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HomeMy WebLinkAbout20152896.tiff RESOLUTION RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO MEAD ROTARY CLUB FOUNDATION -SEPTEMBER 26, 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 Mead Rotary Club Foundation, 16931 Potts Place, Mead, Colorado 80542, 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 10:00 a.m. until 4:00 p.m., on September 26, 2015, on property described as follows: 6105 County Road 32, Platteville, Colorado 80651; being further described as the SW1/4 of Section 18, Township 3 North, Range 67 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has 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 Mead Rotary Club Foundation, 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 WHEREAS, the Board deems it advisable to waive the bond and on-site paramedic requirements, as requested by the applicant, and WHEREAS, any violation to said terms and conditions shall be cause for revocation of said permit. 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 26, 2015, be, and hereby is, granted to the Mead Rotary Club Foundation to conduct a temporary assemblage at the hereinabove described location. 2015-2896 �.C=S�o q/i� �coo22 PERMIT FOR TEMPORARY ASSEMBLY - MEAD ROTARY CLUB FOUNDATION PAG E 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the foilowing vote on the 31 st day of August, A.D., 2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CO RADO ATTEST:(� �� � � � ��� ��-�� C/.�Q���NJ r'Barbara Kirkme er Chair Weld County Clerk to the Board � �/�/ . "1 • """�z��-'���� � Mike Freeman, Pro-Tem , BY: �De u Clerk to the oard ��� Sean P. Con ay APPROVED AS TO FORM: ' lcG�v /� i�� � e A. Cozad y ' ��, County Attorney /�/���'- ���� teve Moreno Date of signature: � � 2015-2896 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 31st day of August, 2015, IT IS HEREBY GRANTED a permit for a temporary assembiage on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 10:00 a.m. until 4:00 p.m., on September 26, 2015, on property described as: 6105 County Road 32, Platteville, Colorado 80651; being further described as SW1/4 of Section 18, Township 3 North, Range 67 West of the 6th P.M., Weld County, Colorado This permit authorizes the Mead Rotary Club Foundation 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 31 st day of August, 2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CO ORADO ATTEST:G.��'�:iW! � �tD�� .L arbara Kirkmeyer, Chair Weld County Clerk to the Board r���'I�v — n � Mike Freeman, Pro-Tem BY: �.��- '-7` De u Clerk to th Board �,/� an P. C way � iest � �; � ie A. ozad �p Q�a� D��'Z-e—�-�.� tLJ Steve Moreno NOTE: THIS PERMIT MAY BE REVOKED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2015-2896 LC0022 OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE I, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, Mead Rotary Club Foundation is a Nonprofit Corporation formed or registered on 10/02/2008 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20081524989. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 09/03/2015 that have been posted, and by documents delivered to this office electronically through 09/08/2015 @ 08:18:02. I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, authenticated, issued, delivered and communicated this official certificate at Denver, Colorado on 09/08/2015 @ 08:18:02 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation Number 9298725. # � ,� . � . .� ..{�� - � � - • r � � � f�v� ti ` . . a �' Secretary of State of the State of Colorado �**�*�***�****�***+************�******r******End of Certiticate**�*******************»**�********��******�* Notice: 4 certilicate lssued electronical(v li�ont the Colorado Secretary o1 State's Web site isJullv and imn:eclia(e!y valid and el�ective. However, a.c an option, the rssieance and vnlidin�of a certiJicnte ohtaiaed electr•onica!!t�mav be estnhliched bv visrting the CertiJicate Confirmation Page of the Secretary o/ Stute's Web site, http//www sos state.co us/hiz/CerlificateSearchCriteria.do entering d2e certircute's conJir�natioii nuniber