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Home My WebLink About20121695.tiffRESOLUTION RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO ACTIVE COMMUNITY ENGAGEMENT/DIGGITY, C/O TOM SORENSEN, AND AUTHORIZE CHAIR TO SIGN 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, Active Community Engagement/Diggity, c/o Tom Sorensen, presented to the Board of County Commissioners of Weld County, Colorado, an application for a Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to Weld County, Colorado, pursuant to the laws providing therefore in payment for a County Retail Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, for an event scheduled for one day only on July 21, 2012, from 6:00 a.m., until 6:00 p.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: Valley Dirt Riders, 20998 1-25 Frontage Road, Berthoud, Colorado 80534; being further described as the S1/2, S1/2, of Section 22, Township 4 North, Range 68 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($25.00) to the Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only. NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant Special Events Permit Number 2012-12 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location; and the Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which permit shall be effective from 6:00 a.m., until 6:00 p.m., on July 21, 2012, providing that said place where the permitee is authorized to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the permit. API's. `7 a3 -I 2012-1695 LC0022 SPECIAL EVENTS PERMIT - ACTIVE COMMUNITY ENGAGEMENT/DIGGITY C/O TOM SORENSEN PAGE 2 BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of July, A.D., 2012. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: °j;„4,„.�F'1 Weld County Clerk to the Board Deputy Ct(?rk to the Boa Sean P. Conway, Chair rbara Kirkmeyer Date of signature: `T19-ia 2012-1695 LC0022 THIS LICENSE EXPIRES tICST:CMCMCITCMCCMCW1 vIL Le) License Fee $100.00 .�F fie License Number 2012-12 4 W n z O co H Z W y w i—I d co W a O 4 w O cc) O 0 H FOR A SPECIAL EVENTS PERMIT T, VINOUS, AND SPIRITUOUS LIQUOR O v 0 U) U 04-1 ces � stlo • r°d ccs 0.4 w v O 0) ctso bE z 0 O) ..4 U 0 t-° 4-1 V) cC O O 0 O tAc 1-0 rti aa O O -ca) aa 4-1 U) 0 tko • a) O ct vi 0" O ezt ro • U) O C cn 0 a) • .0 -0 U) a) cC cli 0 -cU C4 CC t4-4 .n b b ,b O ,4_,3-I a ° a i1 O U b a- 0 0 ' v 44 C . • •-4 .i e QJ U) rte, C Oco ccaj c) o O cn V sr cncn U I • z 4.4 o a) 4) O PPCa o TT sd b0 0 ° o w to N N r, so 0 O C 1-0 0 oCU0 w 0 0 at C o , U 4-4 w tvo 4J U Dirt Riders, 20998 I Nes Pt 0 4) L1-1 0 0 P., PS 4-1 a cu 'b es 4.4 cud (t) 4-4 at PIS O U U U) U) U) U) .- U) C a) C E U) cC v) r:4 a) ccs b O 0 -0 4.4 LO 0 iy C b U) 0 C a) en en aa 4-4 194 . , U C 0 w 0 -cal) O w Z Oen PS z� The Board of County Commissioners • ..• va 7\4444k %€1/4:3 r i -� \\........... - emAir, - Cd O NON -TRANSFERABLE. V I) II c) 4 O U 4 f -1 !�1 [Ti tf—') z4 w O DR 8428 (10/29/07) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE STREET, SUITE 108 LAKEWOOD, COLORADO 80214 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THIS ORGANIZATION AT THIS LOCATION ACTIVE COMMUNITY ENGAGEMENT/DIGGITY 20998 INTERSTATE 25 FRONTAGE RD BERTHOUD CO 80534 License Number GE -4800125 SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITUOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS FROM Date JULY 21, 2012 Hour 7:00 AM TO Date JULY 21, 2012 Hour 6:00 PM FROM Date XXXXXXXXXXXXX Hour XXXXXXXX TO Date XXXXXXXXXXXXX Hour XXXXXXXX This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Article 48, Colorado Revised Statutes. This permit is non -transferable. It is issued only for the specific location described above, and must be conspicuously posted at that location. In testimony whereof, I have hereunto set my hand and seal 07/19/12 CAC Atleal ie IOU R ENFORCEMENT DIRECTOR ISDIRECTOR igide,„ DR 8139 (06/28•08) COLORADO DEPARTMENT OF REVENUE APPLICATION FOR A SPECIAL LIQUOR ENFORCEMENT DIVISION 375SHERMAN STREET EVENTS PERMIT DENVER CO 80261 (303)205-0100 IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT, YOU MUST BE NONPROFIT AND ONE OF THE FOLLOWING (See back for details.) ❑ SOCIAL ❑ ATHLETIC IZ PHILANTHROPIC INSTITUTION ❑ FRATERNAL ❑ CHARTERED BRANCH. LODGE OR CHAPTER ❑ POLITICAL CANDIDATE Li PATRIOTIC ❑ OF A NATIONAL ORGANIZATION OR SOCIETY ❑ MUNICIPAUTY OWNING ARTS ❑ POLITICAL ❑ RELIGIOUS INSTITUTION FACILITIES UAB TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: 2110 © MALT, VINOUS AND SPIRITUOUS UOUOR 523.00 PER DAY 2170 0 FERMENTED MALT BEVERAGE (3.2 Beer) $10.00 PER DAY DO NOT WRITE IN THIS SPACE UOL)OR PERMIT NUMBER 1, NAME OF APPUCANT ORGANIZATION OR POLITICAL CANDIDATE Dlgglty/Active Community Engagement Stale Sales Tax Number (Required) 04293126 L MAILING ADDRESS OF ORGANIZATION OR POUTICAL CANDIDATE Include Street, atyVoen and ZIP) 2200 Market St. #518 Denver, CO 80205 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT (nAIMA street. cAyAgam 000 ZIP) 20998 Interstate 25 Frontage Rd Berthoud, CO 80534 NAME DATE OF BIRTH HOME ADDRESS (Street CAy. SMos, ZIP) PHONE NUMBER 4. PRES.SECY OF ORO. a POUTICAL CANDIDATE Tom Sorensen 2116 Williams St. Denver CO 80205 303-725-1355 S. EVENT MANAGER Survivor Productions LLC 355589 Oleander Ave Yucaipa CA 92399 909-289-7155 R HAS APPUCANT ORGANIZATION OR POLITICAL CANDIDATE BEEN ISSUED A SPECIAL EVENT PERMIT THIS CALENDAR YEAR? O ND (] YES HOW MANY DAYS? 6 T. IS PREMISES NOW LICENSED UNDER STATE UOUOR Oft BEER COOS? © NO 0 YES TO WHOM? I. