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Home My WebLink About20190818.tiffRESOLUTION RE: APPROVE TEMPORARY ASSEMBLY PERMIT - MARTIN AND BERTA GUTIERREZ 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, Martin and Berta Gutierrez have presented to the Board of County Commissioners an application for a Permit for Temporary Assembly on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 10:00 a.m. until 6:00 p.m., on April 6, and 7, 2019, (alternately April 13, and 14, 2019, or April 20, and 21, 2019, in the event of inclement weather), on the property described as follows: 7717 County Road 31, Fort Lupton, Colorado 80621; being further described as Lot B of RECX15-0170; being part of the NE1/4 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has paid Weld County the sum of $100.00 for said Weld County Permit for Temporary Assembly, and WHEREAS, having examined said application, the Board deems it appropriate to grant a Weld County Permit for Temporary Assembly to Martin and Berta Gutierrez, and WHEREAS, said permit shall be issued subject to compliance with the terms and conditions as set forth in the application materials and upon the express condition and agreement that the temporary assemblage will be conducted in strict conformity to all laws of the State of Colorado and the Weld County Code, and WHEREAS, any violation to said terms and conditions shall be cause for revocation of said permit and forfeiture of bond. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that said Weld County Permit for Temporary Assembly on April 6, and 7, 2019, (or the alternate dates if necessary), be, and hereby is, granted to Martin and Berta Gutierrez to conduct a temporary assemblage at the hereinabove described location. GG'•eOCRS/Jn/GC), GOB -Ca -I ), Q,PPL 03(05/19 2019-0818 LC0022 TEMPORARY ASSEMBLY PERMIT — MARTIN AND BERTA GUTIERREZ PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 25th day of February, A.D., 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CQLORADO. ATTEST:� w ��-4 Weld County Clerk to the Board BY: Q,0,. eputy Clerk to the Board APPROV unty ttorney Date of signature: off(RY71 VI Barbara Kirkmey r, Chair Mike Freeman, Pro -Tern Conway James eve Moreno 2019-0818 LC0022 WELD COUNTY PERMIT FOR TEMPORARY ASSEMBLY By action of the Board of County Commissioners of the County of Weld, State of Colorado, taken this 25th day of February, 2019, IT IS HEREBY GRANTED a permit for a temporary assemblage on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 10:00 a.m. until 6:00 p.m., on April 6, and 7, 2019, (alternately April 13, and 14, 2019, or April 20, and 21, 2019, in the event of inclement weather), on the property described as: 7717 County Road 31, Fort Lupton, Colorado 80621; being further described as Lot B of RECX15-0170; being part of the NE1/4 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado This permit authorizes Martin and Berta Gutierrez to hold such an assemblage so long as it is in accordance with Chapter 12 of the Weld County Code and all other applicable State and County statutes and regulations. This permit is subject to compliance with the terms and conditions as set forth in the application materials and to additional conditions set forth by the Board and attached hereto. PERMIT APPROVED this 25th day of February, 2019. ATTEST: d.,„itia.0) G: •.ka;&k. Weld County Clerk to the Board BY: 00.4, a• i/vt e puty Clerk to the Board Sean '. Conway ounty Attorney Date of signature: C»l FR) '7I 1cl BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CQLORADO IL- arbara Kirkmeyei, Chair Mike Freeman, Pro-Tem C NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2019-0818 LC0022 c0 a a a a N a '''ska-enee wElb CERTIFICATE OF DELIVERY DATE: March 5, 2019 FROM: Chloe A. Rempel, Deputy Clerk to the Board SUBJECT: Martin and Berta Gutierrez I hereby certify that I have sent the below documents in accordance with the requirements of Weld County and the Colorado Department of Revenue, Liquor Enforcement Division, on this 5th day of March, 2019. One copy of the signed Weld County Resolution approving Temporary Assembly Permit One original Weld County Temporary Assembly Permit U.S. Postal Service' CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com . FFICIAL.. S Certified Mail Fee $ Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ D Return Receipt (electronic) ❑ Certified Mail Restricted Delivery ❑ Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ Postage Total Postage and Fees --tJ Sent a Postmark Here 3/5/19 0 air- 4-i n 44. Street and Apt. No., or PO Box NCR 31 -Crty,_State, ZIP+4 c_c -} a- i et r c PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions SENDER: COMPLETE THIS SECTION a) y C. a) 92 t >, c O 1- M 0 co N D as 46 C C C C U U 0 L C E o i U CL cn ■ ■ tecy- -eas- CO O O >- Z �`.❑❑ O 1 T . a) a)_ r= - F -n o 0) ro O cDaN a) `F 43 >> w cc co 4- ai U a) E 0 o E U o cts a O o U 4-0 Q o U 4• O 07 - ao ea • C Co ■ 0 a) co Q a) t Q LO CCD co co V r CO r_ cc 7.A) cif: 1 I :SE) 2 g t Q) O 0 0 .g) .) 0 DOD 0 ❑❑ I- O O RS a! O E g a0 0 0 0 o.?OOD a) > iciN 0 a., y > -O > xi xi ig �0 cu y a, a, . CC -c (Da) a� �pcc.?''—' 0 I—• 3lb' c�0Q0-- Ncc�dccc,,o o 0 CD 5tt-- (0 <<0cv 15 0U cc; ❑E&0s :OOC is) cas 3 Art (V m Er a a Ln CI Domestic Return Receipt PS Form 3811, July 2015 PSN 7530-02-000-9053 Weld County • Clerk to the Board's Office • 1 150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY INSTRUCTIONS TO APPLICANT: Complete each section and mark "N/A" where not applicable. Additional sheets may be attached and maps, sketches, or drawings may be substituted for the verbal description of plans for the assembly site. Where applicable, please attach contracts, agreements, or emails. All required information must be furnished before the application will be processed. PERMIT FEE: $100.00 Submit $100.00 fee for each event where three -hundred fifty (350) or more people assemble, or can reasonably be anticipated to assemble, at any one (1) location, unless the location is properly zoned for such assembly, in which case one permit shall be required for the total number of events scheduled for that location for the remainder of the calendar year, not to exceed ten (10) events per year. As used herein, the term event means an assembly or anticipated assembly which is scheduled to last for three (3) consecutive days or less. Applicants must provide a statement by a bonding company licensed to do business in the State of Colorado indicating its intent to furnish a bond required in Section 12-1-30.B.13 of the Weld County Code, or a bond of $3,000.00, to ensure performance by the applicant of each of the terms and conditions of the temporary assemblage permit. APPLICATION CHECKLIST: Please see Weld County Code for more detailed info. V Two (2) persons trained in emergency medical technology for the first three hundred fifty (350) persons and one (1) for every three hundred fifty (350) persons after that, together with one emergency ambulance. / Adequate communication with hospital, police, and fire services. ✓ Fire protection services (off -site). ✓ Security Plans for communication, including the source, amount, and location of communcation equipment. Adequate and safe supply of potable water. £/ If applicaple, the plans for meeting County Health standards for food concessions. ✓ Sanitary method of disposing solid waste. ✓ Separate and enclosed toilets for males and females. V Parking area at the rate of one (1) parking space for every four (4) persons. n/M Camping facilities, if the assembly is to continue overnight. iii//t Illumination if assembly is to continue during the hours of darkness. 4✓//9- Electrical systems installation and maintenance if current systems are not self-supporting. 1/ Plans to insure that trees, underbrush, large rocks, and other natural features shall be left intact. 4✓- Statement by the record owners of such property consenting to such assembly. Insurance in an amount that is adequate and reasonable in light of the risks and hazards relating to the event. ,/ $3, 000.00 bond or statement by a bonding company. $100.00 nonrefundable fee payable to the "Weld County Clerk to the Board". 2019-0818 WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY SUPPORTING DOCUMENTS CHECKLIST: Please attach the following documents when applicable. /vie- If a corporation, certified copy of articles of incorporation. v Contract, agreement, or email with the hours of availability of emergency medical technicians, nurses, provisions for emergency ambulance service, and proof of insurance for the company providing standby emergency medical services. ,,- Contract, agreement, or email from the fire protection district. Contract, agreement, or email from local police services, or Weld County Sheriffs Office. i/ Contract, agreement, or email for security, including the number of guards, their deployment, their names, addresses, credentials, hours of availability, OR description of peer group control. For information about peer group control security methods, please contact the Weld County Clerk to the Board's Office. Contract, agreement, or email for potable (drinking) water, including the source, number, location of facilities, and type and means of disposing of waste. V Contract, agreement, or email for food, concessions, and concessionaires who will be allowed to operate on the grounds, including the names and addresses of all concessionaires and a copy of their license. Contract, agreement, or email for the holding, collecting, or desposing of solid waste materials. Contract, agreement, or email for providing separate toilet facilities (including hand washing stations) for males and females, including the source, number, location, and type and means of disposing of wastes. / s� Map of the property displaying surrounding roads, boundaries, access points, parking, paramedic turn- around location, first aid tent/structure, security location and checkpoints, location of potable water, location of restrooms and hand washing stations, location of food vendors, and location of solid waste disposal methods. If applicable, please add the location of sound amplification devices, the electrical system, illumination devices, and camping facilities. — Statement by the record owners of property consenting to such assembly, or if applicant owns the property, statement of ownership. — Statement by an insurance company for liability insurance. RECEIVED JAN 2 8 20:9 WELL) COUNTY C0^n:!;, ISs! r)NIFRF Page 2 of 11 