming the rating of the carrier which may change.
•
Gallagher
Insurance I Risk Management I Consulting
Weld County, Colorado
Coverage Highlights
Unmanned Aircraft Systems
Recommended Quote
03/27/2026—03/27/2027
American Alternative Insurance Corporation
Carrier Information American Commerce Insurance Company
National Indemnity Company
Tokio Marine America Insurance Company
Payment Plan 100%of the Annual Premium Due on Inception
Payment Method Agency Bill
Unmanned Aircraft Systems Premium $15,770.00
Terrorism-TRIA Included
Estimated Cost $15,770.00
Exposure Drone/Pilot Schedule
Auditable/Frequency Auditable
Aircraft Schedule
• Liability Limit $1,000,000
• Passenger War Liability Included
• Third Party War Limit $1,000,000-Aggregate
• Personal Injury Limit $1,000,000
• Medical Limit $5,000
Expenses for Medical Services $5,000 each occurrence
Aviation Personal and Advertising Injury $1,000,000 each occurrence/aggregate
Liability
Fire Legal Liabilitr $100,000 each occurrence
Significant policy endorsements include,but are not limited to, those listed on the attached quote/policy
form/endorsements.
limited to: a
Significant policy exclusions include,but are not limited to, those listed on the attached quote/policy
form/endorsements.
Unmanned Aircraft Systems Deductibles " --
Deductible In Motion 10%
Deductible Not In Motion 10%
Other Significant Terms and Conditions/Restrictions
American Alternative Insurance Corporation-59.24%
American Commerce Insurance Company- 10.00%
National Indemnity Company- 18.39%
Tokio Marine America Insurance Company-12.37%
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Gallagher
Insurance I Risk Management I Consulting
Weld County, Colorado
Claims Reporting By Policy
Immediately report all claims. Each insurer requires notice of certain types of claims depending on the potential
exposure or particular injury types. It is important to thoroughly review your policy to ensure you are reporting
particular incidents and claims, based upon the insurer's policy requirements.
If you are using a third party administrator("TPA"), your TPA may or may not report claims to an insurer on your
behalf.Although we will assist you where requested, it is important that you understand whether your TPA will be
completing this notification.
Reporting Direct to Carrier[Only When Applicable]
Coverage(s):Un ' �° rcraft Systems Immediately report claims directly to:
Insurer:American Alternative Insurance Corporation Insurer/TPA Name:American Alternative Insurance
Corporation
Phone: 888-729-2242
Fax:
Email: Clmsins(c munichreamerica.com
Policy Term:03/27/2026—03/27/2027 Web:
http://www.americanalternativeinsurancecorporation.co
m/en.html
Insurer:American Commerce Insurance Company Insurer/TPA Name.American Commerce Insurance
Company
Phone:877-224-5677
Fax:508-949-9530
Policy Term:03/27/2026—03/27/2027 Email.
Web:
https://mcr.mapfreinsurance.com/claims/#/ReportClaim
Insurer: National Indemnity Company Insurer/TPA Name. National Indemnity Company
Phone: 800-356-5750
Fax:402-916-3031
Policy Term:03/27/2026—03/27/2027 Email: claims(a)nationalindemnitv.com
Web: https://www.nationalindemnitv.com/#
Coverage(s):Unmanned Aircraft Systems Immediately report claims directly to:
Insurer:Tokio Marine America Insurance Company Insurer/TPA Name:Tokio Marine America Insurance
Company
Phone:877-567-7486
Fax:
Policy Term:03/27/2026—03/27/2027 Email: claimseactec.net
Web: https://tmamerica.com/claims/Default.aspx
Reporting to Gallagher or Assistance in Reporting
Coverage(s): Unmanned Aircraft Systems Immediately report claims directly to:
Gallagher Claim Center Phone:855-497-0578
Fax:225-663-3224
Policy Term:03/27/2026—03/27/2027 Email: ggb.qcrcclaimscentera.aiq.com
7 ( -
Gallagher
"`" Insurance I Risk Management I Consulting
Weld County, Colorado
Proposal Disclosures
The following disclosures are hereby made a part of this proposal. Please review these disclosures prior to signing the Client
Authorization to Bind or e-mail confirmation.
Proposal Disclaimer
IMPORTANT: The proposal and/or any executive summaries outline certain terms and conditions of the insurance proposed
by the insurers,based on the information provided by your company. The insurance policies themselves must be read to fully
understand the terms, coverages, Exclusions including but not limited to:, limitations and/or conditions of the actual policy
contract of insurance. Policy forms will be made available upon request. We make no warranties with respect to policy limits
or coverage considerations of the carrier.
Compensation Disclosure
1. Gallagher Companies are primarily compensated from the usual and customary commissions,fees or,where permitted, a
combination of both, for brokerage and servicing of insurance policies, annuity contracts, guarantee contracts and surety
bonds(collectively"insurance coverages")handled for a client's account,which may vary based on market conditions and the
insurance product placed for the client.
2. In placing, renewing, consulting on or servicing your insurance coverages, Gallagher companies may participate in
contingent and supplemental commission arrangements with intermediaries and insurance companies that provide for
additional compensation if certain underwriting, profitability,volume or retention goals are achieved. Such goals are typically
based on the total amount of certain insurance coverages placed by Gallagher with the insurance company, not on an
individual policy basis. As a result,Gallagher may be considered to have an incentive to place your insurance coverages with
a particular insurance company. If you do not wish to have your commercial insurance placement included in consideration
for additional compensation,contact your producer or service team for an Opt-out form.
3. Gallagher Companies may receive investment income on fiduciary funds temporarily held by them, or from obtaining or
generating premium finance quotes,unless prohibited by law.
4.Gallagher Companies may also access or have an ownership interest in other facilities,including wholesalers, reinsurance
intermediaries,captive managers, underwriting managers and others that act as intermediaries for both Gallagher and other
brokers in the insurance marketplace some of which may earn and retain customary brokerage commission and fees for their
work.
If you have specific questions about any compensation received by Gallagher and its affiliates in relation to your insurance
placements,please contact your Gallagher representative for more details.
TRIA/TRIPRA Disclaimer
If this proposal contains options to purchase TRIA/TRIPRA coverage,the proposed TRIA/TRIPRA program may not cover all
terrorism losses.While the amendments to TRIA eliminated the distinction between foreign and domestic acts of terrorism, a
number of lines of coverage excluded under the amendments passed in 2005 remain excluded including commercial
automobile, burglary and theft insurance; surety insurance, farm owners multiple perils and professional liability (although
directors and officers liability is specifically included). If such excluded coverages are required, we recommend that you
consider purchasing a separate terrorism policy. Please note that a separate terrorism policy for these excluded coverages
may be necessary to satisfy loan covenants or other contractual obligations.TRIPRA includes a$100 billion cap on insurers'
aggregate liability.
TRIPRA is set to expire on December 31,2027.There is no certainty of extension,thus the coverage provided by your insurers
may or may not extend beyond December 31, 2027. In the event you have loan covenants or other contractual obligations
requiring that TRIA/TRIPRA be maintained throughout the duration of your policy period, we recommend that a separate
—Stand Alone""terrorism policy be purchased to satisfy those obligations.