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? ® Yes ❑No LIST BELOW THE EXACT DATES) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT Dale 07/21/12 Hours Fran WO a m. To 6:00 p m. Date Hors From .m To .m. DNS Hess Fran m. To In. Dae Hasa From .m. To .m. Deb Han From .m. To .m. OATH OF APPUCANT I declare u natty oi per ry in the second degree that I have read the foregoing application and all attachments thereto, and that all in lion , correct, and complete to the best of my knowledge. SIO ` mrLE Exec Director DATE 05/21/12 REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY (CRY OR COUNTY) The foregoing application has been examined and the premises, business conducted and character of the applicant is satisfactory, and we do report that such permit, if granted, will comply with the provisions of Tide 12, Article 48, C.R.S., as amended. THEREFORE, THIS APPLICATION IS APPROVED. LOCAL LICENSING AUTHORITY (CITY OR COUNTY) O CRy Weld County, Colorado 14 cowry 1(970) TELEPHONE NUMBER OF CITY,GDUNTY CLERK 356-4000 Ext 4225 SIGNATURE_. /1 r� .---.---Chair, Board of County Commissioners — 1TRLE IDA L 0 A 20 2 DO NOT WRITE IN THIS i&E - FOR DEPARTMENT OF REVENUE USE ONLY UABIL TY INFORMATION License Account Number Liability Date State TOTAL $ e -750 (999) Department Use Only (InsElMbls on Reverse Sim) 2012-1695 APPLICATION INFORMATION AND CHECKLIST THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED: [[J Appropriate fee. ❑ Diagram of the area to be licensed (not larger that 812" X 11" reflecting bars, walls, partitions, ingress, egress and dimensions. Note: If the event is to be held outside, please submit evidence of intended control, i.e., fencing, ropes, barriers, etc. © Copy of deed, lease, or written permission of owner for use of the premises. • Certificate of good corporate standing (NONPROFIT) issued by Secretary of State within last two years; or If not incorporated, a NONPROFIT charter; or 5 If a political Candidate, attach copies of reports and statements that were filed with the Secretary of State. its APPLICATION MUST FIRST BE SUBMITTED TO THE LOCAL LICENSING AUTHORITY (CITY OR COUNTY) AT LEAST THIRTY (30) DAYS PRIOR TO THE EVENT. THE PREMISES TO BE LICENSED MUST BE POSTED AT LEAST TEN (10) DAYS BEFORE A HEARING CAN BE HELD. (12-48-106 C.R.S.) AN APPROVED APPLICATION MUST BE RECEIVED BY THE LIQUOR ENFORCEMENTDIVISION AT LEAST TEN(10)DAYS PRIORTOTNE EVENT. CHECK PAYABLE TO THE COLORADO DEPARTMENT OF REVENUE (12-48-102 C.R.S.) A Special Event Permit issued under this article may be issued to an organization, whether or not presently licensed under Articles 46 and 47 of this title, which has been incorporated under the laws of this state for the purpose of a social, fraternal, patriotic, political or athletic nature, and not for pecuniary gain or which is a regularly chartered branch, lodge or chapter of a national organization or society organized for such purposes and being non profit in nature, or which is a regularly established religious or philanthropic institution, and to any political candidate who has filed the necessary reports and statements with the Secretary of State pursuant to Article 45 of Title 1, C.R.S. A Special Event permit may be issued to any municipality owning arts facilities at which productions or performances of an artistic or cultural nature are presented for use at such facilities. If an event is cancelled, the application fees and the day(s) are forfeited. SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT 1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)? 5K Running Race 2. Explain in detail the nature of your organization, its function, and who or what benefits from its operations (attach separate sheet if necessary). Diggity is a registered Colorado Not -for-profit Focusing on encouraging community through fun activity 3. Who or what organization will be the recipient of funds derived from this event? Survivor Productions LLC 4. How many attendees are expected at this event? 3000 5. Describe the premises at which this event will take place. Moto -Cross course "Valley Dirt Riders" property 6. What type of security will be provided at this event? Argus Security will have a staff of 15 on site 7. How many security personnel will be on hand? 15 8. How will security personnel be identified? Argus uniforms 9. If this event is being held outdoors, how will the exterior boundaries of the premises be marked (e.g., roped, fenced, etc.)