The URL can be used to link to this page

Browse Search

Home My WebLink About20171703.tiffRESOLUTION RE: APPROVE RESCHEDULED SPECIAL EVENTS PERMIT AND AUTHORIZE CHAIR TO SIGN - FRANK'S RIDE FOR CHILDREN, FBO MAKE -A -WISH FOUNDATION OF COLORADO, INC. 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, Frank's Ride for Children, fbo Make -A -Wish Foundation of Colorado, Inc., presented to the Board of County Commissioners of Weld County, Colorado, an application for a Special Events Permit for the date of May 20, 2017, for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, due to inclement weather, said applicant is requesting to reschedule the event from May 20, 2017, to June 24, 2017, and WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to Weld County, Colorado, pursuant to the laws providing therefore in payment for a County Retail Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, for an event rescheduled for one day only on June 24, 2017, from 8:00 a.m., to 9:00 p.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: Anderson Farms, 6728 County Road 3-1/4, Erie, CO 80516; being more fully described as Lot C of Recorded Exemption, RECX15-0059, being part of the NW1/4 of Section 32, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has also paid the additional sum of TWENTY-FIVE DOLLARS ($25.00) for the date of June 24, 2017, to the Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only. NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant rescheduled Special Events Permit Number 2017-9 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location; and the Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which rescheduled permit shall be effective from 8:00 a.m. on June 24, 2017, until 9:00 p.m. on June 24, 2017, providing that said place where the permitee is authorized to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the permit. CC : G1/4.PPL, SOCRS), CO -C GC,/ c" -'H) Co(i3/17 2017-1703 LC0022 RESCHEDULED SPECIAL EVENTS PERMIT - FRANK'S RIDE FOR CHILDREN, FBO MAKE -A -WISH FOUNDATION OF COLORADO, INC. PAGE 2 BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 5th day of June, A.D., 2017. ATTEST: d4t444.) W jCLd4;ok. Weld County Clerk to the Board BY Date of signature: 0Co113/ APP BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORAD Julie A. ozad, Chair ....--g&A-k— 194...,-u2.A. Steve Moreno, Pro-Tem puty Clerk to the Board.�` ; can P. Conway ►sb� �,� �� ike Freeman XCUSED Barbara Kirkmeyer y orney 2017-1703 LC0022 a.) Zr2r2rra DR 8428 (08/01/2012) COLORADO DEPARTMENT OF REVENUE 1881 PIERCE STREET, SUITE 108 LAKEWOOD, CO 80214 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THE ORGANIZATION AT THIS LOCATION MAKE -A -WISH / FRANKS RIDE FOR CHILDREN ANDERSON FARMS - 6728 WELD COUNTY ROAD 3 1/4 ERIE CO 80516 Permit Number: 4802108 Event Manager: GREG RISEDORF SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS EVENT 1: 06/24/2017 8:00 am 9:00 pm EVENT 2: EVENT 3: EVENT 4: EVENT 5: This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Articles 46 or 47, CRS 1973, as amended. This permit is nontransferable and shall be conspicuously posted in the place above described. This permit is only valid during the event date(s) shown above. In testimony whereof, I have hereunto set my hand. 6/8/2017 LSS �r�J �atim kivia.A...4)764.4LL. Division Director Executive Director DR 8439 (06/28/06) Department Use Only COLORADO DEPARTMENT OF REVENUE APPLICATION FOR A SPECIAL LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET EVENTS PERMIT DENVER CO 80261 (303) 205-2300 IN ORDER TO QUALIFY AND ONE OF THE FOR A SPECIAL EVENTS PERMIT, YOU FOLLOWING (See back for details.) MUST BE NONPROFIT SOCIAL ATHLETIC 41,t' PHILANTHROPIC INSTITUTION FRATERNAL CHARTERED BRANCH, LODGE OR CHAPTER POLITICAL CANDIDATE PATRIOTIC OF A NATIONAL ORGANIZATION OR SOCIETY MUNICIPALITY OWNING ARTS POLITICAL RELIGIOUS INSTITUTION FACILITIES LIAB TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: DO NOT WRITE IN THIS SPACE 2110 ✓ MALT, VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY LIQUOR PERMIT NUMBER 2170 FERMENTED MALT BEVERAGE (3.2 Beer) $10.00 PER DAY 1. Make NAME OF APPLICANT -A -Wish / ORGANIZATION Franks ride OR for Children POLITICAL CANDIDATE State 19871519647 Sales Tax Number (Required) 2. MAILING (include C/O 2544 Greg Jarett street, ADDRESS city/town Risedorf Dr. OF Mead ORGANIZATION and OR POLITICAL CANDIDATE ZIP) CO 80542 3. Anderson 6728 ADDRESS (include Weld street, OF PLACE city/town Farms County TO and Rd. HAVE ZIP) 3 1/4 SPECIAL EVENT Erie Co 80516 NAME DATE OF BIRTH HOME ADDRESS (Street, City, State, ZIP) PHONE NUMBER 4. PRES./SEC'Y Greg Risedorf OF ORG. or POLITICAL CANDIDATE 2544 Jarett Dr, Mead Co 80542 303 775-9190 5. EVENT Greg MANAGER Risedorf 2544 Jarett Dr. Mead , Co 80542 303 775-9190 6. HAS APPLICANT ISSUED A SPECIAL ORGANIZATION OR POLITICAL CANDIDATE EVENT PERMIT THIS CALENDAR YEAR? BEEN 7. IS PREMISES NOW LICENSED UNDER STATE LIQUOR OR BEER CODE? I NO YES TO WHOM? NO VI YES HOW MANY DAYS? / 8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? Yes No LIST BELOW THE EXACT DATE(S) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT Date June Hours 24th From 08:00 To 9:00 2017 d.m. P.m. Date Hours From .m. To .m. Date Hours From To .m. .m. Date Hours From .m. To .m. Date Hours From .m. To .m. OATH I declare under penalty of perjury in the second degree that OF APPLICANT I have read the foregoing application and all attachments thereto, and that all information therein is true, correct, and complete to the best of my knowledge. SIGNAT RE , A/- t TITLE CP4,147 "4 /1/ DATE 5:2 y I ii7 i iz ' APPROV OF LOCAL LICENSING AUTHORITY OR COUNTY) The foreg ng a•: R 'cation - ORT has AND been examin nd the premises, business conducted and character (CITY of the applicant is satisfactory, and we do report that such permit, if granted, THEREFORE, will comply THIS with APPLICATION the provisions of IS Title APPROVED. 12, Article 48, C.R.S., as amended. TELEPHONE NUMBER OF CITY/COUNTY CLERK (970) 400-4225 AUTHORITY OR COUNTY) LOCAL LICENSING (CITY CITY Weld County, Colorado LI COUNTY , SIGNATURE`-- TITLE Chair, County Commissioners DATE 6/5/2017 A ( .--� �. e 0/ DO NOT WRITE HIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY LIABILITY INFORMATION Liability Date State $ TOTAL • License Account Number -750 (999) (Instructions on Reverse Size) 2017-1703 WELD COUNTY SPECIAL EVENT PERMIT QUESTIONNAIRE INSTRUCTIONS TO APPLICANT: Complete each section and mark "N/A" where information must be furnished before the application each section and mark where not applicable. Additional sheets may be attached. All required information must be furnished before the application will be processed. PERMIT FEE: $100.00 APPLICATION CHECKLIST: / Appropriate fees payable to the State of Colorado, and to Weld County. ''- Special Event Questionnaire Diagram of the area to be licensed (not larger than 8 1/2" X 11"; reflecting bars, walls, partitions, ingress, egress, and dimensions. --" Copy of deed, lease, or written permission of owner for use of the premises. Certificate of good corporate standing issued by Secretary of State within last two years, or if not incorporated, a non-profit charter. n la. If a political canditate, attach copies of reports and statements that were filed with the Secretary of State. n / cL Copy of food license agreement. WELD COUNTY SPECIAL EVENT PERMIT QUESTIONNAIRE 1. What type of an event is planned e.g. annual, quartlery, benefit, etc.)? CC_ E .. A i A etc 11 e_ c 2. Explain, in detail, the nature of your organization, its function, and who or what benefits from its operations (attach a separate sheet If necessary). 