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HomeMy WebLinkAbout20141823.tiff DISTRICT COURT, COUNTY OF WELD,STATE OF COLORADO RECEIVED 901 9th Avenue Greeley, Colorado 80631 970-351-7300 JUN 10 1014 PETITIONER: IN RE PIONEER METROPOLITAN WELD COUNTY DISTRICT NO. 5 COMMISSIONERS MaryAnn M. McGeady A COURT USE ONLY McGEADY SISNEROS, P.C. ! Case Number: 2006 CV 235 450 E. 17th Ave., Suite 400 Denver, Colorado 80203-1214 Phone: (303) 592-4380 Div.: 1 Ctrm.: Fax: (303) 592-4385 E-mail: mmcgeady@mcgeadysisneros.co Atty. Reg. #: 12417 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 law ade pursuant thereto. Joel H. F as Address: 9033 E. Easter Pl., Suite 112 Centennial, CO 80112 STATE OF COLORADO ) ss. cot MY OF U e'Y1 ier ) Subscribed and sworn to before me this day of May, 2014. WITNESS my hand and official seal. TONI SERRA 2014-1823 NOTARY PUBLICCITO STATE OF COLORADO NOTARY ID 20094001489 MY COMMISSION EXPIRES JANUARY 21,2017 (\&:D YLk a I G m j cow\ lssi01, e Qtres ol-a-t-aoCI {00339795.DOCv:I } k9..r0 a L - ll2- 14 VlWI CERTIFICATE OF ELECTION IT IS HEREBY CERTIFIED THAT Joel Farkas WAS ELECTED TO SERVE UNTIL THE SECOND REGULAR ELECTION AS A MEMBER OF THE BOARD OF DIRECTORS OF THE PIONEER METROPOLITAN DISTRICT NO. 5 AT THE ELECTION HELD TUESDAY, MAY 6,2014. Dated: MAY 7,2014 Signed: gnat Iection O ial THIS CERTIFICATE OF ELECTION IS MADE PURSUANT TO§1-11-103(1),C.R.S. 1nn1io7o7 nor•i I 25 Deferral Program /41°11111)11)1116" years Colorado Special Districts Property and Liability Pool Public Entity Liability Certiflcste Helder Declaration Master Coverage Document Number: PEL 01 01 14 Certificate Number:27C60237-765 Coverage Period: 1/1/2014 to 1/1/2015 Named Member: Broker of Record: Pioneer Metropolitan District No. 5 c/o McGeady Sisneros, 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. Per Occurrence Annual Aggregate Coverage i Limit Limit Deductible Contribution Public Entity Liability Coverage I $1 000,000 None None $500.00 including: General Liability Included None None Included Medical Payments-Premises $10,000 t $10,000 None Included Employee Benefits Admin.Liability Included None None Included Public Officials Liability Included None $1,000 $1,118.00 Employment Practices Liability Included None •$100,000 Included Pre Loss Legal Assistance $2,000 k $4,000 None Included No-Fault Water&Sewer Backup No Coverage No Coverage N/A No Coverage Cyber Liability $200,000 '•$1,000,000 None Included Fiduciary Liability $200,000 "$1,000,000 None 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 No Coverage No Coverage N/A No Coverage T Uninsured Motorist No Coverage No Coverage N/A No Coverage __ Auto Physical Damage No Coverage No Coverage N/A No Coverage Hired Auto Physical Damage No Coverage No Coverage N/A No Coverage Auto Physical Damage-Employee $2,500 N/A None Included Deductible Reimbursement — ----._...-_--_------.-._.—_- _-- _ -- _ ....-�-.-.