? Fence, rope and natural obstructions (20 foot+ earth berms) With Security at all ingress & egress points. No one will be allowed to leave the area w/beer. 10. What type of entertainment will be provided, if any, for this event? N/A 11. What method will be used in checking identification for proper age of attendees (e.g., at the door, at the bar, etc.) and how will underage patrons be identified so as not to be served alcoholic beverages (e.g., stamp or mark on the hand, etc.) There will be security (Argus) checking ID's at the entrances and wrist banding all those 21 & over. No one without a wristband will be served. Also all runners will have name & age on bib. M:ICTBICTBF0RMSIF0SPECIALEVENT.D0CSpeelalEveat 12. How will the conduct and level of intoxication of attendees be monitored and by whom? The volunteer managers are tips trained & each runner is only entitled to one beer. Security will also be on the lookout for over consumption. 13. Have volunteers or members of your organization been trained in the sale/service of alcoholic beverages: If yes, what training have they received and by whom? Tips Training. Our two managers received training from there respective employers, both are bar tenders by trade. 14. What types of alternate beverages and food/snacks will be available? Food trucks, water, sports beverages 15. Has a State Sales Tax Number been initiated by you or a member of your organization? If so, write that number in the space provided. 16. Explain how this event will be marketed describing what kinds of advertising material will be distributed and the targeted recipients of such material. online, sporting publications athletes of all abilities are targeted I hereby certify, . -r penalty of perjury, that the information provided to the Board of County Commissione _�1' elj, my contained in this affidavit is true and accurate to the best of my knowledge 05/21/12 Applicant's S , nature Date STATE OF COLORADO ss COUNTY OF WELD Subscribed and sworn to before me this �0� day of Soa.V\y , 201 a Witness my hand and official seal. MY COMM. EXP. 10.O 2014 My commission expires: 1 D"�" a'C I H M:ICTBICTBFORMS%FOSPECIALEVENT.DOCSpecla (Event OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE I. Scott Gessler, as the Secretary of State of the State of Colorado, hereby certify that. according to the records of this office. Active Community Engagement/Diggity is a Nonprofit Corporation firmed or registered on 04/08/2011 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 20111212531. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 04/06/2011 that have been posted, and by documents delivered to this office electronically through 04/08/2011 (u. 20:17:25. 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 04/08/2011 (a' 20:17:25 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation Number 7916160. Secretary of State of the State of Colorado End of Certiticatc Tents .4 lerlJµaic AWttil {'/eitromea IJr.rn the Odin-ado.SnTerart ofStine 't Ifeh'tte r,lull( and immediate11valid and effect, n' flumeerr, of an option. the icaeancc and validity of a certificate obtained electronically may he rgahli,/kd hr rititing the Certificate Confirmation l'age of drgd✓red art t/k• certificate. and /oiltnrrng the rmfilter uu, di%plt ed Crrnjrnrng the Issuance of 0 eertlrtvte t' merely .ytnmul uml r, not 'AI -court' to ilk• valid and rfferjitr iaantm.y ul a errti/igay bor more in/urn:mu mr, visit our 11 <h ate. .. .'Lek Busin',. (enter and sc (ca "Fret/in-tub :liked threcnam ('ERT (is f1 Rew,J 'ix 10'nn �c.:c cis it"iC�t EtC�=q•;_.w:.::�_,s;,. �.„ aim mu w.orawass•neatair 1,4tice..4 20998 INTERSTATE 25 FRONTAGE RD, BERTHOUD, CO 80534 (INSET MAP) CONTROL AREA NARRATIVE: The entire permit area will be cordoned with a rope barrier on the north end (spectator viewing), and fencing on the east, west & southern sides. Participants & spectators will enter from the west side through a gated section with four security personnel. There will be two(2) emergency exits, one on the NW corner and the other on the western side of the permit area (these are also the start and finish shoots for the race). Security will also be positioned at the entrance to the beer service area checking ID's and wrist banding anyone over 21. Only guests that have a wrist band will be allowed into the beer service area. Ev../ent Entrance/exit with security Wation Port -o -Potties Rope Barrier Water_on Nate, 'Mist band check point Entrance N ohs, war o° a - ion Exit Not to scale Td i . V• , i j f •ii L' 4•- Fs,. ; YM - • -r_- , r. f J ge iou •i,- ...�4-� 7. teAlz ' J ,_�' t _1•.;1 r y ;,r :``- y -. . . Ft . 