Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Browse
Search
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
Privacy Statement and Disclaimer
|
Accessibility and ADA Information
|
Social Media Commenting Policy
Home
My WebLink
About
20162707.tiff
RESOLUTION RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO AMERICAN CANCER SOCIETY, INC., AND AUTHORIZE CHAIR TO SIGN 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, the American Cancer Society, Inc., presented to the Board of County Commissioners of Weld County, Colorado, an application for a Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to Weld County, Colorado, pursuant to the laws providing therefore in payment for a County Retail Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, for an event scheduled for one day only on September 19 , 2015, from 5:30 p.m., to September 20, 2015, at 12:00 a.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: 14332 County Road 64, Greeley, CO 80634; being further described as part of Section 33, Township 6 North, Range 66 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 2015-17 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 5:30 p.m. on September 17, 2016, until 12:00 a.m. on September 18, 2016, 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 Weld County Code and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the permit. CG SOCRS), cx PL. ott al l6 2016-2707 LC0022 SPECIAL EVENTS PERMIT - AMERICAN CANCER SOCIETY, INC. PAGE 2 BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 22nd day of August, A.D., 2016. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: d.,dtd(v‘.) Xll4•gi Weld County Clerk to the Board BY: CL • y Clerk to the Board APPROVED AS TO FORM: County Attorney Date of signature: Wpg/i(o Mike Freeman, Chair 2016-2707 LC0022 0 0 N ti Err Pa a lamo cn I > C`c `1 .�%. � 1 E w 75 C ‘.55 U b tn m 79 w Smi V 3-1 2 U 'Cr N 0 <, v' oo ° 4-4 c OO i7,n+ er,°A o L' 1 hto �1 ( /w m WO a O u. O O U ti %1 i,nf G x otcr oh o rr o O G a a o eq I > 4 o j be b .E b o, 3-1 o p o . a .L c c a NS -I S J I x V� l / l �� CaQ,, o OV oto �1Z 2 an VCO Li o U o a M A p °oo��� Nl 49 cn U `" N• Rr Q O O M N U L: —1 l / 1 '1/4--)r., en Z‘mi oz, a 1-'/ tetcaeitoei immi � �� � f� f w v- a N a~i 3 Ca aJ C /�f - r VI W;O FBI ( X. [�z7 at C/ .., an ,cs a 'O1-1 E'• W z O cci `' ��, j u f W a, -o o t ;, 0 Cn 'O w U _ .." .: tr F , l 1 ----9- r O i* W' i, �W7 F U o -r C 0 0 "�� .; Ls a.mc a Li G[ —r-v • � /. � 0 o �. tS — a),cn _ t,, au a O< „ y"-0° . �1 1/4—) � I\ i �r 1 l U w0 F"' 0 •O I F 1 6 w F U•a N C o 1jy v rg?eao ° ° -0 a o • F V cz v ° O p '0 p am) eir'l l U 72 fi FBI `� Ri ^ 1'! 3� - L C ii W ›, O U y0 al O. E ° 0-1 ° U ° p v W O F a O �c. C" , ie U N z en �ci A c �.:n 0 H O l 1/ l 1 O 7 c, •- L--1 .. 1 Hs a� Fez ci ke). :�� Cjr'Cjr'L.5-- jr' ..fT- Cj'Cj-- ff-Cjr'CjCjr'Cj- -5-- -el. --5- 50-0771 DR 8428 (08/01/2012) COLORADO DEPARTMENT OF REVENUE 1881 PIERCE STREET, SUITE 108 LAKEWOOD, CO 80214 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THE ORGANIZATION AT THIS LOCATION AMERICAN CANCER SOCIETY 14332 WELD COUNTY ROAD 64 GREELEY CO 80634 Permit Number: 4801917 Event Manager: JILL M. ANDERSON SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS EVENT 1: 09/17/2016 5:30PM 12AM 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. 9/2/2016 pjr Division Director Executive Director DR 8439 (06/28/06) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 1;1u3) 2(1braou IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT, YOU MUST BE NONPROFIT AND ONE OF THE FOLLOWING (See back for details.) • SOCIAL • ATHLETIC • PHILANTHROPIC INSTITUTION • FRATERNAL ?A CHARTERED BRANCH, LODGE OR CHAPTER • POLITICAL CANDIDATE • PATRIOTIC • OF A NATIONAL ORGANIZATION OR SOCIETY • MUNICIPALITY OWNING ARTS • POLITICAL • RELIGIOUS INSTITUTION FACILITIES LIAB 2110 2170 N ❑ TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: MALT, VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY FERMENTED MALT BEVERAGE (3.2 Beer) $10.00 PER DAY DO NOT WRITE IN THIS SPACE LIQUOR PERMIT NUMBER 1. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE American Cancer Society State Sales Tax Number (Required) 2. MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE (include street, cityAown and ZIP) 8221 W. 20th Street, Greeley, CO 80634 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT (include street, city/town and ZIP) 14332 Weld County Road 64, Greeley, CO 80634 NAME •-°. DATE OF BIRTH ' HOME ADDRESS, (Street, City, State ZIP) Ilia .. PHONE NUMBER. 4. PRES./SEC'Y OF ORG. or POLITICAL CANDIDATE - 5. EVENT MANAGER Jill M. Anderson 3136 51st Avenue, Greeley, CO 80634 970.350.5022 6. ISSUED HAS ra APPLICANT ORGANIZATION OR POLITICAL CANDIDATE BEEN A SPECIAL EVENT PERMIT THIS CALENDAR YEAR? NO ❑ YES HOW MANY DAYS? 7. IS PREMISES " NOW LICENSED UNDER STATE LIQUOR OR BEER CODE? NO YES TO WHOM? r77II 8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? V Yes • No LIST BELOW THE EXACT DATE(S) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT', ,. Date 9.17.16 Hours From 5:30 p.m. To 12:00 a.m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. Date Hours From .m. To .m. OATH OF APPLICANT , I declare under penally of perjury inthe second degree that 1 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 TLE . rSr. Mang. Distinguished Events DATE REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY (CITY OR COUNTY) The foregoing application has been examined 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 Tit e 12, Article 48, C.R.S.,as amended. " 'THEREFORE, THIS APPLICATION ISAPPROVED. LOCAL LICENSING AUTHORITY (CITY OR COUNTY) • CITY Weld County, Colorado 0 COUNTY TELEPHONE NUMBER OF CITY/COUNTY CLERK (970) 356-4000 Ext 4225 SIGNATURE TITLE Chair, Board of County Commissioners DATE DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY LIABILITY INFORMATION .. - ,,.. License Account Number . , ' Liability Date State TOTAL $ -750 (999) APPLICATION FOR A SPECIAL EVENTS PERMIT Department Use Only (Instructions on Reverse Size) APPLICATION INFORMATION AND CHECKLIST THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED: ▪ Appropriate fee. • Diagram of the area to be licensed (not larger that 8 1/2" X 11" reflecting bars, walls, partitions, ingress, egress and dimensions. Note: If the event is to be held outside, please submit evidence of intended control, i.e., fencing, ropes, barriers, etc. © Copy of deed, lease, or written permission of owner for use of the premises. ❑ Certificate of good corporate standing (NONPROFIT) issued by Secretary of State within last two years; or ❑ If not incorporated, a NONPROFIT charter; or ❑ If a political Candidate, attach copies of reports and statements that were filed with the Secretary of State. • APPLICATION MUST FIRST BE SUBMITTED TO THE LOCAL LICENSING AUTHORITY (CITY OR COUNTY) AT LEAST THIRTY (30) DAYS PRIOR TO THE EVENT. ❑ THE PREMISES TO BE LICENSED MUST BE POSTED AT LEAST TEN (10) DAYS BEFORE A HEARING CAN BE HELD. (12-48-106 C.R.S.) ❑ AN APPROVED APPLICATION MUST BE RECEIVED BY THE LIQUOR ENFORCEMENT DIVISION ATLEASTTEN(10)DA YSPRIORTOTHE EVENT. • CHECK PAYABLE TO THE COLORADO DEPARTMENT OF REVENUE (12-48-102 C.R.S.) A Special Event Permit issued under this article may be issued to an organization, whether or not presently licensed under Articles 46 and 47 of this title, which has been incorporated under the laws of this state for the purpose of a social, fraternal, patriotic, political or athletic nature, and not for pecuniary gain or which is a regularly chartered branch, lodge or chapter of a national organization or society organized for such purposes and being non profit in nature, or which is a regularly established religious or philanthropic institution, and to any political candidate who has filed the necessary reports and statements with the Secretary of State pursuant to Article 45 of Title 1, C.R.S. A Special Event permit may be issued to any municipality owning arts facilities at which productions or performances of an artistic or cultural nature are presented for use at such facilities. If an event is cancelled, the application fees and the day(s) are forfeited. SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT 1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)? Annual benefit for the American Cancer Society Cattle Barons Ball 2. Explain in detail the nature of your organization, its function, and who or what benefits from its operations (attach separate sheet if necessary). Charitable organization dedicated to preventing cancer, saving lives and diminshing suffering from cancer through research, education, prevention & advocacy. 3. Who or what organization will be the recipient of funds derived from this event? American Cancer Society 4. How many attendees are expected at this event? 1000 guests, 250 volunteers 5. Describe the premises at which this event will take place. On private property set up with tents on a graveled area 6. What type of security will be provided at this event? Weld County Sheriff's Commander Donnie Patch and 26 other deputies will be on site security for guests & property 7. How many security personnel will be on hand? 13-17 during event Some in uniform, some plain clothes 8. How will security personnel be identified? 9. If this event is being held outdoors, how will the exterior boundaries of the premises be marked (e.g., roped, fenced, etc.)? This property is fenced and has two gates for entry; one being utilized for traffic flow. Guests, volunteers and vendors will be the only ones allowed on property. 10. What type of entertainment will be provided, if any, for this event? Sawyer Brown will be the entertainment 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.) Professional bartenders with training under management of Kenny's Catering. Bartenders will ask for ID as required. Alcohol is limited only to guests. M:ICTBICTBFO RMSIFOS P ECIALEVENT.D0CSpecial Event 12. How will the conduct and level of intoxication of attendees be monitored and by whom? Bartenders, Security, Volunteers & Event management staff 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? Kenny's Catering is providing professionally trained TIPS certified bartenders. 14. What types of alternate beverages and food/snacks will be available? Coffee, Iced Tea, Water, full meal with appetizers and late night snacks. 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. 98-17123000 16. Explain how this event will be marketed describing what kinds of advertising material will be distributed and the targeted recipients of such material. Invitations to event to our constituency General press releases to the public 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 know ants Signat Date STATE OF COLORADO ) ss COUNTY OF WELD Subscribed and sworn to before me this Witness my hand and official seal. SHARON LOOKHART NOTARY PUBLIC STATE OF COLORADO NOTARY ID: 20144007060 MY COMMISSION EXPIRES FEBRUARY 12,2018 day of It.-Ly ,20jLg My commission expires: a/ 1 8 a I / , otary Public M:ICTB1cTBF0RMSIF0SPECIALEVENT.D0CSpec ialEvent O ? _ / 1 ��IIj I_ Og le V I I jII LLLJJJ � I o I _1 w =0. w O . as_ b4 41 = Lb--, SE- a I - I _ �¢ NOLLOIIV 3/\TI III OOO®O O9OO OOOO ° OOOO m�A� § a IH: /O /O VV VV �b OOOO OOOO 8 a ai� i ta i r IIII 1 Ca Ca 44 tti DA i A A•' OOOO m OOOO pooc5od0000 OOOO 0 0 0 ® 0 O AOOOO �g OOOO O roc° O'OO O O O �I]°'i€hCIAAl77�°A31.�G II I.s IOW A[YI$ II out1 mJm 'd®®Milli f16 IE']I'di 1I W 1711 ' 01 I�xJ II (I III II 11 m W ldi®141AAd11Wi• IA 11I r III I I Al 1111 .1111 11111.1111 Illle;1111 ;== _r... .. m s (11:1 O O8 �]Y 'sae 3 tn N`7 IT 0 t inat to o V a O�n a cc V a u Moujnv n I I I 000010000 "U6", W 09 0 0 O 000 0000 O 000hog0000 p0000 {loco o. piano o -0o O 000 E 0000 0900 0000 0000 0000 0000 O 000 0000 O oaa 000 -RE i, It+ti ° 81' 1�4 11 i v l . � 111II IMP IIN II i I, 0,0.� I e i� 'it . y s{ I I U^ sI`y1 N II 4 '.1'. ,.1Gf fi o� 'I,I I 7 DO Lill eed snsaxve 1 4 s \iNtran 1MN ®, excavating Inc. Duran Enterprises, Inc. July 6, 2016 American. Cancer Society Cattle'Baron's Ball. 8221 W. 20th St. Ste. A Greeley, CO 80634 Attu: Jill Anderson This letter is to confirm that Duran Enterprises, Inc. has; given our permission for the American Cancer Society to utilize our facility, located at 14332 CR64 Greeley Co 80631, for the September, 2016 Cattle Baron's Ball. If there are any questions,. please, feel free to call at 970-351-0192. Than 4 rue Ji Duran President 3Lcrck 1 .Ace V^. * .S 144ct�...� o 71-1H utc� /,,O\la Ewe E .vim rr� J \moo\ve i USA sOW- NOTARY PUBLIC' STATE,OF COLORADO NOTARY ID =24016100. 14332 CR 64. o Greeley, CO 80631 '(970)351-0192 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, American Cancer Society Cancer Action Network, Inc. is an entity formed or registered under the law of District ofColumbia, 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 20091098882 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 07/19/2016 that have been posted, and by documents delivered to this office electronically through 07/20/2016 @ 15:29:53 . 