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Home My WebLink About20122405.tiff RESOLUTION RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO HUGO BARRON SIERRA - SEPTEMBER 22 AND 23, 2012 WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, Hugo Barron Sierra, 14751 East County Line Road, Longmont, Colorado 80504, has presented to the Board of County Commissioners an application for a Permit for Temporary Assembly on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 10:00 a.m., until 6:00 p.m., on September 22 and 23, 2012, on property described as follows: 8804 County Road 25, Fort Lupton, Colorado 80621; being further described as Lupton Meadows Land Company, Division 3, Lots 1 thru 8; being part of Section 19, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has paid Weld County the sum of ONE-HUNDRED DOLLARS ($100.00) for said Weld County Permit for Temporary Assembly, and WHEREAS, having examined said application, the Board deems it appropriate to grant a Weld County Permit for Temporary Assembly to Hugo Barron Sierra, subject to the following conditions: 1. The applicant shall submit evidence of insurance, in the amount of $1 million general aggregate, and $500,000 for medical/per person. 2. The applicant shall complete an Incident Action Plan with the Weld County Office of Emergency Management to address items such as: on-call Veterinary services, EMT services, a Traffic Control Plan, trash removal, etcetera. WHEREAS, said permit shall be issued subject to compliance with the terms and conditions as set forth in the application materials and upon the express condition and agreement that the temporary assemblage will be conducted in strict conformity to all laws of the State of Colorado and the Weld County Code, and WHEREAS, any violation to said terms and conditions shall be cause for revocation of said permit and forfeiture of bond. C c: SO, oepl. 2012-2405 q-/8"/d LC0022 PERMIT FOR TEMPORARY ASSEMBLY - HUGO BARRON SIERRA PAGE 2 NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that said Weld County Permit for Temporary Assembly on September 22 and 23, 2012, be, and hereby is, granted to Hugo Barron Sierra to conduct a temporary assemblage at the hereinabove described location. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 10th day of September, A.D., 2012. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: .-___> Sean P. n ay, Chair Weld County Clerk to the Board 1_ W Wil i m . Ga • , Pro-T m , BY: ClCiY Jr�. c 7 � i /- G Deputy CI>f k to t �- Board, a►, ,(iv L _ n "d/f�-- a Kirkmeyer / - .vid E. Long F.0 Attorney - .- • • Dougl- Radema •er Date of signature: 9 H 1 a- 2012-2405 LC0022 WELD COUNTY PERMIT FOR TEMPORARY ASSEMBLY By action of the Board of County Commissioners of the County of Weld, State of Colorado, taken this 10th day of September, 2012, IT IS HEREBY GRANTED a permit for a temporary assemblage on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 10:00 a.m., until 6:00 p.m., on September 22 and 23, 2012, on property described as: 8804 County Road 25, Fort Lupton, Colorado 80621; being further described as Lupton Meadows Land Company, Division 3, Lots 1 thru 8; being part of Section 19, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado This permit authorizes Hugo Barron Sierra to hold such an assemblage so long as it is in accordance with Chapter 12 of the Weld County Code and all other applicable State and County statutes and regulations. This permit is subject to compliance with the terms and conditions as set forth in the application materials and to additional conditions set forth by the Board and attached hereto. PERMIT APPROVED this 10th day of September, 2012. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:''dt.- - :IS- P C Sean P on, - , -hair Weld County Clerk to the Board /1e i.. . Garcia, Pro-T- BY: erl Deputy Cleo to th oard .ti. ' Kirkmeyer isoi APP DASTO %"1 • A1 % . id E. Long C.t��/• orney ' 4' �e !ougl-s Rademac er Date of signature: A -lab- 1 NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2012-2405 LC0022 APPLICATION FOR TEMPORARY ASSEMBLY INSTRUCTIONS TO APPLICANT: Complete each section and mark "N/A"where not applicable. Additional sheets may be attached and maps, sketches or drawings may be substituted for the verbal description of plans for the assembly site. All required information must be furnished before the application will be processed. NAME:HUGO BARRON SIERRA AGE:50 RESIDENCE:8804 WCR 25, FORT LUPTON, COLORADO 80621 MAILING ADDRESS:SAME NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: (This must list all partners in a partnership, officers of an unincorporated association, society or group, or, if there are no officers, by all members of such association, society or group. IF A CORPORATION, ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION.) 1. Address and legal description of all property upon which the assembly is to be held:LMLC3 L2 LUPTON MEADOWS LAND CO DIV 3 VAC 8 REP L1 THRU 8 PT 19-2-66(.45) A. Name, residence and mailing address of the record owners of