displc{ved on the certiJieute, und%ollowing the instri�clioi�s drsplaved Con/irming the issunnce oJ a certificate is merel�ptional and is nol �zecessar-v to the valid and e�ective i.csciance ofa certiTcate. Fnr more inJo�'�rratfon, vi.sit oa�r Web site, http://www.sos.state.co.us/c[ick Bu,siness Center-mid select "Frequentli'Asked Questioizc." CER7_GS D Revr.re�(0R/20/2008 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, Assembly Room, 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, Assembly Room, 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 #: 2015-90 DATE: August 31, 2015 TIME: 9:00 a.m. APPLICANT: Mead Rotary Club Foundation, c/o Nick Sekich Terry Enright Terri Hatch 6790 County Road 32 1212 Twin Peaks Circle 169331 Potts Place Platteville, Colorado 80651 Longmont, Colorado Mead, Colorado 80542 80503 REQUEST: Application for a temporary assembly of more than 350 persons on September 26, 2015 LEGAL DESCRIPTION: The SW1/4 of Section 18, Township 3 North, Range 67 West of the 6th P.M., Weld County, Colorado LOCATION: 6105 County Road 32, Platteville, Colorado 80651 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: August 12, 2015 PUBLISHED: August 17, 2015, in the Greeley Tribune 2015-2896 ��; - 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, NOTlCE OF APRLi�ATt4N F4R TEMPORARY ASSEMBLY that the same is a daily newspaper of general Pursuant t�the ttield Caurrty code,a pub�ic hearing wi�l pe held CICCU�cltlOri 3riC�pTillteC� al]C� pllb�lSlle(� in tlle City Of in the Char.�bers of the Board of Counry Commissioners ot Weld County,Colorada.Weld Counry Adminisiration Building.Assem- GiC@Iey, in said county and state; that the notice or bly Room,7150 O StreeL Greeiey.Colorado 80631,at the time SPe°'f'e°. advertisement, of which the annexed is a true copy, If a court reporter is ciesired,please advise the Clerk to the aoa�a,��W��cmy.ar iea5�r��e days P�;or of�,,e hez,;,,y Tne�ost has been published in said daily newspaper for of engaging a court report�r shall be bome by Ihe requesting party. In accordance with the Americans with Disahihties Act,if consecutive(days): that the notice was published in special accommodations are required in order for you to partici- Pate�n tn�s hea�;�9,piea�e�o��a�t u,e cie�k to,nE a�a�d;o�- the regular and entire issue of every number of said fice at(9701 336-7275,Extension 4226,prior to ihe day of the nea"n�. newspaper during the period and time of The complete case file may be examined in the offic2 of.the Clerk[o the Board of County Commissioners.!Neid County.aa- publication of said notice, and in the newspaper ministration Building,Assembly Room,1150 O Street,Greeley. Colorado 80631. F-Mail messages sent to an individual Com- (�C0�70C and not in a supplement thereof; that the missioner inay not be included tn the case tile To ensure inclu- f rSt pUb�IC3t101]Of S31C�IlotlCe WaS C0rit11T10C1 lri t�le sion of your E-Mail correspundence mto the case file..please Sena�°°"y`°eyes�°k��°°.`"e'°.°°"5 Fourteenth day of A�A.D. 2015 and the last DOCKET�Y: 2015-90 on-re: A�gus,3,,2o,s pub(ication thereof: in the issue of said newspaper rinnE. g oo�.m. bearing the date of the nPP�icar�r�. Mead Hotary Club Fountlation,c/o Fourteenth day of A�ust A.D. 2015 that said The Nick Sekich Greeley Tribune has been published continuously 6790 County Road 32 P�a,ce��ue,co�o�ado aose, and uninterruptedly during the period of at least six Terry Enright months next prior to the first issue thereof 1212 Twin Peaks Cirde Longmont,Coloratlo 80503 contained said notice OC advertisement above Terri Hatch referred to; that said newspaper has been admitted 769331 Potts Place Mead.Cobrado 80542 t0 the United States mails 8S second-class matter REQUEST: Application tor a temporaiy assembly of more than under the provisions of the Act of March 3, �g79, 350 persons on September 26,20t5 or an amendments thereof; and that said LEGAL DESCR!FTIOh: The SWl/4 of Sectinn 1E,7ownship 3 y North.Range 67 WPst of the 6th P.M_Weid Ceunty,Colorado LOCATION� 6?O5 County Road�z.