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Home My WebLink About20072902 RESOLUTION RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO NICK SEKICH -SEPTEMBER 29, 2007 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, Nick Sekich, 6790 Weld County Road 32, Platteville, Colorado 80651, has presented to the Board of County Commissioners an application for a Permit for Temporary Assembly on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 9:00 a.m. until 6:00 p.m., on September 29, 2007, on property described as follows: 6105 Weld County Road 32, Platteville, Colorado 80651; being further described as the SW1/4 of Section 18,Township 3 North, Range 67 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 Nick Sekich, 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, the Board deems it advisable to waive the bond requirements, and WHEREAS,any violation to said terms and conditions shall be cause for revocation of said permit. 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 29, 2007, be, and hereby is, granted to Nick Sekich to conduct a temporary assemblage at the hereinabove described location. 2007-2902 LC0022 ��r �� OR-oleo. -o7 PERMIT FOR TEMPORARY ASSEMBLY- NICK SEKICH PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 12th day of September, A.D., 2007. BOARD OF COUNTY COMMISSIONERS I . / / WELD COUNTY, COLORADO ATTEST: ;y ,! <!�•,=a.i, s� EXCUSED David E. Long, Chair Weld County Clerk to tho' a i��s EXCUSED i . , 10-14 William erke r -Tem BY: Nl /s r:. .�..I De ty CI to the Bo. . i /, Wi m F. Garcia APP AS T RM: Robert D. Masden, Acting Chair Pro-Tem rney ougla�Rademache Date of signature: d1 lag to 2007-2902 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 12th day of September, 2007, IT IS HEREBY GRANTED a permit for a temporary assemblage on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 9:00 a.m. until 7:00 p.m., on September 29, 2007, on property described as: 6105 Weld County Road 32, Platteville, Colorado 80651; being further described as SW1/4 of Section 18, Township 3 North, Range 67 West of the 6th P.M., Weld County, Colorado This permit authorizes Nick Sekich 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 12th day of September, 2007. �'. :. BOARD OF COUNTY COMMISSIONERS 4 ► , , , . , WELD COUNTY, COLORADO ATTEST: &hi, t� . '1 CUSED 1161 (t ' L41/42=�-vid E. Long, Chair Weld County Clerk to the �+ t XCUSED • ,,�( \ �� William c7Tem BY: Al W �+ De ty CI to the Boald (l � Wiliam F. Garcia R D RM: �. \`). Robert D. Masden, Acting Chair Pro-Tem ounty torney ougla adema er NOTE: THIS PERMIT MAY BE REVOKED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2007-2902 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: NI id_ L RESIDENCE: (f1 fl we p 32. P1ok-e' i ' le Cfn 7<cC_o 1 MAILING ADDRESS:_ SA.rv\E (4110 - %(— (o@&'S NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: (This must list all partners in a partnership, officers of an unincorporated association, society or group, or, if there are no officers, by all members of such association, society or group. IF A CORPORATION, ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION.) 1. Address and legal description of all property upon which the assembly is to be held: ¶\N (JAflc n Se.c . I S5 , Tw N 314 , tancye bin5 Wple1 Rd "3a P1nkk J(i Ile c1) a&b�\ 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: 1 M:\CTB\CTBFORMS\Foasmbly.wpd 2007-2902 2. Nature or purposes of the assembly: l NY\m 1„�Y�j �� Q\P\npme Y1A �r �U1��1,C�iC\ V10� enr `4 c V'\e_C1 C Minioni 3. Dates and hours during which the assembly is to be held: q — a9- v rl 4; Crpm — 'poll Pm 4. Maximum number of persons to be allowed at assembly at any one time: A)4 5. The maximum number of tickets to be sold, if any: OA 6. Identify plans to limit number of persons to the maximum identified above: 1 V f 7. Identify plans for supplying potable (drinking) water, including the source, number, and location of facilities, and type and means of disposing of waste deposited: 1c Pn\ cctrY ; n( 1NA-42r 8. Identify the plans for holding, collecting, and disposing of solid waste materials: 'C-r(17- h h tmPc\-Ve r frt&TNft\ \ ncmS 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 depo ited: Pnri-n P - ; e — \a, w/ l¢ u cask savo.kkors elPr; f• Cafl P--) Ou )\ 2 M:\CTB\CTBFORMS\Foasmbty.