3. Who or what organization will be the recipient of funds derived from this event? 4. How many attendees are expected at this event? Page 2 of 6 M:\CTB\LIQUOR\Forms WELD COUNTY �VP'' SPECIAL EVENT PERMIT QUESTIONNAIRE 5. Describe the premises where this event will take place. 5e A} -1-- 6. What type of security, if any, will be provided at this event? S e_ e_ A ++qG ht -01 7. How many security personnel, if any, will be on hand? Sc..c., A- + t -cis ht -dl 8. How will security, if any, be identified? 9. Where will surplus liquor be stored and locked during the event? 10. Explain how liquor was obtained (e.g. donated or purchased, etc.)? 11. If this event is being held outdoors, how will the exterior boundaries of the premises be marked (e.g. roped, fenced, etc.)? 3 <€- A+1 k4 Page 3 of 6 M:\CTB\LIQUOR\Forms WELD COUNTY SPECIAL EVENT PERMIT QUESTIONNAIRE 12. What type of entertainment, if any, will be provided for this event? `J < < A -4--- a c h e -d1 13. What method will be used in checking identification for proper age of attendees (e.g., at the door, at the bar, etc.), and how will underage patrons be identified so as not to be served alcoholic beverages (e.g. stamp or mark on the hand, etc.)? ),< t. 1' 14. How will the conduct and level of intoxication of attendees be monitored and by whom? 5e<- A ++ac-I,e& Page 4 of 6 M:1CTBILI000RIForms WELD COUNTY SPECIAL EVENT PERMIT QUESTIONNAIRE 15. Have volunteers or members of your organization been trained in the sale/service of alcoholic beverages? If yes, what training have they received, and by whom? 5,e� A+4gc-he_cl 16. What types of alternative beverages and food/snacks will be available? Please attach a food service license to this application. 5e,c_ A+4-a�ke4 17. Has a State Sales Tax Number been initiated by you or a member of your organization? If so, write that number in the space provided. A+ -i-4 c,l,v 18. Explain how this event will be marketed, describing what kinds of advertising materials will be distributed, andthe targeted recipients of such material. ra1 Page 5 of 6 M:1CTBILIQUOR\Forms WELD COUNTY SPECIAL EVENT PERMIT QUESTIONNAIRE I hereby certify, under penalty of perjury, that the information provided to the Board of County Commissioners of Weld County contained in this affidavit is true and accurate dor- to the best of my knowledge. Cr r o r A. 1� S Authorized ResentatiVd Signature 3 a_3 I i Date Page 6 of 6 M:ICTBILIQUOR\Forms Frank's Ride for Children Special Events Permit (page 1 of 2) June 24th, 2017 Question 1: Question 2: Question 3: Question 4: Question 5: Questions 6,7,&8 Questions 9&11 Questions 10 & 13 Question 12: Questions 14 & 15 Annual Benefit The mission of Frank's Ride is to help Colorado Children who are fighting life -threatening illnesses and who want to have a wish granted. The children we sponsor participate in our run- riding in our sidecars or limousine. They and their families have a great time and really enjoy seeing all the motorcycles and vehicles supporting their wishes. Make -A -Wish Foundation of Colorado The total number we expect 1,000 to 1,500 to attend the 2017 event. N more than 1500 will be allowed in. The premises contains permanent buildings that include, public facilities, drinking fountains, and a kitchen facility. Permanent interior and exterior lighting is located throughout the premises. The entire volunteer staff of Frank's Ride will provide security for the event. The staff members are identified by wearing black "Frank's Ride Poker Run Staff' shirts. Additionally, there will be twenty staff members designated specifically as "Frank's Ride Security. The premises has permanent fencing around its entire boundaries. All liquor will be locked in a secured permanent room in main building. Liquor will be obtained from High Country Beverage Liquor will be served by TIPS certified staff. Attendees will be identified by two separate colored wrist bands according to age (over 21 years and under 21 years) Live music and games Over twenty of our Volunteer staff of Frank's Ride have current TIPS certifications and will be monitoring the attendees as well as Mountain View Fire Protection District, Longmont Emergency Unit personnel, and Police staff. Question 16: Water fountains, bottled water, soft drinks, bbq pork and beef with all the trimmings. Frank's Ride for Children Special Events Permit (page 1 of 2) June 24th, 2017 Question 17: Question 18: No. 100% of the profits are donated to Make -A -Wish Foundation of Colorado Flyers, ads in location magazines and news papers, and ads on local radio. All members of community will be targeted and welcome to attend. Chloe Rempel From: Sent: To: Cc: Subject: Hello, Chloe Rempel Monday, May 22, 2017 9:37 AM Bethany Pascoe; Dan Joseph; Deb Adamson; Frank Haug; Janet Lundquist; Jose Gonzalez; Roy Rudisill; Sam Kaneta III Bruce Barker; Bob Choate; Karin McDougal Special Event Permit and Temporary Assembly Permit - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. Because of the surprising weather we had last week, Frank's Ride for Children is having to reschedule their event for June 24, 2017. I am working with them on updating the dates on their application to meet all Weld County and State requirements. Updated referral responses are not necessary. Please let me know if you have any questions or concerns. Applicant: Event Location: Gregory and Tammy Risedorf Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. 2544 Jarrett Drive Mead, CO 80542 Anderson Farms 6728 County Road 3 1/4 Erie, CO 80516 File Location: LC0022 Original Document Numbers - 2017: Temporary Assembly 2017-1084 Special Event 2017-1085 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4225 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: Chloe Rempel Monday, May 22, 2017 9:17 AM 'gregrisedorf@yahoo.com' New Date for Special Event and Temporary Assembly Special Event Documents to Reproduce.pdf; Temp Assembly Documents to Reproduce.pdf; Special Event Permit (DR8439).pdf Importance: High Greg, The State is going to require you to submit a new Special Event Permit application. We will need to reproduce your Special Event and Temporary Assembly documents to reflect the new date. I have attached both orginal applications to this email so that you can see what needs to be reproduced. We are looking at a hearing date of Monday, June 5, 2017 if we can get everything completed by then. Otherwise, we can schedule for Monday, June 12, 2017, but that would be cutting it a little close. Please let me know which date you would prefer. SPECIAL EVENT PERMIT: 1 New Special Event Permit Application and Fee: the blank application form is attached above. In addition to this document, you will be required to submit an additional permit fee of $25.00 made payable to the State of Colorado. Weld County is NOT requiring you to resubmit fees, so the $25.00 fee to the State is all that will be asked for. 2. Responses to the Weld County Questionnaire: please just update the dates on these two pages. 3. The Make A Wish Foundation of Colorado Consent and Approval Form: please submit a new letter with an updated date. 4. Certificate of Liability Insurance: please have this updated to reflect the new date. 5. Letter of Consent from Jim Anderson: please have him update this letter with the new date. 6. Special Event Permit Sign: I will make a new sign this morning that you can pick up at your convenience. It will need to be posted on the premises 10 days before the hearing. TEMPORARY ASSEMBLY PERMIT: 1. Responses to the Temporary Assembly Permit Application: please just update the dates on these three pages. 