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY APPLICANT: All partners in a partnership, officers of an unincorporated association, society or group, or, if there are no officers, all members of such association, society or group. IF A CORPORATION, ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION. Business Name, dba: N/A Applicant Name(s): Martin Gutierrez Berta Gutierrez Cell Phone: (303) 263-6555 Work Phone: (303) 718-0507 E-mail Address: Physical Address: 7717 CR 31 City: Fort Lupton State: CO Zip Code: 80621 Mailing Address: 7717 CR 31 City: Fort Lupton State: CO Zip Code: 80621 Address and legal description of all property upon which the assembly is to be held. Physical Address: 7717 County Road 31 City: Fort Lupton State: CO Zip Code: 80621 Legal Description: Lot B of RECX15-0170; NE1/4 of S28, T2N, R66W of the 6th P.M. Name and address of the record owners of such property (Attach a notarized statement by the record owners of such property consenting to the assembly if application is not made by all of the record owners). Name: Martin Gutierrez Physical Address: 7717 CR 31 City: Fort Lupton State: CO Zip Code: 80621 Name: Berta Gutierrez Physical Address: 7717 CR 31 City: Fort Lupton State: CO Zip Code: 80621 Page 3 of 11 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 1. Nature or purpose of the assembly. Uffi. 6\aut. fe aes-Frci. (v ��m�-Co{ c,SSe,h1JoI/ t- L- r l l 6c (cur Ci I k_9_9eor r I -t- [ 5 u, "rte m I y o ✓' e n t eta. e (iciyt- rtiK. he✓e -th ✓amain 71fer�-O- 1s (ndvsc �� n t,�Je do we " �,,�- �� i. � id- h,or�� -14\ 1'6 e u ₹ yr (.4{i ( CU n I y k eer.us�. Ili) (se 6 n erg v F -two- ett i-5 e i iwe v e- +1-6-t. � r Jc +he, j o uk vicol/ ,pa r- kc-i a ¢ r - c (rc,Fa h of f u Lk 2. Dates and hours during which the assembly is to be held. � �o v U- , af ✓i i ',3 /�)c (q 00_rt I d, 'O1 Co- c� � ,� 1+"ti ,e, a12-1, ' f l�"_ r` s t- 6-1 etif t A e 5 i"c ci E-4& 6 0 (f- 3. Ir5OC 4. Maximum number of tickets to be sold, if any. ✓� 0 1o0 - fr\o�'je �wne15 Sf�F� coon �e`nic' Se0-uri.F ao 71o+ �nY�x �y Paii Page 4 of 11 M:\CTB\TEMPORARY ASSEMBLY\General FormstApplications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 5. Identify plans to limit number of persons to the maximum identified above. e.L&( y 5 v u r cis i be O5`iya ed- -(6 (A,„sc ( JtIYy ne rrva\I 45 bey Kn�f • 4 ti c_n irY •1 -(c -K e- 1 hand ).1/ 6. Identify plans to provide for medical facilities, including the location and construction of any structures, the names, addresses, and hours of availability of emergency medical technicians and nurses, and provisions for emergency ambulance services. Attach contract, agreement, or email, and proof of insurance for the company providing standby emergency medical services. d 4- LtO n--/- Vii' /I b c 5 e * n e y -1-o c1 k,n (a s ce I Q atite ,s needed 5 or any c+her rr,e-rkc•c L55u . di �, ty_a c4 et(i A -k cis are c e r . f -(C 4 cz.L e„„,4, CIDR P l ea s e Ste Cu -(1. e k m e 7. Identify plans for communication with hospital, police, and fire services, including the source, amount, and location of communication equipment. TO-Ca/PA ec'CS can --SL 1-Y ducts. c d6 k (LA) 6. cv,Ay a d C©m mu_ nv Page 5 of 11 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 8. Identify plans for fire protection. Attach contract, agreement, or email. �jY�C� —►1�'s 6 0a\ pee -r\ ti e12c-i Gov‘c) f LU: tl 1rJe_ (LlILWe1. (e-tte 9. Identify plans for security, including the number of guards, their deployment, names, addresses, credentials and hours of availability, and/or description of peer group control, if any. Attach contract, agreement, or email. uu k4,Q6 Cbh !Cclif PA. Ci`J(c} -The-y (JrU p(oUtdcr /(a 11A. G15 ow_ G2JL i I c' cP „ h e i +- {� o c� r 5 w H i to g= . DO [� • ( A . 1-O (� '.00 J �h �y ; I c K e c GZ tA_ tl r r\ rt 1 � i re - Ct- r ms i p - 3 10. Identify plans for communication amongst the assemblage, including the source, amount, and location of communcation equipment. a d e,e6 icyv a tv e {s Sc' i✓u r,' f y 3Gc. a1 S J pa '• C }Lt rn c ern -4 N Gj 0oe_c r .e; G 0 L- r Orr. �i t Ceti Y'Y� 0-4-A/wci C ( i O14- -ei Page 6 of 11 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 11. Identify plans for supplying potable (drinking) water, including the source, number, and location of facilities, and type and means of disposing of waste deposited. Attach contract, agreement, or email. fv-H71 e a, e tv f Ile &V i l atlie +( r ou,sh of e_V`-`4)L 1�4�i ti be 60cut to- p o i os CCU P /ekes e_ C6 or, b �a r D y' d 4 {44--TApI-N Sere 6-1(4eh.m.. ( 6t by 12. If applicable, identify plans for meeting County health standards for food, concessions, and concessionaires who will be allowed to operate on the grounds, including the names and addresses of all concessionaires and their license permit numbers. Attach contract, agreement, or email. kiny (tr) d cat food ucm civrs Ct re- lIC`e Sect -r-O)/ e� . 13. Identify plans for holding, collecting, and disposing of solid waste materials. Attach contract, agreement, or email. rkshck rs OL ("e4), O uo n eis _ e. s fools `i plc. -�or S�-F inash cr%1` ate$ lzc� I► b , r e (.c,--TLI e U b ) () 61,tt r�-�e r D iz. `f—" e,1),2-.4 Cr. f^ e4- 1 h s e (z ✓ 2, ads 3 I is o c, e I i a l -1—C) L G, all Page 7of11 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 14. Identify plans for providing separate toilet facilities for males and females, including the source, number, and location, type and the means of disposing of wastes deposited. Attach contract agreement or email. rrLu6rnsu Lei ti r eye SCe- F(t) U i a.'2.. •_ porgy L t'eS f Your vt- r�u5h o .emu 15. Identify plans for parking vehicles, including size and location of lots, points of highway access and interior roads, including routes between highway access and parking lots. lhe,'e 06 (r ,t. (O, YY\ Q,1, n 4 4., n e SL . " p64 -2-i „y proPE �rn��>r bt Gar' l% ry acl, S is r S 16. Identify plans for camping facilities, if any. // Ei/z-of '4© hL Atd v p e4-1, o r e Page 8 of 11 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 17. Identify plans, if any, to illuminate the location of the assembly, including the source and amount of power, and the location of lamps. ._a iJ &)d i 5. h fitA ()IA.() (\fj d u ' .ric.e ct U ��Lr � y auCu (u�lc �, �i t'tv �`'`� �f � `'`_ � tv 18. Identify plans, if any, for an electrical system. 19. Identify plans for sound control and sound amplification, if any, including number, location, and power of amplifiers and speakers. /V/4. Page 9of11 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 20. Identify plans to ensure that trees, underbrush, large rocks, and other natural features shall be left intact and undisturbed, and natural vegetative cover retained, protected and maintained so as to facilitate drainage, prevent erosion, and preserve the scenic attributes; and the plans to abate dust on the site. 110 (Ce_S 1) 0 Ceder 4. a s`t, /he_ce is CL Goa er` fLcck CUtc `a / i Cu5c' // /s leedt�-. Attach a statement by the record owners of such property consenting to such assembly. c=c -h+ 9 Attach a statement by an insurance company licensed to do business in the State of Colorado stating its intent to provide liability insurance, as required by Section 12-1- 30.B.14 of the Weld County Code, to protect against injury to per ns or property occurring as a result of such an assembly. a h mew �) Page 10 of 11 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY BY THIS APPLICATION, APPLICANT(S) AGREES TO INDEMNIFY AND HOLD HARMLESS WELD COUNTY OR ANY OF ITS AGENTS, OFFICERS, SERVANTS, AND EMPLOYEES FROM ANY LIABILITY OR CAUSES OF ACTION WHICH MIGHT ARISE BY REASON OF GRANTING OF A TEMPORARY ASSEMBLAGE PERMIT, AND FROM ANY COSTS INCURRED IN DEFENDING AGAINST SUCH ACTIONS OR IN CLEANING UP ANY WASTE MATERIAL PRODUCED OR LEFT BY THE ASSEMBLY. The applicant, and each of them, swears, (affirms) that, to the best of his or her knowledge, the statements contained in the application are true and correct. NA1112---ri ) a 15A_ r e 2_ Authorized Date �f 1 SUBSCRIBED AND SWORN to me before this 2`� day of •1 Gl X11�GW Witness my hand and official seal. My commission expires: o42f /Z02JL Z7 ,20 (9 Notary Public DAWN KOSHIO NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20104038580 My Commission Expires September 21, 2022 Page 11 of 11 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications January 22, 2019 RE: Consent from property owners for a Temporary Assembly Permit To Whom It May Concern: Through this letter, we, Berta and Martin Gutierrez owners of property at 7717 County Road 31, Fort Lupton, Co. 80621 hereby consent to this assembly scheduled for April 6 & 7, 2019 (with alternate dates of April 13 & 14 and April 20 and 21, 2019). Alternate dates are requested due to weather permiting issues on original date since this event is held in an open field. Respectfully, t li.C4,9,!.- a'i! Berta Gutierrez, Owner 1 February 1, 2019 To Whom It May Concern: This letter will serve as authorizattion from Rosana Pena and Samuel Jaquez, owners of the property at 7405 Weld County Road 31, Fort Lupton, Co. 80621 for use of the access road on the above mentioned property during an event that has been applied for by Berta & Martin Gutierrez at 7717 Weld County Road 31, Fort Lupton, CO. 80621 via a Temporary Assembly Permit. We understand that the date will be April 6-7, 2019 with April 13-14 and April 20-21, 2019 as alternate dates due to weather permiting. 