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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20121694.tiff
RESOLUTION RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO ACTIVE LIFE EVENTS, INC., C/O TOM SORENSEN-JULY 21,2012 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,Active Life Events, Inc., c/o Tom Sorenson,33562 Yucaipa Boulevard#4, PMB#141,Yucaipa,California 92399,has presented to the Board of County Commissioners an application for a Permit for Temporary Assembly on land within the unincorporated portion of the County of Weld,State of Colorado,to be held from 9:00 a.m., until 3:00 p.m.,on July 21,2012, on property described as follows: Valley Dirt Riders, 20998 1-25 Frontage Road, Berthoud, Colorado 80534; being further described as the S1/2,S1/2,of Section 22,Township 4 North, Range 68 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has 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 Active Life Events,Inc.,c/o Tom Sorensen,and WHEREAS, said permit shall be issued subject to compliance with the terms and conditions as set forth in the application materials and upon the express condition and agreement that the temporary assemblage will be conducted in strict conformity to all laws of the State of Colorado and the Weld County Code, and that the applicant submit the Incident Action 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. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that said Weld County Permit for Temporary Assembly on July 21,2012, be, and hereby is, granted to Active Life Events, Inc., c/o Tom Sorensen, to conduct a temporary assemblage at the hereinabove described location,with the condition that the applicant submit the Incident Action Plan,for review and approval by staff,prior to the event. 2012-1694 iPp). LC0022 � a3ia PERMIT FOR TEMPORARY ASSEMBLY - ACTIVE LIFE EVENTS, INC., CIO TOM SORENSEN PAGE 2 BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said Permit. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of July, A.D., 2012. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ` 7 ( .� Sean 1-C Conway, Chair C_ Weld County Clerk to the Board '�,�� EXCUSED �. / ♦Wilf-m F. Garcia, Pro Tem BY: y - t-/ • i \� 4-, Deputy Cl"k to e Board :LAS- 1861 (� . a bara Kirkmeyer AP"O - ED A % RM: �r. j 0CUSED %, itavid E. Long •'./ • Attorney1�_�� Douglds Rade acher Date of signature: 7-/%-/a 2012-1694 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 9th day of July, 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 9:00 a.m.,until 3:00 p.m.,on July 21,2012,on property described as: Valley Dirt Riders,20998 1-25 Frontage Road, Berthoud,Colorado 80534; being further described as the S1/2, S1/2, of Section 22, Township 4 North, Range 68 West of the 6th P.M.,Weld County, Colorado This permit authorizes Active Life Events, Inc., c/o Tom Sorensen, 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 9th day of July,2012. BOARD OF COUNTY COMMISSIONERS WELD COUNTY,COLORADO ATTEST: �• �� � Sean P.Conway,Chair Weld County Clerk to the Board L EXCUSED William F.Garcia,Pro-Te• BY: 2A- �1/ •��,� �. • Deputy CI irk to e Boa ara Kirkmeyer 1861te:attA2. AP O D.A -4' FOR • 1/441 :XCUSED � ` avid E.Long County Attorney - ;% Dougl_s Radema her Date of signature: 7-/9-/a NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2012-1694 LC0022 APPLICATION FOR TEMPORARY ASSEMBLY INSTRUCTIONS TO APPLICANT: Complete each section and mark"N/A"where not applicable. Additional sheets may be attached and maps, sketches or drawings may be substituted for the verbal description of plans for the assembly site. All required information must be furnished before the application will be processed. NAME: '9c. I, Yt • ire 7 /f AGE: 3c RESIDENCE: 13.,,c(c2 '/L'C /fie' 1, 117‘.( #q MAILING ADDRESS: 1-'0- 1C// C.4 rz 3`f/ NAME' AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS' _ NAME: AGE: RESIDENCE: MAILING ADDRESS: (This must list all partners in a partnership, officers of an unincorporated association, society or group, or, if there are no officers, by all members of such association, society or group. IF A CORPORATION,ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION.) 1. Address and legal description of all property upon which the assembly is to be held: 1.,//?11(.:1 }2l r f I2 r1(ci .,2f,et�,k ( -chi 1514e /4 y g'-11- ra erc)SJ 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 aft of the record owners.) {�� f ,,/I,, NAME: \-\ F E , L t V C�.1 C r� K cars c4 1n►o t-l( Nl I/ RESIDENCE: Li 5 O i �vt~ MAILING ADDRESS: DkXI1.11.r W a_I LOA‘- NAME: - octal NAME: RESIDENCE: MAILING ADDRESS. o focoanaoaoacanoncooa.coaouo 2012-1694 2. Nature or purposes of the assembly: 134 et rte.. I,, (c•[.r+ �1„G( /14 •'L 6e - -IC 17 7 13f , D�,� *tc E t-e.. / jG. L..