HomeMy WebLinkAbout20152897.tiffRESOLUTION
RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO MEAD ROTARY CLUB
FOUNDATION, 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 Mead Rotary Club Foundation, 16931 Potts Place, Mead, Colorado 80542
presented to the Board of County Commissioners of Weld County, Colorado, an application for a
Special Events Permit for the sale of 3.2% fermented malt beverages 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 3.2% fermented malt beverages for consumption by the drink on the premises
only, for an event scheduled for one day only on September 26, 2015, from 8:00 a.m., to 4:00 p.m.,
outside the corporate limits of any town or city in the County of Weld at the location described as
follows:
6105 County Road 32, Platteville, Colorado 80651,
being more fully described as the SW1/4 of
Section 18, Township 3 North, Range 67 West of the
6th P.M., Weld County, Colorado
WHEREAS, said applicant has also paid the sum of TEN DOLLARS ($10.00) to the
Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale of
3.2% fermented malt beverages for consumption by the drink on the premises only.
NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld
County, Colorado, having examined said application and the other qualifications of the applicant,
does hereby grant Special Events Permit 2015-14 to said applicant to sell 3.2% fermented malt
beverages for consumption by the drink on the premises only, only at retail at said location; and the
Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of
County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which
permit shall be effective from 8:00 a.m., to 4:00 p.m., on September 26, 2015, providing that said
place where the permitee is authorized to sell 3.2% fermented malt beverages for consumption by
the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State
of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County
Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation
of the permit.
CC 6D 1/,7
2015-2897
LC0022
SPECIAL EVENTS PERMIT - MEAD ROTARY CLUB FOUNDATION
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 31st day of August, A.D., 2015.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, C9ORADO
ATTEST: daMdki ( j,cL•tk
Weld County Clergy to the Board
linty Attorney
Steve Moreno
Date of signature: //5/j.
2015-2897
LC0022
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DR 8427 (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
MEAD ROTARY CLUB FOUNDATION
6105 WELD COUNTY ROAD 32
PLATTEVILLE CO 80651
Permit Number: 4801569
Event Manager: TERRY EURIGHT
SPECIAL EVENTS PERMIT
3.2% FERMENTED MALT BEVERAGE
VALID ONLY FOR THE FOLLOWING PERIODS
EVENT 1: 09/26/2015 8 AM 4 PM
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. 9/8/2015 gm
60A,11 -4A-•_.9164)3.0._
Division Director Executive Director
DR 8439 (06/28/06)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET
DENVER CO 80281
(303) 205-2300
IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT, YOU MUST BE NONPROFIT
AND ONE OF THE FOLLOWING (See back for details.)
III SOCIAL • ATHLETIC PHILANTHROPIC INSTITUTION
• FRATERNAL • CHARTERED BRANCH, LODGE OH CHAPTER • POLITICAL CANDIDATE
• PATRIOTIC • OF A NATIONAL ORGANIZATION OH SOCIE I Y • MUNICIPALITY OWNING ARTS
• POLITICAL • RELIGIOUS INSTITUTION FACILITIES
LIAR TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR:
2110 MALT, VINOUS AND SPIRITUOUS LIQUOR 525.00 PER DAY
2170 FERMENTED MALT BEVERAGE (3.2 Beer) 510.00 PER DAY
DO NOT WRITE IN THIS SPACE
LIQUOR PERMIT NUMBER
1. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE
rn.e 2 CI ,b FO (...A...d I o ,..
State Sales Tax Number (Required)
/l%,^ E4,,,PiSD
2. MAILING ADDRESS OF ORGANIZATIO R POLITICAL CANDIDATE
(include street, city/town nd ZIP)
1 (p i 3 1 Vey -J-5 P ae Q
VYNeack , CO . Fe) S` -l-2.