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 07/20/2016 @ 15:29:53 in accordance with applicable law. This certificate is assigned Confirmation Number 9749444 Secretary of State of the State of Colorado *********************************************EndofCertificate******************************************** Notice: A certificate issued electronically front the Colorado Secretary of State's Web site is fully and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a Certificate page of the Secretary of State's Web site, http://www.sos.state.co.us/biz/CertificateSearchCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, http://www.sos.state.co.us/ click "Businesses, trademarks, trade names" and select "Frequently Asked Questions." 139199 Accur o® CERTIFICATE OF LIABILITY INSURANCE A E(MM/D T YY) DATE 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 Commercial Lines — (404) 923-3700 Wells Fargo Insurance Services USA, Inc. 3475 Piedmont Road NE, Suite 800 Atlanta, GA 30305-2886 CONTACT Alexander Mortimer NAME: PHONE FAX IA/C No EXO: 404-923-3732 I(Pc. Noe 677-362-9069 E-MAIL alexander.mortimer@wellsfargo.com ADDRESS: 9 o com INSURERS) AFFORDING COVERAGE NAICH INsuasa A: Federal Insurance Company 20281 INSURED American Cancer Society, Inc. 250 Williams Street Atlanta, GA 30303 INSURER B: Aspen Insurance UK Limited INSURER c: Pacific Indemnity Company 20346 INSURER 0 : INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 9489831 REVISION NUMBER: See below 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 LTR TYPE OF INSURANCE ADDLSUBR INSD WVD POLICY NUMBER POUCYEFF IMM/DDIYYYYI POLICY EXP (MMIDD/YYYYI LIMITS A X COMMERCIAL GENERALUABIUTY 35943463 09/01/2015 09/01/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) DAMAGE TO RENTED $ 300,000 MED EXP (Any one person) $ 2,500 PERSONAL ItADV INJURY S 1,000.000 GEN'L X AGGREGATE POUCY OTHER: LIMIT APPLIES PRO - JECT PER: LOC GENERAL AGGREGATE $ 25,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ _ SCHEDULED AUTOS NON -OWNED AUTOS 73563471 09/01/2015 09/01/2016 COMBINEDSINGLE LIMIT $ 1000000 BODILY INJURY (Per person)— $ BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE (Per accident) $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CXDG3WC15 09/01/2015 09/01/2016 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1.000.000 DED I X I RETENTIONS 10,000 $ L. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE fi1 OFFICEREMBER EXCLUDED? (Mandatory In NH) Byes, desmbe under DESCRIPTION OF OPERATIONS below YIN N N/A 71741355 09/01/2015 09/01/2016 X STATUTE EOTRµ E.L. EACH ACCIDENT S 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1•000•000 E.L. DISEASE -POLICY LIMIT S 1000 000 DESCRIPTION OF OPERATIONS / LOCATIONS ' VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION American Cancer Society, Inc.. 250 Williams St., 5th Floor Atlanta GA 30303 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 96•41 - The ACORD name and logo are registered marks of ACORD ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. DocuSign Envelope ID: 3869303C-CF61-4A90-A866-A346FF98A859 Page 3 of 6 Status: Reservation Contract #: 14076 Tpalgila p1 )derctions 1833 E. Harmony #19 Fort Collins, CO 80528 Office: 970.223.1195 Fax: 910.226.0528 Customer #: 22 wwwsl-D )Wsitagi tone 8221 W 20th Street Sutie A Greeley, CO 80634 C _ Job Descr. CBB 2016 Event Beg: Event End: Operator: Terms: Sat 9/17/2016 5:00PM Sat 9/17/2016 11:00PM PHILIP Gottula On Account Ordered By: ACS Salesman: PHILIP Gottula 970-223-1195 PHIL@FLEXXProductions.com Delivery, and'Pickup Delivery: Tue 9/13/2016 8:00AM - 5:00PM Contact: Jill Anderson Pickup Date: Sun 9/18/2016 8:00AM - 5:00PM Phone: 970-.23-1.43 Location: Used at Address: Delivery Notes: Duran Excavating 14332 CR 64 ; Greeley, CO 80631 PG Main tent to start install 09/08 or 09/09 Del- start install 9/13/16 Pu 9/18/16- must be out end of day Thursday 9/22/16. I j Final counts to be received by 09/01/16. ACS to take napkins on Wednesday 9/14/16. Client understand the weather related risks using a pole tent VS a structure tent. FLEXX will start installing on 9/08/16, main tent. Cocktail tent on 9/13. Event date: Sept 17th 2016 AV to start installing on Thursday. Start un-install 9/17, off property by 9/22. Tables and chairs set by Thursday and linens on site. 8' Tables- Silent Auction 25, Live Auction, 2, Raffle 2,Bank & Vault 9, Kitchen 30, Photo 1, Registration 8, Beverage 2. Linens for 8' tables- Silent Auction 25, Live Auction, 2, Raffle 2, Bank & Vault 4 , Photo, 1, Registration 8, Beverage 2. Linen colors for guest tables; VIP tables; -tablecloths, satin silver -napkins, satin navy Standard guest tables; HALF -tablecloths, basic navy -napkins, basic pewter OTHER HALF -tablecloths, basic pewter -napkins, basic navy 4city Items Rented ' ,pEaeh 'Price REGISTRATION / SILENT AUCTION 1 Tent-30x4oiClearspan 1 Tent- 30x40 Stake Kit 70 Tent Sidewall WndowClearspan 8x10 1 Tent -Pole Tent 80x90 11 Tent Sldewall White 8'x20' Printed On Mon 6/6/2016 3:0D:03PM • Software by Point -of -Rental Software www.point-of-rental.mm $960.00 $960.04 $0.00 $0.00 $30_00 $300 00 --- $3,780.00-^ •_ $3,780.00 $4000 $440.009 .. _. ... Modification a99 Contract.Pamms.rpt (8) DocuSign Envelope ID: 3869303C-CF61-4A90-A866-A346FF98A859 Page 3 of 6 7 3 Tent -Frame Tent 20x20 KIT BANK Tent -20X20 Stake Kit Tent-Sidewall White B5(20' $270.0 $270.00 01 $0.0 $0.00 $40. $120.00 Printed On Man 6/6/2016 3:00:03PM Software by Point -of -Rental Software ww.v.point-of-rental:com Modification # 9 Contrail-Params.rpt (6) DocuSign Envelope ID: 3869303C-CF61-4A90-A866-A346FF98A859 Contract #: 14076 American Cancer Society Page 4 of 6 Qty � ' Items Rented .• � I' Each Price GUEST SEATING 1 Tent -Pole Tent 120x260. White '431:549A70.00 ' $49870.00 i— —6• y,. , , i Tent-Sidewall-Mhe Bx20' - II i•••;,-, {G..... —'$40.00- ' li,; $240.00 •- West wall .—...__ .,-trt"',____....._ _ _. _ _-.......,,r-•.._...... _ ......_......_. _.. __.r• ....___._ _.,7„..............,........- Tent-Sidewall Window 8x20' "?J + I ,..« .w.,,...•.M... -^- - - _----•••.-�,ip,111P'11m•_,__ ri li �IlikI }'ti 60.00 -^---........ I 't��1'r't§14.25 - _ _ � .. _.........;. —, '' $1;740.00 °' $1;288.25 _ . __ 29 ---89-Table-Round:6'__ -^^^- --,._ _.__ - - ••••64...--___..... 1 for band table ..-36_ TBLC-:-120•„,Round-,NAVY $15.35 $552.601I _ .,. _ iil, ., tables . - - ' n ithi::, - - -- - ' ;L•: ' ;. .. `Ii.... r...J 360 —Guest - TBLC- Napkin- PEWTER _ . $0.65 _ $234.00 37-TBLC-.,120x=Round- r� PEWTER 515.35 _ --,._� �.1i�n_• _ • _. _ iI - ., _ . ...� ,.. -...1,•..••$587.95 '.i' ' .;,i 370 ._Guest.tables_ _...:,'.i:... - ...1. TBLC- Napkin- NAVY $0.85 !.,... $240.50 15_ TBLC-.,120" Round -.SATIN SILVER_ $29.35 I-150 - -,. VIP.',1,:I•:� :•Ili! , .10, ii',.•„ ,. '' •TBLC• Nepkfn- SATIN. NAVY s1Lu'•i••• i...«+ni.:1« _ _ -• . $0.95 ,ns440.2� ••1',. • $142:50 - -• --.. - - - 1730 160• Chair:WHte WoodlStyle Padded ;. r, 'it • 1. ...;«......:..» � ^; i•i�.�,, $3.65 I, ...i.....«.1,: ...$4.25 --- ' :$2,684.50 t„' .Ctiajr-NBtural,Wopd«.i.. ----•-�+•»•••••-$980.OD (' ' __ L 150 VIP,, 3,0 for„ band i _— u:Lrit' I slEiil. §0,55 - 1 ChinaSilve'rLRim - Dinner --___.-..— _ _ __.......ia.:.,$59Q,5,Q _ _910 910 _ - __ _ _ ,„Lli;:, Flatware -Steak Knife (Black Handle) ,� _ _ $0.75 $88250 I 910 I.-.—.910- Flatware•PearI ,� Dinner, Fork • ! Sllver�u�nt•- SffiadfDessert-7' J ++«- ... `�I r - - +' .tiltii li$0.55 '§0:55 $500.50 - L, $50D.50 ,China Salad r-1820_ .Flatware-Rearl--,Splct/Dessert- Fork T,...n.,,ti...,. •— _...__........_ . __ .__ ___..., ._., _,. _ _ ......•...i,•,,.tm,r;,.,_ - - •_ ....,,,..q • f55 3 .-...r ,001. ; ., . ,•lit... I 1- —910- Saladr&besseit , ,',,i• I,1, `, :, li Ei... i .. it ,,, '. • China-Si14er�Rim'�'Biead& Butter 6'---1..LItiLL r:t,; - _ ••••- For Dessert -$0.55) ---- ,--....$500.50 180_ .. Bread Butter_ — _ — _ _ .. _ _ , -_ .. $0.55 "iLl'..:II1 LI:i.'i . _ _ $99.00 ' .China-While,r. ,& — _ r_ .. _ __ _ _ • 1 BB plates, 2 per table „ • ,c. • _ __ _ 180 __ , „��. ..._,_ „ Flatware -Pearl - Butter Knife $0.55 _.. _ —__ $99.00 —71 910 ,is, ,. _ _ ..-.. _ _.. Glass Water']joz .;.li._ _ - _ . W::i1 L fl,.i., 720 _ __ Glass -Wire 13.5oz _•.r.:.0 _$0.5 $0.55 —_- _ _�__-........$50Q.•§S $396.00 . 190_ .Glass Wfne.i12o¢ r� _-•- - - _ _ ----�. _ � _ ...... ____ .� .-. � � .- ......... _ _ . _.._.. _ ___ $0.55 _.... _- __-,—•_..,1,.,.$104.50 »»,, 5i9 r �1�I„�Ifpn ili f k., ice.. 300 1-� 40 _ _.Subbinp.iii.for,reds__ . __ _ Glass -Irish Coffee 8.5oz __ _ _ — _$0.55 4'S 5 _ — _ $185.00 _ eryin ea rer''White °.,s:........, _.._ `-...,..•,u:•.•r ..,•._._- , $2 30 . . --- _ r4 . �_...__.r� .__ --- — Servin9•Themial Coffee Pitcher White _-- _-_ -....-_-__ —4135 $4.00 $120.00 180 -Salt. & Pepper. Set _ _ ,Serving 2 sets'per table '".. vii •.•. „"'', I - -180- Serving-BreadlBaskels Wicker- - .-..•._.•... .:-..:.....--.__ - --..__ _. __ r.,„....._.- ....-....._„,_....::....» _. .. - __.........• §2:50 - -• --- _.. _-,.•:.••. $450.00 - - 180 ?.per table - TBLG,Napkiir .BLACK ,__ ., ,,.,., • _.,. - -. _ .-._........-_____L:'-- - ,.. - _ ____-.._y,l 117 _ _ ._ SQ-65 ..... - _ ,. 3117,00 70 _ _ Serving -Pitcher Plastic $3.00 $210.00 15.. Servin9lPifchef..Glass_ _-- __. r.--...-._ ...-- _-.,-- _,, -_ _ --- -- $3.00 - -- - - ---•••:$45•00 FohVIP table's "I°' :' chi,Ii, P i• . "- - --1 TmitahlMiita1. 9' K'g i, .. - +,L4 f$2o DD — - -. ---420.00 - Guest waters by stage ... �; 1 --Bars": ;. -; r--- -- - - . .. - _ "" ., "" I L :" -- . �- 10- _ Bar 6•Complete•wlUnen & Skirt Black .!,,I,.. _-- $75.00 ii $750.00 Bars 1-2 & VIP �—_2. - •-. tarn$17.00 ql!i )�31j!!111: '.."•I''ii420.00 ----- • - „,. _$34.D0 Ij i I ,' ° :--§40.13(] _Trough-P_Iasticfll2.Size ' ____. .._,...,...., . , _ I For Stage1b , ,� .. .mii, ;1:.„ .w:.•Ili•.. For main bars 18_ _ _ _ ,_ _ , ,' , it I M' :. _.__. _.._.._._ _--T,-,.-$144.00 _...-,_ _ _.,„.„_,..:1 _Tab! Bee b cks '.,_ Bar backs 18 TBLC- 90-x132" Bet- BLACK $18.35 $330.30 Auction ;Tables, area items `; _ , __....•............... _ - _ .._-_. _ -_-_� _w_ ._ - _-- _. _ „ ,;_..-.._-__ - - 6. Easel.Tri-Pod:IMETAL- .r._. ...__.. - --•,r...i....,.1..- -$10.00 - - _.—..:i......._. 360.00 5 SA, 1 LA 1 Raffle Drum Brass $22.00 $22.00 Printed On Mon 61 612016 3:00-.03PM Software by Point -of -Rental Software wvrw.pointofrentiLcom Modification 61 9 Contra ct-Pararr s.rpt (8) DocuSign Envelope ID: 38693O3C-CF61-4A9O-A866-A346FF98A859 Contract #: 14076 American Cancer Society Page 5 of 6 Items Rented ,;n;i, Each Price I 79 Table -Banquet 8' j(�'. ' '39.00 , $711.00 See notes i'-7-44 TBLC?.90'x156"'Bqt= WI.OTE-------^.___.......,"—_— ''ipliiv, .___.—_ ---- -_ -77- v-- - ------- --7-$20.35 —77"77-77'7;5895:40 ' M 30 Chair -White Wood Style PaddedIII!',Ij; ii ', — �� 53.65 `+�-- — �` $109.50 _ Other activities. 3 raffle, Vault 2. Photo 3, Reg 20, Production 2 - -Dance' Floor, Main -Stage._ ...._—._..:..._ ___._ __ ,,;i . 96 Dance Floor 4x4lndoarlOutdoor w _ r ":..— ;i;.:�._ ._..»_.._ , -:.,; _._..__.... _.__W _ .,_ '::' .$29^00 __.,....-.. __..�_»;_'$2.784.00 __..� _.. _ —, ._. 24'x64' 30 Stage -Deck 4X8 $70.00 $2,100.00 "— Main stage 24k40'x30"•' '•-" - ' j I•' ii Ii___ • . L. .._35 -'" ••$2:50"_ 7.50 Stage -legs 24"-40"- - ...�_. ...—ii'jAli'L:, - ^^145- •Stage -legs 32"-56" _' ' •ir'ilr'r' '$2.50 ,' `$362..50 1 ' ' I;;I!•ll. ' '-•-•`-'--$75.00 $75.00 _"`- --$75:06 $75.00 Stage -4 -Step . ".. ".,: Unit " _ ... �.. _ r- '"'1 - Slage3' Step Unit _ y'" "'iJ. n-_• ••••• .1 • -x$55.00 " $55.00 I 88 Stage -Skirting per foot ,: • i' $1.25 ' $110.011 88' for main 2 —'—_ Stage -8x8 $140.00 $280.00 16" high Drum -Risers - _ _ 77-• -I T', r, _1 L---48_ -Stage=Skirtiiii.w'foot.....--__---.;_1;...___ .--__ :,.:i -- __,__,._.___..«:.,—.: . ___—_---.........4.,i.---$1-.25 -.-. _.........; ......_ _.._$60.00 1 Stage -8x12 $210.00 $210.00 .—.� _ —... .. ._.—_r._ 9 _.._.....___•.....-__ -- =-- ---' - ----. Augioneer sta e -STAGE' HEIGHT:--`• 'IG "'" �"'-" " `` ._.,..7"--- � "' _.._.......—.._.-'-- -..--, - �' ....._.____-_-_-,-. ,." .._---�_..StageSklrting ___ _�_-•—•u•--- 51.25 r _ ..__ _, - $50.00 peefoot----`— _ _ . '1` Stage -2 -Step Unit "— " .'+?". :, r """"_$25.00 _ :$25.00 1 Table-CoGRail Short Il i, 59.25 $8.25 Champagne toast table 1 1 ar.G- vu rwmta- nuiCn, Restroom/Smoking area $10.35 $10.35 12 Lighting -Par 64 Light $25.00 $300.00 '- -- `"--12 -• _•2- forirestroati #2: Colc gels .;: r ----------""---7"-,- ----,,...__.._- .--7-77---------- F_idensionCord50 "_...- _ .._._--. ____...._ - -.•-._. ___.__..._.__.,..._ .-_ —77-.7 ---_ ..._... _ -.... _ .__$4.65. --. _._._._._........,__ -7-----7---- 7 $55:80 6 $1.87 $11.22 • etralun Gu,J Stf of under Volunteer Area 60 r--- Pipe 8 Drape 8' (PerFT) ----To separate'IGtchen awes----- :77---------- - - " -,.,II,� - -- --7-- -----., i,l3;. ---.-- $3.25 ,---------._•.........__.._._... _ $195.00 ----------7----- �._.___7• Weight Rubber 30LBS__—..—_ _ W _ _ ____ ..,_.. , _ . _ _ .._ _ —_._ Y —i s,lr _.___ _..."—.._ ,.. _ _-34.00 $28.00 -----12- 3 _.._.» --—'— ,,,ri lilj .,..,.,..., _..» ------"------ -- -$8.50 $20.35 ..—_._ �_ _.._ —.... .-...$102:00 $61.05 —_ __ »_. __._.._J _- ----- __.,,.------..—_..i..;.,. -Table-Banquet - ..'---- .. ..r. ,, q -..-1.-..•---� TBLC- 90"x156" Bqt- BLACK ',.I,,.h '•I'l — --2 buffet, 1 -beverage-- - - ----- --------. ....... ..,!:.,,. 70 $1.25 $87.50 Ow I9 Bld1.$ Kitchen Gear 1 Tent -Frame Tent 20x20 KIT $270.00 $270.00 __. 1 'Tent= 20z20'Slake IGt' » _ _ __::: »:. - ---•. _ _... _ ._.. - _— _ _ _ .. u_. $0.00 - ....._...... _..--,,.»:- ......$0:00 2 -Tent- ewa te. .._ ,. ,,.,,. „I ,:,•,:. ._.--$40.00 _ _..._.._. _ .......,.$80.00 1 Ughtirig=Basic 20x20-. - -------- - ---------...,.,..