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HomeMy WebLinkAbout2023 CFMD Oath of Office - Laura CampbellCrime Certificate Holder Declaration Master Coverage Document Number: J05931794 Insurer: Federal Insurance Company (Chubb) Certificate Number: 23PL-60290-2316 Coverage Period: 1/1/2023 to EOD 12/31/2023 Named Member:Broker of Record: Confluence 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:$10,000 · 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:$10,000 Client Theft:$10,000 Forgery or Alteration:$10,000 On Premises:$10,000 In Transit:$10,000 Computer System Fraud:$10,000 Funds Transfer Fraud:$10,000 Debit, Credit or Charge Card Fraud:$10,000 Money Orders and Counterfeit Paper Currency Fraud:$10,000 Social Engineering Fraud:$10,000 Deductible(s): All Crime except Social Engineer Fraud:$250 Social Engineering Fraud: 20% of Social Engineering Fraud Limit Contribution: $176 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