Property Estimator Disclaimer
These property values were obtained using a desktop Property Estimator software operated by non-appraisal professionals.
These property values represent general estimates which are not to be considered a certified appraisal.These property values
include generalities and assumptions that may produce inaccurate values for specific structures. ,
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Weld County, Colorado
Terms and Conditions
It is important that we clearly outline the nature of our mutual relationship.The following terms and conditions(these"Terms")
govern your relationship with Gallagher unless you have separately entered into a written services agreement with Gallagher
relative to the policies and services outlined in this Proposal, in which case that services agreement will govern and control
with respect to any conflicts with these Terms. These Terms will become effective upon your execution of the Client
Authorization to Bind Coverage (the "CAB") included in this Proposal and shall survive for the duration of your relationship
with Gallagher relative to the policies placed pursuant to the CAB or otherwise at your request.
Services
Gallagher will represent and assist you in all discussions and transactions with insurance companies relating to the lines of
insurance coverage set forth in the CAB and any other lines of insurance coverage with which you request Gallagher's
assistance. Gallagher will consult with you regarding any matters involving these or other coverages for which you have
engaged Gallagher. You have the sole discretion for approving any insurance policies placed, as well as all other material
decisions involving your risk management, risk transfer and/or loss prevention needs.
Although you are responsible for notifying applicable insurance companies directly in connection with any claims, demands,
suits, notices of potential claims or any other matters as required by the terms and conditions of your policies, Gallagher will
assist you in determining applicable claim reporting requirements.
Gallagher is not required to provide Services to you if Gallagher reasonably considers that to do so would put Gallagher in
breach of,or would expose Gallagher or its affiliates to fines, penalties or sanctions under any laws, regulations, professional
rules or, in Gallagher's sole opinion, you have breached a term/the terms of the Policies. In such circumstances, Gallagher
will be entitled to terminate its Services with immediate effect. In the event that Gallagher exercises its right to terminate its
Services with immediate effect, Gallagher will not be responsible or liable to you for any direct or indirect loss which you or
any other party may suffer as a result.
Please be aware that Gallagher is generally restricted from providing broking, claims handling or other services that relate to
Cuba and Iran, including due to significant difficulties in processing payments and other commercial and reputational
considerations.
Treatment of Information
Gallagher understands the need to protect the confidentiality and security of your confidential and sensitive information and
strives to comply with applicable data privacy and security laws. Your confidential and sensitive information will be protected
by Gallagher and only used to perform services for you; provided that Gallagher may disclose and transfer your information
(including transfers outside the United States in compliance with applicable laws)to our affiliates,agents or vendors that have
a need to know such information in connection with the provision of such services(including insurance markets,as necessary,
for marketing,quoting,placing and/or servicing insurance coverages). We may also disclose such information as required by
applicable data protection laws or the order of any court or tribunal, subject to our providing you with prior notice as permitted
by law. The parties agree that confidential information does not include aggregate, anonymized or de-identified data. In
addition,we may also utilize your aggregated,anonymized, or de-identified information in connection with benchmarking, risk
modeling and other data analytics,service or product improvements,and offerings,and similar business purposes.You further
agree we may use your information with artificial intelligence or other automated applications for the purposes of improving or
delivering our services to you.
We will(i)implement appropriate administrative, physical and technical safeguards to protect personal information; (ii)timely
report security incidents involving personal information to affected parties and/or regulatory bodies; (iii) create and maintain
required policies and procedures; and (iv) comply with data subjects' rights, as applicable. To the extent applicable under
associated data protection laws,you are a"business"or"controller"and Gallagher is a"service provider or"data processor."
You will ensure that any information provided to Gallagher has been provided with any required notices and that you have
obtained all required consents, if any and where required, or are otherwise authorized to transfer all information to Gallagher
and enable Gallagher to process the information for the purposes described in this Proposal and as set forth in Gallagher's
Privacy Policy located at https://www.alq.com/privacy-policy/. Gallagher may update its Privacy Policy from time to time and
any updates will be posted to such site.
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Ga. . ._..� ., er
Insurance I Risk Management I Consulting
Weld County, Colorado
Dispute Resolution
Gallagher does not expect that it will ever have a formal dispute with any of its clients. However, in the event that one should
arise,we should each strive to achieve a fair,expedient and efficient resolution and we'd like to clearly outline the resolution
process.
A. If the parties have a dispute regarding Gallagher's services or the relationship governed by this Proposal ("Dispute"),
each party agrees to resolve that Dispute by mediation.If mediation fails to resolve the Dispute,you and Gallagher agree
to binding arbitration. Each party waives all rights to commence litigation in court to resolve a Dispute, and specifically
waives all rights to pursue relief by class action or mass action in court or through arbitration. However, the parties do
not waive the ability to seek a court order of injunction in aid of the mediation and arbitration required by these Terms.
B. The party asserting a Dispute must provide a written notice("Notice")of the claim to the other party and to the American
Arbitration Association ("AAA") in accordance with its Commercial Arbitration Rules and Mediation Procedures. All
Dispute resolutions will take place in Chicago, IL, unless you and Gallagher agree to another location. The parties will
equally divide all costs of the mediation and arbitration proceedings and will each pay their own attomeys' fees. All
matters will be before a neutral,impartial and disinterested mediator or arbitrator(s)that have at least 20 years'experience
in commercial and insurance coverage disputes.
C. Mediation will occur within sixty (60) days of filing the Notice with the AAA. Mediation results will be reduced to a
memorandum of understanding signed by you,Gallagher and the mediator. A Dispute that is not resolved in mediation
will commence to binding arbitration. For Disputes in excess of$500,000, either party may elect to have the Dispute
heard by a panel of three (3) arbitrators. The award of the arbitrator(s) must be accompanied by a reasoned opinion
prepared and signed by the arbitrator(s). Except as may be required by law, neither you, Gallagher, nor a mediator or
arbitrator may disclose the existence, content or results of any Dispute or its dispute resolution proceeding without the
prior written consent of both you and Gallagher.
Electronic Delivery
In lieu of receiving documents in paper format,you agree,to the fullest extent permitted by law, to accept electronic delivery
of any documents that Gallagher may be required to deliver to you (including, but not limited to, insurance policies and
endorsements,account statements and all other agreements,forms and communications)in connection with services provided
by Gallagher. Electronic delivery of a document to you may be made via electronic mail or by other electronic means,including
posting documents to a secure website.
Miscellaneous Terms
Gallagher is engaged to perform services as an independent contractor and not as your employee or agent, and Gallagher
will not be operating in a fiduciary capacity.
Where applicable, insurance coverage placements and other services may require the payment of federal excise taxes,
surplus lines taxes, stamping or other fees to the Internal Revenue Service, various State(s)departments of revenue, state
regulators, boards or associations. In such cases, you will be responsible for the payment of the taxes and/or fees, which
Gallagher will separately identify on related invoices.
