HomeMy WebLinkAbout20161994.tiffDISTRICT COURT, COUNTY OF WELD, STATE OF
COLORADO
901 9u
Greeley, Colorado 80631
970-351-7300
IN RE PIONEER REGIONAL METROPOLITAN
DISTRICT
A COURT USE ONLY A
MaryAnn M. McGeady
McGEADY BECHER P.C.
450 E. 17
Denver, Colorado 80203-1214
Phone: (303) 592-4380
Fax: (303) 592-4385
E-mail: mmcgeady@specialdistrictlaw.com
Atty. Reg. #: 12417
Case Number. 2006 CV 230
Div.: 1Ctrm.:
OATH OF DIRECTOR
The undersigned solemnly swears (or affirms) that she 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.
(Act. )
Tom Serra
Address: 8897 Cloverleaf Circle
Parker, CO 80134
STATE OF COLORADO
) ss.
COUNTY OF LJ•¢..YI J-QJC
Subscribed and sworn to before me this ()Ate` day of May, 2016.
WITNESS my hand and official seal.
(00475400.DOC v:1 )
COYYIYI- ovn ca..4 on
Craa/lCa
2016-1994
JENNIFERS..HEMtY
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20074032239
MY COMMISSION EXPIRES AUGUST 22, 2019
O1`&G
CERTIFICATE OF
ELECTION
IT IS HEREBY CERTIFIED THAT
TONI SERRA
WAS ELECTED TO SERVE UNTIL THE SECOND REGULAR ELECTION
AS A MEMBER OF THE BOARD OF DIRECTORS OF THE
PIONEER REGIONAL
METROPOLITAN DISTRICT
AT THE ELECTION HELD TUESDAY, MAY 3, 2016.
Dated: J` Lie !L, Signed:
gnatetl Election ticial
THIS CERTIFICATE OF ELECTION IS MADE PURSUANT TO §§1-I I-103(1), 1-13.5-1306 AND 32-1-305(5), C.R.S.
1
Deferral Program
Colorado Special Districts Property and Liability Pool
Public Entity Liability Certificate Holder Declaration
Master Coverage Document Number: PEL 01 01 16
Certificate Number: 29C60263-4507 Coverage Period: 5/20/2016 to 1/1/2017
Named Member: Broker of Record:
Pioneer Regional Metropolitan District
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
$718,14
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
i 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
$1,160.88
*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.
4
2
Countersigned by: V
Authorized Representative
Friday, May 27, 2016
Entity ID#: 60263
Hello