2. The Make A Wish Foundation of Colorado Consent and Approval Form: please submit a new letter with an updated date. 3. Certificate of Liability Insurance: please have this updated to reflect the new date. 4. Letter of Consent from Jim Anderson: please have him update this letter with the new date. 5. Email from Longmont Emergency Unit (LEU) for ambulance services: please have them reproduce this with the new date. 6. Email from Mountain View Fire Protection District: please have them reproduce this with the new date. 1 7. Email/Letter with Waste Management: please have them reproduce this with the new date. If you have any questions, please do not hesitate to reach out to me. I am more than happy to answer any and all questions. Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4225 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 Make -A -Wish® Colorado 7951 E. Maplewood Avenue, Suite 1 26 Greenwood Village, CO 801 1 1 303-750.9474 800.366.9474 fox 303-755-3108 www.colorado.wish.org CONSENT AND APPROVAL FORM MADE• ISH® This is a letter of Consent/Approval to show that Greg Risedorf is a representative of "Frank's Ride for Children", which benefits Make -A -Wish® Colorado, and has consent to sign permits and contracts ossociated with Frank's Ride for Children being held June 24, 2017. If you have any questions, please contact me. And thank you for helping us share the power of a wish®! Si cfrely, - Patti Forsythe Director of Events and Promotions Make -A -Wish Colorado Share the Power of a Wish'' 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, MAKE -A -WISH FOUNDATION OF COLORADO, INC. is a Nonprofit Corporation formed or registered on 05/02/1983 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 19871519647 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 03/28/2017 that have been posted, and by documents delivered to this office electronically through 03/29/2017 @ 17:01:01 . 1 have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 03/29/2017 @ 17:01:01 in accordance with applicable law. This certificate is assigned Confirmation Number 10160183 tic;rewrState of the State of Colorado End of Certificate Notice' .1 certificate Issued electronically from the Colorado Secretary of State's Web sae is fully and immediately valid and effective. However, as an option. the issuance and validity of a certificate obtained electronically may be established by visaing the Validate a Certificate page of the Secretary of State's Web site, htty : n ww sos.state.ca.us bi: CerlifiiateSeattcht'riterra 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 ii not necessary to die valid and effective issuance of a certificate. For more information, visit our Web sae, hair ii ntc:so.s. iunc co us: click "Businesses. trademarks, trade names" and select "Frequently Asked Questions." i �a �� srrrw�w to be issued to me), and Under penalties of perjury, I certify that 1. The number shown on this form is my correct taxpayer Identification number (or I am waiting for a mum because: (a) I am exempt from backup withholding, or (b) I have not been c) notifiedby � dividend t l am subject to h bad P and backup g the IRS that you are currently subject to backup withholding because on Instructions. You mast cross out item dnosabove if you htax return. bun nor red Y tram 2 doss not ect to bon up wage CFbeere se you nave failed to report olt ment of sect r d prop toy youf tax oo der real nt estate trons to an Individual arrangement cancellation of debt. contributions to an t fetirement ovide your correct TIN. See the ar general paid, acquisition other or than Interest and of secured you are not required to sign the certification. but you pr generally, payments interest dividends, instnxtions on page 4. Sign Here notified 2 tam not subject to backup withholding withholding as a result of a failure to report all interest or Internet Revenue fire l even that I am nerving r that no longer subject to 3. I am a U.S. citizen or other U.S, person (defined below). Rxm (Ref'. January 2011) Depletele t of the Treasury internal Revenue Service Name (as stow' on yOUr income tax return) Business namerderegarded entity name, if different from above Make-A•Wish Foundation of Colorado. Inc. Check approPr'dte box for federal lax Classification (required): 0 Individual/sofa proprietor ❑ Limited liability camPanY• Enter the tax claS5ificatton (C.C corporation. S. -S corporation. partnership) v — Requester's name and address lopmnat 0 Other (see instructions or suite no.) (number, street, and ap1 . 7951 E. Maplewood Avenue, Suite 126 City, state. and P code Greenwood Village, CO 80111 Urn account number(s) here (oetionat • �. Tax• _ er Identification Number inn on the 'Name' One box. The TN provided must match the name given for a Enter your TIN Inp the appropriate3• won other to avoid backup withholding. For Individteals, this is your social security number ISSN). However, resident alien, sole proprietor, or disregarded entity, seehyou e Partdo not ha ve a n on page How to get a entities, it is your ernployet identification number (E M• TIN on page 3. 48e the chart on page 4 for guidelines on whose Note. If the account IS In more than one name, number to enter. p. Request for Taxpayer identification Number and Certification Give Form to the requester. Do not send to the IRS. []J C Corporation ❑ S Corporation ❑ Partnership O Trust/astale 0 Exempt payee tiiorsebrra • u.s. person General Instructions Section references are to the Internal Revenue Coda snows otlrorwke noted. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer Identification number (TiN) to report, example, income paid to you, real estate transactions, mortgage Interest you paid, acquisition or abandonment of secured property, cancellation of debt or contributions you made to an IRA. Use Form W-9 only if you area U.S. person (in erso (indingrequestinge e sident Men), en), to provide your correct TIN to the person requester) and, when applicable. to: are walling for a t , Certify that the TIN you are giving is correct (or you number to be issued), withholding, or 2. Certify that you are not subject to backup 3. Claim exemption from backup withholding it you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of efteCtiVety connected income. Otte ► Note. its requester gives you a tone other than Form W-9 to request your TIN, you must use the requester's form if it Is substantially similar to this Form W-9. Deflnitl0n of a U.S. person. For federal tax purposes, you are eonaldervd a U.S. person wyew ere- An Individual who is a U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association created or organized In the United States or under the laws of the United States. • An estate (other than a foreign estate), or a A domestic trust (as donned in Regulattons sect01 t atrade or 0 Special rules for partnerships. Partnershipsthat a withholdin business in the United States are generally required to pay g mx on arty foreign partners' share of income from such business. Further. In certain cases where a Form W-9 has not been received, a partnership Is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, it you area U.S. person that is a partner in a partnership conducting a trade or business in the Unit U.Sed States, provide Form W-9 to the partnership to establish your status and avoid withholding on your share of partnership income. Cat. No. 50231X Form W-9 (Rev. 1-20111 LETTER OF CONSENT I, Jim Anderson, do hereby authorize the use of my property for the sole purpose of holding the event known as Frank's Ride for Children. This event benefits Make -A -Wish Foundation of Colorado and is sicheduled for Saturday June 24th, 2017. I understand there will be approximately 1,000 to 1,500 people attending, as well as staff members from Frank's Ride and Make -A -Wish Foundation of Colorado. It is also my understanding that there will be roast pork and beef (served with all the trimmings), alcoholic /non-alcoholic beverages, as well as live entertainment on the event premises. My property is completely fenced with one main gate serving as the main entrance to the event premises. Respectfully, Ji 6728 WCR 3 1/4 Erie, Colorado 80516 m An erson a A DCERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 DATE ( 05/24/2017' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis of Arizona, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230-5191 CONTACT NAME PHONE FAX (A/C Nn FXT) 877-945-7378 FANO). 