The Proposal and these Terms are governed by the laws of the State of Illinois,without regard to its conflict of law rules.
If an arbitrator/court of competent jurisdiction determines that any provision of these Terms is void or unenforceable, that
provision will be severed, and the arbitrator/court will replace it with a valid and enforceable provision that most closely
approximates the original intent,and the remainder of these Terms will remain in effect.
Except to the extent in conflict with a services agreement that you may enter into with Gallagher, these Terms and the
remainder of the Proposal constitute the entire agreement between you and Gallagher with respect to the subject matter of
the Proposal,and supersede all prior negotiations,agreements and understandings as to such matters.
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insurancv l Risk Konottermtnt t• Ovezi,-: .
Weld County, Colorado
Compensation Disclosure Schedule
Client Name:Weld County,Colorado
Gallagher U.S.Owned
Wholesaler,MGA,Or Intermediary Wholesaler,MGA,Or
Coverage(s) Carrier Names) Name' Est.Annual Premium' Intermediary%And/or Fee
American Alternative Insurance Corporation
Unmanned Aircraft American Commerce Insurance Company Gallagher Las Vegas $15,770.00 15%
Systems National Indemnity Company
Tokio Marine America Insurance Company
1 We were able to obtain more advantageous terms and conditions for you through an intermediary/wholesaler.
2 If the premium is shown as an indication.The premium indicated is an estimate provided by the market.The actual premium and acceptance of the coverage requested will be determined by
the market after a thorough review of the completed application.
•A verbal quotation was received from this carrier.We are awaiting a quotation in writing.
Note:When placing business with insurance companies,Gallagher Companies receive commission based on negotiated contractual terms with those carriers.The commission rate is a
percentage of the premium excluding taxes and fees.Major lines of coverage,and their typical range of commissions are listed below.If you wish to receive more details on actual
compensation paid to Gallagher Companies,please contact your Gallagher representative.
• Accident&Health:15-25% • Property 15-22% • Package/Business Owners Package.15-16.8%
• Aviation 14-15% • Inland Marine:20-22.5% • Workers Compensation:8-11%
• Contract Bonds 20-30% • Ocean Marine:15-17.5% • All Other Commercial 10-20%
• All Other Bonds/Surety:30-35% • Casualty 14-15% • Executive/Professional Lines:15-17.5%
• Builders Risk 15-18% • Commercial Auto:12.5-15% • Medical Malpractice.10-12%
Compensation to Gallagher may also be disclosed in a Client Services Agreement or Consulting Services Agreement.
Gallagher Companies receive additional compensation from the carrier for services performed on behalf of the carrier which would normally be considered part of the carrier's operating
expenses.These services indude but are not limited to underwriting,rating and policy issuance.
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Gallagher
Ins!lrancfq:1 Risk Management l Consulting.
Weld County, Colorado
Client Authorization to Bind Coverage
After careful consideration of Gallagher's proposal dated 03/5/2026,we accept the following coverage(s). Please check
the desired coverage(s)and note any coverage amendments below:
# x
®Accept ❑Reject Unmanned Aircraft Systems
American Alternative Insurance Corporation,American Commerce Insurance Company,
National Indemnity Company,Tokio Marine America Insurance Company(Global
Aeros•ace
®Accept 0 Reject TRIA-Unmanned Aircraft Systems
Additional Recommended Coverages
Gallagher recommends that you purchase the following additional coverages for which you have exposure. By checking
the box(es)below,you are requesting that Gallagher provide you with a Proposal for this coverage. By not requesting a
Proposal for this coverage,you assume the risk of any uncovered loss.
❑ Malicious Attack/Active Shooter
❑ Excess Cyber Liability
The above coverage(s)does not necessarily represent the entirety of available insurance products. If you are interested in
pursuing additional coverages other than those listed in the Additional Recommended Coverages, please list below:
Other Services to Consider
❑Yes ® No-CORE360TM STEP
❑Yes ® No—eRiskHub
Coverage Amendments and Notes:
Fee Breakdown
Gallagher Policy Fee: $900.00
Agency Bill Administration Fee: $100.00
By signing below, you are acknowledging that the fee listed above is fully earned and is NOT refundable. The fee is due
and payable within thirty(30)days of your execution below.Any placements that require the payment of additional state
or federal taxes and/or fees are the client's responsibility.
You further acknowledge and agree that the Proposal,this Client Authorization to Bind Coverage(including this Fee
Agreement)reflect your understanding of the services to be provided by Gallagher as they have been discussed with and
fully disclosed to you, and the above fee is consistent with your understanding. Any disputes arising out of the Proposal,
this Client Authorization to Bind Coverage and/or the performance of services by Gallagher shall be governed by the laws
12
Gallagher
Insurance Ri>k Management Consulting
Weld County, Colorado
of the State of Illinois.
Exposures and Values
You confirm the payroll,values, schedules,and any other information pertaining to your operations, and submitted to the
underwriters,were compiled from information provided by you. If no updates were provided to Gallagher,the values,
exposures and operations used were based on the expiring policies. You acknowledge it is your responsibility to notify
Gallagher of any material change in your operations or exposures.
Additional Terms and Disclosures
Gallagher is not an expert in all aspects of your business. Gallagher's Proposals for insurance are based upon the
information concerning your business that was provided to Gallagher by you. Gallagher expects the information you
provide is true, correct and complete in all material respects. Gallagher assumes no responsibility to independently
investigate the risks that may be facing your business, but rather have relied upon the information you provide to
Gallagher in making our insurance Proposals.
Gallagher's liability to you arising from any of Gallagher's acts or omissions will not exceed$20 million in the aggregate.
The parties each will only be liable for actual damages incurred by the other party, and will not be liable for any indirect,
special,exemplary, consequential, reliance or punitive damages. No claim or cause of action, regardless of form(tort,
contract,statutory, or otherwise), arising out of, relating to or in any way connected with the Proposal,any of Gallagher's
services or your relationship with Gallagher may be brought by either party any later than two(2)years after the accrual of
the claim or cause of action.
Gallagher has established security controls to protect Client confidential information from unauthorized use or disclosure.
For additional information, please review Gallagher's Privacy Policy located at https://www.aiq.com/privacv-policv/.
You have read, understand and agree that the information contained in the Proposal and all documents attached to and
incorporated into the Proposal, is correct and has been disclosed to you prior to authorizing Gallagher to bind coverage
and/or provide services to you. By signing below, or authorizing Gallagher to bind your insurance coverage through email
when allowed, you acknowledge you have reviewed and agree with terms,conditions and disclosures contained in the
Proposal.
By: Scott K. James, Chair, Board of Weld County Commissioners
Print Name(Specify Title)
Weld County Government
Comps
Sign ure
MAR
Date: t:� 1 ""
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Attest: t dS9►. . !� f w '`
Cler to Boar
By: 17070 V l 1E61 ;;V
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Deputy C erk to the Boa .
