HomeMy WebLinkAbout2022 M DeMane Oath of Office & Insurance DISTRICT COURT, EAGLE COUNTY, COLORADO Address: Eagle County Justice Center 885 Chambers Avenue Eagle, Colorado 81631 Telephone: 970-328-6373 ▲ COURT USE ONLY ▲ PETITIONER: IN RE THE MATTER OF THE BACHELOR GULCH METROPOLITAN DISTRICT Attorneys for Petitioner: Kenneth S. Fellman, #11233 Colleen E. McCroskey, #55411 3773 Cherry Creek N. Drive, Suite 900 Denver, CO 80209 Telephone: 303-320-6100 Facsimile: 303-327-8601 Email: kfellman@kandf.com; colleen@kandf.com Case Number 1994CV000238 Division 3 OATH OF OFFICE FOR MICHAEL F. DEMANE AND EVIDENCE OF BOND FOR BACHELOR GULCH METROPOLITAN DISTRICT I, Michael F. DeMane, 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 upon which I am about to enter to the best of my ability. By: Michael F. DeMane, Director Subscribed and sworn to before me this __ day of May, 2022. By: Mike Leeds, President of the Board of Directors Bachelor Gulch Metropolitan District Subscribed and sworn to before me this __ day of May, 2022. By: Designee of the District Pursuant to Section 24-12-103, C.R.S., the courts, judges, magistrates, referees, clerks, and deputy clerks within their respective districts or counties; a person designated by the governing body, or any officer thereof; and notaries public within any county of this state have the power to administer all oaths or affirmations of office. EVIDENCE OF BOND The Bachelor Gulch 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. EXHIBIT A Evidence of Bond Crime Certificate Holder Declaration Master Coverage Document Number: J05931794 Insurer: Federal Insurance Company (Chubb) Certificate Number: POL-0009738 Coverage Period: 1/1/2022 to EOD 12/31/2022 Named Member:Broker of Record: Bachelor Gulch Metropolitan District TCW Risk Management c/o Marchetti & Weaver, LLC 384 Inverness Parkway 28 Second Street, Suite 213 Edwards, CO 81632 Suite 170 Englewood, CO 80112 Covered Designated Agent(s): Coverages and Limits: Employee Theft:$5,000 · Limit is maximum for each loss · Employee includes executives, full-time, part-time, seasonal, leased and temporary employee(s), interns or non-compensated volunteer. · Includes funds from a sponsored benefit plan. Public Official Faithful Performance of Duty:$5,000 Client Theft:$5,000 Forgery or Alteration:$5,000 On Premises:$5,000 In Transit:$5,000 Computer System Fraud:$5,000 Funds Transfer Fraud:$5,000 Debit, Credit or Charge Card Fraud:$5,000 Money Orders and Counterfeit Paper Currency Fraud:$5,000 Social Engineering Fraud:$5,000 Deductible(s): All Crime except Social Engineer Fraud:$100 Social Engineering Fraud: 20% of Social Engineering Fraud Limit Contribution: $135 Policy Forms: PF-52815 (04/20) The Chubb Primary℠ Commercial Crime Insurance PF-52853 (04/20) Governmental Entity (Colorado Special Districts Pool) Endorsement PF-53127 (04/20) Colorado Amendatory Endorsement PF-52851 (04/20) Add Corporate Credit Card Coverage 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 Crime Policy. This Certificate represents only a brief summary of coverages. Please refer to the Master Policy Documents for actual coverage, terms, conditions, and exclusions. Countersigned by: Authorized Representative