Expiration Date: 01-Jan-18. The following discounts are applied or available (Not applicable to minimum contributions):

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1 Entity: Greenwood Village, CO Invoice #: 30C Coverage: General Liability Auto Liability Non-Owned / Hired Auto Liability Auto Physical Damage Hired Auto Physical Damage Excess Liability Property Earthquake Flood Entity ID: Public Officials Liability Equipment Breakdown Comprehensive Crime and ID Recovery Extension Effective Date: 01-Jan-17 Expiration Date: 01-Jan-18 Broker Jan Elliott 384 Inverness Parkway Invoice Date: 08-Nov-16 : $ $1, $ $65.00 $2, $ Deferred Program INVOICE Date: 08-Nov-16 Suite 170 Ancillary Lines and/or Reinstatement Charge Englewood, CO $4, (Direct Discount Applied) The following discounts are applied or available (Not applicable to minimum contributions): - An 8% Multi Program Discount for participation in the Pool's Workers' Compensation Program has been applied. - A 7.06% Continuity Credit has been applied Payment Due Upon Receipt Payment evidences acceptance of this coverage. Please send a copy of this Invoice with Remittance. NOTE: Terms of the Intergovernmental Agreement require timely payment to prevent automatic cancellation of coverage. Only the Colorado Special Districts Property and Liability Pool Board of Directors can extend the cancellation provision. Please Remit to: Colorado Special Districts Property and Liability Pool PO Box 1539 Portland, OR Toll Free: / Fax:

2 Entity: Greenwood Village, CO Invoice #: 30C Coverage: General Liability Auto Liability Non-Owned / Hired Auto Liability Auto Physical Damage Hired Auto Physical Damage Excess Liability Property Earthquake Flood Entity ID: Public Officials Liability Equipment Breakdown Comprehensive Crime and ID Recovery Extension Effective Date: 01-Jan-17 Expiration Date: 01-Jan-18 Broker Jan Elliott 384 Inverness Parkway Invoice Date: 08-Nov-16 : $ $1, $ $65.00 $2, $ Deferred Program Date: Remittance 08-Nov-16 Suite 170 Ancillary Lines and/or Reinstatement Charge Englewood, CO $4, (Direct Discount Applied) The following discounts are applied or available (Not applicable to minimum contributions): - An 8% Multi Program Discount for participation in the Pool's Workers' Compensation Program has been applied. - A 7.06% Continuity Credit has been applied. Payment Due Upon Receipt Payment evidences acceptance of this coverage. Please send a copy of this Invoice with Remittance. NOTE: Terms of the Intergovernmental Agreement require timely payment to prevent automatic cancellation of coverage. Only the Colorado Special Districts Property and Liability Pool Board of Directors can extend the cancellation provision. Please Remit to: Colorado Special Districts Property and Liability Pool PO Box 1539 Portland, OR Toll Free: / Fax:

3 Annual Comparison of 2017 and 2016 contributions. Loss Ratios based on participation years from 2009 to 2016 Year $4, $4, Difference $35.66 % Difference 0.80% General Liability TOE Equipment Breakdown $ $255, $ $266, Difference ($12.43) % Difference -1.43% ($10,560.00) -3.97% Difference % Difference Auto Liability Auto Count Crime $ $ $ $ Difference % Difference 0.00% Difference % Difference 0.00% Auto Physical Damage TIV Public Officials Liability EE Count $65.00 $1, $65.00 $1, Difference % Difference 0.00% Difference % Difference 0.00% 0 Property incl IM & XI TIV Excess Liability $2, $458, $2, $458, Difference $48.09 % Difference 2.32% Loss Ratio 19.84% 0.00% Difference % Difference Earthquake Flood No Fault $63.52 $61.58 Difference Difference Difference $1.94 % Difference % Difference % Difference 3.15% Loss Ratio 0.00% Loss Ratio % 11/8/2016 Loss Ratio is valued as of 10/31/2016

