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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20160702.tiff
RESOLUTION RE: GRAN T PERMIT FOR TEMPORARY ASSEMBLY ON APRIL 9 AND 10, 2016 (ALTERNATE DATES APRIL 16 AND 17, OR APRIL 23 AND 24, 2016, IN THE EVENT OF POOR WEATHER) - MARTIN AND BERTA GUTIERREZ 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, Martin and Berta Gutierrez, 7717 County Road 31, Fort Lupton, Colorado 80621, have 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 11:00 a.m., until 5:00 p.m., on April 9 and 10, 2016 (alternate dates April 16 and 17, or April 23 and 24, 2016, in the event of poor weather), on property described as follows: 7717 County Road 31, Fort Lupton, Colorado, 80621; being further described as Lot B of Recorded Exemption#3375; being part of the E1/2 of Section 28, Township 2 North, Range 66 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 Martin and Berta Gutierrez, 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 April 9 and 10, 2016 (alternate dates April 16 and 17, or April 23 and 24, 2016, in the event of poor weather), be, and hereby is, granted to Martin and Berta Gutierrez to conduct a temporary assemblage at the hereinabove described location. 2016-0702 LC0022 C'c !SD 31►c, PERMIT FOR TEMPORARY ASSEMBLY— MARTIN AND BERTA GUTIERREZ PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 24th day of February, A.D., 2016. BOARD OF COUNTY COMMISSIONERS WELD COUNTY,� COLORADO ATTEST:W ,&A � ��,,��,,// ��Y -clrl�� - d% 1/ �C�Lo•� Mike Freeman, Chair Weld County Clerk to the Board I Sean P. Conway, Pro-Tem BY: t /i I, , . I g/ s� .� �Q , De.4y Clerk to the :oard �� z Cozad, / `' O Julie A. Cozad APP D AS %-'' : 361 �� ''�4119 CUSED arbara Kirkmeyer ountyy orney iii . , ` Steve Moreno Date of signature: 3/9 2016-0702 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 24th day of February, 2016, IT IS HEREBY GRANTED a permit for a temporary assemblage on land within the unincorporated portion of the County of Weld, State of Colorado, April and 10, 2016 (alternate dates April 16 and to be held from 11:00 a.m., until 5:00 p.m., on 9 p 17, or April 23 and 24, 2016, in the event of poor weather), on property described as: 7717 County Road 31, Fort Lupton, Colorado, 80621; being further described as Lot B of Recorded Exemption #3375; being part of the E1/2 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado This permit authorizes Martin and Berta Gutierrez 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 24th day of February, 2016. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:datnev jejaivk ltI Mike Freeman, Chair Weld County Clerk to the Board _ ' n - Sean P. Conway, Pro-Tem --� BY: C a) �� t o0; �De rk the B rdo,or �c , ,� Eft S. lie A. CozadAt 7 I �', . .t,l SED 1861 -� 'ssv wirehalsara Kirkmeyer 7k1.‹.7. --- ,' Iii v eve Moreno '",.. -•.., ....:.,,-, NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2016-0702 LC0022 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) 336-7215, Extension 5226, 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 ramartinez@co.weld.co.us DOCKET#: 2016-33 DATE: February 24, 2016 TIME: 9:00 a.m. APPLICANT: Martin and Berta Gutierrez 7717 County Road 31 Fort Lupton, CO 80621 REQUEST: Application for a temporary assembly of more than 350 persons on April 9 and 10, 2016 (alternate dates April 16 and 17, or April 23 and 24, 2016, in the event of poor weather) LEGAL DESCRIPTION: Lot B of the Recorded Exemption #3375, being part of the E1/2 of Section 28, Township 2 North, Range 66, West of the 6th P.M., Weld County, Colorado LOCATION: 7717 County Road 31, Fort Lupton, Colorado 80621 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: February 10, 2016 PUBLISHED: February 15, 2016, in the Greeley Tribune 2016-0702 Affidavit of Publication STATE OF COLORADO ss. County of Weld, I, Diane McConkey of said County of Weld, being duly sworn, say that I am an advertising clerk of NOTICEFORTT�EM�AyB SE LY THE GREELEY TRIBUNE, Pursuant to the Weld County Code,a public nearing will be held in the Chambers of the Board of County Commissioners of Weld that the same is a daily newspaper of general County,Colorado,Weld County Administration Building,1150 O Street,Assembly Room,Greeley,Colorado 80631,at the time circulation and printed and published in the City of specified. It a court reporter is desired,please advise the Clertt