------•Total Contribution: $1,618.00 -r:. ....... • Employment aractices Liability Deductible 50%of loss subject to a maximum deductible of$100,000 each occurrence. "Cyber Liability and Fiduciary Liability each have a$1,000,000 All Memoer Annual Aggregate Limit. Additional Endorsements applicable to Member: Public Entity Liability: No-Fault Water&Sewer Backup 'Opt Out' 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. rr Countersigned by: A. 4/1101P-c- Friday, December 06, 2013 Authorized Representative Entity ID#: 60237 DISTRICT COURT, COUNTY OF WELD,STATE OF RECEIVED COLORADO 901 9th Avenue JUN 10 2014 Greeley, Colorado 80631 970-351-7300 WELD COUNTY PETITIONER: IN RE PIONEER METROPOLITAN COMMISSIONERS DISTRICT NO. 5 MaryAnn M. McGeady ♦ COURT USE ONLY • McGEADY SISNEROS, P.C. 450 E. 17 h Ave., Suite 400 Case Number: 2006 CV 235 Denver, Colorado 80203-1214 Phone: (303)592-4380 Div.: l Ctrm.: Fax: (303)592-4385 E-mail: mmcgeadygmcgeadysisneros.co Atty. Reg. #: 12417 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. Jean old A ress: 7882 Sweet Water Road Lone Tree, CO 80124 STATE OF COLORADO �N ) ss. COUNTY OF OCtN'vfC ) Subscribed and sworn to before me this D361D day of MC,4 ,2014. WITNESS my hand and official seal. TONI SERRA Not Public NOTARY PUBLIC STATE OF COLORADO (� ''") MY C0MMIISSIIO0N EXPIRES 27.2017 My commission expires: O L ' a_-i 3_U I / etty 1 ytitl79a o v I I l� - Jul — Iy 51bg: LP CERTIFICATE OF ELECTION IT IS HEREBY CERTIFIED THAT Jean Gold WAS ELECTED TO SERVE UNTIL THE SECOND REGULAR ELECTION AS A MEMBER OF THE BOARD OF DIRECTORS OF THE PIONEER METROPOLITAN DISTRICT NO. 5 AT THE ELECTION HELD TUESDAY, MAY 6,2014. Dated: MAY 7,2014 Signed: ( _ d I'CC Designated ted Election OffiChli THIS CERTIFICATE OF ELECTION IS MADE PURSUANT TO§1-11-103(1),C.R.S. /AnilQ70P nnr v-I i ,AMIIL 25 Deferral Program years • Colorado Special Districts Property and Liability Pool Public Entity Liability Certificate Holder Declaration Master Coverage Document Number: PEL 01 01 14 Certificate Number:27C60237-765 Coverage Period: 1/1/2014 to 1/1/2015 Named Member: Broker of Record: Pioneer Metropolitan District No. 5 Go McGeady Sisneros, P.C. 450 E. 17th Ave., Suite 400 Denver, CO 80203 i Coverage is provided only for those coverages indicated below for which a contribution is shown. I Per Occurrence I Annual Aggregate Coverage Limit Limit Deductible Contribution Public Entity Liability Coverage $1,000,000 None None $500.00 including: General Liability Included j.. None None Included Medical Payments-Premises $10,000 $10,000 None Included Employee Benefits Admin. Liability Included None None Included Public Officials Liability Included None $1,000 $1,118.00 Employment Practices Liability Included None r *$100,000 Included Pre Loss Legal Assistance $2,000 $4,000 None Included No-Fault Water&Sewer Backup II No Coverage No Coverage N/A No Coverage Cyber Liability r $200,000 n$1,000,000 None Included Fiduciary Liability $200,000 *11.000,000 None 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 No Coverage ' No Coverage N/A No Coverage Uninsured Motorist No Coverage No Coverage N/A No Coverage Auto Physical Damage No Coverage No Coverage N/A No Coverage Hired Auto Physical Damage No Coverage No Coverage N/A No Coverage Auto Physical Damage-Employee $2,500 N/A None Included Deductible ReimbursementI Total Contribution. $1,618.00 • Employment Practices Liability Deductible: 50%of loss subject 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, Additional Endorsements applicable to Member: -Public Entity Liability: No-Fault Water&Sewer Backup"Opt Out" his 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 or actual coverage,terms, conditions,A / and exclusions. Countersigned by: / y1. 