HomeMy WebLinkAbout20110909.tiffRESOLUTION
RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO MAKE -A -WISH
FOUNDATION OF COLORADO, INC./FRANK'S RIDE FOR CHILDREN, C/O GREG
RISEDORF, AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, Make -A -Wish Foundation, Inc./Frank's Ride for Children, do Greg Risedorf,
presented to the Board of County Commissioners of Weld County, Colorado, an application for
a Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by
the drink on the premises only, and
WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to
Weld County, Colorado, pursuant to the laws providing therefore in payment for a County Retail
Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the
premises only, for an event scheduled for one day only on May 15, 2011, from 8:00 a.m.,
until 9:00 p.m., outside the corporate limits of any town or city in the County of Weld at the
location described as follows:
Anderson Farms, 6278 County Road 3.25, Erie,
Colorado, 80516; being further described as part of
Section 32, Township 2 North, Range 68 West of
the 6th P.M., Weld County, Colorado
WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($25.00)
to the Colorado Department of Revenue and has exhibited a State Special Events Permit for the
sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only.
NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of
Weld County, Colorado, having examined said application and the other qualifications of the
applicant, does hereby grant Special Events Permit Number 2011-07 to said applicant to sell
malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at
retail at said location; and the Board does hereby authorize and direct the issuance of said
permit by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board
of Weld County, Colorado, which permit shall be effective from 8:00 a.m., until 9:00 p.m., on
May 15, 2011, providing that said place where the permitee is authorized to sell malt, vinous
and spirituous liquors for consumption by the drink on the premises only, shall be conducted in
strict conformity to all of the laws of the State of Colorado and the rules and regulations relating
thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado,
and any violations thereof shall be cause for revocation of the permit.
So, phk.
5- "1-
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011-0909
LC0022
SPECIAL EVENTS PERMIT - MAKE -A -WISH FOUNDATION OF COLORADO, INC./FRANK'S
RIDE FOR CHILDREN, C/O GREG RISEDORF
PAGE 2
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 11th day of April, A.D., 2011.
ATTEST:
Weld County Clerk to t
BY:
Deputy Clerk to the Boa
AP
u tAttorney
Date of signature: 1)/
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLODO
arbara Kirkmeyer,
air
Sean P. onyvay, Pro-Tem
William F. Garcia
Long
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Douglas Ra emacher
2011-0909
LC0022
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THIS LICENSE EXPIRES MAY 15, 2011 AT 9:01 P.M.
DR 8428 (10/29/07)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE STREET, SUITE 108
LAKEWOOD, COLORADO 80214
STATE OF COLORADO
DEPARTMENT OF REVENUE
VALID ONLY FOR THIS ORGANIZATION AT THIS LOCATION
MAKE -A -WISH FOUNDATION OF COLORADO INC
ANDERSON FARMS
6278 COUNTY ROAD 3.25
ERIE, CO 80516
License Number GE 08-70504-0000
SPECIAL EVENTS PERMIT
MALT, VINOUS AND SPIRITUOUS LIQUOR
VALID ONLY FOR THE FOLLOWING PERIODS
FROM
Date
MAY 15, 2011
Hour
8:00 AM
TO
Date
MAY 15, 2011
Hour
9:00 PM
FROM
Date
XXXXXXXXX
Hour
XXXXXXXX
TO
Date
XXXXXXX
Hour
XXXXXX
This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title
12, Article 48, Colorado Revised Statutes.
This permit is non -transferable. It is issued only for the specific location described above, and must be
conspicuously posted at that location.
In testimony whereof, I have hereunto set my hand and seal 5/2/11 RLE
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IOU R ENFORCEMENT DIRE` XECE DIRECTOR
1. NAME OF APPLICANT ORGANIZATION OR POLITIC CANDIDATE
A
2. MAILING ADDRESS OF ORGANIZATION OH POLITICAL CANDIDATE
(include street. tityAown and ZIP)
C- 0 &req Ror-S
5 y'-1 aerref-i- Dr; uc
mead , C. S05ya
NAME
DATE OF BIRTH
DR 8439 (06/28/06)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
375 SHERMAN STREET
DENVER CO 80261
(303) 2054300
APPLICATION FOR A SPECIAL
EVENTS PERMIT
IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT, YOU MUST BE NONPROFIT
AND ONE OF THE FOLLOWING (See back for details.)
