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TRl 'T CbthT WELD éoth - , COLoRADot
901 9th Avenue
RECEIVED
Greet , Colorado 80631
MAY 2 7 2020 I
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IN THE MATTER OF THE FORT LUPTON FIRE WELD COUNTY s i
PROTECTION DISTRICT1 c
A COI T USE ONLY
Michelle B . Ferguson, Esq., #33536
IRELAND STAPLETON PRYoR AND PASC E? PC Case No 1951 O'l 1863
717 17th Street,, Suite 2800
Denver, Colorado 80202
Telephone: (303) 623 -2700 i
Facsimile: (303) 623-2062
E-hull : MFe r uson@irel dstapleton .com Division: IRU `
ATTORNEY FOR THE DIST Cum : .
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DIRECTOR OATH OF OFFICE AND SURETY BOND E
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COMES NOW the Fort Lupton Fire Protection District ("District ), through ct.minscsi . at
submits to the Court this Director oath of office pursuant to C.R. S. § 32 - 1 .901 ( 1 ) ,
Mark Grajeda, elected to the District Beard of Directors at the May 5 , 2020 regular
special district election hereby takes the Oath of Office for the Fort 1 upton Fite Protection
District
1, Mark Grajeda, do affirm that I will support the Constitution of tilt: United tarchw
the Constitution of the State of Colorado, and the laws of the State of Ck = iot do, . and
will faith my perform the duties o1 the office of Director, upon which I am about
to enter. to the test of my ability.
Date: Self as aoao
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in SIGNED :
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...atts. : lArretai__ e...,,s,
Mark thsjedi
c0MNun ; c , - - ,<,o ,1 .S 2020 - 1985
07/ i3 /20 SD002d2
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OATH ADMINISTERED BY:
By : . arrt
Name. /I/ 1w ✓ T .TttiEidicercidire
Pursuant to CC:R .S . § 32 I -901 (2), a copy of the District's direct nr suretybond is
hereto as Ex► f b I t
Res t lly Bubmitted ,
/. fi ickelle Ha Fe
Michelle B. Ferguson , #33536
Attorney for the Fort Lupton tre Protection i s
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DISTRICT COURT, WELD COUNTY, COLOR
901 9th Avenue RECEIVED
Greely, Colorado 80631
_ _v .. .� . ..,.._ MAY 2 7 2020
IN THE MATTER OF THE FORT LUPTON kIRE
PROTECTION DISTRICT �D COUNTY
COMMISSIONERS
A COURT IJSE ONLY A
,.,....„ ,.. .. .......
Michelle B. Ferguson, Esq., #33536 1
IRELAND STAPLETON PRYOR AND PASCoE, PC I Case No: 1951 C I0 11863
717 17th Street, Suite 2800
Denver, Colorado 80202
Telephone: (303) 623-2704
Facsimile: (303) 623 .2462
E-Mail: MFerguson@irelandstapleton.corn Division: 1
ATTORNEY FOR THE DISTRICT Cam :
____
DIRECTOR OATH OF OFFICE AND SURETY BOND
COMES NOW the Fort Lupton Fire Protection District ("District"), through counsel, and
submits to the Court this Director oath of office pursuant to C.R.S. § 32- 1 -901 { 1 ).
Shaun Austin, elected to the District Board of Directors at the May 5, 2020 regular special
district election hereby takes the Oath of Office for the Fort Lupton Fire Protection District.
I, Shaun Austin, do affirm that I will support the Constitution of the United States, 1
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.
Date: 9 1 14 Y 90cQO
SIG D:
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Shaun Austin
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3252358 1 '
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OATH ' ) ' IS'TERED BY:
Name: 1.1.414
Title: ? (€C4ICCcQC/%dk
Pursuant to C.R.S. § 324 -901 (2), a copy of the District's director surety bond is attached
hereto as Exhibit A.
Respegtfully Submitted,
/s/ M 'lelle B Fer uson
Michelle B. Ferguson, #33536
Attorney for the Fort Lupton Fire Protection District
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3252358 1
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[—DISTRICT COURT, WELD COUNTY, COLORADO
1
901 9th Avenue RECEIVED
Greely, Colorado 80631
MAY 2 7 2020
IN THE MATTER OF THE FORT LUPTON FIRE
PROTECTION DISTRICT WELD COUNTY
Q.CatiMilkitgin
Michelle B. Ferguson, Esq. , #33536
IRELAND STAPLETON PRYOR AND PASCOE, PC Case No: 1951 CV01 1863
717 17th Street, Suite 2800
Denver, Colorado 80202
Telephone4 (303) 623-2700
Facsimile : (303 ) 623-2062
E-Mail• MFerguson@irelandstapIctoncom Division: 1
ATTORNEY FOR THE DISTRICT Ctrm :
DIRECTOR OATH OF OFFICE AND SURETY BOND
---
COMES NOW the Fort Lupton Fire Protection District ("District"), through cowl, and
submits to the Court this Director oath of office pursuant to C.R.S. § 32- 1 -901 ( 1 ).
