The URL can be used to link to this page

Browse Search

Home My WebLink About20120631 RESOLUTION RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO DAWN SCENA, NORMAN LAW, AND GLENN SHARP- MARCH 31, THROUGH APRIL 1, 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, Dawn Scena and Norman Law, 9264 County Road 55, Keenesburg, Colorado 80643, and Glenn Sharp, P.O. Box 771, Platteville, Colorado 80651, have 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 8:00a.m., until dusk, on March 31, through April 1, 2012, on property described as follows: 9264 County Road 55, Keenesburg, Colorado 80643; being further described as Lot A of Recorded Exemption #3083 (.46R); being a part of the N1/2 SW1/4 of Section 15, Township 2 North, Range 64 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 Dawn Scena, Norman Law, and Glenn Sharp, and WHEREAS, said permit shall be issued subject to compliance with the terms and conditions as set forth in the application materials; 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 that the applicants submit the Incident Action Plan and Traffic Control Plan, for review and approval by staff, prior to the event, and WHEREAS, any violation to said terms and conditions shall be cause for revocation of said permit and forfeiture of bond. 2012-0631 C 1, SC, IA pp I. (P15 Pt7J 4 LC0022 3j2P; iIZ 3/IyIl2 APPLICATION FOR TEMPORARY ASSEMBLY PERMIT - DAWN SCENA, NORMAN LAW, AND GLENN SHARP 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 March 31, through April 1, 2012, be, and hereby is, granted to Dawn Scena, Norman Law, and Glenn Sharp, to conduct a temporary assemblage at the hereinabove described location, with the condition that the applicants submit the Incident Action Plan and Traffic Control Plan, for review and approval by staff, prior to the event. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 7th day of March, A.D., 2012. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:ft EXCUSED Sean P. Co ay, Chair Weld County Clerk to the Board ( / /� > �4 EL>. Wil am F. Garcia, Pro-Te BY. vi1 t L •� Deputyf lerk to the Bo j. /� � d�rvs . �j.�D4 � A) JUL-- 0 ara Kirkmeyer APP AS art \ti id E. Long Az)Count torney r c4s aa, r Dougla Ftademach r Date of signature: 3/9 8//2- 2012-0631 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 7th day of March, 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 8:00 a.m., until dusk, on March 31, and April 1, 2012, on property described as: 9264 County Road 55, Keenesburg, Colorado 80643; being further described as Lot A of Recorded Exemption #3083 (.46R); being a part of the N1/2 SW1/4 of Section 15, Township 2 North, Range 63 West of the 6th P.M., Weld County, Colorado This permit authorizes Dawn Scena, Norman Law, and Glenn Sharp 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 7th day of March, 2011. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ",•,r,.w EXCUSED Sean P. Co Chair Weld County Clerk to the Board ; /�K� � / �� r%` (/iliam F. Garcia, Pro- m Deputy C rktotheBoa�. �'� �. /��%k� „_/�-��-�,/iu- , i� w. a Kirkmeyer AP D FORM: r_ A; I/ , eavid E. Long ounty Attorney �Dou s ye �✓G�/ Dogla Rademac r Date of signature: 3. R-/- NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2012-0631 LC0022 1. Incident Name 2. Date Prepared 3. Time Prepared Incident Objectives Scene Motocross 3/19/2012 800 4. Operational Period (Date and Time) 4-1- 0700-1900 5. General Control Objectives for the Incident (include Alternatives) Provide a safe environment for all First Responders and Citizens attending the Motocross event Mitigate security issues in a timely manner Coordinate, communicate and cooperate with all participating agencies and organizations 6. Weather Forecast for Operational Period Tonight: Mostly clear, with a low around 45. South wind at 10 mph becoming west. Sunday: Mostly sunny, with a high near 81. South southwest wind at 9 mph becoming west northwest. 7. General Safety Message Watch for trip hazards, be aware of you surroundings, watch for safety issues that could arise from the event. 8. Attachments (check if attached) Re Organization List (ICS 203) 1c Medical Plan (ICS 206) I- 1.7 Assignment List (ICS 204) t✓ Incident Map r ✓✓ Communications Plan (ICS 205) r Traffic Plan 9. Prepared by(PSC) 10. Approved by(IC) ICS-202 Roy Rudisill , Management`./ ORGANIZATION ASSIGNMENT 1.Incident Name Scene Motocross LIST 2. Date Prepared 3.Time Prepared • • 3/19/2012 800 Chief 4.Operational Period Deputy Date: 4-1- Time: 0700-1900 Fire 5. Event Director Branch Director Tom Beach Event Coordinator Dawn Scena 303-550-9997 Deputy Deputy Division/Group Safety Officer Southeast Weld Fire Division/Group information Officer Division/Group Liaison Officer Division/Group 6. Agen y Representative Division/Group Agency Name Sheriff's Office Branch Director Todd Deutsch 970-590-2993 WCPS Mitch Wagy 970-381-2392 Deputy SEWF Tom Beach 970-539.0874 Division/Group Division/Group Division/Group Division/Group Division/Group EMS /Colorado Motocross•Medics Branch Director Joel Painter Deputy Division/Group WCPS Supervisor 970-302-2833 7. Planning Section Division/Group Chief Roy Rudisill 970.381-0417 Division/Group Deputy Division/Group Resource Unit Division/Group Situation Unit Documentation Unit Air Operations Branch Dir. MedEva Demobilization Unit Air Support Supervisor Danny Beckel Human Resources Air Attack Supervisor Technical Specialists (name/specialty) Helicopter Coordinator Air Tanker Coordinator 10. Finance Section Chief Deputy Time Unit 8. Logistics Section Procurement Unit Chief Comp/Claims Unit Deputy Cost Unit Service Branch Dir. Support Branch Dir. Supply Unit tt`: ,.�.�.t .: Facilities Unit Prepared by(Resource Unit Leader) Ground Support Unit Roy Rudisill Communications Unit n<hl r Medical Unit Emergency Lui3OManagement Security Unit Food Unit ICS 203 { 7 # / § 77 | § § / o [ re 24) 4— .2 a o ® To / \ To' c w0 — 2 9- W o rc (— § >, 0_ } - = E\ _8 CO ri { § ) ) / g / � ! • V r _ ) § f } E• ) j a) o . [ 2 o \ ) co _ OZ \ ` % § 3 < ■ t < \ / _ - z ) ± co z co 22 — o - U_ 3 § ! Z E � ) O ` .92 o E E ^ j \ =I = c R cu /) G ` / / In C N N U Incident Name Date Prepared Time Prepared Operational Period Medical Plan Scene Motocross 3/19/2012 800 4-1- 0700-1900 5. 