HomeMy WebLinkAbout20030851.tiff RESOLUTION
RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO FRANK'S RIDE FOR
CHILDREN, CIO DOUG KEIM - MAY 18, 2003
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, Frank's Ride for Children, c/o Doug Keim, 209 Sherman Street, Longmont,
Colorado 80501, 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 on May 18, 2003, from 8:00 a.m. until 10:00 p.m., on
property described as follows:
Dandy Acres Painted Horse Farm, 1763 Weld
County Road 20.5, Longmont, Colorado 80504;
being further described as part of Section 18,
Township 2 North, Range 68 West of the 6th P.M.,
Weld County, Colorado
WHEREAS, said applicant has paid to the 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 Frank's Ride for Children, c/o Doug Keim,
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 May 18,
2003, be, and hereby is, granted to Frank's Ride for Children, c/o Doug Keim to conduct a
temporary assemblage at the hereinabove described location.
2003-0851
LC0022
CEO '. ;97°/Q. , S
PERMIT FOR TEMPORARY ASSEMBLY - FRANK'S RIDE FOR CHILDREN, C/O DOUG KEIM
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 31st day of March, A.D., 2003.
BOARD OF COUNTY COMMISSIONERS
WEL OUNTY, COLO DO
ATTEST: iatetk,
` vid E. Long, Chai
Weld County Clerk tot Bo
si
Robert D. asden, Pro-Tem
BY: _%\ . :Xe'- A)
Deputy Clerk to the
r- -' M. J. Geile
APPR AS TO F •
EXCUSED
Willia , H. Jerke//AAA
ty Attorn ,�.rer,� /A
Glenn Vaad
4/A9Date of signature:
2003-0851
LC0022
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, 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.
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
charding@co.weld.co.us
DOCKET NUMBER: #2003-23
DATE: March 31, 2003
TIME: 9:00 a.m.
APPLICANT:
Doug Keim
209 Sherman Street
Longmont, Colorado 80501
REQUEST: Application for a temporary assembly of more than 350 persons on May 18, 2003 -
Frank's Ride for Children
LEGAL DESCRIPTION: Part of Section 18, Township 2 North, Range 68 West of the 6th P.M.,
Weld County, Colorado
LOCATION: Dandy Acres Painted Horse Farm, 1763 Weld County Road 20.5, Longmont,
Colorado 80504 (See Legal Description for precise location.)
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
DATED: March 14, 2003
PUBLISHED: March 20, 2003, in the South Weld Sun
2003-0851
r,
• 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 stAstitdted`for th
verbal description of plans for the assembly site. All required information must be furnished before
the application will be processed.
NAME:y 1)n idl W /Av AGE:
RESIDENCE: a07 / -c7 /9i4.r 7 (s') fDSD/
MAILING ADDRESS:0Z 7 4'yip 67 J ini (p J'Os2)/
3O3- (0C1-eaolO (tor() _ 3o Ls-I- 75-63 (/gym) - 3o3 BUP 1-/38(ort
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 descriptionf all property upon which the assembly is to be
held: �l4 tl d) c� �G t° �i�lLT�1� /5 �A-,evvt_
f 5S r? ( &k in" (o t ,tier)
t1-43 1o .GR . 4.Olz
L � jyro�T, Co Fe,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: Se SS %�$K,4-S
RESIDENCE: in, 3 GtJ. G. R, 020 ! 2-
MAILING ADDRESS: SA-tvLp ,CS ,¢Z0-oe
NAME:
RESIDENCE:
MAILING ADDRESS:
1
2. Nature or purposes of the assembly:VC- in i55orLL De k/.),J4-S e ES
tle/f Coles, e/`ld✓e4 (SAO Are riiikrixt4 4/7c771-ce47ZIw ar
--y:as.fes s .4,-err) a )&fl to 4,37" 4 [Li 15 /72,4-117--7-0 , #e�%i/thee,.
