HomeMy WebLinkAbout20092358.tiffRESOLUTION
RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO AMERICAN CANCER SOCIETY -
SEPTEMBER 19, 2009
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, the American Cancer Society, Attn: Nancy Clark, 8221 West 20th Street, Suite
A, Greeley, Colorado 80634, has presented to the Board of County Commissioners with 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 5:00 p.m., on September 19, 2009, until
12:00 a.m., September 20, 2009, on property described as follows:
Church Barn, LLC, 34283 County Road 33, Greeley,
Colorado 80631; being further described as Lot B of
Recorded Exemption #3961; being part of the SE1/4
of Section 10, Township 6 North, Range 66 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 the American Cancer Society, 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 September 19, 2009,
be, and hereby is, granted to the American Cancer Society to conduct a temporary assemblage at
the hereinabove described location.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said Permit.
P6 `; /h%L
2009-2358
LC0022
Cl/Bic 9-
PERMIT FOR TEMPORARY ASSEMBLY - AMERICAN CANCER SOCIETY
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 2nd day of September, A.D., 2009.
ATTEST:
Weld County Clerk to the Boa
BY
Dep
APPR
u ft h
iLaiit (I a MI
o the Board
my Attorney
Date of signature
6(f710,1
David E. Long
OARD OF COUNTY COMMISSIONERS
LD COUNTY, COLORADO
h F. Garcia, Chair
ir
ouglas R emacher, Pro Tem
ra Kirkmeyer
2009-2358
LC0022
WELD COUNTY PERMIT FOR TEMPORARY ASSEMBLY
By action of the Board of County Commissioners of the County of Weld, State of Colorado,
taken this 2nd day of September, 2009, 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 5:00 p.m. until 12:00 a.m., on September 19, 2009, on property described as:
Church Barn, LLC, 34283 County Road 33, Greeley, Colorado
80631; being further described as Lot B of Recorded Exemption
#3961; being part of the SE1/4 of Section 10, Township 6 North,
Range 66 West of the 6th P.M., Weld County, Colorado
This permit authorizes American Cancer Society 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 2nd day of September, 2009.
BOARD OF COUNTY COMMISSIONERS
wry, COLORADO
ATTEST:
Weld County Clerk to the Bo
Lao
_to the Board
ounty Attorney
David E. Long
NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO
MEET THE CONDITIONS SET FORTH HEREIN.
2009-2358
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: American Cancer Society
RESIDENCE:
MAILING ADDRESS: 8221 W. 20th St. Ste A Greeley CO 80634
AGE:
NAME: AGE:
RESIDENCE:
MAILING ADDRESS:
NAME: AGE:
RESIDENCE:
MAILING ADDRESS:
NAME: AGE:
RESIDENCE:
MAILING ADDRESS:
(This must list all partners in a partnership, officers of an unincorporated association, society or
group, or, if there are no officers, by all members of such association, society or group. IF A
CORPORATION, ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION.)
Address and legal description of all property upon which the assembly is to be
held: Land is owned by Rick Montera, owner of Church Barn LLC.
Event address is: 34283 WCR 33 Greeley CO 80631. Will be held in the southeast corner of Weld
County Road 33 and 70 also known as the southeast 1/4 section 10, township 6, Range 66 in Weld County Colorado.
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: Rick & Jimmi Jo Montera
RESIDENCE: 34283 WCR 33 Greeley Colorado 80631
MAILING ADDRESS: 134 Oak Ave. Eaton, Co 80615
NAME:
RESIDENCE:
MAILING ADDRESS:
0:100 '00000000'00 ono 000.000 000
2009-2358
2. Nature or purposes of the assembly: Cattle Barons Ball (Fundraiser for the American Cancer Society)
3. Dates and hours during which the assembly is to be held: September 19, 2009 5pm to Midnight.
4. Maximum number of persons to be allowed at assembly at any one time: 850 guests + vols
5. The maximum number of tickets to be sold, if any: 700
6. Identify plans to limit number of persons to the maximum identified above:
-Event is Private- by invitation
-No tickets sold at the event
- Security is provided to prohibit unauthorized access to land owner's property and to the event.
- Volunteers are recruited for specific needs.
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:
Bottled water provided for guests and volunteers.
