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Home My WebLink About20202640.tiff by DISTRICT COURT, COUNTY OF WELD , COLORADO RECEIVED • Court L ddrtcc • Weld County Centennial Center \/ 1 1 �/JJ . t • 1�i 1.111 Centennial 1�. 915 10th Street MAY 2 1 200 P.O . Box 2038 Greeley, CO 80632 WELD COUNTY Telephone No. : (303) 441 -3750 COMMISSIONERS 1 Petitioner: NORTH WELD COUNTY WATER DISTRICT ♦ COURT USE ONLY Attorneys for Petitioner: Jennifer Gruber Tanaka Case Number : 1962 CV 15311 WHITE, BEAR, ANKELE, TANAKA & WALDRON, P.C . Div . : I 2154 E. Commons Ave. , Suite 2000 Centennial , Colorado 80122 Phone Number: (303 ) 858- 1800 FAX Number: (303 ) 858- 1801 E-mail : JTanaka@wbapc . com Atty . Reg . # : 32056 OATH OF OFFICE FOR BRAD COOK AND EVIDENCE OF BOND FOR NORTH WELD COUNTY WATER DISTRICT I, Brad Cook, do (SWEAR or AFFIRM) that I will support the Constitution of the United States, the Constitution of the State of Colorado, and the laws of the State of Colorado, and will faithfully perform the duties of the office of Director upon which I am about to enter to the best of my ability . rad Cook, Director CoMvuAtccx1- ton3 2020 - 2640 og /31 /2o sDoo75 ti STATE OF COLORADO ) ) ss. COUNTY OF WELD ) Subscribed and sworn to before me this i g'44 day of M , 2020 by Brad Cook. (SEAL) ... My commission expires: 08I COLLEEN MCGEHEE No Public STATE OF COLORADO ' NOTARY PUBLIC Commission No.19904O10698 My Commission Expires 8129/2022 i!r I EVIDENCE OF BOND The North Weld County Water District hereby provides evidence of a bond for the above named director in satisfaction of the requirements of Section 32-1-901(2),C.R.S., attached hereto as Exhibit A and incorporated herein by this reference. ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 05/14/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Allen Cook Stailey Insurance Corporation PHONE FAX 2084 S. Milwaukee Street (AIr Nn Ft)- (303)759 2796 I(Am_".(303)759-2960 Denver CO 80210- RE - allen@staileycorp.com INSURER(S)AFFORDING COVERAGE NAICN._ INSURERA:Colorado Special Districts Ins. Pool INSURED INSURER B: North Weld County Water District PO Box 56 INSURER c: 32825 County Road 39 INSURERD: Lucerne CO 80646- INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP I TR TYPE OF INSURANCE lAISn wvn POLICY NUMBER (MMIOD/YYYY1 ($1MIDDNYVY) LIMITS A X COMMERCIAL GENERAL LIABILITY 32C54082-477-01 01/01/202001/01/2021 EACH OCCURRENCE $ *1,000,000 DAMAGE TO RENTED I CLAIMS-MADE X OCCUR PRFMSFS(Fa mmirrenre) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 1,000,000 __ POLICY ElJEC PROT- Li LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: A AUTOMOBILE LIABILITY 32C54082-477-01 01/01/202001/01/2021 (cF0MciBINdEeDnoSINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ _.. OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY — AUTOS ONLY (Peraccidentj X lUMBRELLA MB _ OCCUR EACH OCCURRENCE s 4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED ! I RETENTIONS S A WORKERS COMPENSATION 19W54082-610-01 01/01/202001/01/2021 X I MI-UM 1 I FOR AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE N/A E.L.EACH ACCIDENT S 2,000,000 OFFICER/MEMBER EXCLUDED? 2 000 000 (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ r If yes,describe under 2,000,000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ A Director's and Officer's Fidelity 32C54082-477-01 01/01/202001/01/2021 Blanket Crime Surety $300,000 Bond-Includes"Fathfull Each Board Member $1,000 Performance of Duties" Treasurer $5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) *Except that for claims,occurrences or suits to which the monetary limits of the Colorado Immunity Act, C.R,S.&24-10-101,et.seq.,as amended,apply,there shall be-a further subli fii[aft)$387;000 fa an"1njury-tb any one person in any sir gT2 occurrence; and-(b) $1,093,000 for an injury to two or more persons in any single ccurrence; but in the event of an injury to two or more persons in any single occurrence,the sublimit shall not exceed$387,000 for each injured CERTIFICATE HOLDER CANCELLATION AI 060575 i I SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE Colorado Department of Local Affairs THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Division of Local Government ACCORDANCE WITH THE POLICY PROVISIONS. 