HomeMy WebLinkAboutLeeds Notice of Appointment Oath and BondAt a noticed meeting on the date of, hebruary R. 2022, pursuant to Section 32-1-905(3), C.R.S.,
the Board of Directors of the Bellyache Ridge Metropolitan District appointed the following
eligible elector to fill a vacancy on the Board of Directors:
Name: Elizabeth Leeds
Mailing Address: P.O. Box 609
Vail, CO 81658
This appointment will expire at the next regular election in May of 2022.
1� /- ) JAZ
Board Ch rs signature
(00330712.D0C /)Per C.R.S. § 32-1-905(3) All appoinhncnts shall be avidenood by an approprinte entry in the minutes of the
meeting, and the board shall cause a notice of appointment to he delivered to the persrm so appointed. A duplicate of each notice
of appointment, together with the mailing address of the person so appointed, shall be forwarded to the division.
Revised 12/16?01t
BOARD OF DIRECTOR
OATH OF OFFICE
32-1-901, C.R.S-, and
Colorado Constitution Article 12, §9
STATE OF COLORADO
EAGLE COUNTY
BELLYACHE RIDGE METROPOLITAN
DISTRICT
I, Elizabeth Leeds, do 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
Bellyache Ridge Metropolitan District upon which I am about to enter to the best of my ability.
Subscribed and sworn to before me this 80, day of February, 2022.
Elizabeth e s
(PArson authorized to adpfinister oaths, i.e.
County Clerk an Recorder, Cterk of
the 9burt, Chairman of the
Board of Directors. or any other person authorized
to administer oaths)
IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED.
STATE OF COLORADO
COUNTY OF EAGLE
ss.
)
Subscribed and sworn to before me this _ day of 2022-
(notary signature)
Ma1ill
0104
UNITED FIRE & CASUALTY COMPANY
P.O. Box 73909
Cedar Rapids, IA 52407-3909
Phone: 800-877-5002
UNITED FIRE & CASUALTY COMPANY
118 2nd Ave SE
Cedar Rapids, IA 52401
COMMERCIAL POLICY
COMMERCIAL LINES POLICY
28302037 ***
This is not a bill. You
will be billed separately
when premium is due.
BELLYACHE RIDGE
C/O ROBERTSON & MARCHETTI
28 2ND ST UNIT 213
EDWARDS CO 81632-8137
ENCLOSED IS YOUR COMMERCIAL POLICY.
YOU WILL RECEIVE YOUR BILLING,
IF ANY, SEPARATELY.
M
*01060200*
UNITED FIRE & CASUALTY COMPANY
PO Box 73909, Cedar Rapids, IA 52407
ACCOUNT NUMBER:3000106048
DIRECT BILL -
0104
POLICY NUMBER: 2 8 3 0 2 0 3 7
:sSt,E DATE 0 8 -12 - 2 0 21 VD REPLACEMENT of 0104 28302037
POLICY SUMMARY
NAMED BELLYACHE RIDGE METROPOLITAN DISTRICT
AGENCY BCODE 020533
INSURED C/O ROBERTSON & MARCHETTI PC
CANYON INS & FINANCIAL SVCS
AND
PO BOX 1947
ADDRESS 28 2 N D S T UNIT 213
EDWARDS CO 81632-8137
RIFLE CO 81650
POLICY FROM: 10-06-2021
TO: 10-06-2022
PERIOD:
The insurance afforded under any coverage part is only in the amounts and to the extent set forth in such coverage part, subject to all terms of the policy
having reference thereto.
COMMERCIAL POLICY
COVERAGE PARTS
PREMIUMS
PUBLIC OFFICIALS ERRORS & OMISSIONS
$ 627.00
TOTAL ADVANCE PREMIUM
$ 627.00
This Policy Summary supersedes and replaces any preceding
X
summary bearing the same policy number for this policy period.
(COUNTERSIGNED BY AUTHORIZED REPRESENTATIVE)
IL70181292
INSURED COPY
*02060210*
POLICY NUMBER: 28302037
ST 16"01 12
Want to view your policy, billing and claims information online?
Need to pay your bill or report a claim?
Visit our website at www.ufgPolicy.com today.
As a United Fire Group policyholder, you have online access to your policy, billing and claims information at
www.ufgPolicy.com- 24 hours a day, seven days a week. With improved tools, simpler navigation and enhanced content,
finding the information you need on our website has never been easier.
At www.ufgPolicy.com, you can accomplish a lot in a few clicks:
• View your insurance policy and other important forms
• Pay your bill
• Register for monthly EFT or RBP ,
• Turn off paper copies of your bill
• Request billing email alerts
• Report a claim and view previously submitted claims
• Read safety tips and information, including loss control materials
You also have the option of using Express Bill Pay to pay your bill online without logging on to our website - a great
timesaving tool.
