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Home My WebLink About930920.tiff RESOLUTION RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO AMERICAN CANCER SOCIETY - SEPTEMBER 18, 1993 THROUGH SEPTEMBER 19, 1993 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, 911 28th Avenue, Greeley, Colorado 80631, 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 4:00 p.m. on the 18th day of September, 1993, until 1:00 a.m. on the 19th day of September, 1993, on property described as follows: Guttersen Ranch in Section 1, Township 3 North, Range 67 West of the 6th P.M. , Weld County, Colorado WHEREAS, said applicant has paid to Weld County the sum of ONE HUNDRED AND NO/100 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 18, 1993, be, and hereby is, granted to the American Cancer Society, to conduct a temporary assemblage at the hereinabove described location. 930920 t 0 /`1 '1:71-- CG : j TEMPORARY ASSEMBLY PERMIT - AMERICAN CANCER SOCIETY PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 13th day of September, A.D. , 1993. BOARD OF COUNTY COMMISSIONERS ATTEST:� � � `//�-�� WELD COUNTY, COLORADO rrryyy / Weld County Clerk to the Board lszr .../J,X / f41..ie �/ Constance L. Harbert, Chairman BY: / %Cif co,- /// 4 /,i�cQ //,1/(� �/1 �D Q L,j)__ Deputy Clerk to the Boarc'\ W. H. Webs�� Pro-Tem jVES TO FORM: \ � org E. Bax r ��e / a, County Atto ney Dal K. Hall � // L arbara J. Kirkme er or L4- 930920 North,Range 87 West AFFIDAVIT OF PUBLICATION of the 6th P.M., Weld County, Colorado.The Board of County STATE OF COLORADO Commissioners will ss consider the issuance of a permit for the COUNTY OF WELD temporary assembly, pursuant to Weld I, KEITH HA.NSEN, of said County of Weld, being duly County Ordinance No. 85, at 9:00 a.m. on sworn, say that I am publisher of September 13, 1993, in the Board's First Floor WINDSOR BEACON Meeting Room, Centennial Center Complex, 915 Tenth a weekly newspaper having a general circulation in said Street, First Floor, County and State, published in the town of WINDSOR, Greeley, Colorado, at in said County and State; and that the notice, of which the time specified'.The application for the the annexed is a true copy, has been published in said temporary assembly, weekly for / successive weeks, that the notice including all supporting was published in the regular and entire issue of every documents. amy be reviewed at the office of number of the paper during the period and time of the Clerk to to the Board publication, and in the newspaper proper and not in a of County supplement, and that the first publication of said notice Commissioners,located m the Weld County was in said paper bearing the date of the Centennial Center, 915 10th Street,Third Floor, � /.'rl day of r , A.D., 19', and Greeley, Colorado, the lastpublication bearing the date of the between the hours of 8:00 a.m.and 5:00 p.m., Monday through Friday. day of , A.D., 19 and BOARD OF COUNTY that the said WINDSOR BEACON has been published COMMISSIONERS, continuously and uninterruptedly for the period of 5 NOTICE OF WELD COUNTY, consecutive weeks, in said County and State, prior to the APPLICATION FOR COLORADO date of first publication of said notice, and the same is a TEMPORARY ft$ FMBIY BY: Donald D- Warden, newspaper within the meaning of an Act to regulate Weld County Clerk to printing of legal notices an advertisements, approved WELD COUNTY, the Board May 18, 1931,and all prior cts ar as in force. COLORADO BY: Shelly K. Miller, The American Cancer Deputy Clerk to the J�� Society, 911 28th Board / Cam' Avenue, Greeley, CO = P BLISHER 80631, has made Published in the �/ application to the Board Windsor Beacon on } t frt of County September 2,1993. Subsc bbd ndnsworn to before me this day Commissioners of Weld of (j> 7-6- car: 19 el? i County,Colorado,for a temporary assembly of + / more than 500 persons drC A / ice=ntr nn.,-, to take place on NOTARY PUBLIC September 18, 1993, from the hours of 4:00 - p.m. to 1:00 a.m. My commission expires --i. C . (September 19,1993)at the Guttersen Ranch in Section 1,Township 3 WELD COUNTY PERMIT FOR TEMPORARY ASSEMBLY By action of the Board of County Commissioners of the County of Weld, State of Colorado, taken this 13TH day of SEPTEMBER , 19 93 , 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 SEPTEMBER , 19 93 , through the 19TH day of SEPTEMBER (1:00 AM). 19 93 on property described as: GUTTERSEN RANCH IN SECTION 1, TOWNSHIP 3 NORTH, RANGE 67 WEST OF THE 6TH P.M. , WELD COUNTY, COLORADO This permit authorizes THE AMERICAN CANCER SOCIETY. 911 28TH AVENUE, GREELEY, COLORADO 80631 to hold such an assemblage so long as it is in accordance with Weld County Ordinance No. 85 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 (APPROVED WITH CONDITIONS) this 13TH day of SEPTEMBER , 19 93 • I / /) 1// BOARD OF COUNTY COMMISSIONERS ATTEST: Miki " ''J WE COUNTY, COLORADO Weld � ,1 County Clerk to t}te Board BY: / iG(iS s7- Deputy Clerk to the Bdi _ 09/15 _e C_ ii/lei, ' -'L a NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 930920 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: -11 Illy= ( (1 f'\ C PrcY ?C_ t Y AGE: RESIDENCE: \ MAILING ADDRESS: U I t �� f u ( C Z �� C c_, eic)6A'j0 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: 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: 2. Nature or purposes of the assembly: 1,--4 IMO P A lc� � r� PrYl eQC AYl Carl- c f`c t C 1 9305320 3. Dates and hours during which the assembly is to be held: September 18 4 p.m. to 1 a.m. (September 19) 4. Maximum number of persons to be allowed at assembly at any one time: 950 5. The maximum number of tickets to be sold, if any: 800-Balance of number will be volunteers. 