!ve su9por7 -17,4et ►-7. i•1 - s c u.e, T. AlAAD ,G -crt4l )
m em,30s au j 09 See/Aft ea ertyowte _je. 20-nte ydelp468,jot -
3. Dates and hours during which the assembly isle be held:ftlkj /S o2DO,3
)proms e, co A-rw ---- /O,'Od- /'
4. Maximum number of persons to be allowed at assembly at any one time:
nna - /Svo -lo 41T.Tmn 6v€J4r 5. The maximum number of tickets to be sold, if any: 42 i4 /.1c i'�/ ) A-
�r✓nlaria�l Fee eke 7Ay c�C e lfQr —�4 � yl�cl� ar
��toc-eeds cia ri .. wr
6. Identity plans to limit pUmb�r ofp sc t he r annum identified e:
tee 45D tit, Nor ,4p,/,e,4l3/e_
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:
,5'/nt/I/f A-ct. .1 -"I 0A-1A-1-6- l7 O2 OD& Poi-le s oe/z ,,m-P1--
/; 2On9, At-/h lv %/G 77oA-,a r P Act4liti . /14a&aA Ie5 u-9*-7"eK.z.G
'7h a Th ir,,o D Bn rz1P s oc 11-u-e./ 4. 9 A0 4/,u i}A_lA--[
6u 4M5 6i3OA44freo A I Fir, At CO l /-/mot-e s o #,41.---par_-#1B/_
c_ ;A4 L- 74.[c-1 limner --in(,e_
8. Identify the plans for holding, collecting, and disposing of solid waste materials:
avo,5TerD7fosA-L ?TOE A`Left-6 We?-o ctrielOZIe�S, Qs 4it/4-4-S
i {/l.un3 Pap A-sc r ess, ,ie,4. S,Cte va-',tLS ..� o c r4uece5
A- 4 Zt 1/ 4-c C nit vor fiennt5 b ';ccee alet
Lops-rec'AL - aspos,ct.( co/CG rza3.i ade /-AsTe Ciao n't
ee47 /4-14 -es,. ,4o Rewip u e Fro proper:hi
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:
Utes ter id P,`spa cA(_ 40%L/ A, ,i/hi7,di.tCf ,-Qtr S'. ) r.
nt_cr-tin, ts c 1) /t, (/ R in P{zsp Crn,4/e ) C1Eyn.et/e
A))(/-Jrialy r.4 ) nice e e),(1o &irj5 id -eos
C D t, 7Hn “,s-a_5-
2
•
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:
Lo A3/4 Air ..cm _Cr RAJ Ur- H- 4V r°VI LLQ-5
en ergea c±, 4/K_P� [.[_Ls4R32,1- t1' 6eviJ, 5 Jr7X,4
3 ea-rs a ve.-- GT, 4`v.gr cL4—tee ctncefj . pey/e Go i'L L ye Id
4 eJJ ibiirhuCP Oft L-----Wileto ,GUo , r
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: 4k41 [e u , dd.n& /1O r DJ_to,g
GI-9 4-a 'ar cz e/,eeic) wfCL f/fpD stale --1-4 e> r A ≤
, i
Pn-Qs a-4,...,1-i rf ,0,.rlPte ( G_rote A- 1T/o c�
_Stole a6 r5T2149,ada l
RAJ /4 a 00 ant, 9eR-QY e. to/"Vi-- ) i`ov/c n o of-e_
ST4-/7 ,4,-f2 6O7 / c 1 o.C .Eo r-r rir 0_A- 4-- /ee5j7e &ouLLs
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:
See p1id4pA-, - `< Ls .4- pr.✓1�-Te fzan1, dpre Are sL°
'( nrluAle) LGTs o r ` iviatiAlcceSS/ -14 %,4,€).1/9. AreA- 2 rit
---ge_ C fear/, //'J,4- /), A D ,r111N(,ss Al:de tTzc w rr12i
c-1i revs 7 T1r,dp -sus—S -En -De Si A4-Ceh 779-lej J€ ,,ititl s
13. Identify the plans for communications with hospital, police, and fire services, including the
source,amount,and location of communication equipment:
Lem 4. 41/2 An- erCe,ucq tea; RP.✓b on-1AI- 77//�vJo21 I/ ,ke_0tic,L
(,.- // ,Se Pvese../i e4-it-vet -Proper-Ay
f9iT.-1. /Aiety ACI'.2 -- in25r.V_`rte/ ProU;a//`,tiq cue e ProTeclo
L orJ 4 MAO MT 'Pal :Teti. D1-epr /-<.-' i LL 7LLu-c PLrsouuACL,
14. Identify the plans for camping facilities, if any: /viA_
3
•
15. Identify the plans for fire protection: Alms ,v-7-4t/,v-7-4t/ tie ct- ,,1 re •
-Di`srzii% l0«-7-e4_ a-r l' Air) Rd . / A-Nb
6.) . G i? l Vt 6r.- r/� P P/n i p i D ih.t 6 F
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: 2,1D/e../Ad rep/ l's i&Dn4 / P ks , ,`nLLa' 6%4�i-
I>,'LLp rot).`oLe v!ec,4rAt1 , Sza1`ct/4o aerS Are-cap i D
R, , -7-e e rcA ;iar< ,o,A2.kbj) .3T.Q G) -77.1.e re tksn S` 6T.4FF