4 Child27: Excess Liability Options Proposal For 2017 This Proposal Does Not Bind Coverage This report demonstrates what it would cost your district to increase coverage from your current limit of liability to higher coverage limit(s). For questions please call Anne, Julie, or Sandy at Named Member: Certificate Number: 30C Excess Limit Annual Excess Change in $1,000, $ $ $2,000, $ $ $3,000, $ $ $4,000, $1, $1, $5,000, $1, $1, $6,000, $1, $1, $7,000, $1, $1, $8,000, $2, $2, Note: This is not your Coverage Document. It was created solely for informational purposes. Tuesday, November 08, 2016 Page 1 of 1

5 Deferral Program Public Entity Liability and Auto Physical Damage Certificate Holder Declaration Master Coverage Document Number: PEL Certificate Number: 30C Coverage Period: 1/1/2017 to 1/1/2018 Named Member: Greenwood Village, CO Broker of Record: 384 Inverness Parkway Englewood, CO Coverage is provided only for those coverages indicated below for which a contribution is shown. Public Entity Liability Coverage incl.: General Liability Employee Benefits Admin. Liability Public Officials Liability Employment Practices Liability Excess Liability Auto Liability Non-Owned/Hired Auto Liability Uninsured/Underinsured Motorist Auto Physical Damage Coverage Per Occurrence Annual Aggregate Deductible Medical Payments - Premises Pre Loss Legal Assistance No-Fault Water & Sewer Backup Cyber Liability Fiduciary Liability Medical Payments - Auto Hired Auto Physical Damage Auto Physical Damage - Employee Deductible Reimbursement Included Included Included $50,000 None $10,000 None None None N/A None None $1,000 N/A $500/$500 $ Included $1, $65.00 $2, *Employment Practices Liability Deductible: 50% of loss including Indemnity and Legal Expenses subject to a maximum deductible of $100,000 each occurrence. 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 Public Entity Liability Coverage Document. This Certificate represents only a brief summary of coverages. Please refer to the Master Coverage Document for actual coverage, terms, conditions, and exclusions. None **Cyber Liability and Fiduciary Liability each have a $1,000,000 All Member Annual Aggregate Limit. Additional Endorsements applicable to Member: $2,000,000 None Included Included None * $100,000 Included $2,000 $4,000 None Included $5,000 Per Premises, $150,000 Per Occurence $200,000 $200,000 ***$500,000 $500 Included **$200,000 **$200,000 $1,000 $1,000 N/A N/A N/A Included Included Included None None $ N/A ***No-Fault Water & Sewer Backup has $500,000 All Member Annual Aggregate Limit $2,500 N/A None Included Countersigned by: Tuesday, November 08, 2016 Authorized Representative Entity ID#: 60707

6 Property Certificate Holder Declaration Deferral Program Master Coverage Document Number: CSDPL ARP Certificate Number: 30C Coverage Period:1/1/2017 to 1/1/2018 Named Member: Broker of Record: 384 Inverness Parkway Englewood, CO Greenwood Village, CO Amount of Coverage Per Occurrence: $458,304 Reported Buildings, Business Personal Property, Other Scheduled Item, and EDP per Schedule. $250,000 Business Income including Extra Expense/Rental Income unless a higher limit is specified on Schedule. $0 Portable Equipment, Mobile Equipment, and other Inland Marine Scheduled items. $0 Excess of $2,000,000 Earthquake Limit per occurrence and annual aggregate per Property Schedule. $0 Excess of $2,000,000 Flood Limit per occurrence and annual aggregate per Property Schedule. Flood Zone A and Flood Zone V are subject to $50,000,000 per occurrence and all member annual aggregate limit. Locations Covered: Report of Values: Perils Covered: Per Schedules on file. Property in Course of Construction must be shown on the Schedule to be covered. Annual Statement of Values must be submitted and additions/deletions are to be reported as they occur. Risk of Direct Physical Loss subject to the terms, conditions, and exclusions in the Master Property Coverage Document. Deductibles: : $2, $500 Per Occurrence, except where noted on Member's Schedules Earthquake - 2% Per Occurrence of the value of the covered damaged property at the time of loss, subject to a $5,000 minimum and $50,000 maximum. Flood - 2% Per Occurrence of the value of the covered damaged property at the time of loss, subject to a $5,000 minimum and $50,000 maximum. Additional Endorsements applicable to Member: 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 Property Coverage Document. This Certificate represents only a brief summary of coverages. Please refer to the Master Coverage Document for actual coverage, terms, conditions, and exclusions. Countersigned by: Tuesday, November 08, 2016 Authorized Representative Entity ID#: 60707

