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HomeMy WebLinkAbout20161391.tiff RESOLUTION RE: APPROVE SPECIAL EVENTS PERMIT AND AUTHORIZE CHAIR TO SIGN - MAKE-A- WISH FOUNDATION OF COLORADO, INC. / FRANK'S RIDE FOR CHILDREN, C/O GREG RISEDORF 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, Make-A-Wish Foundation of Colorado, Inc. / Frank's Ride for Children, do Greg Risedorf, presented to the Board of County Commissioners of Weld County, Colorado, an application for a Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to Weld County, Colorado, pursuant to the laws providing therefore in payment for a County Retail Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, for an event scheduled for one day only on May 14, 2016, at 8:00 a.m., to May 14, 2016, at 9:00 p.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: Anderson Farms, 6728 County Road 3.25, Erie, Colorado 80516; being more fully described as part of Section 32, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($25.00) to the Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only. NOW,THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant Special Events Permit Number 2016-8 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location; and the Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which permit shall be effective from May 14, 2016, at 8:00 a.m., to May 14, 2016, at 9:00 p.m., providing that said place where the permitee is authorized to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the permit. d : SD Ow)r 5S -02o/ed 2016-1391 LC0022 SPECIAL EVENTS PERMIT - MAKE-A-WISH FOUNDATION OF COLORADO, INC. / FRANKS RIDE FOR CHILDREN, C/O GREG RISEDORF PAGE 2 BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 25th day of April, A.D., 2016. BOARD OF COUNTY COMMISSIONERS Y l r rrte�-- WELD_, COUNTY,) COLORADO ATTEST: d "d'� d Jte Mike Freeman, Chair Weld County Clerk to he Board 1' �^ r i1; c Sean P. Conway, r Pro-Ter n Dep ty Clerk to the Board .� Julie A. Cozad APPROVED AS TO FORM: EL Lug i �� � rbara Kirkmeyer ••...yam G�j� County Attorney iwi I •• �. - ,,;,•�• _ ve Moreno Date of signature: `f f // 47, 2016-1391 LC0022 DR 8428(08/01/2012) COLORADO DEPARTMENT OF REVENUE 1881 PIERCE STREET,SUITE 108 LAKEWOOD,CO 80214 ti. STATE OF COLORADO =i ' DEPARTMENT OF REVENUE VALID ONLY FOR THE ORGANIZATION AT THIS LOCATION MAKE-WISH/ FRANK'S RIDE FOR CHILDREN ANDERSON FARMS 6728 WELD COUNTY ROAD 3 1/4 ERIE CO 80516 Permit Number: 4801724 Event Manager: GREG RISEDORF SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS EVENT 1: 05/14/2016 8AM 9PM EVENT 2: EVENT 3: EVENT 4: EVENT 5: This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Articles 46 or 47, CRS 1973, as amended. This permit is nontransferable and shall be conspicuously posted in the place above described. This permit is only valid during the event date(s) shown above. In testimony whereof, I have hereunto set my hand. 4/28/2016 sjs Division Director Executive Director c y3 �i \3 4. y t to O 7 ti -, i� n d p ' mil ° C U N V y ',L' w U Hmi Y y rt n v �c .may O �' a� .� a r O ISM L -b o f 'U I-, y x w iel i O 3 v a C' _ c/) o rn W o T. v o c o M C O N VI �4dr- crit, . W C IjG �o > c0 CE;ci I� .y .. -IS W E' r° •C• Y 14.1,, . •1( 11:.1 4: : . E a s w ', �,r; , W C 0 i T7 � 0 {; k.. NJ' ( • F m (s O J i, W C ,4 b a m ` n n 0 Z cs, x w r 7 ✓ _ , •m O ID, O W C d r ° o r ct • r = E � � � � " � • z ti H y!��' ci �' co v CH ♦/ 44 FY ❑! rn. V cC w Ca 1.1 m C Cn - G T r y j/� ,. p ti atei -, „„ b T' In •1 N, ri' v C. .4. y % �1 yyiJE LH � a -.4.5 -.E.' y I ` O P. C O 0 C O `/J it �) 6 b n U ti tr.; ,.= r m z-,,4 W i^ m y Lt cc!, 'O m 0 ! ,-.C '.i U c^ 0 H `7 .-. cis --r - DR 5439(06/20/06) Department Use Only COLORADO DEPARTMENT OF REVENUE APPLICATION FOR A SPECIAL LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET EVENTS PERMIT DENVER CO 80261 17(X11205-2300 IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT,YOU MUST BE NONPROFIT AND ONE OF THE FOLLOWING (See beck cur delves.) ❑ SOCIAL ❑ ATHLETIC ❑ PHILANTHROPIC INSTITUTION ❑ FRATERNAL ❑ CHARTERED BRANCH,LODGE OR CHAPTER ❑ POLITICAL CANDIDATE ❑ PATRIOTYC ❑ OF A NATIONAL ORGANIZATION OR SOCIETY ❑ MUNICIPALITY OWNING ARTS ❑ POLITICAL ❑ RELIGIOUS INSTITUTION FACILITIES LIAO TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: DO NOT WRITE IN THIS SPACE 2110© MALT,VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY LIQUOR PERMIT NUMBER 2170❑ FERMENTED MALT BEVERAGE(3.2 Beer) $10.00 PER DAY -- 1. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE I State Sales Tax Number(Required) MAKE-WISH I FRANK'S RIDE FOR CHILDREN 119871519647 2. MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE 3. ADDRESS OF PLAGE TO HAVE SPECIAL EVENT (include street,cityrtown and ZIP) (include street.city/own and ZIP) c/o GREG RISEDORF ANDERSON FARMS 2544 JARETT DRIVE; MEAD CO 80542 6728 WELD COUNTY RD 3 1/4 ERIE CO 80516 NAME DATE OF BIRTH I HOME ADDRESS(Street,Cay,Stale,ZIP) PHONE NUMBER 4. PR ES(SEC?OF ORG.or POLITICAL CANDIDATE —7— GREG RISEDORF 05101/1967 i 2544 JARETT DRIVE 303-775-9190 5. EVENT MANAGER GREG RISEDORF 05/01/1967 F2544 JARETT DRIVE 303-775-9190 5 HAS APPLICANT ORGANIZATION TIN OR POLITICAL EAR?,Al CANDIDATE BEEN T. IS PREMISES NOW LICENSED UNDER STATE LIQUOR OR BEER CODE? ISSUED A SPECIAL EVENTPERMIT THIS OAL NO O YES HOW MANY DAYS? ©NO YES TO WHOM? S. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? beYus ❑No LIST BELOW THE EXACT DATE(S)FOR WHICH APPLICATION IS BEING MADE FOR PERMIT Date MAY 11/ 2011n Date j Oats I Date I Date Hours From 8:00 A .m. Hours From m. Hours From m Hours From .m. I Hours From m TA 9100 P m. To m. To m I To To m. OATH OF APPLICANT I declare under penalty of perjury in the second degree that(have read the foregoing application and all attachments thereto,and that all information therein is true,correct,and complete to the best of my knowledge. SIGNATURE q, "q" __ _._ -_ TITLE _._ — .__— __ __ ATE ____ .. /tom CHAIRMAN 'J 11-5 1 /LP REPORT AND PPAOVAL.OF LOCAL LICENSING AUTHORITY(CITY OR COUNTY) The foregoing application has bee xamined and the premises, business conducted and character of the applicant is satisfactory, and we do report that such permit,If granted,will comply with the provisions of Title 12,Article 48, C.R.S., as amended. THEREFORE,THIS APPLICATION IS APPROVED. LOCAL 1 ICF.Si3D G AIITI_ion1TV (GIP(OR COUNTY) - -- - --- ❑ CITY TELEPHONE NUMBER OF�hOCOl1NTY CLERK Weld County, Colorado c4 COUNTY (970)3564000 Ext 4225 SIGN-A.TII(IF _ _ _ _ _TITLE — _ .-- -_- 9. -_ - Chair, Board of County Commissioners APR 2 5 2015 DO NOT WRITE IN THIS SPACE-FOR DEPARTMENT OF REVENUE USE ONLY LIABILITY INFORMATION License Account Number Liability Date State TOTAL -750(999) j $ • (lnstruGions on Revere,"Size) ----- -- 020/ / SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT 1. What type of an event is planned (e.g., annual quarterly, benefit, etc.)? SEE ATTACHED 2. Explain in detail the nature of your organization, its function, and who or what benefits from its operations (attach separate sheet if necessary). SEE ATTACHED _ 3. Who or what organization will be the recipient of funds derived from this event? SEE ATTACHED 4. How many attendees are expected at this event? SEE ATTACHED Describe the premises at which this event will take place. SEE ATTACHED F. What type of security will be provided at this event? . SEE ATTACHED 7. How many security personnel will be on hand? SEE ATTACHED S. How will security personnel be identified? SEE ATTACHED 9. If this event is being held outdoors, how will the exterior boundaries of the premises be marked (e.g., roped, fenced, etc.)? SEE ATTACHED 10. What type of entertainment will be provided, if any, for this event? SEE ATTACHED 11 What method will be used in checking identification for proper age of attendees(e.g., at the door, at the bar, etc.) and how will underage patrons be identified so as not to be served alcoholic beverages (e.g., stamp or mark on the hand, etc.) SEE ATTACHED M:SCTBICTBF0RMST0SPECIALEVENT.00CSpecia lEvent 12 How will the conduct and level of intoxication of attendees be monitored and by whom? SEE ATTACHED 13. Have volunteers or members of your organization been trained in the sale/service of alcoholic beverages: If yes, what training have they received and by whom? SEE ATTACHED 14 What types of alternate beverages and food/snacks will be available? SEE ATTACHED 15. Has a State Sales Tax Number been initiated by you or a member of your organization? If