-individual bottles + 5 gallon water jugs provided both in main tent and in other tents etc where guests and
volunteers congregate.
Curt's Hauling Service is providing.
Volunteers will be disposing trash into containers provided by Flexx Production.
8. Identify the plans for holding, collecting, and disposing of solid waste materials:
Same plan as for liquid waste.
Curt's Hauling Service is providing - 30 cubic yard dumpster
Flexx Production- trash containers
Volunteers doing the work.
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:
United Site Service providing 2 33ft "Comfort Stations" with bathroom valet service.
2 handicap port -a -lets, 2 deluxe port -a -lets.
0:`cOUT DOou OP utoouuuoo.00LIM0
10. Identify the plans to provide for medical facilities, including the location and construction of
any structures, the names, addresses, and hours of availability of emergency medical
technicians and nurses and provisions for emergency ambulance service:
Notification of Eaton Fire Department.
Including site visit prior to event for inspection.
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:
Power provided by generators.
Light towers will illuminate parking areas for guests and volunteers.
Light provided for illumination between building and outside restroom areas.
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:
Vehicles will be parked on the property; one area for guests, other area for contractors and volunteers.
Main entrance to property is located on County Rd.33
Most guests and volunteers will be using entrance/exit to the south of the roping arena.
Main entrance all weather surface.
13. Identify the plans for communications with hospital, police, and fire services, including the
source, amount, and location of communication equipment:
Mobile and cellular phones under direction of John Cooke, Weld County Sheriff.
14. Identify the plans for camping facilities, if any: N/A
0:'O00O0000 on 0O0 oo0000.000000
15. Identify the plans for fire protection: Notification of Fire Dept. of Eaton in advance.
-Posting of required signage by tent rental company (Fle)o< Productions of Fort Collins)
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:
John Cooke, Weld County Sheriff, is coordinating security at site.
-Security will be on foot + horse back with vehicles available.
-Security for setup Friday night September 18th.
- Security Saturday day September 19th and security Saturday evening September 19th and throughout night.
17. Identify the plans for sound control and sound amplification, if any, including number,
location, and power of amplifiers and speakers:
CEAVCO
- See attached contract
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:
Food is catered by Kenny's Stampede Steak House: Matt Larson, 3502 W 10th St. Greeley CO 80634
-Primary contact Matt Larson:
No Concessions
Kenny's Stampede Steak House license permit: 03662770000 exp. 12/31/2009
19. Identify the plans, if any, for an electrical system:
- Generators
-See contract for CEAVCO
0 :`000'00000 00 0'00 000 000.00 0 000
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:
- Area will be overseen by landowners.
- Plan for use has been approved.
-Enviro Tech provided dust control as needed.
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.B.13 of the Weld County
Code to ensure performance by he applicant of each of the terms and conditions.of the
temporary assemblage perm j( t1ok k .( pray idtd — ChyCk # 11,f
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
result of such an assembly.
23 Submit $100.00 fee for each event where three -hundred fifty (350) or more people assemble
or can reasonably by anticipated to assemble at any one (1) location, unless the location is
• t3 —properly zoned for such assembly, in which case one permit shall be required for the total
hOA- number of events scheduled for that location for the reminder of the calendar year, not to
t 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.
:11001:10000110 0'00000000.00 OHO
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 sighature
SUBSCRIBED AND SWORN
20 C .
Witness my hand and official
My commission expires:
171k
Applicant's printed name
i J i k2<j i„"‘5
Applicant's position
day of Auffis-
Notary I?ublic
MY COMMISSION EXPIRES: 0519.2013
M:\CTB\CTBFORMS\FOAS M BLY. DOCdoc
AUG-13-2009 THU 10:04 AM HORTON MONTERA CATTLE
FAX NO. 9704542432 P. 02
August 12, 2009
American Cancer Society
do Nancy Clark
8221 W. 20`s St. Suite A
Greeley, CO 80634
RE: Cattle Barons' Ball
Dear Nancy:
Church Barn LLC
134 Oak Ave
Eaton, CO 80615
With regards to your application for permits and licenses for the Cattle Barons' Ball to be
held on Saturday, September 19`" 2009, this letter sets forth the position of Church Barn
LLC.
