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2021 EVC Committee Business Member Application W <br />CltyofPage 4 Of 5 Louisville <br />COLORADO • SINCE 1878 <br />All members serve without compensation. <br />• If appointed, you must attend at least 75% of the meetings; missing more <br />than 25% of the board meetings is cause for removal. <br />• The City may reject an applicant for any lawful reason. An appointed EVC <br />member may be removed during their term of office for cause as defined in <br />the City Charter, Resolution No. 16 Series 2009, and Resolution No. 59, Series <br />2016. <br />• All information on this application is public record and may be available for <br />public review. <br />• It is the policy of the City Council to make appoi <br />boards, commissions, committees, and task for <br />the City as well as the interests and qualificat <br />discrimination based on race, color, natio.111110I ori, <br />religious convictions, disability, age, orffllual qr <br />snts to the citizen <br />ased on the needs of <br />kpch applicant without <br />%kcestry, gender, <br />I certify the information in this application is t d complete. I understand <br />false statements, misrepresentations ission information in this application <br />may result in rejection of this applica ity xpressly authorized to <br />investigate all statements contained i is Lion. I consent to the release <br />of information about my qua ' ' 'ons is volunteer assignment by <br />employers, schools, and o in dual nd organizations to authorized <br />employees or agents of City v and release all parties for all liability <br />for any damage that may rom ishing such information. <br />In the event thatAFm <br />Committee, Bo1W or <br />rules, and regulat� <br />City of Louisville as a <br />compensation or ben <br />dlW#erve on a City of Louisville Task Force, <br />sion, I agree to comply with all of its ordinances, <br />derstand and agree to provide my services to the <br />er in a voluntary capacity and that I will receive no <br />r services provided. <br />I understand that I am NOT insured by the City of Louisville Worker's <br />Compensation Insurance and NOT covered by any Accident Medical Insurance <br />Policy while I am a volunteer with the City of Louisville. I authorize that all <br />necessary first aid steps may be taken as prescribed by qualified personnel. <br />I grant full permission to use any photographs, videotapes, recordings or any <br />other record of my volunteer participation as a Task Force, Committee, Board, or <br />Commission member. <br />BY SIGNING BELOW, I AGREE THAT I UNDERSTAND AND CONSENT TO THE ABOVE <br />STATEMENT: <br />Signature <br />Date <br />Agenda Packet P. 12 <br />