��anE��;nF,eoi,��d�eoe�;,' newspaper is a daily newspaper duly qualified for (See Leyal Descriptien tor precise(ocation.) L1bI1S111T1 �0 1� ❑Ot1CeS d11C� 1({V01"f1S0111011tS W1Yfll❑ BOARD OF COUNTY COMMISSIOPJERS P g g oA ED°�g�;s,z°z°FA°° the meaning ofthe laws of the State of Colorado. The Tribune Augas"° �",� Au�ust 14, 2015 Total Char�es: $12.34 - ���1���- 14th day of August 20 l5 My Commission Expires 6/l4/17 Notnry Public � ROBERT LITTLE NOTARY PUBLIC STATE OF COLORADO MY COMMI QNIEXPI�kES J N E4,2017 . � � APPLICATION FOR TEMPORARY ASSEMBLY ! i INSTRUGTIONS 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. ; i NAME: � �• AGE:�� � RESIDENCE: Q (�. SD ( � MAILINGADDRESS: g c..,;� � � NAME; � �. � �� AGE:____�_�j_ RESIDENCE: ( �' ^ .e.� e a v�n � . $D L� _ MAILING ADDRESS: S c ; i NAME: � �� AGE:� ; RESIDENCE: � 9 Po c. C "2... � MAILING ADDRESS: S ow�,e � ( NAME: AGE: � RESIDENCE: � � MAILING ADDRESS: ' (This must list all partners in a partnershrp, officers of an unincorporated association, society or ' group, or, if there are no officerrs, by all members of such association, society or group. IF A CORPORATION, ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION.) � i 1. Address and I�gal description of all property upon which the assembly is to be � hefd: S�►,s �4F- �.�. l� . I 31�+ � �o'`!4� '' (e o w�C 3 ` Ple ���t��, en . �v�s� � 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 ail of the record owners.) NAME: �V � `c J Q. � RESIDENCE:�`]L`�, V�J C. 2 �a CD . (�. � MAILINGADDRESS: �0� NAME: ' RESIDENCE: MAILINGADDRESS: ' o:tioo�0000aoaoe0000000.00000a ; i � I i I � I , 2. Nature or purpos s of the assemb{y: � �� Q��,7e.`o Qw� � � � 6'o S � �(` -t- � � � I 3. Dates and hours during which the assembly is to be held: q �t�)� _ r��'�oo A wt -� y ��r�� . ; � 4. Maximum number of persons to be allowed at assembly at any one time: 2c�t� - Z C(� � � � 5, The maximum number of tickets to be sold, if any: 11f �1/� � i 6. Identify plans to limit number of persons ta the maximum identified above: /II' �� � i I i � 7. Identify plans for supplying potable (drinking) water, including the source, number, and � location of �acilrties, and type and means of disposing of waste deposited: � (� � v r�o oX �t'�h,�i�h�. t.�J I � i i I 8. Identify the plans for holding, coliecti g, and disposing of solid waste materials: � I�c � • � 3M L �c�.� ��rrv�_S { ( � % 9. identify the pfans for providing separate toilet facilities for males and females, including the � saurce, number, and location, type and the means of disposing of wast�es depo ited: I P p `�- _ 4 --. l 1•� �to�i g, � ;!`�1 �ct.� c� ,��'��a ,Q. ro w�5 �`'1..�>-.� � I o:aoob00000aobnoaaoao.00aaou � i C '10. Identify the plans to providc�for rnedical facilities,inciuding 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: � ��n.'i� ���v V��:.� •,�,r.e, �.,�.� � �,� �u��I k� � � � ) '� e i 11. Idenfiify the plans,if any,to illuminate₹he location of the assemhly, including the source and j amount of power,and the location of lam�s: i i �� � � �� � � L � VaQ� �w. � � 12, Identify the plans for parking vehicies, including size and location of lots,points of highway access and inte►�ior roads, including routes be#ween highway access and parking lots � � i , � ���ldv�... � 1,a O la� I V���.,--t-l., '� \tv C� '�7 ��� o �F�+R. �� � I � i 13. Identify fhe plans for communicafions with hospital, police,and fire services, including the � source,amount,and location of communication equipment: ' ; �N��!!.� U'�e � t'���!'�e. 1/�zs�P r�?a r �� ��c t`'�vC�! �I.alrQ. �O W1'�+''t � I 14. Identify the plans for camping facilities, if any: „ 1!1 ��' � i I � � o:�aoo�aoun0000�0000aoou.0000ao i � � � 15. Identify the plans for fire protection: �"�h? U� � '<<�- ����p� � r'r i�� a l. ✓�d`-�� � �. v� � rt' ' c ��e-� '' � t �s 4 I �-�a�+ �t .S '��lLc�,v� � '1.� c� � �Zs'l� , �:� a Q. i de lo ment their names ii 16. Identify the pfans for security, incluciing the numberof guar•ds,the r p y , , addresses,credentials�nd hours of availability and description of peer grou conirol,if any: i � ���. ���� ' �.,,s� �.�.�r . i � ��$. �3 Y�B�r� �`�a �,a� . �a��J(J�. j �..�.�G�.v.