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Home My WebLink About20152922.tiff RESOLUTION RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO AMERICAN CANCER SOCIETY, INC. - SEPTEMBER 19, 2015 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., Attn: Nancy Clark, 8221 West 20th Street, Suite A, Greeley, Colorado 80634, has presented to the Board of County Commissioners an application for a Permit for Temporary Assembly on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 5:30 p.m., on September 19, 2015, until 12:00 a.m., September 20, 2015, on property described as follows: 3695 65th Avenue, Greeley, CO 80634; being further described as part of Section 21, Township 5 North, Range 66 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has paid Weld County the sum of ONE-HUNDRED DOLLARS ($100.00) for said Weld County Permit for Temporary Assembly, and WHEREAS, having examined said application, the Board deems it appropriate to grant a Weld County Permit for Temporary Assembly to the American Cancer Society, Inc., and WHEREAS, said permit shall be issued subject to compliance with the terms and conditions as set forth in the application materials and upon the express condition and agreement that the temporary assemblage will be conducted in strict conformity to all laws of the State of Colorado and the Weld County Code, and WHEREAS, any violation to said terms and conditions shall be cause for revocation of said permit and forfeiture of bond. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that said Weld County Permit for Temporary Assembly on September 19, 2015, be, and hereby is, granted to the American Cancer Society, Inc., to conduct a temporary assemblage at the hereinabove described location, conditional upon compliance with the items listed above. 2015-2922 • LC0022 C:5U ClApp�; 9/17 PERMIT FOR TEMPORARY ASSEMBLY - AMERICAN CANCER SOCIETY, INC. PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 2nd day of September, A.D., 2015. BOARD OF COUNTY COMMISSIONERS docttiLA) �( ,�,/ WELD COUNTY, COLORADO ATTEST: &%• JC.�Gto•ck EXCUSED �-��Barbara Kirkmeyer, Chair Weld County Clerk to the Board / / ► 1 Freeman, Pro-Tern BY J /�. �. L_.� �' .., (, :``•��•,,�. _ c� yep:y Clerk to the Board - / f ® eu P. Conway . AP E TO FORM: S' ��`� Julie A. Cozad unty Attorney Steve Moreno Moreno Date of signature: q//y�J 2015-2922 LC0022 WELD COUNTY PERMIT FOR TEMPORARY ASSEMBLY By action of the Board of County Commissioners of the County of Weld, State of Colorado, taken this 2nd day of September, 2015, IT IS HEREBY GRANTED a permit for a temporary assemblage on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 5:30 p.m., September 19, 2015, until 12:00 a.m., September 20, 2015, on property described as: 3695 65th Avenue, Greeley, Colorado 80634; being further described as part of Section 21, Township 5 North, Range 66 West of the 6th P.M., Weld County, Colorado This permit authorizes American Cancer Society, Inc. to hold such an assemblage so long as it is in accordance with Chapter 12 of the Weld County Code and all other applicable State and County statutes and regulations. This permit is subject to compliance with the terms and conditions as set forth in the application materials and to additional conditions set forth by the Board and attached hereto. PERMIT APPROVED this 2nd day of September, 2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: datitet) EXCUSED Barbara Kirkmeyer, Chair Weld County Clerk to the Board / Mike Freeman, Pro-Tern BY: Itj !1 at( ■ iii r_ �— rJ D=• R y Clerk to e Board ��y,At . "% �" -4 ` - __ `tan P. Conway -14itusz 6, r a (1 i- Cozad • We • � 1 \` teve Moreno NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2015-2922 LC0022 NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 336-7215, Extension 4226, 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#: 2014-76 DATE: September 3, 2014 TIME: 9:00 a.m. APPLICANT: American Cancer Society Attn: Nancy Clark 8221 West 20th Street, Suite A Greeley, Colorado 80634 REQUEST: Application for a temporary assembly of more than 350 persons on September 20, 2014 LEGAL DESCRIPTION: Section 21, Township 5, Range 65 West of the 6th P.M., Weld County, Colorado LOCATION: 3695 65th Avenue Greeley, CO 80634 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: August 19, 2014 PUBLISHED: August 22, 2014, in the Greeley Tribune 2015-2922 Affidavit of Publication STATE OF COLORADO ss. County of Weld, I Kiara K.Garrett of said County of Weld, being duly sworn, say that I am an advertising clerk of THE GREELEY TRIBUNE, that the same is a daily newspaper of general circulation and printed and published in the City of NOTICE OF APPLICATION Greeley, in said county and state;that the notice or FOR TEMPORARY ASSEMBLY advertisement, of which the annexed is a true copy, Pursuant to the Weld County Code,a public hearing will be held has been published in said daily newspaper for in the Chambers of the Board of County Commissioners of Weld County,Colorado,Weld County Administration Building,1150 O consecutive(days):that the notice was published in Street,Assembly Room,Greeley,Colorado 80631,at the time specified. the regular and entire issue of every number of said 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 newspaper during the period and time of of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act,if publication of said notice, and in the newspaper tespecial acco hearing, ons are required tat in order for hyou Bads Of-- proper and not in a supplement thereof; that the pate in this hearing,please contact the Clerk to the Board's Of- I� p pp Tice at(970)336-7215,Extension 5226,prior to the day of the first publication of said notice was contained in the hearing. The complete case file may be examined in the office of the Seventeenth day of August A.D. 2015 and the last Clerk to the Board of County Commissioners,Weld County Ad- ministration Building,1150 O Street,Greeley,Colorado 80631. publication thereof: in the issue of said newspaper E-Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E-Mail bearing the date of the correspondence into the case file,please send a copy to rama- rtlnez@co.weld.co.us Seventeenth day of August A.D.2015 that said The DOCKET#: 2015-93 DATE: September 2,2015 Greeley Tribune has been published continuously TIME: 9:00 a.m. APPLICANT: and uninterruptedly during the period of at least six American Cancer Society,Inc. Attn:Nancy Clark months next prior to the first issue thereof 8221 West 20th Street,Suite A Greeley,Colorado 80634 contained said notice or advertisement above REQUEST: Application for a temporary