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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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951793.tiff
RESOLUTION RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO AMERICAN CANCER SOCIETY FOR CATTLE BARONS' BALL AND AUTHORIZE CHAIRMAN TO SIGN - 4:00 P.M. ON SEPTEMBER 16, 1995, TO 1:00 A.M. ON SEPTEMBER 17, 1995 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, American Cancer Society, Colorado Division, Inc., 1020 9th Avenue, Greeley, Colorado 80631, presented to the Board of County Commissioners of Weld County, Colorado, an application for a Special Events Permit for the Cattle Barons' Ball 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 September 16, 1995, at 4:00 p.m., to September 17, 1995, at 1:00 a.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: SLW Ranch Company, 27401 Weld County Road 58.5, Greeley, Colorado 80631 Being more fully described as the SE% NE' of Section 10, Township 5 North, Range 64 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($25.00) to the Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only. 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 grant Special Events Permit Number 95-14 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location; and the Board does hereby authorize and direct the issuance of said permit by the Chairman of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which permit shall be effective from 4:00 p.m. on September 16, 1995, until 1:00 a.m. on September 17, 1995, providing that said place where the permittee is authorized to sell malt, vinous, and spirituous liquors, for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the permit. 951793 LC0022 t?(' . ?gyp j Se SPECIAL EVENTS 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 28th day of August, A.D., 1995. Deputy Cler Q' the Board Geor E. Baxter APP D AS TO FO 1 / ounty� y BOARD OF COUNTY COMMISSIONERS ELD COUNTY, COLO Dal Barbara J. Kirkmeyer Pr 7 Constance L. Harbert FXCIISFII IlATF OF SIPNINC, W. H. Webster (4V9 951793 LC0022 Ra , hereby sign for the receipt of this document th DR 8428 p/95) COLORAM DEPARTMENT OF REVENUE DOUOR ENFORCEMENT DIVISION 1375 SHERMAN ST DENVER CO 80261 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THIS ORGANIZATION AT THIS LOCATION AMERICAN CANCER SOCIETY COLORADO DIVISION INC 27401 WCR 58 1/2 GREELEY CO 80631 License Number GE 21-75480 SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITUOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS FROM Date SEPT 16, 1995 Hour 4:00 PM TO Date SEPT 17, 1995 - Hour 1:00 AM FROM Date X000{XXXX X Hour )OOOOOOC TO Date Hour XXXXXXX This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Article 48, Colorado Revised Statutes. This permit is non -transferable. It is issued only for the specific location described above, and must be conspicuously posted at that location. MET In testimony whereof, I have hereunto set my hand and seal SEP081995 LIQUOR ENFORCEMENT DIREQtOR EXECUTIVE DIRECTOR 951793 E6LTSC Lri rn CA 444 H w ▪ 0 I x H H o z 0 W .. a H .] d U W u Ug F a m t d 7-1. a a o a ti m a 72 c RT O pJ ICJ yD+ o ▪ �3 an d m >r m tic z E r s wC p d ' t 3 F C7 O t o ‘e' .-04 0 'b O ;f P-0 tw u , W b O G • o • tri m a W ..V`. o n a1 Cd O ° ° °xW �; �oy�$... O O - o c . � . �.. ^O ,—, m G H_ m y. 0 O cs H' N .4 ,61 .> m•- p£.., ° •H O t Q c6 a. O err, „°.� 1,a)1 41 • cis � c 0. 7 0 W °o O 41' y�;"'� ea U t a. 4 'a ci) tbie ..•• a o 11` ° '> it o d wait- Lc; IS Q N r+ a.a c. O1.•••4• '9661 `aagma;dag ;o .Sup 4d sig4 uo quamnoop/ szsp ;o adzaoea aq1 ao; u2gs 6gaaeq "mod/ '/ " y� DR 8411 (03/94) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 LIQUOR LICENSING PROCESSING DOCUMENT RETAIL LIQUOR & 3.2% BEER LICENSE FEES State 1. N le of Applicant(s) actly as it appears on state application) /nerican cars6etc /grade rit ern /no' 2. Trade Name of Establishment (DBA) ,Z_sj 5= ene(dt1-J2/ Lien vetCI a Address of Premise§ (as it appears on the application). 