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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20142005.tiff
RESOLUTION RE: GRANT PERMIT FOR TEMPORARY ASSEMBLY TO ACTIVE LIFE EVENTS, INC., CIO TOM SORENSEN -JULY 19, 2014 ners of Weld County, Colorado,the Board of County Commissioners pursuant to Colorado statute and the Weld Countyauthority Home Rule Charter, is vested with the of administering the affairs of Weld County, Colorado, and WHEREAS, Active Life Events,Inc., c/o Tom Sorenson, 2200 Market Street, #518, Denver, Colorado, 80205, 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 9:00 a.m., until 3:00 p.m., on July 19, 2014, on property described as follows: Valley Dirt Riders, 20998 1-25 Frontage Road, Berthoud, Colorado 80534; being further described as the S1/2, of Section 22, Township 4 North, Range 68 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 Active Life Events, Inc., c/o Tom Sorenson, 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. RICk.edup by CC• so(140, 1PPL al*. . . ►,t 7-Z5 2014-2005 LC0022 PERMIT FOR TEMPORARY ASSEMBLY - ACTIVE LIFE EVENTS, INC., C/O TOM SORENSEN PAGE 2 NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that said Weld County Permit for Temporary Assembly on July 19, 2014, be, and hereby is, granted to Active Life Events Inc., do Tom Sorenson, to conduct a temporary assemblage at the hereinabove described location. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said Permit. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 7th day of July, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ��,/ �Si�..+. Do gl Rademacher, C air Weld County Clerk to the Boar. 1. (� j • 'rbara Kirkmeyer, "ro-Tem B . ritQQ 7-C De Clerk to the Boar an P. Conway E ORM: Mike Fran ounty Attorney - �'(.. Willia . Garcia Date of signature: 1"22-N 2014-2005 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 7th day of July, 2014, 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 9:00 a.m., until 3:00 p.m., on July 19, 2014, on property described as: Valley Dirt Riders, 20998 1-25 Frontage Road, Berthoud, Colorado 80534; being further described as the S1/2, of Section 22, Township 4 North, Range 68 West of the 6th P.M., Weld County, Colorado This permit authorizes Active Community Life Events, Inc., do Tom Sorenson, 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 7th day of July, 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO �, n ATTEST: dim C1 , ./ ;v (ca ��,.60,2VL�Cti CV/. W/ .�C�fo oug s Rademacher, C air Weld County Clerk to the Board • �' � arbara Kirkmeyer, ro-Tem / De•Ry Clerk to the Board 4 \ can P. Conway 'keFr lam . Garcia NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2014-2005 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: f Gi ,�.� L,cQJ >"y u1 AGE:3O RESIDENCE: �3 � Ntc,cn f) 3 \I- 4.<1 MAILING ADDRESS: ?fl•t3L ( tq I Yu` ''t CV Cyj '.3"i`1 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 descriptjon of all property upon which the assembly is to be held: \,116 Q_\-(- `DA- .fLS "a1--0sfa#e �2S` r{/ 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: /if-6 (Z. fly Z e�- /7,1 RESIDENCE: $ MAILING ADDRESS: p t^.vt r^ CC TO, Il 7,A0 -ow - NAME: RESIDENCE: MAILING ADDRESS: 2014-2005 2. Nature or purposes of the assembly: Ivr Lt/LC tct rr ,1�,,,lv firer ALL,c( /2< rt. C.� - �G f iM th, Die+ .✓} 'zlZt E vt / r4 a- er A 3. Dates and hours during which the assembly is to be held: C(RY77 - 3prn ♦. Maximum number of persons to be allowed at assembly at any one time: /Soon 5. The maximum number of tickets to be sold, if any: 6. Identify plans to limit number of persons to the maximum identified above: 7\-c if et . /.f QM. /`-�+'f i f Ice tad iditi u /-z:)r '•,:. �t let . r r., Lf L,«r..1r ft( ntrht1c1 < f cu/'LL ,. 1 11-t_ erac -, 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: (set W;G-4 nitre. 4-fftt z yif Ace- /7v-r - t rtc1 fir. .