such property(Attach a notarized statement by the record owners of such property consenting to the assembly if application is not made by all of the record owners.) NAME: Hugo Barron Sierra RESIDENCE:8804 WCR 25, Fort Lupton,Colorado 80621 MAILING ADDRESS:14751 East County Line Road,Longmont,Colorado NAME: RESIDENCE: MAILING ADDRESS: 2012-2405 0:t oo'0 000000 0'00 000 000.00 0000 2. Nature or purposes of the assembly:SPECIAL EVENT AMETURE HORSE RACING 3. Dates and hours during which the assembly is to be held:September 22 and 23 10AM-6PM 4. Maximum number of persons to be allowed at assembly at any one time: 1500 5. The maximum number of tickets to be sold, if any:No tickets will be sold 6. Identify plans to limit number of persons to the maximum identified above: IF THE MAXIMUM LIMIT OF PERSONS IS MET,THE PROPERTY WILL BE CLOSED OFF BY SECURITY PERSONEL AND NO MORE PEOPLE WILL BE ALLOWED TO ENTER THE PROPERTY. 7. Identify plans for supplying potable (drinking) water, including the source, number, and location of facilities, and type and means of disposing of waste deposited: HAND WASHING STATIONS AND PORTABLE RESTROOMS WILL BE PROVIDED AND SET UP BY S&B PORTABLE RESTROOMS. (A COPY OF NUMBER AND UNITS TO BE SET UP IS ATTACHED) DRINKING WATER WILL BE SOLD BY VENDORS. 8. Identify the plans for holding, collecting, and disposing of solid waste materials: A TOTAL OF 40 55 GALLON TRASH CANS WILL BE SPREAD AROUND THE PROPERTY. 15 VOLUNTEERS WILL WALK THE PROPERTY COLLECTING TRASH AROUND THE PROPERTY.THE TRASH CANS WILL BE EMPTIED IN AN INDUSTRIAL TRASH CAN THAT IS ON THE PROPERTY YEAR ROUND WHICH IS USED TO DISPOSE TRASH FROM THE HORSE STALLS. 9. Identify the plans for providing separate toilet facilities for males and females, including the source, number, and location, type and the means of disposing of wastes deposited: PORTABLE RESTROOMS WILL BE PROVIDED BY S&B PORTABLE RESTROOMS. 15 REGULAR, 1 ADA (HANDICAP)AND 8 HAND WASHING STATIONS.THE RESTROOMS WILL BE LOCATED IN THE SPECTOR VENDOR AREA(PLEASE SEE ATTACHED SKETCH) 0:'00011 0000 0o o'Do 000 000.0 00 000 10. Identify the plans to provide for medical facilities, including the location and construction of any structures, the names, addresses, and hours of availability of emergency medical technicians and nurses and provisions for emergency ambulance service: THE MEDICAL PARAMEDIC SERVICES WILL BE PROVIDED BY WELD COUNTY PARAMEDIC SERVICES.ATTACHED IS AN EMAIL FROM MITCH WAGGY WITH THE TOTAL AMOUNT.FULL PAYMENT WILL BE MADE UPON PERMIT APPROVAL.970-353-5700 11. Identify the plans, if any,to illuminate the location of the assembly, including the source and amount of power,and the location of lamps:N/A 12. Identify the plans for parking vehicles, including size and location of lots, points of highway access and interior roads, including routes between highway access and parking lots: THER FARE PLENTY OF SPACES FOR PARKING.WE HAD NO ISSUES REGARDING POARKING AT LAST YEARS EVENT. CARS FLOWED THREW THE PROPERTY IN ONE DIRECTION. COUNTER CLOCKWISE.THERE WILL BE PARKING AVAILABLE FOR SPECTATORS AND HORSE PARTICIPANTS.THE PUBLIC WILL NOT BE ALLOWED TO PARK IN THE AREA WHERE THE HORSES ARE STATIONED.PLEASE SEE DIAGRAM. 13. Identify the plans for communications with hospital, police, and fire services, including the source, amount, and location of communication equipment: THE PLANS FOR COMMUNICATION POLICE, PARAMEDICS,Ect..WILL BE HANDLED BY J&J ESCORT AND SECURITY, INC.THERE ARE 2 PHONE LINES ON THE PROPERTY IF NEEDED.AND PROPERTY OWNER AND EVENT ORGANIZERS WILL HAVE AVAILABLE CELL PHONES AND RADIONS TO COMMUNICATE WITH ONE ANOTHER IN CASE OF AN EMERGENCY,. 14. Identify the plans for camping facilities, if any: N/A a:T00'9000000 0'00000 000.00 0000 15. Identify the plans for fire protection: THIS PLAN WILL BE DISCUSEED WITH ROY RUDISILL AND THE LOCAL FIRE DEPARTMENT. 16. Identify the plans for security, including the number of guards,their deployment,their names, addresses, credentials and hours of availability and description of peer group control,if any: SECURITY WILL BE PROVIDED BY J&J ESCORT AND SECURITY,INC.THEY PROVIDED SECURITY AT LAST YEARS EVENT AND HAVE PRIOVIDED SECURITY FOR SEVERAL EVENT LIKE THIS ONE. 17. Identify the plans for sound control and sound amplification, if any, including number, location, and power of amplifiers and speakers: WA 18. If applicable, identify plans for meeting County health standards for food concessions and concessionaires who will be allowed to operate on the grounds, including the names and addresses of all concessionaires and their license permit numbers: WE WILL HAVE TWO FOOD VENDORS WHO UNDERSTAND WELD COUNTY AND STATE HEALTH STANDARDS FOR FOOD CONCESSIONS. I HAVE ATTACHED THEIR LICENSE TO OPERATE AND THEIR SALES TAX LICENSE. 1)DIA Y NOCHE 830 LASHLEY STREET#G,LONGMONT,COLORADO 80504.2)TACOS QUINONEZ 5075 N.MILWAKEE STREET,DENVER, COLORADO 80216. 