PI en-(.a-e.rs De5:1,01,,?-7 ) cp✓ ,SAr ci p.rt-,1 &/v /1,44-14)tc.M„.4 t
≥ baRD A-/-5-1) 43c,cyrn i a t-I oo,
17. Identify the plans for sound control and sound amplification, if any, including number,
location, and power of amplifiers and speakers: O D G �r� B.4 I)) L �n7
P re, u ;<les Li 0 e 1 TA.cl)vt .2T fro l -i-heA!1/.&•-rr
/`Ala 5" Lo A ,.TS e- 'lee
tvt cpul 4L5a prc.u ,(.1PclA) ol 4 VVV 4,0,u-PP`r4TOG5 For
-1-4
e -Rd LID 5;A4 P en(
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
addre ses of all concessionaires and their license permit numbers: Nl
' /\l (a . U? p CJ_0 AIoT acj CneO vl�5-efi o� s ®✓ Coo
CD AI a ss)• 'A.(2JS . -7-Ale /)o/tqii It gie--fin-AP-F. of. P,-j+f Les
P:,-)_e T.(z>1)1 Je'3 ,ZS A 9 , -'o r k .a4-•ti h "z ee-45 4> h.i c_A_
i S 72°o tend i,c C ti. r_,t-sT..T/2 0 J rsak .r c
19. Identify the plans, if any, for an electrical system: /VA.( 123JJ 40 •`&tie
„. e -7-7---4-1 4. op Sa lg.J .tf',Qgd2 TCo✓
"./v_c1P,G! ,t o ,`c td e,J 77
4
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: ,4-r4 /yip/jut-Tin/4 6W-7-PS -44,P/,S on! , �1mr/ � / 2�iArRe /2 oc re)�lr '
,/i LAPS A oS eve. ,-F 21-t-7I 4 sA tT Ale ,e2aen r/a tG
N LS -Ride Pe Via/firs /o/)_ Osn frzubstes '24-s .jr-e, 472.415
"JO c0 itr/ ' (95roC5 en/ eTc
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 term D's and c.7 itions of th
temporary assemblage permit. M blc� A- S� o Lek! 0" o
1 �ct 2iOc 4
coo r- Fr tLs ,ehLt „Zoos
Z ose tA.oP€t /%Sor2 go,,b/A44
22. Attach pbatemerlt by aneins n a comp Ilensed o 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 ar property occurring as
result of such an assembly. AA Ake_A--1-A-k/A,.Fau n;DT7s".4 d S ?/,Re� Cenjer
t=rAaiksT;ae 0,003 ua'De' -Mgtie G2vQ.-- -1-7LIS . Pad. 9
C /note rM Fo
23. Submit $100.00 fee for each event where three-hundred ifty (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
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.
Applicas0 signature-
)0a ! 114
Applicant's printed name
EWAJT 6MAJAIATO�'.
Applicant's position
SUBSCRIBED AND SWORN to before me this 0.4" day of
20 03 .
Witness my hand and official seal. G l/
Notary Public
My commission expires:
9/ /062 STEPHENY WOOLEVER
NOTARY PUBLIC
STATE OF COLORADO
My Commission Expires 08/08/2006
6 M:\CTB\CTBFORMS\FOASMBLY
WELD COUNTY PERMIT FOR TEMPORARY ASSEMBLY
By action of the Board of County Commissioners of the County of Weld, State of Colorado,
taken this 3 t st day of March , 20 03 , 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 on the 18th day of May ,20 03 ,tirreblghA&ex
ggyJxxxxxxxxxxxxxxxxxxxxxx20xx , on property described as:
Dandy Acres Painted Horse Farm, 1763 Weld County Road 20.5,
Longmont, Colorado 80504; being further described as part
of Section 18, Township 2 North, Range 68 West of the 6th P.M. ,
Weld County, Colorado
This permit authorizes Frank's Ride for Children, c/o Doug Keim
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 as Exhibit "A."
PERMIT (APPROVED) OR WERMEacINIIMCONIDMISINEW this 31st day of
March 20 03 .
BOARD OF COUNTY COMMISSIONERS
ATTEST: Lai >�!!"� W COUNTY, COLORADO
Weld County Clerk to
B r daq13'
44,x: 7)), � David E. Long, Chai
BY: i_ t
Deputy Clerk to thr' dada:' Robert Masden, Pro-Tem
M. J. Geile
FXCi1SRT)
William H. Jerke
Glenn Va3ir---
NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING
TO MEET THE CONDITIONS SET FORTH HEREIN.