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Gallagher
2 U`Zo c27. \ ;:surance l Risk Management I Consulting
ItGLOBAL
AEROSPACE
APPLICATION FOR HULL AND LIABILITY INSURANCE
UNMANNED AIRCRAFT SYSTEMS
APPLICANT IS: ❑ INDIVIDUAL(S) ❑ CORPORATION ❑ LLC ❑ PARTNERSHIP ❑ PUBLIC ENTITY ® OTHER County
Government
NAME OF APPLICANT(Including all affiliated names or Companies): Weld County,Colorado
CONTACT NAME(in case we have any questions): Kelly Leffler
ADDRESS: 1150 O Street,Greeley,CO 80631
EMAIL ADDRESS: kleffler@weldgov.com PHONE NUMBER: 970-400-4220 APPLICANT WEBSITE:www.weld.gov
INSURANCE IS REQUESTED FROM 12:01 A.M. 3/27/26 TO 12:01 A.M. 3/27/27 (local time at address of applicant)
❑ NEW INSURANCE POLICY ® RENEWAL POLICY Name of last aviation insurance carrier(if none,so state): Global Aerospace
BUSINESS OR OCCUPATION OF APPLICANT: Local County Government
Operations
®Individual Pricing ❑Group/Blanket Pricing(Only for drone units<55Ibs)
Choose this option if you have only a single drone or want physical Choose this option if you want liability coverage only or physical damage
damage coverage for most of your drones.Each drone will have to be coverage for just some of your drones.Only drones and equipment
entered as part of the quoting process. requiring physical damage coverage will have to be entered as part of
the quoting process.At the time of binding,you may be required to
upload a schedule of your current fleet of drones.
How many drones do you operate now? See
separate drone schedule
How many drones do you plan to operate in a year's time? see
separate drone schedule
Will all flights be conducted in accordance with applicable regulations? ®Yes Cl No
Will any flights be flown
(a) outside over people under the FAA Operation of Unmanned Aircraft Systems Over People rule or with a waiver? ❑Yes ®No
(b) indoors where people are present? ®Yes ❑No
Do you intend to operate Beyond Visual Line Of Sight(BVLOS)? ❑Yes ®No
Do you intend to publish by any means data or images that were obtained or created by the operation of any UAS operated by ®Yes ❑No
you or on your behalf?
Do you have procedures to control the publication of data or images? ®Yes ❑No
Please select all intended uses of the UAS:(only select one main intended use if you require blanket liability,otherwise indicate all intended uses)
❑Agriculture ❑Commercial Photography/Videography ❑Construction
❑Education,Research&Development ❑Events(Concerts/Sports/Weddings etc) ❑Fire Fighting/Support
❑Infrastructure Inspection&Support ®Instruction and Training ®Law Enforcement
®Mapping/Geophysical ❑Media/News Gathering ❑Military
❑Movie/TV Production ❑Package Delivery ❑Private/Hobby
❑Property Survey/Inspection/Real Estate ❑Sales/Demo ®Search and Rescue
El Surveillance ❑Wildlife/Conservation/Environmental
GLOBAL AEROSPACE,INC. Page 1 of 4
115 Tabor Road,Suite 3A,Morris Plains,NJ 07950(973)490-8500 FAX(973)490-5600
G-31UASL (April 16,2025)
2uZco—oloZZ —Z
GLOBAL
AEROSPACE
Schedule
Equipment that you own or that you rent/lease for more than 30 days
UAS Make and Model Manufacture Registration/Serial UAS Insured Estimated annual Physical Damage
g
Excluding payload/ground Year Number Value flight hours Coverage required?
equipment _
See separate drone schedule $ ❑Yes ❑No
$ ❑Yes ❑No
$ ❑Yes ❑No
Physical damage coverage also includes physical damage arising from,occasioned by or in consequence of war,hi-jacking and other perils such as
malicious damage,sabotage or any unlawful seizure or wrongful exercise of control of the aircraft.
Equipment that you own or that you rent/lease for more than 30 days for which physical damage coverage is required
UAS Ground Equipment Make UAS Payload
and Model and/or System and Serial Number Insured Make and Serial Insured
Software Value Model Number Value
$ $
$ $
Spare Engines and Spare Parts which are owned by you or for which you are legally responsible
Is Physical Damage Coverage to Spare Engines and Spare Parts Required? ❑Yes ®No Total Maximum Insured Value$
Non-Owned Physical Damage Coverage
Do you require insurance for any UAS that you do not own but which you will ❑Yes ®No Total Maximum Insured Value$
operate for periods of less than 30 days? _
Do you require any insurance for any items of payload that you do not own but ❑Yes ®No Total Maximum Insured Value$
which you will be using for periods of less than 30 days?
UAS Operators
Will all operations be conducted: ®Yes ❑ No
(a) By operators holding a valid Remote Pilot Airman Certificate with Small UAS Rating,or
(b) Under special exemption 49 U.S.C.44807 in accordance with 14 CFR Part 11,or
(c) Under a Certificate of Authorization or Waiver(public entities only)?
Select'Yes'if you will be in compliance with one of the above before policy inception.
List minimum operator experience required by the applicant to operate UAS weighin 15lbs to less than 55Ibs:
Pilot Certification Minimum Total UAS Flight Hours Minimum Total UAS Model Flight Remote Pilot
Hours Airman Certificate
Part 107 ❑Yes D No
List all operators of the applicant's UAS, both employed and contract for UAS weighing 55Ibs and above:
Name Pilot's Age Pilot Certification Remote Pilot Total UAS Flight Total UAS Model
Airman Certificate Hours Flight Hours
See separate pilot schedule ❑Yes ❑No
❑Yes ❑No _
❑Yes ❑No
If you operate multiple UAS and use multiple operators,please attach the minimum experience and training applicable to each type of UAS flown.
Insurance&Claims History
In the last 5 years,have any of the operators(a)been cited for violation of any FAA regulations,or(b)had their pilot's or ❑Yes ®No
driver's license suspended or(c)been convicted of driving while intoxicated or(d)of any felony charge?
In the last 5 years,have you been involved in any aircraft or UAS accidents or incidents? ❑Yes ®No
Please provide the details if you answered"Yes"to any of the above questions.