19. Identify the plans, if any, for an electrical system: WA 0:`000'0000000 D'CD 000 000.000 000 20. Identify the plans to ensure that trees, underbrush, large rocks, and other natural features shall be left intact and undisturbed, and natural vegetative cover retained, protected and maintained so as to facilitate drainage, prevent erosion, and preserve the scenic attributes; and the plans to abate dust on the site: WA 21. Attach a statement by a bonding company licensed to do business in the State of Colorado indicating its intent to furnish a bond required in Section 12-1-30.B.13 of the Weld County Code to ensure performance by the applicant of each of the terms and conditions of the temporary assemblage permit. 22. Attach a statement by an insurance company licensed to do business in the State of Colorado stating its intent to provide liability insurance,as required by Section 12-1-30.B.14 of the Weld County Code, to protect against injury to persons or property occurring as a result of such an assembly. 23. Submit$100.00 fee for each event where three-hundred fifty(350)or more people assemble or can reasonably by anticipated to assemble at any one(1) location, unless the location is properly zoned for such assembly, in which case one permit shall be required for the total number of events scheduled for that location for the reminder of the calendar year, not to exceed ten (10) events per year. As used herein, the term event means an assembly or anticipated assembly which is scheduled to last for three (3) consecutive days or less. BY THIS APPLICATION, APPLICANT(S) AGREES TO INDEMNIFY AND HOLD HARMLESS WELD COUNTY OR ANY OF ITS AGENTS,OFFICERS, SERVANTS,AND EMPLOYEES FROM ANY LIABILITY OR CAUSES OF ACTION WHICH MIGHT ARISE BY REASON OF GRANTING OF A TEMPORARY ASSEMBLAGE PERMIT,AND FROM ANY COSTS INCURRED IN DEFENDING AGAINST SUCH ACTIONS OR IN CLEANING UP ANY WASTE MATERIAL PRODUCED OR LEFT BY THE ASSEMBLY. 0:tin'0 Co co oo olio coo c coil o coon The applicant, and each of them, swears, (affirms) that, to the best of his knowledge, the statements contained in the application are true and correct.Applic ntss'signature 41/47;17. 4U (( O , r() /1 J1F✓y � Applicants printed name Applicant's position SUBSCRIBED AND SWORN to before me this /1 day of 1;\,_tQ, 20 Ja . Witness my hand and official seal. Notary. My commission expire : 17 loK/iz M:\CTB\CTBFORMS\FOASMBLY DOCdoc OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE 1, Scott Gessler, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, BARRON-MELENDEZ REAL ESTATE VENTURES, LLC is a Limited Liability Company formed or registered on 01/03/2001 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20011001202. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 08/03/2012 that have been posted, and by documents delivered to this office electronically through 08/07/2012 @ 08:27:42. I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, authenticated, issued, delivered and communicated this official certificate at Denver, Colorado on 08/07/2012 @ 08:27:42 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation Number 8309505. OF CC)/ .='_ • Con O 4 4s 87€: Secretary of State of the State of Colorado ******************************++ssrr*********End of Certificate*********************t********************** Notice:A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However, as an option,the issuance and validity of a certificate obtained electronically may be established by visiting the Certificate Confirmation Page of the Secretary of State's Web site, la://www.sos.state.co.us/biz/CertificateSearchCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information,visit our Web site, http://www.sos.state.co.us/click Business Center and select"Frequently Asked Questions." CERT GS_D Revised 08/20/2008 Property Profile - Print Page 1 of 4 Property Profile for Account#R7462698 August 7,2012 Account Information Account Parcel Space Account Type Tax Year Tax Area Buildings Actual Value Assessed Value R7462698 130919203002 Agricultural 2012 2228 2 393,770 92,670 Legal LMLC3 L2 LUPTON MEADOWS LAND CO DIV 3 VAC&REP L1 THRU 8 PT 19-2-66(.45R) Subdivision Block Lot Land Economic Area LUPTON MEADOWS LAND CO DIV#3 2 4209 FT LUPTON Property Address Property City Zip Section Township Range 880425 CR WELD 000000000 19 02 66 Owner Information Owner(s) Address Line 1 Address Line 2 City ST Zip BARRON-MELENDEZ REAL 14751 E COUNTY LINE ROAD LONGMONT CO 80504 ESTATE VENTURES LLC Document History Information Reception Rec Date Type Grantor Grantee Sale Date Sale Price 2573946 10/14/1997 WD HEIN RICHARD L JORDAN KENT L&NANCY B 10/10/1997 160,000 2850453 05/22/2001 WD JORDAN KENT L&NANCY B BARRON-SIERRA HUGO& 05/18/2001 510,000 BARRON MARGUERITA M BARRON-MELENDEZ REAL 3131787 12/03/2003 QCN BARRON-SIERRA HUGOB 12102/2003 0 ESTATE VENTURES LLC Building Information Building 1 ID Type NBHD Occupancy Built As Bedrooms Baths Rooms 1 Residential 4209 Single Family Residential on Ag Modular 1 Story 3 2 5 ID Square Ft Condo SF Total Basement SF Finished Garage SF Carport SF Balcony SF Porch SF Bsmt SF 1 1,960 0 0 0 0 0 0 164 ID Year Built %Complete Stories Perimeter Units Unit Type 1 1998 100 1 0 0 