so, write that number in the space provided. SEE ATTACHED - - 16. Explain how this event will be marketed describing what kinds of advertising material will be distributed and the targeted recipients of such material. SEE ATTACHED I hereby certify, under penalty of perjury, that the information provided to the Board of County Commissioners of Weld County contained in this affidavit is true and accurate to the best of my knowledge. --` Appligahts'4gnature Date STATE OF COLORADO I ss COUNTY OF WELD ) Subscribed and sworn to before me?his__J8t day of 4��/))) ,yvt.lt-1 -—, 2( 2.. Witness my hand and official seal. ---Mv commission expires: Thait f d`a, 020!e__ RAFAELA ALICIA MARTINET Jl �Qj_ NOTARY PUBLIC N t n Public i STATE OF COLORADO NOTARY ID 20144002878 MY COMMISSION EXPIRES JANUARY 22.2018 M:\CTB\CTBFORMSIFOS PECIALEVENT.D0CSpeclelEvent Frank's Ride for Children Special [vents Permit May 14, 2016 Question 1: Annual Benefit Question 2: The mission of Frank's Ride is to help Colorado Children who are fighting life-threatening illnesses and who want to ha'..e a wish granted. The children we sponsor participate in our run- riding in our sidecars. They and their families have a great time and really enjoy seeing all the motorcycles and vehicles supporting their wishes. Question .3: Make-A-Wish Foundation of Colorado Question 4: The total number we expect 1,000 to 1,500 to attend the 2016 event Question 5: The premises contains permanent buildings that include, public facilities, drinking fountains, and a kitchen facility. Permanent interior and exterior lighting is located throughout the premises. Questions 1'he entire volunteer staff of Frank's Ride will provide security for the 6. 7, & £t event. The staff members are identified by wearing black"Frank's Ride Poker Run Staff' shirts. Additionally, there will be twenty staff members designated specifically as "Frank's Ride Security. Question 9: The premises has permanent fencing around its entire boundaries. Question 10: I music and games Question 11: Attendees will he identified by two separate colored wrist bands according to age (over 21 years and under 21 years) Questions Over twenty of our Volunteer staff of Frank's Ride have current TIPS 2 & 13 certifications and will be monitoring the attendees as well as Mountain View Fire Protection District, Longmont Emergency Unit personnel, and Police staff. Question 14: Water lountains, bottled water, soft drinks, hbq pork and beef with all the trimmings. Question I5: No. 100% of the profits arc donated to Make-A-Wish Foundation of Colorado Question 16: Flyers, ads in location magazines and news papers, and ads on local radio. 2016-1391 CONTINUATION CERTIFICATE Insurance Company American Contractors Indemnity Company 601 S Figueroa Street, Suite 1600, Los Angeles, CA 90017-5721 ii' .).z ( r .Y��14'1:='^` l '^s.+eiA�i9 -r ':._ v ,'3 .ri '�i ol �r.'� . -a e, ,} - ,,�q} p w , ' + +ti M. �'rzy{+ ?�-"?'�I t7�"Y9 � : P59913 980 LICENSE -CONTRACTORS $3,000.00 2/26/2016 2/26/2017 Obligee: WELD COUNTY WELD COUNTY BOARD OF COMMISSIONERS GREELEY CO THIS BOND CONTINUES IN FORCE TO THE ABOVE EXPIRATION DATE CONDITIONED AND PROVIDED THAT THE LOSSES OR IT' T.RECOVERIES ON IT AND ALL ENDORSEMENTS SHALL NEVER EXCEED THE PENALTY SET FORTH IN THE BOND AND MCORPn9arm - WHETHER.THE LOSSES OR RECOVERIES ARE WITHIN THE FIRST AND/OR SUBSEQUENT OR WITHIN ANY EXTENSION OR a SFPT 25,1990 RENEWAL PERIOD, PRESENT, PAST OR FUTURE ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. 'o;�tifrnt�•Po` Principal: Agent: FRANK'S RIDE FOR CHILDREN 2003 TRUENORTH 2544 JARETT DR 275 SUUIH MAIN STREET, SUITE 100 MEAD CO 80542 LONGMONT CO 80501 n♦ Am / H C C 601 S ig ContractorsaStreet, 1 Indemnity sCompany 601 S Figueroa Suite 1600 Los Angeles,CA 90017 main 800 486 6695 facsimile 310 645 9274 March 08, 2016 Notice of Reinstatement Obligee: RECEIVED WELD COUNTY BOARD OF COMMISSIONERS 1150 O STREET GREELEY, CO 80632 WELD COUNTY COMMISSIONERS Principal: FRANK'S RIDE FOR CHILDREN 2003 DBA: Bond No.: P59913 License No.: Type of Bond: LICENSE - CONTRACTORS Bond Amount: $3,000.00 Effective Date' 02/25/2003 American Contractors Indemnity Company hereby gives notice to the above-named obligee that the bond herein described is considered to be in full force and effect from the effective dale,with no lapse in coverage. Americant.C_ontra to$lrtdemnit company IlVI IIII I I III IIII V I I I II VI I I II v Enrique Topacio , Attorney-in-fact Producer: TRUENORTH 275 SOUTH MAIN STREET, SUITE 100 LONGMONT, CO 80501 Principal: FRANK'S RIDE FOR CHILDREN 2003 DBA : 2544 JARETT DR MEAD, CO 80542 OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF FACT OF GOOD STANDING I,Wayne W.Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, MAKE-A-WISH FOUNDATION OF COLORADO, INC. is a Nonprofit Corporation formed or registered on 05/02/1983 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 19871519647 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 03/16/2016 that have been posted, and by documents delivered to this office electronically through 03/17/2016 @ 1122:53 . I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 03/17/2016 @ 11:22:53 in accordance with applicable law. This certificate is assigned Confirmation Number 9554800 . ' , :; ® ;i T_ t (..-0-(,--k--- id sinia_ yyc\s,.. X . � Seuretan'of State of the State or Colorado a********z******ass*************ass**********End orcertificate*****************************s******ass**** `ions .1 cent/tome cent/tome issued !tli ni dA1/nm the Colorado 1 rlulo Secretor nj .Hate's Web vie rc iiid(r rand uninethatelr valid and a/Iicme floweret. as an option. the iSSWIIICe and validity al a cer-rrh ate obtained eleinermicaltr May he established by visiting the Validate u Cmrufa.al'pate o/ the Secretary of Stole.F IPeb tae. hap , ,ml rr-d-v vii I ) rrrlr 'tmna.l-, entering the cera/ieaten- crm/ir uuaum number displayed on the tragrcate, and/nilatvlu+ the instructions htplaved Lon/u oiirc the issuance 4 aepnfit ate is alto It notional and is not n u._rti to the valid and elketnie /F.vamee of 0 certificate. For nmre ue/ia'nurllan. vicar Orli Web Fite. hut v wit,sus stoic:o.us/click Businesses,trademarks, trade names"and select Heil:t nt,'Active!(hwsi,one" Make-A-Wish' Colorado 7951 E.Maplewood Avenue, Suite 126 y Greenwood Village,CO 80111 303-750-9474 i i . ' BOO-366-9474 ' �. !( !i 1 �l fax 303-755-3108 www colo,ado wish.org February 4, 2016 To Whom It May Concern, As you are aware, the Make-A-Wish Foundation® is a non-profit organization which grants wishes to children with life-threatening medical conditions to enrich the human experience with hope, strength and joy, To help raise funds to grant wishes for these special children, a committee of volunteers is organizing the 301h Annual Frank's Ride for Children to be held May 14, 2016. Proceeds from this event will benefit Make-A-Wish Colorado. Greg Risedorf is authorized to represent the Make-A-Wish Foundation of Colorado while organizing the 2016 Frank's Ride event. If you have any questions, please feel free to call our office at 303-750-9474 for further information. Thanks for your support! Best Wishes. /- �./ Patti Forsythe Director of Events/Promotions Share the Power of a Wish`' • 1,.� �, ' t- January 1 , 2016 Dear Friend of Make-A-Wish, As you are aware, the Make-A-Wish Foundation® is a non-profit organization which grants wishes to children with life-threatening medical conditions to enrich the human experience with hope, strength and joy. To help raise funds to grant wishes for these special children, a committee of volunteers is organizing the 30th Annual Frank's Ride for Children to be held Saturday, May 14, 2016. Proceeds from this event will benefit Make-A-Wish Colorado. Please be advised that Greg Risedorf, Dave Stover and Bob Sickler, along with their awesome Frank's Ride committee, will be soliciting support for this event in way of corporate sponsorships, donations, licenses and donated goods and services. Any help you can give them and the foundation will be greatly appreciated. If you have any questions, please feel free to call our office at 303-750-9474 for further information. Thanks for your support! Best Wishes, Patti Forsythe Director of Events/Promotions Frank's Ride for Children will be celebrating its 30'h anniversary on May 14, 2016, Make-A-Wish®O Colorado has been a recipient of the event's success and generosity for the majority of those years, receiving $570,361 for children with life-threatening