Liability Coverage
LIMITS OF INSURANCE EACH OCCURRENCE LIMIT
Single Limit Bodily Injury and Property Damage Liability:
Also includes Liability arising from:
occasioned by or in consequence of war hi-jacking and other perils $1000000
the operation of UAS you rent/lease/borrow for periods of less than 30 days
UAS operated on your behalf by others
Personal Injury Liability: $1000000
GLOBAL AEROSPACE,INC. Page 2 of 4
115 Tabor Road,Suite 3A,Morris Plains,NJ 07950(973)490-8500 FAX(973)490-5600
G-31UASL (April 16,2025)
t GLOBAL
AEROSPACE
Acts of Terrorism under the TRIPRA
Coverage for Acts of Terrorism under the Terrorism Risk Insurance Program Reauthorization Act of This coverage is automatically quoted if
2007 and 2015(TRIPRA). Coverage provided for bodily injury and property damage for which you the below box is left unchecked
may be liable for certified acts of terrorism. I wish to decline TRIPRA coverage. El
Has any insurance company or underwriter at any time declined an application submitted by or canceled or refused to renew a policy held by the
applicant or any of the pilots named herein with regard to any type of insurance?NOT APPLICABLE IN MO ❑Yes ® No If so,explain
circumstances:
FRAUD STATEMENTS
APPLICABLE IN ALASKA,ARIZONA,CONNECTICUT,DELAWARE,GEORGIA,HAWAII,ILLINOIS,INDIANA,IOWA,KANSAS,MASSACHUSETTS,
MICHIGAN, MISSISSIPPI, MISSOURI, MONTANA, NEBRASKA, NEVADA, NEW HAMPSHIRE, NORTH CAROLINA, NORTH DAKOTA, SOUTH
CAROLINA, SOUTH DAKOTA, TEXAS, UTAH, WISCONSIN, and WYOMING: Any person who knowingly and with intent to defraud any insurance
company or other person files an application for insurance containing any materially false information or conceals,for the purpose of misleading,information
concerning any fact material thereto commits a fraudulent insurance act,which is a crime and subjects that person to criminal and civil penalties.
APPLICABLE IN ARKANSAS,LOUISIANA,PENNSYLVANIA,RHODE ISLAND and WEST VIRGINIA:Any person who knowingly presents a false or
fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be
subject to fines and confinement in prison.
APPLICABLE IN MAINE,TENNESSEE,VIRGINIA and WASHINGTON:It is a crime to knowingly provide false,incomplete or misleading information to
an insurance company for the purpose of defrauding the company.Penalties may include imprisonment,fines or denial of insurance benefits.
APPLICABLE IN ALABAMA:Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents
false information in an application for insurance is guilty of a crime and may be subject to restitution,fines,or confinement in prison,or any combination
thereof.
APPLICABLE IN CALIFORNIA:For your protection California law requires the following to appear on this form:Any person who knowingly presents false
or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to
fines and confinement in state prison.
APPLICABLE IN COLORADO: It is unlawful to knowingly provide false,incomplete,or misleading facts or information to an insurance company for the
purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any
insurance company or agent of an insurance company who knowingly provides false,incomplete,or misleading facts or information to a policyholder or
claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable for insurance
proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies.
APPLICABLE IN DISTRICT OF COLUMBIA:WARNING:It is a crime to provide false or misleading information to an insurer for the purpose of defrauding
the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information
materially related to a claim was provided by the applicant.
APPLICABLE IN FLORIDA:Any person who knowingly and with intent to injure,defraud,or deceive any insurer files a statement of claim or submits an
application for insurance containing any false,incomplete,or misleading information is guilty of a felony of the third degree.
APPLICABLE IN IDAHO:Any person who knowingly,and with intent to defraud or deceive any insurance company,files a statement containing any false,
incomplete or misleading information is guilty of a felony.
APPLICABLE IN KENTUCKY: Any person who knowingly and with intent to defraud any insurance company or other person files an application for
insurance containing any materially false information or conceals,for the purpose of misleading,information conceming any fact material thereto commits
a fraudulent insurance act,which is a crime.
APPLICABLE IN MARYLAND:Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly
or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.
APPLICABLE IN MINNESOTA:A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.
APPLICABLE IN NEW JERSEY:Any person who includes any false or misleading information on an application for an insurance policy is subject to
criminal and civil penalties.
APPLICABLE IN NEW MEXICO:Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents
false information in an application for insurance is guilty of a crime and may be subject to civil fines and criminal penalties.
APPLICABLE IN NEW YORK:Any person who knowingly and with intent to defraud any insurance company or other person files an application for
insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact
material thereto,commits a fraudulent insurance act,which is a crime,and shall also be subject to a civil penalty not to exceed five thousand dollars and
the stated value of the claim for each such violation.
GLOBAL AEROSPACE,INC. Page 3 of 4
115 Tabor Road,Suite 3A,Morris Plains,NJ 07950(973)490-8500 FAX(973)490-5600
G-31UASL (April 16.2025) .
.70
GLOBAL
AEROSPACE
APPLICABLE IN OHIO:Any person who,with intent to defraud or knowing that he is facilitating a fraud against an insurer,submits an application or files
a claim containing a false or deceptive statement is guilty of insurance fraud.
APPLICABLE IN OKLAHOMA:WARNING:Any person who knowingly,and with intent to injure,defraud or deceive any insurer,makes any claim for the
proceeds of an insurance policy or submits an application for insurance containing any false,incomplete or misleading information is guilty of a felony.
APPLICABLE IN OREGON:Any person who knowingly and with intent to defraud an insurer by filing an application for insurance or statement of claim
containing any materially false information,or conceals for the purpose of misleading,information concerning any material fact thereto,may be subject to
prosecution for insurance fraud.
APPLICABLE IN PUERTO RICO:
Any person who knowingly files, presents, offers, participates in, or helps to file, present or offer any false document, information,statement or report in
order to obtain an insurance policy shall be deemed to have committed fraud.Any person who furnishes information verbally or in writing, or offers any
testimony on improper or illegal actions which, due to their nature constitute fraudulent acts in the insurance business, knowing that the facts are false
shall incur a felony.Any person who has committed fraud shall incur a felony and upon conviction shall be punished for each violation by a fine of not less
than five thousand dollars ($5,000), nor more than ten thousand dollars($10,000), or a fixed term of imprisonment of three(3)years, or both penalties.
Should aggravating circumstances be present, the fixed penalty thus established may be increased to a maximum of five (5) years, if extenuating
circumstances are present,it may be reduced to a minimum of two(2)years.Any person who benefits in any way from obtaining insurance,or the payment
for a loss under an insurance contract,as a result of the fraud committed,shall be imposed a penalty of restitution corresponding to the amount of money
resulting from the fraud.
APPLICABLE IN VERMONT:Any person who knowingly presents a false statement in an application for insurance may be guilty of a criminal offense
and subject to penalties under state law.
All particulars herein are declared to be true and complete to the best of my/our knowledge and no information has been withheld or
suppressed and I/we agree that this application and the terms and onditions of the policy in use by the insurer shall be the basis of any
contract between me/us and the insurer. I hereby authorize the ins er to investigate all or any qualifications or statements contained herein.
Date 8 2026
,���� 1 Applicant's Signature(s)
Scott K.James,Chair,Board of Weld County Commissioners
THIS APPLICATION DOES NOT COMMIT THE INSURER TO ANY LIABILITY NOR MAKE THE APPLICANT LIABLE FOR ANY PREMIUM UNLESS
AND UNTIL THE INSURER AGREES TO EFFECT THIS INSURANCE.
--
THE INSURANCE PRODUCER COMPLETES THE BELOW SECTION.