assembly of more than 350 persons on September 19,2015 referred to; that said newspaper has been admitted LEGAL West of tthe 6th P.M.,N: Section 21,Township 5.Range 65 Weld County,Colorado to the United States mails as second-class matter LOCATION: 3695 65th Avenue Greeley,CO 80634(See Legal Description for precise location.) under the provisions of the Act of March 3, 1879, BOARD OF WELDCOUNTY,COLORADO SSIONERS or any amendments thereof; and that said DATED: August 12,2015 newspaper is a daily newspaper duly qualified for Aug 1 Tribune 015 publishing legal notices and advertisements within the meaning of the laws of the State of Colorado. August 17,2015 Total Charges: $9.86 j, ,I- 4a K 17th day of August 2015 My Commission Expires 6/14/17 Notary Public ROBERT LITTLE ti STA E OF COLOLRADO C NOTARY ID 2OO14O18494 ti MY commISS{ON EXPIRES JUNE 14,2017 APPLICATION FOR TEMPORARY ASSEMBLY INSTRUCTIONS TO APPLICANT: Complete each section and mark"N/A"where not applicable. Additional sheets may be attached and maps, sketches or drawings may be substituted for the verbal description of plans for the assembly site. All required information must be furnished before the application will be processed. NAME:American Cancer Society AGE: RESIDENCE: MAILING ADDRESS:8221 W 20th Street Suite A Greeley CO 80634 NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: 4 RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: (This must list all partners in a partnership, officers of an unincorporated association, society or group, or, if there are no officers, by all members of such association, society or group. IF A CORPORATION, ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION.) 1. Address and legal description of all property upon which the assembly is to be held:Property will be held at 3695 65th Avenue and is owned by St.Michael's Reservoir Estate LLC. Event will be held in a tent in the grass area bordering 37th Street. Legal Description:Section 21,Township 05, Range 66 West,Weld County Colorado. A. Name, residence and mailing address of the record owners of such property(Attach a notarized statement by the record owners of such property consenting to the assembly if application is not made by all of the record owners.) NAME: St.Michael's Reservoir Estate LLC. RESIDENCE:23691 Highway 263 Greeley,CO 80631 MAILING ADDRESS:23691 Highway 263 Greeley,CO 80631 NAME: RESIDENCE: MAILING ADDRESS: 0:b00ti000000ob0000000.000000 2. Nature or purposes of the assembly:Cattle Barons Ball(Fundraiser for the American Cancer Society) 3. Dates and hours during which the assembly is to be held:September 19,2015 5:30 pm to Midnight 4. Maximum number of persons to be allowed at assembly at any one time:1000 guests,275 Volunteers 5. The maximum number of tickets to be sold, if any:woo 6. Identify plans to limit number of persons to the maximum identified above: Event is private-by invitation. Tickets are all sold in advance.No ticket sales at the door. Security is provided to prevent unauthorized access to the event or onto the landowner's property. 7. Identify plans for supplying potable (drinking) water, including the source, number, and location of facilities, and type and means of disposing of waste deposited: Bottled water provided to guests and volunteers in various areas. Volunteers will collect trash within the arena in trash containers provided by FLEXX Productions. Dumpsters will be set up at various entrances/exits. 8. Identify the plans for holding, collecting, and disposing of solid waste materials: Volunteers will collect trash within the arena in trash containers provided by FLEXX Productions. Dumpsters will be set up at various entrances/exits. 9. Identify the plans for providing separate toilet facilities for males and females, including the source, number, and location, type and the means of disposing of wastes deposited: S and B Portable Systems is providing and attendant for 3 restroom trailers with separate facilities for males/females. They are also providing handicapped accessible restrooms. D:ti00 TOO 000UU'1)0UUUU00.0110000 10. Identify the plans to provide for medical facilities, including the location and construction of any structures, the names, addresses, and hours of availability of emergency medical technicians and nurses and provisions for emergency ambulance service: Notification of Milliken Fire Department,who will do a site visit prior to the event. Have an agreement that EMTs from ambulance service will be available on site during the event. �I 11. Identify the plans, if any,to illuminate the location of the assembly, including the source and amount of power,and the location of lamps: Power provided by generators. Light Towers will illuminate drop off and parking areas for guests and volunteers. Indoor Lighting will be provided by CEAVCO. Utility lights will be provided at entrances,bathroom areas,food service and volunteer areas by FLEXX Productions. 12. Identify the plans for parking vehicles, including size and location of lots, points of highway access and interior roads, including routes between highway access and parking lots: Vehicles will be parked on the property for volunteers,vendors&guests. Guests will be instructed to assess the property from Highway 34(coming from east&from west)turning south onto 65th Ave. Guests generally arrive between 5:30 and 8 pm.and will be departing from 10pm to Midnight. Volunteers arrive early(3:30-5pm)and will depart at various times depending on shift(8pm-after the event) 13. Identify the plans for communications with hospital, police, and fire services, including the source,amount,and location of communication equipment: Mobile communications and cell phones under direct of Donnie Patch,Commander with Weld County Sheriffs office. Command bus will be parked onsite to be on alert. I 14. Identify the plans for camping facilities, if any: N/A 0:`000 QUao0000'00000000.0U 0 DI M 15. Identify the plans for fire protection: Notification of Milliken Fire Department in advance of the event.Posting of required signage within the tent through FLEXX Productions. 16. Identify the plans for security, including the number of guards,their deployment,their names, addresses,credentials and hours of availability and description of peer group control,if any: Commander Donnie Patch is coordinating security. Security will be on foot and horseback,with vehicles available. Volunteer security on site during Saturday morning setup,September 19, 2015. Security on site for event afternoon and evening. Overnight security on Friday evening,September 18 and Saturday late night through early Sunday morning. 