( ray v7,. -eLeir . }7rlttfiLc /2i 4 tee. Lce/4, 4 to fl r s.-Cc.-4 to /lss%t.4 S+iC c c(.'�,�: !>�t, J f. �. ♦c L/�N:c..{.r !w),C 1?�. ...�/4. r .et[J ?/f /Zfc17gra.n,, i4.-C.11 -? lc' 3 - <i/? - 3 err/ B. Identify the plans for holding, collecting, and disposing of solid waste materials: Va/k7 L?,e t 'Caen /let r » Kv 7ited /C ,fit AL! %f Ace lI by, !.t n'--,t-c-- L-v(L t ,J s-c-- tidily 9. Identity 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: ���r.'fc.A f,}r .L .. i „00,-* - �.L4 /i-tz (%c lte ( 5 ) .:Z 'n.A7 A11,4 it.a, t •.f.f /giro . 4,vvrcsc C.V 00V 0000000 V0000030000000 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; :; ions for emergencyC balance service. 141<_ 1-1 i �J E.� L/ ' T �- f'C F �. •-! c 2 417•t 1 t".c ;L-4-1 /14-4" n Y 71-c-74491 1 1. Identify the plans,if any,to illuminate the location of the assembly including the source and amount of power.and the location of lamps At/fit 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 C":7/7 Lc r'// &T/f'PZ f►^r`7 2h'ST 5,'qp d(= /ale-7,seS [?7 of ¢e rO /nom Ly R/c/ rP??ilt?K 7'C) '-to& AY`- Oaf 7i► 62 '' 13. Identify the plans for communications with hospital. police, and fire services, including the source, amount. end location of communication equipment: n�ti 14. Identify the plans for camping facilities, if any r. arnarncaaocanacooza,tooaec 15 Identify the plans for fire protection: -E(l�i`'Z faT (XIS ( 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 ��P]-✓� t/� IY � /I 1-‘41-9c- S<.c •r. >• Co? tL'c dca- 17 Identify the plans for sound control and sound amplification, if any. including number, location, and power of amplifiers and speakers. (Lir Dr :1 c tat- ac/u e-c.rd � }'j1. --t- o. ! a:cv.ti.-• - 3 sir /4•,i.fl , ,411 illne 18. If applicable, identity plans for meeting County health standards for food concessions and concessionaires who will be allowed to opermte on the grounds, including the names and addresses of all concessionaires and their license permit numbers: w.i f e/j, ro_e#e* 19. Identify the plans, if any. for an electrical system: I?!! .1.,c,-. ; r J..,, »L /ILy y 1'zr t1 PT •i- oaaocaocaDCtoaac oaorccnnc 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. 3 App(Cant's signature o--c---7 701A Se7R-, ScJ . Applicants printed name / Thar-10, ant's position SUBSCRIBED AND SWORN to before me this a7g- day of Jus,.e_ , 20 /V . Witness my hand and official seal. &( Lp y� Notary Public My commission expires: I ESTHER E. GESICK NOTARY PUBLIC STATE OF COLORADO NOTARY ID 19974016478 MY COMMISSION EXPIRES SEPT. 29, 2017 M\CTB\LIQUOR\FOASMBLY.DOCdoc ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 06/1712014 PRODUCER Phone:(951)678-7290 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SGB Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 32100 Clinton Keith Rd Ste G HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wildomar, CA 92595 License#: OE81015 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: North American Specialty Insurance Company Active Life Events, Inc INSURER B: 1321 Campus Ave INSURER C Redlands, CA 92374 INSURER D. _ INSURER E COVERAGES 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 WTH 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD TYPE OF INSURANCE DATE IMM/DDIYY) DATE IMMIDDIYYI A GENERAL LIABILITY 1001023231 07/19/2014 07/20/2014 EACH OCCURRENCE $ 1,000,0.00_ DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES jEa occuren J $ 100,000_ I -I CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE EL AGGREGATE LIMIT APPLIES PER I PRODUCTS-COMP/OPAGO $ 1,000,000 X POLICY Pp,?;- 7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person)— $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY'. AGO $ EXCESS/UMBRELLA LIABILITY I EACH OCCURRENCE $ OCCUR I I CLAIMS MADE I AGGREGATE $ DEDUCTIBLE RETENTION $ $ WC STATU- OTH- WORKERS COMPENSATION AND I TORY