3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT
(include street, cityrtown and ZIP)
(010S." w C 2 3 2,
p10-4 a.uti14. I . S0CuS
NAME
DATE OF BIRTH
HOME ADDRESS (Street, City, State, ZIP)
PHONE NUMBER
4. PRES /SEC'Y OF ORG. or POLITICAL CANDIDATE
TRAY -1 if.'4.‘c•-t•
o9123I l4
Cam. �cv,
ceoSe3
Ike'
6. HAS APPI ICAN GANIZATIOPOLITICAL CANDIDATE BEEN
ISSUED A SPECI EVENT PER HIS CALENDAR YEAR?
NO O YES HOW MANY DAYS?
7. IS PREMISES NOW LI 'ENSED UNDER STATE LI
[XJv0 YES TO WHOM?
R OR BEER CODL'ltI
_
ld1
8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? X Yes
• No
LIST BELOW THE EXAC I DA' E(31 FOR WHICH APPLICATION IS BEING MADE FOR PERMIT
Date O1 1 26(Zvi S
Hours From Z or, A .m.
To q;pp P .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 penalty of perjury in the second degree that I have read the foregoing application and all attachments
that all information therein is true, correct, and complete to the best of my knowledge.
thereto, and
SIGNATURE ,
TITLE
....ac'
DAT EI
7 ?tiI2bis-
REP7rR AND APP AL OF LOCAL LICENSINGTHORITY (CITY OR COUNTY)
The foregoing applicati. - as 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 Title 12, Article 48, C.R.S., as amended.
THEREFORE, THIS APPLICATION IS APPROVED,
LOCAL LICENSING AUTHORITY (CITY OR COUNTY) • CITY
Weld County, Colorado COUNTY
TELEPHONE NUMBER OF CITY/COUNTY CLERK
(970) 356-4000 Ext 4225
SE ,
SIGNAT
L4�4 !.c J/LL/
TITLE
Chair, Board of County Commissioners
f{�Ij 3 1 20l5
WIG
DO N T 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)
2015-2897
SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT
1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)?
A✓14AvG�
2. Explain in detail the nature of your organization, its function, and who or what benefits from
its operations (attach separate sheet if necessary).
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p UIascrt-ln rLDec, 2vCAA5,
3. Who or what organization will be the recipient of funds derived from this event?
4. How many attendees are expected at this event? 3 0 o —5-e) c
5. Describe the premises at which this event will take place.
r�
6. What type of security will be provided at this event? 0"tuckQ.
CD S heic: s v -n' .
7. How many security personnel will be on hand?
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.)?
10. What type of entertainment will be provided, if any, for this event?
ovtiQ
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.)
ti.,r1ce, \ L e. �'v`e.Q
MACTBICTBFORNISIFOSPECIRLEVENT.DOCSpecialEvent
12. Ho,‘./ will the onduct and level of intoxication of attennde r b monitored and
��bb"yy�whom?
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?
h (AiievaizAJ S
p r L o r
14. What types of alternate beverages and food/snacks will be available?
Soda PLCp F ()A.
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.
— ICC)
16. Explain how this event will be marketed describing what kinds of advertising material will be
distributed and the targeted recipients of such material.
isex Pra4,e,s-t"c_4-to s
I hereby certify, under penalty of perjury, that the information provided to the Board of County
Commissioners of Weld County contained in this affidavit is true and accurate to the best of my
knowledge.
1
Applicant's Sig at
STATE OF COLORADO
COUNTY OF WELD
ss
O12.1(
Date
Subscribed and sworn to before me this L { day of
Witness my hand and official seal.
MICHAELA ODENBAUGH
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20144027529
COMMISSION EXPIRES JUL. 14, 2018
My commission expires:
Notay Public
, 20 Cr...)
M:ICTBICTBFO RMSIFOSPECIALEVENT. DOCSpecialEve nt
ACOR®" CERTIFICATE OF LIABILITY INSURANCE
ice, -
,..-- 7/1/2016
DATE VDDIYYYY)
07/17/2015
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 pollcy(les) 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 Neu of such endorsement(s).
