HomeMy WebLinkAbout20141821.tiff 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 COMMISSIONERS
DISTRICT NO.3
MaryAnn M. McGeady A COURT USE ONLY
McGEADY SISNEROS, P.C.
450 E. 17th Ave., Suite 400 Case Number: 2006 CV233
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 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.
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Jea old-
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Ad ress: 7882 Sweetwater Road
Lone Tree, CO 80124
STATE OF COLORADO )
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COUNTY OF OC'1 J e (� )
Subscribed and sworn to before me this RDday of rY-1 ,2014.
WITNESS my hand and official seal.
TONI SERRA No ublic
NOTARY PUBLIC
NOTARY IpTE OF Czp�pg4 201,7 ,.y My commission expires: 0 I - ,.1 -,JO 17
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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. 3
AT THE ELECTION HELD TUESDAY, MAY 6,2014.
Dated: MAY 7,2014 Signed: �' / S
De T ated ti ction Official
THIS CERTIFICATE OF ELECTION IS MADE PURSUANT TO§1-I1-103(1),C.R.S.
lnnh1QR7c INlr vl L
/�IIL 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:27C60226-756 Coverage Period: 1/1/2014 to 1/1/2015
Named Member: Broker of Record:
Pioneer Metropolitan District No. 3
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 �
Coven a Limit I Limit Deductible Contribution
Public Entity Liability Coverage $1,000,000 None None $735.32
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 j $4,000 None Included
No-Fault Water&Sewer Backup $15,000 $30,000 $500 Included
Cyber Liability $200,000 "$1,000,000 None Included
Fiduciary Liability $200,000 -$1,000,000 None Included
.__.. .-_
Excess Liability No Coverage No Coverage NIA No Coverage
----- - _.--- ---. . --r v —r
Auto Liability No Coverage No Coverage Coverr age 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: $1,853.32
•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:
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: Authorized Representative
Entity ID#:60226
DISTRICT COURT,COUNTY OF WELD, STATE OF
COLORADO RECEIVED
901 9'I'Avenue
Greeley, Colorado 80631 JUN 10 2014
970-351-7300 WELD COUNTY
PETITIONER: IN RE PIONEER METROPOLITAN COMMISSIONERS
DISTRICT NO.3
MaryAnn M. McGeady ♦ COURT USE ONLY
McGEADY SISNEROS, P.C.
Case Number: 2006 CV233
450 E. 17's Ave., Suite 400
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 law made pursuant thereto.
Joel Far s
Address: 9033 E. Easter P1., Suite 112
Centennial, CO 80112
STATE OF COLORADO )
LA tj cm& ) ss.
COUNTY OF (-3 Il\J E C )
C111. /�
Subscribed and sworn to before me this J day of 1 ' ,Qa , 2014.
WITNESS my hand and official seal.
AICRADv _00'45.9 - -- - t' -./---- -,� L`tL4IIb2JNUARY 2. 201' I Y` `A 1.3.3Ot t e
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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. 3
AT THE ELECTION HELD TUESDAY, MAY 6,2014.
Dated: MAY 7,2014 Signed: I
D s nated lection Official
THIS CERTIFICATE OF ELECTION IS MADE PURSUANT TO§1-11-103(1),C.R.S.
/(1(1110A71 nor i 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:27C60226-756 Coverage Period: 1/1/2014 to 1/1/2015
Named Member: Broker of Record:
Pioneer Metropolitan District No. 3
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 i Limit Deductible Contribution
Public Entity Liability Coverage $1,000,000 I None None $735.32
including: l
General Liability Included i None None Included
Medical Payments-Premises $10,000 1.. $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 $15,000 $30,000 $500 Included
Cyber Liability $200,000 I $1 000,000 None Included
Fiduciary Liability $200,000 *11,00O000 None Included
Excess Liability No Coverage f No Coverage N/A No Coverage
Auto Liability No Coverage 4 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
r-Hired Auto Physical Damage No Coverage No Coverage N/A E No Coverage
Auto Physical Damage-Employee $2,50O N/A None Included
Deductible Reimbursement
Total Contribution: $1,853.32
* 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:
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 r,/..rlr.�,t Friday, December 06, 2013
Authorized Representative
Entity ID#:60226
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