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Home My WebLink About20171085RESOLUTION RE: APPROVE 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 sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, 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 scheduled for one day only on May 20, 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 sum of TWENTY-FIVE DOLLARS ($25.00) 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 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 permit shall be effective from 8:00 a.m. on May 20, 2017, until 9:00 p.m. on May 20, 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. CG'• 50CRS), Ca -C GLPPL (-4/25M7 2017-1085 LC0022 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 19th day of April, A.D., 2017. BOARD OF COUNTY COMMISSIONERS WELD COJ4NTY, COLORADO ATTEST: d,,,,,f.,, ...,e Eo•„, Weld County Clerk to the Board BY: Cam" ` `x'",t""L, eputy Clerk to the Board ED County Attorney Date of signature: LA / a I/ Julie A. Cozad, Chair Me2--L.¢....c..r>"— teve Moreno, Pr -Te Sean P. Conway rbara Kirkmeyer • / 2017-1085 LC0022 O O N O N W U 41 rwrarraTeaTaTarr-rCC L. p ...' es./ . _ . , .., . _ . , ...J . .., . _ . , ..., ad _ . . / a, _MC, raCC.C.- - a If :t.„9 1 ^ v 1 " / ) ‘`-'4) i ) 1/4"; i!•w y .i I. • w r O U v / k 0.4 A � O � oQ • J it..) ~ O /4 / i U 011,1 , ,., Q141 CZ E-4 L Damon Miii 4 M8 _r: ,,, :J., 04 ,,, .7: :,,,, •. ... / _, i _1/4.) „ ,,, .4 a:: w , ..... r. r.so L1/4-0) .., .v .. ..d O 7, i•y \ L'iN , „ .: a-1 it Li. ;...,, 4+ —� = U ♦V CD oo 6 0: � N. N � 1 �"'' ....... g_‘_....... Is r yr F .• Ji ` 1 j rJ~ l +... �, n 1 rr 1•/ 1 � O ..,,,, r � � 1, se -11 LC 1w J — — ad J V r taO E ct 6. r . . . , (1 JTTTTTiccccc -��cccccccccc Reece.tdu fe 6 •r sa r 4.4 cra c. ft ram re • ca,4 Cl) z O z • O U z 0 V 4! z W Pm1 Rc) 0 H 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 FOUNDATION OF COLORADO INC - FRANKS RID FOR CHILDREN 6728 COUNTY ROAD 3 1/4 ERIE CO 80516 Permit Number: 4802057 Event Manager: GREG RISEDORF E SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS x:00 EVENT 1: -05/2-0/2017 8:f)0 am - Tyre �ionJet4i EVENT 2: EVENT 3: EVENT 4: EVENT 5: Ltd 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. 4/24/2017 LSS t Division Director autAket4,4\4}7sthicce Executive Director I C Ra sc Uied Department Use Only DR B439 (V6/28106) COLORADO DEPARTMENT OF REVENUE LtOUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 (303) 205-2300 IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT, YOU MUST BE NONPROFIT AND ONE OF THE FOLLOWING (Sea back for details.) SOCIAL [] ATHLETIC • FRATERNAL PATRIOTIC Li POLITICAL CHARTERED BRANCH, LODGE OR CHAPTER OF A NATIONAL ORGANIZATION OR SOCIETY O RELIGIOUS INSTITUTION APPLICATION FOR A SPECIAL EVENTS PERMIT 1g PHILANTHROPIC INSTITUTION 0 POLITICAL CANDIDATE MUNICIPALITY OWNING ARTS FACILITIES LIAB TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: 2110 MALT, VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY FERMENTED MALT BEVERAGE (3.2 Beer) $10.00 PER DAY 2170 1, NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE Make a Wish Foundation of ColoradQ, Ipc 2. MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE (include street, city/town and ZIP) Gregory Risedorf 2544 Jarett Drive Mead, CO 80542 DO NOT WRITE IN THIS SPACE LIQUOR PERMIT NUMBER State Sales Tax Number (Required) /Frank S� - 19871519647 • 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT (include street, city/town and ZIP) Anderson Farms 6728 County Road 3 1/4 Erie, CO .80516 NAME DATE OF BIRTH HOME ADDRESS (Street City, State, ZIP) 4. PRES.ISEC'Y OF ORG. or POLITICAL CANDIDATE GREG RISEDORF 05/ JARETT DRIVE; MEAD CO 80542 PHONE NUMBER 303-775-9190 5, EVENT MANAGER GREG RISEDORF 8. HAS APPLICANT ORGANIZATION OR POLITICAL CANDIDATE BEEN ISSUED A SPECIAL EVENT PERMIT THIS CALENDAR YEAR? NO (_.i YES HOW MANY DAYS? 05/ JARETT DRIVE; MEAD CO 80542 303-775-9190 7_ IS PREMISES NOW LICENSED UNDER STATE LIQUOR OR BEER CODE? NO YES TO WHOM? ~ 8. DOES THE aPPLEANT HAVE POSSESSION CR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? ®Yes No C LIST BELOW THE EXACT DATE(S) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT Date MAY, G 11 Hours From 8:00am -m, To 9:00 pm .m. Date Hours From To