'Incident Medical Aid Stations Paramedics Medical Aid Stations Location Yes No Medical Aid Stations Colorado Motocross Medics LLC (CMM) x 6. Transportation A. Ambulance Services Paramedics Name Address Phone Yes No Weld County Paramedics 1121 M Street Greeley, Co 353-5700 B. Incident Ambulances Paramedics Name Location Yes No Weld County Paramedics 1121 M Street Greeley, Co x Colorado Motocross Medics x 7. Hospitals Travel Time Helipad Burn Center Name Address Phone Air Grnd Yes No Yes No NCMC 1801 16th Street Greeley, Co 15 20 353-4121 x x MCR 2500 Rocky Mt Dr Loveland, Co 20 20 624-2500 x x Platte Valley 1600 Prairie Center Parkway, Brighton Co 25 303- x Medical Center 498-1600 8. Medical Emergency,Procedures All Medical Emergencies will be reported through dispatch. If a Medical emergency occurs to staff report it to the assigned EMTs. NCMC and MCR are both Level 2 Trauma Centers. CMM will call 911 if they need transportation for patients. SEWeld Fire staff take over medical control once they arrive on scene. SEWeld Fire will coordinate Flight for Life in the event it is needed. CMM will transport patients only if your EMS system is not able to transport. Prepared by(Medical Unit Leader) Reviewed by(Safety Officer) ICS-206 Tom Beach Emergency 1331 rc r.7annag Went 1. Incident Name 2. Date Prepared 3. Time Prepared UNIT LOG Scene Motocross 3/19/2012 800 4. Unit Name/Designators 5. Unit Leader (Name and Position) 6. Operational Period 4-1- 0700-1900 7. Personnel Roster Assigned Name ICS Position Home Base 8. Activity Log Time Major Events 9. Prepared by(Name and Position) ICS-214 A A Zs. < €) < •;-`" „ • © o D - _ L v v la es- CD ill A• Q� + ♦ _- ,. ' i P • Cod . • _ tib, �'DO uJy�,^,/ 1. • — V ` C C .iii;ii. ., vh, (....) . r lla:''lllIl' llIlI" .' • . ': ' • " ) . - . .. . 1 r , CU u� O� ^ IJI • r 1:—. ■h. CV b 11. Tv ,S`/`SJ ti � r • V 'Ciiiii-I a. . • G 1 'It4"1..t .' 1 1 i'l' 1 3 L L r U E • CO • �: :It. ; 4 ..sc 41 ....yelertio. i.e....0— ._ ...., e• N . 410111:". e. CC r r C Q Q r to Laos ---- - -- `` COIRtd . +fig-_ - ' ....... C). ass • ►Irr� _ E W . . I- I N- - m I, • a O0 �o .* c 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,re uired information must be furnished before the application will be processed. 3 5 50— 9 9 r NAME: TD- u_)l) In • S C£&t,l jJ AGE RESIDENCE: 1awy C; V`t�,JP SB(ARa, cc 2.0(093 ,, MAILING ADDRESS: `�Rmt. NAME fJC)12r11 Kl i LA c-uJ AGE S RESIDENCE: 9 Z. C 12 Pi �� cu4 s u RU C BEM;9-3 MAILING ADDRESS: 3A M NAME: eTh I'C?11(1 ��? no i p AGE: 49 RESIDENCE: MAILING ADDRESS: PO e_) t P ( a {1.eu i 1 J C r Co `30rv5 I NAME: ri ' 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: 'lady CA 66 IVfE./vf ru/26, ( ) 80O/3 P"f HaSku4 1 6-a-cL{ Lot AEC —s(EmtPT RE-3O83 C.LI�R'> 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: Uact WO FY) CC- RESIDENCE: °(01,"4-1 Cg 56 1(ELCESepue CO & (093 MAILING ADDRESS: SA me_ NAME: /1) i/R RESIDENCE: MAILING ADDRESS: o:0oo'00000 oo a'oo no o so.000000 2012-0631 2. Nature or purposes of the assembly: F1o61- h'10(0 a Rb SS I /1 tE 3. Dates and hours during which the assembly is to be held: ?(3< l l 2- `I l I L i 2. �3Am u5k 4. Maximum number of persons to be allowed at assembly at any one time: Too 5. The maximum number of tickets to be sold, if any: 1 5 0 6. Identify plans to limit number-I of� persons 1 to the maximum identified n above: On f- 21 n -1-1(•1C A-r€ 1...k.)14Q oo+lf1 c 0?-44 n aar . Can on (1 Er ter .S41-1 Sccn i n she.-e-I-,. Cc, rids o SnlcL ron-4rcA I rhi4- . 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: &4-k IPd u)a,-4ec ci.o I ,a.b ak Cor?ce5siansfr wa-A- HdrO.tr) +5 bi\ Ivc o..n 1—ro._tln r,eatpf-IC« )-es + h re Gtro,y s. 4-a—c k hctcsl 0PP sift on 4isha 8. Identifycx ta the nplans for holding, collecting, and disposing of solid waste materials: Crro. . 17as)m .NArnps r - 3j — 60 cjaLl . ba crc\s u +a-a.s k b 5o +t,r bcw� ch c h Rag cc( s w i ) 1 bt rec) (-of buecr P(aw) . trash kc.tl-ecl 5E? 9. Identify the plans for providing separate toilet facilities for males and females, including the source, number, and location, type nd the means of disposing of wastes deposited: Pots c\ u e «d f, P` c-k•ec.1 uLp o.voov0000000v0000000.000000 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 mbulance service: A Du) OO-the%ea t Gail" on Site (GAm 4-a Dusk . 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: hi a 12. Identify the plans for parking vehicles, including size and location of lots, points of highway access and ,iigteriorl road?, including routes between highway access and parking lots: 5,e,e- catotc Cd . m 0...F) 13. Identify the plans for communications with hospital, police, and fire services, including the source,amount,and location of communication equipment: 6 LL- Phbn e 5, mT wl' ( l have Cocomurcat/on will 9II +losP'l—a-1 14. Identify the plans for camping facilities, if any: 111 ay h&U e_ S 1 C tynA-o,\ VA e_cA R, ) '.3 o:000n0000no Imam]o00.000000 15. Identify the plans for fire protection: W t \N Vie-I-, �y 3 E upG LID ) .1. saLtQ er Q e p . a.1--e s £_ T i rn-e 5, 19,1L-k -r-tueX c 5k-Le «(4 rb I ca uS s-)--. 16. Identify the plans for security,including the number of guards,their deployment,their names, addrege ss,credentials and hours of availability and description of peer group control,if any: /a 17. Identify the plans for sound control and sound amplification, if any, including numper, location, and power of amplifiers and speakers: R,e 5-el or i eraft:r , PM 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: 19. Identify the plans, if any, for an electrical system: ti 0:n0ovoo0000D110000000.000000 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: ckkA -sand- on race it-csr k% i uclt�r * I O,(Y-4) cjo-,1 . bt-i &(±€ 'lt.cio-€ &Y e ✓10 -1 re-es f rock 5 h r u� ,>, oti 19 So-nA wee.Af.)