medical conditions. Thanks to their fundraising efforts, 116 wishes have been granted, creating memories and bringing smiles to thousands of faces! The committee's fundraising efforts on our behalf reflect a sincere commitment to our mission, and we're grateful for their faith in us to make this happen. Wish experiences do wonders for children and their families and inspire joyful memories that will last forever. As one wish mom expressed, "Wish children and their families are battle- weary. Fear induces fatigue. Stress permeates the home, affecting siblings. A WISH is pure happiness, the antithesis of the battle. A break in the normal routine and a family experience completely unrelated to medical treatment is rejuvenating. It's healthy to be reminded that so much good exists in the world. When energy is restored, the fight can continue with renewed hope." She went on to say, "Some wish kids will overcome their illness and go on to live long, happy lives. Others will not. For the first group, a Wish serves as a bright time during a dark struggle. For the second group, the Wish gives the family something to hold on to forever. I distinctly remember on the plane ride home, thinking that no one -and nothing- can take this away. Lucy's time with us may be uncertain, but I have walched her ride a horse, feed the dolphins, squeal with delight in the surf, and marvel at Mickey . . . and that brings me indescribable comfort." I've seen this power of a wish take over everyone involved in Frank's Ride for Children; from wish children themselves and their families, to community leaders and businesses, to hundreds of volunteers and ride participants each year. The foundation is very proud to be associated with Frank's Ride for Children and is truly grateful for their annual support! Warmest Wishes, 1)... 7 ',,'_:� Joan Mazak President and C.E.O. Give Form to the 'Jqi;�-,'e._ i i ,��c£i1.11 S'i: iorTaxpayer GiveF ante het Form Rev.January 201 1) identi`ica: 'o n I I. .nber anti Certificaation send to the IRS. nonstriortt el the r.bnrY Rel n!.rr --_•...._ _ < na Serves ._. __ _- _ _. __ _ - Name(us ynnec on your income'ay rattaa _.. .- _ I fe'.s nanmltll ioq rdo .r.° :an' J ii:r•. lots N Sneer N ' s I • P.•IrVish Foundation of Colorado, Inc. 0. Check appropriate box for faders'tea n P2daershlp ❑Tmsllestat2 c clan IIicatlon repul. .d)' ElIndividuaUsolo proyri'or 0 -C nrpnrelicn L7 Si Corpora ior! NI LI Exempt oayce v c P-roartnershi e o ❑ Limited"iabil¢y company-Enter the lea clauiroatiun(C=G corporation.S=5 corporation, P 0 o i ,i ',E; - .;s1-'tlM re and aclln'. ..pr.nail ih-• 11,JUn..,5 tnVrlhur. 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' r 1 4 - 2 12 17 1, 3 p 0 0 ', 4 . •'ail ;i 4 Cerilflcauon Jnder penalties of perjury,I certify that _ Tee number shown on this form is my correct taxpayer identification number( l em;Nailing for a number to be issued to me},and 2. i vn not-rube ect to uucicup-ci l,hol dilig O cause (kit!am exempt from backup withholding or fb)I nave rot neon not lied by the Internal ltevent a Service(IRS)that I am subject to backup:uithnolding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that i am no longer 9llh)ect to bae¢up with hominy,a:' ! I am a U.S-citizen or other U.S. person idolinecl below). Certification instructions.You must cross out item 2 above ii you have been rte tll':'I toy the ;Si lit you are :ell efnl eci ject to backup at mortgage Iorn_u because you have failed to report all intere-Y and dividends o your tax return- t r real estate. transactions. apply. 9 interest paid,acquisition or abandonment of secured property,cancellation of u styr. -tura;latttl n• ,r:at,iiidiiiidnal retirement arrangement(IRA),anc yener:illy. ttyi:tents other than interest and dividends,you are not required to clot the our titirattre t, but you inutn proanre/cuff entree,.TIN.See the instructions on page 4 'Sign Signature oL, Datau Here u,5.person h-- - - lote.If e requester gives you scan other than Fenn'N-9 7o request ael'1fdE04 if"15ft"-'73�C'F9fyFlS /I 'IN,you must use the r qu .ter's'om if it is substantially similar Section rcterenoes are to the Internal Revenue Code unless otherwise to this Form 1N-9_ ,toted Definition of a U-S.person.For federal