6. Identify plans to limit number of persons to the maximum identified above: Only ticket holders and registered volunteers will be allowed at the site. 7. Identify plans for supplying potable (drinking) water, including the source, number, and location of facilities: To be provided by Deep Rock. 8. 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: See contract. 9. Identify the plans for holding, collecting, and disposing of solid waste materials: All waste from the meal to be served will be contained and carried from the site. Any other trash will be contained by volunteer crew and carried from the site. 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: We have arrangements with Major Medical to supply oxygen, cot, water. A mobile home vehicle is to be located at the site for the use of the medical crew which will include paramedics, a doctor and a registered nurse. Paramedics are on site with the emergency squad and fire protection agency from Keenesburg. 2 93092c 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: See contract. 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: Guests will be transported from the school parking lot in Kersey. An agreement has been reached with the school administration to do so. Parking for volunteers at the site has been arranged with the property owners and will be located at the ranch, at the direction of the owner. 13. Identify the plans for communications with hospital, police, and fire services, including the source, amount, and location of communication equipment: All security forces will have mobile phones. Emergency crew will have communication network. A cellular phone is available at our medical vehicle. All transportation committee people will have cellular phones. 14. Identify the plans for camping facilities, if any: NA 15. Identify the plans for fire protection: Keenesburg Fire Protection District staff will be on site for the entire event, with water available. 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: We have obtained the services of a security agency. The director is arranging for adequate coverage of the school parking area and entire event site. We will have agents on foot, in automobiles, and on horseback. The security of the area will begin on Wednesday, September 15 and conclude on Sunday, September 20. 3 930120 17. Identify the plans for sound control and sound amplification, if any, including number, location, and power of amplifiers and speakers: See 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 being catered by Toddys. No other concessions. 19. Identify the plans, if any, for an electrical system: See contract. 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: The area is being supervised by the owner of the property. 21. Attach a statement by a bonding company licensed to do business in the State of Colorado indicating its intent to furnish a bond 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 to protect against injury to persons or property occurring as a result of such an assembly. 4 9-0920 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. 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 C< 2 Applicant's printed name /27 Ap licant's position SUBSCRIBED AND SWORN to before me this day of v1P10atAnhlL/L,2 , 19 93 . Witness my hand and official seal. 6 X ) Notary Pubic My commission expires: i/,/9t, Applicant's signature Applicant's printed name Applicant's position SUBSCRIBED AND SWORN to before me this day of 19 . Witness my hand and official seal. Notary Public My commission expires: 5 930920 Applicant's signature Applicant's printed name Applicant's position SUBSCRIBED AND SWORN to before me this day of 19 Witness my hand and official seal. Notary Public My commission expires: Applicant's signature Applicant's printed name Applicant's position SUBSCRIBED AND SWORN to before me this day of 19 Witness my hand and official seal. Notary Public My commission expires: 6 � (4/92) AfOOitii. CERTIFICA) _ OF INSURANCE ISSUE DATE(MM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND SEDGWICK PEEK, INC. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 1100 SPRING STREET. , N.W. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SUITE 600 ATLANTA GA 30309-2800 COMPANIES AFFORDING COVERAGE COMPANY 404 892-8733 LETTER A U.S. FIRE INSURANCE COMPANY COMPANY B INSURED LETTER AMERICAN CANCER SOCIETY, INC. COMPANY fL 2255 S. Oneida LETTER C Denver, CO 80224 COMPANY LETTER D COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 ZCOMMERCIAL GENERAL LIABILITY AAPRODUCTS-COMP/OP AGG. $ 1,000,000. A CLAIMS MADE X OCCUR. 