HomeMy WebLinkAbout2023 BGMD Oath of Office - Michael DeMane Subscribed and sworn to before me this 24th day of May, 2023. By: Mike Leeds, President of the Board of Directors Bachelor Gulch Metropolitan District Subscribed and sworn to before me this __ day of May, 2023. 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: 23PL-60633-2797 Coverage Period: 1/1/2023 to EOD 12/31/2023 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