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Home My WebLink About20150490.tiff RESOLUTION RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY ON APRIL 18 AND 19, 2015 (ALTERNATE DATES ARE APRIL 25 AND 26, 2015, IN THE EVENT OF POOR WEATHER) - MARTIN AND BERTA GUTIERREZ WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, Martin and Berta Gutierrez, 7717 County Road 31, Fort Lupton, Colorado 80621, have presented to the Board of County Commissioners an application for a Permit for Temporary Assembly on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 11:00 a.m., until 5:00 p.m., on April 18 and 19, 2015 (alternate dates April 25 and 26, 2015 in the event of poor weather), on property described as follows: 7717 County Road 31, Fort Lupton, Colorado, 80621; being further described as Lot B of Recorded Exemption #3375; being part of the E1/2 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has paid Weld County the sum of ONE-HUNDRED DOLLARS ($100.00) for said Weld County Permit for Temporary Assembly, and WHEREAS, having examined said application, the Board deems it appropriate to grant a Weld County Permit for Temporary Assembly to Martin and Berta Gutierrez, and WHEREAS, said permit shall be issued subject to compliance with the terms and conditions as set forth in the application materials and upon the express condition and agreement that the temporary assemblage will be conducted in strict conformity to all laws of the State of Colorado and the Weld County Code, and WHEREAS, any violation to said terms and conditions shall be cause for revocation of said permit and forfeiture of bond. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that said Weld County Permit for Temporary Assembly on April 18 and 19, 2015 (alternate dates April 25 and 26, 2015 in the event of poor weather), be, and hereby is, granted to Martin and Berta Gutierrez to conduct a temporary assemblage at the hereinabove described location. CC;5Daisa-au-ptnfet) 2015-0490 3I51?O'S LC0022 PERMIT FOR TEMPORARY ASSEMBLY— MARTIN AND BERTA GUTIERREZ PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of February, A.D., 2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: d( s ,`,�,,,// • EXCUSED .aC�to � Barbara Kirkmeyer, Chair Weld County Clerk to the BoardrirYLK:—( l tna / • Mike Freeman, Pro-Tem De.ut Clerk to the :oa��` 1136 1" r"� ..+ste Con ay APPROVED AS TO FOR , in/ (17J *y--•S It' J /�C zad County Attorney ®� � Steve Moreno Date of signature: % a7 2015-0490 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 18th day of February, 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 11:00 a.m., until 5:00 p.m., on April 18 and 19, 2015 (alternate dates April 25 and 26, 2015, in the event of poor weather), on property described as: 7717 County Road 31, Fort Lupton, Colorado, 80621; being further described as Lot B of Recorded Exemption #3375; being part of the E1/2 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado This permit authorizes Martin and Berta Gutierrez to hold such an assemblage so long as it is in accordance with Chapter 12 of the Weld County Code and all other applicable State and County statutes and regulations. This permit is subject to compliance with the terms and conditions as set forth in the application materials and to additional conditions set forth by the Board and attached hereto. PERMIT APPROVED this 18th day of February, 2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ;ii EXCUSED CA.6u+K/ jej Barbara Kirkmeyer, Chair Weld County Clerk to the Board I Mike Freeman, Pro-Tem BY. A. . .