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HomeMy WebLinkAbout20051895.tiff RESOLUTION RE: ACTION OF THE BOARD CONCERNING SPECIAL EVENTS PERMIT ISSUED TO RONALD MCDONALD HOUSE CHARITIES OF DENVER, 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, Ronald McDonald House Charities of Denver, Inc., 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 TWENTY-FIVE DOLLARS($25.00)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 July 16, 2005, at 11:00 a.m.,to 8:00 p.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: W1/2 of the NW 1/4 of Section 7, Township 3 North, Range 68 West of the 6th P.M., Weld County, Colorado 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 deny said Special Events Permit. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 29th day of June, A.D., 2005. BOARD OF COUNTYCOMMISSIONERS is WELD COUNTY, CO CDO ' _ � ma�c1 /11�7/vu ^vi" OI► ` iii �`' •1 1 4-el � 1 William H. Jerke, Chair l• County Clerk to the Board ABSTAIN eputy Cler to the BoarE ____ av3 C. � Da i Long APP AST Robe D. Ma n unty tt y GennVa Date of signature: . 2005-1895 (14 so, ,L LC0022 DR 8439 21 COLORADO DEPARTMENT' OF REVENUE LIQUOR ENFORCEMENT DIVISION APPLICATION FOR A 1375 SHERMAN STREET DENVER CO 80261 SPECIAL EVENTS PERMIT (303)205-2300 IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT,YOU MUST BE NONPROFIT AND ONE OF THE FOLLOWING (See back for details.) V CHECK ONE: ❑SOCIAL ❑CHARTERED BRANCH,LODGE OR CHAPTER OF A NATIONAL ORGANIZATION OR SOCIETY ❑FRATERNAL 0 RELIGIOUS INSTITUTION ❑PATRIOTIC 0 PHILANTHROPIC INSTITUTION 0 POLITICAL ❑POLITICAL CANDIDATE ['ATHLETIC ❑MUNICIPALITY OWNING ARTS FACILITIES DO NOT WRITE IN THIS SPACE LIAR TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: DO NOT WRITE IN THIS SPACE 2110 MALT,VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY LIQUOR PERMIT NUMBER FERMENTED MALT BEVERAGE(3.2 Beer) $10.00 PER DAY 2170 Q 1. N OF APPUCANT ORGANIZATION OR POLITICAL CANDIDATE State Sales Tax Number(Required) 1ne\A ►VICDona1A 4kose Cyblri 1-;es of bP Wel. .Lrtc e etk-orzl Z-ccco 2. MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT (include street city/town and ZIP) (include street crty/town and ZIP) "/ (305 C &\6k Awe A40,t nd�. is R •l e l UI.es Pf ion Oet\ves . Co. TOZCO5 Dc ,.she. er_of NAME DATE OF BIRTH HOME ADDRESS(Street Cry.State.ZIP) PHONE NUMBER 4. P ES./SEC'Y OF ORG.or.POLITICAL CANDIDATE /K'/e���� 'Y fameCia J af4ria c1' ' 44� Al tCkictie 4. ,O;;TA .3,s-lib-lei/Rs 6. HAS APPLICANT ORGANIZATION OR POLITICAL CANDIDATE BEEN 7. IS PREMISES NOM LICENSED UNDER STATE LIQUOR OR BEER CODE? ISSUED A SPECIAL EVENT PERMIT THIS CALENDAR YEAR? 671 NO E YES HOW MANY DAYS? NO YES TO WHOM? 8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMSES TO BE LICENSED? Yes ❑No 'LIST BELOW THE EXACT DATE(S)FOR WHICH APPLICATION rS BEING MADE FOR PERMIT Date Date Date Date Date Hours From .m. Hours From .m. Hours From .m. Moult From .m. Hours From .m. To .m. To .m. To .m. To .m. To .m. OATH OFAPPUCANT I declare under penally of perjury in the second deg. ree tllaf)have rear!the foregoeg appAcanon and all attachments thereto,and that ation therein is hue,Correct,and complete to the best of my knowledge. S NATURE "� ,' //, rn. Ar i �, 1,z)-�u.t.ct,�t v TITLE 0 DATE �X-e L�tc.CLc-� �.CA_t C'fa L [r 6- lJS- REPORT AND4PPROVAL OF LOCAL LICENSING AUTHORITY(CITY OR COUNTY) The foregoing appticalign hesbeen eminsd and the premises,business conducted and character of the applicant is satisfactory,,,__ and we do repast that such permit,if granted, will comply with the provisions of Title 12,Medea 4fi C R c s.amendR17- THEREFORE,THIS APPLICATION I ROVEDC LOCAL LICENSING AUTHORITY (CITY OR COU CITY TELEPHONE NUMBER OF CITY/COUNTY CLERK ! 