HomeMy WebLinkAbout20120995.tiffRESOLUTION
RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO MAKE -A -WISH
FOUNDATION OF COLORADO, INC./FRANK'S RIDE FOR CHILDREN, C/O GREG
RISEDORF, 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, Make -A -Wish Foundation, Inc./Frank's Ride for Children, do Greg Risedorf,
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 May 20, 2012, from 8:00 a.m.,
until 9:00 p.m., outside the corporate limits of any town or city in the County of Weld at the
location described as follows:
Anderson Farms, 6728 County Road 3.25, Erie,
Colorado, 80516; being further described as part of
Section 32, Township 2 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 2012-07 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 8:00 a.m., until 9:00 p.m., on
May 20, 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.
cam ' 5D APP I •
5 -I -I a
2012-0995
LC0022
SPECIAL EVENTS PERMIT - MAKE -A -WISH FOUNDATION OF COLORADO, INC./FRANK'S
RIDE FOR CHILDREN, C/O GREG RISEDORF
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 18th day of April, A.D., 2012.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:
Weld County Clerk to the Board
BY: j
Deputy CI k to the Board
APP' P Et a FORM:
y Attorney
Date of signature: 4 -a5-la
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2012-0995
LC0022
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authorized this 18th day of April, 2012.
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The Board of County Commissioners
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TO BE POSTED IN A CONSPICUOUS PLACE.
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
MAKE -A -WISH FOUNDATION OF COLORADO INC
ANDERSON FARMS
6728 WELD COUNTY RD 3 1/4
ERIE CO 80516
License Number GE -08-70504-0000
SPECIAL EVENTS PERMIT
MALT, VINOUS AND SPIRITUOUS LIQUOR
VALID ONLY FOR THE FOLLOWING
PERIODS
FROM
Date
MAY 20, 2012
Hour
8:00 AM
TO
Date
MAY
20, 2012
Hour
9:00 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 05/01/12 CAC
AttalU //
IQU R ENFORCEMENT DIRECTOR
xid,„,
XECUINE DIRECTOR
DR 8439 (06/28/06)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET
DENVER CO 80261
(3W) 20:-2100
IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT, YOU MUST BE NONPROFIT
AND OlE OF THE FOLLOWING (Sae beck tar details)
• SOCIAL • ATHLETIC ❑ PHILANTHROPIC INSTITUTION
• FRATERNAL ❑ CHARTERED BRANCH, LODGE OR CHAPTER • POLITICAL CANDIDATE
• PATRIOTIC Ill OF A NATIONAL ORGANIZATION OR SOCIETY • MUNICIPALITY OWNING ARTS
• POLITICAL ■ RELIGIOUS INSTITUTION FACILITIES
LIAB
2110
2170
P2
Q
TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR:
MALT, VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY
FERMENTED MALT BEVERAGE (3.2 Beer) $10.00 PER DAY
DO NOT WRITE IN THIS SPACE
LIQUOR PERMIT NUMBER
I. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE
MAKE -A -WISH / Frank's Ride for Children
State Sales Tax Number (Required)
19871519647
2. MAIUNG ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE
(include street, city/own and ZIP)
C/O Greg Risedorf
2544 Jarett Dr.Mead, Co 80542
3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT
(include street, city/town and ZIP)
Anderson Farms
6728 Weld County Rd. 3 1/4 Erie , Co 80516
NAME
DATE OF BIRTH
HOME ADDRESS (Street, City, State, ZIP)
PHONE NUMBER
a. PRES.SEC'Y OF ORG. or POLITICAL CANDIDATE
Greg Risedorf
2544 Jarett Dr. Mead, Co 82542
(303)775-9190
8. HAS APPLICANT
ISSUED A SPECIAL
Z NO
ORGANIZATION OR POLITICAL CANDIDATE BEEN
EVENT PERMIT THIS CALENDAR YEAR?
YES HOW MANY DAYS?