✓-tL- i3 !_..ee.fir 3. Dates and hours during which the assembly is to be held: C//Wel - 3/707 4. Maximum number of persons to be allowed at assembly at any one time: /St C, 5. The maximum number of tickets to be sold, if any: /,Ste) 6. Identify plans to limit number of persons to the maximum identified above: Ardr 4,t /trc..( !vo rcj Irk 4' cnt. (.t be xy,L . 1, i.e.' . fl , r ,e I L L..n.'/ ft, n..,r ) '.c.- r t pcorL1 .. t w_ ['or- ..?f 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: lnll La:LA /ttrc a„lice tyfi/° net ref rj /In -aid ay .r hibC4 /2( s bed.,,.+,: w't.t 4`t. /(fet, rs..EC...( ii Pt L1 ,k.,e Srk (Ai;LA. /{.4rt 'Z;ti r'trtrner4.- 2/ /Ili. j>.41. f �(, l< Se..-' ' .c.£r rwI.4( /sir ..Gd.•u.r .:-..5 !4/L AAcifia-.r,, 129,A-CH —? 3e' 3 - (3/7 — 3 `led 8. Identify the plans for holding, collecting, and disposing of solid waste materials: flh1t figs i' �'�t . /14 r /1 4 C) 7•te "C•.'t( .4r i ni// 4i Gcr dt'e.'elf t c .4.‘-‘-• t-f(.J/ 15-eel .te 9. Identify the plans for providing separate toilet facilities for males and females,including the source, number, and location, type and the means of disposing of wastes deposited: jte m 'fe_t .,l. r .i c.-,•C& .•• ii.1 ' ' pmt-' Z' any (.i /?..)-fPS(F ' 5 ) -w47 tpr...r../ f.nC 4 2 /344 . �....;(.t !4/ry ,+-err:ct ft A-4 rlrtien 4:13001300 CO OD 0'0000❑000.00 0000 10. Identify the plans to provide for medical facilities, including the location and construction of any structures, the names, addresses, and hours of availability of emergency medical technicians and nurses and provisions for emergency ambulance seance: 1/1,f-[, it/WC_ . LM 1`F if t fc.r. Jof-la /_:-t-'f _I-r+f,s it 4 F-c-r!-�1'41 ,1l-.r°it L{ 1� Lt l - -e r f i.lL _771-^44,4t I1 fin.*-z - 3 /7/2 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: A///1- 12. Identify the plans for parking vehicles, including size and location of lots, points of highway access and interior roads, including routes between highway access and parking lots: C��S Ce- // P.T/*,z t- 1 F/9Sr 5/4.e 43),"=- s u iof 6e roz. Imo/ Ly deb.fc%/ !arn..42,rf/ 7`o c--t"S 2 Gr'/:et r`- LO1" 7befQ /6:Ix"(/_Citrei- 13. identify the plans for communications with hospital, police, and fire services, including the source,amount.and location of communication equipment: 14. Identify the plans for camping facilities, if any: A./7"4- 11'AUDI:MOOD DO 0'00000 oOo.CQoEQo 15. Identify the plans for fire protection: 16. Identify the plans for security,including the number of guards,their deployment,their names, addresses,credentials and hours of availability and description of peer group control,if any V✓ j. , /, i- ,-.c- & 1.4C f� 6}L 1ft�J` Le_1 / .C� pia2•S T- �z. 4- _ Lis.- �� 1/ Cud.: I.-'[��' !I `[ - li,TA-1 j f 1,: 17. Identify the plans for sound control and sound amplification, if any, including number, location,and power of amplifiers and speakers:c e- jJ j i�l.•L.4. f !/ frrL� 11�.L MC1. - c•' 3 s e. 77is--. 1 i'4ll 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: Wruc.C &.yi/ d'io .��� Sf 'Q 7s-r.c%s 0_4(4, 4 Lt-v. �.,�r,r/y szo,.. * emery 19. Identify the plans, if any, for an electrical system: r.rf /Z; h"c. .r. (! J/r./7 /;74.'4Cr'v t?�r 11-4_ DT 4- 9.OOCa0000GOCD0000000.00C000 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: 'We iv_ (( t )7; pvl•� `A/4 {L/',')t t=<_1 f r-//t r �--r 1 c I 047-1.047-1. / ' (, r107f i-' !1 u1�. f ir�4 A., p f k .' ArA14 f h L c' 1LC- t z.ii _ -2r L Lei./ ffr. 1J:e,••••707-d„.- ACC s,c.'1% 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. u,40u VOGCO Cal VA GOOQ60.OGDQOtl 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 ffes4K) V1 Applicant's printed name (/-I//1 ilij2 Applicant's position SUBSC ED AND SWORN to before me this day of , 20 Witness my had and official seal. Notary Public My commission exp es: State of CA-Co.of San Bernardino Subscribed and sworn to(or affirmed)before me on this 7 —TIE SIEGNER 29 day of -Tl)t\k., by ' Commission#1856082 )Le U'N 5. S cA.r h NI i -1; Notary Public-California z proved to me on the f satisfactory evidence ± San Bernardino County It to B appears before me. ' My Comm.Expires Jun 28,2013 r L S'!crature of Notary Pub:lc M.