� / �e�.:. : I / /�♦ �. De u ; Clerk to the Eoarr . `� .e., I•� Co• ay P lie A. ozad teve Moreno NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2015-0490 LC0022 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: Berk) G,nd- 7`)1.Ghd,n (u ev✓ez✓ AGE: b C RESIDENCE: '111 CR- 3/ Ff.kLajmc,Ca. .!Yoc%/ MAILING ADDRESS: 5t�m e ac 6 X11 oJC (303),22,3-¢555 NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: (This must list all partners in a partnership, officers of an unincorporated association, society or group, or, if there are no officers, by all members of such association, society or group. IF A CORPORATION, ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION.) 1. Address and legal description of all property upon which the assembly is to be held: 77/7 Ce.a( Ft.).dyofangCn• €O4a/ i-oi 8 . g /2 eP secf/on ,l8, %ewnshi f oZ Aki ,. r ritn3c. 106 eof -Me z/" P.M. We) CD s1/4) fedorado 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: Max-fin ( e•rrt≥. RESIDENCE: 77/7 C.ckM y 21a4 37 F4Inapion .Ca. Sot -j MAILING ADDRESS: 54,rne 4,6 G..fil0t NAME: ISeiff-a. a.. C1u '!e Yrn- RESIDENCE: ']'7/7 eou.A.ty k0G.d 8( Ef, L.tp/ortia tabo/ MAILING ADDRESS: &me. a5 I�oUG o:v[minutia oo on000n 000.00Imo 2015-0490 2. Nature or purposes of the assembly: 1-loys Ra.G a Even+ tour zse c5 evovide- 401 Clad. ef'tfe1fai'm �tc� GoY c,4i re 6 mei lies 3. Dates and hours during which the assembly is to be held:0 Ovi l 'Pr d- NM" c D4.( CODa..f t. Jo S!CAE a (G)fet'ho.fe- doi, c ri l £s1L ¢ ,.lo rl PCtther permtHes) 4. Maximum number of persons to be allowed at assembly at any one time: D"cox; if l,Soo LopeotC,'e 14) 5. The maximum number of tickets to be sold, if any: n✓hts 6. Identify plans to limit number of persons to the maximum identified above: e-r.' 'i `I 5 wt.r4s will he rnslvuded. -I-Q elese vi-Fryp_4-esonce an maxi nuLwt kis br vn (fr e ?qv' 4-icke.f �o,hl (1r. Issue& upon evierin j $tere-Pore k,.-yiru 1 0t axr0t1At of peog1)e i eveid-. 7. Identify plans for supplying potable (drinking) water, including the source, number, and location of facilities, and type and means of tclisposing of waste deposited: Laker pa l) be P 6Vi deal ithrok5Akd &Yea— . ter Ut1Q he ek -1- a..shean< & &>mntere441 cLrampete% 4 i dfsposir5 a- -fret-Sit evs . p ly lontfles 8. Identify the plans for holding, collecting, and disposing of solid waste materials: i4Cefns -4•k io cknlit even* area, . Ciohrr will be ✓espan.s;hle -loe Chimed04G elran l4p ed-i-eY a ✓crtf. 9. Identify the plans for providing separate toilet facilities for males and females, including the source, number and location, type and the means of disposin9of wastes deposited: Iln r,l site w; i ico≤ Zete.. will be. unr4Ex pouf a jnnt . ' mpa-ny a sef egeyip 44, Pick -I-kern tie. t-(erell4 p 1-61le-ft -fc lil+ es LA);tf [� a1,/Et l6.hle as Wel/ 0 0 00 0 0000 0 0 0 00 000 000.000000 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: 1/04,4,0 4"so_ Ca tri. vv) Pm 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: i✓/79 Even+ -/-o ikt. held durin5 daytime I day/<5A1 hours 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: pleded' See- Cd-f-aeh vn ea d' 13. Identify the plans for communications with hospital, police, and fire services, including the source, mount,and location of communication equipment: Qr me r and Se��,�i- y have a.lt flht am is &t 8n P$1 r ear reri red 14. Identify the plans for camping facilities, if any: 0:b 00`0000000 0'00 000000.000000 15. Identify the plans for fire protection: F4 . Lu,p+on Vt Or d) et- 1.6 1.3 rri/cc -From evOS `(pare. ,j. 11 be Na teEst O t t r A,,,y I,'rrY0. 