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Home My WebLink About20141817.tiff RECEIVED DISTRICT COURT, WELD COUNTY, STATE OF COLORADO JUN 1 0 201► Court Address: Weld County Courthouse WELD COUNTY 915 10th Street COMMISSIONERS P. O. Box 2038 Greeley,CO 80632 Phone: 970-351-7300 ACOURT USE ONLY A IN RE THE MATTER OF BEEBE DRAW FARMS METROPOLITAN DISTRICT NO. 1 Attorneys for the District: SPENCER FANE BRITT & BROWNE LLP Case No.: 86CV636 Norman F. Kron,Jr. 1700 Lincoln Street, Suite 2000 Div.: Ctrm.: Denver, CO 80203 Telephone: (303) 839-3800 Facsimile: (303) 839-3838 E-Mail: rkron@spencerfane.com Atty. Reg. No.: 16930 OATH OF OFFICE I, Michael Welch, 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 Beebe Draw Farms Metropolitan District No. 1 upon which I m about to Signed: Michael Welch Subscribed and sworn to before me this L?6 day of May,2.0,14. By: ' �(,t,JC '� Signae f Person Administering Oath Title of Person Administering Oath* IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING MUST BE COMPLETED: STATE OF COLORADO ) �yy )ss. COUNTY OF (,L; 'bed and sworn to before me this 15 day of May, 2014. OiARYd •My co ' 'on expires: 6 --[5 -a O I( 1.1 ; v`�`�°,1 fi SON Nota P blic I 2014-1817 C,l4l?1 \UJUCCr& UA 19- /LO - r14 5b000 oa•% 1::± CN 0) • N -ti.• "4 ttta: 7p: S. <L•. ^I ;• E Col C) o Al W ti c o �1 o 0 O 0 o) t m r 1 llIO kirafti 4111 Ellill4 49., 4-4 • cz MINNo ou • o • o � Nrt ii c .� W c C.) 0, L o0 a, 5 years Colorado Special Districts Property and Liability Pool Comprehensive Crime Certificate Holder Declaration Master Coverage Policy Number: CCP0037259 Certificate Number 27C60915-1279 Coverage Period: 1/1/2014 Until Cancelled Named Member: Billing Period: 1/1/2014 to 1/1/2015 Beebe Draw Farms Metropolitan District No. 1 Broker of Record: c/o Special District Management Services, Inc. T. Charles Wilson Insurance Service 141 Union Blvd., Suite 150 384 Inverness Parkway Lakewood, CO 80228-1898 Centennial, CO 80112 Covered ERISA Plan: Coverage, Limits of Insurance and Deductibles Limits: Public Employee Dishonesty Coverage: $25,000 -Limit is Per Loss -Faithful Performance of Duty -Officers, Directors, and Trustees -Welfare and Pension Plan ERISA Compliance if Covered Plan is shown on application -Volunteer Workers as Employees Forgery or Alteration Coverage: $25,000 Theft, Disappearance, and Destruction Coverage: Inside Premises $25,000 Outside Premises $25,000 Computer and Funds Transfer Fraud Coverage: $25,000 Debit, Credit or Charge Card Forgery Coverage: $25,000 Money Orders and Counterfeit Paper Currency Coverage: $25,000 Crime Deductible: $250 Contribution: $283.30 Policy Forms: CR 00260506 Government Crime Policy CR 25070300 Include Specified Directors or Trustees on Committee as Employees CR 25080300 Include Specified Non-Compensated Officers as Employees CR 25090300 Include Volunteer Workers as Employees CR 25190506 Add Faithful Performance of Duty CR 25120300 Include Treasurers or Tax Collectors as Employees CR 02151104 Colorado Changes CR 25200300 Debit,Credit or Charge Card Forgery 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 Master Comprehensive Crime Policy. This Certificate represents only a brief summary of coverages. Please refer to the Master Policy Document for actual coverage, terms,conditions,and exclusions. Countersigned by: 'ZI'. - Friday, December 20, 2013 • v Authorized Representative Entity ID#:60915 DISTRICT COURT, WELD COUNTY, RECEIVED STATE