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HomeMy WebLinkAbout20182731.tiffFINDINGS AND RESOLUTION RE: FINDINGS AND RESOLUTION CONCERNING APPLICATION OF COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY, FOR A BREW PUB (COUNTY) LIQUOR LICENSE, AND AUTHORIZE CHAIR TO SIGN The application of Collision Brewing Company, LLC, dba Collision Brewing Company, 1436 Skyway Drive, Longmont, Colorado 80504, for a Brew Pub (County) Liquor License, was presented in a public hearing on the 27th day of August, 2018, at 9:00 a.m., and the Board of County Commissioners of Weld County, Colorado, having considered the testimony, evidence and remonstrances filed with said Board, and having carefully weighed the same, now makes the following findings: 1. The evidence discloses that the applicants have sustained the burden of proof as to the desires of the inhabitants. 2. The applicants are of good character and reputation. 3. The applicants have proven the reasonable requirements of the neighborhood. RESOLUTION WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has considered the application of Collision Brewing Company, LLC, dba Collision Brewing Company, 1436 Skyway Drive, Longmont, Colorado 80504, for a Brew Pub (County) Liquor License, for the sale of malt, vinous, and spirituous liquors, the manufacture of malt or fermented liquors, and for consumption by the drink on the premises, or for off -site consumption as long as it is sold in sealed and labeled containers, in compliance with all applicable rules and regulations found in Article 47, Title 12, C.R.S., and WHEREAS, pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid to the County of Weld the sum of $1,625.00 for the hearing fee, in addition to the other required fees, and WHEREAS, due to the Findings of the Board of County Commissioners in this matter as stated herein, the Board deems it advisable to approve said application for a Brew Pub (County) Liquor License for Collision Brewing Company, LLC, dba Collision Brewing Company, and WHEREAS, the Licensee shall host "responsible vendor" training every six (6) months as agreeable to the Colorado Department of Revenue Liquor Enforcement Division, and this training shall be open to other area licensees. Each employee shall be "responsible vendor" trained, and the Licensee shall provide documentary evidence that each employee has been "responsible vendor" trained to the Weld County Sheriff's Office within thirty (30) days of the fist available "responsible vendor" class after hiring. Evidence of such shall be included in the referral report submitted by the Sheriff's Office at the time of annual renewal. ec:SOCRS/ rngac), Cacpc), CRPPL o9/OCo/18' 2018-2731 LC0056 APPLICATION FOR A BREW PUB (COUNTY) LIQUOR LICENSE - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY PAGE 2 NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that having examined said application, the qualifications of the applicant, and the testimony of those present at the hearing, does hereby grant License Number 2018-19 to said applicant for a Brew Pub (County) Liquor License, for the sale of malt, vinous, and spirituous liquors, the manufacture of malt or fermented liquors, and for consumption by the drink on the premises, or for off -site consumption as long as it is sold in sealed and labeled containers, and the Board does hereby authorize and direct the issuance of said license by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which license shall be in effect until August 27, 2019, providing that said place where the licensee is authorized for the sale of malt, vinous, and spirituous liquors, the manufacture of malt or fermented liquors, and for consumption by the drink on the premises, or for off -site consumption as long as it is sold in sealed and labeled containers, and 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 47, Title 12, 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 license. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application and license. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of August, A.D., 2018. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ddrilvt) 1 �� EXCUSED Ste ;• Moreno, Chair Weld County Clerk to the Board BYl ,V�[ll� Q. eputy Clerk to the Board ara Kirkmey= , ro-Tem Sean P. Conway APP�o E� FORM:► �.%_ �����. t �(%� County Attorney Mike Freeman Date of signature: / 1 / I Ff 2018-2731 LC0056 THIS LICENSE EXPIRES AUGUST 27, 2019 7q:_mrmr-..crrzcrrrrmrrrnm.c.rr lJ...lI J.JI JJl J.JI J.JI JAI J��J` J../' JJ�rancarrl1 I1�enreNumber2018J9 ,, ,86. � I1reii�e Fee $1,625.00 lj� BY AUTHORITY OF THE BOARD OF COUNTY COMMISSIONERIOlif FOR A BREW PUB (COUNTY) LIQUOR LICENSE TO SELL MALT, VINOUS, AND SPIRITOUS LIQUORS, AND TO MANUFACTURE MALT AND FERMENTED LIQUORS This is to Certify, that Collision Brewing Company, LLC, dba Collision Brewing Company, of the State of Colorado, having applied for a I.icense to sell malt, vinous, and spirituous liquors, and to manufacture malt and fermented liquors, for consumption by the drink on the premises and/ or off -site, as long as it is sold in sealed and labeled containers, in compliance with all applicable rules and regulations found in Article 47, Title 12, C.R.S., and having paid to the County Treasurer the sum of One "Thousand Six Hundred Twenty -Five and [00/100] ($1,625.00) Dollars; therefore, the above applicant is hereby licensed to sell malt, vinous, and spirituous liquors, and to manufacture malt and fermented liquors, for consumption by the drink on the premises and/or off -site, as long as it is sold in sealed and labeled containers, in compliance with all applicable rules and regulations found in Article 47, Title 12, C.R.S., containing more than 3.2% Alcohol by weight, as a Brew Pub (County) at the address of 1436 Skyway Drive, Longmont, Colorado 80504, in the County of Weld, State of Colorado, for a period beginning on the 28th day of August, 2018, and ending on the 27th day of August, 2019, unless this License is revoked sooner as provided by law. This license is issued subject to the Laws of the State of Colorado and especially under the provisions of Article 47 of Title 12, Colorado Revised Statues, as amended. (y`,j�Cjr'C5Cj�Cj�Cj'�Cj'�C'�CJ�_G_y W TO BE POSTED IN A CON fr /11.1.51.5L5,15,5,15±2O LACE. 1�1/ll�TTr � wint�rr � iii r NON -TRANSFERABLE. THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402 (07/01/2012) STATE OF COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 Pierce Street, Suite 108 Lakewood, Colorado 80214 COLLISION BREWING COMPANY LLC dba COLLISION BREWING COMPANY 1436 SKYWAY DRIVE LONGMONT CO 80504 ALCOHOL BEVERAGE LICENSE Liquor License Number 4710418 License Expires at Midnight 08/27/2019 License Type BREW PUB (COUNTY) Authorized Beverages MALT, VINOUS, AND SPIRITUOUS This license is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is nontransferable and shall be conspicuously posted in the place above described. This license is only valid through the expiration date shown above. Any questions concerning this license should be addressed to: Colorado Liquor Enforcement Division, 1881 Pierce Street, Suite 108, Lakewood, CO 80214. In testimony whereof, I have hereunto set my hand. 8/28/2018 LSS i Patrick Maroney, Division Director Michael Hartman, Executive Director CERTIFICATE OF DELIVERY DATE: September 6, 2018 FROM: Chloe A. Rempel, Deputy Clerk to the Board SUBJECT: Collision Brewing Company, LLC 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 7th day of September, 2018. One copy of the signed Weld County Resolution approving a Brew Pub (County) Liquor License for Collision Brewing Company, LLC, dba Collision Brewing Company One original Weld County Liquor License One copy of Colorado Liquor License Print Name Date 7- /1 Signature Weld County • Clerk to the Board's Office • 1150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com \1 861/ It2YE TY August 14, 2018 COLLISION BREWING COMPANY, LLC DBA COLLISION BREWING COMPANY 1436 SKYWAY DRIVE LONGMONT, CO 80504 BOARD OF COUNTY COMMISSIONERS PHONE: (970) 336-7204, EXT 4200 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com RE: REPORT OF INVESTIGATION FOR COLORADO LIQUOR LICENSE APPLICATION - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY Dear Applicant: On Tuesday, August 14, 2018, I traveled to the proposed licensed premises known as Collision Brewing Company, LLC, dba Collision Brewing Company, located at 1436 Skyway Drive, Longmont, Colorado 80504. While there, I made an on -site inspection regarding the Liquor License application filed. The Liquor License application is for a Brew Pub (County) Liquor License. These items will be heard by the Board of County Commissioners as the Liquor Licensing Authority for Weld County on Monday, August 27, 2018, at 9:00 a.m. My inspection revealed the following: 1. The proposed licensed premises is not directly connected to a different licensed premises, pursuant to C.R.S. §12-47-301(3)(a). 2. The diagram of the proposed licensed premises is not correct. The diagram depicts a wall on the west side of the property; however, there currently are not clear and defined boundaries of the premises for the two (2) patios on the west side of the property. The applicant has agreed to make the premises distinct and provide photographic evidence prior to the liquor hearing. The applicant will also need to update the diagram of the premises prior to the liquor hearing. 3. There is one (1) other Brew Pub (County) Liquor Licensed establishment located in the immediate area, operated by Tappist Munks, LLC, dba Outworld Brewing. 4. There are no public or parochial schools, or principal campus of any college, university, or seminary within 500 feet of the proposed licensed premises, pursuant to C.R.S. §12-47-313(1)(d)(l). LC0056 REPORT OF INVESTIVATION - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY PAGE 2 5. The Brew Pub classification of license requires the sale of food, pursuant to C.R.S. §12-47-415(4). The proposed premises has the capability of heating and serving full meals, pursuant to C.R.S. §12-47-103(20). 7. The sign noticing the place, date, and time of the hearing for the Liquor License application was posted by the applicant in such a manner that the notice was conspicuous and plainly visible to the public, when I was there at approximately 2:30 p.m. on Tuesday, August 14, 2018. Very truly yours, BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Sean P. Conway, Commissioner cc: Weld County Clerk to the Board's Office Weld County Attorney's Office LC0056 'II" ; WELD air ONLINE COUNTYCollisionOutworid' MAPPING, and Brewing al/.► - - is _ _ - .�_ - -' - ' ' ..SI r. L ::A • a .. • riairso•,. urwA..•.�.....+.+'- ,. .. • ''M r' .• d"r � - .� .� -_ s.... „tea r--•. - -,a, IP"4. y r 4. • 4' •:if, `` FAR VIEW . r'Mx"'q'• • , :R .. 'tOr':n7_'+x'r.�!►' -K :�.;;��..:�, , . _c `. it it -aerea....!4-,;•• - , i - it -.--iihNimaimsit. 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' I*1T I r10- •. \! • ]) ii ♦ , . . • - =. 1. 11,162 • Notes Distance between two (2) Brew Pub 1,860.3 0 930.17 1,860.3 Feet I his map is a user generated static output from it • Internet Mapping site and is to' (County) Liquor License reference only Data layers !fiat appear in t trim ' n lay or may not be a( CUt ate, Applicants/Licensees WGS_1984_ C) Weld Web County Mercator _Auxiliary_Sphere Colorado THIS MAP IS NOT rc,p TO BE .-ent. or otherwise USED FOR reliable NAVIGATION DR 8404 (08/14/17) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Colorado Liquor Retail License Application ❑ New License ❑ Transfer of Ownership ❑ State Property Only X New -Concurrent • All answers must be printed in black ink or typewritten • Applicant must check the appropriate box(es) • Applicant should obtain a copy of the Colorado Liquor and Beer Code: www.colorado.gov/enforcemenbliquor 1. Applicant is applying as a/an ❑ ❑ Individual X Limited Liability Company ❑ Association or Other (includes Limited Liability and Husband and Wife Partnerships) Corporation ❑ Partnership 2. Applicant If an LLC, name of LLC; if partnership, at least 2 partner's names; if corporation, name of corporation Collision Brewing Company LLC FEIN Number 47-2729416 2a.Trade Name of Establishment (DBA) Collision Brewing Company State Sales Tax Number 37034369-0000 Business Telephone 303-931-1160 3. Address of Premises (specify exact location of premises, include suite/unit numbers) 1436 Skyway Drive City Longmont County Weld State CO ZIP Code 80504 4. Mailing Address (Number and Street) 1436 Skyway Drive City or Town Longmont State CO ZIP Code 80504 5. Email Address kentjet4@gmail.com 6. If the premises currently has a liquor or beer license, you must answer the following questions Present Trade Name of Establishment (DBA) Present State License Number Present Class of License Present Expiration Date N/A N/A N/A N/A Section A Nonrefundable Application Fees Section B (Cont.) Liquor License Fees $1550.00 - L&E (County) $500.00 • Application Fee for New License ■ Lodging & Entertainment Review $1750.00 - H & R $75.00 • Application Fee for New License w/Concurrent ■ Manager Registration • Application Fee for Transfer $1550.00 ■ Manager Registration - Tavem $75.00 Section B Liquor License Fees ■ Manager Registration - Lodging & Entertainment $75.00 $ X Total • Master File Location Fee $50.00 X Total • Add Related Facility to Resort Complex$75.00 ■ Arts License (City) $308.75 ■ Master File Background $500.00 X Total • Arts License (County) $308.75 ■ Optional Premises License (City) $500.00 • Beer and Wine License (City) $351.25 ■ Optional Premises License (County) $500.00 • Beer and Wine License (County) $436.25 IN Racetrack License (City) $500.00 • Brew Pub License (City) $750.00 ■ Racetrack License (County) $500.00 © Brew Pub License (County) $750.00 • Resort Complex License (City) $500.00 ❑ Campus Liquor Complex (City) $500.00 IN Resort Complex License (County) $500.00 • Campus Liquor Complex (County) $500.00 ■ Related Facility - Campus Liquor Complex (City) $160.00 • Campus Liquor Complex (State) $500.00 IN Related Facility - Campus Liquor Complex (County) $160.00 • Club License (City) $30875 ■ Related Facility - Campus Liquor Complex (State) $160.00 • Club License (County) $308.75 ■ Retail Gaming Tavern License (City) $500.00 • Distillery Pub License (City) $750.00 ■ Retail Gaming Tavem License (County) $500.00 ■ Distillery Pub License (County) $750.00 ■ Retail Liquor Store License —Additional (City) $227.50 • Hotel and Restaurant License (City $500.00 ■ Retail Liquor Store License Additional (County) $312.50 • Hotel and Restaurant License (County) $500.00 ■ Retail Liquor Store (City) $227.50 • Hotel and Restaurant License w/one opt premises (City) $700.00 ■ Retail Liquor Store (County) $312.50 • Hotel and Restaurant License w/one opt premises (County) $700.00 • Tavern License (City) $500.00 • Liquor —Licensed Drugstore (City) $227.50 ■ Tavern License (County) $500.00 • Liquor —Licensed Drugstore (County) $312.50 ■ Vintners Restaurant License (City) $750.00 • Lodging & Entertainment - L&E (City) $500.00 ■ Vintners Restaurant License (County) $750.00 Questions? Visit: www.colorado.gov/enforcement/liquorfor more information Do not write in this space - For Department of Revenue use only Liability Information License Account Number Liability Date License Issued Through (Expiration Date) Total 1 Application Documents Checklist and Worksheet Instructions: This checklist should be utilized to assist applicants with filing all required documents for licensure. All documents must be properly signed and correspond with the name of the applicant exactly. All documents must be typed or legibly printed. Upon final State approval the license will be mailed to the local licensing authority. Application fees are nonrefundable. Questions? Visit: www.colorado.gov/enforcement/liquorfor more information Items submitted, please check all appropriate boxes completed or documents submitted I. Applicant information MI A. Applicant/Licensee identified DI B. State sales tax license number listed or applied for at time of application • C. License type or other transaction identified • D. Return originals to local authority • E. Additional information may be required by the local licensing authority • F. All sections of the application need to be completed II. Diagram of the premises DI A. No larger than 8 1/2" X 11" l3 B. Dimensions included (does not have to be to scale). Exterior areas should show type of control (fences, walls, entry/exit points, etc.) • C. Separate diagram for each floor (if multiple levels) © D. Kitchen - identified if Hotel and Restaurant © E. Bold/Outlined Licensed Premises III. Proof of property possession (One Year Needed) • A. Deed in name of the applicant (or) (matching question #2) date stamped / filed with County Clerk • B. Lease in the name of the applicant (or) (matching question #2) • C. Lease assignment in the name of the applicant with proper consent from the Landlord and acceptance by the Applicant • D. Other agreement if not deed or lease. (matching question #2) (Attach prior lease to show right to assumption) IV. Background information and financial documents IM A. Individual History Records(s) (Form DR 8404-I) © B. Fingerprints taken and submitted to local authority (State Authority for Master File applicants) • C. Purchase agreement, stock transfer agreement, and/or authorization to transfer license • D. List of all notes and loans (Copies to also be attached) V. Sole proprietor/husband and wife partnership (if applicable) • A. Form DR 4679 • B. Copy of State issued Driver's License or Colorado Identification Card for each applicant VI. Corporate applicant information (if applicable) • A. Certificate of Incorporation date stamped by the Colorado Secretary of State's Office • B. Certificate of Good Standing • C. Certificate of Authorization if foreign corporation ■ D. List of officers, directors and stockholders of applying corporation (If wholly owned, designate a minimum of one person as principal officer of parent) VII. Partnership applicant information (if applicable) • A. Partnership Agreement (general or limited). Not needed if husband and wife • B. Certificate of Good Standing (If formed after 2009) VIII. Limited Liability Company applicant information (if applicable) In A. Copy of articles of organization (date stamped by Colorado Secretary of State's Office) © B. Certificate of Good Standing In C. Copy of operating agreement • D. Certificate of Authority if foreign company IX. Manager registration for Hotel and Restaurant, Tavern, Lodging & Entertainment, and Campus Liquor Complex licenses when included with this application • A. $75.00 fee DI B. Individual History Record (DR 8404-I) © C. If owner is managing, no fee required 2 Name Collision Brewing Company LLC Type of License Brewpub Account Number 7. Is the applicant (including any of the partners if a partnership; members or managers if a limited liability company; or officers, stockholders or directors if a corporation) or managers under the age of twenty-one years? Yes No ■ I© 8. Has the applicant (including any of the partners if a partnership; members or managers if a limited liability company; or officers, stockholders or directors if a corporation) or managers ever (in Colorado or any other state): (a) Been denied an alcohol beverage license? (b) Had an alcohol beverage license suspended or revoked? (c) Had interest in another entity that had an alcohol beverage license suspended or revoked? If you answered yes to 8a, b or c, explain in detail on a separate sheet. ■ in ■ X • X 9. Has a liquor license application (same license class), that was located within 500 feet of the proposed premises, been denied preceding two years? If "yes", explain in detail. within the ■ 10. Are the premises to be licensed within 500 feet, of any public or private school that meets compulsory education requirements Colorado law, or the principal campus of any college, university or seminary? Waiver by local ordinance? Other: of • In or ■ ❑ 11. Is your Liquor Licensed Drugstore (LLDS) or Retail Liquor Store (RLS) within 1500 feet of another retail liquor license for off -premises sales in a jurisdiction with a population of greater than (>) 10,0000? NOTE: The distance shall be determined by a radius measure- ment that begins at the principal doorway of the LLDS/RLS premises for which the application is being made and ends at the principal doorway of the Licensed LLDS/RLS. 12. Is your Liquor Licensed Drugstore (LLDS) or Retail Liquor Store (RLS) within 3000 feet of another retail liquor license for off -premises sales in a jurisdiction with a population of less than (<) 10,0000? NOTE: The distance shall be determined by a radius measurement that begins at the principal doorway of the LLDS/RLS premises for which the application is being made and ends at the principal doorway of the Licensed LLDS/RLS. 13a. For additional Retail Liquor Store only. Was your Retail Liquor Store License issued on or before January 1, 2016? • X 13b. Are you a Colorado resident? © ❑ 14. Has a liquor or beer license ever been issued to the applicant (including any of the partners, if a partnership; members or manager Limited Liability Company; or officers, stockholders or directors if a corporation)? If yes, identify the name of the business and current financial interest in said business including any loans to or from a licensee. if a list any In ❑ 15. Does the applicant, as listed on line 2 of this application, arrangement? have legal possession of the premises by ownership, lease or other Detail) © M ■ Ownership In Lease ■ Other (Explain in a. If leased, list name of landlord and tenant, and date of expiration, exactly as they appear on the lease: Landlord Squirrel Holdings LLC Tenant Collision Brewing Company LLC Expires 08/01/2028 b. Is a percentage of alcohol sales included as compensation to the landlord? If yes, complete question 16. • p c. Attach a diagram designates the area to be licensed in black bold outline (including dimensions) which shows the bars, brewery, walls, partitions, entrances, exits and what each room shall be utilized for in this business. This diagram should be no larger than 8 1/2" X 11". 