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Home My WebLink About20212429.tiffRESOLUTION RE: APPROVE SPECIAL EVENTS PERMIT AND AUTHORIZE CHAIR TO SIGN - BERTHOUD LOCAL 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, Berthoud Local presented to the Board of County Commissioners of Weld County, Colorado, an application for a Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, subject to the rules and regulations found in Article 5, Title 44, C.R.S., and WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to Weld County, Colorado, pursuant to the laws providing therefore in payment for a Special Events Permit, subject to the rules and regulations found in Article 5, Title 44, C.R.S., for an event scheduled for one day only on August 28, 2021, from 4:00 p.m. to 10:00 p.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: 19417 County Road 3, Berthoud, Colorado 80513; being further described as Lot A of Recorded Exemption, RE -1341; being part of the NE1/4 SE1/4 of Section 30, Township 4 North, Range 68 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 Application for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, subject to the rules and regulations found in Article 5, Title 44, C.R.S. 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 2021-14 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, at retail at said location; and the Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which permit shall be effective on August 28, 2021, from 4:00 p.m. to 10:00 p.m., providing that said permitee operates in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, per Article 5, Title 44, C.R.S., heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the permit. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application and permit. cc: APPS. cc.: 50CRS / 37-1 IC.), CAC 6O Ogl Wol 0'11 2021-2429 LC0022 SPECIAL EVENTS PERMIT - BERTHOUD LOCAL PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 11th day of August, A.D., 2021. BOARD OF COUNTY COMMISSIONERS WELUNTY, COLORADO ATTEST: dia,„„ ...do;„k Stev-, oreno, ' air Weld County Clerk to the Board c• 'r . mes, Pro - BY: Perry L. B i ck APP County • torney Lori Saine Date of signature: OR1a316)) 2021-2429 LC0022 THIS PERMIT EXPIRES AUGUST 28, 2021, AT 10:00 P.M. L SZL&≥aZL&��®��7J�2` J.../� �JJ, J.../` JJ� JJ, J�1,� I_ )C. -:l 11/4-a)l Ll �l L Ll Lso Ln Lil Lil Lid l% Lil Li i Permit Number 2021-14 STATE OF COLORADO Permit Fee $100.00 COUNTY OF WELD SPECIAL EVENTS PERMIT BY AUTHORITY OF THE BOARD OF COUNTY COAIISSIONERS TO SERVE MALT, VINOUS, AND SPIRITUOUS LIQUORS This is to Certify, that Berthoud Local, of the State of Colorado, having applied for a Permit to serve malt, vinous, and pp spirituous liquors, and having paid to the County Treasurer the sum of One Hundred and [00/100J Dollars; therefore, the above applicant is hereby permitted to serve malt, vinous, and spirituous liquors containing more than 3.2°/0 p q Alcohol by weight, by the drink for consumption on the premises, at the address of 19417 County Road 3, Berthoud, Colorado 80513, in the County of Weld, State of Colorado, for a period beginning at 4:00p.m. on the 28th day of August, g g 2021, and ending at 10:00 p.m. on the 28th day of August, 2021, unless this Permit is revoked sooner as provided by law. This Permit is issued subject to the Laws of the State of Colorado and especially under the provisions of Article 5 of Title 44, Colorado Revised Statues, as amended. IN TESTIMONY WHEREOF, the Board of County Commissioners has hereunto subscribed its name by its officers duly y authorized this 11th day of August, 2021. _ATTEST: that") C/ . JdEk Deputy Clerk to the Board 4\t- cansigai jet can ,w ,w/ �1 ,w ,w ,w ,w ,w ,w The Board of County Commissioners l� BY Chair, Board of County Commissioners isamffets,,,simjeammjavauts,. eitiji TO BE POSTED IN A CONSPICUOUS PLACE. NON -TRANSFERABLE. DR 8428 (08/01/2012) COLORADO DEPARTMENT OF REVENUE 1707 Cole Blvd, Suite 300 Lakewood, CO 80401 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THE ORGANIZATION AT THIS LOCATION BERTHOUD LOCAL 19417 COUNTY ROAD 3 Berthoud CO 80513 Permit Number: 05-02799 Event Manager: ADELE WORK SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS EVENT 1: 08/28/2021 4:00 PM - 10:00 PM EVENT 2: EVENT 3: EVENT 4: EVENT 5: This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title 44, Articles 4, 3, 5, CRS 1973, as amended. This permit is nontransferable and shall be conspicuously posted in the place above described. This permit is only valid during the event date(s) shown above. In testimony whereof, I have hereunto set my hand. 8/19/2021 LSS -filickdet ,57‘te- ,/,94-rth Aatik Michelle Stone-Principato, Division Director Mark Ferrandino, Executive Director/CEO CERTIFICATE OF DELIVERY DATE: August 23, 2021 FROM: Chloe A. Rempel, Deputy Clerk to the Board Supervisor SUBJECT: Berthoud Local I hereby certify that I have provided the below documents in accordance with the requirements of Weld County and the Colorado Department of Revenue, Liquor Enforcement Division, on this Z4;42lay of August, 2021. One copy of the signed Weld County Resolution approving Special Events Permit for Berthoud Local One original Weld County Special Events Permit One copy of Colorado Special Events Permit One Liquor Sale and Consumption Warning Sign PI ki szi Print Name Date Signature Weld County • Clerk to the Board's Office • 1150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com DR 8439 (09/19/19) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Application for a Special Events Permit Departmental Use Only In order to qualify for a Special and One of the Following (See Events Permit, You Must Be a Qualifying back for details.) Branch, Lodge or Chapter Organization or Society Institution Organization Per 44-5-102 C.R.S. Institution Candidate Owned Arts Facilities © Social MI Athletic iiii Philanthropic III Fraternal III Chartered III Political II Patriotic IIII National I l Municipality U Political U Religious LIAB Type of Special Event Applicant is Applying for: 2110 U Matt, Vinous And Spirituous Liquor $25.00 Per Day 2170 Fermented Matt Beverage $10.00 Per Day DO NOT WRITE IN THIS SPACE Liquor Permit Number 1. Name of Applicant Organization r Political Candidat � '(-I�'^( L- o c , State Sales Tax Number (Required) 2. Ma ing AddressofOrganization or Political Candidate (include street, city/town and ZIP) P.O Box 1331 Berthoud, CO 80513 3. Address of Place to Have Special Event (include street, city/town and ZIP) 19417 County Road 3 Berthoud, CO 80513 4. Authorized Representative of Qualifying Organization or Political Candidate Vickie Dunn Date of Birth Phone Number 970-498-0490 Authorized Representative's Mailing Address (if different than address provided in Question 2.) 1217 Elm Drive, Berthoud, CO 80513 5. Event Manager Adele Work Date of Birth Phone Number 303-916-0119 Event Manager Home Address (Street, City, State, ZIP) 19417 County Road 3 Email Address of Event Manager 393farmerandadele@gmail.com 6. Has Applicant Organization or Issued a Special Event Permit Political Candidate been this Calendar Year? many days? 7. Is the Colorado premises for which your event is to be held currently licensed under the Liquor or Beer codes? No Yes License Number X No Yes How X 8. Does the Applicant Have Possession or Written Permission for the Use of The Premises to be Licensed? © Yes IN No List Below the Exact Date(s) for Which Application is Being Made for Permit Date 08/28/21 Hours From 4p.m. To 10P"' Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m, To .m. Date Hours From ,m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Oath of Applicant I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and that all i formation therei is tr e, correct and complete to the best of my knowledge. Signatur i Title President, Berthoud Local Date 07/27/21 Report and A ) /� �j�`t;, The foregoing application has been exa d a = es and we do report that such permit, if gra 7 d, • ti ith i rising Authority (City or County) iness conducted and character of the applicant is satisfactory, visions of Title 44, Article 5, C.R.S., as amended. TION IS APPROVED. Local Licensing Authority (City or County) �� City Weld County, Colorado Fir _ ►., county Telephone Number of City/County Clerk (970) 400-4213 Signaturepit> r I�kl� \'�� ►4'le Steve Moreno, Chair Board of County Commissioners Date 8/11/2021 DO NOT WRITE IN THIS SPA E - FOR DEPARTMENT OF REVENUE USE ONLY Liability Information License Account Number Liability Date State Total $ • -750 (999) (Instructions on Reverse Side) 2021-2429 DR 8439 (09/19/19) Application Information and Checklist The following supporting documents must be attached to this application for a permit to be issued: ,TThee following supporting documents must be attached to this application for a permit to be issued: E 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. 