'Ve_.n4- r2 yo / it/CA st72 Care -e -/et(, J W3/ State Sales Tax No Bu iness Phone f'7- d7796 (g7o)33ci - ?es7 City County z e e -(a% DO NOT WRITE IN THIS SPACE • ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPE- WRITTEN • APPLICANT MUST CHECK THE APPROP �TE BOX(ES) • LOCAL LICENSE FEE $ a?S.Oa7 e /- LIAS ZIP Cotlao°6 3/ 2320-750 (999) SECTION A FEES If applicant has a Beer and Wine, or Malt, Vinous and Spirituous Liquor License, indicate your state Liquor • License Account No. ❑ Retail Warehouse Storage Permit $50.00 • Request to Change, Alter or Modify Premises ....75.00 C7 Addition of Optional Premises to Existing Hotel/Restaurant $50.00 x Total Fee ❑ Request to Change Corporate or Trade Name ...25.00 ❑ Request to Change Location 100.00 ❑ Duplicate License 25.00 ❑ Subpoena Testimony Fees 100.00 (use license no. 21-94214) 2330-750 (999) SECTION: B .:`FEE If applicant has a 3.2% Beer Retail license, indicate your • state 3.2% License Account No. ❑ Request to Change, Alter or Modify Premises 75.00 ❑ Request to Change Corporate or Trade Name 25.00 ❑ Request to Change Location 100.00 ❑ Duplicate License 25.00 1970-750 (999) ECTION C :FEES. If applicant has a Hotel/Restaurant liquor license and is registering a new manager, indicate your state Liquor • License Account No. ❑ Manager's Registration $75.00 CTION D LIQUOR UCENSE FEES 2300 2310 1940 1940, 1950 1950 1960' 1960 1970 1980 1990 2010 2020 2030, 2040 1905 2110 2300 2310 2121 2121 2122 2122 2123 2123 2170 ❑ Application Fee for New License $450.00 ❑ Application Fee for Transfer of Ownership 450.00 ❑ Retail Liquor Store License (city) 202.50 ❑ Retail Liquor Store License (county) 287.50 ❑ Liquor Licensed Drugstore (city) 202.50 ❑ Liquor Licensed Drugstore (county) 287.50 LI Beer & Wine License (city) 177.50 ❑ Beer & Wine License (county) 262.50 ❑ H & R License ❑city ❑ county 326.25 ❑ H & R License w/opt Prem ❑ city ❑ county 326.25 ❑ Club License ❑ city ❑ county 135.00 ❑ Tavern License ❑ city ❑ county 326.25 ❑ Arts License ❑ city ❑ county 135.00 ❑ Racetrack License ❑ city ❑ county 326.25 ❑ Optional Premises License ❑ city ❑ county 326.25 ❑ Retail Gaming Tavern Lic ❑ city ❑county 326.25 BWS Special Event Permit each 25.00 ❑ Manager's Registration (hotel & restaurant only) .... 75.00 ❑ Extended Hours 170.00 SECTION E 32% BEER LICENSE FEES ❑ Application Fee for New License $450.00 ❑ Application Fee for Transfer of Ownership 450.00 ❑ Retail 3.2% Beer On Premises - (city) 71.25 ❑ Retail 3.2% Beer On Premises - (county) 92.50 ❑ Retail 3.2% Beer Off Premises - (city) 71.25 ❑ Retail 3.2% Beer Off Premises - (county) 92.50 ❑ Retail 3.2% Beer On/Off Premises - (city) 71.25 ❑ Retail 3.2% Beer On/Off Premises - (county) 92.50 ❑ 3.2% Beer Special Event Permit each 10.00 DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY County City ?; Type LIABILITY INFORMATION Liability Date. License Issued Through CExplration Date) Fee paid for 3.2% Beer State -750 (999) City 2180-100 (999) Cash Fund New License 2300-100 (999) Cash Fund Transfer Ucmr• 2310-100 (999) County 2190.100(999) tate 750 (91 Fee paid far c ty 2180-100 (999; er, Wine, and Spin County 2190-100 (999) uous Liquor Mangers Rag 1970-755 (999) C•M Fund New Limon 2300-100 (999) ceth Fund TIN,•M1, 2310-10 (999) Est Hours City 2180-100 (999) Eat Hours County 2190-100 (999) White Copy - Department of Revenue Canary Copy Liquor Enforcement Division Pink Copy - Local Authority Goldenrod Copy - Applicant 951793 DR 8439 (08/94) COLORADO DEPARTMENT OF REVENUE UOUOR ENFORCEMENT DIVISION 1315 SHERMAN STREET DENVER CO 80261 (303) 866-3741 APPLICATION FOR A SPECIAL EVENTS PERMIT • APPLICATION MUST FIRST BE SUBMITTED TO THE LOCAL LICENSING AUTHORITY (CITY OR COUNTY) AT LEAST THIRTY (30) DAYS PRIOR TO THE EVENT. • THE PREMISES TO BE LICENSED MUST BE POSTED AT LEAST TEN (10) DAYS BEFORE A HEARING CAN BE HELD. • AN APPROVED APPLICATION MUST BE RECEIVED BY THE LIQUOR ENFORCEMENT DIVISION AT LEAST TEN (10) DAYS PRIOR TO THE EVENT. • APPLICANT MUST HAVE A COLORADO SALES TAX ACCOUNT (NOT TAX EXEMPT