16. Who, besides the owners listed in this application (including persons, firms, partnerships, corporations, limited liability companies) money, inventory, furniture or equipment to or for use in this business; or who will receive money from this business? Attach a separate necessary. will loan or give sheet if Interest/Percentage] N/A Last Name N/A First Name Date of Birth N/A FEIN or SSN N/A Last Name N/A First Name Date of Birth N/A FEIN or SSN N/A Interest/Percentage N/A Attach copies of all notes and security instruments and any written agreement or details of any oral agreement, by which any person (including partnerships, corporations, limited liability companies, etc.) will share in the profit or gross proceeds of this establishment, and any agreement relating to the business which is contingent or conditional in any way by volume, profit, sales, giving of advice or consultation. 17. Optional Premises or Hotel and Restaurant Licenses with Optional Premises: Has a local ordinance or resolution authorizing optional premises been adopted? Number of additional Optional Premise areas requested. (See license • X fee chart)! 18. Liquor Licensed Drugstore (LLDS) applicants, answer the following: (a) Is there a pharmacy, licensed by the Colorado Board of Pharmacy, located within the applicant's LLDS premise? If "yes" a copy of license must be attached. • in 19. Club Liquor License applicants answer the following: Attach a copy of applicable documentation (a) Is the applicant organization operated solely for a national, social, fraternal, patriotic, political or athletic purpose and not for pecuniary (b) Is the applicant organization a regularly chartered branch, lodge or chapter of a national organization which is operated solely the object of a patriotic or fraternal organization or society, but not for pecuniary gain? (c) How long has the club been incorporated? (d) Has applicant occupied an establishment for three years (three years required) that was operated solely for the reasons stated ! gain? ■ MI for above? 20. Brew -Pub, Distillery Pub or Vintner's Restaurant applicants answer the following: (a) Has the applicant received or applied for a Federal Permit? (Copy of permit or application must be attached) © ■ 3 Name Collision Brewing Company LLC Type of License Brewpub Account Number 21. Campus Liquor Complex applicants answer the following: (a) Is the applicant an institution of higher education? (b) Is the applicant a person who contracts with the institution of higher education to provide food services? If "yes" please provide a copy of the contract with the institution of higher education to provide food services. Yes No ■ El • El 22. For all on -premises applicants. a. Hotel and Restaurant, Lodging and Entertainment, Tavern License and Campus Liquor Complex, the Registered Manager must also submit an Individual History Record - DR 8404-I and fingerprints. b. For all Liquor Licensed Drugstores (LLDS) the Permitted Manager must also submit an Manager Permit Application - DR 8000 and fingerprints. Last Name of Manager Blythe First Name of Manager Jason 23. Does this manager act as the manager of, or have a financial interest in, any other liquor licensed establishment in the State of Colorado? If yes, provide name, type of license and account number. • 12 24. Related Facility - Campus Liquor Complex applicants answer the following: a. Is the related facility located within the boundaries of the Campus Liquor Complex? If yes, please provide a map of the geographical location within the Campus Liquor Complex. If no, this license type is not available for issues outside the geographical location of the Campus Liquor Complex. b. Designated Manager for Related Facility- Campus Liquor Complex Yes No ■ X Last Name of Manager N/A First Name of Manager N/A 25. Tax Distraint Information. Does the applicant or any other person listed on this application including its partners, officers, directors, stockholders, members (LLC) or managing members (LLC) and any other persons with a 10% or greater financial interest in the applicant currently have an outstanding tax distraint issued to them by the Colorado Department of Revenue? If yes, provide an explanation and include copies of any payment agreements. • IM 26. If applicant is a corporation, partnership, association or limited liability company, applicant must list all Officers, Directors, General Partners, and Managing Members. In addition, applicant must list any stockholders, partners, or members with ownership of 10% or more in the applicant. All persons listed below must also attach form DR 8404-I (Individual History Record), and submit fingerprint cards to the local licensing authority. Name Kent Blythe Home Address, City & State 1309 S. Terry St. Longmont, CO DOB Position Member -Manager %Owned 30 Name Jeanne Blythe Home Address, City & State 1309 S. Terry St. Longmont, CO DOB Position Member -Manager %Owned 30 Name Eric Blythe Home Address, City & State 5210 Remington Pl. Firestone, CO DOB Position Member -Manager %Owned 20 Name Jason Blythe Home Address, City & State 2544 Serena Dr. Mead, CO DOB Position Member -Manager %Owned 20 Name Home Address, City & State DOB Position %Owned ** If applicant is owned 100% by a parent company, ** Corporations - the President, Vice -President, ** If total ownership percentage disclosed here please list the designated principal officer on above. Secretary and Treasurer must be accounted for above (Include ownership percentage if applicable) does not total 100%, applicant must check this box: than these disclosed herein owns 10% or more of the applicant and does not have financial interest in a 47 or 48, C.R.S. © Applicant affirms that no individual other prohibited liquor license pursuant to Title 4 Name Collision Brewing Company LLC Type of License Brewpub Account Number Oath Of Applicant I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my knowledge. I also acknowledge that it is my responsibility and the responsibility of my agents and employees to comply with the provisions of the Colorado Liquor or Beer Code which affect my lie nse. Authorized Signature Printed Name and Title Kent Blythe Member -Manager Date 07/26/18 R- sort and Approval of Local Licensing Authority (City/County) Date application filed with local authority July 26, 2018 The Local Licensing Authority Hereby Affirms that each person required to file DR 8404-I (Individual History Record) or a DR 8000 (Manager Permit) has been: • Fingerprinted E Subject to background investigation, including NCIC/CCIC check for outstanding warrants That the local authority has conducted, or intends to conduct, an inspection of the proposed premises to ensure that the applicant is in compliance with and aware of, liquor code provisions affecting their class of license (Check One) ® Date of inspection or anticipated date August 14, 2 01 8 ❑ Will conduct inspection upon approval of state licensing authority Date of local authority hearing (for new license applicants; cannot be less than 30 days from date of application) Monday, August 27, 2018 ❑ Is the Liquor Licensed Drugstore (LLDS) or Retail Liquor Store (RLS) within 1,500 feet of another retail liquor license for off - premises sales in a jurisdiction with a population of > 10,0000? ❑ Is the Liquor Licensed Drugstore(LLDS) or Retail Liquor Store (RLS) within 3,000 feet of another retail liquor license for off - premises sales in a jurisdiction with a population of < 10,0000? NOTE: The distance shall be determined by a radius measurement that begins at the principal doorway of the LLDS/RLS premises for which the application is being made and ends at the principal doorway of the Licensed LLDS/RLS. ❑ Does the Liquor -Licensed Drugstore (LLDS) have at least twenty percent (20%) of the applicant's gross annual income derived from the sale of food, during the prior twelve (12) month period? N/A Yes No O fill I ❑ The foregoing application has been examined; and the premises, business to be conducted, and character of the applicant are satisfactory. We do report that such license, if granted, will meet the reasonable requirements of the neighborhood and the desires of the adult inhabitants, and will comply with the provisions of Title 12, Article 46 or 47, C.R.S., and Liquor Rules. Therefore, this application is approved. Local Licensing Authority for Weld County, Colorado ature BY: Telephone Number (970) 400-4213 ❑ Town, City I1 County Print Barbara Kirkmeyer Print Esther E. Ge Deputy Clerk to the Boar Title BOCC Chair Pro-Tem Title Clerk to the Board Date p/27/18 Date 8/27/18 AUG 7 7 ZIIiif 5 DR 0140 (02/16/11) DEPARTMENT OF REVENUE DENVER CO 80261-0013 Must collect taxes for: SALES TAX LICENSE STATE COLORADO USE ACCOUNT NUMBER for all references LIABILITY county I city INFORMATION kabfIdydate ISSUE DATE LICENSE VALID TO DECEMBER 31 lindustryltype month day I year 37034369-0000 03-0206-063 L 020118 Jan 26 18 2019 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION IN A CONSPICUOUS PLACE: COLLISION BREWING COMPANY 1436 SKYWAY DR LONGMONT CO 80504-5874 COLLISION BREWING COMPANY ATTN: COLLISION BREWING COMPANY 1436 SKYWAY DR LONGMONT CO 80504-5874 THIS LICENSE IS NOT TRANSFERABLE Executive Director Department of Revenue OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF FACT OF GOOD STANDING I, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, Collision Brewing Company LLC is a Limited Liability Company formed or registered on 01/08/2015 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 20151017474 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 07/26/2018 that have been posted, and by documents delivered to this office electronically through 07/30/2018 @ 12:15:03 • I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 07/30/2018 @ 12:15:03 in accordance with applicable law. This certificate is assigned Confirmation Number 11034132 . Secretary of State of the State of Colorado *********************************************End of Certificate******************************************* Notice: A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a Certificate page of the Secretary of State's Web site, http://www.sos.state.co.us/biz/CertificateSearchCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, http:// www.sos.state.co.us/click "Businesses, trademarks, trade names" and select "Frequently Asked Questions." -Flied Document must be filed electronically. Paper documents are not accepted. Fees & forms are subject to change. For more information or to print copies of filed documents, visit www.sos.state.co.us. Colorado Secretary of State Date and Time: 11/30/2017 05:02 PM ID Number: 20151017474 Document number: 20171897270 Amount Paid: $10.00 ABOVE SPACE FOR OFFICE USE ONLY Statement of Change Changing the Principal Office Address filed pursuant to § 7-90-305.5 and § 7-90-705 of the Colorado Revised Statutes (C.R.S.) 1 The entity ID number and the entity name, or, if the entity does not have an entity name, the true name are Entity ID number Entity name or True name 20151017474 (Colorado Secretary of State ID number) Collision Brewing Company LLC 2. The entity's principal office address has changed. Such address, as changed, is Street address Mailing address (leave blank if same as street address) (Street number and name or Post Office Box information) 1436 Skyway Drive (Street number and name) Longmont CO 80504 (City) (State) (ZIP/Postal Code) United States (Province — if applicable) (Country) (City) (State) (ZIP/Postal Code) United States . (Province — ff applicable) (Country) 3. (If applicable, adopt the following statement by marking the box and include an attachment.) O This document contains additional information as provided by law. 4. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal consequences. Read instructions before entering a date.) (lf the following statement applies, adopt the statement by entering a date and if applicable, time using the required format.) The delayed effective date and, if applicable, time of this document are (mm/dd/yyyy hour: minute am/pm) 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 such document is such individual's act and deed, or that such individual in good faith believes such document is the act and deed of the person on whose behalf such individual is causing such document to be delivered for filing, taken in CHANGE POA Page 1 of2 Rev. 12/01/2012 conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent documents and the organic statutes, and that such individual in good faith believes the facts stated in such document are true and such document complies with the requirements of that Part, the constituent documents, and the organic statutes. 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 identified in this document as one who has caused it to be delivered. 5. The true name and mailing address of the individual causing this document to be delivered for filing are Blythe Kent (Last) (First) (Middle) (Suetx) 1309 S. Terry ST (Street number and name or Post Office Box information) Longmont CO 80501 (City) (Province — if applicable) (State) (ZIP/Postal Code) United States . (Country) (If applicable, adopt the following 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 form/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). CHANGE_POA Page 2 of 2 Rev. 12/01/2012 OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF DOCUMENT FILED I, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, the attached document is a true and complete copy of the Statement of Change with Document # 20171897270 of Collision Brewing Company LLC Colorado Limited Liability Company (Entity ID # 20151017474 ) consisting of 2 pages. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 11/27/2017 that have been posted, and by documents delivered to this office electronically through 11/30/2017@ 17:06:32. 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 11/30/2017 @ 17:06:32 in accordance with applicable law. This certificate is assigned Confirmation Number 10579263 Secretary of State of the State of Colorado *********************************************End of Certificate******************************************* Notice: A certificate issued electronically from the Colorado Secretary ofState's Web site isfully and immediately valid and elective. However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a Certificate page of the Secretary of State's Web site, http://www.sos.state.co.us/bi✓CertifcateSearchCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, http://www.sos.state.co.us/ click "Businesses, trademarks, trade names" and select "Frequently Asked Questions." Document must be filed electronically. Paper documents are not accepted. Fees & forms are subject to change. For more information or to print copies of filed documents, visit www.sos.state.co.us. -Filed Colorado Secretary of State Date and Time: 01/08/2015 12:50 PM ID Number: 20151017474 Document number: 20151017474 Amount Paid: $50.00 ABOVE SPACE FOR OFFICE USE ONLY Articles of Organization filed pursuant to § 7-80-203 and § 7-80-204 of the Colorado Revised Statutes (C.R.S.) 1. The domestic entity name of the limited liability company is Collision Brewing Company LLC (The name of a limited liability company must contain the term or abbreviation "limited liability company", "ltd liability company", "limited liability co.", "ltd. liability co.", "limited", "tic.", `?lc", or "ltd ". See §7-90-601, CRS.) (Caution: The use of certain terms or abbreviations are restricted by law. Read instructions for more information.) 2. The principal office address of the limited liability company's initial principal office is Street address 1309 S. Terry St (Street number and name) Longmont CO 80501 (City) (Province — if applicable) (State)(ZIP/Postal Code) Unite States (Country) Mailing address (leave blank if same as street address) (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 limited liability company's initial registered agent are Name (if an individual) or (if an entity) Blythe Kent (Last) (First) (Middle) (Suffix) (Caution: Do not provide both an individual and an entity name.) Street address 1309 S. Terry St (Street number and name) Longmont Co 80501 (City) (State) (ZIP Code) Mailing address (leave blank if same as street address) (Street number and name or Post Office Box information) ARTORG_LLC Page 1 of 3 Rev. 12/01/2012 (City) Co (State) e following statement is adopted by marking the box.) .1 The person appointed as registered agent has consented to being so appointed. (ZIP Code) 4. The true name and mailing address of the person forming the limited liability company are Name (if an individual) or (if an entity) (Caution: Do not provide both an individual and an entity name.) 1309 S. Terry St Blythe (Last) Kent (First) (Muddle) (Suffix) Mailing address (Street number and name or Post Office Box information) Longmont CO 80501 (City) (State (ZIP/Postal Code) Unite States (Province — if applicable) (Country) (if the following statement applies, adopt the statement by marking the box and include an attachment.) El The limited liability company has one or more additional persons forming the limited liability company and the name and mailing address of each such person are stated in an attachment. 5. The management of the limited liability company is vested in (Mark the applicable box.) n one or more managers. or nthe members. 6. (The following statement is adopted by marking the box.) n There is at least one member of the limited liability company. 7. (If the following 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 if the document does not have a delayed effective date. Stating a delayed effective date has significant legal consequences. Read instructions before entering a date.) (if the following statement applies, adopt the statement by entering a date an4 if applicable, time using the required format) The delayed effective date and, if applicable, time of this document is/are (mm/dd/yyyy hour: minute am/pm) 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. ARTORG_LLC Page 2 of 3 Rev. 12/01/2012 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 Blythe Kent (last) 1309 S. Terry St (First) (Middle) (Suffix) (Street number and name or Post Office Box information) Longmont CO 80501 (City) (Province — if applicable) (State) United States (Country) (ZIP/Postal Code) (If the following statement applies, adopt the statement by marking the box and include an attachment.) El 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 form/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). ARTORG_LLC Page 3 of 3 Rev. 12/01/2012 OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF DOCUMENT FILED I, Wayne W. Williams , as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, the attached document is a true and complete copy of the Articles of Organization with Document # 20151017474 of Collision Brewing Company LLC Colorado Limited Liability Company (Entity ID # 20151017474 ) consisting of 4 pages. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 07/20/2018 that have been posted, and by documents delivered to this office electronically through 07/23/2018@ 23:50:24. I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 07/23/2018 @ 23:50:24 in accordance with applicable law. This certificate is assigned Confirmation Number 11021948 Secretary of State of the State of Colorado *********************************************End of Certificate******************************************* Notice: A certificate issued electronicallyfrom the Colorado Secretary of State's Web site isfully and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a Certificate page of the Secretary of State's Web site, http://www.sos.state.co.us/bL/CertificateSearchCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, htip://www.sos.state.co.us/ click "Businesses, trademarks, trade names" and select "Frequently Asked Questions." LIMITED LIABILITY COMPANY OPERATING AGREEMENT FOR Collision Brewing Company LLC A Member -Managed Limited Liability Company ARTICLE I Company Formation 1.1 FORMATION. The Members hereby form a Limited Liability Company ("Company") subject to the provisions of the Limited Liability Company Act as currently in effect as of this date. Articles of Organization shall be filed with the Secretary of State. 1.2 NAME. The name of the Company shall be: Collision Brewing Company LLC. 1.3 REGISTERED AGENT. The name and location of the registered agent of the Company shall be: Kent Blythe 1436 Skyway Drive Longmont, CO 80504 1.4 TERM. The Company shall continue for a perpetual period. (a) Members whose capital interest as defined in Article 2.2 exceeds 50 percent vote for dissolution; or (b) Any event which makes it unlawful for the business of the Company to be carried on by the Members; or (c) The death, resignation, expulsion, bankruptcy, retirement of a Member or the occurrence of any other event that terminates the continued membership of a Member of the Company; or (d) Any other event causing dissolution of this Limited Liability Company under the laws of the State of Colorado. 1.5 CONTINUANCE OF COMPANY. Notwithstanding the provisions of ARTICLE 1.4, in the event of an occurrence described in ARTICLE 1.4(c), if there are at least two remaining Members, said remaining Members shall have the right to continue the business of the Company. Such right can be exercised only by the unanimous vote of the remaining Operating Agreement -1 www.northwestregisteredagent.com Members within ninety (90) days after the occurrence of an event described in ARTICLE 1.4(c). If not so exercised, the right of the Members to continue the business of the Company shall expire. 1.6 BUSINESS PURPOSE. The purpose of the Company is to operate a brewery and restaurant establishment. 1.7 PRINCIPAL PLACE OF BUSINESS. The location of the principal place of business of the Company shall be: 1436 Skyway Drive Longmont, CO 80504 Principal place of business may be changed at a location the Managers from time to time select. 1.8 THE MEMBERS. The name and place of residence of each member are contained in Exhibit 2 attached to this Agreement. 1.9 ADMISSION OF ADDITIONAL MEMBERS. Except as otherwise expressly provided in the Agreement, no additional members may be admitted to the Company through issuance by the company of a new interest in the Company, without the prior unanimous written consent of the Members. ARTICLE II Capital Contributions 2.1 INITIAL CONTRIBUTIONS. The Members initially shall contribute to the Company capital or services as described in Exhibit 3 attached to this Agreement. The agreed total value of such property and cash is $5000.00. 