7 Deferral Program Master Policy Number: PPE G Certificate Number: 30C Named Member: Greenwood Village, CO Claims-Made Coverage: Colorado Special Districts Property and Liability Pool Pollution Liability Certificate Holder Declaration COVERAGE A: New Pollution Conditions (Premises) Insurance Carrier: ACE American Insurance Company Coverage Period: 1/1/2017 to 1/1/2018 Broker of Record: 384 Inverness Parkway Englewood, CO "Claims", "remediation costs", and associated "legal defense expenses", in excess of the deductible, arising out of a "pollution condition" on, at, under, or migrating from a "covered location", provided the "claim" is first made, or the "insured" first discovers such "pollution condition", during the "policy period". COVERAGE B: Covered Operations Pollution Conditions Coverage "Claims" and associated "legal defense expenses", in excess of the deductible, arising out of a "pollution condition" resulting from "covered operations", provided the "claim" is first made during the "policy period". Limits: $1,000,000 $5,000,000 Per "Pollution Condition" Aggregate All Pollution Conditions - Shared All Members Deductible: Retroactive Date: Defense Costs: Partial List of Exclusions: Policy Forms: $1,000 Per "Pollution Condition" January 1, 2009 Coverage A (Covered Locations) January 1, 2010 Coverage B (Covered Operations) Defense and Settlement Reduces the Limit of Liability Asbestos; Contractual Liability; Divested Property; Fines and Penalties; Fungi and Legionella; Known Conditions; Landfills or Recycling Facilities; Lead Based Paint; Underground Storage Tanks; War or Terrorism. PF-29206a (08/10) - Public/Educational Entity Pollution Liability Insurance Policy PF-24573c - Fungi and Legionella (Bodily Injury Only) Endorsement PF-27900e - Catastrophe Management Coverage Endorsement PF Notice of Cancellation (120 days) Endorsement PF Basic Extended Reporting Period (90 days) Endorsement PF Colorado Amendatory Endorsement (AAIC PE PPL) PF (01/08) - Terrorism Risk Insurance Act Endorsement TRIA11b (01/08) - Disclosure Pursuant to Terrorism Risk Insurance Act Underground Storage Tanks covered only with completed application, underwriter approval and additional contribution. Coverage is only available to members who have scheduled property with the Pool. 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 ACE American Insurance Company. This Certificate represents a brief summary of coverages. Please refer to the Master Coverage Document for all coverage, terms, conditions, and exclusions. Countersigned by: Tuesday, November 08, 2016 Authorized Representative Entity ID#: 60707

