HomeMy WebLinkAboutOath of Office - Thomas Behrens 2025Crime Certificate Holder Declaration
Master Coverage Document Number: J05931794 Insurer: Federal Insurance Company (Chubb)
Certificate Number: 25PL-60242-3037 Coverage Period: 1/1/2025 to EOD 12/31/2025
Named Member:Broker of Record:
Two Rivers Metropolitan District Highstreet 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:$100,000
· 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:$100,000
Client Theft:$100,000
Forgery or Alteration:$100,000
On Premises:$100,000
In Transit:$100,000
Computer System Fraud:$100,000
Funds Transfer Fraud:$100,000
Debit, Credit or Charge Card Fraud:$100,000
Money Orders and Counterfeit Paper Currency Fraud:$100,000
Social Engineering Fraud:$100,000
Deductible(s):
All Crime except Social Engineer Fraud:$500
Social Engineering Fraud: 20% of Social Engineering Fraud Limit
Contribution: $519
Policy Forms:
PF-52815 (04/20) The Chubb Primary℠ Commercial Crime Insurance
MS-372431 (02/24) Governmental Entity (Colorado Special Districts Pool) Endorsement
PF-53127 (02/21) Colorado Amendatory Endorsement
MS-371960.3 (09/23) Social Engineering Fraud Official Authorization Endorsement
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