❑ SOCIAL ❑ ATHLETIC ❑ PHILANTHROPIC INSTITUTION
❑ FRATERNAL ❑ CHARTERED BRANCH, LODGE OR CHAPTER ❑ POLITICAL CANDIDATE
❑ PATRIOTIC g OF A NATIONAL ORGANIZATION OR SOCIETY ❑ MUNICIPALITY OWNING ARTS
❑ POLITICAL ❑ RELIGIOUS INSTITUTION FACILITIES
Department Use Only
LIAB TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR:
2110 ® MALT, VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY
2170 Q FERMENTED MALT BEVERAGE (3.2 Beer) $10.00 PER DAY
DO NOT WRITE IN THIS SPACE
LIQUOR PERMIT NUMBER
1�14Kc- A- W Sk s g1de, For Gh•ldre
Stale Sales Tax Number (Required)
r• en_ 0590'7
3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT
(include street, cityrtown and ZIP)
/A.r%.le.rSol\ Y -arm
�1. �g C'ount�; a3i 3, -5
,Fc1G1 Color fi5O61L0
HOME ADDRESS (Street, City, State, ZIP)
PHONE NUMBER
4.PRES/SEGY OF ORG. or POLITICAL CANDIDATE
r C.yr'ce K;sc4 r�-
5. EVENT MANAGER
G -r e.g g;Scgcr
-F
6. HAS APPLICANT ORGANIZATION OR POLITICAL CANDIDATE BEEN
ISSUED p�A SPECIAL EVENT PERMIT THIS CALENDAR YEAR?
11 NO E YES HOW MANY DAYS?
8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? Yes ❑No
5)
Lill Jan_ -Ft Dr;vc.
vhle-a Ol co go54
a 5 19y Jars.}+- Orly -c
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7. IS PREMISES NOW LICENSED UNDER STATE LIQUOR OR BEER CODE?
303—
rT r15 —919 0
303-
1-1 —g19D
❑ NO fl YES TO WHOM?
Date Mt..j I51 a Ot
Hours From 51: of qm.
To CitQQ p.m.
LIST BELOW THE EXACT DATE(S) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT
Date
Hours From
To
Date
Hours From
To
.m.
Date
Hours From
To
m.
Date
Hours From
To
OATH OF APPLICANT
1 declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and
that all information therein is true, correct, and complete to the best of my knowledge.
m
SIGNAT E
TITLE
h0., r no. 0.Y\
REPORT AND APP AL OF LOCAL LICENSING AUTHORITY (CITY OR COUNTY)
The foregoing application has been examined and the premises, business conducted and character of the applicant is satisfactory,
and we do report that such permit, if granted, will comply with the provisions of Tit e 12, Article 48, C. R.S., as amended.
THEREFORE, THIS APPLICATION IS APPROVED.
LOCAL LICENSING AUTHORITY (CITY OR COUNTY)
Weld County, Colorado
SIGNATURE
❑ CITY
O COUNTY
TITLE
Chair, Board of County Commissioners
TELEPHONE NUMBER OF CITY/COUNTY CLERK
(970) 356-4000, Ext. 4225
Barbara Kirkmever
DO NOT WRITE IN THIS SPA E - FOR DEPARTMENT OF REVENUE USE ONLY
DATE
AO` 1 1 201'
LIABILITY INFORMATION
License Account Number
Liability Date
State
TOTAL
-750 (999)
(Instructions on Reverse Size)
2011-0909
LEaoaa
APPLICATION INFORMATION AND CHECKLIST
THE OLLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED:
A/ppropriate fee.
V Diagram of the area to be licensed (not larger that 8 1/2" X 11" reflecting bars, walls, partitions, ingress, egress and dimensions.
j�Note: If the event is to be held outside, please submit evidence of intended control, i.e., fencing, ropes, barriers, etc.
�Copy of deed, lease, or written permission of owner for use of the premises.
Certificate of good corporate standing (NONPROFIT) issued by Secretary of State within last two years; or
If not incorporated, a NONPROFIT charter; or
❑ If a political Candidate, attach copies of reports and statements that were filed with the Secretary of State.
APPLICATION MUST FIRST BE SUBMITTED TO THE LOCAL LICENSING AUTHORITY (CITY OR COUNTY) AT LEAST THIRTY (30) DAYS
PRIOR TO THE EVENT.