NUMBER). IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT, YOU MUST BE NONPROFIT AND ONE OF THE FOLLOWING (See back for details.) ✓ CHECK ONE: ❑ SOCIAL ❑ FRATERNAL ❑ PATRIOTIC ❑ POLITICAL ❑ ATHLETIC ITC CHARTERED BRANCH, LODGE OR CHAPTER OF A NATIONAL ORGANIZATION OR SOCIETY ❑ RELIGIOUS INSTITUTION ❑ PHILANTHROPIC INSTITUTION ❑ POLITICAL CANDIDATE ❑ MUNICIPALITY OWNING ARTS FACILITIES THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED: ❑ Processing document with 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. TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: FERMENTED MALT BEVERAGE (3.2 Beer) 'yy MALT, VINOUS AND SPIRITUOUS LIQUOR 1. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE American Cancer Society, Colorado Division, Inc. 2. MAIUNG ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE 2255 South Oneida Street DO NOT WRITE IN THIS SPACE LIQUOR PERMIT NUMBER Sales Tax Number 98-01790 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT 27401 WCR 58} CITY OR TOWN Denver NAME STATE ZIP CO 80224 4. PRESJSEC'Y OF ORG. or POLITICAL CANDIDATE Tom Barakat 5. EVENT MANAGER Colleen Flack 6. HAS APPLICANT ISSUED A PECIALREVNTA PERMITTION THIS R LCAL CALENDAR ITICAL CANDIDATE BEEN NO n YES HOW MANY DAYS? DATE OF BIRTH CITY OR TOWN Greeley HOME ADDRESS (Street. City, State, Zp) STATE ZIP CO 80631 1308 Lindenwood Dr., Ft. Colli PHONE NUMBER 370-686-4108 Ts, CO 5225 65th Ave., Greeley, CO 7. IS PREMISES NOW UCENSED UNDER STATE LIQUOR OR BEER CODE? aftIO n YES TO WHOM? 970-330-2757 UST BELOW THE EXACT DATE(S) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT Date 09/16/95 Hours From 4:00 pm. To 1:00 am. Date Hours From To Date Hours From To Date Hours From To Date Hours From To OATH OF APPLICANT 1 declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and that all information therein is true, correct, . nd complete to the best of my knowledge. SIGNA REPO T The foregoing application has been ex and we do report that such permit, if LOCAL LICENSING AUTHORITY (> s• N.'iB'/�•' Weld County,, , o • o- ,. SIGNATU ATTEST: 9 TITLE Executive Director, Weld Unit VAL OF LOCAL LICENSING AUTHORITY ises, business conducted and character of the applicant is satisfactory, the provisions of lit e 12, Article 48, C.R.S., as amended. APPLICATION IS APPROVED. DATE 08-09-95 f ale KY Aall t BY: TELEPHONE NUMBER OFEIRRlOUNTY CLERK to Boat (970)356-4000 ext. 4225 TITLE Chairman, Weld County Board of Commissioners (Over) F- LA -j DATE 08/28/95 Deputy Clerk to the Board P 387 472 025 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN ST DENVER CO 80203 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Return Receipt showing to whom. Date. and Address of Delivery TOTAL Postage and Fees S Postmark or Date if:2 is W CO W ≥ c Q3 U U m O O W 0 U z 3 y a followin fee): 1. C aio O • w \` 0 w U cE Csaa "' 0 M a `W J ❑Is a U 0 0 X 5 W c C CO 0 t0 0 U O a O N to d W E W N W W W 0 a « o o E c W ° 0 • r « 0 Oa O TO 0 0a9 0 o E a) 0V N W W Cc W U« a s ° W ca 000 0 —0-;(0..-c U O W 0 E E W er EEEoo0c2 :2 Cd`°P.E . O .W J c y U Q C C. 0 0 to V L a z a OEEcW,WW.aa'C M • • •«•2 U a 0 a y 0 oat) 00 cc c 9y E2 y 0 r' 0 UCC S ❑ ❑ ❑ 0 0) N• G Y❑ 0 0 10 0 W a- 0 co to '0 — a'm W -co W 0 9 C v a m 03 6. Signature (Ag DOMESTIC 0 a 0 E U - a 951793 J Mu —u U Jc.n Zctw .ti cc c7 w QUU rr Wz Z U] << E - U CL [1.1J w 3 can HXW E-¢ U 0 m COOK TENT MAIN TENT 100'X260' TENT z ENTERTAINMENT AND DIN F U LL ¢1 ]—S 1 Li a a F W U- 7 m tr)U O yL a<O a en u_ 0090 OOO [I 000409_ 0o0 °020ff. O. rat 1OOO 02,0%0 O O° Mc 8 °O OO‘1O OCrc° tat - 66 W �a • z z m a RESTROOMS 6 9517u.s T5N•R64W fz 951793 3 Department of the Treasury Internal Revenue Service Quality Review Staff Taxpayer Assistance Group P. O BOX 1055 - PM 907 Atlanta, Georgia 30370-0000 AMERICAN CANCER SOCIETY, INC. ATTN: ROBERT PASK - COUNSEL 1599 CLIFTON ROAD, NE ATLANTA. GA 30329-4251 Dear Taxpayer: Date. MAY 16 1990 Date of Inquiry: 05/10/90 Refer Reply TO' ORS:EO:TPA EIN: 13-1788491 FFN: This is in response to your request for