to the Greeley, in said county and state; that the notice or Board,In writing,at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting advertisement, of which the annexed is a true copy, party. In accordance with the Americans with Disabilities Act,if special accommodations are required in order for you to partici- has been published in said daily newspaper for pate in this hearing,please contact the Clerk to the Board's Of- fice at(970)336-7215,Extension 5226,prior to the day of the consecutive(days): that the notice was published in hearing, The complete case file may be examined in the office of the the regular and entire issue of every number of said __ _ Clerk to fhaBoard of County Cornmissiorrers,Wets!County Ad- ministration Building,1150 0 Street,Greeley,Colorado 80631. newspaper during the period and time of E-Mail messages sent to an individual Commissioner may not be included in the case file. To ensure Inclusion of your E-Mail cor- publication of said notice, and in the newspaper respondence into the case file,please send a copy to ramartin- eaaco.wetd.co.u5 proper and not in a supplement thereof; that the DOCKET#: 2016-33 first publication of said notice was contained in the DATE: February 24,2016 TIME: 9:00 a.m. Fifteenth day of February A.D. 2016 and the APPLICANT: last publication thereof: in the issue of said Martin and Berta Gutierrez 7717 County Road 31 newspaper the date of the Fort Lupton,CO 80621bearing REQUEST: Application fora temporary assembly of more than Fifteenth day of February A.D. 2016 that said 350 persons on April 9 and 10,2016(alternate dates April 16 The Greeley Tribune has been published and 17,or April 23 and 24,2016,in the event of poor weather) LEGAL DESCRIPTION: Lot B of the Recorded Exemption continuously and uninterruptedly during the period #3375,being part of the E1/2 of Section 28,Township 2 North, of at least six months next prior to the first issue Range 66, West of the 6th P.M.,Weld County,Colorado thereof contained said notice or advertisement LOCATI80621(SON: 7717ee Legal County ion for Road precise loc Fort ation.)Colorado above referred to; that said newspaper has been BOARD OF COUNTY COMMISSIONERS admitted to the United States mails as second-class WELD COUNTY,COLORADO matter under the provisions of the Act of March_ DATED: Fet3ruary 10,Rote 3,1879, or any amendments thereof; and that said The Tribune newspaper is a daily newspaper duly qualified for February 15,281e publishing legal notices and advertisements within the meaning of the laws of the State of Colorado. February 15, 2016 Total Charges: $15.67 ‘6.-\Mx\s „).1,/ Fifteenth day of February 2016 My Commission Expires 6/14/2017 1,e,C, Z610 Notary Public ROBERT LITTLE. NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20014018494 MY COMMISSION EXPIRES JUNE 14,2017 APPLICATION FOR TEMPORARY ASSEMBLY INSTRUCTIONS TO APPLICANT: 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. All required information must be furnished before the application will be processed. NAME:i34c C_ad. M Ct C+ r '�t��'_rY cz AGE: tP RESIDENCE: 1']1`1 (--1U 31 +. L APTO/J i Co . g 0 G),1 , MAILING ADDRESS: .5arhe. 65 Ogle. NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: (This must list all partners in a partnership, officers of an unincorporated association, society or group, or, if there are no officers, by all members of such association, society or group. IF A CORPORATION, ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION.) 1. Address and legal description of all property upon which the assembly is to be held:2f Clt 31 I-APToiJtico. 1d4j h,04- lA o-1? Atd-iO 1 f tOwnship A Na12THJ Rainy 4 tA).94 oF'e /otk PM. iJELb et,I,A77 lorado J A. Name, residence and mailing address of the record owners of such property(Attach a notarized statement by the record owners of such property consenting to the assembly if application is not made by all of the record owners.) NAME: IV Ctr f/1 ft4i eY V' RESIDENCE: 77/7 eo(.un.i tzz1 I F/•J410 CD• g66,9-/ MAILING ADDRESS: 5at')1 6,6 &bot7& NAME: 4-Q1x-WAGI, . ai ex-reZ. RESIDENCE: 1'717 C L 31 F-1.4to ? 9,P6,11 MAILING ADDRESS: ScLme 4S 6.Qo'le. 0:`UHU`0000000 ovum Hainan) 2. Nature or purposes of the assembly: t-1-6YSc -kact!>5- 76 pro) -r-ooet &nc( en-Fr,v4ainten 'Y re 4A lies 3. 