�- --- -• .--- ..----•-'$• 76.00 _...—_._.-._._.,$76.00 1 Tent -Frame Tent 20x60 White KIT $735.00 $735.00 ....._.- - -____-__...___._,._ _. -- - __-.......... .......,.,"..,._..._...... l - -- ..-.,' t .__,-,_.....-.--. -Transition Tenffrom'kitchen td'lnatn'tent"'�-'-'-'^'- „It"'"" •c:�r�._--- '7__-_ - 1 Tent= 20260 Slake"Kit`_.._."_...____.,_..._._.._......____.__.". _.___ .-__. u,,.::. -�- ___....-- _..l.r:c` __- --------.,.—s.00 —.._.-_,....-_-.:.....--4•$0.00 6 Tent-Sidewall White 8'x20' $40.00 $240.00 -,a,;.,, •__ - -......E'W: sides ", " - ' 1hl'te •_ - '' .. :"1-1'--- --_.._-....,.....-._-.__-..--L'tj':....,__ ._._...-_-.-..__._..-,.:!l Lighting=Basic 20x60'"'""-`--"' - ,-.__—_ _,.....^..... $216.00 (-..._- L---1- 1 ".L-__:-- $216.00 •-•—•--1- " ' ,. . "'$192.00 ---"'"•'""'--'-'"",;"'$192:00 'Outside kitchen light and tent ;gym ^' ' ' • •t^-'- ^'I,I' "till "--"-" —6- ,'' , ..• wl i'ii `- " "`$25.00 Lighting-Halogen"2-500W'on Tri-Pods" ""'" " `y $150.00 4 Flooring -Entry Rug 3'x5' . $7.50 $30.00 i� — " 35- "'Floor/cord-covers "^ ' , - i; - i -Rack .,-_'Iiihj( -- ` " "-Wioo - , .f ---•"`—"'� 11,750:00 _ Catering -Bakers Tall'Open' "'" _ - --. 4- " $165.00'" '''''''''"'- " -" $660.00 ven-Waring all (Must have 120Vf20•A Outlet) - ' -7r,r," - ' - ,,, - L....-_ -1- '' - -- --- -.. ---$300:00 Oven=Warirting' King Size- --- -- — _---__-..._•_ —__._. 7""''''"'"'.. -- --- - - --_.$300:00 ....-.._400• Serving -Sheet Pan_.._..-.. 40. .... China -Square - Dinner'11" ;j ; App plates , --i. . $0,75 $30.00 ..$3 .. 100 Table -Leg Extenders $1.65 $165.00 Printed On Mon 61612018 3.00:03PM Software by Point -of -Rental Software www.pointof-rental.com Modification # 9 Contract-Params.rpt (8) DocuSign Envelope ID: 3869303C-CF61-4A90-A866-A346FF98A859 Contract #: 14076 American Cancer Society Page 6 of 6 7 Qty 3 Items Rented�i.. - :iii ;Each _I. Price , , Ilia i i t F 7 30 . _- Trash Can Plastic 32 Gallon w/Liner j t -- `1NAKE SURE TO SEND LINERS .. .J_.._.,_:I.,•...__--..�__---.. __..-_."._ _ -..,.,...-.,,.<-_--,t,...... , $7.00 —.—..._.,.,.I,IF,.ic.,...«._....._ $210.00 .._„____,.._._......,,"..«—, 30 j .-- — Pipe & Drape -8' Black Drape Panel ,-..._-Trash sari wrap,,..,_..._------"1-'-"-------------"-"-"'----'' -_,..n.«-,--,,,.—.-..._...--"........-..-_..«„ .._.. i" — $8.35 $250.50 - - w _ _,..._-•-Y ------' -..�.....,-'-'-_—.,_ - "$25:00 5 -Catinn 'Heat Ca IItiIL.W_1--- _» .-.-._.__.� _,,._:.'---_*".":- .._,- .._. 8- P_...._. _.. _.__.-...,..__.._,". _ _."._..v . - - —_��.,,.,-,i° ._�.. ,$125:00 5 Extension Cord 25' -Kitchen/extras. $3.65 $18.25 .,..— b I% 'oven-Conv`e iiOn W/40U3S'Propane ,_.. LL..;i ...__. .�.�� _.--_.."..�_c._�:, �- R" "" ;^.,• ., - _ . _a,. wi 10:00----_.'..- "`$ .: r ""Sa4o:oo "'--1" •• '-2" f-'•-`30'. I,Ibr^, '$28.00 iil;; iu:.• ' . " "� "�S28:00 ' Pot Burner Sidgle'w/propane•20LBS "117 ^'^;;;; 'Harid '"• •' '••_ 5.... w,' » _ Slifka Pot ble 'Catering-Bu3'ITub. .�' "- ••• -r_ .�I $160:00 -$320:00 • .. '" 71;":1!:-7,IS $4.00 "'1$120.00 180 �� i ., - + ',«' I •. 0.. Serving•Gra* Boat SS 8oz "I !f .p..$4.15 "2 $747.00 per table (dressing) 10- ••••, ^'" Chaffer-Food[Pan (4Q172"Deep) , ' • Ti"'"' X04.4..., $2.00 $20.00 —15- Illli;l.,� '1AL.i' 'CliaffeI 1 FObd Pan (80T, 4" Deep) - $4.00 —uidL..n: $60.00 10 Chair -Folding Green $1.25 $12.50 " 'j l�. For Kitchen ._ . r I"" ;ii;: -l1R1'-1,l,. � :,U1llih$17:00 y„ry. 2- Fre"Ezuriguist er 5LBS' $34:00 3 r____«- t 12 Extension Cord 100' ',"_ — $6.65 r ^ r ,nr"Illil' I "'"., 71,11 IIIj7l• III i I iF ,I $4.85 $19.95 Krtchentextres •., ,,, ._ ", I « ExlensfOrl� Cord 50 'II " �r W , l..w.a{lS.. .._.I.J, ... - $55.80 .. ».n.n.L1.J..,. Kitchen/extras _J.14 "S1(l•:L.. H.:I.�.J 60 Pipe & Drape 8' (PerFT) $3.25 $195.00 L - 8" Sides of this ifage 60' ' - ""'"'r i -' Weight Rubb 130LBSilri-'.__._._-..__--...,....,..--__.._».,-_"...,._---._-__-- - - ....W___ " 1,F ;, ' .,F --I -..,... _."._ $400.------."--.$32.00 i^ -1-•Delivery/PickupGreeley 1000- • » ;'11i,; r ^ -•Ir+^• "*r - --, - I:;, c ..,.. (:_s - ^' $375.00 d! -' "'^'$375.00 - '-'�`""�"` — $650:70 Set=U Chai�s'III;,� _ . ....,:,., .. P "-• . . $0.65 r--1000^ ^-^-• $0:65 •••....+-..........-.......-...,.- 'Take'Down Chair, ,;,$850:00 209- « �_- .»,1 .« _ ..�—. __.... _ _ Take Dow`ri=Tattle _� '"ii — I �`- "`$261:25 _ - _�_ _ x$1:25 Thank you for your Business! Rental Contract IMPORTANT. PLEASE READ CAREFULLY BEFORE SIGNING: This is a legally binding Contract. Important Terms and Conditions appear on the Reverse Side and/or following page(s) hereof (and on any Instructions and/or Addenda referenced herein or included herewith). Any different or additional terms, oral or written, are hereby objected to, and shall not be enforceable unless separately and specifically approved in wilting by FLEXX Productions, LLC ('Lessor'). The undersigned 'Customer' or 'Lessee' represents, warrants, covenants and agrees that he/sherit has carefully reviewed, understands, and agrees to the terms of this Contract (as well as all applicable Instructions and Addenda), has received complete and legible copies of each, and hereby PERSONALLY GUARANTEES the prompt payment and performance of all obligations of the 'Customer or 'Lessee arising under or in connection with each of the same. —DocuSlgned by: Signature: (Awn,tto. QIA, , •_ S Rental: Sales: Delivery Charge: $90,428.42 $1,822.50 $375.00 Subtotal: $92,625.92 Larimer County 3.5: $0.00 Total: $92,625.92 Paid: $0.00 '-o8E366863A4341a.-. American Cancer Society Printed On Mon 6/6/2016 3:00:03PM Sonware by Point•of•Rental Software www.pointofrental.com Amount Due: $92,625.92 9 Contract•Params.rpt (8 DocuSign Envelope ID: 3869303C-CF61-4A90-A866-A346FF98A859 ACS Contract#37572 EVENT CONTRACT ADDENDUM THIS ADDENDUM(this "Addendum") is entered into as ofJuly 6, 2016 by and between FLEXX Productions("Vendor") and the American Cancer Society, Inc. ("ACS"), and is incorporated into and made a part of the Rental Contractg14076behveen Vendor and ACS (the "Agreement") entered into on July 6, 2016 for goods, equipment and/or services to be provided at the ACS event identified below (the "Event"). EVENT PRIMARY ACS CONTACT Event: Cattle Baron's Ball in Greeley, CO Contact Name: Jill Anderson Event Location: Duran Excavating Phone: 970.350.5022 Event Date: September 17,2016 Email: jill.anderson@cancer.org INTERPRETATION.If language in thisAddendum conflicts with any provision of the Agreement, thisAddendumwill control. Any change to this Addendummust be in writing and signed by both parties. In addition to this Addendum, the Agreement consists of the following components: • Rental Contract SUBSTITUTION/ASSIGNMENT. To the extent specific personnel have been identified to perform services under the Agreement, Vendor may not replace or substitute such personnel without the prior written consent of ACS. The Agreement cannot be assigned or subcontracted without prior written approval from ACS. ADHERENCE TO POLICY. Vendor and all its employees, volunteers, agents or representatives will adhere to ACS's no smoking policy and all rules and regulations of the Event facility at all times during the Event and during any preparation and breakdown. INSURANCE. Vendor must maintain comprehensive general liability insurance In the amount of 51,000,000per occurrence and $2,000,000 aggregate, workers' compensationfor its employees, property insurance covering theft, damage or loss in the amount not less than $1,000,000, and automobile liability in the amount of N/A(if vehicles are involved in Vendor's performance of the Agreement). Vendor agrees to name the American Cancer Society, Inc. as Additional Insured under the liability coverages. Vendor will provide a certificate of insurance and additional insured endorsement to the Primary ACS Contact, no later than two weeks prior to the date of the Event. GOVERNING LAW. The Agreement will be governed by and construed in accordance with the laws of the state in which the Event is located without regard to the conflict of laws provisions thereof, and the laws of that state will govern all of the -rights, remedies, liabilities, powers, and duties of the parties under the Agreement. Notwithstanding anything contained in the Agreement to the contrary, the goods, equipment and/or services provided under the Agreement will remain subject to all implied warranties, and ACS will be entitled to all rights and remedies available to buyers, under applicable state law. AMERICAN CANCER SOCIETY, INC. —DocuSig•ed by: By: Name: .LamANrlkytrs„a ra Title: SVP, Great West Division Operations Date: 7/13/2016 Lawf^uA,ct, gut/4v INTELLECTUAL PROPERTY. If Vendor desires to use the service marks, trademarks, trade names, and logos of ACS, Vendor shall obtain prior written approval from the Primary ACS Contact for any such use. CANCELLATION. ACS may terminate the Agreement, in whole or in part, and cancel all or any goods, equipment and/or services that have not been shipped, delivered or performed, by written notice to Vendor at any time at least7 days prior to the Event. Upon termination of the Agreement by ACS for convenience, ACS will compensate Vendor for Services satisfactorily performed and Products accepted by ACS prior to termination and Vendor will promptly return to ACS all prepaid but unearned amounts, less any nonrefundable deposits or cancellation penalties due as set forth in the Agreement.Vendor will permit ACS to apply any forfeited amounts to any future ACS event scheduled within twelve (12) monthsof the. Event. If ACS cancels or reschedules the Event as a result of an unforeseeable act of God, fire, flood, epidemic, natural catastrophe, severe weather, war, terrorism, or similar cause outside the control of ACS, ACS may terminate the Agreement without penalty upon notice to Vendor and be entitled to a full refund of all amounts paid, less compensation for Services satisfactorily performed and Products accepted by ACS prior to termination. If Vendor terminates or otherwise fails to perform the Agreement, ACS shall be entitled to a full refund of all amounts paid. RESPONSIBILITY OF PARTIES.Each party ("Indemnitor") will protect, indemnify, defend and hold harmless the other party ("Indemnitee") and its affiliates, officers, agents and employees from all losses, claims, actions, suits, proceedings, Investigations, arbitrations, assessments, settlements,. penalties, damages, liabilities, costs and other expenses, including reasonable attorney's fees, resulting from or in connection with (a) any intentional or negligent act or omission of Indemnitor; (b) any defect in goods, equipment or services provided by Indemnitor; and (c) any breach of the Agreement by Indemnitor. The obligations contained in this paragraph are in lieu of and replace any indemnification obligationsand/or statements of liabilitycontalned in the Agreement, are not subject to any limitations of liability contained in the Agreement, and will survive the termination, expiration, or cancellation of the Agreement. FLEX% PRODUCTIONS By: Name: Title: Date: FORM 12042013 — Event Contract Addendum DocuSign Envelope ID: 3869303C-CF61-4A90-A866-A346FF98A859 ACS Contract#37572 Contract #: 14076 American Cancer Society FLEXX Productions (1) As used herein, 'Page 1' refers to the first page or lace' of this Contract; 'Rented Item(s)' or 'Items' means the items rented to you, as Identified an Page 1 (including any "Instructions' provided per the terms of Section (6) below), 'Customer; "Lessee; 'you' and your mean the customer or 'Lessee' identified on Page 1, and 'FP; 'Lessor,' tie; 'us' and 'our mean FLEXX Productions or FLEXX Productions, LLC, a Colorado limited liability company. (2) You agree to rent the Rented Item(s) from FP for the period(s) specified on Page 1 (the Terms), and to pay FP the rental rate(s) set forth on Page 1 (the 'Rent), together with any other charges accruing hereunder, without proration, reduction or setoff, until the Rented Item(s) is/are returned to and accepted by FP. Rental rates are far normal use of the Rented Item(s) on a daily or per -event basis. The Rent will be increased for any additional time or use. No allowance will be made for period(s) of nonuse. We have estimated the Rent based on your estimate of the length of the Term (the 'Estimated Rent"). You agree to pay FP: (a)O any Deposit specified on Page 1 (or K none, 35% of the Estimated Rent) upon reservation; and (ti) at least 10 days before the Term commences, 100% of the remaining Estimated Rent (together with the Deposit, the 'Prepayment'); and (b) any other amounts coming due hereunder upon demand by FP. You agree that (a) FP may deduct any amount you owe us from any Prepayment; (b) no interest will accrue thereon; and (c) no Prepayment will be deemed a limit of your liability to FP. If your event is cancelled more than 30 days prior to your originally scheduled delivery date, FP may, but will not be obligated to, refund a portion of your Deposit. Prepayments are otherwise non-refundable. Anything with, in or on any Rented Item(s) upon return will, at our option, be deemed surrendered and abandoned. (3) If FP agrees to deliver, install and/or retrieve any Rented Item(s), you agree to: (a) pay our delivery and/or retrieval charge(s); (b) be present (or ensure your representative is present) at the Site at the agreed time(s); (c) ensure all representatives