541091448 9/1/93 9/1/9 4ERSONAL&ADV.INJURY $ 1'f000,U00. OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,000. FIRE DAMAGE(Any one fire) $ 100,000. MED.EXPENSE(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT AND $ DISEASE-POLICY LIMIT $ EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate holder is insured with respect to the liability arising from the negligence of ACS during the Cattle Barons Ball - September 18, 1993 at the Guttersen Ranch, Kersey, CO, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL_BAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Guttersen Ranch • LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 17506 Weld County Road LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Kersey, CO 80644 AUTHORIiPRESENTATIVE /J �� ACORD 25-S(7/90) / ✓`^�' (/JJJ1y�L� aCO I ION 1990 CERTIFICAI ti OF INSURANCE ISSUE DATE(MM/DD/YY) 1IL,PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND c, �_ }r. _ . CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE �"' I ' A I. ='n t' T POLICIES BELOW. a;,+ COMPANIES AFFORDING COVERAGE COMPANY A LETTER INSURED COMPANY B LETTER COMPANY .,:.. .r i ."..9,r t (. k` ' rr t. I r5' LETTER C COMPANY ll L• x A -� LETTER D COMPANY E LETTER i.� COVERAGES � -- THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR ^_ POLICY NUMBER DATE(MM/DD/VV) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY "-- —" COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION - STATUTORY LIMITS AND EACH ACCIDENT $ EMPLOYERS'LIABILITY DISEASE—POLICY LIMIT $ DISEASE—EACH EMPLOYEE $ I OTHER C 4 }-;°1V } ._.. I,. IAll jl /'/ '+', I% �} F4 c;EN I 4 f '�.) c.F..I It_ITY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS LT N;- Cai:ti€ L .ft•rIJn s [w`11, 9/ i3,9'J I a ;. L)I `t t/tter c ;.", 506 WO3CI . ,.rt ';t 4f RBI s=/ Luzorala CERTIFICATE HOLDER ._ . �.-.. -._.__ ,..__-._... . .. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL "' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 'a fr tiN !i? Cu,;(`Y �,I F+i_ LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR C-. LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. OYI.radC AUTHORIZED REPRESENTATIVE /1'1 cloy ACORD 25-S (7/901 I . _.._, ©AC 1990 @Matte 9)alley @Schools P. O. BOX 485 - KERSEY, COLORADO 80644 - 303/352-6177 WELD COUNTY DISTRICT RE-7 GLEN M. HANSON, SUPERINTENDENT American Cancer Society Weld County Unit 911 28th Avenue Greeley, CO 80631 July 23, 1993 Mrs. Flack, The Board of Education granted permission for the American Cancer Society to use the school parking lot on September 18 for the Cattle Baron's Ball with the following stipulations: 1. that the security guards will be asked to provide security of the school buildings as well as the vehicles in the parking lot 2. that the American Cancer Society will provide the school district with a statement waiving the school district of any liability for participants or vehicles involved in the Cattle Baron's Ball for the afternoon and evening of September 18th and till 4 a.m. on September 19th 3. provide the name of your insurance carrier and the limits of liability carried to cover such an event. Thank you for your cooperation and I hope you have a very successful fund raiser. Sincerely, clAciyags7,A.4_,/ Glen M. Hanson _Otte Sa . . . 1tzia Your 4E62ni � 4"'On2n AUG 23 ' 93 10: 19 FROM MONFORT INC PAGE . 002 ►� Monfort) Monfort, Inc. Corporate Headquarters P.O. BoxG Greeley,Colorado 80632-0350 (303)353-2311 August 23, 1993 Glen M. Hanson, Superintet)dent Platte Valley Schools P.O. Box 485 Kersey, Colorado 80644 Dear Mr. Hanson: I am writing on behalf of the American Cancer Society, in response to your letter of July 23, 1993 , granting permission to the Society to use the school parking lot sub)ect to certain stipulations. The American cancer Society will indemnify and hold harmless the Platte Valley Schools Weld cdunty District PE-7, from any liability for personal injury or property damage to participants or vehicles involved in the Battle Baron's Ball for the afternoon and evening of September 18, 1993 , until 4:00 a.m. on September 19, 1993 . You will be provided, under separate cover, with a certificate of insurance evidencing the Society's coverage for the event. Thank you very much for your assistance in putting together what promises to be a great event. Sincerely, P. Kay Norton Attorney Law Cattle Baron's Ball Legal Committee /eq 970929 ** TOTAL PAGE . 002 ** AMERICAN r�� R aErra COLORADO DIVISION,INC. August 23, 1993 Glen M. Hanson Superintendent Platte Valley Schools P.O. Box 485 Kersey, CO 80644 Dear Mr. Hanson: Enclosed is the Certificate of Insurance evidencing the American Cancer Society's coverage for the Cattle Baron's Ball as referenced by Kay Norton in her letter of August 23rd. Thank you for the use of the school parking lot. We are looking forward to an exiciting event. Please contact me at 758-2030 if I can be of further assistance. Sincerely, Nancy Taplin Income Development Coordinator enclosure NT/lh 930929 2255 SOUTH ONEIDA, DENVER, CO 80224 303/758-2030 _ ISSUE DATE IMM/DOIYY) ACIIRD. CERTIFICAT OF INSURANCE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND SEDGWICK PEEK, INC. CONFERS DOESNOT MEND,, EXTEND OR ALTER ITHE COVERAGE AFFORDED FICATE HOLDER. THIS CERTIFICATE THE 1100 SPRING STREET. , N.W. -2_OLLCJEt5ELOS9. SUITE 600 COMPANIES AFFORDING COVERAGE ATLANTA GA 30309-2800 LETTER COMPANY A U.S. FIRE INSURANCE COMPANY 404 892-8733 COMPANY a. LETTERHP INSURED AMERICAN CANCER SOCIETY, INC. COMPANY ek LETTER Colorado Division COMPANY D 2255 S. Oneida LETTER Denver, CO 80224 COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT 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 CERTIFIATE MAY BE ISSUED OR MAY PERTAIN,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,E LIMITS SHOWN MAY INSURANCE RHAVE BEEN REDUC BY THE ED ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO TYP!OF INSURANCC POLICY NUMBER DATE LIMITS DATE(MM/DD/YY) LTR GENERAL AGGREGATE S 2y 000,000. GENERAL LIABILITY PRODUCTS.COMPIOP AGO. $ 1,000,000. XCOMMERCIAL GENERAL LIABAILITY ERSONAL&ADV.INJURY $ 1'2000,000s CLSI&SONDE g ouR. 541091448 9/1/93 9/1/9 EACH OCCURRENCE $ 1,000,000. OWNER'S&CONTRACTORS PROT. FIRE DAMAGE(Any one tire) $ 100,000. MED.EXPENSE(Any one person) $ 5„000.. AUTOMOBILE LIABILITY COMBINED SINGLE $ LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY S (Per accident) NON•OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS EACH OCCURRENCE $ UMBRRELELLB AGGREGATE $ LAA FORM OTHER THAN UMBRELLA FORM ,_—„__ .