12. 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 IM If not incorporated, a NONPROFIT charter; or V If a political Candidate, attach copies of reports and statements that were filed with the Secretary of State. Application must first be submitted to the Local Licensing Authority (city or county) at least thirty (30) days prior to the event. r ---...Public Public notice of the proposed event and procedure for protesting issuance of the permit shall be conspicuously posted at the proposed location for at least (10) days before approval of the permit by Local Licensing Authority. (44-5-106 C.R.S.) State Licensing Authority must be notified of approved applications by Local Licensing Authorities within ten (10) days of approval. Z Check payable to the Colorado Department Of Revenue Qualifications for Special Events Permit (44-5-102 C.R.S.) A Special Event Permit issued under this article may be issued to an organization, whether or not presently licensed under Articles 4 and 3 of this title, which has been incorporated under the laws of this state for the purpose of a so- cial, fraternal, patriotic, political or athletic nature, and not for pecuniary gain or which is a regularly chartered branch, lodge or chapter of a national organization or society organized for such purposes and being non profit in nature, or which is a regularly established religious or philanthropic institution, and to any political candidate who has filed the necessary reports and statements with the Secretary of State pursuant to Article 45 of Title 1, C.R.S. A Special Event permit may be issued to any municipality owning arts facilities at which productions or performances of an artistic or cultural nature are presented for use at such facilities. RECEIVED JUL 2 9 2021 WELD COUNTY COMMISSIONERS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE INSTRUCTIONS TO APPLICANT: Complete each section and mark "N/A" where not applicable. Additional sheets may be attached. All required information must be furnished before the application will be processed. Please note: a Colorado Department of Revenue, Liquor Enforcement Division, application for a Special Events Permit (DR 8439) and all associated documents and fees must be submitted in conjunction with the Weld County Special Events Permit Questionnaire. All permits are subject to the rules and regulations of the local licensing authority, Articles 3, 4, and 5, of Title 44, C.R.S., and 1 C.C.R. 203-2. PERMIT FEE: $100.00 Submit a $100.00 fee payable to Weld County, as well as the Colorado Department of Revenue, Liquor Enforcement Division, fee payable to the Colorado Department of Revenue, at the time of application submittal. APPLICATION CHECKLIST: f Appropriate fees payable to Weld County and the Colorado Department of Revenue. t/ of the area to be licensed (not larger than 8 1/2" X 11"); reflecting bars, walls, partitions, ingress, egress, egress, dimensions of the property, and the location of liquor storage (lockable). Diagram of vehicle parking plan, including size and location of lots, points of highway access and interior roads, and routes between roads/highways and parking lots. Copy of deed, lease, or written permission of owner for use of the premises. Certificate of Good Standing issued by the Secretary of State within last two years, or if not incorporated, a non-profit charter. n IA If a political canditate, attach copies of reports and statements that were filed with the Secretary of State. ✓ Copies of training certificates (if applicable). , - Copy of food license agreement and Temporary Event Food Permit (if applicable). WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE QUALIFYING NON-PROFIT APPLICANT: Name of Organization or Political Candidate: Berthoud Local Name of President, or Secretary of Organization, or Political Candidate: Vickie Dunn, President Name of Event Manager: Adele Work Event Manager Phone: Organization or Political Candidate Phone: 303-916-0019 970-670-0141- Berthoud Local Event Manager E-mail Address: 303farmerandadele@gmail.com Mailing Address of Organization or Office of Political Candidate: P.O. Box 1331 City: '' Berthoud State: CO Zip Code: 80513 ADDRESS AND LEGAL DESCRIPTION OF ALL PROPERTY UPON WHICH TH EVENT IS TO BE HELD: Address: 19417 County Rd 3 City: Berthoud State: CO Zip Code: 80513 Legal Description: PT NE4SE4 30-4-68 Lot A REC EXEMPT RE -1341 NAME AND ADDRESS OF THE RECORD OWNERS OF SUCH PROPERTY. {ATTACH A COPY OF THE DEED TO THE PROPERTY, AND IF APPLICATION IS NOT MADE B THE RECORD OWNERS, A NOTARIZED STATEMENT FROM THE RECORD OWNERS CONSENTING TO THE ASSEMBLY): Name: Adele Work Address: 19417 County RD 3 City: Berthoud State: CO Zip Code: 80513 Name: Address: City: State: Zip Code: Page 2 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE FIRE DISTRICT: LAW ENFORCEMENT DISTRICT: Berthoud Fire District Thompson Valley EMS Weld County Law Enforcement District 2 1. DESCRIPTION OF THE NATURE OR PURPOSE OF THE EVENT: Fundraiser for Berthoud Local - specifically this is our annual Farm to Table dinner where we serve locally sourced and prepared food, wine and beer. 2. EXPLAIN, IN DETAIL, THE NATURE OF YOUR ORGANIZATION, ITS FUNCTION, AND WHO OR, WHAT BENEFITS FROM ITS OPERATIONS (ATTACH A SEPARATE PAGE IF NECESSAR Berthoud Local is a 501c3 non-profit. Our mission statement: to support and encourage a local food culture where people learn first-hand the place of agriculture in our community and the value of healthy food, environment and lifestyles. Berthoud Local serves as an umbrella organization fostering local food -focused projects within the town of Berthoud and the adjacent areas of unincorporated Larimer & Weld counties. We sponsor the Berthoud Local Farmers Market held every Saturday in Fickel Park late June through September. Berthoud Local also sponsors a Community Garden located in Pioneer Park in Berthoud. The Community Garden offers local area residents a place to experience growing their own food. A portion of the produce from this garden is donated to the House of Neighborly Services providing an additional source of healthy food to local residents who meet their guidelines for assistance. Berthoud Local has offered a variety of educational events on topics ranging from planting a garden, raising backyard chickens and grafting fruit trees. We hope to continue to expand our reach to support the local WHO OR WHAT ORGANIZATION WILL RE THE RECIPIENT OF FUNDS DERIVED FROM THIS EVENT: Berthoud Local - a 501 c3 non-profit Page 3 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 4. MAXIMUM NUMBER OF PERSONS TO BE ALLOWED AT EVENT AT ANY ONE TIME. 75 5. DATES AND HOURS DURING WHICH THE EVENT IS TO BE HELD: -5r4rP-FFI-/ ii41 /10 Au ust 28, 2021 AT TYPE OF SECURITY, IF ANY, WILL BE PROVIDED AT THIS EVENT (LIST SECURITY PLAN INCLUDING NUMBER OF SECURITY MEMBERS, HOW SECURITY WILL BE IDENTIFIED, WHERE SECURITY WILL BE LOCATED, HOW ALCOHOL WILL BE CONTROLLED, ETC.): The people in attendance will be friends and supporters of Berthoud Local and we don't feel a need for professional security. The bartender will monitor alcohol and disperse as appropriate. 