17. Identify the plans for sound control and sound amplification, if any, including number, location, and power of amplifiers and speakers: CEAVCO See attached contract. 18. If applicable, identify plans for meeting County health standards for food concessions and concessionaires who will be allowed to operate on the grounds, including the names and addresses of all concessionaires and their license permit numbers: Food will be catered through Kenny's Steakhouse. Matt Larson.3502 W 10th Street, Greeley CO 80634 Primary Contact: Matt Larson #03662770000 Expires: 12/31/15 19. Identify the plans, if any, for an electrical system: See contract for CEAVCO rioI] 000000'QU0OO D001100000 1 20. Identify the plans to ensure that trees, underbrush, large rocks, and other natural features shall be left intact and undisturbed, and natural vegetative cover retained, protected and maintained so as to facilitate drainage, prevent erosion, and preserve the scenic attributes; and the plans to abate dust on the site: Area will be overseen by landowner.American Cancer Society is working closely with landowner to ensure due diligence in protecting landowner's property. 21. Attach a statement by a bonding company licensed to do business in the State of Colorado indicating its intent to furnish a bond required in Section 12-1-30.B.13 of the Weld County Code to ensure performance by the applicant of each of the terms and conditions of the temporary assemblage permit. 22 Attach a statement by an insurance company licensed to do business in the State of Colorado stating its intent to provide liability insurance,as required by Section 12-1-30.B.14 of the Weld County Code, to protect against injury to persons or property occurring as a result of such an assembly. 23.' Submit$100.00 fee for each event where three-hundred fifty(350)or more people assemble or can reasonably by anticipated to assemble at any one(1) location, unless the location is properly zoned for such assembly, in which case one permit shall be required for the total number of events scheduled for that location for the reminder of the calendar year, not to exceed ten (10) events per year. As used herein, the term event means an assembly or anticipated assembly which is scheduled to last for three (3) consecutive days or less. BY THIS APPLICATION, APPLICANT(S) AGREES TO INDEMNIFY AND HOLD HARMLESS WELD COUNTY OR ANY OF ITS AGENTS,OFFICERS,SERVANTS,AND EMPLOYEES FROM ANY LIABILITY OR CAUSES OF ACTION WHICH MIGHT ARISE BY REASON OF GRANTING OF A TEMPORARY ASSEMBLAGE PERMIT,AND FROM ANY COSTS INCURRED IN DEFENDING AGAINST SUCH ACTIONS OR IN CLEANING UP ANY WASTE MATERIAL PRODUCED OR LEFT BY THE ASSEMBLY. 0:`000`00000000`00000000.000000 The applicant, and each of them, swears, (affirms)that, to the best of his knowledge, the statements contained in the application are true and correct. LZApplicant's signatt(re /\)C1 nc y . C foc.r� Applicant's printed name Sr yY)qrJ tsh uL h,ed Applicant's position FOQntS SUBSCRIBED AND SWORN to before me this /CIA day of , 20 /5 . Witness my hand and official seal. atililLoi g(wdifi- t ry Public My commission expiresU a2 , ap/8 RAFAELA ALICIA MARTIN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20144002878 MY COMMISSION EXPIRES JANUARY 22,2018 M:\CTB\CTBFOR MS\FOAS MB LY.DOCdoc 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, AMERICAN CANCER SOCIETY, INC. is an entity formed or registered under the law of New York 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 20031215132. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 08/07/2015 that have been posted, and by documents delivered to this office electronically through 08/10/2015 @ 11:28:39. 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 08/10/2015 @ 11:28:39 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation Number 9271611. Z ti • r X-v -...1.':!..:::--:.4.. -r "c"'-s x. -.¢1-4_ ` N i O 7..., A 09 i 1., '',..._.4k.... 4' cas4.(41... r''''f. yJ r t,j/414 tt3 4'4.0'14'1 1876 Secretary of State of the State of Colorado *********************************************End of Certificate******************************************** Notice:A certificate issued electronically from 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 Certificate Confirmation Page of the Secretary of State's Web site. http:/hvww.sos.state.co.us/biz/CertiftcateSearchCriteria.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 Business Center and select "Frequently Asked Questions." CERT_GS F Revised 08;20/2008 • Jj . • ≤ _ < 7 o I '� i RPSTR00RIS- RGSTR00RIS a ' G< f 3 3 3 suSMALLkOk .. 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M it 1 D • ;x: O1 y Iii I I A N Y u„ ` K 'l U al I �a � 2 a ( km„,BM,,i 43001 ___7-- in 21 3 —L J _ ca _ww ® / cL I I I h - I—, \E/ y, — z.ps5 z -I-H9V1S- ! • ,_ _ ,/,\ m ri \I/ in I� _ I .__ ! ,...„.,...? s ® q Cd C Iall a,n OOU +r „ y y f—t w�a N fA N+`• I a I :4,-° dO.O N f D ° LL-.... .7.".. ..._ SNO ONIdfl ' i s= il DR 0010(01/18/12) STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT ACCOUNT NUMBER LIABILITY INFORMATION use for all references C°' t�' city ISSUE DATE LICENSE BA TO Indust. gmliability date marsh i day � year DEC VALID EMBER31 F.. 0000 .0 3275 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: 1/1/1996IIMMEMI 2015 This certifies that licensee shown hereon KENNY'S STEAK HOUSE is authorized and licensed to engage 1 3502 0TH ST in business in accordance with the 3GRE 502 10 Y,CO 8O634 provisions of the law and regulations of O er: STAMPEDE STEAK RANCH LLC the Colorado Department of Public Health and Environment. Any alterations made on this license will automatically make it LICENSING AGENCY: WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT null and void. TREVOR JIRICEK,M.A.E.S.,DIRECTOR POST IN A ENVIRONMENTAL HEALTH SERVICES CONSPICUOUS PLACE • Department of Revenue. If you do not;check your Junk email folder. Once you have your Authorization Csxle return to Revenue Online via DR 0140(02/16/11) STATE DEPARTMENT OF REVENUE DENVER CO 80261-0013 COLORADO Must collect USE ACCOUNT LIABILITY INFORMATION i ISSUE DATE taxes for: NUMBER ^ — LICENSE VALID SALES TAX for all references tty Qty »ry tyP. ate e^+^^ �y year TO DECEMBER 31 LICENSE 00366277-0000 03-0057-017 L 050195 Nov 26 13 2015 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION THIS LICENSE IS NOT IN A CONSPICUOUS PLACE: STAMPEDE STEAK RANCH 3502 W 10TH ST GREELEY CO 8O631-5OO8 TRANSFERABLE IhthIIIIIhtIIIhI,t1IIl1Ilitltthllltlltn11,Iluu1.II,Ilullll,I KENNY'S STEAK HOUSE 3502 W 10TH ST GREELEY CO 80634-1824 601,44A-fL- 76141‘-k- Executive Director Department of Revenue ST. MICHAEL'S