HomeMy WebLinkAbout2023 GEFPD Oath of Office & Crime Cert - David SoltvedtDISTRICT COURT, EAGLE COUNTY, STATE OF COLORADO Eagle County Justice Center 885 Chambers Avenue P.O. Box 597 Eagle, CO 81631 Phone Number: 970-328-6373 IN RE THE MATTER OF GREATER EAGLE FIRE PROTECTION DISTRICT ♦ COURT USE ONLY A Robert G. Cole Case No.: 1988CV2564 Collins Cole Flynn Winn Ulmer 165 S. Union Blvd., Suite 785 Lakewood, Colorado 80228 Telephone: (720) 617-0080 Div.: Ctrm.: E-Mail: rcole@cogovlaw.com Attorney Reg. No.: 15943 OATH OF OFFICE I, David Soltvedt, 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 Greater Eagle Fire Protection District upon which I am about to enter to the best of my ability. STATE OF COLORADO ) as. COUNTY OF EAGLE ) Subscribed and swom to before me this day of May, 2023, by Person authorized to administer oaths (County CAROL KATHLEEN LAWN Notary Public Clerk and Recorder, Clerk of the Court, Court state or Colorado Judge, Notary Public, any Officer of the Board or Notary I 419964016448x5-0an M Commission n eires tree 4-2ox8 person designated the oar, or an Y di d b P g by Board, Y other person authorized to administer oaths) Title: Administration/ HR My commission expires: 05/04/2026 {00745352.DOCX/ 1 !—o"11 GREAEAG•01 �FII(aQpy A`o/70 CERTIFICATE OF LIABILITY INSURANCE IE IMMmDmnl THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polleyles) must have ADDITIONAL INSURED provisions or be endorsed. N SUBROGATION IS WAIVED, Subject to the terms and conditions ofthe policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PR0OUCE0. &RAJACT TCW Risk Management 38411Wernoss Parkway Suite 170 Englewood, CO 80112 PHONE uc. nw E%1: 303 FAx 368-15717 Ne:303)3685863 [ .tcwlnf0 WilSmiat.com INSURERS AFFORDING COVERAGE NAIC INSURER A: Intact Insu ance Public Entities 20621 INSURED INSURERS: INSURER C: Greater Eagle Fire Protection District P O Box 961 Eagle, CO 81631 INSURER D: INSURER E: INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IXSR TYPE OF INSURANCE SUN. BaB POLICY NUMBER POUWYEFF POUcyKP LIMITS LOMMERCNLGEXEMLUMBILIFY CIAIW-MADE ❑OCCUR EACH OCCURRENCE TO RENIEp OPMAMICERE MED EXP S PERSONAL S AOV INJURY GENL AGGREGATE UNLIT APPLIES PER: PIXICY�JrmE0. �LOC O GENERAL AGGREGATE PRODUCTS-COMP/CPAGG $ AUTOMOBILE W&IIrT ANY AUTO OWNEHEWA -TOS ONLY AUTOSULEO AUTQ40NLV AVT09 aNEO (XIMBINED LIMIT BODILY INJURY Pmrexn S RCOILY INJURY Pera¢iCenl PROaE ANAGE UMBRELLA LMB EXCESS ME -CUR CLAIMBMADE EA HOCCURRENCE AGGREGATE DEO I I RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIA&LRY YIN ANY p�ILP�OR�PdRIETOWPPRTNEP/E%ECOTIYE ❑ AFFICE %RTARINEED9 pAMMM' XMI D tleec,ibe uMm Drime(I N FOP N9 belax N/A PER OTH- EL. EACH ACCIDENT $ E.L. DISEASE-EAEMPLOY EL.-POLICY LIMIT A Burg Crime (Includes Burg 7910018600004 1H0/2023 1/10/2024 it Limit 100,000 DESCRIPTION OF OPERATIONS I LOLATION81 VEHICLES (ACORD 101, AEtllOonal Rammo S,:bWuM, may be Mched M more sate I. maulmd) Coverage applies to all Employees, Volunteers, Board Members and Treasurers Faithful Performance of Duty is Included SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Colorado Department of Local Affairs THE EXPIRATION DAM ACCORDANCE WITH THE PO THEREOF,LICY NOTICE WILL BE DELIVERED IN Division of Local Government • Special Districts 1313 Sherman St., R. 021 Denver, CO 80203 AUTHORIZED REPRESENTATIVE, The ACORD name and logo are registered marks of ACORD