7. WHERE WIL EVENT: SURPLUS ALCOHOL BE STORED AND LOCKED DURING THE In the house on the property. Page 4 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 8. HOW WILL ALCOHOL BE OBTAINED (DESCRIBE, IN DETAIL, WHERE ALCOHOL WILL BE DONATED OR PURCHASED FROM): From local liquor stores or wine merchants. 9. WHAT METHOD WILL RE USED FOR CHECKING THE IDENTIFICATION FOR T To PRO- PER AGE OF ATTENDEES (IDENTIFICATION CHECKED AT THE DO R, AT TH1 BAR, ETC.) AMID HOW WILL UNDERAGE PATRONS BE II NTIFIED SO AS N BE Ds, ALCOHOLIC BEVERAGES (STAMPS, MARK ON THE HAND WRISTBANDS ETC.); ID's will be checked on arrival and each attendee who is eligible to drink alcohol will have their hand stamped. Anyone without a stamp will not receive an alcoholic beverage. Page 5 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 10. IF THIS EVENT IS BEING HELD OUTDOORS, HOW WILL THE EXTERIOR BOUNDARIES OF THE PREMISES BE MARKED AND CONTROLLED (FENCED ROPED, ETC.): The property is fenced. 11. WHAT TYPE OF ENTERTAINMENT, IF ANY, WILL BE PROVIDED FOR THIS EVENT: Live music will be provided by a local musician who plays an acoustic guitar and sings. 12. HOW, AND BY WHOM, WILL THE CONDUCT AND LEVEL OF INTOXICATION OF ATTENDEES BE MONITORED. The bartender and Berthoud Local volunteers will monitor intoxication levels. Page 6 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 13. HAVE VOLUNTEERS OR MEMBERS OF YOUR ORGANIZATION BEEN TRAINED IN THE SALE/SERVICE OF ALCOHOLIC BEVERAGES (E.. TIPS TRAINING), AND IF SO, WHAT TRAINING HAVE THEY RECEIVED (ATTACH COPIES OF TRAINING CERTIFICATES): ServSafe Alcohol training - Meghan O'Brien Marks - bartender - see attached certificate ServSafe Alcohol training - Kristin Ramey - assistant bartender - see attached certificate 14. WHAT TYPES OF ALTERNATIVE BEVERAGES AND FOOD/SNACKS WILL BE AVAILABLE: Full four course dinner will be served. Tea, water and soda will be available as an alternative to alcohol. 15. IDENTIFY PLANS FOR MEETING COUNTY HEALTH STANDARDS FOR FOOD, CONCESSIONS, AND. CONCESSIONAIRES WHO WILL BE ALL OWED TO OPERATE ON THE GROUNDS, INCLUDING THE NAMES AND ADDRESSES OF ALL CONCESSIONAIRES AND THEIR LICENSE PERMIT NUMBERS (ATTACH A COPY OF FOOD LICENSES IF APPLICABLE). PLEASE NOTE: THE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT MAY REQUIRE A TEMPORARY EVENT FOOD PERMIT (CONTACT HE-tempevents@weldgov.com/ (970) 304-6415 FOR MORE INFORMATION): Food will be prepared by Rise Artisan Bread - permit #24923000 - see copy attached. Page 7 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 16. IDENTIFY PLANS FOR HOLDING, COLLECTING, AND DISPOSING OF SOLID WASTE MATERIALS, We will use trash cans with lids to be collected by Gallegos Sanitation. 17. IDENTIFY PLANS FOR PROVIDING TOILET FACILITIES, INCLUDING THE SOURCE, NUMBER, LOCATION, TYPE, AND THE MEANS OF DISPOSING WASTES DEPOSITED (ATTACH CONTRACT, AGREEMENT, OR E-MAIL IF APPLICABLE): 1 porta potty (provided by Gallegos Sanitation) will be placed on the west side of the barn plus there are 3 bathrooms in the house. See attached contract from Gallegos Sanitation. 18 EXPLAIN HOW THIS•EVENT WILL BE MARKETED, D SCR BING WHAT METHODS OF ADVERTISING WILL BE USED AND WHAT TYPE OF, MATERIALS WILL; BE DISTRIBUTED, AND THE "TARGETED RECIPIENTS OF SUCH MATERIAL: Berthoud Local will distribute flyers around town, advertise the event in the local paper - Berthoud Weekly Surveyor, on the Berthoud Local website and Facebook. We strive to connect with local people who will support our mission and this fundraiser. Page 8 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 19. IDENTIFY PLANS FOR PARKING VEHICLES, INCLUDING SIZE AND LOCATION OF LOTS, POINTS OF HIGHWAY ACCESS AND INTERIOR ROADS, AND ROUTES BETWEEN ROADS/HIGHWAYS AND PARKING LOTS: See attached map. 20. IN CASES OF LARGE OUTDOOR EVENTS: 1) HAVE EMERGENCY RESPONDERS BEEN NOTIFIED, 2) WILL THERE BE A FIRST AID STRUCTURE, AND 3) HAVE AMBULANCE SERVICES BEEN CONTRACTED FOR AN ON.SITE AMBULANCE DURING THE EVENT: N/A 21 IDENTIFY PLANS FOR CAMPING FACILITIES, None provided. Page 9 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 22. IDENTIFY PLANS, IF ANY, TO ILLUMINATE THE LOCATION OF THE EVENT, INCLUDING THE SOURCE AND AMOUNT OF POWER, AND THE LOCATION OF LAMPS: Outdoor String lights 48ft, Edison Vintage Commercial grade lights with 15xE26 base sockets & S14 Bulbs, Weatherproof connectable strand for Porch Garden Deck Backyard Cafe Bar Wedding Party, Black 23. IDENTIFY PLANS, IF ANY, FOR SOUND CONTROL AMPLIFICATION INCLUDING THE NUMBER, LOCATION, AND POWER OF AMPLIFIERS AND SPEAKERS: The musician will have one 100W amplifier and a 2 -way PA speaker system with 12" woofer and 1.35" compression driver. INVE HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE INFORMATION PROVIDED TO THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, CONTAINED IN THIS AFFIDAVIT IS TRUE AND ACCURATE. Vickie Dunn AUTHORIZED REPRESENTATIVE (PLEASE PRINT) a SIGNATURE July 29, 2021 DATE AUTHORIZED REPRESENTATIVE (PLEASE PRINT) SIGNATURE DATE Page 10 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS July 29, 2021 Colorado Department of Revenue Liquor Enforcement Division ADDENDUM TO APPLICATION FOR A SPECIAL EVENTS PERMIT Our plan to prevent the spread of COVID-19 at the Berthoud Local Farm to Table Dinner includes: • Staggered arrival times • Separate serving areas for appetizers, alcohol beverage service, alternative beverage service and desserts • The event is held outside and the tables will be spaced at least 6 feet apart • We will have a hand -washing station available as well as hand sanitizer • Each table will have food served for only that table • We will have a record of everyone in attendance for contact tracing purposes Please contact us at berthoudlocal@gmail.com with any further questions or clarification. Respectfully submitted Berthoud Local Vickie Dunn, President OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF FACT OF GOOD STANDING I, Jena Griswold, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, Berthoud Local is a Nonprofit Corporation formed or registered on 02/26/2014 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20141135599 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 07/22/2021 that have been posted, and by documents delivered to this office electronically through 07/22/2021 @ 10:27:26 . I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 07/22/2021 @ 10:27:26 in accordance with applicable law. This certificate is assigned Confirmation Number 13316650 . Secretary of State of the State of Colorado *********************************************End of Certificate**********************r******************** Notice: A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a Certificate page of the Secretary of State's Web site, http://www.sos.state.co.us.'biz/CertificateSearc:hCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, http:// www.sos.state.caus/ click "Businesses, trademarks, trade names" and select "Frequently Asked Questions." To: WW -o CePtAtrr Commis sul>nitia at t` 4 no `? ?4 t. x Din! Ala 2 G�' ova (- c..4 -n on! P 1401s(40 C N)Ai rc:1.4t144 S oN .Z' '-s Arc iW m *l . OP- r 'ja T i "ritS F a.re- AA/A 7406c. •• “764-1-B73+ Ai" I et*/ 7 Cie 3, T3a ivo o co, q 9-15 COOtirry 4X04.„A41.0. pV.Z".4-saP 77=:. His r 7t/Bowtiool, Lr c klruc 72, .4t3cE- e11•r4rt ,4q ,I woo y ,4u sr Zs 4, 2e>21 �vit- F�4,rt.te mom 4pM no, t7pM• Tt..4%43e Le-' bta mow re You t wi y iv lentbve.. CeuzanoiSs o lc n ms. l7Fc.a.¢o s, ... t . Wow. 141417 c -R t3oze.rwva n Co 8°57-3 111111! 1111111111111111111111111111111! 