2.2 ADDITIONAL CONTRIBUTIONS. Except as provided in ARTICLE 6.2, no Member shall be obligated to make any additional contribution to the Company's capital. ARTICLE III Profits, Losses and Distributions 3.1 PROFITS/LOSSES. For financial accounting and tax purposes the Company's net profits or net losses shall be determined on an annual basis and shall be allocated to the Members in proportion to each Member's relative capital interest in the Company as set forth in Exhibit 2 as amended from time to time in accordance with Treasury Regulation 1.704-1. Operating Agreement - 2 www.northwestregisteredagent.com 3.2 DISTRIBUTIONS. The Members shall determine and distribute available funds annually or at more frequent intervals as they see fit. Available funds, as referred to herein, shall mean the net cash of the Company available after appropriate provision for expenses and liabilities, as determined by the Managers. Distributions in liquidation of the Company or in liquidation of a Member's interest shall be made in accordance with the positive capital account balances pursuant to Treasury Regulation 1.704-I(b)(2)(ii)(b)(2). To the extent a Member shall have a negative capital account balance, there shall be a qualified income offset, as set forth in Treasury Regulation 1.704-I(b)(2)(ii)(d). ARTICLE IV Management 4.1 MANAGEMENT OF THE BUSINESS. The name and place of residence of each Manager is attached as Exhibit 1 of this Agreement. By a vote of the Members holding a majority of the capital interests in the Company, as set forth in Exhibit 2 as amended from time to time, shall elect so many Managers as the Members determine, but no fewer than one, with one Manager elected by the Members as Chief Executive Manager. The elected Manager(s) may either be a Member or Non -Member. 4.2 MEMBERS. The liability of the Members shall be limited as provided pursuant to applicable law. Members that are not Managers shall take no part whatever in the control, management, direction, or operation of the Company's affairs and shall have no power to bind the Company. The Managers may from time to time seek advice from the Members, but they need not accept such advice, and at all times the Managers shall have the exclusive right to control and manage the Company. No Member shall be an agent of any other Member of the Company solely by reason of being a Member. 4.3 POWERS OF MANAGERS. The Managers are authorized on the Company's behalf to make all decisions as to (a) the sale, development lease or other disposition of the Company's assets; (b) the purchase or other acquisition of other assets of all kinds; (c) the management of all or any part of the Company's assets; (d) the borrowing of money and the granting of security interests in the Company's assets; (e) the pre -payment, refinancing or extension of any loan affecting the Company's assets; (f ) the compromise or release of any of the Company's claims or debts; and, (g) the employment of persons, firms or corporations for the operation and management of the company's business. In the exercise of their management powers, the Managers are authorized to execute and deliver (a) all contracts, conveyances, assignments leases, sub -leases, franchise agreements, licensing agreements, management contracts and maintenance contracts covering or affecting the Company's assets; (b) all checks, drafts and other orders for the payment of the Company's funds; (c) all promissory notes, loans, security agreements and other similar documents; and, (d) all other instruments of any other kind relating to the Company's affairs, whether like or unlike the foregoing. Operating Agreement - 3 www.northwestregisteredagent.com p 4.4 CHIEF EXECUTIVE MANAGER. The Chief Executive Manager shall have primary responsibility for managing the operations of the Company and for effectuating the decisions of the Managers. 4.5 NOMINEE. Title to the Company's assets shall be held in the Company's name or in the name of any nominee that the Managers may designate. The Managers shall have power to enter into a nominee agreement with any such person, and such agreement may contain provisions indemnifying the nominee, except for his willful misconduct. 4.6 COMPANY INFORMATION. Upon request, the Managers shall supply to any member information regarding the Company or its activities. Each Member or his authorized representative shall have access to and may inspect and copy all books, records and materials in the Manager's possession regarding the Company or its activities. The exercise of the rights contained in this ARTICLE 4.6 shall be at the requesting Member's expense. 4.7 EXCULPATION. Any act or omission of the Managers, the effect of which may cause or result in loss or damage to the Company or the Members if done in good faith to promote the best interests of the Company, shall not subject the Managers to any liability to the Members. 4.8 INDEMNIFICATION. The Company shall indemnify any person who was or is a party defendant or is threatened to be made a party defendant, pending or completed action, suit or proceeding, whether civil, criminal, administrative, or investigative (other than an action by or in the right of the Company) by reason of the fact that he is or was a Member of the Company, Manager, employee or agent of the Company, or is or was serving at the request of the Company, for instant expenses (including attorney's fees), judgments, fines, and amounts paid in settlement actually and reasonably incurred in connection with such action, suit or proceeding if the Members determine that he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interest of the Company, and with respect to any criminal action proceeding, has no reasonable cause to believe his/her conduct was unlawful. The termination of any action, suit, or proceeding by judgment, order, settlement, conviction, or upon a plea of "no lo Contendere" or its equivalent, shall not in itself create a presumption that the person did or did not act in good faith and in a manner which he reasonably believed to be in the best interest of the Company, and, with respect to any criminal action or proceeding, had reasonable cause to believe that his/her conduct was lawful. 4.9 RECORDS. The Managers shall cause the Company to keep at its principal place of business the following: (a) a current list in alphabetical order of the full name and the last known street address of each Member; (b) a copy of the Certificate of Formation and the Company Operating Agreement and all amendments; Operating Agreement - 4 www.northwestregisteredagent.com (c) copies of the Company's federal, state and local income tax returns and reports, if any, for the three most recent years; (d) copies of any financial statements of the limited liability company for the three most recent years. ARTICLE V Compensation 5.1 MANAGEMENT FEE. Any Manager rendering services to the Company shall be entitled to compensation commensurate with the value of such services. 5.2 REIMBURSEMENT. The Company shall reimburse the Managers or Members for all direct out-of-pocket expenses incurred by them in managing the Company. ARTICLE VI Bookkeeping 6.1 BOOKS. The Managers shall maintain complete and accurate books of account of the Company's affairs at the Company's principal place of business. Such books shall be kept on such method of accounting as the Managers shall select. The company's accounting period shall be the calendar year. 6.2 MEMBER'S ACCOUNTS. The Managers shall maintain one capital and distribution account for all members. All business transactions will be from this single account. (a) any additional capital contribution made by him/her shall be deposited to the company's account. (b) distributions to him/her in reduction of Company capital will be from the single account. (b) the Member's share of Company gains/losses will be from the single account. 6.3 REPORTS. The Managers shall close the books of account after the close of each calendar year, and shall prepare and send to each member a statement of such Member's distributive share of income and expense for income tax reporting purposes. Operating Agreement - 5 www.northwestregisteredagent.com ARTICLE VII Transfers 7.1 ASSIGNMENT. If at any time a Member proposes to sell, assign or otherwise dispose of all or any part of his interest in the Company, such Member shall first make a written offer to sell such interest to the other Members at a price determined by mutual agreement. If such other Members decline or fail to elect such interest within thirty (30) days, and if the sale or assignment is made and the Members fail to approve this sale or assignment unanimously then, pursuant to the applicable law, the purchaser or assignee shall have no right to participate in the management of the business and affairs of the Company. The purchaser or assignee shall only be entitled to receive the share of the profits or other compensation by way of income and the return of contributions to which that Member would otherwise be entitled. Operating Agreement - 6 www.northwestregisteredagent.com CERTIFICATE OF FORMATION This Company Operating Agreement is entered into and shall become effective as of the Effective Date by and among the Company and the persons executing this Agreement as Members. It is the Members express intention to create a limited liability company in accordance with applicable law, as currently written or subsequently amended or redrafted. The undersigned hereby agree, acknowledge, and certify that the foregoing operating agreement is adopted and approved by each member, the agreement consisting of 10 pages, constitutes, together with Exhibit 1, Exhibit 2 and Exhibit 3 (if any), the Operating Agreement of Collision Brewing Company LLC, adopted by the members as of April 1, 2018. Members: Percent: 30% Signature Percent: 30% Percent: 20% .-7:,---- Signature Percent: 20% Printed Name Kent Blythe Printed Name Jeanne Blythe Printed Name Jason Blythe Printed Name Eric Blythe Operating Agreement - 7 www.northwestregisteredagent.com EXHIBIT 1 LIMITED LIABILITY COMPANY OPERATING AGREEMENT FOR Collision Brewing Company LISTING OF MANAGERS By a majority vote of the Members the following Managers were elected to operate the Company pursuant to ARTICLE 4 of the Agreement: Printed Name Kent Blythe Chief Executive Manager 1309 S. Terry Street Longmont, CO 80501 Printed Name Jeanne Blythe Title: Manager 1309 S. Terry Street Longmont, CO 80501 The above listed Manager(s) will serve in their capacities until they are removed for any reason by a majority vote of the Members as defined by ARTICLE 4 or upon their voluntary resignation. Signed and Agreed this 1st day of April, 2018. Signature of Member Signat re of Member Signature of Member gnature of Member Printed Name Kent Blythe Printed Name Jeanne Blythe Printed Name Jason Blythe Printed Name Eric Blythe EXHIBIT 2 Operating Agreement - 8 www.northwestregisteredagent.com LIMITED LIABILITY COMPANY OPERATING AGREEMENT FOR Collision Brewing Company LLC LISTING OF MEMBERS As of the 1st day of April, 2018 the following is a list of Members of the Company: Name Kent Blythe Percent 30% Address 1309 S. Terry Street, Longmont, CO 80501 Name Jeanne Blythe Percent 30% Address 1309 S. Terry Street, Longmont, CO 80501 Name Jason Blythe Percent 20% Address 2544 Serena Drive, Mead, CO 80542 Name Eric Blythe Percent 20% Address 5210 Remington Drive, Firestone, CO, 80504 Signature of Member Signore of Member Signature of Member S . ature of Member EXHIBIT 3 Operating Agreement - 9 www.northwestregisteredagent.com LIMITED LIABILITY COMPANY OPERATING AGREEMENT FOR Collision Brewing Company LLC CAPITAL and SERVICE CONTRIBUTIONS Pursuant to ARTICLE 2, the Members' initial contribution be it money or services to the Company capital is stated to be $5000.00. The description and each individual portion of this initial contribution is as follows: Kent Blythe: Contribution: $5000.00, Services: Accounting and maintenance services Jeanne Blythe: Contribution: $0, Services: Operation manager Jason Blythe: Contribution: $0, Services: Operation Manager, Brewmaster, Brewery Operations, Marketing and Sales Eric Blythe: Contribution: $0, Services: Operation Manager, Marketing and Sales, Maintenance, Brewery Operation SIGNED AND AGREED this 1st day of April, 2018. Member Operating Agreement -10 www.northwestregisteredagent.com 4159694 11/20/2015.11:14 AM Total Pages: 1 Rec Fee: $11.00 Doc Fee: $25.88 Carly Koppes - Clerk and Recorder, Weld County, CO SPECIAL WARRANTY DEED DOC FEE: $25.88 THIS DEED, made this 18th day of November, 2015 between Horizon Investments Phase II, L.L.C., a Colorado limited liability company, of the County of Boulder and State of Colorado, grantor(s), and Squirrel Holdings, LLC, a Colorado limited liability company whose legal address is 11732 Crystal View Lane, Longmont, CO 80504, of the County of Weld and State of Colorado, grantee(s): WITNESS, that the grantor(s), for and in consideration of the sum of TWO HUNDRED FIFTY EIGHT THOUSAND EIGHT HUNDRED THIRTY FOUR AND 00/100 DOLLARS ($258,834.00), 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(s), his/her heirs, and assigns forever, all the real property, together with improvements, if any, situate, lying and being in the County of Weld and State of Colorado, described as follows: LOT 7, BLOCK 6, SECOND CORRECTED PLAT OF VISTA COMMERCIAL CENTER FILING 11, COUNTY OF WELD, STATE OF COLORADO. RESERVING UNTO GRANTOR ALL MINERAL RIGHTS INCLUDING OIL, GAS AND OTHER LIKE SUBSTANCES IN AND UNDER SUCH LAND. GRANTOR, SUCCESSORS AND ASSIGNS AGREE TO NEITHER AUTHORIZE NOR ENGAGE IN ANY ACTIVITIES RELATED TO DRILLING, EXPLORATION OR EXTRACTION OF ANY MINERALS OF ANY KIND ON THE SURFACE OF THE PROPERTY BEING CONVEYED. also known by street and number as: 1436 Skyway Drive, Longmont, CO 80504 TOGETHER with all and singular the 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(s), either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantee(s), his/her heirs, and assigns forever. The grantor(s), for himself/herself, his/her heirs, and personal representatives or successors, does covenant and agree that THEY shall and will WARRANT AND FOREVER DEFEND the above -bargained premises in the quiet and peaceable possession of the. grantee(s), his/her heirs, and. assigns, against all and every person or persons claiming the whole or any part thereof, by, through or under the grantor(s). IN WITNESS WHEREOF, the grantor(s) has executed this deed on the date set forth above. Horizon Investments Phase II, L.L.C., a Colorado i.lnited liability co pony By: N. Russell Stacey, J1 ; Manager By: Lyle E. Dehning, Ma}Iager STATE OF COLORADO COUNTY OF BOULDER The foregoing instrument was acknowledged before me this November 18, 2015, by N. Russell Stacey, Jr. and Lyle E. Dehning as Managers for Horizon Investments Phase Ii, L.L.C., a Colorado limited liability company. My Commission expires: L ‘ KELLEY M. ABERNATHY NOTARY PUBLIC. STATE OF COLORADO NOTARY ID 19924009260 MY COMMISSION EXPIRES JULY 28, 2016 Witness my hand and official seal. Notary Public SPECIAL WARRANTY DEED CETS # 1'ilc # 28363CET Net Lease 1. Names This lease is made by Squirrel Holdings LLC, a Colorado limited liability company (Landlord), and Collision Brewing Company LLC, a Colorado limited liability company (Tenant). 2. Premises Being Leased Landlord is leasing to Tenant, and Tenant is leasing from Landlord, the following premises: 1436 Skyway Drive Longmont, Colorado 80504 3. Term of Lease This lease begins on August 1, 2018 and ends on August 1, 2028. 4. Rent Tenant will pay rent in advance on the 15th day of each month. Tenant's first rent payment will be on September 15, 2018. Tenant will pay rent of $5,000 per month for the entire term of the lease. Rent will remain the same for the entire term of the lease. 5. Option to Extend Lease Landlord grants Tenant the option to extend this lease for an additional 10 years on the same terms. Tenant may exercise this option only if Tenant is in substantial compliance with the terms of this lease. To exercise this option, Tenant must give Landlord written notice on or before January 1, 2028. If Tenant exercises the option granted above, Tenant will then have the option to extend this lease for 5 years beyond the first option period on the same terms. Tenant may exercise this additional option only if Tenant is in substantial compliance with the terms of this lease. To exercise this option, Tenant must give Landlord written notice on or before January 1, 2033. Net Lease — Page 1 of 6 6. Improvements by Landlord Tenant accepts the premises in "as is" condition. Landlord need not provide any repairs or improvements before the lease term begins. 7. Improvements by Tenant Tenant may make alterations and improvements to the premises after obtaining the Landlord's written consent, which will not be unreasonably withheld. At any time before this lease ends, Tenant may remove any of Tenant's alterations and improvements, as long as Tenant repairs any damage caused by attaching the items to or removing them from the premises. 8. Tenant's Use of Premises Tenant will use the premises for the following business purposes: Brewery and restaurant operations Tenant will also use the premises for purposes reasonably related to the main use. 9. Landlord's Representations Landlord represents that: A. At the beginning of the lease term, the premises will be properly zoned for Tenant's stated use and will be in compliance with all applicable laws and regulations. B. The premises have not been used for the storage or disposal of any toxic or hazardous substance and Landlord has received no notice from any governmental authority concerning removal of any toxic or hazardous substance from the property. 10. Utilities and Services Tenant will pay for all utilities and services, including water, electricity and gas. This includes the electricity or gas needed for heating and air conditioning. 11. Maintenance and Repairs A. Tenant will maintain and make all necessary repairs to: (1) the roof, structural components, exterior walls and interior walls of the premises, and (2) the plumbing, electrical, heating, ventilating and air-conditioning systems. B. Tenant will clean and maintain (including snow removal) the parking areas, yards and exterior of the premises so that the premises will be kept in a safe and Net Lease — Page 2 of 6 attractive condition. 12. Insurance A. Tenant will carry fire and extended coverage insurance on the building in the amount of at least $2,000,000; this insurance will include Landlord as an additional insured party. B. Tenant will carry public liability insurance, which will include Landlord as an additional insured. The public liability coverage for personal injury will be in at least the following amounts: • $100,000 per occurrence, and • $300,000 in any one year. C. Landlord and Tenant release each other from any liability to the other for any property loss, property damage or personal injury to the extent covered by insurance carried by the party suffering the loss, damage or injury. D. Tenant will give Landlord a certificate of insurance covering all insurance policies that this lease requires Tenant to obtain. 13. Taxes A. Tenant will pay all real property taxes levied but not assessed against the premises during the term of this lease. B. Tenant will pay all personal property taxes levied and assessed against Tenant's personal property. 14. Subletting and Assignment Tenant will not assign this lease or sublet any part of the premises without the written consent of Landlord. Landlord will not unreasonably withhold such consent. 15. Damage to Premises A. If the premises are damaged through fire or other cause not the fault of Tenant, Tenant will owe no rent for any period during which Tenant is substantially deprived of the use of the premises. B. If Tenant is substantially deprived of the use of the premises for more than 90 days because of such damage, Tenant may terminate this lease by delivering written notice of termination to Landlord. Net Lease — Page 3 of 6 16. Notice of Default Before starting a legal action to recover possession of the premises based on Tenant's default, Landlord will notify Tenant in writing of the default. Landlord will take legal action only if Tenant does not correct the default within ten days after written notice is given or mailed to Tenant. 17. Quiet Enjoyment As long as Tenant is not in default under the terms of this lease, Tenant will have the right to occupy the premises peacefully and without interference. 18. Eminent Domain This lease will become void if any part of the leased premises or the building in which the leased premises are located are taken by eminent domain. Tenant has the right to receive and keep any amount of money that the agency taking the premises by eminent domain pays for the value of Tenant's lease, Tenant's loss of business and for moving and relocation expenses. 19. Holding Over If Tenant remains in possession after this lease ends, the continuing tenancy will be from month to month. 20. Disputes If a dispute arises, either party may take the matter to court. 21. Additional Agreements There are no additional agreements. 22. Entire Agreement This is the entire agreement between the parties. It replaces and supersedes any and all oral agreements between the parties, as well as any prior writings. 23. Successors and Assignees This lease binds and benefits the heirs, successors and assignees of the parties. Net Lease — Page 4 of 6 24. Notices All notices must be in writing. A notice may be delivered to a party at the address that follows a party's signature or to a new address that a party designates in writing. A notice may be delivered: • in person • by certified mail, or • by overnight courier. 25. Governing Law This lease will be governed by and construed in accordance with the laws of the state of Colorado. 26. Counterparts This lease may be signed by the parties in different counterparts and the signature pages combined will create a document binding on all parties. 