_ 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 12-1-30.8.13 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 12-1-30.8.14 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:'000'0000000 0'00000000.000000 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. Applicant's signature —791c1 fil Applicant's printed name Applicant's position SUBSCRIBED AND SWORN to before me this l'6 day of \z.0ruturvl- 20 I '). . Witness my hand and official seal. O�ppY'P e`iC y Notary P b is �c>" b My commission expires: sot K- - 1 - TONYA ' y I DISNEY ` • • O: 1�� Agtf k.`®F COL-- MY COMM. EXP. 10-07-2014 M:CTB\CTBFORMS\FOASMBLY.DOCdoc • i 1 7 / ' . R . , H nt a« , : m a«» za -3fr\ft \ . &� -©� �� » �` \ 2 \ d } { L >2 / \ « / : - d a C«± } -- -- - /. S /° k� I / - u , y ` \- I, ' \ 4 �� 9 : 2 - <© C N a y { v\ : o7 gs � E \ ~ 2 4 \ a.' 2 . > « © \ I ^ 6/2 ° j « - . (�+»§ \&4 .. . .3>s /�2 \-- -« -» 2 � \ � o 00 m .-- \‘') ‘,) `--!I . � Cop • * * * ** * * * Old Republic Surety Company * * * BOND NO. W150116884 LICENSE BOND KNOW ALL MEN BY THESE PRESENTS,That we Revtimit Promotions LLC PO Box 771 Platteville,CO 80651 as Principal,and Old Republic Surety Company organized under the laws of the slate of Wisconsin , as Surety, are held and firmly bound unto Weld County,Colorado of Greeley,CO as Obligee in the sum of Five Thousand Dollars($5,000.00) lawful money of the United States,for which payment,well and truly to be made,we bind ourselves,our heirs,executors, administrators, successors and assigns,jointly and severally, firmly, by these presents. WHEREAS, the said Principal has applied to said Obligee for a license to or permit as a Event Permit-Keenesburg NOW,THEREFORE,THE CONDITION OF THIS OBLIGATION IS SUCH,Thal if the said Principal shall indemnify said Obligee against all loss which the Obligee may be subject by reason of said Principal's non-compliance caused by said Principal's breach of any ordinance, rule or regulation relating thereto,then the above obligation shall be void, otherwise to be and remain in full force and effect. This obligation may be canceled by said Surety by giving thirty(30) days notice in writing of its intention to do so to said Obligee, and provided further.that nothing herein shall affect any rights or liabilities which shall have accrued under this bond prior to the date of termination; and the said Surety shall be relieved of any further liability under this bond Thirty(30)days after receipt of said notice by the said Obligee. The term of this bond is for a period commencing January 27,2012 and terminating January 27, 2013 provided, however,this bond may be continued from year to year by continuation certificate executed by said Surety. Signed,sealed and dated the 27th day of January , 2012 Revlimit Promotions LLC Principal By Old Republic Surety Company By (.(-� u/ar r /acts__ �Jill S Rocks Attorney-In-fact ORSC 22477(11.931 AFL-- 6IA ** ** * * Scuff • * OLD REPUBLIC SURETY COMPANY ** * POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and appoint RAE L. CAMPBELL, JILL S . ROCKS, DAVID M. JANSSEN, SHELLY L. LUNDER, ANN BURKE, OF JOHNSTOWN, CO its true and lawful Attorneys)-in-Fact,with kill power and authority,not exceeding$20,000.000,for and,an behalf of the company as surety,to execute and deliver and affix the seal of the company thereto(if a seal is required),bonds,undertakings,recognizances or otter written obligations in the nature thereof,(other than bail bads, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bands, self-insurance workers cony:erection bonds guaranteeing payment of benefits,asbestos abatement contract bads,waste management bonds,hazardous waste remediation bonds or black lung bonds), as follows. ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED AN AGGREGATE OF FIVE MILLION DOLLARS ($5, 000, 000) FOR ANY SINGLE OBLIGATION, REGARDLESS OF THE NUMBER OF INSTRUMENTS ISSUED FOR THE OBLIGATION. and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents;are ratified and confirmed. This document is not valid unless printed on colored background and is multi-colored. This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982.This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18, 1982. RESOLVED that,the president, any vice-president, or assistant vice president in conjunction with the secretary or any assistant secretary, may appoint attorneys-In-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the company to bonds,undertakings,recog- nizances, and suretyship obligations of all kinds; and said officers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship oblugationshall bevalid and binding upon the Company (i) when signed by the president;any voe president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (u) when signed by the president,any vice president or assistant vice president secretary or assistant secretary,and countersignedand sealed(if a seal be required)by a duly authorized attorney-in-fact or agent;or (iii) when duly executed and sealed(if a seal be required)by one or more attorneys-in-fact or agents pursuant to and within:he limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER,thatthe signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the company,and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer,and its corporate seal to be affixed this 21ST day of DECEMBER, 2011 - OLD REPUBLIC SURETY COMPANY etc sune;\ ₹g a f p SEAL 704( U ^�� tag Assistant Secretary. President STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS On this 77�SSTT rrft DECEMBER 2011 personally came before me, GERALD C LEACH and RICK A..JOPNSOhl to-me eknown to bethielndividul d officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say; that they are said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. g solARV 9' Notary Public cA'. %Boo MY p S9jt commission ex fires: •OF 004 v 12/02/02/2012 CERTIFICATE I, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation,CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked;and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney,are now in force. Ida f�q/LUJ t �OI? 40-4216 6uRE, ��+°� ,e E Signed and sealed at the City of Brookfield, WI this _ y o r SEAL H j PFS INSURANCES:faROUP, LLC Assistant Secretary TH•SN THE MACK •F • THIS •••CUMENT AS A WATE MA-K. FUTH ESE FEATU-Es AHE A=SENT~THIS M• •CUMENT Is v•i.