9,ates and hours during which the assembly is to be held: t i1 pii( Q —!o - aok. (alit/' de dales '4-14 fr7, Ad/6 cfr #1-a3 a •got& ) Gue_a_Y-Aee iderini4i'nj 4. Maximum number of persons to be allowed at assemb at any one time: Qpf okimde.CY 1, Sao ( Dpi•aeQdi 5. The maximum number of tickets to be sold, if any: iI/n 6. Identify plans to limit number of persons to the maximum identified above: SeurI-{y 5L&ards Will be tn_s-I-vudect -to db5e e-rulyy gd-e5 once h )ci it u n- Ads I /° ni et. Cin eft y w/i/ ie /, sued _tipsy\ .Q x i n J ; e ny fry 4 J' / `r-wkf es f p e_oPle, rl ff.c1eJnt. 7. Identify plans for supplying potable (drinking) water, including the source, number, and location of facilities, and type and means of disposing of waste deposited: LJoJeY tv;II 6e aufiik.11e. 11CLA0LL eueS area-- e-' ci;i be !e os i n j d rocs h a.•d e n 4 y ho+rrs. 8. Identify the plans for holding, collecting, and disposing of solid waste materials: lr 6.4\e 6,4,s q-ftrlsLt,kt) eu 4.1'ea_ ni ,4er h P /eS e-rISi dle_ - o r eo nrn f d _ e p n p U . 9. Identify the plans for providing separate toilet facilities for males and females, including the source, number, and location, type and the means of disposing of wastes deposited: 5eYv1Ces will 6e, pr0vi,6445 seY vices UniStx porl-a. -4. ns Wit/ be. s - 0.,,teet picket u7o . e-se, 'rnditde PPu,yi4arip b ;1pJ as well.tole-46e. BPS a.44-a iJ rn 0:'Q 00'0000000 0'00000000.0 El 0 000 10. Identify the plans to provide for medical facilities, including the location and construction of any structures, the names, addresses, and hours of availability of emergency medical technicians and nurses and provisions for emergency ambulance service: PLEASE S&E f fm(-A1 F 2 11. Identify the plans, if any,to illuminate the location of the assembly, including the source and amount of power,and the location of lamps: /1//g Evei.. -/D hG A el d du r) dGy f i'/h e/days byti h o u/s 12. Identify the plans for parking vehicles, including size and location of lots, points of highway access and interior roads, including routes between highway access and parking lots: y, esc sE f-77/kf/f�JT 0 13. Identify the plans for communications with hospital, police, and fire services, including the sourc%amount,and location of communication equjpment: `I'GXC�rY1 e a y.. Seca e ,(y C�Lt.4(ds c.ue a f� C 8m mu en d2,ft Li 00 n1 ref red 14. Identify the plans for camping facilities, if any: N/i¢ a:'aoo'00000000'00000000.00aooa 15. Identify the plans for fire pro ection: D sr' /5 /.S / TAM even/ si d . `here L.1./1 l�0 Q pin 're id dAy-//17, e_ 16. Identify the plans for security, including the number of guards,their deployment,their names, addresses,credentials and hours of availability and description of peer group control,if any: Rocky rhot.n-1 pi_N-,"ggg SEC P i7fie (z))/ 17. Identify the plans for sound control and sound amplification, if any, including number, location, and power of amplifiers and speakers: A0, 18. If applicable, identify plans for meeting County health standards for food concessions and concessionaires who will be allowed to operate on the grounds, including the names and addresses o all concessionaires and their license permit numbers: tfthd venders Cite_ r u i,-ed Ac 1i c eiss ed PLEA5 ' SEE A'/-7,9ec ME,V l r" 19. Identify the plans, if any, for an electrical system: /\//4 o:'ooa'000ao oa o'oo oaa 000.00 aoaa 20. Identify the plans to ensure that trees, underbrush, large rocks, and other natural features shall be left intact and undisturbed, and natural vegetative cover retained, protected and maintained so as to facilitate drainage, prevent erosion, and preserve the scenic attributes; and the plans to abate dust on the site: E v (U r on apes Pe- 21. Attach 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 to ensure performance by the applicant of each of the terms and conditi•_- of the temporary assemblage permit. PlEASe 5CE ,977i9e,1 , ,TENT 6 22. Attach a statement by an insurance company licensed to do business in the State of Colorado stating its intent to provide liability insurance,as required by Section 12-1-30.6.14 of the Weld County Code, to protect against injury to persons or property occu 'ng as a result of such an assembly. plc-fist- SEE %( H hfEN l # 23. Submit$100.00 fee for each event where three-hundred fifty(350)or more people assemble or can reasonably by 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 reminder 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. 