111111111111 1 of 714 f 2/05/2011 11.28A Weld County, CO 1111 R 11.00 D 58.50 Steve Moreno Clerk & Recorder II I I liii III 11111111 II II 11111111 III Warranty Deed (Pursuant to 38-30-113 C.R.S.) THIS DEED, made on December 01, 2011 by F. SAM MACDONALD AND DIANNE L. MACDONALD, TRUSTEES OF THE SAM AND DIANNE MACDONALD LIVING TRUST DATED JULY 6, 1994 Grantor(s), of the County of LARIMER and State of COLORADO for the consideration of ($585,000.00) *** Five Hundred Eighty Five Thousand and 00/100 *** dollars in hand paid, hereby sells and conveys to ADELE D. WORK AND JENNIFER L. CALDWELL Grantee(s), as Joint Tenants, whose street address is 19417 COUNTY ROAD 3 BERTHOUD, CO 80513, County of LARIMER, and State of COLORADO, the following real property in the County of Weld, and State of Colorado, to wit: LOT A OF RECORDED EXEMPTION NO. 1061 -30 -4 -RE 1341, RECORDED JUNE 25, 1991 AT RECEPTION NO. 2254311, BEING A PART OF THE NORTHEAST 1/4 OF THE SOUTHEAST 1/4 OF SECTION 30, TOWNSHIP 4 NORTH, RANGE 68 WEST OF THE 6TH P.M., COUNTY OF WELD, STATE OF COLORADO. / also known by street and number as: 19417 COUNTY ROAD 3 BERTHOUD CO 80513 !`f"' � with all its appurtenances and warrants the title to the same, subject to genera! taxes for the year 2011 and those specific Exceptions described by reference to recorded documents as reflected in the Title Documents accepted by Grantee(s) in accordance with Section 8.1 (Title Review) of the Contract to Buy and Sell Real Estate relating to the above described real property; distribution utility easements, (including cable TV); those specifically described rights of third parties not shown by the public records of which Grantee(s) has actual knowledge and which were accepted by Grantee(s) in accordance with Section 8.2 (Matters not Shown by the Public Records) and Section 8.3 (Survey Review) of the Contract to Buy and Sell Real Estate relating to the above described real property; inclusions of the Property within any special tax district; and other NONE State Documentary Fee Date: December 01, 2011 $ 58.50 THE SAM AND DIANNE MACDONALD LIVING TRUST DATED JULY 6, 1994 F. SAM MACDONALD, TRUSTEE State of COLORADO County ofLARIMER The foregoing instrument was acknowledged before me on this day of December 01, 2011 by F. SAM MACDONALD, TRUSTEE AND DIANNE L. MACDONALD, TRUSTEE OF THE SAM AND DIANNE MACDONALD LIVING TRUST DATED JULY 6, 1994 otary Public My commission expires a�CE HE10 NOTAR�2 •� PURL1C When Recorded Return to: ADELE D. WORK AND JENNIFER L. C LPL .•QQ 19417 COUNTY ROAD 3 BERTHOUD, CO CO .a, Form 13084 01/2011 wd.odt Warranty Deed (Joint Tenant) FC25 103484 (12344600) rig Land Title Pasture r Bennett/i errDitch ■ The Farm and Adele Jennifer Caldwell & Adele Work 19417 County Road 3 Berthoud, CO 80513 Weld County Map is not to scale I North G7Q silo ) i Steed Wlndmti�/WeU Pergola ergola coop Corral --7 Equipment Barn ..,.tea ..., «w , .. , ,. Driveway • Garage • Corn Field This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, currest or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION 03 t ;; �rw,.F�, ,,, .";��:��crg RECORDED C XE EXEMPTION NO, "',,."0 0 1061 -30 -4 -RE 1341 0073 s a .m,i TMe OMI ar,n,+m sans "a ,wus 0.w," IJ6LD v aum, �.,.,f"., �. rE4rorx SEt m � �'i EZp "3 Ina .4.14 L.4pi .nW�" nn1eWL dop01 4403 he.,0 Nato , 44014414 4+ 4 .u1T fd� 441 J,b 4010 i. 1/..4 Jo>wa,.4I ,.. N,✓idu 010011 4a,a.mJ14110 FS! CI SO 9.40 'a..da,1. 14014 Sao 'L4n V 04.1414 147 r 31.40 4041* 045..405. 414.14. M- rov.,c. °° �r46m:wa^W1 v w?WC 4 PfL oMaO R..,ia.P n, 4P 12001201 r' Ls 1��•={I ~m • �IG11.f1T� r1Ar • goo »'+0"E 6�TM =T"=u"0.nvram .,,11,°iai,'u.0.vuorsmrtf0414 Lo (r3 OO4 1444.+ 7 o.*n, 1 01.05,4. k ra t WM .05..4 „i.05451¢1..,,m MISSY .04410S ";.is.z u SM. 0„a 41„4.14 rnlaS SIOZMIT IS Ss 4 , ,ire mni°,°ms°`Iusn nii,�sn :ink" m 0,"5..0.0 n .,an s 0x,14 0.d rrAzT7,-=n%`r,a...w40sa°".0114 1sm .1:... wa mnu�R,PPASESSIWS 34. comm4a. unns l.. t , .n«,,,r t.rab 14400g-E-Vs �44 4fGx OCTv4„)10 10010(0.0. a -s ' 4 0 Leo ¢CMY ICLOISISS a J(OB N3 4a _LIP I Fr WELD COUNTY thir ONLINE MAPPING S pecial Events Permit - Berthoud Local kVI, "24P1112 NCU-369 LIE.Q1-000•10 NIt,U-10 rUSR-6"a I DAIRYo 4,468.5 0 2,234.23 4,468.5 Feet NCU-348 MUSR16i-0011 SU P•370 POUL 2TRY4 PR U CTI0N Neu -133 1r In 4 AflC Aire -A "+JS NCU-00156 NCU-156 ENNEI_ 60 COGS& SFR 1000 OWS MUSR13 KENNEL WGS_1984_Web_Mercator_Auxiliary_Sphere © Weld County Colorado This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION Legend tj Li p Parcels ZPAG - Zoning Permit for AG N CU - Non Conforming Use S PR - Site Plan Review U SR - Use by Special Review Floodplain - 500 Year Floodplain - 100 Year Zone A Floodplain - 100 Year Floodwa Floodplain - 100 Year Zone AE Floodplain - 100 Year Zone AI- Floodplain - 100 Year Zone AC Highway Road Road Highway City Limits - Extended Ault Berthoud Brighton Dacono Eaton Erie Evans Firestone Fort Lupton Frederick Notes 19417 County Road 3, Berthoud, CO 80513 TT WELD COUNTY _ -�, C�NIINE MAPPING Special Events Permit Berthoud Local This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION 7/29/2021 Property Report Weld County PROPERTY PORTAL Property Information (970) 400-3650 Technical Support (970) 400-4357 Account: R0124191 July 29, 2021 Account Information Account Parcel Space Type Account Tax Year Buildings I Actual Value Assessed Value R0124191 106130000030 1 Agricultural 2021 I 3 493.656 41.750 _ Legal PT NE4SE4 30-4-68 LOT A REC EXEMPT RE -1341 Subdivision Block Lot Land Economic Area BERTHOUD RURAL Property Address Property City Zip Section Township Range 19417 ROAD COUNTY 3 WELD 30 04 68 Owner(s) r Account Owner Name Address R0124191 WORK ADELE D 19417 CO COUNTY 805138011 3 BERTHOUD. ROAD R0124191 CALDWELL JENNIFER L Document History https://propertyreport.co.weld.co.us/?account=R0124191 1/11 7/29/2021 Property Report f Reception Rec Date Type I Grantor Grantee Doc Fee Sale Date Sale Price 02401867 08-10-1994 QCN 0.00 08-08-1994 0 2254311 06-25-1991 RE RECORDED EXEMPTIONI RE -1341 0.00 4_ 0 2254311 06-25-1991 RE RE -1341 RE -1341 0.00 06-25-1991 0 2255137 07-02-1991 WD ROCKY MOUNTAIN FUEL CO MAC DONALD FRANK S DIANNE L & 10.00 07-01-1991 100.000 3809734 12-05-2011 WD MACDONALD SAM TRUST DATED 6 1994 LIVING JULY WORK ADELE D 58.50 1 12-01-2011 585,000 3818453 01-18-2012 SURV WORK ADELE WORK ADELE 0.00 01-18-2012 0 Building Information Building 1 AccountNo Building ID Occupancy R0124191 i 1 Single Family Residential on Ag ID Type J NBHD Occupancy I % Complete Bedrooms Baths I Rooms 1 Residential 0261 Single Family Residential on Ag 100 4 -4 3 7 ID Exterior Roo Cover Interior HVAC Perimeter Units Type Unit Make 1 Frame Siding Drywall Central Air to Air 0 0 https://propertyreport.co.weld.co.us/?account=R0124191 2/11 7/29/2021 Property Report ID Square Ft Condo SF Total Basement SF Finished Basement SF Garage SF Carport SF Balcony SF Porch SF 1 1,638 0 1,102 0 576 0 176 490 Built As Details for Budding 1 ID Built As Square Ft Year Built Stones Length Width 1 00 1 Fin/2 Story 1,638 1925 2 0 0 Additional Details for Buildtn4 1 ID Detail Type Description Units 1 Add On Shed Frame 100 1 Appliance Allowance 1 1 Balcony Wood Wood Fin 24 1 Balcony Wood Wood Fin 152 1 Basement Bsmnt Conc 8 ft 1,102 1 Fixture Allowance 1 1 Fixture Bath 3 3 1 Garage Detached 576 1 Porch Slab Roof Cell 270 1 Porch Slab Roof Cell 220 Building 4 AccountNo Building ID Occupancy R0124191 4 Utility Building https //propertyreport co weld co us/account=R0124191 3/11 7/29/2021 Property Report ID Type NBHD Occupancy Complete Bedrooms Baths Rooms 4 Out Building 0801 Utility Building 100 0 0 0 ID ExteriorRoof Cover Interior HVAC Perimeter Units Unite Make 4 Gable None 96 0 ID Square Ft Condo SF Total Basement SF Finished Basement SF Garage SF Carport SF Balcony SF Porch SF 4 512 0 0 0 0 0 0 0 Built As Details for Buildin4 4 ID Built As Square Ft Year Built Stories Length Width 4 00 Utility Building 512 1925 1 32 16 No Additional Details for Building 4 Building 6 AccountNo Building ID Occupancy R0124191 6 Utility Building ID Type NBHD Occupancy Complete