888-467-2378 AnnRFSS certificates@willie.com I NSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Philadelphia Indemnity Insurance Company 18058-001 INSURED Make -A -Wish Foundation of America Make -A -Wish Foundation of Colorado 7951 E. Maplewood Avenue Suite 126 Greenwood Village, CO 80111 I INSURER B: INSURER C: INSURER O: INSURER E: INSURER F: • REVISION NUMBER:See Remarks vTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE WSnL SUBR POLICY NUMBER (MM/Inrni Ems) POLICY) IUn Ems) LIMITS A X COMMERCIAL GENERALLIABILITY Y PHPK1544332 9/1/2016 9/1/2017 $ 1,000,000 (EAACCHH(OFC7CUU.RRRENCE PR EMf5ES(taEoNccTuErence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 $ 2,000,000 GENERAL AGGREGATE GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ A AUTOMOBILE X x LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY x SCHEDULED AUTOS NON -OWNED AUTOS ONLY PHPK1544332 9/1/2016 9/1/2017 COaaccideMBINEnDNGLELIMIT E SI $ 1,000,000 BODILY I NJURY(Per person) $ BODILY INJURY(Per accident) $ PROPERTYDAMAGE $ A X UMBRELLAUAB EXCESS LIAB X OCCUR CLAIMS -MADE PHUB554613 9/1/2016 9/1/2017 EACH OCCURRENCE $ 5,000,000 $ 5,000,000 AGGREGATE $ DED I X !RETENTION $ 10, 000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? Mandatory.lnNH) It es, descnbe under DESCRIPTION OF OPERATIONS below NIA A PER 0TH - STATIITE I I FR E.L. EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 1/25/2017 WITH ID: 25175449 Office ID #: 009-000 Event Name: Frank's Ride for Children Event Date: 06/24/2017 Certificate Holder is included as an Additional Insured as respects to General Liability if reauired by written contract. CERTIFICATE HOLDER CANCELLATION Colorado State Patrol - Special Events Unit Attn: Capt. Ron Prater 15055 S. Golden Road Golden, CO 80401 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) Coll: 5080271 Tpl :2123729 Cert: $489728 ©1988-201CORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A 1® CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 DATE ' 05/(241/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis of Arizona, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230-5191 CONTACT NAMF PHONE FAX ((A/C Nn Fxrp 877-945-7378 (B/c Nn) 888-467-2378 AnnRFS5 Certi£1Cate8QWi11]s.COm A�nRF INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Philadelphia Indemnity Insurance Company 18058-001 INSURED Make -A -Wish Foundation of America Make -A -Wish Foundation of Colorado 7951 E. Maplewood Avenue Suite 126 Greenwood Village, CO 80111 I INSURER B: INSURER C: INSURER a INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 25489727 REVISION NUMBER:see Remarks THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR i TRANSI')wVn TYPE OFINSURANCE ADDL SUBr. POLICY NUMBER POLICY EFF puninr)/YYYY) POLICY EXP ommnnnrWYL LIMITS A X COMMERCIAL GENERALLIABIUTY Y PHPK1544332 9/1/2016 9/1/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ]( OCCUR npAAp��FF7 ENTED PREMf5E5�aoccurence) $ 100,000 MED EXP (Any one person) $ 5, 000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT POLICY JECT OTHER APPLIES PRO- PER: LOC GENERAL AGGREGATE $ 2,000,000 X PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY PHPK1544332 9/1/2016 9/1/2017 EaaccldenCOMBINED SINGLE LIMIT $ 1,000,000 X BODILY I NJURY(Per person) $ BODILYINJURY(Peraccident) $ X S PROPERTY DAMAGE (Per accident) $ _ $ A UMBRELLA LIAB EXCESS LIAB X OCCUR PHUB554613 9/1/2016 9/1/2017 EACH OCCURRENCE S 5,000,000 X CLAIMS -MADE AGGREGATE $ 5,000,000 DED ! X !RETENTIONS 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? fMandatory, In NH) 1 es, describe under DESCRIPTION OF OPERATIONS below NIA PER JpTH- STATI ITF 1 FR E.L. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYEE S E DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 1/25/2017 WITH ID: 25175453 Office ID #: 009-000 Event Name: Frank's Ride for Children Event Date: 06/24/2017 Certificate Holder is included as an Additional Insured as respects to General Liability if required by written contract. CERTIFICATE HOLDER CANCELLATION McLane Company Inc., it's parent & all subdidiaries, affiliates & divisions 2100 E. Ken Pratt Blvd. Longmont, CO 80504 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) Co11:5080270 Tp1:2123729 Cert:89727 ©1988-201574 CORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORE® CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 DATE (MM/DD/YYYY) 05/24/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willie of Arizona, Inc. c/o 26 Century Blvd. P. 0. Box 305191 Nashville, TN 37230-5191 CONTACT NAMF• PHONE FAX (A/C: NO FXT) 877-945-7378 (A/c NOF 888-467-2378 E-MAIL certificates@willis.com AnnRF INSURER(S)AFFORDING COVERAGE NAIC e INSURER A: Philadelphia Indemnity Insurance Company 18058-001 INSURED Make -A -Wish Foundation of America Make -A -Wish Foundation of Colorado 7951 E. Maplewood Avenue Suite 126 Greenwood Village, CO 80111 I INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: TE NUMBER: 25489725 REVISION NUMBER:See Remarks THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I'M TYPE OF INSURANCE ADDL )usn SUBP. WVn POLICY NUMBER POLICY EFF (MMIJIrIJYYYY) POLICY EXP (MMmn/YYYY) LIMITS A X COMMERCIAL GENERAL UABILITY Y PHPK1544332 9/1/2016 9/1/2017 EACH OCCURRENCE $ 1,000,000 ppM�AA 77 r (nce) PRf=M SaEr $ 100, 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L X AGGREGATE POLICY OTHER LIMIT APPLIES PRO- JECT PER. LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE _ LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY(Perperson) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I 'RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER 1EXCLUDED? ( 11Man de crynb untler DESCRIPTION OF OPERATIONS below N/A I PER 101H - STATI ITF I FR E . EACH ACCIDENT $ E . DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schedule, may be attached If more space is required) THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 1/25/2017 WITH ID: 25175457 Office ID #: 009-000 Event Name: Frank's Ride for Children Event Date: 06/24/2017 Certificate Holder is included as an Additional Insured as respects to General Liability if required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Weld County Government 1762 weld County Rd. 20 1/2 Longmont, CO 80504 ACORD 25 (2016/03) Coll:5080268 Tp1:2123733 Cert:.,51$89725 ©1988-2018'l4CORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORE® CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 DATE (MM/DDIYYYY) 05/24/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis of Arizona, Inc. c/o 26 Century Blvd. P. 0. Box 305191 Nashville, TN 37230-5191 CONTACT NAME' PHONE FAX (l+rC NO EXT) 877-945-7378 I (Air: Nov888-467-2378 