5411 va cieoc/E G ,1/2//y Samuel Jaquez Date QA„ 1/2 7/\,c Rosana Pena Date State of (Q a= County of f\J l Signed before me on this Z2 day C ?rp36a �P v& OII� by��l� �� Mary Public Address `Si U ZZ My Commission Expires Z' DAWN KOSHIO NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20104038580 My Commission Expires September 21, 2022 1 XcelEnergysM PUBLIC SERVICE COMPANY January 10, 2019 Siting and Land Rights 1800 Larimer Street, Suite 400 Denver, Colorado 80202-4256 Telephone: 303.571.7799 Facsimile: 303-294-2088 Re: Access Across Public Service Company of Colorado Easement/Right-of-Way To: Whom it May Concern I hereby grant permission as authorized agent for Public Service Company of Colorado to whom it may concern to cross the referenced easement/right-of-way for activities at 7717 CR 31, Ft. Lupton, CO 80621 on April 6 and 7th, 2019 and alternatively April 13 and 14th, or April 20 and 21 na Michael E. Diehl, Siting and Land Rights Manager Public Service Company of Colorado. STATE OF COLORADO ) ) ss. CITY & COUNTY OF DENVER ) The foregoing instrument was acknowledged before me this the 10th day of January 2019 by Michael E. Diehl, Manager of Siting and Land Rights for Public Service Company of Colorado. Commission expires: fill&/241-0 Witness my hand and official seal. CRYSTAL SANCHEZ Notary Public State of Colorado Notary ID # 19994014518 I My Commission Expires 11-23-2020 Michael Schliep Agency January 23, 2019 Weld County Offices 1150 O Street PO Box 758 Greeley, CO 80632 To Whom it May Concern: Michael Schliep Agent I am writing you to verify that the application for insurance has been applied for on behalf of Martin Gutierrez for the horse racing event planned for April 6`h and 7th of 2019, at 7717 County road 31, Fort Lupton, CO 80621. We expect to receive the necessary paperwork back from the insurance carrier this week, and can forward a copy of the insurance policy to any email address you choose. The limits of insurance that have been requested are $1,000,000 per occurrence with a $2,000,000 general aggregate. If you have any questions or need additional information, please contact me by phone, fax or email as listed below. Thank you for your assistance. Sincerely Michael Schliep Phone: 303-659-9065 420 Court Place NI Brighton, CO 80601 mike`@themsagency.com Fax: 720-230-4871 a Burns& Wilcox 280 South 400 West, Suite #200. Salt Lake City UT 84101 Phone: (801) 432-5422 OR (800) 523-1409 Fax: (801) 944-4893 TO: FARMERS UNION SERVICE DATE: 1/24/2019 RE: Martin Gutierrez Page 1 of 1 WE ARE PLEASED TO OFFER THE FOLLOWING QUOTATION: LOCATION(S) OF RISK: 1. 7717 County Road 31, Fort Lupton; CO 80621 PROPOSED EFFECTIVE PERIOD: 04/06/2019 AT 12:01 AM TO 04/08/2019 AT 12:01 AM STD TIME AT RISK LOCATION. FORM OF COVERAGE: COMMERCIAL GENERAL LIABILITY OCCURRENCE APPLICATION NO: APP78818222 INSURER(S): Line Of Business Supplier(s) Participation Commercial General Liability LIMITS / DEDUCTIBLES: Loc Sub Coverage Scottsdale Insurance Company 100.00 % Limit(s) Deductible(s) Co Ins 1 Per Attached Quote TOTAL CHARGES: Premium: $ Fee: $ Tax: $ TOTAL: $ 850.00 Commercial General Liability 100.00 Policy Fee (Fully Earned) 28.50 Surplus Lines Tax - GenLiab 978.50 +5103 ELSA SA Fee & S I. Tax = 51,081.50 COMMISSION: 12.00 % OF PREMIUM EXCLUSIONS: Included 100% MINIMUM & DEPOSIT TERM MINIMUM PREMIUM: 100.00% EARNED MINIMUM PREMIUM = $850.00 ENDORSEMENTS: Per attached quote CONDITIONS: PLEASE REVIEW THIS CAREFULLY AS IT MAY DIFFER FROM COVERAGES AND LIMITS REQUESTED. Burns & Wilcox to file tax. **See attached quote for subjectivities THE ABOVE COVERAGES ARE THE ONLY COVERAGES OFFERED. ANY COVERAGE REQUESTED IN THE APPLICATION THAT DIFFERS FROM THE ABOVE IS NOT INCLUDED. THE INSURANCE IS SUBJECT TO THE TERMS, CONDITIONS, LIMITATIONS, AND FORMS OF THE POLICY(S) IN CURRENT USE BY THE COMPANY. WE APPRECIATE YOUR BUSINESS. NO BINDING AUTHORITY IS CONVEYED TO ANY AGENT. FLAT CANCELLATIONS NOT ALLOWED. QUOTATION IS GOOD FOR 30 DAYS. B&W PRODUCER: Brittani M Marrott Date: 01/24/2019 Quote #: Page 1 of 6 Commercial Liability Quote Proposal Underwritten By: Scottsdale Insurance Company A.M. Best rated A+ (Superior), FSC XV Quote Summary Commission: % Minimum Earned: 100% Minimum & Deposit: 100% These terms are valid for 60 days from the date on this letter. Our quotation may differ from the terms requested in the submission. Please review the quotation carefully. If the policy is cancelled at the insured's request, including non-payment of premium, there will be a minimum earned premium retained by us. At the close of each audit period, we will compute the earned premium for that period. If the earned premium is greater than the advance premium paid, an audit premium will be due. If a policy or inspection fee is applicable to this policy, the fees are fully earned. No flat cancellations. Applicant: Martin Gutierrez Address: 7717 County Road 31 Fort Lupton CO 80621 Policy Type: Commercial Liability Quote Policy Period: 04/06/2019 To: 04/082019(12:01 AM Standard Time on both dates at the address of the Named Insured) Quote #: Premium Summary Liability: $850 Other: $ Sub Total Premium: $850 Grand Total: $850.00 Terrorism: Terrorism coverage can be purchased for an additional premium of $43 plus applicable taxes and fees. Signed acceptance/rejection required at binding. Date: 01/24/2019 Quote #: Page 2 of 6 Subject to following terms and conditions: • Completed, signed and dated ACORD application. • Completed, signed and dated supplemental application. • Signed TRIA form at time of binding rejecting or accepting coverage • Signed surplus lines tax letter within 30 days of binding Commercial Liability Coverage Limits General Aggregate $2,000,000 Products/Completed Operation Aggregate $2,000,000 Personal and Advertising Injury $1,000,000 Each Occurrence $1,000,000 Damage to Premises Rented to You $100,000 Medical Payments $5,000 Deductible Applicable to: BI / PD / PI / Al $500 Liability Rating Classifications and Premium Program Code Description Premium Basis Exposure Prem!Prod Rate Prem/Prod Premium CT 43424 Exhibition -Outside* Per Person/Each 1,500 0.21 $315 KJ 91591 Contractors - subcontracted work - other than construction - related work Per 1000/Cost 3,500 7.38 $250 * Products/Completed Operations are subject to the General Aggregate limit Additional Due to Liability MP: $285 Additional Insureds: Additional Coverage Coverage Limits Notes Premium Forms and Endorsements Common Policy IL 00 17 11-98 COMMON POLICY CONDITIONS Date: 01124/2019 Quote #: Page 3 of 6 IL 00 21 9-08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT NOTX0178CW 3-16 CLAIM REPORTING NOTX0423CW 2-15 POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE OPS-D-1 1-17 COMMON POLICY DECLARATIONS UTS-119g 6-14 MINIMUM EARNED CANCELLATION PREMIUM UTS-9q 5-96 SERVICE OF SUIT CLAUSE UTS-COVPG 1-16 COVER PAGE UTS-SP-2 12-95 SCHEDULE OF FORMS AND ENDORSEMENTS UTS-SP-3 8-96 SCHEDULE OF LOCATIONS Commercial Liability CG 00 01 4-13 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG 21 06 5-14 EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA -RELATED LIABILITY - WITH LIMITED BODILY INJURY EXCEPTION CG 21 16 4-13 EXCLUSION - DESIGNATED PROFESSIONAL SERVICES CG 21 44 4-17 LIMITATION OF COVERAGE TO DESIGNATED PREMISES OR PROJECT CG 21 47 12-07 EMPLOYMENT -RELATED PRACTICES EXCLUSION CG 21 67 12-04 FUNGI OR BACTERIA EXCLUSION CG 21 731-15 EXCLUSION OF CERTIFIED ACTS OF TERRORISM CG 24 26 4-13 AMENDMENT OF INSURED CONTRACT DEFINITION CLS-SD-1 L 8-01 COMMERCIAL GENERAL LIABILITY COVERAGE PART SUPPLEMENTAL DECLARATIONS CLS-SP-1 L 10-93 COMMERCIAL GENERAL LIABILITY COVERAGE PART EXTENSION OF SUPPLEMENTAL DECLARATIONS GLS-106s 12-13 TOTAL LIQUOR LIABILITY EXCLUSION GLS-152s 8-16 AMENDMENT TO OTHER INSURANCE CONDITIONS GLS-227s 4-13 ASSAULT AND/OR BATTERY EXCLUSION GLS-289s 11-07 KNOWN INJURY OR DAMAGE EXCLUSION - PERSONAL AND ADVERTISING INJURY GLS-30s 1-15 CONTRACTORS SPECIAL CONDITIONS GLS-341s 8-12 HYDRAULIC FRACTURING EXCLUSION GLS-455s 10-18 MARIJUANA/CANNABIS PRODUCTS EXCLUSION GLS-457s 10-14 AIRCRAFT EXCLUSION GLS-47s 10-07 MINIMUM AND ADVANCE PREMIUM ENDORSEMENT GLS-5s 4-08 SPECIAL EVENT PARTICIPANT EXCLUSION GLS-74s 9-05 AMENDMENT OF CONDITIONS GLS-94s 6-15 BODILY INJURY, PROPERTY DAMAGE, PERSONAL AND ADVERTISING INJURY LIABILITY DEDUCTIBLE ENDORSEMENT UTS-266q 5-98 ASBESTOS EXCLUSION Date: 01/24/2019 Quote #: Page 4 of 6 UTS-267q 5-98 LEAD CONTAMINATION EXCLUSION UTS-365s 2-09 AMENDMENT OF NONPAYMENT CANCELLATION CONDITION UTS-428q 11-12 PREMIUM AUDIT ENDORSEMENT UTS-74q 8-95 PUNITIVE OR EXEMPLARY DAMAGE EXCLUSION CG 21 49 9-99 TOTAL POLLUTION EXCLUSION ENDORSEMENT CG 21 54 1-96 EXCLUSION - DESIGNATED OPERATIONS COVERED BY A CONSOLIDATED WRAP-UP INSURANCE PROGRAM CG 21 8612-04 EXCLUSION - EXTERIOR INSULATION AND FINISH SYSTEMS CG 21 96 3-05 SILICA OR SILICA -RELATED DUST EXCLUSION CG 22 79 4-13 EXCLUSION - CONTRACTORS - PROFESSIONAL LIABILITY GLS-278s 1-06 INJURY TO WORKER EXCLUSION GLS-281s 9-07 CONTINUING OR ONGOING DAMAGE EXCLUSION GLS-282s 7-16 MULTI -UNIT HABITATIONAL CONVERSION EXCLUSION GLS-291s 12-07 DEVELOPMENT/NEW CONSTRUCTION MULTI -FAMILY RESIDENTIAL EXCLUSION GLS-310s 10-09 EXCLUSION -CHINESE DRYWALL UTS-301q 11-05 EARTH OR LAND MOVEMENT EXCLUSION Date: 01/24/2019 Quote* Page 6 of 6 IN ACCORDANCE WITH THE ACT, YOU MUST CHOOSE TO SELECT OR REJECT COVERAGE FOR "CERTIFIED ACTS OF TERRORISM" BELOW: The Note below applies for risks in these states: California, Connecticut, Georgia, Hawaii, Illinois, Iowa, Maine, Missouri, New Jersey, New York, North Carolina, Oregon, Rhode Island, Virginia, Washington, West Virginia, Wisconsin. NOTE: In these states, a terrorism exclusion makes an exception for (and thereby provides coverage for) fire losses resulting from an act of terrorism. Therefore, if you reject the offer of terrorism coverage, that rejection does not apply to fire losses resulting from an act of terrorism coverage for such fire losses will be provided in your policy. If you do not respond to our offer and do not return this notice to the Company, you will have no Terrorism Coverage under this policy. I hereby elect to purchase certified terrorism coverage for a premium of $43. I understand that the federal Terrorism Risk Insurance Program Reauthorization Act of 2015 may terminate on December 31, 2020. Should that occur my coverage for terrorism as defined by the Act will also terminate. I hereby reject the purchase of certified terrorism coverage. Policyholder/Applicant's Signature Print Name Date NOTX0423CW (2-15)) 2 of 2 Named Insured/Firm Policy Number, if available Date: 01/24/2019 Quote #: Page 5 of 6 SCOTTSDALE INSURANCE COMPANY° Scottsdale Indemnity Company SCOTTSDALE SURPLUS LINES INSURANCE COMPANY POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE TERRORISM RISK INSURANCE ACT Under the Terrorism Risk Insurance Act of 2002, as amended pursuant to the Terrorism Risk Insurance Program Reauthorization Act of 2015, effective January 1, 2015 (the "Act'), you have a right to purchase insurance coverage for losses arising out of acts of terrorism, as defined in Section 102(1) of the Act The term "certified acts of terrorism" means any act that is certified by the Secretary of the Treasury -in consultation with the Secretary of Homeland Security -to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. You should know that where coverage is provided by this policy for losses resulting from "certified acts of terrorism," such losses may be partially reimbursed by the United States Government under a formula established by federal law. However, your policy may contain other exclusions which might affect your