Bedrooms Baths Rooms 6 Out Building 0801 Utility Building 100 0 0 0 ID ExteriorRoof Cover Interior HVAC Perimeter Units Unit Make 6 Gable None 148 0 https //propertyreport co weld co us/'account=R0124191 4/11 7/29/2021 Property Report ID Square Ft Condo SF Total Basement SF Finished Basement SF Garage SF Carport SF Balcony SF Porch SF 6 1,144 0 0 0 0 0 0 0 Built As Details for Building 6 ID Built As Square Ft Year Built I Stories Length Width 6.00 Utility Building 1.144 , 2014 1 52 22 No Additional Details for Building 6 Valuation Information Type yp Code Description p Actual Value Assessed Value Acres 0.000 LLand SqFt q 0 t Improvement 4277 FARM/RANCH RESIDENCE- IMPS 464,125 33,180 Improvement 4279 FARM SUPPORT BLDGS RANCH 15,060 4,370 0.000 0 Land 4117 IRRIGATED FLOOD LAND AGRICULTURAL - 14.463 t 4.190 17.426 759,077 Land 4167 WASTE LAND 8 10 0.900 39,204 Totals - - 493,656 41,750 18.326 798,281 Comparable sales for your Residential or Commercial property may be found using our SALES SEARCH TOOL https://propertyreport.co.weld.co.us/?account=R0124191 5/11 7/29/2021 Property Report Tax Authorities Tax Area District ID District Name Current Mill Levy 5915 0502 BERTHOUD FIRE 13 854 5915 1203 BIG THOMPSON CONSERVATION 0 000 5915 1050 HIGH PLAINS LIBRARY 3 181 5915 0306 LITTLE THOMPSON WATER (LTW) 0 000 5915 0301 ANC NORTHERN COLORADO WATER 1 000 5915 0214 SCHOOL DIST R2J-LOVELAND 44 578 5915 0100 WELD COUNTY 15 038 Total - - 77 651 Photo https //propertyreport co weld co us/account=R0124191 6/11 7/29/2021 Property Report https://propertyreport.co.weld.co.us/?account=R0124191 7/11 7/29/2021 Property Report https://propertyreport.co.weld.co.us/?account=R0124191 8/11 7/29/2021 Property Report Sketch https://propertyreport.co.weld.co.us/?account=R0124191 9/11 7/29/2021 Property Report Op 10' 24' DG sI vtc i-i L.,,, iii 2dina 71.4 L _ 24' 6' WE, 4' lB 14' 4' 8' 12' w8 12' 14' le 8' 10' - 1B 7' 9' 14' 3 1B 3' 2B 1u 14' 10' 8' 1B 9' OP Building 1 Page 1 30' -a Map https://propertyreport.co.weld.co.us/?account=R0124191 10/11 7/29/2021 Property Report Maxar I Weld County Government Powered by Esri Get additional detail with the Map Search. Copyright © 2021 Weld County, Colorado. All rights reserved. Privacy Policy & Disclaimer I Accessibility Information https://propertyreport.co.weld.co.us/?account=R0124191 11/11 Con 1/4-01 You have successfully completed the ServSafe: Training and Certificate Program. This is your official ServSafe Alcohol Certificate Card and provides confirmation that you have studie and are knowied..cole _above, how to serve alcohol res•onsi1 rat�lations! Thank you for participating in the ServSafe Alcohol program. Responsible alcohol service begins with the choices you make, and ServSafe Alcohol training will help you make the right decision when the moment arises. By completing the ServSafe Alcohol program, you show your dedication to safe and responsible alcohol service. The ServSafe Alcohol program and the National Restaurant Association are dedicated to helping you continue to raise the bar on alcohol safety. To learn more about our full suite of responsible alcohol service training products, contact your State Restaurant Association, your distributor or visit us at ServSafe.com. We value your dedication to responsible alcohol service and applaud you for making the commitment to keep your operation, your customers and your community safe. Sincerely, Sherman Brown Executive Vice President, National Restaurant Association Solutions „dm ServSafe ID 4 20510784 CARD 4 20816908 ServSafe Alcohol® CERTIFICATE KRISTIN RAMEY 4 NAME 7/22/2029 DATE OF EXAMINATION Card expires three years from the date of examination. local laws apply. I lll.^ [OBOEEll .uo!onossp turunolsay pu0!tory aye }o sirewapo 810 u6isap DID aye puo eUO99npossy 4uomotsay Inuo!ory -i3Y N sty to DIMLIMpini aio 060) atostias aye pun onus •paArasai stybu ri 'U3Y3Ni uo!topunoi louoomnp3 uounnossy tuninntsapuoitnN 1101° suolimog uotremossV ZueannsaU I8uoneN Y uoptsaia aa1A entfnaaxs II/AOiff ueIIII qg v 'woi6oid OD!AJOS lotioolo alq±suodsai ,4oyo3ro a} es ay lo uo9ardwoo SIMUOD BIW!J9Jao sits In Alaska you must laminate your card for it to be valid. NOTE: You can access your score and certification information anytime at if you have any questions regarding your certification please contact the National Restaurant Association Service Center at or 11 t rirat BesiuuroPt Association Hurlbut?. hinf >r, (NAAFI) All rwjth re:esvdt 5erv'xrfr- Cad rh S r -> e kept ore Irodernarks of the tnRAfl tlatitiarol Resit; AI'S gild fist o1: ass r ore trarsmork; ct t6e NJtr;mat Rist>cu Vii` k.wkii ou: fl1 at1111 Congratulations! You have successfully completed the ServSafe: Training and Certificate Program. This is your official ServSafe Alcohol Certificate Card and provides confirmation that you have studied, and are knowled•eable about_ how_. to serve atcphJ. res•onsibl Thank you for participating in the ServSafe Alcohol program. Responsible alcohol service begins with the choices you make, and ServSafe Alcohol training will help you make the right decision when the moment arises. By completing the ServSafe Alcohol program, you show your dedication to safe and responsible alcohol service. The ServSafe Alcohol program and the National Restaurant Association are dedicated to helping you continue to raise the bar on alcohol safety. To learn more about our full suite of responsible alcohol service training products, contact your State Restaurant Association, your distributor or visit us at ServSafe.com. We value your dedication to responsible alcohol service and applaud you for making the commitment to keep your operation, your customers and your community safe. Sincerely, Sherman Brown Executive Vice President, National Restaurant Association Solutions _...„,,.,: -:.,.., •._:.::v._..•..:::-:.:::..-......... .4-.. - •,t._.__._•..� • ServSafe 'A•at I "Vztrw.4;?' A6SC. ).w ID ft 14Fk,544! CARD 4 20817933 ServSafe Alcohol® CERTIFICATE MEGHAN OBRIEN MARKS NAME 7/26/2021 DATE OF EXAMINATION (aid expires three years from the date d examination. local laws apply RIP A 106011L1 .uorlonossy luoirialsay puotioN ayJO s1imuapo14 WO u6isap Ito ayl pun euaunpossy pumices lououoN "33AN ey }o simtuaptul ato 0601 afostias et i puo ®a}os9tas 'pammasat 5446u NY *ORIN) uoitopuno3 puoitoxiP3 uoynoossy wointusa8 puosl8N LIOla suotinjog uottletaossv 1UBanBW,saH jsuonsN Iuaptseaa ea!A annilaaxf vasoag uemsagS -woj6oid 03!AJOS impala algrsuodsai a4ogw,2ag ate jo uoi e1dwoo SULT03 atooyp.10D sit{l *00010100 In Alaska you must laminate your card for"f to'Be edict .r.�. ServScife.com NOTE: You can access your score and certification information anytime at If you have any questions regarding your certification please contact the National Restaurant Association Service Center at 800.765.2122, ext,- "1D17 Notor.ai Redounn'r As5ooubotl fdutet ustai f rundie Sri (UURAUI. All nets resttvxd Serv'efe' and tkSturWt Lig ire I:ode:1)44i of the NRW Ilattonol RaAtvatani A itritntr s4 Ike nc design are hud naiI si the 1luticnuri Rsutheint Asncoii 11110801 'x,111! DR 0140 (02/16/11) DEPARTMENT OF REVERE DENVER CO 80261-0013 Must collect taxes for. SALES TAX LICENSE THIS LICENSE MUST BE IN A CONSPICUOUS PLACE: 403 5TH STREET BERTHOUD CO 80513 STATE COLORADO USE ACCOLPIT N for all r LIABILITY INFORMATION ISSUE DATE VALID : _ 31 icam I dv maws envm wIRrade ory Per s+ . 249 06-0009-003 L 100117 Nov 19 20 , 2021 COUNTY LARIMER CITY BERTHOUD �II�I�III'�I1�II�,�„1111iI�I�I*��=iI'ILLi'ilili'I#�• RISE ARTISAN BREAD_ LLC PO BOX 1111 BERTHOUD CO 80513-2111 MS LICENSE IS NOT TRANSFERABLE Executive Director Derevenest of Revenue STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT ISSUE LICENSE VALID TO ACCOUNT NUMBER LIABILITY INFORMATION use for all references county liability date code fee DATE DECEMBER ECE R.31. 