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Home My WebLink About20111400.tiffRESOLUTION RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO RUBEN GUARDIOLA - JUNE 11 AND 12, 2011 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, Ruben Guardiola, 16526 County Road 53, LaSalle, Colorado 80645, 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 11:00 a.m., until 5:00 p.m., on June 11 and 12, 2011, on property described as follows: 16526 County Road 53, LaSalle, Colorado 80645; being further described as Lot D of Recorded Exemption #4518; being part of the W1/2 of Section 9, Township 3 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 Ruben Guardiola, 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 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 June 11 and 12, 2011, be, and hereby is, granted to Ruben Guardiola to conduct a temporary assemblage at the hereinabove described location 2011-1400 So, App\.. -t3-ll LC0022 PERMIT FOR TEMPORARY ASSEMBLY - RUBEN GUARDIOLA 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 1st day of June, A.D., 2011. BOARD OF COUNTY COMMISSIONERS ATTEST: Weld County Clerk to th B Douglas Rademacher Deputy Clerk to the Boar Date of signature: ltd /.�"/ WELD COUNTY, COLORADO EXCUSED Barbara Kirkmeyer, Chair o-Tem c - William -E Garcia David E. Long EXCUSED WELD COUNTY PERMIT FOR TEMPORARY ASSEMBLY By action of the Board of County Commissioners of the County of Weld, State of Colorado, taken this 1st day of June, 2011, 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 11:00 a.m., until 5:00 p.m., on June 11 and 12, 2011, on property described as: 16526 County Road 53, LaSalle, Colorado 80645; being further described as Lot D of Recorded Exemption #4518; being part of the W1/2 of Section 9, Township 3 North, Range 64 West of the 6th P.M., Weld County, Colorado This permit authorizes Ruben Guardiola 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 1st day of June, 2011. Weld County Clerk to the B BY: Deputy Clerk to the Boar FORM: County Attorney Date of signature: (0//3/// BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO EXCUSED Douglas Rademacher NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. Q t,. SQ), iApp\.(.0‘A% U- to -i V-13-11 2011-1400 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: 4 -'n vNnkkA AGE: y3 RESIDENCE: /G :x26 G✓t i? 53 L., f,4 �iC L0, W,,ib" 15 MAILING ADDRESS: S< 0, c a bil„t *(61 hi ) 13'- - 3%3S ( c11 NAME: L`i1-D ) '51'&- Club? cz it 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: , 6 SQL L✓C,'E 5- 3 L.: S,, //c %O, 396 H S 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: RESIDENCE: MAILING ADDRESS: NAME: RESIDENCE: MAILING ADDRESS: M:\CTB\CTBFC"-"...._. 2011-1400 2. Nature or purposes of the assembly: ,'.-/ori 'Ae41 //11 Jc-ni /y / �h</.ep`y ("/Arc /'grvl/�r� nZn, 1aA/ At. a✓i✓Uen/1i/ / vY �(7 of i-ord/ nn��tih/s.v.+i(vf 3. Dates and hours during which the assembly is to be held:17/1 c // - /,2) 30 I) ki,v, Il'00 A. on w eon 4. Maximum number of persons to be allowed at assembly at any o%e time: r'i papnJX. /SO6) . CI /ti ndeLfC e [14 / nawh (c c2c' ✓) fir hi) 5. The maximum number of tickets to be sold, if any: A /Li 6. Identify plans to limit number of persons to the maximum identified above: 1'i ✓ e4' VJ=4.-15 Ni I% he_ Sfr✓CYtC'c 1O [.l,it r'ej�/ ya/c c. �M en/n1 /1 c / ct ;,w.// j,G J, i.Cei ✓1�,✓1 e'%rino1 cirislPte-re ict Lei; /✓ic k Jf /wile ar eved 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: 4114,1 -/. kt cfr,, At ,-,Nia 'eJIhnlAaJ/t fc f -✓ p : hc,c w: I /J r "%hi ‘,7h' /nl ISA r'ren.S S fry'Ll 4 s IA ✓ea'1/OJ/'rs ICcV d/iS/Pi'S/nc/ r.t S ><f!r /Jri 8. Identify the plans for holding, collecting, and disposing of solid waste materials: An Si, L:wnj (✓J 4411* ) (44,44 ‘40-' wc%i br lrs L21/1 S, .'r %[r Cs -(1'/7e, -L / iC�a✓1✓� .a. Pits /" 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: ✓1,„ k s S., 76 ,-v, c rS hid/ be proyal sr inci/ M , 'At i w011 ht em;* et etnai fi^GV iN'U �,-. n$j IhC'I'h SJ.I- M n dip p / Lipril�/(N� 10,11e/4 ,Gc,/,4'n ar5 1.n;7, is K✓�a✓ then / (V M:\CTB\CTBF0RMS\Foasmbly.wpd 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 nursesandprovisions for emergency ambulance service: i V / / Ca. -illy J/"L1-, rr? r a4r ./S -&i c r t 4'n- s{ Sec cn. yrrLlmc✓Jj 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: /Iv' a, fpiri<ibiP Crt-co/ c ,'l/ At LLI-te .9.y/atif 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: %th; c Sec A14-:uAmen I- 13. Identify the plans for communications with hospital, police, and fire services, including the source, amount, and location of communication equipment: ed-e„m edit S 1- Sec-.-,ti:✓.�„ s Ina -4- .S✓:. `7 C%, i f �V\Z✓l�- v 1, 14. Identify the plans for camping facilities, if any: A) /A M:\CTB\CTBFORMS\Foasmbly.wpd 15. Identify the plans for fire protection: '7 's f/c IJ1 i/� i 'i;, c //i Ski 1t. A,, or % //< /.;. D 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: J, , J es „.1 O4, //'5'e_c:�.i47 p�ut/4 itSz SGL An'4G✓1Y 17. Identify the plans for sound control and sound amplification, if any, including number, location, and power of amplifiers and speakers: /1I/A 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: 6(44 / ✓t -CJ 4 von izif i S f--1 v ,-e' a Ia he Li en ;CCU' (lei- 5c Sic is ainmr--%-1` S 19. Identify the plans, if any, for an electrical system: 4/ /i M:\CTB\CTBFORMS\Foasmbly.wpd 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: 4/ /It vrvn �e /y 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 12-1-30.6.13 of the Weld County Code to ensure performance by the applicank of each of the terms and conditions of the r temporary assemblage permit. Amzn c� 22. Attach a statement by an insurance company licensed to do business in the State of Colorado stating its intent to provide liability insurance, as required by Section 12-1-30.B.14 of the Weld County Code, to protect against injury to persons or property occurring as a G-� result of such an assembly. .;:iryrrnA. le' 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. M:\CTB\CTBFORMS\Foasmbly.wpd 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 Applicant's printed name Applicant's position 20 I! SUBSCRIBED AND SWORN to before me this ' t day of Witness my hand and official seal. Notary Public My commission expires: 9-a9•20/3 M:1CTB\CTBFORMS\Foasmbly.wpd May. 24. 2011 8:10AM UNITED SITE SVCS United Site Services of Colorado, Inc. PO Box 219 Commerce City, CO 80037 P (888) 232-0001, F (303) 985-1428 www.unitedsiteservices.com Billing Address: Ruben Guardlola 970.324-3825 Comments & or Special Instructions: THIS IS PRE PAY WITH CREDIT CARD Driver must call Martin to confrim placement. _ONCE YOU AGREE TO THIS PROPOSAL PLEASE SIGN, DATE AND FAX BACK TO 303-985-1428 -_'Salesperson Delivery Pickup Brett Angell Thursday, June 09, 2011 Tuesday, June 14, 2011 QUANTITY DESCRIPTION UNIT PRICE AMOUNT 8 Deluxe Restrooms with Hand Sanitizer 2 ADA Wheelchair Restrooms with Hand Sanitizer 3 Two Station Hand Wash 13 Damage Waiver 13 Service all restrooms on Sunday, June 12th (6 - 9am) By signing below, you are agreeing to our prices, terms and conditions. SUBTOTAL EEC TOTAL .$ - 0.00% $ - Signature SITE SERVICES No 4314 '. 1 � Order DATE 5/24/2011 Customer ID DEN -05637 Sales Person Brett Angell 303-917-3994 (Cell) 303-985-0164 (ofc) brett.anoell chi unitedsiteservices.corn Site Location: Special Event June 11- 12, 2011 16526 County Road 53 Kersey, CO 80644 Martin is at 303-263-6555 cell or 303-857-8587 691Y Date THANK YOU FOR YOUR BUSINESS! United Site Services of Colorado www.unitedsiteservices.com 1 Apr. 20. K1 12:1VM UNIILU 51st SVGS No, 61.Nft V. 1/2 Order United Site Services of Colorado, Inc. PO Box 219 Commerce City, CO 80037 P (888) 232-0001, F (303) 985-1428 www.unitedsiteservices,com Billing Address: Ruben Guardiola 970-324-3825 Comments & or Special Instructions: THIS IS PRE PAY WITH CREDIT CARD Driver must call Martin to confrim placement. ONCE YOU AGREE TO THIS PROPOSAL PLEASE SIGN, DA'Z'E AND FAX BACK TO 303-965-1428 Salesperson Delivery Pickup Brett Angell Thursday, June 09, 2011 Tuesday, June 14, 2011 QUANTITY DESCRIPTION UNI I PRICL AMOUN I 8 Deluxe Restrooms with Hand Sanitizer 2 ADA Wheelchair Restrooms with Hand Sanitizer 2 Two Station Hand Wash 12 Damage Waiver 12 - Service all restrooms on Sunday, June 12th (6 - 9am) SITE SERVICES DATE 4/2612011 Customer ID DEN -05637 Sales Person Brett Angell 303-917-3994 (Cell) 303.9850184 (0(c) brelt. a ngell©unitedsltese rvices, com Site Location: Special Event June 11. 