The land chosen for the event to occur is owned by Rick Montera, owner of Church Barn
LLC. The mailing address for Church Barn LLC is 134 Oak Ave. Eaton, CO 80615.
The festivities will be held in the southeast corner of Weld County Road 33 and 70 also
known as the southeast 'A section of section 10, township 6, Range 66 in Weld County,
Colorado.
This letter verifies permission Rick Montera has been granted by Church Barn LLC for
the event to occur at the location indicated above. Church Barn LLC or Rick Montera
will have no role or liability in the activities of the event including the license or permits.
If you have any questions, please feel free to call.
Sin rely,
,ce>7,7
Rick Montera
1W)
Approximate limits of
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Client#: 150499
ACORD. CERTIFICATE OF LIABI
AMERCAN
LITY INSURANCE
DATE (MMIDOIYYYY)
PRODUCER
Wachovia Insurance Serv-AT, GA
4401 Northside Pkwy, Suite 400
Atlanta, GA 30327-3078
770 850-0050
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
INSURERA: Travelers Property Casualty Co of Am
INSURER B:
NAIC #
25674
INSURED
American Cancer Society,
Great West Division, Inc.
2255 South Oneida
Denver, CO 80224
INSURER C:
INSURER a
INSURER E
THEPOLICIES 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.
WSR
LTR
ADM.
NNSRT
TYPE OF INSURANCE
-
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMDDTYY)
POLICY EXPIRATION
DATE (MMIDD/Yli
- LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
TC2JGLSA487D6449TI
09/01/08
09/01/09 `"
-
EACH OCCURRENCE
:1,000,000
X
DAMAGE TO TED aEN
PREMISES (Fa ANED
:100,000
ICL111M: MADE X OCCUR.
MED EXP (MY OW person)
s2,500
1
PERSONAL & ADV INJURY
:1,000,000
GENERAL AGGREGATE
:25,000.000
GENL
AGGREGATE ATILIMIT APPLIES PER:
POLICY' Tf IR& ' L1 LOC
PRODUCTS - COMP/OP AGO
:2,000,000
.
—I
A
-
AUTOMOBRPUABILITY
ANY AUTO.
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NONOWNED AUTOS
TC2JCAP487D6450TIL
09101/08
.09/01/09
/I��-�- 1 (
l�-1`R L I `'411
✓
,i-C 1
CL&h fi CCC-
C1 I I
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COMBINED SINGLE LIMIT
(Ea accident)
:1,000,000
X
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d \,t.', I I I �I (.�\I
1
CI 1 61 da],ICe_
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X
X
GARAGE
LIABILITY
ANY AUTO -
-
-
O
.
EXCESS/UMBRELLA
UABIUTY
OCCUR n CLAIMS MADE
DEDUCTIBLE
RETENTION $
-
Ti
�j d
-
$
A
A
WORKERS
riJPLOYFYtSUABIIIY
ANY FyFPROPRIETOR/PARTNER/EXECUTIVE
SPECIALL
coMPENSATIOt4AND
-
DED?
