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Home My WebLink About2020 G Roberts Oath of Office1615.0011: 1041621 DISTRICT COURT, EAGLE COUNTY, COLORADO Court Address: 885 Chambers Avenue Eagle, Colorado 81631 Telephone: (970) 328-6373 ▲ COURT USE ONLY ▲ Petitioner: SIENA LAKE METROPOLITAN DISTRICT Attorney for Petitioner: Name: William P. Ankele, Jr., Esq. Trisha K. Harris, Esq. Address: WHITE BEAR ANKELE TANAKA & WALDRON Attorneys at Law 2154 E. Commons Ave., Suite 2000 Centennial, CO 80122 Phone: (303) 858-1800 Fax: (303) 858-1801 Email: wpankele@wbapc.com tharris@wbapc.com Atty. Reg. #: 12142, 34820 Case Number: 2001CV464 Division: Courtroom: BOARD OF DIRECTOR OATH OF OFFICE STATE OF COLORADO ) ) ss. COUNTY OF EAGLE ) I, George Roberts, do swear or affirm that I will support the Constitution of the United States, the Constitution of the State of Colorado, and the laws of the State of Colorado, and will faithfully perform the duties of the office of Director of the Siena Lake Metropolitan District upon which I am about to enter to the best of my ability. In accordance with § 32-1-901(2), C.R.S. the bond required to be filed at the time of filing of this oath is filed herewith as Exhibit A. Signature DocuSign Envelope ID: 38E15EF5-29BE-4E35-A9E7-4392DDD60173 1615.0011: 1041621 Subscribed and sworn to before me this ___day of , 20__. By: Officer of the Board of Directors IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED. STATE OF COLORADO ) ) ss. COUNTY OF ) Subscribed and sworn to before me this __________ day of _______________, 20__ by ______________________. (S E A L) My commission expires: Notary Public DocuSign Envelope ID: 38E15EF5-29BE-4E35-A9E7-4392DDD60173 1615.0011: 1041621 EXHIBIT A Director Bond DocuSign Envelope ID: 38E15EF5-29BE-4E35-A9E7-4392DDD60173 Comprehensive Crime Certificate Holder Declaration Master Coverage Document Number: CR 00 26 11 15 Insurer: Fidelity and Deposit Company of Maryland Certificate Number: POL-0002763 Coverage Period: 1/1/2020 to EOD 12/31/2020 Named Member:Broker of Record: Siena Lake Metropolitan District c/o Marchetti & Weaver LLC 28 Second Street, Suite 213 Edwards, CO 81632 Covered ERISA Plan: Covered Designated Agent(s): Coverage Limits: Public Employee Dishonesty Coverage:$5,000 Limit is Per Loss Faithful Performance of Duty Officers, Directors, and Trustees Welfare and Pension Plan ERISA Compliance if Covered Plan is shown Volunteer Workers as Employees Forgery or Alteration Coverage:$5,000 Theft, Disappearance, and Destruction Coverage:$5,000 Inside Premises Outside Premises Computer and Funds Transfer Fraud Coverage:$5,000 Debit, Credit or Charge Card Forgery Coverage:$5,000 Money Orders and Counterfeit Paper Currency Coverage:$5,000 Fraudulent Impersonation Coverage:$5,000 Crime Deductible:$100 Fraudulent Impersonation Deductible: 20% of Fraudulent Impersonation Limit Contribution: $135 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: Authorized Representative