16. Identify the plans for security,including the number of guards,their deployment,their names, addresses,credentials and hours of availability and description of peer group control,if any -Rocky rnolvrik a !-V, Sgeu.r .45I p fr 5e. seer, G n1-, vnen* 4 17. Identify the plans for sound control and sound amplification, if any, including number, location, and power of amplifiers and speakers: 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: Ql1t. -FDod JericimS told be. re pi feet 4a he. I ice4%Rect. please see a_-I-keiit in e4ct (5) 19. Identify the plans, if any, for an electrical system: n. /,9 0:000'0000000000000000.000000 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: p/ft © y) cf.e I d 4444 Attach a statement by a bonding company licensed to do business in the State of Colorado �� P Y 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. A m gg; 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. rrd... 429 O i 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. 0.171101:101100 00 0'0000008.000000 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. 6_ �� -O4 pplit�,.¢s 5ru�na01td.rc Applicant's signature ect &dia- A . m € nce) 6t,,fie ✓YCZ ilpp(scutits rein-tea Vs,anLe. Applicant's printed name Owner owner' Ft pp/Ica—t 's pbsi t/ on Applicant's position SUBSCRIBED AND SWORN to before me this Ant day of Jan 20 IS ) 4 `t'/ dab:mat. Witness my hand and official seal. CoGllrc"G. oriA Notary Public My commission expires: ESTHER E. GESICK NOTARY PUBLIC STATs (es' COLORADO NOTARY ID 19974016478 LY COMMISsI,.N EXPIRLS SEPT. 29, 2017 State of(I1s(atif do _County of a Sighed before me on this 204k day Nobvy Public Address 610 1 SDQ21 My Commission Expiros 01/2-I 21011c? DAWN KOSHIO GILLESPIE NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20104038580 My convulsionRifles September 21,2018 MACTB\CTBFORMS\FOASMBLY.DOCtloc NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 336-7215, Extension 5226, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Administration Building, 1150 O Street, Greeley, Colorado 80631. E-Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E-Mail correspondence into the case file, please send a copy to ramartinez@co.weld.co.us DOCKET #: 2015-16 DATE: February 18, 2015 TIME: 9:00 a.m. APPLICANT: Berta and Martin Gutierrez 7717 County Road 31 Fort Lupton, CO 80621 REQUEST: Application for a temporary assembly of more than 350 persons on April 18 and 19, 2015 (alternate dates April 25 and 26, 2015 in the event of poor weather) LEGAL DESCRIPTION: Lot B of the Recorded Exemption #3375, being part of the E1/2 of Section 28, Township 2 North, Range 66 West of the 6th P.M., Weld County, Colorado LOCATION: 7717 County Road 31, Fort Lupton, Colorado 80621 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: February 3, 2015 PUBLISHED: February 6, 2015, in the Greeley Tribune Affidavit of Publication STATE OF COLORADO ss. County of Weld, I Cassie Clarken of said County of Weld, being duly sworn, say that I am an advertising clerk of THE GREELEY TRIBUNE, 1 that the same is a daily newspaper of general circulation and printed and published in the City of Greeley, in said county and