THE PREMISES TO BE LICENSED MUST BE POSTED AT LEAST TEN (10) DAYS BEFORE A HEARING CAN BE HELD. (12-48-106 C.R.S.)
AN APPROVED APPLICATION MUST BE RECEIVED BY THE LIQUOR ENFORCEMENT DIVISION A TLEAST TEN (10) DA YS PRIORTO THE EVENT.
CHECK PAYABLE TO THE COLORADO DEPARTMENT OF REVENUE
(12-48-102 C.R.S.)
A Special Event Permit issued under this article may be issued to an organization, whether or not presently licensed under
Articles 46 and 47 of this title, which has been incorporated under the laws of this state for the purpose of a social, fraternal,
patriotic, political or athletic nature, and not for pecuniary gain or which is a regularly chartered branch, lodge or chapter
of a national organization or society organized for such purposes and being non profit in nature, or which is a regularly
established religious or philanthropic institution, and to any political candidate who has filed the necessary reports and
statements with the Secretary of State pursuant to Article 45 of Title 1, C.R.S. A Special Event permit may be issued to
any municipality owning arts facilities at which productions or performances of an artistic or cultural nature are presented
for use at such facilities.
If an event is cancelled, the application fees and the day(s) are forfeited.
Si; i
74
SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT
1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)?
2. Explain in detail the nature of your organization, its function, and who or what benefits from
its operations (attach separate sheet if necessary).
3. Who or what organization will be the recipient of funds derived from this event?
4. How many attendees are expected at this event?
5. Describe the premises at which this event will take place.
6. What type of security will be provided at this event?
7. How many security personnel will be on hand?
8. How will security personnel be identified?
9. If this event is being held outdoors, how will the exterior boundaries of the premises be
marked (e.g., roped, fenced, etc.)?
10. What type of entertainment will be provided, if any, for this event?
11. What method will be used in checking identification for proper age of attendees (e.g., at the
door, at the bar, etc.) and how will underage patrons be identified so as not to be served
alcoholic beverages (e.g., stamp or mark on the hand, etc.)
M:ICTBICTB FORM S\Fospecev.wpd
12. How will the conduct and level of intoxication of attendees be monitored and by whom?
13. Have volunteers or members of your organization been trained in the sale/service of
alcoholic beverages: If yes, what training have they received and by whom?
14. What types of alternate beverages and food/snacks will be available?
15. Has a State Sales Tax Number been initiated by you or a member of your organization?
If so, write that number in the space provided.
16. Explain how this event will be marketed describing what kinds of advertising material will
be distributed and the targeted recipients of such material.
I hereby certify, under penalty of perjury, that the information provided to the Board of County
Commissioners of Weld County contained in this affidavit is true and accurate to the best of my
knowledge.
Applicant nature
STATE OF COLORADO )
)SS.
COUNTY OF WELD
Date
Subscribed and sworn to before me this /6 t day of viand., ,201/ .
Witness my hand and official seal. My commission expires: 9-92943
Notary Public
M:1CTB\CTBFORM S\Fospecev.wpd
Frank's Ride for Children
Special Events Permit
May 15, 2011
Question 1: Annual Benefit
Question 2:
The mission of Frank's Ride is to help Colorado Children who are fighting
life -threatening illnesses and who want to have a wish granted. The
children we sponsor participate in our run- riding in our sidecars. They
and their families have a great time and really enjoy seeing all the
motorcycles and vehicles supporting their wishes.
Question 3: Make -A -Wish Foundation of Colorado
Question 4: The total number we expect 1,000 to 1,500 to attend the 2010 event
Question 5: The premises contains permanent buildings that include, public facilities,
drinking fountains, and a kitchen facility. Permanent interior and exterior
lighting is located throughout the premises.
Questions The entire volunteer staff of Frank's Ride will provide security for the
6, 7, & 8 event. The staff members are identified by wearing black "Frank's Ride
Poker Run Staff' shirts. Additionally, there will be twenty staff members
designated specifically as "Frank's Ride Security.
Question 9: The premises has permanent fencing around its entire boundaries.
Question 10: Live music and games
Question 11: Attendees will be identified by two separate colored wrist bands according
to age (over 21 years and under 21 years)
Questions Fifteen of our Volunteer staff of Frank's Ride have current TIPS
12 & 13 certifications and will be monitoring the attendees as well as Mountain
View Fire Protection District, Longmont Emergency Unit personnel, and
Police staff.