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 nurses and provisions for emergency ambulance service: M`C- — mTt4 . \ttvv c;re Pr Ore LA- Dks'-r O- w i11 be ng-\ iCie b.4 (3 II shore \ a Merl r cam\ P m@ r cc.(- \4 a e sec . 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: ROB ArnoS tin; tea ?ncwr me kes ©r Pr©pe s'}� 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: PAX' t1 P c5OO \/e ,llirles & or .c1 Rc�, * 3a , e a RC%' 13. Identify the plans for communications with hospital, police,and fire services,including the source,amount,and location of communicatiz equipment: MI-Q . V I eu ') -c '‘S`P vS` -eci• It Cr -VC‘c e i inC3 e 4e Q phth(mP 14. Identify the plans for camping facilities, if any: Y\1 ►4 3 M:\CTB\CTBFORMS\Foasmbly.wpd 15. Identify the plans for fire protection: riTh. T hone PregSiS C P P The V1A9in Ott© PI `{ h Pale jm } TO V "(I \oX2 Pe ; -4-he Aos.i © k kin 1 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: h r • C f gcr-pr-rt- Cam+ e 44-kA/V (9(n a- 13 I 1,0c P\ 1 C- a 17. Identify the plans for sound control and sound amplification, if any, including number, location, and power of amplifiers and speakers: NA 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: 1;396 ictnc<te -ek \55t3(0 °Orin° L o o i- IV lo(o Lnf'fnon& , 0 ©, RO5n'I 19. Identify the plans, if any, for an electrical system: Ur);4-901 Power mP4-2r1 4 M:\CTBICTBFORMSWoasmbly.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: jUI-k - Farm pie Id► 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 the applicant of each of the terms and conditions of the temporary assemblage permit. 22. Attach a statement by an insurance company licensed to do business in the State of Colorado stating its intent to provide liability insurance,as required by Section 12-1-30.6.14 of the Weld County Code, to protect against injury to persons or property occurring as a result of such an assembly. 23. Submit$100.00 fee for each event where three-hundred fifty(350)or more people assemble or can reasonably by anticipated to assemble at any one(1)location, unless the location is properly zoned for such assembly, in which case one permit shall be required for the total number of events scheduled for that location for the reminder of the calendar year, not to exceed ten (10) events per year. As used herein, the term event means an assembly or anticipated assembly which is scheduled to last for three (3) consecutive days or less. BY THIS APPLICATION,APPLICANT(S)AGREES TO INDEMNIFY AND HOLD HARMLESS WELD COUNTY OR ANY OF ITS AGENTS, OFFICERS, SERVANTS,AND EMPLOYEES FROM ANY LIABILITY OR CAUSES OF ACTION WHICH MIGHT ARISE BY REASON OF GRANTING OF A TEMPORARY ASSEMBLAGE PERMIT,AND FROM ANY COSTS INCURRED IN DEFENDING AGAINST SUCH ACTIONS OR IN CLEANING UP ANY WASTE MATERIAL PRODUCED OR LEFT BY THE ASSEMBLY. 5 M:\CTB\CTBFORMSWoasmbly.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 SUBSCRIBED AND SWORN to before me this !) li day of )(fps f 20 6 • . Witness my hand and official seal. _ Notary Public My commission expires: /D• /3,coi 0 . ....... • e • % A ••, .. 4T NOTARY • PUBLIC •.Q ' OFCOL OQ'P' My Commission Experts 10111/201r 6 M:\CTB\CTBFORMS\Foasmbly.wpd I i ma I�A�III I�I��I 9061663 SIMON 11 011 ,Held pulp►, 1 01 11 6.00 0 0.60 sari Mons Clrk a Reorder QUITCLAIM DEED and State of is made this 24'day of Jute 2003,betweenNiCK SEKICH ofthe County of THIS toD of Colorado, and SEKICH PROPERTIES LW,whose legal address is Weld80504 of the County of Weld and State of Colorado,grantee, 4315Highway 66,Longmont, WITNESSETH,That the grantor, for and in consideration of sells and �t un), the to the receiptof which is hereby acknowledged,and sufficiency title, of the grantor in and to the following real property,together grantee all the tight, and interest with improvements,if any,in the County of Weld and State of Colorado: Lot B of Amended Recorded Exemption No.1209-18-3 AMRE 2819 in Section 18, Township 3 North,Range 67 West of the 6"P.M.according to the Map recorded September 11,2001,tmder Reception No.2882694. also known as vacant land. IN WITNESS WHEREOF the grantor(s)have/has