24923000 069 I 9/6/2016 1 3000 l 385.00 - 1211512020 RISE ARTISAN BREAD LLC RISE ARTISAN BREAD 300 COMMON DR BERTHOUD, CO 80513 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: 403 5TH ST BERTHOUD, CO 80513 This certifies that licensee shown hereon , is authorized end licensed to engage in business in accordance with the provisions of the law, and regulations of the Colorado 'Department of Public Health and Enviro llnefL ` Any alterations made on this automatically POST IN A CONSPICUOUS PLACE r J GALLEGOS SA)J/IAMION Itmt REPUBLIC` �� SERVICES SERVICE AGREEMENT SPECIAL EVENT SERVICES PO BOX 1986 FORT COLLINS, CO 80522 Phone: 970-484-5556 Fax: 970-484-0662 SALES DIRECT: (970) 498-4085 Fax: (970) 4984099 HTTPS: //GSIWASTE.COMI CONTRACT START ACCOUNT # 08/27/2021 2787810 CUSTOMER INFORMATION "Your Refuse Service Specialists" Service Details Name1 Name2 Addressl Address2 City State/Zip Phone Fax Contact Email FARMER & ADELE EVENT 19417 COUNTY RD 3 BERTHOUD CO 80513 970-344-7280 JENNIFER CALDWELL Billing Details Name1 Name2 Address1 Address2 City State/Zip Phone Fax Contact Email FARMER & ADELE 19417 COUNTY RD 3 BERTHOUD CO 80513 970-344-7280 JENNIFER CALDWELL 303FARMERANDADELE@GMAIL.COM SERVICE SPECIFICATIONS AND CHARGES Description DELIVERY - SMALL CONTAINER OR PT SPECIAL EVENT PORTABLE RESTROOM(S) VACATE - SMALL CONTAINER OR PT PT FINAL SERVICE SPECIAL TERMS DELIVER : 8/27/2021 VACATE : 9/7/2021 EXTRA CLEAN 9/1/2021 EVENT TOTAL $ 255 Qtv 1.00 1.00 1.00 1.00 Rate $55.00 $100.00 $55.00 $0.00 By signing this document, you agree to be bound by the terms/conditions defined on the reverse side of this Service Agreement for Special Event Services & Waste Disposal. Any mondifications to those terms are to be documented in the Special Terms section above. Only then will the changes override the related terms on the back of this document. Customer/Agent Name - Printed Customer/Agent Name - Signature Date of Signature Amount $55.00 $100.00 $55.00 $0.00 GALLEGOS SANITATION Date GALLEGOS SANITATION R.A REPUBLIC pa SERVICES SERVICE AGREEMENT SPECIAL EVENT SERVICES PO BOX 1986 FORT COLLINS, CO 80522 Phone: 970-484-5556 Fax: 970484-0662 SALES DIRECT: (970) 498-4085 Fax: (970) 498-4099 HTTPS://GSIWASTE,COMI CONTRACT START ACCOUNT # 08/27/2021 2787810 SPECIAL EVENT SERVICES AGREEMENT TERMS AND CONDITIONS SERVICE AGREEMENT FOR TEMPORARY SERVICES TERM. The term of this Agreement shall be for the duration of the project, event, or until such time as the Customer no longer has any need for equipment of the type supplied by GALLEGOS SANITATION (Company) at this service address or, if so indicated, for a specified period on the main side of this document PAYMENT TERMS and CHARGES. Payment is due in full prior to delivery of the equipment for all events in which service is to be furnished for a period of 10 days or less. All other payment terms require credit authorization prior to delivery. With credit approval, On Call services must be paid within 30 days of the invoice date or as specified in the Special Terms Section of this agreement . Returned checks will incur a $15.00 handling charge plus any fees added by the collection agency, as allowed by law. If payment is not made by the due date, Company may impose and Customer agrees to pay a late fee for ag past due payments not to exceed the maximum rate allowed by applicable laws. A $ 3.00 rebilling fee may be assessed per invoice or statement copy. Customer shall be liable for all taxes, fees or other charges applicable to this Agreement or Customer's use of the equipment. Customer will be responsible for payment for any additional waste volume collected including other accumulated items not placed within the containers provided. Customer stag pay charges for excess disposal and/or any fines if containers are improperly loaded, overloaded or overweight (20,000 lb legal limit). Roll -off container rates include up to seven (7) tons of standard waste. Volumes in EXCESS of this limit shall be billed at $18/ton (excluding recydables). Rental charges shall apply for equipment not serviced a minimum of once per calendar month, at the rate of $35 for small containers and $130.00 for rotbff containers, or as indicated in the Service Specifications and Charges section on the reverse side. No refunds shall be issued for partially completed service periods once the period has begun, for "monthly" billed services. CUSTOMER'S RESPONSIBILITIES. Customer shall inspect equipment and finds it to be in good condition and suitable for Customer's needs or will contact Company within 24 hours from delivery. Customer will permit the equipment to be used only for the proper sanitation purposes for which it was intended, and will make no alteration or attachments to the equipment without Company 's authorization. Customer shall warrant that at no time will any hazardous waste including, but not limited to wet paints, asbestos, chemicals, oil, gasoline, or similar materials ever be disposed of in Company 's equipment. Should such occur, Customer accepts full responsibility for the dean -up, removal, and proper disposal and all associated costs of such materials. In addition, Customer agrees to defend and hold harmless the Company in any situation relating to this section, should it arise. Customer has identified the location for installation of the equipment and accepts all responsibility in connection with that choice of location. Customer will give Company free access to the equipment at all times over a suitable driving surface sufficient to bear the weight of Company 's equipment, and will make the equipment available for servicing or maintenance at ground level without hazard (including snow removal) to Company's agents, employees or equipment. Company shall not be responsible for damage to Customer's pavement or other driving surfaces resulting from the ivetght of Company's equipment. Customer agrees to only fill containers to level full capacity (excluding shingles, concrete, dirt, or similar dense materials) and shall be responsible for off loading overfilled or overweight containers or additional fees applied for these services. Customer shall provide Company with precise placement instructions, a map or onsite personnel at the time of placement to ensure accuracy. If such is not provided, Customer acknowledges responsibility for charges arising due to extended driver time on site or relocat e fees assessed for improperly placed equipment. Customer ensures equipment will be in the same spot as when delivered. Customer will notify Company immediately and discontinue use of the equipment if the equipment becomes unsafe for use or in need of repai r. Customer will not permit the equipment to become subject to any lien, charge or encumbrance. Customer acknowledges that staking of the equipment and other protective measure may not prevent damage to the equipment or other property. Customer accepts responsibility for the safe use of the equipment by Customer and those it authorizes to place waste therein. MAINTENANCE. Company will recharge and/or service the equipment in accordance with the terms of this Agreement. Company's obligations to maintain the equipment in good working order under ordinary use is conditioned upon Customer's compliance with the use obligations set forth in the Customer's Responsibility Section above. CUSTOMER'S INDEMNITY. Customer will indemnify the Company, its employees and agents against any claim, liability or cost arising from this Agreement or the use of the equipment, including property damage and personal injuries arising out of Customer's use of the equipment, except to the extent that such claims, liabilities or costs are due to Company's sole negligence. Customer will promptly reimburse Company for any damage to or loss of the equipment, up to and including replacement cost for the lost equipment or equipment damaged beyond repair. EXCLUSIVE RIGHT TO PROVIDE SERVICE. Customer agrees not to contract with, or permit, any person or entity other than the Company