27. Modification This lease may be modified only by a written agreement signed by the parties. 28. Waiver If one party waives any term or provision of this lease at any time, that waiver will be effective only for the specific instance and specific purpose for which the waiver was given. If either party fails to exercise or delays exercising any of its rights or remedies under this lease, that party retains the right to enforce that term or provision at a later time. 29. Severability If any court determines that any provision of this lease is invalid or unenforceable, any invalidity or unenforceability will affect only that provision and will not make any other provision of this lease invalid or unenforceable and shall be modified, amended or limited only to the extent necessary to render it valid and enforceable. Net Lease — Page 5 of 6 LANDLORD Squirrel Holdings LLC, a Colorado limited liability company 11732 Crystal View Lane Longmont, Colorado 80501 Dated: By: MCIA:\44 .yzL.[.i4A Nan Stuart Owner TENANT Collision Brewing Company LLC, a Colorado limited liability company 1436 Skyway Drive Longmont, Colorado 80504 7 Dated: By: Kent Blythe Member -Manager Net Lease — Page 6 of 6 Squirrel Holdings LLC 11732 Crystal View Lane Longmont, CO 80504 To Whom It May Concern: May 1, 2018 Squirrel Holdings LLC, owner of the property located at 1436 Skyway Drive, Longmont, CO 80504, consents to allow Collision Brewing Company LLC to use and operate their brewery and restaurant operations as needed on the specified property. Collision Brewing Company is responsible for all aspects related to the property to operate the brewery and restaurant. Regards, MaiNA Nan Stuart (Owner) APPLICATION FOR A BREW PUB (COUNTY) LIQUOR LICENSE - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY MAPS, PROPERTY REPORT, AND SECURITY PLAN • 1 M )%P FLOOR PLAN 71-0` • SCALt v8' , r•Qt, awr KG 4g-1MP\ k>str ) = xxxx Z cc 2 z W O Cs co rn z a O��z c 8 -o0 J �j �T U -a. J ACCESS \lO. AP16-00111 \-ASPHALT PAVING (TYPICAL)-\ • • ACCESS PERMIT NO, AP16-00111 72'-6 1/2" CONCRETE PATIO f_• ••. .•.i - • I. •.•1• 1 • S tr r• • J . • ,S • • ,• , . a• i •r • I •. • •••• ` • •I •••' •• • • 1. 1 •. •,. •A •• • 1 ••• ' • .• 4; ••• • ti. i • .j•- ' •1••, f • .. . I • ., • -1 . •,' • j• • •• 0 ,• • .• •;r I. t• ♦ • - • • '- 1 ••a _ • : • i r • — • ,' . •, . so •• • s. •• * _ ••r. ••• • • -. • r . : •� • V•r •-• r%is • . I • .t._♦r••••,•— T. • r. •J '- • - � .. .. w . — .•r ''''.77 .•� • t.t. • .. .4'5.... ' , •.,• •. • • • .• . .\: " • :. • • '. • r ai ...' - • J' .. . . _ .• s.• - • Sr • • • • •, •• • _ • IC.• \ t • ,r • _ , •••-•• • •,- • j14 • 1• w 6' CONCRETE SIDEWALK •4• , • • 1 • • • • •�' r.�• • • • •• •• •,i• • 1•• FIREPIT r • • •' 1;•• • .� • . 1• • f. - I. • 4• ;- •;} r . •. • • • •• . • rC. r� rat a r.� A a S, a 1 '.. • „•. • . '. • • • — •• •_ \ ! •• r —� ..• I .•J •. II ;r i :s •' ••j• • •, ,:• 'r 5 •. i • .. • '•, ..8.• • • r'.•w. J O. • SI I• • • •` rn 0 SP al 6' CONCRETE SIDEWALK 25'-0" 1_511 71_711 I or 0 N -P 0 0 r 0 Tst U) 0 co N 1 CP 0 o EQUIPMENT 50-1EDULE KEY OTY ITEM DIMENSION nr4x0)tV MFR MOOED POYCR REGIS REMARKS I I NOT Lad. TANK '$0 ICr'l 240/20• 2 , I ►MMI TANK 40 KY( 240/700 7 I SOLLN! (•AE) 4' 04*4 OAs. MIN GALL VALVE 4 1 HATER rtATEIt OAS S I GLYCOL UST AND PIMP • I eL•fOOL UIIT 'PIflt r fV1lA! 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"� U'r-'_ I[J 1,D1 I t�Kr `\PA�i�A0 I ®I. r-+---- -- n c�-� a a F WnV t wfn[C*Mi �"r).i,,iL �•'I�idrcL.rwnrc iu Longmont 100Year A 1,937.2 WGS_1984_Web_Mercator_Auxiliary_Sphere © Weld County Colorado USR-877AM3 GRAVEL MININ 968.60 I 1,937.2 Feet I Firestone llta USR 877AM4 USR-877AM4 BATCH PLANT 8; MINE BATCH PLANT a Mvl;NL 1001Year A This map is a usui generated static output f►orn an Internet mapping site and is fc reference only Data layers that appear on this map may or may not be accur,i • current, or otherwise reliauk THIS MAP IS NOT TO BE USED FOR NAVIGATION • Legend • Parcels USR - Uses by Special RevieNA Floodplain - 500 Year Floodplain - 100 Year Zone A Floodplain - 100 Year Floodwa Floodplain - 100 Year Zone AE Floodplain - 100 Year Zone AF Floodplain - 100 Year Zone AC Address Label Highway County Boundary Notes Collision Brewing Company, LLC, dba Collision Brewing Company Wig11 .4 • WELD COUNTY Brew Pub (County) Liquor License Applicatton " 4 • jit alma. ciorir, . VIEW VISTAc) lit - ' i ,,,, t 4 •,,,,. #* -1911111Wr ltallif+ ft 4 li r v. 11:1111 riiiik • .1'45 II + i 1444 3 O .. • P Legend w et.44 Parcels I • I - USR - Uses bySpecial • i Flood/lain I 500 1 100 Year Zone A I 100 Year I I 100 Year Zone AE Ill I 100 Year SKt4WAY DR . • IP 100 Year Zone AC SKYWAY Flood/lain Highway ZW, '7 fe 1 I 1421 II or • k SY ` c, P 4 is y P • Collision Company, • • 242 15 • 4.3 Feet III'S map is a user generated static output from an Internet mapping site ano i,, fci, I I Collision Brewing Company reference only •ta layers appear • WGS 1984Mercator Auxiliary WELD COUNTYBrew Pub •unty) Liquor License A•• • iii.i;r: p - SKYWM _. .--- :4 . q.. YI a. , Legend Ig. t Parcels by Special - • Kr • I 11 Year i ••• a 100 Year Zone A ! ac • x • • •• I 11 I ••• 11 Year Zone AF •••• I 100 Year Zone AC Highway s CountyBoundary I. 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"•. 8/23/2018 IMG_1259.JPG https://drive.google.com/file/d/1 WjySkSjtIkwgrljad3uEARgq_s66fJk1/view 1/2 https://drive.google.com/file/d/1 T5jp6d 15SWgFO7MOnGcL7jU0b7S2nIN0/view 8/23/2018 IMG_1245.JPG https://drive.google.com/file/d/1 ERX2Qgd8p2sHf2BWrDut4-U 1 fg4C 1 IMg/view 1/2 8/23/2018 IMG_1246.JPG https://drive.google.com/file/d/1 flHGsrSfcfBn_I0X77a8VLw3LsnaYBRg/view 12 I-4• I M� Vim__ 8/23/2018 IMG_1256.JPG https://drive.google.com/file/d/1 VMgRPt8xgWPeDafgNhJhHA0Nt76zI5FO/view 1/2 8/23/2018 IMG_1252.JPG coliodillir 'vise rem' https://drive.google.com/file/d/1 8T1 Z94JsEj7YTAbf3D6QogsBK5H 1 kV8d/view 1/2 8/23/2018 IMG_1254.JPG https://drive.google.com/file/d/1 WvISyIQPO6QbcsPda-_3r51 RgYz6IwPK/view 12 8/23/2018 IMG_1255.JPG https://drive.google.com/file/d/1 NDnQrhVhteAKi6s6jf 3b4xjQPfWsxn/view 12 7/31/2018 Property Report Weld County PROPERTY PORTAL Property Information (970) 400-3650 Technical Support (970) 400-4357 Account: R8922000 July 31, 2018 Account Information Account Parcel Space Account Tax Buildings Actual Assessed Type Year Value Value R8922000 131308208007 Commercial 2018 1 504,449 146,290 Legal 2VCC L7 BLK6 2ND CORR VISTA COMMERCIAL CENTER FG #2 Subdivision Block Lot Land Economic Area VISTA COMMERCIAL CENTER FG#2 6 7 Vista Commerc. CORR PLAT 2nd filing Property Property Address City 1436 SKYWAY DR LONGMONT Zip Section Township Range 08 02 68 Owner(s) Account Owner Name Address R8922000 SQUIRREL HOLDINGS LLC 11732 CRYSTAL VIEW LANE LONGMONT, CO 805048453 Document History https://propertyreport.co.weld.co.us/?account=R8922000 1/6 7/31/2018 Property Report Reception Rec Date Type Grantor Grantee Doc Fee Sale Date Sale Price WELD CASE: Z-465 2292346 06-18-1992 COZ COUNTY ZONING C-3, 0.00 0 ZONING I-1, PUD 2447115 07-19-1995 DN 0.00 07-17-1995 0 VISTA COMMERCIAL 2803997 SUB SUBDIVISION CENTER 0.00 0 FG#2 2ND CORR HORIZON SQUIRREL 4159694 11-20-2015 SWD INVESTMENTS HOLDINGS 25.88 11-18-2015 258,800 PHASE II LLC LLC 4282387 03-01-2017 SPR SITE PLAN SPR-16-0011 0.00 REVIEW Building Information Building 1 AccountNo R8922000 ID Type Building ID Occupancy 1 Restaurant NBHD Occupancy Complete Bedrooms Baths Rooms 1 Commercial 3921 Restaurant 25 0 ID Exterior Roof Interior HVAC Perimeter Units Cover 1 Complete 454 0 HVAC Unit Type Make Total Finished Square Condo Garage Carport Balcony Porch ID Ft SF Basement Basement SF SF SF SF SF SF 1 10,000 0 0 0 0 0 0 0 https://propertyreport.co.weld.co.us/?account=R8922000 2/6 7/31/2018 Property Report Built As Details for Building 1 ID Built As Square Year Ft Built Stories Length Width 1.00 Restaurant 10,000 2017 1 0 0 Additional Details for Building 1 ID Detail Type Description 1 Add On Concrete Slab Average Units 2,408 Valuation Information Type Code Description Actual Value Assessed Value Acres Land SqFt SPECIAL Improvement 2230 PURPOSE- 281,246 81,560 0.000 0 IMPROVEMENTS Land 2130 SPECIAL 223,203 64,730 1.300 56,507 PURPOSE -LAND Totals 504,449 146,290 1.300 56,507 For Single Family Residential Houses, search for sales of similar properties using our Property Portal. Tax Authorities https://propertyreport.co.weld.co.us/?account=R8922000 3/6 7/31/2018 Property Report Tax District District Name Area ID 2342 1050 HIGH PLAINS LIBRARY 2342 0311 LEFT HAND WATER 2342 1202 LONGMONT CONSERVATION 2342 0512 MOUNTAIN VIEW FIRE 2342 0301 NORTHERN COLORADO WATER (NCW) 2342 0213 SCHOOL DIST RE1J-LONGMONT 2342 0303 ST VRAIN LEFT HAND WATER (SVW) 2342 0620 ST VRAIN SANITATION 2342 0100 WELD COUNTY Total Current Mill Levy 3.256 0.000 0.000 11.747 1.000 56.394 0.156 0.517 15.800 88.87 Photo https://propertyreport.co.weld.co.us/?account=R8922000 4/6 7,31/2018 Property Report Sketch https://propertyreport.co.weld.co.us/?account=R8922000 5,6 7/31/2018 Property Report Storage First Floor 10000.0 sf WH 15' J Brewery 12 10' 1 Sketch by ADex1ketch 8' Kitchen Dining Room Events Room 6' Cooler Tap Room 31 40' CANOPY 704.0 sf 48' Building 1 Page 1 CANOPY of rvl 580.0 sf 10' oI 10_� 16' CANOPY 32.0 sf Copyright © 2018 Weld County, Colorado. All rights reserved. Privacy Policy & Disclaimer I Accessibility Information https://propertyreport.co.weld.co.us/?account=R8922000 6/6 Collision Brewing Company LLC Security Plan for liquor storage and access: 1. All liquor will be stored in beverage storage room, which is located in the kitchen area. Access to the room will only allowed and monitored by the on -site manager and bar manager. The room will be locked and access by approval only. 2. The liquor removed from the beverage storage room will be logged and dated from the inventory list. 3. The liquor inventory in the beverage store room will be checked and balanced at the end of each day. 4. The on -site manager and bar managers are responsible to insure the liquor products are tracked and inventory counts are accurate. • ' 4.+ • • - ''rya' •INN/4(Thi lgaftrtlibler"R" !.`SIWIEj+�O-N) 4,N,wirr.Mliy into. . APPLICATION FOR A BREW PUB (COUNTY) LIQUOR LICENSE - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY BACKGROUND CHECK DR 8404-I (08/10/16) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Individual History Record To be completed by the following persons, as applicable: sole proprietors; general partners regardless of percentage ownership, and limited partners owning 10% or more of the partnership; all principal officers of a corporation, all directors of a corporation, and any stockholder of a corporation owning 10% or more of the outstanding stock; managing members or officers of a limited liability company, and members owning 10% or more of the company; and any intended registered manager of Hotel and Restaurant, Tavern and Lodging and Entertainment class of retail license Notice: This individual history record requires information that is necessary for the licensing investigation or inquiry. All questions must be answered in their entirety or the license application may be delayed or denied. If a question is not applicable, please indicate so by "N/A". Any deliberate misrepresentation or material omission may jeopardize the license application. (Please attach a separate sheet if necessary to enable you to answer questions completely) 1. Name of Business Collision Brewing Company LLC 2. Your Full Name (last, first, middle) Blythe, Kent Alan 4. Mailing address (if different from residence) 1309 S. Terry St Longmont, CO 80501 5. List current residence address. Include any previous addresses within the last five years. (Attach separate sheet if necessary) Home Phone Number N/A Cellular Number 303-931-1160 3. List any other names you have used N/A Email Address kentjet4@gmail.com Street and Number City, State, Zip From To Current 1309 S. Terry St Previous Longmont, CO 80501 05/01/89 07/18/18 6. List all employment within the last five years. Include any self-employment. (Attach separate sheet if necessary) Name of Employer or Business Address (Street, Number, City, State, Zip) Position Held From To Nicolo's Pizza 1631 Pace St B-13 Longmont, CO 80504 Manager 02/24/04 07/18/18 7. List the name(s) of relatives working in or holding a financial interest in the Colorado alcohol beverage industry. Name of Relative Relationship to You Position Held Name of Licensee Jeanne Blythe Wife Owner Phydo LLC Jas b,D /1*h -e2; c 31re s()„) .44A.,-s4.e1t Pkydo 4-c PIyetP y. 8. Have you ever applied for, held, or had an interest in a Colorado Liquor or Beer License, or loaned money, furniture, fixtures, equipment or inventory to an licensee? (If yes, answer in detail.) v�,O `�' 0" ei S D F O £-L Gf 4;.4 N r GOad&, lV; z_2z_, ,- j .LOA) /pL D gb 6".e> )?SLYes SPNo 9. Have you ever received a violation notice, suspension, or revocation for a liquor law violation, or have you applied for or been denied a liquor or beer license anywhere in the United States? (If yes, explain in detail.) 1] Yes ®No • 10. Have you ever been convicted of a crime or received a suspended sentence, deferred sentence, or forfeited bail for any offense in criminal or military court or do you have any charges pending? (If yes, explain in detail.) ❑ Yes X No 11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a deferred sentence? (If yes, explain in detail.) Yes © No 12. Have you ever had any professional license suspended, revoked, or denied? (If yes, explain in detail.) ❑ Yes ►11 No Personal and Financial Information Unless otherwise provided by law, the personal information required in question #13 will be treated as confidential. The personal information required in question #13 is solely for identification purposes. 13a. Date of Birth b. Social Security Number c. Place of Birth Great Bend, Kansas d. U.S. Citizen ► I Yes ❑ No e. If Naturalized, state where N/A f. When N/A g. Name of District Court N/A h. Naturalization Certificate Number N/A i. Date of Certification j. If an Alien, GiveAlien's Registration Card Number N/A k. Permanent Residence Card Number N/A I. Height 5'-8" m. Weight 200 n. Hair Color Gray o. Eye Color Blue p. Gender Male q. Race White r. Do ► I you have a current Driver's License/ID? If so, give number and state. Yes ❑ No # State Colorado 14. Financial Information. a. Total purchase price or investment being made by the applying entity, corporation, partnership, limited liability company, other. $ 55,000.00 b. List the total amount of the personal investment , made by the person listed on question #2, in this business including any notes, loans, cash, services or equipment, operating capital, stock purchases or fees paid. $ 0.00 * If corporate investment only please skip to and complete section (d) ** Section b should reflect the total of sections c and e c. Provide details of the personal investment described in 14b. You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Account Type Bank Name Amount d. Provide details of the corporate investment described in 14 (a). You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Loans Account Type Bank Name Amount Cash Checking Guaranty Bank $55,00.00 e. Loan Information (Attach copies of all notes or loans) Name of Lender Address Term Security Amount Oath of Applicant I declare under penal periu t lication and all attachments are true, correct, and complete to the best of my knowledge. Authorized Signature g Y Print Signature Kent Blythe Title Member -Manager Date 07/18/18 DR 8404-I (08/10/16) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Individual History Record To be completed by the following persons, as applicable: sole proprietors; general partners regardless of percentage ownership, and limited partners owning 10% or more of the partnership; all principal officers of a corporation, all directors of a corporation, and any stockholder of a corporation owning 10% or more of the outstanding stock; managing members or officers of a limited liability company, and members owning 10% or more of the company; and any intended registered manager of Hotel and Restaurant, Tavern and Lodging and Entertainment class of retail license Notice: This individual history record requires information that is necessary for the licensing investigation or inquiry. All questions must be answered in their entirety or the license application may be delayed or denied. If a question is not applicable, please indicate so by "N/A". Any deliberate misrepresentation or material omission may jeopardize the license application. (Please attach a separate sheet if necessary to enable you to answer questions completely) 1. Name of Business Collision Brewing Company Home Phone Number N/A Cellular Number 720-771-4404 2. Your Full Name (last, first, middle) Blythe, Jeanne Therese 3. List any other names you have used N/A 4. Mailing address (if different from residence) 1309 S. Terry St. Longmont, CO 80501 Email Address kentjet4@gmail.com 5. List current residence address. Include any previous addresses within the last five years. (Attach separate sheet if necessary) Street and Number City, State, Zip From To Current 1309 S. Terry St Longmont, CO 80504 05/01/89 07/18/18 Previous 6. List all employment within the last five years. Include any self-employment. (Attach separate sheet if necessary) Name of Employer or Business Address (Street, Number, City, State, Zip) Position Held From To Nicolo's Pizza 1631 Pace St B-13 Longmont, CO 80504 Manager 02/24/04 07/18/18 7. List the name(s) of relatives working in or holding a financial interest in the Colorado alcohol beverage industry. Name of Relative Relationship to You Position Held Name of Licensee Kent Blythe Husband Owner Phydo LLC 4& oA) /r So A) illet.A1 A plop LLc Li `7- 31 e 6" .a ~141 A pkydp 4.1- c 8. Have you ever applied for, held, or had an interest in a Colorado Liquor or Beer License, or loaned money, Aesfurniture, fixtures, equipment or inventory to an licensee? (If yes, answer in detail.) �No DLR )A) ev2 o pkyd L 4- G 4164. � ;vela's p,Zug 9. Have you ever received a violation notice, suspension, or revocation for a liquor law violation, or have you � Yes applied for or been denied a liquor or beer license anywhere in the United States? (If yes, explain in detail.) O No 10. Have you ever been convicted of a crime or received a suspended sentence, deferred sentence, or forfeited ❑ Yes bail for any offense in criminal or military court or do you have any charges pending? (If yes, explain in detail.) X No 11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a• deferred sentence? (If yes, explain in detail.) Yes X No 12. Have you ever had any professional license suspended, revoked, or denied? (If yes, explain in detail.) ❑ Yes ►I4 No Personal and Financial Information Unless otherwise provided by law, the personal information required in question #13 will be treated as confidential. The personal information required in question #13 is solely for identification purposes. 13a. Date of Birth b. Social Security Number c. Place of Birth Woonsocket, Rhode Island d. U.S. Citizen e Yes ❑ No e. If Naturalized, state where N/A f. When N/A g. Name of District Court N/A h. Naturalization Certificate Number N/A i. Date of Certification j. If an Alien, GiveAlien's Registration Card Number N/A k. Permanent Residence Card Number N/A I. Height 5'-4" m. Weight 115 n. Hair Color Brown o. Eye Color Hazel p. Gender Female q. Race White r. Do e you have a current Driver's License/ID? If so, give number and state. Yes ❑ No # State Colorado 14. Financial Information. a. Total purchase price or investment being made by the applying entity, corporation, partnership, limited liability company, other. $ 55,000.00 b. List the total amount of the personal investment , made by the person listed on question #2, in this business including any notes, loans, cash, services or equipment, operating capital, stock purchases or fees paid. $ 0.00 * If corporate investment only please skip to and complete section (d) ** Section b should reflect the total of sections c and e c. Provide details of the personal investment described in 14b. You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Account Type Bank Name Amount d. Provide details of the corporate investment described in 14 (a). You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Loans Account Type Bank Name Amount Cash Checking Guaranty Bank $55,00.00 e. Loan Information (Attach copies of all notes or loans) Name of Lender Address Term Security Amount Oath of Applicant I declare under penalty of perjury that this ap lication and all attachments are true, correct, and complete to the best of my knowledge. Autho ' ed Signature Print Signature Jeanne Blythe Title Member -Manager Date 07/18/18 Collision Brewing Company LLC Weld County Liquor License Application Item 14: Liquor License issued to applicant: Applicants Names with interest in another liquor license: Kent Blythe Jeanne Blythe Business Name: Phydo LLC dba Nicolo's Pizza Colorado License Number: 4148045-0000 Current financial interest: Kent and Jeanne Blythe are the owners of Phydo LLC, there are not outstanding loans for Phydo LLC. DIRECT INQUIRIES TO: �GUARANTY BANK AND TRUST COMPANY' P.O. BOX 5847 Denver CO 80217 303-293-5500 Denver Metro 970-454-4220 Northern Colorado 877-609-5500 Toll Free STATEMENT OF ACCOUNT MEMBER FDIC COLLISION BREWING COMPANY LLC 1309 S TERRY ST LONGMONT CO 80501 Page: 1 Account Number: Statement Date: 3/30/18 Checks/Items Enclosed: 1 31 Funds Availability Policy Byers Branch Effective, Monday, April 9, 2018, the deposit cut-off time for the Byers branch will be 5:00 p.m., the updated closing time of the Branch. Thank you for banking with us. We appreciate your business! STATEMENT SUMMARY CHECKING COMPLETELY FREE BUS CHKNG COLLISION BREWING COMPANY LLC ** Beginning Balance 3/27/18 Deposits / Misc Credits 1 Withdrawals / Misc Debits 0 Ending Balance 3/31/18 Service Charge Average Balance Average Collected Balance Enclosures CREDITS Date Deposits Withdrawals Activity Description 3/27 5,000.00 DEPOSIT Date Balance 3/27 5,000.00 DAILY BALANCE SUMMARY Date Balance 5,000.00 Acct .00 5,000.00 .00 5,000.00 ** .00 5,000 5,000 1 Date Balance OGUARANTY BANK AND TRUST COMPANY' DIRECT INQUIRIES TO: P.O. BOX 5847 Denver CO 80217 303-293-5500 Denver Metro 970-454-4220 Northern Colorado 877-809-5500 