tax purposes,you are Purpose Off Form considered a U.S.paroor if you are: 1 v r sot who is required o h a' odor a ill 'all r 'Vial!I'to hl` u9l An Individual who is a U.S.citizen or U.S.resident alien, Ctbtadt tour correct raxpaycr slentiticatioti number,TIN)in:soul,;or 9 oannorship orparatior,company;or association neaten or -ar opts n erne pal'lo-✓ou,real ay.ate transactions, non9agH linelant organized in the United States or under the laws of the United States, rnu Palo, soouisitinu or abandonment of secured property, cairnellellan ,An estate(other than a foreign estate),nr :r.debt.or:.ontrihulions you made to an IRA. =la domestic trust(as defined in Regulations section 301.7701-7). Use Form W-9 only.if you are a U.S.person(Molt ding a'resident Special odes for partnership "'artnership hat enuring'a trade r requester) to p fat,' your vre.ITid ro the parson"ova any I.(the nl,it ase in tee United.dates-ire get'orally equirecr to pay i withholding eqU CertiF:!f d A11P.1;a(1G'lh tb P,tit ax r ri a totetgn partners'share of income from such business. 1.Certify that the TIN you aro giving is correct(or you are wailing fora ruttier ci Gel tain bases vie a'arm W-9 has not boon received 1 number to be issued), partnership is required to presume Ittal a•acne -a a foreign peisrvi, 2.Certify that you are not subject to backup withholding,or and oak the:v thl olorng tax, I aurae-ire,it you are a t S-pennui.hats a ,9909f n a Paltnershlp coed! tl cg a trade•lr business:n the Mateo 3,Claire exemption y trope backup withholding it you are a U.S.exempt States. ann•ide Form Vila to Ilia par Inership to establish your L.S. payee:.If sire," lfl a,you are relsustni e u(i it g that m as a U Ir ")€-;121.?,t ' '; i.nee moths sad.avntrt :'ilbhulditl9 m'ruts abate n^snnership income. allocable sumo of any partnership income from a U a Untie n business Is not subject to the withholding tax on foreign partners'sham of etfectivab/oonneeted income_ Fpm - (Rev 1-2011) ---- - sale No.I 091I LETTER OF CONSENT I, Jim Anderson, Do hereby authorize the use of my property for the sole purpose of holding the event known as Frank's Ride for Children. This event benefits Make-A-Wish Foundation of Colorado and is scheduled for Saturday May 19th, 2011. I do understand that there will be approximately 1,000 to 1,500 people attending. As well as, staff members from Frank are Ride and Make-A-Wish Foundation of Colorado. It is also my understanding that there will be Roast pork and beef(served with all the trimmings). Alcoholic /non alcoholic beverages, as well a, live entertainment on the event premises. My property is completely fenced with one main gate serving as the main entrance to the event premises. Respectfully, Jim Ail erson 6728 WCR 3 1/4 Erie, Colorado 80516 %ou Anderson mFarms Frank's Ride For Children Revised Use Stipulations Revised April 4. 2016 For the purpose of this document Amaizing Farm Events is referred to as AFE and Frank's Ride for Children is referred to as FRFC FRFC plans to access the Event Portion of AFE from 8:00 AM on May 13, 2016 until 6:00 pm on May 15, 2016 The farm will be cleaned up and ready for the next guest at the end of this event Due to Weld County Regulations the Weld County Use Permit issued to Anderson Farms and liability insurance, we must now ask that you abide by the following conditions 1 FRFC personnel will no longer be able to use or operate any powered equipment a. This includes but is not limited to the Skytrack forklift, Skidsteer, Gators, tractors, trucks and all other equipment belonging to Anderson Farms b AFE will provide an operator for equipment on Friday before your event for a maximum of 3 hours to assist in setup 2. FRFC personnel are no longer allowed to camp on site a fen people are allowed to remain onsite for one night to oversee cooking 3 FRFC personnel will no longer be able to access any ladders, step stools. extension cords or other equipment or devices not found inside the Pan, Barn a. Please bring all of your own such tools 4 FRFC personnel are not allowed in or near the ghost town or any Farm property north of the playground a. These grounds are not safe for visitors'off-season 5. All FRFC children must be supervised at all limes during setup, the event and teardown \ \�\. \t� --r �-c } Date April 4 2016 Jim A er,on Owner of Anderson Farms SJ t 14'. Al/':`'FZ -I�1 Date r/ /4_ /_ _ . __ ri / Crr ..