executed this deed on the date set forth above NICK SEKICH STATE OF COLORADO ) )ss. COUNTY OF WELD ) The foregoing instrument was acknowledged before me this 24th day of June,2003 by NICK SEKICH. WITNESS my hand and official seal. My commission expiresS ,r Nt!S(�g, Notary Public G'V lit of C�' X • i 1 l i i ills R 8i1IA ze ° a ! I g 11 1 1 1 Vi: • _ a 3 i 3 // i t l ~ L I fi � A I jiiiiii 7 V! ! tIF' r _ A 7 7 7� 'o \ `s 4. \ _ a ‘. a X.IJIN0 \ t W \ 5 S1 - t` n7-4107173/41 \ Nick&Karen Sekich butchsekich(aaol.com 6790 WCR 32 Platteville,CO 80651 Board of County Commissioners 915 10th St. Greeley, CO 80631 8/14/07 RE: Mead Sugarbeet Festival Dear Commissioners, The Mead Chamber of Commerce along with the Mead Area Community Foundation and the Mead Rotary Club is hosting the Second Annual Sugarbeet Festival on my property on September 29, 2007. The Chamber of Commerce will be the legal permit holder for this event. We have applied for the necessary paperwork and we are again asking for a deference of the performance bond listed in Section 12-1-30 of the Weld County Code because we will again be cleaning up our own property. We have applied for insurance coverage for the event and we will fax or e-mail this binding of coverage when we receive it from the agency. We invite the Weld County Commissioners to participate in this years Festival with an informational booth and attendance at the event. We will waive the booth fee if you want to take part in the event. Yours Truly, Nick (Butch) Sekich T° INs14 First MainStreet Insurance Invoice 512 4th Avenue P.O. Box 847 Longmont,CO 80502 (303)776-5122 Sekich Properties,LLC 8769 Weld County Road 32 Platteville,CO 80651 Please detach and return with payment Client: For Sugar Beet Festival Effective Transaction Description Amount 09/28/2007 Submission Policy#SUGARBEET FESTIVAL 2007 $1,150.00 to General Liability&Liquor Liability 09/29/2007 Fee 200.00 Tax 40.50 Total $1,390.50 First MainStreet Insurance Date (303)776-5122 8/29/2007 08/28/2007 15:36 3034339256 HIGH COUNTRY INS PAGE 01/07 HIGH COUNTRY INSURANCE-A Division of Hull&Co., Inc. N COMMERCIAL GENERAL LIABILITY QUOTE To: FirstMainStreet Date: 8/28/07 Re: Seldch Attn: Beth Page 1 of 5 ® New Policy#: Baking!These terms and conditions are valid unfit: 9/29/07 or renewal date shown above.MINIMUM Covet age form C00001 12/04 Annual Freedom(if Aud(tabk):$1150 Policy Period: 12 months Deductibles per clainu$ BI and PD Each,including LAS At Limits of: General Aggregate 2,000,000 {� Products/Comp.Ops Azg: 2,000,000 '� Personal Injury and Adv: 1,000,000 Each Occurrenec 1,000,000 Damage to rented prem. 50,000 Medical Payments: XC Carrie: Western Heritage,Non-Admitted Fast be sure to cheek the carrier's AM.Best rating to satisfy you aid your client's interests. Terms and conditions include,but are not limited to,the following terms,conditions and eMdurden*: Mandatory exclusions:Absolute pollen.,Asbestos,Lead,EPL,Punitive,Seb$daee,Meld/Feepa,Silica ' f"7ONAL EXCLUSIONS: MDITTONAL COVERAGES: Abuse or Molestation ❑Abuse or Molestation—pa aliened • ® As ault and Battery - 0 Additional Insured -CO 20 10 (3/97 or 10/01)ONE ❑ Ca e,custody and control 0 Additional Insured—CO 2009 ❑ Communicable Diseases 0 Additional Insured—Landlord Co tactual ❑Alarm E&O Dhcetas&Officers ❑E&O EIFS/False Stucco ❑Hired Auto ❑ Firs Damage Legal ❑NonOwned Auto ❑ Hesitations'(copy attached) ®Liquor Legal ❑ limed and Non-Owned Auto At limits of: SiMM ❑ Liquor Liquor premium: $$750 El Known Injury or Darage PI Liu 4radon Job/premises Professional per attached ® Medical Payments 0 Special Event owaagc per attached D Opsn Roof ❑Other- ❑ PI and Advertising O Certified Tararian-To comply with Federal Law,the company ❑ Prix Damages(copy attached) is offering Certified Terrorism coverage. Then will bean ❑ nettled/Completed Opa additional charge of$ (to be added to prices below if they M Pm-fossional asks[to boy).We need the attached election font filled out,signed ❑ Sdhcontractor's Marmnty—attached and rammed before we can bind coverage. ® Non-Certified Terrorism &War ® One—Need Carta from say rides showing our Insured as as Al on their policies Premium: $1150 Minimum Earned upon Binding is 25% Fully-tamed Policy