HomeMy WebLinkAbout20181838.tiffRECEIVED
JUN 1 1 2018
WELD COUNTY
COMMISSIONERS
May 16, 2018
Weld County Clerk and Recorder
1401 N. 17th Ave.
Greeley, CO 80631.
RE: 2018 Election - Oath of Office - East Larimer County Water District
Enclosed please find a copy of the oaths of office administered to Vern Sunset and James
Clay who were elected by acclamation after the regular election scheduled for May 8,
2018 was canceled.
A copy of the required insurance bond is also enclosed.
I am the contact person for the East Larimer County Water District and can be reached by
phone at (970) 493-2044 or mail at 232 South Link Lane, Fort Collins, Colorado 80524.
Please let me know if you have any questions or require additional information.
Mike. Scheid
Secretary/General Manager
East Larimer County Water District
Enclosures
06-1818
2018-1838
SD00g5
232 South Link Lane, P.O. Box 2044 • Fort Collins, Colorado 80522 • Phone (970) 493-2044 • Fax (970) 493-1801
BOARD OF DIRECTOR
OATH OF OFFICE
§32-1-901, C.R.S., and
Colorado Constitution Article 12, §9
STATE OF COLORADO
LARIMER COUNTY
EAST LARIMER COUNTY WATER DISTRICT
I, Vernon R. Sunset, will faithfully support the Constitution of the United States and of the State of Colorado, and
the laws made pursuant thereto, and will faithfully perform the duties of the office of Director of East Larimer County Water
District, upon which I am about to enter.
STATE OF COLORADO
COUNTY OF LARIMER
Subscribed and sworn to before me this
ture
) ss.
day of
011 1.4 _
MELISSA M TREMELLING
NOTARY PUBLIC
sEALSTATE OF COLORADO
NOTARY ID 19984015362
MY COMMISSION EXPIRES 01/05/2020
44.4g
ignature of oath taker)
,20 l6 .
Division of Local Government— Department of Local Affairs SD -1
Revised 10/17/15
BOARD OF DIRECTOR
OATH OF OFFICE
§32-1-901, C.R.S., and
Colorado Constitution Article 12, §9
STATE OF COLORADO
LARIMER COUNTY
EAST LARIMER COUNTY WATER DISTRICT
I, James S. Clay, will faithfully support the Constitution of the United States and of the State of Colorado, and the
laws made pursuant thereto, and will faithfully perform the duties of the office of Director of East Larimer County Water
District, upon which I am about to enter.
nature of oath taker)
STATE OF COLORADO
) ss.
COUNTY OF LARIMER ) , Mal
QSubscribed and sworn to before me this /5 day of, 20 ! 0
M6md
(notary signature)
MELISSA M TREMELLING
SEAL NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 19984015362
MY COMMISSION EXPIRES 01/05/2020
Division of Local Government — Department of Local Affairs SD -1
Revised 10/17/15
Colorado Special Districts Property and Liability Pool
Comprehensive Crime Certificate Holder Declaration
Master Coverage Policy Number: CCP0037259
Certificate Number: 31054043-560
Named Member:
East Larimer County Water District
PO Box 2044
Fort Collins, CO 80522
Covered ERISA Plan:
Covered Designated Agent(s):
Coverage Period: 1/1/2018 Until Cancelled
Billing Period: 1/1/2018 to 1/1/2019
Broker of Record:
Coverage, Limits of Insurance and Deductibles
Public Employee Dishonesty Coverage:
- Limit is Per Loss
- Faithful Performance of Duty
- Officers, Directors, and Trustees
- Welfare and Pension Plan ERISA Compliance
if Covered Plan is shown on application
- Volunteer Workers as Employees
Forgery or Alteration Coverage:
Theft, Disappearance, and Destruction Coverage:
Inside Premises
Outside Premises
Computer and Funds Transfer Fraud Coverage:
Debit, Credit or Charge Card Forgery Coverage:
Money Orders and Counterfeit Paper Currency Coverage:
Fraudulent Impersonation Coverage:
Crime Deductible: $250
Fraudulent Impersonation Deductible: 20% of Fraudulent Impersonation Limit
Contribution: $270.65
Policy Forms:
Limits
$25,000
$25,000
$25,000
$25,000
$25,000
$25,000
$25,000
$25,000
CR 00260506 Government Crime Policy
CR 25070300 Include Specified Directors or Trustees on Committee as Employees
CR 25080300 Include Specified Non -Compensated Officers as Employees
CR 25090300 Include Volunteer Workers as Employees
CR 25190506 Add Faithful Performance of Duty
CR 25120300 Include Treasurers or Tax Collectors as Employees
CR 02151104 Colorado Changes
CR 25200300 Debit, Credit or Charge Card Forgery
CR 25020506 Include Designated Agents as Employees, when listed
CR 04171115 Fraudulent Impersonation
This Certificate Holder Declaration is made and is mutually accepted by the CSD Pool and the Named Member
subject to all terms which are made a part of the Master Comprehensive Crime Policy. This Certificate
represents only a brief summary of coverages. Please refer to the Master Policy Document for actual coverage,
terms, conditions, and exclusions.
Countersigned by:
huriced Reprritative
Wednesday, May 16, 2018
Entity ID#: 54043
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