state;that the notice or advertisement,of which the annexed is a true copy, has been published in said daily newspaper for consecutive(days): that the notice was published in NOTICE OF APPLICATION the regular and entire issue of every number of said FOR TEMPORARY ASSEMBLY newspaper during the period and time of Pursuant to the Weld County Code,a puo,rc heating wit be had of said notice, and in the newspaper In the Chambers of the Board of County Commissioners of Weld publication County,Colorado,Weld Courtly Adrmrnstration building 1150 o and not in a supplement thereof; that the Street,Assembly Room,Greeley,Colorado 80631,at the time proper P pP specified. If a court rttporler is desired,please advise the Clerk to the first publication of said notice was contained in the Board.in writing,at least five dor prior of the hearing.The cost Sixth day of February A.D. 201 and the last of engaging a court reporter etaRir ba borne by the requesting party..In accordance with 1ho Americans with'Disabilities Act,it publication thereof: in the issue of said newspaper special accommodations are required in order for you to parties- pale in this hearing pase contact the Clark to the Hoard's Of- bearing the date of the fice al(970)336.7215,Extension.5220,prior to the day of the heating. Sixth day of February A.D. 2015 that said The The complete case file may be examined in the office of the Clerk to the Hoard of county Commisaloners,Weld County Ad- Greeley Tribune has been published continuously mmistration Building,11500 Street,Greeley,Colorado 80631 E-Mall messages sent to an individual Commissioner may not be and uninterruptedly during the period of at least six Included in the case hie.le ensure inclusion of your E-Mail wi- res ndence into the case file,please send a copy to ramartin- months next prior to the first issue thereof eZ�CA.WeId.CO.Us contained said notice or advertisement above DATE.February 1:20I5-8,2015 referred to; that said newspaper has been admitted TIME:9:00 a.m. to the United States mails as second-class matter APPLICANT: Berta and Marlin Gutierrez under the provisions of the Act of March 3,1879,or nt County Road 31 any amendments thereof and that said newspaper Fort Lupton,CO 00621 , is a daily newspaper duly qualified for publishing REQUEST Application fora temporary assembly of more than r 350 persons on April 18 and 19,2015(alternate dales April 25 _, legal notices and advertisements within the and 26,2015 in the event poor weather) LEGAL DESCRIPTION,Lot B of the Recorded Exemption meaning of the laws of the State of Colorado. 03375,being part of Ina 51/2 of Section 28,Township 2 North,:T Range 66,West of the 6th P.M.,Weld County,Colorado February 6, 2015 LOCATION:7717 County Road 31,Fort Lupton,Colorado 00621 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS Total Charges: $11.66 WELD COUNTY.COLORADO DATED-February 3.2015 The Trtwrla Februaay 6,2015 4‘t‘-- 6th day of February 2015 My Commission Expires 6/14/2017 Notary Public ROBERT LITTLE.. NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20014018494 MY COMMtgglpN - •RE8 JUNE 14,2017! Page: 1 Customer ID: DEN-05637United Site Services of Colorado, Inc. 1.571:ited Order No: 0-494695 Order 0 SITE SERVICES- s: Terms: Due 0 Upon Receipt Customer Service: 1400-864-5387 ORDER P.O. No: Salesperson: Brett L.Angell Cust.Serv.Rep.: Bill RANCHO CAPORAL Ship MARTIN GUTIERREZ HORSE EVENT To: MARTIN GUTIERREZ To: APRIL 18 & 19, 2015 7717CR31 