PRODUCER LOCKTON COMPANIES
500 West Monroe, Suite 3400
CHICAGO IL 60661
(312) 669-6900
CONTACT Lockton Companies
PHONeoz,,+t L
1-800-)21-3172(FAx N9y, 1-312-681-6769
�,
miss; Rotarylockton.com
INSURER(S) AFFORDING COVERAGE
NAIL if
INS4JRBRA: Westchester Fire Insurance Comnpy
10030
INSURED All Active US Rotary Clubs & Districts
1379367 Attu: Risk Management Department
1560 Sherman Ave.
Evanston, IL 60201-3698 ,
INSURER B:
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES ROTIN0I
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS Of SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
I rep
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POLICY NUMBER
POLICY EFF
{ Y )
{ �)
LIMITS
A
x
G COMMERCIAL GENERAL
iCWPREMISES
LIABILITY
x
OCCUR
PMI 023861355 007
7/1/2015
7/1/2016
EACH OCCURRENCE
S 2M00 000
PR(Ea .NIRENTE
(Ea oMS-MADE
$ 500,000
MED EXP (Anr am Pnrsat)
1 XXX
X
i Liquor Liability
PERSONAL & ADV INJURY
$ 2,000,000
Included
GENERAL AGGREGATE
$ 10.000.000
GENI.
A,
AGGREGATE
POLICY
OTHER:
UMIT APPLIES
J PO -IT
PER:
LOC
PRODUCTS - COMP/OP wo
S 4,000,000
S
A
AUTOMOBILE
-
,--_-
LIABILITY
ANY AUTO
ALL
}(
SCHQS�
NON -OWNED
AUTOS
PMI 023861355 007
7/1/2015
7/1/2016
TIBM 9 INGLE LIMB
5 L000.000
BODILY INJURY (Par person)
$ XXXXXXX
BODILY INJURY (Per' accident)
5 XXXXXXX
PPRO ERTY DAMAGE
$ XXXXXXX
S XXXXXXX
UMBRELLA LUAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ Xi�
,.�{{,_XX
$ XXXXXXX
DED I I RETENTIONS
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
Y PROPRIETOR1PARTNERIEXECUTIVE AN
OFFICEIM REMBER EXCLUDED?
(Mandatory in NH)
DEN under
DESCRIPTION OF 07'ERATKNVS 'mi.,.
YIN
N / A
NOT APPLICABLE
ERR I I ON -
E.L. EACH ACCIDENT
$ XXXXXXX
E.L. DISEASE - EA EMPLOYEE` $ XXXXXXX
EL. DISEASE - POLICY LIMIT $ XXXXXXX
DESCRIPTION OP OPERATIONS / LOCATIONS /VEHICLES (ACORD 101. Addk(onai Remarks Schuh/la. paw be attached If (TWO sews Is raarlrodl
The Certificate Holder is included as Additional Insured where required by written and signed contract or permit subject to the terms
and conditions of the General Liability policy, but only to the extent bodily injury or property damage is caused in whole or in part
by the acts or Omissions of the insured.
CERTIFICATE HOLDER
CANCELLATION
Town of Mead and Sekich Properties, LAC.
RE: Rotary Club of Mead
Event Date: 9/25-9/26/2015
ACORD 25 (2014/01)
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 REPR IT'Artvw �.-" --7-7"---^I A
)1888-24,14 ACORD CbRPORAi(bN. Ali rights reserved.
The ACORD name and logo are registered marks of ACORD
OFFICE OF THE SECRETARY OF STATE
OF THE STATE OF COLORADO
CERTIFICATE
I, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to
the records of this office,
Mead Rotary Club Foundation
is a Nonprofit Corporation formed or registered on 10/02/2008 under the law of Colorado, has complied
with all applicable requirements of this office, and is in good standing with this office. This entity has
been assigned entity identification number 20081524989.