\CTB\CTBFORMSmOASMBLY.DOCdoc 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 #: 2012-52 DATE: July 9, 2012 TIME: 9:00 a.m. APPLICANT: Active Life Events 33562 Yucaipa Blvd #4 Yucaipa, CA 92399 REQUEST: Application for a temporary assembly of more than 350 persons on July 21, 2012 LEGAL DESCRIPTION: S1/2, S1/2 of Section 22, Township 4 North, Range 68 West of the 6th P.M., Weld County, Colorado LOCATION: Valley Dirt Riders, 20998 1-25 Frontage Road, Berthoud, Colorado 80534 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: June 22, 2012 PUBLISHED: June 27, 2012, in the Fort Lupton Press PROOF OF PUBLICATION FORT LUPTON PRESS STATE OF COLORADO COUNTY OF WELD SS. NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY I, Christopher L. Harrop, do solemnly swear that I am the Pursuant to the Weld County Code,a public hearing will be Managing Editor of the Fort Lupton Press that the same in Me Chambers of the held Board of County Commissioners of Weld is a weekly newspaper printed and published in the County County,Colorado,Weld County of Weld, State of Colorado, and has a general circulation Administration&'t AssemblyR 1150 O Greeley, .d therein; that said newspaper has been published C�lorado806311 at the time continuously and uninterruptedly in said county of Weld for Trblohal reporter is desired,please a period of more than fifty-two consecutive weeksprior to advise Clerk v a r in Y adehe, at least five prior engag.of the first publication of the annexed legal notice or the court reporter. The cost of bane y 9 a shall be borrre by advertisement; that said newspaper has been admitted to the requesting party. Inaccorda"oe with the Americans wdh Disabilities the United States mails as second-class matter under the Act,�if special accommodations are provisions of the act of March 3, 1879, or any amendments in Ills heannngired m ar pl asethcon 96re thereof, and that said newspaper is a weekly newspaper clerk the Bonds O226 at or t) 336-7215,o the hearng4228, p o to duly qualified for publishing legal notices and advertisements within the meaning of the laws of the State examinedTinttheoete ott�ccese oftheclerkttoo the Board of County Corpmissioners, of Colorado. That the annexed legal notice or weld County Administration Building, 1150 O Street,. Greeley, advertisement was published in the regular and entire Colorado 80631. E-Mail messages issue of every number of said weekly newspaper for the sent not obe individual Commissionerile. may anrdudua in the case e. period of ONE consecutive insertion(s); and that the To ensure inclusion of your E-Mail correspondence Into the case file, first publication of said notice was in the issue of please send a copy to egesick@ newspaper, dated 27th day of JUNE 2012, and the last on G°'"ald.co.Ua the 27th day of JUNE 2012 DOCKET#: 2012-52 DATE: July 9,2012 i TIME: 9:00 a.m. G APPLICANT:E Active p CA Events Managing itCdo�bscribe ad" nd before me, 33562 Yucaipa Blvd#4 this 27th of JUNE 2012 Yucaipa,CA 92399 REQUEST: Application for a temporary assemblyJuly21,of more2012 than n•p 350 persons on ;:;Votary lic. LEGAL DESCRIPTION: S1/2,S1/2 of Section 22, Township 4 North, Range 68 West of the 6th P.M.,Weld `.'`J l::', \ r County,Colorado l LOCATION: Valley Dirt Riders, 20998 1-25 Frontage Road. 0, 1 ;' / Berthoud Colorado 80534 (See Legal Description for. precise location.) '--------k<Op C V COMMISSIONERS WELD COUNTY,COLORADO DATED: June 22,2012 PUBLISHED: June 27,2012,in My Commission Expires : 02/02/2014 the Fort Lupton Press ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(M Yw) 06/21/2012 PRODUCER Phone:(951)678-7290 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SGB Insurance Services,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.Box 1308 (21535 Palomar Rd.Ste C HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. VVildomar,CA 92595 License ft: OE81015 INSURERS AFFORDING COVERAGE NAIC! INSURED INSURER A Riverport Insurance Company Active Life Events INSURER B 1321 Campus Ave INSURER C: Redlands,CA 92374 INSURER D INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTMTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. KJSR ADDT- POLICY EFFECTIVE POLICY EXPIRATION LTR 8i1RB TYPE OF INSURANCE POLJCY NUMBER DATE(MMDDIYYI DATE IMMIDDWYI LIMITS A Y GENERALLIABanv 62542332 07/21/2012 07/21/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGEISOs O IJrS r PREMISES R WIN) $ 100,000 ICLAIMS MADE X1 OCCUR MED EXP(Arty one person) S 50,000 PERSOLMI SADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 1,000,000 X I POLICY II MELT I I LOC AUTOMOBILE LIABILITY COMBINED SINGLE UNIT ANY AUTO (Ea acodent) ALL OWNED AUTOS BODILY INJURY _- SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS i (Per accent) PROPERTY DAMAGE (PeracddMd) GARAGE LIABILITY . AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESSNMBRELIA LIABILITY EACH OCCURRENCE S IOCCUR CLAIMS MADE AGGREGATE _ S S DEDUCTIBLE ....