1313 Sherman Street, Room 521 Denver CO 80203-2241 AUTHORIZED REPRESENTATIVE ////////��'�� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD J i DISTRICT COURT, COUNTY OF WELD, COLORADO Court Address : Weld County Centennial Center RECEIVE D 915 10th Street P.O. Box 2038 MAY 2 1 2020 Greeley, CO 80632 Telephone No. : (303) 441 -3750 WELD COUNTY Petitioner: COMMISSIONERS NORTH WELD COUNTY WATER DISTRICT A COURT USE ONLY • Attorneys for Petitioner: Jennifer Gruber Tanaka Case Number: 1962 CV 15311 WHITE, BEAR, ANKELE, TANAKA & WALDRON, P .C. Div. : 1 2154 E. Commons Ave. , Suite 2000 Centennial, Colorado 80122 Phone Number: (303) 858- 1800 FAX Number: (303) 858- 1801 E-mail : JTanaka@wbapc.com Atty. Reg. #: 32056 OATH OF OFFICE FOR RONALD BUXMAN AND EVIDENCE OF BOND FOR NORTH WELD COUNTY WATER DISTRICT I, Ronald Buxman, do (SWEAR or AFFIRM) that I will support the Constitution of the United States, the Constitution of the State of Colorado, and the laws of the State of Colorado, and will faithfully perform the duties of the office of Director upon which I am about to enter to the best of my ability. kcjel kde) ‘&- Ronald Buxman, Director STATE OF COLORADO ) t, ) ss. COUNTY OF WELD ) Subscribed and sworn to before me this lS.14' day of , 2020 by Ronald Buxman. • (SEAL) My commission expires: o 8 0f I ate} aci..N-m��• COLLEEN MCGEHEE Notary Public STATE OF COLORADO NOTARY PUBLIC Commission No.18904010688 My Cor m uion Expires neon . EVIDENCE OF BOND The North Weld County Water District hereby provides evidence of a bond for the above named director in satisfaction of the requirements of Section 32-1-901(2),C.R.S.,attached hereto as Exhibit A and incorporated herein by this reference. ACO® DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 05/14/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTNAME: Allen Cook Stailey Insurance Corporation PHONE 2084 S. Milwaukee Street (AM Nn,F:t)• (303)759-2796 (A/c.No)(303)759-2960 Denver CO 80210- E-MAILs. allen@staileycorp.com INSURER(S)AFFORDING COVERAGE. NAIC INsuRER A:Colorado Special Districts Ins. Pool INSURED INSURER B: North Weld County Water District PO Box 56 INSURER C 32825 County Road 39 INSURER D: Lucerne CO 80646- JNSURE INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LIMOS LTR TYPE OF INSURANCE roan awn POLICY NUMBER IMMIDDNYYYI IMMIDDNYYYI A X COMMERCIAL GENERAL LIABILITY 32C54082-477-01 01/01/202001/01/2021 EACH OCCURRENCE $ *1,000,000 DAMAGE TO RENTED 1 CLAIMS-MADE X OCCUR PRFMISFS(Fa occurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY( TNT I_I LOC _PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: COMB S A AUTOMOBILE LIABILITY 32C54082-477-01 01/01/202001/01/2021 (FaaarclNeD SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ - OWNED X SCHEDULED BODILY INJURY(Per accident) $ - AUTOS ONLY AUTOS — X HIRED X NON-OWNED PROPERTY DAMAGE $ -AUTOS ONLY AUTOS ONLY (Per armrlent) S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 A WORKERS COMPENSATION 19W54082-610-01 01/01/202001/01/2021 X OTh- AND EMPLOYERS'LIABILITY STEAT I fTF FR ANY PROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 2,000,000 OFFICE ER EXCLUDED? NIA 2,000,000 (Mandatory in in NH) E.L.DISEASE-EA EMPLOYEE $ if yes,describe under E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below A Director's and Officer's Fidelity 32C54082-477-01 01/01/202001/01/2021 Blanket Crime Surety $300,000 Bond-Includes"Fathfull Each Board Member $1,000 Performance of Duties" Treasurer $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) *Except that for claims,,occurrences or suits to which the monetary limits of the Colorado Immunity Act,C.R.S. &24-10-101, et.seq.,as amended,apply,there shall be a further sublimit of(a)$387,000 for an injury to any person in any single occurrence; and(b) $1,093,000 for an injury to two or more persons in any single ccurrence; but in the event of an injury to two or more persons in any single occurrence,the sublimit shall not exceed$387,000 for each injured CERTIFICATE HOLDER CANCELLATION AI 060575 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Colorado Department of Local Affairs THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Division of Local Government ACCORDANCE WITH THE POLICY PROVISIONS. 