7717CR31 FORT LUPTON, CO 80621 PORTABLE RESTROOM SERVICES FORT LUPTON, CO 80621 Items Rented Item/Description Quantity Rental Term From/Thru Unit Price Total Price DXR 12 04/17/15 75.00 900.00 Deluxe Restroom Each 04/20/15 DELIVER BETWEEN **3 PM -5 PM** FRIDAY *CALL MARTIN ON SITE TO CONFIRM SPOTS* PICKUP ANY TIME MONDAY DW 12 04/17/15 10.00 120.00 Damage Waiver Each 04/20/15 ADA 2 04/17/15 115.00 230.00 ADA Wheelchair Accessible Each 04/20/15 DWP 2 04/17/15 10.00 20.00 Damage Waiver Each 04/20/15 2SS 5 04/17/15 75.00 375.00 2 Station Sink Each 04/20/15 DW 5 04/17/15 10.00 50.00 Damage Waiver Each 04/20/15 SPC-ALL 19 04/19/15 21.95 417.05 Event Service Sun (6-9am) Each 04/20/15 Remit To:United Site Services,PO Box 53267,Phoenix,AZ 850724267 Subtotal: 2,112.05 Total: 2,112.05 Signature Date: 1 Page: 1 d . Customer o: 0-49465537 United Site Services of Colorado, Inc. Order ID: DEN-056 SITE SERVICES- Order Date: 01/09/15 Terms: Due Upon Receipt Customer Service: 1-800-864-5387 ORDER P.O. "o Salesperson: Brett L.Angell Cust.Serv. Rep.: Bill RANCHO CAPORAL Ship MARTIN GUTIERREZ HORSE EVENT To: MARTIN GUTIERREZ To: APRIL 25 &26, 2015 7717 CR 31 7717 CR 31 FORT LUPTON, CO 80621 PORTABLE RESTROOM SERVICES FORT LUPTON, CO 80621 i Items Rented I Item/Description Quantity Rental Term From/Thru Unit Price Total Price DXR 12 04/24/15 75.00 900.00 Deluxe Restroom Each 04/27/15 DELIVER BETWEEN **3 PM -5 PM**FRIDAY *CALL MARTIN ON SITE TO CONFIRM SPOTS* PICKUP ANY TIME MONDAY ti- tS TUC DW }}_ I-hilt rrc, O` €-$- 04/24/15 10.00 120.00 Damage Waiver IF-- you 0 tic_ To 04/27/15 ADA �5K� nit 04/24/15 115.00 230.00 ADA Wheelchair Accessible AfR (1 $(S rt t)4$r 04/27/15 DWP 2 04/24/15 10.00 20.00 Damage Waiver Each 04/27/15 2SS 5 04/24/15 75.00 375.00 2 Station Sink Each 04/27/15 DW 5 04/24/15 10.00 50.00 Damage Waiver Each 04/27/15 SPC-ALL 19 04/26/15 21.95 417.05 Event Service Sun (6-gam) Each 04/27/15 Remit To:United Site Services,PO Box 53267,Phoenix,AZ 85072-3267 Subtotal: 2,112.05 Total: 2,112.05 Signature Date: Esther Gesick 0 Subject: FW: Horse Race Coverage 2015 From: Wagy, Mitch E Sent: Tuesday, January 20, 2015 10:05 AM To: Berkheimer, Megan A (Megan.Berkheimer@bannerhealth.com); Bressler, Dave; Fain, Marilyn G ( Zp.- IC Cc: ramartinez@co.weld.co.us . Subject: Horse Race Coverage 2015 1fritC�� Martin, As you requested Banner Paramedic Services will be providing ACLS/Ambulance coverage to Martin Gutierrez for his horse races for the 2015 year on April 18th and 19th with a weather date of 25th and 26th if need. Address a``legal Description : 7717 WCR 31 Fort Lupton Co, 80621 @ 150.00 per Hour. — ��- /// / - _ _ / awi:,3i 96 a tm ¢ f x as , ₹.J;:a m fe a s"a1( a - ;ui_ � N`. � , ssl ;"P' .h ts .,'F" ��3 �'w de. ..�.vi. ,-r - E ., Respectfully, Mitch Wagy Assistant Chief Banner Health/ NCMC Paramedic Services 1121 M Street Greeley, CO 80631 970-381-2392 cell 970-392-2435 work Mitch.wagy@bannerhealth.com �11- _ Banner Health* "We exist to make a difference in people's lives through excellent patient care." ***PRIVILEGED & CONFIDENTIAL *** Unless expressly stated otherwise, this message (and any attachment(s) thereto) is confidential and may be privileged. It is intended for the addressee(s) only. If you are not an addressee, any disclosure or copying of the contents of this e-mail or any action taken (or not taken) in reliance on it is strictly prohibited. If you are not an addressee, please inform sender immediately and delete this message from your system I NORTH DENVER ANIMAL CLINIC 1/2 7150UE ST. DENVER,COC 80229 / U ,,n 303-288-8200 LA.)Lion-+ / r /Ay 6O-,vein /. tUe Ca�� s s o,4Pts 4E -A o✓! - cc, // VPrer,lar,s -7 fW r-4e EAce� 5 r"NUT j, // ti / // , Ae of 4r MG/ n•� 6 1Te/e2 S ranc4 Apt; / r4 e eire-s Gre 67(de ) y /9 or 9-.2s- , 6/-2 6 , i C r%ece arc pectic-Fs /ease cc,/( Mt. office giilCeret' if �/ A IZchho( e scarf- 91, 1,0 a EXHIBIT I �s• OMRD fY^ it- gig $ E0 .TS d¢1NlLl7 '. iF - ! --,»erli ii JULIE x— — -- .