__ S --_ I RETENTION SWORME S NC'llIT OTR- EMPLO ERS UAlJ13ATION AND TORYIIMLTS ER EMPLOYEILA'LU1BIJRT E L EACH ACCIDENT S ANY PROPRILTORNARNERDEXECUTNE OFFICER/MEMBER EXCLUDED? E L DISEASE-EA EMPLOYEE S 14T ,�desabeISIO SPECW.PROVISIONS below EL DISEASE-POLICY UNIT S OTHER A Medical/Acc Death 62542332 07/21/2012 07/21/2012 Per Participant 10,000 DESCRIPTOR OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Valley Dirt Riders are named as additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE EXPIRATION DATE THEREOF,THE ISSUING INSURER YMLL ENDEAVOR TO MAIL DAYS WRITTEN Valley Dirt Riders NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 20998 Interstate 25 IMPOSE NO OBLIGATION OR LIABILITY OF ANY THE UPON E INSURER,ITS AGENTS OR Frontage Rd Berthoud,CO 80534 REPRESENTATIVES, AUTIORI2(I�BF,NIESENTATNE • f` (SOB) ACORD 25(2001/08) ®ACORD CORPORATION 1988 Printed by SGB on June 21,2012 at 04:04PM t •tea - - • Ny arainum ....•..hr +'I�Mt.nk' it +�1.•+u.-,:q.p •.row:. .._ • . •, 7 wad e. -. - •44 -, 4 l� i _say," - l • • . . 11 . _ .. . + ' � ' t. it • .tit_ � - .-. .1. ..�. t ' -, - t.. ,VA - 1 F -_ - .,v . • • '- V*" . Y / '• t.-- ..mo t. . .• • .fir II • - r LOOM. . . _ 1 . R Z. 44 • Li f Lao a ti t ('� 1 - .. .... t , .r C/ .. W �•oll brotpc , y S A.v1 7� 41 0 (J f y V� (10 V) • , it i ,,,, t h efri _„. • . _ _ �. ,. 91r. 1► c• C l lr"-• -� ` " Y •i— � '' Z Wi . frliS IA Q .1* 20998 INTERSTATE 25 FRONTAGE RD, BERTHOUD, CO 80534 ( INSET MAP) CONTROL AREA NARRATIVE : The entire permit area will be cordoned with a rope barrier on the north end (spectator viewing), and fencing on the east, west & southern sides. Participants & spectators will enter from the west side through a gated section with four security personnel. There will be two(2) emergency exits, one on the NW corner and the other on the western side of the permit area (these are also the start and finish shoots for the race). Security will also be positioned at the entrance to the beer service area checking ID's and wrist banding anyone over 21. Only guests that have a wrist band will be allowed into the beer service area. I 4 ' . f i\.,........i Rope Barrier .. e, - .C.1 ..-- tra .,, V Wate tl.- I I T troe Water Min :.: ...eon 7 A .n �. 0 a< Fu ir 4 Q.J wrist band r C check point Entrance WM!!Wat�tion I 4, BitACC Event Entrance/exit with security ik CI ; ateton cc% * QJ cd) fat A Co , ! Port-o-Potties c\-•,b(%V ' 5 k4 Q' . - a - 0" I . iltr- . 0 as0t4 I V ,, a , , • we.a 0 II, I\Fk% r. a '' Not to scale v : 99 ' i • . ‘r - ell 9 ` N •104 ' S9'O6 u4 A , elf‘, 15. ITT - xc -4.1, V 1V1VV Et'11DO#1s 171:11L- L;-''. in the office of the Secretary of Stale of the State of Caiorn;a JAN -12011 ARTICLES OF LV CORPoRA TION The name of this corporation is Active Life Events]Inc II The purpose of the corporation is to engage in any lawful act or activity for which a corporation may be organized under the GENERAL ERAL CORPORATION LAW of California other than the banking business, the trust company business or the practice of a profession permitted to be incorporated by the California Corporations Code. fit The name and address in,the State of California of this corporation's initial agent for service of process is: Name Keen Sartin Street Address 1321 Campus Ave City RedlandsSTATE CALIF,ZIP 92374 IV This corporation is authorized to issue only one class of s;lares of stock; and the total Number of shares which this corporation is authorized to issue is i0Q004 Teresa E.Griffitts.Incorp r Business Search - Business Entities - Business Programs Page 1 of 1 /62-eveze7.) vsaticl, .421.,d,kmedoLoze:rnif-xtylo:pri„, C. 1i Or-nia Secretary of State Debra Bowen Secretary of State Administration Elections Business Programs Political Reform Archives Registries Business Entities(BE) Business Entity Detail Online Services -Business Search Data is updated weekly and is current as of Friday,June 15, 2012.It is not a complete or certified -Disclosure Search record of the entity. -E-File Statements -Processing Times Entity Name: ACTIVE LIFE EVENTS, INC Main Page Entity Number: C3340430 Service Options Name Availability Date Filed: 01/01/2011 Forms,Samples&Fees Status: ACTIVE Annual/Biennial Statements Jurisdiction: CALIFORNIA Filing Tips Entity Address: 1321 CAMPUS AVE Information Requests (certificates,copies& Entity City,State,Zip: REDLANDS CA 92374 status reports) Agent for Service of Process: KEVIN SHANE SARTIN Service of Process FAQs Agent Address: 1321 CAMPUS AVE Contact Information Agent City,State,Zip: REDLANDS CA 92374 Resources -Business Resources * Indicates the information is not contained in the California Secretary of State's database. -Tax Information -Starting A Business • If the status of the corporation is"Surrender,"the agent for service of process is automatically -International Business revoked. Please refer to California Corporations Code section 2114 for information relating to Relations Program service upon corporations that have surrendered. Customer