RESERVOIR ESTATE, LLC 23691 HIGHWAYS 263 GREELEY, CO 80631 July 30, 2015 American Cancer Society c/o Nancy Clark 8221 W. 20th Street, Suite A Greeley, CO 80634 Dear Nancy, With regard to your application for permits and license for the Cattle Barons Ball to be held Saturday, September 19, 2015 this letter sets forth the position of St Michaels Reservoir Estates, LLC as owner of the property where the American Cancer Society's Cattle Barons Ball event will be held. The location chosen for the event to occur is known as St. Michael's Reservoir Estate, LLC and is at 3695 65th Avenue Greeley, Colorado 80634.The mailing address for St. Michael's Reservoir Estate, LLC is 23691 Highway 263, Greeley, Colorado 80631. This letter verifies that St Michael's Reservoir Estate, LLC as owner of the property has granted permission for the event to occur at the date and location indicated above. St Michaels Reservoir Estate, LLC will have no role or liability in the activities of the event including license or permits. Respectfully, Art Guttersen Manager, St Michaels Reservoir Estate, LLC 970-978-8888 Page 3 of 6 Status: Reservation 1833 E.Harmony#i9 Contract#: 12685 FL EXX Fort Collins,CO 80528 Office:970.223.1195 Fax:970.226.0528 Event Beg: Sat 9/19/2015 5:00PM LENTS•EVENTS PARTY RENTALS n rod u Ct I o n s www.FLEXXproductions.con1 Event End: Sat 9/19/2015 11:00PM Operator: PHILIP Gottula (Customer#: 22 2 Terms: On Account American Cancer Society 970-350-5019 Phone 8221 W 20th Street Sutie A Job Descr: CBB 2015,Event 9/19 Greeley,CO 80634 Salesman: PHILIP Gottula Phone:970-223-1195 E-Mail: PHIL@FLEXXProductions.com Delivery and Pickup Delivery: Mon 9/14/2015 8:00AM-5:00PM Contact: Nancy Clark Pickup Date: Mon 9/21/2015 8:00AM-5:00PM Phone:970-396-9545 Location: Gutterson Ranch Used at Address: 3695 65th Avenue; Greeley, CO 80634 Delivery Notes: PG Main tent to start install 09/09 or 09/10 Del-start install 9/14/14. Pu 9/20/14-must be out end of day Thursday 9/24/14. Final counts to be received by 09/07/15 ACS to take napkins on Wednesday 9/15/15. FLEXX will start installing on 9/10/14, main tent. Cocktail tent on 9/12. Event date: Sept 19th 2015 Start un-install 9/20,off property by 9/24. Tables and chairs set by Thursday and linens on site. 8'Tables-Silent Auction 25, Live Auction, 2, Raffle 2, Sales 4, Bank&Vault 9, Kitchen 30, Photo 1, Registration 6, Beverage 2. Linens for 8'tables-Silent Auction 25, Live Auction, 2, Raffle 2, Sales 4, Bank&Vault 9, Photo, 1, Registration 6, Beverage 2. Qty Items Rented Each Price Guest Seating 1 Tent-66x98 Clearspan $10,672.20 $10,67220 S.A.Tent 10 Tent-Sidewall Solid-Clearspan 13hx16w $64.00 $640.00 .fir, 6 Tent-Sidewall Window-Clearspan 13hx16w $80.0 $480.00 Going on N side of tent 1 Structure Tent 132'x246' $76,309.20 $76,309.20 Includes solid walls 2 Tent Sidewall window-Clearspan 13hx16w $80.00 $160.00 Going next to exit near restrooms 1 Gutter between tents 15m(48') $540.00 $540.00 1 Tent-30x40 Clearspan $960.0' $960.00 Registration Tent 10 Tent-Sidewall Solid-Clearspan 8x10 $20.00 $200.00 1 Custom gutter between SA&Reg $540.0" $540.00 101 Table-Round 6' $12.25 $1,237.25 870 TBLC-Napkin-PLUM $0.65 $565.50 86 TBLC-120"Round-KHAKI $15.35 $1,320.10 150 TBLC-120"Round-BURGUNDY $15.35 $2,302.50 VIP 150 TBLC-Napkin-EGGPLANT $0.65 $97.50 VIP 1010 Chair-White Wood Style Padded $3. $3,535.00 1020 China-Silver Rim-Dinner $0.55 $561.00 101020 1020 Flatware-Steak Knife(Black Handle) $0.75 $765.00 1020 Flatware-Pearl-Dinner Fork $0.55 $561.00 1020 China-Silver Rim-SaladlDessert 7" $0. $581.00 Salad 2040 Flatware-Pearl-Salad/Dessert Fork $0.55 $1,122.00 Salad&Dessert Modification# 7 Printed On Fri 7/17/2015 3:34PM Software by Point-of-Rental Software www.point-of-rental.com Contract-Params.rpt(8) Contract#: 12685 American Cancer Society Pane 4 of 6 Qty Items Rented Each Price 1020 China-Silver Rim-Bread&Butter 6" $0.55 $561.00 For Dessert 202 China-Silver Rim-Bread&Butter 6" $0.55 $111.10 BB plates,2 per table 202 Flatware-Pearl-Butter Knife $0.55 $111.10 1020 Glass-Water 17oz $0.55 $561.00 750 Glass-Wine 13.5oz $0.55 $412.50 270 Glass-Wine 12oz $0.55 $148.50 Subbing in for reds 30 Glass-Crystal Water 16oz $1.65 $49.50 VIP 300 Glass-Irish Coffee $0.55 $165.00 40 Serving-Creamer White $6.35 $254.00 30 Serving-Thermal Coffee Pitcher White $4.00 $120.00 202 Serving-Salt&Pepper set $1.50 $303.00 2 sets per table 202 Serving-Bread Baskets Wicker $2.50 $505.00 2 per table 202 TBLC-Napkin-KHAKI $0.65 $131.30 85 Serving-Pitcher-Plastic $2.75 $233.75 1 .Trough-Metal 2 Keg $20.001 $20.00 Gt$si waters. Bars 10 Bar-6'Complete w/Linen&Skirt Black $75.00 $750.00 Bars 1-2 2 Trough-Plastic 1/2 Size $17.00 $34.00 For Stage bar 2 Trough-Metal 2 Keg $20.00 $40.00 For main bars 18 Table-Banquet 6' $7.50 $135.00 Bar backs 18 TBLC-90"x132"Bqt-BLACK $18.35 $330.30 Auction Tables, area items 6 Easel Tri-Pod METAL $10.00 $60.00 6 SA 1 Raffle Drum Brass $22.00 $22.00 81 Table-Banquet 8' $8.50 $688.50 See notes 51 TBLC-90"x156"Bqt-KHAKI $20.35 $1,037.85 See Notes 30 Chair-White Wood Style Padded $3.50 $105.00 Other activities,2 raffle,2 sales,Vault 2,Photo 2,Games 2,Reg 18,Production 2 Dance Floor, Main Stage 96 Dance Floor 4x4 Indoor/Outdoor $25.00 $2.400.00 24'x64' 30 Stage-Deck 4X8 $65.00 $1,950.00 Main stage 24'x40'x30" 35 Stage-legs 24"-36" $2.50 $87.50 145 Stage-legs 32"-56" $2.50 $362.50 1 Stage-4 Step Unit $55.00 $55.00 88 Stage-Skirting per foot $1 25 $110.00 80'for main 1 Stage-858 $130.00 $130.00 24"high-Auctioneer stage 24 Stage-Skirting per foot $1.25 $30.00 Restroom/Smoking area 12 Lighting-Par 64 Light $25.00 $300.00 2-for restroom#2.Color gels 12 Extension Cord 50' $4.65 $55.80 6 Extension Cord 3-way Plug $1.87 $11.22 Volunteer Area 1 Tent-Frame Tent 20x60 White KIT $735.00 $735.00 8 Tent-Sidewail White 8'x20' $40.00 $320.00 Modification# 7 Printed On Fri 7/17/2015 3.34PM Software by Point-of-Rental Software www.point-of-rental.corn Contract-Params.rpl(8) Contract#: 12685 American Cancer Society Page 5 of 6 Qty Items Rented Each Price 2 Tent-Frame Tent 10x10 $130.00 $260.00 4 Tent-Sidewall White 8'x10 $20.00 $80.00 1 Lighting-Tent Lighting Package $315.00 $315.00 20x60 and 2-10x10 12 Table-Banquet 8' $8.50 $102.00 3 TBLC-90"x156"Bqt-BLACK $20.35 $61.05 2 buffet,1 beverage 70 Chair-Folding Black $1.25 $87.50 Kitchen Gear 1 Tent-Pole Tent 40x80 White $1,440.00 $1,440.00 Food Prep Tent 11 Tent-Sidewall White 8'x20' $40.00 $440.00 3200 Flooring-Plywood Floor Per SOFT $1.85 $5,920.00 40x80 tent 2 Tent-Frame Tent 10x10 $130.00 $260.00 4 Tent-Sidewall White 8'x10' $20.00 $80.00 2 per tent 1 Tent-Frame Tent 20x20 white $270.00 $270.00 