Larry R. Leinweber, elected to the District Board of Directors at the May 5, 2020 regular
special district election hereby takes the Oath of Office for the Fort Lupton Fire Protection District .
1, Larry R. Leinweber, do 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 1 am about to enter, to the best of my ability.
Date: frcoL �
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SIGNED:
R. L weber
3252356.1
OATH AIM ISTERED BY
1 B I _ t..! �,;4'` -
Name: / Li i �Y .
Title: FAXECfriltt-Q j 1
Pursuant to C.R.S. § 32- 1 -901 (2), a copy of the District's director surety bond is attached
'hereto as Exhibit A.
Respectfully Submitted,
/s/Michellc B. Ferguson
Michelle B . Ferguson, #33536
Attorney for the Fort Lupton Fire Protection District
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3252336. 1
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PUBLIC OFFICIAL POSITION SCHEDULE BOND
State Government of State of
Name of Obligee Colorado Bond No 62797003
Name of Insured Fort Lupton Fire Protection District
WESTERN SURETY COMPANY, as Surety,in consideration of an agreed premium is held and firmly bound unto
the Obligee, for the faithful discharge of the duties of any Officer or Employee while occupying any position named in
IilTw, the schedule attached,or added thereto by written acceptance of the Surety, while in the service of the Insured, not
i*1 exceeding the sum specified m said schedule or written acceptance of the Surety as to said position after the
25th day of May 2016
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0i This bond is subject to the following expressed conditions '
1 Automatic coverage is granted for the first thirty days' service of any Officer or Employee occupying a newly
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'• created position identical with one listed in the schedule of positions,in an equal amount ,il ,
w Provided, however, that the automatic coverage herein granted shall be void and of no effect from the beginning,
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unless during the said thirty day period the Insured has requested in writing that the position be added to the schedule, RI
and the Surety by written acceptance has consented thereto
a 2 Coverage on any position may be increased or decreased upon written request of the Insured and agreed to in 61
writing byrati; eyy
-_'Ciit:Surefy'S'lfability under this bond shall not be cumulative,and in no event shall the Surety be called upon to
pal Ns-a lossd_tereuniikin amount greater than the largest single amount for which the position occupied by any Officer
4 osEihi_ligee caust. 9 loss is or has been covered in the schedule,whether said loss occurred during any one or morekt
y 'Ihe liabt1ity o t?Ie Surety for any Officer or Employee occupying more than one position at one time, or at l.1
difflentijiulas hall rust exceed the largest amount of coverage specified for any single position occupied by said Officer k,,;
kit or"E oyee i 1 The,Iiabiiity of the Surety shall never exceed the amount in effect for the position when the act of the
fyOfficie>iur Esxi ausing the loss shall have occurred In the event there are more Officers or Employees occupying
the positroliceovelVd in the schedule than are listed therein, the Surety shall be liable for such proportion of the amount
4 of coverage as the number of Officers or Employees listed bears to the number of Officers or Employees actually
occupying the position when the loss occurred r+
-6 Cancellation hereunder is effective,and all liability under this bond shall cease as to the future acts or omissions
as to any Officer or Employee on the date specified in written notice given by the Insured to the Surety as to any or all
positions or Officers or Employees,or after thirty days'written notice given by the Surety to the Insured of its intent towv
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lA cancel this bond in its entirety,or as to any Officer or Employee or position
i� 5 None of the specifications of this bond shall be altered or waived,except in writing by the Surety executed by the
Chairman of the Board,its President,Vice President,Secretary,Assistant Secretary or Treasurer
6 The liability of the Surety hereunder is subject to the terms and conditions of the following or to the following ,
' Riders attached thereto
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Dated this 26th day of May 2016
WESTE '+ URET ' COMPANY i'
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By Surety ,
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Form 1110-10-2009
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SCHEDULE OF POSITIONS EFFECTIVE _ May 25th , 201 r- s
Of there is more than one position of like classification, list by number, thus Cashier No. 1 , Cashier No 2)
Number Position Location Amount Premium
1 Treasurer $ 5 , 000 . 00 515 . 00 '
2 Director 51 , 000 . 00 $ 3 . 50 '
3 Director $ 1 , 000 . 00 $ 3 . 50 +
4 Director $ 1 , 000 . 00 $ 3 . 50 *
5 Director 51 , 000 . 00 $ 3 . 50 *
6 Director $ 1 , 003 . 00 $ 3 . 50 *
,4 + .4 4 + fir # 441 44 * + + i44 , .. x ÷ 4k + J- End of Schedule * * * 44 * * * + * + # 1 * * tr + + * 4 ,, ,4 # + y * #
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* Subject to annual earned minimum premium for the bond .
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