coverage, such as an exclusion for nuclear events. Under the formula, the United States Government agrees to reimburse eighty-five percent (85%) of covered terrorism losses in calendar year 2015 that exceed the statutorily established deductible paid by the insurance company providing the coverage. This percentage of United States Government reimbursement decreases by one percent (1%) every calendar year beginning in 2016 until it equals eighty percent (80%) in 2020. The premium charged for this coverage is provided below and does not include any charges for the portion of loss that may be covered by the Federal Government under the Act You should also know that the Act, as amended, contains a $100 billion cap that limits United States Government reimbursement as well as insurers' liability for losses resulting from "certified acts of terrorism" when the amount of such losses in any one calendar year exceeds $100 billion. If the aggregate insured losses for all insurers exceed $100 billion, your coverage may be reduced. CONDITIONAL TERRORISM COVERAGE The federal Terrorism Risk Insurance Program Reauthorization Act of 2015 is scheduled to terminate at the end of December 31, 2020, unless renewed, extended or otherwise continued by the federal government. Should you select Terrorism Coverage provided under the Act and the Act is terminated December 31, 2020, any terrorism coverage as defined by the Act provided in the policy will also terminate. NOTX0423CW (2-15) 1 of 2 COLORADO Department of Regulatory Agencies Division.,01.Kkuaect PRODUCING AGENT (RETAIL PRODUCER OR SURPLUS LINES BROKER) DILIGENT EFFORT AFFIDAVIT (SS 10-5-103, 10-5-103.5, C.R.S., Et Section 6 of Regulation 2-4-1) As a surplus lines broker, I have determined, or if the insurance was produced by a retail producer, I have relied upon the retail producer to determine that the full amount of insurance required was not procurable, after diligent effort had been made to do so, from among at least three (3) admitted insurers authorized to and actually transacting that line of business in this state. Or that the coverage was not procurable because there were less than three (3) admitted insurers authorized to and actually transacting that line of business in this state. Further, that placing the insurance with a non -admitted insurer was not for the purpose of securing a lower premium rate than which would be accepted by an admitted insurer unless the premium rate quoted by the admitted insurer must be ten (10) percent higher than that rate quoted by the non -admitted insurer. In addition, the policy benefits and provisions within the policies being compared shall be comparatively similar. Name of Producing Agent (Retail Producer or Surplus Lines Broker) declares he/she is the holder of a current Colorado Producer License Number at (Name of Colorado Licensed Insurance Agency) Has sought to obtain (Type of Coverage Et Description of Risk) COMMERCIAL GENERAL LIABILITY For Named Insured Martin Gutierrez for a New or Renewal Policy Number Effective Date to from the following three admitted insurers currently transacting this line of business in this state: Please enter complete names of three (3) Colorado Admitted Insurers that declined to write this policy. (1) NAIC# Reason (2) NAIC# Reason (3) NAIC# Reason The policy listed above has been produced by me, the above -named Retail Producer or Surplus Lines Broker, and my signature herein is evidence that the insurance is eligible for export (to be placed in the Non -Admitted Surplus Lines Market through a Colorado Surplus Lines Broker) under S10-5-103, C.R.S. Signature of above -named Producing Agent Printed or Typed Name Date This affidavit must be completed and signed by the Producing Agent (Retail Producer or Surplus Lines Broker), and Brokers placing the insurance shall keep a full and true record in the Surplus Lines Broker's office. The record shall at all times be open to examination by the commissioner. Please do not submit the affidavit to the Colorado Division of Insurance. Email questions to: dora coloradoinsurancesurptuslinestax@state.co.us 1560 Broadway, Suite 850, Denver, CO 80202 P 303.894.7499 Toll Free 800.930.3745 F 303.894.7455 www.dora.colorado.gov/insurance Revised 10/25/2016 fkaceDayTM 'Veterinary Services, LLC Dear Weld County Commissioners; Berta and Martin Gutierrez are the property owners and applicants for a 'Temporary Assembly Permit' at the property known as 'Rancho El Caporal' which is located at: 7717 Weld County Road 31, Fort Lupton, CO 80621. They have verbally agreed to the terms as set forth by RaceDay Veterinary Services, LLC to provide emergent and non -emergent veterinary services at the equine event scheduled for April 6-7, 2019 (weather permitting) with alternate dates of April 13-14, 2019 and/or April 20-21, 2019, as the event is held outdoors. A formal contract is in process with Berta and Martin Gutierrez and RaceDay Veterinary Services, LLC to provide event staff of (2) Colorado licensed veterinarians for the same dates. Please contact: Verlin D. Jones, DVM at (817) 637-3025 with any questions or if any additional information or documentation is needed. Sincerely, ntAn yorve,J., Mery Verlin D. Jones, DVM COO, RaceDay Veterinary Services, LLC racedayvet@aol.com 7-1 MAIL d II I C°I-S rigs DEAL C Otis.) MIND * Mat* MP - MAIM 0-i t aM UIIWSg nut a maroon vac rouo asmarett is or mg =soot Al MOPS OH PIS of FIORD 120011311 C. iaoaae-i-4Ic ws MOlitaWQ f eSck �Fete- Altl.► .. I rase Mme. tlAIPlit P1/4 COMM,fa a Veil%GL Ck..(.t1. ;1ScCErn fO;1C C.lit c4•n (tni.• J ian( UNE $1/2 Mte Ei/4 a. r Ott1 (a1Csholrttc. cQ . n uo r AUJNIPIS Cs'. U 25W - f Meth C 1/` CORNEA. SEM U. ..n a /u e Mae ar 1 atu nip. meat a 3") • rt'as atonal sect/Air, poifistte 3oxn Qt.( So►i5 t. Raiso1/4:1 cto (3/41Q. Sc, fi W. ter KCOWS ofWC tIR K1/4 SI= U. MAO a x• ast..t a►, U aaoc Cob l ;c ecrvi C C ar Pek st cone or WC ID/ as, fan 3 If . EsMaM CU. IS rya• S. saitssairats3 c• A Jam. N0. 257417? Pobl c, sewn/knee Connpan* NORTHERN COLORADO TRAFFIC CONTROL co >- z OWNER MARTIN GUTIERREZ PROJECT NAME Special Event PROJECT NUMBER 015556 PRIME CONTRACTOR MARTIN GUTIERREZ TRAFFIC CONTROL CONTRACTOR NCTC PHONE 303.263-6555 SHEET NUMBER 1 DATE 04/9/15 PREPARED BY Dagan Budd PM ALL DEVICES TO CONFORM TO THE M. U.T.C.D NOT DRAWN TO SCALE C.R 18 SPECIAL EVENT HEAVY TRAFFIC AHEAD s — SPECIAL EVENT HEAVY TRAFFIC 1 AHEAD SPECIAL EVENT HEAVY TRAFFIC AHEAD C.R 16 SPECIAL EVENT HEAVY TRAFFIC AHEAD Ft - NO PARKE NO PA1NONG co \; U 1 Moms Ave. Dale Ave. Nancy Ave. Caroline Ave. Mary Ave. Lamb Ave. Coleman Ave. NO PARKING VO PARIONG GOOD Ave. WELD COUNTY lairs ONLINE MAPPING Temporary Assembly Permit Application 3,991 1 - i I\ USR' 8 ELEC " POWERiLINESb230 I Cl/T,�Ul t4;7 0 WGS_1984_Web_Mercator_Auxi liary_Sphere Weld County Colorado RtF' SR -811 00TGRE GAS SUPPORT TORAGE TRUCK R41516 GRAYHOUNDS '; • • ;f • a Y:',1, 1::J M. ior„ru1nMinsNnbnige in ta- Lin qtri3:4.4irm. ?;_l) 1•L.. cr.�v �>r l w ,. imf„„strrstogit.f.gaosticitiagor:i_, stsitutat. GAS, LI N 1,995.55 fij Tiff " y 'z .y$.- a •- _ w ! vnr-o n -rMrr Fort _upto 3,991.1 Feet 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 fps 11,0 Legend ■ a Parcels USR - Uses Floodplain - Floodplain - Floodplain - Floodplain - Floodplain - Floodplain - Highway Road by Special Review 500 Year 100 Year Zone A 100 Year Floodwa 100 Year Zone AE 100 Year Zone At - 100 Year Zone AC Road Highway City Limits - Extended Ault Berthoud Brighton Dacono Eaton Erie Evans Firestone Fort Lupton Frederick ft* Garden City Gilcrest Greeley Notes Martin and Berta Gutierrez ,. �• � , �� OUNTY •ELQ TemporaryAssemblyPermit- Application " `` .. 44 3,,_ 14536'. .` = �- 14950 t ; 992 ,. { '��^+' • 5164 1520,E t '' 11 r • is j•s. hi`� ! , n t . ti, � _ _ t 150 -� , t° • •, ' 15201 s 51 •3 �� am • 151.2- y} __ �""-` V , Y i e. a '4 I MORRI - ,i-ac.S.AVE iisimit,:_,., , _ .. 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Is 15075 •, 15,1 8 n f w •• 14523 1■1 4. . _ .. :, :. r., -c, a„. - ,:.• ,„ :'x - - - 151 • • ll 4521' • � t .4w;66i= ....'•• .jY. - �� .4 • 1.-. _ , , Y 3 --`•'' 5. 1 5, 987 997.8 0 498.89 997.8 Feet This map is a user generated static output from an Internet mapping site and is for WGS-1984_ c Weld Web_ County reference only. Data layers Mercator_Auxiliary_Sphere Colorado that THIS appear on this MAP IS NOT map may or may current, or TO BE USED not be otherwise FOR NAVIGATION accurate, reliable. Legend ■ Parcels USR - Uses by Special Revievk Floodplain - 500 Year Floodplain - 100 Year Zone A Floodplain - 100 Year Floodwa Floodplain - 100 Year Zone AE Floodplain - 100 Year Zone Al- a Floodplain - 100 Year Zone AC Highway County Boundary Notes Martin and Berth Gutierrez • WELD COUNTY • Temporary Asse ONLINE MAPPING mbly Permit Ap olication 498.9 249.44 WGS_1984_Web_Mercator_Auxiliary_Sphere c) Weld County Colorado 498.9 Feet 1 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 • Parcels USR - Uses by Special Reviev\ Floodplain - 500 Year Floodplain - 100 Year Zone A Floodplain - 100 Year Floodwa Floodplain - 100 Year Zone AE Floodplain - 100 Year Zone Al- Floodplain - 100 Year Zone AC Highway L_] County Boundary Notes Martin and Berta Gutierrez !FRI WELD (.-)N iiiir, N L I COUNTY N E MAPPINGa Temporary Assembly Permit Application �.. _ -Eyz CAROLINE AVE ,�- y. �'' ''' ' ; 771'7 •t s x: `` ...,• p .. "-. . i .- 1 • ,, • :*'15076 ,� USR12=0008 �� ,. r MMUNICATIONTOWER z ,.r4� <<y _. ,�• ._ ��- f�rs- ' `";, • ,, ' ,. -pit 1-, ,. .�� . i ,- &W • �: . M� i t Legend `.n. '1 T "4• 1%.0. iie J-`� &tci , u, .a ...� .r. \� %y - _ Parcels •! 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' }_ k "' ch• ;+' ".:��'` �1 L_� County Boundary ti, 15075 1 i .. - • ^ yr 1� • • ,:.. �' V , off ` y-•, ' . ,;i� L 1 _ , • » 1�". • *' r / -� 1 • l, •' H._� : f ••'• - +I� a 1'. : ' •+ , �'•a = ` S. -i t 04,3 I. -.r••fir . * f 4 ` : - _ w.. ' �` ■7. a y • t r } �.•" C' •w. - _. f 'C. 4� �i t T ` .f i.4. i 'v. r s - - .... "IC 103► L �..,• •rl r ,� h iJ • . �-. , S1 • R .. ' . r w .'slims ,, % ' T4 f ^_. .t -,.• ?y -. �' - U , 1 t R ' �• 7 y ,� s w 44 _ • ' ¢ ' 9 /�`; ..-.. 'r Z fie �. • 1 l'r `.� •n Y . 3 .1.1. .. f • L- , ..t . _C'It / / •{• , . _ �' ' •� .: r { `t f•S \y h. Ff '1 r` - . ~ Aria,- . t.Aillidii l T 1: 2,9930 Notes 498.9 0 249.44 498.9 Feet This map is a user generated static output from an Internet mapping site and is for Martin and Berta Gutierrez reference only. Data layers that WGS_1984_ Web_ Mercator_ Auxiliary_ Sphere Weld County Colorado THIS appear MAP on this map may or may current, or IS NOT TO BE USED not be otherwise FOR NAVIGATION accurate, reliable. 