• -S neer..2990 lR/tnn AMERICANMOI Aco CERTIFICATE OF LIABILITY INSURANCE DATE vIINDI YYTY) 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(es)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CCWITACT Cheryn Schreiber Wells Fargo Special Risks,Inc. 713-5074700 PRONE : 713-5074738 (FAX -kkaikkaAT c,Ro); Wells Fargo Motorsports EMIL ms: therri.schreiber@well fargo.com 24 Greenway Plaza,Suite 1100 cos IPFRIS)AFFORDING COVERAGE NAIL It Houston,TX 77046-2401 INSURER A: Great American E&S Insurance Company 16691_. INSURED - - INSURER B: Preferred Motorsports Risk Purchasing Group,LLC INSURER C: &Certificate Holder(Promoter) INSURER O: 150 North Michigan Avenue,Suite 3900 INSURER E: Chicago,IL 60601 INSURER F: COVERAGES CERTIFICATE NUMBER: 3895920 REVISION NUMBER: See below 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 AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. M R TYPE OF IN ADDL SURANCE V D POl1CY RUMEN I�BSUDIF YYOLICY YYYY) ITN POLICY LBWS A GEI�LlL181L1TY GL03914953 01/01/2012 01/01/2013 EACH OCCURRENCE $ 1,000.OW DAMAGE TO RENTED X 300,000 COMMERCIAL GENERAL LIABILITY PREMISES(Ea=offare) $ JCLAIMS-MADE X OCCUR MED EXP(My one penal) $ Excluded PERSONAL&ADV INJURY 5 1,000,000 GENERAL AGGREGATE $ None GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 5,000,000 POLICY ECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE UNIT (Ea acddent) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LAB OCCUR EACH OCCURRENCE 5 EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION I WC SIAM- I LIMITS ' ITH- ER AND EMPLOYERS LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICERIME5BER EXCLUDED? (Mandalay In NH) E.L_DNFASE-EA EMPLOYEE,$ If yes,desoibe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY OMIT $ DESCRPTION OF OPERATIONS/LOCATIONS/VEHICLES (Mach ACORD let,Additional Remarks Schmid*it more apse N natal) Event Type: Motocross Event Date(s): 4/01/2012 Location/State: Keenesburg,CO Charter. 9183 See Attached for Additional Insured information CERTIFICATE HOLDER CANCELLATION Rev Limit Promotions,LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P O Box 771 ACCORDANCE WITH THE POLICY PROVISIONS. Platteville, CO 8-651 AUTHOR®REPRESENTATIVE 9r /-- The ACORD name and logo are registered marks of ACORD ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) SID:AMERICANMO1 SID:3895920 Additional Remarks Schedule (Continued from Page 1) The following are included as Additional Insureds,subject to policy terms and conditions: a)American Motorcycle Association,Inc.dba American Motor Mist Association;Paradama Productions,Inc.dba AMA Pro Racing;American Motorcycle Heritage Foundation,Inc.;American Motorcycle Association,Inc.dba NI Terrain Vehicle Association;and the directors,officers,employees,and agents thereof; b)My Managers,Lessors or Event Site Landowner of the premises; c)My Person or Organization Sponsoring Racing Vehicles or Sponsoring Racing Vehicle Drivers; d)Racing Vehicle Owners,Racing Vehicle Drivers and Racing Vehicle Crew Members; e)Persons or Oganizations(other than drivers,crew members,racing vehicle owners,sponsors,volunteers,or managers or lessors of premises)If Required by Contract; Additional Remarks Sehedute-Con't 1cCV 7C \ EIS GENERAL CONTRACT FOR SERVICES This Contract for Services is made effective as of March 30. 2012. by and between REV LIMIT PROMOTIONS. LLC ("REV LIMIT")of _ _ • Colorado . and RECK FLYERS. LLC ("RECK FLYERS")of 7108 W 10TH ST.GREELEY.Colorado 8O634. 1. DESCRIPTION OF SERVICES. Beginning on March 30. 2012.RECK FLYERS will provide to REV LIMIT the following services(collectively.the "Services'): I , /, TRASH AND TOILET SERVICES FOR REV LIMIT PROMOTIONS FOR AN EVENT 5 TOILETS @ 135.00 EACH AND 110 YD DUMPSTER AT 300.00 to BE LDELIVERED ON OR BEFORE MARCH 30TH THRU APRIL 2ND 2012 2. PAYMENT.Payment shall be made to RECK FLYERS. LLC. GREELEY, Colorado 80634. in the amount of S750.00 on or before 10 DAYS. In addition to any other right or remedy provided by law, if REV LIMIT fails to pay for the Services when due, RECK FLYERS has the option to treat such failure to pay as a material breach of this Contract. and may cancel this Contract and/or seek legal remedies. 3.TERM.This Contract will terminate automatically on April 02. 2012. 4.CONFIDENTIALITY. RECK FLYERS.and its employees. agents,or representatives will not at any time or in any manner.either directly or indirectly.use for the personal benefit of RECK FLYERS.or divulge.disclose,or communicate in any manner,any information that is proprietary to REV LIMIT. RECK FLYERS and its employees.agents.and representatives will protect such information and treat it as strictly confidential. This provision will continue to be effective after the termination of this Contract. 5. INDEMNIFICATION. RECK FLYERS agrees to indemnify and hold REV LIMIT harmless from all claims, losses.expenses. tees including attorney fees.costs.and judgments that may be asserted against REV LIMIT that result from the acts or omissions of RECK FLYERS and/or RECK FLYERS'~employees. agents.or representatives. 6. WARRANTY. RECK FLYERS shall provide its services and meet its obligations under this Contract in a timely and workmanlike manner, using knowledge and recommendations for performing the services which meet generally acceptable standards in RECK FLYERS's community and region.and will provide a standard of care equal to.or superior to,care used by service providers similar to RECK FLYERS on similar projects. 