HomeMy WebLinkAbout20100610RESOLUTION
RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO MAKE -A -WISH FOUNDATION
OF COLORADO, INC., 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 of Colorado, Inc., 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 16, 2010, from 8:00 a.m., to
9:00 p.m., outside the corporate limits of any town or city in the County of Weld at the location
described as follows:
Anderson Farms, 6728 County Road 3.25, Erie,
Colorado 80516; being further described as part of
Section 32, Township 2 North, Range 68 West of the
6th P.M., Weld County, Colorado
WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($25.00) to
the Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale
of malt, vinous and spirituous liquors for consumption by the drink on the premises only.
NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld
County, Colorado, having examined said application and the other qualifications of the applicant,
does hereby grant Special Events Permit Number#2010-04 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 16, 2010 , 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.
LC; co, 11 -PQ
2010-0610
LC0022
nut I n
SPECIAL EVENTS PERMIT - MAKE -A -WISH FOUNDATION OF COLORADO, INC.
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 29th day of March, A.D., 2010.
BOARD OF COUNTY COMMISSIONERS
ELD COUN _! •RADO
Weld County Clerk to the Boa
APPROVED ,95 TO FORM:
Date of signature: LiNbC)
2010-0610
LC0022
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 CO
FRANKS RIDE FOR CHILDRE
6728 COUNTY ROAD 3.25
ERIE CO 80516
License Number GE 27-14685-0006
SPECIAL EVENTS PERMIT
MALT, VINOUS AND SPIRITUOUS LIQUOR
VALID ONLY FOR THE FOLLOWING PERIODS
FROM
Date
MAY 16, 2010
Hour
8:00 AM
TO
Date
MAY 16, 2010
Hour
9:00 PM
FROM
Date
XXXXXXXXXXX
Hour
XXXXXXX
TO
Date
XXXXXXXXXXXX
Hour
XXXXXXX
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 04/26/10 KA
F: V!f
y A4 1
// r� � A�lP�f�! ��yU-IR-?/tip
� � K' T ORQ/ ~' '
IOU R ENFORCEMENT DIRECTOR %ECU E DIRECTOR
\
)
}
O
THIS LICENSE EXPIRES
COLORADO
ct
(
EVENTS PE
)
taa
SPECIFY: Retail Liquor Store, Liquor Licensed Drug Store, Hotel and Restaurant. Club. T
AND SPIRITUOUS
con
(
TO SELL AT RETAIL
SPECIFY KINDS OF LIQUORS
irituous
a License to sell
00
75
0
%)
E
/\0
ttv
cn
(
\
]\\\\
®+:2a
fCbr) UV • }�C
.O O
#t
b
3\\
2 \)2
2«co ®\
tti) O\
otoa
the drink for
• a. \ \
)/)\ /
o \\\ \
\\mot- \
4-1 )255) }
) j
§/(C 4
\\)`�O U
co �,/s/ 2
o \§
) -
\)� a) cbjj \))
);§
/;�
\j\/)jC
s o
\000
cn \ \§
@ 2tz
2O
--
co
O
0
OZ
TO BE POSTED IN A CONSPICUOUS PLACE. NON -TRANSFERABLE.
V4 HART INTFRCIVIC
R 8439 (06/28/06)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
375 SHERMAN STREET
DENVER CO 80261
303) 205-2300
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:
2110S MALT, VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY
2170 FERMENTED MALT BEVERAGE (3.2 Beer) $10.00 PER DAY
1. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE } r N n 4 , 5 S; c4 c Fe r
MAkc-A- LAJis 11 Founca#i o rY o -c CO ch;loirtn
2. MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE
(include street, city/town and ZIP)
DO NOT WRITE IN THIS SPACE
LIQUOR PERMIT NUMBER
1951 6. rnaplewood Ave.
