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Home My WebLink About20193452.tiffRESOLUTION RE: APPROVE SPECIAL EVENTS PERMIT AND AUTHORIZE CHAIR TO SIGN - CEIBA PROJECT 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, Ceiba Project presented to the Board of County Commissioners of Weld County, Colorado, an application for a Special Events Permit for the sale of malt, vinous, and spirituous liquors for consumption by the drink on the premises only, subject to the rules and regulations found in Article 5, Title 44, C.R.S., and WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to Weld County, Colorado, pursuant to the laws providing therefore in payment for a Special Events Permit, subject to the rules and regulations found in Article 5, Title 44, C.R.S., for an event scheduled on August 17, 2019, from 10:00 a.m. to 6:00 p.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: 18233 County Road 96, Pierce, Colorado 80650; being further described as being part of the W1/2 SW1/4 of Section 6, Township 8 North, Range 65 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($25.00) to the Colorado Department of Revenue and has exhibited a State Special Events Permit Application for the sale of malt, vinous, and spiritous liquors, for consumption by the drink on the premises only, subject to the rules and regulations found in Article 5, Title 44, C.R.S. NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant Special Events Permit Number 2019-20 to said applicant to sell malt, vinous, and spiritous liquors, for consumption by the drink on the premises only, at retail at said location; and the Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which permit shall be effective on August 17, 2019, from 10:00 a.m. to 6:00 p.m., providing that said place where the permitee is authorized to sell malt, vinous, and spiritous liquors, for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, per Article 5, Title 44, C.R.S., heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the permit. C -C- SOCRS/ Jn/c c), ca.cSC), event m..4 a tcr- $114/19 2019-3452 LC0022 RE: SPECIAL EVENTS PERMIT - CEIBA PROJECT PAGE 2 BE IT FURTHER RESOLVED by the Board that the Chair Pro -Tern be, and hereby is, authorized to sign said application and permit. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 31st day of July, A.D., 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: �.rd1) G. J1to•(1 EXCUSED Barbara Kirkmeyer, Chair Weld County Clerk to the Board BY.pt41A/ l v Deputy Cler to the Board D AS y Attorney Date of signature: O Mike Freeman, P -Tem Sean P. Conway ames 2019-3452 LC0022 THIS PERMIT EXPIRES AUGUST 17, 2019, A'I' G:00 P.M. c"race/rfirecracism , ma �J` Jnlq VENT silsr r -41ILE BOARD OF COUNTY COMMISSIONERS This is to Certify, that Ceiba Project, of the State of Colorado, having applied for a Permit to serve malt, vinous, and spirituous liquors, and having paid to the County Treasurer the sum of One Hundred and [00/100] ($100.00) Dollars; therefore, the above applicant is hereby permitted to serve malt, vinous, and spirituous liquors, containing more than 3.2% Alcohol by weight, by the drink for consumption on the premises, at the address of 18233 County Road 96, Pierce, Colorado 80650, in the County of Weld, State of Colorado, for a period beginning at 10:00 a.m. and ending at 6:00 p.m. on August 17, 2019, unless this Permit is revoked sooner as provided by law. This Permit is issued subject to the Laws of the State of Colorado and especially under the provisions of Article 5 of Title 44, Colorado Revised Statues, as amended. TO BE POSTED IN A CONSPIC OUS PLACE. NON -TRANSFERABLE. DR 8428 (08/01/2012) COLORADO DEPARTMENT OF REVENUE 1697 Cole Blvd. Suite 200 Golden, CO 80401 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THE ORGANIZATION AT THIS LOCATION CEIBA PROJECT 18233 COUNTY ROAD 96 PIERCE CO 80650 Permit Number: 05-02612 Event Manager: ANA ORNELAS-MORENO SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS EVENT 1: 08/17/2019 10:00 am - 6:00 pm EVENT 2: EVENT 3: EVENT 4: EVENT 5: This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title 44, Articles 4, 3, 5, CRS 1973, as amended. This permit is nontransferable and shall be conspicuously posted in the place above described. This permit is only valid during the event date(s) shown above. In testimony whereof, I have hereunto set my hand. 8/12/2019 LSS Cory Amend, Interim Division Director Lu Cordova, Executive Director CERTIFICATE OF DELIVERY DATE: August 13, 2019 FROM: Chloe A. Rempel, Deputy Clerk to the Board SUBJECT: Ceiba Project I hereby certify that I have provided the below documents in accordance with the requirements of Weld County and the Colorado Department of Revenue, Liquor Enforcement Division, on this 13th day of August, 2019. One copy of the signed Weld County Resolution approving Special Events Permit One original Weld County Special Events Permit One copy of Colorado Special Events Permit One Liquor Sale and Consumption Warning Sign 1R., tr\t 1-0,5 Print Name g 1 14 11 Date Weld County • Clerk to the Board's Office • 1150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com DR 8439 (12/21/18) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Application for a Special Events Permit Departmental Use Only In and order to qualify for One of the Following Social • Fraternal • Patriotic ii Political a Special Events Permit, You Must Be Nonprofit (See back for details.) III Athletic NI Chartered Branch, Lodge Or Chapter it Of A National Organization Or Society MI Religious Institution U Philanthropic Institution iii Political Candidate iiii Municipality Owning Arts Facilities LIAB Type of Special Event Applicant is Applying for: 2110 Malt, Vinous And Spirituous Liquor $25.00 Per Day 2170 Fermented Malt Beverage $10.00 Per Day DO NOT WRITE IN THIS SPACE Liquor Permit Number 1. Name of Applicant Organization or Political Candidate CEIBA. Proj ect State Sales Tax Number (Required) 98004356 2. Mailing Address of Organization or Political Candidate (include street, city/town and ZIP) 5045 W. 1ST AVE DENVER, CO 80219 3. Address of Place to Have Special Event (include street, city/town and ZIP) 18233 CR 96 PIERCE, CO 80650 Name Date of Birth Home Address (Street, City, State, ZIP) Phone Number 4. Pres./Sec'y of Org. or Political Candidate MAVIS SALAZAR 5500 W 5TH AVE LAKEWOOD, CO 720-231-4711 5. Event Manager ANA ORNELAS-MORENO 6736 E 123RD PL BRIGHTON, CO 720-626-1315 6. Has Applicant Organization or Political Candidate been Issued a Special Event Permit this Calendar Year? NO Fl YES HOW MANY DAYS? 4 7. Is premises now 7 NO licensed under state liquor or beer code? YES TO WHOM? 8. Does the Applicant Have Possession or Written Permission for the Use of The Premises to be Licensed? U Yes II No List Below the Exact Date(s) for Which Application is Being Made for Permit Date 08/17/19 Hours From 10A.m. To 6P .