12, 2011 16526 County Road 53 Kersey, CO 80644 Martin is at 303.263.6555 cell or 303.857-8587 69W By signing below, you are agreeing to our prices, terms and conditions. Signature Date THANK YOU FOR YOUR BUSINESS! SUBTOTAL $ EEC TOTAL 0.00% $ United Site Services of Colorado www.unitedsiteservices.com 04-26-2011 11 16 BERTA A GUTIERREZ 3038578587 1 PAGE1 APR -26-201.1 TUE 12:54 PM WELD COUNTY PARAMEDIC SE FAX NO, 9703046408 P. U1/U1 April 26, 2011 WELD COI1NTY PARAMEDIC SERVICES 1121 M STREET GREELEY, COLORADO 80631 PHONE (970) 353-5700 EXT 3201 FAX: (970) 304-6408 Rueben Guardiolla 16526 WCR 63 LaSalle CO 8064 FAX 303-857-8587 Dear Mr. Guardiolla: Per your phone call on 4-26-11, you arc requesting our service to standby for your horse race events on June 11th & 12, 2011 from 12:00 noon to 5:00 p.m. The cost of this ambulance and crew is $150 an hour and must be paid in advance. Estimated cost for the 10 hours will be $1500. Pre payment of $1500.00 is required to schedule the event. We do accept credit cards. If the event runs longer, you will be billed for the additional amount or if it is shorter, you will be refunded the amount that is over paid. I will notify our Operations Manager, Mitch Wagy, of your request. Please let me know if you have any questions. Sincere 1. i attire h olt Kathy Baxley, Office Manager Weld County Paramedic Services 04-26-2011 11:31 BERTA A GUTIERREZ 3038578587 PAGE1 USDA Farm: 9092 Tract: 5153 9-3-64 United States Department of Agriculture Farm Service Agency 2009 Orthophotography NOT TO SCALE Maps for FSA Programs Only Weld County, CO 2= Cropland 3= Rangeland 10= Other AG Land Disclaimer: Wetland identifiers do not represent the size, shape or specific determination of the area. Refer to your original dermination (CPA -026 and attached maps) for exact wetland boundaries and determinations, or contact NRCS. County Road 36 tmyccFien a° e Vcl+tLl< l fnS c trio nS a� tv )061 USDA Farm: 9092 Tract: 5153 9-3-64 N United States Department of Agriculture Farm Service Agency 2009 Orthophotography NOT TO SCALE Maps for FSA Programs Only Weld County, CO 2= Cropland 3= Rangeland 10= Other AG Land Disclaimer: Wetland identifiers do not represent the size, shape or specific determination of the area. Refer to your original dermination (CPA -026 and attached maps) for exact wetland boundaries and determinations, or contact NRCS. 94/27/2011 10:27 3038765436 JESCORT r4UE ui April 27, 2011 J.J. ESCORT & SECURITY, INC 6475 South Cody Street Littleton, Colorado 80123 Mr. Ruben Guardiola 16526 WCR 53 LaSalle, CO. 80644 303-933-1544 720-922-':904 fax RE: Event June 11 & 12, 2011 Mr. Ruben Guardiola, I! Escort & Security Inc. will provide Security for your event on June 11 a' & 12th 2011. Ow company will provide ten armed officers with radios and cell phones. Four officers wi II speak Spanish. Our officers have First Aid and CPR training. I have been in contact with the Weld Cow ity Sheriff Office about the number of officers we will have at the event. Please post the No Firearms or Ali ohol Allowed signs at the gates, We arc Licensed, Bonded and insured. The Weld County Sheriff Off ce knows of our company. If you have any questions please contact us at 303-933-4544. asµ James A. Swaen, CEO 1J Escort & Security Inc. 04-27-2011 10:25 BERTA R GUTIERREZ 3036578587 PAGE1 t oR0G10(04/01,16) STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT USE ACCOUNT NUMBER i _ LIABilJ1Y INFORMATION 1 ISSUE DATE LICENSE VALID TOI I for all referen.es county c'� Indust. 'lypei IMMMyo®ro ^onln d�Y IvgarDECEMBER 31 r- --fi $255.00 L ' 06;02/204-4— 201-1 —__..._ THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: This certifies that licensee shown hereon is authorized and licensed to engage in business in accordance with the provisions Mobile Truck of the law and regulations of the Colorado hton, CO80601 Department of Public Health and Enairon- Bri 9merit. Any alterations made on this license will automatically make it null and void. Tortilieria Cuautemoc LtC • Tortes Y Tacos Cuautemoc • 311 N Main St Brighton CC 80601 V DETACH HERE V POST IN A CONSPICUOUS PLACE New Automated Services For and About Businesses The Colorado Department of Revenue Sales Tax Information System provides the following automated services: • Colorado Sales Tax Rates - find specific city, county and special district rates. • Verification of Sales Tax License Exemption Numbers - determine whether a Colorado sales tax license or exemption certificate is valid. • Tax Rates by Account Number - find sales tax rates and locations for specific sales tax accounts, These services make it possible for taxpayers to help themselves to information 24 hours a day - without requiring the assistance of a customer service representative. In this way. more complicated or confidential tax information inquiries can be reserved for speaking to a live agent. Listen and look for these services on the department's business tax information phone line at 303 -238 -FAST (3278) for specif account information. Call 303-238-SERV (7378) for general information OR visit the DOR Web site at www.TaxCoiorado.com Web users can try the system online at www.taxview.state.co.us We are interested in your comments about the system. `i'c can send us an e-mail with your comments through our Department of Revenue Web site. Must ootteet taxes tor: SALES TAX LICENSE USE •s` NT NUMBER for ail references 04198205-0003 a'ff5t`!+`it"' UA9hulTY IN IIm " Off' !,Run , 12-0008-005 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION IN A CONSPICUOUS PLACE: TORTAS Y TACOS CUAUHTEMOC MOBILE BRIGHTON CO I�1lfulterlll6ll1l1mlH blll4Il"l'II" hulIbtlIllll!'lll' PORFIRIO CHAVEZ 311 N MAIN ST BRIGHTON Cc) BtMQt r 1I ISSUE DA •rk. �. day 'FT A DETACH HERE A IMPORTANT NOTICE from the Colorado Department of Revenue I'#t"'��11F13 PutreN.9, t -IS NOT NSFERABLE MSS Please VERIFY that all information on your new sales license is correct. You can notify the Department of errors by calling (303) 238-SERV (7378), by e-mail at Customer Support on our web site www.faxcoioradacom or by writing to: Colorado Department of Revenue Denver CO 80261-0013 Preprinted forms will be mailed within six weeks. Tax reporting and payment are your responsibility whether or not you receive your returns before the filing deadline. Blank tax forms can be obtained from our Web site www.taxcolorado.conr or by calling (303) 238 -FAST (3278). In order to avoid late penalties and interest, returns must be POSTMARKED on or before the due date. You must notify the Department if you discontinue sales at this location. IMPORTANT INFORMATION ABOUT YOUR LICENSE Colorado law requires that you file the required sales tax returns even when you have no retail sales activity. If you do not file the required sales tax returns, the Department will automatically close your account aand this license will no longer be valid. E -SERVICES FOR BUSINESS Colorado Online Sales Tax Filing is available at www.Coloredo.novlsslestex Additional E - Services for Businesses The following online services are centrally accessible at www.TaxColorado.com on the left side of the page under Online Services> a -File > Business Taxes Attend our free sales tax classes! to sign up, visit Lnsw.TasSeminers.state.co.us SERVICE CENTER LOCATIONS: DENVER SERVICE CENTER 1375 Sherman Street Denver CO 80281 COLORADO SPRINGS REGIONAL SERVICE CENTER 2447 North Union Blvd. Colorado Springs CO 80909 FORT COLLINS REGIONAL SERVICE CENTER 1121 W. Prospect Rd., Building D Fort Collins CO 80526 GRAND JUNCTION SERVICE CENTER 222 S. Sixth Street, Room 208 Grand Junction CO 81501 PUEBLO SERVICE CENTER 827 W. 4th Street, Suite A Pueblo CO 81003 • DR 0010 (04/01/10) STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT USE ACCOUNT NUMBER for all references LIABILITY INFORMATION ISSUE DATE LICENSE VALID TC DECEMBER 31 county I city I induct. llypel liability date month I day I year 27460236000 62 3289 1/13/2011 1/20/2011 2011 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: LONCHERA ZACATECAS #2 MOBILE UNIT WELD COUNTY, CO 80631 Owner: DAVID PALAFOX SANCHEZ LICENSING AGENCY: WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT c TREVOR 11RICEK, M.A.E.S., DIRECTOR ENVIRONMENTAL HEALTH SERVICES ♦ DETACH HERE This certifies that licensee shown hereon is authorized and licensed to engage in business in accordance with the provisions of the law and regulations of the Colorado Department of Public Health and Environ- ment. Any alterations made on this license will automatically make it null and void. POST IN A CONSPICUOUS PLACE * Colorado Sales Tax rates - find specific city, county and special district rates. j Vprifiratinn of Snips Tay I irpnce and Fvpmntinn Ni imherc - ripterminp whpthpr n Colorado salpc tar licence nr evemntion DR 0140 (01/31/07) DEPARTMENT OF REVENUE DENVER CO 80261-0013 Must collect taxes for: SALES TAX LICENSE THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION IN A CONSPICUOUS PLACE: �d�llhhlhrluPlPuiilurll�llrl�llllllhhlr�1111i11�du DAVID S SANCHEZ 377 E 19TH ST GREELEY CO 80631-6074 STATE COLORADO USE ACCOUNT NUMBER for all references LIABILITY INFORMATION ISSUE DATE LICENSE VALID _ _ _— TO rwmy. cdv industry type liability date Mae' day year DECEMBEa.al 27460236-0000 03-0057-017 I 100110 Nov 16 10 2011 THIS LICENSE IS NI TRANSFERABLE DAVID S. SANCHEZ 377 E 19TH ST GREELEY CO 80631-6074 lr Executive Director Department of Revenue t„ 8g II) 0 I -y 0Z W J Ci `U) N 2 0 1- U T >- 111 W J LU (� w N- tx M U F. 0 N CO U W M f0 < - 1— O a-+U(n CO Q o <N20 F- < ow w (LSWJ <z�w ao�ex n. J co C7 w '2 VI J Z QW O CO aw z O in O Q ZQ Ou. O h O Q O w S O O- � UJ D a COO 0 0 a 0 K J w a w z w w H H a O w I w U) z w J N r co fn O Clcc a Z 0 cc cc O z Z m Q J a 3289 4/11/20113 Cl b 41254330000 co N o m C C O -.N m m o m .