of FP have reasonable access to the Site; (d) give any required notice(s) to governmental authorities; and (e) obtain all necessary licenses, authorizations and approvals in advance. FP wit not be responsible for any delay(s) caused by other parties, Including any providers of other equipment, products or services related to your planned use of the Rented Item(s) ("Other Providers') for which you agree to indemnity, defend and hold harmless FP. If you are not present upon delivery or retrieval of the Rented Item(s), you agree to accept the statements of FP's representatives regarding the same including the status, location(s), condition and quantities of all Rented Item(s)). (4) AT ALL TIMES DURING THE TERM, YOU WILL ENSURE THAT: (a) each Rented Item is used safely and only: (g for its intended purpose(s);0) within its rated capacity; (iii) at the address set forth on Page 1(the "Site'); (iv) by properly qualified, certified and/or licensed (as applicable) operators; and (v) otherrse in full compliance with the 'Instructions' identified in Section (6) below, as well as all applicable laws, rules, regulations and ordinances; and (b) ANY AND ALL CHILDREN USING OR OCCUPYING ANY RENTED ITEM(S) ARE SUPERVISED BY AN ADULT. You will not norwil you permit anyone else to abuse, misuse, overuse, remove from the Site, conceal, repair, modify, move, damage, destroy, take possession of or exercise control over, any of the Rented Item(s) without FP's prior consent (granted, conditioned or denied in the sole discretion of FP). (5) Youwit protect the Rented Item(s) at all times and keep them safely and securely stored and locked when not in use. You will retum the Rented Item(s) to FP on time, clean and in good order, condition and repair. If you fail to do so, you will pay FP: (a) Rent for each succeeding full rental period until the Rented Item(s) is/are returned or replaced as required; and (b) all costs and expenses FP may incur in: (i) doing so, or at our option, (ii) replacing the subject Rented Item(s). Certain items may be delivered on pallets, or in crates, cartons or boxes, and maybe stacked, bagged, racked, folded, rolled and/or strapped ('Packed'). Upon retum, you will ensure that all Rented Items are properly Packed, using the same packing materials. YOU AGREE NOT TO PACK ANY RENTED ITEM UNLESS IT IS COMPLETELY DRY. PACKING WET OR DAMP RENTED ITEMS MAY RESULT IN MOLD, MILDEW AND/OR OTHER DAMAGE, FOR WHICH YOU WILL BE LIABLE (6) Upon your execution of this Contract (or upon later delivery of the Rented Items, unless you immediately reject it/thern), you represent, warrant acknowledge and agree that: (a) each of the Rented Item(s): O has been carefully selected, examined, counted and tested by you; (ii) is in good repair and operating condition, free of defects, and otherwise in all ways acceptable to you; and (iii) is appropriate for your purposes, not based on any recommendation by FP, and: (b) you: (r) have received, read and understood the training, instructions, warnings, user manuals, maintenance requirements, and other information, if any (including without limitation, any and all training required under applicable Fire Codes, EPA, OSHA, ANSI and NFPA Standards, if any) regarding the proper and safe transportation, installation, use, maintenance and storage of the Rented Item(s), (collectively, "Instructions); (i) wil fully comply therewith; (fir) have been offered all recommended and required safety equipment; (iv) will use each Rented Item only for its intended purpose, in a reasonable and safe manner, (v) will advise the appropriate Utilities Protection Service, made all underground utilities and cables (call 811 or 800.922-1987, or go to www.co811.org), and obtain all necessary licenses, authorizations, permits and approvals prior to digging, driving stakes or otherwise disturbing the soil or any ground surface; (vi) wil not permit the use or storage of fire sources, open stoves orfiammables inside of or unreasonably dose to any Rented Item (vii) will immediately cease using any Rented Item that malfunctions or proves defective (a `Malfunction); (viii) will create and adhere to an EVACUATION PLAN for any and all Temporary Structures' (defined below) you rent from FP; and (ix) will cause all others to comply with this Section. (7) WARNING. TENTS ARE TEMPORARY STRUCTURES, AND CAN BE DECEPTIVELY DANGEROUS TENTS MAY MOVE,COLLAPSE, LEAK, OVERTURN OR CATCH FIRE, PARTICULARLY DURING SEVERE WEATHER. You agree to: (a) maintain and post an Evacuation Plan for all such Rented Item(s), (h) if severe weather occurs or threatens, discontinue use of and EVACUATE such Rented Item(s); (c) notify FP of the same as soon as possible; (d) take at necessary steps to: g) ensure the safety of all occupants, and (ii) protect all Rented Items; and (e) permit FP to postpone delivery and/or installation of, or dismantle and store or retrieve it/them (without obligating FP to do so). (8) In the event of a Malfunction, you will immediately notify FP, and FP will (at its option): (a) repair the subject Rented Item; (h) provide you with a replacement; or (c) return the unused portion of the Rent and cancel this Contract The foregoing remedy is EXCLUSIVE. FP will have no obligation other than as set forth herein regarding Malfunctions, and you hereby waive and relinquish any and all claims arising therefrom or accnriated therewith, including all associated inddental, consequential, special, exemplary and punitive damages. (9) Except with respect to Rented Items which FP rents from one or more third parties (each, an "Owner) and then re -rents to you (le -rented Items", FP alone owns and will retain title to all Rented Items. Your only right with respect to the Rented Item(s) (including re -rented item(s)) is to use it/them in kill compliance with this Contract during the Term. You will not permit the taking or existence of any lien, claim or encumbrance on any Rented Item. You may not transfer, sublet or assign any Rented Item(s) or this Contract without FP's priorwdtten consent. (10) You will maintain all Insurance we deem necessary, but in any event at least (a) commercial general liability insurance with minimum limits of $1,000,000 per occurrence; and (b)'all-risk' or inland marine insurance, including coverage for property in transit, covering all loss of, and damage to, the Rented Item(s) for the full (new) replacement value thereof. All such policies shall name FP as an additional insured and loss payee, and be deemed primary. (11) If you or any guarantor. (a) fail to hilly and timely comply with any provision of this Contract (b) provide any incorrect or misleading information to FP; (c) become insolvent; or (d) die or cease conducting business, or if any Rented Item(s) shall be lost damaged or destroyed; you will be in default, Whereupon, FP may without notice or liability to you: g) terminate your rental; (ii) seek relief from any automatic stay; (iii) recover, lode or disable the Rented Item(s) without being guilty of trespass or other transgression; (iv) perform your obligations hereunder on your behalf, without being obligated to do so; (v) purchase replacement item(s) as necessary; (vi) recover from you and/or any guarantor our associated direct and Indirect damages, casts and expenses (including without limitation, Rent for the remainder of the Term); and/or (vii) pursue any other rights and/or remedies available hereunder, at law or in equity. (12) HOLD HARMLESS/INDEMNITY: FP IS NOT THE MANUFACTURER OR DESIGNER OF ANY OF THE ITEM(S) REFERENCED HEREIN. ALL SUCH ITEMS ARE PROVIDED 'AS -IS'. NE MER FP NOR ANY OWNER, MAKES ANY WARRANTY, EXPRESS OR IMPUED (INCLUDING ANY WARRANTY OF MERCHANTABILITY, SUITABILITY, FITNESS FOR A PARTICULAR PURPOSE, FUNCTION, DESIGN, CAPACITY, FREEDOM FROM DEFECTS OR WORKMANUKEPERFORMANCE) REGARDING ANY ITEM(S) OR SERVICE(S) PROVIDED BY FP OR ANY OWNER, NOR DOES FP OR ANY OWNER MAKE ANY WARRANTYAGAINST INTERFERENCE OR INFRINGEMENT, ALL OF WHICH YOU WAIVE NO DESCRIPTIONS OR ADVERTISEMENTS CONSTITUTE REPRESENTATIONS OR WARRANTIES. ACCORDINGLY, TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, YOU: (A) ASSUME ALL RISK OF INJURY, LOSS, DAMAGE, DESTRUCTION AND ENVIRONMENTAL CONTAMINATION OF, TO, AND/OR ARISING IN CONNECTION WITH THE ITEM(S) REFERENCED HEREIN, INCLUDING WITHOUT LIMITATION, ANY AND ALL UABIUTIES, CLAIMS AND DAMAGES ARISING FROM OR IN CONNECTION WITH THE SELECTION, INSPECTION, DESIGN, MANUFACTURE, USE, LOADING, UNLOADING, TRANSPORTATION, DEMONSTRATION, STORAGE, MAINTENANCE, REPAIR AND/OR RETRIEVAL OF ANY SUCH ITEM(S), WHETHER OR NOT YOUR FAULT; AND (B) HEREBY RELEASE AND DISCHARGE FP AND ALLOWNER(S) FROM AND AGREE TO INDEMNIFY, DEFEND AND HOLD HARMLESS FP AND SUCH OWNER(S), AND THEIR RESPECTIVE OFFICERS, DIRECTORS, AGENTS, EMPLOYEES, OWNERS, REPRESENTATIVES, INSURERS, SUBROGEES, SUCCESSORS AND ASSIGNS, FROM AND AGAINST ANY AND ALL LIABILITIES, CLAIMS, DAMAGES, LOSSES, COSTS AND EXPENSES (INCLUDING WITHOUT LIMITATION, ATTORNEYS' FEES) ARISING FROM OR ASSOCIATED WITH ANY AND/OR ALL OF SUCH ITEM(S) AND/OR SERVICES. Page 1 of 6 DocuSign Envelope ID: 3869303C-CF61-4A90-A866-A346FF98A859 (13) You waive any and all rights and remedies conferred upon you under the Uniform Commercial Code, as well as any and all claims against FP for incidental, consequential, special, exemplary and punitive damages. Your duties hereunder are UNCONDITIONAL (14) H FP has offered, and you have purchased, its Optional Damage Waiver (the charge for which appears on Page 1, f available), FP will waive a portion of your liability to FP for physical damage to or destruction of covered Rented Item(s) as set forth in our enclosed Damage Waiver Addendum. DAMAGE WAIVER IS NOT INSURANCE, NOR IS IT A WARRANTY. (15) This Contract, and any Addenda signed or provided by FP, represent the entire agreement between you and FP, superseding all other agreements and representations (inducting FP's webste and advertising). You will pay: (a) FP's attorneys' fees and other costs of enforcing this Contract and (b) all taxes, fines, fees, assessments and other charges related to the Rented Item(s). If any provision of this Contract is deemed invalid or unenforceable by any court of competent jurisdiction, such provision will be deleted, and the remainder of this Contract will remain valid and in full force and effect You hereby grant FP a perpetual, paid -up, royalty -free license to edit, copy, display and dismbute copies of all audio and visual representations which include any Rented Item(s). Time is of the essence. There are no third -party beneficiaries hereto. FP may, without notice or liability to you: (i) inspect the Rented Item(s) at any time, and/or (ii) file of public record one or more UCC-1 Financing Statements to reflect its interest in the Rented Item(s). Neither FP's exercise, nor its failure or delay in the exercise, of any rights or remedies will constitute an election of remedies or a waiver of any right or remedy FP may have. If any performance required of FP is rendered impractical as a result of any act or omission of any Other Provider(s) or any 'Act of God' (e.g., any event, fact or circumstance beyond FP's reasonable control), FP will be excused from such performance. You waive the benefits of any and at statutes of limitations regarding FP's rights and remedies. AU amounts due hereunder but not timely paid will bear interest at the highest rale permitted under applicable law until paid. You authorize FP to submit all amounts coming due hereunder for payment on your debit or credit card and hereby waive all claims to the contrary. You agree to pay FP the maximum lawful charge for any check you write which is returned unpaid. FP's maximum liability under or In connection with this Contract is limited to the Rent actually paid by you hereunder. This Contract allocates to you the risk of injury, loss of or damage to persons or property arising in connection with the Rented Item(s), and that allocation (which you agree is fair and equitable) is reflected in a reduced Rent. This Contract will be deemed to apply not only to the Rented Item(s) identified on Page 1, but also to all other items you rent from FP at any time in the future (except only as otherwise agreed by FP). This Contract cannot be further amended except in a renting signed by both you and FP, and will be governed solely by the laws of the State of Colorado. Proper venue for at legal proceedings commenced in connection herewith shag lie solely and exclusively in the federal and state courts located in or nearest to Larimer County, CO, and you hereby consent and submit to the jurisdiction of such courts. Yourhandwntten, digital, electronic, photocopied or facsimiled signature hereon wtl be enforceable as an original. (16) WARNING:Obtaining the temporary use of personal property which is avalable only for hire, by means of threat or deception, or knowing that such use is without the consent of the owner, or knowinglyfagng to reveal the whereabouts of or to return said property to the owner thereof or his representative or to the person from whom he has received it within seventy two hours after the time at Mich he agreed to return it may be deemed theft under C.R.S. § 184.402, et seq., subjecting the violator to CRIMINAL PROSECUTION AND/ORCIVIL PENALTIES. DAMAGE WAIVER ADDENDUM THE FOLLOWING