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Home My WebLink About2020 SCMD Oath of Office M Trueblood 05.11.2020Named Member:Broker of Record: Smith Creek Metropolitan District c/o Marchetti & Weaver, LLC 28 Second Street, Suite 213 Edwards, CO 81632- Coverage No.Entity ID Effective Date Expiration Date Invoice Date POL-0001596 60730 1/1/2020 EOD 12/31/2020 11/19/2019 Coverage Contribution General Liability $ 200.00 Public Officials Liability $ 200.00 Total Contribution 400.00 The following discounts are applied (Not applicable to minimum contributions): 10% Direct Discount Please include a copy of the invoice with your check. Please Remit Payment to: Colorado Special Districts Property and Liability Pool PO Box 1539 Portland, OR 97207-1539 Payment Due Upon Receipt Payment evidences acceptance of this coverage. NOTE: Terms of the Intergovernmental Agreement require timely payment to prevent automatic cancellation of coverage. Only the Colorado Special Districts Property and Liability Pool Board of Directors can extend the cancellation provision. Date: 11/19/2019 Public Entity Liability and Auto Physical Damage Certificate Holder Declaration Master Coverage Document Number: PEL 01 01 20 Certificate Number: POL-0001596 Coverage Period: 1/1/2020 to EOD 12/31/2020 Named Member:Broker of Record: Smith Creek Metropolitan District c/o Marchetti & Weaver, LLC 28 Second Street, Suite 213 Edwards, CO 81632- Coverage is provided only for those coverages indicated below for which a contribution is shown. Coverage Per Occurrence Limit Annual Aggregate Limit Deductible Contribution Public Entity Liability Coverage including:$2,000,000 None General Liability Included None None $200 Medical Payments - Premises No Coverage No Coverage N/A No Coverage Employee Benefits Admin. Liability Included None None Included Public Officials Liability Included None $2,500 $200 Employment Practices Liability Included None *$100,000 Included Pre Loss Legal Assistance No Coverage No Coverage N/A No Coverage No-Fault Water & Sewer Backup No Coverage No Coverage N/A No Coverage Cyber Liability No Coverage No Coverage N/A No CoverageFiduciary Liability No Coverage No Coverage N/A No CoverageExcess Liability - Coverage agreements A,B,C,D No Coverage No Coverage N/A No CoverageAuto Liability No Coverage No Coverage N/A No CoverageMedical Payments – Auto No Coverage No Coverage N/A No CoverageNon-Owned/Hired Auto Liability No Coverage No Coverage N/A No CoverageUninsured/Underinsured Motorist No Coverage No Coverage N/A No CoverageAuto Physical Damage No Coverage No Coverage N/A No CoverageHired Auto Physical Damage No Coverage No Coverage N/A No CoverageAuto Physical Damage - Employee Deductible Reimbursement No Coverage No Coverage N/A No CoverageTotal Contribution 400.00 *Employment Practices Liability Deductible: 50% of loss including Indemnity and Legal Expenses subject to a maximum deductible of *$100,000 each occurrence. Additional Endorsements applicable to Member: ~Current Member Inactive Special District Status Date: 11/19/2019 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 CSD Pool - Inactive Status 01 01 20 Page 1 of 1 LIABILITY ENDORSEMENT Named Member Smith Creek Metropolitan District Endorsement CSD Pool - Inactive Status 01 01 20 Certificate Number POL-0001596 Effective Date of Endorsement 1/1/2020 Issued By Colorado Special Districts Property and Liability Pool This endorsement modifies coverage provided under the following: PUBLIC ENTITY LIABILITY CURRENT MEMBER INACTIVE SPECIAL DISTRICT STATUS PLEASE READ CAREFULLY This endorsement affords modified coverage under the Public Entity Liability Coverage Form to Named Member that is an "inactive special district" as defined in C.R.S. § 32-1-103(9.3). As a condition precedent to coverage as modified by this endorsement, the board of directors of the Named Member must have adopted a resolution of inactive special district status and filed notice of such status with the Division of Local Government pursuant to and for the purposes set forth under C.R.S. § 32-1-104(3)-(5), including initial notice of inactive status pursuant to C.R.S. § 32-1-104(3) and, for each year of inactive status thereafter, a notice of continuing inactive status pursuant to C.R.S. § 32-1-104(4). Section I - COVERAGE AGREEMENTS is amended to include the Named Member(s) identified on the Declarations as holding inactive special district status pursuant to and in compliance with C.R.S. § 32-1-103(9.3) and 32-1-104(3)-(5). Section I - COVERAGE AGREEMENTS is amended to provide that only Coverage A, Coverage B, Coverage C, and Coverage D apply. Coverage E, Coverage F, and Coverage G are deleted in their entirety. Section III - SUPPLEMENTARY PAYMENTS DEFENSE is amended to provide that A., B., C., D., E., F., G., and H. are deleted in their entirety. Section IV - ADDITIONAL COVERAGES is amended to provide that Additional Coverage A. through Additional Coverage J., inclusive, is deleted in their entirety. Coverage as modified by this endorsement is available only to a Named Member that is an "inactive special district" as defined by C.R.S. § 32-1-103(9.3), and only for such period Named Member holds inactive special district status in compliance with the requirements of said section and C.R.S.§ 32-1-104(3)-(5). Coverage under this endorsement ceases automatically 30 days after the date of return to active status by the Named Member whether or not the Colorado Special Districts Property and Liability Pool is notified; once notified the Pool will charge and collect the appropriate contribution. Renewal Documents and Invoice January 1, 2020 to EOD December 31, 2021 Acceptance of this coverage is evidenced only by payment of the enclosed invoice by January 1, 2020. Please review the attached Coverage Contribution instructions for details about your payment. The following renewal documents are enclosed where applicable: 1. Invoice: Payment is due upon receipt. Please return a copy of the invoice with your payment to ensure that it is applied correctly. 2. Coverage Declaration Pages: Limits and deductible descriptions for all coverage provided. Full coverage manuals are available on your dashboard or at csdpool.org/documents. 3. Schedules: The list of exposures and values. 4. Certificates of coverage: Originals are mailed directly to the Certificate Holders. 5. Automobile identification cards: Hard copies will be mailed. 6. Quote for Excess Liability limits: Limits of up to $8 million, in excess of the primary $2 million Liability limit, are available. We recommend higher limits primarily due to special districts’ unlimited liability to federal civil rights, discrimination, harassment, whistle blowing, and other employment-related practices 7. Net loss ratio comparison report by line of coverage: A comparison of losses over the last two years.