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Oath of Applicant I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and that all information therein is true, correct, and complete to the best of my knowledge. Signature Title EXECUTIVE DIRECTOR Date 07/09/19 c asjsi r- C clt)-A�t *. Report an, *•'``.- -.•,1.,I►t'. ensing The foregoing application has been exa -d - •V'., and we do report that such permit, if gr. -d, $ Noe); . it tovisions L - r•,•.1 • ;CATION • �"'•ii(y Authority (City or County) siness conducted and character of the applicant is satisfactory, of Title 44, Article 5, C.R.S., as amended. IS APPROVED. Local Licensing Authority (City or County) , ,g City Weld County, Colorado �tqe EY County Telephone Number of City/County Clerk (970) 400-4213 Signature `,J r r -t �'lisi Title Mike Freeman, Chair Pro -Tern Board of County Commissioners Date 7/31/2019 ... DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY Liability Information License Account Number Liability Date State Total • -750 (999) (Instructions on Reverse Side) DR 8439 (12/21/18) Application Information and Checklist The following supporting documents must be attached to this application for a permit to be issued: propriate fee. LJ Diagram of the area to be licensed (not larger that 8 1/2" X 11" reflecting bars, walls, partitions, ingress, egress and dimensions. —,/Note: If the event is to be held outside, please submit evidence of intended control, i.e., fencing, ropes, barriers, etc. 2/...Copy Copy of deed, lease, or written permission of owner for use of the premises. Certificate of good corporate standing (NONPROFIT) issued by Secretary of State within last two years; or N If not incorporated, a NONPROFIT charter; or N If a political Candidate, attach copies of reports and statements that were filed with the Secretary of State. Frr Application must first be submitted to the local licensing authority (city or county) at least thirty (30) days prior to the event. II_—�y-.The premises to be licensed must be posted at least ten (10) days before a hearing can be held. (44-5-106 C.R.S.) E2 An approved application must be received by the liquor enforcement division at least ten (10) days prior to the event. Check payable to the Colorado Department Of Revenue (44-5-102 C.R.S.) A Special Event Permit issued under this article may be issued to an organization, whether or not presently licensed under Articles 4 and 3 of this title, which has been incorporated under the laws of this state for the purpose of a social, fraternal, patriotic, political or athletic nature, and not for pecuniary gain or which is a regularly chartered branch, lodge or chapter of a national organization or society organized for such purposes and being non profit in nature, or which is a regularly established religious or philanthropic institution, and to any political candidate who has filed the necessary reports and statements with the Secretary of State pursuant to Article 45 of Title 1, C.R.S. A Special Event permit may be issued to any municipality owning arts facilities at which productions or performances of an artistic or cultural nature are presented for use at such facilities. If an event is cancelled, the application fees and the day(s) are forfeited. WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE INSTRUCTIONS TO APPLICANT: Complete each section and mark "N/A" where not applicable. Additional sheets may be attached. All required information must be furnished before the application will be processed. Please note: a Colorado Department of Revenue, Liquor Enforcement Division, application for a Special Events Permit (DR 8439) and all associated documents and fees must be submitted in conjunction with the Weld County Special Events Permit Questionnaire. All permits are subject to the rules and regulations of the local licensing authority, Articles 3, 4, and 5, of Title 44, C.R.S., and 1 C.C.R. 203-2. PERMIT FEE: $100.00 Submit a $100.00 fee payable to Weld County, as well as the Colorado Department of Revenue, Liquor Enforcement Division, fee payable to the Colorado Department of Revenue, at the time of application submittal. APPLICATION CHECKLIST: ✓ Appropriate fees payable to Weld County and the Colorado Department of Revenue. V Diagram of the area to be licensed (not larger than 8 1/2" X 11"); reflecting bars, walls, partitions, ingress, egress, dimensions of the property, and the location of liquor storage (lockable). ✓ Diagram of vehicle parking plan, including size and location of lots, points of highway access and interior roads, and routes between roads/highways and parking lots. ✓ Copy of deed, lease, or written permission of owner for use of the premises. ✓ Certificate of Good Standing issued by the Secretary of State within last two years, or if not incorporated, a non-profit charter. If a political canditate, attach copies of reports and statements that were filed with the Secretary of State. Copies of training certificates (if applicable). V Copy of food license agreement and Temporary Event Food Permit (if applicable). WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE QUALIFYING NON-PROFIT APPLICANT: Name of Organization or Political Candidate: Ceiba Project Name of President or Secretary of Organization, or Political Candidate: Mavis Salazar Name of Event Manager: Ana Ornelas-Moreno Event Manager Phone: Organization or Political Candidate Phone: 720-626-1315 720-231-4711 Event Manager E-mail Address: Imperialhrf@gmail.com Mailing Address of Organization or Office of Political Candidate: 5045 W 1st Ave City: Denver State: CO Zip Code: 80219 ADDRESS AND LEGAL DESCRIPTION OF ALL PROPERTY UPON WHICH THE EVENT IS TO BE HELD: Address: 18233 CR 96 City: PIERCE State: CO Zip Code: 80650 Legal Description: Part of the W1/2 SW1/4 of Section 6, Township 8 North, Range 65 West of the 6th P.M., Weld County Colorado NAME AND ADDRESS OF THE RECORD OWNERS OF SUCH PROPERTY (ATTACH A COPY OF THE DEED TO THE PROPERTY, AND IF APPLICATION IS NOT MADE BY THE RECORD OWNERS, A NOTARIZED STATEMENT FROM THE RECORD OWNERS CONSENTING TO THE ASSEMBLY): Name: Ana Ornelas-Moreno Address: 6736 E 123rd Place City: Brighton State: CO Zip Code: 80602 Name: Leonel Ornelas Address: 6736 E 123rd Place City: Brighton State: CO Zip Code: 80602 Page 2 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE FIRE DISTRICT: Nunn Volunteer Fire Department 487 Logan Ave. Nunn, CO 80648 AMBULANCE DISTRICT: Banner Health Service Ambulance 1801 16th St. Greeley, CO 80631 LAW ENFORCEMENT DISTRICT: Weld County Sherriff Department 1950 O St. Greeley, CO 80631 1. DESCRIPTION OF THE NATURE OR PURPOSE OF THE EVENT: The purpose of the event is to hold horse races in order to come up with funds that will benefit Ceiba Project USA. 2. EXPLAIN, IN DETAIL, THE NATURE OF YOUR ORGANIZATION, ITS FUNCTION, AND WHO OR WHAT BENEFITS FROM ITS OPERATIONS (ATTACH A SEPARATE PAGE IF NECESSARY): Ceiba Project USA is dedicated to empower and unite communities by developing strong leaders through education, cultural expression and building social responsibility with community programs to promote health, nutrition, exercise and wellness. Ceiba Project USA's mission is to cultivate our communities to grow into strong, healthy, and safe environments through education and leadership development. Ceiba Project USA was located in the Westwood neighborhood of Dednver, Colorado from 2010 through 2015 the first three years. Ceiba Project USA recognized the need for culturally based community programs not available to youth or residents in this under-resourced community, and is now part of a community Co-op to address health and wellness needs. 