1N r • , X 1 4 -41 i I I "R i:-: V r'l , • I V , � cc-04 tti 1 4 4 ?IN w i dlii ' W o "'CC .I61 S !, I O •r J `1 10- I , I rl el s o ,, = G • g II iI -4 I F- r�1i "" 1, , T ,__ wo c3 h c o la , • ,. • o gL3 1 a= Qai -,, ' \ s.: dq ~ U_ �`� ~icC 0 0. o ilicgCOI � Ww° ��. t�• eoo k f1F = 2CAD W - S.1 W W =I `I1 a 4+ 0 1— 1:18k = /— o Cp o • 6 1 . . ' , '( .. 1. .ff. r .r I a • n2. f y,: a 11M a • r le e• y Tf 4 O. 1 -ii K .. , lv 1 •4 i . . +f R /r ' F v , \ v*9v"rvv nthe office ofthe Sacr gift of the State of Ca fiomia State JAN --12011 ARTICLES OF INCORPORATION T The name of this corporation is Active Life Events, Inc The purpose of the corporation is to engage in any lawful act or activity for which a corporation may be organized under the GENERAL CORPOR.ATTON LAW of California other than the banking business, the trust company business or the practice of a profession permitted to be incorporated by the California Corporations Code. TTT The name and address in the State of California of this corporation's initial agent for service of process is: Name Kevin Sartin Street Address 1321 Campus Ave City RedlandsSTATE CALIF. ZIP 92374 N This corporation is authorized to issue only one class of glares of stock; and the total Number of shares which this corporation is authorized to issue is 100,000 Teresa E. Grifftts, Inc() Business Search - Business Entities - Business Programs Page 1 of 1 Secretary of State alifornia'Secretary of State Debra Bowen Business Entities (BE) Online Services - Business Search - Disclosure Search - E -File Statements - Processing Times Main Page Service Options Name Availability Forms, Samples & Fees Annual/Biennial Statements Filing Tips Information Requests (certificates, copies & status reports) Service of Process FAQs Contact Information Resources - Business Resources - Tax Information - Starting A Business - International Business Relations Program Customer Alerts - Business Identity Theft - Misleading Business Solicitations Administration Elections Business Programs Political Reform Archives Registries Business Entity Detail Data is updated weekly and is current as of Friday, June 15, 2012. It is not a complete or certified record of the entity. Entity Name: Entity Number: Date Filed: Status: Jurisdiction: Entity Address: Entity City, State, Zip: ACTIVE LIFE EVENTS, INC C3340430 01/01/2011 ACTIVE CALIFORNIA 1321 CAMPUS AVE REDLANDS CA 92374 Agent for Service of Process: KEVIN SHANE SARTIN Agent Address: Agent City, State, Zip: 1321 CAMPUS AVE REDLANDS CA 92374 * Indicates the information is not contained in the California Secretary of State's database. • If the status of the corporation is "Surrender," the agent for service of process is automatically revoked. Please refer to California Corporations Code section 2114 for information relating to service upon corporations that have surrendered. • For information on checking or reserving a name, refer to Name Availability. • For information on ordering certificates, copies of documents and/or status reports or to request a more extensive search, refer to Information Requests. • For help with searching an entity name, refer to Search Tips. • For descriptions of the various fields and status types, refer to Field Descriptions and Status Definitions. Modify Search New Search Printer Friendly Back to Search Results Privact Statement I Free Document Readers Copyright ® 2012 California Secretary of State httn://kenler.sos.ca.cov/chs.asnx 6/22/2012 JUL-19-2012 THU 01:41 PM FAX NO. P. 01 Letter of Authorization To Whom It May Concern, 20998 Interstate 25 Frontage Rd As owner of the real estate property 20i2S t 235ertilk Ve§T. VDR Motocross Berthoud,Co 80215, I hearby give permission to the operators of &ervivorMGdtt n Active Comm ty to allow the consumption of alcoholic beverages for the event scheduled July 21,2012 Engagemeat�� ggit: HFE,1lc Valley Dirt Riders 4591 Grove St. Denver,Co 80211 720 641 0227 6/22/12 If you have any questions /concerns ,1 can be reached at 720 641 0277. Your truly, Glade Hill Owner *****per phone conversation with Glade'Hill (owner) Thursday, July 19, 2012 at 10:45 am was given permission to change operators name from Survivor Mud Run to applicants name, Active Community Engagement/Diggity. If you have any questions please contact Mr. Glade at 720-641-0277 o9- /%0o1Z 07/19/2012 13:42 FAX BRATTON. S 2001 TRANSMISSION OK TX/RX NO RECIPIENT ADDRESS DESTINATION ID ST. TIME TIME USE PAGES SENT RESULT ********************* *** TX REPORT *** ********************* 1154 913032052341 07/19 13:42 00'36 1 OK JUL-19-2012 THU 01:41 PM Letter of Authorization To Whom It May Concern, 20998 Interstate 25 Frontage Rd As owner of the real estate property 20t231"2,Wif.111181a11811Mt VDR Motocross Berthoud,Co 80215, I hearby give permission to the operators of SutvleorMe l Ran I A ntiB5 awy$jgygit: to allow the consumption of alcoholic beverages fbr the event scheduled July 21,2012. If you have any questions /concerns ,1 can be reached