4 4.411$4- UUUAuthorized Friday, December 06, 2013 Authorized Representative Entity IDS: 60237 DISTRICT COURT,COUNTY OF WELD,STATE OF RECEIVED COLORADO 901 9th Avenue Greeley,Colorado 80631 JUN 10 2014 970-351-7300 WELD COUNTY PETITIONER: IN RE PIONEER METROPOLITAN COMMISSI0NERc DISTRICT NO. 5 MaryAnn M. McGeady A COURT USE ONLY A McGEADY SISNEROS, P.C. 450 E. 17a'Ave., Suite 400 Case Number: 2006 CV 235 Denver,Colorado 80203-1214 Phone: (303)5924380 Div.: 1 Ctrm.: Fax: (303)592-4385 E-mail: nuncgeady@mcgeadysisneros.co Atty. Reg.#: 12417 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. ‘e7j�Barry ehr Address: 23275 County Road 22 Hudson,Colorado 80642 STATE OF COLORADO ) )ss. COUNTY OF (2Je 1d. ) Subscribed and sworn to before me this ,„?y day of May, 2014. WITNESS my hand and official seal. _ 4i2J DIANA L EPPLE No is NOTARY PUBLIC �� _ 6 r f /� STATE OF COLORADO My commission expires: My Commission Expires 10/11/15 (00339796.DOC v:1) 1Lt CERTIFICATE OF ELECTION IT IS HEREBY CERTIFIED THAT Barry Fehr WAS ELECTED TO SERVE UNTIL THE SECOND REGULAR ELECTION AS A MEMBER OF THE BOARD OF DIRECTORS OF THE PIONEER METROPOLITAN DISTRICT NO. 5 AT THE ELECTION HELD TUESDAY, MAY 6,2014. Dated: MAY 7,2014 Signed: D gnated ection Officio THIS CERTIFICATE OF ELECTION IS MADE PURSUANT TO§1-11-103(1),C.R.S. • rnnzzo7oo nnr i I 25 Deferral Program ,.../. 1)Iiiiikb' years Colorado Special Districts Property and Liability Pool Public Entity Liability Certificate Holder Declaration Master Coverage Document Number: PEL 01 01 14 Certificate Number: 27C60237-765 Coverage Period: 1/1/2014 to 1/1/2015 Named Member: Broker of Record: Pioneer Metropolitan District No. 5 c/o McGeady Sisneros, 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. Per Occurrence lAnnual Aggregate Coverage Limit Limit , Deductible ' Contribution Public Entity Liability Coverage I $1.000,000 None None $500.00 Including: —1--- General Liability Included None None Included Medical Payments-Premises $10,000 $10,000 None Included Employee Benefits Admin. Liability Included None None Included Public Officials Liability Included None $1,000 $1,118.00 Employment Practices Liability Included None *$100,000 Included Pre Loss Legal Assistance $2,000 $4,000 None Included No-Fault Water&Sewer Backup No Coverage No Coverage N/A No Coverage Cyber Liability $200,000 t "$1,000,000 None Included Fiduciary Liability ---- $200,000 "$1,000,000 - None 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 NIA No Coverage Non-Owned/Hired Auto Liability No Coverage No Coverage N/A No Coverage Uninsured Motorist No Coverage No Coverage ~— ag N/A No Coverage Auto Physical Damage No Coverage No Coverage N/A No Coverage Hired Auto Physical Damage No Coverage No Coverage N/A No Coverage Auto Physical Damage-Employee $2,500 NIA None Included Deductible Reimbursement Total Contribution: $1,618.00 •Employment Practices Liability Deductible: 50%of loss subject 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. Additional Endorsements applicable to Member: - Public Entity Liability: No-Fault Water& Sewer Backup"Opt Out" 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. Countersigned by: '4. (/_or, Friday, December 06, 2013 Authorized Representative Entity ID#:60237 Hello