Confirmation of your exemption from Federal Income Tax. You were recognized as an organization exempt from Feaerai Income Tax Under section 501(C)(3) Of the Internal Revenue Code Dy our letter of November, 1942 . You were further determined not 'CO DC a private foundation within the meaning of section 509(a) of the Coat because you are an organization described in section 170(b)(1)(A)(vi) and 509(a)(1). Contributions to you are deductible as provided in section 170 of the Coae. The tax exempt status recognized by our letter referred to above is currently in effect and will remain in effect until terminated, modified, or revoked Dy the Internal Revenue Service. Any cnange in your purposes, character, or metnod of operation must be reported to us 5O we may Consider the effect of the cnange on your exempt status. You must also report any changes in your name and address. Thank you for your cooperation. . Sincerely yours, alai Exempt Organizations Coordinator 951.793 RTD/CO/BD UY cn C, w iI 7 1 in C Qf N cc a Q CO CO O U 01006 8071 K W m 5tl U Z c tl Om U <0 to c O P a we •- Q .-o U 01-08567-0 Q C W Z ao N O w 'C, >l In Z N W N O THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: 0 - -1 U 0 O 00 in 00 U c o w 'Cr N UCN Z O O O: < -»CO W V W U Z O z zoo a0a UZV(fl O: w O: Nome CC IA w>Lit lnz 2•-+ENW d 0 a N O 951793 STATE �� :' ' ,�RADO DEPARTMENT OF STATE CERTIFICATE I, NATALIE MEYER, Secretary of State of the State of Colorado hereby certify that According to the records of this office AMERICAN CANCER SOCIETY, COLORADO DIVISION, INC. (COLORADO NONPROIT CORPORATION) has complied with the applicable provisions of the laws of the State of Colorado and on this date is in good standing and authorized and competent to transact business or to conduct its affairs within this state. Dated: FEBRUARY 12, I991 SECRETARY OF STATE. 951793 - 2 - American Cancer Society, Inc. You and your subordinate Divisions should rcp+rt any changes in your character, method of operation, and the nature or extent of your public support to the District Director, Manhattan, New York, which is your key District for exempt organization matters. Sincerely yours, Chief, Rulings Section Exempt Organizations Branch 951.793 Internal Revenue Service Oat.: JUN , : ;g 2 In r.olp i.'.. 10 T•MR•EO•R•4 :• American Cancer Society, Inc. 219 East 42nd Street New York, New York 10017 Gentlemen: This is in reply to a letter dated May 1, 1972, from your legal representative, John C. Baity, requesting a ruling that you and your subordinate Divisions qualify as "publicly supported" organizations under section 170(b)(1)(A)(vi) of the Internal Revenue Code of 1954. Our records show that in a group ruling issued by this office under date of November 5, 1942, you and your subordinate Divisions were recognized to be exempt from Federal income tax under predeces- sor sections of section 501(c)(3) of the Internal Revenue Code of 1954. Based on the information furnished by Mr. Baity, we rule that you and your subordinate Divisions are organizations described in section 170(b)(1)(A)(vi) of the Code. Accordingly, for taxable years beginning after December 31, 1969, individuals will be alloyed a deduction to the extent that the aggregate of their contributions to you and your subordinate Divisions does not exceed 50 percent of their contribution base. Since neither you nor your subordinate Divisions are private foundations,neither you nor they are subject to the excise taxes under Chapter 42 of the Code. However, neither you nor your subordinate Divisions are automatically exempt from other Federal excise taxes. 951793 S'S _.0.4 ;�Dlc=i�=x,11 Chl .===0?1ET, :ELL. 404 240 4560 SEDGUICK JAMES RMS ID:404-240-4560 POn2 00± AUG 18'95 13:49 No.024 P.02 DATE IMMOO-YYI ACOItW'. CERTIFICATE OF INSURANCE P""'Dt'Sedgwick James of Oa.. Inc. Suite 5o0. South Tower. 