- .- ry �O C _ 0 C ED a U w m a v o a a, ££ it Cm m v; m 9 m m C m — c c C x E m ad m C m U m m u_U m y Ts; V V W t6 T m m gm o io m —_ m c o=— m m c m c m Co G .N • m T E `o vi Co 0 U 'C.. m —t J m J y as.- m n a z m- J m F- 1— N a o o E THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: DAVID PALAFOX CD O CENSING AGENCY: WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT CC q O"3 E. U_ U 5 LL1� z ON .x Ili 61, -..' ¢x w F (-33 Uf6 V DETACH HERE VV/ VS/ ti iL • tirt'J 17L4 4 Burns & Wilcox To: FARMERS UNION SERVICE Gugnfola Ruben WE ARE _PLEASE::70 OFFER THE FOLLOWING LOCA'FlON(e1) QO RJNNi:, # 1 • Kemay, C:O 60044 PROPOSED EFFECTIVE. PERIOD 06/1 1/1 ar +2 61 AM TO G4ti $ri l AT 12:01 AM STO TIME A RI$K l OCATIdN. PORM OP CAVE RAGE; COMMERCIAL C NERAL LIAEIILI1Y OCCURRENCE..; s ; '! s ;; :: !' ... APPLICATION NO; APP148467157 INSURER(S): Line Of Busina*s L•V YVV•vvvI i-, i•a gale S Monroe Strap( SUi s $:i0; Ssrtdy; UT 8400 Pone! 1O1)4242 OR. (800)152$1400 Pax: (801, 944444p3 DATE: Paga I r 1 QUOTAT1014:: Commercial General Llablily L4fTS'/ DEDUCTIBLES: 0* ;.:-;. ...:...:..... ..,...... taminlel .., • t3edsrctltslu(>tl 1 Amer $5aJ,0Da Prox:uata and Cttmoiated Oparaflont $.100, Earh 6caurrenae $500:000 1 Personal and Advvrtrairrg Injury $l50 J,Cgfi kle>dlcal E tpensed Arty One Person $19,000. s 1 Eama a to Premises Ranted to You I Eaob Odourrdnce .$1 VAC= Suppliet(sf) Scottsdale InsuranceColnpsnp TOTAL CHARGES: Premium: $ $ Tali 6 TOTAL: $ EXC(.U8?OPtS: 500,00 50.00 18.50 Commercial Csnetal Dalottrly Pcaii7y Fee• (Fully Earned) Surplus, Linea Tax •• OsnLiab 400 Poti7l linerrt 100% MINIMUM & L]B'O8'f 7'` Tekki MINIMUM PREMIUM;. 1C10,0D9e EARNED Exclusions,. Asbestos, Go ut1811 P.uriftl111s 040. 4pes, Lead C0n7t rInation, Nuclear, Professional, Sub�deneeG'flU lid,•Aeilcauit RattaryAbase & Molestation, AftititWININItibilllet Employfttient Rrelate° Precpbas,'Verro$m, Macd, Deelpeated!Pft llmfanel Serrites•Any and Rll profeassorr l'sxpoturas; Ds signat@d Prelwees or Project. Spade' Event'Partis;perrt, Total Liquor, At Pr Polt#4.term3 &Oorrditic►nw .... . ENDORSEMENTS: CONDITIONS: PLEASE' REVIEW THIS CAREFULLY AS IT MAY DIFFER FROM COVERAGEb` AND LIMITS liEQUE5TE burns & Wilcox to 11 , ee -, Please iex s fined ixsirorisrn utucloeure ►rnd tsqutttc brnd. 'think y r very mach, : €i Terronsm alp S1 00 not Inctudeq to abpvA • 7Hg ABOVE Ci)VERAima ARL THE c)NLr CCWEttA( $ OFflReq ANY COVCRACtlr leteNAIMT I) IN NI APALICATI0N THAT DIFltl'K$ PROM THEAllovt to NOT 1NCLUogo. THE INSURANCE IS` $U$JECT TO THei TERMS, CGNortioMtl, LYEITATION$, AND PORIAa QSr'THE P014Y(ffi1 IN CURRENT USE gY.TECOJr1PANY,. WE A RECLATE YOUR. BUSINESS. 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FOritair,),cIItspUkzhaaofCi1tin arrerl%r • ,„ lt'Ilituturai J• E't►deNt;!!IA!Fl+lr'.':'•:. •::° I: • , • :::cri • aka r. B-04-2011 11:12 'BERTH A GUTIERREZ 303857858 7 PAGE2 LEASE AGREEMENT This Lease Agreement, dated March a I , 2006, is between Timothy J. Gittlein, the owner of the real property described below, and Reuben Guardiola. Timothy J. Gittlein will be referred to as "Lessor" and Reuben Guardiola as "Lessee". The Lessor hereby leases that portion of the farm constituting 120 acres, more or less, for construction of equestrian training facilities to be built by the Lessee, and the Lessee hereby leases that portion of the farm constituting 120 acres upon which the facilities are to be constructed, according to the terms and conditions set forth in the following paragraphs: I. DESCRIPTION OF LEASED PREMISES. The Lessee shall lease that portion of the Northwest 1/4, Section 9, Township 3 North, Range 64 West of the 6th Principal Meridian which shall be designated as the subject of this Lease Agreement as Lot A of said section. The property is undeveloped land, previously designated as the center pivot and is referred to in this agreement as the "leased premises". Property lines to be established by survey at a later time. II. TERM OF LEASE. The primary term of this lease is from April 1, 2006 until sale of premises or March 31, 2026. III. RENT. The rent for the term of this lease is $300,000.00, payable to Timothy J. Gittlein in monthly installments of $1,250.00 each, in advance. Each installment of rent is due on the First day of each month, without the requirement of any notice from the Lessor. The Lessee shall be obligated to pay a late charge of ten dollars ($10.00) at the time of paying any installment that is more than nine (9) days late. At any future time during the term of this lease, if all payments have been have made in a timely manner and are current, the parties may negotiate a fair price for the Lessee to purchase the leased premises from the Lessor, taking into account the value of the lease payments made, future oil well rent site income, etc. If for any reason the Lessor shall become incapacitated or not available to receive payments of rent, rent payments shall be paid directly to the trust for Mike John Gittlein, the Lessor's son if he is under 18 years of age, or if 18 or older, directly to Mike John Gittlein. IV. SECURITY DEPOSIT. Not applicable. V. CONDITION OF LEASE PREMISES. The Lessee has inspected the leased premises prior to signing this agreement and accepts the leased premises in their present condition. The Lessor is not obligated to modify the leased premises in any way prior to Lessee's occupancy. VI. REPAIR AND ALTERATIONS OF LEASED PREMISES. The Lessee shall pay for all charges relating to the leased premises. VII. USE OF LEASED PREMISES. The Lessee shall use the leased premises for lawful purposes only and in a quiet, careful and reasonable manner. The parties acknowledge that the Lessee will construct equestrian training facilities on the leased premises. The Lessee, upon termination of this lease for any reason agreed to by both parties in writing, is entitled to remove all of the facilities he constructed so long as the leased premises is returned to the condition in which it was prior to the Lessee entering the leased premises. Should Lessee not remove the facilities within forty five (45) days after termination of the lease, all property remaining on the leased premises shall become the property of the Lessor. VIII. CHARGES FOR UTILITY SERVICES. The Lessee agrees to pay all charges for heat, lighting, telephone service, water and trash pick up, etc. and shall do so before they become past due. IX. RIGHT OF ENTRY. The Lessor and the Lessor's agents shall have the right to enter the leased premises at reasonable times and after giving reasonable notice to the Lessee, or making a good faith effort to do so, for the purpose of inspecting the leased premises for damages or showing the leased premises to prospective purchasers, tenants, mortgage lenders, etc. Subject to this right of entry, the Lessor covenants that the Lessee shall have quiet possession of the leased premises. X. DESTRUCTION OF LEASED PREMISES. If the leased premises are destroyed by fire or other casualty, the Lessee shall have the right, but not the obligation, to repair or restore the leased premises. Whether or not the Lessee elects to repair or restore the leased premises, this lease shall not terminate by reason of the destruction. XI. WAIVER OF CLAIMS. The Lessee shall have no right to make any claim against the Lessor because of any injury or damage to the Lessee or other occupants or visitors or for damage to property belonging to the Lessee or to other occupants or visitors, whether or not the damage is caused by the condition of the leased premises. The Lessee acknowledges that the Lessor's insurance does not provide coverage with respect to the Lessee's property. XII. DUTY TO PROTECT LESSOR FROM CLAIMS. Lessee shall maintain general liability insurance in an amount not less than $500,000.00/$1,000,000.00 naming the Lessor as an additional loss payee and provide the Lessor proof of said insurance annually. If any claim is asserted against the Lessor for damage to