Kitchen Tent 2 Tent-Sidewall White 8'x2O $40.00 $80.00 1 Tent-Frame Tent 10X20 KIT $210.00 $210.00 Kitchen to main tent 2 Tent-Sidewall White 10'x10' $35.00 $70.00 1 Outside kitchen light and tent $385.00 $385.00 6 Lighting-Halogen 2-500W on Tri-Pods $25.00 $150.00 4 Flooring-Entry Rug 3'x5' $7.50 $30.00 Floor/cord covers 35 Catering-Bakers Rack Tall open $40.00 $1,400.00 6 Oven-Warming Tall Must have(240V/20 AMP)Outlet $150.00 $900.00 400 Serving-Sheet Pan $3.50 $1,400.00 40 China-Square-Dinner 11" $0.75 $30.00 App plates 100 Table-Leg Extenders $1.65 $165.00 30 Trash Can Plastic 32 Gallon with Liner $7.00 $210.00 MAKE SURE TO SEND LINERS 30 Pipe&Drape-8'Black Drape Panel $8.35 $250.50 Trash can wrap 5 Catering-Heat Lamp $25.00 $125.00 4 Oven-Convection wf 401bs propane $190.00 $760.00 1 Pot Burner Single w/propane 20LBS $28.00 $28.00 2 Hand Sinks Portable $160.00 $320.00 30 Catering-Bus Tub $4.00 $120.00 2 Water Tank 65 Gallon $95.41 $190.82 204 Serving-Gravy Boat SS 8oz $4.15 $846.60 10 Chair-Folding Green $1.15 $11.50 For Kitchen 2 Fire Extinguisher 5LBS $15.00 $30.00 3 Extension Cord WO' $6.65' $19.95 Kitchen/extras 5 Extension Cord 50' $4.65 $23.25 For Kitchen 5 Extension Cord 25' $3.65 $18.25 Kitchen/extras 11 Extension Cord 50' $4.65 $51.15 Kitchen/extras 1 AV-Podium Full Oak delux $75.00 $75.00 60 Pipe&Drape 8'(PerFT) $3.25 $195.00 Side of the stage 11 Weight Rubber 30LBS $4.00 $44.00 1 Beam clamps for Ceavco $360.00 $360.00 6 Clamps 1020 Set-Up Chairs $0.50 $510.00 1020 Take Down-Chair $0.50, $510.00 263 Take Down-Table $1.00 $263.00 Modification# 7 Printed On Fri 7/17/2015 3:34PM Software by Point-of-Rental Software www.point-of-rental.corn Contract-Params.rpt(8) Contract#: 12685 American Cancer Society Page 6 of 6 Qty Items Rented Each Price 263 Set-Up Tables $1.00 $263.00 1 Delivery/Pickup Greeley $375.00 $375.00 Thank you for your Business! Rental Contract IMPORTANT.PLEASE READ CAREFULLY BEFORE SIGNING: Rental: $134,380.24 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 writing by FLEXX Productions, Sales: $1,546.00 LLC("Lessor").The undersigned"Customer"or"Lessee"represents,warrants,covenants and agrees that he/she/it has carefully reviewed,understands,and agrees to the terms of this Contract(as well as all applicable Instructions and Addenda),has received Delivery Charge: $375.00 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. Subtotal: $136,301.24 Larimer County 3.5: $0.00 Total: $136,301.24 Paid: $0.00 Signature: American Cancer Society \., Amount Due: $136,301.24 Modification# 7 Printed On Fri 7/17/2015 3:34PM Software by Point-of-Rental Software www.polnt-of-rental.com Contract-Params.rpt(8) • IC'jE/AVCO ACS Cattle Baron's Ball 2015 AudioVisual Reservation No.: DEN38771 Prepared By: Joe T Hartman Version: 1 6240 W.54th Avenue CEAVCO Delivery 09/17/2015 08:00 AM Arvada CO 80002 CEAVCO Pickup 09/20/2015 02:00 AM Phone: 303-539-3500 Terms: Net 30 Fax: 303-539-3501 Client PO#: After Hours Emergency Pager-303-539-3505 Client: American Cancer Society/Greeley Ship To: Art Guttersen's 1678 8221 W.20TH STREET; SUITE A 3695 65th Avenue GREELEY,CO 80634 Greeley,CO 80634 Contact: Nancy Clark Contact: Phone: 970-350-5019 Cell Phone: Site Ph: Cell Phone: Fax: 970-356-9238 nancy.clark@cancer.org Room: Equipment Qty Item Description Days Unit Price Item Subtotal Audio Main Stage and Room Audio. Band audio and Live Auction 1 Line Array System,JBL VerTec 4888DP-AN 1.00 2000.00 2000.00 1 Scaffolding,2 Audio PA Tower,6' 1.00 100.00 100.00 2 Speaker Kit,4 JBL Dual 18"Subs 1.00 600.00 1200.00 1 Yamaha M7CL48 Mixer w/Rack Kit,(1)White Case 1.00 400.00 400.00 1 Yamaha M7CL48 Mixer w/Rack Kit,w/Dugan Automixer,(2)Black Case 1.00 400.00 400.00 1 ClearCom Music Kit,2 CCPhone&2 Flashers 1.00 80.00 80.00 1 Audio,Snake,250'W4 40 X 16 2 Way Iso Split,Kit 1.00 100.00 100.00 1 Speaker Kit,JBL SRX 712 4 Monitor Wedge w/NL4 Cable 1.00 400.00 400.00 3 Speaker Kit(2),VRX932 w/Power&Patch Cables 1.00 180.00 540.00 1 Rigging Kit,VRX932 3'(Compact Line Array) 1.00 0.00 0.00 1 Subwoofer Kit,VRX918 w/Power Cable&Adjustable Stand 1.00 180.00 180.00 1 Mic,Wired,Performance Microphone Kit#1 1.00 300.00 300.00 1 Trunk,XLR Cable for Performance Mic/Line Array 1.00 0.00 0.00 2 Podium Mic Kit,Countryman M4HP 18RF 1.00 35.00 70.00 2 Kit,Tripod Mic Stands 1.00 48.00 96.00 1 In Ear Monitor,Wireless,Shure PSM900 Kit(470-506MHz) 1.00 600.00 600.00 1 Mic,Wireless,Shure UHF R L3 System(4)HE(4)Lay,Kit 1.00 500.00 500.00 1 Intercom,Wireless Kit w/4 1 Channel TR700 Stations BTR700 B4 1.00 300.00 300.00 1 Mic,Wireless,Antenna,Helical Antenna,460-900Mhz/Kit 1.00 100.00 100.00 1 Radio Kit x 6 w/Charger 1.00 150.00 150.00 Sub Total 7516.00 Silent Auction Tent,Separate System with mic and overflow feed from main room 1 PA System,1402 VLZ3 With Cable 1.00 50.00 50.00 4 Speaker Kit,Single Powered Speaker w/Stand EON510 1.00 35.00 140.00 1 Mic,Wired,Handheld w/Switch SHURE,SM-58S 1.00 25.00 25.00 1 Stand,Mic Floor Stackable,Ultimate 1.00 5.00 5.00 Sub Total 220.00 Band Needs 1 Backline Gear* 1.00 2500.00 2500.00 Sub Total 2500.00 Audio Discountable Total 7736.00 CEAVCO Order:DEN38771 Printed On:07/16/2015 Page 1 of 5 x t -, 35%Discount (2707.60) Audio Total 7528.40 Lighting Stage Lighting,Basic system for event support and stage I Truss Kit,Upstage 43'x 16'OD 1.00 555.00 555.00 1 Truss Kit,Down Stage 60'20.5" 1.00 230.00 230.00 I Truss Kit,House 60'12" 1.00 170.00 170.00 1 Chain Motor(8),3 Phase,w/Controller Kit,.5TON/CS800 1.00 675.00 675.00 2 Lighting,Moving Head,MAC Viper Profile 2 Pack/kit 1.00 350.00 700.00 2 Light,LED Par 5 RGBWA l2ct Kit 1.00 360.00 720.00 8 Lighting Kit,ETC Source 4 Complete w/26°Lens 1.00 25.00 200.00 1 Lighting Controller Kit,Road Hog w/Wing Expansion 1.00 650.00 650.00 1 Dimmer Rack,48 Channel VX Series,Leprecon 1.00 350.00 350.00 1 Power Distro,200A Cam In/Out 9 L21-30;2 Soca Motion Labs 1.00 100.00 100.00 1 Lighting Accessory,Workbox tools and Supplies Kit 1.00 0.00 0.00 1 Lighting Control,Opto Splitter I in 6 out DMX 8863/5 1.00 50.00 50.00 1 Trunk,Lighting AC 6 CH SOCO Trunk(Denver) 1.00 0.00 0.00 1 Trunk,Cable AC 1.00 0.00 0.00 1 Cable,DMX,Lighting Support Kit 1.00 350.00 0.00 1 Trunk,Cable AC 2/0 Feeder 5 Wire 1.00 0.00 0.00 Sub Total 4400.00 Band Lighting,added gear to make the performance awesome! 