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Home My WebLink About20171704.tiffRESOLUTION RE: APPROVE TEMPORARY ASSEMBLY PERMIT - ROCKY MOUNTAIN CIDER COMPANY, DBA WILD CIDER 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, Rocky Mountain Cider Company, dba Wild Cider, 11455 County Road 17, Firestone, CO 80504, has presented to the Board of County Commissioners an application for a Permit for Temporary Assembly on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 1:00 p.m. until 7:00 p.m., on June 24, 2017, on property described as follows: Rocky Mountain Cider Company, dba Wild Cider, 11455 County Road 17, Firestone, CO 80504; being further described as Lot B of Recorded Exemption RE -41, located in the SE1/4 of Section 5, Township 2 North, Range 67 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has paid Weld County the sum of ONE -HUNDRED DOLLARS ($100.00) for said Weld County Permit for Temporary Assembly, and WHEREAS, having examined said application, the Board deems it appropriate to grant a Weld County Permit for Temporary Assembly to Rocky Mountain Cider Company, dba Wild Cider, and WHEREAS, said permit shall be issued subject to compliance with the terms and conditions as set forth in the application materials and upon the express condition and agreement that the temporary assemblage will be conducted in strict conformity to all laws of the State of Colorado and the Weld County Code, and WHEREAS, any violation to said terms and conditions shall be cause for revocation of said permit and forfeiture of bond. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that said Weld County Permit for Temporary Assembly on June 24, 2017, be, and hereby is, granted to Rocky Mountain Cider Company, dba Wild Cider to conduct a temporary assemblage at the hereinabove described location. Cc t O.PPL , 5OCRS), coLc eci r- H) Cor(3/r7 2017-1704 LC0022 TEMPORARY ASSEMBLY PERMIT — ROCKY MOUNTAIN CIDER COMPANY, DBA WILD CIDER PAGE 2 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. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORAQO Cam. • ATTEST: V Weld County Clerk to the Board BYC)(0 a puty Clerk to the Board APPRQED AS TO FO ocnty Forney Date of signature: QCo(I 3I I? Julie A. Cozad, Chair gli ....g& -e..- rile...7-1...e..--f7" Steve Moreno, Pro-Tem C J� Sean P. Conway L ke Freeman 2017-1704 LC0022 WELD COUNTY PERMIT FOR TEMPORARY ASSEMBLY By action of the Board of County Commissioners of the County of Weld, State of Colorado, taken this 5th day of June, 2017, IT IS HEREBY GRANTED a permit for a temporary assemblage on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 1:00 p.m. until 7:00 p.m., on June 24, 2017, on property described as: Rocky Mountain Cider Company, dba Wild Cider, 11455 County Road 17, Firestone, CO 80504; being further described as Lot B of Recorded Exemption RE -41, located in the SE1/4 of Section 5, Township 2 North, Range 67 West of the 6th P.M., Weld County, Colorado This permit authorizes Rocky Mountain Cider Company, dba Wild Cider, to hold such an assemblage so long as it is in accordance with Chapter 12 of the Weld County Code and all other applicable State and County statutes and regulations. This permit is subject to compliance with the terms and conditions as set forth in the application materials and to additional conditions set forth by the Board and attached hereto. PERMIT APPROVED this 5th day of June, 2017. BOARD OF COUNTY COMMISSIONERS ATTEST: dathiv �C.�O•� Weld County Clerk to the Board my Attorney Date of signature: (To!(t I (1 WEL COUNTY, COLORA Julie A. ozad, Chair Steve Moreno, Pro -Tern Sean P. Conway NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2017-1704 LC0022 WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY Complete each section and mark "N/A" where not applicable. Additional sheets may be attached and maps, sketches, or drawings may be substituted for the verbal description of plans for the assembly site. Where applicable, please attach contracts, agreements, or emails. All required information must be furnished before the application will be processed. PERMIT Submit $100.00 fee for each event where three -hundred fifty (350) or more people assemble, or can reasonably be anticipated to assemble, at any one (1) location, unless the location is properly zoned for such assembly, in which case one permit shall be required for the total number of events scheduled for that location for the remainder of the calendar year, not to exceed ten (10) events per year. As used herein, the term event means an assembly or anticipated assembly which is scheduled to last for three (3) consecutive days or less. Applicants must provide a statement by a bonding company licensed to do business in the State of Colorado indicating its intent to furnish a bond required in Section 12-1-30.B.13 of the Weld County Code, or a bond of $3,000.00, to ensure performance by the applicant of each of the terms and conditions of the temporary assemblage permit. ' AP t3 � fib. �'�.�CA'"'��fi�. � �"�� Flu �V`: , Orr- i Two (2) persons trained in emergency medical technology for the first three hundred fifty (350) persons and one (1) for every three hundred fifty (350) persons after that, together with one emergency ambulance. x Adequate communication with hospital, police, and fire services. Fire protection services (off -site). Security Plans for communication, including the source, amount, and location of communcation equipment. Adequate and safe supply of potable water. If applicaple, the plans for meeting County Health standards for food concessions. Sanitary method of disposing solid waste. x Separate and enclosed toilets for males and females. Parking area at the rate of one (1) parking space for every four (4) persons. Camping facilities, if the assembly is to continue overnight. - - Illumination if assembly is to continue during the hours of darkness. Electrical systems installation and maintenance if current systems are not self-supporting. — Plans to insure that trees, underbrush, large rocks, and other natural features shall be left intact. Statement by the record owners of such property consenting to such assembly. f Insurance in an amount that is adequate and reasonable in light of the risks and hazards relating to the event. ,/' $3, 000.00 bond or statement by a bonding company. s/' $100.00 nonrefundable fee payable to the "Weld County Clerk to the Board". 2017-1704 WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY Rocky Mountain Cider Company, DBA Wild Cider Business Name, dba: Applicant Names(s): Adam Gorove Michelle Heath Malinda Caldes Sylvia Birken Cell Phone: (303. p94.7723 Work Phone: p03.5)32.9949 E-mail Address: events@wildcider.com Physical Address: City: Mailing Address: City: 11455 CR 17 Firestone 11455CR17 State: IO Zip Code: 80504 Firestone State: CO Zip Code: 80504 11455 CR 17 Physical Address: City: Legal Description: Firestone State: NO Zip Code: 80504 Lot B of recorded exemption 1311-5-4-RE41 located in the e2se4 of section 5T2N, R67W of the 6 PM Weld County Mark J Birkin Name: Physical Address: City: Name: 11455CR17 Firestone State: CO JZip Code:, 80504 Physical Address: City: State: Zip Code: Page 2 of 10 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 1 N Wine Festival and Special Event to benefit The Wild Animal Sanctuary June 24, 2017 from 1:00 PM to 7:00 PM Page 3 of 10 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY py t 1- All persons entering the festival are required to have a ticket and a wrist band will be issued at gate. 2- Perimeter fencing is in place to prevent unauthorized entry into the festival. 3- The required amount of security per section 12-1-20-10 will patrol the festival grounds during the event to prevent unauthorized entry. 1- Mountain View Fire Protection District has been notified of the festival date and time - please see the attached letter. No on -site services are planned. 2- Firestone Police Department is 1.5 miles from the festival, UC Health Emergency Room is 2.5 Miles. 3- All emergency services will be notified of the festival date, time and location. 1- Volunteers and staff will be instructed to contact 911 in the event of an emergency. 2- All emergency services will be notified of the festival date, time and location. 3- Mountain View Fire Protection District will communicate directly with the hospital if needed. 4- Six staff with radios will be on site at all times to communicate during the festival. Page 4 of 10 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 1- Please see attached letter from Mountain View Fire Protection District. 2- This is an open air event with no structures. 3- Fire extinguishers are on site if needed 4- Volunteers and staff will be instructed to call 911 in the event of an emergency_ 1- Please see attached security plan. 1- Six staff with radios will be on site at all times to communicate during the festival. 2- Event main tent will be staffed at all times for customers, staff and volunteers. Page 5 of 10 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 1- Water is being supplied by Eldorado Springs Water. 2- There will be a minimum of four (4) stations set up on the property with trash recepticles for cups. 3- Should additional water be required, there is CWCWD available on site to fill water dispensers. 1- Please see attached WC Event Coordinator Application detailing all food vendors. 1- Trash recepticles will be located throughout the festival and emptied as necessary, by staff to a cer110111pster provided by American Disposal. 2- Dumpster will be emptied at completion of the festival. Page 6 of 10 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 1- Portable toilet facilities will be located on site at a rate of 1 per 100 persons. 2- Service provided by United Rentals. 3- Location shown on map included with submission. 1- Majority of traffic expected to travel on HWY 119 east from 1-25 to CR 17, N on CR 17 to festival. 2- Parking will be at 11298 CR 17. 16. fa 1- None Page 7 of 10 M:1CTBITEMPORARY ASSEMBLY1General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 1- N/A, Festival is during daylight hours. 