Fee; $200 Inspection Fee: $ SL Tat(3%): $40.50 Total: $1390.50 TO ORDER COVERAGE: Fax us your order to bind along with the required: 1)The attached Certified Terrorism form filled out and signed_ Rama;ks: Mimics so much...Please call with any question �r c1 '/ bieByle 12596 West Bayaed Ave.,Salle 390 Lakewood,CO 80228oPhoae:(303)433-9293 a FAX:(303)4314236 08/28/2007 15:36 3034339256 HIGH COUNTRY INS PAGE 02/07 HIGH COUNTRY INSURANCE-A Division of Hull &Co., Inc. Realer all terms and conditions carefully. This question is being offered on the basis indicated. It r incumbent upon you to ascertain the accuracy of the quote,and to review with the insured the terms of the quote artfully,as the coverage,terms and conditions say be different than then you requested Platy nele that a9 ennsts te bind coverage must be received In our efface in writing. Coverage ennui be backdated or preammed to be bond withsat confirmason from am authorised represespNye of High Country Insurance—a division of &Co. Be advised that if)£gh Country insurrace—a division of Hal&Co.has not received a response from you by the expiration date dais quote,we will consider this quotation dosed. Specimen policy and fonns are available for your review apes request 12 We West Baynnd Ave.,Sate 390 Laknreat,CO 00228tPhone:(303)433-9255 a FAX:(303)4334256 08/20/2007 15:36 3034339256 HIGH fnrlJTRY INS PAGE 03/07 WESTERNIIERITAGE INSURANCE COMPANY POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE TERRORISM RISK INSURANCE ACT Ur user the Terrorism Risk Insurance Act of 2002. effective November 26. 2002(the 'Act", ybu have a dgit to purchase insurance coverage for knees fling out of acts of terrain, as defined in Secaen 102(1)of the Act The term*ceramist!ad of terrorism'means any act that is certified by the Secretory of tvw Treasury,et concurrence with the Secretary of State,and the Attorney Gerrard of the tkltadSkies— to be an act of terrod5M;to be a violent act or en act ttat is dangerous to harem N .property,or Ma- ze.rolure;to have faulted ht damage within the thdbd States,or outside the United States b the case of an ark cerrieror vessel or the premises of a United States Mission;to have been committed by en hiked- us or individuals acting on behalf of any foreign person or foreign interest,as part of an effort to coals thc•civilian population of the tinted States or to influence the policy or affect the conduct Of the United Stiles Government by coerann:end that tames losses of et least$5,000,000. You should know that coverage fa losses caused by*certified acts of terrorism'is partially reimbursed by the United States under a Minute esiebilehed by federal law.Under tits form le.the tidied States pays 90I of covered tenurism losses exceeding tie et:Notedly esmbnehed clearable paid by the ineeraslce company providing the coverage.The premium for this coverage is shown below and does not include. any charges tot the potion of loss covered by the federal governmere under the Act • c6NDmoNAt TERRORISM COVERAGE The federal Terrorism Risk Insurance Act of 2002 is scheduled to terminate at the end of December 31, 2005, unless renewed, extended or otherwise continued by the federal government Sb.uld you select Terrorism Coverage provided under the Act and the Act is terminated De:ember 31,2005,any tomeriern coverage provided in the policy will also terrine& IN ACCORDANCE writs THE ACT,YOU MUST CHOOSE TO SELECT OR REJECT COVERAGE FOR nCSRTlFIED ACTS OF TERRORISM"BELOW: I hereby elect to purchase certified terrorism coverage for a premium of S ya I understand that the federal Terrorism Risk Insurance Act of 2002 may temMata 6n December 31,2005.Should that occur my coverage for terrorism as dented by the Ad will also terminate. r berlby reject the purchase of tenured terrorism coverage. Poll cyholder/Apptcer is Sigraltse Named lnstredlFtrm Print Name Policy Number,if avatada Date WHr 20-0481 02VOd) 08/28/2007 15:36 3034339256 HIGH COUNTRY INS PACE 04/07 Western Heritage INSUAANCR COMPAN7 Anigal TOArC wa. n•AOW! ereec+ee DATE 1'M Cr MIAOW! IlarrAK LrANOArlD Try Mar POURED AngFry NO..---...