� �`"�--� �.a,.��.I � ����Or.�J l ls.d '�.La�'� i c9�F , L 4 , � i �17. Identify fhe plans for sound control and sound amplificat'ron, if any, including number, ; location,and power of amplifiers and speaf�ers; � I ��./ Lr� ; � , ; 18. If applicable, identify plans for meeting County he�lth standards for food concessions and � � concessionah�es who wiN be allowed to operate on the grounds, including the names and addresses of all concessronaires and therr license p�rmit numbers: � � 1� � - � '19. Identify the plans, if any, for an electricai system: j � l�v��o� � ��.s2,C �� ar- � � � � � o:bon�nnnooaooboaa000a,0000ao ' il 20. Identify the plans to ensure that trees, underbrush, large rocks, and other natural features . shall be left intact and undisturbed, and natural vegetatrve 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: �� � � hr ,�' � �'� O�'� 1�n4Q G o � � 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 i 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 ; resuit of such an assembly. � I 23. Submit$100.00 fee for each event where three-hundred fifty(350)or more people assemble i 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 i number of events scheduled for that location for the reminder of the calendar year, not to ' i 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 i WELD COUNTY OR ANY OF ITS AGENTS, OFFICERS,SERVANTS,AND EMPLOYEES FROM ANY LIABILITY OR CAUSES O�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 'I BY THE ASSEMBLY. j i i i u:�000r00000000bon�ooao.000aao i � � � � 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. ` ��" � � 1�e_,_ , I i ApplicanYs ign re ^� j - � � ,�,,�, {� Applicant's printed ame ' � � , ApplicanYs sition SUBSCRIBED AND SWORN to before me this�_day of�, , � 20�. � I i i Witness my hand and official seaL / � 1 � �fi(.�G'(� ,;� , o a Pubiic � My commission expires: �U,,LV� l�, Z�j18 ) i �� MICHAELA QD6NBAt1aH j NOTARY PUBLIC "`'�' � � STATE OF COLORADO ` NOTARY ID 20144027529 � � uCMPJIISSION EXPIRES JUL,14,2018 i . I � I � M:1CT8\CTBFORMSIFOASMBLY.DOCdoc j OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE 1, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, Mead Rotary Club Foundation is a Nonprofit Corporation formed or registered on 10/02/2008 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20081524989. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 09/03/2015 that have been posted, and by documents delivered to this office electronically through 09/08/2015 @ 08:18:02. I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, authenticated, issued, delivered and communicated this official certificate at Denver, Colorado on 09/08/2015 L 08:18:02 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation Number 9298725. o .cr° rrjr`ti.t tl r fir 21/474z, "Ilotodt iciv 1876 Secretary of State of the State of Colorado *********************************************End of Certificate******************************************** Notice:,1 certificate issued electronically from the Colorado Secretart QLSrare's Web.site is Jielly and immediately valid and effective. However. as an option. the issuance and validity of a certificate obtained electronically mat'be established by visiting the Certificate Confirmation Page of the Secretary of State's If'eh site, http:Gwww.sos.state.co.us/biz/CertificateSearchCriteria.do entering the certificate'c confirmation number displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is no1 neces.s'at:v to the valid and e fJectire issuance of a certificate. For more information, visit our Web site. http://www.sos.state.co.us.click Rosiness Center and select "Frequently Asked Questions." CER't GS l)Reri.cr<l 08?Il.?ell)5 ! PAT@(MlNDDfYYYY) Cv�' C�RTIFICA'fE UF LIA►BlUTI( INSIIRANCE ,n,�o�� o�/t�/2ols THIS C6RSIFICATE IS ISSU�D AS A MATTER (}�IN�OFtMQTiON ONLY AND COhFER3 NO RIGHTS UPON THE CERTIFICATE NQLOER,TNi8 C�R71FtCA7E DOES NOT AFFIRMATIVELY Oft NEGA'fNEIY AMEND, @XTEND OR ALTER THE COVERAGE AFFORDED BY THE POUGIES BE4�W. THIB CERTiFiGATE OF INSURANCE D�3 NO7 CONS7ITUTE A CONTitACT DETWEpN TH� 199UIN0 INSURER(9), AUTHOR17�p