TERMS AND CONDITIONS APPLY TO ALL DAMAGE WAIVERS PROVIDED TO CUSTOMERS CIESSEES1 OF FLE)O( PRODUCTIONS, A COLORADO LIMITED LIABILITY COMPANY, ITS PARENTS, AFFILIATES AND SUBSIDIARIES ('FLEXX') You, the 'Customer' or 'Lessee,' are responsible for protecting all items rented to you (hereinafter, "Rented Item(s)') by FLE%% under the terms of your Rental Contact (hereinafter, 'Contract') from any and all loss, then, damage, and destruction. Except as provided below, ifany Rented Item(s) is/are lost, stolen, damaged or destroyed during your rental, you will be responsible to FLEXX for all costs associated with repairing, restoring and/or replacing such Rented Item(s). You may also be responsible to FLEXXfor additional charges during the period required to repair, restore or replace any Rented Item(s) which is/are lost or damaged and/or the loss in value of such Rented Item(s). If we make our Optional Damage Waiver available, and you fully and timely pay the applicable Damage Waiver Fee (reflected in your Contract) to FLEXX, then to the extent set forth below, FLEXX agrees to waive certain claims against you arising from physical damage to any Rented Item(s) covered by Damage Waiver (hereinafter, 'Covered Rented Item(s)'), subject to the remaining terms hereof. You will otherwise remain liable for 100% of all loss, theft, damage to or destruction of the Rented Item(s). DAMAGE WAIVER IS OPTIONAL AND MAY BE DECLINED IF YOU PROVIDE THE INSURANCE REFERENCED IN SECTION (10) OF YOUR RENTAL CONTRACT AND SIGN OUR FORM OF DAMAGE WAIVER RELEASE. This Damage Waiver is a partial waiver of our claims for damage to or destruction of only Covered Rented Item(s). IT IS NOT INSURANCE, NOR IS IT A WARRANTY. If Damage Waiver is offered by FLEXX and accepted by you as provided above, then subject to the remaining terms hereof, including without limitation the 'Exceptions and Exclusions' set forth below, ELM( will waive its right to recover from you 90% of its direct cost(s) to repair or replace Covered Rented Item(s) which suffer physical damage during the rental term set forth in your Contract (tie 'Term"); provided however, that: (a) you will remain liable to WO( for a'deductible' equal to 10% of the cost to repair or replace the Covered Rented Item(s); (h) you must notify FLE)O< in writing of any such damage within 24 hours thereafter; (c) you must provide FLEXX with reasonable documentary evidence of the nature and cause(s) thereof (including any and all pictures and police reports); and (d) you must continue at all times to comply fully with the terms of your Contract, by among other things, fully and timely paying all amounts due and coming dub to FLEXX. Exceptions and Exclusions: The foregoing notwithstanding, the following are NOT COVERED under the Damage Waiver, and you, the 'Customer' or 'LecePe; will remain 100% liable for. (a) The 'deductible' described in the preceding paragraph; (b) Loss of or damage to Covered Rented Item(s) due to intentional abuse, improper use, gross negligence, willful misconduct, or neglect; (c) Loss of or damage to Covered Rented Item(s) due to violation(by you, your agents, employees or contractors) of the terms of your Contract, any applicable laws, rules, regulations, policy(ies) of insurance, and/or any instructions and/or warnings provided by FLEXX, the owners) and/or the manufacturer(s) of such Rented Item(s); (d) Loss of or damage to Covered Rented Item(s) due to overloading, overturning and/or striking overhead objects; (e) Loss of or damage to any Covered Rented Item due to exceeding the rated capacity of such Rented Item; (0 Any failure to return Covered Rented Item(s) to FLEXX (including without limitation, loss, theft or disappearance); (g) Damage to or destruction of Covered Rented Item(s) resulting from failure to properly use or maintain such Covered Rented Item(s); including without limitation, (a) failure to timely remove snow, sleet or hail accumulations, make proper use of heaters, take other reasonable precautions during inclement weather, and (b) any failure to properly clean, dry, store, and/or repack any Rented Item(s); (h) Loss of or damage to Covered Rented Item(s) due to failure to secure and%or protect any Covered Rented Item (e.g., by leaving it on the ground, in an unprotected area, leaving it unlocked or unsecured, etc.); (r) Damage, destruction or loss of or to any Covered Rented Item resulting from or in connection with the use of alcohol or drugs by you or anyone employed or engaged by you; and 0) Loss of or damage to any Covered Rented Item (including without limitation, holes, bums, stains, and fraying) resulting from its exposure to caustic, hazardous, explosive, combustible, radioactive, toxic, corrosive or noxious chemicals, materials or substances. This Addendum shall be deemed to marry and supplement, and shall be deemed incorporated into and become a part of your Contract To the extent any of the terms of this Addendum conflict with the terms of your Contact, the terms of this Addendum shall control. Your Contact shall otherwise remain in full force and effect, and all tens thereof will be deemed incorporated herein as if fully set forth (and vice versa). IMPORTANT: YOU WILL BE DEEMED TO HAVE ACCEPTED THE OPTIONAL DAMAGE WAIVER UNLESS YOU EXPRESSLY DECLINE IT AS SET FORTH ABOVE AND PROVIDE THE INSURANCE REFERENCED IN SECTION (10) OF YOUR RENTAL CONTRACT. DocuSign Envelope ID: 6E67A871-361F-438F-9843-760A2DC21085 ACS Contract #37569 i10EAVCO 6240 W. 54th Avenue Arvada CO 80002 Phone: 303-539-3500 Fax: 303-539-3501 After Hours Support -303-539-3505 Client: American Cancer Society/Greeley 1678 8221 W. 20th Street, Suite A Greeley,CO 80634 Contact: Jill Anderson Phone: 970 350 5022 Cell Phone: 970 231 4383 Fax: 970-356-9238 jill.anderson@cancer.org ACS Cattle Baron Ball 2016 Reservation No.: 39883 Prepared By: Joe T Hartman Version: 1 CEAVCO Delivery 99/15/2016 08:00 AM CEAVCO Pickup 09/18201602:00 AM Terms: Net 30 Client PO4: Ship To: DURAN ENTERPRISES 14332 CR 64 Greeley,CO 80631 Contact: Site Ph: Cell Phone: Room: Equipment QTY Description Stage by Flex, 40 x 24 7:04 PM Sunset Main Stage and Room Audio 1 JBL VerTec 4888DP-AN Line Array 1 Scaffolding, 2 Audio PA Tower, 6' 2 JBL CSR82L (4) Dual 18" Sub with Crown Amps 1 Yamaha M7CL48 Mixer w/Rack Kit, w/Dugan Automixer 1 Mic, Wireless, Shure UHF R U System (4)1-11-1 (4) Lay, Kit Tent Delays 4 JBL VRX932LAP (2 Speaker) w/Stands Band 1 Yamaha M7CIA8 Mixer w/Rack Kit, w/Dugan Automixer 3 JBL SRX 712 (4 Speaker) Monitor Wedge with Crown Amps I Mic, Wired, Performance Microphone Kit #1 1 Trunk, XLR Cable for Performance Mic / Line Array I Mic Stand Kit with 16 tripod and 4 round stands Communication 1 ClearCom Music Kit, 2 CCPhone & 2 Flashers I Intercom, Wireless Kit w/4 1 Channel TR700 Stations BTR700 B4 I Mic, Wireless, Antenna, Helical Antenna, 460-900Mhz/Kit Tent Audio 1 Small Room Mixer Mackie 1402 VLZ3 4 JBL EON510, Single Powered Speaker w/Stand 1 SHURE SM58S Handheld w/Switch for Gig -D, M7, or GLD 1 Stand, Mic Floor Stackable, Ultimate Main Stage and •Room Audio Total Lighting Equipment Upstage Lights I Truss Kit, Box Structure for stage 37' x 40x @21' 4 Sumner Eventer 25 Crank -Up Stand, 25', load capacity 340 lbs -650 lbs 2 Lighting, Moving head, MAC Aura 6 Pack /Kit Downstage Lights 30 ETC Source 4 PARNeI 3 Lighting, Moving Head, MAC Viper Profile 2 Packtkit CEAVCO Order:39883 Printed On:0610812016 18335.00 Page 1 of 4 ACS Contract #3T569 DocuSign Envelope ID: 6E67A871-361F-438F-9B43-760A2DC21085 Dance Floor 1 Lighting, Moving Head, MAC Viper Profile 2 Pack/kit* 1 Lighting, Moving head, MAC Aura 6 Pack /Kit* Tent Lighting 4 Lighting kit, LED PAR w/6 Color One 100 4 Lighting, Moving Head, MAC Viper Profile 2 Pack/kit* 2 Lighting, Moving head, MAC Aura 6 Pack /Kit* Live Auction, small stage 4 ETC Source Four 19 Degree Specials 10 ETC Source Four 26 Degree Silent Auction Tent 1 Truss Kit, Box Structure Auction 37' x 40' @21' 44 ETC Source 4 PARNe1 4 ETC Source Four 70 Degree 4 ETC Source Four 50 Degree 4 ETC Source Four 36 Degree I Light, LED Par 5 RGBWA 12ct Kit Sponsor Gobos 1 ETC Source Four 26 Degree 1 Custom Metal GOBO Dimming and Control 1 High End Road Hog 3 Lighting Console w/Wing Expansion 1 High End Hog 4PC Super Widget Lighting Console 1 Dimmer Rack, 48 Channel VX Series, Leprecon 1 Dimmer Rack, 24 Channel 20A, Sensor 24 2 Dimmer, Slim Dimmer, 1.8kW Dimmer, LEX 4 Dimmer, Slim Dimmer, 1.8kW Dimmer, With DMX, LEX I Lighting Cable Trunk, SOCO 1 Lighting Cable Trunk, Edison AC 1 Lighting Cable Trunk, DMX Lighting Equipment Total 13670.00 Video Equipment Main screen flown infront of dance floor 1 Screen, Stumpfl Monoblox Kit, 11.3' x 20' w/Drape, System 64 (16:9) 4 Rigging, Pulley Large 5/8" x 4" 2 Rigging, Rope 1/2" x 100' Black 1 Christie Roadster HDIOK-M 1080 HD 3 Chip DLP Projector 10,000 Lumens 1 Barco PDS-9023G switch system, with pvw/pgm monitors 2 Laptop, Windows 7, Office 2013, 2.4GHz 8GB RAM 750GB HDD I Presentation, PerfectCue, Cue Light w/2 wireless actuators Screens around room 2 Monitor, LED 70", 1080P, SHARP, W/ Pedestal & Floor Stand 2 CAT 5 Extender Kit, Extron Video Equipment Total 9540.00 Travel Expenses 2 Travel Expenses, Hotel* I Freight, Trucking, 53' Trailer 60 Miles from office* I Freight, Trucking, 26' Box 60 Miles from office* CEAVCO Order:39883 Printed On:06/0812016 Page 2 of 4 DocuSign Envelope ID: 6E67A871-361 F-438F-9B43-760A2DC21085 ACS Contract #37569 Travel Expenses Total 2675.00 Client to provide security in the building Need lift and generators in place Thursday Sam. Generator Lighting Main 150 kW, Set for 208 operation Generator Lighting Small 60 kW, Set for 208 operation Generator Audio 60 kW, Set for 208 operation JLG E300AJP Electric Boom Lift Labor QTY Position(s) Labor Setup Thursday Sept 15, 2016 Sam - 6pm 1 On -Site Coordinator/Manager* 1 Audio Operator (Al)* 1 Audio Operator (A2)* 1 Video Technical Director* 2 Audio -Video Technician* 1 Lighting Director (LD)* 2 Master Electrician* 10 Lighting Technician* Sub Total Rehersal Day Friday Sept 16th, 2016 1pm - 11pm 1 On -Site Coordinator/Manager* 1 Audio Operator (Al)* 1 Audio Operator (A2)* 1 Video Technical Director* 1 Lighting Director (LD)* 1 Master Electrician* Sub Total Show Day Saturday Sept 17th, 2016 1 pm - 3am 1 On -Site Coordinator/Manager* I Audio Operator (Al)* 1 Audio Operator (A2)* 1 Video Technical Director* 1 Lighting Director (LD)* 2 Master Electrician* Sub Total Strike labor Sunday Morning I On -Site Coordinator/Manager* 16 Stage Hand* Sub Total Labor Total Summa Contract Notes rY 10250.00 3700.00 6800.00 4650.00 25400.00 Shipping Comments Equipmen Freigh Sales & Expense Labo Discoun Sales Ta Order Amoun 41450.07 2375.0( 395.0( 25400.00 15863.44 0.0( $53,756.60 CEAVCO Order:39883 Printed On:0810812016 Page 3 of 4 ACS Contract #37569 DocuSign Envelope ID: 6E67A871-361F-438F-9B43-760A2DC21085 Your signature indicates that you agree to be bound by all CEAVCO Audio Visual terms and conditions w hick are available upon request. , Payment Terms Clients without an approved Net30 account with CEAVCO Audio Visual must submit payment in full before equipment is picked up or delivered. A 50% deposit is due upon confirmation. Clients with a CEAVCO Audio Visual billable account may pay the remainder within 30 days of invoicing date. Any outstanding balance beyond that date will be subject to a 1.5% per month interest fee. Any open balance after 30 days will void discount offered, and the original balance will be due. eocuglgned by: rI. _ af^wzb Qk,A.I'lAS Larry Andrus 7/15/2016 A Ptedd6®BA,g¢Deed (Printed Name) Date CEAVCO Order:39883 Printed On:06M/2016 Page 4 of 4 1 DocuSign Envelope ID: 6E67A871-361 F-438F-9B43-760A2DC21085 ACS Contract #37569 CEAVCO AUDIO VISUAL RENTAL CONTRACT —TERMS AND CONDITIONS CEAVCO Audio Visual Company, Inc. (CEAVCO Audio Visual) agrees to lease the equipment and related accessories listed on the corresponding rental contract to the Client subject to the following terms and conditions: Rental Charges 1. Client agrees to pay the rental charges (equipment rental fee, taxes, and other incidental charges) set forth on the reverse side of this form. 2. A monthly late charge of 1.5% of the total rental charge or any balance due on account, including previous late charges, will be assessed an all past -due amounts. 3. Client will pay CEAVCO Audio Visual the daily rental fee and other daily charges for each day CEAVCO Audio Visual is deprived of use of its equipment due to loss or damage or delay occurring while equipment is rented to client. Cancellations 4. Cancellations within 24 hours of commencement may be charged 50% of the original charge. 5. Clients who fail to take delivery of reserved equipment may be assessed the full rental charge. Terms of Sale 6. A client with an approved "Open Account" will be invoiced and given 30 days from date of invoice to submit payment (actual number of days may vary depending on situation). 7. Clients without an approved account with CEAVCO Audio Visual must submit payment in full before equipment is picked up. Rental Period 8. Rental fees will he calculated as follows: a. Full day rental fee will be charged for equipment picked up before 3:00 p.m. b. Full day rental fee will be charged for equipment returned after 10:00 a.m. c. Outaf-town rentals are allowed one day travel time without charge providing rental period is at least two days 9. Client will be liable for all damage to or loss of equipment rented to client regardless of who is in possession or operation of equipment, from the moment the equipment leaves CEAVCO Audio Visual premises until the moment it is returned to CEAVCO Audio Visual premises. 