--i(The above information is required only when this endorsement is issued subsequent to Preparation of the policy,) THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. LIMITATION OF COVERAGE-SPECIFIED AMUSEMENT DEVICES ONLY This endorsement modifies insurance provided by the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Such lnourance as applies to"amusement devices'under this policy applies only to fly injury,'"property damage," "personal and advertising Injury and medical expense arising out of the ownership,operation.maintenance or use of the amusen ent devices shown in the schedule below: SCHEDULE 1. Coin or token operated amusement devices 2. Coin or token operated vending machines • • 'ern usemont device'includes, but is not limited to any amusement machine or device used for the purposes of riding in or upon,the testing of physical strength,physical exercise,entertainment All other"arms and Conditions of this Policy remain unchanged. AUTHORIZED REPMaENTATIVE OAT 'NH itl4aa Issas) 08/28/2007 1.5:36 3834339256 HIGH WINTRY INS PAGE 05/07 III Western Heritage INSURANCE COMPANY ATTACNoRmIN ATO/ro ENOORBeyENTERFECaNE DATE ND FOA icy NumR r OV+ 1201 AN.STANDARD TUG) NAMED Mlt1RR0 policy NUNd*A ( AGENT NO. (The above information Is required only when this endorsement Is issued subeequent to preparation of the policy.) THIS ENDORSEMENT CHANGES THE POUCY.PLEASE READ ft CAREFULLY. EXCLUSION -FIREWORKS OR PYROTECHNICS This endorsement modifies insurance provided under to following: COMMERCIAL GENERAL LIABILITY COVERAGE PART' UAUCR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS COVERAGE PART This insurance ices not apply to'bodily injury,"property damage,' personal and advertising Injury'or medical expense for any claim arisirg out of the ownership,operation,maintenance or use of fireworks or other pyrotechnics by: 1 The insured: 2. Any other person or organization. All other Terms and Conditions of this Policy remain unchanged. AUTHORIZED REPRESENTATIVE DATE wHI21-0488(03/43 08/28/2007 15:36 3034339256 HIGH COUNTRY INS PAGE 06/07 ENDORSEMENT Western Her to ve INsintArter commou•rr ATTACHED TO Are FORAMS A PAR"0FENDOSSESIEN n >STTAM �I'E KM M3U1teD AGENT MO. POW(MAWR • (The above information is required only when this endorsement is Issued subsequent to preparation of the policy.) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY_ { PARTICIPANTS EXCLUSION Such insurance as is provided by this policy does not apply to, and the Company shall have no duty to defend any action �. brought to recover damages because of A. "Bodily injury" or 'personal and advertising injury° to any person while practicing for or participating in any contest demonstration, event, exhibition, race or show. As used in this provision any person shall include but not be limited to participants, attendants, mechanics, stavrards, timing officials, announcers, corner men, musicians, singers, animal handlers, officals or any other person employed by or doing volunteer work for the named insured. B. "Property damage"to any property of persons described in A. above Including but not limited to any"auto," "mobile equipment,'animal or any other property of the aforementioned persons. All other Terms and Conditions of this Policy remain unchanged. • AUTHORIZED REPRESENTATIVE DATE WHl21-0159 (a/99) • 08/28/2007 15:36 3034339256 HIGH COUNTRY ItS PAGE 07/07 ENDORSEMENT Western Heritage IPtsTJRANCE cowANY ATTACHEDAPA MD BEId IEVIS __VCTIE GTE rF0RMING�PAR"0 F r1tAf A1L STANDAAD7Nq MIND NNRIED MMMT RC. N*OYMRNrR (The above information is required only when this endorsement is issued subsequent to preparation of the policy.) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF COMBINED SPECIAL PROVISIONS LIABILITY INSURANCE This endorsement modifies insurance provided under the Mowing: COMMEF CIAL GENERAL LIABILITY COVERAGE PART UQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABIUTY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following special provision is added: ASSAULT OR BATTERY EXCLUSION This policy doss not apply to"bodily injury,"'property damage"or"personal and advertising injury"wising out of assault or battery or out of any act or omission in connection with the prevention or suppression of such acts, including failure to warn,train or supervise,whether caused by or at the instigation or