0 COUNTY SIGNATURE '--c-- Al I r ,` - G-/.) TITLE DATE DO NOT WRITE IN THIS SPACE-FOR DEPARTMENT OF REVENUE USE ONLY £1f81LUT1f INFORMATION License Account Number Liability Date State TOTAL 2005-1895 JSD( ) _.. _... (Instructions on Reverse Size) r,70,419' APPLICATION INFORMATION AND CHECKLIST THE FOLLOWING 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. Note: If the event is to be held outside,please submit evidence of intended control,i.e.,fencing,ropes,barriers,etc. ❑ Copy of deed,lease,or written permission of owner for use of the premises. ❑ Certificate of good corporate standing(NONPROFIT)issued by Secretary of State within last two years; or ❑ If not incorporated,a NONPROFIT charter, or ❑ If a political Candidate,attach copies of reports and statements that were filed with the Secretary of State. ❑ APPLICATION MUST FIRST BE SUBMITTED TO THE LOCAL LICENSING AUTHORITY(CITY OR COUNTY)AT LEAST THIRTY(30)DAYS PRIOR to THE EVENT. .,❑ f aE PRt'.LUSEI*O BE LICENSED MUST BE POSTED ATLLEAST TEN(10)DAYS BEFORE A HEARING CAN BE HELD(12-48-106 C:RS.) ❑ AN APPROVEDAPPLICATION MU$TBF RECElyt1 BY THE LIQUOR ENFORCEMENT DIVISION ATLEASTTEN(4 0)DAYS PRRIF'S*It EVENT. ❑ CHECK PAYABLE TO THE COLORADO DEPARTMENT OF REVENUE (12-48-102 C.R.S.) A Special Everrt°Femt j suegLinderthis article may be issued to an organization,whether or not presently licensed under •,Artipleq.46 and47 of this title,-which has been incorporated unr&eFthe laws of this state for the purposesof a seeiat;fraternal, patriotic,political or athletic nature,and hot 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, arid 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.)? Set Qi"r tava a u32' S ek 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 Q-44ae Inca Ulnae{ 56'4- 3.3. Who or what organization will be the recipient of funds derived from this event? Set 041-n r Inerf Ovcstatv 51•tee4- 4. How many attendees are expected at this event? 9.9 at-tad/lad Q p'5h. t1 5. Describe the premises at which this event will take place. 6. What type of security will be provided at this event? 7. How many security personnel will be on hand?S+ 8. How will security personnel be identified? SPD Q4-facheddock v sjkwa4- 9. If this event is being held outdoors, how will the exterior boundaries of the premises be marked (e.g., roped, fenced, etc.)? 90 a- o1c1Qd a/sue✓ skeet. 10. What type of entertainment will be provided, if any, for this event? SPe Ql---,ckpr} Qtit€.,. v 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.)( aM:'CTB\CTBFORMS\FOS P ECE V 12. How will the co�duuct_an level,of intoxication attendees be monitored and by whom? 13. Have volunteers or members of your organization been trained in the sale/service of alcoholic beverages: If yes, what training have they received and by whom? Q 440.clw d ( Insider ske-( 14. What types of alternate beverages and food/snacks will be available? 4- 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. Ee a ap bed 0 acklial get t 16. Explain how this event will be marketed describing what kinds of advertising material will be distributed and the targeted reci ients of such material. Co 04m kc kQ� aeraffif .4_-- 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 wledge. pplicant's Signature Date STATE OF COLORADO ) )SS. COUNTY OF WELD ) Subscribed and sworn to before me this day of ,20 . Witness my hand and official seal. My commission expires: Notary Public M:ICTBICTBFORMSIFOSPECE V Special Event Permit Questionnaire and Affidavit 1) An annual event is being planned. 2) The event is to benefit the Ronald McDonald House of Charity by donating proceeds from the event. The event is celebrating 'The 6th Year Anniversary of La Ley 1170 AM. The event gives listeners to celebrate their heritage and help raise money for a good cause. The festival will include live music by famous Mexican Regional Artist, clowns and a one-man circus act for the children. This gives families who do not take part in nighttime leisure activities the opportunity to listen and be entertained by there favorite Mexican regional artist. Artists include local, national and international musical groups. Simultaneously KJJD will like to help out the Ronald McDonald House of Charities for their hard work and contributions to the community. 3) Ronald McDonald House of Charities 4) 2500 people are expected for July 16, 2005 5) Attached is a sketch with dimensions of the assembly and location of dumpsters, restrooms and water locations on the premises. An orange barricade fence will close in the premises. 6) Oroscos Security Agency will provide security services for the event. A team large enough to handle this kind of event will be assembled. 7) 12 security officers will be on site. 3 will monitor the beer garden and check Ids. 8) Security officers will be identified because they will be using their security uniforms. 