8 Comprehensive Crime Certificate Holder Declaration Master Coverage Policy Number: CCP Certificate Number: 30C Named Member: Greenwood Village, CO Covered ERISA Plan: Covered Designated Agent(s): Coverage, Limits of Insurance and Deductibles Public Employee Dishonesty Coverage: - Limit is Per Loss - Faithful Performance of Duty - Officers, Directors, and Trustees - Welfare and Pension Plan ERISA Compliance if Covered Plan is shown on application - Volunteer Workers as Employees Forgery or Alteration Coverage: Theft, Disappearance, and Destruction Coverage: Inside Premises Outside Premises Crime Deductible: $100 Deferral Program Coverage Period: 1/1/2017 Until Cancelled Billing Period: 1/1/2017 to 1/1/2018 Broker of Record: 384 Inverness Parkway Englewood, CO Fraudulent Impersonation Deductible: 20% of Fraudulent Impersonation Limit : $ Policy Forms: Limits $5,000 $5,000 $5,000 $5,000 Computer and Funds Transfer Fraud Coverage: $5,000 Debit, Credit or Charge Card Forgery Coverage: $5,000 Money Orders and Counterfeit Paper Currency Coverage: $5,000 Fraudulent Impersonation Coverage: $5,000 CR Government Crime Policy CR Include Specified Directors or Trustees on Committee as Employees CR Include Specified Non-Compensated Officers as Employees CR Include Volunteer Workers as Employees CR Add Faithful Performance of Duty CR Include Treasurers or Tax Collectors as Employees CR Colorado Changes CR Debit, Credit or Charge Card Forgery CR Include Designated Agents as Employees, when listed CR Fraudulent Impersonation 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 Comprehensive Crime Policy. This Certificate represents only a brief summary of coverages. Please refer to the Master Policy Document for actual coverage, terms, conditions, and exclusions. Countersigned by: Tuesday, November 08, 2016 Authorized Representative Entity ID#: 60707

9 Identity Recovery Certificate Holder Declaration Deferral Program Master Coverage Policy Number: CP IDR Form Certificate Number: 30C Coverage Period: 1/1/2017 Until Cancelled Named Member: Broker of Record: 384 Inverness Parkway Englewood, CO Greenwood Village, CO Member: Coverage: All permanent employees and District Board members participating in the Colorado Special Districts Property and Liability Pool; Special District Association of Colorado staff and Board of Directors. Reimbursement coverage for expenses arising from a defined Identity Theft event. Including: legal fees for answer of civil judgements and defense of criminal charges; phone, postage, shipping fees; notary and filing fees; credit bureau reports; lost wages; child/elder care and mental health counseling. This coverage does not reimburse the member for monies stolen or fraudulently charged to the member, and excludes loss arising from the members fraudulent, dishonest or criminal act. Limits: Sub Limits: $25,000 Case Management Service Expenses Legal Costs $5,000 $1,000 $1,000 Annual Aggregate Limit Per Member Does not reduce the limit available Reduces the limit available Lost Wages and Child/Elder Care Mental Health Counseling Miscellaneous Expenses Coverage Trigger: Coverage is provided on a discovery basis with a 60-day reporting requirement Claims: For Recovery Assistance and Counseling, please call Insurance Carrier: The Hartford Steam Boiler Inspection and Insurance Company 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 Identity Recovery Coverage Policy. This Certificate represents only a brief summary of coverages. Please refer to the Master Coverage document for actual coverage, terms, conditions, and exclusions. Countersigned by: Tuesday, November 08, 2016 Authorized Representative Entity ID#: 60707

10 Deferred Program General Liability Schedule Policy Year: 1/1/2017 to 1/1/2018 Fill in the amount for any item that applies to your district. This information is required for rating purposes. 30C * Operating Expense does not include debt services or capital expenditures Per Occurrence Deductible: Agent: Code Description Unit Amount Effective Date Expiration 60001P Number of Skate Board Parks 60002P Number of Diving Boards 60003P Number of Water Slides Maximum Bond Issued Number of Bonds Issued Day Care Operations - Annual Payroll F Number of EMT Personnel Number of Non-EMT Volunteers 60032F Paid Firefighters - (Not EMT) 60034F Class 1 Boats - Under 26' Pipe Line - Under Drain Miles S Pipe Line - Sewer / Storm Drainage Combined Miles 60039W Pipe Line Miles Number of Teachers 60070P Number of Golf Courses Number of Go Cart Tracks Additional First Named Members Operating Expenses - Any other 255, Operating Expenses - Park & Recreation Operating Expenses - Cemetery Operating Expenses - Soil & Water Conse Operating Expenses - Vector Operating Expenses - Hospital / Health Operating Expenses - Drainage Operating Expenses - Library Operating Expenses - Water Control Operating Expenses - Fire / Ambulance Operating Expenses - Water Operating Expenses - Irrigation Operating Expenses - Sanitation Operating Expenses - Transit Operating Expenses - Improvement Operating Expenses - Sanitation MW Discounted Buildings & Premises Occupied by District Sq. Ft Number of Homes in Home Owner's Association Number of Aboveground Storage Tanks (excluding water tanks) Number of Paid Firefighters - Full-Time Number of Paid Firefighters - Part-Time Number of Volunteer Firefighters Number of Paid EMT - Full-Time 0 Date Tuesday, November 08, 2016 Page 1