3333 Peachtree Rd. NE Atlanta. Georgia 30326-I043 INSURED American Cancer Society Colorado Division. Inc. 2255 8 Oneida Street Denver. CO 80224 ----- 0/18/95 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE S. Fire Insurance North River C.OMPANT A GAM.'ANT B COMPAMT C COMPANY D COVERAGES THIS IS TO CFRTIPV TNA' THE POLICIES OF INSURANCE NISI LD ULLUW I IAVL ULLN IC;.U( () 101 HE Nf:Ut.EO NAMED ABOVE FOIL THE POLICY PERIOD INDICATED. NOTWTHSTANOING ANY REOUIRCMCNT. TERM on CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH HLSVLGI 10 WI IIGII 1I IIS CLHTIrICATC MAY CC ISSUro on MAY PFnTAIN. THE INSURANCE AFFORDED BY THE POLICIES OLSCHIULU IILIILIN IS SUBJFCI TO At l THE IF nM.S. FXCI USIONS AND CONDITIONS OF SUCH PCtICIES. LIMO'S SHOWN MAY HAVE KEN RE UCE0 RY PAIr, C.I AIMS CO LtR A TYPE OF IMEVRANCE POLICY NUMBER POLICY EFFECTIVE POLICY FrPlRATION BATE MOOD. YY) DATE (YLMIUs.YY( OENCRAI LIABILITY X CoMMI.NCIAI CSNFRN. LIABILITY cum* MAU% X OCGUN iIWIIFP F R CONTRACTOR PRAY 541009469 A I AUTOMOBILE LIABILITY X I ANY AUTO MI OYAVED AUTOS SCNtt)ULLU Au. OS X I HIMFII AUTOS X I NON.OWMEO AUTOS I_L _ OARAOE LIABILITY I ANY AUTO II 9/01/95 9/01/96 138O13139 9/01/95 9/01/96 UNITS GENERAL AGGntCAIL $ Yry.I:ItwJw.l]NANMW MHr ItrWDNAL A Auv I.a1J'IY EAC'S OCIANRENCE rinr °AMAX IN., Y.... i,.,.1 MIr..Y IN' M. P".r'^' EA.IMRMf(' SING F HABIT Y POUR'. (•'4 P.,M+) BODILY INJUNY (Pr. a� •M..AI rnorEnTY DAMACL S S t E AV'LION: Y FA ACCIDL NT t or to TI IAN AUTO ON.Y _. .. Fit( H At.(.M•rNT F AOGIscAIL T 1OOOOOO IRICERSLIABILITY UMSIIAL.A FORM ...L..; OTHER THAN UMRPFI I A FORM A WORIERs COMPENSATION AMO EWLOYIRE' LIABILITY 0 ISM PRonSiETORR, PAPTNERVF AFr.UTNE OFFICERS ARE OTHER PROPERTY SPECIAL FORM INCLUDES THEFT INC. I CRCL 406016599 5O5O3864 OEBCMPTIOR OF OPERATIONEM1OCATIONSYEIICLESIEPECML ITB6 RE:9-16-95 CATTLE BARONS BALL AT SLW RANCH, GREELEY. CO CERTIFICATE HOLDER IS ADDITIONAL INSURED ATIMA LIQUOR LIABILITY IS INCLUDED UNDER THE GENERAL LIABILITY POLICY. CERTIFICATE HOLDER CANCELLATION SHOULD ANT Or THE ABOVE DEsCRIBEO POLICIES B. CAhCEtLIt PEIOM& 1St EXPIRATION DATE ?NERCO.. THE ISSUING COMPANY N..1 PMPEAYOB TO MA'I .. 30 DAVE WWI INN NOTION TO 1NL CERTIFICATE 1101 DER NAMED TO 7.K LEFT. sin FAL IW TA MAu ave. None! *WALL IMFOlE MO OBL.taT'N. OR LMb..„• 1402 E. 11th Ave. 0; A Y M1MD UPON TNT COMPANY, ITN soon. OR IIEPREGENTATIVEG Greeley, CO 80631 AU POW NNPNIkkNI A IIY 1 Farm OCr.I IRnf Nee AGGACGATN S 1 9/O1/95 9/01/96 X isTATUTORYn5IT: PAC 1 ACCInrNT I Op;LACL - rCXICY LIM ! • i' OIriASF • EACH FYPI.,YFF I s 9/01/96 100000 500000.: 100000 9/01/95 BLANKET LIMITS BUILDING & CONTENTS WELD COUNTY. ITS AGENTS. OFFICERS. SERVANTS & EMPLOYEES 2000000 • 1OOOOOO L 2000000 , 1000000 • 100000 5000 951.793 AID/MID. CERTIFICATE OF INSURANCE- DATE IMM/DD/YY) 8/07/95 PRODUCER Sedgwic k James of Ga. , Inc. Suite 500, South Tower 3333 Peachtree Rd. NE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Atlanta, Georgia 30326-1043 COMPANIES AFFORDING COVERAGE COMPANY A U. S. Fire Insurance INSURED COMPANY B American Cancer Society Colorado Division, Inc. COMPANY C 1020 9th Avenue Greeley, CO 80631 COMPANY D 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. POLICY EXPIRATION DATE(MWODNY) UNITS TYPE OF INSURANCE POLICY NUMBER POLICY El4'ECTNE LTR DATE(MYIDINYY) A GENERAL LABILITY X I COMMERCIAL GENERAL LIABILITY 5410091709 9/01/94 9/01/95 GENERAL AGGREGATE $ 2000000 PRODUCTS ' COMP/OP AGG $ 1000000 PERSONAL A ADV INJURY 1 S 1000000 CLAIMS MADE X I OCCUR EACH OCCURRENCE I $ 1000000 OWNER'S A CONTRACTORS PROT FIRE DAMAGE (Any one lire) $ 100000 MED EXP (Any one Person' $ 5000 AUTOMOBILE —^ J J —~ LIABILITY ANY AUTO AU. OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE I$ i GARAGE UABILJTY AUTO ONLY - EA ACCIDENT $ —] ANY AUTO : OTHER THAN AUTO ONLY: 'I EACH ACCIDENT I 5 AGGREGATE S EXCESS LIABILITY UMBRELLA FORM �7 OTHER THAN UMBRELLA FORM.. EACH OCCURRENCE : S AGGREGATE 'I$ ! $ WORKERS COMPENSATION EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: AND rI INCL EXCL STATUTORY LIMITS EACH ACCIDENT $ DISEASE POLICY LIMITS I DISEASE - EACH EMPLOYEE $ A iOTHER LIQUOR LIABILITY INCLUDED IN GENERAL LIABILITY 5410091709 9/01/94 9/01/95 PER OCC. $1000000 AGGREGATE $2000000 DESCRIPTION OF OPERATIONS/LOCATION'SVEHICLES/SPECIAL ITEMS RE:CATTLE BARONS BALL 9-16-95 CERTIFICATE HOLDER - �" ,. , :: ; i � , SLW RANCH CANCELLATION r n: �- a.. .Iy. ..:..:. < .