3. WHO OR WHAT ORGANIZATION WILL BE THE RECIPIENT OF FUNDS DERIVED FROM THIS EVENT: The funds from this event will go directly to Ceiba Project USA to continue to run the many activities for youth, and victims of crime who need support. Page 3 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 4. MAXIMUM NUMBER OF PERSONS TO BE ALLOWED AT EVENT AT ANY ONE TIME: 2,000 persons 5. DATES AND HOURS DURING WHICH THE EVENT IS TO BE HELD: 08/17/19 10am to 6pm 6. WHAT TYPE OF SECURITY, IF ANY, WILL BE PROVIDED AT THIS EVENT (LIST SECURITY PLAN INCLUDING NUMBER OF SECURITY MEMBERS, HOW SECURITY WILL BE IDENTIFIED, WHERE SECURITY WILL BE LOCATED, HOW ALCOHOL WILL BE CONTROLLED, ETC.): The number of security personnel on -site will be two (2) security personnel for the first one hundred (100) participants and one (1) additional security professional for each additional fifty (50) participants. Company: Rodriguez Security Agency 1901 5th St. Grelley, CO 80631 Adrian Rodriguez: 970-324-6488 Security are identified by professional security attire. Will be located by entrance to search cars for any alcohol coming unto property which if found will be confiscated. Other security personnel will be among spectators monitoring. 7. WHERE WILL SURPLUS ALCOHOL BE STORED AND LOCKED DURING THE EVENT: Inside concession building. Page 4 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 8. HOW WILL ALCOHOL BE OBTAINED (DESCRIBE, IN DETAIL, WHERE ALCOHOL WILL BE DONATED OR PURCHASED FROM): Alcohol will be purchased from whole sale supplier. 9. WHAT METHOD WILL BE USED FOR CHECKING THE IDENTIFICATION FOR PROPER AGE OF ATTENDEES (IDENTIFICATION CHECKED AT THE DOOR, AT THE BAR, ETC.) AND HOW WILL UNDERAGE PATRONS BE IDENTIFIED SO AS NOT TO BE SERVED ALCOHOLIC BEVERAGES (STAMPS, MARK ON THE HAND, WRISTBANDS, ETC.): Identification will be checked at concession building from where alcohol will be sold. Underage patrons will be marked as a minor by security guard and others will be given a wristband. Page 5 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 10. IF THIS EVENT IS BEING HELD OUTDOORS, HOW WILL THE EXTERIOR BOUNDARIES OF THE PREMISES BE MARKED AND CONTROLLED (FENCED, ROPED, ETC.): The wntire boundaries of the premise is currently fully fenced. 11. WHAT TYPE OF ENTERTAINMENT, IF ANY, WILL BE PROVIDED FOR THIS EVENT: Horse Races, Live Music. 12. HOW, AND BY WHOM, WILL THE CONDUCT AND LEVEL OF INTOXICATION OF ATTENDEES BE MONITORED: Security personnel will be in charge of monitoring level of intoxication of attendees as well as the person in charge of dispensing the alcohol. Page 6 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 13. HAVE VOLUNTEERS OR MEMBERS OF YOUR ORGANIZATION BEEN TRAINED IN THE SALE/SERVICE OF ALCOHOLIC BEVERAGES (E.G. TIPS TRAINING), AND IF SO, WHAT TRAINING HAVE THEY RECEIVED (ATTACH COPIES OF TRAINING CERTIFICATES): Yes. Members of my organization have been TIPS trained. Attended on June 22nd and are currently awaiting certificate. 14. WHAT TYPES OF ALTERNATIVE BEVERAGES AND FOOD/SNACKS WILL BE AVAILABLE: Licensed food truck vendors will be available on site providing food and other non-alcoholic beverages. 15. 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 A COPY OF FOOD LICENSES IF APPLICABLE). PLEASE NOTE: THE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT MAY REQUIRE A TEMPORARY EVENT FOOD PERMIT (CONTACT HE-tempevents@weldgov.com 1(970) 304-6415 FOR MORE INFORMATION): See attached information Page 7 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 16. IDENTIFY PLANS FOR HOLDING, COLLECTING, AND DISPOSING OF SOLID WASTE MATERIALS: Trash crew will be on-sie collecting trash and disposing of it at the trash containers provided throughout the property. At the end of the event, trash from containers will be collected and disposed of at large dumpster that is routinely serviced by: Maverick Disposal 970-590-5539 17. IDENTIFY PLANS FOR PROVIDING TOILET FACILITIES, INCLUDING THE SOURCE, NUMBER, LOCATION, TYPE, AND THE MEANS OF DISPOSING OF WASTES DEPOSITED (ATTACH CONTRACT, AGREEMENT, OR E-MAIL IF APPLICABLE): One (1) portable toilet shall be provided for every one hundred (100) people. Portable toilets are provided and cleaned by: Country John's Portable Toilets P.O. Box 27 Gill, CO 80624 Debbie Lohr: 970-397-3834 18. EXPLAIN HOW THIS EVENT WILL BE MARKETED, DESCRIBING WHAT METHODS OF ADVERTISING WILL BE USED AND WHAT TYPE OF MATERIALS WILL BE DISTRIBUTED, AND THE TARGETED RECIPIENTS OF SUCH MATERIAL: Social Media Word of Mouth Page 8 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 19. IDENTIFY PLANS FOR PARKING VEHICLES, INCLUDING SIZE AND LOCATION OF LOTS, POINTS OF HIGHWAY ACCESS AND INTERIOR ROADS, AND ROUTES BETWEEN ROADS/HIGHWAYS AND PARKING LOTS: Security personnel will be guiding and monitoring parking. See map for location. 20. IN CASES OF LARGE OUTDOOR EVENTS: 1) HAVE EMERGENCY RESPONDERS BEEN NOTIFIED, 2) WILL THERE BE A FIRST AID STRUCTURE, AND 3) HAVE AMBULANCE SERVICES BEEN CONTRACTED FOR AN ON -SITE AMBULANCE DURING THE EVENT: Yes 21. IDENTIFY PLANS FOR CAMPING FACILITIES, IF ANY: N/A Page 9 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 22. IDENTIFY PLANS, IF ANY, TO ILLUMINATE THE LOCATION OF THE EVENT, INCLUDING THE SOURCE AND AMOUNT OF POWER, AND THE LOCATION OF LAMPS: N/A 23. IDENTIFY PLANS, IF ANY, FOR SOUND CONTROL AMPLIFICATION INCLUDING THE NUMBER, LOCATION, AND POWER OF AMPLIFIERS AND SPEAKERS: I/WE HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE INFORMATION PROVIDED TO THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, CONTAINED IN THIS AFFIDAVIT IS TRUE AND ACCURATE. Mavis Salazar AUTHORIZED REPRESENTATIVE (PLEASE PRINT) ij(13 &JLO SIGNATUR 07/10/19 DATE AUTHORIZED REPRESENTATIVE (PLEASE PRINT) SIGNATURE DATE Page 10 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF FACT OF GOOD STANDING I, Jena Griswold, as the Secretary of State of the State of Colorado. hereby certify that, according to the records of this office, Ceiba Project is a Nonprofit Corporation formed or registered on 05/01/2011 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20111259881 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 05/16/2019 that have been posted, and by documents delivered to this office electronically through 05/17/2019 la 12:30:08 . I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 05/17/2019 la 12:30:08 in accordance with applicable law. This certificate is assigned Confirmation Number 11579863 SeLretary of State of the State of Colorado ********************r************************End of Certificate************x****************************** Sonce:.4 certificate issued electronically from the Colorado Secrerari of State's Web site is fitl/v and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically mar he established hr visiting the I alidate a Certificate page of the Secretary of State's Web site. hip. 