R@PRESENTAT{VE dR PkiODUCER,AND THE C�RT(FICA"IE HOLDEti. IMPORTANT: If iho oortiflc&te hotdor is en AD�iT1ONAL INSURED,lhe poltcy([es)must be endowad, It SUBROOA710N IS WAIVED,suUJont to thu terms and condi4{ona of the pollcy,certntn policiss may requlro an endors�amQnt. A stat�ment on thfs certlflaate does not cotifer rights te the certiflaate holdsr In Ileu of such endoraemen s. a r PRODIJCER 1,qCKT�NCQMPANIES ' s+�: Lockton Com anies Sp0 VJest Monroe,Su3ta 3hW `'"o"� 1-800-921-3172 1-312-681-67G9 �o�i CHICAGO IL 60661 Rota u lockton.com (312)669-6900 wg�a a�oaonia cavEw+oE N"'�°� r�aua�aa: •tc s errire i e ' i ]QU3Q fN9UREO �t Aciive US Rotary Cluhx kc Diatri.cts uaert o: 1379367 Attn:Ri.sk Management Depactrnenl Msut�a c� t560 Shcrmen Ave, �+sU�°: ' Evanston, IL d9261-3698 - + Ilf9l1RER E: SUREA • ` RE{/ISFON NUh{BER: j COVEFtAGES 1LOTIN01 CER7IFICATE NUFASER: � THtS tS TO CERTIFY THAT THE POl.ICIE3 OF tNSURANCE LI57E0 BELtlW HAV�BEEN I95UED TQ 7HE INSURED�AMED ABOVE FOR 7HE POLICY PERIOD ' INDIGATED. NOIIM'iHSTANDiNO ANY REQUIREMENT,TERM OR CDN�I7tON OF ANY QOIVTRACT OR O7HER DOCIJMENT W(TH RESPECT TO WHICH TH18 CER7iFICATE MAY 6E ISSUED OR MAY PERTAIN,THE INBURANGE AF�PORDEa BY TNE POLICIES DESCRIBEO HEREIN IS SUBJEGT TO ALL THE TERMS, EXCLUStON5 ANU CON�I710NB OF SUCH POLIGIE5.LIMITS SMQWN MAY HAVE BEEN R�DUCED BY PAID CVilM3. W!R VOUDYNUNBER ��LipYEF �R� �Q LIMf�B � TYP80PINBURANCE �9 i A X cara�eacvu_cENew�u.�we�ury PMIO23861355007 '/l1!?Ats 7/1/20t6 p �ETor�xr� w� ClAIM3-hV+OE �OCCItR PREMVSES Ea000unonce � SDOO�O Ep a o � LiquorLinbility �nsoNru.anoviNau�tv S 2,040,000 i ]ncluded aeaEwn�acc�onTs 4 ' ENLAQ LIMfTAPPLIE9PER: 0 UC78-CO S ( �' POLICY �CT �LOC S ..�' OTHER: 91ll2015 711/2016 S A AUiw�tpetlC�.uni�m' PM[G2386135$W7 fBaacc�aent a� BODILY INJIfRY(Pet pereon) t �� ANY AUTO ppp��Y IN.lU P flaidaN ,�� nuro°s�n nu�roE°sU� s XXXXXXX N�IJ�OWNED PROPFRTY DAMAC3E X H�REo nuros � nuros s XXXXXXX une�u une occua NCYP APPLSCABL� EACH OCCURRENCE S }(XXXXXX AGGR�C3ATE S B1SCB89 LU8 � qJUM DE S pEp fiE7ENTION5 OR P TiON AIOT APPLICADLQ S7A iE � AND EFIPi.0YER8'LfABILITV YI H E.L FACH ACCIOENT � qFF10 FiAt1EA1DERES(q.UO��E�UT1V[ �N!A � E.LDISFA9H-EAF.MPIOYE Y }(}Q{ (M6ndatory in NN) if ea,daeaba undar EL,DISEABE- O�JGY LIMIT - IPTIp OF 6e D8SCRIPTIDN of APERATIONS!IOCATi6N9!VEIYG489 InCORU 101.ACt�1}anal Rsrvfotlu Scha4uN�mcr bv attached I(moro�6wa Is ronulndl The Certificate Holder is included as Additional Insured wkiere required by�v��itten and signed contract or permit subject to the terms and condilions of tVie Gencrnl Liability policy,but only to the extent bodily injury or property darnagc is caused in wliole or in part by the acts or�missions of the insured. CERTIFICATE MOLDER CANCE4l.A'f10N Town of Met+d and Sekich Propertics,LLC. SHOIILp ANY OF THE AEOVE 0�8CR18ED PbL1GlE8[3E CANCEl1�O 8EP4RE 'T}1E EXPIRATION DATE THEREOP, NOTICE WILL BE �EIIUER�D IN ItE:Rotaey Club of Mend ACCORDANC@ WITN TNE P�4�CY P���s�ahg• �vent Date:9/25-9/2G12015 ,ri —�--^-`�-'"'� a AUT l�REP �..—'....-" + 1 f N �� F �� t '�' ' ��� �?1888-2t� ACaRD Ci5RPOF�A� N. All rights ressroed, ACORD 2S(201A/07} The ACORD namc►and logo ar�regieteted marka of ACORD io RECEIPT DATE g- 1)- 1s NO. 88281 T° @ RECEIVED FROM .Aflt d 12tu b ) �;m° c /ADDRESS `n a) O NI����tl��htra and loo c — —N. U d n� I0O.CIO U ° o al FOR 'O Y m a) 7:1-) O U a. 0 HOW PAID \1* i i CASH /\ ,10� � n I ll r J +iIL �'— <1 CHECK c 100 CZ BY ca 401 MONEY " ORDER NICK SEI<ICH,JR. 6790 WCR 3Z PLAITEVIILE,CO.80651 July 20,2015 Re: Mead Rotary Sugar Beet Festival To Whom It May Concern, I, Nick Sekich,Jr., am aware of and in support of the Mead Rotary Sugar Beet Festival that will be taking place on the Selcich Properties on September 26, 2015. i am a member of the Mead Rotary Club and am one of the sponsors of the event. The event has my fuli support to take place on my property. Please advise of there are any questians. Sincerely, � ,�� ��� .