HomeMy WebLinkAbout2023 GEFPD Oath Cert of Appt & Bond - Patrick KeefeDISTRICT 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 Robert G. Cole Collins Cole Flynn Winn Ulmer 165 S. Union Blvd., Suite 785 Lakewood, Colorado 80228 Telephone: (720) 617-0080 E-Mail: rcole@cogovlaw.com Attomev Rea. No.: 15943 A COURT USE ONLY Case No.: 1988CV2564 Div.: Cttm.: I, Patrick Keefe 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 ) ss. COUNTY OF EAGLE ) Subscribed and sworn to before me this 'X day of May, 2023, by Person authorized to administer oaths (County CARDNotary Public LAWN Clerk and Recorder, Clerk of the Court, Court Stets of tla Not ", ID#i9904878!!8 8B84 Judge, Notary Public, any Officer of the Board or M Commiession Ex fires OBA4R8Y8 any person designated by the Board, or any other person authorized to administer oaths) Title: Administration / HR My commission expires: 05/04/2026 IN745352.DOCX/ ) R�i C -f ®�M � I IIf, At a noticed meeting on the date of, May 17, 2023pursuant to Section 32-1-905(3), C.RS., the Board of Directors of the Greater Eagle Fire Protection District appointed the following eligible elector to fill a vacancy on the Board of Directors: Name: Patrick D. Keefe Mailing Address: P.O. Box 314 Eagle, CO 81631 This appointment will expire at the next regular election in 25. ' Ed eterson Board Chair's Signature Per C.R.S. § 32-1-905(3) All appointments shall be evidenced by sm appropriate entry in the minutes of the meeting, and the board shall cause a notice of appointment to be delivered to the person so appointed. A duplicate of each notice of appointment, together with the mailing address ofthe person so appointed, shall be forwarded to the division. Revised 0910912019 VRCry GMVVI Q °AT116120 lao- R CERTIFICATE OF LIABILITY INSURANCE 3 vuzoza 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: R the certificate holder Is an ADDITIONAL INSURED, the policy([") must have ADDITIONAL INSURED provisions or be endorsed. N SUBROGATION IS WAIVED, subJeet to the terms and conditions W the policy, certain policiec may require an endorsement. A statement on this certificate does not confer ri hts to the certificate hostler In lieu of such endoreemerd s . PRODUCER CT TCW Risk Management 384 Inverness Parkway Suite 170 Englewood, CO 90112 vxoxE c xa, Ear: 303 368-5757 Fpx uy.., 303 368.5863 .tcwird ilconins.com INSURE AFFORDRIG GE pICA INSURERA: Intact Insurance Public Entities 20821 WsuRm wsuaEa e: Greater Eagle Fire Protection District P O Box 961 Eagle, CO 61631 INSURERC: INSURER o: INSURER E: INSURER F: ._... _.. ...__. _. ,.wmrvnn Dort: _. Cl;; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDNAMED 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. I,IRXER TYPE OF INSURANCE AOOL INS. eUBR Ev.1 POLICY NUMBER POLICYFFF POLICY EXP RE MBS LLNNLBY CIAIM$MiDE OCCUR EgGX CLCURRENCE DAMAGE TO RENTED MED E P M mre f N,CMMEK�GENE PERSONA-&ADVINJURY $ GEMLAGGREGIT 1p"pIITAI IESFER: POLICY�jECi LOC OTHER: GENERPLAGGREGATE PRODUCTS-CIXAyQP AGO 8 AUTOMOBILE UABLITY MY AUTO FUTOSONLY AAUTOOBWLED WNW C"EM �p Al1TOa ONLY pIIT0 COMBINED SINGLE LI UT BODILY INJURY M amem BODILY INJURY PermtlEent fAOMFFM h MACE UMBRELLA LMB EXCESS LIAR OCCUR OLAIMB-MADE EACHOCCURRENCE s /kGGREGATE DED RETENTION$ WOPo(ERS COMPENRO'LCOMPENSATIONOX AHO EMPLOYEABILITY YIN AANNYPROMRIIETTO�RRRARTNEIUE%ELUTVE Iganv=' nXXI EFCLuoEoa ❑ Nyv eamameP b1 DE RI NOF OPERPT Oekw N/w FSIOO186ND04 IIIWZU23 1110/2024 PER OTH- [L [nCN nccloeur - EL.D1EASE-EA EMPLOYE E.L. DISEASE- POLICY LIMIT LImR 100,000 A Come(Includes BurO °ESCRIMOX W OPEMTIMSI LOCATNIMS I VEHKLES (ACCG° 101, ACtllBonal Remaha ScheAule, maybe aRechW if mam space is mquima, 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 DATE THEREOF, NOTICE WILL BE DELIVERED IN Division of Local Government -Special Districts ACCORDANCE WITH THE POLICY PROVISIONS. 1313 Sherman St., Rm 821 Denver, CO 80203 AUINDRNED REPRESENTATIVE rJ, / ^ �`) � F--4 ACORD 25 (20161031 The ACORD name and logo are registered marks of ACORD