http://propertyprofile.co.weld.co.us/index.html?version=2&account=R7462698 8/7/2012 Property Profile- Print Page 2 of 4 ID Length Width Make 1 0 0 ID Exterior Roof Cover Interior HVAC 1 Frame Hardboard Composition Shingle Drywall Forced Air ID Detail Type Detail Description Units 1 Add On Swamp Cooler 1 1 Appliance Allowance 1 1 Fixture Bath 4 1 1 Fixture Bath 5 1 1 Fixture Therapy Tub Fair 1 1 Fixture Allowance 1 1 Porch Open Slab 144 1 Porch Wood Deck 20 Building 2 ID Type NBHD Occupancy Built As Bedrooms Baths Rooms 2 Out Building Horse Arena Horse Arena 0 0 0 ID Square Ft Condo SF Total Basement SF Finished Garage SF Carport SF Balcony SF Porch SF Bsmt SF 2 27,200 0 0 0 0 0 0 0 ID Year Built %Complete Stories Perimeter Units Unit Type 2 1998 100 1 672 0 ID Length Width Make 2 0 0 ID Exterior Roof Cover Interior HVAC 2 Pole Frame Metal Siding None ID Detail Type Detail Description Units Valuation Information Type Code Description Actual Value Assessed Value Acres Land SqFt http://propertyprofile.co.weld.co.us/index.html?version=2&account=R7462698 8/7/2012 Property Profile - Print Page 3 of 4 Land 4147 GRAZING LAND-AGRICULTURAL 2,867 830 38.220 1,664,863 Improvement 4277 FARM/RANCH RESIDENCE-IMPS 102,278 8,140 0.000 0 Improvement 4279 FARM RANCH SUPPORT BLDGS 288,625 83,700 0.000 0 393,770 92,670 38.220 1,664,863 Tax Information Tax Area District ID District Name Current Mill Levy Tax Year 2228 0100 WELD COUNTY 16.804 2012 2228 0208 SCHOOL DIST RE8 22.780 2012 2228 0301 NORTHERN COLORADO WATER(NCW) 1.000 2012 2228 0302 CENTRAL COLORADO WATER(CCW) 0.392 2012 2228 0309 CENTRAL COLORADO WATER SUBDISTRICT(CCS) 1.319 2012 2228 0506 FORT LUPTON FIRE 6.051 2012 2228 0530 FORT LUPTON FIRE(BOND 2022) 1.963 2012 2228 0700 AIMS JUNIOR COLLEGE 6.355 2012 2228 1050 HIGH PLAINS LIBRARY 3.271 2012 2228 1201 PLATTE VALLEY CONSERVATION 0.000 2012 59.935 Property Photo f --- - - --. ,,..1., T.1 , .. ,.„,, , ,,,,... r---1 ---1 1 ow , ,,,,,ill,ic.- t J1 ',J. ,,,•,.. III 'r4 .are r� t .r = r _ E, • � •�h7".. :s • 0 1,x'. IIIIIIIIIIIIIIIIIr '.+ r �k � , w�w-�3r r �.. Property Sketch http://propertyprofile.co.weld.co.us/index.html?version=2&account=R7462698 8/7/2012 My Map . . �. - � .,..„2„,„. t . . , .,.. I eall_ , , 4 .- t' �• ` a,. r t 1 0 Art -7 .r , ti Ilill , I ax. air �r � �„?R_ gal IS !{ is l pale it l47 kir e-r. _ I t ....... . 41%___:.._. -ear ♦ � 1 �— �• I t _ ____ ,. I I r r _ 17 l;, ....3�- * SM.. ,�r"'E•a�'e!' _ / - '. ,J hi . ,, 1 2 9'a i 1t - o Ilk N =�a z Copyright 2011 Weld County Government.All rights reserved. Tue Aug 7 2012 08:43:39 AM. David Simon Agency Phone:303-659-9065 Fax:000-726-3179 Fax To: Ismael Aldana Franc Farmers Union Insurance . Fax:303.662-5028 Pages: 2 Re: Horse Race/Sept 24 628 Date:August 17,2011 RE: Hugo Barron-Sierra Ismael, Attached is a copy of the quote which we have received today for the horse race in September. In order to obtain a Certificate of Insurance to provide to Weld County we will need Hugo?s signatures on the application(s)and payment in full. I have also mailed this to you. Regards, Stephanie Sena, CSR Office Email: BizBrdghton@gmail.com 420 Court Place, Brighton,CO 60601 D This fax was sent vie the Internet using SmartFax! -www.smartfax.com Burns & Wilcox /!I ('U!•�'n E,t(r-/]r lr('r' 9815 S Monroe Street,Suite 510,Sandy,UT 84070 Phone (801)432-5422 OR (800)523-1409 Fax (801)944-4893 TO: FARMERS UNION SERVICE DATE:8/28/2012 RE: Baron-Sierra,Hugo Page 1 of 2 WE ARE PLEASED TO OFFER THE FOLLOWING QUOTATION: LOCATION(S)OF RISK: 1. ,Fort Lupton,CO 80621 PROPOSED EFFECTIVE PERIOD: 09/22/2012 AT 1201 AM TO 09/24/2012 AT 12:01 AM STD TIME AT RISK LOCATION. FORM OF COVERAGE: COMMERCIAL GENERAL LIABILITY OCCURRENCE APPLICATION NO: APP308094161 INSURER(S): Line Of Business Supplier(s) Participation Commercial General Liablity Scottsdale Insurance Company 100.00% LIMITS/DEDUCTIBLES: Loc Sub Coverage Limit(s) Deductible(s) Co Ins 1 General Aggregate $500,000 $500 Per Claimant BI/PD 1 Products and Completed Operations $500,000 1 Each Occurrence $500,000 1 Personal and Advertising Injury $500,000 1 Medical Expense/Any One Person $5,000 1 Damage to Premises Rented to You/Each Occurrence $100,000 TOTAL CHARGES: 100%MINIMUM&DEPOSIT Premium: $ 500.00 Commercial General Liability TERM MINIMUM PREMIUM: Fee: S 50.00 Policy Fee(Fully Earned) 100 00%EARNED Tax: $ 16.50 Surplus Lines Tax-GenLlab MINIMUM PREMIUM= $500.00 TOTAL: $ 566.50 +$51.50 Fusa fee/tax; $618.00! COMMISSION: 10.00%OF PREMIUM --1 EXCLUSIONS: 05-09 CG 00 68 -RECORDING&DISTRIBUTION OF MATERIAL OR INFORMATION IN VIOLATION OF LAW EXCLUSION; UTS-267G 5-98 LEAD CONTAMINATION EXCLUSION, CG 21 47 12 07 EMPLOYMENT-RELATED PRACTICES EXCLUSION;IL 00 21 09 08 NUCLEAR ENERGY LIABILITY EXCLUSION:UTS-74G 8.95 PUNITIVE OR EXEMPLARY DAMAGE EXCLUSION; UTS-266G 05-98 ASBESTOS EXCLUSION,CG 21 67 1204 FUNGI OR BACTERIA EXCLUSION,CG 21 16 Exclusion—Designated Professional Services-Any and all professional exposures,CG 21 44 Limitation of Coverage to Designated Premises or Project,CG 22 58 Exclusion—Described Hazards(applicable to carnivals,circuses and fairs).GLS-5s Special Event Participant Exclusion,GLS-106s Total Liquor Liability Exclusion,GLS-227s Assault and/or Battery Exclusion, UTS-1199 Minimum Earned Premium Endorsement ENDORSEMENTS: 07-091lUTS-COVPG -COVER PAGE. 12-00nOPS-D-1 •COMMON POLICY DECLARATIONS. 