S,.:+c- tab
fire--enwooJ U;1)a9el Co 86111-`-Y769
NAME
DATE OF BIRTH
State Sales Tax Number (Required)
A —65cf0r1
3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT
(include street, city/town and ZIP)
L rla• Gown$ Rc&4 3.a5
Erse. ) co goslb
HOME ADDRESS (Street, City, State, ZIP)
PHONE NUMBER
4. PRES./SEC'Y OF ORG. or POLITICAL CANDIDATE
5. EVENT MANAGER
G T,eorL-A A. R: sccior-f-
6. HAS APPLICANT ORGANIZATION OR POLITICAL CANDIDATE BEEN
ISSUED A SPECIAL EVENT PERMIT THIS CALENDAR YEAR?
xi NO YES HOW MANY DAYS?
8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? ❑ Yes ❑ No
a54 -P-1 J4re.+4 Dry vC
t_4d) co seS
303
ff5-9190
7. IS PREMISES NOW LICENSED UNDER STATE LIQUOR OR BEER CODE?
NO n YES
TO WHOM?
LIST BELOW THE EXACT DATE(S) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT
Date 5 )itoJao it
Hours From 5. o...m.
To ct p
Date
Hours From
To
Date
Hours From
To
Date
Hours From
To
Date
Hours From
To
OATH OF APPLICANT
I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and
that all information therein is true, correct, and complete to the best of my knowledge.
SIGN RE TITLE DATE
C 1—,O1/4; r rr0. r I /✓
REPORT AND AP OVAL 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)
County of Weld
SIGNATU -1/414,1
Douetas Ra mache
❑ CITY
EX COUNTY
TITLE Chair, Board of Weld
County Commissioners
TELEPHONE NUMBER OF CITY/COUNTY CLERK
970-356-4000 X4200
DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY
DATE
MAR 2 9 2010
LIABILITY INFORMATION
License Account Number
Liability Date
State
TOTAL
-750 (999)
(Instructions on Reverse Size)
2010-0610
APPLICATION INFORMATION AND CHECKLIST
THE LLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED:
Appropriate fee.
Diagram of the area to be licensed (not larger that 8 1/2" X 11" reflecting bars, walls, partitions, ingress, egress and dimensions.
ote: If the event is to be held outside, please submit evidence of intended control, i.e., fencing, ropes, barriers, etc.
RA -
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.)
❑ ANAPPROVED APPLICATION MUST BE RECEIVEDBYTHE LIQUOR ENFORCEMENTDIVISIONATLEASTTEN(10)DAYSPRIORTOTHE EVENT.
❑ CHECK PAYABLE TO THE COLORADO DEPARTMENT OF REVENUE
(12-48-102 C.R.S.)
A Special Event Permit issued under this article may be issued to an organization, whether or not presently licensed under
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.
SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT
1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)?
l
2. Explain in detail the nature of your organization, its function, and who or what benefits from
its operations (attach separate sheet if necessary).
See -V-A- c_ c f_01l
3. Who or what organization will be the recipient of funds derived from this event?
S,e e a+i uc__ eat
4. How many attendees are expected at this event? see Cl 14 a c Ltd
o!
5. Describe the premises at which this event will take place.
,$ 2. e cr/ -1 4 I e -mil
6. What type of security will be provided at this event? S c Le -dl
7. How many security personnel will be on hand? 5e t a +-1-ac-- h cal
8. How will security personnel be identified? q c a ++4 c Lad
9. If this event is being held outdoors, how will the exterior boundaries of the premises be
marked (e.g., roped, fenced, etc.)? /
5
10. What type of entertainment will be provided, if any, for this event?
Sec
4+ 4-
11. 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 FO RMSIFOSPECIALEV ENT. DOCS pec is I Event
12. How will the conduct and level of intoxication of attendees be monitored and by whom?
.Set a+-+4 c- cl
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?
st-1-4 c_
14. What types of alternate beverages and food/snacks will be available?
a'} -}u
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.
See q+lac-Jv'CO/
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.
Applicafit's Signature
STATE OF COLORADO
COUNTY OF WELD
Subscribed and
Witness my hand and
) ss
Date
this day of I V , 20N.