Date Hours From To Date Hours From To .m. .m. t Date Hours Fran To .m. .m. OATH OF APPLICANT r' in the second degree that 1 have read the foregoing application and all attachments thereto, and 1 declare under penalty of perjury � that al! information therein is true, correct, and complete to the best of my knowledge. SIGNATURE TITLE Chairman DATE 3 REPORT AND A - - .. OVAL OF LOCAL LICENSING AUTHORITY (CITY OR COUNTY) r l' t" has been a mined and the premises business conducted and character of the applicant is satisfactory, The foregoing app Ica Ian - , we and do report that such permit, if granted, will comply with the provisions of Title 12, Article 48, C.R.S., as amended. THEREFORE, THIS APPLICATION IS APPROVED. NUMBER OF CITY/COUNTY CLERK LOCAL LICENSING AUTHORITY (CITY OR COUNTY) Weld County, Colorado U • CITY TELEPHONE COUNTY 1(970) 356 4000 Ext 4225 TITLE Chair, Board of County Commissioners DO OT E IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY LIABILITY INFORMATION 7 DATE License Account Number Liability Date State -750 (999) (Instructions on Reverse Size) TOTAL 20171085 WELD COUNTY SPECIAL EVENT PERMIT QUESTIONNAIRE INSTRUCTIONS TO APPLICANT: Complete each section and mark "N/A" where not applicable. Additional sheets may be attached. All required information must be furnished before the application will be processed. i I 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. If a political canditate, attach copies of reports and statements that were filed with the Secretary of State. 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.)? A+'rcc_ke_o4 12. Explain, benefits in detail, from its operations the nature of your (attach organization, a separate sheet its if necessary). function, and who or what A- 4- I, r ac_at, of i i N 3. Who or what organization will be the recipient of funds derived from this event? 4. How many attendees are expected at this event? -e__ A kl-gc I\-cA Page 2 of 6 M:\CTB\LIQUOR\Forms i 4 I WELD COUNTY SPECIAL EVENT PERMIT QUESTIONNAIRE 5. Describe the premises where this event will take place. 5e c A-I-4-Rc.hr4 6. What type of security, if any, will be provided at this event? Sec A++aC- kt-of 7. How many security personnel, if any, will be on hand? SC C- A +fac- LUd 8. How will security, if any, be identified? A ±-�4ch ed will.surplus liquor be stored and locked during the event? LS e- e- A 4- +-a to/ 10. Explain how liquor (e.g. donated or purchased, etc.)? was obtained S c A4 --1-a c ke4 11. premises If this event is be marked being (e.g. held roped, outdoors, fenced, how etc.)? will the exterior boundaries of the 5 , c A++ Acktoi Page 3 of 6 M:\CTBILIQUOR\Forms WELD COUNTY SPECIAL EVENT PERMIT QUESTIONNAIRE 12. What type of entertainment, if any, will be provided for this event? , t ,A �� 4 G h e-ai (e.g., not to What at be method the door, served will at alcoholic the be used bar, etc.), beverages in checking and identification how (e.g. stamp will underage or for patrons mark on proper the hand, age be identified of etc.)? attendees so as s A 4 -1-- n c- k e ---c 14. whom? How will the conduct and level of intoxication of attendees be monitored and by D k ‘ \ i Page 4 of 6 M:\CTB\LIQUOR\Forms WELD COUNTY SPECIAL EVENT PERMIT QUESTIONNAIRE 15. of alcoholic Have volunteers or members beverages? If yes, what of your organization training have they been trained received, in and the sale/service by whom? t_ A --E* ti C_ k e_4 16. attach What types a food of service alternative license beverages to this ap lication. and food/snacks will be available? Please Se-�- A +-1-Ac- ke- 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. 4- S e 18. Explain materials will how this be event distributed, will and be the marketed, targeted describing recipients what of such kinds of material. advertising 3€ c .