Alerts • For information on checking or reserving a name, refer to Name Availability. -Business Identity Theft • For information on ordering certificates,copies of documents and/or status reports or to request a -Misleading Business Solicitations more extensive search,refer to Information Requests. ................................................. ... ...... • For help with searching an entity name, refer to Search Tips. • For descriptions of the various fields and status types, refer to Field Descriptions and Status Definitions. Modify Search New Search Printer Friendly Back to Search Results Privacy Statement I Free Document Readers Copyright©2012 California Secretary of State http://kepler.sos.ca.gov/cbs.aspx 6/22/2012 HFE,Ilc Valley Dirt Riders 4591 Grove St. Denver,Co 80211 720 641 0227 6/22/12 Letter of Authorization To Whom It May Concern, As owner of the real estate property 20125 I 25 Service Road West. VDR Motocross Berthoud,Co 80215, I hearby give permission to the operators of Survivor Mud Run to allow the consumption of alcoholic beverages for the event scheduled July 21,2012. If you have any questions/concerns ,I can be reached at 720 641 0277. Your truly, xt“,) Glade Hill Owner .4* • Colorado Motocross Medics 729 Remington Street,Fort Collins,Colorado 80524 1-303-907-9694 comxmedics@msn.com INVOICE #072112 TO: Active Life Events Inc DBA Survior Mud Run 35589 Oleander Ave Yucaipa, CA, 92394 Event Location: Valley Dirt Riders, 20998 Interstate 25 Frontage Rd, Johnstown, CO Date Start Time Finish Time Total Hours 07/21/12 6:00 am 3:00 pm 9.0 Total: 9.0 Service Price Amount Medical Protection, 12 EMT's $2,500.00 $2,500.00 Total Due: $2,500.00 Paid By: Print Name Signature and Date Received By: Print Name Signature and Date Please make payment to "COLORADO MOTOCROSS MEDICS". Thank you. 729 Remington Street Fort Collins, Colorado 80524 !" p . DATE 6/20/2012 United Site Services of Colorado, Inc. 4#1.111 PO Box 53267 ' Customer ID Phoenix, AZ 85072 Un 'to Sales Person Brett Angell P(888) 232-0001, F(303)985-1428 303-917-3994(Cell) www.unitedsiteservices.com SITE SERVICES AM. 303-985-0164(Ofc) brett.annell@unitedsiteservices.com Billing Address: Site Location: Survivor Mud Run Mud Run Cory Sartin RMP Motocross Track Saturday, July 21, 2012 20125 125 Frontage Rd 909-289-7155 Berthoud, CO 80513 cory@survivormudrun.com Comments& or Special Instructions: OPTIONAL DAMAGE WAIVER IS RECOMMENDED AT$10 PER UNIT. ONCE YOU AGREE TO THIS PROPOSAL PLEASE SIGN, DATE AND FAX BACK TO 303-985-1428 Salesperson Delivery Pickup Friday, July 20, 2012 Monday, July 23, 2012 Brett Angell QUANTITY DESCRIPTION UNIT PRICE AMOUNT 8 Deluxe Restrooms with Hand Sanitizer 95.00 760.00 2 ADA Restrooms with Hand Sanitizer 145.00 290.00 5 Hand Wash Stations 95.00 475.00 12 Clean existing 12 restrooms. 16.15 193.80 SUBTOTAL $ 1,718.80 By signing below, you are agreeing to our prices, terms and conditions. EEC 0.00% TOTAL $ 1,718.80 Signature Date THANK YOU FOR YOUR BUSINESS! United Site Services of Colorado www.unitedsiteservices.com 1 r Sparkletts© Home end Office Delivery Active Life Events: Ship 2: Valley Dirt Riders Interstate 25 Frontage Rd Jonhstown CO. 80534 June 28, 2012 Dear Kevin, Attn: Kevin Sartin It was a pleasure speaking to you and discussing your bottled water needs, in response to your request. Sparkletts would be pleased to provide all your locations our bottled water service at the following special rates: BOTTLED WATER .5 liters 24ct $4.50 2300 bottle = 96 cases $432.00 Additionally, we always offer you the following services free of charge. 1. Our company's commitment to outstanding service. 2. Delivery service tailored to suit the specific needs. 3. Next day service always. 4. No tax on dispenser rental. 5. Highest quality of products and service available. 6. Billing Net 30 days. Since 1925 Sparkletts has been providing customers with clean, fresh, great tasting water and excellent service you can depend on. Sparkletts has upheld meticulous standards of quality, taste, purity, service and value. All of our waters exceed all Federal, State and County water quality standards. Our bottling facilities have consistently scored 100% on the NSF annual quality assurance and sanitation audits. NSF, the National Sanitation Foundation International, is a recognized independent third party organization that annually inspects bottling facilities. We appreciate your business and the opportunity to serve you. Should you have any addition questions please feel free to call me direct. 