Name of Insurance Producer: Nathan Kathol
State License Number: 568010 License State: CO
Address:6200 S Syracuse Way,Ste 220,Greenwood Village,CO 80111
For how long have you been designated this applicant's Broker of Record? 20+years
GLOBAL AEROSPACE,INC. Page 4 of 4
115 Tabor Road,Suite 3A,Morris Plains,NJ 07950(973)490-8500 FAX(973)490-5600
G-31UASL (April 16,2025)
'Z 07(v- U(DZZ
Morris Plains,NJ Quote No: Q544942
GLOBAL Underwriter: UASUS Underwriter Quote Date: February 26,2026
AEROSPACE Telephone: 973 490 8500
Fax: 973 490 5640 Quotation is valid until March 27,2026
Email: unmannedsubmissions@global-aero.com
Applicant: Weld County,Colorado Producer: ARTHUR J GALLAGHER RISK MANAGEMENT
1150 0 STREET SERVICES,LLC.
GREELEY,CO 80631 Contact: 300 ST.PETERS CENTRE BLVD.,SUITE 200
ATT:AEROSPACE/OR AVIATION
ST.PETERS,MO 63376
KATIE ESCALANTE
Coverage Dates: From:March 27,2026 To:March 27,2027
This insurance shall commence and cease on the dates shown at 12:01 A.M.local time at the address of the Applicant
Insurance Quote
Aviation Insurance Policy Unmanned Aircraft Systems (UAS Policy Form)
Insurance applies to the insured's declared use of aircraft described in the attached schedule.See the policy form and any accompanying endorsements for
complete coverage details.The attached schedule also contains the rated exposures and premiums for each aircraft.
PLEASE NOTE:The following separate licensed insurers,whose liability is several and not joint,provide the insurance afforded by policies issued through
Global Aerospace,Inc.
American Alternative Insurance Corporation 59.24%
Wilmington,Delaware
American Commerce Insurance Company 10.00%
Columbus,Ohio
National Indemnity Company 18.39%
Omaha,Nebraska
Tokio Marine America Insurance Company 12.37%
New York,New York
Coverage(s)and Limit(s):
Part 1 -Liability
Coverage A-Bodily Injury and Property Damage Liability
1. Each Occurrence Limit: See Aircraft Schedule
2. Each occurrence sub-limit and deductible applicable to damaged property:
Damage to Cargo Limit: NIL
Cargo Deductible: NIL
The sub-limit described above is part of and not in addition to the Each Occurrence Limit.
3. Supplementary payment limits for emergencies and search and rescue operations related to scheduled aircraft
(a) NIL is the most we will pay for expenses incurred under an emergency condition for:
(1) Application of foam on a runway;
(2) Fire and crash control and rescue;or
(b) The lesser of NIL or the insured value of the scheduled aircraft is the most we will pay for repositioning expenses incurred following a landing
made under emergency conditions at a location where a safe takeoff cannot be made.
(c) NIL is the most we will pay for expenses incurred for search and rescue operations.
Part 2-Physical Damage
Coverage B-Physical Damage to Scheduled Aircraft
(a) Subject to Paragraph(b)below,the limit of insurance for a scheduled aircraft is its insured value,less any
applicable deductible.
(b) The insured value of any newly acquired aircraft or any scheduled aircraft modified during the policy period is subject to the Maximum Insured
Value Limit which shall be the highest insured value of any scheduled aircraft insured at the time such newly acquired aircraft is acquired or
such modified scheduled aircraft is modified.
Endorsements:
E041 Electronic Data Event Liability Exclusion
A121 Additional Insured
A125 Amendment of Defined Terms
CO22 Limited Liability War Exclusion Limited Coverage
CO23 Limited Physical Damage War Exclusion Limited
Coverage
CO25 Electronic Date Recognition Exclusion Limited Coverage
C036 Expenses for Medical Services $5,000 each occurrence
C039 Liability for Sale of Aircraft,Aircraft Parts or Services
C054 Terrorism(TRIA)Coverage-Hull&Liability
C061 Aviation Personal And Advertising Injury Liability $1,000,000 each occurrence/aggregate
C064 Premises Coverage
C066 Fire Legal Liability $100,000 each occurrence
C095 Expanded Contractual Liability Endorsement
C096 Ground Equipment Physical Damage Endorsement
C097 Payload Physical Damage Endorsement
N004 Non-Owned Aircraft Liability-UnManned Aircraft System
D004 TRIA Disclosure
S010 Colorado Amendatory
Payment Plan:
100%of the Annual Premium Due on Inception
Approved Pilots for Scheduled Aircraft:
The policy shall not apply while a scheduled aircraft is in flight unless the pilot in command is approved by the Named Insured and appropriately licensed
for the flight being conducted.
Underwriter's Remarks:
All terms and conditions are per expiring policy number 9027591;except as otherwise noted herein.
No flying over people until we receive a FAA waiver.
Special Notices:
• State Amendatory Endorsement and Disclosure notice included as required.
• This quotation does not apply to the extent that trade or economic sanctions or other laws or regulations prohibits Global
Aerospace from offering or providing insurance.To the extent any such prohibitions apply,this policy is void ab initio.
• The producer warrants that they are properly licensed to solicit or sell insurance,as applicable,in their state of domicile and in
all other jurisdictions where they transact business.
• It is the producer's responsibility to comply with any applicable laws regarding disclosure to the policyholder of commission or
other compensation we pay,if any,in connection with this policy or program.