MY COMMISSION EXPINES:05-19.2013
M:\CTB\CTB FO RMS\FOS P EC IALEV ENT. DOCSpecialEvent
Frank's Ride for Children
Special Events Permit
May 16, 2010
Question 1:
Question 2:
Question 3:
Question 4:
Question 5:
Questions
6, 7, & 8
Question 9:
Question 10:
Question 11:
Questions
12& 13
Question 14:
Question 15:
Question 16:
Annual Benefit
The mission of Frank's Ride is to help Colorado Children who are fighting
life -threatening illnesses and who want to have a wish granted. The
children we sponsor participate in our run- riding in our sidecars. They
and their families have a great time and really enjoy seeing all the
motorcycles and vehicles supporting their wishes.
Make -A -Wish Foundation of Colorado
The total number we expect 1,000 to 1,500 to attend the 2010 event
The premises contains permanent buildings that include, public facilities,
drinking fountains, and a kitchen facility. Permanent interior and exterior
lighting is located throughout the premises.
The entire volunteer staff of Frank's Ride will provide security for the
event. The staff members are identified by wearing black "Frank's Ride
Poker Run Staff' shirts. Additionally, there will be twenty staff members
designated specifically as "Frank's Ride Security.
The premises has permanent fencing around its entire boundaries.
Live music and games
Attendees will be identified by two separate colored wrist bands according
to age (over 21 years and under 21 years)
Fifteen of our Volunteer staff of Frank's Ride have current TIPS
certifications and will be monitoring the attendees as well as Mountain
View Fire Protection District, Longmont Emergency Unit personnel, and
Police staff.
Water fountains, bottled water, soft drinks, bbq pork and beef with all the
trimmings.
No. 100% of the profits are donated to Make -A -Wish Foundation of
Colorado
Flyers, ads in location magazines and news papers, and ads on local radio.
'.1.7 . +fit• -t- r
S
n
ter
is) :Q.
u 1/4n
r
a
6
•
b
• _•�
4
‘41ft
at at
y` « w
ot
1�i v
um.
it
.-
J
•
i
p
•
r'; „1 9•
1
IP
f
f gel
Z re =_
O
r�
mi
a MN
a Q
D
x
a O
N
Pony Rides
Concession
x
S
j
N
r4
K
C_
r.
C
V C+
4 K
r, Z
L C
C Z
r
- 1
- CO
N e4
1
it ike TTnc-k
C
r;••
w
r
J
r.
V
tre
a a
h
et el
Ticket Booth
a
el am to C
LETTER OF CONSENT
I, Jim Anderson, do hereby authorize the use of my property for the sole purpose of
hosting the event known as Frank's Ride for Children. This event benefits Make -A -Wish
Foundation of Colorado and is scheduled for Sunday, May 16, 2010.
I do understand that there will be approximately 1,000 to 1,500 people attending, as well
as, staff members from Frank's Ride and Make -A -Wish Foundation of Colorado. It is
also my understanding that there will be a pig roast (served with all the trimmings),
alcoholic/non-alcoholic beverages, as well as, live entertainment on the event premises.
My property is completely fenced with one main gate serving as the main entrance to the
event premises.
R pe ens ctfully�
Jim erson
6728 W R 3 ''A
Erie, Colorado 80516
Jennifer VanEgdom
From:
Sent:
To:
Cc:
Subject:
Attachments:
Thank you, Greg —
Jennifer, attached
permission to sign
Patti Forsythe
Patti Forsythe [pforsythe@colorado.wish.orgj
Monday, March 15, 2010 3:44 PM
'Greg Risedorf
Jennifer VanEgdom
RE: Franks Ride
Weld.pdf
I just received the insurance information on Friday.
is the insurance form you require. Please use this email as authority to give Greg Risedorf
the permit on behalf of Make -A -Wish. Let me know if you need anything else.
Patti Forsythe, Director of Events/Promotions
Make -A -Wish Foundation of Colorado, Inc.