—.-.------- "--' __— --------• STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT $ AND DISEASE—POLICY LIMIT $ EMPLOYERS'LIABILITY DISEASE—EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLEWSPECIAL ITEMS he iailityduring1CattleoBaronssBalluparking, busploadingtandlunloadinga-r Sepsinttember 18, 1993fro the 1atn ce of C insred resect to Kersey, CO CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Platte Valley Schools EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO P.O. Box 485 MAIL__3CAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Kersey, CO 80644 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTNORIZ PRESENTATIVE /J/ _ TI CORD CORPORATION 1990 - ACORN 254 (7/90) R TI - -- 9'30920 • L♦r•cyci d pepar CERTIFICATE OF INSURANCE /+ This certifies that []STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ❑STATE FARM GENERAL INSURANCE COMPANY, Bloomington,Illinois insures the following policyholder for the coverages Indicated below: -- Toddy ' s of Greeley_ Inc -------._-----_—.____. Name of policyholder —.. __— Address of policyholder __— 1020 9th Ave . Greeley , Colorado 80631-4014 Location of operations Colorado Description of operations — --- The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms. exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY Effective Date Expiration Date (at beginning of policy period) 96-09-5515-7 Comprehensive 3/13/93 3/13/94 BODILY INJURY AND Business Liability PROPERTY DAMAGE This insurance includes: Products-Completed Operations and continuous ill Contractual Liability until cancelled ❑ Underground Hazard Coverage Each Occurrence $ 1 , 000_2_0 Personal Injury • Advertising Injury General Aggregate $ 2 , 000 , 000 • ❑ Explosion Hazard Coverage Products-Completed ❑ Collapse Hazard Coverage Operations Aggregate $ 2 , 000, 000 ❑ General Aggregate Limit applies to each project EXCESS LIABILITY POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE Effective Date Expiration Date (Combined Single Limit) 96-39-1141-1 El Umbrella Each Occurrence El Other 3/13/93 3/13/94 Aggregate $ 3 , 000, 000 Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation Each Accident $and Employers Liability Disease Each Employee $ Disease-Policy Limit $— — POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY Effective Date Expiration Date (at beginning of policy period) If any of the described policies are canceled before it, expiration date, State Farm will try to mail a written notice tr - --- - --- -- the certificate holder days before cencellet n. II however, we tall to mall such notice, no obligation or liabilih will be Imposed on ate Farm or its agents or represente tNes. ap,.,u.a w M pne 7. TO 4 : ..... i i Valiy 1 r L -RITE INC. NSFzICE $20.,.awwf 4.11geS�1�� 5WERkt6s Rant to 41 Soh,to❑ Main Office: 19039 So.Arizona Ave. • Chandler, AZ 85248 • (602)899-7119 Emergency: (602) 899-3747 Branch Locations:❑ Arizona ❑ Colorado O Canada (Sask.) STORE 1 CONTRACT NO: RRC00457 REPRINT: TUE JUL 20/93 IN CONTRACT WITH: 113 PAYMENT BY: ACCOUNT CLERK: KEC CATTLE BARONS BALL I .D: JIM REEMAN P.O. BOX 1398 REF: Quote 09/22/92 CUT: TUE SEP 15/92 16.3E GREELY, COLORADO TEL: 427-6800 DUE: SAT SEP 19/92 17:59 h06332 aTY :TEM DESGEIPTION RPM Vial DAILY 4EEELY MGNTaLY iEEEEED FLAT GATE PURCHASE SNOUT 1:aco 1n3 30Il.i. CENTURY SYSTEMS, 0.50 i. 0 : 00 .3.1G 3.00 4001 : COMMENT: IRIS IS A TENDS TEST SYST%EEIPANCASLE IN 0' SE HP! TINSIoN ':NT 500 i1:S 601iiccENTURY SYSTEMS 0.15 5.:6 U.:5 Lo 3.35 [Mid ,:OMNENT: THIS :S AN E:PP.NDARLE :.ENTER WPM S12S9 TERT EF: TENTS 367 SIS RdLL,FEENCR 4(NNo4 ..50 ..OU iS.00 ' MOO .'6E LICKING EQUIPMENT SISTER 3.00.00 COMMENT: iREIEOS FL1TURES FOR COMPLETE LITE FACEAGES.`:NI ET REP: SIPER SITE 8400 1156 LIT4TING EQUIPMENT EYETEM .300.in CURRENT: WINOS FIIU:'LES FOR COMPLETE LITE FACE.4GES,:3N' _T REF: SUPER LITE S '141 RETNIAEC LIGHT 1UG0W 75.00 l3' :0 502.5,7 :11.10 U,, SCO.; CONVENT: FREE STAN5i*G L:GRT fl ROLLING T:IEEE Ii'i REF: ett. ,:a:ds 5 151 1s .Ala bar 17N.!U .,5 °5NMENT: E 1066 PEPS: MAI:EINE 1:5.00 CORNER?: ' THE CEGI'E 'F TUE NEW 3ENEEATIOR " ;no 12Y1 641: AL F':00 '::iiiA`c ' '5 ar, '5 "5 5 '.. •, i 1'140.7; ORRENT: liO2TT RIGE. J4LNIEEED. FOILING SG ::E TEEL:. EFT. :GURU !'' Ill Lli'l. 29. 0 (U... n4U.fe C RENT: FCLIING LESS Conflated sett cage... TOLL FREE (800) 328-5653 ARIZONA: (602)899-7119 COLORADO: (303) 329-8979 SASK., CAN: (306) 352-1441 AZ FAX (602) 899-8020 CO. FAX: (303) 329-8979 CANADA FAX: (306) 352-8299 --r pick-up.you must call the branch to obtain an off rental number and record this number on your contract I HAVE READ THE CONDITIONS OF THIS CONTRACT ( y.It is the only proof of your request. AND AGREE TO ABIDE BY THEM. .,enrage waiver declined =Itemis)missing/shortage 2%CHARGE PER MONTH ON OVERDUE ACCOUNTS. MHMS RECEIVED IN GOOD CONDITION =Items)returned in good condition wed Out _hem(s)returned damaged X ' Sig Red In — You YY err,emlr,S APS tl,pe nog'Cgs,••_2 ens wads a Not checked roym.e•not magma wig,72 inn oleo owned OM ram sad sad eee pr ,toer rnp TFRrlc ANn CnMnTICNe ,e,!m!vmm____ '_new W Wil'�'7Hpy g,�nna m^" ,., ,. 