HomeMy WebLinkAbout20161996.tiffDISTRICT COURT, COUNTY OF WELD, STATE OF
COLORADO
901 9th Avenue
Greeley, Colorado 80631
970-351-7300
A COURT USE ONLY
IN RE RESOURCE COLORADO WATER AND
SANITATION METROPOLITAN DISTRICT
MaryAnn M. McGeady
McGEADY BECHER P.C.
450 E. 17th Ave., Suite 400
Denver, Colorado 80203-1214
Phone: (303) 592-4380
Fax: (303) 592-4385
E-mail: mmcgeady@specialdistrictlaw.com
Atty. Reg. #: 12417
Case Number: 2004 CV 1567
Div.: 1 Ctrm.:
OATH OF DIRECTOR
The undersigned solemnly swears (or affirms) that he will faithfully perform the duties of
this office as required by law and will support the Constitution of the United States, the
Constitution of the State of Colorado, and the laws made pursuant thereto.
STATE OF COLORADO
COUNTY OF tJ,
Jolt Mick' Todd
Ad er ss: 1756 37th Avenue
Greeley, CO 80634
) ss.
Subscribed and sworn to before me this 10 day of May, 2016.
WITNESS my hand and official seal.
JULIE STONE
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20044011495
MY COMMISSION EXPIRES APRIL 4, 2020
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2016-1996
so 01 as
CERTIFICATE OF
ELECTION
IT IS HEREBY CERTIFIED THAT
JOHN 'MICK' TODD
WAS ELECTED TO SERVE UNTIL THE SECOND REGULAR ELECTION
AS A MEMBER OF THE BOARD OF DIRECTORS OF THE
RESOURCE COLORADO WATER AND
SANITATION METROPOLITAN DISTRICT
AT THE ELECTION HELD TUESDAY, MAY 3, 2016.
Dated: 5 N' I L Signed:
sllld ignated Election cial
THIS CERTIFICATE OF ELECTION IS MADE PURSUANT TO §§1-11-103(1), 1-13.5-1306 AND 32-1-305(5), C.R.S.
7)ri&D0LA V. i I
Colorado Special Districts Property and Liability Pool
Public Entity Liability Certificate Holder Declaration
Master Coverage Document Number: PEL 01 01 16
Certificate Number: 29C60721-4506 Coverage Period: 5/20/2016 to 1/1/2017
Named Member: Broker of Record:
Resource Colorado Water & Sanitation Metropolitan Distric
c/o McGeady Becher, P.C.
450 E. 17th Ave., Suite 400
Denver, CO 80203
Coverage is provided only for those coverages indicated below for which a contribution is shown,
Coverage
Per Occurrence
Annual Aggregate
Deductible
Contribution
Public Entity Liability Coverage incl.:
$1,000,000
None
General Liability
Included
None
None
$321.09
Medical Payments -Premises
$10,000
None
None
Included
Employee Benefits Admin. Liability
Included
None
None
Included
Public Officials Liability
Included
None
$1,000
$300.72
Employment Practices Liability
Included
None
' $100,000
Included
Pre Loss Legal Assistance
$2,000
$4,000
None
Included
No -Fault Water & Sewer Backup
$5,000 Per
Premises, $150,000
Per Occurence
"'$500,000
$500
Included
_
Cyber Liability
$200,000
"$200,000
$1,000
Included
Fiduciary Liability
$200,000
'•$200,000
$1,000
Included
Excess Liability
No Coverage
No Coverage
N/A
No Coverage
Auto Liability
No Coverage
No Coverage
N/A
No Coverage
Medical Payments - Auto
No Coverage
No Coverage
N/A
No Coverage
Non-Owned/Hired Auto Liability
Included
None
None
$81.51
Uninsured/Underinsured Motorist
No Coverage
No Coverage
N/A
No Coverage
Auto Physical Damage
No Coverage
No Coverage
N/A
No Coverage
Hired Auto Physical Damage
$50,000
N/A
$500/$500
$40.14
Auto Physical Damage - Employee
Deductible Reimbursement
$2,500
N/A
None
Included
Total Contribution
$743.46
*Employment Practices Liability Deductible: 50% of loss including Indemnity and Legal Expenses sub ect to a maximum
deductible of $100,000 each occurrence.
**Cyber Liability and Fiduciary Liability each have a $1,000,000 All Member Annual Aggregate Limit.
"'No -Fault Water & Sewer Backup has $500,000 All Member Annual Aggregate Limit
Additional Endorsements applicable to Member:
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 Public Entity Liability Coverage Document. This Certificate
represents only a brief summary of coverages. Please refer to the Master Coverage Document for actual
coverage, terms, conditions, and exclusions.
rio
y.
Countersigned by:
Authorized Representative
Friday, May 27, 2016
Entity ID#: 60721
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