HomeMy WebLinkAbout20221118.tiffApril 12, 2022
OFFICE OF THE BOARD OF COMMISSIONERS
Travelers Casualty and Surety Company
c/o Jill Hovey
10825 E. Geddes Ave.
Centennial, CO 80112
Re: Named Insured:
Policy:
Policy Period:
Additional Insured:
Additional Insured Addition Date:
PHONE: 970-400-4200
FAX: 970-336-7233
1150 O STREET
P.O. BOX 758
GREELEY, CO 80632
Weld County Retirement Plan
Wrap+ Designated Benefit Plan Fiduciary Liability Coverage
#106796588
09/01/2021 to 09/01/2022
WELD COUNTY 401(K) SAVINGS PLAN AND
DEFERRED COMPENSATION PLAN OF THE COUNTY OF
WELD, STATE OF COLORADO
09/01/2021
As part of the Application for the Policy referenced above (the "Policy") and solely with respect to the Additional
Insured as of the Additional Insured Addition Date specified above, the undersigned hereby represents and
warrants on behalf of the Insureds, as defined in the Policy, that as of the date of this letter:
(a) no Insured has knowledge of any act, error, omission, fact, circumstance or situation which might give
rise to a claim under the Policy. (Exceptions must be disclosed.)
(b) there are no pending claims against the Insureds. (Exceptions must be disclosed.)
(c) no claims have been made against any Insureds in their capacity as a director or officer of the Named
Insured. (Exceptions must be disclosed.)
It is agreed that, without prejudice to any other rights and remedies of the Underwriter, any claim arising from
any act, error, omission, fact circumstance or situation disclosed, or required to be disclosed above, is excluded
from coverage under the Policy.
It is agreed that this warranty letter forms part of the Application and that the Underwriter relied upon the
representations contained therein and that the Policy is issued in reliance upon the truth of such representations.
Acknowledged and Agreed:
Signature of Signer*:
Print Name*: Scott K. James
Title*:
Date: 04/12/2022
*=must be the President or Chairman of the Board (or equivalent)
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