1313 Sherman Street, Room 521 Denver CO 80203-2241 AUTHORIZED REPRESENTATIVE C t`/`�f/J^4"` 019d ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DISTRICT COURT, COUNTY OF WELD, COLORADO Court Address: Weld County Centennial Center RECEIVED 915 10th Street D . O . Box 2038 MAY 212020 Greeley, CO 80632 Telephone No. : (303 ) 441 -3750 WELD COUNTY Petitioner: COMMISSIONERS NORTH WELD COUNTY WATER DISTRICT ♦ COURT USE ONLY • Attorneys for Petitioner: Jennifer Gruber Tanaka Case Number: 1962 CV 15311 WHITE, BEAR, ANKELE, TANAKA & WALDRON, P.C . Div. : 1 2154 E. Commons Ave., Suite 2000 Centennial, Colorado 80122 Phone Number: (303) 858- 1800 FAX Number: (303) 858- 1801 E-mail : JTanaka@wbapc.com Atty. Reg. # : 32056 OATH OF OFFICE FOR TAD R. STOUT AND EVIDENCE OF BOND FOR NORTH WELD COUNTY WATER DISTRICT I, Tad R. Stout, do (SWEAR or AFFIRM) that I will support the Constitution of the United States, the Constitution of the State of Colorado, and the laws of the State of Colorado, and will faithfully perform the duties of the office of Director upon which I am about to enter to the best of my ability. -LY ( C `s-‘°‘ Tad R. Stout, Director STATE OF COLORADO ) )ss. COUNTY OF WELD ) Subscribed and sworn to before me this Ir. day of rR—% , 2020 by Tad R. Stout. (SEAL) My commission expires: 08 1. 61 130 - COLLEENMCGEHEE Notary Public STATE OF COLORADO NOTARY PUBLIC Commission No.199040106N IMy Cm iuion Eoms wagon u ., EVIDENCE OF BOND The North Weld County Water District hereby provides evidence of a bond for the above named director in satisfaction of the requirements of Section 32-1-901(2),C.R.S.,attached hereto as Exhibit A and incorporated herein by this reference. w- - I. ACORD® DATE(MMIDD/YYYY) L......---- CERTIFICATE OF LIABILITY INSURANCE 05/14/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAMES Allen Cook Stailey Insurance Corporation PHONE )(303 759-2796 FAX (303)759-2960 2084 S.Milwaukee Street E-t1 NR Fes). (A/c No): E-MAIL corile llen@sta Denver CO 80210- ADDRESS: a allen@staileycorp.com INSURER(SSAFF_O_RDING COVERAGE - _NAIL#-_ INSURER A:Colorado Special Districts Ins. Pool INSURED INSURER B: North Weld County Water District PO Box 56 INSURER C: 32825 County Road 39 INSURER D:_ Lucerne CO 80646- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POUCY E)CP LIMITS LTR TYPE OF INSURANCE MRn wvn POUCY NUMBER 4MRI MDIYYYYI (MMIDDJYYYY) A X COMMERCIAL GENERAL LIABILITY 32C54082-477-01 01/01/202001/01/2021 EACH OCCURRENCE $ *1,000,000 1 DAMAGE TO RENTED 1,000,000 .CLAIMS-MADE X OCCUR PRFMISFS(Fa mmurener.) $ MED EXP(Any one person) $ 10,000 I PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 1,000,000 _ POLICY JE PRCOT- I i LOC _PRODUCTS-COMP/OP AGG $ 1,000,000 _ OTHER: $ A AUTOMOBILE LIABILITY 32C54082-477-01 01/01/202001/01/2021 l OMI IMF INGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ —AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ —X AUTOS ONLY X AUTOS ONLY (Per arrr1ent) $ UMBRELLA LAB _ OCCUR EACH OCCURRENCE $ 4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED I RETENTION$ $ A WORKERS COMPENSATION 19W54082-610-01 01/01/202001/01/2021 X ST nrn' I IER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE f /N N/A E.L.EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? 2,000r 000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under EL DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below A Director's and Officer's Fidelity 32C54082-477-01 01/01/202001/01/2021 Blanket Crime Surety $300,000 Bond-Includes"Fathfull Each Board Member $1,000 Performance of Duties" Treasurer $5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached it more space is required) *Except that-for claims,, occurrences or suits to which the monetary limits of the Colorado Immunity Act,C.R.S.&24-10-101,et.seq.,as amended,apply,there shall be a further sublimit of(a)$387,000 for an injury to any one person In any sing a occUrrehce an $1,093,000 for an injury to two or more persons in any single ccurrence; but in the event of an injury to two or more persons in any single occurrence,the sublimit shall not exceed$387,000 for each injured CERTIFICATE HOLDER CANCELLATION AI 060575 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Colorado Department of Local Affairs THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Division of Local Government 1313 Sherman Street, Room 521 Denver CO 80203-2241 AUTHORIZED REPRESENTATIVE 5 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Hello