7.DEFAULT.The occurrence of any of the following shall constitute a material default under this This 3s • , . Legal Document orders and restraint orders in connection with the arbitration. The decision rendered by the arbitrators) shall be final and binding on the parties, and judgment may be entered in conformity with the decision in any court having jurisdiction. The agreement to arbitration shall he specifically enforceable under the prevailing arbitration law. During the continuance of any arbitration proceeding, the parties shall continue to perform their respective obligations under this Contract. 11. ENTIRE AGREEMENT.This Contract contains the entire agreement of the parties.and there are no other promises or conditions in any other agreement whether oral or written concerning the subject matter of this Contract. This Contract supersedes any prior written or oral agreements between the parties. 12.SEVERABILITY. If any provision of this Contract will be held to be invalid or unenforceable for any reason, the remaining provisions will continue to be valid and enforceable. If a court finds that any provision of this Contract is invalid or unenforceable.but that by limiting such provision it would become valid and enforceable. then such provision will he deemed to he written. construed, and enforced as so limited. 13.AMENDMENT.This Contract may he modified or amended in writing. if the writing is signed by the party obligated under the amendment. 14.GOVERNING LAW.This Contract shall be construed in accordance with the laws of the State of Colorado. 15.NOTICE. Any notice or communication required or permitted under this Contract shall he sufficiently given if delivered in person or by certified mail. return receipt requested. to the address set forth in the opening paragraph or to such other address as one party may have furnished to the other in writing. 16. WAIVER OF CONTRACTUAL RIGHT.The failure of either party to enforce any provision of this Contract shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Contract. 17. ASSIGNMENT. Neither party may assign or transfer this Contract without the prior written consent of the non-assigning party, which approval shall not he unreasonably withheld. IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by their duly authorized representatives as of the dale first above written. Service Recipient: REV LIMIT PROMOTIONS. LLC: By: BRADY SHARP IN.is.+ • • Lea 1 kument=. 1 Service Provider: RECK FLYERS, LLC By: LAURA ECK Owner fl legal[ocuinc it :.% OROZCO SECURITY AGENCY INVOICE 3601 MAGNOLIA ST #201205 EVANS, CO 80620 BILL TO:REV LIMIT PROMOTIONS PO BOX 771 PLATTVILLE, CO 80659 TEL:9703961432 ATTN: GLEN SHARP EMAIL: GSRACER48@GMAIL.COM SHIP TO:REV LIMIT PROMOTIONS KEENESBURG RACE TRACK KEENESBURG, CO 80643 TEL: ATTN: GLEN SHARP EMAIL. GSRACER48@GMAIL.COM DATE DESCRIPTION HOURS IQIAL 4/1/2012 2 SECURITY GUARDS 8:00am to 5:00pm 18HRS@$20.00HR TOTAL HOURS TOTAL 18 18HRS@$20.00HR PAY THIS AMOUNT $360 NOTES: THIS CONTRACT IS FOR REV LIMIT PROMOTIONS, SECURING SERVICES FOR APRIL 1ST , 2012. THIS WILL BE FROM 8:00AM TO 5:00PM AT THE KEENESBURBG RACE TRACK. ADDITIONAL GUARDS MAY BE CALLED IN, AND ADDITIONAL HOURS MAY BE ADDED UPON REQUEST. THIS IS A CONTRACT AND OROZCO SECURITY NEEDS 1 WEEK NOTIFICATION IF EVENT IS TO BE CANCELED. r .n, ---e-4,-. ,00941%. ---„, onkel. ----, mormatt0,,,-, emk„. c„, . , 41r <le' l'iw. le. of, -ir , -sie , lt ..4 , 0: to U 0[ V2ti_ .: i. (Cd Yio'ISLil c..o; �V U N d eg _` J ~ Q 111 D a i Z o u 7 z rn y N O =00 U) Li-al C.-.1 z w U rQ¢ z � �y U 6 oat, if �; y i v Hu' p W J 0 O in o 'U xx / Q Q J u t1 K etc Z I-„ 1O.11)% ;` O O � il _ NM � ¢ OE X � � ¢ W J ¢ W �_ G1 C Lu 0 }_ O `n ' `� Pt 2/ <n z w W .1� , L U + '+%. 0 a W Z 03 '-'' N F-' W OU U o o m nw ¢ .4. >? J - N45 o t ' .�» I° w - I beg , SD s. 3 3 Z� cI" L o ' iu >�: `41r. o o s 4 tic er .4 ) :1 4'1 ] ,t,,',3/4":" „ ,,,',Ci r.. !r w ..t if �.' �a•l.� I r,',,,, 4 ,. � '. Cain 11 as ,c�o Li_ z \ � uaiia Ow �'- ° J Z Z r J u U u 2 W O q) u, 1- (.9 n r rc III ILI L— a: F LL. o Of x Z O viv m LL u O N c L a a ° > < z c c w 0 s , D z z O a a W Fco LI N w N = d En V) S. N y cg z n = m 111M 111 111 ti N z F— m O O 0 U 2 f S W �y 1 rl > C) .yam O J -�! J O un O LL �2 `t ti, ) u o A O H U E w E ¢ t+� w o a ,. O E O YLH ti w :.�' n I ' U ' J O N N Cri U W cov C U �..,, Z c v N W L.L. 'C O - .-_. 2 m L (] C] 7 1 t Colorado Motocross Medics, LLC Fee for Service Purchase of Service Contract Keensburg MX Race April 1st, 2012 1. THIS CONTRACT is made by & between Glen Sharp, d.b.a RevLimits Promotions, hereinafter called "Promoter" and, Colorado Motocross Medics, LLC, 729 Remington Street,Ft. Collins, CO 80524,Fed ID 26-2005747, phone 970-484-7447,fax 970-482-8713, contact person: Joel Painter,email address: joel@jacobcenter.org "Contractor". 2. This contract will be effective from March 1,2012 until December 31, 2012. 3. Promoter agrees to purchase and Contractor agrees to provide quick response team offering on-track rescue assistance to any downed or injured motocross racer, initial care, track-side triage and/or coordination of transport to a medical facility. 4. This contract does not guarantee any work nor does it create an exclusive contract for services. 5. The parties agree that the Contractor's relationship to the Promoter is that of an independent contractor. 6. The parties agree that payment pursuant to this Contract is subject to and contingent upon the continuing availability of funds for the purpose thereof. 7. Promoter agrees: a) To notify Contractor of SRAC, RMXA and all National AMA Motocross, Supercross, Arenacross and Endurocross events. b) To monitor the provision of contracted service. c) To pay Contractor after receipt of billing statements for services rendered satisfactorily and in accordance with this Contract within 14 days of receipt of invoice. d) Pay hourly rate of$135.00. 