at 720 641 0277, FAX NO. YIFF,1lc Valley Dirt Riders 4591 Grove St. Denver,Co 80211 720 641 0227 6/22/12 P. 01 Your truly, JISe%fiG el% Glade Hill Owner *****Per phone conversation with Glade'Hill (owner) Thursday, July 19, 2012 at 10345 am was given permission to change operators name from Survivor Mud Run to applicants name, Active Community Engagement/biggity. If you have any questions please contact Mr. Glade at 720-641-0277 off- /c -00)a Colorado Motocross Medics 729 Remington Street, Fort Collins, Colorado 80524 TO: Active Life Events Inc DBA Survior Mud Run 35589 Oleander Ave Yucaipa, CA, 92394 1-303-907-9694 comxmedics@rmsn.com INVOICE #072112 Event Location: Valley Dirt Riders, 20998 Interstate 25 Frontage Rd, Johnstown, CO Date Start Time Finish Time Total Hours 07/21/12 6:00 am 3:00 pm 9.0 Total: 9.0 Service Price Amount Medical Protection, 12 EMT's $2,500.00 $2,500.00 Total Due: $2,500.00 Paid By: Received By: Print Name Print Name Signature and Date Signature and Date Please make payment to "COLORADO MOTOCROSS MEDICS". Thank you. 729 Remington Street Fort Collins, Colorado 80524 Proposal DATE 6/20/2012 United Site Services of Colorado, Inc. PO Box 53267 Phoenix, AZ 85072 P (888) 232-0001, F (303) 985-1428 www.unitedsiteservices.com Billing Address: Survivor Mud Run Cory Sartin 909-289-7155 cory@survivormudrun.com Comments & or Special Instructions: OPTIONAL DAMAGE WAIVER IS RECOMMENDED AT $10 PER UNIT. ONCE YOU AGREE TO THIS PROPOSAL PLEASE SIGN, DATE AND FAX BACK TO 303-985-1428 Salesperson Delivery Pickup Brett Angell Friday, July 20, 2012 Monday, July 23, 2012 QUANTITY DESCRIPTION UNIT PRICE AMOUNT 8 Deluxe Restrooms with Hand Sanitizer 95.00 760.00 2 ADA Restrooms with Hand Sanitizer 145.00 290.00 5 Hand Wash Stations 95.00 475.00 12 Clean existing 12 restrooms. 16.15 193.80 United SITE SERVICES a Customer ID Sales Person Brett Angell 303-917-3994 (Cell) 303-985-0164 (Oft) brett.anael la unitedsiteservices.com Site Location: Mud Run RMP Motocross Track Saturday, July 21, 2012 20125 125 Frontage Rd Berthoud, CO 80513 By signing below, you are agreeing to our prices, terms and conditions. Signature Date THANK YOU FOR YOUR BUSINESS! SUBTOTAL $ EEC TOTAL 1,718.80 0.00% $ 1,718.80 United Site Services of Colorado www.unitedsiteservices.com 1 Sparkletts® Home and ..OffiCe .Delivery Active Life Events: Ship 2: Valley Dirt Riders Interstate 25 Frontage Rd Jonhstown CO. 80534 Dear Kevin, Attn: Kevin Sartin June 28, 2012 It was a pleasure speaking to you and discussing your bottled water needs, in response to your request. Sparkletts would be pleased to provide all your locations our bottled water service at the following special rates: BOTTLED WATER .5 liters 24ct $4.50 2300 bottle = 96 cases $432.00 Additionally, we always offer you the following services free of charge. 1. Our company's commitment to outstanding service. 2. Delivery service tailored to suit the specific needs. 3. Next day service always. 4. No tax on dispenser rental. 5. Highest quality of products and service available. 6. Billing Net 30 days. Since 1925 Sparkletts has been providing customers with clean, fresh, great tasting water and excellent service you can depend on. Sparkletts has upheld meticulous standards of quality, taste, purity, service and value. All of our waters exceed all Federal, State and County water quality standards. Our bottling facilities have consistently scored 100% on the NSF annual quality assurance and sanitation audits. NSF, the National Sanitation Foundation International, is a recognized independent third party organization that annually inspects bottling facilities. We appreciate your business and the opportunity to serve you. Should you have any addition questions please feel free to call me direct. 951 538-3723 We sincerely thank you for your interest in Sparkletts products and services; we look forward to hearing from you soon. Cordially, Debbie Lancaster Business Development Manager Ds Waters of America, Inc. Sparkletts Home & Office Delivery I- 1,i, 1.1.: z w aZ r_ 0J 0 1LS LLI ari H Cs. of L- 0 pia LU • {Z ■ z uJ s J co Y T O en 11 CC 4:Z LP > tr w W ra -J us i' 1 V t; r C �r N- 0 CO 7 r 0 0 O LL J LU Lu as O O U) z w J 1.74 a 0 0. CN O I 0 caNi t> Slerr A) ftereCill See C) en e 0 e Q 1 l "V 3 ,r-- c r' a r c E It eif .15 1 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: n 0 2 t W } 52 72 0, -- w ✓ V C it ▪ f� .1 r 2 W esLmi nstuerf, Co 80234 0 J ' cO O) 0 AD 0 O �7i t�G th th Q -3 3 Me ti) co Tr G 0 Tea ct Ire • i H r > ♦ Detach Here Advanced Professional Security ADVANCED PROFESSIONAL SECURITY Advanced Professional Security 3356 Dayton St. Denver, CO 80238 (303)371-7873 info@advancedprofessionalsecurity.com http://www.advancedprofessionalsecurity.coin Address Cory Sartin Survivor Mud Run Quote Date 07/01/2012 Quote # 1023 Exp. Date •,, 07/08/2012 Date Security Servica 07/21/2012 Security Guards