11 Deferred Program General Liability Schedule Policy Year: 1/1/2017 to 1/1/ C Number of Paid EMT - Part-Time Number of Board Members Number of Permanent Employees - Full-Time Number of Permanent Employees - Part-Time Payroll W Water Delivered Annually - Millions of Gallons MGAL 60414P Playground/parks (Area) Acres 60415P Number of Grandstands/Stadiums Vacant Land Acres Miles of Road Maintained Miles W Number of Ponds, Lakes & Reservoirs 60550F Fire Department Area Served Sq Miles 60671P Number of Parks Dams - Class 1 - Low Hazard - Acre-Feet Acre Ft Dams - Class 1 - Low Hazard - Number of Dams Count Dams - Class 2 - Med Hazard - Acre-Feet Acre Ft Dams - Class 2 - Med Hazard - Number of Dams Count Dams - Class 3 - High Hazard - Acre-Feet Acre Ft Dams - Class 3 - High Hazard - Number of Dams Count W Number of Spillways Services Contracted out to Others 215, P Revenue from use of Swimming Pools Number of Swimming Pools 60946S Number of Sewage Taps 60946W Number of Water Mains or Connections 60947S Sewer and/or Sanitation Line Maintenance (budget) 60947W Water Line Maintenance (budget) Number of district sponsored Events/Fundraisers - No Alcohol Serve Number of District sponsored Events/Fundraisers With Alcohol Ser Prior Acts Coverage Under a Previous Claims Made Policy Premium If your district has other exposures not common to all similar districts and not listed on the General Liability Schedule, such as: (airplanes, staff security people, bridges, day care centers, or boats) please list below. Certain activities may require a separate insurance policy. Description Unit Amount Expiration Date Effective Date Tuesday, November 08, 2016 Page 2

12 Property Schedule Policy Year: 1/1/2017 to 1/1/2018 Per Occurrence Deductible: $ Agent: Location/Premise Address / Description Construction Class Prot. Valuation Values Class Property Contrib. 30C Deferred Program Quake Contrib. Flood Contrib. Location/Premise#: 10 Meter/Backflow $25,000 each located throughout the Member District Arvada CO Unique #: Year Built: Sq. Feet: # Stories: 60707P Fire Resistive 4 Replacement Buildings: Term: 1/1/2017 to 1/1/2018 Contents: EDP: County: Arapahoe Ded: $ Business Inc: Flood Zone: UG Pipes: $1,183 $0 $0 Otherwise Classified: $255, Location/Premise#: One Monument W 76th and Quaker Street Arvada CO Unique #: Year Built: Sq. Feet: # Stories: 60707P Fire Resistive 4 Replacement Buildings: Term: 1/1/2017 to 1/1/2018 Contents: EDP: County: Arapahoe Ded: $ Business Inc: Flood Zone: UG Pipes: $142 $0 $0 Otherwise Classified: $30, Location/Premise#: West Pond Equipment and Liner Adjacent to 78th Drive Arvada CO Unique #: Year Built: Sq. Feet: # Stories: 60707P8438 Frame 4 Replacement Buildings: Term: 1/1/2017 to 1/1/2018 Contents: EDP: County: Arapahoe Ded: $ Business Inc: Flood Zone: UG Pipes: $518 $0 $0 Otherwise Classified: $111, Location/Premise#: East Pond Equipment and Liner Adjacent to 78th Drive Arvada CO Unique #: Year Built: Sq. Feet: # Stories: 60707P8437 Frame 4 Replacement Buildings: Term: 1/1/2017 to 1/1/2018 Contents: EDP: County: Arapahoe Ded: $ Business Inc: Flood Zone: UG Pipes: $280 $0 $0 Otherwise Classified: $60, Tuesday, November 08, 2016 Page 1