VPLC. L/ I.MUO I I.YV PVYI VC'IUCI O VOA IV. ' CA A'v, ,-
ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID 62 DATE(MMIDDIYYYr
MARRA-1 02/13/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown 6 Brown Insurance of AZ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4041 N. Central Ave. , #1500 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 33619 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Phoenix AZ 85067
Phone: 602-277-6672 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A'. Royal & Sun Alliance
Make A Wish Foundation INSURER El:
of Colorado INSURER c.
1241 South Parker Road
Suite 100 INSURERD
Denver CO 80231
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 ADDS POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMIDOIYY) DATE(MMIDDIYY)
GENERAL LIABILITY EACH OCCLRRENCE S 1000000
LMAQGE I REN I LU i 300000
A X COMPERCUL GENERAL I URA m PSP271146 05/01/02 04/15/03 PREMISES Ea occurence)
CLAIMS MADE IX IOCCUR MED IDP(Am ene person) S
5000
Z LIQUOR LIAB INCL PRIMARY CDV BLIP? AWT'L PERSONALLADY INURY s 1000000
E $1,000,000 LIMIT IBBOBm'B PEE FORM 0c0066 GENERAL AGGREGATE f 2000000
GENL AGGREGATE EMTAPPUES PEP PRODUCTS-CORP/OPAGS S 2000000
—
POLICY 7.72+ I T 1 I LOC
dEC
AUTOMOBILE LIABILITY COMBINED SINGLE EMT S 1000000
A g Am AurO PSP271146 05/01/02 04/15/03 (Ea ac0EEH)
ALL OWNED AUTOS BODILY INJURY
CRP/Boron)
SCHEDULED Auras
E HIRED AUTOS BODILY IN LRY S
NON-OWNED AUTOS (Per acnde%
PROPERTY DAMAGE S
(Per acc'AeM)
GARAGE LIABILITY AUTO ONLY-FA ACCIDENT S
ANY AUTO OTHER THAN
EA ACC $
AUTO ONLY: AGG S
EXCESS/UMBRELLA LIABILITY EACH OCCLRRENCE 5 10000000
A X I OCCUR CLAIMS MADE PLA395936 05/01/02 04/15/03 AGGREGATE S 10000000
s
DEDUCTIBLE S
RETENTION S S
WORKERS COMPENSATION AND TORY M S I ER
EMPLOYERS'LIABILITY
EL EACH ACCIDENT S
ANY OFFCERPRIETO EXCLUDED?
OFFICEP/MEMBER IXCLWED9 EL DISEASE-EA EMPLOYEE E
IT yes.00501105 antler ELDISE/SE-POUCYUMR f
SPECIAL PROVISIONS below
OTHER
A Rented/Leased PSP271146 05/01/02 04/15/03 Limit $50,000
Equipment ALL RISK COVERAGE Ded $500
DESCRIPTION OF OPERATIONS I LOCATIONS I)(MCLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: The event Frank's Ride to be held on May 18th, 2003.
Certificate holder is named as an additional insured.
Coverage is expected to renew on 04/15/03. A revised certificate will be
provided at that time.
CERTIFICATE HOLDER CANCELLATION
WELDCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30• DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SMALL
Weld County Government IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
1763 Weld County Road 20 1/2
Longmont CO 80504 REPRESENTATWES.
AUTOO REPRESEN TIVE
ACORD 25(2001108) /KJ45)A-CORD CORPORATION 1988
r
-'n.mr_r_r _, 7 nfr R fir'zur train) arriu _InL-Ln_i_ llsinar LIZslJ1'LR nr If1 Tn
f
NI 9
tiI
r PIONEER GENERAL INSURANCE COMPANY
i. l LICENSE AND/OR PERMIT BOND
BOND NUMBER P59913
� i
Ir) KNOW ALL MEN BY THESE PRESENTS:
That we, Frank's Ride for Children 2003 ,as Principal,
and PIONEER GENERAL INSURANCE COMPANY,incorporated and under the laws of the State of Colorado,with principal
;J n
offices at Denver,Colorado,as Surety are held and firmly bound unto Weld County 7—'1L
it in penal sum of Three Thousand and no/100---------------------- Dollars,( $3.000.00 )
lawful money of the United States for which payment, well and truly to be made, we bind ourselves, our heirs, executors, I
-1 administrators,successors and assigns,jointly and severally,firmly by these presents.
▪ WHEREAS,the said Principal has applied to said Obligee for a license to operate a temporary Assembly P PP g P P rY
NOW,THEREFORE,THE CONDITIONS OF THIS OBLIGATION IS SUCH,That if the said Principal shall indemnify said Hil
Obligee against all loss to it caused by said Principal's breach of any ordinance,rule or regulation relating thereto,then the abovel
II.-3
J obligation shall be void,otherwise to be and remain in full force and effect until the 25th day of February '`:ii
20 2003 ,unless renewed by continuation certificate.