Toll Free STATEMENT OF ACCOUNT MEMBER FDIC COLLISION BREWING COMPANY LLC 1309 S TERRY ST LONGMONT CO 80501 Page: 1 Account Number: Statement Date: 4/30/18 Checks/Items Enclosed: 0 Funds Availability Policy Byers Branch Effective, Monday, April 9, 2018, the deposit cut-off time for the Byers branch will be 5:00 p.m., the updated closing time of the Branch. Thank you for banking with us. We appreciate your business! STATEMENT SUMMARY CHECKING 5,000.00 FREE BUSINESS CHECKING ** 31 COLLISION BREWING COMPANY LLC Acct Beginning Balance 4/01/18 Deposits / Misc Credits 0 Withdrawals / Misc Debits 0 Ending Balance 4/30/18 Service Charge Average Balance Average Collected Balance 5,000.00 .00 .00 5,000.00 .00 5,000 5,000 ** DIRECT INQUIRIES TO: GUARANTY BANK AND TRUST COMPANY' P.O. BOX 5847 Denver CO 80217 303-293-5500 Denver Metro 970-454-4220 Northern Colorado 877-609-5500 Toll Free STATEMENT OF ACCOUNT MEMBER FDIC COLLISION BREWING COMPANY LLC 1309 S TERRY ST LONGMONT CO 80501 Page: 1 Account Number: Statement Date: 5/31/18 Checks/Items Enclosed: 1 31 Guaranty Bank and our partner, Elan Financial Services, offer a variety of business credit card solutions for Colorado businesses. Whether you're building a business, or managing your purchases for the company, we offer a wide range of choices to meet your needs. From rewards to cash with no annual fees, we have the solution that is right for you. For more information call 303-293-5500 or 970-454-4220. Thank you for banking with us. We appreciate your business! STATEMENT SUMMARY CHECKING FREE BUSINESS CHECKING COLLISION BREWING COMPANY LLC ** Beginning Balance 5/01/18 Deposits / Misc Credits 1 Withdrawals / Misc Debits 0 Ending Balance 5/31/18 Service Charge Average Balance Average Collected Balance Enclosures CREDITS Date Deposits Withdrawals Activity Description 5/07 50,000.00 DEPOSIT Date Balance 5/07 55,000.00 DAILY BALANCE SUMMARY Date Balance 55,000.00 Acct 5,000.00 50,000.00 .00 55,000.00 ** .00 45,322 45,322 1 Date Balance • DR 8404-I (08/10/16) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Individual History Record To be completed by the following persons, as applicable: sole proprietors; general partners regardless of percentage ownership, and limited partners owning 10% or more of the partnership; all principal officers of a corporation, all directors of a corporation, and any stockholder of a corporation owning 10% or more of the outstanding stock; managing members or officers of a limited liability company, and members owning 10% or more of the company; and any intended registered manager of Hotel and Restaurant, Tavern and Lodging and Entertainment class of retail license Notice: This individual history record requires information that is necessary for the licensing investigation or inquiry. All questions must be answered in their entirety or the license application may be delayed or denied. If a question is not applicable, please indicate so by "N/A". Any deliberate misrepresentation or material omission may jeopardize the license application. (Please attach a separate sheet if necessary to enable you to answer questions completely) 1. Name of Business Collision Brewing Company LLC 2. Your Full Name (last, first, middle) Blythe, Jason Todd 4. Mailing address (if different from residence) 2544 Serena Drive Mead, CO 80542 Home Phone Number N/A 3. List any other names you have used N/A Cellular Number 720-771-8849 Email Address jasonblythejb@gmail.com 5. List current residence address. Include any previous addresses within the last five years. (Attach separate sheet if necessary) Street and Number City, State, Zip From To Current 2544 Serena Drive Mead, CO 80542 10/01/16 07/18/18 Previous 10684 Forester Place Longmont, CO 80504 04/01/06 09/30/16 6. List all employment within the last five years. Include any self-employment. (Attach separate sheet if necessary) Name of Employer or Business Address (Street, Number, City, State, Zip) Position Held From To Nicolo's Pizza 1631 Pace St B-13 Longmont, CO 80504 Manager 02/24/04 07/18/18 7. List the name(s) of relatives working in or holding a financial interest in the Colorado alcohol beverage industry. Name of Relative Relationship to You Position Held Name of Licensee Kent Blythe Father Owner Phydo LLC Jeanne Blythe Mother Owner Phydo LLC Pity 49OL 8. Have you ever applied for, held, or had an interest in a Colorado Liquor or Beer License, or loaned money, furniture, fixtures, equipment or inventory to any licensee? (If yes, answer in detail.) ❑Yes No 9. Have you ever received a violation notice, suspension, or revocation for a liquor law violation, or have you applied for or been denied a liquor or beer license anywhere in the United States? (If yes, explain in detail.) El Yes No 10. Have you ever been convicted of a crime or received a suspended sentence, deferred sentence, or forfeited bail for any offense in criminal or military court or do you have any charges pending? (If yes, explain in detail.) ❑ Yes © No 11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a deferred sentence? (If yes, explain in detail.) ❑ Yes X No 12. Have you ever had any professional license suspended, revoked, or denied? (If yes, explain in detail.) ❑ Yes ►:1 No Personal and Financial Information Unless otherwise provided by law, the personal information required in question #13 will be treated as confidential. The personal information required in question #13 is solely for identification purposes. 13a. Date of Birth b. Social Security Number c. Place of Birth Fort Collins, CO d. U.S. Citizen 0 Yes ❑ No e. If Naturalized, state where N/A f. When N/A g. Name of District Court N/A h. Naturalization Certificate Number N/A i. Date of Certification j. If an Alien, GiveAlien's Registration Card Number N/A k. Permanent Residence Card Number N/A I. Height 5'-9" m. Weight 170 n. Hair Color Brown o. Eye Color Hazel p. Gender Male q. Race White r. Do you have a current Driver's License/ID? If so, give number and state. Yes ❑ No # State Colorado 14. Financial Information. a. Total purchase p ' or investment being made by the applying entity, corporation, partnership, limited liability company, other. $ 55,000.00. L' b. List the total amount of the personal investment , made by the person listed on question #2, in this business including any notes, loans, cash, services or equipment, operating capital, stock purchases or fees paid. $ 0.00 * If corporate investment only please skip to and complete section (d) *'' Section b should reflect the total of sections c and e c. Provide details of the personal investment described in 14b. You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Account Type Bank Name Amount d. Provide details of the corporate investment described in 14 (a). You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Loans Account Type Bank Name Amount Cash Checking Guaranty Bank - $55,00.60' e. Loan Information (Attach copies of all notes or loans) Name of Lender Address Term Security Amount Oath of Applicant I declare under penalty of periu hat this ap lication and all attachments are true, correct, and complete to the best of my knowledge. Authorize ignature Print Signature Jason Blythe Title Member -Manager Date 07/18/18 +ti, DR 8404-I (08/10/16) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Individual History Record To be completed by the following persons, as applicable: sole proprietors; general partners regardless of percentage ownership, and limited partners owning 10% or more of the partnership; all principal officers of a corporation, all directors of a corporation, and any stockholder of a corporation owning 10% or more of the outstanding stock; managing members or officers of a limited liability company, and members owning 10% or more of the company; and any intended registered manager of Hotel and Restaurant, Tavern and Lodging and Entertainment class of retail license Notice: This Ridividual history record requires information that is necessary for the licensing investigation or inquiry. All questions must be answered in their entirety or the license application may be delayed or denied. If a question is not applicable, please indicate so by "N/A". Any deliberate misrepresentation or material omission may jeopardize the license application. (Please attach a separate sheet if necessary to enable you to answer questions completely) 1. Name of Business Collision Brewing Company LLC Home Phone Number N/A Cellular Number 720-938-8244 2. Your Full Name (last, first, middle) Blythe, Eric Andrew 3. List any other names you have used N/A 4. Mailing address (if different from residence) 5210 Remington Avenue Firestone, CO 80504 Email Address Eablythe1@msn.com 5. List current residence address. Include any previous addresses within the last five years. (Attach separate sheet if necessary) Street and Number City, State, Zip From To Current 5210 Remington Aveune Firestone, CO 80504 03/01/11 07/18/18 Previous 6. List all employment within the last five years. Include any self-employment. (Attach separate sheet if necessary) Name of Employer or Business Address (Street, Number, City, State, Zip) Position Held From To Nicolo's Pizza 1631 Pace St. B-13, Longmont, CO 80504 Manager 02/24/04 07/18/18 7. List the name(s) of relatives working in or holding a financial interest in the Colorado alcohol beverage industry. Name of Relative Relationship to You Position Held Name of Licensee Kent Blythe father Owner Phydo LLC Jeanne Blythe mother Owner Phydo LLC 4C.SPAJ NI M Q bk40 7-4- mA.,04-d ri , P cdz' ,_`' C 8. Have you ever applied for, held, or had an interest in a Colorado Liquor or Beer License, or loaned money, Yes furniture, fixtures, equipment or inventory to any licensee? (If yes, answer in detail.) No 9. Have you ever received a violation notice, suspension, or revocation for a liquor law violation, or have you Yes applied for or been denied a liquor or beer license anywhere in the United States? (If yes, explain in detail.) O No 10. Have you ever been convicted of a crime or received a suspended sentence, deferred sentence, or forfeited bail for any offense in criminal or military court or do you have any charges pending? (If yes, explain in detail.) ❑ Yes X No 11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a deferred sentence? (If yes, explain in detail.) ❑ Yes X No 12. Have you ever had any professional license suspended, revoked, or denied? (If yes, explain in detail.) ❑ Yes ►I4 No Personal and Financial Information Unless otherwise provided by law, the personal information required in question #13 will be treated as confidential. The personal information required in question #13 is solely for identification purposes. 13a. Date of Birth b. Social Security Number c. Place of Birth Fort Collins, Colorado d. U.S. Citizen ►I! Yes ❑ No e. If Naturalized, state where N/A f. When N/A g. Name of District Court N/A h. Naturalization Certificate Number N/A i. Date of Certification j. If an Alien, GiveAlien's Registration Card Number N/A k. Permanent Residence Card Number N/A I. Height 6'-0" m. Weight 155 n. Hair Color Brown o. Eye Color Hazel p. Gender Male q. Race White r. Do you have a current Driver's License/ID? If so, give number and state. Yes ❑ No # State Colorado 14. Financial Information. a. Total purchase pta or investment being made by the applying entity, corporation, partnership, limited liability company, other. $ 55,000.00 b. List the total amount of the personal investment , made by the person listed on question #2, in this business including any notes, loans, cash, services or equipment, operating capital, stock purchases or fees paid. $ 0.00 * If corporate investment only please skip to and complete section (d) ** Section b should reflect the total of sections c and e c. Provide details of the personal investment described in 14b. You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Account Type Bank Name Amount d. Provide details of the corporate investment described in 14 (a). You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Loans Account Type Bank Name Amount e. Loan Information (Attach copies of all notes or loans) Name of Lender Address Term Security Amount Oath of Applicant I declare underpenalty of perju that this a lication and all attachments are true correct and com lete to the best of m knowled e. Print Signature Title Member -Manager Date 07/18/18 Authorized Signature Eric Blythe July 13, 2018 To Whom it May Concern, Please consider this letter as a reference for Kent Blythe, the Blythe family and the endeavors of Collision Brewery. I first met the Blythe family in 2004, through their restaurant Nicolo's. I have gotten to know the family over the years, as well as becoming a steady customer of theirs. As a very frequent customer, I have watched the day to day functioning of Nicolo's, I have observed that they are very customer service oriented, employee satisfaction driven and rule abiding. I have watched them training staff regarding the best way to work with customers, proper kitchen etiquette and requiring identification for customers purchasing alcohol. I have no doubt that they are doing their absolute best to keep within the law as well as general restaurant rules and regulations. On a personal level, I have gotten to know the entire Blythe family. I have found them to be of high moral character, values driven and having a strong sense of family. They have explained the desire of having Collision Brewery be a family run business to be passed on to the next generation. I find this concept highly commendable and have full faith that they will make is successful. My contact with them has also been on a professional level. I am the President of the Vista Owners' Association which is the entity governing the Vista Commercial Center in which the restaurant is being built. Kent Blythe and the general contractor have followed all of the steps necessary in order to get approval by the Architectural Committee. They have supplied all requested information in a timely manner and with thoroughness. They will be a great asset to the neighborhood. In closing, I believe that Collision Brewing Company will be a successful business and have a well - organized group of individuals running it. I could think of no finer family to pursue this endeavor. Thank you for your time and consideration in this matter. Gregory A. Schumann Kinsco, LLC Owner/Managing Partner Vista Owners' Association President Longmont Theatre Company B.O.D Treasurer Bethlehem Lutheran Church Vice President greg@kinsco.com 720-438-4657 July 08,2018 To whom it may concern: Kent, Jeanne, Jason and Eric Blythe and I have known each other for about 16 years through our business relationship with Nicolo's Pizza. They opened their franchise in Longmont several years ago and continue to be one of our best franchises. They run their restaurant with the utmost of professionalism and I feel very comfortable in recommending them. If you have any questions or concerns, please call me at the number below. Sincerely, Jim Ross, Pres Nicolo's Inc. 720-635-0078 To whom it may concern: I first met Kent, Jeanne, Jason and Eric Blythe when my wife and I moved into their neighborhood some 26 years ago. Our children were of similar age and grew up as quasi - siblings. I have come to know Jean, Kent, Jason and Eric as family. I have witnessed the success and difficulties of their family and business lives, and have an intimate knowledge of how they handle positive and negative situations. The calmness with which they handle stressful situations demonstrates their strength of character. They meet challenging situations head on and handle issues with the utmost of respect for other parties involved. Their ethics are above reproach. On multiple occasions, they have assisted the police and community organizations in improving the neighborhood safety and security. They can boast, (with pride), that they successfully raised three sons to be positive contributors to society, (two business managers and an EMT/fireman). The Blythe's have owned and operated their current business in Northeast Longmont for nearly two decades. They have demonstrated themselves to be a positive force within the surrounding community. They have participated in many charity events, city parades, and fairs. The Blythe's have consistently demonstrated the ability to follow the letter of the law and make a profit. They have employed many young individuals and demonstrated the ability to be positive role models for many young men and women. As a manager myself, I especially appreciate how they treat employees as family, having many celebrations and bowling nights to entertain and celebrate their staff. To summarize I cannot think of anyone more qualified to hold a liquor license. They are eminently qualified to represent the county and state license requirements and can be trusted to run their business in an ethical and responsible fashion. I highly recommend the approval of the liquor license application. Please feel free to contact me if I may be of further assistance in this matter. Joseph Sherwood 1332 S. Bross Lane Longmont, Co 80501 (720) 352-2703 July 24, 2018 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 DEPARTMENT OF PUBLIC SAFETY COLORADO BUREAU OF INVESTIGATION ATTN: CCIC 690 KIPLING STREET, SUITE 3000 DENVER, CO 80215-9901 RE: SUBMITTAL OF FINGERPRINT CARDS FOR BACKGROUND CHECKS FOR COUNTY LIQUOR LICENSING - KENT A. BLYTHE, JEANNE THERESE BLYTHE, JASON TODD BLYTHE, AND ERIC ANDREW BLYTHE To Whom It May Concern: Please see the attached fingerprint card(s) and associated fees for a background check for Weld County Liquor Licensing. 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 PPLICANT SIGNATURc OF PERSON 'n,± k!1309 S RI N•ST LONGMONT, CO 80501 DAT ` iSIGNATURE OF OFFICIAL L TAX 06-14-2018 WCV _Lr. EMPLOYER AND ADORES REASON FiNGERPRINTI I R THUk•. LEAVE Weld County 1150 "O" Street Greeley, CO 80631 LIQUOR LIC - LOCAL PD SO 12-47-307 0eve /�'!/� ! .tftfly- Fill 2 k INDE%f. % r%erefigi%/ 6. L. TF!L i.1 0, 0I . .'• t Sit ay; eify .. ) r•••. ./ ti. .10 .arett, uy�•aa �. rt-. TYPE OP PRINT a' I. k'sl Ak NAM- NAM BLYTHE,KENT A ALIASES AKA C00620000 GREELEY, CO 41( n c A C00620000 AR.MEr FORCES NC? MNU 515625879' NO JziNU o. -.•/•a MM- - e ...era, rye *sae e r IC r� abliS .vim �� _ . .•i�� t As 3 MIDUIf' �`'~ ,. S �,:%� . R 8. t Mbt5DtE ikost4 Fa i i PCN: 06292000076924.,, Si ANK RED ' N:i ' ",)1.1. \\\‘::CkC • .w1:• . a..•... .V� /1u LEAVE BLANK D A' DOB 03- Poi �'^ �f�•3�-~rte R RING L k474(, • r te 411,20 If is A teig 14 AAA rige4 sexerAcml:4 w of, -=. S R lIT �'�•� �sf��fJ''• rle__��... -Aft i u t.ltTTl� iar*sreer tacejraroaect ter • Aiprte •,(II / O. tc_.itetes i0l0 EAVE BLANK APPLICANT BLYTHE, JEANNE THERESE EB1 SIGNAT ?E OF PERSON FINGERPRINTED • 13 Q49t 9# FERRY g'RPRINTED LONGMONT, CO 80501 06-14- SI"*.iAT''RE or ncE! , rA<I WO066- 2018 EMPLOYER AND ADDPPSS Weld County 1150 "0" Street Greeley, CO 80631 TfiTar REASON FINGERPRINTED LIQUOR LIC - LOCAL PD SO 12-47-307 • ti rjI M jt eat tts Act rK; ft - s ;: y .dr INS E m— P. . EIN A' .Aac.. AKA AUDETTE, JEANNE THERESE - c. C00620000 tth ARMED FORCES NO MNU Soc MISCELLANEOUS NO MNu - 14:a kl4W JaVA airw _..rte •�Ttit f o. els aix gr-, r� .L •Ka• a yw-... ►.wR/d� r�7e` 7 Lin I. Alta. •,.l'•:: •, I. i0.(� ),.r.\ 44 strn iVheteiraAlerPo Err; tA 000620000 SO GREELEY, CO F w 5t34 112 PON: 06292000076926 i G gat UA; L T0-' OF SRI Poi 4 R n - LEFT FOUR FINGERS • y 'T• ti TAKEN SIMUITANEOUSIY I u a Cift"... }• ` • 9 L RIND .y��N" _:] Art • -'• 10. L _ LIT7. .. • ; flfl; i• c,,--9. +iti� -ice) GFR 1A(FN SiMUtIANEOL:-. ge LEAVE BLANK Att. M. .fi•4 IN pi_ - LEA/E 3LANK: APPLICANT SIGNAT UR RE2S4 I c PENA DR. MEAD, CO 80542 nATF 06-14- SIGNATI IRE 018 WC0668 - EMPLOYER AND ADt Weld County 1150 "0" Street Greeley, CO 80631 REASON FINGERPRINTED PPLICANT SIGNATURE Qf PEA 210 REM NGTONC AVE FIRESTONE, CO 80504 DATF 51fNATURE WC0668 - 06-14-1018 t.MPIOVER AP Weld Count 1150 "0" Street Greeley, CO 80631 LEAVE BLANK REASON FINGERPRINTn LIQUOR LIC - LOCAL PD SO 12-47-307 -.. :-re- - O o 1O O U o ao c (1) U 2 a) a) PO Box 758 Greeley CO 80632 RECEIPT DATE sasi O°g NO 9 0 6 0 2 RECEIVED FROM ao L ( i 5i o t3rc Gvn��A'`�°�`�- � t -'L -C+ 'J ADDRESS One, Hundrtd FT FOR CA&Z HOW P410 .:A,SH ' tIFc N MONEY ORDER COLLISION BREWING COMPANY LLC PAY TO THE ORDER OF PH. 303-931 1 , 60 1309 S TERRY ST LONGMONT? CO 80501 lC-jj %Z -!c G�d .0,4)e iti“,3e-PA4 MEMO �o or r "/too s . D O poi n nq tin sZ� C��iaa� rw �� Ut (DOG, BY agerce) goy E�+eekdTM Check Fraud Nit Protection for Business GUARANTY BANK AND TRUST COMPANY ?3 96; 1 020 k.fineet_Let yea'? te) dcor "c7y res>riilt cral A) V ------ 000 1206 410 41.47 Security ₹eatures. Details on back. COLORADO Bureau of Investigation �t of �uhl.c Satoh= Identification 690 Kipling Street, Suite 3000 Lakewood, CO 80215 DATE 08/01/2018 SO WELD COUNTY RECORDS GREELEY 1950 "O" STREET GREELEY, CO 80631 Page 1 of 1 RE: BLYTHE,KENT A DATE OF BIRTH: SOC: XXX-XX- No Colorado record of arrest has been located based on above name and date of birth or through a search of our fingerprint files. The Colorado Bureau of Investigation's database contains detailed information of arrest records based upon fingerprints provided by Colorado law enforcement agencies. Arrests which are not supported by fingerprints will not be included in this database. On occasion the Colorado criminal history will contain disposition information provided by the Colorado Judicial system. Additionally, warrant information, sealed records, and juvenile records are not available to the public. Since a record may be established after the time a report was requested, the data is only valid as of the date issued. Therefore, if there is a subsequent need for the record, it is recommended another check be made. Falsifying or altering this document with the intent to misrepresent the contents of the record is prohibited by law and may be punishable as a felony when done with intent to injure or defraud any person. Sincerely, John Camper, Director Colorado Bureau of Investigation 700 Kipling Street Suite 1000, Lakewood, CO 80215 cdpsweb.state.co.us John W. Hickenlooper, Governor I Stan Hilkey, Executive Director Page 1 of 1 CIVIL APPLICANT RESPONSE ICN E2018213000000121201 CIDN OCA CO0620000 BLYTHE,KENT A DOB MNU SOC SEX M RAC W HGT 508 COCBI0000 COLORADO B OF I DENVER CO 2018/07/27 A SEARCH OF THE FINGERPRINTS ON THE ABOVE INDIVIDUAL HAS REVEALED NO PRIOR ARREST DATA. CJIS DIVISION 2018/08/01 FEDERAL BUREAU OF INVESTIGATION COCBI0000 CO BUREAU OF INVEST COLORADO CRIME INFO CTR STE 3000 690 KIPLING ST DENVER,CO 80215-8001 COLORADO Bureau of Investigation r .