12-95nUTS-SP-2 -SCHEDULE OF FORMS&ENDORSEMENT. HUTS-SP-3 •SCHEDULE OF LOCATIONS. 08-01 FICLS-SD-1 L -COMMERCIAL GENERAL LIABILITY COVERAGE PART SUPPLEMENTAL DECLARATIONS. 10-93nCLS-SP-11 -COMMERCIAL GENERAL LIABILITY COVERAGE PART EXTENSION OF SUPPLEMENTAL DECLARATIONS 12-07nCG 0001 -COMMERCIAL GENERAL LIABILITY COVERAGE FORM 10-07nUTS-128S- OPTIONAL PROVISIONS: MINIMUM&ADVANCE PREMIUM ENDORSEMENT;SERVICE OF SUIT 02-06n NOTX0178CW -CLAIM REPORT INFORMATION UTS-365S -AMENDMENT OF NON PAYMENT/CANCELLATION CONDITION CONDITIONS: PLEASE REVIEW THIS CAREFULLY AS IT MAY DIFFER FROM COVERAGES AND LIMITS REQUESTED. Bums&Wilcox to file tax/fees. Please lax/email signed terrorism disclosure and request to bind. Thank you very much. Terronsm a/p$100 not included in above. Burns & Wilcox 40 rears o 'Excellence 9815 S Monroe Street,Suke 510,Sandy,UT 84070 Phone'.(801)432-5422 OR (800)523-1409 Fax.(801)944-4893 TO: FARMERS UNION SERVICE DATE:8/28/2012 RE: Baron-Sierra, Hugo Page 2 of 2 I C NDVVC..VVCRNVCO ARC Int Weill 4VVCRNVCa Vrr cntu. ART lV VCRNUC ItClJULaItu IN I RCMYYLIIN hue MR I Vn'rCRJ FROM THE ABOVE IS NOT INCLUDED. THE INSURANCE IS SUBJECT TO THE TERMS,CONDITIONS,LIMITATIONS,AND FORMS OF THE POLICY(S)IN CURRENT USE BY THE COMPANY. PAYMENT: $516.50 DUE IN 30 DAYS FROM EFFECTIVE DATE. WE APPRECIATE YOUR BUSINESS. NO BINDING AUTHORITY IS CONVEYED TO ANY AGENT, FLAT CANCELLATIONS NOT ALLOWED. QUOTATION IS GOOD FOR 30 DAYS. B&W PRODUCER: Rod P Schroeder LIABILITY INFORMATION ibbupvyrc USE ACCOUNT NUMBER Indust. byre! r®elaydno month.I-'-day r year. DECEMBER 31 for all references county t city I „. . A0003316 0117 255.00 15-75053-0000 07 1/21/2010 _ - 1/10/2012 2012 _ This certifies that licensee shown hereon HIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: is authorized and licensed to engage in business in accordance with;the provisions of the law and regulations of The Colorado • Departinerd gf;Public Health and Environ- ment"Any;alterations made on this license will automatically-make it null and void. DIA Y NOCHE CAFE LLC DIA Y NOCHE HOT DOGS(MOBILE) 830 LASHLEY ST POST IN A LONGMONT CO 80504- ' CONSPICUOUS PLACE LICENSE ISSUED BY BOULDER COUNTY PUBLICHEALTH ♦ Detach Here• DIA Y NOCHE HOT DOGS(MOBILE) 830 LASHLEY ST LONGMONT, CO 80504- 1 << "'� ., CIT AND COUNTY OF DENVER V � : DIRECTOR OF EXCISE AND LICENSE I {!F� k 1 201 W.COLFAX AVE DEPT#206. �` r A� DENVER,COLORADO 80202 •! K "rid, }4 TELEPHONE:(720)865-2740 • BUST SS - PROFESSIONAL LICENSE POST IN CONSPICUOUS PLACE '. BUSINESS FILE NO.: 1050318 STATE LIC NO.: OP: CM ISSUE DATE APPLICATION DATE: 10/13/2010 10/19/2011 ARTURO QUINONE2 ' TACO'S QUINONE2 I EXPIRES 5075 N MILWAUKEE ST 10/18/2012 DENVER CO80216 LICENSE LICFEE APPFEE DATE PA D FUND/ORG REVENUE RETAIL FOOD MOBILE- 5125.00 $0.00 10/19/2011 010104001100 356000 • • • i s ly'iiw,,imetea>.. IT IS THE LICENSEES RESPONSIBILITY TO RENE PRIOR Ili SBFTII TO THE EXPIRATION DATE.IN ORDER TO AVOI PENALTY OR REAPPLICATION FEES AND ADDITIONAL NSF IONS. THIS LICENSE COVERS ONLY THOSE ACTIVITIES LISTED. CO NCE WITH ARTICLE I ! M1 IV OF CHAPTER 28 D.R.M.C.IS A CONDITION OF HIS PERMIT. l 'pT P APB l J.J. ESCORT & SECURITY, INC \I ® 6475 South Cody Street 303-933-4f.44 C°aeaoA Littleton, Colorado 80123 720-922-2; 04 fax July 23 2012 Mr.Hugo Barron Sierra 8804 Weld County Road 25 Ft Lupton, CO. 80621 RE: Event September 22th &23m, 2012 JJ Escort&Security Inc.will provide security for your event on September 220)& ::31h, 2012. Our company will provide eleven armed officers with radios and cell phones.Four officers will speak Spanish. Our officers have First Aid and CPR Training. Rate of $26:00 per hour per officer. We have received your deposit for services . This will be an Alcohol free event.Please post No Firearms and No Alcohol signs allowed at the gates. We are Licensed, Bonded and Insured. The Weld County Sheriff Office knows of c ur company. If you have any questions please contact me at 303 933 4544 or my cell 303 324 2216 JJ Escort&Security Inc. James A. Swaen CEO -- , n ACONyw DATE (MM/DDm J t.„---- CERTIFICATE OF LIABILITY INSURANCE 9/12/2012 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LUNI AL NAME DAVID SIMON INSURANCE (A/C,PHONE , Eat). ( 303 ) 659 - 9065 I vvc, No). ( 800 ) 726 - 3179 420 Court Place ADDRESS: bizbrighton@gmail . com Brighton , CO 80601 PRODUCER ID a INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A : Scottsdale Insurance Company Hugo Barron-Sierra INSURER B . 