7. IS
PREMISES
P2
NOW LICENSED UNDER STATE LIQUOR OR BEER CODE?
NO YES TO WHOM?
8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE UCENSED? • Yes • No
LIST BELOW THE EXACT DATE(S) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT
Date May 20th 2012
Hours From 8:OO A.m.
To 9:00 P .m.
Date
Hairs From .m.
To .m.
Date
Hours From .m.
To .m.
Date
Hours From .m.
To .m.
Date
Hairs From .m.
To .m.
OATH OF APPLICANT
I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and
that all information therein is true, correct, and complete to the best of my knowledge.
SIGW)jllriE
�
4 c/,
"PORT
TITLE
Chairman
DATE
3/14/2O12
AND APPROVAL OF LOCAL LICENSING AUTHORITY (CITY 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 Tit e 12, Article 48, C.R.S., as amended.
THEREFORE, THIS APPLICATION IS APPROVED.
LOCAL LICENSING AUTHORITY (CITY OR COUNTY) • CITY
WELD COUNTY, COLORADO I COUNTY
TELEPHONE NUMBER OF CITY/COUNTY CLERK
SIGNATURE - - /1
—��_(J
TITLE
Chair, Board of County
DA1I 1 S [012
- �-
DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVEWignagedMIINs
LIABILITY INFORMATION
License Account Number
•
Liability Date
State
TOTAL
$ .
-750(999)
APPLICATION FOR A SPECIAL
EVENTS PERMIT
Department Use Only
(Instructions on Reverse Size)
APPLICATION INFORMATION AND CHECKLIST
THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED:
tzi
v1
Appropriate fee.
Diagram of the area to be licensed (not larger that 81/2" 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
If a political Candidate, attach copies of reports and statements that were filed with the Secretary of State.
APPLICATION MUST FIRST BE SUBMITTED TO THE LOCAL LICENSING AUTHORITY (CRY 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.)
7] AN APPROVED APPLICATION MUST BE RECEIVED BY THE LIQUOR ENFORCEMENT DIVISION ATLEASTTEN(10)DAYSPRIORTOTHE 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
Articles46 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.)?
2. Explain in detail the nature of your organization, its function, and who or what benefits from
its operations (attach separate sheet if necessary).
3. Who or what organization will be the recipient of funds derived from this event?
4. How many attendees are expected at this event?
5. Describe the premises at which this event will take place.
6. What type of security will be provided at this event?
7. How many security personnel will be on hand?
8. How will security personnel be identified?
9. If this event is being held outdoors, how will the exterior boundaries of the premises be
marked (e.g., roped, fenced, etc.)?
10. What type of entertainment will be provided, if any, for this event?
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.)
M:\CTB\CTBFORMS\FOSPECIALEV ENT.D0CSpecialEvent
12. How will the conduct and level of intoxication of attendees be monitored and by whom?
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?
14. What types of alternate beverages and food/snacks will be available?
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.
I hereby certify, under penalty of perjury, that the information provided to the Board of County
Commissioners of Weld County contained in this affidavit is true and accurate to the best of my
knowledge.
Applicant' ig ature
STATE OF COLORADO
) ss
COUNTY OF WELD
Date
Subscribed and sworn to before me this U(j day of /J� t e 20101.
Witness my hand and official seal. My commission expires: Q . cn: 010 `0'
BEAKY
NOTARY PUBLIC
STATE OF COLORADO
������ C.r
Notary Public
T's
M:1CTBICTBFORMS\FOSPECIALEVENT. DOCSpecialEvent
You created this PDF from an application that is not licensed to print to novaPDF printer (http://www.novapdf.com)
Frank's Ride for Children
Special Events Permit
May 15, 2011
Question 1:
Question 2:
Question 3:
Question 4:
Question 5:
Questions
6,7,&8
Question 9:
Question 10:
Question 11:
Questions
12 & 13
Question 14:
Question 15:
Question 16:
Annual Benefit
The mission of Frank's Ride is to help Colorado Children who are fighting
life -threatening illnesses and who want to have a wish granted. The
children we sponsor participate in our run- riding in our sidecars. They
and their families have a great time and really enjoy seeing all the
motorcycles and vehicles supporting their wishes.