30 Lighting Kit,ETC Source 4 PARNel w/Clamp 1.00 25.00 750.00 2 Lighting,Moving head,MAC Aura 6 Pack/Kit 1.00 450.00 900.00 2 Audiance Blinder* 1.00 50.00 100.00 6 Lighting,Moving Head,MAC Viper Profile/or Mac 700 1.00 175.00 • 735.00 Sub Total 2485.00 Small Stage Lighting 4 Lighting Kit,ETC Source 4 Complete w/10°Lens 1.00 35.00 140.00 2 Lighting Kit,ETC Source 4 PARNel w/Clamp and Bamdoor 1.00 25.00 50.00 Sub Total 190.00 Tent Lighting,Moving lights for ceiling effects and color and table illumination 4 Lighting,Moving Head,MAC Viper Profile* 1.00 175.00 700.00 8 Lighting,Moving Head,MAC Aura* 1.00 75.00 600.00 I Truss Kit,Lighting truss 10'x 4 1.00 400.00 400.00 Sub Total 1700.00 Followspots999 99 Sub Total 0.00 Dance Floor Lighting,dynamic moving lights for just the dance floor. 1 Lighting,Moving Head,MAC Viper Profile 2 Pack/kit 1.00 350.00 350.00 6 Lighting,Moving Head,MAC Aura* 1.00 75.00 450.00 Sub Total 800.00 Auction Area Tent,White light for tables and Colored back wall 1 Ground Supportt Grid 1.00 830.00 830.00 2 Crank Up Stand ALPS Kit W/Truss Adapter,496 lbs Max Load 1.00 0.00 0.00 2 Crank Up Stand ALP6500 Kit W/Truss Adapter,440 lbs Max Load 1.00 0.00 0.00 I Truss Kit,Uprights for Car 1.00 220.00 220.00 CEAVCO Order:DEN38771 Printed On:07/16/2015 Page 2 of 5 1 Dimmer Rack,24 Channel 20A,Sensor 24 1.00 250.00 250.00 1 Hog USB DMX Super Widget Kit 1.00 125.00 125.00 1 Monitor,LCD 23" 1080P HD w/Pedestal,Kit 1.00 125.00 125.00 1 Laptop,Windows 7,Office 2010,2.4GHz 8GB RAM 750GB HDD 1.00 50.00 50.00 1 Trunk,Ballroom Rigging Hardware/Denver 1.00 0.00 0.00 3 Lighting kit,Color Blast w/6 CB 12 TR 1.00 300.00 900.00 42 Lighting Kit,ETC Source 4 PARNel w/Clamp 1.00 25.00 1050.00 1 Cable,DMX 5 Pin 25' 1.00 0.00 0.00 1 Trunk,Lighting AC 6 CH SOCO Trunk(Denver) 1.00 0.00 0.00 1 Trunk,Cable AC 1.00 0.00 0.00 4 Lighting Kit,ETC Source 4 Complete w/50°Lens 1.00 25.00 100.00 4 Lighting Kit,ETC Source 4 Complete w/36°Lens 1.00 25.00 100.00 4 Lighting Kit,ETC Source 4 Complete w/70°Lens 1.00 25.00 100.00 Sub Total 3850.00 Key Lighting and Specials,additional lighting for booths,bars,and attractions 4 Dimmer,Slim Dimmer,1.8kW Dimmer,LEX 1.00 40.00 160.00 4 Dimmer,Slim Dimmer,1.8kW Dimmer,With DMX,LEX 1.00 40.00 160.00 12 Light,Source 4,575 Watt Lamp,w/Stage pin AC 1.00 15.00 180.00 6 Light,Source 4 70°Lens 1.00 15.00 ' 90.00 6 Light,Source 4 90°Lens 1.00 15.00 90.00 4 Light,Source 4 36°Lens 1.00 10.00 40.00 4 Light,Source 4 19°Lens 1.00 10.00 40.00 Sub Total 760.00 Sponsor Gobo's on tent,4 in total on tent wall 6 Lighting Kit,ETC Source 4 Complete w/26°Lens 1.00 25.00 150.00 4 Gobo* 1.00 95.00 380.00 Sub Total 530.00 Lighting Discountable Total 11750.00 35%Discount (4112.50) Lighting Total 10602.50 Video System 3 Screen system for Auction and Imag. Single Camera 3 Christie Roadster HDI OK-M 1080 HD 3 Chip DLP Projector 10,000 Lumens 1.00 1200.00 3600.00 1 Scaffolding,2 Screen Tower,4'-I0'High w/Cart 1.00 100.00 100.00 1 Truss Kit,Projector Stand 1.00 125.00 125.00 3 Screen,Draper StageScreen Kit,9'x 16'Black Frame w/Fabrics(Flown)(16:9) 1.00 300.00 900.00 1 Switcher,HD/SD AW-HS50N Show Kit 1.00 550.00 550.00 2 Laptop,Windows 7,Office 2013,2.4GHz 8GB RAM 750GB HDD 1.00 125.00 250.00 1 HDSDI Converter,Grass Valley ADVCGI,Kit 1.00 150.00 150.00 1 Camera Kit,DXC-D50WS 1.00 700.00 700.00 1 Presentation,PerfectCue,Cue Light w/2 wireless actuators 1.00 60.00 60.00 6 Tent hanger* 1.00 75.00 450.00 Discountable Sub Total 6435.00 35%Discount (2252.25) Net Amount 4632.75 Client to provide security in the building Need lift and generators in place Thursday 8am. 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 CEAVCO Order:DEN38771 Printed On:07/16/2015 Page 3 of 5 JLG E300AJP Electric Boom Lift 1 Truck Ramp,Use for Semi with no dock access 1.00 0.00 0.00 Sub Total 0.00 1 53'Truck* 1.00 1200.00 1200.00 1 26'Truck* 1.00 850.00 850.00 2 Travel Expenses,Hotel* 1.00 150.00 300.00 Sub Total 2350.00 *indicates non-discountable items Labor Personnel Qty Rate RT OT DT Subtotal Set up Labor Thursday On-Site Coordinator/Manager,Day Rate* 1 650.00 1.00 650.00 Audio Operator(Al),Day Rate* 1 550.00 1.00 550.00 Lighting Director(LD),Day Rate* 2 550.00 1.00 1100.00 Master Electrician* 2 500.00 1.00 1000.00 Lighting Operator,Day Rate* 10 475.00 1.00 4750.00 Audio-Video Technician,Day Rate* 2 475.00 1.00 950.00 Rigger* 3 500.00 1.00 1500.00 Video Engineer* 2 550.00 1.00 1100.00 Focus and Rehearsal Friday 5pm-10pm On-Site Coordinator/Manager,Day Rate* 1 650.00 1.00 650.00 Audio Operator(Al),Day Rate* 1 550.00 1.00 550.00 Lighting Director(LD),Day Rate* 1 550.00 1.00 550.00 Master Electrician* 1 500.00 1.00 500.00 Video Engineer* 1 550.00 1.00 550.00 Show Labor Saturday fpm-2 am On-Site Coordinator/Manager,Day Rate* 1 650.00 1.00 4.00 1040.00 Audio Operator(Al),Day Rate* 1 550.00 1.00 4.00 880.00 Audio Operator(A2)* 1 475.00 1.00 4.00 760.00 Lighting Director(LD),Day Rate* 1 550.00 1.00 4.00 880.00 Master Electrician* 1 500.00 1.00 4.00 800.00 Lighting Operator* 1 475.00 1.00 4.00 760.00 Video Engineer* 1 550.00 1.00 4.00 880.00 Camera Op by cleint Strike Labor Sunday Morning On-Site Coordinator/Manager,Day Rate* 1 650.00 1.00 650.00 Stage Hand* 16 475.00 0.50 3800.00 Rigger* 3 500.00 1.00 1500.00 CEAVCO Order:DEN38771 Printed On:07/16/2015 Page 4 of 5 • Summary Contract Notes Equipment 32501.00 Delivery-Shipping 2050.00 Sales&Expenses 300.00 Labor 26350.00 Damage Waiver 0.00 Service Charge 0.00 Shipping Comments Discount 9737.35 RLCOLO Sales Tax 72830 Order Amount $52,191.95 Your signature indicates that you agree to be bound by all CEAVCO Audio Visual terms and conditions which 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. Accepted and agreed (Printed Name) Date CEAVCO Order:DEN38771 Printed On:07/16/2015 Page 5 of 5 0 RECEIPT DATE g-10-1S __ NO. 8 8 2 7 7 vRECEIVED FROM C �� .an� . `),�C11�� `-'10 N &tU m° co ADDRESS J o r ° i and vo s; 3,wo. U ° o m FOR 1O Y CO Tu O 2 c7d Chac1�.*'1457 � Ud (� HOW PAID CASH / !� 7 CHECK %COO 00 BY a f oLtt, MONEY ORDER o RECEIPT DATE S-/o_15 NO. 88278 (� n 1 o m cq RECEIVED FROM C S w.&j -!0 !J tL4Ak ,:, m° co ADDRESS �J y = -2 LcrL2 e -1-04.1\19 tkix) claw It 1 o $6,15.G0 U ° o FOR -a ` m m m m p \* 14-151,U0_ C HOW PAID �i CASH L800C2a k (-- 4 CHECK A5 Co BY (1 _/t _ 7 MONEY ORDER RECEIPT DATE S -16-75 NO. 88279 F2 URECEIVED FROM ain. LCA.rL �,Q,l'I t,Qh)\].LN.Ld J C/o A/Q � &4/L& . m° co ADDRESS JJ o , N. OU —r �uL'laUld t1 told �D �� $ . U ° o Cu'C FOR -o CO a) _ 't a 2 0 HOW PAID l.l11Jr'� I�f 55 /JJl.. CASH I n}' "-1 CHECK -\V_ m BY ��IIIII0�I.� rl_`�' MONEY �/ J1�.Y�i""_ '� ORDER NANCY G CLARK 1455 1820 MONTVIEW BLVD 23-7/1020 2617 GREELEY CO 80631-5227 O 1/014.5-- 9176510651 L� Date Pay to the 6')Qiell d)zi nl-zo dover-hboopri- I $ aey) ea Order of J Wn A tL Ad e4)at T /42) Dollars n F:EFL !W. I, WELLS vVeBs Fargo Bank N.A. FARGO Colorado ,} /�a rn#sfargucum Q(-.. en! / I'c ! For Le3 6 . /-e.rnp - 1y- NANCY G CLARK 1456 1820 MONTVIEW BLVD 23-7/1020 2617 GREELEY,CO 80631-5227 Pjail& 9176510551 nn Date (Pay to the 5--al.