— —.aa � •.cdeim x-•• _.. 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S8AMH E 11 / ROCKY MOUNTAIN HIGH SECURITY, LLC. 6475 South Cody Street 303-973-8301 Littleton, Colorado 80123 720-922-2904 fax January 13 2015 Ref:Event April 18 and 19 2015 Mr.Martin Gutierrez,Rocky Mountain High Security LLC.will provide Security for your event on April 18, 19 2015 and rain date of April 25 and 26,2015.Our company will provide twelve armed officers with radios and cell phones.five officers speak Spanish.Our officers have First Aid,CPR training.I have been in contact with the Weld County Sheriff Office about the number of officers we will have at the event. Please post the No Firearms or Alcohol allowed signs at the gates.We are License,Bonded and Insured.A deposit has been paid for this event and the balance due at time of service.Our company has provided security for this event for the past four years without having to call the Weld County Sheriff for any kind of incident. If you have any questions please contact us at 303 973 8301 Rocky Mountain High Security LLC. James A.Swaen CEO 1k 2/11/15 12 : 16PM MST David Simon Agency -> Rafaela 9703367233 Pg 2 DATE(NMIDIAYWY) t !12 -06P CERTIFICATE OF LIABILITY INSURANCE 01/13/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED • REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. M the certificate holder la an ADDITIONAL INSURED, the pollcy(les) must be endorsed. M SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an embalmment Astatament on this certificate does not confer rights to the &IRlneate holder In Roll of such endorsement(a). PRODUCER LUN IAr,I NAME. DAVID SIMON INSURANCE PHONE LA:Co En) 303 659-9065 I ac.Na:(900)726 3179 420 Court Place A—DCRBEES: b�br ighton@gmail,con' Brighton, CO 80601 PRODULARCUSTOMER IDs: INSURERS) AFFORDING COVERAGE NAILS INSURED INSURER A'. Scottsdale Insurance Company Martin Gutierrez INSURER B: 7717 County Road 31 INSURER C Fort Lupton, Co. 80621 INSURER 0'. INSURER E INSURER F'. COVERAGES CERTIFICATE NUMBER; REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INea CAM OF INSURANCE ADEL SU POLICY k}F POLICY LXP LIMBS LIE MISR END POLICY NUMBER 1MM/00/YYYY) (MM/DO/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 I O/ COMMERCIAL GENERAL LIABILITY PREMI E LIADE t r S Ea ocairelce) $ 100,000 JCLAIMS-MADE ej OCCUR MED EXP(Any one moon) $ 5,000 A APP17184186 04/18/2015 04/20/2015 PERSONAL AADVPULPY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AUG $ 2,000,000 J POLICY f JECT Fl LOC AUTOMOBILE LIABIUTY COMBINED SINGLE LIMB $ (E93410000) ) ANYAUTO BODILY INJURY(Per person) $ ALLOWNED AUTOS BODILY INJURY(PH SCREW) S SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) NON-OWNED AUTOS S I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ S WORKERS COMPENSATION I WC STATU. $ pTH AND EMPLOYERS'LIABILITY YI N TORY LIMITS f 1 ER ANT PROPER IGWPANINkMA:XECUINk ID NIA E.L.EACH ACCIDENT $ OFFICER:MEMBER