person or property arising during the Lessee's occupancy of the leased premises, the Lessee shall be obligated to defend or pay such claim and to reimburse the Lessor for any such claims paid by the Lessor and for reasonable attorney fees and costs that the Lessor may incur in defending any such claim. XIII. LIMITATIONS ON ASSIGNMENT AND SUBLEASING. Without the written consent of the Lessor, the Lessee may not assign this Lease Agreement to a third party in it's entirety. Leesee shall be allowed to partially sublet within the leased premises to third parties as is required and appropriate pertaining to his business plan for the leased premises. Lessee shall retain complete responsiblity for all provisions, obligations and restrictions of this Lease Agreement. XIV. DEFAULT. The Lessee shall be in default under this agreement if the Lessee fails to perform any of the obligations or to honor any of the restrictions imposed on the Lessee by this Lease Agreement. Insofar as non-payment of rent, the Lessee shall be in default ten (10) days after the particular rent installment is due. Insofar as other obligations, including but not limited to the obligation to maintain the leased premises, the default will be considered to take place if the condition causing the default is not corrected within ten (10) days after the Lessor gives a written notice to the Lessee, describing the condition or occurance that constitutes the prospective default. XV. REMEDIES FOR DEFAULT. If this Lease Agreement is in default within the meaning of the previous paragraph the Lessor may, at the Lessor's option, terminate this Lease Agreement. If the Lessor elects to terminate this Lease Agreement, the Lessee shall be obligated to pay all past due rent including rent due for the month in which the default occurs, even if the Lessee vacates or is removed from the leased premises before the end of that month. Similarly, the Lessor shall not be obligated to refund rent paid for the month in which the default occurs, even if the Lessee vacates or is removed from the leased premises before the end of that month. The Lessor shall not be required to terminate this Lease Agreement in the event of the Lessee's default, and if the Lessor elects not to do so, the Lessee's obligation to pay rent shall continue throughout the term of this Lease Agreement and the Lessor may recover all installments of rent as they fall due. Whether or not the Lessor elects to terminate this Lease Agreement because of the Lessee's default, the Lessor shall be entitled to recover from the Lessee an amount equal to the cost of repairing any damage to the leased premises, if the Lessee is responsible for such damage by reason of another provision of this Lease Agreement, and to recover attorney fees and other costs incurred by the Lessor to enforce the Lessee's obligations under this Lease Agreement or to terminate this lease. XVI. ABANDONMENT OF LEASED PREMISES. If the Lessee abandons the leased premises and defaults in the payment of rent, the Lessor may re -rent or re -lease the leased premises without thereby terminating this Lease Agreement, if the Lessor gives written notice or makes a good faith effort to give written notice of that intention. In that case, the Lessee shall continue to be liable for any amount by which the the rent payable under this Lease Agreement exceeds the net rentals recovered by the Lessor through the re -renting or re -leasing. XVII. SURRENDER OF POSSESSION. At such time that the Lessor becomes entitled to possession of the leased premises because of a default by the Lessee, the Lessee shall peacefully surrender possession of the the leased premises in the same condition as they are in at the beginning of this Lease Agreement, not counting ordinary wear and tear. This paragraph shall not, however, require the Lessee to pay for damages to the leased premises that is covered by the Lessor's hazard insurance policy, but the Lessor shall have no obligation to carry hazard insurance on the leased premises. XVIII. SALE OF THE LEASED PREMISES. The selling of the leased premises to a third party must be with mutual consent and agreement of the Lessor and the Lessee, in writing. Lessor and Lessee agree that the proceeds of the sale shall be fairly divided between the parties according to the value assigned to the land and to the improvements and with consideration to past rent payments, oil well site rent, etc. XIX. ADDITIONAL PROVISIONS. The Lessor and the Lessee agree to the following additional provisions: A. Time is of the essence of this agreement. B. The failure or forbearance of the Lessor to enforce any of the Lessee's obligations under this Lease Agreement shall not constitute a waiver of the Lessor's right to take action with respect to any subsequent default, nor shall the Lessor's acceptance of any partial payment of rent affect the Lessor's right to recover the full balance due. C. This Lease Agreement constitutes the entire agreement between the parties and supercedes all discussions and understandings that may have been made prior to the signing of this Lease Agreement. This Lease Agreement may not be amended except by written instrument signed by the Lessor and the Lessee. D. If any of the provisions of this Lease Agreement is contrary to any present or future law of the state of Colorado, the inconsistant provision shall be considered amended or eliminated to conform to such law. E. The Lessor shall mail any notice to which the Lessee is entitled by the terms of this Lease Agreement to the Lessee at: x< C1 C to C- .4/7/1 -5/7 74/- ro p,c7 r, F. All notices to which the Lessor is entitled to shall be mailed to the Lessor at: a9Q3 Apr; cot Akenuc& ---- r_ ay Co g(X31 i G. A notice may be delivered personally to the party entitled to the notice, in lieu of mailing. Mailing shall be by certified mail, postage prepaid, return receipt requested. H. If the Lessor needs to provide evidence regarding the status of this Lease Agreement to any mortgage lender, government official, etc. the Lessee shall, at the request of the Lessor, sign affidavits regarding the status of this Lease Agreement and rent. I. This Lease Agreement shall be binding not only upon the parties who have signed as Lessor and Lessee but also upon their successors, personal representatives, executors, heirs, devisees and assigns, (if any are permitted). J.This Lease Agreement is for vacant land only. This Lease Agreement does not entitle the Lessee to aquire any interest in growing crops, minerals, oil well site rent, oil well site damages, or water on the leased premises. K. The Lessee shall maintain the leased premises consistant with any agreements the Lessor has with the Farm Service Agency of the United States Government and the Weld County Soil Conservation District including, but not limited to, noxious weed control, soil erosion, etc. L. At the end of the term of this Lease Agreement, if all obligations and restrictions on the Lessee within this Lease Agreement have been dutifully performed and abided by, the property referred to as the leased premises in this Lease Agreement may become the property of Reuben Guardiola for the purchase price of ten dollars, ($10.00). This Lease Agreement has been signed on the dates indicated below by the Lessor and the Lessee. LESSOR: LESSEE: Timothy J. Gittlein Date of Signing: o / /06 Reuben Guardiola Date of Signing: C/ F?f�.-3 Z3Jdd 18S8ZS8a2 Z3eel3Ilt1EJ ti ti12138 6T:60 T T 2-82-bO d& 4 k r gt i Vd 4000 5 ti g fa 01 I lh I- V z I I ii M v a is CAROL MOOBO-PAC 0 I O Id IlL 24Elgi Viol bipp cad .r ca R d d 'd E6 'ON OION VNd9Z:01-1101'9 )dV 05/23/2011 13:44 FAX BRATTON. S 2 001 ********************* *** TX REPORT *** ********************* TRANSMISSION OK TX/RX NO 0731 RECIPIENT ADDRESS 913038578587 DESTINATION ID ST. TIME 05/23 13:32 TIME USE 11'51 PAGES SENT 10 RESULT OK ortThr. 111k FAX COLORADO TO: Martin Gutierrez FROM: Christie Peters FAX: (303) 857-8587 WELD COUNTY Clerk to the Board PHONE: (303) 263-6555 PHONE: (970) 336-7215, ext 4228 SUBJECT: Referrals for Ruben Guardiola DATE: May 23, 2011 COMMENTS: Martin, See the attached referrals: 1) From Roy Rudisill, Emergency Management 2) From Bethany Salzman, Planning 3) Public Works 4) Environmental Health 5) Building Inspection 6) Fire District Notification 7) Sheriff's Department 10 Total pages (includes Fax Cover page) Ruben is scheduled to go before the Board on Wednesday, June 1st at 9AM. I called him to let him know. Please call me with any questions! Thanks again Christie fer4t wile COLORADO Memorandum TO: Christie Peters, CTB From: Dan Joseph, Environmental Health Specialist DATE: 05/07/11 SUBJECT: Temporary Assembly Permit and Special Events Liquor License for LC0022 In response to your request, Environmental Health Services has reviewed the Special Events Permit and Temporary Assembly Permit, LC0022, for Ruben Guardiola 2011, located at 16526 CR 53, LaSalle, Colorado. The following are the recommendations 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. Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at dioseph(1co.weld.co.us. Thank you. CC: Cindy Salazar, Debra Adamson WELD►�s0 u MEMORANDUM TO: Christie Peters, Clerk to the Board DATE: 05/09/11 FROM: Janet Carter E.I., Public Works SUBJECT: Temporary Assembly Gardiola The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows: REQUIREMENTS: 1. No parking will be allowed on Weld County Roadways. 2. Approximately 1000 vehicles will require parking on the property 3. Please submit a Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS) 4. This area is in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 5. Please submit an Incident Command Plan for the Office of Emergency Management. May 9, 2011 Page - 1 - of 1 C:\Documents and Settings \cmpetcrs\Local Settings\Temporary Internet Files\Content.Outlook\ZXA0SESJ\Temp Assembly GardiolaDOC 4116 COLORADO MEMORANDUM To: Christie Peters, Deputy Clerk to the Board May 23, 2011 From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Review of the following Temporary Assembly Permit by the Department of Planning Services shows the following: Ruben Guardiola 16526 County Road 53 LaSalle, Colorado 80645 Zone District: Agriculture No Special Use permits are associated with this property. No existing violations were noted. Please note the application specifically called out "No maximum number" of people, just an approximate "1500". The number of horses and/or cattle (steers) shall not exceed 4 (four) per acre. Please be advised that over the years, The Weld County Sheriffs Office and Department of Planning Staff has received several complaints of re -occurring rodeo's, but according to the Weld County Sheriffs Office, we have not been able to substantiate any of the complaints. SERVICE, TEAMWORK, INTEGRITY, QUALITY u DEPARTMENT OF PLANNING SERVICES BUILDING INSPECTION DIVISION 1555 N. 17TH AVENUE GREELEY, CO 80631 970-353-6100 EXT 3532 FAX 970-304-6498 jgesick(aco.weld.co.us To whom it may concern: I have reviewed the submitted documents for the Horse Racing event to be held at 16526 WCR 53 on June 11-12, 2011 from 11:00 am to 5:00 pm. The following conditions will apply to the event. Conditions: 1. Exit paths from all areas shall be maintained and clear from obstructions. 2. Make available a letter from the fire district and adhere to their conditions. 3. No building permit is required. These requirements are based on the application and documents given with the permit. If you have any questions, please contact our office. Sincerely, Jonathan Gesick Plans Examiner/Building Inspector 1555 N 17th Ave Greeley, CO 80631 WL`Dc. 4‘tokt; COLORADO DEPARTMENT OF PLANNING SERVICES BUILDING INSPECTION DIVISION 1555 N 17TH AVENUE, GREELEY, CO 80631 (970) 353-6100 X3540 (970) 304-6498 FAX FIRE DISTRICT NOTIFICATION PERMIT NUMBER PLEASE MAIL OR FAX BEFORE ISSUANCE OWNER €1 -en 0nrdial" CONTRACTOR "/5 v4-cri gen. rot, lc SITE ADDRESS /6 5 3.6 wC 12 fir /N Sa 1/1_ CO DESCRIPTION OF WORK PaVcc l.iN-t 1(� (2 �f( 166 ut ADDRESS �1 FIRE DISTRICT COMPLETE BELOW FIRE DISTRICT NAME k7/7 c / S r Xtgee 11--- �� }-,4e- ! Re tacit AJ 6" CO 4 Y STATE ZIP PHONE NUMBER j7O--.T.t`3-3k 3 FAX NUMBER /J0' 3Sj-1189i SPRINKLERS YES NO /jo telex -Li -Ls / No Seal,rti , U JLA- w S-tion-64,0-/ N j - COMMENTS /0o SIGNATURE I PRINTED NAME yob f �e Mi at i,4// ≥ Mt r2f DATE 5C/P -2v I( To: Weld County Board of Commissioners From: Deputy Lisa Carpenter Date: May 9, 2011 RE: Ruben Guardiola Dear Commissioners, I have researched and found no reported calls for service to Ruben Guardiola, located at 16526 County Road 53, La Salle, CO 80645 for the Calendar year of 2010 to present day. I find no grounds for disapproval for the renewal of the liquor license. Respectfully Sub ted, Deputy Lisa Carpenter Community Resource Officer Weld County Sheriff's Office 1950 "O" Street Greeley, CO 80631 TEMPORARY ASSEMBLY REVIEW FORM Date: May 4, 2011 TO: Lisa Carpenter FROM: CTB SUBJECT: Temporary Assembly Review 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. PLEASE RESPOND NO LATER THAN: May 18, 2011 ESTABLISHMENT: No concerns Ruben Guardiola 16526 County Road 53 LaSalle, Colorado 80645 Deputy's Initials The Sheriffs Office had a concern and the deputy has mutually worked with the property owner to correct the concern. (Complete Attached Worksheet) Unresolved concerns exist requiring a Probable Cause Hearing scheduled by the Board of County Commissioners. (Complete Attached Worksheet) .,,,.,. *......«>.t.....>...,,..................*........>._*......»._.*...*********_*************..... Please notify at Extension Board of Commissioner's renewal hearing. of the date and time of the Temporary Assembly Worksheet The following concerns are noted: N�.� 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) f�LC b2N Cvto 0/-0 4 Property Owner, Please Print Date C S-9,- // Property Owner Signature Deputy's nature 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 Owner of the establishment will be required to attend the Temporary Assembly Hearing to testify to the above agreement. Interoffice Memo Weld County -10- Emergency To: BOCC From: Roy Rudisill Date: May 16, 2011 Subject: Temporary Assembly Permit-Guardiola / Horse Racing Dear BOCC I have several recommendations regarding the request for Temporary Assembly Permit from Mr. Guardiola. Commander Paul Wood with the Sheriff's Office stated "As far as traffic enforcement is concerned, Attachment 3 is unacceptable as a traffic control plan. I would feel better by having a professional traffic control and parking plan. I do not see any planned routes for first responders and no entry/exit plan for attendees; I would also like to see a parking plan too to ensure the "field" can handle the race/attendees/parking". I would also recommend these additional items; 1) Have Public Works identify any concerns with traffic flow and any damage that may be caused by the increase in traffic on the County Roads. 2) I would like to meet with first responders and Mr. Guardiola to determine if the development of an Incident Action Plan is required. At the minimum a Communications Plan, Medical Plan and Traffic Plan should be completed. Respectfully Director Roy Rudisill FROM THE DESK OF ROY RUDISILL DIRECTOR OEM WELD COUNTY SHERIFF'S OFFICE 1950 0 STREET GREELEY, CO 80631 970-356-4015 EXT. 3990 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 newspaper printed and published in the County of Weld, State of Colorado, and has a general circulation therein; that said newspaper has been published continuously and uninterruptedly in said county of Weld for a period of more than fifty-two consecutive weeks prior to the first publication of the annexed legal notice or advertisement; that said newspaper has been admitted to the United States mails as second-class matter under the provisions of the act of March 3, 1879, or any amendments thereof, and that said newspaper is a weekly newspaper duly qualified for publishing legal notices and advertisements within the meaning of the laws of the State of Colorado. That the annexed legal notice or advertisement was published in the regular and entire issue of every number of said weekly newspaper for the period of ONE consecutive insertion(s); and that the first publication of said notice was in the issue of newspaper, dated 25th day of MAY 2011, and the last on the 25th day of MAY 2011 Publisher, ubscribed and sworn before me, this 25th day of, MAY 2011 Notary Public. My Commission Expires : z i\ 201, I 002 NOTICES NOTICE OF APPLICA- TION 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 Centennial Center, 915. 10th Street, First Floor, Greeley, Colo- rado 80631, at the time specified. If a court reporter is de- sired, please advise the Clerk to the Board; in writ- ing, at least five days prior of the hearing. The cost of engaging a court re- porter shall be borne by the requesting party: In accordance with the Americans with Disabilities Act, if special accommo- dations are required in or- der for you to participate in this hearing, please con- tact 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 Commis- sioners, Weld County Centennial Center, 915 10th Street, Third Floor, Greeley, Colorado 80631. E -Mail messages sent to an individual Commis- sioner may not be in- cluded 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 #: 2011-36 DATE: June 1, 2011 TIME: 9:00 a.m. APPLICANT: Ruben Guardiola 16526 County Road 53 LaSalle, Colorado 80645. REQUEST: Application for a temporary assembly of more than 350 persons on June 11 and 12;2011 LEGAL DESCRIPTION: ; Lot D of Recorded Exemp- I tion #4518; -being part of the W1/2 of Section 9, Township 3 North, Range 64 West of the 6th P.M., Weld County, Colorado LOCATION: 16526 County Road 53, LaSalle, Colorado 80645 (See Le- .; gal Description for precise location.) 