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
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{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
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