8. Illegal Aliens: Public Contracts for Services A. The Contractor certifies that the Contractor shall comply with the provisions of C.R.S. 8- 17.5-101, et. seq. The Contractor shall not knowingly employ or contract with an illegal alien to perform work under this contract or enter into a Contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this contract. B. The Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in a program approved under C.R.S. 8- 17.5-102. 1) If the Contractor elects to participate in the State of Colorado Department program pursuant to C.R.S. 8-17.5-102, the Contractor must provide the Promoter a copy of their completed Notice of Participation Form. 2) If the Contractor hires a new employee who performs work under this public contract, the Contractor must provide the Promoter affirmation as required by C.R.S. 8-17.5-102(5)(c)(II). Page 1 of 3 C. The Contractor shall comply with all reasonable requests made in the course of an investigation by the Colorado Department of Labor and Employment. If the Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et. seq., the Promoter may terminate this Contract for breach of contract, and the Contractor shall be liable for actual and consequential damages to the Promoter. D. The Contractor shall not use the programs approved under C.R.S. 8-17.5-102 to undertake pre-employment screening of job applicants while this Contract is being performed. E. If the Contractor obtains actual knowledge that a subcontractor performing work under this Contract knowingly employs or contracts with an illegal alien, the contractor shall: 1) Notify the subcontractor and the Promoter within three days that the Contract has actual knowledge that the subcontractor is employing or contracting with an illegal alien; and 2) Terminate the subcontract with the subcontractor if within three days of receiving the notice required pursuant to sub-paragraph "a" above, the subcontractor does not stop employing or contracting with the illegal alien, unless the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. F. If applicable, the Contractor shall verify in accordance with Section 24-76.5-103 C.R.S. the lawful presence in the United States of each natural person eighteen years of age or older who applies for and receives the benefits being provided by the Promoter under the terms of this Contract. Upon Promoter's request, Contractor shall provide to Promoter evidence of such verification. 9. Contractor agrees: a) To provide quick response team offering on-track rescue assistance to any downed or injured motocross racer, initial care, track-side triage and/or coordination of transport to a medical facility. b) Not to assign any provision of this Contract to a subcontractor. c) Not to charge riders any fees related to services provided under this Contract. d) To hold the necessary license(s) and/or registration in state database and provide documentation which permits the performance of the service to be purchased, and/or to meet applicable Colorado Department of Health qualification requirements. e) Staff/volunteers: The Contractor is responsible for performing background checks on all staff/volunteers, family members of staff/volunteers, interns, mentors and any others who will have rider contact. f) To safeguard information and confidentiality of the rider and the child's family in accordance with rules of the Colorado Department of Health. It is also agreed that, during and after the term of this Agreement, all parties shall comply with the rules and regulations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Federal Alcohol and Drug Confidentiality Regulation regarding all clinical records and financial information related to Covered Persons, as well as to all statistical data, reports and standards. The parties shall utilize their best efforts to implement appropriate physical, technical and administrative safeguards to prevent and protect such information from unauthorized disclosure. Notwithstanding the foregoing, the parties shall allow access by Covered Persons to their own clinical information, subject to Applicable Law. Page 2 of 3 g) To comply with the requirements of the Civil Rights Act of 1964 and Section 504, Rehabilitation Act of 1973 concerning discrimination on the basis of race, color, sex, age, religion, political beliefs, national origin, or handicap. h) Eligibility to Provide Services: The Contractor certifies in signing this document that neither the Contractor, the organization nor its principals are suspended or debarred or otherwise excluded from procurement by the Federal government and do not appear on the Excluded parties List System (EPLS) maintained by the General Services Administration (GSA). i) Preference for Colorado labor: Pursuant to Sections 8-17-101 & 8-17-102, C. R. S., a preference for Colorado labor is applicable if the Contract is financed in part or in whole with State funds. j) Indemnify RevLimits Promotions from the action based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this Contract or by conditions created thereby, or based upon any violation of any statute, regulation, and the defense of any such claims or actions. k) Any changes, including any increase or decrease in the amount of the Contractor's compensation, Scope of Services, or reimbursable costs, or any other relevant changes which are mutually agreed upon by and between the Promoter and the Contractor, shall be incorporated in written amendments to this Contract or, if agreed upon by both parties, may be communicated by e-mail which will be attached to the original contract. Termination: Either party may terminate this Contract by thirty (30) days prior notification in writing. Glen Sharp, RevLimits Colorado Motocross Medics, LLC Date Date Page 3 of 3 TEMPORARY ASSEMBLY REVIEW FORM Date: February 10, 2012 TO: Lisa Carpenter and/or Jeremy Frey FROM: CTB —Tonya Disney 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: February 16, 2012 ESTABLISHMENT: Dawn Scena Norman Law Glenn Sharp 9264 County Road 55 Keenesburg CO 80643 No concerns Depbtys nitials XX 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: 1. Copy of licenses from food vendors 2. Proof of Port-a-Pots (per section 12-1-30.B.2). 