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. a:roaor000aoaa(room aoa.oaono The applicant, and each of them, swears, (affirms) that, to the best of his knowledge, the statements contained in the application are true and correct. 41 • r-'67- 1LbLr .44 l�c4n7 S Si �a-tur Applicant's signatu e f�®p 5 e 4, a. G r cZ l laotin 6u,-tie-rreL Dfi ri ed /► me- Applicant's printed name ©W . OW MEIQ 19? /t;cvn/s p'5'- °n ��jApplicant's position SUBSCRIBED AND SWORN to before me this `"I day o , 20�. Witness my hand and official seal. 12.1 (wi c, Notary Public My commission expires: L� DAWN��KOQSHIO GILLESPIE NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20104038580 My Commission Expires September 21,2018 M:\CTB\CTBFORMS\FOASMBLY.DOCdoc raimitUnited Site Services of Colorado,Inc. Customer ID: DEN-05637 yu flite Page: 1 order No: 0-821691 Order Date: SITE SERVICES- Terms: Due Upon Upon Receipt Customer Service: 1-800-8645387 ORDER P.O.No: Salesperson: Brett L.Angell Cust.Serv.Rep.: Bill RANCHO CAPORAL Ship MARTIN GUTIERREZ HORSE EVENT To: 7717 CR 31 To: PORTABLE RESTROOM SERVICES FORT LUPTON,CO 80621 7717 COUNTY ROAD 31 FORT LUPTON,CO 80621 Items Rented Item/Description Quantity Rental Term From/Thru Unit Price Total Price DXR 12 04/08/16 75.00 900.00 Deluxe Restroom Each 04/11/16 DELIVER BETWEEN**3 PM-5 PM**FRIDAY *CALL MARTIN ON SITE TO CONFIRM SPOTS* PICKUP ANY TIME MONDAY DW 12 04/08/16 10.00 120.00 Damage Waiver Each 04/11/16 ADA 2 04/08/16 115.00 230.00 ADA Wheelchair Accessible Each 04/11/16 DWP 2 04/08/16 10.00 20.00 Damage Waiver Each 04/11/16 2SS 5 04/08/16 75.00 375.00 2 Station Sink Each 04/11/16 DW 5 04/08/16 10.00 50.00 Damage Waiver Each 04/11/16 SPC-ALL 19 04/10/16 21.95 417.05 Event Service Sun(6-9am) Each 04/11/16 THIS WILL BE FOR AN EVENT ON: APRIL 9-10,2016 OR APRIL 16-17,2016 OR APRIL 23-24,2016 Remit To:United She Services,PO Box 59267,Phoenix,AZ 85072-3267 Subtotal: 2,112.05 Total: 2,112.05 Signature Date: ii i40 !gip! �' (pg� fedif ile VI. lig y . � t g Eg Eztin & � 7t �a1114 3 OM ix. r kQ �' ,QYi'Z�i At 411.0 pp N -- - --. --$VEZFL At £pb4�0 H— .-- — —. ---,L6'Ci • ----- — - =Pt I T • - 9 1-1 Attar 39a SS4t V 000330 . . / / / 840'1 • 1ar 1 U 's OO'14.59' E 422.3 '0 h7a di7 °t7�r .4 :� boo It sin Is 4l'6 • 41~1 • • 1 �� 4 rc 'Z (a'• • o a if v) (77: •EN � r rB I.il • i' R14 Q i • .r1 Ia . a b • e•1 !q . .0 '' '.. :4-- y'"7 V 2' 0 ' ! 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E C r ROCKY MOUNTAIN HIGH SECURITY, LLC. 6475 South Cody Street 303-973-8301 Littleton, Colorado 80123 720-922-2904 fax January 112016 Ref:Event April 09 and 10 2016 Mr.Martin Gutierrez,Rocky Mountain High Security LLC.will provide Security for your event on April 9, 10 2016 and rain dates of April 16 and 17 2016 or April 23 and 24 2016.'Our company will provide thirdteen armed officers with radios and cell phones.six officers speak Spanish.Our officers have First Aid,CPR training.I have been in contact with the Weld County Sheriff Office about the number of officers we will have at the event.Please post the No Firearms or Alcohol allowed signs at the gates.We are License,Bonded and Insured.A deposit has been paid for this event and the balance due at time of service. Our company has provided security for this event for the past five years without having to call the Weld County Sheriff for any kind of incident. If you have any questions please contact us at 303 973 8301 Rocky Mountain High Security LLC. f�. S� ames A.Swaen CEO Wagy, Mitch E From: Wagy, Mitch E Sent: Thursday,January 07, 2016 10:51 AM To: Berkheimer, Megan A(Megan.Berkheimer@bannerhealth.com); 'Rafaela Martinez' Cc: Bressler, Dave Subject: Horse race 2016 Martin Gutierrez Martin, As you requested Banner Paramedic Services will be providing ACLS/Ambulance coverage to Martin Gutierrez for his horse races for the 2016 year on April 9th & 10th with weather dates of 16 & 17th or 23rd& 24th if need. Address and legal Description : 7717 WCR 31 Fort Lupton Co, 80621 @ 150.00 per Hour. MARTIN GUTIERREZ 7717 WCR 31 FT. LUPTON, CO 80621 Phone: 303-263-6555 Fax: 303-857-8587 Paramedic services agreement for horse race scheduled April 9th and 10th . Weather delay dates as above. Res ully, it agy Assistant Chief Banner Health / NCMC 1 Rafaela Martinez To: Wagy, Mitch E Subject: RE: Horse race 2016 Martin Gutierrez From:Wagy, Mitch E [mailto:Mitch.Wagy@bannerhealth.com] Sent:Thursday,January 07, 2016 10:51 AM To: Berkheimer, Megan A<Megan.Berkheimer@bannerhealth.com>; Rafaela Martinez<ramartinez@co.weld.co.us> Cc: Dave Bressler<dave.bressler@bannerhealth.com> Subject: Horse race 2016 Martin Gutierrez Martin, As you requested Banner Paramedic Services will be providing ACLS/Ambulance coverage to Martin q Gutierrez for his horse races for the 2016 year on April 9th& 10th with weather dates of 16 & 17th or 23`d& 24th if need. Address and legal Description : 7717 WCR 31 Fort Lupton Co, 80621 @ 150.00 per Hour. MARTIN GUTIERREZ 7717 WCR 31 FT. LUPTON, CO 80621 Phone: 303-263-6555 Fax: 303-857-8587 Paramedic services agreement for horse race scheduled April 9th and 10th . Weather delay dates as above. Respectfully, Mitch Wagy Assistant Chief Banner Health/NCMC Paramedic Services 1121 M Street Greeley, CO 80631 970-381-2392 cell 970-392-2435 work 1 Mitch.wagy@bannerhealth.com Description: Heading image "We exist to make a difference in people's lives through excellent patient care." ***PRIVILEGED & CONFIDENTIAL Unless expressly stated otherwise,this message (and any attachment(s)thereto) is confidential and may be privileged. It is intended for the addressee(s) only. If you are not an addressee, any disclosure or copying of the contents of this e-mail or any action taken(or not taken) in reliance on it is strictly prohibited. If you are not an addressee, please inform sender immediately and delete this message from your system Respectfully, Mitch Wagy Assistant Chief Banner Health/NCMC Paramedic Services 1121 M Street Greeley, CO 80631 970-381-2392 cell 970-810-2435 work Mitch.wagv@bannerhealth.com Banner H lt' "We exist to make a difference in people's lives through excellent patient care." ***PRIVILEGED & CONFIDENTIAL Unless expressly stated otherwise, this message (and any attachment(s)thereto) is confidential and may be privileged. It is intended for the addressee(s) only. If you are not an addressee, any disclosure or copying of the contents of this e-mail or any action taken(or not taken) in reliance on it is strictly prohibited. If you are not an addressee, please inform sender immediately and delete this message from your system 2 DR 0001(08114/12) , COLORADO DEPARTMDtt or MINER OE DENVER CO 80281.001'9 www.TAxCo/orldo.aom RENEWAL APPLICATION FOR LICENSE TO CONDUCT A RETAIL FOOD ESTABLISHMENT •. Send application and payment to the address at the,bottom of the renewal form. • If you have any questions regarding 4 g your retail food establishment license fees,please contact your local health agency. • DO NOT USE THIS FORM IF THERE HAS BEEN A CHANGE IN OWNERSHIP, • Contact the health agency noted below for an original applcation form and approval, • This application for license will be rejected unless proper payment is attached. Taxpayer Name YAVILETH BUENROSTRO OBA MI RANCHITO • ACCOUNT NUMBER LIABILITY INFORMAT use for ail Wawa: COUNTY CITY tNDIJ 'r TYPE LIAt3lLITY pqn LICENSE _ DUE DATE rE'Mi _ MO DAY YEAR 278322310000 62 3289 4/10/2015 2016 12/31/2015 LOCATION MOBILE UNIT ADDRESS FEDRAL HEIGHTS,Co 80260 KEEP THIS COPY In Con�deratbn thereof. I do hereby certify i—" In co Aderati Code, and that I that I have complied with all the items of sanitation as listed in the Colorado State Retail Food Health and 6nvl ode, nt. I do rnPaed With ell orders given me by authorized inspectors of the Colorado Department of Public ree food until such time as re that in the event that the items of sanitation are not complied with, f will discontinue serving mquirments are met. Auiharized Sig Inge o f ' iF0OD 2 MOBILE UNIT MAKE CHECKS PAYABLE TO:WELD COUNTY HEALTH DEPARTMENT A unt Owl (Dom*Vein spot* ow) t$ 2$S .00 ♦Cut Hen and send only the coupon below. Help us save time and your tax dollars. Vi/di/ilia., TAU ldlSi PAX CP aOQ1/4O1 a, - ••. .ty4. 4' • • I•••* ,4,/!:,40%.1,1'. co:•i_A'--;,o , ..rr -- .. DEPARTMENT OF PUBLIC HEALTH AND E 'rr. s LICENSE TO OPERATE A RETAIL P• • r: ACCOUNT N MBEIE LIARA i1Y NFOR11ATIDN = • . • '4 weSz A islarenoss emir 1 dr 1 Man host wrvie ! 0141606500 62 3200 4115/201 .r .$:�_ / ____ :{t' 'NEi Licosa MUST OE POSIIDATT11E FOLLOWING LOCATION: , '' ` ! 