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Home My WebLink About20202013.tiff DISTRICT COURT, COUNTY OF WELD, STATE OF COLORADO Weld County Courthouse 901 9th Ave. RECEIVED Greeley, CO 80631 (970) 475-2400 MAY 1 3 2020 IN RE PIONEER METROPOLITAN DISTRICT NO. 3 WELD COUNTY COMMISSIONERS MaryAnn M. McGeady, Atty. Reg. # 12417 McGEADY BECHER P.C. A COURT USE ONLY A 450 E. 17th Avenue, Suite 400 Denver, Colorado 80203 Case Number: 2006CV233 Phone: (303) 592-4380 Fax : (303) 592-4385 E-mail: mmcgeady@specialdistrictlaw .com Div. : 1 Ctrm. : OATH OF DIRECTOR I , Toni Serra, do SWEAR ❑ 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 of the Pioneer Metropolitan District No. 3 upon which I am about to enter to the best of my ability. Signed : ni 0-1'L0 Nan Toni Se Address : 8897 Cloverleaf Circle Parker, CO 80134 STATE OF COLORADO ) COUNTY OF AcCXf)ChOe ) ss. Subscribed and sworn ❑ affirmed to before me this L.) day of ont_ 20 ,ajD KL . nefets � CAROL D. LINSER NOTARY PUBLIC (Notary's official signature) STATE OF COLORADO NOTARY ID 20014025055 MYCOMMISSION EXPIRES SEPTEMBER 3, 2021 3, azo� / (Co 'ssion Expiration) Notary Seal {00789332DOCXr. I } 2020-2013 CoMMunco.* ? on3 SDol2b PIONMET-04 LKLIESEN ACORO' DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 5/12/2020 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 NAME: T.Charles Wilson Insurance ServiceFAX 384 Inverness Parkway Suite 170 (A"/co,"No,Ext):(303)368-5757 I(A/C,No):(303)368-5863 Englewood,CO 80112 ADDRESS:info@wilsonins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:RLI Insurance Company INSURED INSURER B: Pioneer Metropolitan District#3 INSURER C: c/o McGeady Becher,PC 450 E.17th Avenue,Suite 400 INSURER D: Denver,CO 80203 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. NOTV ITHSTANDING 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI (MM/DDIYYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO-JECT LOC - PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE UABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ - OWNED SCHEDULED AUTOS ONLY _ AUTOS BODILY INJURY(Per accident)_$ HIRED NON-OWNED PROPERTY YtDAMAGE - AUTOS ONLY AUTOS ONLY UMBRELLA UAB OCCUR EACH OCCURRENCE _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER I EMPLOYERS'LIABILITY Y/N STATUTE ER 0TH- AND ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N 1 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A 3 Year Bond LSM0950482 1/1/2020 1/1/2023 limit 10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Public Official Position Schedule Bond 1 Treasurer @$5,000 5 Board Members @$1,000 each CERTIFICATE HOLDER CANCELLATION 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-Special Districts 1313 Sherman St.,Rm 521 Denver,CO 80203 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Hello