Make -A -Wish Foundation of Colorado
aoi3
The total number we expect 1,000 to 1,500 to attend the 26TD event
The premises contains permanent buildings that include, public facilities,
drinking fountains, and a kitchen facility. Permanent interior and exterior
lighting is located throughout the premises.
The entire volunteer staff of Frank's Ride will provide security for the
event. The staff members are identified by wearing black "Frank's Ride
Poker Run Staff' shirts. Additionally, there will be twenty staff members
designated specifically as "Frank's Ride Security.
The premises has permanent fencing around its entire boundaries.
Live music and games
Attendees will be identified by two separate colored wrist bands according
to age (over 21 years and under 21 years)
Fifteen of our Volunteer staff of Frank's Ride have current TIPS
certifications and will be monitoring the attendees as well as Mountain
View Fire Protection District, Longmont Emergency Unit personnel, and
Police staff.
Water fountains, bottled water, soft drinks, bbq pork and beef with all the
trimmings.
No. 100% of the profits are donated to Make -A -Wish Foundation of
Colorado
Flyers, ads in location magazines and news papers, and ads on local radio.
MAKE .
CiefISH.
September 30, 2011
Frank's Ride for Children will be celebrating its 26th year of raising money for Colorado
children on May 20, 2012. The Make -A -Wish Foundation of Colorado has been a
recipient of the event's success and generosity for the majority of those years. More
than $465,000 has been raised for children with life -threatening medical conditions
and thanks to Frank's Ride, nearly 100 wishes have been granted, bringing smiles to
thousands of faces!
You see, the power of a wish affects more than just a wish child. The power of a wish
is what happens when communities, businesses, strangers and friends alike, unselfishly
move heaven and earth to bring hope, strength and joy to a child struggling with an
illness. It's the opportunity for a family to build lasting memories and refocus their
attention from the illness to the wish. By granting them their once -in -a -lifetime wish,
Make -A -Wish is able to provide delightful and cherished experiences that not only
give the children and families reason to celebrate today, but also create hope for
the future.
I've seen this power of a wish take over everyone involved in Frank's Ride for
Children; from wish children themselves and their families, to community leaders and
businesses, to hundreds of volunteers and ride participants each year.
A note received from a recent wish family says, 'Thank you, Make -A -Wish, for the
greatest week ever! The opportunity to be together as family, without the constant
reminder of cancer, was so healing for al/ of us. Chances like this are life changing
and make a world of difference to families like ours. A million thanks to those who
care enough to contribute to this wonderful organization!"
The foundation is very proud to be associated with Frank's Ride for Children and is
truly grateful for their annual support!
Sincerely,
Patti Forsythe
Director of Events/Promotions
LETTER OF CONSENT
I, Jim Anderson, Do hereby authorize the use of my property for the sole purpose of holding the
event known as Frank's Ride for Children. This event benefits Make -A -Wish Foundation of
Colorado and is scheduled for Sunday, May 20, 2012.
I do understand that there will be approximately 1,000 to 1,500 people attending. As well as,
staff members from Frank are Ride and . It is also my
understanding that there will be Roast pork and beef (served with all the trimmings). Alcoholic
/non alcoholic beverages, as well a, live entertainment on the event premises.
My property is completely fenced with one main gate serving as the main entrance to the event
premises.
Respectfully,
()),„L„__
Jim And son
6728 WCR 3 1/4
Erie, Colorado 80516
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RANK'S RIDE FOR CHILDREN
IREGORY A RISEDORF
544 JARRE T DR
LEAD, CO 80642
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Principal:
FRANK'S RIDE FOR CHILDREN 2003
209 L 9 SHERMf S 80501
r Check if you have a change of address.