Security Guards 4 Guards : 9AM-2PM (5 hours), 20 @ $19.60 Please let us know if this quote is on target. If not, we will quickly revise it to accommodate your needs. Thank you for your business. Accepted By: Accepted Date: Total 392.00 $392.00'', ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MINDDNYYY) 06121/2012 PRODUCER Phone: (951)678-7290 SGB Insurance Services, Inc. P.O. Box 1308 (21535 Palomar Rd. Ste C Wildomar, CA 92595 License #: OE81015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC S INSURED Active Life Events 1321 Campus Ave Redlands, CA 92374 I INSURER A: Riverport Insurance Company INSURER B: INSURER C: INSURER D INSURER E'. COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADOL IMRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDIYY) POLICY EXPIRATION DATEIMINDO/TY) LIMITS A Y GENERAL X LIABILITY COIAMERCIL GENERAL LIABILITY 62542332 07/21/2012 07/21/2012 EACH OCCURRENCE E 1,000,000 DAMAGE TO RENTED PREMISES (Ea omaence) $ 100,000 CLAIMS MADE X OCCUR MED EXP (Any one Person) E 50,000 GENL X PERSONAL SADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY I I jECT P 1 LOC PRODUCTS- COIAP/OP AGG S 1,000,000 I AUTOMOBILE I LIABILITY COMBINED SINGLE LIMIT (Es emdent) S BODILY INJURY (Per Person) S BODILY INJURY (Per =Went) S PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS/UMBRELLA IOCCUR LM&IJTY CLAIMS MADE DEDUCTIBLE RETENTION E EACH OCCURRENCE S AGGREGATE f S S S WORKERS COMPENSATION AND EMPLOYERS' LI1'ORM ANY PRGPRIETOR/PARTNDED? UTNE Oye.. deMEMBER EXCLUDED? IIyes,rider SPECIAL PROVISIONS below I I WCBTATLL ISMS Di FR E L EACH ACCIDENT S E.L DISEASE - EA EMPLOYEE S E.L DISEASE -POLICY LIMIT S A OTHER Medical/ Acc Death 62542332 07/21/2012 07/21/2012 Per Participant 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCIUSDNS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Valley Dirt Riders are named as additional insured CERTIFICATE HOLDER CANCELLATION Valley Dirt Riders 20998 Interstate 25 Frontage Rd Berthoud, CO 80534 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 11W LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF MN KIND IRON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ALIT gFmcSENTATIVE ACORD 25 (2001/08) © ACORD CORPORATION 1988 Printed by SGB on June 21, 2012 at 04:04PM Tonya Disney From: Sent: To: Subject: Jonathan Gesick Wednesday, June 27, 2012 7:44 AM Tonya Disney RE: New - Special Events/Temporary Assembly Application ( Active Life Events and Diggity/Active Community Engagement_ Hi Tonya The building department has no issues with this event. Thanks Jonathan D Gesick Plans Examiner/Building lnpsector Building Department 1555 N 17th Ave Greeley, CO 80631 tel: (970)353-6100 Ext. 3532 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 Disney Sent: Friday, June 22, 2012 2:26 PM 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 Disney Subject: New - Special Events/Temporary Assembly Application ( Active Life Events and Diggity/Active Community Engagement_ The following applicant has submitted a request for a Temporary Assembly Permit, LC0022. Please provide any comments you may have before July 5, 2012. A .pdf copy of the application materials is attached. This event will be held at Valley Dirt Riders, 20998 I-25 Frontage Rd, Berthoud CO 80534 (a Site Plan Review can be viewed on the Tyler Minutes system by searching SPR306). I am also attaching an email that I sent to the organizer Tom Sorensen (303-725-1355) requesting additional documentation. He stated he will do his best to get the information but some of it wouldn't be available till either the day before or the day of the event. Applicant: Active Life Events 33562 Yucaipa Blvd #4 Yucaipa CA 92399 Diggity/Active Community Engagement 2200 Market St #518 Denver CO 80205 Let me know if you have any questions. Thank you, Tonya Disney Clerk to the Board 1150 O StreetIP° Box 758IGreeley, Colorado 80632 Phone: 970-336-7215 x 5226 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. 2 To: Weld County Board of Commissioners From: Deputy Jeremy Frey Date: June 28, 2012 RE: Diggity Active Community Engagement Dear Commissioners, I have reviewed the application for this event to be held on 072112. We have not had any issues with the property in the past but to my knowledge this event has not occurred in the past. We currently do not have a contract for the security service or food vendor licenses for whoever will be serving food at the event. If these items are taken care of I do not find any further issues or reason to deny the permit. Respectfully Submitted, Deputy Jeremy Frey Community Resource Officer Weld County Sheriffs Office 1950 "O" Street Greeley, CO 80631 MEMORANDUM WELW'r 0 NTY u TO: Christie Peters, Clerk to the Board DATE: 07/02/12 FROM: Janet Carter E.I., Public Works SUBJECT: Temporary Assembly Active Life Events 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 1500 