� ° Nick Sekich,Jr. � ' � � i I I � I i Mead Kota��y C'lub P.C}. F3ox 66 Mead, CO 8054� July 21, 2014 Boarti of Cou«ty Coil�n�2issior�e��s q�5 10`" Strect Greeiay, CO 80631 Re: Mead S�a�arbeet Pestiv�l Dear Commissic�i�crs: Dale Rademacher and Terrr Hatch 11ave been appointed chair personal for the 10'�' flanual Mead Sugarbeet F'estiv�ll to be hosted by t17e �;otary Club oC Mead. This event is to he (leld on Sejatember ?6. 201� c�n the Sekicl� Property. The Rotaiy Club of Mead witl be the 1e��a1 permit hold�r for this event. We have app��ed foi� the necessary paperwork and we az�e askii�g for the deference af the pc��formance bond list in Sectinn 12-1-�0 of tl�e Weld County Code becai.ise Nick Sekich will be cleaning up on his ow�� propert}�. We have a�plied for lnsu�•ance f�}t� the eveiit and will f�x or ei��ail d�ss binder wi�en ��e z•eceive it from thc agency. VVe invite Weld Cot��ity Comnussioners to pactici�ate in the 10`�' Annual Sucarbeet 1~estival witl� an inFormatioual bootli and attendance at the Festival. We urill �vaive the booth fee if yol� decide to be p�irt �ftl�is et�mmtinity event. Resp ,tfull . Q����S�- T d Beilde aw President Rotary Cluh of Mead i � � � � i � i ' . ; ; Rotat�y Clul�of Mead � Po I3�x 6G � Mead, C{) 8�542 � ' Angast 6,2013 � ; Board o�'Couxxty Conunissioners � i 915 l0t�'St�•e.eti Crreeley,CO 8Q631 ' Re: Mead Su�arbeet Festival � Deaa�Commissioners, � � Dale Radeniachex'and Nicic Selcich 13ave Ueen appointed chti.ir persons for the II��'Annuaa � � Mead Su�;at�beet�estxv�l to be hosted by t�ie Rotary Clttb of Mead. Tliis event is to be : � held on September 2II,2013 on the Seldch���•o��erty. � � 'Che Rotary Club of Me�d will be[he leg�l permit holder for this eve�at, We have appiied � far t�ie necessa�y p�.perwortc�nd we�re aslcing for n deCerence oPtl�e performance bond � � listecE in Section 12�1-30 o�tihe Weid County Code beeut�se Nick Sekic�will be cleanin� ; ; up oi�l�is awn proper�y. � � i ( Wa have�pplred fo�•Ina�irauee fo��tdae eve�t�tad wi(1 i'ax or email this binduig of � j cavecage when we receive it fro�n the ftgenoy, ', � i We �nvite the Weld Connty Commissioizecs to parCicipate ata the$11i Anuual Sugarbeet � Festival with�n irlforinational booth and atte�ida�aoe at lhe festival. We�vill vvaive the , booth fee i�'you decide to be pa��t of this coi�iznunity ovent. . � , ; �tesp�cifiitly, � � � � � �L�7 M nica Baldwul � Presicient ' i �.ot�u�y CIitU of Mead '+, ! � , � . i j _ i i � , j � , ; , ( ( : --- - i '1 � � ( � � � o � � �, � , � �� � h� I � � � � ` i � � � � � , , � �� '� � m , �' ' � m � � � �� '� � � � � � — Q , �. .. , �. � �'^ � a �� � � fl� �f-- , ; � �, , � � , �,�� � �..-`�� ; � � �� ��� � ,, � � � '�,� � . � �� � >� � , � � , o � - - � �__ . ---, , � �o�d �3 � ���_ . C�w.��y , � I ;� � � I I i � Date: July 25, 2015 Invoice# 103 James Randall Security TO: The Mead Rotary Club Jim Randall P.O. Box 66 Mead,CO 80542 SALESPERSON JOB PAYMENT TERMS DUE DATE Event Day 09/26/2015 QUANTITY DESCRIPTION UNIT PRICE LINE TOTAL 2 Security Officers 200.00 Subtotal 200.00 Sales Tax Total 200.00 i I Front Range Portable Restrooms, LLC I nVO�Ce ' PO Box 2412 Longmont, CO 80501 I Bill To: i Mead Sugar Beet Festival � c/o Main Street investments � Attn: Monica Baldwin 401 Main St ' Lon mont CO 80501 � i i Date Invoice No. P.O. Number Terms Project � --—_ - - . I I � -- I----- --- 08/15/14 3133 � i � Item Description Quantity Rate Amount � 2014 Mead Sugar Beat Festival-September 27, ' 2014 � i Delivery& Delivery&Set-Up 1 35.00 35.00 + Set-up Weekend Weekend Service Only 5 80.00 400.00 ! Service Unly � ADA Unit ADA Unit Rental 1 135.00 135.00 , Handwash Handwash Station 1 75.00 75.00 Station � i � I � i � ( i i � i i i i � I C i Total $645.00 I� I ' � � �c d d o r� m� ' , . , �''�.., �' �..`�.' � rn��'' � N �� • " � �W •�-� L N.�'p x � .. , � ��,. . � w >tri N c o �ro.n o�' , . �. 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' I OR 0010(OU18/12) STATC O�'COLORADO ' DEPAR7MENT OF PUBLIC I-i�ALTH AND ENVIRONMENT ' L9CEN�E l"O (�PERAT� A► ��`Ti41L l�t�C`�!