4., ` .. .III . WELD COUNTY.CO 60631 ‘ *--;:4! fA�i� _ )-� I. •AL` � i !", 1 rte "ti�� t'�'• • • ' TUNA COUNT1 UBN11t BONY 0P MMLICPIALIN AND @IbIIO NIAINT ,*lb ' '''k. . '.N1Ri" _... _._.. • A Detach Hann• • . I S'il, v/8 S'Cfl/// 02-21-2013 04:18 8ERfA A GUTIERREZ 3038578587 PAGE1 j-y� + DATE(MM/DD/YWY) } i./ CERTIFICATE OF LIABILITY INSURANCE 01/12/2016 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 endorsemengs). PRODUCER CON IACi NAME: DAVID SIMON INSURANCE (PHONE A/C No,Ext): (303) 659-9065 I(AAiC,No):(800)726-3179 420 Court ASS: Brighton, CO 80601 PRODUCER CUSTOMER ID a: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURED INSURER A: Scottsdale Insurance Company Martin Gutierrez INSURER B: 7717 County Road 31 INSURER C: Fort Lupton, CO 80621 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE.ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP PE LTR TY OF INSURANCE INSR vrun POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) UMITS GENERAL LIABILITY EACH OCCURRENCE $2,000,000 DAMAGE 1 E COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,000 ICLAIMS-MADE In' OCCUR MED EXP(Anyoneperson) $ 5,000 A Pending 04/09/2016 04/10/2016 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 J1POLICY n cm. n LOC $ AUTOMOBILE UABILITY COMBINED SINGLE LIMIT (E accident) ANYAUTO BODILY INJURY(Per person) $ ALLOWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE I $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ UMBRELLA LIAB n OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- 0TH- AND EMPLOYERS'LIABILITY YIN (TORY LIMITS I I ER ANY PROPRIETORIPARTNERIEXECUTIVE N/A E.L.EACH ACCIDENT IM $ OFFICEREMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if morespace is required) Special Events Policy: Two Day Horse Race Event held at: 7717 County Road 31 Fort Lupton CO 80621 Race will run on either 4/9/16&4/10/16 or 4/16/16&4/17/16 or 4/23/16&4/24/16 Weather Permitting CERTIFICATE HOLDER CANCELLATION Martin Gutierrez SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7717 County Road 31 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Lupton,CO 80621 AUTHORIZED REPRESENTATIVE David Simon ©1988-2009 ACORD CORPORATION.All rights reserved. ACORD25(2009/09) The ACORD name and logo are registered marks of ACORD NORTH DCNVCk ANIMAL CLINIC 7150 LAFAYETTE ST, DENVER,CO 80229 303-288-8200 ffir January 15, 2016 To Whom It May Concern: I will be the "on-call" emergency veterinarian for Martin Guttierez on April 9-10, 16-17, and 23-24. There will he some private races being conducted on his ranch property on these dates. I have been Martin's veterinarian for over 20 years. If there are any questions, contact my MIKoffice. Sincerely, ffir qP0 Dr. Michael P. Scott off .. RECEIPT 'DATENt 8505 p U 'a RECE ° 'OM {, C-f ..t,c'- ,t_ 4r O i 4. Too A®DRESS u O a c vv, IL/// I, { 4 , f - 8Y ii y., aJ. 4 .t RECEIPT DATE a-Is1lip NO. 88552 0 CV O- 2 RECEIVED FROM `P ( I ) C-� m° co ADDRESS � �� S .E OU +u-' 4 IMO $5,°co-CD 0 U ° oa FOR -a -6 co a) 8' 2C9eiSTAgiii4ki.:LY.444iiiit.-17 ck -T •�� OD C -' 6°57 BY or RECEIPT DATE 1• LI—I4j NO. 88507 8- 6 -o ("' RECEIVED FROM PrIotv4irt Gutitrrit .. ° -m CO ADDRESS cc co n t U Ob ° t FOR 6 ig ikoa ' /4O . a,0 4- Y m ' 5 ra- 0 '-' - .,'” .4.4,,,-;14 - Thl ' „ , , ,: • ;"4..:1 pkieikkiaK dir-rephixwal c' rte 'It" !i BY 'QS . __ •.u.r.s sssatas altos.o ro RECEIPT DATE I - ; NO. 88508 L. U co RECEIV W&L 1,t " fr' fi-C4 rc r?( T)7 , ..it.- ..: ° gy co m ADDRESS o w 88 ntt fi r t 0 Sr I{fit t lU( O r t 1 er— .. " m° a FOR 6ti1itii f ra 1—a "rill S4 t,AY f. 0 °'62 6 Ix v' '7) 1" it Rafaela Martinez From: Jose Gonzalez Sent: Friday, February 19, 2016 11:50 AM To: Rafaela Martinez Subject: RE: Martin Gutierrez Rafaela, After reviewing the history,seems that no buildings or structures are used for the event. Building Department has no concerns with the special event. Thank you for the information. Jose Gonzalez Assistant Building Official Building Department 1555 N 17th Ave Greeley, CO 80361 tel:970-353-6100 x3533 toN 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: Rafaela Martinez Sent: Friday, February 19, 2016 11:01 AM To:Jose Gonzalez<jgonzalez@co.weld.co.us> Subject: Martin Gutierrez Hi Jose, This is really all I could get. I included all of his past Permit Applications as well as the Hearing Certificate to go with the USR Application. It is 10 years old,so I'm not sure how up to date it might or might not be. Thanks! Rafaela./1. .1 Martinez Deputy Clerk to the Board 1150 O Street P.O. Box 7581 Greeley, CO 80632 tel: (970)336-7215 X5226 1 Rafaela Martinez From: Paul Wood Sent: Friday, February 19, 2016 3:30 PM To: Rafaela Martinez Cc: Paul Wood Subject: RE:Temporary