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HomeMy WebLinkAbout20141822.tiff DISTRICT COURT, COUNTY OF WELD, STATE OF COLORADO 901 9th Avenue RECEIVED Greeley, Colorado 80631 970-351-7300 I JUN 1 0 2814 PETITIONER: IN RE PIONEER METROPOLITAN ! WELD COUNTY DISTRICT NO. 4 COMMISSIONERS MaryAnn M. McGeady i A COURT USE ONLY McGEADY SISNEROS, P.C. Case Number: 2006 CV234 450 E. 17th Ave., Suite 400 Denver, Colorado 80203-1214 Phone: (303) 592-4380 Div.: 1Ctrm.: Fax: (303) 592-4385 ' E-mail: mmcgeady@mcgeadysisneros.com 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 I made pursuant thereto. Joel F as Address: 9033 E. Easter Pl., Suite 112 Centennial, CO 80112 STATE OF COLORADO ) @JL` c c ) ss. COUNTY OF C3-Q1-\\J r{ ) Subscribed and sworn to before me this L FH -'day of IV)Ct l{ , 2014. C WITNESS my hand and official seal. NOTARY PUBLIC ` G l L_�! 4..LI� 1. II STATE OF COLORADO y, NOTARY ID 20094001455 LY `C t Y f 7 LA* ((C+ MY COMMISSION EXPIRES JANUARY 27 201' . fY- CC'Yl\ 1SSloYr kkP.T jereei.Doc�:IE 2014-1822 LO - E Le - IL] SbQ MAs 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. 4 AT THE ELECTION HELD TUESDAY, MAY 6,2014. Dated: MAY 7, 2014 Signed: D ignate Election O cial THIS CERTIFICATE OF ELECTION IS MADE PURSUANT TO§1-I1-103(1),C.R.S. rnn1vw0I nnr v i 1 • 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:27C60231-761 Coverage Period: 1/1/2014 to 1/1/2015 Named Member: Broker of Record: Pioneer Metropolitan District No.4 • 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 Limit Limit Deductible Contribution Public Entity Liability Coverage $1,000,000 None None $500.00 including: General Liability Included None None Included Medical Payments-Premises $10,000 $10,000 None Included Employee Benefits Admin. Liability Included I None None Included Public Officials Liability Included None $1,000 $1,118.00 t 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 *11,000,000 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 I 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 r 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 •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.(--)0 Countersigned by: / y'L 4 d Friday, December 06, 2013 UUUAuthorized Representative Entity ID#:60231 DISTRICT COURT,COUNTY OF WELD, STATE OF COLORADO RECEIVED 901 9`h Avenue Greeley, Colorado 80631 JUN 10 1014 970-351-7300 PETITIONER: IN RE PIONEER METROPOLITAN WELD COUNTY DISTRICT NO. 4 COMMISSIONERS MaryAnn M. McGeady A COURT USE ONLY A McGEADY SISNEROS, P.C. 450 E. 17th Ave., Suite 400 Case Number: 2006 CV234 Denver, Colorado 80203-1214 Phone: (303) 592-4380 Fax: (303) 592-4385 Div.: 1 Ctrm.: E-mail: mmcgeady@mcgeadysisneros.com 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. Je old A ress: 7882 Sweetwater Road Lone Tree, CO 80124 STATE OF COLORADO ) ^� ss. COUNTY OF I..≥NV1/4e✓ ) Subscribed and sworn to before me this 3rd day of chtent• , 2014. WITNESS tvegia.4 vial seal. 4 ' O-tAr-1Y; No Public 14E441- ‘.,1 QQ• My commission expires: gl� �1 ,T NN"F b0 I oo 14J bm%aL4) U-119-1`/ 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. 4 AT THE ELECTION HELD TUESDAY,MAY 6,2014. Dated: MAY 7,2014 Signed: Vignated lee 'on Official THIS CERTIFICATE OF ELECTION IS MADE PURSUANT TO§1-11-103(1),C.R.S. /0011Q 7Q1 nnr„-i + 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: 27C60231-761 Coverage Period: 1/1/2014 to 1/1/2015 Named Member: Broker of Record: Pioneer Metropolitan District No.4 • 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. r Per Occurrence Annual Aggregate Coverage Limit Limit Deductible Contribution Public Entity Liability Coverage $1,000,000 None None $500.00 including: 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 I ••$1,000,000 None Included Fiduciary Liability $200,000 "•$1,000,000 None Included Excess Liability No Coverage No Coverage N/A No Coverage g 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 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: be k ---rl or Friday, December 06, 2013 Authorized Representative Entity ID#:60231 DISTRICT COURT,COUNTY OF WELD, STATE OF COLORADO RECEIVED 901 9th Avenue Greeley, Colorado 80631 JUN 10 2014 970-351-7300 WELD COUNTY PETITIONER: IN RE PIONEER METROPOLITAN COMMISSIONERS DISTRICT NO. 4 MaryAnn M. McGeady ♦ COURT USE ONLY McGEADY SISNEROS, P.C. 450 E. 17`h Ave., Suite 400 Case Number: 2006 CV234 Denver, Colorado 80203-1214 Phone: (303) 592-4380 Div.: 1 Ctrm.: Fax: (303) 592-4385 E-mail: mmcgeady@mcgeadysisneros.com 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. David Address: 360 S. Garfield St., 6th Floor Denver, CO 80209 STATE OF COLORADO ) )ss. COUNTY OF DENVER Subscribed and sworn to before me this /.g day of May, 2014. WITNESS my hand and official seal. �� �j� CWIDIA A.WENQND b�¢ye��"�"� '�6A `mil NOTARY p�D No ar ublie STATE OF COLORADO NOTARY 1O 19964013405 My commission expires: �1 MVC0A6i6SI0N DARES AUGUST L2016 p /!/✓5 l‘ C (0Q339789 s\ :&C �� _i._N CERTIFICATE OF ELECTION IT IS HEREBY CERTIFIED THAT David Wm. Foster WAS ELECTED TO SERVE UNTIL THE SECOND REGULAR ELECTION AS A MEMBER OF THE BOARD OF DIRECTORS OF THE PIONEER METROPOLITAN DISTRICT NO. 4 AT THE ELECTION HELD TUESDAY, MAY 6, 2014. Dated: MAY 7, 2014 Signed: 4t ed El J, atection Offici THIS CERTIFICATE OF ELECTION IS MADE PURSUANT TO§1-I1-103(1),C.R.S. mn1za1a9 nor I 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:27C60231-761 Coverage Period: 1/1/2014 to 1/1/2015 Named Member: Broker of Record: Pioneer Metropolitan District No.4 do 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 Limit Limit Deductible Contribution Public Entity Liability Coverage $1,000,000 None None $500.00 including: General Liability Included None None Included Medical Payments-Premises $10,000 $10,000 None Included Employee Benefits Admin. Liability Included None I None Included Public Officials Liability Included None i $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 "$1,000,000 None Included Fiduciary Liability $200,000 n$1,000,000 None Included Excess Liability I No Coverage j 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 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,connditionss,,and exclusions. Countersigned by: el"4. i,/-� Friday, December 06,2013 thorized Representative Entity ID#:60231 Hello