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 not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 5. Please submit an Incident Management Plan for the Office of Emergency Management. Page - 1 - of l July 2, 2012 C:\Documents and Settings\tdisney\Local Settings\Temporary Internet Files\ContentOutlook\YNN5FDU2\Temp Assembly Active Life Events 2012.DOC Tonya Disney From: Sent: To: Cc: Subject: Roy Rudisill Monday, July 02, 2012 9:11 AM Tonya Disney Jeremy Frey; Lisa Carpenter; Margie Martinez; Stephen Charles; Dan Joseph; Bethany Salzman; Brad Yatabe RE: Active Life Events - Active Community Engagement/Diggity Tonya, thanks for the email. I just sent this to Chief Charles with Berthoud Fire. I will contact the rest of the group and see if we can get a planning meeting together this week. If not we will get one scheduled prior to the event. The main questions I have is related to the Fire and Medical transport agencies. It appears they have enough EMT's on site but I what the Fire Department and Hospital to confirm they are able to operate in Weld. I will be at the BOCC meeting to address these issues. Director Roy Rudisill Weld County Office of Emergency Management 1150 O St. Greeley Co. 80632 970-304-6540 Office 970-381-0417 Cell 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 Disney Sent: Monday, July 02, 2012 8:56 AM To: Dan Joseph; Bethany Salzman; Roy Rudisill Cc: Jeremy Frey; Lisa Carpenter Subject: Active Life Events - Active Community Engagement/Diggity Good morning. I just wanted to send out a reminder that I need referrals for the above mentioned applicant. I am attaching additional documentation that has been provided to our office. We are still waiting on information for: The security company that will be covering the even (Argus Uniforms) An addition food license from one of the trucks that will be supplying food. (One food license has been provided; however, Tom Sorensen stated there would be two trucks). If you have any questions please let me know. Thank you, Tonya Disney Clerk to the Board 1150 O Street IPO Box 758i Greeley, Colorado 80632 Phone: 970-336-7215 x 5226 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. 2 Memorandum Me COLORADO TO: CLERK TO THE BOARD From: Dan Joseph, Environmental Health Specialist DATE: July 2, 2012 SUBJECT: Temporary Assembly Permit for LC0022 In response to your request, Environmental Health Services has reviewed the Temporary Assembly Permit, for the Diggity Active Community Engagement, located at 20998 I-25 Frontage Road, in Berthoud, Colorado. After reviewing the application, the Department does not have any concerns or comments. We will continue to work with the event organizer to ensure that food vendors are licensed. Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at diosenh(&co.weld.co.us. Thank you. cc: Cindy Salazar, Environmental Health Services Deb Adamson, Environmental Health Services MEMORANDUM To: Tonya Disney, Deputy Clerk to the Board July 6, 2012 From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Review of the following Temporary Assembly Permit and Special Events Permit by the Department of Planning Services shows the following: Applicant: Active Life Events 33562 Yucaipa Blvd #4 Yucaipa CA 92399 Organizer: Diggity/Active Community Engagement 2200 Market St #518 Denver CO 80205 Owner: HFE LLC 4591 Grove St Denver Co 80211 Zone District: C-4 (Commercial) through Z-393 (03-28-1984) This use is permitted through a Site Plan Review (SPR-306) permit. No existing violations were noted. SERVICE, TEAMWORK, INTEGRITY, QUALITY Tonya Disney From: Sent: To: Cc: Subject: Tom Sorensen [tom@diggity.org] Saturday, July 07, 2012 1:32 PM Tonya Disney Brad Yatabe RE: food license Tonya, Brad. See below for responses to each individual question. Let me know if you need more clarification. A broad over view will help you understand how this event is staged for the day. The maximum amount of participants that can register for the race is 3000 as set through the online registration process, if at any time 3000 registrations are reached the race is sold out. The 1500 number submitted in the TA permit app was where the organizer estimated registrations were at the time he filled out the form. The reality is it will probably be below 2400 with the slow pace of sign ups, regardless of the number, registration closes Tuesday July 17th at midnight (PST) at which time there will a hard number. Prior to the race each participant is sent information assigning them a wave time during the day anywhere from the initial wave at 9am to the final wave at about 2:15pm. Waves are every 20 to 25 minutes and consist of 100 to 120 runners. This ensures the course is not clogged at any one point and it also allows for the control of traffic with only 3 to 4 hundred participants on site every few hours. There is space on site for 2500 + vehicles with over flow parking