9) An orange safety barricade fence will outline the premises and exterior boundaries. The work will be performed by R&M Drain and waterproofing. Attached is a copy of the type of fence and a letter of work performed. 10)Mexican Regional Artist will provide live performances. 11)Wristband will identify anyone over the age of 21. People over the age of 21 will be allowed to consume alcohol in beer garden area only, which can be identified in the drawings that are attached. Tampering with wristbands or the use of fake identification will result in ejection from the event. Any fake identification will be handled through the proper authorities. 12)Conduct and intoxication monitoring, will be done security officers and bartenders serving the beer. A local bar TEXMEX will be assisting us with serving the alcohol. Any guest who is suspected of misbehavior because of intoxication will be escorted from the premises and reported to the police. 13)Volunteers from local businesses with liquor license have committed to help serve alcohol. 14)Water, soda and juices will be available on the premises. . .Me mw INDEPENDANCE I FES-MA/AL fl 2X03 I I .` n Soo• C I1 PAR KING 300 ' Ex,4. i i A I Ill el---. Wo��ct lama-, — •= Uk►�+e. Arai • 64‘* = ! beer Guth' Q‘ :, " iii &yew. 9 Roua I ^b0 —ILO' � tn i �e i I 32• • I I VI I - f -- .1 Jackes LLC. Jesse Rodriguez Gallegos 1078 S.Coffman Longmont, Co 80501 r4: Weld County Office of Clerk To The Board 91510~Street P.O.Box 758 Greeley,CO 80831 To Whom It May Concern: I Jesse Rodriguez Gallegos give The Ronald McDonald House of Charities and La Ley 1170 AM permission to host- La Ley 1170AM Mexican Independence Celebration and The Ronald McDonald House of Charities Fundraiser on my property.Attached is a certificate of good corporate standing with the state of Colorado for Jackas LLC.If there are any questions please call me at(970)588-8874. Legal description of property were event is to take place: The west one-half of the northwest one-quarter of section 7, township 3 north Range 68 west of the 6'h principal median, County Of Weld, state of Colorado, less the county road right-of-way according to the document recorded at book 86,.page 273. S-�� < Ftodriguez Gallegos PreeldenV Owner CNA 6/28/2005 3: 16 PM PAGE 2/002 Fax Server COPY Western Surety Company CONTINUATION CERTIFICATE Western Surety Company hereby continues in force Bond No. 69731 910 briefly described as Aaeenbly Permit County of YWWel for JAGS. LW ,as Principal, in the sum of$LIVE THOUSAND AND NO/100 Dollars,for the term beginning Jun. 17 , 2005 ,and ending June 17 9006 ,Ridded to all the covenants and conditions of the original bond referred to above. This continuation is issued upon the express eondition that the liability of Western Surety Company under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed the total sum above written. Dated this 09 day of June , 7009 WESTER URETY COMPANY • ro,, akvie0sesigrfi fi By 13.co' x; Paul T.Brunet, Pus President *�+ `S `'dp df/ F A �6/64,,Y umenosors THIS"Continuation Certlecate•MUST BE PILED WITH THE ABOVE BOND. am raaamae f/ Ids(RaN INC. Your'All-Unei Insurance Agency p DIANA DARBY (303)684-0888 Fax (303)684-0887 659 Fourth Avenue Longmont,CO 80501 . _.,-:_ u�.. .. . _ ,moo -�. q}' ® Copy .4D, ectiveData: June 17, 2004 Western Surety Company LICENSE AND PERMIT BOND KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 69731310 That we, Jackes, LLC dale city of Longmont ., _,State of Colorado_ and WESTERN SURETY COMPANY,a .., as Principal, corporation duly licensed to do surety business in the State of Col orado _ ,as Surety,are held and firmly bound unto the Csgltty of Weld _,. _.— .. .___._,State of olarado,_ , as Obligee,in the penal cum of Three Thousand and 00/100 _ ..