Jan
1006
02.157/1@I
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Date
$
Dollars 8
Please detach portion and return with payment in the enclosed envelope.
or CREDIT CARD PAYMENT please contact as at 800-486-6695
MPORTANT: TO INSURE PROPER PROCESSING. MAKE CHECK PAYABLE TO:
11CC Surety Group
Dep9362
Los LAngela, CA 90084-9362
eat
FIRST MAINSTREET INSURANCE, LLC
P.O. BOX 847
LONGMONT CO 80502
Amount Enclosed I $ 100 . 0 0
rJG at loot,
BOND NUMBER: P5991
PAYMENT DUE BY 2/26/2012 100.00
PAYMENT DUE AFTER 2/26/2012 $125.00
BOND WILL BE CANCELLED
if full payment is not received by 2/26/2012
(PLEASE REMIT PAYMENT BY DUE DATE TO
ASSURE YOUR BOND REMAINS ACTIVE.)
0000001300P59913000001000020120226201302261
AID oe CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1
02/1 /2O
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Willis of Arizona, Inc.
c/o 26 Century Blvd.
P. 0. Box 305191
Nashville, TN 37230-5191
CONTACT
NAME
PHONE IFM
(A/C NO FXTL 877-945-7378 IAHI NCY 888-467-2378
AnnRFSS certificates@willis.com
INSURER(S)AFFORDING COVERAGE
NAIC#
INSURER A: Philadelphia Indemnity Insurance Company
18058-001
INSURED
Make -A -Wish Foundation of America
Make -A -Wish Foundation of Colorado
7951 8. Maplewood Avenue
Suite 126
Greenwood Village, CO 80111
I
INSURERB.
INSURERC.
INSURERD'.
INSURERE'.
INSURER F'.
CERTIFICATE NUMBER' 174111 n6
REVISION NUMBER:
V ,
THISIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
II TN
I TR
TYPEOF INSURANCE IND
ADD'L
WvnSUB
Wen
POLICY NUMBER
POLICYFF I
POLICY
IM
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
Y
PHPX766457
9/1/2011
9/1/2012
EACH OCCURRENCE
$ 1,000,000
DAMAG�ETTO RENTED
PREMISES (Ea occurence)
$ 100,000
MED EXP (Any one person)
$ 5,000
CLAIMS -MADE
X
OCCUR
PERSONAL&ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMP/OP AGG
$ 2,000,000
GEN'L AGGREGATE
POLICY
LIMIT APPLIES
PRO -
PER:
LOC
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED
_AUTOS
SCHEDULED
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY(Per person)
$
BODILY INJURY(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
UMBRELLA UAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
$
DED ! !RETENTION $
WORNERSCOMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
WebiAIU-rr
IT OR MITSI IOFR
E.L. EACH ACCIDENT
$
E.L. DISEA$E-EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach Acord 101, Addlonal Remarks Schedule, If more space Is required)
RE: Prank's Ride for Children.
Location of Event: 2210 Pratt Street, Longmont, CO 80501
Date of Event: May 20th, 2012 /Time and Duration of Event: 7:00am - 5:00pm.
Weld County Government is included as an Additional Insured as respects to General Liability.
CERTIFICATE HOLDER
CAN
Weld County Government
1762 weld County Road 20 1/2
Longmont, CO 80504
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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con: 3638700 Tpl:1405655 Cert:17433106 1988-2010 ACORD CORPORATION. All rights reserved
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Make -A -Wish Foundation
of Colorado, Inc.
7951 E. Maplewood Avenue, Suite 126
Greenwood Village, CO 80111
303-75O9474
800-366-9474
fax 303-755.3108
www.colorado.wish.org
colorado@coiorado.wish.org
March 22, 2012
To Whom It May Concern,
MADE•
As you are aware, the Make -A -Wish Foundation® is a non-profit organization which
grants wishes to children with life -threatening medical conditions to enrich the human
experience with hope, strength and joy. To help raise funds to grant wishes for these
special children, a committee of volunteers is organizing the 26th Annual Frank's Ride
for Children to be held May 20, 2012. Proceeds from this event will benefit the
Colorado Chapter of the Make -A -Wish Foundation.
