HomeMy WebLinkAbout20161837.tiff303+857+6619 Fort Lupton Fire District
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BOARD OF DIRECTOR
OATH OF OFFICE
STATE OF COLORADO
WELD
§32-1-901, C.R.S., and
Colorado Constitution Article 12, §9
COUNTY
FORT LUPTON FIRE PROTECTION DISTRICT
I, Larry R. Leinweber, 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 the FORT LUPTON FIRE
PROTECTION DISTRICT upon which I am about to enter.
Subscribed and sworn to before me this 26th day of May, 2016.
rry R. Leinweber
B
IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED.
STATE OF COLORADO
) ss
COUNTY OF WELD
Subscribed and sworn to before me this 260, day of MAY, 2016.
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DULCE ISABEL GUERRERO ZAPIEN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20064023000
My Commission Expires June 21, 2018
2016-1837
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303+857+6619 Fort Lupton Fire District
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BOARD OF DIRECTOR
OATH OF OFFICE
STATE OF COLORADO
WELD
§32-1-901, C.R.S., and
Colorado Constitution Article 12, §9
COUNTY
FORT LUPTON FIRE PROTECTION DISTRICT
I, Mark E. Graieda, 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 the FORT LUPTON FIRE
PROTECTION DISTRICT upon which I am about to enter.
Subscribed and sworn to before me this 26th day of May, 2016.
Mark E. Grajeda
By: �J .
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IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED.
STATE OF COLORADO
) ss.
COUNTY OF WELD
Subscribed and sworn to before me this 26th day of MAY, 2016.
DULCE ISABEL GUERRERO ZAPIEN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20064023000
My Commission Expires June 21, 2018
303+857+6619 Fort Lupton Fire District
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W
Western Surety Company
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
the schedule attached, or added thereto by written acceptance of the Surety, while in the service of the Insured, not
exceeding the sum specified in said schedule or written acceptance of the Surety as to said position after the
25th day of
May 2016
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
created position identical with one listed in the schedule of positions, in an equal amount.
Provided, however, that the automatic coverage herein granted shall be void and of no effect from the beginning,
unless during the said thirty day period the Insured has requested in writing that the position be added to the schedule,
and the Surety by written acceptance has consented thereto.
2. Coverage on any position may be increased or decreased upon written request of the Insured, and agreed to in
writing by'the' Siurety.
ThaSurety'a liability under this bond shall not be cumulative, and in no event shall the Surety be called upon to
pay;a's:a.lpeti:hg'eunde; an amount greater than the largest single amount for which the position occupied by any Officer
or Empl'gyyee causing.said loss is or has been covered in the schedule. whether said loss occurred during any one or more
yi ors, The liability of -the Surety for any Officer or Employee occupying more than one position at one time, or at
diffikent;times;.shall .nit•exceed the largest amount of coverage specified for any single position occupied by said Officer
or'Employee. The. liability of the Surety shall never exceed the amount in effect for the position when the act of the
Officer.�or Eipgloyee'causing the loss shall have occurred. In the event there are more Officers or Employees occupying
the positliin'covered in the schedule than are listed therein, the Surety shall be liable for such proportion of the amount
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.
4. 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 to
cancel this bond in its entirety, or as to any Officer or Employee or position.
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 Hoard, 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:
Dated this 26th
Form 1110-10-2009
day of
May 2016
WESTE' N URETy7COMPANY
By
Surety
303+857+6619 Fort Lupton Fire District
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06-02-2016 5/5
SCHEDULE OF POSITIONS EFFECTIVE May 25th 2016
(If there is more than one position of like classification, list by number, thus: Cashier No. i, Cashier No. 2)
Number
Position
Location
Amount
Premium
1 Treasurer
2 Director
3 Director
4 Director
5 Director
6 Director
****++*******+***************** End of Schedule
*Subject to annual earned minimum premium for the bond.
$5,000.00
$1,000.00
$1,000.00
$1,000.00
$1,000.00
$1,000.00
$15.00*
$3.50*
$3.50*
$3.50*
$3.50*
$3.50*
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