if needed. The average parking load history at this event is 250 to 300 vehicles every hour and a half. Vehicles will enter the race site via the frontage road to the east crossing under I-25 to park on site at the Valley Moto Cross property. Vehicles will exit the property west to County Rd 7 either north or south. This establishes one entrance and one exit point to limit traffic on any one road. The record of this type of waved race is that participants will show up about a half hour prior to their wave and depart w/in a half hour following their finish time. I hope that gives you an idea of some of the mechanics of the event. From: Tonya Disney [mailto:tdisney@co.weld.co.us] Sent: Friday, July 06, 2012 2:32 PM To: Tom Sorensen Cc: Brad Yatabe Subject: FW: food license Tom, These are some additional questions from the County Attorney's Office. Can you please look them over and email me back with your response. Have a great weekend. Thank you, Tonya Disney Clerk to the Board 1150 O Street 'PO Box 758IGreeley, Colorado 80632 Phone: 970-336-7215 x 5226 1 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: Brad Yatabe Sent: Friday, July 06, 2012 2:29 PM To: Tonya Disney Cc: Bruce Barker Subject: RE: food license Tanya, These are some questions that I have regarding the applications. Can you forward these to the applicant to see if he can answer these? Please send any response to Bruce since I will not be at the Monday meeting. Thanks. 1. The temp assembly application lists a maximum of 1500 people at any one time while the special events lists 3000 people expected at the event. It may be 1500 people are expected at any one time with 3000 total over the day, but that is not clear. See Above 2. The temp assembly lists the event hours from 9-3 while the special events lists the hours as 6 a.m. to 6 p.m. The expanded special events permit may be to accommodate people helping with set up and tear down, but that is not clear. The official event (race)times are from 9am until 3pm, or when the last runner crosses the finish line (usually no later than 3:30). The 6am to 6pm permit time reflects set up and tear down of the bulk of the event. 3. It looks like they have 4 security guards contracted (see documents for temp assembly) while the temp assembly appears to say they will have 6 guards. County Code section 12-1-20(10) requires 2 guards/350 persons or 8 for 1400 people. We are not expecting more than 400 folks on site at any one time during the day (see above) The 4 contracted security will also have a staff of 6 to 8 volunteers assisting them and will be in contact via radio all day. The main focus will be age enforcement at the permitted beer areas well as making sure beer doesn't leave the permitted area, parking lot patrol, emergency assistance for EMT's. 4. Unclear whether food licenses have been submitted for all of the food trucks. As of the date of this email there are only two trucks that have contracted, Tonya has their licenses, when and if there are more added you will receive their documentation 5. Unclear what is being done regarding waste disposal. There is a 40 yard dumpster on site at the Valley Moto Cross course that has been approved for the races use, all trash collected on site (25 trash receptacles on site maintained by staff on site throughout the day) will end up in the dumpster. The event management company will pay for the unload of this dumpster the next scheduled service. Brad Yatabe Assistant Weld County Attorney 1150 0 Street 2 Mailing Address: P.O. Box 758, Greeley, CO 80632 tel: (970) 356-4000 ext. 4396 fax: (970) 352-0242 STATEMENT OF CONFIDENTIALITY & DISCLAIMER: The information contained in this email message is attorney privileged and confidential, intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copy of this email is strictly prohibited. If you have received this email in error, please notify us immediately by replying and delete the message. From: Tonya Disney Sent: Friday, July 06, 2012 2:21 PM To: Brad Yatabe Subject: RE: food license I did not. Let me email Tom and see if there will be another truck or if it will just be the one. Thank you, Tonya Disney Clerk to the Board 1150 O Street IPO Box 758 'Greeley, Colorado 80632 Phone: 970-336-7215 x 5226 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: Brad Yatabe Sent: Friday, July 06, 2012 2:20 PM To: Tonya Disney Subject: food license Tonya, Did you get the additional food license for the other truck for this event (see p. 29 of the scanned docs)? Thanks. Brad Yatabe Assistant Weld County Attorney 1150 O Street Mailing Address: P.O. Box 758, Greeley, CO 80632 3 Tom \Sorensen Weld County and State of Colorado Temporary Assembly permit Special Events Liquor Licenses for Active Life Eve ctive Community Engagement/Diggity c/o were picked up in person by on July 20, 2012. Witnessed by ,;„4 Tonya Johnson, Clerk to the Board Hello