Greg Risedorf is authorized to represent the Make -A -Wish Foundation of Colorado while
organizing the 2012 Frank's Ride for Children event.
If you have any questions, please feel free to call our office at 303-750-9474 for further
information.
Thanks for your support!
fishes,
/l.
Patti Forsythe
Director of Events/Promotions
Share the Power of a Wish®
OFFICE OF THE SECRETARY OF STATE
OF THE STATE OF COLORADO
CERTIFICATE
I, Mike Coffman, as the Secretary of State of the State of Colorado, hereby certify that,
according to the records of this office,
MAKE -A -WISH FOUNDATION OF COLORADO, INC.
is a
Nonprofit Corporation
formed or registered on 05/02/1983 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 19871519647 •
This certificate reflects facts established or disclosed by documents delivered to this office on
paper through 01/31/2008 that have been posted, and by documents delivered to this office
electronically through 02/07/2008 (7a, 09:14:09 •
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 02/07/2008 @ 09:14:09 Pursuant to and in accordance with applicable law. This certificate is
assigned Confirmation Number 7002045 •
Secretary of State of the State of Colorado
***5*************• is* •• •t * •******• rs •s♦t•End of Certificate"******* *t*****$*5*5 ****55***5***ervr•
Notice: A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However,
as an option, the issuance and validity of a cert fcate obtained electronically may be established by visiting the Certificate Confirmation Page of
the Secretary of State's Web site, htrp: utyu'.sossiate.cuus'hi: CertifcateSearcheruerta.do entering the certificates confirmation number
displayed on the certificate, and following the instructions displayed Confirming the issuance of a certificate is merely optional and is not
necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, imp: www.cos.state.co.us click Business
Center and select "Frequently Asked Questions."
CERT GS D Revised 01/02/2007
• , ' ;mid 'Will
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Wi�Yc
COLORADO
MEMORANDUM
TO: Christie Peters, Clerk to the Board DATE: April 2, 2012
FROM: Janet Carter E.I., Public Works
SUBJECT: Temporary Assembly Frank's Ride for Children
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 1,000 vehicles will require parking on the property
3. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency
Management Agency (FEMA).
4. Please utilize the Traffic Control Plan (TCP) used at last year's event.
5. Please submit an Incident Action Plan for the Office of Emergency Management.
Page - 1 - of I April 2, 2012
M:\TONYA\LIQUOR\Make-A-Wish Rides for Children\PW - Memo Temp Assembly Frank's Ride040212.DOC
lele;;
COLORADO
MEMORANDUM
To: Tonya Disney, Deputy Clerk to the Board April 2, 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:
Frank's Ride for Children
do Greg Risedorf
PO Box 327
Mead, CO 80542
Location of Event:
Anderson Farms
6728 CR 3.25
Erie, CO 80516
Zone District: A (Agricultural)
This property is currently permitted through AmUSR-1232 as a "Guest Farm".
No existing violations were noted.
SERVICE, TEAMWORK, INTEGRITY, QUALITY
Department of Planning Services
1555 N 17th Ave
Greeley, CO 80631
(970) 353-6100
April 4th, 2012
Temporary Assembly Permit
Building Department Review Comments
The Weld County Building Department has received the following item for review:
Applicant:
Frank's Ride for Children
c/o Greg Risedorf
2544 Jarett Drive
Mead, CO 80542
Dear Sir/Madam,
Location:
Anderson Farms
3528 County Road 28
Longmont, CO 80504
Parcel No.: 131332000031
The Weld County Building Department has reviewed the history and investigated any complaints or
violations that accompany the parcel the establishment resides on. The findings are as followed:
The Building Department has no concerns with the event.