PR VISIONS below
TC2JU6487D622808
TRJU8487D643708 -
09/01/08
09/01/08 -
-
09/01/09
09/01/09
WC STATU- O
X i TORYIIMITSI I Eli ER
EL EACH ACCIDENT
6500,000
EL DISEASE- EA EMPLOYEE
-:500,000
EL DISEASE - POLICY Will
$500,000
OTHER
DESCRIPTION
OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
Certificate holder is included as Additional Insured, but only with respect to liability arising from the negligence of American
Cancer Society, Great West Division, Inc. during the Cattle Barons Ball 2009 at 34283 WCR 33, Greeley, CO 80631 on
September 19, 2009 from 5:00pm to 12:OOmidnight.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL __30_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED) TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND IRON THE INSURER, RS AGENTS OR
REPRESENTATIVES. •
AUTHORIZED REPRESENT TIVE
ForWlSby: C'r� ISBe'�-
Rick & Jimmi Jo Montera
34283 WCR 33
Greeley, CO 80631
ACORD 25 (2001/08) 1 of 2 #1394030
APB01
e ACORD CORPORATION 1908
NcEnvco
Audio Visual
RENTAL & STAGING DIVISION
6240 W. 54th Avenue
Arvada CO 80002
Phone:303-539-3500
Fax:303-539-3501
IN CASE OF EMERGENCY - 303-539-3599
Reservation No.:
Version:
Prepared By:
DEN25783
1
Joe T Hartman
CEAVCO Delivery 09/18/2009 03:08 AM
CEAVCO Delivery 09/19/2009 11:00 PM
Customer ID# 1678
Terms: Net 30
Order Information Client PO#:
Description: JH 1 day Cattle Barons Ball ACS 2009 Site:
Contact: NANCY CLARK
Client:
Phone:
Fax:
AMERICAN CANCER
SOCIETY/GREELEY
8221 W. 20TH STREET: SUITE A Room:
Site Ph:
GREELEY CO 80634
970-350-5019 Contact:
970-356-9238 Cell Ph:
To Be Determined
TBD
TBD
Equipment
Qty Item Description
Audio System for Band and PA
Main PA package for band. Band to bring own Monitor system and consoles
Sub Total
Band Stage Lighting
Upstage Lighting
1 Truss Kit, 12" x 12" x 40' w/ Bolts & Tools
1 2 Chain Motors w/Controller Kit, .5TON / CS800
12 Light, Source 4 Parnel
2 Drape Side Panel, Black Velour w/Tie Line 16' X 27'
Downstage Lighting
1 Truss Kit, 12" x 12" x 40' w/ Bolts & Tools
1 2 Chain Motors w/Controller Kit, .5TON / CS800
24 Light, Source 4 Parnel
4 Light, Moving Head MAC -700 Profile*
Control and Support
1 Lighting Controller Kit, Road Hog w/Wing Expansion
1 Dimmer Rack, 48 Channel 20A, Sensor 48*
1 Trunk, Cable AC #2 Feeder 5 Wire
1 Cable Kit, DMX Small
1 Trunk, Cable AC 6 CH SOCO
1 Trunk, Ballroom Rigging Hardware / Denver
Sub Total
Room Decor Lighting
1 Decor lighting package
Sub Total
Days Unit Price Item Subtotal
4510.00
1.00 100.00 100.00
1.00 225.00 225.00
1.00 15.00 180.00
1.00 75.00 150.00
1.00 100.00 100.00
1.00 225.00 225.00
1.00 15.00 360.00
1.00 175.00 700.00
1.00 650.00 650.00
1.00 500.00 500.00
1.00 200.00 200.00
1.00 15.00 15.00
1.00 150.00 150.00
1.00 75.00 75.00
3630.00
1.00 7000.00 7000.00
7000.00
Pagel of 3 Printed on 05/26/2009 At 03:35 PM
Silent Auction Lighting and back half of room
Sub Total 2060.00
Video Screens- Power point from computers
Screen hung behind the band
Sub Total
Entrence Band ( C.C. Collier)
1 Audio System/Digital, 4 Speaker Kit
1 Performance Microphone Kit #1
1 Cables for Performance Mic Kit
1 Kit, Tripod Mic Stands
2 AC Outlet Strip
Sub Total
Sponsor signage auction band
2 LCD Display Kit, w/Pedestal PN-G655U
1 Laptop Computer Kit, 65156
1 Wireless Remote Control, Power Point w/Laser CE2Y-ESP
1 Trunk, VGA Cables
1 DA, VGA 1 x 4 P/2 DA4+
Sub Total
1 Delivery / Pick -Up - Fort Collins - Semi With Trailer*
Client to provide security in the building
Need single man lift or Rigging and lighting focus
Labor
1.00 450.00
1.00 300.00
1.00 0.00
1.00 48.00
1.00 0.00
1.00 950.00
1.00 125.00
1.00 10.00
1.00 0.00
1.00 40.00
1420.00
450.00
300.00
0.00
48.00
0.00
798.00
1900.00
125.00
10.00
0.00
40.00
2075.00
1.00 300.00 300.00
Personnel
Monday 14th Possible pre Rig
Rigger*
Qty RT Rate OT Rate DT Rate RT OT DT Labor Subtotal
2 45.00 67.50 90.00 4.00 360.00
Friday 18th Load in 10am
On -Site Coordinator/Manager, 1 600.00 90.00 120.00 1.00 600.00
Day Rate*
Audio Operator (Al), Day Rate* 1 500.00 75.00 100.00 1.00 500.00
Lighting Director (LD), Day Rate* 1 500.00 75.00 100.00 1.00 500.00
Lighting Operator, Day Rate* 1 425.00 63.75 85.00 1.00 425.00
Audio -Video Technician, Day 6 425.00 63.75 85.00 1.00 2550.00
Rate*
Show and Load Out Sat
On -Site Coordinator/Manager* 1 60.00 90.00 120.00 1.00 2.00
Audio Operator (Al), Day Rate* 1 500.00 75.00 100.00 1.00 2.00
Lighting Director (LD), Day Rate* 1 500.00 75.00 100.00 1.00 2.00
Lighting Operator, Day Rate* 1 425.00 63.75 85.00 1.00 2.00
240.00
650.00
650.00
552.50
Strike Sat Midnight?