'wiisv sos.state.co.us/hniCertiftcaleSearchCriterra.do entering the certificates confirmation number di.sphn'ed on the certificate, and .1611°1O11g the instructions displayed. Confirming the issuance of a certificate is merely optional and is not necessary to the valid and e/fectn'e issuance of a certificate. For more information. visit our [Feb site. http: /' www.sos.stateco.us click -Businesses. trademarks. trade names" and select "FreguentlrAsked Questions." Document must be filed electronically. Paper documents will not be accepted. Document processing fee Fees & forms/cover sheets are subject to change. To access other information or print copies of filed documents, visit www.sos.state.co.us and select Business Center. -FJ1ed $50.00 Colorado Secretary of State Date and Time: 05/01/2011 08:55 PM ID Number: 20111259881 Document number: 20111259881 Amount Paid: $50.00 ABOVE SPACE FOR OFFICE USE ONLY Articles of Incorporation for a Nonprofit Corporation filed pursuant to § 7-122-101 and § 7-122-102 of the Colorado Revised Statutes (C.R.S.) 1. The domestic entity name for the nonprofit corporation is Ceiba Project (Caution: The use of certain terms or abbreviations are restricted hr law Read instructions for snore in, f )rmation.) 2. The principal office address of the nonprofit corporation's initial principal office is Street address Mailing address (leave blank if same as street address) 5500 W 5th Ave (Street number and name) Lakewood (Cih ) (Province - if applicable) CO 80226 (State) (ZIP Postal Code) United States (C oimh1) (Street number and name or Post Office Box information) (City) (State) (ZIP Postal Code) (Province - if applicable( (Country) 3. The registered agent name and registered agent address of the nonprofit corporation's initial registered agent are Name (if an individual) OR (if an entity) (Caution: Do not provide both an individual and an entity name.) (Last) Ceiba Project (Firs() ((fiddle) (S} ffix) Street address \RTINC _ NPC 5500 W 5th Ave (Street number and name) Lakewood co 80226 (Cal (State) (ZIP C'odel Page I of 3 Rev. 02,28 2008 Mailing address (leave blank if same as street address) (Street number and name or Post Office Box inlbt'manon) (The following statement is adopted by marking the box.) n The person appointed as registered agent above has consented to being so appointed. CO (State) 4. The true name and mailing address of the incorporator are Name (if an individual) OR (if an entity) (Caution: Do not provide both an individual and an entity mute.( McFalls (ZIP ('orie) Mavis Anna (Last) tFWWI (.Middle) (Suffix) Mailing address 5500 W 5th Ave (Street number and name or Post (Vice Box inlinmation) Lakewood CO 80226 tCtyr (State) (ZIP'Postal Code) United States • (Province — it applicable( tCountrvi (If rite Ibllowing statement applies. adopt the statement by marking the box and include an attachment.) ❑ The corporation has one or more additional incorporators and the name and mailing address of each additional incorporator are stated in an attachment. 5. dithe folloscing statement applies. adopt the statement by marking the box.I I The nonprofit corporation will have voting members. 6. (The lollov ing statement is adopted by marking the box.) f Provisions regarding the distribution of assets on dissolution are included in an attachment. 7. (1_1 -the foilov ing statement applies, adopt the .statement by marking the box and include an attachment.) n This document contains additional information as provided by law. 8. (Caution: Leave blank lithe document does not have a delayed effective date. Stating a delayed effective date has significant legal consequences. Read instructions before entering a dale.) tIf the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format I The delayed effective date and, if applicable, time of this document is/are orrnvddi.n_y horn':minute a/n/Ennr Notice: Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. .1RTI C_NPC Page 2 of 3 Rev. 02.28 2008 This perjury notice applies to each individual who causes this document to be delivered to the Secretary of State, whether or not such individual is named in the document as one who has caused it to be delivered. 9. The true name and mailing address of the individual causing the document to be delivered for filing are McFalls Mavis Anna (Last) 5500 W 5th Ave (First) (Middle) (Suffix) (Street number and name or Post Office Box infoi tnation) Lakewood CO 80226 (City) (State) (ZIP Postal Codei United States (Province - if applicahlei ((auntr ) (If the following statement applies. adopt the statement by marking the box and include an attachment./ O This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. Disclaimer: This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice, and are furnished without representation or warranty. While this fonn'cover sheet is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form cover sheet. Questions should be addressed to the user's legal, business or tax advisor(s). AR HNC NPC Page 3 of 3 Rev. 02,28'2008 The provisions not inconsistent with law regarding the distribution of assests on dissolution are as follows: On the dissolution or liquidation of the nonproit corproatin, any of tis assets remaining after payment of all libilities shall be distributed by the Board of Directors to any nonprofit corporation or association whose objectivies are similare to the nonpprofit corpaoration's. DR 0160 (02116111) COLORADO DEPARTMENT OF REVENUE DENVER CO 80261-0013 THIS LICENSE IS NOT TRANSFERABLE CERTIFICATE OF EXEMPTION FOR STATE SALES/USE TAX ONLY USE ACCOUNT NUMBER LIABILITY INFORMATION ISSUE DATE for all references 98004356 N 051514 Jun 08 2016 5500 W 5th Ave, Lakewood CO 80226 IlullilllllrlllhJlln6uilhlllll'llllli"llllllllul,llllllllll CEIBA PROJECT - USA 5500 W 5TH AVE LAKEWOOD CO 80226-1932 Executive Director Department of Revenue INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201 Date: SEP222014 CEIBA PROJECT - USA 3600 MORRISON ROAD DENVER, CO 80219-0000 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 45-3502266 DLN: 26053646001554 Contact Person: CUSTOMER SERVICE ID# 31954 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 509(a)(2) Form 990/990-EZ/990-N Required: Yes Effective Date of Exemption: May 15, 2014 Contribution Deductibility: Yes Addendum Applies: No we're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(C)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records. Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. we determined you're a public charity under the IRC Section listed at the top of this letter. Based on the information you submitted on your application, we approved your request for retroactive reinstatement under Section 4 of Revenue Procedure 2014-11. Your effective date of exemption, as listed at the top of this letter, is retroactive to your date of revocation. If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e -Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter "4221 -PC" in the search bar Letter 5436 -2- CEIBA PROJECT - USA to view Publication 4221 -PC, Compliance Guide for 501(c) (3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. Sincerely, 1-1;oesedei.„gyeradmi.04) Director, Exempt Organizations Letter 5436 I Ana Ornelas-Moreno Leonel Ornelas 6736 E. 123rd Place Brighton, CO 80602 May 10, 2019 To whom it may concern: As owners of property located at: 18233 CR 96 Pierce, CO 80650 Legal Description: Part of the W1/2 SW1/4 of Section 6, Township 8 North, Range 65 West of the P.M. Weld County, Colorado We, Ana Ornelas-Moreno and Leonel Ornelas grant permission to Mavis Salazar, Executive Director of Ceiba Project USA to use our property to hold events where liquor sales will occur, and fully support the process for obtaining the permits required. For further questions please feel free to contact us directly at: 720 626 1315. Thank you, Le. vnc f %r Alec lOrn 1as 4319007 07/18/2017 09:26 AM Total Pages: 1 Rec Fee: $13.00 Doc Fee: $10.00 Carly Koppes - Clerk and Recorder, Weld County, CO Doc Fee: 510.00 WARRANTY DEED This Deed, made July 17, 2017 Between Jacob E. Varra of the County Weld, State of COLORADO, Rrantor(s) and Leonel Ornelas and Ana IIN10 n n qs )egal rrr ) nO �� County of Weld, and State of CU COLORADO, grantee. C, WITNESS, That the grantor, for and in the consideration of the sum of ONE HUNDRED THOUSAND DOLLARS AND NO/100'5 (5100,000.00) the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm, unto the grantee, their heirs and assigns forever, all the real property together with improvements, if any, situate, lying and being in the County of Weld, State of COLORADO described as follows. The West Half of Southwest 1/4 of Section 6, Township R North, Range 65 West of the 6'" P.M., County of Weld, State of Colorado. "SELLER SHALL EXCEPT AND RESERVE ALL OIL, GAS, AND RELATED HYDROCARBONS (BUT EXCLUDING COAL, URANIUM, SAND, GRAVEL, AND SURFACE ROCK), WHICH ARE OWNED BY SELLER AND WHICH ARE LOCATED IN, ON, OR UNDER THE SURFACE OF THE PROPERTY. also known by street and number as intersection of CR-96 & CR-37, Nunn, CO 80648 TOGETHER with all and singular hereditaments and appurtenances, thereunto belonging, or in anywise appertaining, and the reversion and reversions, remainder and remainders, rents Issues and profits thereof, and all the estate, right, title, Interest, claim and demand whatsoever of the grantor, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD said premises above bargained and described, with the appurtenances, unto the grantee, his heirs and assigns forever. And the grantor, for himself, his heirs and personal representatives, does covenant, grant, bargain and agree to and with the grantee, his heirs and assigns, that at the time of the ensealing and delivery of these presents, he is well seized of the premises above conveyed, has good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind of nature so ever, except for taxes for the current year, a lien but not yet due and payable, and those specific Exceptions described by reference to recorded documents as reflected In the Title Documents accepted by Buyer in accordance with section 8.1 (Title Review) of the contract dated March 29, 2017, between the parties. The grantor shall and will WARRANT AND FOREVER DEFEND the above -bargained premises in the quiet and peaceable possession of the grantee, his heirs and assigns, against all and every person or persons lawhdly claiming the whole or any pan thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF, the grantor has executed this on the date set forth above. SELLER: Jac b E. Varra STATE OF COLORADO COUNTY OF WELD )55: The foregoing instrument was acknowledged, subscribed a arra. Witness my hand and official seal. wavorp Theresa E. Mysta Wary Pub9e Suits of Cotorerfo by Commission Esppes: Apra 06, 2021 ucs 19034004029 Note My Commissi. -spires: ESCROW NO. 059-1I0S0040a.081-TMMY 1,341.30' N119'03 OT ¶!+I r' • I I • • • at • • . • I • • • . • 60• RADIUS • ACCESS API, xxxx 4P ova A 1 EIAERGENCY ENTRANCE•HORSE TRAILER EXIT - - GATE AT 100' EAST OF ROW • • • • • • • • SOW • • • • • • • • • • 40 • • • • • • • I l t 4 I • • • • • • • I 1 I I I 1 I I I t I I I I I I 60 RADIUS A' WIRE FENCE MTYP+r YIP 30 SOD/ WELD COUNTY ROAD 96 ritt�..t 1 ww -anke (46 • 275 Z. IttIlIlfI 1 It If I II H at' It.) III II II III n�ir 6 STALL HORSE LEAN TO SHED ea, 11 [FORA" 14-41 It 111111 GATE AT t00' NORTH OF ROW 60' RADIUS a SIGN ~; 60' RADIUS t' TALL j DAn. PIPE nett • I • • • • • t% • LINVAGENG SMELT 1 S• TARTING e1/44%.••••. .re°./ LEGEND �.— • SuB.IECT BOUNDARY RI-HT•OF'WAY PIPE FENCE WIRE FENCE ROAD (AS TRAVELED) TRAFFIC FLOW ARROW ORIANAGE FLOW ARROW NEV -FENCED UPTIONYL PREMISES #2 "PORIABIf TOILETS 0 SELLING YLCOHUL �' • ONSESSIOHBU!LD!NG GP17OHuLPREM1SES r1 ACCESS AP 11.00275 SECURITY PLAN FOR LIQUOR STORAGE AND ACCESS Liquor will be locked/stored inside a 12x24 permanent concession building. Ana Ornelas-Moreno will have access to the keys to the alcohol storage. Hired professional security personnel will search vehicles as they enter and confiscate any alcohol found and they will search vehicles as they leave to make sure that no alcohol leaves property. a A LEGEND: INDICATES PLACEMENT OF SIGN INDICATES FRONT OF SIGN WORK AREA SPECIAL EVENT AHEAD SUMMARY OF DEVICES 2 - SPECIAL EVENT AHEAD 2 - SLOW Entrance Notes: 1. Sign spacing 500', or as space allows 2. Plan is for Horse Race Events 3. Work hours shall be determined by contractor 4. Changes shall be implemented where applicable www.invarion.com SPECIAL EVENT AHEAD I`IOk1;IET.WI G0L.0RAUU I IRArFIC GONIROL INc, ROAD Garrett Martinez WORK "EA Project Manager Greeley: 970-356-6881 --� Metro: 303-659-1 729 * Fax: 970-356-5862 1712 1st Ave * PO Box 490 ` Greeley, Co 80623 garrett.martinez@nocotraffic.com r'cR HOURS EMERGENCY NUMBER 970-356-688 • NCTC OWNER WELD COUNTY PROJECT HORSE NAME RACE EVENTS PROJECT NUMBER SJ21731 PRIME I.H.R.F CONTRACTOR TRAFFIC CONTROL N.C.T.C. CONTRACTOR PHONE ANA 720-626-1315 ORNELAS SHEET NUMBER DATE Revised MHT#1 5/20/2019 PREPARED BY Garrett Martinez CCA EXP. 05/2020 �Vi WELD COUNTY Special Events Permit Application - Ceiba Project i+. ONLINE MAPPING 100 YearA co 3/4_,a 100 Year AO 13,504.9 Feet 13,504 9 0 WGS_1984_Web_Mercator_Auxiliary_Sphere Weld County Colorado 6,752.43 This map is a usei generated static output from an Internet mapping site and is foi 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 USR - Uses by Special Review 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 Road Road Highway Li County Boundary Notes 18233 County Road 96 Pierce, CO 80650 a,,,,,..4.c.., V1�rELD CQUNTY MAPPING; Special Events Permit Application Ceiba Project _ONLINE 0 . a USR-763 . ADIO TOWER 370 FT 100 Year A '_ WCR USR-1242, --_.._" ,.. •' AG ' ' . SERVICES/ PROCESS.FAC en GRAVEL SUP -356 PIT M f h 4- ix ce c V U V ..,. Ea.,. _sfr.RLegend USR-1423 Parcels KENNEL 60 DOGS zy s. ❑ USR - Uses by Special Review - ` Floodplain - 500 Year WCR 98 _ Floodplain - 100 Year Zone A - _ - _ . a- <a . Floodplain Floodplain Floodplain - 100 Year Floodwa - 100 Year Zone 100 Year Zone AE - AF- iiik U 17-0 :. 