10. Client must have adequate damagefloss protection for equipment before they will be permitted to remove it from CEAVCO Audio Visual premise. Damagelloss protection may be established by any of the following methods: a. Posting a security deposit for the value of all equipment listed on the rental contract as determined by CEAVCO Audio Visual. b. Providing CEAVCO Audio Visual with proof of insurance coverage acceptable to CEAVCO on the equipment (such insurance binder naming CEAVCO Audio Visual as Loss Payee). c. Payment of a non-refundable damagelloss fee of 7.5% of the total rental charge, more fully described in 12 below. 11. A client electing to pay the 7.5% damagelloss fee mentioned above will be liable for the first $1000 of damage or loss to the equipment. Client will be held harmless for damage or loss to the equipment exceeding $1000 unless such damage or loss: a. is caused by intentional, willful, reckless, negligent, or careless actions or inactions by client or any other person while equipment is rented to client; b. is due to rain or other moisture; c. is due to scratching of lens or bumed•in images; d. is due to unauthorized internal adjustments or repairs to equipment; e. is due to an unexplained loss or disappearance; f. occurs by theft from an unlocked or visually open vehicle, or by theft unreported to local police within 48 hours of the theft; andfor g. occurs during use outside the United States 12. Client use or shipment equipment outside the United States requires damagelloss protection by the methods described in 11. a. orb. above. 13. Client assumes all risk of transportation and shipping of equipment, including but not limited to loss, damage, or delay. Shipping and Transportation 14. All transportation costs are paid by Client. Shipments to Client will be made collect; return shipments to CEAVCO Audio Visual must be prepaid. Reasonable delivery charges will be added to the cost of the rental for deliveries to airport, bus station, or other common carriers. 15. Client is responsible for registration of equipment for all rentals going out of the United States. No allowances will be made due to time lost by improper documentation or impounding of equipment by customs agents for any reason. Client must provide insurance (see 13 above). Client's Additional Warranties and Obligations 16. Client will not allow equipment to be used by any person not familiar with its operation. 17. Client will maintain equipment in good repair, and will return it In the same condition as when released by CEAVCO Audio Visual, ordinary wear and tear as determined by CEAVCO Audio Visual excepted. 18. Equipment is used at Client's sole risk, and Client will indemnify, hold harmless, and defend CEAVCO Audio Visual from any and all liability claims, cost, and expenses arising out of Client's use or possession of equipment. 19. Signer warrants that he is the Client or an authorized representative of the Client 20. By signing the front of this agreement, Client agrees to the terms and conditions stated herein. CEAVCO Audio Visual Warranties 21. CEAVCO Audio Visual shall not be liable beyond the amount of any rental fees paid or obligated to CEAVCO Audio Visual by client, for any injury, loss, or damage suffered by Client, directly, incidentally, or consequentially, as a result of mechanical failure, casualty, Client's Inability to use equipment, unavailability ` of equipment or otherwise. Miscellaneous 22. Any spare lamps provided with equipment will be at no charge as long as they are returned to CEAVCO Audio Visual with the equipment at the end of the rental period. 23. Accrued rental charges will not be applied toward the purchase of equipment 24. Equipment will be rented only to clients who show proof of familiarity with equipment 25. Acceptance of retumed equipment by CEAVCO Audio Visual is not a waiver of any claim against client for patent or latent damage to equipment. 26. Client will reimburse CEAVCO Audio Visual far all costs and expenses of collection of any amounts owed to CEAVCO Audio Visual under this or any'other agreement, including reasonable attorneys' fees, and continuing late charges of 1.5 % per month until all amounts are paid in full. Revised 17 2014 RD m ACS Contract #37569 iffa Coo q"0• 2» :OP /\ \/\} cam° tCQgcag PRIMARY ACS CONTA 1.6 0 iLt o EOTon wgg � CEAVCO AUDIO VISUAL, C AMERICAN CANCER SOCIETY, SVP, Great West Division Operations 0 pe ID:6E67A871-361Fd29F-564}768A20@18a5 0 DocuSign Envelope ID: E2BE408B-5582-4CBF-8206-FD2DE316FFAF ACS Contract#37573 1-2 a PORTA BOWL S & B Porta-Bowl Restrooms, Inc. 3263 Oakland St, Aurora CO 80010 Phone 303-341-6800 FAX 303-341-6828 www. s b p res t ro oms. co rn CUSTOMER BILLING ADDRESS: American Cancer Society, Inc., 8221 W 20th St., Ste A, Greely, CO 80634 QuANITY, 1 1 4 2 2 A FAMILY OWNED COLORADO TRADITION FOR OVER 30 YEARS! DATE: JUNE 3, 2016 EVENT OR SITE NAME: Cattle Barons Ball LOCATION: 3695 65th Ave, Greeley, CO DELIVERY DATE & TIME: Friday, September 16, 2016 EVENT START TIME: Saturday, September 17, 2016, 5:30P EVENT END TIME: Sunday, September 18, 2016, 1:OOA REMOVAL DATE & TIME:Monday, September 19, 2016 Restroom Trailer Contract DESCRIPTION UNIT PRICE. Royal Manhattan Restroom Trailer $2,995.00 Royal Oasis ADA $2,450.00 Just Like Home Restrooms $1,150.00 Attendants Included 12 -Yard Roll -Offs Donated SUB TOTAL: $7,435.00 PARTIAL DONATION: $1,725.00 TOTAL: $5,710.00 The Royal Manhattan Restroom Trailer has 4 restroom stalls and 2 hand -wash stations for the women, 2 restroom stalls, 4 urinals and 2 hand -wash -stations for the men. The Royal Oasis Restroom Trailer has 3 restroom stalls and 1 hand -wash station for the women, 1 restroom stall, 3 urinals and 1 hand -wash -station for the men and 1 disabled accessible section with 1 restroom and 1 hand -wash -station. Each Just Like Home Unit has 1 toilet and 1 hand wash station. The price listed includes delivery, collection, set-up and tear -down fees, Tax is not included in this proposal, but customer is responsible for paying all taxes due in connection with any equipment and services ordered. All restroom facilities MUST be placed on level ground (preferably concrete, cement, asphalt or gravel). If the facility is placed in either a sand, grass or dirt area, please be advised that due to possible weather or ground conditions S S B Porta-Bowl Restrooms will not be held responsible if the ground is damaged. Tie -downs for the trailer may also be required depending on what your jurisdiction requires, customer is responsible for determining whether this service is needed. Tie -down installation and removal are not included in the standard pricing, but can be provided for an additional fee. Tie down installation and removal may also leave holes in the ground, S & B will not be held liable or responsible for these. We require a minimum of 15' wide to deliver the facilities. Customer is responsible for securing any permits or licenses required for placement. Requirements vary between jurisdictions; we recommend you check with your local city and/or county officials for their requirements. WEDDINGS, GOLF TOURNAMENTS, CORPORATE HOSPITALITY, PRIVATE PARTIES, OUTDOOR EVENTS PHONE 303-341-6800. TOLL FREE 866-893-9001. FAX 303-341-6828. DocuSign Envelope ID: E2BE408B-55B2-4CBF-8206-FD2DE316FEAF ACS Contract #37573 2-2 The Royal Manhattan wilt sit 32' long and 15' wide with steps deployed. The Royal Oasis ADA will sit 17' wide and 28' long when ADA ramp is set in place. The ADA ramp also requires an additional 6' in width to accommodate JLH units are 45" ' long and 42" wide Customer is responsible for ensuring that s & B personnel have sufficient access for delivery, removal and services. This includes adequate snow removal around the trailer for our vehicles. Delivery, collection and any additional waste removal is scheduled during business hours Monday -Friday 8am until 5pm unless otherwise listed on this quotation. Any delivery, collection or waste removal on weekends or holidays, may require additional overtime charges. S & B will make every effort to deliver, remove or service at scheduled times. S a B shall not be held liable for delays in performance due to contingencies beyond our reasonable control, including, but not limited to adverse weather, road conditions, strikes, riots, fires and acts of God. Power Needed: Access to main power source within 100' of the facility location as well as three 20 -amp, non-GFI 110 - volt circuits per trailer are necessary. Three standard 3 -prong outlets are required. If no power is available a 7,500 - watt generator for each trailer or a 15,000 -watt for both can be used which must be provided by the customer. Water Needed: Access to a water source with a minimum of 30-50 PSI within 50' of the unit is required. A standard minimum 34" garden hose fitting is required for water service to the trailer. If power and/or water is not accessible when the trailer is delivered, an additional trip charge may apply for S & B personnel to come back out to the site and test the power and/or water functionality with the trailer. Liability of Equipment: Customer acknowledges that it has the care, custody and control of Equipment owned and furnished by S & B and accepts the responsibility therefore except when same is being physically handled by the employees of S & B. Therefore, Customer expressly agrees to defend,indemnify and hold harmless S & B from and against any and all claims for loss of or damage to property, or injury to or death to person or persons, resulting from or arising in any manner out of Customer's use, operation or possession of any Equipment furnished by S & B hereunder. Payment: The invoiced amounts based on the pricing listed above will be due with terms of Net 30 days from date of invoice if credit is extended and approved. A 50% non-refundable deposit is due upon booking in order to make a reservation. The remaining amount is due 10 days prior to the delivery date. In the event that the account is not paid according to the terms, the Lessee agrees to pay S & B a Finance Charge of 1.5% per month on all delinquent amounts. It is also agreed that Lessee will pay S e B all costs of collection, including reasonable attorney fees if incurred on any delinquent amounts owed to S & B. By signing 6e.lea„mc fee that you have read, understand and agree to all of the terms and conditions listed above. Sign Name `99E2FECDD951424_. Contract prepared by: jilt MAJA vSOLt. Print Name Carlos Gonzalez Jill Anderson Title Sr Mng DE 7/19/2016 Date Please note that the pricing above is valid for 30 days from the date listed at the top of this contract and availability is limited. A 50% non- refundable deposit is due upon booking. Full payment must be made 10 days prior to the delivery date. Visa, MasterCard, Discover and AMEX are welcome. WEDDINGS, GOLF TOURNAMENTS, CORPORATE HOSPITALITY, PRIVATE PARTIES, OUTDOOR EVENTS PHONE 3O3-341-68OO. TOLL FREE 866-893-9OO1. FAX 3O3-341-6828. DocuSign Envelope ID: E2BE408B-5582-4CBF-8206-FD2DE316FFAF MEW PM Pa H BID 3263 Oakland St. Aurora, CO 80010 303-341-6800 303-341-6828 Fax 866-893-9001 Toll -Free www.sbprestrooms.com "CLEAN PORTABLE RESTROOMS" S & B advises customer that every measure should be taken to ensure safety with our restroom and shower trailers. Restroom and shower trailers require electricity and water hoses to operate. These'cords and hoses can be a potential tripping hazard. As,cord protectors can still be tripping hazards, S & B recommends that customer employs some means such as barricades or fencing to block off area behind trailer completely and that cords and hoses be inside fenced or barricaded area. Signs should also be posted to warn people to stay out of area. Thank you, Jon L. Sola President S & B Porta-Bowl Restrooms cDDIoo'cuSii�gnedi b�y':�"o �IU 0.IA. 