-4 4- + a6_, h e 4 Page 5 of 6 M:\CTB\LIQUOR\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 to the best of my knowledge. G- O r A. s o Authorized Re sentativ Signature t I 3 ,.3 I rl Date Page 6 of 6 M:\CTB\LIQUOR\Forms Frank's Ride for Children Special Events Permit (page 1 of 2) May 20, 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 2Q17 event n! +hely\ 1,5 a w .11 be A l‘v w 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) May 20, 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. Make -A -Wish'' Colorado 7951 E. Maplewood Avenue, Suite .126 Greenwood Village, CO 801 1 1 303-750-9474 800-366-9474 fax 303-755-3108 www.colorodo.wish.org CONSENT AND APPROVAL FORM 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 associated with Frank's Ride for Children being held May 20, 2017. If you have any questions, please contact me. And thank you for helping us share the power of a wish®! Sincerely, Lc Patti Forsythe Director of Events and Promotions Make -A -Wish Colorado Share the Power of a Wis11,° 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 . 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 03/29/2017 @ 17:01:01 in accordance with applicable law. This certificate is assigned Confirmation Number 10160183 . 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: wtiwwc.sos.state.co.us/bi_. Certi cateSearch riterici.d0 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." Form (Rev. January 2011) Department of the Treasury Internal Revenue Service Request for TaxpayerCertification identification Number and Name (as shown on your income tax return) Business name/dIsregarded entity name, if different from above Make -A -Wish Foundation of Colorado, Inc. Check appropriate box for federal tax classification (required): O individual/sole proprietor ❑J c Corporation Give Form to the requester. Do not send to the IRS. n S Corporation O Partnership O Trust/estate 0 Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) P ❑ Other (see instructions) ›- Address (number, street, and apt. or suite no.) 7951 E. Maplewood Avenue, Suite 126 City, state, and ZIP code Greenwood Village, CO 80111 List account number(s) here (optional) Taxpayer Identification Number (TIN Enter your TIN in the appropriate box. The TN provided must match the name given on the "Name" line However, for a page 3. For other to avoid backup withholding. For individuals, this is your social security number (SSW). resident alien, sole proprietor, or disregarded entity, see fithe t ardo nor ha etions on a numberee How io get a entities, it is your employer identification number (EIN)• Y TfN on page 3. Note. if the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. O Exempt payee Fpequester's name and address (optional) i..s� •'L--. Under penalties of perjury, I certify that The number shown on this form is my correct taxpayer identification number (or 1 am waiting for a number to be issued to me), and 1. or (b) I have not been notified by the internal Revenue withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I arrt 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, Service (IRS) that I am subject to backup no longer subject to backup withholding, and CFor real estate transactions, item 2 does not apply. For withholding mortgage instructions. You must cross out item 2 above if you have beers notified by the IRS that you are currently subject to backup and because you m because you have failed to report ailinterestof and dividends on your tax return. property, are not required to sign the certification, but you must provide your correct TIN. See the interest paid, acquisition or abandonment of secureducancellation of debt, contributions to an individual retirement arrangement generally, payments other than interest and dividends, y instructions on page 4. 3. I am a U.S. citizen or other U.S. person (defined below). Sign Here er Signature of : fl U.S. person S. , Generai instructions Section references are to the Internal Revenue Code unless otherwise 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, for 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 are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if 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 effectively connected income. I' u Date Y f ` r f i,_) r lr. Note. If a requester gives you a form 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. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: a An individual who is a U.S. citizen or U.S. resident alien, a A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, O An estate (other than a foreign estate), or a A domestic trust (as defined in Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduct a trade withholding or business in the United States are generally required a to pay g tax on any 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,t is a and pay the withholding tax. Therefore, if you are a U.S. person . p partner in a partnership conducting a trade orbusiness r�tin the ur U.S. States, provide Form W-9 to the rpartnership seha�re of partnership income. status and avoid withholding Y Form W-9 (Re r. 1-2011) Cat. No. i0231X DATE (MIINDINYVYY) A 5 CERTIFICATE OF LIABIL ITY INSURANCE Page 1 of 1 01/25/2017 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 AUTHORIZED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), 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 FXT)• 877-945-7378 FAX (,glCNO): 888-467-2378 (AJC'QNO EADDRlESS. certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # Philadelphia Indemnity Insurance Company 18058-001 INSURER A: INSURER B: INSURED Make -A -Wish Foundation of America Make -A -Wish Foundation of Colorado 7951 S. Maplewood Avenue Suite 126 Greenwood Village, CO 80111 INSURER C: INSURER D: INSURER E: INSURER F: CERTIFICATE NUMBER• 25175457 VvvCf Musa 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 AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITS TYPE OF INSURANCE jjNsDnL swv POLICY NUMBER POUCYEFF EXP ( minn!Y1VY1r) LIMITS A X COMMERCIAL GENERALLIABILJTY Y PHPR1544332 9/1/2016 9/1/2017 EACHOCCURRENCE S 1,000,000 FlgYEaErence) $ 10 0, 0 00 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL&ADVINJURY S 1, 000, 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000 r 000 X POLICY JEa LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 5 BODILY INJURY(Per person) $ ANY AUTO BODILY INJURY(Per accident) $ OWNED AUTOS ONLY SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) S HIRED AUTOS ONLY NON -OWNED AUTOS ONLY S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS UAB CLAIMS -MADE $ DED RETENTION $ WORKERS AND COMPENSATION EMPLOYERS' LIABILITY YIN PER STATUTE OTH- FR E.L. EACH ACCIDENT S ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory.in NHj a under f yes, DESCRIPTION DRIPTIOF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION Office Event OF OPERATIONS! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ID #: 009-000 Name: Frank's Ride for Children Event Date: 05/20/2017 Certificate Holder is included as an Additional Insured as respects to General Liability if required by written contract. CERTIFICATE HOLDER Weld County Government 1762 Weld County Rd. 20 1/2 Longmont, CO 80504 CANCEL 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 Coll :502263 0 Tpl :2123733 Cert: t�?. 75457 © 1988-201 CORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD st1/4, TOKIO MARL N E HCC January 30, 2017 Thank you for renewing your bond. Print a copy of the continuation certificate for your records. Contact suretyrenewals@tmhcc.com if an original continuation certificate is required by the obligee or should you have any further questions. Bond Summary Principal Name FRANK'S RIDE FOR CHILDREN 2003 Bond Number BNDPGP59913 Indemnitor Name License Number Bond Description CO LICENSE - CONTRACTORS Bond Amount $3,000.00 Premium $100.00 Term Date 2/26/2017 to 2/26/2018 Payment Summary Payment Type Amount Received $100.00 Reference ID *6931703015 Authorization Date 1/30/2017 Charged By ADRIAN LOO Agent Information TRUENORTH 275 SOUTH MAIN STREET, SUITE 100 LONGMONT, CO, 80501 (303) 776-5122 Contact your agent at the number provided for any questions. Thank you. HCCSOUM_RENE W06/2016 y TOKIO MARINE H C C Monday, January 30, 2017 BOND NUMBER P59913 BOND DESCRIPTION American Contractors Indemnity Company 601 S. Figueroa St., Suite 1600 Los Angeles, CA 90017 main (310) 649 0990 facsimile (310) 645 9274 CONTINUATION CERTIFICATE CO / LICENSE - CONTRACTORS BOND AMOUNT EFFECTIVE DATE EXPIRATION DATE $3,000.00 2/26/2017 2/26/2018 Principal: FRANK'S RIDE FOR CHILDREN 2003 2544 JARETT DR MEAD , CO 80542 Obligee: WELD COUNTY WELD COUNTY BOARD OF COMMISSIONERS GREELEY , CO THIS BOND CONTINUES IN FORCE TO THE ABOVE EXPIRATION DATE CONDITIONED AND PROVIDED THAT THE LOSSES OR RECOVERIES IN IT AND ALL ENDORSEMENTS SHALL NEVER EXCEED THE PENALTY SET FORTH IN THE BOND AND WHETHER THE LOSSES OR RECOVERIES ARE WITHIN THE FIRST AND/OR SUBSEQUENT OR WITHIN ANY EXTENSION OR RENEWAL PERIOD, PRESENT, PAST OR FUTURE. ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. Signed and dated this 30th day of January 2017 . ‘0001 I I f , ) CORPORATen : y Itsj It SEPT. 25,1990 : 't ry. ;Or P LIFOO ,NO Agent: TRUENORTH 275 SOUTH MAIN STREET, SUITE 100 LONGMONT , CO 80501 American Contractors Indemnity Company ADRIAN LOO , Attorney in Fact HCC5OZZM CONTINUATION0612016 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 scheduled for Sunday, May 20, 2017. I do understand that there will be approximately 1,000 to 1,500 people attending. As well as, staff members from Frank are 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 a, 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, c-i.:- )„,,_ Jim Ande\son 6728 WCR 31/4 Erie, Colorado 80516 3/9/2O1 5 4:07 PM Anderson Farms - Googl& Maps N G On Premise 6 X X x in X CD X N X c O Ln o X CO X CO Q CO h •• a• > 2.2 O.l 1- o> r a • up xW p O Lo I N co @ 0 O a .., U Vo Qrs CV r Q = c o a) _► CL O • ▪ to CD oEN O � '5 o 1- r' Q d '- a> O) O N J •E Y a> co co a> E o ca LL -II C This is your Official TIPS® Certification Card. Carry it with you as evidence of your skills and know:edge in inc responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training for in:crvenhion ProcedureS) program, you have taken your place in the forefroni :. ; :V.::n ide movement to reduce the tragedies resulting from the misuse or aicohcsi. Vve value your participation in the TIPS program. You will help to provide a safer environment for ti :r patrons. peers and/or colleagues by using the techniques you have learned and taking i., positive approach towards alcohol use. If you have any information you think would enhance :hc TIPS program. or if we can assist you in any way, please contact us at 71.13-524-!200. Thank you for your dedication to the responsible sate and consumption c=F alcoho:. Sincerely. Adam F. Chafetr President. HO 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. 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. Issued: ID#: On Premise 3/9/2015 3934789 SSN: Expires: D.O.B.: XXX-X(-)OCX)C 3/1/2018 XX/)OWOOCX DIXIE AARENDS 312 Kirkland Ln Johnstown, CO 80534-4634 For service visit us online at www.gettips.com Richard Johnson, 60224 .1 This is your Official TIPS® Certification Card. Carry ii 1:' sale and Congratulations! You tpproach VOU .: !'T cc uureS) movement a!i_C your ;-,cars and/or I)1.-0'ram. or L j 't hank you 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, 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. ors On Premise 3/9/2015 Issued: t D#: 3934807 SSN: Expires: D.OB.: X)O roc -X O(X 3/1/2018 MICHAEL L CROWDER 324 Emery Dr Longmont, CO 80501-1518 For service visit us online at www.gettips.com Richard Johnson, 60224 This is your Official TIPS® Certification Card. Carry it with you as evidence of your skills and knowledge in the responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training for intervention ProcedureS) program, you have taken your place in the forefront or a nationwide movement to reduce the tragedies resulting from the misuse of alcohol. We value your participation in the TIPS program. You will help to provide a safer environment for yyout patrons. peers and/or colleagues by using the techniques you have learned end taking_: a positive approach towards alcohol use. If you have any information you think would enhance the TiPS program, or if we can assist you in any way, please contact us at 703-524- 201k Thank you for your dedication to the responsible sale and contiu;not ion of alcohol. Sincerely. 4' \ Adam F. Chaf ctz President. HCI This is your Official TIPS® Certification Card. Carry it with you as evidence of your skills and knowledge in the responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training for Intervention ProcedureS) program, you have taken your place in the forefront of a nationwide movement to reduce the tragedies resulting from the misuse of alcohol. We value your participation in the TIPS program. You will help to provide a safer environment for your patrons. peers and/or colleagues by using the techniques you have learned and taking a positive approach towards alcohol use. If you have any information you think would enhance the TIPS program, or if we can assist you in any way, please contact us at i 200. Thank you for your dedication to the responsible sale and consumption ol'aicohol. Sincerely. 