Dated: February 26,2026 Underwriter:
.,.• GLOBAL Aircraft Schedule(Page 1 of 5 Revised-(Hull and LiabilityTRIA)
AEROSPACE ( 9
FAA Number
Serial Number 17906080202 1ZNBJA100C0033 07JDDC000100UK 1581F5FJD241600DXR84 1581F5FJD24241600D4C56
Aircraft Make HYLIO DJI INNOVATIONS DJI INNOVATIONS WI INNOVATIONS DJI INNOVATIONS
Aircraft Model AO-210 MATRICE 300 RTK PHANTOM 4 MAVIC 3T MAVIC 3T
Aircraft Year 2023 2022 2022
Seats Crew+Passenger 0+0 0+0 0+0 0+0 0+0
Use UAS UAS UAS UAS UAS
Unit Inception Date March 27,2026 March 27,2026 March 27,2026 March 27,2026 March 27,2026
Hull Value $18,000 $22.750 $1,599 $3,628 $3,628
Hull Rate 8.110 8.284752 7.926 7.926 7.926
Hull Premium $1,460 $1,885 $127 $287 $287
Hull War Rate
Hull War Premium Included Included Included Included Included
Liability Limit $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000
Passenger Liability Excluded Excluded Excluded Excluded Excluded
Liability Premium $338 $326 $326 $326 $326
Passenger War Liability Included Included Included Included Included
Third Party War Limit $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000
Third Party War Basis Aggregate Aggregate Aggregate Aggregate Aggregate
Third Party War Premium Included Included Included Included Included
Personal Injury Limit $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000
Personal Injury Premium Included Included Included Included Included
Medical Limit $5,000 $5,000 $5,000 $5,000 $5,000
Medical Premium Included Included Included Included Included
Deductible In Motion 10% 10% 10% 10% 10%
Deductible Not In Motion 10% 10% 10% 10% 10%
Total Annual Premium $1,798 $2,211 $453 $613 $613
NIP
GLOBAL Aircraft Schedule(Page 2 of Revised- and LiabilityTRIA)
( 9 5) (Hull
FAA Number
Serial Number 1581 F4QWB232M00301B3 1581 F4OWB238500300KT 1581 F4QW7256ROH3F0EQ 1581 F4QWB232M00301 YD 1581 F4XFA22CEML85E96
Aircraft Make DJI INNOVATIONS DJI INNOVATIONS DJI INNOVATIONS DJI INNOVATIONS DJI INNOVATIONS
Aircraft Model AVATA AVATA AVATA AVATA MINI 3 PRO
Aircraft Year 2023
Seats Crew+Passenger 0+0 0+0 0+0 0+0 0+0
Use UAS UAS UAS UAS UAS
Unit Inception Date March 27,2026 March 27,2026 March 27,2026 March 27,2026 March 27,2026
Hull Value $629 $629 $629 $629 $1,200
Hull Rate 9.138 9.138 9.138 9.138 7.926
Hull Premium $58 $58 $58 $58 $95
Hull War Rate
Hull War Premium Included Included Included Included Included
Liability Limit $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000
Passenger Liability Excluded Excluded Excluded Excluded Excluded
Liability Premium $326 $326 $326 $326 $326
Passenger War Liability Included Included Included Included Included
Third Party War Limit $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000
Third Party War Basis Aggregate Aggregate Aggregate Aggregate Aggregate
Third Party War Premium Included Included Included Included Included
Personal Injury Limit I$1,000,000 $1,000,000 $1.000,000 $1,000,000 $1,000,000
Personal Injury Premium Included Included Included Included Included
Medical Lund $5.000 $5.000 $5.000 $5.000 $5.000
Medical Premium Included Included Included Included Included
Deductible In Motior 10°/ 10% 10% 10% 10%
Deductible Not In Motion 10°% 10% 10'! 10% 10%
Total Annual Premium $384 $384 $384 $384 $421
14
GLOBAL Aircraft Schedule(Page 3 of 5 Revised-(Hull and LiabilityTRIA)
AEROSPACE ( 9
FAA Number
Serial Number 1581 F5FKD233200D7WJ7 1581 F5FJD23B300DMBDO 1581F6N8A237CML3R57W 1581 F68A237AML3JZUR 1836FF1 E01L230400010
Aircraft Make DJI INNOVATIONS DJI INNOVATIONS DJI INNOVATIONS DJI INNOVATIONS TELEDYNE
Aircraft Model MAVIC 3M MAVIC 37 AIR 3 AIR 3 SIRAS
Aircraft Year 2023 2024 2024 2024 2024
Seats Crew+Passenger 0+0 0+0 0+0 0+0 0+0
Use UAS UAS UAS UAS UAS
Unit Inception Date March 27,2026 March 27,2026 March 27.2026 March 27,2026 March 27,2026
Hull Value $5,500 55.500 $1,500 51,500 $9,700
Hull Rate 7.936504 7.936504 7.926 7.926 9.684208
Hull Premium 5437 $437 $119 $119 5939
Hull War Rate
Hull War Premium Induded Induded Induded Induded Induded
Liability Limit $1,000.000 51,000,000 $1000,000 81,000,000 51,000,000
Passenger Liability Excluded Excluded Excluded Excluded Excluded
Liability Premium $326 5326 $326 $326 $424
Passenger War Liability Induded Induded Induded Induded Induded
Third Party War Limit 51,000,000 $1,000,000 $1,000,000 51000,000 51,000.000
Third Party War Basis Aggregate Aggregate Aggregate Aggregate Aggregate
Third Party War Premium Induded Induded Induded Induded Included
Personal Injury Limit $1,000.000 51,000,000 $1,000,000 $1,000,000 $1,000,000
Personal Injury Premium Included Included Induded Induded Included
Medical Limit $5,000 $5,000 $5.000 $5,000 $5000
Medical Premium Included Induded Included Included Included
Deductible In Motion 10% 10% 10"/, 10% 10%
Deductible Not In Motion 10% 10% 10% 10%
Total Annual Premium $763 $763 $445 $445 $1,363
GLOBAL Schedule(Page 4 of 5 Revised- Hull and LiabilityTRIA)
AEROSPACE Iv Aircraft (P 9
FAA Number
Serial Number 1668BR40FA002K2U 1581 F6W87257W0H2N0P2 1581 F6W8B248M0020DJV 1WSDJ7H00103WY 6PSP211164
Aircraft Make SKYDIO DJI INNOVATIONS DJI INNOVATIONS DJI CZI
Aircraft Model X10 AVATA 2 AVATA 2 ZENMUSE H2OT GIMBAL SPOTLIGHT GL60 PLUS
Aircraft Year 2025
Seats Crew+Passenger 0+0 0+0 0+0 0+0 0+0
Use UAS UAS UAS UAS UAS
Unit Inception Date March 27,2026 March 27,2026 March 27,2026 March 27,2026 March 27,2026
Hull Value $17,000 $1,650 $1,650 $14,000 $2,199
Hull Rate 8.1684 7.926 7.926 10.531394 9.5236
Hull Premium $1,389 $131 $131 $1,474 $209
Hull Wm Rate
Hull War Premium Included Included Included Included Included
Liability Limit $1,000000 $1,000,000 $1,000,000 Not Covered Not Covered
Passenger Liability Excluded Excluded Excluded
Liability Premium $326 $326 $326
Passenger War Liability Included Included Included Included Included
Third Party War Limit $1,000,000 $1,000,000 $1,000,000 Not Covered Not Covered
Third Party War Basis Aggregate Aggregate Aggregate
Third Party War Premium Included Included Included
Personal Injury Limit $1,000,000 $1,000,000 $1,000,000 $1,000,000 51,000,000
Personal Injury Premium Included Included Included Included Included
Medical Limit $5.000 $5,000 $5.000 $5,000 $5 000
Medical Premium Included Included Included Included Included
Deductible In Motion 10% 10% 10% 10% I0%
Deductible Not In Motion 10% 10% 10% 10% 10%
•
Total Annual Premium $1,715 $457 $457 $1,474 $209
GLOBAL Aircraft Schedule(Page 5 of Revised- and LiabilityTRIA)
( 9 5) (Hull
FAA Number
Serial Number 4LFCL5F005FX00 NON-OWNED LIABILITY
Aircraft Make DJI ANY UNMANNED AIRCRAFT
Aircraft Model RC PLUS SYSTEM THAT DOES NOT
EXCEED 55L8S IN WEIGHT
Aircraft Year Coverage Totals
Seats Crew+Passenger 0+0 0+0
Use UAS UAS
Unit Inception Date March 27,2026 March 27,2026
Hull Value $1,600 Not Covered 5115,120
Hull Rate 2.150457
Hull Premium $34 $9,792
Hull War Rate
Hull War Premium Induded Not Covered
Liability Limit Not Covered $1,000,000
Passenger Liability Excluded
Liability Premium Included $5,976
Passenger War Liability Included Included
Third Party War Limit Not Covered $1,000,000
Third Party War Basis Aggregate
Third Party War Premium Included
Personal Injury Limit l$1,000,000 $1,000,000
Personal Injury Premium Included Included
Medical Limit $5.000 $5,000
Medical Premium Induded Included
Deductible In Motion 10% Not Applicable
Deductible Not In Motion 10% Not Applicable
Total Annual Premium $34 $0
Total Annual Premium. $15,770.00
Addendum 1 to Quote Revised-(Hull and Liability TRIA)
TERRORISM RISK INSURANCE ACT OF 2002
(As amended and extended by
The Terrorism Risk Insurance Extension Act of 2005 and The Terrorism Risk Insurance Program Reauthorization Acts of 2007,2015 and 2019)
NOTICE TO PRODUCER:The applicant must be made aware of the opportunity to purchase the coverage contained in the Applicant Disclosure described below.Any request from you to bind
the coverage offered in this quote must include advice to us regarding the applicants choice for terrorism insurance coverage.The premium stated in the disclosure is for terrorism insurance
coverage only.