't ttiffi& nature Date Print Name Title 7/19/2016 Jill Anderson Sr Mng DE "Service Locations in Denver / Greeley / Colorado Springs" DocuSign Envelope ID: E2BE408B-55B2-4O3F-8206-FD2DE316FFAF IAmericans / • Cancec ti $`'Societyd. EVENT CONTRACT ADDENDUM THIS ADDENDUM (this "Addendum") is entered into as of June 29, 2016 by and between S & B Porta-Bowl Restrooms, Inc. ("Vendor") and the American Cancer Society, Inc ("ACS"), and is incorporated into and made a part of the Restroom Trailer Contract between Vendor and ACS (the "Agreement") entered into on June 3, 2016 for goods, equipment and/or services to beprovided at the ACS eventidentified below (the "Event"). EVENT PRIMARY ACS CONTACT Event: Cattle Barons Ball Contact Name: Jill Anderson Event Location: 3695 65th Ave, Greeley, CO Phone: 970-231-4383 (cell) Event Date: September 16-19, 2016 (including drop off and pick up) Email: jill.anderson@cancer.org INTERPRETATION. If language in this Addendum conflicts with any provision of the Agreement, this Addendum will control, Any change to this Addendum must be in writing and signed by both parties. In addition to this Addendum, the. Agreement consists of the following components: • Restroom Trailer Contract SUBSTITUTION/ASSIGNMENT. To the extent specific personnel have been identified to perform services under the Agreement, Vendor may not replace or substitute such personnelwithout the prior written consent of ACS. The Agreement cannot be assigned or subcontracted without prior written approval from ACS. ADHERENCE TO POLICY. Vendor and all its employees, volunteers, agents or representatives will adhere to ACS's no smoking policy and all rules and regulations of the Event facility at all times during the Event and during any preparation and breakdown. INSURANCE. Vendor must maintain comprehensive general liability insurance in the amount of $1,000,000 per occurrence and $2,000,000 aggregate, workers' compensation for its employees, property insurance covering theft, damage or loss in the amount not less than $1,000,000, and automobile liability in the amount of $1,000,000 (if vehicles are involved in Vendor's performance of the Agreement). Vendor agrees to name the American Cancer Society, Inc. as Additional Insured under the liability coverages. Vendor will provide a certificate of insurance and additional insured endorsement to the Primary ACS Contact, no later than two weeks prior to the date of the Event. GOVERNING LAW. The Agreement will be governed by and construed in accordance with the laws of the state in which the Event is located without regard to the conflict of laws provisions thereof, and the laws of that state will govern all of the rights, remedies, liabilities, powers, and duties of the parties under the Agreement. Notwithstanding anything contained in the Agreement to the contrary, the goods, equipment and/or services provided under the Agreement will remain subject to all implied warranties, and ACS will be entitled to all rights and remedies available to buyers, under applicable state law. AINERICEarkft.6pjlETY, INC. By: Name: Title: Sr Nnq DE Date: Qln,a.t,rsbin. Fgpgrt4san 7/19/2016 INTELLECTUAL PROPERTY. If Vendor desires to use the service marks, trademarks, trade names, and logos of ACS, Vendor shall obtain prior written approval from the Primary ACS Contact for any such use. CANCELLATION. ACS may terminate the Agreement, In whole or in part, and cancel all or any goods, equipment and/or services that have not been shipped, delivered or performed, by written notice to Vendor at any time at least 30 days prior to the Event. Upon termination of the Agreement by ACS for convenience, ACS will compensate Vendor for Services satisfactorily performed and Products accepted by ACS prior to termination and Vendor will promptly return to ACS all prepaid but unearned amounts, less any nonrefundable deposits or cancellation penalties due as set forth in the Agreement.Vendor will permit ACS to apply any forfeited amounts to any future ACS event scheduled within twelve (12) months of the Event. If ACS cancelsor reschedules the Event as a result of an unforeseeable act of God, fire, flood, epidemic, natural catastrophe, severe weather, war, terrorism, or similar cause outside the control of ACS, ACS may terminate the Agreement without penalty upon notice to Vendor and be entitled'to a full refund of all amounts paid, less compensation for Services satisfactorily performed and Products accepted by ACS prior to termination. If Vendor terminates or otherwise fails to perform the Agreement, ACS shall be entitled to a full refund of all amounts paid. RESPONSIBILITY OF PARTIES. Each party ("Indemnitor") will protect, indemnify, defend and hold harmless the other party ("Indemnitee") and its affiliates, officers, agents and employees from all losses, claims, actions, suits, proceedings, investigations, arbitrations, assessments, settlements, penalties, damages, liabilities, costs and other expenses, including reasonable attorney's fees, resulting from or in connection with (a) any intentional or negligent act or omission of Indemnitor; (b) any defect in goods, equipment or services provided by Indemnitor; and (c)any breach of the Agreement by Indemnitor. The obligations contained in this paragraph are In lieu of and replace. any indemnification obligations and/or statements of liability contained in the Agreement, are not subject to any limitations of liability contained in the Agreement, and will survive the termination, expiration, or cancellation of the Agreement. S & B PORTA-BOWL RESTROOMS, INC. By: Name: Title: Date: FORM 12042013 — Event Contract Addendum DR 001O (01/18112) STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT ACCOUNT NUMBER use for all references LIABILITY INFORMATION ..S'i_ISSUEDATE- LICENSE 'VALID TO '' DECEMBER 31 county I city I indust IbPel liability date '-madh V day I year.-. noccoacnnnn c /1 n VV7C 1nQn.6 • ' r9/n9rnQ15 ' 2014 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: KENNY'S STEAK HOUSE 3502 10TH ST GREELEY, CO 80634 Owner: STAMPEDE STEAK RANCH LLC .:This- certifies that-licenseeshown hereon; authorized and licensed : to engage.. ibusiness in -.,;accordance with _the provisions of the -law and th e-, o .the Colorado Department of PUblitHealth' -, and 'EnUironment. Aril% alterations made on this license will- automatically, make"it - nullandvoid. - - . LICENSING AGENCY:. WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT TREVOR JIRICEK, M.A.E.S„ DIRECTOR ENVIRONMENTAL HEALTH SERVICES POST IN`A - CONSPICUOUS PLACE Department ofRevenue.Ty-oudo noLcheck your Jonk.-etnall folder. Once you have vourALAtiorization.Code_retua„ t Reverie lP rlaline.via. -. DR 0140 (02/16/11) DEPARTMENT OF'REVENUE DENVER CO 8 0261-0 013 Must collect taxes for: SALES TAX LICENSE STATE• USE ACCOUNT NUMBER for all references LIABILITY INFORMATION ISSUE DATE DCENSE VALID..--::. - TO :- DECEMBER 31 cotral, ab nduwy type raatindaa marl day year 00366277-0000 03-0057-017 L 050195 Nov - 23 15 2017 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION IN A CONSPICUOUS PLACE: STAMPEDE STEAK RANCH 3502 W 10TH ST GREELEY CO 80631-5008 rllhllrlllllrllhnulllullhrllllrll]rlrllulrlrlllllrllIiII KENNY'S STEAK HOUSE 3502 W 10TH ST GREELEY CO 80634-1824 Executive Director Department of Revenue THIS LICENSE IS NOT TRANSFERABLE Jill Anderson From: Sent: To: Cc: Subject: Follow Up Flag: Flag Status: Haffner, Gene <Eugene.Haffner@bannerhealth.com> Monday, July 18, 2016 3:30 PM Wagy, Mitch E Jill Anderson Ambulance service at Cattle Barons Ball Follow up Completed This email is to confirm that the Banner Health North Colorado Medical Center Paramedic Services will provide dedicated on -site coverage for the 2016 American Cancer Society (ACS) Cattle Baron's Ball. The service will be provided at no charge to ACS. We will receive credit for the in -kind contribution as part of our sponsorship of the event. The event will be held on Saturday, September 17 at the Duran Enterprises, 14332 WCR 64, Greeley, CO 80634 from 5:30 p.m. — midnight. Jill Anderson of ACS will be your contact to make final arrangements for actual time for the ambulance and crew to arrive on -site. She or the person responsible for site arrangements will communicate with you. Her contact information is: Jill Anderson, CFRE I Senior Development Manager, Distinguished Events Great West Division I American Cancer Society, Inc. 8221 W 20th St Suite A Greeley, CO 80634 Phone: 970.350.5022 I Mobile: 970.231.4383 I Fax: 970.356.9238 cancer.orq 11.800.227.2345 It is my understanding that you are meeting with Bob H. today (July 18) to review needs and plans for this event. Please let me know if you need further information or clarification from me. As always, thank you for your commitment, service and dedication to Banner Health and to the community. 010 Gene Haffner Director, Public Relations Banner Health North Colorado Medical Center 1801 16th St., Greeley, CO 80631 1 970-810-6133 office 970-810-6644 fax W Banner Health` We exist to make a difference in people's lives through excellent patient care 2 0 m `o 73 o `m U N CO CO 0 0 O 0 N O m am co 0 a) o D U • o x >. o m v s CO o • m O 2 0 -o a3 0 II N 0 U 0 CD 0 am CO a) ° O or -U U o x > o a) -o Y m O 2 >N m O o O RECEIPT RECEIVED FROM DDRESS 313(0 S+ ave. reefy , CO Co FO STATE DATE Q7/aa/QQ1(a JItI M (Andsrsor) -VF- __ H P --AID -. a CASH F J' CH ECH 30 l 5 ..- 35" : e.to'NEYr'ft ',`"ORDER:_ ;. LlBJo r ---t230 q NO. 88822 $ 5.0© Lace se. Capp t 30 5 Cancer 'Sae re.4 BY C.R RECEIPT DATE 0, /bra/ G0 Igo NO. 88823 RECEIVED FROM SI 1 Cr% CAnderson ( O Qin r;CO" C04 -4024 - ADDRESS 31, 3Ca �,,• !St Ctve, Caresfi., 5 Co €50 c4,34 $ a©O.©0 FOR fl poroa8 0Esernblcd Ot p m'tHOVV PAID:. -- : ,r.' 3CASH_ r� CHECK - 30 I -1 0+OB MONEY' ORDER,..) RECEIPT 17- 4c 30 I `i BY GR DATE O, / a p LCD RECEIVED FROM OTC I M d trso n ADDRESS AlZ.00 IS-- C,e- C gee le- , CO FstCo39 FOR (_.JC, cl Special Even+ Li$uor T ;r "iq "M1 OWPA`ID'e'� C'A��S�Hy-'` CHECK 30ICo coo as °SE.F)P;:MONE.�Y�. NO 88824 re 0 Oxng r- can Cancer- s Z000. 0 O Lictnw Cke p ✓ # 30 ice 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, 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 egesick@co.weld.co.us DOCKET #: 2016-77 DATE: August 22, 2016 TIME: 9:00 a.m. APPLICANT: American Cancer Society Attn: Jill Anderson 8221 West 20th Street, Suite A Greeley, Colorado 80634 REQUEST: Application for a temporary assembly of more than 350 persons on September 17, 2016 LEGAL DESCRIPTION: NE1/4 of NW1/4 of Section 33, Township 6 North, Range 66 West of the 6th P.M., Weld County, Colorado LOCATION: 14332 County Road 64, Greeley, CO 80634 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: August 4, 2016 PUBLISHED: August 9, 2016, in the Greeley Tribune WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 8/3/2016 3:01:49 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Property Owners Within 500 ft of Parcel # 080533200011 Signature Date Account Parcel Owner Mailing Address R1005896 080528000015 DOERING G W & CO 14495 COUNTY ROAD 64 GREELEY, CO 806319318 R1522702 080528300024 TRIPLE F ENTERPRISES LLLP 4050 W COUNTY ROAD 2 BERTHOUD, CO 805138522 R2140202 080528300025 DOERING G W & CO 14495 COUNTY ROAD 64 GREELEY, CO 806319318 R2140302 080528300026 DOERING G W & CO 14495 COUNTY ROAD 64 GREELEY, CO 806319318 R1356286 080528400014 DOERING G W & CO 14495 COUNTY ROAD 64 GREELEY, CO 806319318 R7467598 080528400019 DOERING G W & CO 14495 COUNTY ROAD 64 GREELEY, CO 806319318 R0166791 080533100065 PETERSEN BRET 14518 COUNTY ROAD 64 GREELEY, CO 806319317 R0166991 080533100080 ZATECA FOODS INC C/O TEASDALE QUALITY FOODS INC 901 PACKERS ST ATWATER, CA 953014614 R0166691 080533100081 COLORADO BEAN INC PO BOX 1420 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 8/3/2016 3:01:49 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, hltp://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Property Owners Within 500 ft of Parcel # 080533200011 Signature Date Account Parcel Owner Mailing Address GREELEY, CO 806321420 R0167091 080533100081 ZATECA FOODS INC C/O TEASDALE QUALITY FOODS INC — u-AuictxS ST ATWATER, CA 953014614 R0167491 080533100085 ZATECA FOODS INC C/O TEASDALE QUALITY FOODS INC 9u1 YAI,KEtCJ ATWATER, CA 953014614 R0168391 080533100087 ZATECA FOODS INC CIO TEASDALE QUALITY FOODS INC - - 901 PACKERS ST ATWATER, CA 953014614 R0168591 080533100088 LOVELAND INDUSTRIES INC C/O CROP PRODUCTION SERVICES 3005 ROCKY MOUNTAIN AVE LOVELAND, CO 805389001 R6787449 080533200001 AGGREGATE INDUSTRIES - WCR INC 1687 COLE BLVD STE 300 LAKEWOOD, CO 804013318 R6777245 080533200008 WELD COUNTY 1150 O ST GREELEY, CO 806319596 R6777246 080533200009 AGGREGATE INDUSTRIES - WCR INC 1687 COLE BLVD STE 300 LAKEWOOD, CO 804013318 R6777826 080533200010 WELD COUNTY 1150 O ST GREELEY, CO 806319596 I WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 8/3/2016 3:01:49 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Property Owners Within 500 ft of Parcel # 080533200011 Signature Date Account Parcel Owner Mailing Address R6777827 080533200011 DURAN ENTERPRISES LLC 418 N 9TH AVE GREELEY, CO 806312350 R6777803 080533200012 WELD COUNTY 1150 O ST GREELEY, CO 806319596 R8942787 080533200017 GOODELL CHRISTINE R8942787 080533200017 GOODELL GREGORY M 6239 W 2ND ST GREELEY, CO 806348839 NOTICE Pursuant to the Liquor Laws of the State of Colorado American Cancer Society Cattle Barons Ball 8221 W 20th Street Greeley, CO 80634 Has Requested the Licensing Officials of Weld County, Colorado To Consider Special Event Liquor License License at: 14332 County Road 64, Greeley, CO 80634 Hearing on Application to be Held at Weld County Administration Building 1150 "O" Street, Greeley, CO 80631 Hearing Time and Date Monday, August 22, 2016 at 9:00 AM Date of Application July 21, 2016 By Order of Weld County Board of Commissioners Officers American Cancer Society Jill Anderson Chloe Rempel From: Sent: To: Subject: Attachments: Posted today. Thank you Chloe. Jill Anderson <jill.anderson@cancer.org> Thursday, August 04, 2016 4:34 PM Chloe Rempel RE: Special Event and Temporary Assembly - Notice image001jpg;1470349999096jpg;1470350008325jpg Sent from my Android phone using Symantec TouchDown (www.symantec.com) Original Message From: Chloe Rempel [crempel@co.weld.co.us] Received: Wednesday, 03 Aug 2016, 3:41PM To: Jill Anderson [jill.anderson@cancer.org] Subject: Special Event and Temporary Assembly - Notice The sign is ready to be picked up at your earliest convenience. Please be sure to take a picture of the sign after you have posted it, and submit it to me prior to the hearing date. I have scheduled the hearing for Monday, August 22, 2016 at 9:00 AM in the BOCC Hearing Room at 1150 "O" Street, Greeley, CO 80631. Thank you, Chloe A. Rempel Deputy Clerk to the Board of Commissioners 1150 O Street Greeley, CO 80631 /PO Box 758 tel: 970-400-4225 t FILIFISLIMIT TO THE LIQUOR LAS OF CQLOAADO }{AS REOOEiTE0 TOE UCLI*l OFFICIALS Of ,,mkt . !