-,pat knt of Safctv Identification 690 Kipling Street, Suite 3000 Lakewood, CO 80215 DATE 08/01/2018 SO WELD COUNTY RECORDS GREELEY 1950 "O" STREET GREELEY, CO 80631 Page 1 of 1 RE: BLYTHE,JEANNE THERESE DATE OF BIRTH: SOC: XXX-XX- No Colorado record of arrest has been located based on above name and date of birth or through a search of our fingerprint files. The Colorado Bureau of Investigation's database contains detailed information of arrest records based upon fingerprints provided by Colorado law enforcement agencies. Arrests which are not supported by fingerprints will not be included in this database. On occasion the Colorado criminal history will contain disposition information provided by the Colorado Judicial system. Additionally, warrant information, sealed records, and juvenile records are not available to the public. Since a record may be established after the time a report was requested, the data is only valid as of the date issued. Therefore, if there is a subsequent need for the record, it is recommended another check be made. Falsifying or altering this document with the intent to misrepresent the contents of the record is prohibited by law and may be punishable as a felony when done with intent to injure or defraud any person. Sincerely, John Camper, Director Colorado Bureau of Investigation 700 Kipling Street Suite 1000, Lakewood, CO 80215 cdpsweb.state.co.us John W. Hickenlooper, Governor I Stan Hilkey, Executive Director Page 1 of 1 CIVIL APPLICANT RESPONSE ICN E2018213000000127715 CIDN OCA CO0620000 BLYTHE,JEANNE THERESE DOB MNU SOC SEX F RAC W HGT 504 COCBI0000 COLORADO B OF I DENVER CO 2018/07/27 A SEARCH OF THE FINGERPRINTS ON THE ABOVE INDIVIDUAL HAS REVEALED NO PRIOR ARREST DATA. CJIS DIVISION 2018/08/01 FEDERAL BUREAU OF INVESTIGATION COCBI0000 CO BUREAU OF INVEST COLORADO CRIME INFO CTR STE 3000 690 KIPLING ST DENVER,CO 80215-8001 COLORADO Bureau of Investigation D(:..pa.,r(TfipLibkSaiv Identification 690 Kipling Street, Suite 3000 Lakewood, CO 80215 DATE 08/01/2018 SO WELD COUNTY RECORDS GREELEY 1950 "O" STREET GREELEY, CO 80631 Page 1 of 1 RE: BLYTHE,JASON TODD DATE OF BIRTH: SOC: XXX-XX- No Colorado record of arrest has been located based on above name and date of birth or through a search of our fingerprint files. The Colorado Bureau of Investigation's database contains detailed information of arrest records based upon fingerprints provided by Colorado law enforcement agencies. Arrests which are not supported by fingerprints will not be included in this database. On occasion the Colorado criminal history will contain disposition information provided by the Colorado Judicial system. Additionally, warrant information, sealed records, and juvenile records are not available to the public. Since a record may be established after the time a report was requested, the data is only valid as of the date issued. Therefore, if there is a subsequent need for the record, it is recommended another check be made. Falsifying or altering this document with the intent to misrepresent the contents of the record is prohibited by law and may be punishable as a felony when done with intent to injure or defraud any person. Sincerely, John Camper, Director Colorado Bureau of Investigation 700 Kipling Street Suite 1000, Lakewood, CO 80215 cdpsweb.state.co.us John W. Hickenlooper, Governor Stan Hilkey, Executive Director Page 1 of 1 CIVIL APPLICANT RESPONSE ICN E2018213000000122194 CIDN OCA CO0620000 BLYTHE,JASON TODD DOB MNU SOC SEX M RAC W HGT 509 COCBI0000 COLORADO B OF I DENVER CO 2018/07/27 A SEARCH OF THE FINGERPRINTS ON THE ABOVE INDIVIDUAL HAS REVEALED NO PRIOR ARREST DATA. CJIS DIVISION 2018/08/01 FEDERAL BUREAU OF INVESTIGATION COCBI0000 CO BUREAU OF INVEST COLORADO CRIME INFO CTR STE 3000 690 KIPLING ST DENVER,CO 80215-8001 COLORADO Bureau of Investigation u fs�,rt, ccrJ cf rubSaf,c.. Identification 690 Kipling Street, Suite 3000 Lakewood, CO 80215 DATE 08/01/2018 SO WELD COUNTY RECORDS GREELEY 1950 "O" STREET GREELEY, CO 80631 Page 1 of 1 RE: BLYTHE,ERIC ANDREW DATE OF BIRTH: 06/ XXX-XX-1532 Colorado record of arrest has been located based on above name and date of birth or through a search of our fingerprint files. The Colorado Bureau of Investigation's database contains detailed information of arrest records based upon fingerprints provided by Colorado law enforcement agencies. Arrests which are not supported by fingerprints will not be included in this database. On occasion the Colorado criminal history will contain disposition information provided by the Colorado Judicial system. Additionally, warrant information, sealed records, and juvenile records are not available to the public. Since a record may be established after the time a report was requested, the data is only valid as of the date issued. Therefore, if there is a subsequent need for the record, it is recommended another check be made. Falsifying or altering this document with the intent to misrepresent the contents of the record is prohibited by law and may be punishable as a felony when done with intent to injure or defraud any person. Sincerely, John Camper, Director Colorado Bureau of Investigation 700 Kipling Street Suite 1000. Lakewood, CO 80215 cdpsweb.state.co.us John W. Hickentooper, Governor Stan Hilkey, Executive Director CIVIL APPLICANT RESPONSE ICN E2018213000000121616 CIDN OCA CO0620000 BLYTHE,ERIC ANDREW DOB MNU SOC SEX M RAC W HGT 600 COCBI0000 COLORADO B OF I DENVER CO 2018/07/27 A SEARCH OF THE FINGERPRINTS ON THE ABOVE INDIVIDUAL HAS REVEALED NO PRIOR ARREST DATA. CJIS DIVISION 2018/08/01 FEDERAL BUREAU OF INVESTIGATION COCBI0000 CO BUREAU OF INVEST COLORADO CRIME INFO CTR STE 3000 690 KIPLING ST DENVER,CO 80215-8001 Page 1 of 1 APPLICATION FOR A BREW PUB (COUNTY) LIQUOR LICENSE - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB) BREW PUB REGISTRATION Report Date : 12 -JUN 1:17 AM SIGNING AUTHORITY label submissions? Is this person authorized to submit labels for Yes approval? Is this person authorized to prepare or review Yes formula submissions? Is this person authorized to submit formulas for Yes approval? Does this person already have a COLAs Online No and/or Formulas Online account with TTB? Phone Number 3039311160 Street 1436 Skyway Drive City Longmont State CO Zip 80504 SIGNING AUTHORITY Authority Granted by Nam e First Name Eric Last Name Blythe Source of Authority Articles/Organizational Documents Type Unlim ited 8fective Date 02/27/2018 Is this person authorized to prepare or review Yes label submissions? Is this person authorized to submit labels for Yes approval? Is this person authorized to prepare or review Yes formula subm iss ions? Is this person authorized to submit formulas for Yes approval? Does this person already have a COLAs Online No and/or Formulas Online account with TTB? Phone Number 7209388244 Street 1436 Skyway Drive City Longmont Page 8 of 11 " SENSITIVE BUT UNCLASSIFIED " FOR OFFICIAL USE ONLY Report Date : 12-JUI 1:17 AM SIGNING AUTHORITY State Zip Email Address SIGNING AUTHORITY Authority Granted by First Name Last Name Source of Authority Type Effective Date CO 80504 kentjet4@gmailcom Nam e Jeanne Blythe Articles/Organizational Documents Unlimited 02/27/2018 Is this person authorized to prepare or review Yes label s ubm iss ions? Is this person authorized to submit labels for Yes approval? Is this person authorized to prepare or review Yes formula submissions? Is this person authorized to submit formulas for Yes approval? Does this person already have a COLAs Online No and/or Formulas Online account with TTB? Phone Number 7207714404 Street 1436 Skyway Drive City Longmont State CO Zip 80504 En ail Address kentjet4@gmailcom SIGNING AUTHORITY Authority Granted by First Name Last Name Source of Authority Type Nam e Jason Blythe Articles/Organizational Documents Unlimited " SENSITWE BUT UNCLASSIFIED" FOR OFFICIAL USE ONLY Page 9 of 11 Report Date : 12-JUl 1:17 AM SIGNING AUTHORITY Effective Date 02/27/2018 Is this person authorized to prepare or review Yes label submissions? Is this person authorized to submit labels for Yes approval? Is this person authorized to prepare or review Yes formula submissions? Is this person authorized to submit formulas for Yes approval? Does this person already have a COLAs Online No and/or Formulas Online account with TTI3? Phone Num ber 7207718849 Street 1436 Skywary Drive City Longmont State CO Zip 80501 Bnail Address kentjet4@gmail.com STATBM ENTS AND DOCUM EMS Document Type Method of Submission STATEN BUTS AND DOCUM BYTS Document Type Method of Submission STATEMENTS AND DOCUM BNTS Document Type Method of Submission STATEN BNTS AND DOCUM BITS Document Type Method of Submission STATEMENTS AND DOCUMENTS Lease Agreement or Proof of Property Ownership Uploaded Source of Funds Documentation Uploaded Diagram, Plant or Plan Uploaded Organizational Documents Uploaded " SENSITIVE BUT UNCLASSIFIED " FOR OFFICIAL USE ONLY Page 10 of 11 Report Date : 12-JUI I:17 AM STATEMENTS AND DOCUMENTS Document Type Method of Submission STATEMENTS AND DOCUMENTS Document Type Method of Submission STATEMENTS AND DOCUMENTS Document Type Method of Submission STATEN BUTS AND DOCUMENTS Document Type Method of Submission STATEN BITS AND DOCUMENTS Document Type Method of Submission TRADE NAM ES / OPERATING NAM E Type Name I certify that the listed trade name has been registered with my County (CA) or State (All States) Organizational Documents Uploaded Organizational Documents Uploaded Organizational Documents Uploaded Organizational Documents Uploaded Bond Form(if required) Uploaded Labeling Trade Name Collision Brewing Company Yes " SENSITIVE BUT UNCLASSIFIED*" FOR OFFICIAL USE ONLY Page 11 of 11 Industry Men D Information Report Date : 12-, 3 01:17 AM Original Application Tracking Num ber: BR 2018-00839 Application Type:Application for New Brewery, Micro Brewery, or Brew pub Application Status: Received 8N: 47-2729416 Company Name: COLLISION BREWING COMPANY LLC Premises Street Num and Direction:1436 Premises Street Name:Skyway Premises City: Longmont Premises State & Zip: CO 80504 Premise Suffix:DR PREMISE CONTACT : Kent Blythe PREM ISE PHONE NUM BER 303-931-1160 Application Contact Full Name: Kent Blythe Business Name: Collision Brewing Company LLC Address/City/State/Zip: 1436 Skyway Drive Longmont CO 80504 Phone /Fax: 3039311160 Email: kentjet4@gmail.com Business Headquarters Full Name: Kent Blythe Business Name: Collision Brewing Company LLC Address/City/State/Zip: 1436 Skyway Drive Longmont CO 80504 Phone/Fax: 3039311160 Bn ail: kentjet4@gmail.com Mailing Address Full Name: Kent Blythe Business Name: Collision Brewing Company LLC Address/City/State/Zip: 1436 Skyway Drive Longmont CO 80504 Phone /Fax: 3039311160 Email: kentjet4@gmail.com Original Application 06/12/2018 Submitted Date: --7--r2 v APPLICATION INFORMATION " SENSITIVE BUT UNCLASSIFIED" FOR OFFICIAL USE ONLY Page 1 of 11 Report Date : 12- B 01:17 AM APPLICATION INFORMATION Start Date for New Business Upon Approval by TTB CHECK State Where Incorporated/Organized CO Type of Organization Limited Liability Company BREWERY INFORMATION Are you a member of a controlled group? No Describe brewery security to include; locks, access to the brew5tye doors and overhead access to the brewery will be locked and how un-taxpaid goods will be protected during and after and have a security access code to access the brewery area. business hours All beer removed from the brewery will be measured and taxed. Describe each Brewery Premises Building: Provide size, The building is 10,000 square foot in size. Construction is of construction, use and location of doors and windows compressed wood framing, steel supports with stone and brick exterior finish. All construction has been approved and inspected by Weld County Building Inspectors. This is an all inclusive building containing the restaurant/tap room on the north and west portion of the building. There are windows on various locations of the building, which are double pane, non - opening windows. The doors are located around the building, utilizing both glass and steel doors plus overhead garage doors to the warehouse storage area. There are interior doors through out the building, which are used for security to the brewery and other non -customer accessible areas. Do you understand that if the brewery charges for tasting the beW/es or has any other charges, such as a charge for tours or parking, the tasting room cannot be part of the brewery premises and you must tax pay the beer before removing it to the tasting room. Lines cannot be run from the brewery to the serving bar: You must remove the beer in kegs or some other type of approved container and pay the tax on the keg/container as it is removed from the brewery to the tasting room I am not required to furnish a bond because my tax liability will CHECK not exceed $50,000 this calendar year I am required to furnish a bond because my tax liability will LAIC HECK exceed $50,000 this calendar year IF ALTERNATING: We will not be doing any alternating or sharing of our a) Describe any area of the brewery which will be used in the brewery equipment with other brewers or breweries. alternation of operations. b) Describe which area of the brewery is appointed to (alternating company) and their operations. c) Describe all areas, building, floors, rooms, equipment and pipelines which will be shared. Provide a description of each tract of land that comprises the TN"epOllpergi kutet -itkrfOR MiAa ltalfrial zoned area Page 2 of 11 Report Date : 12- B 01:17 AM BREWERY INFORMATION brewery by distance and directions. (LAND ONLY) of Weld County, in Colorado. The property is 2.63 acres, the main entrance to the property faces to the north. The property Is 400 feet wide from east to west and 295 feet from north to south. The brewing building is located on the western portion of the property with a parking lot occupying the eastern portion of the property. What is your estimated production in barrels per year? Less than 60,000 a.) Identify what area of the brewery will be used as a tavern a.The tap room/tavern/dining room area is located in the front including the boundaries of the tavern portion north side and event room on the west portion of the building. The boundaries are the north front portion area and b.) identify the areas of the brewery that are accessible to the the event room west area designated as the tap public and those not room/tavern/dining area and the outside patios located on the north and west sides of the building. c.) Describe security measures that will prevent public access tob. The brewery area is located on the east portion of the the brewing area (s). building. It is isolated from public access by locked doors, access key entry and locked overhead door. d.) Describe in detail the method to be used for measuring beer c. Access to the brewery is a restricted area with locked doors for the purpose of tax determination. Identify the tanks which wilind a complete security system is installed utilizing motion periodically contain tax -determined beer, and any other areas detectors, access key entry and cameras for monitoring the where tax -determined beer will be stored property both inside and outside the building. d. To measure for tax -determined beer, after the beer is pumped from the form enters to the serving vessels, which includes kegs, bottles or cans and serving tanks, the amount of beer measured by calibrated sight glasses on the serving tanks. The can and keg beer volume will be measured by the number and volume of the container. All tax -determined beer will be stored in the secured cooler and the segregated tax - determined beer area. These vessels will be tagged as tax - determined beer. BREWEY OPERATION INFO Brew a ry/M icrobrew a ry UNCHECI® Brew pub (Bottles/Kegs) CHECKED Brew pub (Tanks) CHECKED Does the applicant own the equipment that will be used in the Yes operation? Does the applicant own the land or building comprising the Yes brewery? Enter the Start Time of your 24 hour brewer business day if 12:00am different than 12:00am through 11:59pm If yes, please provide us with the name and address of any Squirrel Holdings, LLC mortgagee, or other person who has a claim on the land or 11742 Crystal View Lane buildings comprising the brewery. If there Is no mortgagee, or Longmont, CO 80504 other claim on the land or buildings, please enter "Not " SENSITIVEBUT UNCLASSIFIED" FOR 0FRCIAL USE ONLY Page 3 of 11 Report Date : 12-J 01:17 AM BRENERY OPERATION INFO Applicable" BREWPUB STATEMENT Capacity measured in Barrels Does the applicant plan to sell retail liquors other than beer? Yes The serving tanks as noted on our attached diagram are our tax -CHECKED determined beer tanks These tanks are accurately calibrated with appropriate measurinfHECKD devices These tanks have a working capacity of approximately how manyl5 barrels/kegs We must separate the brewery operations (non-public area) fronCHECKED public area of the brewery premises by an adequate partition. Access to the brewery operations must be restricted to authorized visitors and employees only We must transfer beer ready for consumption or sale from our CHECKED form enters into an empty tax -determination tank for measurement by the approved measuring device We will make prompt and accurate records of these transactionsCHECKED to determine tax due ENVIRONMENTAL INFORMATION Address of Premises 1436 Skyway Drive Longmont, CO 80504 Describe any air pollution control equipment in connection with Not applicable heating Describe any air pollution control equipment used with Not Applicable incinerators. Describe any liquid waste (Example: wash water, spilled product)wash and cleaning water waste spilled or unuseable beer water Describe any solid waste (Example: broken glass, grape must, Cardboard, aluminum cans, grains, broken glass if applicable, cardboard) plastic containers, plastic trash bags, brewery grain waste, sediment from fermentation. Describe means of disposal for liquid waste (Example: St. Vrain Sanitation District commercial sewer, septic system) commercial sewer system with a in -line 1200 gallon grease trap system Describe means of disposal for solid waste (Example: commerciakilizing commercial garbage collection: Western Disposal garbage collection, incineration) Services This will be for both recycled waste and solid waste collection Describe operational noise sources Not Applicable Enter Number of Employees (must be at least one) 40 Provide the name of your gas and electric company Uaitiii8WEVAMIS3 f►EIl illtrYsupply Page 4 of 11 Report Date : 12-Ji 01:17 AM ENVIRONMENTAL INFORMATION Xcel Energy for gas supply REASON FOR THE APPLICATION Change of General Partner(s) Change of Proprietorship - Ownership New Business WATER QUALITY INFORMATION Decribe how you will monitor the quality discharge Describe activity to be conducted UNCHECKED UNCHECK CHECKS) and characteristics of thil of applicable Describe any liquid waste released into navigable waters Provide beginning and ending dates for the release YOUR DECLARATION Brewery operation Restaurant operation Not applicable Not applicable Declaration Date 06/12/2018 Under penalties of perjury, I declare that I have examined this CHECK application, including accompanying statements, and to the best of my knowledge and belief, it is true, correct, and complete. OFFICER/OWNERSHIP INFORMATION How is Officer/Owner Info Submitted? Officer/Owner Info Tracking No. Officer/Owner Classification First Name Last Name Email Address Primary Title Description of Duties or Relation to the Proposed Operation Percent Voting -Stock -Interest Investment in Business Financial Institution: Name, City and State Electronically via Permits Online OO1-2018-01752 Individual Kent Blythe kentjet4@gmail.com Managing Member Owner -manager 30 5000 Guaranty Bank and Trust - Longmont Fox Creek Branch 1650 Pace Street Longmont, CO 5& SITIVE BUT UNCLASSIFIEDFOR OFFICIAL USE ONLY Page 5 of 11 Report Date : 12-J1 D1:17 AM OFFICERIOWN9RSHIP INFORMATION Source of Funds (SOF) Description How is SOF Documentation Submitted? OFFICER/OWNERSHIP INFORMATION How is Officer/Owner Info Submitted? Officer/Owner Info Tracking No. Officer/Owner Classification First Name Last Nam e Email Address Primary Title Description of Duties or Relation to the Proposed Operation Percent Voting -Stock -Interest Investment in Business Financial Institution: Name, City and State Source of Funds (SOF) Description How is SOF Documentation Submitted? OFFIC9Z/OWNBZSHIP INFORMATION How is Officer/Owner Info Submitted? Officer/Owner Info Tracking No. Officer/Owner Classification First Name Last Name Email Address Primary Title List Additional Titles Description of Duties or Relation to the Proposed Operation Percent Voting -Stock -Interest Loan from Squirrel Holdings LLC Uploaded Electronically via Permits Online OO1-2018-01753 Individual Jeanne Blythe kentjet4@gmail.com Managing Member Operation Manager 30 0 Guaranty Bank and Trust - Longmont Fox Creek Branch 1650 Pace Street Longm ont, CO 80504 Loan form Squirrel Holdings LLC Uploaded Bectronically via Permits Online OO1-2018-01755 Individual Jason Blythe kentjet4@gmail.com Managing Member Operation Manager Brewmaster, 20 SENSITIVE BUT UNCLASSIFIED** FOR OFFICIAL USE ONLY Page 6 of 11 Report Date : 12-JI 01:17 AM OFFICER/OWNERSHIP INFORMATION Investment in Business Financial Institution: Name, City and State Source of Funds (SOF) Description How is SOF Documentation Submitted? OFFICER/OWNERSHIP INFORMATION How is Officer/Owner Info Submitted? Officer/Owner Info Tracking No. Officer/Owner Classification First Name Last Name Ern ail Address Primary Title List Additional Titles Description of Duties or Relation to the Proposed Operation Percent Voting -Stock -Interest Investment in Business Financial Institution: Name, City and State Source of Funds (SOF) Description How is SOF Documentation Submitted? SIGNING AUTHORITY Authority Granted by First Name Last Name Source of Authority Type Effective Date Is this person authorized