This certificate reflects facts established or disclosed by documents delivered to this office on paper
through 09/03/2015 that have been posted, and by documents delivered to this office electronically
through 09/08/2015 @ 08:18:02.
I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, authenticated,
issued, delivered and communicated this official certificate at Denver, Colorado on 09/08/2015 @
08:18:02 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation
Number 9298725.
Secretary of State of the State of Colorado
*********************************************End of'Certiticate********************************************
Notice: .1 certificate issued electronically from the Colorado Secretary of State's Web site is hilly and immediately valid and effective. However,
as an option, the issuance and validity of a certificate obtained electronically mat' he established by visiting the Certificate Confirmation Page al
the Secretary o/ State's teh cite, http:/www.sos.state.co.us/biz/CertiftcateSearchCriteria.do entering the certificate's confirmation number
displayed on the certificate, and following the instructions displayed. Con/irmine the issuance of a certificate is mere/optional and is not
necessary to the valid and e/Jectire issuance of certificate. For more infbrrnation. visit our Web .site, http://www.sos.state.co.us% click Business
Center and select "Frequently Asked Questions
CLiR7 GS D Revised O t 20,'008
Road t 3
Date; July 25, 2015
Invoice# 103
James Randall Security
Jim Randall
SALESPERSON JOB
QUANTITY DESCRIPTION
2 Security Officers
TO: The Mead Rotary Club
P.O. Box 66
Mead, CO 80542
PAYMENT TERMS DUE DATE
Event Day 09/26/2015
UNIT PRICE LINE TOTAL
Subtotal
Sales Tax
Total
200.00
200.00
200.00
NICK SEKICH, JR.
6790 WCR 32
PLATTEVIILE, CO. 80651
July 20, 2015
Re: Mead Rotary Sugar Beet Festival
To Whom It May Concern,
I, Nick Sekich, Jr., am aware of and in support of the Mead Rotary Sugar Beet Festival that will be taking
place on the Sekich Properties on September 26, 2015. I am a member of the Mead Rotary Club and am
one of the sponsors of the event.
The event has my full support to take place on my property.
Please advise of there are any questions.
Sincerely,
jcil A -Lk&
Nick Sekich, Jr.
Rotary Club of Mead
Po Box 66
Mead, CO 80542
August 6, 2013
Board of County Commissioners
915 10th Street
Greeley, CO 80631
Re: Mead Sugarbeet Festival
Dear Commissioners,
Dale Rademacher and Nick Sekich have been appointed chair persons for the 8th Annual
Mead Sugarbeet Festival to be hosted by the Rotary Club of Mead. This event is to be
held on September 28, 2013 on the Sekich property.
The Rotary Club of Mead will be the legal permit holder for this event. We have applied
for the necessary paperwork and we are asking for a deference of the performance bond
listed in Section 12-1-30 of the Weld County Code because Nick Sekich will be cleaning
up on his own property.
We have applied for Insurance for the event and will fax or email this binding of
coverage when we receive it from the agency.
We invite the Weld County Commissioners to participate in the 8th Annual Sugarbeet
Festival with an informational booth and attendance at the festival. We will waive the
booth fee if you decide to be part of this community event.
Respectfully,
Mbniea. Baldwin
President
Rotary Club of Mead
Mead Rotary Club
P.O. Box 66
Mead, CO 80542
July 21, 2014
Board of County Commissioners
915 10th Street
Greeley, CO 80631
Re: Mead Sugarbeet Festival
Dear Commissioners:
Dale Rademacher and Terri Hatch have been appointed chair personal for the 10th Annual
Mead Sugarbeet Festival to be hosted by the Rotary Club of Mead. This event is to be
held on September 26, 2015 on the Sekich Property.
The Rotary Club of Mead will be the legal permit holder for this event. We have applied
for the necessary paperwork and we are asking for the deference of the performance bond
list in Section 12-1-30 of the Weld County Code because Nick Sekich will be cleaning up
on his own property.