� ���'A�LI�HMEN1' ACCOUNT NUMBER LIABILI7Y INFORMATION ISSUE DATE LICENSE VAIID 70 use for all re(erencos county dly Indusl. lypo OaUlliry dale monlh ddy year DECEMBER 31 . Q2$71836000 62 3289 5/27/2011' 2I1/2013 2013' ', 7HI5 LICENSE MUST BE PbS'fEp A7 THE FOLLOWING LOCATION; Tiiis certilies that Itcansee shown hereon' ' C-C CATERING AIVT3 CAKES • is aulhorizetl and Ilcensed to engage MOBILF.LINIT (n 6usiness In accordence wllh fhe WELD COUNTY,CO 80504 provlslons of the lew and re�ulatlons of , Ihe Colorado D�parlment ot Publlc Health: and Envlronment. Any allerafions mede• Owner; C-C CATERING AND CAICES LLC on this Ilcense wlll autometfcaliy mako It ', ' null and void. LTCLNSING AGENCY; WELD COUNTY DEPARTMGNT OP PU&LIC HI;ALTH AND ENVIItONMEN'P ��t.t�c�V.�.�ti.t�L.� F'O$1'IN A �r�u:v�it�llzic�x,M.A.�.s:,DIREC7'OR COIVSF�ICIIQUS �NVIRONMENI'AL HEALT(I S&RVICES 1�LAC� ', i I I . � ���d �,�� � �` �� � �'�� ". . .� ��� � � �Q;���r�� �� I �� �/j���j �� �\ .b��' � � � � � . � � f . �. .. �k.�` � ��- � ! . . . � � ��187g� I � ��9� � , �US� � � ��IY12: ,' . . .. .. .. is5Ulr►g.. � :: ,�g�ncy: .. . . .. 1 �'� , . -. .. .��� . �a ���� ��C��c14��� �"'�� I � I ,� Y �� � . . .... . . ....... .. . � ...... .... ..W....�..�..: .�..,.»........ ..... .. .. .. ,. ... r"� . ��+z_ �. � � � � d � � � ��� � {Y]5� � w�+�^ �'�p,���.. C �� � � %�� ... 6qq � Y''�� (� L� � '� a �„ �U 0 � '� �" � `2�`��� Q.z � � �" � U.1 � � V � � � � � d � _ W � a � ���� �Q � � � � � � �� �q� ' � �� esf� � � O. � 7 m �? 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Any alterations made GOOD EATS GRILL HOME OF PROUD MAMAS GERt on this license will automatically make it null and void. 1114 FRANCIS ST LONGMONT CO 80501-3704 POST IN A CONSPICUOUS LICENSE ISSUED BY BOULDER COUN'PY PUBL[C HEALTH PLAC E ♦ Detach Here♦ GOOD EATS GRII1,f1OM�OP PROUD MAMAS GERMAN BLJRGF;R ( I 114 PRANCIS ST I,ONGMONT, CO 80501-3704 P R0007691 DR 0010(01/18/12) STATE OF GOLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT LICENSE T� OPEl�ATE A RETi41L FOC�D ESTABLISHMENT ACCOUNT NUMBER LIABIUTY INFORMATION ISSUE DATE LICENSE VALID TO use for all references �o�my , �a� cyPe i�abaaY aate �mor,ti, i day year DECEMBER 31 255.00 11/14/2014 2015 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: This certifies that licensee shown hereon is authorized and licensed to engage in business in accordance with the Knock On Wood provisions of the law and regulatians of Mobile Unit the Colorado Deparfinent of Public Health Arvada, CO 80003 and Environment. Any alterations made on this license �vill automaticatiy make it Knock On Wood LLC nu�i and voia. Sarah 8589 Ingalls Cir POST IN A Arvada, CO 80003 CONSPlCUOUS PLACE T'HIS LICENSE IS NOT TRANSFERABLE Rafaela Martinez From: Terry Enright [terry.enright@comcast.net] Sent: Wednesday, August 05, 2015 12:35 PM To: Rafaela Martinez Cc: Dale Rademacher Subject: Re: Mead SBF SE App 2015 Thanks On Aug 5, 2015, at 12:06 PM, Rafaela Martinez <ramartinez cr,co.weld.co.us> wrote: No. The fee for a Temporary Assembly is $100 per Event. The fee for a Special event is $100 per event. Two separate fees because they are two separate permits. Then of course the $10 for the State of Colorado. The fees have not been changed though. Thanks! Rafaela A. Martinez Deputy Clerk to the Board 1150 O Street�P.O. Box 758�Greeley, CO 80632 tel: (970) 336-7215 X5226 <image001.jpg> 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. i From: Terry Enright [mailto:terry.enrightn,comcast.net] Sent: Wednesday, August 05, 2015 12:05 PM To: Rafaela Martinez Subject: Re: Mead SBF SE App 2015 So Weld CO has doubled their fees? On Aug 5, 2015, at 11:53 AM, Rafaela Martinez <ramartinez cr,co.weld.co.us> wrote: Terry, I have one check for $10 and one check for $100. You can always write a different check for $200 to Weld County. That is always an option as well. Thank you, Rafaela A. Martinez Deputy Clerk to the Board 1150 O Street�P.O. Box 758�Greeley, CO 80632 tel: (970) 336-7215 X5226 <image001.jpg> 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: Terry Enright [mailto:terrv.enright(a�comcast.net] Sent: Wednesday, August 05, 2015 11:52 AM z To: Rafaela Martinez Subject: Re: Mead SBF SE App 2015 That check was have been sent too. On Aug 5, 2015, at 9:28 AM, Rafaela Martinez <ramartinez cr co.weld.co.us> wrote: Terry, I just now noticed, I will also need an additional $100 to Weld County far the Temporary Assembly Fee. The State and County Fees for the Special Event's Permit are fine. Thank you, Rafaela A. Martinez Deputy Clerk to the Board 11 S0 O Street�P.O. Box 758�Greeley, CO 80632 tel: (970) 336-7215 X5226 � _.._ 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: Terry Enright [mailto:terr .