951 538-3723 We sincerely thank you for your interest in Sparkletts products and services; we look forward to hearing from you soon. Cordially, Debbie Lancaster Business Development Manager Ds Waters of America, Inc. Sparkletts Home & Office Delivery 0 a41 ;hi QQQc( . rc } to u4 r :t '� i :. ! : 1 a 'IL: CI O ! r' � U { 'CS 2 's 41 I: o2 , " u L t Z _ •e I' "Ci F2 ta.III I;P:— " rr2 " }5 I- •- a 2La 1... C it Z C -- r us t. N 1r„: L r r r. _ " -- rs • .F Z a i-= 12:1 lei. t3 g i ;4 .... oCA 7 :: 1 • rr o 9 O 1 fr. iic < u_ )- e J aC"7 O u J 4] Q J R Lvl 'nil i I— - O �a. 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Date SECURITY http://www.advancedprofessionalsecurity.com 07/08/2012 [Address Cory Sartin '. Survivor Mud Run Date Security Service( Security Guards Amount 07/21/2012 Security Guards 4 Guards : 9AM-2PM(5 hours),20 @$19.60 392.00 Please let us know if this quote is on target.If not,we will quickly revise it to Total $392.00 accommodate your needs. ---- -- --- -- - Thank you for your business. Accepted By: Accepted Date: Tonya Disney From: Jonathan Gesick Sent: Wednesday, June 27, 2012 7:44 AM To: Tonya Disney Subject: RE: New-Special Events/Temporary Assembly Application (Active Life Events and Diggity/Active Community Engagement_ Hi Tonya The building department has no issues with this event. Thanks Jonathan D Gesick Plans Examiner/Building Inpsector Building Department 1555 N 17th Ave Greeley, CO 80631 tel: (970)353-6100 Ext. 3532 +x.0` 1861..= ` tjr:: —_ y + sU ' t �;t Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tonya Disney Sent: Friday, June 22, 2012 2:26 PM To: Bethany Salzman; Dan Joseph; Janet Carter; Jeremy Frey; Jonathan Gesick; Lisa Carpenter; Roy Rudisill Cc: Brad Yatabe; David Clarke; Deb Adamson; Margie Martinez; Sara Evans; Tonya Disney Subject: New - Special Events/Temporary Assembly Application ( Active Life Events and Diggity/Active Community Engagement_ The following applicant has submitted a request for a Temporary Assembly Permit, LC0022. Please provide any comments you may have before July 5, 2012. A .pdf copy of the application materials is attached. This event will be held at Valley Dirt Riders, 20998 I-25 Frontage Rd, Berthoud CO 80534 (a Site Plan Review can be viewed on the Tyler Minutes system by searching SPR306). I am also attaching an email that I sent to the organizer Tom Sorensen (303-725-1355) requesting additional documentation. He stated he will do his best to get the information but some of it wouldn't be available till either the day before or the day of the event. Applicant: Active Life Events 33562 Yucaipa Blvd#4 1 Yucaipa CA 92399 Diggity/Active Community Engagement 2200 Market St#518 Denver CO 80205 Let me know if you have any questions. Thank you, Tonya Disney Clerk to the Board 1150 O Street PO Box 758IGreeley, Colorado 80632 Phone: 970-336-7215 x 5226 rf ri; ri Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 To: Weld County Board of Commissioners From: Deputy Jeremy Frey Date: June 28, 2012 RE: Diggity Active Community Engagement Dear Commissioners, I have reviewed the application for this event to be held on 072112. We have not had any issues with the property in the past but to my knowledge this event has not occurred in the past. We currently do not have a contract for the security service or food vendor licenses for whoever will be serving food at the event. If these items are taken care of I do not find any further issues or reason to deny the permit. Respectfully Submitted, Deputy Jeremy Frey Community Resource Officer Weld County Sheriff's Office 1950 "O" Street Greeley, CO 80631 861 z ° I I MEMORANDUM W E L`�Wr O N T Y TO: Christie Peters, Clerk to the Board DATE: 07/02/12 FROM: Janet Carter E.I., Public Works SUBJECT: Temporary Assembly Active Life Events The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows: REQUIREMENTS: 1. No parking will be allowed on Weld County Roadways. 2. Approximately 1500 vehicles will require parking on the property. 3. Please submit a Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS) 4. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 5. Please submit an Incident Management Plan for the Office of Emergency Management. Page- l -of l July 2,2012 CI\Documents and Settings\tdisney\Local Settings\Temporary Internet Files\Content.Outlook\YNN5FDU2\Temp Assembly Active Life Events 2012(2).DOC Tonya Disney From: Roy Rudisill Sent: Monday, July 02, 2012 9:11 AM To: Tonya Disney Cc: Jeremy Frey; Lisa Carpenter; Margie Martinez; Stephen Charles; Dan Joseph; Bethany Salzman; Brad Yatabe Subject: RE: Active Life Events -Active Community Engagement/Diggity Tonya, thanks for the email. I just sent this to Chief Charles with Berthoud Fire. I will contact the rest of the group and see if we can get a planning meeting together this week. If not we will get one scheduled prior to the event. The main questions