1/28/2019 Property Report Weld County PROPERTY PORTAL Property Information (970) 400-3650 Technical Support (970) 400-4357 Account: R8948188 January 28, 2019 Account Information Account Parcel Space Type Account Tax Year Buildings Actual Value Assessed Value R8948188 130928100008 I Agricultural 2019 1 50,126 14,540 Legal NE4 28-2-66 LOT B REC EXEMPT RECX15-0170 Subdivision Block Lot Land Economic Area 4209 FT LUPTON Property Address Property City Zip Section Township Range 9 28 02 66 Owner(s) Account Owner Name Address R8948188 GUTIERREZ MARTIN 7717 CO COUNTY 806214036 ROAD 31 FORT LUPTON, R8948188 GUTIERREZ BERTA A Document History https://propertyreport.co.weld.co.us/?account=R8948188 1/5 1/28/2019 Property Report Reception Rec Date Type Grantor Grantee Doc Fee Sale Date Sale Price 4284315 03-08-2017 RE RECX15- 0170 RECX15- 0170 0.00 02-23-2017 0 4284315 03-08-2017 RE RECORDED EXEMPTION RECX15- 0170 0.00 0 Building Information Building 1 AccountNo Building ID Occupancy R8948188 1 Stable ID Type NBHD Occupancy % Complete Bedrooms Baths Rooms 1 Out Building 1 4801 Stable 100 0 0 0 ID Exterior RoofInterior Cover HVAC Perimeter , Units Uunjt Type Make 1 None 236 0 ID Square Ft Condo SF ITotal SF Basement Finished Basement SF I Garage SF Carport SF Balcony SF Porch SF 1 3,040 0 0 0 1 0 0 0 0 Built As Details for Building 1 ID Built As Square Ft Year Built Stories Length Width 1.00 Stable 3,040 2000 1 80 38 https://propertyreport.co.weld.co.us/?account=R8948188 2/5 1/28/2019 Property Report Additional Details for Building 1 ID Detail Type Description Units 1 Add On Finished Sapce in OutBldg 484 1 Add On Suspended Heat 3,040 Valuation Information Type Code Description Actual Value Assessed Value Acres Land SqFt Improvement 4279 FARM SUPPORT BLDGS RANCH 45,865 13,300 0.000 0 Land 4127 DRY LAND- AGRICULTURAL FARM 4,230 1,230 34.330 1,495,415 Land 4167 WASTE LAND 31 10 4.000 174,240 Totals - - 50,126 14,540 38.330 1,669,655 For Single Family Residential Houses, search for sales of similar properties using our Property Portal. Tax Authorities https://propertyreport.co.weld.co.us/?account=R8948188 3/5 1/28/2019 Property Report Tax Area District ID District Name Current Mill Levy 2240 0700 AIMS JUNIOR COLLEGE 6 305 2240 0302 CENTRAL COLORADO WATER (CCW) 1 540 2240 0506 FORT LUPTON FIRE 9 297 2240 0530 FORT LUPTON FIRE (BOND 2022) 0 459 2240 1050 HIGH PLAINS LIBRARY 3 252 2240 1201 PLATTE VALLEY CONSERVATION 0 000 2240 0208 SCHOOL DIST RE8-FORT LUPTON 19 480 2240 0100 WELD COUNTY 15 038 Total - - 55 371 Photo https //propertyreport co weld co usPaccount=R8948188 4/5 1/28/2019 Property Report Sketch NO SKETCH Copyright © 2019 Weld County, Colorado. All rights reserved. Privacy Policy & Disclaimer Accessibility Information https://propertyreport.co.weld.co.us/?account=R8948188 5/5 Chloe Rempel From: Sent: To: Subject: berta gutierrez <lachata2@yahoo.com> Friday, January 25, 2019 11:06 AM Chloe Rempel Addotional statement in regards to "paking" Cauiiots. 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. RE: Temporary Assembly Permit for Berta and Martin Gutierrez Ms. Rempel, We have allotted 3 acres for the parking of horse trailers. This would allow us to park 225 horse trailers. We have yet to have this amount of horse trailers at any of our events. As for the parking of cars/vehicles, we have allotted 20 acres of space. This would allow us to park 2,900 cars; again, we have yet to have this amount of cars at any of our events. As you are aware our event dates are April 6 & 7, 2019 with alternative dates of April 13 & 14 and April 20 & 21, 2019. We ask that you please attach this to our application. Please advise if this statement will do or if you need additional information. As always, thanks for your professional and courteous help in this matter. Berta and Martin Gutierrez 1 /IA eAk)i- Wagy, Mitch E From: Sent: To: Cc: Subject: 01/14/2019 Martin, Wagy, Mitch E Monday, January 14, 2019 10:55 AM Gibson, Patricia Wagy, Mitch E FW: Horse race 2019 Martin Gutierrez As you requested Banner Paramedic Services will be providing ACLS/ Ambulance coverage to Martin Gutierrez for his horse races for the 2019 year on April 6th & 7th with weather dates of 13 & 14 or 20rd& 21th if need. Address and legal Description : 7717 WCR 31 Fort Lupton Co, 80621 @ 150.00 per Hour. MARTIN GUTIERREZ 7717 WCR 31 FT. LUPTON, CO 80621 Phone: 303-263-6555 Fax: 303-857-8587 Respectfully, Mitch Wagy Assistant Chief Banner Health / NCMC Paramedic Services 1121 M Street Greeley, CO 80631 1 970-381-2392 cell g1'0 970-392-2435 work Mitch.wagyCa�bannerhealth.com Description: Heading image "We exist to make a difference in people's lives through excellent patient care." ***PRIVILEGED & CONFIDENTIAL FonramairdwiforroMarnotElroloirlintagiM101010P WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER I BANNER HEALTH / NORTH COLORADO MEDICAL CENTER PARAMEDICS SERVICE Name of Set vic e 1801 16TH STREET GREELEY, COLORADO, 80631 AV* s BANNER HEALTH / NORTH COLORADO MEDICAL CENTER Ilan* of riven IS LICENSED UNTIL DECEMBER 31, 2019, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE WITH EXISTING WELD COUNTY RULES AND REGULATIONS. DEC 03 2318 CHAIR. HOARD in WI WON ! :OMMsSSIONF ws curer NOT TRANSFERRABLE / POST IN A CONSPICUOUS PLACE Tier I licensure authorizing for Primary Care, as defined in Section 7-1-39 of the Weld County Code. ra_iFrellig_liglidINIEVAIPWIFEJLOM iTflhIMti1 �lPlPJRAPJ1O1ie11rJ el1O Horse Racing Event From: Phil Tiffany (ptiffany@ftluptonfire.com) To: rrudisill@weldgov.com Cc: lachata2@yahoo.com Date: Tuesday, January 22, 2019 12:55 PM MST Roy, I met with Martin Guiterrez today regarding the annual horse racing event at 7717 CR 31. We have no issues with the event this year as with the past. They will have a contract with Banner Paramedics and we request that fire access remain open. We will conduct periodic checks at the location during the event. Proposed dates April 6 and 7, 2019 from 11:00 AM to 6:00 PM Alternate April 13 and 14 or April 20 and 21, 2019. As always, Mr. Gutierrez completes this annual event in a professional and safe way. Thank you. Phil Tiffany Fire Chief Fort Lupton Fire Protection District 1121 Denver Avenue Fort Lupton, CO 80621 Office 303-857-4603 Fax 303-857-6619 Fort Lupton Fire Home Page Like Us on Facebook Follow Us on Twitter This electronic communication (including attachments) is intended solely for the person or the persons to whom it is addressed and may contain confidential information. If you receive this communication in error, you are prohibited from disseminating or copying this communication (including attachments), please notify the sender that you received this e mail in error and delete this communication from your system. Please consider your environmental responsibility before printing this e-mail Rodriguez Security Contract Rodriguez Security 1901 5th St. Greeley CO Cell (970) 324-6488 DATE OF CONTRACT DATE: / _ 2 5 " o2a / 9 This is a contract for security services between Rodriguez Security and Martin and Berta Gutierrez for an event scheduled for April 6 & 7, 2019 with alternative dates of April 13 & 14 and April 20 & 21, 2019. (alternative dates are for weather permitting).at 7717 CR 31 Ft. Lupton, CO. 80621 Our company will provide 15 armed officers with radios and cell phones. All security officers are bi-lingual (English/Spanish). Our officers are First Aid Trained as well as CPR trained. We ask that NO Alcohol and NO Firearms signs be posted at the entry gates. We are bonded and Insured. We understand that this event has never had the need to contact any law enforcement entity in the past, so we look forward to providing services during this event. Our hours of service will be 8:00 a.m. to 6:00 p.m. on both days. Our signatures below indicate the agreement of both parties with the already mentioned terms and conditions. A deposit has been paid for this event with the balance due at the time of service. Adrian Rodriguez 7 P71.aa tit Owner: Rodriguez Security email: rodriguerseguridad3@gmail.com phone: (970) 324-6488 1 Martin Gutierrez Berta A. Gutierrez CNA Billing Questions (888) 866-2666 Email infoPcnasurety.com ADRIAN RODRIGUEZ 1901 5TH ST. GREELEY, CO 80631 Notice of Premium Due 01/01/2019 Premium $100.00 Amount Due $100.00 Bond Detail Bond # Company Effective Date Anniversary Date Description 71256634 Bond Penalty Western Surety Company 01/01/2019 12/31/2019 CO Co Merchant Guard Company City and County of Denver $5,000.00 Agent Information Messages A F B Erick Rodriguez 3633 23rd Ave. Evans, CO 80620 Phone : (970)330-8385 Payment Instructions • Pay Online at ONLINEPAY.CNASURETY.COM • If paying by mail, please send payment 2 weeks prior to due date to ensure receipt Make check payable to CNA Surety Detach payment stub and return with payment Note -Renewal documents will only be sent upon receipt of full payment PIINNIACOL ASSURANCE 7501 E. Lowry Blvd. Denver, CO 80230-7006 303.361.4000 / 800.873.7242 Pinnacol.com NCCI #: WC050403 Policy #: 4206669 Adrian Rodriguez dba Rodriguez Securi 1901 5th St Greeley, CO 80631 ENDORSEMENT: Premium Credit Addendum This endorsement applies to Part One (Workers' Compensation Insurance) because Colorado is listed in Item 3.A. of the Information Page. Current Schedule of Credits for Policy Period 12/20/2017 - 01/01/2019. 