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
TEMPORARY ASSEMBLY REVIEW FORM
Date: March 26, 2012
TO: Lisa Carpenter and/or Jeremy Frey
FROM: CTB — Tonya Disney
SUBJECT: Temporary Assembly/Special Event Liquor License 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 within seven days.
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 sent through interoffice mail for
your review.
PLEASE RESPOND NO LATER THAN: April 6, 2012
EVENT INFORMATION:
FRANK'S RIDE FOR CHILDREN
C/O GREG RISEDORF
6728 COUNTY ROAD 3.25
ERIE, COLORADO 80516
EVENT DATE: MAY 20, 2012, FROM 8:00 A.M. - 9:00 PM
*****k***awt•a************wx*kwiiaa+iaRt+*x*******t+*xwxktiti*******tt+*att+aa*„*****wxr*r+*****w**xkkt
No concerns
Deputy's Initials
The Sheriffs Office had a concern and the deputy has mutually
worked with the property owner/event manager 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
Board of Commissioner's Temporary Assembly hearing.
of the date and time of the
Temporary Assembly Worksheet
The following concerns are noted:
The property 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) \ /
DKCL1 }a
Property Owner, Please Print Date
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 Event Manager will be required to attend the Temporary Assembly
Hearing to testify to the above agreement.
To: Weld County Board of Commissioners
From: Deputy Jeremy Frey
Date: April 4, 2012
RE: Frank's Ride for Children
Dear Commissioners,
I met with Greg at the event location on April 4, 2012 and we went over the event. Greg
advised that during registration on the morning of the event participants' will be given
wristbands signifying over 21 and under 21 years of age. Once they arrive at the event location
you must still have the wrist band on or you cannot enter. There is one point of entrance and
egress into the event and there will be staff maintaining this at all times. Greg stated that
approximately 25 of the staff members were re -certified in TIPS on March 24th of this year. LEU
will be onsite for any medical issues. The event has been held at this location for multiple years
now and I cannot locate any calls for service relating to this event.
I find no grounds for disapproval of the temporary permit.
Respectfully Submitted,
Deputy Jeremy Frey
Community Resource Officer
Weld County Sheriffs Office
1950 "O" Street
Greeley, CO 80631
Tonya Disney
From:
Sent:
To:
Cc:
Subject:
Roy Rudisill
Thursday, April 12, 2012 5:33 PM
Tonya Disney; Dan Joseph
Jeremy Frey; Margie Martinez
RE: Special Events Permit/Temporary Assembly - Make - A - Wish/Frank's Ride for Children
Hi Tonya, I don't have any concerns to mention on this event. I talked with Jeremy and he answered my question when
he talked to the organizer.
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: Thursday, April 12, 2012 9:02 AM
To: Roy Rudisill; Dan Joseph
Subject: FW: Special Events Permit/Temporary Assembly - Make - A - Wish/Frank's Ride for Children
Good morning,
Just wanted to send a friendly reminder that I need to get your referrals for the above mentioned
temporary assembly permit and special events permit.
Thank you for your help.
Tonya Disney
Clerk to the Board
1150 O Street IPO Box 758 I Greeley, 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: Tonya Disney
Sent: Monday, March 26, 2012 8:49 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: Special Events Permit/Temporary Assembly - Make - A - Wish/Frank's Ride for Children
The following applicant has submitted a request for a Special Events Permit as well as a Temporary Assembly Permit,
LC0022. Please provide any comments you may have before April 6, 2012. A .pdf copy of the application materials is
attached.
Applicant:
Frank's Ride for Children
c/o Greg Risedorf
2544 Jarett Drive
Mead, CO 80542
(Location)
Anderson Farms
3528 County Road 28
Longmont, CO 80504
Thank you,
Tonya Disney
Clerk to the Board
1150 0 StreetIPO 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.
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