OF COLORADO JUN 1 0 2C'4 Court Address: Weld County Courthouse 915 10th Street WELD COUNTY P. O. Box 2038 COMMISSIONERc Greeley, CO 80632 Phone: 970-351-7300 ♦COURT USE ONLY♦ IN RE THE MATTER OF BEEBE DRAW FARMS METROPOLITAN DISTRICT NO. 1 Attorneys for the District: SPENCER FANE BRITT & BROWNE LLP Case No.: 86CV636 Norman F. !Cron, Jr. 1700 Lincoln Street, Suite 2000 Div.: Ctrm.: Denver, CO 80203 Telephone: (303) 839-3800 Facsimile: (303) 839-3838 E-Mail: rIcron@spencerfane.com Atty. Reg. No.: 16930 OATH OF OFFICE I, Josh Freeman, will faithfully support the Constitution of the United States and of the State of Colorado, and the laws made pursuant thereto, and will faithfully p orm the duties of the office of Director of Beebe Draw Farms Metropolitan District No. 1 upon w ' am about to enter. Signed: Jos eeman Subscribed and sworn to before me this 3 of May,20,14. By ; �, '�. Sign5urc"of P son Administering Oath � Itfu Title of Person Admin stering Oath* J IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING MUST BE COMPLETED: STATE OF COLORADO ) ss. COUNTY OF (,LA_ ) bed and sworn to before me this I .day of May, 2014. te•My colic ii ion expires: 5 - I Lc B�TTAA �Po y ' v0ON Notary/µblic lamffi+' a 11. 62' 14SbCCOI o‘szRicr% 19. , s e o _. W b' •i.., yQa cn v CS cel �T� A w Evil( o 14 O 04 04 Illimil ow 1-0 iv is. O U � A c4 44 4,1 o `o o V o � `oo) ti o •o eu 0' 1-.5., q �'tilk 25 Colorado Special Districts Property and Liability Pool Comprehensive Crime Certificate Holder Declaration Master Coverage Policy Number: CCP0037259 Certificate Number: 27C60915-1279 Coverage Period: 1/1/2014 Until Cancelled Named Member: Billing Period: 1/1/2014 to 1/1/2015 Beebe Draw Farms Metropolitan District No. 1 Broker of Record: c/o Special District Management Services, Inc. T. Charles Wilson Insurance Service 141 Union Blvd., Suite 150 384 Inverness Parkway Lakewood, CO 80228-1898 Centennial, CO 80112 Covered ERISA Plan: Coverage, Limits of Insurance and Deductibles Limits: Public Employee Dishonesty Coverage: $25,000 -Limit is Per Loss -Faithful Performance of Duty -Officers, Directors, and Trustees -Welfare and Pension Plan ERISA Compliance if Covered Plan is shown on application -Volunteer Workers as Employees Forgery or Alteration Coverage: $25,000 Theft, Disappearance, and Destruction Coverage: Inside Premises $25,000 Outside Premises $25,000 Computer and Funds Transfer Fraud Coverage: $25,000 Debit, Credit or Charge Card Forgery Coverage: $25,000 Money Orders and Counterfeit Paper Currency Coverage: $25,000 Crime Deductible: $250 Contribution: $283.30 Policy Forms: CR 00260506 Government Crime Policy CR 25070300 Include Specified Directors or Trustees on Committee as Employees CR 25080300 Include Specified Non-Compensated Officers as Employees CR 25090300 Include Volunteer Workers as Employees • CR 25190506 Add Faithful Performance of Duty CR 25120300 Include Treasurers or Tax Collectors as Employees CR 02151104 Colorado Changes CR 25200300 Debit,Credit or Charge Card Forgery 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 Master Comprehensive Crime Policy. This Certificate • represents only a brief summary of coverages. Please refer to the Master Policy Document for actual coverage, terms,conditions,and exclusions. Countersigned by: /I J�" .4_ Friday, December 20, 2013 A �` `uthorized Representative Entity ID#:60915 RECEIVED DISTRICT COURT, WELD COUNTY, STATE OF COLORADO JUN 1 0 2014 Court Address: Weld County Courthouse 915 10th Street WELD COUNTY P. O. Box 2038 COMMISSIONERS Greeley,CO 80632 Phone: 970-351-7300 A COURT USE ONLY♦ IN RE THE MATTER OF BEEBE DRAW FARMS METROPOLITAN DISTRICT NO. 1 Attorneys for the District: SPENCER FANE BRITT & BROWNE LLP Case No.: 86CV636 Norman F. Kron,Jr. 1700 Lincoln Street, Suite 2000 Div.: Ctrm.: Denver, CO 80203 Telephone: (303) 839-3800 Facsimile: (303) 839-3838 E-Mail: rkronAspencerfane.com Atty. Reg. No.: 16930 OATH OF OFFICE I, Glen Adkins, will faithfully support the Constitution of the United States of the State of Colorado, and the laws made pursuant thereto, and will faithfully perform the ies of the office of Director of Beebe Draw Farms Metropolitan District No. 1 upo am a o Signed: 'Glen Adkins Subscribed and sworn to before me this I '5 day of May,2014. By: l yriK- Si t e o erson Administering Oath Title of Person Ad nistering Oath* IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING MUST BE COMPLETED: STATE OF COLORADO ) )ss. COUNTY OF U,3Q, (d ) Subscribed and sworn to before me this I ?J day of May, 2014. 9*IA ion expires: 5 - 1 6• o;I'AI�IZ~;,kAL}� r v, r l ` l. W.JOHNSON Notary tul is C9-IL0-l4 �bOOr.7f `'� a) • ors cr�=: p- 4. i, V • • �. o. ti ; i j�ii --- ''h1V2i40,4' 0 cn v Z rile; ZiA z Ellsii szu -444.4 o liC o kiiiim 444 Eulti a) Z ° w OU ati I haft( --i.", A Eftli "ry 1 1) I:4 hilill4 Ca ca 0:1 CT, �iiiz � '1: •ti 44 O O \ 1-4 pVj ?, O t ti V S k.q ti znci....., 't:j ` W v o o QO °' Q.) -,'MSIL 25 years Colorado Special Districts Property and Liability Pool Comprehensive Crime Certificate Holder Declaration Master Coverage Policy Number: CCP0037259 Certificate Number: 27C60915-1279 Coverage Period: 1/1/2014 Until Cancelled Named Member: Billing Period: 1/1/2014 to 1/1/2015 Beebe Draw Farms Metropolitan District No. 1 Broker of Record: do Special District Management Services, Inc. T. Charles Wilson Insurance Service 141 Union Blvd., Suite 150 384 Inverness Parkway Lakewood, CO 80228-1898 Centennial, CO 80112 Covered ERISA Plan: Coverage, Limits of Insurance and Deductibles Limits: Public Employee Dishonesty Coverage: $25,000 -Limit is Per Loss -Faithful Performance of Duty -Officers, Directors, and Trustees -Welfare and Pension Plan ERISA Compliance if Covered Plan is shown on application -Volunteer Workers as Employees Forgery or Alteration Coverage: $25,000 Theft, Disappearance, and Destruction Coverage: Inside Premises $25,000 Outside Premises $25,000 Computer and Funds Transfer Fraud Coverage: $25,000 Debit, Credit or Charge Card Forgery Coverage: $25,000 Money Orders and Counterfeit Paper Currency Coverage: $25,000 Crime Deductible: $250 Contribution: $283.30 Policy Forms: CR 00260506 Government Crime Policy CR 25070300 Include Specified Directors or Trustees on Committee as Employees CR 25080300 Include Specified Non-Compensated Officers as Employees CR 25090300 Include Volunteer Workers as Employees CR 25190506 Add Faithful Performance of Duty CR 25120300 Include Treasurers or Tax Collectors as Employees CR 02151104 Colorado Changes CR 25200300 Debit,Credit or Charge Card Forgery 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 Master Comprehensive Crime Policy. This Certificate represents only a brief summary of coverages. Please refer to the Master Policy Document for actual coverage, terms,conditions,and exclusions. Countersigned by: -" Friday, December 20, 2013 ert. Nuthorized Representative Entity ID#:60915 Hello