We have applied for Insurance for the event and will fax or email this binder when we
receive it from the agency.
We invite Weld County Commissioners to participate in the 10`t' Annual Sugarbeet
Festival with an informational booth and attendance at the Festival. We will waive the
booth fee if you decide to be part of this community event.
Resp9)tfull ,
J.r
Tc(d Bende ow
President
Rotary Club of Mead
DR 0010 (01/18/12)
STATE OF COLORADO
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT
ACCOUNT NUMBER
use for all references
LIABILITY INFORMATION
ISSUE DATE
LICENSE VALID TO
DECEMBER 31
county]- city
Indust.
types liability date
month
day 1 year
02871836000
62
3289
5/27/2011'
2/1/2013
2013
THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION;
C -C CATERING AND CAKES
MOBILE UNIT
WELD COUNTY, CO 80504
Owner: C -C CATERING AND CAKES LLC
LICENSING AGENCY: WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
T u"v
'I'ttHVOR JIRICEK, M.A.E.S., DIRECTOR
ENVIRONMENTAL HEALTH SERVICES
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Name:
issuing
Agency:
This certifies that licensee shown hereon
is authorized and licensed to engage
in business in accordance with the
provisions of the law and regulations of
the Colorado Department of Public Health
and Environment. Any alterations made
on this license will automatically make it
null and void.
iNcood Es
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POST IN A
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DR 0010 (01/18/12)
FA0000396
STATE OF COLORADO
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT
ACCOUNT NUMBER
use for all references
LIABILITY INFORMATION
ISSUE DATE
LICENSE VALID TO
DECEMBER 31
county I city 1 Indust. (type( liability date
month I day .-1
year
30-31786-70000
07 2/27/2012
1/29/2015
2015
THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION:
PATKEL ENTERPRISES LLC
GOOD EATS GRILL HOME OF PROUD MAMAS GERI
1114 FRANCIS ST
LONGMONT CO 80501-3704
LICENSE ISSUED BY BOULDER COUNTY PUBLIC HEALTH
A Detach Here
GOOD EATS GRILL HOME OF PROUD MAMAS GERMAN BURGER
1 114 FRANCIS ST
LONGMONT, CO 80501-3704
This certifies that licensee shown hereon
is authorized and licensed to engage
in business in accordance with the
provisions of the law and regulations of
the Colorado Department of Public Health
and Environment. Any alterations made
on this license will automatically make it
null and void.
POST IN A
CONSPICUOUS
PLACE
PR0007691
DR 0010 (01/18/12)
255.00
STATE OF COLORADO
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT
ACCOUNT NUMBER
use for all references
LIABILITY INFORMATION
ISSUE DATE
LICENSE VALID TO
DECEMBER 31
county I city induct. type liability date
T
month j day year
27968376
11/14/2014
2015
THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION:
Knock On Wood LLC
Sarah
8589 Ingalls Cir
Arvada, CO 80003
Knock On Wood
Mobile Unit
Arvada, CO 80003
THIS LICENSE IS NOT TRANSFERABLE
This certifies that licensee shown hereon
is authorized and licensed to engage
in business in accordance with the
provisions of the law and regulations of
the Colorado Department of Public Health
and Environment. Any alterations made
on this license will automatically make it
null and void.
POST IN A
CONSPICUOUS
PLACE
Estimate
Front Range Portable Restrooms, LLC
PO Box 2412
Longmont, CO 80501
303-570-5945
frpr@q.com
Name/Address
Mead Sugar Beet Festival
c/o Main Street Investments
Attn: Monica Baldwin
401 Main St
Lonamont CO 80501
Date
07/28/15
Estimate No.