EMAIL AnnRFss certificates@willis.com INSURER(S)AFFORDI NG COVERAGE NAIC # INSURER A: Philadelphia Indemnity Insurance Company 18058-001 INSURED Make -A -Wish Foundation of America Make -A -Wish Foundation of Colorado 7951 E. Maplewood Avenue Suite 126 Greenwood Village, CO 80111 I INSURER B: INSURER C: INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 25489723 REVISION NUMBER:see Remarks THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TR TYPE OF INSURANCE ADDL INSn SUBI wvn POLICY NUMBER POLICY EFF JMM/nnmYY) POLICY EXP (MMinnnWY) LIMITS A X COMMERCIAL GENERAL UABILITY Y PHPK1544332 9/1/2016 9/1/2017 EACH OCCURRENCE $ 1,000,000 pp�p�;ETQ}�aEoNccureDnce) PREMISES (t $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONALSADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L X AGGREGATE POLICY OTHER LIMIT APPLIES PRO- JECT PER- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE - LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED O sB GEDSINGLE LIMIT $ BODILY I NJURY(Per person) $ BODILYINJURY(Peraccident) $ PROPERTY DAMAGE (Per accident) $ A X UMBRELLAUAB EXCESS LIAB X OCCUR CLAIMS -MADE PHUB554613 9/1/2016 9/1/2017 EACHOCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ DED I X RETENTION$ 10,000 WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? fMandatory In NH) t es, describe under DESCRIPTION OF OPERATIONS below NIA PER 0TH - STATI ITF FR E.L. EACH ACCIDENT $ EL. DISEASE -EA EMPLOYEE S E L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 5/9/2017 WITH ID: 25469634 Office ID #009-000 Event Name: Frank's Ride for Children Event Date: June 24, 2017 Certificate Holder is included as an Additional Insured as respects to General Liability if reauired by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Larimer County 200 W. Oak Street Fort Collins, CO 80521 ACORD 25 (2016/03) Col1:5080266 Tp1:2147813 Cert: 489723 ©1988-2019 SC CORD CORPORATION.AIlrightsreserved. The ACORD name and logo are registered marks of ACORD Chloe Rempel From: Sent: To: Subject: Gregory Risedorf <gregrisedorf@yahoo.com> Monday, April 10, 2017 10:02 AM Chloe Rempel Franks Ridefor children nc. gc-1 +h Franks Ride for Children is having an event open to the public on Saturday May 20th, and we will be serving food on behalf of the non-profit organization Frank's Ride for Children, for the benefit of Make a Wish Foundation of Colorado, Inc. we will not have any outside vendors for food or merchandise. Potable water is on site in the house and main food building and which has a licensed kitchen. along with a pallet of bottled water which was donated by McLane Western. I will also have 40 cases of assorted pop available. Greg Risedorf 1 Chloe Rempel From: Sent: To: Cc: Subject: Frank Haug Monday, April 10, 2017 10:22 AM Chloe Rempel Esther Gesick RE: Food Requirements for Temporary Assembly Applications Okay, go ahead and just make sure you do what Dan says is appropriate. Frank N. Haug Assistant Weld County Attorney 1150 O Street Mailing Address: P.O. Box 758, Greeley, CO 80632 tel: (970) 356-4000 x4394 fax: (970) 352-0242 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 Message From: Chloe Rempel Sent: Monday, April 10, 2017 10:20 AM To: Frank Haug <fhaug@co.weld.co.us> Cc: Esther Gesick <egesick@co.weld.co.us> Subject: Food Requirements for Temporary Assembly Applications Hello, I just spoke with Dan Joseph about food license requirements for Temporary Assembly Permit applications because Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. would like to serve their own food at an event held at Anderson Farms. Temporary Assemblages can operate under an existing food license if the application is being submitted by the license holder. Or, if the application is being submitted by someone other than the license holder and it is a non-profit organization, they can serve their own food if they submit a letter or email along with their application stating that they are having an event open to the public on such and such a date, and will be serving food on behalf of a non-profit organization. Chloe A. Rempel Deputy Clerk to the Board Weld County 1 1U, r J� N v' 5 N CI) §-p } g H Y io O O MO 0 1.-- m • N Q c` O d v S g c r r ▪ O - N O 8 m O O) M O N J 'E Y S E I. 'his is your Official TIPS' Certification Card. airy it with you as evidence ut your sIsi!!s an;! k ... . telt tie and consumption ot alcohol. ;ongratulations! By successfully completing the TIPS (Training rogram, you have taken your place in the faretr •" reduce the tragedies resulting from the mtsu!.:: articipation in the TIPS program. and�or You will help to provide a safer envir7nmcnt f .:. . ` olleagues by using the techniques you hays 2. -' • .pproach towards alcohol use. If you have any information you think would f we can assist you in any way. please contact us a: 'or your dedication to the responsible sale and car.::c; .::•.'• • ; . . Sincerely. Adam F. Ch.::'.;. President. Ht : re51 IMPORTANT: Keep a copy of this card for your records. write uowu your certification number because you will need it when contacting TIPS. '=or assistance or additional information, contact Health Communications, Inc. by u+tttg the information provided on the reverse side of your certification a.tc. There is a minimal charge for a replacement card if your original card becomes lost, damaged or stolen. liws issued: I pa: On Premise 3/9/2015 3934789 SSN: XXX-XX-XXXX Expires: 3/1/2018 D.O.B.: XMC0000(, DIXIE A ARENDS 312 Kirkland Ln Johnstown, CO 80534-4834 For service visit us online at www.gettlps.dt>m Richard Johnson, 80224 Aar This is your Official TIPS® Certification Card. :ongratulations! .:,,ureSi :Meal • .ur dIO r IMPORTANT: Keep a copy of this card for your records. wnte Gown y,iur certification number because you will need it when contacting TIPS. For assistance or additional information, contact Health Communications, lr.c. h) using the information provided on the reverse side of your certification There is a minimal charge for a replacement card if your original card becomes lost, damaged or stolen. On Premise 3/9/2015 3934807 SSN: Expires: D.O.B.: )00(4O(-0OO: 3/1/2018 )O(1)Owoo MICHAEL L CROWDER 324 Emery Dr Longmont, CO 80501-1518 For service visit us online at www.gettlps.com Richard Johnson, 60224 'his is your Official TIPS' Certification Card. arry it with you as evidence of your •hill' and k!.-' de and consumption of alcohol. :ongratulations! By successfully completing the TIPS (Training ?. •' rogram. you have taken your place in the fnrfron, reduce the tragedies resulting from the misuse - ,atticipation in the TIPS program. You will help to provide a safer environment Cot ot,- olleagues by using the techniques you have teamed ce' tpproach towards alcohol use. If you have any information you think wnuiu f we can assist you in any way. please contactOr your dedication to the responsible sale and Sincerely. Adam I-. Ch:.�c..- Piesidcnt. 1't_ . :'r eedureSJ :.:.o‘;ctnent n el�•. '.. Vts anittor . tllli. nt?siti Ve This is your Official TIPS' Certification Card. Carry it with you as evidence of you+ sills and +.c.':' sale and consumption of alcohol. Congratulations! By successfully completing the TIPS t'i ramiop:, program, you have taken your place in th:; tief!/:. to reduce the tragedies resulting from the misuse participation in the TIPS program. cs a;t;Jor You will help to provide a saler environment : p e colleagues by using the techniques you base leer".^...''- •' approach towards alcohol use. If you have any information you think would 7IPS or .. .