9 Adam F. Chalet,. President. HO 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, 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. Issued: • I D#: On Premise 3/9/2015 3934806 SSN: Expires: D.O.B.: RHEANNON S WEAVER 101 Cattail Ct Mead, CO 80542-9760 XXX-)X-Xxxx 3/1/2018 XX/)0(D000( For service visit us online at www.gettips.com I Richard Johnson, 60224 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, 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. • Issued: 1D#: On Premise 3/9/2015 3934805 SSN: Expires: D.O.B.: ANTHONY J WEAVER 101 Cattail Ct Mead, CO 80542-9760 )00( XX-XXXX 3/1/2018 XXWWX)00( For service visit us online at www.gettips.com Richard Johnson, 60224 This is your Official TIPS® Certification Card. Carry it with you as evidence of your skills and knowledge in the responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training for Intervention ProcedureS) program, you have taken your place in the forefront of a nationwide movement to reduce the tragedies resulting from the misuse of aakoh..:l. We value your participation in the TIPS program. You will help to provide a safer environment for your patrons. peers and/or colleagues by using the techniques you have learned and taking a positive approach towards alcohol use. If you have any information you think would enhance the TIPS program_ or if we can assist you in any way, please contact us at 703-524-1200. Thank you for your dedication to the responsible sale and consumption of alcohol. Sincerely. Adam F. Chafetz President, HO 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, 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. • usOn Premise SSN: Issued: 3/9/2015 Expires: Ii #: 3934798 D.O.B.: GREGORY A RISEDORF 2544 Jarett Dr Mead, CO 80542-9783 For service visit us online at www.gettips.com Richard Johnson, 60224 XXX XX-X 0(X 3/1/2018 1 This is your Official TIPS® Certification Card. Carry it with you as evidence of your skills and knowledge n the responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training fo! Intervention ProcedureS) program, you have taken your place in the forefront of a nationwide movement to reduce the tragedies resulting from the misuse of alcoluol. We value your participation in the TIPS program. You will help to provide a safer environment for your patrons. peers and/or colleagues by using the techniques you have learned and taking a positive approach towards alcohol use. If you have any information you think would enhance the TIPS program, or if we can assist you in any way, please contact us at 703-524- 1200. Thank you for your dedication to the responsible sale and consumption of alcohol Sincerely, Adam F. Chafetz President, HCI This is your Official TIPS® Certification Card. Carry it with you as evidence of your skills and knowledge in the responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training for intervention ProcedureS) program, you have taken your place in the forefront of a nationwide movement to reduce the tragedies resulting from the misuse of alcohol. We value your participation in the TIPS program. You will help to provide a safer environment for your patrons. peers and/or colleagues by using the techniques you have learned and taking a positive approach towards alcohol use. If you have any information you think would enhance the TIPS program, or if we can assist you in any way, please contact us at 7C3-524.- i 2(X). Thank you for your dedication to the responsible sale and consumption 01 alcohol. Sincerely. Adam F. Chafer_ President, HCI This is your Official TIPS® Certification Card. Carry it with you as evidence of your skills and knowledge in the responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training for Intervention ProcedureS) program, you have taken your place in the forefront of a nationwide movement to reduce the tragedies resulting from the misuse of alcohol. We value your participation in the TIPS program. You will help to provide a safer environment for your patrons. peers and/or colleagues by using the techniques you have learned and taking a positive