HomeMy WebLinkAbout2020 Lewensten - OathofOffice12thMay
EVIDENCE OF BOND
The Tower Center Metropolitan District hereby provides evidence of a bond for the above
named director in satisfaction of the requirements of Section 32-1-901(2), C.R.S., attached hereto as
Exhibit A and incorporated herein by this reference.
Item 1.Name of Insured:
(the "Insured")
Principal Address:
Item 2.Bond Period to .
Item 3.Limit of liability does not exceed the sum specified in the Schedule of named Positions or written acceptances
by the Company as to each Position there listed.
I.INSURING AGREEMENT
The RLI Insurance Company,an Illinois corporation (the "Company"),in consideration of an agreed premium is
held and firmly bound unto
of ,,Obligee,for the faithful discharge of the duties of any Public
Official or Employee while occupying any position named in the schedule attached,or added thereto by written
acceptance of the Company as to said position after the day of ,.
II.CONDITIONS
A.Coverage.Automatic coverage is granted for the first thirty days service of any Public Official or Employee:
(1)Occupying a newly created position identical with one listed in the schedule of positions,in an equal
amount.
Provided,however,that the automatic coverage herein granted shall be void and of no effect from the
beginning,unless during the said thirty day period the Obligee has requested in writing that the position be
added to the schedule,and the Company by written acceptance has consented thereto.
Coverage on any position may be increased or decreased upon written request of the Obligee,if agreed to in
writing by the Company.
B.Cancellation.Cancellation hereunder is effective,and all liability under this bond shall cease as to future acts
or omissions as to any Public Official or Employee on the date specified in written notice given by the Obligee
to the Company as to any or all positions or Public Officials or Employees,or after thirty days'written notice
given by the Company to the Obligee of its intent to cancel this bond in its entirety,or as to any Public Official
or Employee or position.
C.Liability.The Company's liability under this bond shall not be cumulative,and in no event shall the Company
be called upon to pay as a loss hereunder in an amount greater than the largest single amount for which the
position occupied by any Public Official or Employee causing such loss is or has been covered in the schedule,
whether said loss occurred during any one or more years.The liability of the Company for any Public Official or
Employee occupying more than one position at one time,or at different times,shall not exceed the largest
amount of coverage specified for any single position occupied by said Public Official or Employee.The liability
of the Company shall never exceed the amount in effect for the position when the act
OFF 0102 (2/93)Page 1 of 3 Pages
Continuous Until Cancelled
PUBLIC OFFICIAL POSITION
SCHEDULE BOND
Bond No.
RLI Insurance Company
P.O. Box 3967 Peoria IL 61612-3967
Phone: (309)692-1000 Fax: (309)683-1610
LSM1252492
Tower Center Metropolitan District
c/o Icenogle Seaver Pogue 4725 South Monaco Street, Suite 360
Denver, CO 80237
June 5, 2019
Tower Center Metropolitan District
Denver CO
5th June 2019
O0002304-30,30
EXHIBIT A
of the Public Official or Employee causing the loss shall have occurred.In the event there are more Public Officials
or Employees occupying the position covered in the schedule than are listed therein,the Company shall be liable
for such proportion of the amount of coverage as the number of Public Officials or Employees listed bears to the
number of Public Officials or Employees actually occupying the position when the loss occurred.
The Liability of the Company hereunder is subject to the terms and conditions of the following Riders,attached
thereto:
None of the specifications of this Bond shall be altered or waived,except in writing by the Company executed by its
President, Vice President, Secretary, Assistant Secretary or Treasurer.
Dated this day of ,.
By
OFF 0102 (2/93)Page 2 of 3 Pages
5th June 2019
RLI Insurance Company
Barton W. Davis Vice President
O0002304-30,30
SCHEDULE OF POSITIONS -EFFECTIVE THE DAY OF ,.
(If there is more than one position of like classification, list by number, thus: Cashier No. 1, Cashier No. 2)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Schedule
Number Bond AmountPosition LocationPosition Name No.
OFF 0102 (2/93)Page 3 of 3 Pages
Bond No.LSM1252492
5th June 2019
Treasurer 1 $ 5,000.00
Board Member 1 $ 1,000.00
Board Member 1 $ 1,000.00
Board Member 1 $ 1,000.00
Board Member 1 $ 1,000.00
Board Member 1 $ 1,000.00
O0002304-30,30
"All bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation shall be executed in the
corporate name of the Company by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,or
by such other officers as the Board of Directors may authorize.The President,any Vice President,Secretary,any Assistant
Secretary,or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds,policies or
undertakings in the name of the Company.The corporate seal is not necessary for the validity of any bonds,policies,
undertakings,Powers of Attorney or other obligations of the corporation.The signature of any such officer and the
corporate seal may be printed by facsimile."
A0006817
Bond No.Know All Men by These Presents:
That the ,a corporation organized and existing under the laws of the State of
,and authorized and licensed to do business in all states and the District of Columbia does hereby make,
constitute and appoint:in the City of ,State of
,as it's true and lawful Agent and ,with full power and authority
hereby conferred upon him/her to sign, execute, acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds
and undertakings in an amount not to exceed Dollars
()for any single obligation,and specifically for the following described bond.
Principal:
Obligee:
Type Bond:
Bond Amount:
Effective Date:
The further certifies that the following is a true and exact copy of a
Resolution adopted by the Board of Directors of ,and now in force to-wit:
IN WITNESS WHEREOF,the has caused these presents to be executed by
its with its corporate seal affixed this day of ,.
Jean M. Stephenson
SS
Notary Public
By:
}CERTIFICATE
By:
By:
Corporate Secretary
I,the undersigned officer of
do hereby certify that the attached Power of Attorney is in full force
and effect and is irrevocable;and furthermore,that the Resolution of
the Company as set forth in the Power of Attorney,is now in force.In
testimony whereof, I have hereunto set my hand and the seal of the
this day of ,.
State of Illinois
County of Peoria
On this day of ,,before me,a Notary Public,
personally appeared ,who being by me
duly sworn,acknowledged that he signed the above Power of Attorney as the
aforesaid officer of the ,
and acknowledged said instrument to be the voluntary act and deed of said
corporation.
POWER OF ATTORNEY
RLI Insurance Company
9025 N. Lindbergh Dr. Peoria, IL 61615
Phone: 800-645-2402
LSM1252492
RLI Insurance Company
Illinois
Barton W. Davis Peoria
Illinois Vice President
Five Hundred Thousand and 00/100
$ 500,000.00
Tower Center Metropolitan District
Same as Principal
Public Official Position Schedule Bond
$ 10,000.00
June 5, 2019
RLI Insurance Company
RLI Insurance Company
RLI Insurance Company
Vice President 5th June 2019
RLI Insurance Company
Barton W. Davis Vice President
June 2019Barton W. Davis RLI Insurance Company
RLI Insurance Company
RLI Insurance Company
June 2019
RLI Insurance CompanyGretchen L. Johnigk
5th
5th