2.5% The premium differential for a designated provider has been applied to the policy premium from 12/20/2017 thru 01/01/2019. Currently your policy is not receiving a credit for Cost Containment Certification. Please contact Pinnacol Assurance for information on becoming Cost Containment Certified and obtaining this credit. Premium Credits for Qualifying Risk Management Programs that have received Cost Containment Certification from the State of Colorado. Implementation of a certified cost containment program potentially qualifies your business for a 5% premium dividend as filed with the Division of Insurance. For new and renewal business, the underwriting review of a policyholder includes determining if the entity has a certified workers' compensation risk management program. If certified, a premium dividend of 5% will be applied. If during the course of the policy period, the certification is eliminated, the cost containment premium dividend will be removed at renewal. Pinnacol Assurance can assist you in setting up a program to potentially reduce losses and protect your employees as well as reducing premium costs. Pursuant to Colorado Insurance Regulation 5-1-11 (III)(F) all workers' compensation insurers must allow a credit of 2.5% on all policies when you have selected a designated medical provider. If you have selected a designated medical provider, we must allow a credit of 2.5%. If you are eligible for schedule rating, the 2.5% credit must be included in the total schedule credit or debit, subject to the 25% maximum limitation. If you are not eligible for experience or schedule rating, the 2.5% credit will be applied, in addition to the premium credit applicable. The combined premium credit and the 2.5% credit for selection of a designated medical provider shall not exceed 12.5%. Right to Appeal Classifications / Experience Modification: If Pinnacol Assurance determines that the employees at your business are misclassified, Pinnacol Assurance can correct the classification and charge and collect additional premium not included in the initial premium. If you have any questions regarding the employee classification / experience modification assigned to calculate your workers' compensation insurance premium, you must direct your questions to Pinnacol Assurance or to your authorized Pinnacol Assurance agent within thirty (30) days after the anniversary date of the policy, or thirty (30) days after the date of receipt by you of notice of a change in a classification. Pinnacol Assurance or the authorized Pinnacol Assurance agent must explain to you why a particular employee classification / experience modification was used, and must explain sufficiently to eliminate any possible confusions within thirty (30) days after receipt of your request for information. If you continue to disagree with a classification applied to your policy, Section 8-55-102, C.R.S. gives you the right to appeal 7501 E. Lowry Blvd Denver, CO 80230-7006 Page 1 of 2 P FLORESP - Account Manager 12/19/2017 18:13:06 4206669 50607736 0403 Fwd: Temporary Event Abbreviated Vendor Application [#369] From: Juan Arambula (juan@Jazz-roofing.com) To: lachata2@yahoo.com Date: Monday, January 21, 2019 11:06 AM MST Sent from my iPhone Begin forwarded message: From: Health-tempevents <HE-tempevents@co.weld.co.us> Date: January 21, 2019 at 10:22:20 AM MST To: "juanejazz-roofing.com" <juan@jazz-roofing.com> Subject: RE: Temporary Event Abbreviated Vendor Application (#369] Hello Juan, Thank you for your application. As soon as you have a copy of your Tri-County Mobile license for 2019, please send that for us to include in your file. You are approved for this event. Let us know if you have any questions. Kristeen Bevel Environmental Health Specialist Weld County Department of Public Health and Environment 1555 N. 17th Ave. Greeley, CO 80631 (970)400-2224 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. From: Wufoo <no-reoly(c wufoo.com> Sent: Tuesday, January 15, 2019 10:05 AM To: Health-tempevents <HE-tempevents@co.weld.co.us> Subject: Temporary Event Abbreviated Vendor Application [#369] 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. Name of Event * Location of Event * Start Date of Event * Rancho el Capora 7717 Co Rd 31. Fort Lupton, CO 80621 Saturday, April 6.2019 Duration of Event (how many days) * 2 Name of Vendor/Booth * Owner Name * Phone Number for Owner * Owner Email Address * Mailing Address for Owner * Taqueria tercia de reyes Juan Arambula (720) 447-6738 ivan(/ iazz-roofing.com \F 16588 Telluride St Brighton, Colorado 80601 United States Main Menu Items (example: Tacos, Tortas, burritos hamburgers, tacos, cookies) * License Type * License Type * County Where Licensed * Please provide a description of your operation and food items. * License Status * Comments Temporary Event Vendor Single Event Full Service ($100 per event) Tri county Selling tacos, Tortas, Burritos Meats Asada, Alpastor, barbacoa, Tripas, and buche! I have not yet paid for my license(s) for 2019. The event date will depend on the weather, if it changes it changes to the following weekend. • I agree PR0011347 DR 0010 (01/18/12) 360.00 STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT ACCOUNT use for all references NUMBER LIABILITY INFORMATION ISSUE DATE LICENSE DECEMBER VALID 31 TO county city indust. type! liability date month day I year 41874560-0000 Mobile Unit (full food service) 5/29/2018 2018 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: Victor Castorena 4790 Thompson Ct Denver, CO 80216 El Taco Rodeo - Mobile Mobile NA, CO 80000 THIS LICENSE IS NOT TRANSFERABLE A Detach Here TCHD Report 5502 v 140319 This certifies that licensee shown hereon is authorized and licensed to engage in business in accordance with the provisions of the law and regulations of the Colorado Department of Public Health and Environment. Any alterations made on this license will automatically make it null and void. POST IN AI CONSPICUOUS PLACE 4 3440- VTriCou nty ealth Department 1 DR 0010 (01/18/12) 360.00 P R0011499 STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT -n no�c�eTF o RETAIL FOOD ESTABLISHMENT �$lrtCou Health nt Y Health Department i . u-...... , . .. - - - - - - - - - LI %J 1116) I v v I DATE LICENSE VALID TO ACCOUNT NUMBER LIABILITY INFORMATION ISSUE use for all references county l city l indust. type liability date month 1 day I year DECEMBER 31 31478/6280002 Mobile Unit (full food service) 7/16/2018 2018 • • h on THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: Tacos Los Vaqueros 8020 Federal Blvd Ste 5 Westminster, CO 80031 Tacos Los Vaqueros - Mobile Mobile NA, CO 80000 THIS LICENSE IS NOT TRANSFERABLE This certifies that I�cei►see shown ere is authorized and licensed to engage in business in accordance with the provisions of the law and regulations of the Colorado Department of Public Health and Environment. Any alterations made on this license will automatically make it null and void. POST IN A CONSPICUOUS PLACE Tri-County Health Department Inspection Report Page Establishment Nae=""... T S \Iti-64Y Establishment LD.e sg-5 r., 111*y Address Writ— Received by City State Inspected by � -- AKA &k'v Item Remarks Corrected By r() Ok\ \\(\gl(?€41 I° : ii-b\teCt \--0 (5yr(Ct i- c6665' k c_e_n3., ,W 3uo." ryckiA 1 o is k TCHD S-19 (8/01) ESTABLISHMENT COPY City of Fort Lupton 130 S McKinley Ave Fort Lupton, CO 80621 303-857-6694 Business Name: Business Location: Owner: License Number: Issued Date: Expiration Date: Tacos Los Vaqueros 1880 W 92nd Federal Heights, CO 80260 Pollete Hernandez BUS -000075-2018 6/25/2018 7/31/2019 THIS LICENSE IS NOT TRANSFERABLE. BUSINESS LICENSE CERTIFICATE This certifies that license shown hereon is hereby authorized and licensed to engage in business in accordance with the provisions of Ordinance No. 2015-995. Any alteration made on this license will automatically make it null and void. Mailing Address: 1880 W 92nd Federal Heights, CO 80260 License Type: Classification: Fees Paid: 427( TO BE POSTED IN A CONSPICUOUS PLACE Accommodation and Food Services In Jurisdiction $ 25.00 Signature United Site Services of Colorado, Inc. Customer Service: 1-800-864-5387 Bill RANCHO CAPORAL To: 7717 CR 31 FORT LUPTON, CO 80621 Items Rented , _ Item / Description SITE SERVICES ORDER Customer ID: Order No: Order Date: Terms: P.O. No: Salesperson: Gust. Serv. Rep.: Page: 1 DEN -05637 0-1532995 01/11/19 Due Upon Receipt Brett L. Angell Ship MARTIN GUTIERREZ HORSE EVENT To: PORTABLE RESTROOM SERVICES 7717 COUNTY ROAD 31 FORT LUPTON, CO 80621 Quantity Rental Term From / Thru DXR Deluxe Restroom EVT-DXR Deluxe Restroom Service DW Damage Waiver ADA ADA Wheelchair Accessible EVT-ADA ADA Wheelchair Accessible Svc DWP Damage Waiver 2SS 2 Station Sink EVT-2SS 2 Station Sink Service DW Damage Waiver SPC-ALL Event Service Sun (6-9am) 12 Each 12 Each 12 Each 2 Each 2 Each 2 Each 5 Each 5 Each 5 Each 19 Each Unit Price Total Price 04/03/19 10.00 120.00 04/08/19 04/03/19 70.00 840.00 04/08/19 04/03/19 10.00 120.00 04/08/19 04/03/19 15.00 30.00 04/08/19 04/03/19 100.00 200.00 04/08/19 04/03/19 10.00 20.00 04/08/19 04/03/19 10.00 50.00 04/08/19 04/03/19 70.00 350.00 04/08/19 04/03/19 10.00 50.00 04/08/19 04/07/19 29.25 555.75 04/08/19 Continued... United Site Services of Colorado, Inc. Customer Service: 1-800-864-5387 Bill RANCHO CAPORAL To: 7717 CR 31 FORT LUPTON, CO 80621 Items Rented 1 — Item / Description SITE SERVICES ORDER Page: 2 Customer ID: DEN -05637 Order No: 0-1532995 Order Date: 01/11/19 Terms: Due Upon Receipt P.O. No: Salesperson: Brett L. Angell Cust. Serv. Rep.: Ship MARTIN GUTIERREZ HORSE EVENT To: PORTABLE RESTROOM SERVICES 7717 COUNTY ROAD 31 FORT LUPTON, CO 80621 Quantity Rental Term From / Thru Unit Price Total Price Remit To: United Site Services, PO Box 53267, Phoenix, AZ 85072-3267 Signature Date: Subtotal: Total: 2,335.75 2,335.75 United Site Services of Colorado, Inc. Customer Service: 1-800-864-5387 Bill RANCHO CAPORAL To: ATTN MARTIN GUTIERREZ 7717 CR 31 FORT LUPTON, CO 80621 Items Rented Item / Description DXR Deluxe Restroom EVT-DXR Deluxe Restroom Service DW Damage Waiver ADA ADA Wheelchair Accessible EVT-ADA ADA Wheelchair Accessible Svc DWP Damage Waiver 2SS 2 Station Sink EVT-2SS 2 Station Sink Service DW Damage Waiver SPC-ALL Event Service Sun (6 -gam) SITE SERVICESI ORDER Customer ID: Order No: Order Date: Terms: P.O. No: Salesperson: Cust. Serv. Rep.: Ship PORTABLE RESTROOM SERVICES To: 2019 HORSE SHOW 7717 COUNTY ROAD 31 FORT LUPTON, CO 80621 Page: 1 DEN -05637 0-1532995 01/11/19 Due Upon Receipt Brett L. Angell Quantity Rental Term From / Thru Unit Price Total Price 12 04/03/19 10.00 120.00 Each 04/08/19 12 04/03/19 70.00 840.00 Each 04/08/19 12 04/03/19 10.00 120.00 Each 04/08/19 2 04/03/19 15.00 30.00 Each 04/08/19 2 04/03/19 100.00 200.00 Each 04/08/19 2 04/03/19 10.00 20.00 Each 04/08/19 5 04/03/19 10.00 50.00 Each 04/08/19 5 04/03/19 70.00 350.00 Each 04/08/19 5 04/03/19 10.00 50.00 Each 04/08/19 19 04/07/19 29.25 555.75 Each 04/08/19 Continued... United Site Services of Colorado, Inc. Customer Service: 1-800-864-5387 Bill RANCHO CAPORAL To: ATTN MARTIN GUTIERREZ 7717 CR 31 FORT LUPTON, CO 80621 United SITE SERVICESI ORDER Page: 2 Customer ID: DEN -05637 Order No: 0-1532995 Order Date: 01/11/19 Terms: Due Upon Receipt P.O. No: Salesperson: Brett L. Angell Cust. Serv. Rep.: Ship PORTABLE RESTROOM SERVICES To: 2019 HORSE SHOW 7717 COUNTY ROAD 31 FORT LUPTON, CO 80621 Items Rented Item / Description Quantity Rental Term From / Thru THERE ARE 3 POSSIBLE DATES FOR THIS EVENT DEPENDING ON THE WEATHER & THEY ARE: APRIL 6 & 7, 2019 OR APRIL 13 & 14, 2019 OR APRIL 20 & 21, 