Project
Terms
IFB-52
Quantity
Cost
Total
Item
Description
2015 Mead Sugar Beet Festival
Delivery &
Delivery & Set -Up
1
35.00
35.00
Set-up
400.00
Weekend
Weekend Service Only
5
80.00
Service Only
135.00
ADA Unit
ADA Unit Rental
1
135.00
75.00
Handwash
Handwash Station
1
75.00
Station
Total $645.00
RECEIPT
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BY
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AUG 1 2 2015
WEVp COUNTY
COMMISSIONERS
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MEIN
NOTiCE
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TO epNS1DEK- A Ecii4L £Y£Nr'�ERN1jT
LICENSE
AT: &ro OLt 1'R 32
PLATTEViuE, l'o 80451
HEARING ON APPLICATION TO BE HELD AT:
150 "p" STREET, GREELEr, Co 801,32
TIME AND DATE: SST 2a2a's of'tMk
DATE OF APPLICATION: July 1 , .2015
BY ORDER OF:WE1a c*wry CoMMissIONERS
OFFICERS: TES tea+ --?IkesibeNr
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AMMO OE U[ PLACE a M1UM OEUMONS M NEMONsoullas MAY Bo MID I
BUSINESS MN
To: Weld County Board of Commissioners
From: Deputy Lisa Carpenter
Date: August 7, 2015
RE: Mead Rotary Club Foundation, Inc.
Dear Commissioners,
I have researched and found no reported calls for service to the Mead Rotary Club
Foundation, Inc. Event, located at 6105 CR 32, Platteville, CO 80651 for the Calendar year of
2014 to present day.
I find no grounds for disapproval for the Special permit license.
Respectfully Submitted,
Deputy Lisa Carpenter
Community Resource Officer
Weld County Sheriff's Office
1950 "O" Street
Greeley, CO 80631
MEMORANDUM
3L'AJE
T Y
TO: Rafaela Martinez, Clerk to the Board DATE: 08/5/15
FROM: Janet Lundquist, Public Works
SUBJECT: Temporary Assembly Mead Rotary Club Foundation
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 250 vehicles will require parking on the property.
3. Use the existing access off WCR 13 instead of WCR 32.
4. Please utilize the submitted a Traffic Control Plan (TCP) prepared by a certified Traffic Control
Supervisor (TCS) from previous years.
5. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency
Management Agency (FEMA).
6. Please submit an Incident Management Plan for the Office of Emergency Management.
Page - 1 - of 1 August 5, 2015
C:\Users\ramartinez\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BBCGBZMY\Temp Assembly Mead Rotary Club 2015.doc
MEMORANDUM
To: Rafaela Martinez, Deputy Clerk to the Board August 7, 2015
From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services
Subject: LC0022
Review of the following Temporary Assembly Permit and the Special Events Permit by the Department of
Planning Services the following recommendations were noted:
Applicant:
Mead Rotary Club Foundation
16931 Potts Place
Mead, Co 80542
Property Owner:
Nick Sekich Jr.
6790 CR 32
Platteville, Co 80651
Location of Event:
6105 Weld County Road 32
Platteville, Colorado 80651
Dates and Time of Event:
September 26, 2015, 8:00 a.m. - 4:00 p.m.
General Information:
Zone District:
Comments:
Agriculture
• The Special Assembly permit states (#4) 300-500 people, while the Temporary Assembly permit
states (#4) states 200-250 people.
• Temporary Assembly states (#3) 10:00 AM - 4:00PM, while Special Events application (States
Application page) states 8:00 AM - 4:00 PM
• There are no outstanding violations on this site and staff has no issues with issuance of this
Temporary Assembly Permit or the Special Events permit.
SERVICE, TEAMWORK, INTEGRITY, QUALITY
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Rev. Date 2/08•Pan #l58279K'i1994-2008 FedEx•PRINTED IN U.S.A•SRS
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1. Article Addressed to:
.. ika,d 'Ac1. £ L Ab Founder rt
Emu+
Po &K Lola
11�ac( CO 805/.2-
2. Article Number
(Transfer from service label)
PS Form 3811, July 2013
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