1- N/A 1- Stage facing N to adjacent vacant lot. Nearest house is approximately 1/2 mile to the North. Page 8 of 10 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY 1- Open farmland Page 9 of 10 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications WELD COUNTY APPLICATION FOR TEMPORARY ASSEMBLY BY THIS APPLICATION, APPLICANT(S) AGREES TO INDEMNIFY AND HOLD HARMLESS WELD COUNTY OR ANY OF ITS AGENTS, OFFICERS, SERVANTS, AND EMPLOYEES FROM ANY LIABILITY OR CAUSES OF ACTION WHICH MIGHT ARISE BY REASON OF GRANTING OF A TEMPORARY ASSEMBLAGE PERMIT, AND FROM ANY COSTS INCURRED IN DEFENDING AGAINST SUCH ACTIONS OR IN CLEANING UP ANY WASTE MATERIAL PRODUCED OR LEFT BY THE ASSEMBLY. The applicant, and each of them, swears, (affirms) that, to the best of his or her knowledge, the statements contained in the application are true and correct. flee ��VOsi Authorized Representative ature Date SUBSCRIBED AND SWORN to me before this �� day of P a- 1\ Witness my hand and official seal. My commission expires: 11 1 44 i 2010 Page 10 of 10 M:\CTB\TEMPORARY ASSEMBLY\General Forms\Applications ,20 L7 To: Whom it may concern From: Mark Birkin 11455 CR 17 Firestone, CO 80504 I do hereby give Wild Cider permission to hold the Carbon Valley Wine Festival on June 24, 2017 on my property. The applicant swears, (affirms) that, the statements contained above are true and correct. Owner: Mark Birkin 11455 CR 17 Firestone, CO 8O5O4 Ali c .FS7,, j Printed Name Mark Birkin/Owner Signature SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF 494/4.. , 2017. WITNESS MY HAND AND OFFICIAL SEAL. 4 JULIAN CORTEZ (t Notary Public State of Colorado Notary ID 20094015644 My Commission Expires May 13, 2017 My Commission Expires: A� D CERTIFICATE OF LIABILITY INSURANCE DATE MIDDIYYYY) 4/27/2017 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 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 The Wright Group Services 1873 S Bellaire St Ste 600 Denver CO 80222 CONTACT Brian Kelly PHONE 303-863 7788 (FA/AC. N,); 303-861-7502 (AO` No Fes. Ibkelly@twgservices.com E-MAADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A ;GREAT AMERICAN INSURED ROCKY27 Rocky Mountain Cider Company 11455 County Road 17 Firestone CO 80504 INSURERS : INSURER C : INSURER D INSURER E : INSURER F : •1888884735 ER: v THIS ,IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVNTHSTANDING 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POUCY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY PAC1090715 3/17/2017 3/17/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PR JECOT- PER: LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE X X LIABILITY ANYAUTO AUTOSWNED HIRED AUTOS X E SCHEDULED NON -OWNED AUTOS CAP1090716 3/17/2017 3/17/2018 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ A UMBRELLA LIAR EXCESS UAB X OCCUR CLAIMS -MADE UMB1090717 3/17/2017 3/17/2018 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y I N N / A I PR STATUTE I 10TH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Liquor Liability PAC1090715 3/17/2017 3/17/2018 Each Occurrence 1,000,000 General Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ATION Weld County Colorado PO Box 758 Greeley CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORI7rED REPRESENTATIVE ACORD 25 (2014101) -2014 ACORD CORPORATION. All ngnts reserves. The ACORD name and logo are registered marks of ACORD Rocky Mountain Cider Company will provide a cash bond as required by section 12-1-30.B.13 of the Weld County Code. "Adam Gorove, President The Wild Animal Sanctuary Special Event 6.24.17 Carbon Valley Wine Festival The Wild Animal Sanctuary Special Event 6.24.17 0 Carbon Valley Wine Festival Parking attendants in bright, reflective vests crossing area to stop and direct guests entrance to VIP parking and festival grounds • • q O D entrance to parking area a O. II ei .3 • • 4 • • • O O O O O O CC u a 1.1 N w, u r U C C Y 4' « e C 0. W Load Parking Area from the Front to Back Less than 25 can per day travel CR 17 I 1111111 III III 1 1111111 III III 1 11111111 I III III I 1111111 III 111 I 1111111 1111 111 111111111 III 111 1111111111 IIIP11111 1111111111 III III 1111111111 111 111 1111111111 1111 111 1 1 1 1 1 1 1 1 I 1 1 1 I I I 1 1 1 1 3• • • y 11111111111 Y Y N � i11111111111 1111111111 8 n 11111111111 1111111111 -j T 4.1 Cle Private Property a O I WS • - a • O V m a • - E • S. N tation-N tin = Hand Wash II II I� a V D=Wins Check S f Z-Keenwah CC I 4 -Hot Tin Roof Pula B 0 0 L`oi N N tlut •❑+ w ≥ N t III a • • Q Y N J Handicap Parking Existing Wharehouse `9(vi X23 vd 0-4 z S 0 qt U EXISTING S'CRu i O d c 401111. N eve fze) C 0 oulMA i 0 \1 ota O c 0 O7n �VI Per I Chris Zadel give the Carbon Valley Wine Festival permission to use my land on June 24, 2017 for parking purposes. Chris Zadel Document must be filed electronically. Paper documents will not be accepted. Document processing fee Fees & forms/cover sheets are subject to change. To access other information or print copies of filed documents, visit wv3-w.sos.statc_cn.us and select Business Center. -Fled Colorado Secretary of State Date and Time: 08/27/2012 12:56 PM ID Number: 20121464897 550.00 Document number: 20121464897 Amount Paid: $50.00 ABOVE. SPACE FOR OFFICE USE ONLY Articles of Incorporation for a Profit Corporation filed pursuant to § 7-102-101 and 7-102-102 of the Colorado Revised Statutes (C.R.S.) 1. The domestic entity name for the corporation is Rocky Mountain Cider Company (The name Ufa corporation must contain the term or abbreviation "corporation", "incorporated". "company'', "limited", "corp.", inc.", "co." or "ltd.". See §7-90- 601. C.R.S. If the corporation is a professional or special purpose corporation. other law may apply.) (Caution: The use of certain terms or abbreviations are restricted by lase. Read instructions for more information.) 2. The principal office address of the corporation's initial principal office is 2515 Grape Ave Street address Mailing address (leave blank if same as street address) (Street number and name or Post Once Box information) (Street number and name) Boulder (CM) (Province - if applicable) PO Box 18252 CO 80304 (State) (ZIP/Postal Code) United States (Country) Boulder (Cart=) (Province — if applicable) CO 80301 (State) (ZIP/Postal Code) United States (Country) 3. The registered agent name and registered agent address of the corporation's initial registered agent are Name (if an individual) OR Gorove Alan T (Last) (First) (Middle) (Suffix) (if an entity) (Caution: Do not provide both an individual and an entity name.) Street address 2515 Grape Ave (Street number and name) Boulder (City) ARTINC Pc Page 1 of 3 S do "tie ce by -\iVt Q t' 1c:st(ICA.\ CO 80304 (Slate) IZIP/Postal Code) Rev. 02128/2000 Mailing address (leave blank if same as street address) (Street number and name or Post Office Box information) PO Box 18252 Boulder Co 80301 (Cut) (State) (ZIPIPostal Code) (The following statement is adopted by marking the box.) Q✓ The person appointed as registered agent above has consented to being so appointed. 4. The true name and mailing address of the incorporator are Name (if an individual) OR (if an entity) Gorove Alan T (Last) (First) (Middle) (Suffix) (Caution: Do not provide both an individual and an entity name.) Mailing address 2515 Grape Ave (Street number and name or Post Office Box information) Boulder CO 80304 (City) (State (ZIP/Postal Code) United States . (Province - it applicable) (Country) Qf the following statement applies, adopt the statement hr marking the box and include an attachment.) O The corporation has one or more additional incorporators and the name and mailing address of each additional incorporator are stated in an attachment. 5. The classes of shares and number of shares of each class that the corporation is authorized to issue are as follows. (/f the fallowing statement applies, adopt the statement by marking the box and enter the number of shares., �✓ The corporation is authorized to issue 500,000 common shares that shall have unlimited voting rights and are entitled to receive the net assets of the corporation upon dissolution. (/f the following statement applies. adopt the statement by marking the box and include an attachment.) Additional information regarding shares as required by section 7-106-101, C.R.S., is included in an attachment. (Caution: At least one box must be marked. Both boxes may be marked, if applicable.) 6. (If the fallowing statement applies, adopt the statement by marking the bar and include an aaachment.) This document contains additional information as provided by law. 7. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has' significant legal consequences. Read instructions before entering a date.) (If the following statement applies, adapt the statement by entering a date and, if applicable, time using the required format.) The delayed effective date and, if applicable, time of this document is/are ARTINC_PC (mn✓dd/yyry hourmiaute am/pm) Page 2 of 3 Rev. 02/25/2008 Notice: Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the Secretary of State, whether or not such individual is named in the document as one who has caused it to be delivered. 8. The true name and mailing address of the individual causing the document to be delivered for filing are Finke Richard A (Lave) (First) (Malik) 1873 S. Bellaire #1401 (So(ri) (Street number and name or Post Office Box information) Denver CO 80222 (City) (Province - i(applicable) (Sate) United States (Country) (ZIP/Postal Code) (If theJbllowing statement applies, adapt the statement ht' marking the bar and include an attachment.) [_] This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. Disclaimer: This fotm/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice, and are fumished without representation or warranty. While this form/cover sheet is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should be addressed to the user's legal, business or tax advisor(s). ARTINC_PC Page 3 of 3 Rev. 02/28/2O08 Document must be filed electronically Paper documents will not be accepted. Document processing fee Fees & forms/cover sheets are subject to change. To access other information or print copies of filed documents, visit wnvw.sos.state.co.us and select Business Center. 510.00 Colorado Secretary of State Date and Time: 08/28/2012 04:51 PM ID Number: 20121464897 Document number: 20121469065 Amount Paid: $ 10.00 .stove sracr rip orrtrr use ONLY Statement of Change Changing the Registered Agent Information filed pursuant to § 7-90-305.5 and § 7-90-702 of the Colorado Revised Statutes (C.R.S.) I. The entity ID number and the entity name, or, if the entity does not have an entity name, the true name are 20121464897 Entity ID number Entity name or True name !Colorado Secretary njState ID',anther/ Rocky Mountain Cider Company 2. Of applicable. adopt the following statement (r marking the bar and ruler all changes.; The registered agent name has changed. Such name, as changed. is Name (if an individual) OR (if an entity) Gorove Adam T. lhu�t! (First t (Middle..! !Suffix) (Caution: Do not provide hot;: an individual and an eniiro name.) (TThe f llou lag via nmma, is adopted hr marking the hurt Q✓ The person appointed as registered agent has consented to being so appointed. 3. ill applicable. adapt the /allowing .statement hr narking the box and enter all cbroeges.I O The registered agent address of the registered agent has changed. Such address, as changed, is Street address CHANGE_ RA (Street number and Mane) CO (Stale) 'ZIP Coder Pagel of) Rev. 4/10'20(19 Mailing address ( leave blank if saute as street address) (Street number and name or Pact Office hat information) Co (.Stalet 'ZIP Collet 4. (iif applicable, adopt thefallowing statement be marking the bee.? ❑✓ The person appointed as registered agent has delivered notice of the change to the entity. �. (If applicable, adopt the fr,I/oming .statement hr narking the bar and include an attachments This document contains additional information as provided by law. 6. (Chun ion: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal consequence,. Read instructions. before entering a date.) (II tirejoliorrirrt statement applies. adapt the statement by entering a date and, tf applicable. time acing the required Lnwan.) The delayed effective date and, if applicable, time of this document are tnmudd/t�7_e i our:nmmte anrpmt Notice: Causing this document to be delivered to the Secretary of State for tiling shall constitute the affirmation or acknowledgment of each individual causing such delivery. under penalties of perjury, that such document is such individual's act and deed. or that such individual in good faith believes such document is the act and deed of the person on whose behalf such individual is causing such document to be delivered for filing, taken in conformity with the requirements of part , of article 90 of title 7, C.R.S. and, if applicable, the constituent documents and the organic statutes, and that such individual in good faith believes the facts stated in such document are true and such document complies with the requirements of that Part, the constituent documents. and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the Secretary of State, whether or not such individual is identified in this document as one who has caused it to be delivered. 