() Di- )lbr' � J $ Order of j''; g p / Q 12�/ L' g. aD/lGe.) Dollars 8 =P. il:2w as e w{:t.l.n wells Fargo Bank N.A. 7 Rd:u woeNsfar9o0 m co 3 D For 6,� 1tD� r'M�y �� C. GI�[l�J fr. NANCY G CLARK 1457 1820 MONTVIEW BLVD GREELEY,CO 80631-5227 23-7/10202617 8 pat/ 91765105.51 Date Pay to the y , ��J� �,�[ ,/ Order of ZA) &Y:D �/ 00-e4,710fiJ $ 3 , po e �A `'I' Q _ e Fvaiurvi walla oe l' eau WELLS Welts Fargo Bank,NA FARGO welistar gn.com - for___ 68'L7 /1.4tiaj _ ..011... From: Haffner, Gene [mailto:Eugene.Haffner@bannerhealth.com] Sent: Friday, May 29, 2015 10:28 AM To: Wagy, Mitch E Cc: Nancy Clark Subject: ACS Cattle Baron's Ball Thank you for your time on the phone this morning, Mitch. This email is to confirm that the Banner Health North Colorado Medical Center Paramedic Services will be providing dedicated on-site coverage for the 2015 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 19 at the St. Michael's Reservoir Estate of Art Guttersen (65th Ave. south of Hwy. 34 bypass) from 5:30 p.m. — midnight. Nancy Clark 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 be in touch with you. Her contact information is: nancy.clarkAcancer.org Nancy Clark I Senior Development Manager, Distinguished Events Great West Division I American Cancer Society, Inc. 8221 W 20th St Suite A Greeley, CO 80634 Phone: 970.350.5019 I Mobile: 970.396.9545 I Fax: 970.356.9238 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. Thanks, Off& Gene Haffner Director, Public Relations Banner Health North Colorado Medical Center 1801 16th St., Greeley, CO 80631 970-810-6133 office 970-810-6644 fax Banner Health We exist to make a difference in people's lives through excellent patient care • 1-2 SA FAMILY OWNED COLORADO TRADITION FOR MINAAWN 8� OVER 30 YEARS! DATE: FEBRUARY 12, 2015 S Et B Porta-Bowl Restrooms, Inc. 3263 Oakland St, Aurora CO 80010 Phone 303-341-6800 FAX 303-341-6828 www.sbprestrooms.com CUSTOMER BILLING ADDRESS: EVENT OR SITE NAME: Cattle Barons Ball Cattle Barons Ball LOCATION: 3695 65th Ave, Greeley, CO DELIVERY DATE Et TIME:Friday, September 18, 2015 EVENT START TIME: Saturday, September 19, 2015, 5:30P EVENT END TIME: Saturday, September 19, 2015, 1:OOA REMOVAL DATE Et TIME:Monday, Sep 21, 2015 Restroom Trailer Contract QUANITY DESCRIPTION UNIT PRICE 1 Royal Manhattan Restroom Trailer $2,995.00 1 Royal Oasis ADA $2,450.00 4 Just Like Home Restrooms $1,150.00 2 Attendants Included 2 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 Et 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 Et 6 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. 2-2 The Royal Manhattan — will sit 32' long and Id Q JLH units are 45" 15' wide with steps �1i' long and 42"wide deployed. The Royal Oasis ADA will { i sit 17' wide and 28' long t] when ADA ramp is set in place. The ADA ramp also requires an additional 6' in width to accommodate ! Customer is responsible for ensuring that S Et 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 Et B will make every effort to deliver, remove or service at scheduled times. S& 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 3/4" 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 Et 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 Et 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& B all costs of collection, including reasonable attorney fees if incurred on any delinquent amounts owed to S & B. By signing below, you agree that you have read, understand and agree to all of the terms and conditions listed above. Sign Name Print Name Title Date Contract prepared by: Carlos Gonzalez 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 303-341-68OO. TOLL FREE 866-893-9OO1. FAX 3O3-341-6828. Rafaela Martinez From: Nancy Clark [nancy.clark@cancer.org] Sent: Tuesday, August 11, 2015 5:46 AM To: Rafaela Martinez Cc: Nancy Clark Subject: RE: Special Event and Temporary Assembly Permit Applications Cattle Barons Ball Attachments: S & B Combined Contract 2015.pdf; Ambulance Agreement 2015.docx Rafaela— I am attaching both the ambulance agreement and the portalet agreement. I am working on the COI - thank you! Nancy Clark I Senior Development Manager, Distinguished Events Great West Division I American Cancer Society, Inc. 8221 W 20th St Suite A Greeley, CO 80634 Phone: 970.350.5019 I Mobile: 970.396.9545 I Fax: 970.356.9238 cancer.org 11.800.227.2345 American THE OFFICIAL SPONSOR -�- OF BIRTH AYS BBB. C 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. From: Rafaela Martinez [mailto:ramartinez@co.weld.co.us] Sent: Friday, July 24, 2015 11:47 AM To: Nancy Clark Subject: Special Event and Temporary Assembly Permit Applications Good Morning Nancy, Per our phone conversation this morning, attached is the Special Event and Temporary Assembly Applications. Just a reminder that they do need to be submitted to my office at least 30 days prior to the event. Please call or email me with any questions or concerns. Have a lovely weekend! Rafaela A. Martinez Deputy Clerk to the Board 1150 O StreetIP.O. Box 758Preeley, CO 80632 tel: (970) 336-7215 X5226 err 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 rik -Illil = Rafaela Martinez From: Donnie Patch Sent: Tuesday, August 11, 2015 3:45 PM To: Rafaela Martinez Cc: Nancy Clark Subject: Re: American Cancer Society-Security Agreement The Sheriff's Posse will be providing security for this event. Thank you, Donnie Patch Lieutenant Weld County Sheriff's Office Sent from my iPhone On Aug 11, 2015, at 15:25, Rafaela Martinez<ramartinez@co.weld.co.us>wrote: Good Afternoon Donnie, I am now processing the Temporary Assembly and Special Event Applications for the American Cancer Societies' Annual Cattle Baron's Ball. It is my understanding that the Sheriff's Office will do again this year, as they have done in years past, to provide some type of"Security" for the event. If this is indeed correct, I just need confirmation so that I may add this to their file, as a Security Agreement is required. Thank you and have a wonderful rest of your week! Rafael,'a. Martinez Deputy Clerk to the Board 1150 O Street/P.O. Box 7581 Greeley, CO 80632 tel: (970)336-7215 X5226 ---,*'=',,,+sx,_ r 61 r IN 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 MEMORANDUM To: Rafaela Martinez, Deputy Clerk to the Board August 14, 2015 {U I From: Bethany Pascoe, Zoning Compliance Officer II, Dept. of Planning Services G u_o 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: Nancy Clark 8221 West 20th Street, Suite A Greeley, Colorado 80634 Location of Event: 3695 65th Ave Greeley, CO 80631 Dates and Time of Event: September 19, 2015 5:30 p.m. to midnight General Information: Zone District: A(Agricultural) No overnight camping shall accompany this Temporary Assembly permit or Special Events permit. 