3 3 n I, BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLO- RADO DATED: May 20, 2011 PUBLISHED: May 25, 2011, In the Fort Lupton Press 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 Centennial Center, 915 10th Street, First Floor, 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 Centennial Center, 915 10th Street, Third Floor, 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 #: 2011-36 DATE: June 1, 2011 TIME: 9:00 a.m. APPLICANT: Ruben Guardiola 16526 County Road 53 LaSalle, Colorado 80645 REQUEST: Application for a temporary assembly of more than 350 persons on June 11 and 12, 2011 LEGAL DESCRIPTION: Lot D of Recorded Exemption #4518; being part of the W1/2 of Section 9, Township 3 North, Range 64 West of the 6th P.M., Weld County, Colorado LOCATION: 16526 County Road 53, LaSalle, Colorado 80645 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: May 20, 2011 PUBLISHED: May 25, 2011, in the Fort Lupton Press CERTIFICATE OF MAILING The undersigned hereby certifies that a true and correct copy of the foregoing Notice of Hearing, Docket #2011-36, was placed in the United States mail, first class mail, postage prepaid, addressed to the following property owners. DATED this 11th day of May, 2011. CORP OF PRESIDING BISHOP OF CHURCH OF JESUS CHRIST OF LATTER DAY SAINTS LDS CHURCH TAX DIVISION FLOOR 22 50 E NORTH TEMPLE STREET SALT LAKE CITY UT 84150-3620 FRONT RANGE FEEDLOTS LLC PO BOX 517 EATON CO 80615 TIMOTHY GITTLEIN 2923 APRICOT AVE GREELEY CO 80631 GUTTERSEN RANCHES LLC PO BOX 2176 GREELEY CO 80632 Deputy Clerk to the Board Page 1 of 1 Property Owners Within 1000 ft. of Par l# 12 NAME MAILING ADDRESS PARCEL IDENTIFICATION # CORP OF PRESIDING BISHOP OF CHURCH OF Additional Owners: C/0 LDS CHURCH TAX DIVISION 50 E NORTH TEMPLE ST FLOOR 22 SALT LAKE CITY,UT 8415O - 3620 121508000011 JESUS CHRIST OF LATTER DAY SAINTS FRONT RANGE FEEDLOTS LLC PO BOX 517 EATON,CO 80615 121509300021 GITTLEIN TIMOTHY J 2923 APRICOT AV GREELEY,CO 80631 121509200010 GUTTERSEN RANCHES LLC PO BOX 2176 GREELEY,CO 80632 121509000006 http://maps2.merrick.com/website/weld/setsgl.asp 5/5/2011 m O Lrl rU ru In ED O O O nJ trl C 17 tti U.S. Postal ServiceTM CERTIFIED MAILT. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees SENDER. COMPLETE THIS SECTION • Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Guf ii ;Candies L/c. PO ezx am° cfledety, CO & &3 . Postmark Here /1 CON7PI ETT THIS SECTION ON DELIVERY A.Signature Xcire. B. Recelvpd by (Printed Name) C. Date of Delivery \M r,\Cash ❑ Agent 0 Addressee D. Is delivery address different If YES, enter delivery add Se t 9 3. Sery Mallrpe ❑ Extsmss ❑ Registered 0 Retur7t 0 Insured Mail ❑ C.O.D. 5 lb Ise 4. Restricted Delivery? (Extra Fee) ❑ Ye▪ s 2. Article Number (Transfer from service tabeO PS Form 3811, February 2004 7005 1820 0003 5225 0341 Domestic Return Receipt 102595-02-5L1540 Er 4O m O u-1 n.j nU U, Postage m O Codified Fee O O Return Receipt Fee (Endorsement Required) O N rR r U.S. Postal Service,' CERTIFIED MAIL, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) uT O O Restricted Delivery Fee (Endorsement Required) Total Postage & Fdies of /Y2 SENDER: COMPLETE THIS SECTION • Complete Items 1, 2, and 3. Also complete Rem 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to:egrp 014 �` Liar of �r side A4.5r�rf o/Gx rl Sark `��u Church of,-.. Ls Ohara -77v Di✓7Sini f/002 z SD E m TaMP,E tined- .ed MW1 Ma- a tri ut ALICD 1%24:=I Postmark Here 6/1/ 1/ COMPLETE THIS SECTION ON DELIVERY A. Signature X O Agent _AiAddressee B. Received by (Prim ) C. Date of Delivery AiL P. 4093414-11-141W/ " D. 19 delivery address differer tlrcm Item 1R�Y-i-17@s If YES, enter delivery agcjess below: ❑ Na' ❑ Express Mall ❑ Return Receipt for Merchandise ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 2. Article Number ("Fenster from service label) PS Form 3811, February 2004 Domestic Return Receipt 7005 1820 0003 5225 0389 102595-02-M-1540 0003 5225 0365 U.S. Postal Service,,., CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees Postmark Here Sentmin fgar)ge Cniet 4L treet, Apt. No.; or PO Box No. D &vk 5Y7 City, State, ZIP+4 E.rlsn_ /T 1069 / ih/_/ PS Form 3800. June 2002 See Reverse for Instructions A SENDER: COMPLETE THIS SECTION • Complete hems 1, 2, and 3. Also complete hem 4 If Restricted Delivery is desired. • Print your name and address on the revers* so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article to: Li d C. Date of Delivery Y .5-/z-// D. Is delivery address different from Item 1? O Yes If YES, enter delivery address below: O No i0 ,'/w4t--&PlataGLL PO ox CO17 5/9-/ .0 /� 3. Service Type (/(�(J Wed Mall ❑ Express Mail Registered ❑ Return Receipt for Mocha) ❑ Insured Mall ❑ C.O.D. 4. Resbicted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) PS Form 3811, February 2004 7005 1820 0003 5225 0365 Domestic Return Receipt 102595-C U.S. Postal ServiceM CERTIFIED MAIL,. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) rn ru N tit Postage m Certified Fee 0 p Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) 7005 1820 Total Postage & Fees Street, Apt. No.; or PO Box No. ■ Complete Items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Tinoth� ciN-/e/n 292 3 Apaitot five Cite%, Go ofU&3i 2. Article Number Munster from service label) Postmark Here A. Signature B. Received by (Printed Name) D. Is delivery address different from item 14 ❑ Yee If YES, enter delivery address below: O No In Agent O Addressee C. Date of Delivery 3. Service Type Mall ❑ Express Mall Registered O ReturnReceipt for Merchandise ❑ Insured Mall O C.O.D. 4. Restricted Delivery? (Extra Fee) 7005 1820 0003 5225 0358 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 I Identify Results Page 1 of 1 WELD COUNTY ASSESSOR PROPERTY PROFILE Account#: R5275408 Tax Area: 0710 Acres: 134.46 Parcel#: 121509200010 Bordering County: Township Range Section Quart. Sec. Subdivison Name Block# Lot# 03-64-09-2 Owners Name & Address: GITTLEIN TIMOTHY 2923 APRICOT AV GREELEY, CO 80631 Business/Complex: Sale Date Sale Price $0 Property Address: Street: City: Sales Summary Deed Type Legal Description Reception # PT W2 9-3-64cLOT D REC EXEMPT RE -4518 EXC BEG NW4 COR N89D38'E 2474.45' SOOD52'W 440.53' TO POB S00D52'W 1840.57' N32D22'E 396.75' N16D28' 397.62' NOOD53'E 397.62' N14D50'W 397.62' N30D35'W 397.7' TO POB Land Type Agricultural Agricultural Land Subtotal: Land Valuation Summary Abst Code Unit of Number of Measure Units 4167 Acres 1.1 4117 Acres 133.36 Actual Value 134.46 $88,433 No Buildings on Parcel Assessed Value $25,650 http://maps2.merrick.com/Website/ Weld/setSgl.asp?cmd=QUERY&DET=PP&pin=121509... 5/9/2011 0 `0 0 N o co O mcn 0 0 c o O r- 2 o a' -0 Y m D m O E1 a.se mail \‘,13.1 RECEIPT �J DATE ,oh/aDi NO. 858; RECEIVED FROM /COcben C ttart711O/a_ ADDRESS /0 , G/2 3 FOR HOW PAID CASH CHECK /0O. MONEY ORDER BY 4 DATE L, b /i ao o a o .-r) m ,,A" o, o CO m c w o 0 • °oa'i a Y m y N a O N 0ao ECEIPT DATE L L+ Il RECEI ROM Kt! OII4 ADDRESS Ana t. xtt.koc1 FOR I.. t oI OD R' ou:,.ii HOW PAID RECEIPT FROM ADDR{IE��S�S FOR t-C.ot V.ot C �tltt(1 , W PAID 4 0000,00- «. I), 15V J6 MONEY ORDER NO. $ 1 ?-f1.0 4 `'.d/: L)o a I1 35'r, x 91 t $1-2 /5'• 3 s BY o a co B .0 N O ct ▪ 0 c m OCD o n O O o o d -o Y m (..0 a0 RECEIPT DATE (0/{0//a<- // NO. c[5.91 RECEIVED FROM KL'Li/ 1 CH((/'c ./CJii rflI rat(/C( 11174/ hi' ADDRESS /(, S S -4;< ;(..o (^CO/ /elf S 3 LC4.Sty'let; C(1 r' )C'9S--970‘o $ 3,t�D( FOR Ili,i,46 rate/fl ;-,/U t of bci HOW PAID c% tic -905 - CASH CHECK ORDER J BY; 11 D N o o 0 sal OD C w o o ENO O ° o M 3io_0 RECEIPT RECEIVED FROM ADDRESS DATE NO. 8591 FOR HOW PAID CASH ORDER BY L\IvC C xd V C c� �c vYe-"urvtea SQL., -fir RcE-c.r Guardiola Training Ruben Guardiola 16526 County Road 53 La Salle, CO 80645-9706 Pay to the ordecf v� r VS ctivva tcc 3 aeiut a5 resw -Sk- a . C3 vti vLeed kc) cl.utds CAPITAL ONE BUSINESS PREFERRED Date 459 68-7270 / 256 043729-06( We/27 eo/ors y $ 3, 000 7'o tee limos 0,0 6/7/.5 Q9/CP/J7 ) Dollar `a~••aSmall Business Memo Authorized Signature come" comer CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY 6/2/2011 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER DAVID SIMON INSURANCE 420 Court Place Brighton, CO 80601 LONIAI, NAME: PHONE FAx Ext): (303)659-9065 I, No):(80O) 726-317≤ A/C, NO (Aic E -MAP bizbrighton@gmail.com com PR0DUCEgR CUSTOMER ID it: INSURER(S) AFFORDING COVERAGE NAIC4 INSURED Ruben Guardiola 16526 WCR 53 LaSalle CO 80644 INSURER A: Burns & Wilcox INSURER