2019 Remit To: United Site Services, PO Box 53267, Phoenix, AZ 85072-3267 Signature Date: Unit Price Subtotal: Total: Total Price 2,335.75 2,335.75 Invoice 098 from ALTAPEAK ROLLOFFS LLC From: mireya@altapeakrolloffs.com To: lachata2@yahoo.com Date: Monday, January 21, 2019 07:45 PM MST ALTAPEAK APEAK ROLLOFFS LLC Invoice Due:04/06/2019 098 Dear Customer: Amount Due: $290.00 Your invoice -098 for 290.00 is attached. Please remit payment at your earliest convenience. Thank you for your business - we appreciate it very much. Sincerely, ALTAPEAK ROLLOFFS LLC 3037181298 www.altapeakrolloffs.com Virus -free. www.avast.com Inv_098_from_ALTAPEAK_ROLLOFFS_LLC_10432.pdf 223.4kB AltaPeak Rolloffs 15322 E. 100th Ct Commerce City CO 80022 303.718.1298 Bill To Berta Gutierrez Martin Gutierrez 7717 CR31 Fort Lupton Co 80621 303.263.6555 Invoice Date Invoice # 1/21/2019 098 Service Address 7717 CR 31 Fort Lupton Co 80621 303.263.6555 Due Date 4/6/2019 Quantity Description Rate Amount 1 20 yard Container(April 6-7) or (April 13-14) or (April 20-21) 320.00 320.00 Total $320.00 TEMPORARY ASSEMBLY PERMIT APPLICATION - MARTIN AND BERTA GUTIERREZ Notices NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 400-4213, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Administration Building, 1150 O Street, Greeley, Colorado 80631. E-mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your e-mail correspondence into the case file, please send a copy to crempel@weldgov.com. DOCKET #: 2019-47 DATE: February 25, 2019 TIME: 9:00 a.m. APPLICANT: Martin and Berta Gutierrez 7717 County Road 31 Fort Lupton, CO 80621 REQUEST: Application for a temporary assembly event of more than 350 persons on April 6, and 7, 2019 (alternatively, April 13, and 14, 2019, or April 20, and 21, 2019, in the event of inclement weather) LEGAL DESCRIPTION: Lot B of RECX15-0170; being part of the NE1/4 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado LOCATION: 7717 County Road 31, Fort Lupton, Colorado 80621, with the entrance lying approximately 670 feet south of the intersection at County Road 31 and Mary Avenue; approximately 783 feet north of the intersection at County Road 31 and Lamb Avenue (see Legal Description for precise location) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: February 12, 2019 PUBLISHED: February 15, 2019, in the Greeley Tribune Affidavit of Publication NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 0 Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you fo partict w pate in this hearing, please contact the Clerk to the Board's Of- fice at (970) 400-4213, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Ad- ministration Building, 1150 O Street, Greeley, Colorado 80631. E-mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your e- -mail correspondence into the case file, please send a copy to crempel@meldgov.com. DOCKET #: 2019-47 DATE: February 25,2019 TIME: 9:00 a.m. APPLICANT: Martin and Berta Gutierrez 7717 County Road 31 Fort Lupton, CO 80621 REQUEST: Application for a temporary assembly event of more than 350 persons on April 6, and 7, 2019 (alternatively, April 13, and 14, 2019, or April 20, and 21, 2019,: in the event of inclement weather) LEGAL DESCRIPTION: Lot B of RECX15-0170; being part of the NE1/4 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado LOCATION: 7717 County Road 31, Fort Lupton, Colorado 80621, with the entrance lying approximately 670 feet south of the intersection at County Road 31 and MaryAvenue; approxi- mately 783 feet north of the intersection at County Road 31 and Lamb Avenue (see Legal Description for precise location) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: February 12. 2019 The Tribune February 15, 2019 STATE OF COLORADO County of Weld, I Lucy Montoya sS. of said County of Weld, being duly sworn, say that I am an advertising clerk of THE GREELEY TRIBUNE, that the same is a three days weekly plus Sunday newspaper of general circulation and printed and published in the City of Greeley in said county and state; that the notice or advertisement, of which the annexed is a true copy, has been published in said daily newspaper for consecutive (days): that the notice was published in the regular and entire issue of every number of said newspaper during the period and time of publication of said notice, and in the newspaper proper and not in a supplement thereof; that the first publication of said notice was contained in the Fifteenth day of February A.D. 2019 and the last publication thereof: in the issue of said newspaper bearing the date of the Fifteenth day of February A.D. 2019 has been published continuously and uninterruptedly during the period of at least six months next prior to the first issue thereof contained said notice or advertisement above referred to; that said newspaper has been admitted to the United States mails as second-class matter under the provisions of the Act of March 3,1879, or any amendments thereof; and that said newspaper is a daily newspaper duly qualified for publishing legal notices and advertisements within the meaning of the laws of the State of Colorado. February 15, 2019 Total Charges: $14.86 15th day of February 2019 My Commission Expires 08/13/2022 Notary Public VICKIE. G GARRETTS NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20144031754 COMMISSION EXPIRES AUGUST 13, 2022 January 29, 2019 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 MARTIN AND BERTA GUTIERREZ 7717 COUNTY ROAD 31 FORT LUPTON, CO 80621 RE: NOTICE OF HEARING TO CONSIDER TEMPORARY ASSEMBLY PERMIT APPLICATION Dear Applicant: This is to advise you that the Weld County Board of Commissioners will hear your request for a Temporary Assembly Permit at the property described as: 7717 County Road 31, Fort Lupton, Colorado 80621. The meeting is scheduled for Monday, February 25, 2019, 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, e2.(2_0.t. a- R4,...t,c Chloe A. Rempel Deputy Clerk to the Board cc: Weld County Attorney's Office Chloe Rempel From: Sent: To: Subject: Attachments: Good morning, Chloe Rempel Tuesday, January 29, 2019 11:42 AM 'berta gutierrez' NOTICE OF HEARING DATE - Temporary Assembly Permit Application Notice of Hearing - Temporary Assembly Permit.pdf This is to advise you that the Weld County Board of Commissioners will hear your request for a Temporary Assembly Permit on Monday, February 25, 2019, 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 Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 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 TEMPORARY ASSEMBLY PERMIT CERTIFICATE OF MAILING FIRST NAME LAST NAME COMPANY ADDRESS 1 CITY STATE POSTAL CODE MARTIN AND BERTA GUTIERREZ 7717 COUNTY ROAD 31 FORT LUPTON CO 80621 lachata2@yahoo.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 January, 2019. &Z_o_o-t- Chloe A. Rempel Deputy Clerk to the Board TEMPORARY ASSEMBLY PERMIT APPLICATION - MARTIN AND BERTA GUTIERREZ Receipts O U a) U -o L -O O OCD o m (1) O U o Q) _a) PO Box 758 PO Box 758 co CO O cc O 0 a C) ( Greeley CO 80632 RECEIPT DATE 0 ag / a o � 9 RECEIVED FROM fflar+in Coo+errez HOW PAID CASH tccD0 CHECK MONEY ORDER No 90272 ADDRESS 'j, I -T CR ror* Lup+on Gp g'DCoaL Ont Hu nd read a- c<71 ioo s LOO .00 FOR coounie TFrokract*, c� TSQ? Cpccx+ior BY RECEIPT DATE Mrg�t ao19 HOW PAID CASH CHECKI 1000 °GI MONEY ORDER Na 90273 RECEIVED FROM in ADDRESS "") -T VT CR 3( ,, [=Or+ ( ,Up}Olf'l , CD 2OCoI 0`�1 atinree Thousand Jtoo - s 3,Ocx.00 FOR G OV n TS Tern arc asie...iyibtPermit + 5ond Cl Ccsk. Cktcccjc1ca(a7 a-t'GZ P eonci Utj �rr�Z U# -j r &Z BY (� t 3 TED ON LINEMARK PAPER - HOLD TO LIGHT T ' VIEW. FOR ADDITIONA SECURI EE BACK. 0006394 Office AU # Remitter: Operator I . D 11-24 1210(8) MARTIN GUTIERREZ u235502 PAY TO THE ORDER OF CASHIER'S CHECK ***WELD COUNTY*** ***Three thousand dollars and no cents*** Payee Address Memo: WELLS FARGO BANK, N.A. 5801 W 11TH ST GREELEY, CO 80634 FOR INQUIRIES CALL (480) 394-3122 e063940 2L2? 28, 2019 **$3,000.00** VOID IF OVER US $ 3.000.00 CONTROLLER Details on Back. Security Features Included. TEMPORARY ASSEMBLY PERMIT APPLICATION - MARTIN AND BERTA GUTIERREZ Staff Referral Responses Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Monday, January 28, 2019 3:18 PM Alan Caldwell; Bethany Pascoe; Bob Choate; Bruce Barker; Curtis Hall; Dan Joseph; Dawn Anderson; Don Dunker; Elizabeth Relford; Gabri Vergara; Hannah Dutrow; Jose Gonzalez; Joshua Noonan; Karin McDougal; Lauren Light; Roy Rudisill; Tom Parko Jr.; Wendi Inloes TEMPORARY ASSEMBLY PERMIT APPLICATION - Martin and Berta Gutierrez TAP Application - Martin and Berta Gutierrez.pdf; Staff Referral Memo - Gutierrez.pdf; Weld County Code - TAP Applications.pdf In accordance with the procedure for processing Temporary Assembly Permit Applications, please complete and return the attached "Staff Referral Memo — Gutierrez". Your report will be used by the Board of County Commissioners in considering the Applicant's permit application. PLEASE RESPOND NO LATER THAN: Friday, February 15, 2019 Please note: 1. This application is for an annual horse racing event 2. Applicants: Martin and Berta Gutierrez Event Address: 7717 CR 31 Fort Lupton, CO 80621 3. Event Date(s): April 6, and 7, 2019 Alternate Dates of April 13, and 14, 2019, or April 20, and 21, 2019 4. The applicants applied for a USR in 2004, and their request was denied per resolution #2005-0050 on January 5, 2005 5. The file location in Tyler for Temporary Assembly Permits is LC0022 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 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: Board of County Commissioners FROM: Roy Rudisill DEPARTMENT: Office of Emergency Management DATE: 1/29/2019 SUBJECT: Temporary Assembly Permit Application The Weld County Clerk to the Board's Office has received an application for Temporary Assemblage in Unincorporated Weld County: Applicant(s): Address: Date(s) of Event: Reply By: Martin and Berta Gutierrez 7717 County Road 31, Fort Lupton, CO 80621 4/6/19-4/7/19 (Rain -out dates: 4/13/19-4/14/19 OR 4/20/19-4/21/19) Friday, February 15, 2019 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�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 Temporary Assemblage. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. Chloe Rempel From: Sent: To: Subject: Importance: Roy Rudisill Tuesday, January 29, 2019 8:32 AM Chloe Rempel FW: Horse Racing Event High Here is Chief Tiffany's email for the Martin Gutturize Horse race event. Roy Rudisill, Director Office of Emergency Management 1150 O St. Greeley, Co 970-381-0417 Mobile 970-304-6540 Office 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. From: Phil Tiffany <ptiffany@ftluptonfire.com> Sent: Tuesday, January 22, 2019 12:55 PM To: Roy Rudisill <rrudisill@weldgov.com> Cc: lachata2@yahoo.com Subject: Horse Racing Event Importance: High Lion: 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. Roy, I met with Martin Guiterrez today regarding the annual horse racing event at 7717 CR 31. We have no issues with the event this year as with the past. They will have a contract with Banner Paramedics and we request that fire access remain open. We will conduct periodic checks at the location during the event. Proposed dates April 6 and 7, 2019 from 11:00 AM to 6:00 PM Alternate April 13 and 14 or April 20 and 21, 2019. i As always, Mr. Gutierrez completes this annual event in a professional and safe way. Thank you. Phil Tiffany Fire Chief Fort Lupton Fire Protection District 1121 Denver Avenue Fort Lupton, CO 80621 Office 303-857-4603 Fax 303-857-6619 Fort Lupton Fire Home Page Like Us on Facebook Follow Us on Twitter a., This electronic communication (including attachments) is intended solely for the person or the persons to whom it is addressed and may contain confidential information. If you receive this communication in error, you are prohibited from disseminating or copying this communication (including attachments), please notify the sender that you received this e mail in error and delete this communication from your system. Pease consider your environmental responsibility before printing this e-mail MEMORANDUM TO: Board of County Commissioners FROM: Jose Gonzalez DEPARTMENT: Building DATE: 01/29/2019 SUBJECT: Temporary Assembly Permit Application The Weld County Clerk to the Board's Office has received an application for Temporary Assemblage in Unincorporated Weld County: Applicant(s): Address: Date(s) of Event: Reply By: Martin and Berta Gutierrez 7717 County Road 31, Fort Lupton, CO 80621 4/6/19-4/7/19 (Rain -out dates: 4/13/19-4/14/19 OR 4/20/19-4/21/19) Friday, February 15, 2019 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�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 Temporary Assemblage. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. El MEMORANDUM TO: Board of County Commissioners FROM: Josh Noonan DEPARTMENT: Sheriffs Office DATE: January 29, 2019 SUBJECT: Temporary Assembly Permit Application The Weld County Clerk to the Board's Office has received an application for Temporary Assemblage in Unincorporated Weld County: Applicant(s): Address: Date(s) of Event: Reply By: Martin and Berta Gutierrez 7717 County Road 31, Fort Lupton, CO 80621 4/6/19-4/7/19 (Rain -out dates: 4/13/19-4/14/19 OR 4/20/19-4/21/19) Friday, February 15, 2019 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(cr�weldcov.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 Temporary Assemblage. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. We reviewed our local records management system for Martin Gutierrez ( and found no records of interest. There was no record for Berta Gutierrez, however we did find Bertha Gutierrez at the listed address with no records of interest. There were no records of interest for the listed property, 7717 CR 31. We find no conflicts with our interests. MEMORANDUM TO: Board of County Commissioners FROM: Lauren Light DEPARTMENT: Environmental Health DATE: January 29, 2019 SUBJECT: Temporary Assembly Permit Application The Weld County Clerk to the Board's Office has received an application for Temporary Assemblage in Unincorporated Weld County: Applicant(s): Address: Date(s) of Event: Reply By: Martin and Berta Gutierrez 7717 County Road 31, Fort Lupton, CO 80621 4/6/19-4/7/19 (Rain -out dates: 4/13/19-4/14/19 OR 4/20/19-4/21/19) Friday, February 15, 2019 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(c�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 Temporary Assemblage. 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: Chloe Rempel, Deputy Clerk to the Board February 8, 2019 From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Review of the following Temporary Assembly Permit by the Department of Planning Services, shows the following: PERMIT INFORMATION: Applicant: Berta & Martin Gutierrez Applicant Address: 7717 CR 31, Fort Lupton, Co 80621 Event Address: 7717 CR 31, Fort Lupton, Co 80621 Event Dates: April 6th, and 7th, 2019 from 10:00 a.m. to 6:00 p.m. Alternative (rain -out dates) April 13th, and 14th, 2019 or April 20th, and 21st, 2019 Maximum Number of People: 1500 PROPERTY INFORMATION: My records indicate that Mr. & Mrs. Gutierrez own 2 (two) separate adjacent properties: Zone District: Agriculture 1309-28-1-00-008 (consists of approximately 38.33 +/- acres) 1309-28-1-00-007 (consists of approximately 11.34 +/- acres) Therefore, total number of LIVESTOCK (i.e. horses, cattle, etc) could not exceed 199 (49.64 acres x 4 = 198.68). Land Use: No existing land use permits Upon review of my case files and computer, no active Zoning Violations were noted. STAFF COMMENTS: No comments. SERVICE, TEAMWORK, INTEGRITY, QUALITY TEMPORARY ASSEMBLY PERMIT APPLICATION - MARTIN AND BERTA GUTIERREZ Bond May 14, 2019 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 MARTIN AND BERTA GUTIERREZ 7717 COUNTY ROAD 31 FORT LUPTON, CO 80621 RE: REFUND OF TEMPORARY ASSEMBLY PERMIT BOND — MARTIN AND BERTA GUTIERREZ Dear Permittee: Please find enclosed Check Number #639402127, in the Amount of $3,000.00, which you provided on January 28, 2019, as the bond for the Temporary Assembly Permit Application. If you have questions or need additional information, please do not hesitate to contact me at (970) 400-4213. Very truly yours, a4f2At, Rurvt-'i Chloe A. Rempel Deputy Clerk to the Board crempel@weldgov.com OS/► `1 LC,OOaa WELD COUNTY TEMPORARY ASSEMBLY PERMIT APPLICATION CERTIFICATE OF MAILING COMPANY CITY STATE POSTAL ADDRESS 1 LAST NAME FIRST NAME CODE MARTIN BERTA AND GUTIERREZ 7717 ROAD COUNTY 31 FORT LUPTON CO 80621 I hereby certify that I have sent the refund of a bond for a Temporary Assembly Permit application 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 14th day of May, 2019. m m 1"l I� O Chloe A. Rempel Deputy Clerk to the Board U.S. Postal ServiceTM CERTIFIED MAIL° RECEIPT Domestic Mail Only rR N For delivery information, visit our website at www.usps.com®. OFFI 1 A Certified Mail Fee Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ D Return Receipt (electronic) Certified Mail Restricted Delivery Adult Signature Required $ • Adutt Signature Restricted Delivery $ Postage Total Postage and Fees t d Lin Et Postmark Here 5/1(9119 Sent To PO Bo No. __ Gs.ktieSiet treet and Apt. No., or 71, -State, ZlP+4®-- PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions SENDER: COMPLETE THIS SECTION \/\e dig a. O 0 r-• � o i 22 cr o E E 0 X RS.� a c c._ W22 •x,0 0 00 Dts_ T:ii O v O.-UU cc N ti i cv �0))0a)va)rn2)a) n_ccccocc�ncocr ❑❑❑ ❑ ❑❑ 0 > a O r"-) E O ♦... Ti ++ . 4-1 O cc C cC �)Cc; a) ecc cTs 600'('3 1. C L es r: U) a) cn cts -c 0 N D co a) Co C U a) Ct E a) o E U Q (I) SD U a O rn ▪ t U gEs co 4-▪ • a) o Q o ■ 9 0 cb 8 NI O cd at" cao ec J r + _ r C r 1' C et - L t 9590 9402 1714 6053 4723 21 2. Article Number (Transfer from service label) c O 0) U a) CC Iti ri co cr II a II II Len II r- Domestic Return Receipt 0 a) 0 0 0 0 9 co N- U) tt) O a) r co M LL 0 INN Oboe AU N ot, O be U _m c' z N. U ° o " 3C CO v 0 a_ M co 0 aa) Lc!" O PRINTE 11.24 1210(8) Romany- MARTIN GUMMI= Operator I O ;4M ' 1. -i HOW PAID i.: Piart ` a' acooa OD i nrl N INEMARK PAPER • M RECEIPT DATE oi/ Qin 9O 11 Na 90272 RECEIVED FROM fflr+i n Cacaier rata. ADDRESS n'7_j 7 CSR aLFor* L.U¢f_Qt1_t CAC) $lJ[e9J One. Huncirtd S °CLiCXD-- s tpQ12lZ FOR CQ V rl T4 -Tempo car AarYLia Wn± - rest HOW PAID CASH too 0° CHECK MONEY ORDER RECEIPT -TOP _nicep1iLafian B Y DATE Q1 � Gl$ t 0019 NO 90273 RECEIVED FROM LY.�rt_r Cpuisi ', ta rte Z ADDRESS 77 1'7 CR 3► , F -Q,-+ Lyp+o+n �nj goc, i,1 1 three -T-1.lousar,d a- °Ol ►voIniSm.. s�a ocao . o0 FOR GpvnTS Terrffrar \s'Sc.nnbl� Pertn.+ evna clash' C4hLeccrioaIa7 t3ond BY @SOLAti (:bintAse f•1511117" CASHIER'S CHECK PAY TO THE ORDER OF ***WELD COUNTY*** ***Three thousand dollars and no cents*** Payee Manes Memo WELLS FARGO SANK. N.A . 5601 W 11TH ST flELEY, CO 806.4 FOR INQUIRIES CALL (4 01 304-3171 0639402127 January 28, 2019 **x3,000.00** VOID IF OVER US S 3.000 00 t4•ufsestre CONTROLLER a V • r 8 S.curlty F..turss Includb Chloe Rempel From: Sent: To: Subject: Bethany Pascoe Monday, May 13, 2019 7:00 PM Chloe Rempel Re: Temporary Assembly Permit Bond - Martin and Berta Gutierrez I did not receive any complaints. Get Outlook for Android From: Chloe Rempel Sent: Monday, May 13, 2019 1:00:38 PM To: Bethany Pascoe; Alan Caldwell; Joshua Noonan Subject: Temporary Assembly Permit Bond - Martin and Berta Gutierrez Good afternoon, Before I return the last Temporary Assembly Permit Bond that the County will request from Martin and Berta Gutierrez, I would like to confirm that there were not any concerns or damage from this year's event? April 6, and 7, 2019 - 10:00 a.m. to 6:00 p.m. Alternate: April 13, and 14, 2019 - 10:00 a.m. to 6:00 p.m. Alternate: April 20, and 21, 2019 - 10:00 a.m. to 6:00 p.m. 7717 County Road 31 Fort Lupton, CO 80621 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 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 Chloe Rempel From: Sent: To: Subject: Joshua Noonan Tuesday, May 14, 2019 7:37 AM Chloe Rempel; Bethany Pascoe; Alan Caldwell RE: Temporary Assembly Permit Bond - Martin and Berta Gutierrez We had no calls for service at the address during those dates. Lieutenant Josh Noonan Weld County Sheriff's Office Patrol Division (970) 356-4015 ext. 2819 From: Chloe Rempel Sent: Monday, May 13, 2019 1:01 PM To: Bethany Pascoe <bpascoe@weldgov.com>; Alan Caldwell <acaldwell@weldgov.com>; Joshua Noonan <jnoonan@weldgov.com> Subject: Temporary Assembly Permit Bond - Martin and Berta Gutierrez Good afternoon, Before I return the last Temporary Assembly Permit Bond that the County will request from Martin and Berta Gutierrez, I would like to confirm that there were not any concerns or damage from this year's event? April 6, and 7, 2019 - 10:00 a.m. to 6:00 p.m. Alternate: April 13, and 14, 2019 - 10:00 a.m. to 6:00 p.m. Alternate: April 20, and 21, 2019- 10:00 a.m. to 6:00 p.m. 7717 County Road 31 Fort Lupton, CO 80621 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 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 1 Hello