7. The true name and mailing address of the individual causing this document to be delivered for tiling are Finke Richard A 1873 S.`fIejlaire, Suite 1bY (1/iddle) (sulky) 'Street numher and rrrnre in. Post Office Bus information) Denver CO 80222 !Crop tSrnr r Un(tec� States (Province — iif applicable) tanninty (If applicable. adapt the follarring statement hr marking the bee and inchtde an atmcinrrnt ) 'ZIP: P,raal Carte) O This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. Disclaimer: This fomgcover sheet, and any related instructions, are not intended to provide legal, business or tax advice, and are furnished without representation or warranty. While this them/cover sheet is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be CHANGE_ RA Page? of) Rev. Ill 0,2009 amended from time to time. remains the responsibility of the user of this form/cover sheet. Questions should be addressed to the user's legal, business or tax advisor(s). CILANGE_ RA Page 3 01'3 Rev. 4/10:2009 Presented by Emergency Services Plan 6.24.17 Wild Cider is excited to be hosting the Second Annual Carbon Valley Wine Festival (CVWF) on our property! We are committed to insuring a safe and fun event tor our patrons and vendors! Festival Information: ■ Name: Carbon Valley Wine Festival presented by Wild Cider • Address: 11455 WCR 17, Firestone, CO 80504 • Date: June 24, 2017 • Festival Time: 1:00 pm to 7:00 pm (alcohol served) ■ Gates Open: o VIP 12:30 pm o General Admission 1:00 pm ■ Anticipated Patrons: 1000 ■ Vendors: Cider, Mead, Wine, Beer, Food, Other products, Live music Emergency Services • Weld County Sherriff's Department o Email: kcogswell@co.weld.co.us / contactweld@weld.co.us o Notice of event emailed to both • Firestone Police Department O 1.5 Miles o Email: dmontgomerv@firestoneco.gov o Notice of event emailed • Mountain View Fire Protection 0 6 Miles O 303.772.0710 a Notice of event emailed - edouglas@mvfpd.orq o Letter confirmation of event in file • UC Health Emergency Room a 2.5 Mites O 303.678.4340 o Open 24 Hours o Notice of event emailed - info@uchcolorado.com Law Enforcement Jurisdiction: • Weld County Sheriff's Department ■ Email to: kcogswell@co.weld.co.us J contactweld@weld.co.us • 911 Contracted Security Services: • Big Al's Security Team o Address: 4704 Harlan Street, 101 Denver, CO 80212 Carbon Valley Wine Festival presented by Wild Cider 11455 WCR 17 Firestone, CO 80504 o Phone: 720.5363824 o Email: Kevin@cannasecurity.com o First Aid Certification o CPR Certification Wild Cider Volunteer and Staff: c Wild Cider Staff will be monitoring all patrons for intoxication • Will not allow service of alcohol ■ Will offer additional non-alcoholic beverage in lieu of alcohol ■ Will call UBER or ZIP Car if intoxicated person does not have a ride • Communication Within Festival Perimeter: o Six (6) Wild Cider Staff members will have radios to communicate as needed o Cell Reception is available on property to contact Emergency Personnel if needed o ALL Volunteers and Wild Cider Staff will have a designated hat to insure easy recognition to guests • Patrons and Vendors can easily identify and contact as needed • Emergency Needs • Security Needs • Other If you have any questions or need further clarification please contact one of the following individuals: Lynn Yarger/Event Coordinator events@wildcider.com 303.517.2428 Cheers! / vz e Wedding and Special Event Coordinator The Cider Mill at Wild Cider 303.517.2428 Adam Gorove/Owner adam@wildcider.com 303.994.7723 Mark Birkin/Owner mi@wildcider.com 480.818.2337 Carbon Valley Wine Festival presented by Wild Cider 11455 WCR 17 Firestone, CO 80504 MOUNTAIN VIEW FIRE RESCUE 3561 N. Stagecoach Road, Unit 200 • Longmont, CO 80504 (303) 772-0710 • FAX (303) 651-7702 To Whom It May Concern; In regards to the Carbon Valley Wine Festival at Wild Cider, to be held on June 24, 2017 at 11455 WCR 17, Firestone CO 80504, Mountain View Fire Rescue has been advised of this event and at this time does not require medical personnel to be dedicated to this location during the Festival. The event organizers have been advised of pricing options for medical staff, should they wish to provide dedicated medical coverage. Respectfully, Keith Long Assistant Chief wV1r v.invfpd.org Chloe Rempel From: Sent: To: Cc: Subject: Dear Ms. Yarger: Alan Caldwell Monday, May 22, 2017 9:40 AM events@wildciderco.com Rosanna Soto; Chloe Rempel RE: Carbon Valley Wine Festival- 6-24-17 The Sheriff's Office is aware of the Carbon Valley Wine Festival. The Sheriff's Office does not have any objections as long as the Weld County Board of County Commissioners issues the required permit. Please contact me if I can be of further assistance. Take care. Alan Caldwell Captain - Weld County Sheriff's Office 1950 "O" Street Greeley, CO 80631 970-400-2808 acaldwell@co.weld.co.us 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: events @wild cider [mailto:eventsPwildciderco.com] Sent: Wednesday, May 17, 2017 9:46 AM To: Rosanna Soto <rsoto@co.weld.co.us> Subject: Carbon Valley Wine Festival- 6-24-17 Good Morning Ms Soto, Per my conversation with Chloe Remple: I am in need of confirmation that you are aware of our festival and that you are ok with it. A reply to this email is sufficient . If you are in need of any additional information regarding the festival, please do not hesitate to call me! Cheers, Lynn M Yarger Wild Cider Sent from my iPhone, please excuse any typos! Cheers! 1 5/6/2017 Wild Cider Mail - Carbon Valley Wine Festival Carbon Valley Wine Festival 1 message events @wild cider <events@wildciderco.com> Reply -To: events@wildcider.com To: dmontgomery@firestoneco.gov events @wild cider <events@wildciderco.com> Sat, May 6, 2017 at 11:53 AM Mr. Montomery, Please find attached formal notice of the Carbon Valley Wine Festival presented by Wild Cider. Cheers! Lynn Yarger Wedding and Special Event Coordinator The Cider Mill at Wild Cider 303.517.2428 General Notification.pdf 526K https://mail.google.com/mail/u/0nui=2&ik=5cc4750cd3&view=pt&search=sent&th=15bdee4b654cb3d4&siml=15bdee4b654cb3d4 1/1 5/6/2017 Wild Cider Mail - Carbon Valley Wine Festival presented by Wild Cider events @wild cider <events@wildciderco.com> Carbon Valley Wine Festival presented by Wild Cider 1 message events @wild cider <events@witdciderco.com> Reply -To: events@wildcider.com To: "info@uchcolorado.com" <info@uchcolorado.com> Sat, May 6, 2017 at 11:55 AM Good Morning, Please find attached formal notice of the Carbon Valley Wine Festival presented by Wild Cider - Firestone, Colorado. Cheers! Lynn Yarger Wedding and Special Event Coordinator The Cider Mill at Wild Cider 303.517.2428 I+ General Notification.pdf 526K https://mall.google.com/mail/WO/?ui=2&ik=5cc4750cd3&view=pt&search=scent&th=15bdee715 2s3e&sim1=15bdee7155322a3e 1/1 Chloe Rempel From: Sent: To: Subject: events @wild cider <events@wildciderco.com> Friday, May 26, 2017 9:28 AM Chloe Rempel Medial Emergency Notification for CVWF 6.24.17 Good Morning Chloe, As you know, Wild Cider is trying very hard to insure that we do everything by the book for WC and the State of Colorado. Here is the timeline and notes for our notification of emergency medical services for our Carbon Valley Wine Festival presented by Wild Cider: • Formal email notification to UC Health on May 6, 2017 and once again May 16, 2017 o info@uchealth.com • Phone call to Ginger Mummery at UC Health (left message) and email May 17, 2017 o ginger.mummery(a,uchealth.com • Phone call to Mr. Peter Powers at Longmont United Hospital on May 19, 2017 and May 23, 2017 • Face to face on May 22, 2017 at UC Health o Temp employees would not sign advised to come back and speak with Kara Hofmeister at UC Health Emergency o Returned and was unable to speak with her at UC Health Emergency We are trying to make sure we follow the rules, but feel like a cat chasing our tails. Respectfully, Lynn Yarger Wedding and Special Event Coordinator The Cider Mill at Wild Cider 303.517.2428 i Carbon Valley Wine Festival Presented by `' c -...) Security Plan 6.24.17 Wild Cider is excited to be hosting the Second Annual Carbon Valley Wine Festival (CVWF) on our property! We are committed to insuring a safe and fun event for our patrons and vendors! Festival Information: • Name: Carbon Valley Wine Festival presented by Wild Cider • Address: 11455 WCR 17, Firestone, CO 80504 • Festival Time: 1:00 pm to 7:00 pm (alcohol served) • Gates Open: o VIP 12:30 pm o General Admission 1:00 pm • Anticipated Patrons: 1000 • Vendors: Cider, Mead, Wine, Beer, Food, Other products, Live music • Festival Grounds Delineation: o Wine Festival: ■ Entire Property • One (1) gate- manned at all times • Security — Three (3) o Identification o Crowd Control o Security • Volunteers — Four (4) o Ticketing o Wrist Bands o Crowd Control o Beer Garden: • Orange Perimeter Fencing, staked • Gate manned at all times • Security — One (1) o Crowd Control o Security • Volunteers — Two (2) o One (1) on each side of entrance Law Enforcement Jurisdiction: ■ Weld County Sheriffs Department • They are aware of the date and time of the CVWF • 911 Contracted Security Services: Carbon Valley Wine Festival presented by Wild Cider 11455 WCR 17 Firestone, CO 80504 • Big Al's Security Team o Address: 4704 Harlan Street, 101 Denver, CO 80212 o Phone: 7203363824 o Email: Kevin@cannasecurity.com • Contracted Services: o Six (6) unarmed security guards or 2/350 patrons — estimated 1000 patrons o 12:30 am to 7:30 pm o Bonded and insured o Easily identified by SECURITY on clothing o http://bigalsecurity.com/ • Deployment of Six (6) Security Guards: o Three (3) at CVWF entrance gates - Identification, Crowd Control, Security o One (1) VIP Gate o One (1) in beer garden - Crowd Control, Security o One (1) patrol wine festival grounds — Crowd Control, Security • Credentials and Additional Training of Security Team: o Military, security and law enforcement background o TIPS (Training for Intervention Procedures) Certification o Concealed Weapons Training o Identification Fraud Training o First Aid Certification o CPR Certification o PPCT training o Multiple non -lethal trainings as well as other weapons trainings o Bi-annual refresher training in all areas • Threat Assessment Visit: o Perform a threat -based security analysis of event prior to event • Based upon this analysis, a security plan is formulated addressing the client's security needs and any additions will be put into place Wild Cider Volunteer and Staff: • Alcohol Service: o ALL alcohol vendors participating in the festival must utilize TIPS (Training for intervention Procedures) Certified staff — no exception o Patron must be wearing a festival wrist band to be served — no exception • Age and Identification at gate by Security Team • Wrist band is then issued • All vendors will be issued wrist bands o Wild Cider Staff will be monitoring all patrons for intoxication • Will not allow service of alcohol • Will offer additional non-alcoholic beverage in lieu of alcohol • Will call UBER or ZIP Car if intoxicated person does not have a ride • Communication Within Festival Perimeter: o Six (6) Wild Cider Staff members will have radios to communicate as needed o Cell Reception is available on property