HomeMy WebLinkAbout2023 TRMD Oath of Office- Pearson5thry signture)
BOARD OF DIRECTOR
OATH OF OFFICE
§32-1-901, §24-12-101 et seq., C.R.S., and
Colorado Constitution Article 12, §9
STATE OF COLORADO
EAGLE COUNTY
TWO RIVERS METROPOLITAN DISTRICT
I, Mike Pearson, 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 Two
Rivers Metropolitan District upon which I am about to enter to the best of my ability.
Mike Pearson
Subscribed and sworn to before me this day of May, 2023.
By:
(Person authorized to administer oaths, i.e.
County Clerk and Recorder, Clerk of
the Court, 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
)ss.
COUNTY OF EAGLE
Subscribed and sworn to before me this. day of May, 2023 by Mike Pearson
KRISTEN NICHELLE PHELPS
NOTARY PUBLIC. STATE OF COLORAO
Notary ID #20224034178
My Commission Expires 8/3012026
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Crime Certificate Holder Declaration
Master Coverage Document Number: J05931794 Insurer: Federal Insurance Company (Chubb)
Certificate Number: 23PL-60242-3108 Coverage Period: 1/1/2023 to EOD 12/31/2023
Named Member:Broker of Record:
Two Rivers Metropolitan District NO BROKER
c/o Marchetti & Weaver, LLC
28 Second Street, Suite 213
Edwards, CO 81632
Covered Designated Agent(s):
Coverages and Limits:
Employee Theft:$50,000
· 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:$50,000
Client Theft:$50,000
Forgery or Alteration:$50,000
On Premises:$50,000
In Transit:$50,000
Computer System Fraud:$50,000
Funds Transfer Fraud:$50,000
Debit, Credit or Charge Card Fraud:$50,000
Money Orders and Counterfeit Paper Currency Fraud:$50,000
Social Engineering Fraud:$50,000
Deductible(s):
All Crime except Social Engineer Fraud:$250
Social Engineering Fraud: 20% of Social Engineering Fraud Limit
Contribution: $399
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