-_ �1.), lil�lnp, toe if we can assist you in any way, please contact us .c: for your dedication to the responsible sale and con,,;:,Ivoho!, Sincerely. Adam F. Chute:, President. HO u• Pro.eJurcS) mo:catent e . . LC' YOU]. IMPORTANT: Keep a copy of this card for your records. waste cow" your certification number because you will need it when contacting TIPS. P,.: assistance or additional information, contact Health Communications, re. by using the information provided on the reverse side of your certification .Iz,ru. There is a minimal charge for a replacement card if your original card becomes host. damaged or stolen. This is your Official TIPS' Certification Card. Carry it with you as evidence of your skills and ku, ponaiiri: sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training tut hm;cr;;;,t+,'n ProcedureS) program, you have taken your place in the foretron< <a . aura ide movement to reduce the tragedies resulting from the misuse, ;"1 tint your participation in the TIPS program. You will help to provide a safer environment f, r ,'L :*:,tr ' m•• icecr'' umi/or colleagues by using the techniques you have lear;.,_:t '.rii, ;:k u.= a positive approach towards alcohol use. If you have any information you think would eeim.,:a,:.::it: TIPS program. or .:,txThank you if we can assist you in any way. please contact a, a' - 1 he for your dedication to the responsible sale anti Sincerely. [ Adam F. Chalet'. President. HC:i On Premise Issued: 3/9/2015 3934806 SSN: XXX-XX-XXXX Expires: 3/1/2018 D.O.B.: )0(JXX1X . RHEANNON S WEAVER 101 Cattail Ct Mead, CO 80542-9760 For service visit us online at www.gettips.com Richard Johnson, 60224 IMPORTANT: Keep a copy of this card for your records. Write down •,our certification number because you will need it when contacting TIPS. For assistance or additional information, contact Health Communications, Inc. by using the information provided on the reverse side of your certification ,.•: rd. There is a minimal charge for a replacement card if your original card becomes lost. damaged or stolen. r• lus isucd: iC>x On Premise 3/9/2015 3934805 SSN: Expires: D.O.B.: ANTHONY J WEAVER 101 Cattail Ct Mead, CO 80542-9760 XXX-XX-X00( 3/1/2018 For service visit us online at www.gettps-corn Richard Johnson, 60224 IMPORTANT: Keep a copy of this card for your records. Write down v Liar ce;;itication number because you will need it when contacting TIPS. Fee ;nsistanee or additional information, contact Health Communications. Inc. by using the information provided on the reverse side of your certification ,:ard. There is a minimal charge for a replacement card if your original card becomes lost, damaged or stolen. • I Issued: i ID4: On Premise SSN: XXX-)0(-X)00( 3/9/2015 Expires: 3/1/2018 3934798 D.O.B.: )0(/XX/XXX)( GREGORY A RISEDORF 2544 Jarett Dr Mead, CO 80542-9783 For service visit us online at www.getlips.com Richard Johnson, 60224 1 'his is your Official TIPS* Certification Card. arry it with you as evidence of you! xKills and i n. " ; de and consumption of alcohol. 'ongratulations'. "r ice -Mires By successfully completing the TIPS tTrainin i+* t'= rogram, you have taken your place in the foretron . I ", „'''• '.! n.e-..l:nest reduce the tragedies resulting from the misuse of t'ur .articipation in the TIPS program. You will help to provide a safer environment to „ a"trot olleagues by using the techniques you have leaur .l pproach towards alcohol use. If you have any information you think would :'.'''- !'`-= :'roeiam. or f we can assist you in any way, please contact us a: 'rr, _::;-•p,;. tgatlk you 'or your dedication to the responsible sale and :,*r "' Sincerely, . . Adam F. Cha(et., President. 1~IC1 This is your Official TIPS' Certification Card. Carry it with you as evidence of your skills and kn= • .'„ , +:' tha responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS tTrairmn I.•I I,-,•.: ProcedurcS) program, you have taken your place in the forefront .,r.: s:u ,•,.vvtu movement to reduce the tragedies resulting from the miwtic ,,:, „i '''' '.opus your participation in the TIPS program. You will help to provide a safer environment h '._"` ansllor colleagues by using the techniques you have Ic:un a • •: L• r hive approach towards alcohol use. If you have any information you think would :n!:..:= ::,rarrt. or if we can assist you in any way, please contact - - :'a' "dark you for your dedication to the responsible sale anti Sincerely. --�w‘," Adam F. Ch,d'rt' President, !ICI This is your Official TIPS' Certification Card. Catty it with you as evidence of your skills and km'' ft-on<I h;C sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training a' • program, you have taken your place in the forefront to reduce the tragedies resulting from the ntrsu.c• .,i participation in the TIPS program. You will help to provide a safer environment nor colleagues by using the techniques you hase learn approach towards alcohol use. If you have any information you think would enia_ttte i-:r'I'II'S program. or •I. Thank you if we can assist you in any way, please contact us � --� for your dedication to the responsible sale and n -t...:7, t-,ti',tie.thol Sincerely. / Adam F. Chalet , President. HC! c term ProcedureSl movement We value your andior _ p, t:.itivc IMPORTANT: Keep a copy of this card for your records. write (Juw„ your certi lication number because you will need it when contacting TIPS. For assistance or additional information, contact Health Communications, Inc. by using the information provided on the reverse side of your certification J. There is a minimal charge for a replacement card if your original card becomes lost, damaged or stolen. 1iWS Ws issued: • ins On Premise 3/9/2015 3934792 SSN: XXX-XX-XXXX Expires: 3/1/2018 D.O.B.: )0(/)0(J)000(. ROBERT D STOVER 101 Cattail Ct Mead, CO 80542-9760 For service visit us online at www.gettips•com Richard Johnson, 60224 I IMPORTANT: Keep a copy of this card for your records. Write down your certification number because you will need it when contacting TIPS. For assistance or additional information, contact Health Communications, Ins. by using the information provided on the reverse side of your certification card. There is a minimal charge for a replacement card if your original card becomes lost, damaged or stolen. On Premise 3/9/2015 3934791 SSN: XXX->D0000( Expires: 3112018 D.o.B.: locn0(x 00( ROBERT M SICKLER 12260 WELD COUNTY RD 5 Firestone, CO 80504 For service visit us online at www.gettips.corrt Richard Johnson, 60224 IMPORTANT: Keep a copy of this card for your records. Write down our certifcation number because you will need it when contacting TIPS. For assistance or additional information. contact Health Communications, inc. by using the information provided on the reverse side of your certification card. There is a minimal charge for a replacement card if your original card becomes lost, damaged or stolen. I.sued: 11: 1 l On Premise 3/9/2015 3934793 SSN: X70(-XX4C00C Expires: 3/1/2018 D.O.B.: )7/fit BETH M STOVER 22200 PRATT ST Longmont, CO 80501 For service visit us online at www.9ettips.com Richard Johnson, 60224 1 J is is your Official TIPS® Certification Card. rn• it with you as evidence of your skids and e and consumption of alcohol. ongratulations'. Train:r.: By successfully completing the TIPS l - ogram, you have taken your place in the reduce the tragedies resulting from the .'ususC 3rticipation in the TIPS program. You will help to provide a safer en` iron's.'