to provide the same or similar services at the location as herein contracted for the duration of the period the equipment is needed at this site unless Company has no way to fulfill Customer needs. Violation of this provision shall constitute breach of this Agreement. ENFORCEMENT. If Customer fails to make any payment or to perform any obligation due hereunder, Company may pursue all remedies available at law or in equity, including termination of this Agreement without notice, repossession of the equipment without legal process, and recovery of all sums due hereunder including business lost. Such remedies shall be cumulative. Customer shall pay Company's costs of collection and enforcement, including court costs and attorney's fees. MISCELLANEOUS. (A) Without the prior written consent of Company, Customer will not assign this Agreement or any rights or obligations hereunder and will not transfer possession or control of the equipment. (B) The provisions of this contract can be waived or modified in writing signed by both parties. Failure of Company to enforce any provisions shall not constitute a waiver of the provision. Acceptance of the returned equipment shall not waive any claims by Company against Customer; (C) Company shall not be liable for any failure to perform caused by weather, strikes, shortages of material or other causes beyond its control (acts of God or government); (D) The invalidity, unenforceability or waiver of any of the provisions shall not affect the remaining provisions. This is a legally binding contract, and GALLEGOS SANITATION agrees to provide and Customer agrees to accept the services and equipment at the charges and frequency of collection indicated on the reverse side, subject to the terms and conditions specified above. If any conflicts exist in this Agreement between terms printed and those which are typed or written (and initialed by Company), the typed or written language shall govern. SPECIAL EVENTS PERMIT APPLICATION - BERTHOUD LOCAL Notices SIGN POSTING AFFADAVIT DATE: July 29, 2021 FROM: Chloe A. Rempel, Deputy Clerk to the Board Supervisor SUBJECT: Berthoud Local Pursuant to Article 3, Title 44, C.R.S., notice given by posting shall include a sign of suitable material, not less than twenty-two inches wide and twenty-six inches high, composed of letters not less than one inch in height and stating the type of license applied for, the date of the application, the date of the hearing, and the name and address of the applicant, and such other information as may be required to fully apprise the public of the nature of the application. I hereby certify that I provided the Notice Sign for notification of hearing to consider a Special Events Permit application on this 29th day of July, 2021. a,• tl O"7I 09/ DI Chloe A. Rempel, Deputy Clerk tdthe Board Supervisor Date Weld County • Clerk to the Board's Office • 1150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com Chloe Rempel From: Sent: To: Subject: Vickie McLane <vickie@yogaadobe.com> Thursday, July 29, 2021 12:17 PM Chloe Rempel Berthoud Local FTT Dinner Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Hello Chloe! Here are the photos for the Special Permit application I turned in this morning. Please let me know if you need anything else. Vickie Dunn, President Berthoud Local 1 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com July 29, 2021 ATTN: VICKI DUNN BERTHOUD LOCAL P.O. BOX 1331 BERTHOUD, CO 80513 RE: HEARING TO CONSIDER SPECIAL EVENTS PERMIT APPLICATION - BERTHOUD LOCAL Dear Applicant: This is to advise you that the Weld County Board of Commissioners will hear your request for a Special Events Permit at the property described as: 19417 County Road 3, Berthoud, Colorado 80513. The meeting is scheduled for Wednesday, August 11, 2021, at 9:00 a.m., in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631. If you have any questions concerning this matter, please do not hesitate to contact me at (970) 400-4213 or crempel@weldgov.com. Sincerely, Chloe A. Rempel Deputy Clerk to the Board Supervisor cc: Weld County Attorney's Office Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Thursday, July 29, 2021 12:58 PM Vickie McLane NOTICE OF HEARING - Special Events Permit Application - Berthoud Local Notice of Hearing - Berthoud Local.pdf This is to advise you that the Weld County Board of Commissioners will hear your request for a Special Events Permit at the property described as: 19417 County Road 3, Berthoud, Colorado 80513. The meeting is scheduled for Wednesday, August 11, 2021, at 9:00 a.m. Please see the attached letter for further information (hard -copy to follow). Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Supervisor Clerk to the Board's Office Weld County 1150 O Street Greeley, CO 80631 Tel: (970) 400-4213 Email: crempel@weldgov.com Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 WELD COUNTY SPECIAL EVENTS PERMIT CERTIFICATE OF MAILING FIRST! NAME LAST NAME COMPANY ADDRESS 1 CITY STATE POSTAL CODE VICKI DUNN BERTHOUD LOCAL P.O. BOX 1331 BERTHOUD CO 80513 vickie@yogaadobe.com I hereby certify that I have sent a notification of hearing date letter in accordance with the notification requirements of Weld County in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list this 29th day of July, 2021. Chloe A. Rempel Deputy Clerk to the Board Supervisor SPECIAL EVENTS PERMIT APPLICATION - BERTHOUD LOCAL Receipts M 1375 Berthoud Local Agriculture- Community - Education PO Box 1331 Berthoud, CO 80513 berthoudlocal@gmaii.com PAY TO THE ORDER OF Independent Bank 88-1632/1119 2 Z I DOLLARS MEMO Z C3Z/ st (lt 1 'oe4S "er-frttl- Farwt -o�� (& 0 CO o v o O o m w 0 o o a.) a) U PO Box 758 Greeley CO 80632 RECEIPT DATE 01 / 91 / O o`erI AUTHORIZED SIGNATURE NO. 91 528 RECEIVED FROM E7e rthov 8 Loca..i ADDRESS P.O. QJDX 13'61, Qerth0ud . CO $ o 51 3 One Hundred 4-00/too $ tOd. Oc FOR L. = Q RCount 1 i j €' v y t5 F er HOW PAID CASH CHECK MONEY ORDER ... 100 00 SE f' BY 8 1376 Berthoud Local Agriculture- Community - Education PO Box 1331 Berthoud, CO 80513 . berthoudlocal@gmail.com MEMO 2yrc 7 //Li Gt Dor- �e`' -f; 12 Independent Bank 88-1632/1119 AUTHORIZED SIGNATURE DATE Q7 1 9l ` C)Q1 (0 o " m RECEIVED FROM teri-hood Loca,1 �; m° CO ADDRESS P•0 . 2x t 331, laer'+hood, CO 81513 a) 2 0 0 ° o o m -a? m a) a) l2 O -74'7 $ZS�t�o DOLLARS NO. 91 529 TvA.v.n - Five 4- OO/ do - $ 05.00 FOR L I - nJ*oi Special EVC241tS Fmi-t- Fee HOW PAID C. CHECK - a5 OO MONEY ORDER. 1413-7(0 sEP BY0.9l_ Oo H,atz 8 SPECIAL EVENTS PERMIT APPLICATION - BERTHOUD LOCAL Staff Referral Responses Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Thursday, July 29, 2021 1:05 PM Alan Caldwell; Bethany Pascoe; Bob Choate; Bruce Barker; Curtis Hall; Dawn Anderson; Don Dunker; Elizabeth Relford; Gabe Kalousek; Gabri Vergara; Hannah Dutrow; Jose Gonzalez; Karin McDougal; Lauren Light; Michael Knee; Nick Trautner; Roy Rudisill; Tom Parko Jr.; Wendi Inloes SPECIAL EVENTS PERMIT - Berthoud Local Special Events Permit - Berthoud Local.pdf; Staff Referral Memo - Berthoud Local.pdf In accordance with the procedures for processing Special Events Permit Applications, please complete and return the attached "Staff Referral Memo — Berthoud Local". Your report will be used by the Board of County Commissioners in considering the Applicant's permit application. PLEASE RESPOND NO LATER THAN: Monday, August 9, 2021 Please note: 1. Applicant: Berthoud Local P.O. Box 1331, Berthoud, CO 80513 Vickie Dunn, President Adele Work, Event Manager Event Location: 19417 County Road 3, Berthoud, CO 80513 Event Date/Time: August 28, 2021, from 4:00 p.m. to 10:00 p.m. File Location: LC0022 2. Application is to sell/serve malt, vinous, and spirituous liquors. 