8804 WCR 25 INSURER C : Fort Lupton , CO 80621 INSURER D : INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 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. POLICY EFF POLICY EXP LTR TYPE OF INSURANCE MR MIDPOLICY NUMBER MM/DD/YYYY) (MM/DD/WCIY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 ,000, 000 HEN i EU ✓ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 100, 000 ICLAIMS-MADE I 1 I OCCUR MED EXP (Any oneperson) $ 5,000 A APP308094161 9/22/2012 9/24/2012 PERSONAL 5ADV INJURY $ 1 , 000 ,000 GENERAL AGGREGATE $ 1 , 000 ,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 1 ,000 ,000 ✓ POLICY Ii Pffi pi LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANYAUTO BODILY INJURY (Per person) $ ALLOWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS $ • $ I— UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB I CLAWS-MADE AGGREGATE $ DEDUCTIBLE $ y— RETENTION $ $ _ WORKERS COMPENSATION I WC STATU- 1 LOTH- AND EMPLOYERS' LIABILITY Y, N TORY LIMITS ER ANY NIA (MandatoryMIn NH) EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ It yes. describe under DESCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if morespace is required) Special Events Policy Two Day Horse Race Event held at 8804 WCR 25 Ft Lupton CO 80621 CERTIFICATE HOLDER CANCELLATION Hugo Barron-Sierra SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 8804 WCR 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Lupton , CO 80621 AUTHORIZED REPRESENTATIVE David .Simon I . © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD25 (2009/09) The ACORD name and logo are registered marks of ACORD °' 0 s •acc _j —9I-t-- a N k 0 of 8 / ect -7 j‘..1 IR ____9 lJ 3 'U6 z °' E---1:- IEU ot cal. a 4 rrk 6z 03 11) m — ? J 1 H I I 11 'd-. r_1 (Cn, C ❑ E. m I 0 7-t: N- iv7i t a { CI i I -1 ig 3 Q 1, .0,5 � \ _____ Lyi. it— T U --1 { v er J\ O U i.3 ll NC y" -t- o 2c--Y . J Ci - T Tonya Johnson From: Jonathan Gesick Sent: Thursday, August 09, 2012 2:59 PM To: Tonya Johnson Subject: RE: Temporary Assembly Permit Application - Hugo Barron Sierra No Concerns Jonathan D Gesick Plans Examiner/Building Inpsector Building Department 1555 N 17th Ave Greeley, CO 80631 tel: (970)353-6100 Ext. 3532 _ I t' r* = % x •u Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tonya Johnson Sent: Tuesday, August 07, 2012 9:18 AM To: Bethany Salzman; Dan Joseph; Janet Carter; Jeremy Frey; Jonathan Gesick; Lisa Carpenter; Roy Rudisill Cc: Brad Yatabe; David Clarke; Deb Adamson; Margie Martinez; Sara Evans; Tonya Johnson Subject: Temporary Assembly Permit Application - Hugo Barron Sierra The following applicant has submitted a request for a Temporary Assembly Permit, LC0022. Please provide any comments you may have before August 21,2012. A .pdf copy of the application materials is attached. Applicant: Hugo Barron Sierra 14751 East County Line Road Longmont, Colorado 80504 Thank you, Tonya (Disney)Johnson Clerk to the Board 1150 O StreetIPO Box 758IGreeley, Colorado 80632 Phone: 970-336-7215 x 5226 trjohnson@co.weld.co.us 1 MEMORANDUM To: Tonya Disney, Clerk to the Board August 10, 2012 IIFrom: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services COLORADO Subject: LC0022 Review of the following Temporary Assembly Permit by the Department of Planning Services shows the following: Type of Event: Amateur Quarter Horse Racing Applicant: Hugo Barron Sierra 14751 East County Line Road Longmont, CO 80504 Location of Event: 8804 CR 24, Weld County Lupton Meadows Land Company, Div 3, L1-8, S19-T2N-R66W Dates and Time of Event: September 22 and 23, 2012 10:00 AM-6:00 PM General Information: 1309-19-2-03-002 (consists of approximately 38.22+/-acres)and is zoned Agriculture, but is situated within Lupton Meadows Subdivision. Therefore,total number of LIVESTOCK(i.e. horses, cattle, etc)could not exceed 153(38.22 acres x 4= 153). History: VI-0600102-Single wide mobile home placed on property without any permits. Mobile home was removed, violation was closed. VI-0600222—Received 2(two)separate complaints of horse racing on the weekends. I contacted Mr. Barron, who indicated he was unaware of the noncompliance. Activity ceased, violation corrected. Comments: • According to my map, this property is entirely within the floodplain. • If additional events are desired, a Use by Special Review (USR) permit shall be required. • No overnight camping shall accompany this Temporary Assembly permit. Upon review of my case files and computer, no active violations were noted. SERVICE,TEAMWORK,INTEGRITY,QUALITY ,' 1861 Memorandum Ott_ C 0 N TO: Tonya Johnson --r FROM: Dan Joseph SUBJECT: Liquor license inquiry DATE: August 20, 2012 CC: Cindy Salazar; Debra Adamson In response to your request, Environmental Health Services has reviewed the Temporary Assembly Permit for Hugo Barron Sierra, located at 8804 CR 24, in Frederick, Colorado. After reviewing the application, the Department does not have any additional requirements or concerns. The Department is working with Hugo Barron on possible food vendors at the event. Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at dioseph(&co.weld.co.us. Thank you. cc: Cindy Salazar, Environmental Health Services Deb Adamson, Environmental Health Services To: Weld County Board of Commissioners From: Deputy Lisa Carpenter Date: August 28, 2012 RE: Hugo Barron Sierra Dear Commissioners, I spoke with Ismael Alsana and made the following recommendations for the special event amateur horse racing: 1. Shows on the map that a spot is reserved for 15 Portable Restrooms and 8 hand washing stations. A copy of the contract from S & B Portable Restrooms needs to be provided. 