Assembly Application - Martin and Berta Gutierrez Rafaela, I just received this from Sgt Standridge. I do not have a copy of the application, so I cannot refer to any specific assembly issues. But I did a quick RMS (Spillman) check on Martin Guiterrez, Berta Guiterrez and the address of 7717 WCR 31 in Fort Lupton. We only had one recorded call for service to that location. It was in June of 2012 and it was a non-criminal miscellaneous report that was taken and Mr. Gutierrez was the reporting party. I hope this helps. If you have any questions or concerns, please feel free to give me a call. Sergeant Paul Wood Animal Control/Municipal Policing/School Resource Units Weld County Sheriffs Office 1950"O" Street,Greeley,CO 80631 pwoodPco.weld.co.us Ofc: (970)356-4015 Ext.2838 Fax:(970)304-6468 "be Strong and Courageous." From: Sean Standridge Sent: Friday, February 19, 2016 3:19 PM To: Paul Wood Subject: Fwd: Temporary Assembly Application - Martin and Berta Gutierrez Sent from my iPhone Begin forwarded message: From: Rafaela Martinez<ramartinez@co.weld.co.us> Date: February 19, 2016 at 9:24:13 AM MST To: Dan Joseph<dioseph@co.weld.co.us>, Bethany Pascoe<bpascoe@co.weld.co.us>,Jose Gonzalez <ionzalez@co.weld.co.us>,Sean Standridge<sstandridge@co.weld.co.us>,Janet Lundquist <iundquist@co.weld.co.us>, Roy Rudisill<rrudisill@co.weld.co.us> Cc: Frank Haug<fhaug@co.weld.co.us> Subject:Temporary Assembly Application-Martin and Berta Gutierrez 1 Good Morning, This is a friendly reminder that this Application for a Temporary Assembly is scheduled to go before the board of County Commissioners on Wednesday, February 24, 2016. I have yet to receive any referral response and I may need to reschedule this item. Please try and get those in to me before Wednesday of next week, I would greatly appreciate it. Thank you! R ffaela.1. Martinez Deputy Clerk to the Board 1150 O Street(P.O. Box 758/Greeley, CO 80632 tel: (970)336-7215 X5226 ttri• ` r Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise protected from disclosure.If you have received this communication in error,please immediately notify sender by return e-mail and destroy the communication.Any disclosure,copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 MEMORANDUM z To: Rafaela Martinez, Deputy Clerk to the Board February 19, 2016 . t From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Review of the following Temporary Assembly Permit by the Department of Planning Services shows the following: Applicant and Location of Event: Berta& Martin Gutierrez 7717 County Road 31 Fort Lupton, Co 80621 Zone District: A(Agricultural) Dates of Events: April 9, 2016&April 10, 2016 or April 16, 2016 &April 17, 2016 (weather alternate date) or April 23, 2016 &April 24, 2016 (weather alternate date) My records indicate that Mr. & Mrs. Gutierrez own 2 (two)separate adjacent properties: 1309-28-1-00-058 (consists of approximately 10 acres) 1309-28-1-00-059 (consists of approximately 36.19 acres) Therefore, total number of LIVESTOCK(i.e. horses, cattle, etc) could not exceed 184(46 acres x 4= 184). Again, their application states APPROXIMATELY 1500 people which does not set an exact attendance limit. No active violations were noted. SERVICE,TEAMWORK,INTEGRITY,QUALITY Rafaela Martinez From: Roy Rudisill Sent: Monday, February 22, 2016 9:24 AM To: Rafaela Martinez; Dan Joseph; Bethany Pascoe; Jose Gonzalez; Sean Standridge; Janet Lundquist Cc: Frank Haug Subject: RE: Temporary Assembly Application - Martin and Berta Gutierrez Hi Rafaela, I checked with the response agencies involved and there are no concerns with this event. Mr Gutierrez has been very easy to work with and this event should go smoothly as they have in the past years. Let me know if you have any questions. Roy Roy Rudisill Director Office of Emergency Management 1150 0 Street 970-304-6540 Office 970-381-0417 Cell 46. i I ? # r " - t_ M 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: Rafaela Martinez Sent: Friday, February 19, 2O16 9:24 AM To: Dan Joseph <djoseph@co.weld.co.us>; Bethany Pascoe <bpascoe@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Sean Standridge <sstandridge@co.weld.co.us>; Janet Lundquist <jlundquist@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us> Cc: Frank Haug <fhaug@co.weld.co.us> Subject: Temporary Assembly Application - Martin and Berta Gutierrez Good Morning, This is a friendly reminder that this Application for a Temporary Assembly is scheduled to go before the board of County Commissioners on Wednesday, February 24, 2016. I have yet to receive any referral response and I may need to reschedule this item. Please try and get those in to me before Wednesday of next week, I would greatly appreciate it. 1 ;\1,§2..A. MEMORANDUM 1 r ,.... , �...i TO: Rafaela Martinez, Clerk to the Board DATE: 02/23/16 U G0UNTY }Y FROM: Janet Lundquist, Public Works SUBJECT: Temporary Assembly Gutierrez Horse Racing Event The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows: REQUIREMENTS: 1. No parking will be allowed on Weld County Roadways. 