approach towards alcohol use. If you have any information you think would enhance the TIPS program, or if we can assist you in any way, please contact us at 703-5-1J- INC). Thank you for your dedication to the responsible sale and consumption or alcohol. Sincerely, 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, 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. On Premise Issued: 3/9/2015 3934792 ID#: SSN: Expires: D.O.B.. ROBERT D STOVER 101 Cattail Ct Mead, CO 80542-9760 )00C )0C X)00C 3/1/2018 XX/)OCDOOCX For service visit us online at www.gettips.com Richard Johnson, 60224 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, 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 Issued: IN: On Premise 3/9/2015 3934791 SSN: Expires: D.O.B.: XXX-XX-XXXX 3/1/2018 XX/XXDWCX ROBERT M SICKLER 12260 WELD COUNTY RD 5 Firestone, CO 80504 For service visit us online at www.gettips.com Richard Johnson, 60224 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, 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. EPS Issued: ID#: On Premise 3/9/2015 3934793 SSN: Expires: D.O.B.: BETH M STOVER 22200 PRATT ST Longmont, CO 80501 XXX XX--X)000 3/1/2018 )000()OOOC For service visit us online at www.gettips.com La Richard Johnson, 60224 Adam F. Chafetr. President, HCI This is your Official TIPS® Certification Card. Carry it with you as evidence of your skills and know:cdge .hc responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training for ►nrerverIion ProcedureS) program, you have taken your place in the forefront or a n.i or wi_te movement to reduce the tragedies resulting from the misuse of alcohol. We value your participation in the TIPS program. You will help to provide a safer environment for your potions.. peers and/or colleagues by using the techniques you have learned and :thin` a positive approach towards alcohol use. If you have any information you think would enhance the TIPS program, or if we can assist you in any way, please contact us at 703-524-1200. Thank you for your dedication to the responsible sale and consumption of alcohol. Sincerely. 47" Adam F. Chafctz President, HCI This is your Official TIPS® Certification Card. Carry it with you as evidence of your skills and knowledge in i.hc responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training [Or ;ntc:•\ei hoop ProcedureS program, you have taken your place in the forefront H. nationv. ide movement to reduce the tragedies resulting from the misuse of ::icchol. We value your participation in the TIPS program. You will help to provide a safer environment for y oitr patrons. peers and/or colleagues by using the techniques you have learned and taking a positive approach towards alcohol use. If you have any information you think would enhar:.:. the TIPS program, or if we can assist you in any way, please contact us at .- _- 200. Thank you for your dedication to the responsible sale and cons_. r: Sincerely. Adam F. Chafetz President. HCI This is your Official TIPS® Certification Card. Carry it with you as evidence of your skills and knowledge in the responsible sale and consumption of alcohol. Congratulations! By successfully completing the TIPS (Training for Intervention ProcedureS) program, you have taken your place in the forefront of a nationwide movement to reduce the tragedies resulting from the misuse of alcohol. We value your participation in the TIPS program. You will help to provide a safer environment fir your patrons. peers and/or colleagues by using the techniques you have learned and taking a positive approach towards alcohol use. If you have any information you think would enhance the TIPS program. or if we can assist you in any way. please contact us at 703-524-1200. Thank you for your dedication to the responsible sale and consumption of alcohol. Sincerely. 