So, if you never had reason to go to www.ufgPolicy.com before, now would be a good time to check or rather "click" it out.
A brief registration process is required. If you need assistance, contact Web Help at 1-800-895-6253 between 8 a.m. and
4:30 p.m. CT Monday through Friday.
0
a
a
ST16440112
*03060220*
UNITED FIRE & CASUALTY COMPANY
PO Box 73909, Cedar Rapids, IA 52407
ACCOUNT NUMBER:3000106048
0104
POLICY NUMBER: 28302037
DIRECT BILL - 150
ISSUEDATE 08-12-2021 VD REPLACEMENT OF0104 28302037 DECLARATIONS RENEWAL EXTENSION
1. NAMED BELLYACHE RIDGE METROPOLITAN DISTRICT
AGENCY BCODE 020533
INSUREDC/0 ROBERTSON & MARCHETTI PC
CANYON INS & FINANCIAL SVCS
AND
PO BOX 1947
2. MAILING 28 2ND ST UNIT 213
ADDRESS 3 7
RIFLE CO 81650
3. POLICY 12:01 A.M. Standard time FROM: 10 — 0 6 — 2 0 21 TO: 10 — 0 6 — 2 0 2 2
PERIOD:
And for successive policy periods as stated below.
We will provide the insurance described in this policy in return for the premium and compliance with all applicable policy provisions. If we elect to continue this
insurance, we will renew this policy if you pay the required renewal premium for each successive policy period, subject to our premiums, rules and forms then in
effect. You must pay us prior to the end of the current policy period or else this policy will expire, after appropriate notices are mailed to you. An insufficient funds
check is not considered payment.
CLAIMS MADE POLICY. THIS POLICY IS LIMITED TO LIABILITY FOR ONLY THOSE CLAIMS THAT ARE FIRST MADE AGAINST THE INSURED
DURING THE POLICY PERIOD. PLEASE REVIEW THE POLICY CAREFULLY.
4. LIMITS OF LIABILITY:
Each Claim $ 11000,000
Aggregate $ 2,000,000
5. DEDUCTIBLE AMOUNT: $ 5,000
RETROACTIVE EXCLUSION CLAUSE: IT IS AGREED THIS POLICY WILL NOT PAY ON
BEHALF OF THE INSURED ANY SUMS FOR WHICH THE INSURED SHALL BECOME LEGALLY
OBLIGATED TO PAY IN CONNECTION WITH ANY CLAIM OR SUIT BY REASON OF ANY
NEGLIGENT ACT, ERROR OR OMISSION COMMITTED OR ALLEGED TO HAVE BEEN
COMMITTED PRIOR TO 10-06-1986.
PUBLIC OFFICIALS ERRORS & OMISSIONS $ 627
Forms
SEE UW7002
AMEND REASON:
PREMIUM FOR THIS COVERAGE PART $ 627
Endorsement Adjustment Premium $
This Declarations Page together with any forms specified
X
hereon, supersedes and replaces any preceding declarations
(COUNTERSIGNED BY AUTHORIZED REPRESENTATIVE)
page bearing the same policy number for this policy period.
EO 70 01 01 00
INSURED COPY
0
*04060230*
a14
0104 10-06-2021
POLICY NUMBER: 28302037
FORMS SUPPLEMENTAL DECLARATIONS
The following coverage form(s) govern coverage that is not limited to any
specific state even though they are specifically listed in only one state in
the declarations.
Other Forms
Applicable to the state of Colorado
*E07001(01-00) E & 0 DECLARATIONS
E07009(06-00) PUBLIC OFFICIALS E&O CLAIMS MADE FORM
E07055(04-05) FUNGI OR BACTERIA EXCL
E07095(04-05) EXCL-ELECTRONIC DATA FOR PUBLIC OFFICIALS
E07099(04-05) AMENDATORY POLLUTION END -PUBLIC OFFICIALS
*SPECEND(00-00) SPECIAL END
*ST1644-(01-12) POLICY WEBSITE STUFFER
UW 70 02 04 96
INSURED COPY
a
*05060240*
ENDORSEMENT 28302037 SPEC END
(0000)
ADDITIONAL INSURED ENDORSEMENT
IT IS AGREED THAT THE FOLLOWING IS NAMED AS AN ADDITIONAL INSURED
UNDER THIS POLICY:
BELLYACHE RIDGE HOMEOWNERS ASSOCIATION
IT IS FURTHER AGREED THAT NAMING THE ABOVE AS AN INSURED DOES NOT
SERVE TO INCREASE THE COMPANY'S LIMITS OF LIABILITY AS SPECIFIED IN
THE DECLARATIONS OF THIS POLICY.
� 24 All other terms, conditions, limitations and agreements of the policy remain unchanged.
ELT SPEC END
(0000)
*06060250*