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL :30 DAYS WRITTEN NOTICE TO THE CERRRCATE HOLDER NAMED TO THE LEFT, 27397 WCR 58 1/2 GREELEY, CO 80631 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A Y KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ACORD 23-S (3/93) ; _; , 33— AUTHOR REPRES E 4 e ACORDDctmp '7A "1N 1983 AC01:11. CERTIFICAA _ OF INSURANCE ISSUE DATE (MM/DDIYY) PRODUCER SEDGWICK PEEK, INC. 1100 SPRING STREET., N.W. SUITE 600 ATLANTA GA 30309-2800 INSURED 404 892-8733 AMERICAN CANCER SOCIETY, INC. 2255 S. Oneida Denver, CO 80224 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY A LETTER COMPANY B LETTER COMPANY ra LETTER y COMPANY D LETTER COMPANY E LETTER COMPANIES AFFORDING COVERAGE U.S. FIRE INSURANCE COMPANY 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 LTR ' TYPE OF INSURANCE GENERAL LIABILITY %COMMERCIAL GENERAL LIABILITY A CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DO/YY) DATE (MM/DD/YYI LIMITS GENERAL AGGREGATE S 2,000,000. PRODUCTS.COMP/OP AGG. $ 1,000,000 - 541091448 9/1/9 3 9/1/9gERSONALBADV INJURY a 1,000,000 EACH OCCURRENCE S 1,000,000. FIRE DAMAGE (Any one ere) S 100, 000. MED. EXPENSE (Any one person) S 5,000. DESCRIPTION OF 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 COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY 'INJURY (Per accident) S S $ PROPERTY DAMAGE S EACH OCCURRENCE S AGGREGATE S STATUTORY LIMITS EACH ACCIDENT DISEASE —POLICY LIMIT S S DISEASE —EACH EMPLOYEE S Guttersen Ranch 17506 Weld County Road Kersey, CO 80644 ACORD 254 (7190) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAILOAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZ: • R PRESENTATIVE 953793199° SLW RANCH COMPANY 27401 Weld County Road 581/2 Greeley, CO 80631 August 2, 1995 American Cancer Society 1020 9th Avenue Greeley, CO 80631 Attn: Colleen Flack Re: Cattle Baron's Ball Dear Colleen: It is my understanding that you are currently seeking the appropriate permits or licenses for the occasion of the Cattle Baron's Ball. This letter is intended to set forth the position of the SLW Ranch Company, owner of the land, with regard to those matters. SLW Ranch Company is a Colorado corporation of which I am president. It owns the land upon which the event is to occur on September 16, 1995. The post office address is 27401 Weld County Road 581/2, Greeley, Colorado 80631. The land is part of the Southeast Quarter of the Northeast Quarter of Section 10, Township 5 North, Range 64 West of the 6th P.M., as noted on the attached map. This letter confirms the consent and permission of SLW Ranch Company to conduct the event, however, SLW Ranch Company will have no role or liability for the activities of the event including the licenses or permits. Should you have any questions, please advise. Yours very truly, ow L. President jea Enclosure 951793 I I I I I I I I I l I I l I I I Cattlebaron's Ball September 16, 1995 A technical support proposal from Richter Scale Productions April 14, 1995 High -quality sound and lighting are critical to the success of any entertainment event. Nationally recognized entertainers demand technical excellence, because they understand how vital high - quality technical support is to the success of their performance. The system we have designed will provide the outstanding results you require, and will significantly enhance the effectiveness of Mr. Trevino's performance. He, and your audience, will be thrilled with the quality this system will produce. SOUND We have specified a complete Apogee sound system, and will provide engineers averaging more than fifteen years' experience to set up and operate the system. • Eight Apogee 3x3S2 speakers • Four Apogee AE12 subwoofers • 12 Apogee AE6 monitor wedges • Crown amplifiers and Apogee processors to drive speakers • Minimum 