2. There is no documentation provided to show EMT's will be on site. 3. Landing Zone for Airlife needs to be shown on the map. 4. Water needs to be available for livestock. 5. Evidence on On-Call Veterinarian or a veterinarian on site during the events. 6. A current Certificate of Insurance needs to be provided. 7. A "No Alcoholic Beverages permitted on premises" sign needs to be posted. 8. A "No Firearms Permitted on premises" sign needs to be posted Ismael will provide the necessary documentation before the Temporary Assembly hearing. Respectfully Submitted, eputy Lisa enter Community Resource Officer Weld County Sheriff's Office 1950 "O" Street Greeley, CO 80631 TEMPORARY ASSEMBLY REVIEW FORM Date: August 7, 2012 TO: Lisa Carpenter/Jeremy Frey FROM: Clerk to the Board —Tonya Johnson SUBJECT: Temporary Assembly Site Check Please review all records on the following property for any associated reports during the last year and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering issuance of a Temporary Assembly Permit. A copy of the file will be attached in .pdf format, for your review. PLEASE RESPOND NO LATER THAN: August 21, 2012 ESTABLISHMENT: HUGO BARRON SIERRA 14751 EAST COUNTY LINE ROAD LONGMONT CO 80504 ***************************************************************r*** +** ******************************* No concerns LE:y Deputy's Initials The Sheriffs Office had a concern and the deputy has mutually worked with the property owner to correct the concern. (Complete Attached Worksheet) Unresolved concerns exist requiring a Probable Cause Hearing scheduled by the Board of County Commissioners. (Complete Attached Worksheet) *********************************************************************._***********<.><»**************** Please notify at Extension of the date and time of the Board of Commissioner's Temporary Assembly hearing. Temporary Assembly Worksheet The following concerns are noted: ( G,A� S �` /DG tr. C i`e u.iy v toil S4\Q A 21\\j � ftn 'v p - e,r cC r' `, t_ ne S '� O L� (,\_4L-ccj✓\f-A Cf �_V1C�4�CS cic chiv. LA_ QtaS 6a_'i i „A S )! ,o r\.\ cAN_c\ c\s\)._.& cti " {uo Y '��m cic,n.c 134_ /Jc CcA The property owner and the Sheriffs Office have collectively agreed to implement the following to correct concerns noted above: (A time line and corrective action should be listed for each concern) � - g - ice Property Owner, Please Print Date Property Owner Signature Deputy's Sig ure Use another sheet of paper or attach separate proposal to this packet if needed. Attach copies of all reports associated with this property for the last year. Both the Deputy and the Property will be required to attend the Liquor Hearing to testify to the above agreement. ' 861 2 ° " MEMORANDUM f.� TO: Tonya Johnson, Clerk to the Board DATE: 09/06/12 WELD 0 NTY FROM: Janet Carter E.I., Public Works SUBJECT: Temporary Assembly Hugo Barron Sierra The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows: REQUIREMENTS: 1. No parking will be allowed on Weld County Roadways. 2. Approximately 1000 vehicles will require parking on the property 3. Please submit a Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS) 4. This area is in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 5. Please submit an Incident Action Plan for the Office of Emergency Management. Page- 1 -of 1 September 6,2012 C:\Documents and Settings\tdisney\Local Settings\Temporary Internet Files\Content.Outlook\YNN5FDU2\Temp Assembly Hugo Barron Sierra 2012.DOC Tonya Johnson From : Ismael Aldana [ialdanal5@hotmail . com] Sent: Monday, September 10, 2012 8 :40 AM To : Tonya Johnson Subject: Email from Mich Waggy Tonya Just an FYI . A check has been given to the paramedic services for the horse race. They will deposit once we have received the permit. Thank you Ismael The amount for your race will be $ 1950 .00 please make check out to Banner/ NCMC ambulance service. Mitch Wagy Banner Health Medical Operations Sr Manager Weld County Paramedic Service 970-353-5700 EXT 3204 1 NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 336-7215, Extension 4226, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Administration Building, 1150 O Street, Greeley, Colorado 80631. E-Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E-Mail correspondence into the case file, please send a copy to egesick@co.weld.co.us DOCKET #: 2012-69 DATE: September 10, 2012 TIME: 9:00 a.m. APPLICANT: Barron-Melendez Real Estate Ventures, LLC do Hugo Barron Sierra 14751 East County Line Road Longmont, Colorado 80504 REQUEST: Application for a temporary assembly of more than 350 persons on September 22 and 23, 2012 LEGAL DESCRIPTION: Lupton Meadows Land Company, Division 3, Lots 1 thru 8; being part of Section 19, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado LOCATION: 8804 County Road 25, Weld County (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: August 24, 2012 PUBLISHED: August 29, 2012, in the Fort Lupton Press PROOF OF PUBLICATION FORT LUPTON PRESS STATE OF COLORADO COUNTY OF WELD SS. I, Christopher L. Harrop, do solemnly swear that I am the Managing Editor of the Fort Lupton Press that the same the hearing. The cost of engaging a is a weekly newspaper andpublished in the County the re requert stinrterg. y. In be borne by printed reR g.Pas t accordance with if the Amanceco o D are of Weld, State of Colorado, and has a general circulation Act, if special accommodations are therein; that said newspaper has been published required in orderfor you to participatein this hearing, please contact the continuously and uninterruptedly in said county of Weld for 336-7215,Clerk totExBoaso Office ffi42 e,tp for 0) o a period of more than fifty-two consecutive weeks prior to the day of the hearing. The complete case file may be the first publication of the annexed legal notice or examined in the office of the Clerk to advertisement; that said newspaper has been admitted to the ardccounty ty Commissioners, the United States mails as second-class matter under the Building, 1150 O Street, Greeley, Colorado 80631. E-Mail messages provisions of the act of March 3, 1879, or any amendments sent to an Individual Commissioner may not be included in the case file. thereof, and that said newspaper is a weekly newspaper To ensure inclusion of your E-Mail correspondence into the case file, duly qualified for publishing legal notices and please send a copy to egesick@ advertisements within the meaning of the laws of the State co.weld.co.us of Colorado. That the annexed legal notice or DDOCK September 2012 advertisement was published in the regular and entire TIME: 9:00 a.m. issue of every number of said weekly newspaper for the APPLICANT: Barron-Melendez Real Estate period of ONE consecutive insertion(s); and that the Ventures,LLC first publication of said notice was in the issue of 14751 EasstBCounty Line Road newspaper, dated 29th day of AUGUST 2012, and the Longmont,Colorado 80504 last on the 29th day of AUGUST 2012 REQUEST: Application fora temporary assembly of more than 350 persons on September 22 and 23,2012 LEGAL DESCRIPTION: Lupton • Managing Editor, Subscribed and sworn before me, Meadows Land Company,Division this 29th day of AUGUST: NOTICE OF APPLICATION 3,Lots 1 thru 8;being part ofSection 19,Township 2 North, Az.z • FOR TEMPORARY ASSEMBLY Range 6 V stC f the 6thP.M., 62C -.� Pursuant to the Weld County eltl Code,a public hearing will be held LOCATION: 8804 County Road �-P}etaEx Pl in the Chambers of the Bond of 25,Weld County(See Legal /-1 County Commissioners of Weld Description for precise location.)• r' . .%: �...� County.Colorado,Weld County Administration Building,1150 O BOARD OF COUNTY ' a Street Assembly Room,Greeley, COMMISSIONERS • ` Cokaado 80631,at the time WELD COUNTY,COLORADO -- Pa court reporter Is desired,please DATED: Aupusf 24,2012 advise the Clerk to the Board, in PUBLISHED: August 29,2012,in : writing, at least five days prior of the Fort Lupton Press My Commission Expires : 02/02/2014 / 1 RECEIPT DATE — le ! It NO. 86537 -o M RECEIVED FROM 80t-kith i fyy'(x- U 0 o ADDRESSf- /_ c 042 m O Dite 'YI pj/jVD/ 4 O0 it'd $ /UU . 0c' o r- U a o o ,, FOR LCUo.3a `TknIFOrCA,; ,' 11552 ? t w � HOW PAID > o o o CASH /DU Co ^ o �c4 CHECK /� 1 N r.`r1 BY C/�� - ��a MONEY V ORDER Driveways, Patios,Steps Free Estimates Sidewalks&AU Commercial& Insured&Bonded Residential Flatwork illp—ritcl • B&M CONCRETE, INC. at.,& 25 years experience HUGO BARRON Office(303)678-5590 Mobile(303) 109 or Fax(303)682-5025 (303)589-2195 bmconcrete@skybeam.wm Ts nmci e I Y1(01 ailik, Let Idcwta /5 /'7v-r,- ou/• Co i Lai dan& ( bi&l d erto(.i.vi . pry ( "7) q85 - Mir Weld County Temporary Assembly Permit for Hugo Barron Sierra was picked up at the Clerk to the Boards office by Ismael Aldana on September , 2012 . Ismael Aldana rmo.n) ed Vj�' ( oo\ Witnessed by eat Clerk to the Board lure, we. a lease -- Per m t (�-L nu dc.sexI swv w. u_rutik.• i ctu -e c.tareie . e6 } . Q h� � Tonya Johnson From: Roy Rudisill Sent: Tuesday, September 18, 2012 2:16 PM To: Tonya Johnson Subject: Re: Hugo Barron Sierra -Temp Assembly Permit We are good to go. You can release the permit. From: Tonya Johnson Sent: Tuesday, September 18, 2012 02:06 PM To: Roy Rudisill Subject: Hugo Barron Sierra -Temp Assembly Permit Roy, I have the permit ready to go for Ismael to pick up, I just wanted to touch base with you to see if you have been in discussion about the incident action plan for the horse race this weekend. I don't want to release the permit until I know this has been taken care of since it was a condition of approval. If you could let me know as soon as possible incase Ismael comes in to get these. Thank you, Tonya (Disney)Johnson Clerk to the Board 1150 O Street IPO Box 758'Greeley, Colorado 80632 Phone: 970-336-7215 x 5226 trjohnson@co.weld.co.us 1 tf r _ e i Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 Hello