~I THIS BOND MAY BE TERMINATED at any time by the Surety upon sending notice in writing,by certified mail,to the Clerk
of the Political Subdivision with whom this bond is filed,and at the expiration of thirty(30)days from the receipt of said notice, -
I'i this bond shall ipso facto terminate and the Surety shall thereupon be released from any liability for any acts or omissions of the
Principal subsequent to said date.
H.
LI Signed,sealed and dated the 25th day of February ,20 03
7
b Frank's Ride for Children 2003
i
n tpal
ii rii-i
Principal
--
riul
PIO R GENERAL SURANCE COMPANY Hi
;:i]
By By .Q2/
Resident Agent Patricia J. Deav Attorney-In-Fact i-1
"'Hi P-1217/90 'JI
9 -
11.
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;r'1nILii nl lllnlHlfirr IfII [II ifIIr'rllfll ll_' fIZ`, ;llni.1r1If11f'r,rin,inri!nil rilllfll[ii rr.11rilUIf'!fh Ill rini r
PIONEER GENERAL INSURANCE COMPANY
Denver, Colorado p 59913
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That the PIONEER GENERAL INSURANCE COMPANY,a corporation of the State of Colorado has its principal office in the City of Denver,Colorado pursuant to the
following By-law,which was adopted by the Board of Directors of the said Company in 1990,to wit:
'Article VI-Section 2-RESIDENT OFFICERS AND ATTORNEYS-IN-FACT.The President or any Vice-President,acting with any Secretary or Assistant Secretary,shall
have the authority to appoint Resident Vice-Presidents and Attorneys-In-Fact,with the power and authority to sign,execute,acknowledge and deliver on its behalf,as Surety:
Any and all undertakings of suretyship and to affix thereto the corporate seal of the corporation.The President or any Vice-President,acting with any Secretary or Assistant
Secretary,shall also have the authority to remove and revoke the authority of any such appointee at any lime,does hereby make,constitute end appoint
*** ROCHELLE SAWYER, BETH A. SHIPP, THOMAS CHAPMAN ***
*** PATRICIA J. DEAVER, ROBERT S. GLEASON ***
OF
LONGMONT, COLORADO
its true and lawful Attorney(s)-In-Fact,to make,execute,seal and deliver for and on its behalf,as Surety:
And any and all undertakings of suretyship
And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company,as fully and amply,to all intents and purposes,
as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its offices in Denver,Colorado,in their own persons.
The following Resolution was adopted at the Regular Meeting of the Board of Directors of the Pioneer General Insurance Company,held on June 1,1990.
'RESOLVED,That the signatures of officers of the Company and the seal of the Company may be affixed by facsimile to any Power of Attorney executed in accordance
with Article VI-'Section 2 of the Company By-laws;and that any such Power of Attorney bearing such facsimile signatures,including the facsimile signature of a certifying
Assistant Secretary and facsimile seal shall be valid and binding upon the Company with respect to any bond,undertaking or contract of suretyship to which it is attached.'
All authority hereby conferred shall remain in full force and effect until terminated by the Company.
IN WITNESS WHEREOF,PIONEER GENERAL INSURANCE COMPANY has caused these presents to be signed by its President and its corporate seal to be hereunto
affixed this 1st day of June , 2001
PIONEER GENERAL INSURANCE COMPANY
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Secretary �Lu/!l� i:) ;1
State of Colorado ) /,`� 4 5 1; A I. S
ss. By PRESIDENT ,1 .,r
County of Arapahoe ) 11 `....
on this 1st day of June 2001,before me personally came Bruce H. Lowdermilk
to me known,who being by me duly sworn,did depose and say that(s)he resides In the County of Adams,State of Colorado;that(s)he is the President of the PIONEER
GENERAL INSURANCE COMPANY,the corporation described in which executed the above instrument;that(s)he knows the seal of the said corporation;that the seal affixed
to the said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said corporation;that(s)he signed(his)(her)name by like order;and
that By-law,Article VI-Section 2,adopted by the Board of Directors of said County,referred to in the preceding instrument,is now in force.
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M.J. Frick ,Secretary of PIONEER GENERAL INSURANCE COMPANY,do hereby certify that the above and
foregoing is a true and correct copy of a Power of Attorney executed by said PIONEER GENERAL�)) INSURANCE COMPANY,which is still in full force and effect.
Signed and sealed at the City of Denver,Colorado this C9-..5./k_ day of ..-263/ .
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P133 Secretary 2779 9,t,L,<2
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