to prepare or review 0 Guaranty Bank and Trust - Longmont Fox Creek Branch 1650 Pace Street Longmont, CO 80504 Loan from Squirrel Holdings LLC Uploaded Bectronically via Perm its Online OO1-2018-01756 Individual Eric Blythe kentjet4@gmail.com Managing Member Operation Manager Operation Manager 20 0 First Bank 1707 Main Street Longmont, CO 80501 Loan from Squirrel Holdings LLC Uploaded Nam e Kent Blythe Articles/Organizational Documents Unlimited 02/27/2018 Yes ** SENSITIVE BUT UNCLASSIFIED" FOR OFFICIAL USE ONLY Page 7 of 11 APPLICATION FOR A BREW PUB (COUNTY) LIQUOR LICENSE - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY NOTICES NOTICE OF APPLICATION FOR A NEW LIQUOR LICENSE 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 #: 2018-111 DATE: August 27, 2018 TIME: 9:00 a.m. APPLICANT: Collision Brewing Company, LLC dba Collision Brewing Company 1436 Skyway Drive Longmont, CO 80504 REQUEST: Application for a new Brew Pub (County) Liquor License. LEGAL DESCRIPTION: NW1/4 of Section 8, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado. LOCATION: Located adjacent to Skyway Drive; approximately 1,919 feet southeast of the intersection at Colorado Highway 119 and Sandstone Drive, and approximately 2,665 feet southwest of the intersection of Colorado Highway 119 and County Road 3.5 (see Legal Description for precise location). BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: August 13, 2018 PUBLISHED: August 16, 2018, in the Greeley Tribune Affidavit of Publication NOTICE OF APPLICATION FOR A NEW LIQUOR LICENSE Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld Coun- ty, Colorado, Weld County Administration Build- ing, 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 Com- missioners, Weld County Administration Build- ing, 1150 O Street, Greeley, Colorado 80631. E-mail messages sent to an individual Commis- sioner may not be included in the case file. To ensure inclusion of your e-mail correspond- ence into the case file, please send a copy to crempel@weldgov.com. DOCKET #: 2018-111 DATE: August 27, 2018 TIME: 9:00 a.m. APPLICANT: Collision Brewing Company, LLC dba Collision Brewing Company 1436 Skyway Drive Longmont, CO 80504 REQUEST: Application for a new Brew Pub (County) Liquor License. LEGAL DESCRIPTION: NW1/4 of Section 8, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado. LOCATION: Located adjacent to Skyway Drive; approximately 1,919 feet southeast of the intersection at Colorado Highway 119 and Sandstone Drive, and approximately 2,665 feet southwest of the intersection of Colorado High- way 119 and County Road 3.5 (see Legal De- scription for precise location). BOARD OF COUNTY COMMISSIONERS. WELD COUNTY, COLORADO DATED: August 13,2018 The Tribune August 16, 2018 STATE OF COLORADO County of Weld, I Vickie Garretts of said County of Weld, being duly sworn, say that I am an advertising clerk of THE GREELEY TRIBUNE, ss. that the same is a daily 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 Sixteenth day of August A.D. 2018 and the last publication thereof: in the issue of said newspaper bearing the date of the Sixteenth day of August A.D. 2018 that said The Greeley Tribune 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. August 16, 2018 Total Charges: $21.79 16th day of August2018 My Commission Expires 09/28/2021 KELLY ASH NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20174040535 MY COMMISSION EXPIRES SEPTEMBER 28, 2021 SIGN POSTING AFFADAVIT DATE: August 1, 2018 FROM: Chloe A. Rempel, Deputy Clerk to the Board SUBJECT: Collision Brewing Company, LLC, dba Collision Brewing Company Pursuant to Article 47, Title 12, C.R.S., notice given by posting shall include a sign of suitable material, not less than twenty-two inches wide and twenty-six inches high, composed of letters not less than one inch in height and stating the type of license applied for, the date of the application, the date of the hearing, and the name and address of the applicant, and such other information as may be required to fully apprise the public of the nature of the application. I hereby certify that I provided the Notice Sign for notification of hearing to consider a liquor license application on this 1st of August, 2018. �. Chloe A. Rempel, Deputy Clerk to the Board Weld County • Clerk to the Board's Office • 1150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com Chloe Rempel From: Sent: To: Subject: Attachments: Kent Blythe <kentjet4@gmail.com> Thursday, August 2, 2018 7:26 PM Chloe Rempel Collision Brewing sign pictutes liquor license sign 3.jpeg; liquor license sign2jpeg; liquor license sign1jpeg Hi Chloe, Sorry, I was out of the office all day and finally reading emails. Ok, please try these three attachments. Thanks, Kent `ice^^^., - PURSUANT TO THE LIQUOR LAWS Of COLORADO AND THE AUTHORITY OF THE WELD COUNTY SOAR() Of COM INSSIONERS HAS REQUESTER TT► E LCP434NCi ornciALs of wisp COLPH , CQLoRADQ TO ISSUE A(N1: nrcsas LissnS1 C LICENSE AT ' ist A DriVL + Lontenaf rte_ -50m •ft APPI Ai r, itt. titlt� t•.� WELD cOUNTv QDJ($TRATlON 1 aattit_ WWI I O STREET _ GREFail CO SMil1 Ishii AND DATE 9:W AM ON actsdeptp/ei psi Q FOR FURTHER INFORMATION PLEAS& CONTACT A. Ramp Iz I AT THE WELD COUNTY (CLERK TO THE BOARD'S OPMMCE AT PUb t Cosantlii Labia or 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 August 1, 2018 ATTN: KENT BLYTHE COLLISION BREWING COMPANY, LLC DBA COLLISION BREWING COMPANY 1436 SKYWAY DRIVE LONGMONT, CO 80504 RE: NOTICE OF HEARING TO CONSIDER LIQUOR LICENSE APPLICATION - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY Dear Applicant: This is to advise you that the Weld County Board of Commissioners will hear your request for a new Brew Pub (County) Liquor License at the property described as: 1436 Skyway Drive, Longmont, Colorado 80504. The meeting is scheduled for Monday, August 27, 2018, 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, e9Qp.e, a-. Et.i.A1.4., Chloe A. Rempel Deputy Clerk to the Board cc: Weld County Attorney's Office Chloe Rempel From: Sent: To: Subject: Attachments: Kent, Chloe Rempel Wednesday, August 1, 2018 11:40 AM Kent Blythe Notice of Hearing to Consider Application for a Brew Pub Liquor License Letter - Notice of Hearing to Consider Liquor License.pdf This is to advise you that the Weld County Board of Commissioners will hear your request for a new Brew Pub (County) Liquor License, on Monday, August 27, 2018, at 9:00 a.m. Please see the attached letter for further information. 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 LIQUOR LICENSE CERTIFICATE OF MAILING FIRST NAME LAST NAME COMPANY ADDRESS 1 CITY STATE POSTAL CODE KENT BLYTHE COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY 1436 SKYWAY DRIVE LONGMONT CO 80504 kentiet4@gmail.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 1st day of August, 2018. Chloe A. Rempel Deputy Clerk to the Board APPLICATION FOR A BREW PUB (COUNTY) LIQUOR LICENSE - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY APPLICATION RECEIPTS 0 0 U 0 >m ca) 0 0 • ° a) a> U 0 E2 O U 0 • m c a> 0 U � a) 2 U PO Box 758 PO Box 758 Greeley CO 80632 Greeley CO 80632 RECEIPT RECEIVED FROM DATE -] / �Cpr Qc•t S'c NO. 90003 ADDRESS l3Oct S. —re rcc t,C $C5O I t C Otte o$ SCO .00 FOR l c 7t , L i%cior L.: eerq� C21/4ppI 1 eo.+i ar\_ wee, HOW PAID CASH CHECK ^ SCO C C%0 MONEY ORDER RECEIPT LI 10 BY C DATE —'7/ Co/ ad19f NO. 90004 RECEIVED FROM Ca( I i$ i b n ecel,k) in q CA0n-venn c•Sr, L L. G ADDRESS c309 S • Terr _ Lnn n+ , CO gosr}1 1icoiitr1 Pee FOR HOW PAID CASH CHECK ►Ce0S op MONEY ORDER t 09 c :x Puh BY0a0---Pk... L •t COLLISION BREWING COMPANY LLC PH 303-931 1160 1309 S TERRY ST LONGMONT, CO 80501 w Pates It Asiot GUARANTY BANK AND TRUST COMPANY 23-96/1020 1208 ite4ek OO I ORDER OF eliOn-iePAY TO THE �L G ?` nCvC� LCp L��z$ 2 2 �i �---- % /J / r3 f[ co cts'&t) or t-- , v e t/cte ,) c/ic c e.�1 -11QUARS t. Two 1 MEMO 14 o,k !' Gr-L S 10 -s :t- COLLISION BREWING COMPANY LLC PH. 303-931 1160 1309 S TERRY ST LONGMONT CO 80501 PAY TO THE ORDER OF yip CoL.,)-,), 1209 8 GUARANTY BANK AND TRUST COMPANY 74 6 / c?23 9611020 ` 3 V /62C O4e floccs J s;,,, 1u Arai y it ,�,� � ;�GtO.e L. :c.e.os P ISIS• I00012090 `jv -' /_DOLLARS j �1 9 i7 APPLICATION FOR A BREW PUB (COUNTY) LIQUOR LICENSE - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY STAFF REFERRAL RESPONSES Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Tuesday, July 31, 2018 1:15 PM Alan Caldwell; Bethany Pascoe; Bob Choate; Bruce Barker; Curtis Hall; Dan Joseph; Dawn Anderson; Don Dunker; Elizabeth Relford; Frank Haug; Gabri Vergara; Jose Gonzalez; Joshua Noonan; Karin McDougal; Lauren Light; Michelle Martin NEW APPLICATION FOR A BREW PUB LIQUOR LICENSE - Collision Brewing Company, LLC, dba Collision Brewing Company Brew Pub Liquor License - Collision Brewing Company, LLC.pdf; Staff Referral Memo - Collision Brewing Company.pdf In accordance with the procedure for processing New Liquor License Applications, please complete and return the attached "Staff Referral Memo — Collision Brewing Company". Your report will be used by the Board of County Commissioners in considering the Applicant's Liquor License. PLEASE RESPOND NO LATER THAN: WEDNESDAY, AUGUST 15, 2018 Please Note: 1. The results of the background investigation are still pending. 2. The building is currently under construction, and as such, the liquor license will likely be contingent upon a certificate of occupancy and a food license. 3. Planning Site Plan Review, SPR16-0011, can be viewed under Tyler Document #20163689. File Location: LC0056 Applicants: Kent Blythe Jeanne Blythe Eric Blythe Jason Blythe Property Address: 1436 Skyway Drive Longmont, CO 80504 If you have any questions, please do not hesitate to contact me. Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel.: 970-400-4213 i MEMORANDUM TO: Board of County Commissioners FROM: Josh Noonan DEPARTMENT: Weld County Sheriffs Office DATE: July 31, 2018 SUBJECT: New Liquor License Application The Weld County Clerk to the Board's Office has received an application for a new liquor license in Unincorporated Weld County: License Type: Brew Pub (County) Applicant(s): Collision Brewing Company, LLC, dba Collision Brewing Company - Kent, Jeanne, Eric, and Jason Blythe Address: 1436 Skyway Drive, Longmont, CO 80504 File Location: LC0056 Reply By: Wednesday, August 15, 2018 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempel@weldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested new application. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. I searched our local records management system for 1436 Skyway Drive, phone number (303) 931-1160, Jason Blythe, Kent Blythe, Jeanne Blythe, Eric Blythe and their respective addresses. I found no records of interest. We find no conflicts with our interests. MEMORANDUM TO: Board of County Commissioners FROM: Dan Joseph DEPARTMENT: Environmental Health DATE: July 31, 2018 SUBJECT: New Liquor License Application The Weld County Clerk to the Board's Office has received an application for a new liquor license in Unincorporated Weld County: License Type: Brew Pub (County) Applicant(s): Collision Brewing Company, LLC, dba Collision Brewing Company - Kent, Jeanne, Eric, and Jason Blythe Address: 1436 Skyway Drive, Longmont, CO 80504 File Location: LC0056 Reply By: Wednesday, August 15, 2018 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempelAweldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested new application. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. The facility has applied for a retail food establishment license and submitted plan review documents. However at this time we have not conducted walk-through or pre -opening inspections and have not issued a license. Our approval would be conditional upon those items occurring. WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org RETAIL FOOD ESTABLISHMENT PLAN REVIEW INSPECTION REPORT Date: 8/16/18 Facility Name: Collision Brewing Company Address: 1436 Skyway Drive, Longmont Phone: 303-931-1160 (Kent) Inspect Time: 90 License Current: New Inspection Type: WT Specialist: Kevin Antuna (kantuna@co.weld.co.us, 970-400-2222) 1. Walk in cooler has a floor drain that need to be capped and covered. 2. The coolers need to be turned on. Leave a cup water in cooler overnight and then check the water temperature with a calibrated thermometer. If the unit is appropriately cold, the water should be 37-38F. Adjust the unit until the water reaches the above temperature. 3. Caulking is needed along the back of the sinks (3 compartment sink and hand sinks) 4. Base coving is need in both restrooms. 5. Gap between the type 1 hood and wall in the kitchen needs to be filled. 6. If hose sprayer is left on mop sink add a pressurized backflow valve (i.e. Watts LFN9 CD or ASSE std.1052 device). 7. Hot water (95-102 F) at 3 compartment sink needs to be turned up to at least 120F. 8. Glass washers in front bar area need backflow preventers (dual check valve). 9. Have soap and paper towels at each hand sink. 10. Have thin mass food probe thermometer available. 11. Have signed water, sewer, zoning, building and fire department sign offs. The construction project is approved pending completion of the above adjustments. Contact me (phone: 970-400-2222 or email: kantuna@co.weld.co.us) for a pre -opening inspection 5 days prior to when it's needed. The license fee and the remainder of the plan review fees will be collected at the pre - opening inspection. Environmental Health Specialist Received By Kevin Antuna Health Administration Vital Records fele: 970-304-6410 Fax: 970-304-6412 Public Health & Clinical Services Fele: 970-304-6420 Fax: 970-304-6416 Environmental Health Services Tele: 970-304-6415 Fax: 970-304-6411 Communication, Education & Planning Tele: 970-304-6470 Fax: 970-304-6452 Emergency Preparedness & Response Tele: 970-304-6470 Fax: 970-304-6452 Public Health MEMORANDUM To: Chloe Rempel, Deputy Clerk to the Board July 31, 2018 From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0056 Review of the following liquor license (Brew Pub) application by the Department of Planning Services shows the following: Applicant: Collision Brewing Company Dba: Collision Brewing Company Kent, Jeanne, Eric and Jason Blythe 1436 Skyway Dr Longmont, Colorado 80504 Legal Description: Lot 6 & 7, Block 6, 2nd Corrected Vista Commercial Center, Weld County, Colorado Property Owner: Squirrel Holdings LLC 11732 Crystal View Lane Longmont, Co 80504 Zone District: PUD with I-1 (Industrial) and C-3 (Commercial) uses Z-465 Land Use: Site Plan Review (SPR16-0011) STAFF COMMENTS: Upon review of my case files and computer, no active Zoning Violations were noted. No compliance comments SERVICE, TEAMWORK, INTEGRITY, QUALITY MEMORANDUM TO: Board of County Commissioners FROM: Michelle Martin DEPARTMENT: Planning Services DATE: 8/7/2018 SUBJECT: New Liquor License Application The Weld County Clerk to the Board's Office has received an application for a new liquor license in Unincorporated Weld County: License Type: Brew Pub (County) Applicant(s): Collision Brewing Company, LLC, dba Collision Brewing Company - Kent, Jeanne, Eric, and Jason Blythe Address: 1436 Skyway Drive, Longmont, CO 80504 File Location: LC0056 Reply By: Wednesday, August 15, 2018 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempelAweldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested new application. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. I have reviewed the request and I don't see any conflicts with the planning department's interest at this time. The applicant will need to continue comply with SPR16-0011. MEMORANDUM TO: Board of County Commissioners FROM: Dawn Anderson DEPARTMENT: Public Works DATE: August 14, 2018 SUBJECT: New Liquor License Application The Weld County Clerk to the Board's Office has received an application for a new liquor license in Unincorporated Weld County: License Type: Brew Pub (County) Applicant(s): Collision Brewing Company, LLC, dba Collision Brewing Company - Kent, Jeanne, Eric, and Jason Blythe Address: 1436 Skyway Drive, Longmont, CO 80504 File Location: LC0056 Reply By: Wednesday, August 15, 2018 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempelAweldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested new application. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. MEMORANDUM TO: Board of County Commissioners FROM: Jose Gonzalez DEPARTMENT: Building Division DATE: 08/17/2018 SUBJECT: New Liquor License Application The Weld County Clerk to the Board's Office has received an application for a new liquor license in Unincorporated Weld County: License Type: Brew Pub (County) Applicant(s): Collision Brewing Company, LLC, dba Collision Brewing Company - Kent, Jeanne, Eric, and Jason Blythe Address: 1436 Skyway Drive, Longmont, CO 80504 File Location: LC0056 Reply By: Wednesday, August 15, 2018 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempel@weldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested new application. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. This office has been in contact with applicant. Recommend approval with the condition that a Temporary Certificate of Occupancy or a Certificate of Occupancy be issued prior to the liquor license. Thank you. APPLICATION FOR A BREW PUB (COUNTY) LIQUOR LICENSE - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY MISCELLANEOUS CORRESPONDENCE Chloe Rempel From: Sent: To: Subject: Kevin Antuna Thursday, September 6, 2018 4:12 PM Chloe Rempel; Jose Gonzalez; Dan Joseph; Gabri Vergara RE: Collision Brewing Company, LLC, dba Collision Brewing Company Chloe, I just received the Building Department sign off from Tom Grimmond at Collision Brewing today. Their paperwork has been processed and they are good to go. I gave them an inspection form that serves as a temporary food license until we mail them one. The office staff will place their Retail Food Licenses in the mail in the next couple of days. Thanks, Kevin Antuna Institutions Program Coordinator Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley, CO 80631 Phone: 970-400-2222 Fax: 970-304-6411 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: Chloe Rempel Sent: Thursday, September 6, 2018 10:49 AM To: Jose Gonzalez <jgonzalez@weldgov.com>; Dan Joseph <djoseph@weldgov.com>; Gabri Vergara <gvergara@weldgov.com>; Kevin Antuna <kantuna@weldgov.com> Subject: RE: Collision Brewing Company, LLC, dba Collision Brewing Company Kevin, Given that they now have a CO, when do you think you'll be able to issue a food license? Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street i 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. From: Jose Gonzalez Sent: Thursday, September 6, 2018 10:14 AM To: Chloe Rempel <crempel@weldgov.com>; Dan Joseph <djoseph@weldgov.com>; Gabri Vergara <gvergara@weldgov.com>; Kevin Antuna <kantuna@weldgov.com> Subject: RE: Collision Brewing Company, LLC, dba Collision Brewing Company Good morning, Certificate of Occupancy should be ready this afternoon. Thanks Jose Gonzalez Asst. Building Official 1555 N. 17th Ave Greeley, CO 80631 970-400-3533 jonzalez@weldgov.com From: Chloe Rempel Sent: Wednesday, September 5, 2018 3:56 PM To: Dan Joseph <djoseph@weldgov.com>; Gabri Vergara <gvergara@weldgov.com>; Kevin Antuna <kantuna@weldgov.com>; Jose Gonzalez <jonzalez@weldgov.com> Subject: Collision Brewing Company, LLC, dba Collision Brewing Company Good afternoon, I am checking on the status of the Certificate of Occupancy and Retail Food License for Collision Brewing Company, LLC, dba Collision Brewing Company, 1436 Skyway Drive, Longmont, CO 80504? Thank you! Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 2 August 28, 2018 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P. O. BOX 758 GREELEY, COLORADO 80632 Colorado Department of Revenue Division of Liquor Enforcement 1881 Pierce Street Division 108-A Lakewood, CO 80214 RE: APPLICATION FOR A BREW PUB (COUNTY) LIQUOR LICENSE - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY To Whom It May Concern: Please see the attached application for a Brew Pub (County) Liquor License and a copy of all supporting documentation. The fees were submitted when the application was sent for concurrent review on August 1, 2018. The Weld County Board of Commissioners approved the application on Monday, August 27, 2018. Please note: the premises are under construction, and as such, the licenses will be held contingent upon a certificate of occupancy and final health inspections for a retail food license. Both inspections are scheduled for this week. If you have questions or need additional information, please do not hesitate to contact me at (970) 400-4213. Very truly yours, Ca(20,(2, Rrt-e.) Chloe A. Rempel Deputy Clerk to the Board crempel@weldgov.com Chloe Rempel From: Sent: To: Subject: Attachments: Lenore, Chloe Rempel Tuesday, August 28, 2018 10:47 AM 'Lenore Smutka-Susman - DOR' RE: Collision Brewing Company - License# 4710418 - Concurrent Review Collision Brewing Company, LLC - Liquor Application.pdf Please see the attached application from Collision Brewing Company, LLC, dba Collision Brewing Company. The Weld County Board of Commissioners approved the application on Monday, August 27, 2018. In the application you will find updated information from after the application was initially submitted for concurrent review. If you have any questions or concerns, please do not hesitate to contact me. If you need me to overnight an original copy, please let me know. 