3. Proof of Security (per section 12-1-30-B.10). 4. Proof of trash service 5. Proof of EMT (per section 12-1-30.6.4). 6. "No alcohol permitted on premises" posted on entrance of property. 7. Flaggers for traffic control and parking 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) Forward all documentation to the Clerk to the Board of Commissioners, once they are received. February 14, 2012 Property Owner, Please Print Date isa Carpente C0158 Property Owner Signature Deputy's Signature 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. To: Weld County Board of Commissioners From: Deputy Lisa Carpenter Date: February 14, 2012 RE: Dawn Scena/Moto Cross Event Dear Commissioners, I have researched and found no reported calls for service to 9264 WCR 55, Keenesburg, CO 80643 for the Calendar year of 2011 to present day. I have contacted Dawn Scena to provide copies to the Clerk to the Board of Commissioners on the following items: 1. Copy of licenses from food vendors 2. Proof of Port-a-Pots 3. Proof of Security 4. Proof of trash service 5. Proof of EMT 6. "No alcohol permitted on premises" posted on entrance of property 7. Flaggers for traffic control and parking. Respectfully Submi d, Deputy Lisa penter Community Resource Officer Weld County Sheriffs Office 1950 "O" Street Greeley, CO 80631 Tonya Disney From: Roy Rudisill Sent: Wednesday, February 29, 2012 9:48 AM To: Tonya Disney; Bethany Salzman; Dan Joseph; Janet Carter; Jeremy Frey; Jonathan Gesick; Lisa Carpenter Cc: Brad Yatabe; David Clarke; Deb Adamson; Margie Martinez; Sara Evans Subject: RE: Temporary Assembly Permit-Scena - Moto Cross Tonya, I have contacted Dawn Scene and discussed with her the need to communicate with the Fire District. I will work with the First responders in the area to develop and Incident Action Plan for the event. Roy Director Roy Rudisill Weld County Office of Emergency Management 1150 O St. Greeley Co. 80632 970-304-6540 Office 970-381-0417 Cell ! ALi1861 1, 11 r' = } , dtvx 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, February 1.0, 2012 11:51 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 Disney Subject: Temporary Assembly Permit - Scena - Moto Cross The following applicant has submitted a request for Temporary Assembly permit for moto cross. The event is to be held March 31, 2012 thru April 1, 2012. Please provide any comments you may have before Thursday, February 16, 2011. A .pdf copy of the application materials is attached. Applicant: Dawn Scena Norman Law 9264 County Road 55 1 1861 2011 MEMORANDUM WELD 0 N T Y TO: Christie Peters, Clerk to the Board DATE: 02/24/12 IFROM: Janet Carter E.I., Public Works SUBJECT: Temporary Assembly Scena-Law-Sharp Moto-Cross Race 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 700 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 Command Plan for the Office of Emergency Management. 6. Please submit a dust abatement plan for your event. Page- 1 -of 2 February 24,2012 M:\TONYA\LIQUOR\Dawn Scena-Temporary Assembly\P W-Memo Temp Assembly Scena Law Sharp Motocross.DOC MEMORANDUM f ?� To: Tonya Disney, Deputy Clerk to the Board February 17, 2012 yuleFrom: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 COLORADO Review of the following Temporary Assembly Permit by the Department of Planning Services shows the following: Type of Event: Moto Cross Race Applicant(s): Dawn M. Scena and Norman Law 9264 CR 55 Keenesburg, CO 80643 Glenn Sharp PO Box 771 Platteville, CO 80651 Location of Event: 9264 CR 55 Keenesburg, CO 80643 Dates and Time of Event: March 31, 2012 &April 1, 2012, 8:00 a.m. -dusk General Information: 1305-15-0-00-033 (consists of approximately 29.54 +/-acres) Property is approximately 1 '/: mile NW of Keenesburg municipal boundaries Maximum number of people is 800 Zone District: A(Agricultural) Comments: No existing or previous violations were noted. SERVICE,TEAMWORK,INTEGRITY,QUALITY 1861 ', Department of Planning Services 1555 N 17th Ave Greeley, CO 80631 N7 (970) 353-6100 Temp Assembly Review - Moto Cross Building Department Comments Dawn Scena Norman Law Glenn Sharp 9264 County Road 55 Keenesburg, CO 80643 Dear Sir/Madam, The Weld County Building Department has reviewed the history and investigated any building complaints or violations that accompany the parcel the establishment resides on. The findings are as followed: All buildings are currently in compliance in that there are no outstanding building permits open, no violation cases and no complaints against the property. There are currently no buildings identified for use during the event. Therefore, the building department has no concerns. For further information or comments please contact the Weld County Building Department. Sincerely, Jonathan Gesick Plans Examiner and Building Inspector 970-353-6100 x-3532 Memorandum Will TO: CLERK TO THE BOARD C From: Dan Joseph, Environmental Health Specialist COLORADO DATE: 02/22/2012 SUBJECT: Temporary Assembly Permit for LC0022 In response to your request, Environmental Health Services has reviewed the Temporary Assembly Permit, for Dawn Scena, Norman Law and Glenn Sharp, located at 9264 CR 55, in Keenesburg, Colorado. After reviewing the application, the following is the recommendation made by this Department: 1) Temporary hand washing stations should be located outside the portable toilets. We recommend that there be one hand washing station for every two portable toilets (provided the toilets are in close proximity to one another). If the portable toilets are spread throughout the facility we recommend one hand washing facility per toilet. 