Audio -Video Technician, Day 10 425.00 63.75 85.00 1.00 4250.00
Rate*
Page2 of 3 Printed on 05/26/2009 At 03:35 PM
Summa
Contract Notes
IT
Shipping Comments
Equipment
Delivery - Shipping
Sales & Expenses
Labor
Damage Waiver
Service Charge
Discount
Sales Tax
TOTAL AMOUNT
21493.00
0.00
300.00
11277.50
0.00
0.00
0.00
0.00
$33,070.50
Your signature below indicates: (1) You have received the above items and (2) You specifically
agree to be bound by all the terms and conditions listed on the reverse of this contract.
DELIVERY & TERMS ACCEPTED:
BY:
BY:
(Authorized Signer)
(Printed Name)
Page3 of 3 Printed on 05/26/2009 At 03:35 PM
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 #: 2009-55
DATE: September 2, 2009
TIME: 9:00 a.m.
APPLICANT:
American Cancer Society
Attn: Nancy Clark
8221 West 20th Street, Suite A
Greeley, Colorado 80634
REQUEST: Application for a temporary assembly of more than 350 persons on September 19,
2009
LEGAL DESCRIPTION: Lot B of Recorded Exemption #3961; being part of the SE1/4 of
Section 10, Township 6 North, Range 66 West of the 6th P.M., Weld County, Colorado
LOCATION: 32483 County Road 33, Greeley, Colorado 80631 (See Legal Description for
precise location.)
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
DATED: August 18, 2009
PUBLISHED: August 20, 2009, in the Windsor Beacon
Account #: 346067
Niue Local Newspaper Since 1898
Windsor Beacon
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 ad-
vise the Clerk to the Board, in writing at least
five days prior of the hearing. The cost of en-
gaging a court reporter shall be borne by the
requesting party. In accordance with the
Americans with Disabilities Act, if special ac-
commodations 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 exam-
ined in the office of the Clerk to the Board of
County Commissioners, Weld County Centen-
nial 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 egesickaco.weld.co.us
DOCKET II: 2009-55
DATE: September 2, 2009
TIME: 9:00 a.m.
APPLICANT:
American Cancer Society
Attn: Nancy Clark
8221 West 20th Street, Suite A
Greeley, Cobrado 80634
REQUEST: Application for a temporary assem-
bly of more the 350 persons on September
19, 2009
LEGAL DESCRIPTION: Lot B of Recorded Ex-
emption 53961; being part of the SE1/4 of Sec-
tion 10, Township 6 North, Range 66 West of
the 6th P.M., Weld County, Colorado
LOCATION: 32483 County Road 33, Greeley,
Colorado 80631 (See Legal Description for
precise location,)
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
DATED: August18, 2009
PUBLISHED: August 20, 2009, in the Windsor
Baron
0034140653
Delivered to:
STATE OF COLORADO )
ss: AFFIDAVIT OF PUBLICATION
COUNTY OF WELD )
Echo Villa , being duly sworn, deposes and says that said is the legal clerk of the
Windsor Beacon; that the same is a weekly newspaper of general circulation and printed and
published in the town of Windsor, in said county and state; that the notice or advertisement, of
which the annexed is a true copy, has been published in said weekly newspaper for
1 Week;
that the notice was published in the regular and entire issue of every number of said newspaper
during the period and time of publication of said notice, and in the newspaper proper and not in a
supplement thereof; that the first publication of said notice was contained in the issue of said
newspaper on
Thursday, August 20, 2009
that the last publication thereof was contained in the issue of said newspaper on
Thursday, August 20, 2009
that said Windsor Beacon has been published continuously and uninterruptedly during the period
of at least six months next prior to the first publication of said notice or advertisement above
referred to; 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 daily newspaper duly qualified for publishing legal notices and advertisements
within the meaning of the laws of the State of Colorado.