� ht c,comcast.net] Sent: Monday, August 03, 2015 11:55 AM 3 To: Rafaela Martinez Subject: Re: Mead SBF SE App 2015 Thanks On Aug 3, 2015, at 9:03 AM, Rafaela Martinez <ramartinez�co.weld.co.us> wrote: Thank You Terry, I have received the revised pages and am waiting for the checks. I should be receiving them today. Thanks! Rafaela A. Martinez Deputy Clerk to the Board I150 O Street�P.O. Box 758�Greeley, CO 80632 tel: (970) 336-721 S X5226 <image001.jpg> 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: Terry Enright [mailto:terrv.enri���comcast.net] Sent: Thursday, July 30, 2015 10:05 PM To: Rafaela Martinez Subject: Mead SBF SE App 2015 4 s Attached are revised pages for the above app. Thanks, PTerry 5 r To: Weld County Board of Commissioners From: Deputy Lisa Carpenter Date: August 7, 2015 RE: Mead Rotary Club Foundation, Inc. Dear Commissioners, I have researched and found no reported calls for service to the Mead Rotary Club Foundation, Inc. Event, located at 6105 CR 32, Platteville, CO 80651 for the Calendar year of 2014 to present day. I find no grounds for disapproval for the Special permit license. Respectfully Submitted, Deputy Lisa Carpenter Community Resource Officer Weld County Sheriffs Office 1950 "O" Street Greeley, CO 80631 � ��861, w MEMORANDUM �� r , ✓ TO: Rafaela Martinez, Clerk to the Board DATE: 08/5/15 � V G � � NTY FROM: Janet Lundquist, Public Works SUBJECT: Temporary Assembly Mead Rotary Club Foundation The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows: REQUIREMENTS: 1. No parking will be allowed on Weld County Roadways. 2. Approximately 250 vehicles will require parking on the property. 3. Use the existing access off WCR 13 instead of WCR 32. 4. Please utilize the submitted a Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS) from previous years. 5. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 6. Please submit an Incident Management Plan for the Office of Emergency Management. Page- 1 -of 1 August 5,2015 C:\Users\ramartinez\AppData\Local\Microsofr\Windows\Temporary Internet Files\Content.Outlook\BBCGBZMY�Temp Assembly Mead Rotary Club 2015.doc MEMORANDUM -��`����� �� To: Rafaela Martinez, Deputy Clerk to the Board August 7, 2015 �-�ei_ ?„ J From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services -- c % � ���.:.�..� Subject: LC0022 Review of the following Temporary Assembly Permit and the Special Events Permit by the Department of Planning Services the following recommendations were noted: Applicant: Mead Rotary Club Foundation 16931 Potts Place Mead, Co 80542 Property Owner: Nick Sekich Jr. 6790 CR 32 Platteville, Co 80651 Location of Event: 6105 Weld County Road 32 Platteville, Colorado 80651 Dates and Time of Event: September 26, 2015, 8:00 a.m. -4:00 p.m. General Information: Zone District: Agriculture Comments: • The Special Assembly permit states(#4)300-500 people,while the Temporary Assembly permit states (#4) states 200-250 people. • Temporary Assembly states (#3) 10:00 AM-4:00PM, while Special Events application (States Application page) states 8:00 AM -4:00 PM • There are no outstanding violations on this site and staff has no issues with issuance of this Temporary Assembly Permit or the Special Events permit. 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Article Addressed to: If YES,enter delivery address below: O No Qikn:-T". � 4- 3. Service Type ?O X- / M Certified Mail® ❑Priority Mail Express'" ❑Registered 0 Return Receipt for Merchandise !ln ,. _1 e o OO' "`S ❑ Insured Mail ❑Collect on Delivery I �L(�[J l o ;l"( 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number (Transfer from service lab 7004 2890 0003 5709 0970 PS Form 3811,July 2013 Domestic Return Receipt Hello