to contact Emergency Personnel if needed o ALL Volunteers and Wild Cider Staff will have a designated shirts to insure easy recognition to guests • Patrons and Vendors can easily identify and contact as needed • Emergency Needs • Security Needs Carbon Valley Wine Festival presented by Wild Cider 11455 WCR 17 Firestone, CO 80504 • Other If you have any questions or need further clarification please contact one of the following individuals: Lynn Yarger/Event Coordinator events@wildcider.com 303.517.2428 Cheers! ffeiver Wedding and Special Event Coordinator The Cider Mill at Wild Cider 303.517.2428 Adam Gorove/Owner adam@wildcider.com 303.994.7723 Owrie MailC Bit KIt I/VWtICt mi@wildcider.com 480.818.2337 Carbon Valley Wine Festival presented by Wild Cider 11455 WCR 17 Firestone, CO 80504 BILL TO: I'I1I]:r IIN umi Wild Cider 11455 Co Rd 17 Firestone CO 80504 CSA, LLC 4704 Harlan Street Suite 101 Denver CO 80212 Phone: 720-536-5824 Fax: 720-269-1410 DATE 5/9/2017 QUOTE INVOICE # EVENT: 0000008641 Carbon Valley Wine Festival Sat, June 24, 2017 CUST # 0001452 COD .11 42.00 Security Guard Services (Unarmed) Hours on duty: 12:30-7:30 Number of guards: 6 (includes 1 manager/supervisor on duty) Hourly rate: $22 22.00 924.00 TOTAL $924.00 5/6/2017 Wild Cider Mail - Carbon Valley Wine Festival - 2017 Carbon Valley Wine Festival - 2017 3 messages events @wild cider <events@wildciderco.com> Reply -To: events@wildcider.com To: Jeremy Martin <Jeremy@eldoradosprings.com> Thank you for helping us last year with our inaugural festival. events @wild cider <events@wildciderco.com> Sun, Feb 12, 2017 at 8:17 AM You asked that I send you an email to confirm the details for our event when we knew the dates for 2017. As stated, we will pick up the water and dispensers. Details of event: • Date - June 24, 2017 • Time - 1:00 pm to 7:00 pm • Estimated Guests: 1500 Please confirm the following: • When and where we are to pick up • How many dispensers we will be picking up Cheers! Lynn Yarger Wedding and Special Event Coordinator The Cider Mill at Wild Cider 303.517.2428 CVWF Application.JPG 2119K Jeremy Martin <jeremy@eldoradosprings.com> To: events@wildcider.com HI Lynn, Mon, Feb 13, 2017 at 10:57 AM For your fall wine fest you got 20-5 gallon bottles and 3 porcelain dispensers but it looks like the summer on is a little smaller so if that was enough before I would guess that 12 5 gallon bottles and 2 dispensers will work for this one. Does that sound good to you. You can pick up everything the week of the event. I've attached our policy and procedures for picking up and returning everything. Let me know if you have any other questions. https://mai I.google.com/mail/u/0/?ui =2&ik=5cc4750cd3&view=pt&q=Jerem y%40eldoradosprings.c,om&cis=true&search=query&th= 15a3ce86563f63a5&sim1=15... 1/2 5/6/2017 Wild Cider Mail - Carbon Valley Wine Festival - 2017 To Your Heatlh, Jeremy From: events @wild cider [mailto:events@wildciderco.com] Sent: Sunday, February 12, 2017 8:18 AM To: Jeremy Martin <Jeremy@eldoradosprings.com> Subject: Carbon Valley Wine Festival - 2017 [Quoted text hidden] Eldorado Natural Spring Water donation policies and procedures.pdf 61K events @wild cider <events@wildciderco.com> To: Jeremy Martin <jeremy@eldoradosprings.com> Jeremy, Sounds great! Cheers! Lynn Sent from my iPhone, please excuse any typos! Cheers! [Quoted text hidden] <Eldorado Natural Spring Water donation policies and procedures.pdf> Tue, Feb 14, 2017 at 6:55 AM I ops://m ail.google.com/mail/u/0/?ui=2&ik=5cc4750cd3&vi ew=pt&q=Jeremy%40eldoradosprings.com&qs=true&search=query&th=15a3ce86563f63a5&simI=15... 2/2 Health Administration Vital Record: Te'e: &-3$3-e=1O =a,.. O- 34-c-12 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue f 1-, ri 1O Z .JI r -V I' y, `....••••••' Livo•.' i www.weidheaith.org Public Health & Clinical Services T ! r 1 97C -304-6.1T 6 Environmental Communication, Health Services Education & Manning Ic _: 070-":5C'4-6-17 5 T _: 97C,•:3:4-6.:70 Fax: o -0-'_{,1.o.}' 70-..;;.s.;_5^_ Public Health Emergency Preparedne:: & Response i'3 --C _0_' a • : c7C-5:::4-6469 Our vision: Together with the communities we seive.:ti'C ace wonting to ma-e`+`red C urti 'Mt Iteittitesi, place m Vie. ic3m. . ar,� Tisay. TEMPORARY FOOD EVENT GUIDELINES Dear Event Coordinator. The Weld County Department of Public Health and Environment has been advised that you are coordinating and/or participating in a temporary food event. The Department would like to assist you in providing consumers with the highest degree of food safety. Please see the Temporary Event section of our website for further information. http://www.co.weld.co.us/Departments/HealthEnvironment/EnvirotnnentalHealth/FoodSafetvforRegulatedFacilities/Te mporaryEvents.html Each coordinator is responsible for submitting applications (coordinator and vendor) to the Department. No later than 30 days prior to the event the Event Coordinator must submit the following: Coordinator Application ® N ens 2017 Coordinator Fees Iti.J Finalized Event Site Map ® Finalized Vendor Information List A Vendor Application for Temporary Food Events has been included and should be given out to each vendor. Additional copies of this form can be tbund on our website. Please make sure the vendor applications have been tilled out completely, and submit all vendor applications at one time at least 10 days prior to the event. If the vendor needs to become licensed, they will deal directly with the Department. 2017 Fee Schedule for Event Coordinator: 1 Vendor $0 2-5 Vendors $50 6-15 Vendors $100 16+ Vendors $200 *Additional fees of $50 per hour if paperwork is incomplete or increased inspection time for incomplete, unlicensed vendors. Coordinators should also know: • "Taste of' events and sampling events are charged coordinator fees • Types of food vendors required on coordinator application o Temporary event vendors o Mobile units o No feel non-profit o Wholesale operators with non-phf prepackaged food o Cottage food o Samplers If you are no longer the Event Coordinator, contact the Department at 970-304-6415 so that we may update our records. Event Coordinator Application FvFNT INFORMATION Name of the Event: Carbon Valley Wine Festival presented by Wild Cider Date(s) of the Event: June 24, 2017 Location of the Event: 11455 CR 17, Firestone, CO 80504 Hour of the Event: (Days and Times) Saturday, 1:00 pm to 7:00 pm Expected number of patrons: 1000 Expected peak day(s) if event is longer than I day: N/A Number of Food Booths: 4 Total Coordinator Fee Due: $ 0 koc Event Coordinators Name: Lynn Yarger Coordinator's 'none Number: ( us ) 517.2428 Coordinator's Fax Number: Coordinator's Mailing Address: 11455 CR 17 City Firestone State CO Zip Code 80504 Coordinator's E-mail address: events@wildcider.com Contact Person during the Event (if different from above): Contact phone number for the day of the Event: (303 ) 517.2428 SERVICES PROVIDED ON-STTE TO Foos VENDORS (Check all that apply and provide detail if necessary): Water Supply: Wastewater: Electricity: Trash / Refuse: Toilet Facilities: Hand Wash Facilities: Other Services: There is access to a potable water taps on site. gi Vendors must bring their own water supplies. �J There will be liquid waste collection tanks / receptacles on site. xi Vendors must arrange for their own wastewater disposal. j® There will be no electricity supplied on site. There is access to electricity on site. Generators will be provided for vendor use. Vendors are L7 allowed to use generators on site. There will be trash receptacles throughout the event for the public. There will be dumpsters on site for vendor and public trash removal. How often will they be serviced? At close of event p Water carrying public restrooms. How many? j I Portable toilets. How many? 10 - (9 brought in for the day, 1 on site) How often will they be serviced? At close of event o Water carrying public restrooms. How many? gl Portable hand wash stations. Clow many: 4 > ctatwin stflks How often will they be serviced? At close of event o Refrigerated truck ❑ Commissary kitchen (Provide a list of available equipment in kitchen. XI Ice TEMPORARY EVENT SITE M AP Provide a labeled map of the entire Temporary Event area and include the following: 6 Toilet facilities (portable and fixed) Hand washing facilities fti Trash containers ❑ Electrical hook-up points and generator locations ❑ Potable water taps for vendors ❑ Location of all food preparation and service areas on the event grounds lz' Food booth vendors ($ Roadways, sidewaiks, ana walkways DRefrigerated truck (if applicable) ❑Commissary kitchen (if applicable) oPetting Zoo (if applicable) Vendor Information List Menu items at booth Pizza, Soda, Water Various quinoa-inspired wraps, salads and bowls Shrimp/grits, grilled cheese, sliders, fried okra, bolted peanuts Assorted Cheese Steaks zmpl,nc) ,Stir `1ir.m(-\,ne, S rcry{+.c �cr� v er. Ct tee�e, ne.rr\, \:n,t Kv;1r rc '• r-. vsbet, y uce tin S.W. ) / / } C / Z. / \ ) \ \ \ & / `)E / . . . . Contact number (sy C.1 CV VI- \ al CD \ 314.761.7268 \ \ / K Cr { / r $ ® J \ f q r r ° { Q r e ! I \ 2 \ f r f / § z \ r Contact Person Name Adam Gorove :8\ 3 II Stacey Yates Nett Spain j ' Li) » ` & » L % Vendor/ Eooth Name Hot Tin Roo ` Wood Fired Pizzz Keenwah Ci \ Mateo's Cat firing •C ® - \ \}y +;k4 „t,E }3 § / \ 6 / , ! ) ' a' $ / / \ \ » Hours of —7 Doera ion E \ E \ E \ E// \ C / E ! « f. t/ - " a CO Application ?oratua.rl i | | II : ' 1 I \ ] \ ! / ! \ | 1 / / 1 / ! / { s % ! - \ \ / , / - / WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org Environmental Health Services -- Phone: (970)304-6415 -- Fax: (970)304-641-i Weld County Temporary Event Vendor Application 2017 PLEASE SUBMIT StCNE' D REQUIRED DOCUMENTATION TO EVENT COORDINATORS Name of Event: Carbon Valley Wine Festival Date of Event: June 24, 2017 Name of booth: Hot Tin Roof Wood Fired Pizza Name of owner: Adam Gorove Phone number of owner: Email for owner:I adam@wildcider.com address for owner: 11455 CR 17 Firestone, Mailing e, CO 80504 MOBILE ONLY: County where licensed: ( Weld Main menu items _ (hamburgers, tacos, baked goods): Wood Fired Pizza, Salads, Coke, Sprite, Pellegrino, Water Check. one al the ioiiowing options and inciude all required documentation with this form Mobile Units licensed in Weld County: • Submit this form Mobile Units licensed in another county: • Submit this form • Attach a copy of your license • Attach a signed commissary agreement Non -profits: • Submit this form • Attach documentation of non-profit status Temporary Events: • Submit this form • Temporary Event Vendors must be licensed in Weld County. A single -event license may be purchased for $100 and a calendar year license may be purchased for $385. Please complete application and submit payment to WCDPHE 30 days prior to the event. Application for new vendors can be found on our website www.weldhealth.org or by contacting WCDPHE. By signing this form, you understand and agree to abide by the Colorado Retail Food Establishment Rules and Regulations and the guidance attached. If you have questions about the requirements/ limitations of temp event vendors, contact the Weld County Department of Public Health and Environment at (970)304-6415. Please flute. failure to provide adequate handwashing or temperature conttpl may result in immediate closure. rso"c've Print name ture of owner/operator '4/2,74 7 Date WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ▪ 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org Environmental Health Services -- Phone: (970)304-6415 — Fax: (970)304-6411 Weld County Temporary Event Vendor Application 2017 PLEASE SUBMIT SIGNED APPLICATION AND REQUIRED DOCUMENTATION TO EVENT COORDINATORS Name of Event: Date of Event: The Carbon Valley Wine Festival presented by Wild Cider June 24, 2017 Name of booth: Keenwah, Co. Name of owner: Phone number of owner: Elizabeth McDermott 719-648-1695 Email for owner: keenwahco@gmaiLcom Mailing address for owner: 710 Birch Street, Denver, CO 80220 MOBILE ONLY: County where licensed: 1 Denver Main menu items Various quinoa-inspired wraps, salads and bowls (hamburgers, tacos, baked goods): 1"I I I 1 Check one of the following options and include ail required doc-umentation with iifs iurm Mobile Units licensed in Weld County: • Submit this form Mobile Units licensed in another county: • Submit this form • Attach a copy of your license • Attach a signed commissary agreement Non -profits: • Submit this form • Attach documentation of non-profit status Temporary Events: • Submit this form • Temporary Event Vendors must be licensed in Weld County. A single -event license may be purchased for $100 and a calendar year license may be purchased for $385. Please complete application and submit payment to WCDPHE 3O days prior to the event. Application for new vendors can be found on our website www.weldhealth.org or by contacting WCDPHE. By signing this form, you understand and agree to abide by the Colorado Retail Food Establishment Rules and Regulations and the guidance attached. If you have questions about the requirements/ limitations of temp event vendors, contact the Weld County Department of Public Health and Environment at (970)304-6415. Please note: Failure to provide adequate handwashing or temperature control may result in immediate closure. Elizabeth McDermott Print name /s/ Elizabeth McDermott 2/26/17 Signature of owner/operator Date H Tn-County �ment eatth COMMISSARY AGREEMENT Mobile Food Facility I1A 6(Y 1 lYs °t rift Mobile Food Facility Owner 0�3stye6Yl sty Address t r r -1111-06)-10-=7" 1 cn city Phone Mrigads. f 125rtr)44%-ymutt ci wC 5o]_pj y .stf 7 Phone commissary/food tfoed {drillstates that hetsrhas your permission to use our ty l of operations for the purpose of storing food and supplier teerv_i for the mrzNie toY! facility, necessary preparation (*food, filling unit with potable water, cleaning of the unit. and dumping of wastewater front storage tank,; This is in atean".• "ith the laws governing mobile retail foo-t. establishments o �shcar*ts r. the Colorado eta.'t F tilithment Ru. r y ...:....+3P"`i:.,.`.? % ��- t:� n.�,...rl D�..in�...�a lC.a,d.`".Y To qualify as an approved amtamissaty, you must: i . Provide approved, food grade hoses for potable water supply to mobile units. 2. Provide an approved area for the storage and preparation of food products and supplies, with approved, properly installed equipment. �. Ptuvitic zit apinuvw aim withal* approved 3-voutpau►ttxati aiii iisitwasitra lot the wasiti►ag„ i i►►ding„ dud ►itizitig of utensils and egcuipcnent. c-T,iide sew appi%wed aarea with floor drains for cleaning and Tfaiatenaiice of the mobile food facility 5_ Provide direct access to an approved floor slut fur proper Wastewater disposal from noising twnx 6. Maintain a valid Retail Food Establishment License (for comtnissary/food facility). 7. Post and maintain a daily log (check-In/out) sheet, the mobile food facility owner must sign daily that they are using your commissary, and you must sign daily verifying that the mobile food facility uses your commissary. . 8. Maimaiy your commissary in satisfactory condition as determined by the Local Health Department_ once Ake mobile juva fac9wty kiss been approver fur ueeasi g, you mw also agree fu swan she in -County Health Department tment 'tha above aranahioaed mobilefood facility has not utilized jvmr' .acuity, as relished, for alive (3) eousees tiv` a dezys. You mast also certify under penalty ofperjury that you are the kgal owner ars&or @V t1PiV7 t #tl StrVIVw.aiity WMs MN* [N,Mic pr rase 4WrtVSH. Vj U1) sei4e,. C.7\4% V- y Signature Date Cry Print N Mei/XIMQf S AGREMENTLETIVR MUST BE UPDATED AND BESUBM1TTED ANNUALLY 34491 I I WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org Environmental Health Services — Phone: (970)304-6415 — Fax: (970)304-6411 Weld County Temporary Event Vendor Application 2017 PLEASE SUBMIT SIGNED APPLICATION AND REQUIRED DOCUMENTATION TO EVENT COORDINATORS Name of Event Carbon Valley Wine Festival presented by Wild Cider Date of Event June 24, 2017 Name of booth: ?Lowco Food Truck Name of owner: Stacey Yates Phone u of owner. 314-761-7268 Email for owner, lowcofoodtruck@gmaiLcom Mang address for owner: 12875 Clarkson Circle, Thornton, CO 80241 MOBILE ONLY: County where licensed: ITri-County Main menu items (hamburgers, tacos, baked goods): Shrimp & Grits, Pimento Grilled Cheese, Pulled Pork Sliders, Fried Okra, Boiled Peanuts I I Check one ofthe following options and Include al required documentation with INS form Mobile Units licensed in Weld County: la Submit this form Mobile Units licensed in another county: • Submit this form • Attach a copy of your license • Attach a signed commissary agreement Non -profits: • Submit this form • Attach documentation of non-profit status Temporary Events: • Submit this form • Temporary Event Vendors must be licensed in Weld County. A single -event license may be purchased for $100 and a calendar year license may be purchased for $385. Please complete application and submit payment to WCDPHE 30 days prior to the event. Application for new vendors can be found on our website www.wetdheaith_org or by contacting WCDPHE. By signing this form, you understand and agree to abide by the Colorado Retail Food Establishment Rules and Regulations and the guidance attached. if you have questions about the requirements/ limitations of temp event vendors, contact the Weld County Department of Public Health and Environment at 1970)304-6415. Please note: Failure to provide adequate handwashing or temperature control may result in immediate closure. tc= a(e1 \J\ig Teg Print name 3jQc/ 7 Date PR0008210 STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT 330.00 ACCOUNT NUMBER use for all references LIABILITY INFORMATION ISSUE DATE ICENSE VAUD TO DECEMBER 31 county) city I Indust. {type) paoaay date mmth I day I year 27771791 Mobile Unit (full food servi 3/16/2017 2017 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: Lowcountry LLC 12875 Clarkson Cir Thornton, CO 80241 Lowcountry - Mobile Mobile Unit NA, CO 80000 THIS LICENSE IS NOT TRANSFERABLE This certifies that licensee shown hereon is authorized and licensed to engage in taissinr-ca is arr.oftianrp with the provisions of the law and regulations of the Colorado Department of Public Health and Environment Any alterations made on this license wilt automatically make it null and void. POST IN A CONSPICUOUS PLACE ��eTri-County i.virfittY AGREEMENT LC ;CO0n+r1 I LL G Mobile Food Facility DBA .S4-QUI Va- QS Mobile Food 'Facility Owner lass C sari Circle, .ai Address ti Or -bq 3v-I-111-1d(�8 City Phone Commissary DBA O f]„ elan VV{{t1[T, Grano a. Com ym ' sary Owner's Name t'Gly ?ta 7 i - CV`1 QrS".Q G. : s n tvts-\.r 3403-4 -3823 City Phone Mr/Mrs./Ms. S\QC Q \�S states that he/she has your permission to use your commissary/food facility/baseo operations for the purpose of storing food and supplies used for the mobile food facility, necessary preparation of food, filling unit with potable water, cleaning of the unit, and dumping of wastewater from storage tanks. This is in accordance with the laws governing mobile retail food establishments or pushcarts as stated in the Colorado Retail Food Establishment Rules and Reauulatiops (Section 9-1t7. To qualify as an approved commissary, you must: 1. Provide approved, food grade hoses for potable water supply to mobile units. 2. Provide an approved area for the storage and preparation of food products and supplies, with approved, properly installed equipment. 3. Provide an approved area with an approved 3 -compartment sink/dishwasher for the washing, rinsing, and sanitizing of utensils and equipment. 4. Provide an approved area with floor drains for cleaning and maintenance of the mobile food facility. 5. Provide direct access to an approved floor sink for proper wastewater disposal from holding tanks. 6. Maintain a valid Retail Food Establishment License (for commissary/food facility). 7. Post and maintain a daily log (check-in/out) sheet, the mobile food facility owner must sign daily that they are using your commissary, and you must sign daily verifying that the mobile food facility uses your commissary. 8. Maintain your commissary in satisfactory condition as determined by the Local Health Department. Once the mobile food facility has been approved for Hcensing, you must also agree to notify the T r -Cowuy Health Department if the above mentioned mobile food facility has not utilized your facility, as required, for three (3) consecutive days. You must also certify under penalty ofperJury that you are the legal owner and/or operator of this food facility and will abide by the contents of this tenter. Signature — Date Paq es- tic -- Print Name i THIS AGREEMENT LETTER MUST BE UPDATED AJ D RF UBMYCPED ANNUALLY TOM S-3 W (Rev 515/091 Weld County Temporary Event Vendor Application 2017 Name of Event: Carbon Valley Wine Festival presented by Wild Cider Date of Event: June 24, 2017 Name of booth: tiaO4en `s l A4-ec i a Name of owner: t11p� q.,,r‘ Phone number of owner: ,, 7i1. Q - C 8 Email for owner: Mo, ,s.wa e srvro:.\ • corrl Mailing address for owner: 3515 Ccero USG/ A0 61. Spy, Co 80?! 7 MOBILE ONLY: County where licensed: ,Ff Pa,So Main menu items (hamburgers, tacos, baked goods): sflsS4r{kJ eAccse fieatS Aobile Units licensed in Weld County: • Submit this form oble Units licensed in another county: Submit this form Attach a copy of your license • Attach a signed commissary agreement Non -profits: - Submit this form • Attach documentation of non-profit status temporary Events: Submit this form Temporary Event Vendors must be licensed in Weld County. A single -event license may be purchased for $10O and a calendar year license may be purchased for $3855. Please complete application and submit payment to WCDPHE 30 days prior to the event. Application for new vendors can be found on our website or by contacting WCDPHE. By signing this form, you understand and agree to abide by the Colorado Retail Food Establisnrnent Rules i.no keguiations and the guidance attached. If you have questions about the requirements/ limitations of temp event vendors, contact the Weld County Department of Public Health and Environment at (970)304-6415 Please note: Failure to provide adequate handwashing or temperature control may result in immediate ciosure. 141,44101 Fee S 330.00 5 r �3 1121487S-0000 h4 11017 04 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT ACCOUNT NUMBER I LIABILITY INFORMATION 1 ISSUE DATE !LICENSE VALID Try( - use for at! tele(enc s _ MATEOS CATERING MOBILE FLAMING SPATULA INC 3515 CAROUSEL LN COLORADO SPRI C;S.. CO 81917 License issued by El Paso Ccu nt\ Public Health 3 -IS 12/4/2017 2017 tn.at.. ,. a _ hL,N t ,•e _. . i5 a's t'n7rZr_a and 1t'. c,-Na:t7 uS:ness ill the ¢ne Colorado Department ,or Pubic Neat at:0 EnvIroriment. Attt allerations made Un.,t wig POST IN A CONSPICUOUS FLAC E • PART I 'A nfr 'infernal 000t f� rwnet riirre of tnritiilt frtsbt, Pepe rxtsl+trttc+h=rule► Worry- t '1CATSOti ovvisatik r i,rIOw, I tr ti; % sr10r that ng of erlutprrwrtt arid me ails anti ca El Paso County Public Dealt!) Enviranmentat Health Division 1675 W. Garden of the Gods nd.. Suite gZ044 Colorado Springs, writ, restaurant, or other approved place in which food.. containers, r►r �st�i�plit = Jog' trrxath shad ..r ni1ih rr_ and sign PART 1. (,.Ii1Ti;iir"-IP and y�jgtr PART 2. ro-f?.!tl f�r ter rilfm auant y flOrAtV, 411 itpig it CA, • I fir` tiorfieritrp rifft119 fx #� Sritrt tip' rtrJl his -' y n-41:r4lt y • �'yt:= °a ^M`irKrFE.ilir+f rYTtJf if o„x. {:�,.