APPLICANT DISCLOSURE:NOTICE AND OFFER OF TERRORISM INSURANCE COVERAGE
You are hereby notified that under the Terrorism Risk Insurance Act of 2002,as amended,hereinafter referred to as'the Act,'you have a right to purchase insurance coverage for losses arising
out of acts of terrorism,as defined in Section 102(1)of the Act"The term"act of terrorism"means any act that is certified by the Secretary of the Treasury—in consultation with the Secretary
of Homeland Security,and the Attorney General of the United States—to be an act of terrorism,to be a violent act or an act that is dangerous to human life,property;or infrastructure;to have
resulted in damage within the United States,or outside the United States in the case of an air carrier or vessel or the premises of a United States mission;and to have been committed by an
individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion."
PURCHASE OF THE INSURANCE OFFERED IN THIS DISCLOSURE HAS THE EFFECT OF NULLIFYING TERRORISM EXCLUSIONS CONTAINED IN NEW OR RENEWAL POLICIES FOR
ACTS OF TERRORISM,AS DEFINED IN THE ACT.HOWEVER,ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED,AND YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS
THAT MIGHT AFFECT YOUR COVERAGE.IF THIS COVERAGE IS NOT PURCHASED,THE COVERAGE AFFORDED BY THE POLICY WILL BE THAT WHICH WOULD APPLY IN THE
ABSENCE OF THE ACT.
IF PURCHASED,COVERAGE AFFORDED FOR LOSSES CAUSED BY CERTIFIED ACTS OF TERRORISM MAY BE PARTIALLY REIMBURSED BY THE U.S.GOVERNMENT UNDER A
FORMULA ESTABLISHED BY FEDERAL LAW.UNDER THIS FORMULA,IF THE AGGREGATE INSURED LOSSES EXCEED A TRIGGER AMOUNT($200,000,000 BEGINNING ON JANUARY
1,2020),THE U.S.GOVERNMENT GENERALLY PAYS A PERCENTAGE(80%BEGINNING ON JANUARY 1,2020)OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY
ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPANY PROVIDING THE COVERAGE.THE PREMIUM CHARGE FOR THIS COVERAGE DOES NOT INCLUDE ANY CHARGES
FOR THE PORTION OF LOSS COVERED BY THE U.S.GOVERNMENT UNDER THE ACT.
YOU SHOULD ALSO KNOW THAT THE ACT,CONTAINS A PROGRAM CAP OF$100,000,000,000 THAT LIMITS U.S.GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS'LIABILITY
FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ONE CALENDAR YEAR EXCEEDS THE PROGRAM CAP. IF THE
AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEEDS THE PROGRAM CAP,YOUR COVERAGE MAY BE REDUCED.
PREMIUM FOR TERRORISM INSURANCE COVERAGE(which is in addition to the"Total Premium",and is subject to any applicable state taxes and surcharges)
Liability Included
Hull Included
Total Included
In accordance with the provisions of the Act,the Terrorism Risk Insurance Program shall terminate on December 31,2027.Unless the program is renewed,extended or otherwise continued
by the federal government,insurance coverage purchased for losses arising out of acts of terrorism shall terminate as of the date when any one or more of the following first occurs:(a)the
policy period ends;(b)the federal Terrorism Risk Insurance Program,established by the Act,has terminated either in its entirety or as respects the type of insurance afforded by this policy;
or(c) renewal,extension or continuation of the Terrorism Risk Insurance Program has become effective without a requirement to make terrorism coverage available as respects the type of
insurance afforded by this policy.
If the insurance is not terminated upon the occurrence of b.or c.above,insurance will remain in force without change for the remainder of the policy period,unless the company notifies you
of any such change in response to any change in the federal law.
If the insurance is terminated upon the occurrence of b.or c.above,pro rata unearned premium will be returned to you.
PLEASE ADVISE IF YOU WISH TO PURCHASE THIS COVERAGE.
Contract Form
Entity Information
Entity Name* Entity ID* New Entity? Please use the job
ARTHUR j GALLAGHER RISK SUP-344 aid linked here to add a
MANAGEMENT SERVICES, INC ❑ supplier in Workday.
Contract Name* Contract ID Parent Contract ID
WELD COUNTY DRONE INSURANCE QUOTE APPROVAL 10463
26-27 Requires Board Approval
Contract Lead* YES
Contract Status BPETERSON
CTB REVIEW Department Project#
Contract Lead Email
bpeterson@weld.gov
Contract Description*
RENEWAL FOR THE UNMANNED AIRCRAFT SYSTEM INSURANCE THROUGH GLOBAL AEROSPACE FOR ALL 22 UNITS
OWNED BY WELD COUNTY.
Contract Description 2
THE ESTIMATED ANNUAL PREMIUM WILL BE Si 5,770 WITH THE $1 ,000 ADMINISTRATION FEE TO GALLAGHER,
TOTALING $1 6,770 FOR THE 26-27 RENEWAL. THIS IS A $409 INCREASE FROM THE 25-26 PLAN.
Contract Type* Department Requested BOCC Agenda Due Date
AGREEMENT HUMAN RESOURCES Date* 03/14/2026
03/18/2026
Amount* Department Email
$16,770.00 CM- Will a work session with BOCC be required?*
HumanResources@weld.g HAD
Renewable*
ov
NO Does Contract require Purchasing Dept. to be
Department Head Email included?*
Automatic Renewal CM-HumanResources-
NO
Grant DeptHead@weld.gov
IGA County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
D.GOV
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date Review Date* Renewal Date
03/27/2026 02/26/2027
Expiration Date*
Termination Notice Period Committed Delivery Date 03/27/2027
Contact Information
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head Finance Approver Legal Counsel
JILL SCOTT CHRIS D'OVIDIO BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
03/12/2026 03/13/2026 03/13/2026
Final Approval
BOCC Approved Doc ID#
AG 031826
BOCC Signed Date
BOCC Agenda Date Originator
BPETERSON
03/18/2026
Hello