2 - Floodplain Highway - 100 Year Zone AC s. _ RECREATI O H 0 SE '' LING i Road Road ' WC g -•- 96 . _.. - .... WCR 96 Hi h g way 4 USR-1105AM - - SUP -298 -? -- Li County Boundary 'HOOTING RANGE, GUN CLUB '!.c.:11 r GRAVEL!MINING P .r- a) m ch . WCR 9 4 M �fx -..- WCR 94 ce V - co - .. U t. ' - U - - USR-1395 1`` - —, I. DAIRY 10,000 HEAD r _ - _.. _ _ _ .,USR-508 - - .,: � , ��: .. . �: ►: E 1.40, 515 I, Notes -.: _ FERITLIZER STORAGE'&:SAL'ES.-.-'' - _—_ air —__ 6,752.4 0 3,376.21 6,752A Feet This map is a user generated static output from an Internet mapping site and is for 18233 County Road 96 Pierce, CO 80650 reference only. Data WGS_1984_Web_Mercator_Auxiliary_Sphere .c. Weld County Colorado layers that THIS appear on MAP IS this NOT map may or may not be accurate. current, or otherwise reliable TO BE USED FOR NAVIGATION IT ii,44;r:-. ,WELD COUNTY ()NI_INE MAPPINC;In Special - Events Permit Application Ceiba Project N. y I 11nirrn nn-: i _ e •. VV I\ JV rYVR O -. Legend Parcels Highway -„;. Road Road Highway LC) co - .. 34. Li County Boundary C) �� , -a r qi yam t p ♦rim • •. 7 f r `'� y Y t V p'ti i �• i . r •. • d 5..\r �. } •< , 1/1/x'`ot �.. .' <. III v no ..., • .N.° WC R 96 .._ :'Ls 1 \ J V Y+ ._..--.._-r ----wa..w.r--vr.wwv..• _ 1�a w f tl1 . .. - ,'tC0 ,e 1 • . -..10) 1 [ pr• 1'.i: if '? CO r an t, �.. es i - t.. ,.,. 1: 20,257 Notes 1ye7 fl' 3,376.2 0 1 3,376.2 Feet This map is a user generated static output from an Internet mapping site and is for 18233 County Road 96 Pierce, CO 80650 I reference only. Data layers that appear on this map may or may not be accurate, WGS_1984_ Web Mercator_Auxiliary_Sphere current, or otherwise reliable. ci Weld County Colorado THIS MAP IS NOT TO BE USED FOR NAVIGATION WELD COUNTY i!' Special _ Events Permit Application Ceiba Project C�NLINF MAPPING la Legend Parcels "= ` Address Highway Label - y. �, , ,,,, .....w' ..fitellittil.;;;:::::;.:..:41..11;:jtillirtit: �.� y --' Coun t Bounda •••••2: y y rIT tr:♦ 1"4"....4 '1 ,� .. M"` } \ rt./T.?. • •V. �a?►'• ,tY'v. 1 IA. • • '�•,.. ,.-14.11&.4.ivetl . r•,, • 'ter ' �! •� •.••.� •'T:.4. •4 , • a r t '• :.';.' .'�• ,:fit• + - 44, •i 4 .A►f, ►�'Y : 1,..• , y,-�1,.yyyyyy.444•"..` :ffy; , ♦ I.,' •,,� •• n •: [►♦ *r' •r�• ' :-' _•: r- 1 of � • .. , r �•� „ sr il'.Rse" \ ( 0 :tile•fWin•- - '.•o• ii, .1•4 ♦ • to• •.i+l . , ,: r • 4r :f •< /. 45• 1,•7 �j • ryeC1r 7♦. n ' }r•��i. t•�' `•�' t • .• �,t, t4 ey • f•! •: 4T4r3 o pri.• • ' t •r • S /" . •. te, V, ,� r .,.�s .� -s • y. .. •� • J t • ,•.t t �..' t , • 4. • y•' ' Vie^ r �'47�••. ,„`" • r�"• _'.. t� .. ', •, Y ♦ ♦ # �• 66�� y G a ,t. j.yy, ,... `a r� c 4_.y,• • �'• .+,•= �' '• � . ;W • A. ,f. :. A, Y �`fP�, _' ' _°- •a. iti 441 v' 4 �l • ;rye • ...• N. •}"�i� g. 1Sp` ,, r .) •',,• •f•J' • 4 •• R -� .. • ••,.- . • w �..•��.• '•.•II..; 1 1ri •' N' • , ,L .110'ce Cr.' 47,11.k..' :-.F C'.' -.� s ••i ry ,. 7 _ H 4, s i .P1"Nct SIP.• • • •_ 1• i4 • i J + • (. _. - 1:10,129 Notes :fir , - 18233 County Road 96 1,688.1 844.05 i ,688.1 Feet I his map is a user generated static output from an Internet mapping site and is tor Pierce, CO 80650 be reference only. Data layers that WGS_1984_ Web_ Mercator_ Auxiliary_ Sphere Weld County Colorado THIS appear on this map may or may not accurate, current, or otherwise reliable. MAP IS NOT TO BE USED FOR NAVIGATION 5/17/2019 Property Report Weld County PROPERTY PORTAL Property Information (970) 400-3650 Technical Support (970) 400-4357 Account: R8947689 May 17, 2019 Account Parcel Space Type Account Tax Year r Buildings T Actual Value Assessed Value R8947689 055106300024 Agricultural 2019 2 23,322 6,760 Legal PT W2SW4 6-8-65 Subdivision Block Lot Land Economic Area 8201 NUNN Property Address Property City Zip Section Township Range 18233 ROAD COUNTY 96 WELD 06 08 65 Account r Owner Name {{{ j Address R8947689 ORNELAS LEONEL 6736 E 123RD 806029650 PL BRIGHTON. CO R8947689 ORNELAS-MORENO ANA i https:i;'propertyreport.co.weld.co.usi?account=R8947689 1/5 5/17/2019 Property Report Reception Rec Date - Type Grantor Grantee . Doc Fee Sale Date Sale Price 4319007 07-18-2017 WD VARRA JACOB E ORNELAS LEONEL; ORNELAS- MORENO ANA 10.00 07-17-2017 100.000 4372674 02-02-2018 USR USR17- 0024 USR17- 0024 0.00 12-28-2017 0 Building 1 r AccountNo Building ID Occupancy H R8947689 L 1 1 Shed - Cattle ID Type NBHD Occupancy % Baths Rooms Bedrooms Complete 1 Out Building 8801 Shed Cattle - 100 0 ID Exterior Roof Cover Interior HVAC Perimeter Units Type Unit Make 1 Gable None 70 0 ID Square Ft Condo SF 1 Total Basement SF Finished Basement SF Garage SF Carport SF Balcony SF Porch SF 1 600 0 0 0 0 0 0 0 Built As Details for Building 1 ID Built As Square Ft Year Built Stories Length Width 1.00 Shed Cattle - 600 2018 1 30 20 No Additional Details for Building 1 https://propertyreport.co.weld.co.usi9account=R8947689 2/5 5/17/2019 Property Report Building 2 AccountNo Building ID Occupancy R8947689 2 Shed - Equipment ID Type NBHD Occupancy Complete Bedrooms Baths Rooms 2 Out Building 8801 Shed - Equipment 100 0 ID Exterior Roof Cover Interior HVAC Perimeter Units Type Make 2 99 0 ID Square Ft Condo SF Total Basement SF Finished Basement SF Garage SF Carport SF Balcony SF Porch SF 2 1,170 0 0 0 0 0 0 0 Built As Details for Building 2 ID Built As Square Ft Year Built Stories Length Width 2 00 Shed - Equipment 1,170 2018 1 39 30 No Additional Details for Building 2 https //propertyreport co weld co us/'account=R8947689 3/5 5/17/2019 Property Report Type Code I Description Actual Value Assessed Value Acres I Land SqFt Improvement 4279 FARM SUPPORT BLDGS RANCH 14.320 4.150 0.000 0 Land 4127 DRY LAND- AGRICULTURAL FARM 8,977 2,600 77.000 3,354,120 Land 4167 -+-- WASTE LAND 25 10 3.000 130.680 Totals - - 23,322 6,760 80.000 3,484.800 Comparable sales for your Residential property may be found using our SALES SEARCH TOOL Tax Area ID District District Name Current Levy Mill 0916 0700 AIMS JUNIOR COLLEGE 6.305 0916 1050 HIGH PLAINS LIBRARY ,-- 3.252 h 0916 0301 NORTHERN (NCW) COLORADO WATER .-- 1.000 0916 0514 NUNN FIRE 4.028 0916 0209 SCHOOL DIST RE9-AULT 27.814 ...