2. Approximately 1,500 vehicles will require parking on the property 3. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 4. The applicant submitted an acceptable Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS) 5. Please submit an Incident Action Plan for the Office of Emergency Management. Page- 1 -of 1 February 23,2016 C:\Users\ramartinez\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\S002TJH9\Temp Assembly Gutierrez Horse Race 022316.doc Rafaela Martinez From: Dan Joseph Sent: Wednesday, February 24, 2016 1:36 PM To: Frank Haug Cc: Rafaela Martinez Subject: RE: Gutierrez horse race temporary assembly permit No issues. Looks good. Has been pretty good in the past. Dan Joseph CP-FS Food Program Coordinator Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley,CO 80631 phone: 970.304.6415 x 2206 fax: 970.304.6411 I Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise protected from disclosure.If you have received this communication in error,please immediately notify sender by return 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: Frank Haug Sent: Wednesday, February 24, 2016 9:19 AM To: Dan Joseph Subject: gutierrez horse race temporary assembly permit Did you guys get this, do you have any issues? Frank N. Haug Assistant Weld County Attorney 1150 O Street Mailing Address: P.O. Box 758, Greeley, CO 80632 tel: (970)356-4000 x4394 fax: (970)352-0242 tit u.,r Tj r qA �y A ik p Q fit. 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 1 U.S. Postal Service,. N CERTIFIED MAILTM RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) rg F•r•eliveryinf•rm:ti•nvisit•urw •sit atwww.us•s.c• �. - N Postage $ 3)I to)-0 1 W m Certified Fee Postmark Return Receipt Fee Here 0 (Endorsement Required) O Restricted Delivery Fee Q- (Endorsement Required) co r1J Total Postage&Fees Sent To im .nn rI i [� orP ,.........��f or PO Box No. City,State,ZIP+4 , nn •6 •SF•rm3 �r,Jun 2rr2 S • v rs f•rinstructi•ns SENDER: COMP!1 I£ IHe5 SECTION COMPLETE fHlo SECIIUN UN •ELIVE'Y Signature .e • Complete items 1,2,and 3.Also complete A. Si 9 item 4 if Restricted Delivery is desired. p ■ gent • Print your name and address on the reverse t� ,�I!�� `��.dress= so that we can return the card to you. B. Received by(Printe ame) Date.f D livery • Attach this card to the back of the mailpiece, . 99 or on the front if space permits. Yi1 !� 16 'i- 3 //g. D. Is delivery address different from item 1? O Yes 1. Article Addressed to: If YES,enter d livery address below: O No , G • fECEI VED —11 I-7 a, eoad 3r MAR 3. Service Type 1+. �.u.p+an, Co 8o 6? Certifi-. ' se ❑Registe=• CMerchandise ❑Insured Mail O Collect on Delivery 4. Restricted Delivery?(Extra Fee) O Yes 2. Articlenumber ( 7004 2890 0003 5709 1137 (Transfer from service label) PS Form 3811,July 2013 Domestic Return Receipt Banner Health 1801 16th St. Greeley, CO 80631 DATE: April 16, 2016 INVOICE# Horse Race 2016 Bill To: Martin Gutierrez Send Payment To: Banner Health 7717 WCR 31 Attn: Megan Berkheimer- Finance Ft. Lupton, CO 80621 1801 16th St Phone -303-263-6555 Greeley, CO 80631 ramartinezco.weld.co.us 970-810-6038 megan.berkheimer(a�bannerhealth.com Comments or Special Instructions: SALESPERSON P.O. NUMBER SHIP DATE SHIP VIA F.O.B. POINT TERMS Net 30 QUANTITY DESCRIPTION UNIT PRICE AMOUNT 7.50 9-11 Hours of standby EMT services for Horse Race on $ 150.00 $ 1,125.00 4/9/16 8 9-11 Hours of standby EMT services for Horse Race on $ 150.00 $ 1,125.00 4/10/16 $ - $ - $ - $ - TOTAL $ 2,250.00 Make all checks payable to Banner Health Attn: Megan Berkheimer-Finance If you have any questions concerning this invoice, contact Megan Berkheimer @ 970-810-6038 THANK YOU FOR YOUR BUSINESS! 6017/nun; q--.2o- zo,(o GCOO.2.
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