I have is related to the Fire and Medical transport agencies. It appears they have enough EMT's on site but I what the Fire Department and Hospital to confirm they are able to operate in Weld. I will be at the BOCC meeting to address these issues. Director Roy Rudisill Weld County Office of Emergency Management 1150 0 St. Greeley Co. 80632 970-304-6540 Office 970-381-0417 Cell *�`` 186 s1t; lo rttrwa , �M +r`d,t Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tonya Disney Sent: Monday, July 02, 2012 8:56 AM To: Dan Joseph; Bethany Salzman; Roy Rudisill Cc: Jeremy Frey; Lisa Carpenter Subject: Active Life Events - Active Community Engagement/Diggity Good morning. I just wanted to send out a reminder that I need referrals for the above mentioned applicant. I am attaching additional documentation that has been provided to our office. We are still waiting on information for: The security company that will be covering the even (Argus Uniforms) t An addition food license from one of the trucks that will be supplying food. (One food license has been provided; however, Tom Sorensen stated there would be two trucks). If you have any questions please let me know. Thank you, Tonya Disney Clerk to the Board 1150 O Street IPO Box 758IGreeley, Colorado 80632 Phone: 970-336-7215 x 5226 rr r r1 PFD Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 (it."ts itw-H. Memorandum VI I TO: CLERK TO THE BOARD C From: Dan Joseph, Environmental Health Specialist COLORADO DATE: July 2, 2012 SUBJECT: Temporary Assembly Permit for LC0022 In response to your request, Environmental Health Services has reviewed the Temporary Assembly Permit, for the Diggity Active Community Engagement, located at 20998 I-25 Frontage Road, in Berthoud, Colorado. After reviewing the application, the Department does not have any concerns or comments. We will continue to work with the event organizer to ensure that food vendors are licensed. Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at diosephAco.weld.co.us. Thank you. cc: Cindy Salazar, Environmental Health Services Deb Adamson, Environmental Health Services MEMORANDUM 1 to ;' To: Tonya Disney,Deputy Clerk to the Board July 6,2012 It I From: Bethany Salzman,Zoning Compliance Officer,Dept.of Planning Services Subject: LC0022 Review of the following Temporary Assembly Permit and Special Events Permit by the Department of Planning Services shows the following. Applicant: Active Life Events 33562 Yucaipa Blvd#4 Yucaipa CA 92399 Organizer: Diggity/Active Community Engagement 2200 Market St#518 Denver CO 80205 Owner: HFE LLC 4591 Grove St Denver Co 80211 Zone District: C-4(Commercial)through Z-393(03-28-1984) This use is permitted through a Site Plan Review(SPR-306)permit. No existing violations were noted. SERVICE,TEAMWORK,INTEGRITY,QUALITY Tonya Disney From: Tom Sorensen [tom@diggity.org] Sent: Saturday, July 07, 2012 1:32 PM To: Tonya Disney Cc: Brad Yatabe Subject: RE: food license Tonya, Brad. See below for responses to each individual question. Let me know if you need more clarification. A broad over view will help you understand how this event is staged for the day. The maximum amount of participants that can register for the race is 3000 as set through the online registration process, if at any time 3000 registrations are reached the race is sold out.The 1500 number submitted in the TA permit app was where the organizer estimated registrations were at the time he filled out the form. The reality is it will probably be below 2400 with the slow pace of sign ups, regardless of the number, registration closes Tuesday July 17th at midnight (PST) at which time there will a hard number. Prior to the race each participant is sent information assigning them a wave time during the day anywhere from the initial wave at 9am to the final wave at about 2:15pm. Waves are every 20 to 25 minutes and consist of 100 to 120 runners. This ensures the course is not clogged at any one point and it also allows for the control of traffic with only 3 to 4 hundred participants on site every few hours. There is space on site for 2500+vehicles with over flow parking if needed.The average parking load history at this event is 250 to 300 vehicles every hour and a half. Vehicles will enter the race site via the frontage road to the east crossing under 1-25 to park on site at the Valley Moto Cross property.Vehicles will exit the property west to County Rd 7 either north or south.This establishes one entrance and one exit point to limit traffic on any one road. The record of this type of waved race is that participants will show up about a half hour prior to their wave and depart w/in a half hour following their finish time. I hope that gives you an idea of some of the mechanics of the event. From: Tonya Disney [mailto:tdisney@co.weld.co.us] Sent: Friday, July 06, 2012 2:32 PM To: Tom Sorensen Cc: Brad Yatabe Subject: FW: food license Tom, These are some additional questions from the County Attorney's Office. Can you please look them over and email me back with your response. Have a great weekend. Thank you, Tonya Disney Clerk to the Board 1150 O Street WO Box 758'Greeley, Colorado 80632 Phone: 970-336-7215 x 5226 1 x 1 1 r# -.