13 Property Schedule Policy Year: 1/1/2017 to 1/1/2018 Per Occurrence Deductible: $ Agent: Location/Premise Address / Description Construction Class Prot. Valuation Values Class Location/Premise#: Unique #: Year Built: Sq. Feet: # Stories: Term: County: Flood Zone: Ded: Buildings: Contents: EDP: Business Inc: UG Pipes: Otherwise Classified: Property Contrib. 30C Deferred Program Quake Contrib. Flood Contrib. Location/Premise#: Unique #: Year Built: Sq. Feet: # Stories: Term: County: Flood Zone: Ded: Buildings: Contents: EDP: Business Inc: UG Pipes: Otherwise Classified: s: Buildings: $2,123 $0 $0 Contents: EDP: Business Inc: UG Pipes: Otherwise Classified: $458, Minimum Property : $ Construction Class Options Fire Resistive Modified Fire Resistive Masonry Noncombustible Noncombustible Joisted Masonry Frame Valuation Options Actual Cash Value Replacement Cost Protection Class Fire Protection Class is determined by the level of fire protection in your area. Your local fire department should be able to tell you which Protection Class your property is in. Tuesday, November 08, 2016 Page 2

14 CERTIFICATE OF COVERAGE Certificate #: 5043 Administrator Colorado Special Districts Property and Liability Pool PO Box 1539 Portland, OR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE COVERAGE DOCUMENT. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE COVERAGE DOCUMENTS LISTED HEREIN. COMPANIES AFFORDING COVERAGE NAMED MEMBER Greenwood Village, CO Effective Date COVERAGES General Liability X X X X Commercial General Liability Public Officials Liability Employment Practices Occurrence COMPANY A COMPANY B COMPANY C COMPANY D This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Nothwithstanding any requirement, term or condition of any contract or other document with respect to which the certificate may be issued or may pertain, the coverage afforded by the coverage documents listed herein is subject to all the terms, conditions and exclusions of such coverage documents. CO LTR A, B Type of Coverage Coverage # Effective Date Expiration Date 30C * Except that for claims, occurrences or suits to which the monetary limits of the Colorado Governmental Immunity Act, C.R.S , et. seq., as amended, apply, there shall be a further sublimit of (a) $350,000 for an injury to any one person in any single occurrence; and (b) $990,000 for an injury to two or more persons in any single occurrence; but in the event of an injury to two or more persons in any single occurrence, the sublimit shall not exceed $350,000 for each injured person. Colorado Special Districts Property and Liability Pool General Reinsurance Corporation Colorado Special Districts Property and Liability Pool General Aggregate Each Occurrence * Limits Unlimited $2,000,000 Automobile Liability Each Occurrence * Scheduled Autos Hired Autos Non-Owned Autos Auto Physical Damage Scheduled Autos Hired Autos Excess Liability Other Than Umbrella Form General Aggregate Each Occurrence * Property DESCRIPTION: Certificate Holder is an additional covered Member for coverages noted hereunder but only with respect to liabilities that are covered by the Pool s coverage document for the Member District. Subject to the provisions and limitations contained in C.R.S The Pool will limit any amounts to the monetary limits and sublimits of the Colorado Governmental Immunity Act, C.R.S et. Seq., as amended, would apply to the Covered Member. CERTIFICATE HOLDER Spring Mesa Homeowners Association c/o Stillwater Community Management 5690 Webster Street, Suite 100 Arvada, CO CANCELLATION:SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Joseph E. DePaepe Date: 11/8/2016