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