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, 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. rut,. Issued: ID#: On Premise 3/9/2015 3934803 SSN: Expires: D.O.B.: XXX-XX-XXXX 3/1/2018 XX00W00(X JENNIFER B ASAMOTO 12260 WELD COUNTY RD 5 LONGMONT, CO 80504 For service visit us online at www.gettips.com ' Richard Johnson, 60224 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, 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. • Issued: ID##: On Premise 3/9/2015 3934799 SSN: X)0()0( -X000( Expires: 3/1/2018 D.O.B.: )0/XXJ)000( ERIC D GEIST 1708 Rolling View Dr Loveland, CO 80537-7494 For service visit us online at www.gettips.com Richard Johnson, 60224 J 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, 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. On Premise Issued: 3/9/2015 ID#: 3934796 SSN: XXX XX-XXXX Expires: 3/1/2018 D.O.B.: X)(/0(/))00( TAMMY MARIE RISEDORF 2544 Jarett Dr Mead, CO 80542-9783 For service visit us online at www.gettips.com Richard Johnson, 60224 L , Adam F. Chafer/. President. HO -o Co 0 m a) 0 a) U N Cr) CO 0 CO 0° O ti x a o a) co a� O °) o_ CD O 7:3N O L co U 0 0 ; moo c a)°�-,°O 5r.0 U ° o a) L m 76 RECEIPT DATE 3/O1-1 / -1 HOW PAID \/ CASH CHECK GS o0 MONEY ORDER NO. 89199 BY C9\fite RECEIPT DATE a I I -1 NO. 89200 RECEIVED FROM I-rcxn lC rS cgtt. d e s `-3 r ADDRESS G5L1 jso.rre_H- (J r 1 tr (ntad CO 8a54Q One, trtondCtd dottars *- °c'ltoo — s tOO.Oo FOR Ui Etc eNci L -t Evens- Fee HOW PAID CASH CHECK t• 00 00 MONEY ORDER 0 O N co O L o U (° 0 0 �m op c (1) O o - U U O o -0 CD N a3 a- a) a a_ o RECEIPT V 4 l' O CD BY 0 ihthfr-C, DATE a3/9q��i NO. 89201 RECEIVED FROM [r-a_r1 K '5 P; d e 5 'r Ch; I ricer, ADDRESS 3549 1 arrt4-4 Drive, (V40,8 CO BOSci 0rw t-to11deed clottars ars c- G°/(oo s too too FOR WEL° T .Theo asp ht e. HOW PAID CASH CHECK too 0O MONEY ORDER 1/4/a t(OM BY y\yl.�ea Chloe Rempel From: Sent: To: Subject: Gregory Risedorf <gregrisedorf@yahoo.com> Thursday, April 06, 2017 2:53 PM Chloe Rempel sign _ \1/4 1 • y It •••.",•(,:G r. s..ai`-r..4 • :Ay y Ike .41O.Ye•' Sth• i x' r , \ t /..'\;H 4. wail} C. -PS% r A.. • . M .••••• 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 <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 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 0 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: S 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 - 1 - of 1 April 10, 2017 C:\Users\crempel\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\PIOEICGB\Temp Assembly Frank's Ride 041017.doc Chloe Rempel From: Sent: To: Subject: No Concerns from building Thanks Jose Gonzalez Asst Building Official Planning Services 1555N17' Ave 970-400-3533 Jose Gonzalez Tuesday, April 11, 2017 8:22 AM Chloe Rempel; Bethany Pascoe; Dan Joseph; Deb Adamson; Frank Haug; Janet Lundquist; Roy Rudisill; Sam Kaneta III RE: SPECIAL EVENT 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 1:11 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 III <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 1 Chloe Rempel From: Sent: To: Subject: Sam Kaneta III Tuesday, April 11, 2017 8:55 AM Chloe Rempel RE: SPECIAL EVENT PERMIT - Frank's Ride for Children fbo Make a Wish Foundation of Colorado, Inc. Same as for the Temporary permit, no concerns. Sam Kaneta III Weld County Sheriff's Office 1950 0 Street Greeley, CO 80631 970-356-4015 ext 2877 skaneta@co.weld.co.us 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 III <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 1/4 Erie, CO 80516 File Location: LC0022 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 0 Street 1 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 staff's 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 <jonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us>; Sam Kaneta III <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 1/4 Erie, CO 80516 File Location: LC0022 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 0 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 0 Street Greeley, CO 80631 tel: 970-400-4225 1 M ÷-+ if - a) C a) _a -c O C r% a) L O O vJ a) _c E C lc on U-at�c L 2 0 O 0 O za U ii n O ' • - W l IC U.)U O >L ..c ..., O :i—•co 4__ 0 o a) c O co GE _a 2 co o m c ÷., C 4- O A 2. CV O _c C) L -o lc O O -o T. O O 0 a a) _c .) C ) a L -o Q . U) Co -o _c co a) cn (a N 2 a3 O o) >, -+-, o c a) EP • T., o) 1/4-, >,-0 _O O U) CD c O a) C U) 6 C . _ O) 4-• 6 O -- a) 2 9 O � m> iti O 0 o U 4-. E 0 .- o O) 4- CD -o 4= C rein O D L CD O ti•- all_ -- ■ O CD L O O 0 a).- w . C U) E co LL C O L W -o Q Ci5 -o a) U) O .U) C a) > w ui N E co -o 0.) co U N .> -o O C C a) > w in attendance. 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