3. There is no land use permit evident at this location. Thank you, Chloe A. Rempel Deputy Clerk to the Board Supervisor Clerk to the Board's Office Weld County 1150 O Street Greeley, CO 80631 Tel: (970) 400-4213 Email: crempel@weldgov.com Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 MEMORANDUM TO: FROM: DEPARTMENT: DATE: SUBJECT: Board of County Commissioners Lt. Michael Knee Weld County Sheriffs Office 08/02/2021 Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Address: Berthoud Local - Vickie McLane, President, and Adele Work, Event Manager 19417 County Road 3, Berthoud, CO 80513 Date(s) of Event: August 28, 2021, from 4:00 p.m. to 10:00 p.m. Reply By: Monday, August 9, 2021 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempel(a weidgov.com. ❑✓ We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. A search of Spillman for the address of 19417 WCR 3 resulted in no issues to note. A search of Spillman for Adele Work resulted in no issues to note. A search of Spillman for Vicky Dunn resulted in no issues to note. MEMORANDUM TO: Board of County Commissioners FROM: Nick Trautner DEPARTMENT: Environmental Health DATE: 8/3/2021 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Berthoud Local - Vickie McLane, President, and Adele Work, Event Manager Address: 19417 County Road 3, Berthoud, CO 80513 Date(s) of Event: August 28, 2021, from 4:00 p.m. to 10:00 p.m. Reply By: Monday, August 9, 2021 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempel@weldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. MEMORANDUM TO: Board of County Commissioners FROM: Jose Gonzalez DEPARTMENT: Building DATE: 08/03/2021 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Berthoud Local - Vickie McLane, President, and Adele Work, Event Manager Address: 19417 County Road 3, Berthoud, CO 80513 Date(s) of Event: August 28, 2021, from 4:00 p.m. to 10:00 p.m. Reply By: Monday, August 9, 2021 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempelweldqov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. To: From: Subject: MEMORANDUM Chloe Rempel, Deputy Clerk to the Board Date: August 05, 2021 Hannah Dutrow, Zoning Compliance Officer, Dept. of Planning Services LC0022 Upon review of the Special Events Permit by the Department of Planning Services shows the following: PERMIT INFORMATION: Applicant: Physical Address: Event Address: Event Dates: Maximum number of people: PROPERTY INFORMATION: Zone District: Acreage: Land Use: Berthoud Local Vickie Dunn (Authorized Representative) PO Box 1331 Berthoud, CO 80513 19417 CR 3 Berthoud, Co 80513 August 28, 2021 4PM - 10PM 75 Agriculture 18.33+/- acres No land use permits STAFF COMMENTS: Upon review of my case files and computer, no active Zoning Violations were noted. No Compliance comments. No Planning comments. SERVICE, TEAMWORK, INTEGRITY, QUALITY MEMORANDUM TO: Board of County Commissioners FROM: Roy Rudisill DEPARTMENT: Office of Emergency Management DATE: 8/10/2021 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Berthoud Local - Vickie McLane, President, and Adele Work, Event Manager Address: 19417 County Road 3, Berthoud, CO 80513 Date(s) of Event: August 28, 2021, from 4:00 p.m. to 10:00 p.m. Reply By: Monday, August 9, 2021 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempelAweldgov.com. ✓❑ We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. MEMORANDUM TO: Board of County Commissioners FROM: Dawn Anderson DEPARTMENT: Public Works DATE: August 10, 2021 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Berthoud Local - Vickie McLane, President, and Adele Work, Event Manager Address: 19417 County Road 3, Berthoud, CO 80513 Date(s) of Event: August 28, 2021, from 4:00 p.m. to 10:00 p.m. Reply By: Monday, August 9, 2021 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempelweldqov.com. ✓❑ We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. 1. No parking or staging will be allowed on Weld County Roadways. SPECIAL EVENTS PERMIT APPLICATION - BERTHOUD LOCAL Miscellaneous Correspondence CLERK TO THE BOARD August 12, 2021 PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P. O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION P.O. BOX 17087 DENVER, CO 80217-0087 RE: SPECIAL EVENTS PERMIT APPLICATION — BERTHOUD LOCAL To Whom It May Concern: Please see the attached Special Events Permit application, a copy of all supporting documentation, and the associated fees. The Weld County Board of Commissioners approved the application on Wednesday, August 11, 2021. Check #: 1376 Check Date: 7/29/2021 Amount: $25.00 If you have questions or need additional information, please do not hesitate to contact me at (970) 400-4213. Very truly yours, O___(;),‘20.4., Chloe A. Rempel Deputy Clerk to the Board Supervisor crempel@weldgov.com 8/12/2021 FedEx Ship Manager - Print Your Label(s) Ent' 91,17Z SPLL vo£=o'. and ci. - I Jd rn J212021070901uv m m 0 rn 8 N o m o c) 0O0 N m ~ 0 rn 0 0 rn 0 co 0 0 0Or rA O O0 v m Z=1 OZ � m0 71 m E �m mz �v O� m ci) xi m C m 56DJ1 /BAF3/FE4A mm Or - m 0 mm C w 0 N 834N3S 1118 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. 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REMPEL ADDITIONAL INFO: CTB DEPARTMENT ORGANIZATION CODE: 10400 Thank you for shipping online with FedEx ShipManager at fedex.com. Please Note FedEx will not be responsible for any claim In excess of $100 per package, whether the result of loss, damage, delay, non -delivery, misdelivery, or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, Income Interest, profit, attorneys fees, costs, and other forms of damage whether direct, Incidental, consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented loss. Maximum for Items of extraordinary value is $1000, e.g., jewelry, precious metals, negotiable instruments and other items listed in our Service Guide. Written claims must be filed within strict time limits: Consult the applicable FedEx Service Guide for details. The estimated shipping charge may be different than the actual charges for your shipment. Differences may occur based on actual weight, dimensions, and other factors. Consult the applicable FedEx Service Guide or the FedEx Rate Sheets for details on how shipping charges are calculated. https://www.fedex.com/shipping/shipmentConfirmationAction.handle?method=doContinue 2/2 Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Thursday, July 15, 2021 3:46 PM berthoudlocal@gmail.com Special Events Permit Application DR 8439.pdf; Special Events Permit Questionnaire.pdf If approved, a Special Events Permit, which is dual licensed by both Weld County and the Colorado Department of Revenue, would allow the qualifying applicant to serve alcohol at your event. I have attached the application forms to this email. Once the application and questionnaire are complete and all supporting documentation and fees have been compiled, please contact me at (970) 400-4213 or crempel(cr�weldgov.com to make an appointment for submittal. Additionally, the Colorado Liquor Enforcement Division will want to know what your plan is to prevent the spread of COVID-19 at your event. Things other licensees have included in their application are staggered arrival times so everyone doesn't arrive at the exact same time, social distancing for standing in lines, social distancing for event activities, seating, and meals, having food served rather than a buffet, hand- washing/sanitizing stations, etc. Please also contact Bethany Pascoe with the Weld County Department of Planning Services, to find out if your planned event requires the issuance of a land use permit prior to the date of the event. Bethany Pascoe, Code Compliance Officer, can be contacted at (970) 400-3555 or bpascoeweldqov.com. Attachments: 1. Colorado Special Events Permit (DR 8439) 2. Weld County Special Events Permit Form If you have any questions or concerns, please do not hesitate to contact me. Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Supervisor Clerk to the Board's Office Weld County 1150 O Street Greeley, CO 80631 Tel: (970) 400-4213 Email: crempel@weldgov.com Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the 1 Hello