? olleagucs by using the techniques you Ii.' pproach towards alcohol use. If you have any information you thin„ f we can assist you in any way. please simian` For your dedication to the responsible sic re.1 Sincerely. , Adam F. (Thaie_' President. Hs. • n,ct':ureS) :r, r:'c,rtent ndJor . ,r, gratin, or .s4: you This is your Official TIPS® Certification Card. Carry it with you as evidence of your ;kill, ,; sale and consumption of alcohol. Congratulations! By successfully completing the TIPS i"Iraniing program, you have taken your place in the ft".rrir: to reduce the tragedies resulting from the misuse participation in the TIPS program. You will help to provide a safer ens irunment colleagues by using the techniques you have lea, r approach towards alcohol use. If you have any information you think would c:,,', if we can assist you in any way, please contact u' for your dedication to the responsible sale Sincere; y. JOIN' Adam F. ('ltitl ('resident. IiCI to:r ❑ ..:i rot This is your Official TIPS® Certification Card. Carry it with you as evidence of )..our ...Lilts :Inn La--. sale and consumption of alcohol. Congratulations! By successfully corpleting the TIPS tTra:tting program, you have taken your place in the furefr ).,. to reduce the tragedies resulting from the misuse . . participation in the TIPS program. You will help to provide a saner environment .. �': Keep a copy IIVIPORTAN you will need it when contacting ,ottr certification or numbeor nr al becau-u v your certification r' b. ,,sing the information provided d on hearereverse side of icar i fie your original card T here i•. a minimal charge for a replacement card if becomes lost. damaged or stolen. Ott moverncni colleagues by using the techniques you have learned . ;u k it:g a positive approach towards alcohol use. If you have any information you think would , th.,,r. c ;,:c 1't PS program. or if we can assist you in any way. please somata us al ' ' I •' 2>51 "1'iutnk you for your dedication to the responsible sale and Sincerci „ Adam F. Chile:: President. Hi'! res. Issued: 11)#: On Premise 379/2015 3934803 SSN: )p(X XX-XXXX Expires: 3/1/2018 D.O.B.: X)UXXI>00(X• JENNIFER B ASAMOTO 12260 WELD COUNTY RD 5 LONGMONT, CO 80504 For service visit us online at www•yettips.com Richard Johnson, 60224 IMPORTANT: Keep a copy of this card for your records. Write down certilit:ation number because you will need it when contacting TIPS. t., :.sistance or additional information. contact Health Communications, by using the information provided onar reverse side e ofyoyour r oric ertinalticati n There is a minimal charge for a replacement nceomes lost, damaged or stolen. On Premise 3/9/2015 11-.1± 3934799 SSN: )0X-XX-X)00( Expires: 3/1/2018 D.O.B.: XX/XX0000f ERIC D GEIST 1708 Rolling View Dr Loveland, CO 80537-7494 For service visit us online at www.gettios.Co1n Richard Johnson, 60224 IMPORTANT: Keep a copy of this card for your records. Write down ,our certification number because you will need it when contacting TIPS. For assistance or additional information, contact Health Communications, inc. by using the information provided on the reverse side of your certihcatio r J. There is a minimal charge for a replacement card if your original card becomes lost, damaged or stolen. On Premise 3/9/2015 3934796 SSN: )CXX-XX-X)O(X Expires: 3/1/2018 D.O.B.: XX/)0(/X000( TAMMY MARIE RISEDORF 2544 Jarett Dr Mead, CO 80542-9783 For service visit us online at www.gettipa.com Richard Johnson. 60224 I' J 3 3 O t - U 2 0 - � a. OO OD u� N- X 0 CO N 10 co 0 U a) a) RECEIPT DATE S/v"7 RECEIVED FROM Fran's Riic7£. (or C ir%I ref> _ ADDRESS 954 4-1- `y arre H- r1v& , MA4%8 059'a e • .� Iit'� O o HOW ID CASH J CHECK np S 00 MONEY ORDER NO. 89307 f t 1c Rcscfrudvle �ver�t PO Box 758 0 a o • a U 0 m • m co O • 0 o a') a Y co 0 m T o 3 U O. C.D 0 o o 6- U Greeley CO 80632 RECEIPT DATE 3/8Y-1/11 NO RECEIVED FROM Fr-0gm , R; des for ClAr.itdrer� ADDRESS 3SL1c't ) cce4* ivG, 8, C 0 ' DATE 31ft.-1 RECEIPT 89199 NO 89200 RECEIVED FROM Fran K '5 (-%des (r C',,1 d ren ADDRESS c��(.i'•1 .T' re -4-* O r ik/ (YUa.J . CO 8O54Q O Ana ht<nd«d dottoor, t °Oltoo — s tOO.00 FOR C.,cJ GA -C) Spec; Q-A event Fee. HOW PAID usr d+ecx `O0 00 H t 'lOG BY ei'"\0 RECEIPT DATE p. Lgur►1 NO 89201 RECEIVED FROM [-rrGt.nK '5 R" d e S Q r CV); I dreh ADDRESS 'D544 0'arr4+4 Oc i ye. . 44 1 cc goSy Ont.. Honored abl l ar.s a- O0(coo s tco • oo FOR W e L 0 `rG[11�brc C�SS,ev HOW PAID CASH CHECK tO O 0 0 4# It OM BY O Chloe Rempel From: Sent: To: Subject: Attachments: Janet Lundquist Monday, April 10, 2017 2:19 PM Chloe Rempel RE: TEMPORARY ASSEMBLY PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. Temp Assembly Frank's Ride 041017.doc Here you go. I just made one referral for both the Temporary Assembly & the Special Event Permit. Janet Lundquist Support Services Manager Weld County Public Works Dept. P.O. Box 758, Greeley, CO 80632 Tele-970.356.4000 ext 3726 Fax- 970.304.6497 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: Monday, April 10, 2017 1:10 PM To: Bethany Pascoe <bpascoe@co.weld.co.us>; Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Frank Haug <fhaug@co.weld.co.us>; Janet Lundquist <jlundquist@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us>; Sam Kaneta III <skaneta@co.weld.co.us> Subject: TEMPORARY ASSEMBLY PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. Hello, In accordance with the procedure for processing Temporary Assembly Permit Applications, please review all records on the following document/establishment for any associated reports/incidents and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering the Applicant's Temporary Assembly Permit. Please note that the applicant has been in contact with the fire district and they have approved the event, but the applicant is still awaiting the letter from the fire district stating such. PLEASE RESPOND NO LATER THAN: Monday, April 17, 2017 by 5:00 PM Applicant: Frank's Ride for Children for the benefit of Make a Wish Foundation of Colorado, Inc. Gregory and Tammy Risedorf 2544 Jarrett Drive 1 Mead, CO 80542 Event Address: Anderson Farms 6728 County Road 3 1/4 Erie, CO 80516 File Location: LC0022 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4225 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 MEMORANDUM TO: Esther Gesick, Clerk to the Board DATE: April 10, 2017 FROM: Janet Lundquist, Public Works SUBJECT: Temporary Assembly & Special Event Permit- Frank's Ride The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows: REQUIREMENTS: 1 No parking will be allowed on Weld County Roadways. 2. Approximately 1,500 vehicles will require parking on the property 3. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 4. Please utilize the Traffic Control Plan (TCP) used at last year's event. 5. Please submit an Incident Action Plan for the Office of Emergency Management. Page - I - of 1 April 10, 2017 C:i Users lcrempel\AppData\Local'Microsoft\' 'indnws\Temporary Internet Files \C'ontent.Outlook\PIOEICGB\Temp Assembly Frank's Ride 041017 doe ereanu-..unaurnuwsa:ywcr- Chloe Rempel From: Sent: To: Subject: No concerns from building Thanks Jose Gonzalez Asst Building Official Planning Services 155.5N17^Ave 970-400-3533 Jose Gonzalez Tuesday, April 11, 2017 8:16 AM Chloe Rempel; Bethany Pascoe; Dan Joseph; Deb Adamson; Frank Haug; Janet Lundquist; Roy Rudisill; Sam Kaneta m RE: TEMPORARY ASSEMBLY PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. 