Question 14: Water fountains, bottled water, soft drinks, bbq pork and beef with all the
trimmings.
Question 15: No. 100% of the profits are donated to Make -A -Wish Foundation of
Colorado
Question 16: Flyers, ads in location magazines and news papers, and ads on local radio.
Christie Peters
From:
Sent:
To:
Cc:
Subject:
To whom it may concern,
Julie Mercer
Sunday, April 10, 2011 7:27 PM
Christie Peters
Ken Poncelow
Make-A-Wish/Frank's Ride
I went out to the address listed and did the inspection on the sight, looked over the paper work, and requirements for
the temporary liquor license involved in this event. Everything looked good and was in place as was submitted in the
original paperwork. This is not the first time that an event has been held here and we have not had any problems with
past events.
I am sorry that I could not make the meeting due to another appointment that I could not change. I just wanted to
explain a few changes I made on the map they submitted. I put in the location of the beverage stand and checked to see
that the alcohol was ordered from a source that is permitted. Everything looked good and I also marked the location that
food will be served which is in close proximity to the beverage stand. This is within requirements of food or snacks being
available when alcohol is being served. Also it is fenced and the one place of concern a temporary fence is always put up
before the event. All the above was in accordance with the liquor licensing requirements.
I talked with them about making sure they have someone working the gate so that no alcohol leaves the fenced area
and ends up in the parking lot. This was covered and they already had plans to have someone working the gate. Also we
talked about no alcohol to be consumed or served after 2 am and they understood that as a requirement for the liquor
license.
After my inspection of the area and talking with the property owners I believe that everything is in order and completed
as required and I have no concerns for this event moving forward.
Thank you for your time,
Julie Mercer/Deputy
Weld County Sheriff Office
970-397-3346
3
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OFFICE OF THE SECRETARY OF STATE
OF THE STATE OF COLORADO
CERTIFICATE
I, Scott Gessler, as the Secretary of State of the State of Colorado, hereby certify that, according to the
records of this office,
MAKE -A -WISH FOUNDATION OF COLORADO, INC.
is a Nonprofit Corporation formed or registered on 05/02/1983 under the law of Colorado, has complied
with all applicable requirements of this office, and is in good standing with this office. This entity has
been assigned entity identification number 19871519647.
This certificate reflects facts established or disclosed by documents delivered to this office on paper
through 03/11/2011 that have been posted, and by documents delivered to this office electronically
through 03/15/2011 @ 13:01:40.
1 have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, authenticated,
issued, delivered and communicated this official certificate at Denver, Colorado on 03/15/2011 @
13:01:40 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation
Number 7892411.
Secretary of State of the State of Colorado
Notice: A certificate issued electronically Bonn the Colorado Secretary of States Web site is fully and immediately valid and effective. However.
as an option, the issuance and validity of a eertifcate obtained electronically may he established by visiting the Certificate Confirmation Page of
the Secretary of .State's Web site. hap: jarrr.sot stair cn. us hi: Celt ficateSearchCri eriado entering the certificate's confirmation number
displayed on the certificate. and follairing the instructions displayed. Confirming the issuance of a certificate is merely optional and is not
necessary to the valid and effective issuance of certificate. For more information, visit our Web site. Inirr'iwww.sosstrue.co.us stote.co. usclick Business
Center and select "Frequently Asked Que.stion.s.'
I ER/ G9 11 Revised O8 20 2008
LETTER OF CONSENT
I, Jim Anderson, Do hereby authorize the use of my property for the sole purpose of holding the
event known as Frank's Ride for Children. This event benefits Make -A -Wish Foundation of
Colorado and is scheduled for Sunday, May 15, 2011.
I do understand that there will be approximately 1,000 to 1,500 people attending. As well as,
staff members from Frank are Ride and Make -A -Wish Foundation of Colorado. It is also my
understanding that there will be Roast pork and beef (served with all the trimmings). Alcoholic
/non alcoholic beverages, as well a, live entertainment on the event premises.
My property is completely fenced with one main gate serving as the main entrance to the event
premises.
Respectfully,
Jim Anderson
6728 WCR 3 1/4
Erie, Colorado 80516
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CERTIFIED MAIL. RECEIPT
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Postage
Certified Fee
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
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Total Postage & Fees
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■ 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:
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❑ Return Receipt for Merchandise
❑ C.O.D.
2. Article Number
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