7951 E. Maplewood Avenue, Suite 126
Greenwood Village, CO 80111
303-750-9474
303-755-3108 fax
pforsvth e @colorado. wish. orq
Follow us on Twitter
Become a fan on Facebook
CHECK WHAT MATTERS: This tax season, help fulfill the wishes of kids with life -threatening medical
conditions by making a contribution to Make -A -Wish Foundation() of Colorado on your state tax return.
From: Greg Risedorf [mailto:Greg.Risedorf@cityofthornton.net]
Sent: Monday, March 15, 2010 3:04 PM
To: pforsythe@colorado.wish.org
Cc: Jennifer VanEgdom
Subject: Franks Ride
Hi Patty,
The CC is who we need to send the insurance paper work and letter stating that I can sign for Make -A -
Wish. If you have any questions please call Jennifer at Weld County. Thanks.
Greg Risedorf
City of Thornton
Senior Equipment Operator
Street Operations
Office: 720-977-6388
Cell: 303-726-9464
1
ACORD CERTIFICATE OF LIABILITY INSURANCE OPID 5S
MAREA-1
DATE(MMDD/YYYY
03/12/10
PRODUCER
Brown S Brown Insurance of AZ
2800 N. Central Ave . , #1600
P.O. Box 2800
Phoenix AZ 85002-2800
Phone:602-277-6672
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
Make A Wish Foundation of
Colorado
7951 E. Maplewood Avenue #126
Greenwood Village CO 80111
INSURER A: Philadelphia Indemnity Ins Co.
18058
INSURER B:
INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LLTR
NSRC
TYPE OF INSURANCE
POLICY NUMBER
DATE (MMDDM')E
DATE (MMIDD/YY))N
LIMITS
A
X
GENERALUABILITY
X
COMMERCIALGENERALLIABILITY
PHPK463157
09/01/09
09/01/10
EACH OCCURRENCE
$ 1000000
PREMSES(Eatoccurence)
$ 100000
CLAIMS MADE X OCCUR
MED EXP (Anyone person)
$ 5000
GEN'L
PERSONAL&ADV INJURY
$ 1000000
GENERAL AGGREGATE
$ 2000000
AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2000000
POLICY PRO-
JECT
A
AUTOMOBILE
X
X
X
LIABILITY
ANY AUTO
PHPK463157
09/01/09
09/01/10
COMBINED SINGLE LIMIT
(Eaacddent)
$ 1000000
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
A
EXCESS/UMBRELLA
X
X
LIABILITY
I OCCUR CLAIMS MADE
PHUB282943
09/01/09
09/01/10
EACH OCCURRENCE
$ 10000000
AGGREGATE
$ 10000000
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
Il yes,describeunder
SPECIAL PROVISIONS below
I TORYSLIMITS I IDER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
*Except 10 days notice of cancellation for non-payment of premium.
RE: Frank's Ride for Children to be held on May 18, 2010 from 7am to 5pm.
Weld County Government is an Additional Insured with respects to General
Liability per form PI -SE -001 (12/05).
Weld County Government
1762 Weld County Road 20
Longmont CO 80504
1/2
WELDCO1
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AD�gA,I v ENr`/�y�(�f�.
�^"
ACORD 25 (2001/08)
OFFICE OF THE SECRETARY OF STATE
OF THE STATE OF COLORADO
CERTIFICATE
1, Bernie Buescher, 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 03/11/2010 that have been posted, and by documents delivered to this office electronically
through 03/16/2010 @ 10:10:12.
I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, authenticated,
issued, delivered and communicated this official certificate at Denver, Colorado on 03/16/2010 @
10:10:12 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation
Number 7600812.
Secretary of State of the State of Colorado
*********************************************End of Certificate********************************************
Notice: A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However,
as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Certificate Confirmation Page of
the Secretary of Slate's Web site, �://www.sos.state.co.us/biz/CertiheateSearchCriteria.do entering the certificate's confirmation number
displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is not
necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, httplIwww.sos.state.co.us/ click Business
Center and select "Frequently Asked Questions."
CERT GS D Revised 08/20/2008
Hello