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: Monday, April 10, 2017 1:10 PM To: Bethany Pascoe <bpascoe@co.weld.co.us>; Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Frank Haug <fhaug@co.weld.co.us>; Janet Lundquist <jlundquist@co.weld.co.us>; Jose Gonzalez <jonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us>; Sam Kaneta III <skaneta@co.weld.co.us> Subject: TEMPORARY ASSEMBLY PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. Hello, In accordance with the procedure for processing Temporary Assembly Permit Applications, please review all records on the following document/establishment for any associated reports/incidents and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering the Applicant's Temporary Assembly Permit. Please note that the applicant has been in contact with the fire district and they have approved the event, but the applicant is still awaiting the letter from the fire district stating such. PLEASE RESPOND NO LATER THAN: Monday, April 17, 2017 by 5:00 PM Applicant: Frank's Ride for Children for the benefit of Make a Wish Foundation of Colorado, Inc. Gregory and Tammy Risedorf 1 Chloe Rempel From: Sent: To: Subject: Sam Kaneta III Tuesday, April 11, 2017 8:52 AM Chloe Rempel RE: TEMPORARY ASSEMBLY PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. I've reviewed our RMS (Spillman) and found no significant issues with the address, the charity or the operators/managers of the event. The Sheriff's Office has no concerns with the event. Sam Kaneta III Weld County Sheriff's Office 1950 O Street Greeley, CO 80631 970-356-4015 ext 2877 skaneta@co.weld.co.us From: Chloe Rempel Sent: Monday, April 10, 2017 1:10 PM To: Bethany Pascoe <bpascoe@co.weld.co.us>; Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Frank Haug <fhaug@co.weld.co.us>; Janet Lundquist <jlundquist@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us>; Sam Kaneta III <skaneta@co.weld.co.us> Subject: TEMPORARY ASSEMBLY PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. Hello, In accordance with the procedure for processing Temporary Assembly Permit Applications, please review all records on the following document/establishment for any associated reports/incidents and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering the Applicant's Temporary Assembly Permit. Please note that the applicant has been in contact with the fire district and they have approved the event, but the applicant is still awaiting the letter from the fire district stating such. PLEASE RESPOND NO LATER THAN: Monday, April 17, 2017 by 5:00 PM Applicant: Frank's Ride for Children for the benefit of Make a Wish Foundation of Colorado, Inc. Gregory and Tammy Risedorf 2544 Jarrett Drive Mead, CO 80542 Event Address: Anderson Farms 6728 County Road 3 Erie, CO 80516 File Location: LC0022 Thank you, Chloe A. Rempel Deputy Clerk to the Board Chloe Rempel From: Sent: To: Cc: Subject: Attachments: No issues with this one. Please see attached. Dan Joseph Tuesday, April 11, 2017 8:32 AM Chloe Rempel Deb Adamson RE: TEMPORARY ASSEMBLY PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. Temporary Assembly Memo Frank's Ride for Children 2017.doc Dan Joseph CP-FS Food Program Coordinator Weld County Department of Public Health and f:nvironment 1555 North 17th Avenue Greeley. CO 80631 phone: 970.304.6415 x 2206 fax: 970.304.6-1 I I 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 a -mall 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: Monday, April 10, 2017 1:10 PM To: Bethany Pascoe <bpascoe@co.weld.co.us>; Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Frank Haug <fhaug@co.weld.co.us>; Janet Lundquist <jlundquist@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us>; Sam Kaneta III <skaneta@co.weld.co.us> Subject: TEMPORARY ASSEMBLY PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. Hello, In accordance with the procedure for processing Temporary Assembly Permit Applications, please review all records on the following document/establishment for any associated reports/incidents and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering the Applicant's Temporary Assembly Permit. Please note that the applicant has been in contact with the fire district and they have approved the event, but the applicant is still awaiting the letter from the fire district stating such. PLEASE RESPOND NO LATER THAN: Monday, April 17, 2017 by 5:00 PM Applicant: Frank's Ride for Children for the benefit of Make a Wish Foundation of Colorado, Inc. Gregory and Tammy Risedorf 1 Memorandum TO: Chloe Rempel FROM: Dan Joseph SUBJECT: Temporary Assembly Application DATE: April 11, 2017 CC: Debra Adamson In response to your request, Environmental Health Services has reviewed the Temporary Assembly Permit for the Frank's Ride for Children, located at 6728 County Road 3.25, in Erie, Colorado. After reviewing the application, the Department does not have any additional requirements or concerns. Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at djosenhra?co.weld.co.us. Thank you. .,. - c.�..� a,.eF wrra :.:w..c—:_et+. aw:mw Chloe Rempel From: Sent: To: Subject: Attachments: Bethany Pascoe Friday, April 14, 2017 8:14 AM Chloe Rempel RE: SPECIAL EVENT PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. LC0022.2017.doc Please see staffs attached referral response for both the SE and the TA applications. From: Chloe Rempel Sent: Monday, April 10, 2017 1:11 PM To: Bethany Pascoe <bpascoe@co.weld.co.us>; Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Frank Haug <fhaug@co.weld.co.us>; Janet Lundquist <jlundquist@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us>; Sam Kaneta Ill <skaneta@co.weld.co.us> Subject: SPECIAL EVENT PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. Hello, In accordance with the procedure for processing Special Event Permit Applications, please review all records on the following document/establishment for any associated reports/incidents and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering the Applicant's Special Event Permit. PLEASE RESPOND NO LATER THAN: Monday, April 17, 2017 by 5:00 PM Applicant: Frank's Ride for Children for the benefit of Make a Wish Foundation of Colorado, Inc. Gregory and Tammy Risedorf 2544 Jarrett Drive Mead, CO 80542 Event Address: Anderson Farms 6728 County Road 3 Erie, CO 80516 File Location: LC0022 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4225 1 MEMORANDUM To: Chloe Rempel, Deputy Clerk to the Board April 14, 2017 From. Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Review of the following Temporary Assembly Permit and Special Events Permit by the Department of Planning Services shows the following: Applicant: Frank's Ride for Children c/o Greg Risedorf 2544 Jarett Dr PO Box 327 Mead, CO 80542 Location of Event: Anderson Farms 6728 CR 3.25 Erie, CO 80516 Zone District: A (Agricultural) Event Date and Times: May 20, 2017 8:00 AM - 9:00 PM Attendance: 1000 to 1500, No more than 1500 people This property is currently permitted through AmUSR-1232 as a "Guest Farm". No existing violations were noted. SERVICE. TEAMWORK. INTEGRITY. QUALITY Chloe Rempel From: Sent: To: Subject: Roy Rudisill Monday, April 17, 2017 11:40 AM Chloe Rempel RE: SPECIAL EVENT AND TEMP ASSEMBLY PERMITS - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. No concerns from our Office. I haven't heard from the Fire Department but this is an event that historically has not been an issue. Roy Rudisill Director Office of Emergency Management 1150 O Street 970-304-6540 Office 970-381-0417 Cell 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: Monday, April 17, 2017 11:29 AM To: Roy Rudisill <rrudisill@co.weld.co.us> Subject: FW: SPECIAL EVENT AND TEMP ASSEMBLY PERMITS - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. Good Morning Roy, Can you please send a referral response for the attached applications? Thank you! Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4225 Hello