40 -channel front of house professional mixing console • 40 -channel professional monitor console • B55 Varicurve equalizers, with real time analyzer • Yamaha SPX 900 and Lexicon PCM42 digital effects units • Behringer compressors and noise gates • CD playback and cassette deck • A selection of specialty microphones by AKG, Audio-Technica, Beyer, Countryman, Sennheiser and Shure. • All cabling, hardware and power distribution to complete the system. • Set-up, event engineering and strike by experienced audio engineers and technicians. LIGHTING This system will provide a. quality stage wash, as well as the audience lights requested by Rick Trevino. As an option, we have added a price for the larger (60K) system requested in the rider. • 40' front box truss, with 24 1000 -watt Par 64 lighting instruments • 40' rear box truss, with 24 1000 -watt Par 64 lighting instruments or R% aEa • Four lifts to support truss • Two Lycian 1266 follow spots • Dimming and control • Eight 1000 watt lighting instruments (for audience lighting) ow, K.d yr b,k • Five -station clear -comet system • All cabling, hardware and power distribution to complete the system • Set-up, event engineering and strike by experienced lighting technicians. bu* net nudead no re.Qd.t d 951793 1 I I I 1 1 I I I I 1 I l I 1 1 I I RSP/Cattlebaron's Proposal April 14, 1995 Page 2 LIGHTING (CONTINUED) OPTIONS We would provide a larger (60K) lighting system for an additional $300. We would provide six intelligent lights, with computer controller and one -hour of pre -event programming, for an additional $800. SOUND EQUIPMENT SUBTOTAL $2500 LIGHTING EQUIPMENT SUBTOTAL $1960 LABOR SUBTOTAL $3600 TAX ON EQUIPMENT $325.58 EVENT TOTAL $8385.58 NOTES: Included in these prices are all equipment as noted, all labor as noted, workers' compensation and liability insurance. Exduded are permits, power, licenses, security, trucking and staging. We will require a level area to place lifts supporting truss. We will be happy to provide a 16' black velour backdrop for $300. We will need a mix riser minimum 12' x 8' x 16", preferred 12' x 8' x 16". Trucking, per diems and/or rooms have not been included at this time, but may be necessary due to location and schedule. We will work with you on this as information becomes available. 951793 is RENTAL. Ino. '°275 S. Platte River Dr Denver, CO 80223 `(303)935-4545 FAX (303) 935-6731 ,r'Eleranit Rentals for your Special EveAF,F DEL: EEEE09/11/95 00:00 - 00:00 P/U: 09/17/95 00:00 - 00:00 DATE WRITTEN: 02/17/95 BY: MW DATE LAST CHG: 07/27/95 BY: MW DL# REFERRED BY: WOM *NOT* CONFIRMED 2ND ID: PAGE -01- NAME: CATTLEBARONS #: 059654 DELIVER TO: SLW RANCH PARTY DATE: 09/16/95 DEL BIN# P/U BIN# GREELEY FLOORS: CO BILL TO: AMERICAN CANCER SOCIETY 911 28TH AVE GREELEY ATTN: COLLEEN CO 80631 PO# CONTACT: ORDERED BY: COLLEEN DELIVERY INSTRUCTIONS: PH1/2: PH1/2:(970)356-9727 TENTS ON GRASS /FAX(970)356-9238 EASY ACCESS QUANTITY QUANTITY ORDERED RETURNED EQUIPMENT CRATES UNIT PRICE TOTAL PRICE 38 120" RND POLY -BURGUNDY 8 120" RND P/C - BURGUNDY 45 60 X 120 CLOTH -WHITE 660 GRAY NAPKIN 9 14' SKIRTING -WHITE 8 17' SKIRTING -WHITE F.R. 13 21' SKIRTING -WHITE 1 100'X260' WHITE TENT 1 30'X40' WHITE TENT 1 20'X60' WHITE TENT 1 10'X20' WHITE TENT 24 8'X20'FRENCH SIDE -4 WINDOW 48 8' X 20' WHITE SIDEWALL 1 LIGHTING PKG-TO BE DECIDED 700 WHITE WOOD PADDED CHAIR 8 4' ROUND TABLE 3 5' ROUND TABLE *SETUP/TKEDWN* *SETUP/TKEDWN* *SETUP/TKEDWN* *SETUP/TKEDWN* PLEASE READ BEFORE SIGNING: All merchandise, except linens, must be returned dean and dry or therewill be an additional charge for deaning. You will be charged for lost or damaged cartons. Rental tee does NOT indude set-up or take down. Set-up must be arranged tar in advance of deliveryand a dtarge will be made. Deliver is to the door at street level unless arranged and paid Win advance. Additional service charge will be made if no one is available to accept delivery, or pick-up. Long term rates apply ONLY it paid tar in advance and are shown on contract