1.:r •JIJV5)■ w. .ST�^R t - ._. � - - - - - & I e e e w w S �� `''' r.e ENT—RITE INC. NSF CHARGE Ira al s. p, c ...ma .. MINIMUM INVOICE .I�C��,uE �c CHARGE$5.00 r�s 9WERkEGS �toofi Main Office: 19039 So. Arizona Ave. • Chandler, AZ 8524828 (602) 899-7119 Emer (602) 899-3747 Branch Locations: O Arizona O Colorado O Canada(Sask.) REPRINT: TUE JUL 20/93 IN CONTRACT WITH: 113 PAYMENT BY: ACCOUNT CLERK: KEC CATTLE BARONS BALL I .D: JIM REEMAN OUT: TUE SEP 15/92 i8:33 P.O. BOX 1098 REF: Quote 09/22/92 DUE: SAT SEP 19/92 17:59 GREELY, COLORADO TEL: 427-6800 80632 6II ITEM DESCtIiTICH RIM HOURLY DAILY MELT WONTED EEEEEHD FLAT SATE i0RCEA3E 4M0CHT '5 :23 7AFLE. 'WT. DAME! ;.00 12,00 :S,i'0 1.00 ."7.000 COMMENT: 20 f5CR WIDE 1 EFT. FOLDIUv LE03 130 1721 ?ED Draoe Yt4' Slee - '.00 7.50 i5.JO 4,50 09.00 COMMENT: 3eck :As. 'rases, A sDrlgnts Ili 75C DOCK FLOOR 9'17 SI.9' r 25 9.25 18.1-0 17.1,0 17.90 :377.75 COMMENT: INDOOR USE ONLY REF: 237 30 1096 WEE C0YERi%G.LINEO VC 11.00 11.4 27.00 `2.50 10.00 "2M0 TORMENT: #RI".E E09MD TABLE CLOTHS FIT 4',5'.L5'SALLES 199 ? BLE ;OvERIDO,LIUER 7,00 7.90 ".00 21A0 7.00 _75.x0 OMMENS: FBITE,ZLUE,:DLL.RED,EROWI 2 1!L 7 ; a TOILET TULLE :100.00 :00.L0 3000.0'0 '900. :900.10 :0G•00 ;'4MMENT: ''^MFLZTE WITH MUSIC, LISTS. AIR. SELF-''u;1TA;NE0 REF: MIL PLEASE ;7;O Li. SEEii57:CE .0G ...11 11 ...70 . . 0 COMMENT: i0"I 96" I 1564 PA9ILL108 10115 AMH1"G !00.:10 :5.00 175.00 3t5.';'1 760.01, .50.00 175.00 1900.00 175.00 C0NHENT: ;HC1'0R.1NC. SiOP!T!^0MM RE?: AMC30R-eRIT° 710 1:95 W9ITE SLDEFALL.PER F'r)T 1.50 1.10 3.75 11.:5 1.225 1135.i0 :CNMElT: FOR HE WITH CAM CANOPIES REF: STALL 2 318 'ERT leE1G. 1 EC ?MT 05.09 95.(.3 237.50 475.00 141.50 100.00 .COe COMM: FREE MINDING FiANE 19x4. S,'+ A VD SIDEWALL E:TRA REF: ^„81x1 : a C n*. a next page. . . TOLL FREE (800) �28- ARIZONA: (602)899-7119 COLORADO:(303)329-8979 SASK.,CAN: (306)352-1441 AZ FAX (602)899-8020 CO. FAX: (303) 329-8979 CANADA FAX: (306) 352-8299 r pick-up,you must call the branch to obtain an off rental number and record this number on your contract I HAVE READ TOE CODMONS OF THIS CONTRACT It Is the only proof of your request. 2%CHARGE PER MONTH ON OVERDUE ACCOUNTS. Damage waiver declined Ramie)mWinWshortage ITEMS RECEIVED IN GOOD CONDITION E Ramis)retuned In good condition Signed Out Item(*)returned X damaged ,•ynree,.r+e.r rwtlre.Mrw+ma,Ms ISM.l.Mas SOWS We inn be J,Mnr...ummirenb nr mu.ae.d.e re.masnum. Signed In =Not Checked x e mummm earn no ten oi.mawo,iw.m _, ., 920920 NW I gTC2E� � ~'• irroir_ iiiimmiIt � I O �tv ` � 277NSF CH` . ,,,. ENT_BITE INC. / SZD.OD• �/ r' MINIMUOICE �/�CI�?��{ CHARGE$5.00 OM an Rent to❑ r l'L9(�Il,r �WERkEGs Rent to fillb SoldS Main Office: 19039 So. Arizona Ave. • Chandler, AZ 85 (602)899-7119 Emergency:• (602)899-3747 Branch Locations: O Arizona O Colorado O Canada (Sask.) REPRINT: TUE JUL 20/93 IN CONTRACT WITH: 113 PAYMENT BY: ACCOUNT CLERK: KEC CATTLE BARONS BALL I.D: JIM REEMAN OUT: TUE SEP 15/92 16:38 P.O. BOX 1098 REF: Quote 09/22/92 GREELY, COLORADO TEL: 427-6800 DUE: SAT SEP 13/92 17:59 80632 CTY :YEN PES'CR1F11ON NIN[NUN RUUELT ;AM 'MILT !!ONTBLY IEEIEN6 ?LAT SATE SURCEASE MOUNT THIS IS ON THE MAIN TENT , LITE AND TENT EQUIPMENT THE POWER IS ON A SEPERATE FORM, THANKS THOMAS. 0 NOTE: Estimate of final charges RENTALS: 26,729.75 OTHER: 0.00 SUB-TOTAL 26,;29.75 LESS DISCOUNT 1,993.18 P/U-DEL 250.00 24,986.57 TAX 0.00 TOTAL 24,986.57 **** BALANCE DUE 24,986.57 TOLL FREE (800) 328-5653 ARIZONA: (602)899-7119 COLORADO: (303)329-8979 SASK., CAN: (306)352-1441 AZ FAX (602) 899-8020 CO. FAX: (303) 329-8979 /CANADA FAX,(306) !Sit! 99 It is the you must call ;fit?obtain an off rental number and record this number on your contract 1 HAVE . CONDIT DN IS CONTRACT �, %C HARGEPEREetp MO TNBcI y.hisr1ly proof eI t. _Mam(s)misdng/shortege 2%CHARGE PER A�NTFJ pN E ACCOUNTS. ge waiver deck J1/(4/J ITEMS RECEIVED IN GOOD CONDITION =hem(s)returned In good eondWon Signed Out =1Esm(s) reddamagM vamra.aw.e.aws+s,aaasacu�'ozr" ""e" aaawn a ra need—1➢I'°'d rn p,e.p a..amnia:. E ae as.im Signed In -Not checked burnan.mina.anentmo .,.a"°n"'°n"Y."ar°a um ecr RE\,ERer crux TERMS AND enNnrinNS 930920 MI Fir - ik 0 ' )NS CALL RZNTS `LL" It s ' RITE INC NSF CHARGE 0 vim- ,... ENT- $�.� �,,,g�pt��sc , MN ,�/' / MINIMUM INVOICE 4101k `�lIt) $?tflkt6s CHARGE$5.00 4 Sold to El I Main Office: 19039 So. Arizona Ave. • Chandler, AZ 85248 • (602) 899-7119 Emergency: (602)899-3747 Branch Locations: O Arizona QColorado 0 Canada (Sask.) STCRE 1 CONTRACT NO: RRC00472 REPRINT: TUE .JUL 20/93 IN CONTRACT WITH: 113 PAYMENT BY: ACCOUNT CLERK: TSW i CATTLE BARONS B: LL I.D: JIM REEMAN P.O. BOX 1098 REF: CATTLE BARONS BALL TUE GREELY, COLORADO TEL: 427-6800 DUE: SAT SEP 19/92 17:59 80632 ;TY ITEM DESIIPTIOH MINIM NHL? DAILY ?EEELI MOTHLY HEEREND FLAT WE URCHASE ;MCURT iTE6 LIGHTING EJUIPMENT SISTER -r . : - .- l.d'i GRUEN?: FARIMMMS FIifllUi FOR COMPLETE LITE ?ACEAGES. 1 ET `F: SUFER LITE ' 1756 PR' -SER I ES SCGUD SYSTEMS. '""O CBRM£NT: •.H!S iS ?,A.',EA1i ER ?ARIETT TENSES, UHT CEOYD REF: sumSEAS I MT PCiER HISTSIEUTT;CN ERN?. S • I71'i.OS i'OMMENT: THIS IS CAM. SOIES,GEAR,CANLOCES,D, TRO NOTES. REF: WSTR3.SYSTE i680 aTTAGING-S'S-EEASI ;;UTE !E 12"5.:) ;9MREST: SEE RISERS CLASS I :14 SFECIAL DEAL':: ' COMMENT: JCHTACTS TA FINALI E DEALS REF: t::n.ab . 