Legal Clerk
Subscribed and sworn to before me, within the County of Weld, State of Colorado this
\`\\`owilij urednesday, August 19, 2009
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Invoice Text
WELD COUNTY CLERK TO THE BOARD,
915 10TH ST
GREELEY, CO 80631-1117
f I 4,c.,..,
Notary Public
Legal No.0034140653
NOTICE OF APPLICATION FOR TEMPORARY AS
Affidavit Prepared
Wednesday, August 19, 2(
2:39 pm
fra*N;
WE�Pc
COLORADO
Memorandum
TO: Jenny VanEgdom, CTB
From: Dan Joseph, Environmental Health
Specialist
DATE: 08/26/09
SUBJECT: Temporary Assembly Permit for LC0022
In response to your request, Environmental Health Services has reviewed the Temporary
Assembly Permit, LC0022, for the American Cancer Society, located at 34283 County
Road 33, Greeley, Colorado.
After reviewing the application, the Department has no issues at this time.
Should you have any questions regarding this matter, please contact me at extension 2206
or via e-mail at dioscnh(a)co.weld.co.us.
Thank you.
CC: Cindy Salazar, Environmental Health Services
Sara Evans, Environmental Health Services
oft.
VIIlls
From:
MEMORANDUM
Jenny VanEgdom, Deputy Clerk to the Board August 21, 2009
Ann Siron, Zoning Compliance Officer, Dept. of Planning Services
Subject: LC0022
Review of the following request for a Temporary Assembly Permit by the Department of Planning Services
shows the following:
Applicant:
American Cancer Society
Attn: Nancy Clark
8221 West 20`h Street, Suite A
Greeley, Colorado 80634
Location of Event:
34283 County Road 33
Greeley, Colorado 80631
(Location of Church Barn, LLC/Rick Montera residence)
Dates of Event:
September 19, 2009, 5:00 p.m. to midnight
A hearing before the Board for both the Temporary Assembly Permit and the Special Events Permit will be
scheduled for September 2, 2009, at 9:00 a.m.
Zone District: A (Agricultural)
This use is has been approved by staff on August 21, 2009.
Currently there are no active zoning violations on the above mentioned property.
It is recommended a referral be sent to the Weld County Department of Public Works for any concerns they
may have regarding accesses.
SERVICE, TEAMWORK, INTEGRITY, QUALITY
MEMORANDUM
WUDC
COLORADO
TO: Jenny VanEgdom, Deputy Clerk to the Board DATE: 08/27/09
FROM: Janet Carter E.I., Public Works ;L
SUBJECT: Temporary Assembly American Cancer Society
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 850 vehicles will require parking on the property
3. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency
Management Agency (FEMA).
August 27, 2009
Page - 1 - of 1
M:UANIiTADev Review \Temp Assembly American Cancer Society DOC
TEMPORARY ASSEMBLY REVIEW FORM
Date: August 18, 2009
TO: {DEPUTY}
FROM: Ken Poncelow
SUBJECT: Temporary Assembly/Special Events Permit Inquiry
Please review all records on the following property for any associated reports during the last
year and return your report to the Weld County Clerk to the Board's Office within seven days.
Your report will be used by the Board of County Commissioners in considering issuance of a
Temporary Assembly Permit. A copy of the applications will be sent through interoffice
mail for your review.