2) The application stated that there would be 6 portable toilets available at the event. Based on the hours of the event and number of possible patrons, the Department recommends that at least 8 portable toilets are available for patrons. It was not noted in the application, but the Department would recommend that 2 of the portable toilets be handicap accessible. A conversation was held with Dawn Scena on February 22,2012, in which it was decided that Dan Joseph would send Ms. Scena an email listing her options for providing food service at her event. Ms. Scena will choose which option/s will best fit her needs and the Department will work with her to complete any licensing (if required). Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at dioseph(aIco.weld.co.us. Thank you. cc: Cindy Salazar, Environmental Health Services Deb Adamson, Environmental Health Services 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#: 2012-17 DATE: March 7, 2012 TIME: 9:00 a.m. APPLICANT: Dawn Scena Norman Law Glenn Sharp 9264 County Road 55 Keenesburg CO 80643 REQUEST: Application for a temporary assembly of more than 350 persons on March 31, 2012 thru April 1, 2012 LEGAL DESCRIPTION: Lot A of Recorded Exemption #3083 (.46R); being a part of the N 1/2 SW1/4 of Section 15, Township 2 North, Range 64 West of the 6th P.M., Weld County, Colorado; LOCATION: 9264 County Road 55, Keenesburg, Colorado 80643 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: February 17, 2012 PUBLISHED: February 22, 2012, in the Fort Lupton Press PROOF OF PUBLICATION FORT LUPTON PRESS STATE OF COLORADO COUNTY OF WELD SS. I, Allen Messick, do solemnly swear that I am the Publisher of the Fort Lupton Press that the same is a weekly NOTICE TEMPORARY ASSEMBLY FOR newspaper printed and published in the County of Weld, Pursuant to the Weld County Code, a public hearing will be held State of Colorado, and has a general circulation therein; in the Chambers of the Board of County Commissioners of Weld that said newspaper has been published continuously and County, Colorado, Weld County uninterruptedly in county of Weld for aperiod of Administration Building, 1150 O p y said more Street, Assembly Room, Greeley, than fifty-two consecutive weeks prior to the first Colorado 80631, at the time specified. If a court reporter is publication of the annexed legal notice or advertisement; desired, please advise the Clerk to the Board, in writing, at least five that said newspaper has been admitted to the United days prior of the hearing. The cost States mails as second-class matter under the provisions engaging m theerrt estingr shall of the act of March 3, 1879, or any amendments thereof, In accordance with the Amencans party. with Disabilities Act, if special and that said newspaper is a weekly newspaper duly accommodations are required In order for you to participate in this qualified for publishing legal notices and advertisements hearing, please contact the Clerk within the meaning of the laws of the State of Colorado. to the Board's Office at(970)336- 7215, Extension 4226, prior to the That the annexed legal notice or advertisement was day of the hearing. The complete case file may be examined in the published in the regular and entire issue of every number office of the Cleric to the Board of County Commissioners, Weld of said weekly newspaper for the period of ONE County Administration Building, consecutive insertion (s); and that the first publication of 1150 o street, Greeley, Colorado 80631. E-Mail messages sent to said notice was in the issue of newspaper, dated 22nd an individual i ual Commissioner in thefile day of FEBRUARY 272, and the last on the 22nd day of To ensure inclusion of your E-Mail correspondence into the case file, FEBRUARY 2012 /7 please send a copy to egesick© co.weld.co.us / DOCKET* 2012-17 DATE: March 7,2012 TIME: 900 a.m. Publisher, b ribed and swoZ refoie me, ifils22nd APPLICANT: Dawn Scam day of FEBRUARY 2012 Norman Law 9 ( Glenn Sharp 9264 County Road 55 Keenesburg CO 80643 „Meta . REQUEST: Application for a r�y5_public temporary assembly of more than i r\+- -_v �\ 350 persons on March 31,2012 thru Q1'�"�� l April 1,2012 LEGAL DESCRIPTION: Lot A of C .1 `', Recorded Exemption#3083(46R); ' - being a part ofpthe N 1/2 SW1(4ofection 15, Township 2 North,Range 64 West of the 6th PM.,WeldCounty,Colorado t ' I LOCATION: 9264 County Road 0":.,T1_, / �P 55, Keenesburg, Colorado 80643 CC �,�% ( SC (See Legal Description for precise r,-----<-)S- r�r'�7/ location.) BOARD OF COUNTY My Commission Expires : 02/02/2014 COMMISSIONERS ELD COUNTY COLORADO DATED: February 17,2012 PUBLISHED: February 22,2012,In the Fort Lupton Prow. O RECEIPT DATE -cl -1a Na 86270 2 C O a M RECEIVED FROM + 5U,SA Cu - ( o ADDRESS -c N O a FOR ��n�N'c�u'Ut �Pc-, s . „A, 3 0 o -t v s-t- 01/10 6- Q t'fls0 d U' HOW PAID 5 oQQ CASH U . `'Y� &0.1a CHECK S._ .1 DO n BY MONEY OROER U.S. Postal ServiceTM CERTIFIED MAIL. RECEIPT. .D (Domestic Mail Only;No Insurance Coverage Provided) m F r • livery inf rmati n visit ur webelte et vnvw.ue•'-.••ma D O N u) Postage S Ph p Certified Fee p Postmark p Return Receipt Fee - (Endorsement Required) Here 0 Restricted Delivery Required) Fee(EndorsementDRegyire e ru fl Total Postage&Fees $ ED Sent To Sc - vJ gut Street,Apt No.; A or PO Box No. 9d(pg /cwl f? T L-t Ciy,State,ZIP+4 // 5�-v .J=1 Po tU43 - 31 SENaE': C•M'LETE THIS SECTI•N COMP.Ere THIS secnoN •N r�ELIVE•r • Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. - agent • Print your name and address on the reverse X i. ./� .-O Addressee so that we can return the card to you. ' ed by(- nted 'a =) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. B. o2C 161— 0 Is delivery address different from item 1? O Yes 1. Article Addressed to: If YES,enter delivery address below: O No V3o. . -1 SWAM,- tJor m0JA. 1,_(_.w GtZVun S1e-k(arp otQUk Criu' Road c5 VRUlR3 bad,"la t. spd1 4 3 3. Service Type XCertifed Mall ❑Express Mail ❑ Registered O Retum Receipt for Merchandise ❑ Insured Mail O C.O.D. 4. Restricted Delivery?(Extra Fee) O Yes 2. Article Number 7004 2890 0003 5709 8686 (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 Hello