�DOLLARS( $3,000.00 lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed Assembly Permit by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinsacea, including all amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until June 17th 2005. _._, unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Obligee and to the Principal at the address last known to the Surety, and at the expiration oft ' E a from the mailing of said notice, this bond shall ipso facto terminate and the Surety a *are-"oiY ved from any liability for any acts or omissions of the Principal subsequent to said d,8eey. _ number of years this bond shall continue in force, the number of claims made 4 , hie bon number of premiums which shall be payable or paid, the Surety's total limit of ty kill nirt bE 1".ulative from year to year or period to period,and in no event shall the Surety's total h WAIT ' - teed the amount set forth above. Any revision of the bond amount shall not be a i. ND . I' Dated 17th _ day of June 2004 JACKES, LLC -._. --------'- Principal ---- Principal Countersigned(where required) W E S T.E///jQC�/1/Y///�)]S aPT COMPANY Bytanr u=wded._ ._.... By Resident Agent P .Brunet, tor Vies President Fonn 63354002 — JUN-1 f-ZUU4 INU U uct rrk I,NN rnn nth I UUU JJ'J UJJI „ LOW v., ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA ( k (Corporate Officer) COUNTY OF MINNEHAHA I On this -...1,211... .._day of Jane . 2004 before me,the undersigned officer, personally appeared Paul T.Bruflac ,who acknowledged himself to he the aforesaid officer of WESTERN SURETY COMPANY,a corporation,and that he as such officer,being authorised so to do.executed the foregoing instrument for the purposes therein contained,by signing the name of the corporation by himself as such officer. IN >III WITNESS WHEREOF,I have hereunto set my hand and official seal. ELL TRY AMMO ;^/ i0 O OAKUM Notary South Dakota My Commission Expires November 30,2006 ACKNOWLEDGMENT OF PRINCIPAL STATE OF (Individual or Partners) COUNTY OF es On this day of ,before me personally appeared known to mew be the individual_described in and who executed the foregoing instrument and acknowledged to me that—be_ executed the same. My commission expires � .—.... .--- Notary Public ACKNOWLEDGMENT OF PRINCIPAL STATE OF — (Corporate Officer) COUNTY OF __...__ a On this day of ._..---....---,...--_....,---..-., . ,before me personally appeared . who acknowledged himself/herself to be the • of ., ._ -_ a corporation,and that he/she as • such officer being authorised so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself/herself as such officer. My commission expires Notary Public . A C RS CI— Em QP " a u .D .- W u z w a s A •o z .449 01 O. , • o N. g b OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE I, Donetta Davidson, as the Secretary of State of the State of Colorado, hereby certify that, according to the records offi , RONALDof this MCDONceALD HOUSE CHARITIES OF DENVER INC. is a Nonprofit Corporation formed or registered on 11/02/1976 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 19871317197 This certificate reflects facts established or disclosed by documents delivered to this office on paper through 02/09/2005 that have been posted, and by documents delivered to this office electronically through 02/15/2005 @ 15:52:11 . 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 02/15/2005 @ 15:52:11 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation Number 6151065 . r* ,. ) 7 + lil / d7GG.G Secretary of State of the State of Colorado End of Certificat Noticg A certificate issued electronically from the Colorado Secretary of State's Web site is hilly 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 State's Web site, htto://wwwsos state.co,us/biz/CertificateSearchCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed. Conftnninr 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, htip://wwwsos.state.co.us/click Business Center and select"Frequently Asked Questions." Internal Revenue Service Department of the Treasury P. O. Box 2508 • Cincinnati, OH 45201 Date: April 11, 2002 Person to Contact: Shirley Rudolph 31-03949 Customer Service Specialist Ronald McDonald House Charities of Denver, Inc. Toll Free Telephone Number. 1300 E. 21"Avenue 8:06 a.m.to 6:30 p.m.EST Denver, CO 80205-5218 877-829-5500 Fax Number: 513-263-3756 Federal Identification Number: 84-0728926 Dear Sir or Madam: • This letter is in response to your request for a copy of your organization's determination letter. This letter will take the place of the copy you requested. Our records indicate that a determination letter issued in May 1977, granted your organization exemption from federal income tax under section 501(c)(3) of the Internal Revenue Code. That letter is still in effect Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509(a) of the Code because it is an organization described in sections 509(a)(1) & 