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. From: Lenore Smutka-Susman - DOR <lenore.smutka-susman@state.co.us> Sent: Monday, August 20, 2018 12:24 PM To: Chloe Rempel <crempel@weldgov.com> Cc: Lenore Smutka-Susman - DOR <lenore.smutka-susman@state.co.us> Subject: Collision Brewing Company - License# 4710418 - Concurrent Review Hi Chloe, We have reviewed this concurrent application, and everything looks good. So, we are just waiting on your approval for this one. I see the hearing date is scheduled for 08/27/2018, please let me know if anything changes. Thank you, Lenore 1 Chloe Rempel From: Sent: To: Subject: Attachments: Kevin Antuna Thursday, August 23, 2018 6:48 AM Gabri Vergara; Chloe Rempel; Bob Choate; Dan Joseph RE: NEW LIQUOR LICENSE APPLICATION - Collision Brewing Company, LLC, dba Collision Brewing Company Collision Brewing Company WT .docx Hi All, Attached is my walk-thru inspection report. Most of the stuff was all minor. Tom the chef at Collision Brewing called me on 8/21 and we have set up a pre -opening inspection for Tuesday 8/28/18. Thanks, Kevin Antuna Institutions Program Coordinator Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley, CO 80631 Phone: 970-400-2222 Fax: 970-304-6411 ,k1,51 F,q ter. PHtAB 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: Gabri Vergara Sent: Wednesday, August 22, 2018 5:49 PM To: Chloe Rempel <crempel@weldgov.com> Cc: Kevin Antuna <kantuna@weldgov.com>; Dan Joseph <djoseph@weldgov.com>; Bob Choate <bchoate@weldgov.com> Subject: Re: NEW LIQUOR LICENSE APPLICATION - Collision Brewing Company, LLC, dba Collision Brewing Company Kevin, Can you forward the write up from your walk-through inspection to Chloe and Bob, and any other additional information you may have from your most recent conversation with Collision Brewing? Thanks.... Gabri 1 From: Chloe Rempel Sent: Wednesday, August 22, 2018 4:43:31 PM To: Gabri Vergara Cc: Kevin Antuna; Dan Joseph; Bob Choate Subject: RE: NEW LIQUOR LICENSE APPLICATION - Collision Brewing Company, LLC, dba Collision Brewing Company Gabri, If you wouldn't mind sending the list of the items that still need to be completed, I would really appreciate it. I'll default to Bob Choate on if he still would like Dan to attend in the event that the Board has questions. Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 0 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. Original Appointment From: Gabri Vergara Sent: Tuesday, August 21, 2018 3:32 PM To: Chloe Rempel Cc: Frank Haug Subject: Declined: NEW LIQUOR LICENSE APPLICATION - Collision Brewing Company, LLC, dba Collision Brewing Company When: Monday, August 27, 2018 9:00 AM -10:00 AM (UTC-07:00) Mountain Time (US & Canada). Where: BOCC Hearing Room Chloe, Kevin and I will be out of the office that morning (teaching a previously scheduled food safety class in Windsor). Collision Brewing Company actually called Kevin today to schedule the pre -opening inspection for next Tuesday, August 28, 2018. If all goes well, which it should, if they completed the list of items needing remedied, and they will be issued their license that day. If there are still things that need to be done, we don't anticipate that it will take them longer than September 11, 2018, the day they plan on opening, to take care of anything remaining. 2 If either you or Frank think it is necessary that someone from EH be in attendance at Monday's hearing, please let me know, and I'll speak with either Dan Joseph or Deb Adamson. Thank you, Gabrielle Vergara Consumer Protection Manager Environmental Health Services Department of Public Health & Environment 1555 N. 17th Ave. Greeley, CO 80631 (970) 400-2226 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. 3 Chloe Rempel From: Sent: To: Subject: Attachments: Kent Blythe <kentjet4@gmail.com> Wednesday, August 22, 2018 6:40 PM Chloe Rempel Collision Brewing more phots IMG_1262.JPG; IMG_1264.JPG; IMG_1263.JPG; IMG_1266.JPG; IMG_1261.JPG; IMG_ 1267.JPG Chloe, Attached are more pictures from the event room patio facing south. Let me know if you need any thing else for Monday. Thanks, Kent 1 Chloe Rempel From: Sent: To: Subject: Kent Blythe <kentjet4@gmail.com> Wednesday, August 22, 2018 2:41 PM Chloe Rempel Collision Brewing Company boundary pictures Chloe, Attached are pictures of the boundary fence for Collision Brewing Company outside area. Let me know if you get the pictures and able to open them. Thanks, Kent IMG_1243.JPG X IMG_1245.JPG X IMG_1246.JPG X IMG_1247.JPG K IMG_1248.JPG K IMG_1249.JPG K IMG_1250.JPG K IMG_1251.JPG K IMG_1252.JPG K IMG_1253.JPG K IMG_1254.JPG K IMG_1255.JPG K IMG_1256.JPG K IMG_1258.JPG K IMG_1259.JPG K 1 Chloe Rempel From: Sent: To: Subject: Attachments: Kent Blythe <kentjet4@gmail.com> Wednesday, August 22, 2018 2:38 PM Chloe Rempel Collision Brewing Company info Collision Brewing layout.jpg Hi Chloe, Attached is the updated liquor license layout for Collision Brewing Company. I will send pictures of the boundary fence in another email. Thanks, Kent 1 Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Monday, August 20, 2018 2:56 PM Kent Blythe Report of Investigation Letter from Inspection for Liquor License Application Letter - Report of Investigation.pdf Please see the attached letter from Commissioner Conway with his findings from the inspection performed on Tuesday, August 14, 2018. Hard -copy to follow. If you have any questions or concerns, please do not hesitate to contact me. 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 Chloe Rempel From: Sent: To: Cc: Subject: Michelle Martin Monday, August 20, 2018 2:01 PM Kent Blythe Chloe Rempel RE: Number of Employees - Collision Brewing Company, LLC Hi Kent, It appears you have enough parking for all your employees. Please don't hesitate to contact me if you have any questions. Michelle Martin Planning Manager 1555 N 17th Ave Greeley, CO 80631 mmartin@co.weld.co.us PHONE: (970) 400-3571 FAX: (970) 304-6498 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: Kent Blythe <kentjet4@gmail.com> Sent: Monday, August 20, 2018 8:42 AM To: Michelle Martin <mmartin@weldgov.com> Subject: Re: Number of Employees - Collision Brewing Company, LLC Hi Chloe, The number of employees is estimated to be 30 but they are not all working at the same time. The estimated number for an evening shift is 15 employees working not all 30 at one time. Thanks, Kent On Mon, Aug 20, 2018 at 7:42 AM Michelle Martin <mmartin@weldgov.com>wrote: Hi Kent, 1 After review of the parking on the SPR map: There are 38 Parking spaces for the restaurant patrons There are 8 spaces for employees There are 7 spaces for the storage component Future parking area located to the east of the facility has 48 spaces Total parking is 101 spaces. Michelle Martin Planning Manager 1555 N 17th Ave Greeley, CO 80631 mmartin@co.weld.co.us PHONE: (970) 400-3571 FAX: (970) 304-6498 LXJ 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: Chloe Rempel Sent: Friday, August 17, 2018 4:29 PM To: Kent Blythe <kentjet4@gmail.com> 2 Cc: Michelle Martin <mmartin@weldgov.com>; Bob Choate <bchoate@weldgov.com> Subject: Number of Employees - Collision Brewing Company, LLC Good Afternoon Kent, At the inspection for your liquor license application on August 14, 2018, you indicated that you would like to employ upwards of 30 employees. The original Site Plan Review, SPR16-0011, was for a maximum of 15 employees. Please contact Michelle Martin, Department of Planning Services, at mmartinc weldgov.com or (970) 400-3571 if you would like to discuss what is entailed in increasing the number of allotted employees. Thank you and enjoy your weekend, 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. 3 Chloe Rempel From: Sent: To: Subject: Kent, Chloe Rempel Friday, August 17, 2018 4:20 PM 'Kent Blythe' RE: Distributing Fermented Malt Beverages That sounds great, thank you. I conferred with the County Attorney's Office, and while we cannot predict what the Commissioner's will determine at the hearing, your plan for poles and chains to clearly define your outside patio boundaries sounds adequate. The State and the Board just need the boundaries of your premises for liquor consumption to be clear to your patrons. They also want to ensure safety of the public, especially considering the two westerly patios directly lead to your loading bay and back lot. If you also wouldn't mind providing me with photos of the new defined boundaries, I would really appreciate it. You will also want to provide an updated diagram of the premises (the current diagram notates a wall on the west side of the premises). If you have any questions, please don't hesitate to reach out. 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. From: Kent Blythe <kentjet4@gmail.com> Sent: Wednesday, August 15, 2018 1:57 PM To: Chloe Rempel <crempel@weldgov.com> Subject: Re: Distributing Fermented Malt Beverages Chloe, Thank you for the information. It was a pleasure to have you and Sean visit our business. I am adding locks to the cooler doors and will send you picture of the locking device. Plus, if poles with chains connected are acceptable for defining our outside boundaries, please let me know. Thanks, 1 Chloe Rempel From: Sent: To: Subject: Good afternoon, Chloe Rempel Wednesday, August 15 2018 12:03 PM Kent Blythe Distributing Fermented Malt Beverages At yesterday's inspection. you asked me for information about distributing fermented malt beverages under a Brew Pub (County) Liquor License. According to the below statute. a Brew Pub (County) Liquor License authorizes (1) the manufacture of fermented malt beverages that can be consumed on -premises, (2) sold to wholesalers (who would then distribute it to retailers), (3) sold to the public in the Brew Pub for off -premises consumption as long as the containers are sealed and the malt beverages are manufactured and packaged on the licensed premises. and (4) sold at wholesale to retailers in an amount up to 300,000 gallons per calendar year C.R.S. 12-47-415. Brew Pub License. (1) (a) A brew pub license may be issued to any person operating a brew pub and also selling alcohol beverages for consumption on the premises. (b) A brew pub licensed pursuant to this section to manufacture malt liquors or fermented malt beverages upon its licensed premises may; upon approval of the state licensing authority, manufacture malt liquors or fermented malt beverages upon alternating proprietor licensed premises within the restrictions specified in section 12-47-103 (4). (2) (a) Except as provided in paragraph (b) of this subsection (2), during the hours established in section 12-47-901 (5) (b), malt liquors or fermented malt beverages manufactured by a brew pub licensee on the licensed premises or alternating proprietor licensed premises may be: (I) Furnished for consumption on the premises; (II) Sold to independent wholesalers for distribution to licensed retailers; (III) Sold to the public in sealed containers for off -premises consumption. Only malt liquors or fermented malt beverages manufactured and packaged on the licensed premises or alternating proprietor licensed premises by the licensee shall be sold in sealed containers. (IV) Sold at wholesale to licensed retailers in an amount up to three hundred thousand gallons per calendar year. (b) A brew pub authorized to manufacture malt liquors or fermented malt beverages upon alternating proprietor licensed premises shall not conduct retail sales of malt liquors or fermented malt beverages from an area licensed or defined as an alternating proprietor licensed premises. (a) Every person selling alcohol beverages pursuant to this section shall purchase alcohol beverages, other than those that are manufactured at the licensed brew pub, from a wholesaler licensed pursuant to this article or article 46 of this title; except that. during a calendar year. a person selling alcohol beverages as provided in this section may purchase not more than two thousand dollars' worth of: (I) Malt. vinous. and spirituous liquors from a retailer licensed pursuant to section 12-47-407 or 12- 47-408; and (II) Fermented malt beverages from a retailer licensed pursuant to section 12-46-104 (1) (c). (b) The brew pub licensee shall retain evidence of each purchase of malt, vinous, and spirituous liquors from a retailer licensed pursuant to section 12-47-407 or 12-47-408 and each purchase of fermented malt beverages from a retailer licensed pursuant to section 12-46-104 (1) (c), in the form of a purchase receipt showing the name of the licensed retailer, the date of purchase; a description of the alcohol beverages purchased, and the price paid for the alcohol beverages The licensee shall retain the receipt and make it available to state and local licensing authorities at all times during business hours. (4) A brew pub licensee shall sell alcohol beverages for on -premises consumption only if at least fifteen percent of the gross on -premises food and drink income of the business of the licensed premises is (3) 1 (5) from the sale of food. For purposes of this subsection (4), "food" means a quantity of foodstuffs of such nature as is ordinarily consumed by an individual at regular intervals for the purpose of sustenance (a) It is unlawful for any owner, part owner, shareholder, or person interested directly or indirectly in a brew pub license to conduct, own either in whole or in part, or be directly or indirectly interested in any other business licensed pursuant to this article or article 46 of this title (b) Notwithstanding paragraph (a) of this subsection (5), a person interested directly or indirectly in a brew pub license may conduct own either in whole or in part, or be directly or indirectly interested in a license described in section 12-46-104 (1) (c), 12-47-401 (1) 0) to (1) (t), (1) (v), or (1) (w), or 12-47-410 (1) or in a financial institution referred to in section 12-47-308 (4). I am still researching your patio and keg cooler, but will hopefully have an answer for you soon. Please let me know if you have any questions in the meantime. Sincere regards. Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 0 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. 2 Chloe Rempel From: Sent: To: Subject: Attachments: Kent Blythe <kentjet4@gmail.com> Friday, August 3, 2018 9:01 AM Chloe Rempel Re: Collision Brewing sign pictutes image001jpg Thank you for the info. Kent On Fri, Aug 3, 2018 at 8:57 AM Chloe Rempel <crempel@weldgov.com>wrote: Kent, I also reached out to the State to confirm there wasn't anything additional they needed, and the State confirmed that applicants cannot apply for both a Manufacturer's Liquor License and a Brew Pub Liquor License. Please let me know if you have any questions. Thank you! Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 0 Street Greeley, CO 80631 tel: 970-400-4213 x 1 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: Kent Blythe <kentiet4@gmail.com> Sent: Friday, August 3, 2018 8:46 AM To: Chloe Rempel <crempel@weldgov.com> Subject: Re: Collision Brewing sign pictutes Thanks, see you next week. Kent On Fri, Aug 3, 2018 at 8:39 AM Chloe Rempel <crempel@weldgov.com>wrote: Received. Thank you! Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 0 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 2 action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Kent Blythe <kentjet4@gmail.com> Sent: Thursday, August 2, 2018 7:26 PM To: Chloe Rempel <crempel@weldgov.com> Subject: Collision Brewing sign pictutes Hi Chloe, Sorry, I was out of the office all day and finally reading emails. Ok, please try these three attachments. Thanks, Kent 3 August 1, 2018 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 COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE STREET DIVISION 108-A LAKEWOOD, CO 80214 RE: CONCURRENT REVIEW LIQUOR LICENSE APPLICATION - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY To Whom It May Concern: Enclosed please find one (1) Original Copy of a New Brew Pub (County) Liquor License Application for Collision Brewing Company, LLC, dba Collision Brewing Company, at 1436 Skyway Drive, Longmont, Colorado 80504, along with the associated State Liquor Fees in the amount of $2,500.00. The applicant is requesting Concurrent Review of said application. The Weld County Board of Commissioners have a hearing date set for Monday, August 27, 2018, at which time I will provide you with an updated copy of our Resolution and findings. Please review this application and notify me of any inconsistencies within it so that we can amend as needed. Please be advised that the results of the background investigation are still pending. Additionally, the premises are under construction, and as such, approval would be contingent upon a certificate of occupancy and final health inspections for a retail food license. If you have questions or need additional information, please do not hesitate to contact me at (970) 400-4213. Sincere regards, Chloe A. Rempel Deputy Clerk to the Board crempel@weldgov.com cc: Weld County Attorney's Office 8/1/2018 FedEx Ship Manager - Print Your Label(s) N3 CO 0 C) 0 co va M " Po z IS96 6ZZL 8211 1H9INN3A0 OZIVaNVIS dOO:£ Jflb ZO - f1H1 m J182018072201uv 0 z o G w omoa m N) > Wm Z77 ,p • O 0 C) O CO � N m m 0 0 r m 2J -� O 0 - m co 36 V-801 NOISIAI !MIS 33?EId 1881 n 0 O 0 v m -v m 0 m m m z m 552J1 /33091DCP5 0 ✓ c 0 0 m n m m v O 0) 2i30N3S ill8 After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non-delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim.Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, 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 8/1/2018 FedEx Ship Manager - Print Your Label(s) Shipment Receipt Address Information Ship to: LIQUOR ENFORCEMENT DIVISION COLORADO DEPARTMENT OF REVENUE 1881 PIERCE STREET DIVISION 108-A LAKEWOOD, CO 80214 US 3032052304 Ship from: CHLOE REMPEL WELD COUNTY 1150 O STREET RM 166 GREELEY, CO 80631 US 9704004225 Shipment Information: Tracking no.: 772872299651 Ship date: 08/01/2018 Estimated shipping charges: 6.49 USD Package Information Pricing option: FedEx Standard Rate Service type: Standard Overnight Package type: FedEx Envelope Number of packages: 1 Total weight: 0.50 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 FUND: 10400 Thank you for shipping online with FedEx ShipManager at fedex.com. Please Note FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non -delivery, misdelivery, or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, 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: Good Morning Kent, Chloe Rempel Wednesday, August 1, 2018 10:18 AM 'Kent Blythe' Notice of Liquor Inspection Commissioner Conway and I will be on -site at Collision Brewing Company on Tuesday, August 14, 2018, at 2:30 p.m. to establish the neighborhood to be served and perform an inspection for the purposes of your new Brew Pub (County) Liquor License application. If you have any questions, please do not hesitate to contact me. 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 Chloe Rempel From: Sent: To: Subject: Attachments: Good Morning Kent, Chloe Rempel Tuesday, July 31, 2018 11:45 AM 'Kent Blythe' Notice of Hearing - Collision Brewing Company, LLC, dba Collision Brewing Company Letter - Hearing Notice to Establish Neighborhood.pdf This is to advise you that the Weld County Board of Commissioners will hold a hearing to establish the neighborhood to be served, designate a Commissioner to perform on -site inspection, and set a hearing date to consider your application for the property described as: 1436 Skyway Drive, Longmont, Colorado 80504. Please see the attached letter for further information. If you have any questions or concerns, please do not hesitate to contact me. 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 APPLICATION FOR A BREW PUB (COUNTY) LIQUOR LICENSE - COLLISION BREWING COMPANY, LLC, DBA COLLISION BREWING COMPANY �1861/� I h vet COUNT Y POWERPOI NT LICENSE TYPE BREW PUB (COUNTY) LIQUOR LICENSE Authorized for the sale of malt, vinous, and spirituous liquors. Authorized to manufacture malt or fermented liquors for consumption by the drink on the premises, or for off -site consumption as long as it is sold in sealed and labeled containers. rir WELD COUNTY iNEINL�. AL PINt Brew Pub (County) Liquor License Application Firestone HIGHWAY 9MEB is. 4 f9 ISK*Y.WAYAf,IK -,:tiK.YWAY=t)ti USR-8 77AM4 USR-877AM4ji BATCH PLANT. & MINE BATCH PLANT a NWsIr 100 Yea WELD COUNTY Brew Pub (County) Liquor License Application a!r 6,'t a rig • •-0' tree = )04* Access PERM.. NO AP16-OO111 1 1 O N N 00'..20' 57" E 2nn nn� cr 4 �s1_oil (TYP u .'"%--PROJECT SIGN SEE DETAIL `ASPHALT PAVING (TYPICAL) 'F • 5-o," 72' 6 '/2" 4 CONCRETE PA T I O �.,.,� FIREPIt \--CONCRETE ' PATIO AEa'.. Meti • 4- , \ 5' CONCRETE SIDEWALK FIREPIT ACCESS PERMIT N0. AP16-00111 . a . fee _ 6' CONCRETE SIDEWALK 25'-0" I • • V a i i Teri sfr I 0 r N 0 o‘4\ APPLICANTS ► Collision Brewing Company, LLC, dba Collision Brewing Company ► Kent Blythe (30% owner) ► Jeanne Blythe (30% owner) ► Eric Blythe (20% owner) ► Jason Blythe (20% owner) ► The applicants have all provided the necessary documents to establish they are of good character and reputation. Staff does not have any concerns with the results of the background check. INSPECTION OF THE PREMISES AND THE NEIGHBORHOOD TO BE SERVED ► The sign noticing the hearing was posted by the applicant in a manner plainly visible to the public. ► There is one (1) other Brew Pub (County) Liquor Licensed establishment located in the immediate area, operated by Tappist Munks, LLC, dba Outworld Brewing. ► There are no public or parochial schools, or principal campus of any college, university, or seminary within 500 feet of the proposed licensed premises. ► The proposed premises has the capability of heating and serving full meals. DISTANCE FROM TAPPIST MONKS, LLC, DBA OUTWORLD BREWING Approximately 0.66 miles !, WELD COUNTY Collision Brewing Company and Outworld Brewing thin4� ►IN! p Y AMR REQUEST TO CREATE CLEAR AND DEFINED BOUNDARIES OF THE PREMISES (WEST SIDE) 5., • • i� l44►`'� • • Ji N'1 • vS -• H►�_- • N. 'NeS ♦ •• r It 4. `- Y C efrti ,. .i -.-Ins.... . . �Off .-1.0r .a. r •nh" r 1=: w $.174 re .� r .:'3i.. �:..'. 4 4 1� N .‘\4 • -..:.`s;:;-'3,76.4, STAFF REFERRAL RESPONSES ofr Building Inspections: The applicant has not obtained a Certificate of Occupancy, but is working with Staff to do so. Recommendation for approval would be contingent upon obtaining a Certificate of Occupancy. ► Environmental Health: The applicant has applied for a Retail Food Establishment License; however, Staff has not conducted final, pre -opening inspections and a license has not been issued. Final inspections are scheduled for August 28, 2018. Recommendation for approval would be contingent upon obtaining a Retail Food Establishment License. f Planning Services: The applicant must comply with Site Plan Review, SPR1 6-00 11 * Public Works: Staff has no concerns with issuance of the liquor license. ► Sheriff's Office: No records of interest. Staff has no concerns with issuance of the liquor license. ► Zoning: No active Zoning violations were noted. Staff has no concerns with issuance of the liquor license. Hello