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HomeMy WebLinkAboutOath of Office May 2025 - James Werkmeister - signedCrime Certificate Holder Declaration Master Coverage Document Number: J05931794 Insurer: Federal Insurance Company (Chubb) Certificate Number: 25PL-60181-2711 Coverage Period: 1/1/2025 to EOD 12/31/2025 Named Member:Broker of Record: Chatfield Corners Metropolitan District NO BROKER c/o Marchetti & Weaver, LLC 28 Second Street, Suite 213 Edwards, CO 81632 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 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