B: INSURER C: INSURER D: NSURER E: INSURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER OD 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, 'NPR LTR TYPE OF INSURANCE ADPL MISR WEIR win POLICY NUMBER POLICY EFF (MMIDDNYYY) POLICY EXP (MM/DD/YYYY) LIMIT A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITYPREMISES ® OCCUR Pending 06/11/2011 06/11/2013 EACH OCCURRENCE $ 500,000 DAMAGE (Ea occurrence) $ 100,000 CLAIMS -MADE MED EXP (Any oneperson) $ 5,000 X Special Events PERSONAL &ADV INJURY $ 500,000 GENERAL AGGREGATE $ 500,000 GENT AGGREGATE LIMIT APPLIES PER: I ] JECC n LOC PRODUCTS - COMP/OP AGG $ 500,000 InPOLICY $ AUTOMOBILE LIABILITY ANYAUTO ALLOWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) 7$ $ $ UMBRELLA LIAR EXCESS LIAR y OCCUR EACH OCCURRENCE $ I CLAIMS -MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORPARTNER/EXECAJTIVE /M OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS VINER NIA I WCv TAT S I IOTH E.L. EACH ACCIDENT $ ❑ below E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DES RIPTION OF OPERATIONS / LOCATIONS / VEHICLE (Aaach ACORD 101, Additional Remarks Schedulelf mo25pace is required) Horse Race Event Held at 16526 WCR 53 LaSalle CO 80644 CERTIFICATE HOLDER Ruben Guardiola 16526 WCR 53 LaSalle CO 80644 CANCELLATION 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 David Simon ACORD25 (2009/09) O 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered maths of ACORD WELD CTY PARAMEDIC Sly 1121 M STREET GRE_LEY. CO 80631 Merthaot ID: 000000001552523 Term ID; 02337481 601103006111813 Sale DISCVR Entry Method: Saiaed Ponred: Online Batchg:@0218 06/1/11 16:00:33 Inv 1: 061112 Anor Code: 001408 Total: $ 1500,00 Customer COPY April 26, 2011 Rueben Guardiolla 16526 WGR-63- LaSalle CO 8064 FAX 303-857-8587 Dear Mr. Guardiolla: WELD COUNTY PARAMEDIC SERVICES 1121 M STREET GREELEY, COLORADO 80631 PHONE (970) 353-5700 EXT 3201 FAX: (970) 304-6408 5-3 Per your phone call on 4-26-11, you are requesting our service to standby for your horse race events on June 11th & 12, 2011 from 12:00 noon to 5:00 p.m. The cost of this ambulance and crew is $150 an hour and must be paid in advance. Estimated cost for the 10 hours will be $1500. Pre payment of $1500.00 is required to schedule the event. We do accept credit cards. If the event runs longer, you will be billed for the additional amount or if it is shorter, you will be refunded the amount that is over paid. I will notify our Operations Manager, Mitch Wagy, of your request. Please let me know if you have any questions. Sincere! rd:k4-1-ex7 Kathy Baxley, Office Manager Weld County Paramedic Services United Site Services of Colorado, Inc. 6015 E 58TH AVE Commerce City, CO 80022 Toll Free: 888-232-0001 Local: 303-985-0164 Fax: 303-985-1428 Quote No.: 403-2803 Sell To: RUBEN GUARDIOLA RUBEN 16526 COUNTY ROAD 53 LASALLE, CO 80644 Cust. #: DEN -24368 Phone: 970-324-3825 I —Comments 8 Special Instructions] SITE SERVICES Site Service Quc Brett Angell Special Events Account Manager SITE SERVICES Phone: 888-232-0001x3624 Cell: 303-917-3994 Fax: 303-985-1428 E -Mall: Brett.Angell@UnitedSiteservices.com United She Services 6015 E. 58th Ave. Commerce City, CO 80022 Portable Toilet: Reseoon Tempora Roll-( 24 -Hour Emergenc) www.UnitedSiteServi Quote Date: 06/01/11 Quote Expires: 09/01/11 Ship To: RUBEN GUARDIOLA SPECIAL EVENT 16526 COUNTY ROAD 53 LASALLE, CO 80644 Terms: Due On Receipt DRIVER WILL CALL MARTIN TO CONFIRM PLACEMENT. MARTIN 303-263-6555 RUBEN 970-324-3825 Item Unit Quantity From Thru Deluxe Restrooms with Hand Sanitizer EA 8 06/09/11 06/14/11 Environment/Energy/Compliance Deluxe Restrooms with Hand Sanitizer Subtotal• Damage Waivers EA 8 06/09/11 06/14/11 ADA Restrooms with Hand Sanitizer EA 2 06/09/11 06/14/11 Environment/Energy/Compliance ADA Restrooms with Hand Sanitizer Subtotal Damage Waivers EA 2 06/09/11 06/14/11 Hand Wash Stations EA 3 06/09/11 06/14/11 Environment/Energy/Compliance Hand Wash Stations Subtotal: Damage Waivers EA 3 06/09/11 06/14/11 Service on Sunday 6/12/11 (6 - 9am) EA 13 06/09/11 06/14/11 Environment/Energy/Compliance Service on Sunday 6/12/11 (6 - 9am) Subtotal: tuEa (PIN -ID S4O.Oo C c5tk Ors 0 l k t\ Unit Price Total Price 77.50 620.00 one time 0.00 one time 620.00 10.00 80.00 one time 117.50 235.00 one time 0.00 one time 235.00 10.00 20.00 one time 77.50 232.50 onetime 0.00 one time 232.50 10.00 30.00 one time 25.00 325.00 one time 0.00 one time 325.00 1,542.50 Total: Accepted: Date: Remit To: United Site Services, PO Box 53267, Phoenix, AZ 85072-3267 NOTE: Total prices have been calculated for 1 billing period only. Damage Waiver is optional. Please read the terms and conditions on the last page of this document for more information. TERMS AND CONDITIONS Rev. 5.6.09 1. Acceptance Customer shall be deemed to have accepted these terms and conditions upon the earliest to occur of: (i) two business days after receipt of an invoice from Company: (ii) delivery of items of equipment ('Equipment') identified in the invoice to the site designated in the invoice (the 'Site') and use or acceptance thereof; or (iii) acknowledgment or other conduct of Customer indicating acceptance. These terms and conditions shall supersede any inconsistent terms of any purchase order or other documents of Customer. 2. Payment Terms All agreements are subject to approval by Company. Customer shall pay all charges by Company during the term (the 'Period') shown in the invoice. All Company invoices are due and payable upon Customer's receipt of the invoice. Customer shall be liable to Company for interest at the rate of 1.5% per month, or such lesser rate as may be the maximum lawful rate from time to time, on all overdue accounts. Customer shall pay all additional charges for services separately requested by Customer or made necessary by Customer's breach of these Terms and Conditions, including but not limited to, moving/relocation charges, special service charges, and special delivery and removal charges. In the event Customer's account becomes delinquent, Customer agrees to pay Company all collection expenses, including reasonable attorney's fees. 3. Service The Company offers servicing as an option on all portable rest - rooms. 4. Damage Waiver The Company offers a damage waiver program on certain Equipment. Customer may decline the damage waiver by completing and executing the appropriate section at the end of these terms and conditions. Unless Customer has declined the Damage Waiver in writing before the com- mencement of the Period or within five business days of the date of the first Invoice to Customer for any Equipment identified with a Damage Waiver on the invoice, whichever is later, Company shall impose, and Customer shall pay, any Damage Waiver fees indicated on the invoice and (provided Customer has not breached any of these terms and conditions) Customer shall have no responsibility for accidental structural damage to the Equipment, EXCEPT (i) Customer shall be liable for theft of any Equipment and for any losses resulting from any willful or grossly negligent acts or omissions of Customer or any of its agents, servants and employees, and (ii) if Customer has other insurance covering such loss or damage, Customer shall exercise all rights available to it under such insurance, take all actions necessary to process such claim and assign such claim and pay any and all proceeds from such insurance to Company. If Customer declines the Damage Waiver, Customer shall be liable for any loss or damage to the Equipment, regardless of cause or fault, except for reasonable wear and tear, and Customer shall pay Company the actual cost of repair or replacement cost thereof, and in addition thereto, for Company's loss of use of the Equipment. In the event of any loss of or damage to the Equipment, Customer shall promptly notify Company of such loss or damage and shall provide Company with copies of all reports relating to such loss or damage, including police reports, informal investigation reports and insurance reports. The damage waiver described in this section does not apply to portable toilets and containers which become contaminated with hazardous materials or contaminants de- scribed in Paragraph 7 while in the Customer's control and possession. 5. Equipment Location Customer warrants and represents that it has exercised due diligence and care in the selection of the location it has designated for the placing of portable toilets, temporary fencing, portable storage containers and any other Equipment provided by Company, and further agrees to give directions and supervise the placement of such temporary fencing, storage containers, portable toilets and other Equipment. 