PROVISIONS ON THE BACK OF THIS LEASE ARE PART OF THIS CONTRACT. CUSTOMER IS RESPONSIBLE FOR THEFT OF RENTAL EQUIPMENT WHILE IN HIS CUSTODY. A I MS son X 9.00 9.00 7.00 0.30 15.40 18.70 23.10 14,000.00 445.00 445.00 120.00 18.00 0.00 0.00 1.85 5.00 6.00 342.00 72.00 315.00 198.00 138.60 149.60 300.30 14,000.00 445.00 445.00 120.00 432.00 0.00 0.00 1,295.00 40.00 18.00 PAGE TOTALS: RENTAL 18,310.50 YOUR PROMPT RETURN WILL SAVE YOU MONEY CUSTOMER IS RESPONSIBLE FOR ALL DAMAGES 951793 13 RENTAL. Inc. PAGE -02- NAME: CATTLEBARONS DELIVER TO: SLW RANCH PARTY DATE: •• 09/16/95 a � ,•7Cz5 S. Platte River Dr. • i Denver, CO 80223 • ti ' • (303) 935-4545 f FAX (303) 935-6731 "Elegait Rentals for your Special Event" DATE WRITTEN: 02/17/95 BY: MW CONTACT: ORDERED BY: COLLEEN GREELEY PARTY DATE: 09/16/95 TIME: DEL: 09/11/95 00:00 P/U: 09/17/95 00:00 CO STAFF: - 00:00 - 00:00 #: 059654 PH1/2: PH1/2:(970)356-9727 /FAX(970)356-9238 QUANTITY IQUANTITY I ORDERED RETURNED EQUIPMENT UNIT I TOTAL CRATES I PRICE PRICE 66 6' ROUND TABLE 52 8' BANQUET TABLE 1,500 PUBLOCK OAK DANCE FLOOR *SETUP /TKEDWN* 30'X50' DANCE 1 20'X28' STAGE AT HIGH *SETUP/TKEDWN* 62 24" STAGE LEG 94 24-40" ADJ. STAGE LEG 24 16" STAGE LEG 12 8" STAGE LEG 1 4' X 4' STAGING SECTION 43 4' X 8' STAGING SECTION PLEASE READ BEFORE SIGNING: All merchandise, except linens, must be returned dean and dry or there will be an additional charge for cleaning. You will be charged for lost or damaged canons. Rental fee does NOT include set-up or take down. Set-up must be arranged for in advance of delivery and a charge will be made. Deliver is to the door at street level unless arranged and paid for in advance. Additional service charge will be made if no one is available to accept delivery, or pick-up. 98 - Long term rates apply ONLY if paid for in advance and are shown on contact PROVISIONS ON THE BACK OF THIS LEASE ARE PART OF THIS CONTRACT. CUSTOMER IS RESPONSIBLE FOR THEFT OF RENTAL EQUIPMENT WHILE IN HIS CUSTODY. AA ^ YOUR PROMPT RETURN WILL SAVE YOU MONEY CUSTOMER IS RESPONSIBLE FOR ALL DAMAGES 7.00 6.00 1.00 885.00 462.00 312.00 1,500.00 885.00 RENTAL 21,469.50 RESALE DELIVERY 138.00 MISC TAX SETUP DEPOSIT TOTAL 21,607.5C PAYMENT 0.00 BALANCE 21,607.50 951793 .icS.d ..Idii,.�ei1 cih v(IVI u:a:u(.40. aut) A LVMI Service Center 500 E. Vine Or. Fort Collins, CO 80524 (970) 482-3319 Fu (970) 482-4491 NON-HAZAR0CUS WASTES NEW ACCOUNT © 0 MAJOR ACCOUNT O _ _ _ _ _ •-y sUISI¢:nvv+•AN - NAPE /� �JIC��GCibl'/E� wt•>r 1 119' r� al ] lliN , r LOCArc,AY alu-NO AURA. SERVICE OECREAaa O i;AEEt, T.MEEAE smear l EFFECTIVE OA FE RATE INCREil9E ° RATE OlCREASE a 4.1 IV :w:wFc•ulEu COI,NI. sT..ICAw.:vli JNroaTALt OE TEMP SEAN CANCEL M a I LaaTnN OTHER — ° 2SGW >r� 'soma `5?� ). G 7 WNrACTco � �NWSIAr i[':J�Enr ALui ;umra J....,/ CO 04 AEEtRE•"• SACUIETT AEOU.IEO i 4171111 S' ECIFT • TI B .a • .AT: 5. • A 4t tL') F E O SOWN DAY, u N T w N F E E' Vic J�,vNEASNIF CRIO . NSA r 0 r M N A T S A T E E SPECuu, w _S wars WASTE AROAtE. WARS; OTT . CFSCIDNONCNt CMNES - 1 3 0 181O . y 'IS IS A LEGALLY BINDING CONTRACT, AND COQNNTRACTOR AGREES TO PROVIDE AND CUSTOMER AGREES TO ACCEPT THE SERVICES AND IAAQES AND FREQUENCY INDICATED ON TH19'AGREEMENT SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED ON THE REVERSE SIDE. i AOOAESS 4//1 -p%&bd OA -Attic l5,-, etaO77 • GONrAG -6 ��C3 U AOOAf� • ,A)a MASTER ACCOUNN'TI RE1AATTED AfCLNM.'MAYEitAEET er9--o f NUNiEA�/y 1t�E/ES�TIwMl L•� / G�- STA �"��'IMr q CI}N 3rA AOvmC( CIPP09r AL COOL AUACNAaE pIOEA NUMaFA P r _ _ I B - II r MIR -All It T>: rF P. .� u� .k, CESCRI TCN K / (,_�%4•TJ /CMG/[ -V Q / RwM '1 .a3:=3 -:`?%r . •4,a7Li r .. �S) O I/ iC Qom. ! ..e' .fN ('/, AC 3o k _ y� i N - t4+ ; -.444 , -t-. .LODITIONAL INS TRUCTION$ICOMMENTS: PA)- 5/y Oct ,--/r IHE TERMS AND CONDITIONS ON REVERSE SIDE ANO THE ATTACHED CONTRACTOR'S DEFINITION OF $PE JAL WASTEIARE - OF .• - = EMENT cust0MEA A V TNLMQEO S•ONAIVAE AEARESENIA-'.HE OONAN.i OR 51793 TOTNL P.01
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