170(b)(1)(A)(vi). This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25,000. If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law imposes a penalty of$20 a day, up to a maximum of$10,000, when a retum is filed late, unless there is reasonable cause for the delay. All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of$100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, these organizations are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. • • -2- Ronald McDonald House Charities of Denver, Inc. 840728926 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return. In this letter, we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code. The law requires you to make your organization's annual return available for public inspection without charge for three years after the due date of the return. If your organization had a copy of its application for recognition of exemption on July 15, 1987, it is also required to make available for public inspection a copy of the exemption application, any supporting documents and the exemption letter to any individual who requests such documents in person or in writing. You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials. The law does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Internet (World Wide Web). You may be liable for a penalty of$20 a day for each day you do not make these documents available for public inspection (up to a maximum of $10,000 in the case of an annual return). Because this letter could help resolve any questions about your organization's exempt status and foundation status, you should keep it with the organization's permanent records. If you have any questions, please call us at the telephone number shown in the heading of this letter. This letter affirms your organization's exempt status. Sincerely, • L9 get John E. Ricketts, Director, TE/GE Customer Account Services , BJSIN1 11' 1\ Elections Center 7 Business Center information Center t lren sing Center ;rr rr a nt C'Ttr H. For this Record... Information On File Cert of Good Standing File Document Email Notification History&Documents ID Number: 19981092645 Name: RODRIGUEZ GALLEGOS BROADCASTING Business Home CORPORATION Business Information Business Search Registered Agent: G. RODRIGUEZ JESSE FADS Registered Agent Street Address: 1078 S COFFMAN ST,LONGMONT, CO 805 States Glossas Registered Agent Mailing Address: Principal Office Street Address: 9217 EASTMAN PARK DR, WINDSOR, CO United States Principal Office Mailing Address: Status: Good Standing Form: Corporation Jurisdiction: Colorado Formation Date: 05/19/1998 Term of Duration: Perpetual Annual Report Month: May You may: • View History and Documents • Obtain Certificate of Good Standing • File a Document • Set Up Email Notification Previous Page Business Center 303 894 2200•Fax:303 869 4864•Forms fax back:303 860 6975•e-mail:sos.business@sos.state.co.us A Search I Contact us I Privacy statement ] Terms of use http://www.sos.state.co.us/biz/BusinessEntrtyDetail.doj sessionid=0000GIEFLxzwU8-hKpn... 6/7/2005 Jun.10. 2003 2t47PM 303 527 2805 No.7380 P. "5 r s 2 m i2 f = t E a Y SI Co 4.1 i 1 m� t- el i2 g a $ qit'~' [� idE OE s ...00 Y Igf o cat C O4 . . � met 11O Ng .. v I: - : 0— ill ��� I _� , ......, . 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CITY OF GREELEY CITY HALL 701 10TH AVENUE GREELEY, CO 80631 � r% - THIS BOND CONTINUES IN FORCE TO THE ABOVE EXPIRATION DATE CONDITIONED AND PROVIDED THAT THE LOSSES OR RECOVERIES ON IT AND ANY AND AU.ENDORSEMENTS SHALL.NEVER EXCEED THE PENALTY SET FORTH IN THE BOND AND WHETHER THE LOSSES OR RECOVERIES ARE WITHIN THE LL FIRST AND/OR SUBSEQUENT OR WITHIN ANY EXTENSION OR RENEW PERIOD.PRESENT,PAST OR FUTURE ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. t SIGNED AND DATED THIS EL� �'' N' DAY OF AUGUST, 2002 ' 40-4216 LINDEN/BARTELS & NOE OLD REPUBLIC SURETY COMPANY P O BOX 336640 s GREELEY, CO 80633 i f `��.11\G URfJy'y,� BY -- 5fi Ala1irAR,� ' ?. Q '•., 1981•••' *. o �AAlhnrlunllllll ,,` • a, - _r.• ' .I . • , _. f - _..:- t •r: % • ti Co J in in 0 0 0 .. O SU NN NN O O O = • Nc.5.‘ t N N N W N a do O M M S N N CO • O r • • p ti s .. a. O W M 1.5. F .v- 4. O M .,n .swe,:.„,.. Tk4,,.. �W S I K.R • 8 1 opt', VI R Z r 5 4fixN y'^" A H 9 m ej W ,F w Z Uri W u aa.. 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