1747 .. FM MULTI ;Li]E HEHN',SA IHE 1 7T. 0 h"5 DU €T1. 0 '5U.O;• ;!i.:.'0 CGMMEUT THIS IS A SOUND 4TTSJTHATED c.,'£EATOR. ,5L17 $,,E :EE: ?£GERATC&S 13:S IIIC. REMT6LS _ - _JS.: 4 :5 SL.. ENTIU - : . , — --;.eo Continued next page. . . TOLL FREE (800) 328-5653 ARIZONA: (602)899-7119 COLORADO: (303) 329-8979 SASK., CAN: (306)352-1441 AZ FAX (602) 899-8020 CO. FAX: (303) 329-8979 CANADA FAX: (306) 352-8299 r pick-up.you must call the branch to obtain an off rental number and record this number on your contract IAND AGREE TO ABIO DDI T�1-�EM0F THIS CONTRACT y.It IS tae enly croof of your request. SasingJshortags 2%CHARGE PER MONTH ON OVERDUE ACCOUNTS. e waiver declined =Rsm(a) ITEMS RECEIVED IN GOOD CONDITION t _.Item(e)returned in good condition Signed Out _.Item(s)returned damaged X You Mono red M6,s,OMtirCMS 1114-402Illt volts a Signed In =Not checked '"'•""'n iinribee MaTRIM 2o.�..?� —0—*is*'$WO err or , PCF rr1R TERMS ANTI CONDITIONS - -- /T fug- /y NSF CHARGE --=� 111 • r1i�Nu,e • n�i ENT-RITE $zo.00 • �� 1 II"' MINIMUM INVOICE J jese" CHARGE$5.00 . Rent to❑ I' • = 7 ``pERkEiGS Sold to❑ Main Office: 19039 So.Arizona Ave. • Chandler,AZ 85248•(602)899-7119 Emergency: (602)899-3747 Branch Locations: O Arizona O Colorado O Canada(Sask.) STORE 1 CONTRACT NO: RRCOO472 REPRINT: TUE JUL 20/93 IN CONTRACT WITH: 113 PAYMENT BY: ACCOUNT CLERK: TSW CATTLE BARONS BALL I.D: JIM REEMAN P.O. BOX 1098 REF: CATTLE BARONS BALL OUT: TUE SEP 15/92 18:01 GREELY, COLORADO TEL: 427-6800 DUE: SAT SEP 19/92 17:59 80632 :TI aryl i€SEl?1!sN Y;U'.NIJN 509RCi T4ILT ^EELLT 3UNTNLY vE€EE;IU FLIT RITE PRAISE SNi!UNT THIS IS FOR THE PERFORMING STAGE AND THE SOUND AND POWER, THANK-YOU FOR THE REQUEST RESERVATION. • NOTE: Estimate of final charges RENTALS: 6,940.00 OTHER: 0.00 SUB-TOTAL 6,340.00 • LESS DISCOUNT 555.20 P/U-DEL 150.00 6.53.1.80 TAX 0.00 TOTAL 6,534.30 *** BALANCE DUE 6,534.30 TOLL FREE (800) 328-5653 ARIZONA: (602)899-7119 COLORADO: (303)329-8979 SASK., CAN: (306)352-1441 AZ FAX (602) 899-8020 CO. FAX: (303) 329-8979 (c. , , ,�P6) 352-8299 - <-t:4.. iI obtain an off rental number and record this number on your contract I HAVE READ THE rbr4D S OF CONTRACT p ck-up,you must call AND AGREE TQ$IDE BY THEM.( / _y.It is the only proof eft. — 2%CHA 'MCNfHOVERDUE AC.Ct JNTS. e waiver ded =Item(s)missing/shortage Of:„. 1 ITEMS RECEIVED IN GOOD CONDITION -Item(s)returned In good condition X , � , , , (J,:N Signed Out =item(s)returned damaged va ,..... .Yo.d*B..... . bn i ...CIIH.•M•f..r a o.rr aean...rerra+nmr.m ersme.ermar werW Signed In =Not checked .a.m.-+- nv+e_m+^t•erro vmm.aw.ar�a.nav�•.m cr- pr ,rncr rro TCPeA� AND CnNr11Tl(lnl� 9730920 t .... ....„ i . t -4N, . ..0...rEnn- - - - - - - - a �� j� =T/•tIs ENT- ' ITE lA�/ 111 n iiMr< CHARGE$5.00 at E • kE�s Rent to� Sold to❑jitb Main Office: 19039 So. Arizona Ave. • Chandler, AZ 85248• 899-7119 (602) 899-3747 Branch Locations: ❑Arizona El Colorado ❑ Canada (Sask.) STORE 1 CONTRACT NO: RRCOO455 REPRINT: FRI JUL 9/93 IN CONTRACT WITH: 113 PAYMENT BY: ACCOUNT CLERK: KEC CATTLE BARONS BALL I .D: NANCY TAPLAN P.O. BOX 1O98 REF: ADD. DECORATION OUT: !WED SEP 15/93 15:11 GREELY, COLORADO TEL: 427-68OO DUE: SUN SEP 19/93 O8:OO 8O632 QTY ITER 1ESC iPTICII !HIM IQUELY :AILI WEEKLY RCLTELY WEEKEND 5EAS :ATE PURCHASE A.R7 .1 '.328 RI:C, RENTALS _ .. 88,58 i 1328 MISC. RENTALS . :/ 1 1328 RISC. RENTALS - ' - _ ` - _ CI;L.08 132? VS'--. SALES Sr' 530. � EA. 50.0? /Al I.-V*1/%1El.: j_ ,n THIS CONTRACT 13 FOR THE ADDITIONAL DECORATING, IMIS. THANK IOU! NCTE: Estimate of final charges ,7ENTAL: 3.012.00 OTHER: 580.90 SUB-TOTAL 3.392.00 3, 5592.00 TAX 0.30 TOTAL 3,592.00 **t* BALANCE DUE 3,592.00 TOLL FREE (800) 328-5653 ARIZONA: (602) 899-7119 COLORADO: (303)329-8979 SASK., CAN: (306) 352-1441 AZ FAX (6O2) 899-8020 CO. FAX: (303) 329-8979 CANADA FAX; (306)7/8299 (--CANADA . /l! r pick-up,you must cal tN ran o obtain an off rental number and record this numlmr on your contract µD R�INE�DE Dr M4 FTHIS CONTRACT y.t g is the end clined)(Yo r �• 2%CHARGE PER N R E ACCOUNTS. amage waiver declined —!tern(*)missing/shortage 1 //O ITEMS RECEIVED IN GOOD CONDITION =•Item(s)returned In good condition X.r' /��. l7 Signed Out :Item(a)returned*staged YwMME.n,WMal/Js13456.,ssds.,•++mrs.r,u.a ppn.M•mwun+a.�M',nmu.wmp �� Signed In :Not checked ,,.,,,,,.,, mrpn,,,.,..(m a.SOP(ansOn in �. �..�r, rnr r�cr.c Cnn/`rlrn iTinac • 30920 CERTIFICAI i.. OF INSURANCE ISSUE DATE(MM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Sed Wick Peek, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 9DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 500 Atlanta Financial Center POLICIES BELOW. 