EXCLUDED? f 1 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS NAST E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Meth ACORD 101,AWIIlonal RemerksSMedub,I!maeepecele reeuked) Special Events Policy Two Day Horse Race Event Scheduled to be held on 04-18-2015 and 04-19-2015 Weather Permitting or it will be held on 04-25-2015 and 04.26-2015 at 7717 County Road 31 Fort Lupton, Co. 80621 CERTIFICATE HOLDER CANCELLATION Weld County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1150 O Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Greeley, C.O. 80632 AUTHORIZED REPRESENTATIVE $ David Simon ® 1988.2009 ACORD CORPORATION.All rights reserved. ACORD25(2009/09) The ACORD name and logo are registered marks of ACORD ..,,,..V.. ,.,,.. .,. .. e... I$IQuL • A p l�rl ey r •• 'LICENSE'to OPERATE F� TAIL Fd0 ,� . ACCOUNT NUMBER LIABILITYIPVORMSIION t T , tr ;• F n.J R um fordFoleronaa MEW Si I S Mel May tie , TIME LICENSE MUST BE POSTED Al THE FOLLOWING LOCATION: • • TACOS JUNIOR ,:S ^` .I�; n MOBILE UNIT• WELD COUNTY,CO.80631 �" i »r*osjiat. • .(<a ° Ji "• as + Ivi. .r L �. ��7�y � � riat"�!:r"a > 4. M� M 7, nor q i7 { ^'ir'"'ll}NDrA q" i tr y1v �� I i L"•vS V ,,4 p 1 i a� .� lief/Pr r ,( i5 .SI CiiV f al h .� ) Jr". ��"f�ltyk�a ^�, g�,` ' ..� � i I '• r_ a /31� ,41 A Detach Nero \\J\Ick:\A‘ O,\:\R• • • • 01/30/2015 11:01 3032884307 NORTH DENVER ANIMAL PAGE 02/02 NORTH DENVER ANIMAL CLINIC 7150 LAFAYETTE Sl DENVER,COC 8022 303-288.8201 G W404-I i r 174y CD.nce/n • tue /cC' CG„yry co,440,j.5Sio re/'S 1/2_ /1 At re on - cc, 1/ vere/, ,4,-'4., _ !rr rye r4Ce.S tAgo 4t. i // Lim Aeof 4 r M4rri.,, 4 6Q mere z s rant4 in Apt; ( . The r4(e 4reS 5•rt e(de..- -/-y- it 1 y-'9 or Li 02 C 1 y-,1 6 . 2 L /4cre Cr! mil( 7 0a•ce . glitlEi �iilLC�ie(„ {fin /, Q� "Act escort 3/415! giff FillihE t! girlr' f RECEIPT DATE 1-o2O-cRogs NO. 87943 o m n RECEIVED FROM wv((Atw G( t V O on ° ADDRESS DM- Mt,ldhd /w �l �n FOR � G� (/ _ Kenna- `!N �i ��I V.J BY MEMORANDUM To: Rafaela Martinez, Deputy Clerk to the Board January 30, 2015 f" From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Review of the following Temporary Assembly Permit by the Department of Planning Services shows the following: Applicant and Location of Event: Berta & Martin Gutierrez 7717 County Road 31 Fort Lupton, Co 80621 Zone District: A(Agricultural) Dates of Events: April 18, 2015&April 19, 2015 or April 25, 2015 and April 26, 2015 (weather alternate date) My records indicate that Mr. & Mrs. Gutierrez own 2 (two) separate adjacent properties: 1309-28-1-00-058 (consists of approximately 10 acres) 1309-28-1-00-059 (consists of approximately 36.19 acres) Therefore, total number of LIVESTOCK(i.e. horses, cattle, etc)could not exceed 184(46 acres x 4= 184). Again, their application states APPROXIMATELY 1500 people which does not set an exact attendance limit. No active violations were noted. SERVICE,TEAMWORK,INTEGRITY,QUALITY 1861 MEMORANDUM ��1�1 Ir`' 3�C 0UN l� FROM:Si I Janet Martinez, undquist Public Wor ks DATE: 02/09/15 cuTYSUBJECT: Temporary Assembly Gutierrez Horse Racing Event The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows: REQUIREMENTS: 1. No parking will be allowed on Weld County Roadways. 2. Approximately 1,500 vehicles will require parking on the property 3. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 4. The applicant submitted an acceptable Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS) 5. Please submit an Incident Action Plan for the Office of Emergency Management. Page- I -of 1 February 9,2015 C:\Users\ramartinez\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BBCGBZMY\Temp Assembly Gutierrez Horse Race 020915.doc To: Weld County Board of Commissioners From: Deputy Lisa Carpenter Date: February 11, 2015 RE: Martin Gutierrez/Horse Racing Event Dear Commissioners, I have researched and found no reported calls for service to 7717 WCR 31, Fort Lupton, CO 80621 for the Calendar year of 2014 to present day. I find no grounds for disapproval for the Temporary Assembly Permit. Respectfully Submitted, Deputy Lisa Carpenter Community Resource Officer Weld County Sheriffs Office 1950 "O" Street Greeley, CO 80631 Rafaela Martinez From: Dan Joseph Sent: Friday, February 13, 2015 12:53 PM To: Rafaela Martinez Subject: RE: 2015 Temporary Assembly Application - Martin Gutierrez No issues with this one either. The event has been pretty good in the past. The food vendor had a few issues, but not the event itself. Dan Joseph CP-FS Food Program Coordinator Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley, CO 80631 phone: 970.304.6415 x 2206 fax: 970.304.641 1 + " .1661:�® 1, 111 r � p :9u!�T Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise protected from disclosure.If you have received this communication in error,please immediately notify sender by return e-mail and destroy the communication.Any disclosure,copying,distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Rafaela Martinez Sent: Monday, January 26, 2015 8:24 AM To: Dan Joseph; Deb Adamson; Bethany Pascoe; Frank Piacentino; Lisa Carpenter; Janet Lundquist; Roy Rudisill; Bob Choate Subject: 2015 Temporary Assembly Application - Martin Gutierrez Good Morning 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 Board of County Commissioners in considering the Temporary Assembly application and the Special Events Permit. PLEASE RESPOND NO LATER THAN: February 9, 2015 Applicant: Martin and Berta Gutierrez File Location: LC0022 Thank you, Rafaela.1. Martinez Deputy Clerk to the Board 1150 O Street/P.O. Box 758/Greeley, CO 80632 tel: (970)336-7215 X5226 1 U.S. Postal Service,-. CERTIFIED MAILTM RECEIPT D' (Domestic Mail Only;No Insurance Coverage Provided) o" F r.elivery inf•rmati nvlait •urwe.site at www.us•s.co co 0 M1 Postage $ 2/I^ m a 4,P Certified Fee O Return ReceiptFee Postmark (Endorsement R Requiretl) Here (Endorstedement Delivery Fee m (Entl trsemem Required) ru Total Postage&Fees $ Sent To 1 larfin 33ser4t '( axca M1 Street,Apt.No.; or PO Box No. •77/7 i�, wt.:Ro_ 1 3' City,State,Z/P+4 wM1M tCL.J/ !AQ .J. Souzi SENaE': C�M'LETETHISSECTIeN C•M•LETETHISSECTlw •N•ELIV •Y • Complete items 1,2, and 3.Also complete A. Signature.' item 4 if Restricted Delivery is desired. ❑Agent • Print your name and address on the reverse Xi///�/, , .dressee so that we can return the card to you. B. Received by(Printe•i�. e) C. Date• Del ery • Attach this card to the back of the mailpiece, or on the front if space permits. L •al J �u_ 3 I r I D. Is delivery address different from item 1? O Yes 1. Article Addressed to: If YES,enter delivery address below: O No fuser-hn E 12:02A-0_ Gu#ta.rrea 77(7 C2w,ty-i oo4 31 Fort Lupton, en 204,2, 3. Service Type Certified Mail® O Priority Mail Express" ❑Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7004 2890 0003 5708 9943 Transfer from service label) PS Form 3811,July 2013 Domestic Return Receipt Hello