__ 2016 Farm address: 8728 WCR 3-1/4,Erle,CO 80616 a Phone: 303-828-6210 Far 303-828-4930 a www.andsnonfarms.corn .— a • �,' •. 4 ', . r ' yam. • • + ., ..ta • t !� •� K`:? I''� • : I•- " 4 f j . j i .. j .r 6 ` a - I/ ' f �1" + .-` �ij 1'• ` 4444 ' • • � A,,• V '-.� �sillfr ~ •+ ' '4 • . ?' 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'4, ..,1% - i l'a • . , k. ...... •.. , _ ._ 114i. fri., • .. _>.t. ._ --NijaittH, ..t. ti ..4 .- ...Ai 24_141 . , 4 ._..,..* ierai - . 1 Sim It 1 `� iin, 41a4071111,-- . / /....- 41, 4411PrtliffrAir- Ailos-"NW .4 • ' i .-i: -el,* - . . ., t . ,- i -: " \ Ilia' ,. , . - 't; i t ri , r e RECEIPT DATE 3 -18—icyco No n/1 v m W) RECEIVED FROM c?reThIS4c1.B'l6 — FYA}'� ��Ic_{ o, co co ADDRESS JJ o 2 ` e W i6 e,d.o- ...6 °t op �—, __, $ a5-. 00 U o o G) FOR _ U 2 C _ _HOW PAID 42.)2 .IQ-& Ette.n.±fier_. _% -� `"s" 100; LCaO i.'_ '� CM'CKSac- Op \\ MONEY J ORDER RECEIPT DATE - NO 88628 o ° co co RECEIVED FROMG19 {S,p(lin -- r� _ _ m m ADDRESS JJ U Y ° -1 h1� nr.l,of1 r�n11n� e -Q _ �� s9Q0. -- U ° o aT FOR U d C HOW PAID Cpte LtP lg Al _ YMP._. CASH - I 'NI 0: rr Lea0aa NW/15Si C.414, / CHECK h p4VO � BY��\I(`�J i�r. MONEY III oRDE11 FRANK'S RIDE FOR CHILDREN 1070 GREGORY A RISEDORF 02-15711021 I 2544 JARRETT DR f: MEAD,CO 80542 - t/.. 1 g'—ld- �, Ui Date b Pay to the , i $ 7 C-, „iI Order of p .� 7 '. P \ i 1 ----- — -`! .-- - Dollars 1. Colorado tail MEAD.0000542 (970)535.9290 BANK&TRUST Esther Gesick From: Paul Wood Sent: Wednesday, April 13, 2016 12:29 PM To: Esther Gesick Cc: Paul Wood; Sam Kaneta III Subject: RE: REFERRAL RESPONSE REQUEST: Temporary Assembly (350+) /Special Events Liquor Applications - Make-A-Wish Foundation/Frank's Ride for Children, c/o Greg Risedorf Esther, I have looked to see if the Weld County Sheriff's Office has had any significant reports/incidents with this organization/event (Make-A-Wish Foundation/Frank's Ride for Children at Anderson Farms, 6728 WCR 3 %, Erie, CO 80516) and applicant(Mr. Greg Risedorf). According to our Records Management System (Spillman) the Weld County Sheriff's Office has not responded to any law enforcement calls for service at this specific establishment in the last calendar year. The Executive Staff was also queried and none of them has any recollection of any problems surrounding the past events. If you have any questions or concerns, please feel free to contact me. Sergeant Paul Wood Animal Control/Municipal Policing/School Resource Units Weld County Sheriffs Office 1950 "O" Street, Greeley, CO 80631 pwuodi �40.weld.C•.>.uy Oft: (970) 356-4015 Ext. 2838 Fax: (970) 304-6468 ce A L A '5c. Strong a ii Courageous.' From: Esther Gesick Sent: Monday, April 11, 2016 11:55 AM To: Bethany Pascoe; Dan Joseph; Esther Gesick; Frank Haug; Janet Lundquist; Paul Wood; Roy Rudisill; Tom Parko Jr. Subject: REFERRAL RESPONSE REQUEST: Temporary Assembly (350+) / Special Events Liquor Applications - Make-A- Wish Foundation/Frank's Ride for Children, c/o Greg Risedorf Hello! In accordance with the procedure for processing Liquor Applications, please review all records on the following documents/property for any associated reports/incidents and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering the Applicant's Special Events Liquor License, in conjunction with their Temporary Assembly Permit. PLEASE RESPOND NO LATER THAN: Wed.,April 20, 2016 Applicant: Make-A-Wish Foundation of Colorado, Inc./Frank's Ride for Children, c/o Greg Risedorf , 1861 _ Memorandum itwr=fl , TO: Rafaela Martinez L- GOUtiT" c , FROM: Dan Joseph SUBJECT: Temporary Assembly Application DATE: April 21, 2016 CC: Cindy Salazar; Debra Adamson In response to your request, Environmental Health Services has reviewed the Temporary Assembly Permit for the Frank's Ride for Children, located at 6728 County Road 3.25, in Erie, Colorado. After reviewing the application, the Department does not have any additional requirements or concerns. Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at diosepWco.weld.co.us. Thank you. MEMORANDUM 'UTr'' TO: Esther Gesick, Clerk to the Board DATE: April 13, 2016 41 2_, ,=;; L N : v FROM Janet Lundquist, Public Works SUBJECT: Temporary Assembly Frank's Ride for Children The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows: REQUIREMENTS: 1. No parking will be allowed on Weld County Roadways. 2. Approximately 1,500 vehicles will require parking on the property 3. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 4. Please utilize the Traffic Control Plan (TCP) used at last year's event. 5. Please submit an Incident Action Plan for the Office of Emergency Management. Page - 1 -of 1 April 13,2016 CAUsers\egesick".ApnDataA Local AMrcrosoft\wiudowsiTemporary Internet FilesVContent OutlookV7QS I III.PRVI emp Assembly Frank's Rlde0410 l6.doc Esther Gesick From: Roy Rudisill Sent: Friday, April 22, 2016 8:34 AM To: Esther Gesick; Bethany Pascoe; Jose Gonzalez Subject: RE: REFERRAL RESPONSE REQUEST: Temporary Assembly (350+) / Special Events Liquor Applications - Make-A-Wish Foundation/Frank's Ride for Children, c/o Greg Risedorf No concerns from OEM. 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 wrigs 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: Esther Gesick Sent: Friday, April 22, 2016 8:28 AM To: Bethany Pascoe <bpascoe@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us> Subject: FW: REFERRAL RESPONSE REQUEST: Temporary Assembly (350+)/Special Events Liquor Applications- Make-A- Wish Foundation/Frank's Ride for Children, c/o Greg Risedorf Just a friendly reminder that this will be on Monday's Board meeting. If you have any comments you wish to submit, we'll need them today by Noon so we can get them scanned in. If not, we'll assume all's well. Thanks! Esther E. Gesick Clerk to the Board 1150 0 Street P.O. Box 7.58/Greeley, CO 80632 tel' (970) 400-4226 51 .e it Condiment a In;Notice'T s 0 ecIronic traour,Ission and am;at aened documents or other A riot!.are irtc riled rrly for Ira parson or ootiry to whi_f ir :add-essed and may centers information that s prnle02o,conf'dertial or at'tarwiso piotectod Fronrrrimeloshrc I you rave rece s ,d di s runtm.i dication in error,please innmeai toly notify sender cy roruPII c n=il and destroy:he coma-Jena[on en;dAc cse e,CODS m -1 siributon or Ulu ,e afar;crtion amSming the contents of this communication oramy allarhme-,t',by anyone other than :he named recipient is st/ct y prof'biter. MEMORANDUM ryNS l.�a, n- v� ti�_; To: Rafaela Martinez, Deputy Clerk to the Board April 15, 2016 - From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Review of the following Temporary Assembly Permit and Special Events Permit by the Department of Planning Services shows the following: Applicant: Frank's Ride for Children do Greg Risedorf 2544 Jarett Dr PO Box 327 Mead, CO 80542 Location of Event: Anderson Farms 6728 CR 3.25 Erie, CO 80516 Zone District: A(Agricultural) Event Date and Times: May 14, 2016 8:00 AM - 9:00 PM Attendance: 1000 to 1500 This property is currently permitted through AmUSR-1232 as a"Guest Farm". No existing violations were noted. SE:I(vlC}:. I .AAdW OI(K.IN I MO[4]I .OIUU J'IY Esther Gesick From: Jose Gonzalez Sent: Friday, April 22, 2016 8:46 AM To: Esther Gesick; Bethany Pascoe; Roy Rudisill Subject: RE: REFERRAL RESPONSE REQUEST: Temporary Assembly (350+) / Special Events Liquor Applications - Make-A-Wish Foundation/Frank's Ride for Children, do Greg Risedorf No concerrs from Building department. lose Gonzalez Assistant Building Official Building Department 1555 N 17th Ave Greeley, CO 80351 tel:970-353-6100 x3533 .X'114rift0. 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 tak rg of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Esther Gesick Sent: Friday, April 22, 2016 8:28 AM To: Bethany Pascoe <bpascoe@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us> Subject: FW: REFERRAL RESPONSE REQUEST: Temporary Assembly (350+) /Special Events Liquor Applications- Make-A- Wish Foundation/Frank's Ride for Children, c/o Greg Risedorf Just a friendly reminder that this will be on Monday's Board meeting. If you have any comments you wish to submit, we'll need them today by Noon so we can get them scanned in. If not, we'll assume all's well. Thanks! Esther E. Gesick Clerk to the Board 1150 O Street/P.O. 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