direction of the Insured, his employees, patrons or any other person. All other Teases and Conditions of this Policy remain unchanged. AUTHOR12ED REPRESENTATIVE DATE WIi121.037e (0U99) 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#: 2007-73 DATE: September 12, 2007 TIME: 9:00 a.m. APPLICANT: Nick Sekich 6790 County Road 32 Platteville, Colorado 80651 REQUEST: Application for a temporary assembly of more than 350 persons on September 29, 2007 LEGAL DESCRIPTION: SW1/4 of Section 18,Township 3 North, Range 67 West of the 6th P.M., Weld County, Colorado LOCATION: 6105 County Road 32,Platteville,Colorado 80651 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: August 30, 2007 PUBLISHED: September 5, 2007, in the Fort Lupton Press PROOF OF PUBLICATION NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY FORT LUPTON Pursuant to the Weld County Code,a public hearing will be held in the Chambers of the Board of Ili TATE OF COLORADO County Commissioners of Weld County, Colorado, Weld County OUNTY OF WELD SS. 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 I, Karen Lambert, do solemnly swear that I prior of the hearing. The cost of engaging a court reporter shall be am the Publisher of the Fort Lupton Press; borne by the requesting party. In accordance with the Americans that the same is a weekly newspaper printed with Disabilities Act, if special accommodations are required in and published in the County of Weld, State order for you to participate in this hearing, please contact the Clerk of Colorado, and has a general circulation l0 1he Board's Office at(970)336- 7215,Extension 4226,prior to the therein; that said newspaper has been day of the hearing. published continuously and uninterruptedly The complete case file may be toexamined in the office le the lnty in said county of Weld for a period of more Commissioners,e l County il Weld County Centennial Center, 915 10th than fifty-two consecutive weeks prior to the Street, Third Floor, Greeley, Colorado 80631.E-Mail messages first publication of the annexed legal notice sent to an individual Commissioner may not be insured in o or advertisement; that said newspaper has the case file. ensure Inclusion of your E•Man all been admitted to the United States mails as correspondence Into the case file, please send a copy to second-class matter under the provisions of egesick©co.weld.co.us the act of March 3, 1879, or any DOCKET#:2007-73 DATE:September 12,2007 amendments thereof, and that said TIME:9:00 a.m. newspaper is a weekly newspaper duly APPLICANT: Nick Sekich qualified for publishing legal notices and 6790 County Road 32 advertisements within the meaning of the Pla eville,Colorado 80651 REQUEST: Application for a laws of the State of Colorado. That the temporary as of more than 350 persons on September 29, annexed legal notice or advertisement was 2007 LEGAL DESCRIPTION:SW1/4 of blished in the regular and entire issue of Section 18, Township 3 North, every number of said weekly newspaper for Range eC67 nt,WColorrado 6th P.M., LOCATION: 6105 County Road the period of 1 consecutive insertion(s); and 32, Platteville, Colorado 80651 See that the first publication of said notice was in location.�al Desc ption for precise the issue of newspaper, dated 5th day of BOARD OF COUNTY September, 2007, and the last on the 5th day COMMISSIONERS of September, 2007. WELD COUNTY,COLORADO DATED:August 30,2007 PUBLISHED:September 5,2007, in the Fort Lupton Press Publisher. Subscribed and sworn b :Ctv:y17;)Y e,\LOP31st day of August, 2007. 17. PUBLIC' 49 • ]&u� Lu e: opco�o ' �:,.e ,a Notary Public. CASE NO.401951 key 45745 Memorandum ITO: Jenny VanEgdom, CTB C From: Dan Joseph, Environmental Health Specialist COLORADO DATE: 08/31/07 SUBJECT: Temporary Assembly Permit for LC0022 In response to your request, Environmental Health Services has reviewed the Special Events Permit and Temporary Assembly Permit, LC0022, for Nick Sekich and the Mead Chamber of Commerce, located at 6105 Weld County Road 32, Platteville, Colorado. At this time the department does not have any comments or concerns. Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at dioseph(a;co.weld.co.us. Thank you. CC: Cindy Salazar, Environmental Health Services Sara Evans, Environmental Health Services MEMORANDUM To: Jenny VanEgdom, Deputy Clerk to the Board August 29, 2007 WinneFrom: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services COLORADO Subject: LC0022 Review of the following Temporary Assembly Permit by the Department of Planning Services shows the following: Applicant: Nick Sekich 6790 Weld County Road 32 Platteville, Colorado 80651 Location of Event: 6105 Weld County Road 32 Platteville, Colorado 80651 (Event to take place on September 29, 2007) Zone District: Agriculture There are no outstanding violations on this site and staff has no issues with issuance of this "Temporary Assembly Permit". Additional Information: If approved, based up the 700(which is not called out on the actual"Application for Temporary Assembly",but is called out on the "Special Event Permit Questionnaire and Affidavit") attendance, staff indicates the following minimal personal shall be in attendance: No less than 3 persons trained as EMT's shall be in attendance. (Section 12-1-30.B.4 750-350 =400 - 350 = 1.14 rounded = 1 + 2 (for the first 350) = 3 No less than 8 portable restrooms (Section 12-1-30.B.2 750+100 = 7.5 (rounded up = 8) assuming 1/2 women &'/: men =4 female portable restrooms and 4 male portable restrooms ((or 8 unisex)) No less than 5 security guards(Section 12-1-30.B.10 750=350 =2.14 x 2 =4.28 however 5 minimum) SERVICE.TEAMWORK INTEGRITY,QUALITY Page 1 of 1 Jennifer VanEgdom From: William (Bill)Wagner Sent: Tuesday, September 11, 2007 5:20 AM To: Jennifer VanEgdom Cc: Ken Poncelow Subject: RE: Temporary Assembly/Special Events Referral This is my first day back. Haven't had a chance to review it but I'm sure there are no concerns. I will be working the street this week so I can not attend the meeting. From: Jennifer VanEgdom Sent: Monday, September 10, 2007 2:24 PM To: William (Bill) Wagner Cc: Ken Poncelow Subject: FW: Temporary Assembly/Special Events Referral Are there any major concerns with this application? The Board is hearing the matter on Wednesday morning, and I do not have a referral in my file for this application. Thanks. Jenny VanEgdom Deputy Clerk to the Board of County Commissioners (970) 356-4000 Ext. 4228 From: Jennifer VanEgdom Sent: Friday, August 24, 2007 8:32 AM To: William (Bill) Wagner Cc: Ken Poncelow Subject: Temporary Assembly/Special Events Referral Please see the attached memo. I placed a copy of the application in interoffice mail,attention to Bill Wagner. Thanks. Jenny VanEgdom Deputy Clerk to the Board of County Commissioners (970) 356-4000 Ext. 4228 9/11/2007 TEMPORARY ASSEMBLY REVIEW FORM Date: August 24, 2007 TO: {DEPUTY} FROM: Ken Poncelow SUBJECT: Liquor License Check 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 file will be sent through interoffice mail for your review. PLEASE RESPOND NO LATER THAN: SEPTEMBER 4, 2007 APPLICANT: NICK SEKICH / MEAD AREA CHAMBER OF COMMERCE EVENT LOCATION: 6105 WELD COUNTY ROAD 32 PLATTEVILLE, COLORADO 80651 EVENT DATE: SEPTEMBER 29, 2007, FROM 9:00 A.M. - 7:00 PM ........................................................................................................ —4(k— No concerns 13 (.3Ac.. s� 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) ........................................................................................................ Please notify at Extension of the date and time of the Board of Commissioner's Temporary Assembly hearing. MEMORANDUM TO: Bruce Barker, County Attorney August 24, 2007 ElkFROM: Jenny VanEgdom, Deputy Clerk to the Board 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: Nick Sekich / Mead Area Chamber of Commerce 6790 Weld County Road 32 Platteville, Colorado 80651 Event Location: 6105 Weld County Road 32 Platteville, Colorado 80651 Date of Event: September 29, 2007, 9:00 a.m. to 8:00 p.m. We have scheduled a hearing before the Board for both the Temporary Assembly Permit and the Special Events Permit on September 10, at 9:00 a.m. Mr.Sekich included a letter in which is requesting to be exempted from the bond requirements,and I have not yet received the insurance documents on behalf of the Mead Area Chamber of Commerce. Please review with comments and return. Thank you. Hello