*.MSSYRA*4 aa6d ak As!ka.a'WYYxY Yktx+Y +kYrYY'YB kYf Y.Ywh"•'•"x � � q Y LitwsL,t-k .3 /I'OO) BOOTH it), listed below as my commissary for the preparation andstorage of food as rnranriatwi by the Colorado Retail Food Estabiishonent Rules and 3:21,_ Date tho 1114. cotrur►i. sry used in the previous retail food license year. tt e ' n e commissary used in the previous retail food license year.: YS'4+Y#*, ..'.,*,**.rrYYrY*k *o 4ww..Y.rsoR*X***FOr'Ya**, ***4 *##X*ii•k#•ti*f *#"P .PART 2 • arrer rif Critninh4tary, rtdrren ed mobile utt washing arid u i i"i t fsd6 W t $ United Site Services of Colorado. Inc. 6015 E 58TH AVE Commerce City, CO 80022 Toll Free: 888-232-0001 Local: 303-985-0164 Fax: 303-985-1428 Quote No.: 414-842596 Sell To: WILD CIDER LYNN YARGER 11455 CR 17 FIRESTONE, CO 80504 Cust. #: USS-234503 Phone: 303-517-2428 Item Deluxe Restroom Deluxe Restroom Service INCUDelivery, Setup, Removal Environment/Energy/Compliance Deluxe Restroom Subtotal - United SITE SERVICES Site Service Quotation Quote Date: 02/14/17 Salesperson Contact Ronald P. Kelley Mobile: Office: 303-222-7023 x27023 Fax: 408-578-9294 Ronald.Kettey@unitedsiteservices.com Quote Expires: 03/16/17 Ship To: WILD CIDER FIRESTONE, CO 80504 Attn: LYNN YARGER Phone: 303-517-2428 Terms: Due Upon Receipt Unit Quantity From Thru Unit Price Total Price EA 9 06/23/17 06/26/17 10.00 EA 9 06/23/17 06/26/17 60.00 EA 9 06/23/17 06/26/17 0.00 2 Station Sink EA 6 06/23/17 06/26/17 10.00 2 Station Sink Service EA 6 06/23/17 06/26/17 70.00 INCUDelivery, Setup, Removal EA 6 06/23/17 06/26/17 0.00 Environment/Energy/Compliance 2 Station Sink Subtotal - Accepted: Date: Remit To: United Site Services, PO Box 53267, Phoenix, AZ 850723267 NOTE: Total prices have been calculated for 1 billing period only. Damage Waiver is optional. Please read the terms and conditions on the last page of this document for more information. 90.00 one time 540.00 one time 0.00 one time 81.27 one time 711.27 60.00 one time 420.00 one time 0.00 one time 61.92 one time 541.92 Total: 1,253.19 NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 400-4225, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Administration Building, 1150 O Street, Greeley, Colorado 80631. E -Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E -Mail correspondence into the case file, please send a copy to crempel@weldgov.com. DOCKET #: 2017-55 DATE: June 5, 2017 TIME: 9:00 a.m. APPLICANT: Rocky Mountain Cider Company dba Wild Cider 11455 CR 17 Firestone, CO 80504 REQUEST: Application for a temporary assembly of more than 350 persons on June 24, 2017. LEGAL DESCRIPTION: Lot B of Recorded Exemption RE -41, located in the SE1/4 of Section 5, Township 2 North, Range 67 West of the 6th P.M., Weld County, Colorado. LOCATION: Adjacent to County Road 17; approximately 2,300 feet north of County Road 24. (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: May 23, 2017 PUBLISHED: May 26, 2017, in the Greeley Tribune Affidavit of Publication NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to partici- pate in this hearing, please contact the Clerk to the Board's Of- fice at (970) 400-4225. prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners. Weld County Ad- ministration Building, 1150 0 Street. Greeley, Colorado 80631. E -Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E -Mail cor- respondence into the case file, please send a copy to crempel@weldgov.com. DOCKET #: 2017-55 DATE: June 5, 2017 TIME: 9:00 a.m. APPLICANT: Rocky Mountain Cider Company dba Wild Cider 11455 CR 17 Firestone, CO 80504 REQUEST: Application for a temporary assembly of more than 350 persons on June 24, 2017. LEGAL DESCRIPTION: Lot B of Recorded Exemption RE -41, located in the SE1/4 of Section 5, Township 2 North, Range 67 West of the 6th P.M., Weld County, Colorado. LOCATION: Adjacent to County Road 17; approximately 2,300 feet north of County Road 24. (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: May 23, 2017 PUBLISHED: May 26, 2017, in the Greeley Tribune The Tribune May 26, 2017 STATE OF COLORADO County of Weld, I Kelly Ash SS. of said County of Weld, being duly sworn, say that I am an advertising clerk of THE GREELEY TRIBUNE, that the same is a daily newspaper of general circulation and printed and published in the City of Greeley, in said county and state; that the notice or advertisement, of which the annexed is a true copy, has been published in said daily newspaper for consecutive (days): that the notice was published in the regular and entire issue of every number of said newspaper during the period and time of publication of said notice, and in the newspaper proper and not in a supplement thereof; that the first publication of said notice was contained in the Twenty -Sixth day of May A.D. 2017 and the last publication thereof: in the issue of said newspaper bearing the date of the Twenty -Sixth day of May A.D. 2017 that said The Greeley Tribune has been published continuously and uninterruptedly during the period of at least six months next prior to the first issue thereof contained said notice or advertisement above referred to; that said newspaper has been admitted to the United States mails as second-class matter under the provisions of the Act of March 3,1879, or any amendments thereof; and that said newspaper is a daily newspaper duly qualified for publishing legal notices and advertisements within the meaning of the laws of the State of Colorado. May 26, 2017 Total Charges: $14.13 26th of May2017 My Commission Expires 02/06/2021 Notary Public Diane M Conkey NOTARY PtU6LIC STATE OF COLORADO NOTARY !C32017.40(;5580 MY COMMISSION .Q{RES FEBRUARY 8, 2021 X� PO Box 758 -o Co o -o O L U o O Lf-) D� U ° o T m - L a� a) O U a_ Greeley CO 80632 Greeley CO 80632 RECEIPT DATE �/ioiao1.1 NO 89289 RECEIVED FROM Roc1i'cCfloun+o1n ai der Compa.nc.a ADDRESS t (c1 5S C -R ( 7 . l=i f2s-}OYv_ i C'� gC,`'jOy cn FOR HOW PA L....., CASH CHECK t®©0 00 MONEY ORDER I RECEIPT RECEIVED FROM ADDRESS t H SS Q,c f 7 , ETres+cne.., CO goSotf L'ne hundred D•and °C'i roo • s 100.00 00/100 a BY DATE 51J0 LSKD Va-i _ 0.00 cot tin NO 89290 FOR Mes • • �.� _ HOW PAID CASH CHECK l OO 00 MONEY ORDER e rrn I' co. 'a BY 051\20-42 _ is DR 8506 (8/99) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION DENVER CO 80261 303-205-2300 COLORADO LIMITED WINERY WINE FESTIVAL PERMIT 21 APPLICATION Initial Festival Application - $25.00 Annual Fee Subsequent Festival Application DO NOT WRITE IN THIS SPACE 1. Name of Applicant exactly as it appears on your current Limited Winery License: Rocky Mountain Wild Cider Applicant License No: 4701837 2. Trade Name of Applicant: Wild Cider State Sales Tax No: Business Telephone: 303.532.9949 3. Business Address of Applicant: 11455 CR 17 City Firestone County Weld State CO ZIP Code 80504 4. Mailing Address (Number and Street) 11455 CR 17 City or Town Firestone State CO ZIP Code 80504 5. Festival Location: 11455 CR 17, Firestone, CO 80504 Festival Dates (Limit 3 days) 6. Rights X to Premises Granted By: Attach a copy of Premises Use Authorization Letter or Lease /. Notmcation to Local Licensing Autnorlty Local Licensing Authority Name: Weld County Date Application Copy provided to Local Licensing Authority: 5/1O/ vO1-I NOTICE TO LOCAL LICENSING AUTHORITY THIS APPLICATION FOR A WINE FESTIVAL PERMIT WILL BE GRANTED TO THE ABOVE NAMED APPLICANT UNLESS ANY OF THE BELOW LISTED CONDITIONS APPLY. IF ANY OF THESE CONDITIONS APPLY PLEASE CONTACT THE STATE LICENSING AUTHORITY IMMEDIATELY. THE APPLICANT HAS NOT PROVIDED YOU WITH AT LEAST 10 BUSINESS DAYS NOTICE OF THE PROPOSED FESTIVAL PAST WINE FESTIVALS HAVE HAD A HISTORY OF VIOLATION OF THE COLORADO LIQUOR CODE IF GRANTED THIS PERMIT WOULD RESULT IN VIOLATIONS OF THE COLORADO LIQUOR CODE OR THE LAWS OF THE LOCAL GOVERNMENT DR 8506 (08/99) COLORADO LIMITED WINERY WINE FESTIVAL PERMIT APPLICATION DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY DATE LICENSE ISSUED LICENSE ACCOUNT NUMBER FROM PERIOD TO 2365-100 (999) TOTAL 0 0 8. 9. During this wine festival wines will be sold by the participating wineries: Check all that apply X In open containers for on -premises consumption X In sealed containers for off -premises consumption Diagram and control of FESTIVAL PREMISES X Attach a diagram of proposed premises X Attach a copy of premises control plan outlining how premises will be controlled to insure compliance with liquor code provisions including restricting sales to minors and intoxicated persons and insuring that festival participants cannot leave the premises with open containers of alcohol beverages. 10. LIST OF PARTICIPATING WINERIES WINERY NAME LICENSE # PERSON RESPONSIBLE PHONE# See attached List A OATH OF APPLICANT I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my knowledge. I also knowledge that it is my responsibility and the responsibility of my agents and employees to comply with the provisions of the Colorado Liquor or Beer Code which affect my license or permit. Authorized Signature Title Date List A - Carbon Valley Wine Festival Alcohol Vendor List License Number L 14434950000 1 4701723 4703622 K85228 490470 4701285 4771660001 4271104 J 4283776 4288526 2560933 L 4701624 I 368365001 4702923 l 3904420001 O O O a 0) a0 a0 O O m 4704476 4197969001 I 2677347 2873959 J 4701837 Email grifgraman@icloud.com cellardog07@gmail.com E U Cu.— U U o O c C Cuto E @, @J cowinelady@cs.com E O C `^ 0 t) C a) allison@garfieldestates.com mttch@garrettestatecellars.com GubbiniWinery@aol.com kim@huntersmoonmeadery.com doug.kingman@kingmanwine.com O V E h0 @1a .3 a) i- O- o, E O ?...- = .3 ++ CD C - O (3j Q) L CO .0 O v N L 12 -05 0 -a ai L � v� jess@redstonemeadery.com rykerscellars@gmail.com O U _ O CO @, CD 3 Q Un tyler@talonwinebrands.com tenbearswinery@hotmail.com vinopassarelli@gmail.com events@wildcider.com Phone 303.904.7650 303.807.3906 303. 722.0669] 303.746.1251 916.622.1749 609.731.8684 00 tD e1 O m CO tD O N a) 970.270.7185 970.302.3183 720.560.7270] 970-407-9463 719.221.1563 303.514.9330 CO 01 0 orn N to O N n 720.437.9537 720.519.1506_ 816.835.4202 970.566.4043 303.483.5279 303.994.7723 Contact James Griffin Teres Kernan John Cowperthwaite Carrie Pargee Diana Read Patty Phan Allison Anderson Mitch Garrett Linda Lee Gubbini Kim Bowdish Doug Kingman Kate McMahon Andrew Ritchie Sherrie Hamilton Jess Simon Ryker Brandt June Spero Tyler Phillips CO _ Y C O U m Mark Passarelli Adam Gorove Company a) 4., C Q Bad Bitch Cellars 'Black Arts Cellars I Blue Mountain Vineyards (Cottonwood Cellars 1 Decadent Saint Garfield Estates Vineyard & Winery 'Garrett Estates L Q _fa V Hunters Moon Meadery [Kingman Estates 1 A L a) = a �L (o L 8 Mountain Spirit Red Fox Cellars Redstone Meadery Rykers Cellars Spero Winery 'Talon Wine Brands 1 Ten Bears 1 Vino Passarelli Wild Cider Carbon V alley Wine Fe Presented by Premises control plan 6.24.17 1. All persons entering the festival are required to have a ticket and a wrist band will be issued at the gate 2. Perimeter fencing is in place to prevent unauthorized entry and exit of festival. 