- r Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Brad Yatabe Sent: Friday, July 06, 2012 2:29 PM To: Tonya Disney Cc: Bruce Barker Subject: RE: food license Tonya, These are some questions that I have regarding the applications. Can you forward these to the applicant to see if he can answer these? Please send any response to Bruce since I will not be at the Monday meeting. Thanks. 1. The temp assembly application lists a maximum of 1500 people at any one time while the special events lists 3000 people expected at the event. It may be 1500 people are expected at any one time with 3000 total over the day, but that is not clear.See Above 2. The temp assembly lists the event hours from 9-3 while the special events lists the hours as 6 a.m.to 6 p.m. The expanded special events permit may be to accommodate people helping with set up and tear down, but that is not clear.The official event (race)times are from 9am until 3pm, or when the last runner crosses the finish line (usually no later than 3:30). The 6am to 6pm permit time reflects set up and tear down of the bulk of the event. 3. It looks like they have 4 security guards contracted (see documents for temp assembly)while the temp assembly appears to say they will have 6 guards. County Code section 12-1-20(10) requires 2 guards/350 persons or 8 for 1400 people. We are not expecting more than 400 folks on site at any one time during the day(see above) The 4 contracted security will also have a staff of 6 to 8 volunteers assisting them and will be in contact via radio all day. The main focus will be age enforcement at the permitted beer areas well as making sure beer doesn't leave the permitted area, parking lot patrol, emergency assistance for EMT's. 4. Unclear whether food licenses have been submitted for all of the food trucks. As of the date of this email there are only two trucks that have contracted,Tonya has their licenses, when and if there are more added you will receive their documentation 5. Unclear what is being done regarding waste disposal.There is a 40 yard dumpster on site at the Valley Moto Cross course that has been approved for the races use, all trash collected on site (25 trash receptacles on site maintained by staff on site throughout the day)will end up in the dumpster.The event management company will pay for the unload of this dumpster the next scheduled service. Brad Yatabe Assistant Weld County Attorney 1150 0 Street 2 Mailing Address: P.O.Box 758,Greeley,CO 80632 tel: (970)356-4000 ext.4396 fax: (970)352-0242 = STATEMENT OF CONFIDENTIALITY&DISCLAIMER:The information contained in this email message is attorney privileged and confidential,intended only for the use of the individual or entity named above.If the reader of this message is not the intended recipient,you are hereby notified that any dissemination,distribution or copy of this email is strictly prohibited.If you have received this email in error,please notify us immediately by replying and delete the message. From:Tonya Disney Sent:Friday,July 06,2012 2:21 PM To:Brad Yatabe Subject:RE:food license I did not.Let me email Tom and see if there will be another truck or if it will just be the one. Thank you, Tanya Disney Clerk to the Board 1150 O StreetIPO Box 758'Greeley,Colorado 80632 Phone:970-336-7215 x 5226 1t� a.tl Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise protected from disclosure.If you have received this communication in error,please immediately notify sender by return e-mail and destroy the communication.Any disclosure,copying,distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From:Brad Yatabe Sent:Friday,July 06,2012 2:20 PM To:Tanya Disney Subject:food license Tanya, Did you get the additional food license for the other truck for this event(see p.29 of the scanned docs)? Thanks. Brad Yatabe Assistant Weld County Attorney 1150 O Street Mailing Address: P.O.Box 758,Greeley,CO 80632 3 Weld County and State of Colorado Temporary Assembly permit Special Events Liquor Licenses for Active Life Eve a ctive Community Engagement/Diggity do S were picked up in person by on July 20, 2012. Tom orensen Witnessed by Ste/ , Tonya Johnson, Clerk to the Board E5-/At,- Gzsid<
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