PLEASE RESPOND NO LATER THAN: August 28, 2009
APPLICANT: AMERICAN CANCER SOCIETY
EVENT LOCATION:
34283 COUNTY ROAD 33
GREELEY, COLORADO 80631
(CHURCH BARN, LLC/RESIDENCE OF RICK MONTERA)
EVENT DATE: SEPTEMBER 19, 2009, FROM 5:00 P.M TO MIDNIGHT
,./ No concerns
itials
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)
Please notify at Extension
Board of Commissioner's Temporary Assembly hearing.
of the date and time of the
Temporary Assembly Worksheet
The following concerns are noted:
The property 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)
c727 CI?
Property Owner, Please Print Date
Property Owner Signature De'puty's Signature
Use another sheet of paper or attach separate proposal to this packet if needed.
Attach copies of all reports associated with this property for the last year.
Both the Deputy and the Owner of the establishment will be required to attend the Temporary
Assembly Hearing to testify to the above agreement.
MEMORANDUM
r�TO: Bruce Barker, County Attorney August 18, 2009
`pC FROM: Jenny VanEgdom, Deputy Clerk to the Board ll
COLORADO SUBJECT: Temporary Assembly Permit / Special Events Permit
Please find an attached copy of the Temporary Assembly Permit Application and Special Events
Permit Application for the following applicant:
American Cancer Society
8221 West 20th Street, Suite A
Greeley, Colorado 80634
Event Location:
34283 County Road 33
Greeley, Colorado 80631
(Location of Church Barn, LLC/Rick Montera residence)
Date of Event:
September 19, 2009, 5:00 p.m. to midnight
A hearing before the Board for both the Temporary Assembly Permit and the Special Events
Permit has been scheduled for September 2, 2009, at 9:00 a.m.
A copy of the current insurance document has been provided, however, an updated document
will be sent to our office as soon as it is received by the applicant. The applicant has provided a
cash bond in the amount of $2,000.00.
Please review with comments and return.
Thank you.
Client#: 150499
AMERCAN
ACORDTM CERTIFICATE OF LIABILITY
INSURANCE
DATE(MMIDDIYYYY)
PRODUCER
Wachovia Insurance Serv-AT, GA
4401 Northside Pkwy, Suite 400
Atlanta, GA 30327-3078
770 850-0050
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 it
INSURED
American Cancer Society,
Great West Division, Inc.
2255 South Oneida
Denver, CO 80224
INSURER A: Travelers Property Casualty Co of Am
25674
INSURER B.
INSURER C.
INSURER D'.
INSURER E.
COVERAGES
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.
INSR
LTR
ADD'L
INSRCDATE
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
(MMIDDIYY)
POLICY EXPIRATION
DATE IMM/DDITY)
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
TC2JGLSA487D6449TIL09
09/01/09
09/01/10
EACH OCCURRENCE
$1,000,000
X
DAMAGE RENTED
DREAIEMSET (ER occurrence)
$100,000
CLAIMS MADE X OCCUR
MED EXP (Any one person)
s2,500
PERSONAL 8 ADV INJURY
$1,000,000
GENERAL AGGREGATE
$25,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
IiPRO POLICY - I nI LOC
PRODUCTS - COMP/OP AGG
$2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
TC2JCAP487D6450TIL09
09/01/09
09/01/10
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
X
BODILY accident)
(Per acadenH
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
IOCCUR CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
$
$
A
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
TC2JUB487D622809
TRJUB487D643709
09/01/09
09/01/09
09/01/10
09/01/10
X I WCSTATU-I IOER-
TORY LIMITS ER
E.L. EACH ACCIDENT
$500,000
E.L DISEASE- EA EMPLOYEE
$500,000
EL. DISEASE - POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is included as Additional Insured, but only with respect to liability arising from the negligence of American
Cancer Society, Great West Division, Inc. during the Cattle Barons Ball 2009 at 34283 WCR 33, Greeley, CO 80631 on
September 19, 2009 from 5:00pm to 12:00midnight.
CERTIFICATE HOLDER
CANCELLATION
Weld County Government
Jenny VanEgdom, Deputy Clerk to Weld County Commissioners
Centennial Court House - 915 10th Street 3rd Floor
Greeley, CO 80631
ACORD 25 (2001108) 1 of 2 #1394030
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _Sp_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
Ju ORIZED REPRESENTATIVE
EXHIBIT
A
2660
IS by:
%d ;#4 14°.
APB01
ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-S (2001/08) 2 of 2
#1394030
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