__- 0916 0100 WELD COUNTY 15.038 0916 1200 WEST GREELEY CONSERVATION 0.414 Total - - 57.851 https://propertyreport.co.weld.co.usPaccount=R8947689 4/5 5/17/2019 Property Report NO SKETCH Copyright © 2019 Weld County, Colorado. All rights reserved. Privacy Policy & Disclaimer Accessibility Information https://propertyreport.co.weld.co.usi?account=R8947689 5/5 Ceiba USA @ceibausa Home Posts Reviews Videos Photos About Community Lifts o f .Heaitk, cope' s Mouse e : � � ,cti� catL U fr\ U 1/�C� � rGi. � I�t� S a be. IlrfotA"rri HunickRibi, cry : \Ali cttbausa:org us f o@?cttbaasa.or9 actbook,con1/ctct cv Uormonp'� P A.. 9kkcec.cow% oCc)kkcec c: resin actb?C)Ol.c c Onln/clkkctc to Like A Share Posts .•. rr-ls- Ceiba USA shared an event. l ' 0 Send Message Ceiba USA Alternative & Holistic Health Service in Denver, Colorado 5 ***** * * 5/15/2019 579588208.ipg OR 0140 (02/16111) STATE RTD/CD DEPARTMENT OF REVENUE DENVER CO 80261.0013 COLORADO Must collect USE ACCOUNT LIABILITY INFORMATION taxes for: NUMBER TAX for all references rend Ott ��w,..wlnp.kt*a.SALES LICENSE X4$75799:0Q00 ___ ___p 1-0006-0Q 1 1 010119 THIS LICENSE MUST BE POSTED ATHOTHE IPDON CrING LOCATION T DENVER CO 80216-2944 IN A CONSPICUOUS PLAC 4790 T illii�}IIIIIII�I��tI��I�II�tillttuill,IIIIItuiiIIIiuIIIiIIIiIIi EL TACO RODEO LLC 4790 THOMPSON CT DENVER CO 80216-2944 ISSUE DATE mat 4.r r yw LICENSE VALID TO DECEMBER 31 Jan 28 19 _ 2019 A Detach Here A NOW THAT YOU HAVE YOUR SALES TAX LICENSE... Go to www.Colorado.gov/RevenueOnline and register for access to file, pay and manage your sales tax account. THIS LICENSE IS NOT TRANSFERABLE i Letter Id: L0349683808 Get Access To get first time access to Revenue Online, go to yvvtitw.C,cgorado,gswiReven.ue.C?ft e, click on Create a Logi under Sign Up and follow the step-by-step instructions. You will need your Letter id referenced above (right File To file your sales tax return, log in to Revenue Online and access your sales tax account by clicking on the. Account ID. Click File Now to file your sales tax return. Select your filing method and follow the step-by-step instructions. Pay To pay your sales taxes after you have submitted your return, Click Pay to make a payment. You car: pay electronically by EFT, E -Check or Credit Card. Select your payment option and follow the step-by-stepknstru.ons Manage Your Account • Add / Change an EFT Account; View EFT Account Numbers • Submit Power of Attorney • File a Site (Branch) • File a Protest • Close Account • Update or Add a mailing address • Send and view secure messages • View Filing History and Letters • Amend a return Important: A return must be filed for each reporting period even it no tax is dun. To avoid late Denatttt::a zu'd interest, file through Revenue Online on or before the due date. \iteri EtiviNE1. https://mail.google corn/mail/u/1/#Inbox/FMfcgxwCggBFmIHTfhcfdRrsKjFhVcXx?projector= l &messagePartld=0 1 1 cord to pi, liu, oh14.Jtwn n cording h. ths tam, outluetl 1aCV bth try rsl0PiNlt.. _, se`rn:• SPECIAL EVENTS PERMIT APPLICATION - CEIBA PROJECT Notices SIGN POSTING AFFADAVIT DATE: July 11, 2019 FROM: Chloe A. Rempel, Deputy Clerk to the Board SUBJECT: Ceiba Project Pursuant to Article 3, Title 44, C.R.S., notice given by posting shall include a sign of suitable material, not less than twenty-two inches wide and twenty-six inches high, composed of letters not less than one inch in height and stating the type of license applied for, the date of the application, the date of the hearing, and the name and address of the applicant, and such other information as may be required to fully apprise the public of the nature of the application. I hereby certify that I provided the Notice Sign for notification of hearing to consider a Special Events Permit application on this 11th of July, 2019. ca. O7/c1/19 Chloe A. Rempel, Deputy Clerk to the Board Date Weld County • Clerk to the Board's Office • 1150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com Chloe Rempel From: Sent: To: Subject: Attachments: Ana Ornelas <lachikisss23@gmail.com> Thursday, July 18, 2019 8:28 AM Chloe Rempel Re: Referral Response from Building Inspections IMG-20190718-WA0004.jpg; IMG-20190718-WA0006jpg 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. Good morning Chloe! Here you go! On Mon, Jul 15, 2019, 3:41 PM Ana Ornelas <lachikisss23@gmail.com>wrote: Chloe! Would you please change my special event liquor license application to the option of malt, vinous and spirituos liquor. Thank you! On Mon, Jul 15, 2019, 10:39 AM Ana Ornelas <lachikisss23@gmail.com>wrote: Morning Chloe! I'll go and take the shed blueprints to building department today to get that squared away. Ana Ornelas On Mon, Jul 15, 2019, 8:39 AM Chloe Rempel <crempel@weldgov.com>wrote: Good morning, I received the referral response back from Building Inspections regarding your application for an Optional Premises (County) Liquor License. For the installation of your liquor shed, a building permit is required. The structure must conform to currently adopted codes. Currently the following has been adopted by Weld County: 2018 International Residential Code, 2018 International Building Code, 2018 International Mechanical Code, 2018 International Plumbing Code, 2018 International Plumbing Code, 2018 International Fuel Gas Code, 2006 International Energy Conservation Code, and 2017 National Electrical Code. Building Inspections can be reached at (970) 400-6100. Thank you, 1 4 Ow I I SPECIAL EVENTS PERMIT APPLICATION - CEIBA PROJECT Receipts L O N O " CO U CO CD O O �m co 'Ea cu°°O U ° o a m ) O 92 -o O O U O -o N co CO O 0 co a�ccO U ° o a C° °' O a-) U a RECEIPT DATE On/ t k /00kcI No 90565 RECEIVED FROM Qe � bp„ P veC-1- ADDRESS SpLt5 t -o • lam+ • ye •, OriCflsoyi_. OO ay FOR on HOW PA CASH D CHECK MONEY ORDER FrrW, Sae RECEIPT oATEpr1 Itt/SO t9 Na 90566 RECEIVED FROM Qiei ba, Prqecart ADDRESS _S OHS � eve • �:.� '_ CO g•819 Or\i, Hundred and acmoa - s too. OO FOR CJOOrVTL Pcccni t Fie, HOW PAID CASH , t 00 00 CHECK MONEY ORDER Frr\2) 22P BY CO O CO L, O N- U X a CO Q) O ADDRESS E0M5 GO i Etter) (ttcrg FOR 5TO¼T 89 S HOW Ali \, CASH CHECK t5 v MONEY ORDER RECEIPT DATE /0Q/iDOtci Na 90576 RECEIVED FROM (led, Ip p, Pty 4 yea_ . 