3. Please see attached security plan CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 May 16, 2017 Rocky Mountain Cider Company dba Wild Cider 11455 County Road 17 Firestone, CO 80504 RE: CARBON VALLEY WINE FESTIVAL - TEMPORARY ASSEMBLY PERMIT APPLICATION Dear Property Owner: This is to advise you that the Weld County Board of Commissioners will hear your request for a Temporary Assembly Permit on the property described as: 11455 County Road 17, Firestone, CO 80504. The meeting is scheduled for Monday, June 5, 2017, at 9:00 a.m., in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631. If you have any questions concerning this matter, please do not hesitate to contact me at (970) 400-4225. Sincerely, Chloe A. Rempel Deputy Clerk to the Board cc: County Attorney Chloe Rempel From: Sent: To: Subject: Chloe Rempel Monday, May 15, 2017 9:01 AM 'events@wildcider.com' FW: Carbon Valley Wine Festival Good Afternoon Lynn, I have good news! Jim just gave me a call to let me know that he spoke with the Lakewood Office, and they are going to allow your wine festival permit to have the same premises as The Wild Animal Sanctuary's beer garden. Your event footprints can overlap, but as you know, the applications are separate entities. The Wild Animal Sanctuary cannot duplicate your application for their Special Event Permit, but the map can be the same since the location is the same. Please have The Wild Animal Sanctuary contact me regarding the requirements of their Special Event Permit Application. I took a look at the map that Adam submitted, and it is missing a few items. The map should show the following: Roads Toilets Hand Washing Stations Turn Around Location Paramedic Location/First Aid Location The adjacent lot for parking Please let me know if you have any questions. Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 0 Street Greeley, CO 80631 tel: 970-400-4225 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. From: Chloe Rempel Sent: Monday, May 08, 2017 3:23 PM 1 COLORADO Department of Revenue Enforcement Division - Liquor & Tobacco Physical Address: 1881 Pierce Street Lakewood, CO 80214 (303) 205-2300 Mailing Address: P.O. Box 173350 Denver, CO 80217-3350 BULLETIN 17-03 REFERENCE: Special Event Permits Issued on a Liquor Licensed Premises DATE: February 24, 2017 Colorado Liquor Enforcement Division Special event permits are a very useful tool for non -profits to assist with raising funds for their entity. In the last 2 years, the Liquor Enforcement Division (LED) has provided training to liquor licensees and non-profit entities on the proper use and function of a special event permit. The LED issued Bulletin 16-08 concerning the use of donated alcohol for use at a special event permit and other non-profit events held on a liquor licensed premises. Most special event permits ("SEP") are issued to a premises that does not have a liquor license, but section 12-48-103(2)(a), C.R.S. allows for an SEP to be issued on the following liquor licensed premises: limited winery, club, arts, art gallery and a wine festival permit. This bulletin is being published to provide guidance for the use of a SEP issued on one of these premises. Issues Since an SEP can be issued on a liquor licensed premises, someone may believe that alcohol can be exchanged or transferred between the liquor licensee and the SEP holder. This is not allowed, even if they may be the same entity (in the case of a club license). Even though the SEP can be issued on one of the above liquor licensed premises (limited winery, club, arts, art gallery and wine festival permit), the SEP and the liquor license are still treated as separate entities. g Y Here are some of the laws and rules that apply: • Each license is separate and distinct (section 12-47-301(3)(a), C.R.S.) • Donated alcohol can only be used by the SEP (regulation 47-1020, 1 C.C.R. 203-2) • SEP holders can only purchase or accept donated alcohol from licensed wholesalers, retail liquor stores, liquor licensed drugstores, brewpub, distillery pubs and vintner's restaurant (regulation 47- 1020, 1 C.C.R. 203-2) • A club or arts license can only purchase alcohol from a licensed wholesaler (sections 12-47- 416(2)(a), 12-47-417(4)(a), C.R.S. respectively) • A limited winery licensee may only sell vinous liquor (section 12-47-403(2), C.R.S.) • A wine festival permit allows for the sale of vinous liquors (section 12-47-403.5(6), C.R.S.) Examples of Activities: Wine Festival Permit: Bulletin 17-03 SEP on Licensed Premises February 24, 2017 • An SEP can be issued within the licensed premises of a wine festival permit. The SEP holder er is responsible for any funds paid to the SEP for entrance or sales of alcohol associated with the SEP. • Only the SEP holder may use any donated alcohol provided by the licensees in accordance proper with regulation 47-1020, 1 C.C.R. 203-2. • A winery or limited winery selling vinous liquor pursuant to the wine festival permit may y not financially benefit from alcohol sales/entrance fees associated with the SEP. • A winery or limited winery selling vinous liquor via a wine festival permit may profit from th e sale of their products. Club License: • A club licensee may obtain an SEP to have a membership drive and invite the public to their The club. • SEP holder may accept donated alcohol from the appropriate liquor licenses for use during the SEP event. However, since a club license may not donate alcohol to an SEP, alcohol obtained by the club license in their normal operation may not be used for the SEP. • Subsequently, any alcohol purchased by or donated to the SEP for the may event specialb p not Bused in the normal operation of the club license - that is, it may only be used by the SEP during the special event. • SEP attendees who are not club members may not consume or purchase alcohol used for the normal operation of the club licensed premises during the course of the special event — that is, only alcohol beverage stock purchased by or donated to the SEP may be used by attendees who are not of members during the course of the special event. The above are just some examples of how an SEP can be used on a liquor licensed premises pursuant to section 12-48-103(2)(a), C.R.S. but is not an exclusive list of allowed activities. If you have any questions about this bulletin, please contact the Liquor Enforcement Division at 303-205- 2306. Chloe Rempel From: Sent: To: Subject: Attachments: Hello, Chloe Rempel Tuesday, May 23, 2017 10:34 AM Bruce Barker; Bob Choate; Karin McDougal; Bethany Pascoe; Dan Joseph; Deb Adamson; Frank Haug; Janet Lundquist; Jose Gonzalez; Roy Rudisill; Sam Kaneta III TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival Temporary Assembly - Rocky Mountain Cider Company dba Wild Cider.pdf 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 RESPOND NO LATER THAN: Thursday, June 1, 2017 Please note: 1. Last year's event held parking on an adjacent lot. This year, parking is on the lot opposite of the event, so all guests will have to cross County Road 17. 2. The applicant is asking the Board to waive the need to have an ambulance on site. 3. The Wild Animal Sanctuary is submitting a separate application for a Special Event's Permit for a beer garden within this event. The State has passed legislature that allows the Wine Festival Permit and SEP to have the same event perimeter, but the applications should be considered separate and distinct. Applicant: Rocky Mountain Cider Company dba Wild Cider 11455 County Road 17 Firestone, CO 80504 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 1 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tonya Johnson Sent: Wednesday, May 24, 2017 8:29 AM To: Chloe Rempel <crempelPco.weld.co.us> Subject: RE: TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival Chloe, I have looked at the property and do not see any outstanding violations or concerns. I don't believe we have any issues with this event. If you have any questions please contact our office. Thank you, Tonya Johnson Weld County Building Compliance 1555 N 17th AvenuelGreeley, Colorado 80631 tel: 970-400-3529 trjohnson@weldgov.com aCial 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: Wednesday, May 24, 2017 8:05 AM To: Tonya Johnson <triohnson@icoweld.co.us> 2 Subject: RE: TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival Thank you Tonya! 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. From: Tonya Johnson Sent: Wednesday, May 24, 2017 7:36 AM To: Chloe Rempel <crempel@co.weld.co.us> Subject: RE: TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival Good morning, I will take a look at this for Bethany and for Building Inspections you can contact Tom Potter (tpotter@weldgov.com) If you have any questions please contact our office. Thank you, Tonya Johnson Weld County Building Compliance 1555 N 17th Avenue l Greeley, Colorado 80631 tel: 970-400-3529 trjohnson@weldgov.com 00 3 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: Tuesday, May 23, 2017 5:19 PM To: Tonya Johnson <triohnson@co.weld.co.us> Subject: FW: TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival Tonya, I received automatic replies from both Bethany and Jose Gonzales. In case they are not back in the office to respond, would you be able to respond on behalf of Bethany, and do you know who I should reach out to from Building Inspections? 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. From: Chloe Rempel Sent: Tuesday, May 23, 2017 10:34 AM To: Bruce Barker <bbarker@co.weld.co.us>; Bob Choate <bchoate@co.weld.co.us>; Karin McDougal <kmcdougal@co.weld.co.us>; Bethany Pascoe <bpascoe@co.weld.co.us>; Dan Joseph <dioseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Frank Haug <fhaug@co.weld.co.us>; Janet Lundquist <jundquist@co.weld.co.us>; Jose Gonzalez <ionzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us>; Sam Kaneta III <skaneta@co.weld.co.us> Subject: TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival 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 4 MEMORANDUM To: Chloe Rempel, Deputy Clerk to the Board June 1, 2017 From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Upon review of the Special Events Permit and Temporary Assembly Permit by the Department of Planning Services shows the following: TEMPORARY ASSEMBLY PERMIT INFORMATION: Owner: Mark Birkin 11455 CR 17 Firestone, Co 80504 Rocky Mountain Cider Co Dba Wild Cider 11455 CR 17 Firestone, Co 80504 SPECIAL EVENTS PERMIT INFORMATION: The Wild Animal Sanctuary 1946 County Road 53 Keenesburg, Co 80643 Dates: June 24, 2017 10 AM — 7 PM (Temporary Assembly) June 24, 2017 1 PM - 7 PM (Special Events) Maximum number of people: 1000 (Temporary Assembly) PROPERTY INFORMATION: Zone District: Agriculture Upon review of my case files and computer, no active violations were noted. There is an existing Use by Special Review (USR13-00119) for a Winery (Cidery and Tasting Room) and Breakfast Facility. This USR also referred to Special Events occurring on -site. SERVICE, TEAMWORK, INTEGRITY, QUALITY Chloe Rempel From: Sent: To: Subject: Thomas Potter Wednesday, May 24, 2017 8:36 AM Chloe Rempel RE: TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival Good morning. This event does not require any special permitting by the Weld County Building Department as they have provided the proper documents as required by the building department. Any questions or concerns, please contact me. Thank you. Thomas Potter Plans Examiner II Department of Planning Services 1555N17`hAve Greeley Colorado 80631 (970) 400-3518 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: Wednesday, May 24, 2017 8:04 AM To: Thomas Potter <tpotter@co.weld.co.us> Subject: FW: TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival Good Morning Tom, I received an automatic reply from Jose stating he is out of the office. If he is not back in the office in time to reply, would you be able to respond on behalf of Jose? Thank you! Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street 1 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. From: Chloe Rempel Sent: Tuesday, May 23, 2017 5:19 PM To: Tonya Johnson <triohnson@co.weld.co.us> Subject: FW: TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival Tonya, I received automatic replies from both Bethany and Jose Gonzales. In case they are not back in the office to respond, would you be able to respond on behalf of Bethany, and do you know who I should reach out to from Building Inspections? 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. From: Chloe Rempel Sent: Tuesday, May 23, 2017 10:34 AM To: Bruce Barker <bbarker@co.weld.co.us>; Bob Choate <bchoate@co.weld.co.us>; Karin McDougal <kmcdougal@co.weld.co.us>; Bethany Pascoe <bpascoe@co.weld.co.us>; Dan Joseph <dioseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Frank Haug <fhaug@co.weld.co.us>; Janet Lundquist <jundquist@co.weld.co.us>; Jose Gonzalez <igonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us>; Sam 2 Chloe Rempel From: Sent: To: Subject: Attachments: Hi Chloe, Janet Lundquist Thursday, May 25, 2017 3:58 PM Chloe Rempel RE: TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival Temp Assembly Rocky Mountain Cider Company 052517.doc They just need to submit a Traffic Control Plan in to me for review. That shows if they are going to have flaggers or not and the type of traffic signs. Thanks, 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: Tuesday, May 23, 2017 10:35 AM To: Bruce Barker <bbarker@co.weld.co.us>; Bob Choate <bchoate@co.weld.co.us>; Karin McDougal <kmcdougal@co.weld.co.us>; 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 - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival 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. 1 MEMORANDUM TO: Chloe Rempel, Clerk to the Board DATE: May 25, 2017 FROM: Janet Lundquist, Public Works SUBJECT: Temporary Assembly- Rocky Mountain Cider 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. County Road 17 is owned and maintained by the Town of Firestone. Please utilize the existing access point. 3. Approximately 1,000 vehicles will require parking on the property 4. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 5. Please submit a Traffic Control Plan (TCP) for this event. 6. Please submit an Incident Action Plan for the Office of Emergency Management. Page - 1 - of 1 May 25, 2017 C:\Users\crempel\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BDP9ETPY\Temp Assembly Rocky Mountain Cider Company 052517.doc Chloe Rempel From: Sent: To: Cc: Subject: Hi Lynn, Janet Lundquist Wednesday, May 31, 2017 7:20 AM events@wildcider.com Chloe Rempel; Adam Gorove RE: Temporary Assembly Permit - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival This satisfies my comments. Thank you for the quick turnaround. Best of luck to you for your event. 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: events @wild cider [mailto:events@wildciderco.com] Sent: Tuesday, May 30, 2017 6:02 PM To: Janet Lundquist <jlundquist@co.weld.co.us> Cc: Chloe Rempel <crempel@co.weld.co.us>; Adam Gorove <adam@wildcider.com> Subject: Re: Temporary Assembly Permit - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival Ms. Lundquist, Thank you for your call this morning, it was a pleasure to speak with you. Per our conversation, please note the following information: Parking and Traffic Control: • There will not be any parking allowed on CR 17 • CR 17 speed limit is 35 • Please see map provided to note where we will have volunteers/staff for parking o 1 on CR 17 directing traffic 1 o 1 on Wild Cider land for VIP parking direction o 1 on Wild Cider land for additional parking direction o 1 at Entrance to Parking Lot at 11298 CR 17, Firestone, CO o 1 in parking area for parking direction o 1 at Pedestrian exit to CR 17 crossing area • All volunteers/staff that will be working parking will have the following: o Safety Vest o Flag for traffic direction • We have a designated walkway in parking area for pedestrian traffic • We will have signage along CR 17 for parking direction Please see our Emergency Services Plan: • All Emergency Services have been notified by email and phone • Security Staff - First Aid Certified, CPR Certified • Communication on property- 6 Hand Held radios • First aid station in festival perimeter • Ambulance turn around outlined • Access to entire festival area for emergency personnel If there is anything else that you require, please let me know! Respectfully, Lynn Yarger Wedding and Special Event Coordinator The Cider Mill at Wild Cider 303.517.2428 On Fri, May 26, 2017 at 9:35 AM, Janet Lundquist <jlundquist@co.weld.co.us> wrote: I am out of the office till Tuesday but if you have any questions please give me a call 970-400-3726 or an email. Thanks, Janet Lundquist Sent from my iPhone On May 26, 2017, at 9:04 AM, Chloe Rempel <crempel@co.weld.co.us> wrote: Lynn and Adam, Our Department of Public Works is requesting that you submit a Traffic Control Plan (TCP) for this event. Please see the attached. 2 Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Gree/ey, CO 80631 tel: 970-400-4225 <image001.jpg> 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. <Temp Assembly Rocky Mountain Cider Company 052517.doc> 3 IIIIIIII Nine V �ileq N,_ Presented by "1I ca D1 Emergency Services Plan 6.24.17 Wild Cider is excited to be hosting the Second Annual Carbon Valley Wine Festival (CVWF) on our property! We are committed to insuring a safe and fun event for our patrons and vendors! Festival Information: • Name: Carbon Valley Wine Festival presented by Wild Cider • Address: 11455 WCR 17, Firestone, CO 80504 • Date: June 24, 2017 • Festival Time: 1:00 pm to 7:00 pm (alcohol served) • Gates Open: o VIP 12:30 pm o General Admission 1:00 pm • Anticipated Patrons: 1000 • Vendors: Cider, Mead, Wine, Beer, Food, Other products, Live music Emergency Services • Weld County Sherriff's Department o Email: kcogswell@co.weld.co.us /contactweld@weld.co.us o Notice of event emailed to both • Firestone Police Department o 1.5 Miles o Email: dmontgomerv@firestoneco.gov o Notice of event emailed • Mountain View Fire Protection o 6 Miles o 303.772.0710 o Notice of event emailed - edouolasemvfpd.orq o Letter confirmation of event in file • UC Health Emergency Room o 2.5 Miles o 303.678.4340 o Open 24 Hours o Notice of event emailed - info@uchcolorado.com Law Enforcement Jurisdiction: • Weld County Sheriff's Department • Email to: kcogswell@co.weld.co.us/contactweld@weld.co.us • 911 Contracted Security Services: • Big Al's Security Team o Address: 4704 Harlan Street, 101 Denver, CO 80212 Carbon Valley Wine Festival presented by Wild Cider 11455 WCR 17 Firestone, CO 80504 o Phone: 720.536.5824 o Email: Kevin@cannasecurity.com o First Aid Certification o CPR Certification Wild Cider Volunteer and Staff: o Wild Cider Staff will be monitoring all patrons for intoxication Will not allow service of alcohol Will offer additional non-alcoholic beverage in lieu of alcohol Will call UBER or ZIP Car if intoxicated person does not have a ride • Communication Within Festival Perimeter: o Six (6) Wild Cider Staff members will have radios to communicate as needed o Cell Reception is available on property to contact Emergency Personnel if needed o ALL Volunteers and Wild Cider Staff will have a designated hat to insure easy recognition to guests • Patrons and Vendors can easily identify and contact as needed • Emergency Needs • Security Needs • Other If you have any questions or need further clarification please contact one of the following individuals: Lynn Yarger/Event Coordinator events@wildcider.com 303.517.2428 Cheers! .4dun Wedding and Special Event Coordinator The Cider Mill at Wild Cider 303.517.2428 Adam Gorove/Owner adam@wildcider.com 303.994.7723 Mark Birkin/Owner mi@wildcider.com 480.818.2337 Carbon Valley Wine Festival presented by Wild Cider 11455 WCR 17 Firestone, CO 80504 Chloe Rempel From: Sent: To: Subject: Sam Kaneta III Tuesday, May 30, 2017 1:10 PM Chloe Rempel RE: TEMPORARY ASSEMBLY PERMIT - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival I reviewed local RMS (Spillman) and found no issues within the past year for either the property address or persons listed in the application. As a side note, the stretch of WCR 17 adjacent to the event is owned/patrolled by Firestone Police. The Sheriff's Office has no issue with the application. 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: Tuesday, May 23, 2017 10:35 AM To: Bruce Barker <bbarker@co.weld.co.us>; Bob Choate <bchoate@co.weld.co.us>; Karin McDougal <kmcdougal@co.weld.co.us>; 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 - Rocky Mountain Cider Company, dba Wild Cider - Carbon Valley Wine Festival 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 RESPOND NO LATER THAN: Thursday, June 1, 2017 Please note: 1. Last year's event held parking on an adjacent lot. This year, parking is on the lot opposite of the event, so all guests will have to cross County Road 17. 2. The applicant is asking the Board to waive the need to have an ambulance on site. 3. The Wild Animal Sanctuary is submitting a separate application for a Special Event's Permit for a beer garden within this event. The State has passed legislature that allows the Wine Festival Permit and SEP to have the same event perimeter, but the applications should be considered separate and distinct. Applicant: Rocky Mountain Cider Company dba Wild Cider 11455 County Road 17 Firestone, CO 80504 1 Chloe Rempel From: Sent: To: Subject: Dan Joseph Friday, June 02, 2017 11:57 AM Chloe Rempel Re: FW: SPECIAL EVENT PERMIT - The Wild Animal Sanctuary - Carbon Valley Wine Festival Correct. They have submitted our temp event paperwork and they are working with our staff on that end. All good to go. Get Outlook for Android From: Chloe Rempel Sent: Friday, June 2, 2017 11:55:16 AM To: Dan Joseph Subject: FW: SPECIAL EVENT PERMIT - The Wild Animal Sanctuary - Carbon Valley Wine Festival Dan, You signed off on the Special Event Permit, but I just want to confirm that you likewise do not have any concerns on the Temporary Assembly Permit for the same event from the Rocky Mountain Cider Company, dba Wild Cider? 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. From: Dan Joseph Sent: Friday, May 26, 2017 2:47 PM To: Chloe Rempel <crempel@co.weld.co.us> Cc: Deb Adamson <dadamson@co.weld.co.us> Subject: RE: SPECIAL EVENT PERMIT - The Wild Animal Sanctuary - Carbon Valley Wine Festival 1 Chloe Rempel From: Sent: To: Subject: Roy Rudisill Friday, June 02, 2017 11:59 AM Chloe Rempel RE: SPECIAL EVENT PERMIT - The Wild Animal Sanctuary - Carbon Valley Wine Festival We are good to go. No concerns from the fire chief. 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: Friday, June 02, 2017 11:57 AM To: Roy Rudisill <rrudisill@weldgov.com> Subject: FW: SPECIAL EVENT PERMIT - The Wild Animal Sanctuary - Carbon Valley Wine Festival Roy, How are we looking on the Temporary Assembly application for the Carbon Valley Wine Festival from the Rocky Mountain Cider Company, dba Wild Cider? Last I heard, you were checking with the Hudson Fire Chief? Thank you! Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4225 1 Hello