HomeMy WebLinkAbout2019 Oath of Office_ Bob WarnerDISTRICT COURT, EAGLE COUNTY, STATE OF COLORADO Court Address: Eagle County Justice Center 885 Chambers Avenue P.O. Box 597 Eagle, CO 81631 Phone Number: 970-328-6373 IN RE THE MATTER OF EAGLE RIVER WATER AND SANITATION DISTRICT James P. Collins A COURT USE ONLY ■ Collins Cockrel & Cole 390 Union Blvd., Suite 400 Case No.: 84CV472 Denver, Colorado 80228-1556 Telephone: (303) 986-1551 Div.: Ctrm.: Facsimile: (303) 986-1755 E -Mail: jpcollins@cccfirm.com Atty. Re #: 7958 OATH OF OFFICE I, Robert Warner, 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 the Eagle River Water and Sanitation District upon which I am about to enter. Signature STATE OF COLORADO ) ss. COUNTY OF EAGLE ) Subscribed and sworn to before me this 19th day of December, 2019, by Robert Warner. CATHERINE LUNDY HAYES NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20134006102 MY COMMISSION EXPIRES FEBRUARY 1, 2021 My commission expires: {00276679.DOC /} ,44=fn� k' A-0 Person authorized o administ oaths (County Clerk and Recorder, Clerk of the Court, Notary Public, Chairman of the Board or any other person authorized to administer oaths) Title: �j► Colorado Special Districts Property and Liability Pool Comprehensive Crime Certificate Holder Declaration Master Coverage Policy Number: CCP0037259 Certificate Number: 31058122-710 Named Member: Eagle River Water & Sanitation District 846 Forest Rd Vail, CO 81657 Coverage Period: 1/1/2019 Until Cancelled Billing Period: 1/1/2019 to 1/1/2020 Broker of Record: Covered ERISA Plan: Covered DesL'gnated Agent(s): Coverage. Limits of Insurance and Deductibles Limits Public Employee Dishonesty Coverage: $100,000 - 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: $100,000 Theft, Disappearance, and Destruction Coverage: Inside Premises $100,000 Outside Premises $100,000 Computer and Funds Transfer Fraud Coverage: $100,000 Debit, Credit or Charge Card Forgery Coverage: $100,000 Money Orders and Counterfeit Paper Currency Coverage: $100,000 Fraudulent Impersonation Coverage: $100,000 Crime Deductible: $500 Fraudulent Impersonation Deductible: 20% of Fraudulent Impersonation Limit Contribution: $944.94 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 CR 25020506 Include Designated Agents as Employees, when listed CR 04171115 Fraudulent Impersonation 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: Thursday, November 15, 2018 Entity ID#: 58122