-e'"" — {. To Gr.- ',b.,_....a ________— LICENSE IT:!--- -- NEANIli6 Oil APPtICIITINI TM #E NEIN AT TIME ANN NATE +'-`'�'�'_ t_iz f ?" UTE ST APPLUC*TE1k � BY OBIEN NC -21 x - -, HAS REQUESTED THE LICENSING OFFICIALS 6F_ L -To = ^•� `'"°' UCENSE AT: I-4 53 3rtaltal iriX.r3i4 HEARING ON APPLICATION TO IE HELD AT: co +p�i8j TINE AND DATE. ,0! DATE OF APPLICATION. BY ORDEROFFICERS: __.---- Jill Anderson From: Sent: To: Subject: Follow Up Flag: Flag Status: Hello Jill, Chloe Rempel <crempel@co.weld.co.us> Thursday, July 21, 2016 4:30 PM Jill Anderson TEMPORARY ASSEMBLY AND SPECIAL EVENT LIQUOR APPLICATIONS - American Cancer Society Follow Up Completed I have sent both applications out for review by the appropriate departments. In the meantime, there are a few supplemental documents that I need. Can you please send either an additional map, or hand -draw in the following information on the map that you have already provided: surrounding roads, toilets, hand washing stations, turn around location, and paramedic location? I also need a statement from the paramedics verifying your agreement. In the past, an email from Banner has been sufficient. Let me know if you have any questions. Sincere regards, Chloe A. Rempel Deputy Clerk to the Board of Commissioners 1150 O Street Greeley, CO 80631/PO Box 758 tel: 970-400-4225 Confidentiality Notice: This electronic transmission and any attached documents or other writings are i ended Dill for the person or entity to which it is addressed and may contain information that is privileged, confident! I or othe 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. icy s l a 2016-2707 1 Chloe Rempel From: Sent: To: Cc: Subject: Chloe, Paul Wood Thursday, July 21, 2016 3:39 PM Chloe Rempel Frank Haug; Dan Joseph; Deb Adamson; Bethany Pascoe; Jose Gonzalez; Janet Lundquist; Roy Rudisill RE: SPECIAL EVENT LIQUOR LICENSE AND TEMPORARY ASSEMBLY APPLICATIONS - American Cancer Society I have received the Special Event Liquor Application for the Cattle Baron's Ball (American Cancer Society Fundraiser). I reviewed our Records Management System (Spillman) for any law enforcement calls for services at past Cattle Baron's Balls (or at 14332 Weld County Road 64, Greeley, CO) and for any law enforcement contacts for its Event Manager (Jill Anderson). There have no significant responses/contacts or calls for service by WCSO law enforcement in the last calendar year. Also, in the past, the Weld County Sheriff's Office Posse, Volunteers and Reserve Deputies have provided security for this event. The Sheriff's Office has not had problems with this event in the past and do not foresee any problems in the future event. If you have any questions or concerns, please do not hesitate to contact me. Thank you! 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 Direct (970) 400-2838 Fax: (970) 304-6468 "5e 5trong and Courageous." From: Chloe Rempel Sent: Thursday, July 21, 2016 3:18 PM To: Dan Joseph; Deb Adamson; Bethany Pascoe; Jose Gonzalez; Paul Wood; Janet Lundquist; Roy Rudisill Cc: Frank Haug Subject: SPECIAL EVENT LIQUOR LICENSE AND TEMPORARY ASSEMBLY APPLICATIONS- American Cancer Society Hello, In accordance with the procedure for processing Temporary Assembly and Special Events Liquor 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 within two weeks. Your report will be used by the Board of County Commissioners in considering the Applicant's Liquor License and Temporary Assembly Permit. 1 MEMORANDUM TO: Chloe A. Rempel, Clerk to the Board DATE: 07/22/16 FROM: Janet Lundquist, Public Works SUBJECT: Temporary Assembly American Cancer Society 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 1000 vehicles will require parking on the property 3. This area is in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 4. Please submit a 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 July 22, 2016 C:\Users\crempel\AppData\LocalWlicrosoft\Windows\Temporary Internet Files\Content.Outlook\P1OEICGB\Temp Assembly American Cancer Society 2016.doc Chloe Rempel From: Sent: To: Cc: Subject: Janet Lundquist Tuesday, July 26, 2016 11:59 AM Chloe Rempel; Dan Joseph; Deb Adamson; Bethany Pascoe; Jose Gonzalez; Paul Wood; Roy Rudisill Frank Haug RE: RE: SPECIAL EVENT LIQUOR LICENSE AND TEMPORARY ASSEMBLY APPLICATIONS - American Cancer Society He called me today and stated that law enforcement will be handling the traffic control so he is good to go for Public Works. 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. Original Message From: Chloe Rempel Sent: Tuesday, July 26, 2016 11:07 AM To: Dan Joseph; Deb Adamson; Bethany Pascoe; Jose Gonzalez; Paul Wood; Janet Lundquist; Roy Rudisill Cc: Frank Haug Subject: RE: SPECIAL EVENT LIQUOR LICENSE AND TEMPORARY ASSEMBLY APPLICATIONS- American Cancer Society Hello All, Please see the attached supporting documentation for the Special Event Liquor License Application and the Temporary Assembly Application that I emailed last week. The attachment includes: 1. My email request to the applicant. 2. Ambulance Agreement from Banner Health. 3. Amended Map to include identifying roads, toilets, hand washing stations, turn around location, and paramedic location. 1 We are still waiting for the applicant to submit Public Works' request for a Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS), and an Incident Action Plan for the Office of Emergency Management. Thank you, Chloe A. Rempel Deputy Clerk to the Board of Commissioners 1150 O Street Greeley, CO 80631 / PO Box 758 tel: 970-400-4225 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 Chloe Rempel From: Sent: To: Cc: Subject: Hi Chloe, Merrie Leach Tuesday, July 26, 2016 1:19 PM Chloe Rempel Janet Lundquist; Roy Rudisill; Donnie Patch; Paul Wood; jill.anderson@cancer.org Temporary Assembly Permit - Cattle Barons' Ball The Office of Emergency Management will be working with the Cattle Barons' Ball organizers and the Sheriffs Office to complete an Incident Action Plan for the event. While we can gather most of the information included in the IAP over the next few weeks, the final document is usually completed a day or two before the event, in order to include the most timely and accurate information. Please let me know if you have any other questions, or if you require anything else from OEM. Thanks, Merrie Merrie Leach Coordinator Weld County Office of Emergency Management 1150 O Street Greeley, CO 80632 (970) 304-6540 office (970) 397-1076 mobile mleach@weldgov.com Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 Chloe Rempel From: Sent: To: Cc: Subject: Jill Anderson <jill.anderson@cancer.org> Tuesday, July 26, 2016 1:11 PM Merrie Leach Chloe Rempel; Ellie Duran; Lorri Duran; Bob Hinderaker (Robert.Hinderaker@greatwesternbank.com); Manny Sisneros (manny2@q.com) Cattle Barons Ball permit Dear Merrie, Thanks so much for helping, clarifying and expediting this permit process; you should get a raise! J The information you requested is as follows: Event Co- Chair- Ellie Duran — 970.539.0488 cell phone — 970.351.0192 office phone Event Co -Chair- Lorri Duran — 970.381.4628 cell phone Safety & Security Chair — Bob Hinderaker — 970.371.0863 cell phone — 970.624.0061 office phone Safety & Security Chair — Manny Sisneros — 970.402.3796 cell phone Donnie Patch — Under Sherriff is coordinator with our Safety & Security Team per our telecom's — 970.518.6524 Thanks again and we appreciate all you're doing to help! Best, Jill Anderson, CFRE I Senior Development Manager, Distinguished Events Great West Division I American Cancer Society, Inc. 8221 W 20th St Suite A Greeley, CO 80634 Phone: 970.350.5022 I Mobile: 970.231.4383 I Fax: 970.356.9238 cancer.org 11.800.227.2345 4.04 EBB. This message (including any attachments) is intended exclusively for the individual to whom it is addressed and may contain proprietary, protected, or confidential information. If you are not the named addressee, you are not authorized to read, print, copy, or disseminate this message or any part of it. If you have received this message in error, please notify the sender immediately. 1 Chloe Rempel From: Sent: To: Subject: From Sherriff Patch Jill Anderson <jill.anderson@cancer.org> Tuesday, July 26, 2016 3:14 PM Chloe Rempel FW: Cattle Barons Ball Jill Anderson, CFRE I Senior Development Manager, Distinguished Events Great West Division I American Cancer Society, Inc. 8221 W 20th St Suite A Greeley, CO 80634 Phone: 970.350.5022 I Mobile: 970.231.4383 I Fax: 970.356.9238 cancer.org 11.800.227.2345 :EI BBa This message (including any attachments) is intended exclusively for the individual to whom it is addressed and may contain proprietary, protected, or confidential information. If you are not the named addressee, you are not authorized to read, print, copy, or disseminate this message or any part of it. If you have received this message in error, please notes the sender immediately. From: Donnie Patch [mailto:dpatch@co.weld.co.us] Sent: Tuesday, July 26, 2016 3:01 PM To: Jill Anderson <jill.anderson@cancer.org> Subject: RE: Cattle Barons Ball I spoke with Janet; she is fine knowing we will be out there to control the flow of traffic, no written plan is needed. Donnie Patch Undersheriff Weld County Sheriffs Office FBINA 259 1 Chloe Rempel From: Sent: To: Subject: Jose Gonzalez Wednesday, July 27, 2016 12:40 PM Chloe Rempel RE: SPECIAL EVENT LIQUOR LICENSE AND TEMPORARY ASSEMBLY APPLICATIONS - American Cancer Society No concerns from Building Division Thanks Jose Gonzalez Asst Building Official Building Department 1555 N 17`h Ave tel: 970-400-3533 jgonzalez@weldgov.com 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: Thursday, July 21, 2016 3:18 PM To: Dan Joseph <djoseph@co.weld.co.us>; Deb Adamson <dadamson@co.weld.co.us>; Bethany Pascoe <bpascoe@co.weld.co.us>; Jose Gonzalez <jgonzalez@co.weld.co.us>; Paul Wood <pwood@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: SPECIAL EVENT LIQUOR LICENSE AND TEMPORARY ASSEMBLY APPLICATIONS- American Cancer Society Hello, In accordance with the procedure for processing Temporary Assembly and Special Events Liquor 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 within two weeks. Your report will be used by the Board of County Commissioners in considering the Applicant's Liquor License and Temporary Assembly Permit. NOTE: THERE ARE TWO ATTACHMENTS INCLUDED IN THIS EMAIL. THE FIRST IS THE SPECIAL EVENT LIQUOR LICENSE APPLICATION AND THE SECOND IS THE TEMPORARY ASSEMBLY APPLICATION. A $3000 SECURITY DEPOSIT WILL BE PROVIDED ALONG WITH AN APPLICATION FEE OF $200 PAYABLE TO THE COUNTY. AND $25 PAYABLE TO THE STATE. 1 Chloe Rempel From: Sent: To: Subject: Dan Joseph Thursday, July 28, 2016 1:38 PM Chloe Rempel; Deb Adamson; Bethany Pascoe RE: SPECIAL EVENT LIQUOR LICENSE AND TEMPORARY ASSEMBLY APPLICATIONS - American Cancer Society Chloe, Everything looks good on our end. No issues from past events and it is the same food vendor just a new location. Dan 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 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: Thursday, July 28, 2016 1:31 PM To: Dan Joseph; Deb Adamson; Bethany Pascoe Subject: FW: SPECIAL EVENT LIQUOR LICENSE AND TEMPORARY ASSEMBLY APPLICATIONS- American Cancer Society Hello, Because the event is on September 17th, 2016 and the State has 30 days to return approved applications, I need to move up the staff referral date from Thursday, August 4, 2016 to the morning of Wednesday, August 3, 2016 (prior to 10:00 AM). If you have any questions or concerns, please do not hesitate to contact me. Thank you for being so accommodating! Sincere regards, Chloe A. Rempel Deputy Clerk to the Board of Commissioners 1150 O Street Greeley, CO 80631 /PO Box 758 tel: 970-400-4225 1 MEMORANDUM To: Chloe Rempel, Deputy Clerk to the Board August 3, 2016 From: Bethany Pascoe, Zoning Compliance Officer II, Dept. of Planning Services Subject: LC0022 Review of the following request for a Temporary Assembly Permit and a Special Events Permit by the Department of Planning Services shows the following: Type of Event: Cattle Barons Ball (Fundraiser for the American Cancer Society) Applicant: American Cancer Society Attn: Jill Anderson 8221 West 20th Street, Suite A Greeley, Colorado 80634 Location of Event: 14332 Weld County Road 64 Greeley, CO 80634 Dates and Time of Event: September 17, 2016 5:30 p.m. to midnight General Information: Zone District: A (Agricultural) and does have an existing Use by Special Review (USR) permit (MUSR15-0010) for Excavating Company and Storage. No overnight camping shall accompany this Temporary Assembly permit or Special Events permit. 1000 guests + 250 volunteers There are no outstanding zoning violations on this site and staff has no issues with issuance of this "Temporary Assembly Permit" or the "Special Events Permit". No open land use violations at this time. SERVICE, TEAMWORK, INTEGRITY, QUALITY
Hello