3333 Peachtree Rd. , N. E. COMPANIES AFFORDING COVERAGE Atlanta, GA 30326-1043 COMPANY A LETTER nU. S. Fire Insurance COMPANY B INSURED LETTER U. S. Fire Insurance COMPANY American Cancer Society LETTER C Westchester Fire Insurance Co. Colorado Division, Inc. COMPANY PR 2255 South Oneida Westchester Fire Insurance Co. Denver, CO 80224 COMPANY LETTER E COVERAGES THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YV) A GENERAL LIABILITY 541009155 9/01/93 9/01/94 GENERAL AGGREGATE $ 2000000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 1000000 CLAIMS MADE X OCCUR. PERSONAL 8 ADV.INJURY $ 1 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1000000 FIRE DAMAGE(Any one fire) $ 100000 _ MED.EXPENSE(Any one person) $ 5000 _ 5 AUTOMOBILE LIABILITY 138013100 9/01/93 9/O1/94 COMBINED SINGLE X ANY AUTO LIMIT $ 1000000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM D WORKER'S COMPENSATION 406016557 9/01/93 9/01/94 X STATUTORY LIMITS AND EACH ACCIDENT $ 100000 DISEASE-POLICY LIMIT $ 500000 EMPLOYERS'LIABILITY wV W DISEASE-EACH EMPLOYEE $ 100000 . _OTHER ._,... DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate holder is insured with respect to the liability arising from the negligence of ACS during the Cattle Baron Ball - September 18, 1993, at Kersey, CO CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County Colorado EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO By and through the Board of County MAIL ::)DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Commissioners of Weld County LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR P.O. Box 758 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Greeley, C0 80632 AUTHORIZED REPRESENTATIVE � ACORD 25-S (7/90) ©ACORD� O A I 990 33- 64 3 .� A040110. Cetti I it-ICA U?' iiiiUhMrNi .cr PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Sadywic k Peek. Inc. DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 500 Atlanta Financial Center POLICIES BELOW. . 3333 Peachtree Rd. . N. E. COMPANIES AFFORDING COVERAGE Atlanta. OA 30326-1043 COMPANY A LETTER ElU. S. Fire Insurance COMPANY ci INSURED LETTER lo U. S. Fire Insurance COMPANY �. LETTER American Cancer Society Westchester Fire Insurance Co. Colorado Division. Inc. COMPANYD 2255 South Oneida LETTER Westchester Fire Insurance Co. Denver. CO 80224 COMPANY E LETTER COVERAGES THIS MED INDICAS TO CERTIFY THAT THE TED,NOTWITHSTANDING ANYIREQUIRE ES OF DENT,TERM OP CONDITION RANCE LISTED BELOW HAVE BEEN ANY JCONTRAC ISSUED T OR OTHER DOC THE INSuRED UMENT WITH RESPECT TO WHICH Y PERIOD TS CERTIFICATE MAY BE iSSUED OP MAY PERTAIN, THE INSURANCE AFFORDED RY THE POLICIES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF IN/URANCE POLICY NUMBER DATE(MWDOHY) DATE(MWDDrYY) MINIMAL LIABILITY G@`IEPAI AGGREGATE f A 941009159 9/01/93 9/01/94 2000000 x COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGO. / 1000000 CLAIMS MADE x -OCCUR. PERSONAL a ADV.INJURY $ 1000000 OWNER-S 4 CONTRACTOR'S PROT. EACH OCCURRENCE $ 1000000 FIRE DAMAGE(Any One fire) S 100000 IVIED EXPENSE Any One Parton) $ S000 5AUTOMOSILI LIABILITY 138013100 9/01/93 9/O1/94C0MSINED SINGLE $ X ANY AUTO LIMIT 1000000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per Accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS UABUTY EACH OCCURRENCE E UMBRELLA FORM AGGREGATE 9 OTHER THAN UMBRELLA FORM - - WORKER'S .. . .. .. -- 0 COMPENSATION 406016557 9/01/93 9/01/94 X STATDENTY LIMITS EACH ACCIDENT $ 100000 AND DISEASE—POLICY LIMIT $ VMVV 500000 EMPLOYER LIABILITY DISEASE-EACH EMPLOYEE B 150000 , OTHER _ ...... . ... DESCRIPTION OF OPERATIONSG.00ATIONS.VSNICL!S//PECIAL ITEMS Certificate holder is an additional insured with respect to the liability arising from the negligence of ACS during the Cattle Barons Ball - September 18,. 1993 at the Guttersen Ranch, Kereepp. r CD. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Art Guttersen MAIL 30`AYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Guttersen Ranch LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 17506 Weld County Road LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. Kersey, CO 80644 AUTHORIZEO REPRESENTATIVE` ACORD 28.8(7/90) 37.0920. AMERICAN SOCIETY® CANCER SOCIE/ � � 1 i COLORADO DIVISION, INC., WELD COUNTY UNIT Greeley, Colorado August 30, 1993 Clerk to the Board of County Commissioners Weld County, Colorado Attached you will find information required for the Permit To Assemble. Included are insurance certificates, a copy of the letter from the owner of the property, allowing the event to take place there, as well as a map of the area. Also enclosed are additional articles asked for in the permit. Due to the stability of our organization in the community, the amount of insurance coverage we have, the location of the event, (on private property) , the arrangements we have made for medical, fire and security coverage, we would ask that the commissioners waive the bond requested. Thank you for your consideration of this request. Sincerely, Co leen Flack Executive Director 9'20920 911 - 28TH AVENUE, GREELEY, CO 80631 303/356-9727 YYTa �.,a .,on4a0 A 0 ,"±",A,,kott bip rv�io,,,,, ,„roit``+.' tti4yu4,,,, k `A*'i o X m`A } w. t _gfi , 1 h h ,,14 ��f) �h` ,1.3',c rs e,t a ., ' 3 r. 4 *' ,'e 'Y,,'i �Y,'��i �"��Y I� R 'jy$*w-. _ < 'ssry aW V,, ,•Mi x ��e, 's "G t� �.. i�" Gf e f a. R 4 „ F Y vy i A,. }e aR . Y i 4, �`, �- r �..4 C `" 1. (1ti S"t A R � `� ttii EJ ?er C.:Ft TIF'}47w?'i?? ` + w y 'fit �pY t,aYp m,. A: .,AP a e� !, }} /. .0 F .. ,. .. _ �- ['/ 'F .,' Ifs.r.,.,fx•FCC s;rdl�'fArn.r'.�t f is eJ./ /'✓'r" ,. _ / ., to ¢"'. �,.1.fx. •a'f �'.. rr. F / ,dt?rl 'i tf t' I .. If _ _ . Y/ .t�'. //` _` _ ,t6✓r.r v`°6 �,,( 4.•7.1 J / is 'f . . ,r . .. t,. .< �.r .3' A..- ,4, 'Y . .. n t t' ,r- n I • mac¢ s. 4--%� +-'.: s€..airy sr.a7a J ,^ • 1 • • w-'', ,h'.^. D x • • s a^ 9 :TE rt A § �f i i w". rA Y „d,.' • d {rd a''u i f F .rIi W. 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A � rJ. �:w "h ty4'-P.:�' n"�,A, ', ,' + ,#" r ! fi,,W rg 'f` eLL ,6j , ,g'rrtgtC 4 ti n i' (' , 7 , i Y -� • s^ a n a'+ a"A x i �"' - Y x�. ..4'; /ifi ' ` ° A v s P'� �'1 P 1 d "C aA Ma 4 d nC - r ,1M s } � ' �ryA a �4�4� , '"r�� e} • �`e�a �e. 7 f F �F.Y�,ex� br, `.