6. Equipment Responsibility Company will deliver the Equipment to the Site at the commencement of the Period and will remove the Equipment at the end of the Period. If servicing has been ordered by Customer, Company will remove any domestic septic waste ('DSW) from portable restrooms, if applicable, on the service day(s) scheduled by Company. In the event Company is unable to service the Equipment on the service day due to a holiday, inclement weather, or other interfering circumstances, Company shall service the Equipment on the earliest business day, excluding Sundays, available in accordance with Company's other service commitments. Company shall be granted access to the Equipment at any time for any servicing, maintenance or removal of Equipment. Customer shall not remove the Equipment from the Site, and shall not move the Equipment on the Site without written permission from Company. Customer shall not modify the equipment. Customer shall not sell, rent, lease or otherwise lose possession of the Equipment, nor shall Customer permit any lien to be placed on the Equipment. Customer acknowledges that Company has no control over the use of the Equip- ment by Customer, and Customer agrees to comply, at Customer's sole expense. with any and all applicable municipal, county, state, federal or quasi -governmental laws, ordinances, regulations and guidelines, including ANSI Standard Z4.3 and the requirements of the 'Guide for Clean Portable Sanitation' published by PSAI, if applicable. 7. Equipment Contamination While portable restroom units are in Customer's possession, Customer shall prevent any contamination of such units with or from radioactive, volatile, flammable, explosive, toxic or hazardous materials (including oils, paints. adhesives and solvents). Company will not remove any waste other than DSW from portable restrooms and storage containers ('Other Waste"). In the event Other Waste is found in the Equipment, Customer shall arrange and pay for separate removal of such Other Waste. Until such Other Waste is removed, Customer may not terminate the Period and Customer is liable for all charges ac- crued during such period. 8. Liability Except to the extent Customer is not liable for damage to Equipment under the Damage Waiver program described in Section 5. Customer agrees to defend, indemnify and hold Company harmless to the maximum extent permitted by law from and for all claims, lawsuits. damages, expenses and other losses arising out of the rental or use of Equipment delivered to or rented by Customer. Customer's obligation will apply to the extent permitted by law to all accidents or incidents regardless of whether same occur as a result of Customer's or third party's negligence, fault or other legal liability. Customer will have no obligation to defend, indemnify or hold harmless Company if the accident or incident arises out of the sole negligence or willful misconduct of Company. Company, its officers, directors, employees and agents shall not, under any circumstances, be liable to Customer for consequential, incidental, special, exemplary or punitive damages arising out of or relating to the Equipment. Customer's sole and exclusive remedy for any claims or causes of action arising out of or related to the Equipment shall be to recover from Company direct damages in an amount not to exceed the amount paid by Customer for use of the Equipment. 9. No Prorating Agreed upon rates are the complete billing periods and are not to be prorated. 10. Termination Company may terminate this agreement and remove the Equip- ment immediately in the event (i) Customer fails to pay any amount when due to Company, (ii) Customer otherwise breaches or rejects any of these Terms and Conditions, (iii) there is any loss of or damage to the Equipment, (iv) any lien is placed, or is proposed to be placed, on any of the Equipment, or (v) a proceeding in bankruptcy or for other protection from creditors is commenced by or against Customer. Company shall not be responsible for loss of any personal property on the Site, which may be caused by removal of any of Company's Equipment pursu- ant to this paragraph. 11. Governance This agreement shall be governed by and construed in accor- dance with the laws of the state, shown on the invoice, in which the Company's place of business is located, without giving effect to any choice or conflict of law provision or rule that would cause the application of the laws of any jurisdiction other than such state. Each of the parties submits to the jurisdiction of any state or federal court sitting in such state, in any action or proceeding arising out of or relating to this agreement. All claims in respect of the action or proceeding may be heard and determined in any such court. No failure by Company to exercise any right hereunder shall operate as a waiver of any other right hereunder, and a waiver of any right on one occasion shall not constitute a bar to or a waiver of any such right on any future occasion. All modifications to these Terms and Conditions shall be in writing. 12. Taxes & Fees Customer shall pay any and all taxes, license fees or permit fees arising out of use of the Equipment. Customer shall pay such taxes whether such taxes are shown on the invoice or whether such taxes are later clamed by a governmental authority. In the event of a claim by a governmental authority for taxes related to the Equipment, Customer shall pay to Company such taxes on demand. 13. Additional Terms Additional Terms and Conditions apply to rental and service of Storage Containers ('Sheds") and Temporary Power equipment. These Terms & Conditions are shown on the back of your contract for these items. 14. Errors & Omissions Company reserves the right to correct any erroneous information that may appear in the invoice or may have appeared in a prior invoice including, without limitation, Customer's name or address, or billing amounts. 15. Conditional Payments Any payment check, or other form of payment that you send us for less than the full balance due that is marked 'paid in full' or contains a similar notation, or that you otherwise tender in full satisfaction of a disputed amount, must be sent to United Site Services Inc., 200 Friberg Parkway, Suite 4000. Westborough, MA01581. We reserve all our rights regarding these payments (e.g., if it is determined there is no valid dispute, or if any such check is received at any other address, we may accept the check and you will still owe any remaining balance). We may refuse to accept any such payment by returning it to you, not cashing it or destroying it. All other payments that you make shall be sent to the address on the invoice. CA REM -71 DATE (St I 424 if RECEIVED FROM / £ tAt uA.rd o `a- ef nor No. 688820 x /t A k aet''el QFOR RENT b eu,►-i �Ve �/' c#6.4sezcz,_ `t OR c•� CASH O CHECK ° FROM TO OMONEY ORDER O CREDIT 4...‘":.)CARD B ACCOUNT PAYMENT 6 16 of SAL. DUE DOLLARS BILLING SHEET / SIDE JOBS TO: RUBEN GUARDIOLA I NV #: JOB #: SJ 5306 SITE: 16526 COUNTY ROAD 53 / LaSALLE ITEM # ITEM QTY U/M I COST i___ TOTAL 1000 0001 MHT _ 1.0 HR 50.00 ' 50.00 4025 1302 TCS DAY 4 HOUR MIN 4.0 DAY/HR 45.00 _ 180.00 4025 1300 FLAGGING 4 HOUR MIN. EA FLAGGER 12.0 HR 22.00 264.00 30.00 4025 1341 SIGN A 12.0 EA 2.50 4025 1342 SIGN B 12.0 EA 3.50 _ 42.00 TOTAL 566.00 BILLING ORDERED BY: DATES: PROJECT: 06/01/20 06/11 & 06/12 SPECIAL EVENT COMPLETE STILL IN PROGRESS PAID: $ 570.00 CASH (0/oi/I/ 23.9dd LSS8LS8202 z2azi3IlnE U C1J39 6T:60 TT02-82-60 0 I u r z 1� WI 7 is 1 —7 • I—^—ft7 •nl A7 A 1 1 /17 /Al in iii ADDITION TO THE FILE RECEIVED AFTER THE DATE OF THE EVENT 29 /*X, Coo) �. To: Weld County Board of Commissioners From: Deputy Lisa Carpenter Date: June 13, 2011 RE: 16526 cr 53 Dear Commissioners, I responded to 16526 cr 53 on the morning of June 13, 2011 to inspect the premisis after the Horse race events. I did not see any apparent road damage or piles of trash on the property. I did take pictures of the property and of the roadway. These photos are attached on a cd. Respectfully Submitted, Deput sa Carpener Community Resour e Officer Weld County Sheriffs Office 1950 "O" Street Greeley, CO 80631 FILE CONTAINS CD WITH DIGITAL PHOTOGRAPHS OF THE SITE TAKEN AFTER THE EVENT PLEASE SEE ORIGINAL FILE °'= 13 . 2 01 1 10 10 i 3 4 5 6 C6.113,2011 10 9 10 • efro° 'eat •-•••). . 'lipr ' �► • bra • "fr '' !s a sot .�- lie i a.sot„so% �o ' S. c\ \Ad,- C c.r �r�_c wu 5 V o-wy\ _tot. gc i i, v c Re -Cur vvc>_ki.1- k As. tLY� im,u_d G 5 res1v esk- ck . tJo v1s9, vo-i-d -co L.sx cLO,-2(s . Guardiola Training Ruben Guardiola 16526 County Road 53 La Salle, CO 80645-9706 Pay to the ord(1 CAP I T A L ONBUSINESS PREFERRED Date 0/ 45905 68-7270/2560 043729-066 (0e707 Oovn l� 3,000 tee hn��s a.,�l d s '1/404 ) Ca aff Small gusiness Memo • i Authorized Signature -- --- Dollars Hello