1000 guests + 275 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". SERVICE,TEAMWORK,INTEGRITY,QUALITY \1861' MEMORANDUM Cllr TO: Tammy Waters, Clerk to the Board DATE: 08/12/15 ICL, GouNTY 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. The roadways adjacent to property are not maintained by Weld County. 5. Please submit an Incident Action Plan for the Office of Emergency Management. Page- 1 -of 1 August 12,2015 C:\Users\ramartinez\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BBCGBZMY\Temp Assembly American Cancer Society 2015.doc 139199 DATE ACCDRO CERTIFICATE OF LIABILITY INSURANCE 8/31/2015 YYI 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 CONTACT Alexander Mortimer NAME: Commercial Lines—(404)923-3700 PHONE 404-923-3732 I FAX 877-362-9O69 IA/C,No.Exti: (A/C,No): Wells Fargo Insurance Services USA, Inc. E-MAIL ADDRESS: alexander.mortimer@wellsfargo.com 3475 Piedmont Road NE,Suite 800 INSURER(S)AFFORDING COVERAGE NAIL Jt Atlanta,GA 30305-2886 INSURER A: Federal Insurance Company 20281 INSURED INSURER B: American Cancer Society, Inc. INSURER C 250 Williams Street INSURER D: INSURER E: Atlanta,GA 30303 INSURER F: COVERAGES CERTIFICATE NUMBER: 9486692 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. I POLICY EFF POLICY EXP LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD//YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 35943463 09/01/2015 09/01/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED I CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000 MED EXP(Any one person) $ 2,500 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 25,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION STATUTE I I OERH AND EMPLOYERS'LIABILITY Y/N N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:COIR0000173;Weld County Government; 1150"O"Street;Event Date:September 19,2015 Greeley,CO 80634 Certificate of Liability CERTIFICATE HOLDER CANCELLATION Weld County Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1150"O"Street ACCORDANCE WITH THE POLICY PROVISIONS. Greeley,CO 80634 AUTHORIZED REPRESENTATIVE 9(4-444 The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) 139199 DATE(MM/DDNYYY) AC ORE) CERTIFICATE OF LIABILITY INSURANCE 8/29/2014 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 CONTACT Alexander Mortimer NAME: Commercial Lines—(404)923-3700 PHONE 404-923-3732 I FAX 877-362-9069 (A/c.No.Extl: 1 fAIC Nol: Wells Fargo Insurance Services USA,Inc. ADDRESS: aexander.mortimer@wellsfargo.com 3475 Piedmont Road NE,Suite 800 INSURERS)AFFORDING COVERAGE NAIC# Atlanta,GA 30305-2886 INSURER A: Federal insurance Company 20281 INSURED INSURER B: Pacific Indemnity Company 20346 American Cancer Society,Inc. INSURER C: 250 Williams Street INSURER D INSURER E: Atlanta,GA 30303 INSURER F COVERAGES CERTIFICATE NUMBER: 8109212 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER IMM/DDNYYY) (MMlDD/YYYY) A X COMMERCIAL GENERAL LIABILITY 35943463 9/1/2014 9/1/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO ICLAIMS-MADE X OCCUR PREM SES Ea occutD e nce) $ 300,000 MED EXP(My one person) $ 2,500 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 25,000,000$ X POLICY JECT PRO LOC PRODUCTS-COMP/OP AGO $ 2.000,000 OTHER: $ A AUTOMOBILE LIABILITY 73563471 09/01/2014 09/01/2015 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accdent) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB _OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ r I $ B WORKERS COMPENSATION 71741355 09/01/2014 09/01/2015 X STATUTE [ l EERH AND EMPLOYERS'LIABILITY1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Cattle Barons Bali St Michael's Reservoir 3695 65th Ave Greeley,CO 80634 Event Date: 9/20/14 Setup: 9/11/14 Takedown: 9/25/14 CERTIFICATE HOLDER CANCELLATION Weld County Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1150"O"St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Greeley,CO 80631 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) Rafaela Martinez From: Lisa Carpenter Sent: Wednesday, August 26, 2015 1:50 PM To: Rafaela Martinez; Lisa Carpenter Subject: RE: Special Event and Temporary Assembly Application -American Cancer Society, Inc. To, Weld County Commissioners From: Deputy Lisa Carpenter Dates August 26, 2015 RE: American Cancer Society, Inc. Dear Commissioners, I have researched the calls for service to the American Cancer Society event located at 3695 65th Ave, Greeley, CO 80634. There are no reported calls for service from 2014 through this calendar year. I find no grounds for disapproval for the Special Event and Temporary Assembly Application. Sincerely, Deputy Lisa Carpenter Weld County Sheriffs Office 1950 "O" Street Greeley, CO 80631 970-673-5927 From: Rafaela Martinez Sent:Tuesday, August 11, 2015 3:21 PM To: Dan Joseph;Deb Adamson;Bethany Pascoe;Tom Parko Jr.;Lisa Carpenter;Janet Lundquist; Roy Rudisill; Bob Choate Subject: Special Event and Temporary Assembly Application- American Cancer Society, Inc. Good Afternoon Everyone, In accordance with the procedure for Temporary Assembly and Special Event checks, please review all records on the following document for any associated reports/incidents during the last year and return your report to the Weld County Clerk to the Board's Office within two weeks. Your report will be used by the 1 Board of County Commissioners in considering the Temporary Assembly application and the Special Events Permit. PLEASE RESPOND NO LATER THAN: August 31, 2015 Applicant: American Cancer Society, Inc. File Location: LC0022 Thank you so much and have a wonderful rest of your week? Rafaela A. Martinez Deputy Clerk to the Board 1150 O Street I P.O. Box 7581 Greeley, CO 80632 tel: (970) 336-7215 X5226 Icidsimage001.jpg@0I D0D449.564 3F620] 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 1$61 Memorandum ITETO: Rafaela Martinez (QTY ,G � FROM: Dan Joseph SUBJECT: Temporary Assembly Application DATE: August 26, 2015 CC: Cindy Salazar; Debra Adamson In response to your request, Environmental Health Services has reviewed the Temporary Assembly Permit for the American Cancer Society, located at 3695 65th Avenue, in Greeley, Colorado. After reviewing the application, the Department does not have any additional requirements or concerns. Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at djoseph(a,co.weld.co.us. Thank you. cc: Cindy Salazar, Environmental Health Services Deb Adamson, Environmental Health Services Hello