0 _o BY %-osnci• ne1 A noOS I ?ptritoocsS e, SPECIAL EVENTS PERMIT APPLICATION - CEIBA PROJECT Staff Referral Responses MEMORANDUM TO: Board of County Commissioners FROM: Jose Gonzales DEPARTMENT: Building Inspections DATE: 7/30/2019 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Ceiba Project (Mavis Salazar - Executive Director; Ana Ornelas-Moreno - Event Manager) Address: 18233 County Road 96, Pierce, CO 80650 Date(s) of Event: August 17, 2019, from 10:00 a.m. to 6:00 p.m. Reply By: Tuesday, July 30, 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 crempelweldqov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. MEMORANDUM TO: Board of County Commissioners FROM: Roy Rudisill DEPARTMENT: Office of Emergency Management DATE: 7/30/2019 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Ceiba Project (Mavis Salazar - Executive Director; Ana Ornelas-Moreno - Event Manager) Address: 18233 County Road 96, Pierce, CO 80650 Date(s) of Event: August 17, 2019, from 10:00 a.m. to 6:00 p.m. Reply By: Tuesday, July 30, 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 Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. MEMORANDUM To: Chloe Rempel, Deputy Clerk to the Board Date: July 30, 2019 From: Hannah Dutrow, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Upon review of the Temporary Assembly Permit by the Department of Planning Services shows the following: PERMIT INFORMATION: Applicant: Ceiba Project Ana Ornelas Address: 6736 E. 123rd Place Brighton, CO 80602 Event Address: 18233 County Road 96 Pierce, CO 80650 Event Dates: June 30, 2019, July 21, 2019, August 17, 2019 August 31, 2019, and September 22, 2019, from 10:00 a.m. to 6:00 p.m. Maximum number of people: 2000 PROPERTY INFORMATION: Zone District: Agriculture Acreage: 82 +/- acres Land Use: 1MUSR18-17-0024 (Pending) — Diana Aungst (Planner) STAFF COMMENTS: Upon review of my case files and computer, no active Zoning Violations were noted. No Compliance comments. No Planning comments. SERVICE, TEAMWORK, INTEGRITY, QUALITY MEMORANDUM TO: Board of County Commissioners FROM: Dan Joseph DEPARTMENT: Environmental Health DATE: 7/30/2019 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Ceiba Project (Mavis Salazar - Executive Director; Ana Ornelas-Moreno - Event Manager) Address: 18233 County Road 96, Pierce, CO 80650 Date(s) of Event: August 17, 2019, from 10:00 a.m. to 6:00 p.m. Reply By: Tuesday, July 30, 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 Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. Notes: In the past vendors have sent us mixed messages on the number of events occurring. The Department approves of the event provided the date listed are correct. MEMORANDUM TO: Board of County Commissioners FROM: Josh Noonan DEPARTMENT: Weld County Sheriff's Office DATE: 7/30/2019 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Ceiba Project (Mavis Salazar - Executive Director; Ana Ornelas-Moreno - Event Manager) Address: 18233 County Road 96, Pierce, CO 80650 Date(s) of Event: August 17, 2019, from 10:00 a.m. to 6:00 p.m. Reply By: Tuesday, July 30, 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 crempelweldqov.com. ❑ El We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. We searched our local records management system for 18233 WCR 96, Mavis Salazar and Ana Ornelas-Moreno. We found no records. SPECIAL EVENTS PERMIT APPLICATION - CEIBA PROJECT Miscellaneous Correspondence CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P. O. BOX 758 GREELEY, COLORADO 80632 GOUNTY 1 August 2, 2019 COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION P.O. BOX 17087 DENVER, CO 80217-0087 RE: SPECIAL EVENTS PERMIT APPLICATION — CEIBA PROJECT To Whom It May Concern: Please see the attached Special Events Permit application, a copy of all supporting documentation, and the associated fees. The Weld County Board of Commissioners approved the application on Wednesday, July 31, 2019. If you have questions or need additional information, please do not hesitate to contact me at (970) 400-4213. Very truly yours, Chloe A. Rempel Deputy Clerk to the Board crempel@weldgov.com 8/1/2019 FedEx Ship Manager- Print Your Label(s) 0 0 e co OO vo m" y O90 8866 8511 1HOINN3A0 AlINOINd voc:ol onv so - NOW m J192019092001uv Z w O < =-IN mom m O m m O 0 8 "' Z O 03 N Z7 m co 0 m 0 0 m O C) 0 OO r co rp O p m 03 m 0 O >m E Ez m� z -v O� m cJ) xi m0 m z m m 567J3/E9E7/05A2 05 CD 0 9 U. z CC) 2 o —I- O Z O CD m N -1_1 u, . 0)N.. o C): 0 O O N ZWG) A rn After printing this label: 1. 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Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented loss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/shipmentConfirmationAction.handle?method=doContinue 1/2 8/1/2019 FedEx Ship Manager - Print Your Label(s) Fed Shipment Receipt Address Information Ship to: LIQUOR ENFORCEMENT DIVISION COLORADO DEPARTMENT OF REVENUE PO BOX 17087 DENVER, CO 802170087 US 3032052300 Ship from: CHLOE REMPEL WELD COUNTY 1150 O STREET RM 166 GREELEY, CO 80631 US 9704004225 Shipment Information: Tracking no.: 775899880840 Ship date: 08/02/2019 Estimated shipping charges: 7.12 USD Package Information Pricing option: FedEx Standard Rate Service type: Priority Overnight Package type: FedEx Envelope Number of packages: 1 Total weight: 2 LBS Declared Value: 0.00 USD Special Services: Pickup/Drop-off: Drop off package at FedEx location Billing Information: Bill transportation to: COUNTYOFWELD-483 DEPARTMENT NAME: WELD CLERK TO THE BOARD SENDER NAME: CHLOE A. REMPEL ADDITIONAL INFO: CTB DEPARTMENT ORGANIZATION CODE: 10400 Thank you for shipping online with FedEx ShipManager at fedex.com. Please Note FedEx will not be responsible for any claim in excess of $100 per package, whether the resat of loss, damage, delay, non -delivery, misdelivery, or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental, consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented loss. Maximum for items of extraordinary value is $1000, e.g., jewelry, precious metals, negotiable instruments and other items listed in our Service Guide. Written claims must be filed within strict time limits; Consult the applicable FedEx Service Guide for details. The estimated shipping charge may be different than the actual charges for your shipment. Differences may occur based on actual weight, dimensions, and other factors. Consult the applicable FedEx Service Guide or the FedEx Rate Sheets for details on how shipping charges are calculated. https://www.fedex.com/shipping/shipmentConfirmationAction.handle?method=doContinue 2/2 Chloe Rempel From: Sent: To: Subject: Ana Ornelas <lachikisss23@gmail.com> Monday, July 15, 2019 3:41 PM Chloe Rempel Re: Referral Response from Building Inspections 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. Chloe! Would you please change my special event liquor license application to the option of malt, vinous and spirituos liquor. Thank you! On Mon, Jul 15, 2019, 10:39 AM Ana Ornelas <lachikisss23@gmail.com>wrote: Morning Chloe! I'll go and take the shed blueprints to building department today to get that squared away. Ana Ornelas On Mon, Jul 15, 2019, 8:39 AM Chloe Rempel <crempel@weldgov.com>wrote: Good morning, I received the referral response back from Building Inspections regarding your application for an Optional Premises (County) Liquor License. For the installation of your liquor shed, a building permit is required. The structure must conform to currently adopted codes. Currently the following has been adopted by Weld County: 2018 International Residential Code, 2018 International Building Code, 2018 International Mechanical Code, 2018 International Plumbing Code, 2018 International Plumbing Code, 2018 International Fuel Gas Code, 2006 International Energy Conservation Code, and 2017 National Electrical Code. Building Inspections can be reached at (970) 400-6100. Thank you, Chloe A. Rempel Deputy Clerk to the Board 1 Hello