�e� • . : , - - ;y.. .,:ti" - 'i' ;•YJ'.:. •L14t:5r� '.:ri..;a - rSr" — y.>k. 5;•[ "•.l�s... lM ,''Y• .t o"�i X55.' �` wS .0F I sit r. rR,... - •. :Y 4;,,... ygnt to rile r:r.�t3;nn:t or rr:�• ;: s.•,c• '_r CJ Norprofi.t Cor koraitjon Act the i,nder ;._.; -•: &{.hues tcrpOrariot adopa• g th -r` z j r i rr�Y:b �aeS r.. Amendment to 'Jts IYCll !!t of ;; r;yot`puta t f cn V-::;;5'.::: ..sett ij / -_ ..w.._ ;.;��_ rs��,C�hCi. The ��.9,oy��g �w:N:,i .: r . -rt� *"rk At•t t .�t r � ....,�.... .._....,..•._.". _......__._. - ._._„_.,..•.... :. a ni.;.; c ::'}"arton wma adopted oo the :"''k;'.: 13th..._ day of pet+r3 e e: c Corporation . L _...._. .�. � ,7�t,..,, i'"` tie: m{w,r.er rre:a�.rt_bed b;r the C.cl�+rnd�k Wonpro. t 'Corporation Act A�'+:.ter-: .rr t; 't- • ,...:. ?.`.. :-rc'rd�,Ye' tna�rl�e3 e;f.th �k X �+p;r_.x�: O,-,:".. .X quorum of memsW,'ra ....its Ps - r at strIL:1;3. .,-,,:-:,..":: t4'0 -�_tt 1 , -.!� the d.!'rket 4;17SeC1t •rir4i'trP(� at least tr i of ► 9 ('v hid :. tT{- .. ±:!"rr:. 4a w. 1:'t',,-9 r'rennt oi' ':Pirotier:a�eJ 1.,,, ,tr:`f':q *kentitle! {��•;,';.'. to cheat .: r were '-:'':; '�""- «a kS c}t km e n m e .'_ -0-a la PJ l•a i-c e.3 4.i 7+ ;.,,I n e e3'e t let wv..t.1 tl g'. fo.i g'l a&d e y all members on titled i t l e d n %:: :.: to vote with w=¢p ct Viereto_ _there ate no membdrs , OT nn m,i7Lailerf -; .. ,•c; a ;•,�r ore, Reach Axne4t'Iment M' r"e�:ai,'ved the •,rott. rt r+ -:t:.::: Aticle , ITT, V, VI and VII ei the A keler of Incerponattor art amend o::.,., as follows: e d ARTICLE t w the name of ther orA for# t 1i he American Cancer Snclety, ii Colorado Dieasi:On loc. - e Affei t`Is o f the -/�, r: TIG III r f_on shall be maneFed by a Board :. �; o.. Directors, The number of dir ectore shell be fixed by the bylaws of , `;' : the corporation but aha11 not be leis than three. Wherever tn there rk<= :.Articles of Incorporation there .e a z- sf�re � e� to the board of Ctutgree A. .; : .- . or to rrustfie t the reference shell be deemed Q,X r d reference to the Board of Directors or to directors '. -:.;;. kKTiiC V The Board cf Directors shall, adopt bylaws containing pro- ` : ':::visi..t ns for.. the regulation or management er_st of the affairs of the eorpnration Ni,:.:.r1or lncons•ierect with law or the Art tc,ies of Tncorporation. Tire peer ;: .. :to alter , a-end or etpeal the hyiave or adore new bylaws shall be vested :;-^:. in the Board of Directors. .l--,. .AtRTICL .. The corporation mey have ,one or more classes of members , {. The designation of such class or cic:ises , the manner cf electt.on or appoint- `-' m-ent, and the • al.x ficat on 2,t • ,. qualifications w n -� r :.� a c #: the members of such ? as;s or •::, �a,cla'cses 4'hell be set forth in the bel. ws , Each member, regardless of t:ey. class, shell ee entitled to ore co '.e on es:�h mr tte b + o to of meabers. No member shall be entitled to vote by proxy. TakARTICLE VII •- The period of dc r ael n or the corporation thall be per- r!Erlijetual provided that at such ttna as a cure or cures for cancer are ,;k.' sY`F;. and nd hAv'e' been adequately tegted anti establr tIhed A8 effective, the .' �'r.-- arcs of Directors.: shall initiate act .:,n for the dissolution of the :_ , ,;,�_... . .,cor ora t ion . •:'''- ;4'f-•"..."'. - CW•t • -.,,,,..-ti.-eC,'' 71 1711 . .�. i e r- ._ stare OP COLORADO :IJ l-} ar pEnut_ ___ _..__...._ . �'��s r:}1 ( t k� y f�}� L� . lid 1/4t'Lt?'�w.L 11 - 3i',it _{ R,..� L4 CS JY3,Mry'�^ F.I ¢ rh • y� yr y `' 3.�' 4+.�r-�w �.•r r p 71 _�f -- J. 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I:: t. : ,, „ . ,,4. ,,,,..1 It3_iie +"tr r.>.,_ ,) e e &Y F, '. ., „ 7. .. _ ; —'!- 1.O-",- Att1 'a.', f ll y 7 I 1°,2' . 1 --- 10 U.r�l Aeet fl Y r i t Y . . / Notary ttlitic" i • • , L to Via'.? +-ia.. �-. 7t arjlrora`.;nn r " Y RE 'ti(.. tL)E, J K !' 2 7 IAfl . > I , n�t I' "{ 1 L : • • 1,3 �G I fr� 1 q r NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY WELD COUNTY, COLORADO DOCKET NO: 93-67 The American Cancer Society, 911 28th Avenue, Greeley, Colorado 80631, has made application to the Board of County Commissioners of Weld County, Colorado, for a temporary assembly of more than 500 persons to take place on September 18, 1993, from the hours of 4:00 p.m. to 1:00 a.m. (September 19, 1993) at the Guttersen Ranch in Section 1, Township 3 North, Range 67 West of the 6th P.M. , Weld County, Colorado. The Board of County Commissioners will consider the issuance of a permit for the temporary assembly, pursuant to Weld County Ordinance No. 85, at 9:00 a.m. on September 13, 1993, in the Board's First Floor Meeting Room, Centennial Center Complex, 915 Tenth Street, First Floor, Greeley, Colorado, at the time specified. The application for the temporary assembly, including all supporting documents, may be reviewed at the office of the Clerk to the Board of County Commissioners, located in the Weld County Centennial Center, 915 10th Street, Third Floor, Greeley, Colorado, between the hours of 8:00 a.m. and 5:00 p.m. , Monday through Friday. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO BY: DONALD D. WARDEN WELD COUNTY CLERK TO THE BOARD BY: Shelly K. Miller Deputy Clerk to the Board DATED: September 1, 1993 PUBLISHED: September 2, 1993, in the Windsor Beacon 920920 Hello