LIMITS, -EFL EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECJTIVE EL EACH ACCIDENT_ __ $ OFFICER/MEMBER EXCLUDED, E.L.DISEASE-EA EMPLOYEE $ If yes describe under SPECIAL PROVISIONS below I E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Valley Dirt Riders CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN Valley Dirt Riders NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 20998 Interstate 25 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Frontage Rd Berthoud,CO 80534 REPRESENTATIVES. AUTHORIZ RF,5JEESENTATIVE (SGB) ACORD 25(2001/08) ©ACORD CORPORATION 1988 Printed by SGB on June 17,2014 at 03:15PM F *0/ 4. • • Colorado Motocross Medics 729 Remington Street. Fort Collins.Colorado 80524 1-303-907-9694 comymedies msn.eom INVOICE #071914 • TO: Active Life Events Inc DBA Survivor Mud Run 35589 Oleander Ave Yucaipa, CA. 92394 Event Location: Valley Dirt Riders, 20998 Interstate 25 Frontage Rd, Johnstown, CO Date Start Time Finish Time Total Hours 07/19/14 6:00 am 3:00 pm 9.0 Total: 9.0 Service Price Amount Medical Protection, 6 Medics $1,250.00 $1,250.00 Total Due: $1,250.00 Paid By: Print Name Signature and Date Received By: Print Name Signature and Date Please make payment to "COLORADO MOTOCROSS MEDICS". Thank you. 729 Remington Street Fort Collins, Colorado 80524 United Site Services of Colorado, Inc. Salesperson Contact 6015 E 58TH AVE Brett L.Angell Commerce City, CO Mobile:303-917-3994 Loll l: 3038-985-0164200 038 85-01264000022 U n ito d Office: 1-800-86 -5387Fax4303985-1428 Fax: 303-985-1428 SITE SERVICES- brett.angell@unitedsiteservices.com • Site Service Quotation Quote No.: 414-256917 Quote Date: 06/17/14 Quote Expires: 07/17/14 11 Sell To: SURVIVOR MUD RUN Ship To: SURVIVOR MUD RUN CORY SARTIN 20125 125 FRONTAGE ROAD 33562 YUCAIPA BLVD RMP MOTORCROSS TRACK SUITE 4- PMB 141 BERTHOUD,CO 80513 YUCAIPA, CA 92399 Cust.#: USS-60067 Attn: KEVIN SARTIN Phone: 909-289-7155 Phone: 909-800-2695 Terms: Due Upon Receipt Comments&Special Instructions ** PRICING WILL BE GIVEN FROM ACCOUNT MANAGER** Item Unit Quantity From Thru Unit Price Total Price Deluxe Restroom EA 8 07/17/14 07/21/14 10.00 80.00 onetime Damage Waiver EA 8 07/17/14 07/21/14 7.95 63.60 one time Deluxe Restroom Subtotal 143.60 ADA Wheelchair Accessible EA 1 07/17/14 07/21/14 15.00 15.00 one time Damage Waiver EA 1 07/17/14 07/21/14 12.95 12.95 one time ADA Wheelchair Accessible Subtotal' 27.95 Service Cust Owned-Thurs any time EA 12 07/18/14 07/18/14 0.00 0.00 one time Service Cust Owned-Sun By Noon EA 12 07/20/14 07/21/14 0.00 0.00 one time • Total: 171.55 Accepted: Date: Remit To:United Site Ser vices,PO Box 53267,Phoenix AZ 85072-3267 NOTE: Total prices have been calculated for 1 billing period only.Damage Waiver is optional.Please read the terms and conditions on the last page of this document for more information. tifjp Bret i Active Life Events: Ship Valley Dirt Rider: Interstate 25 Frontage Rd Junitsto\kn Co. 80534 Dear Kevin. Attn: Kevin Sartin It was a pleasure speaking to you and discussing your bottled water needs, in response to your request. Sparkletts would be pleased to provide all your locations our bottled water service at the following special rates: BOTTLED WATER .5 liters 24ct $4.50 2300 bottle 96 cases $432.00 .Additionally, we always offer you the following services free of charge. l. Our company's commitment to outstanding service. 2. DeliNcry service tailored to suit the specific needs. Next day service always. 4. No tax on dispenser rental. 5. Highest quality of products and service available. b. Billing Net 30 days. Since 1925 Sparkletts has been providing customers with clean, fresh, great tasting water and excellent service you can depend on. Sparkletts has upheld meticulous standards of quality, taste, purity, service and value. All of our waters exceed all Federal, State and County water quality standards. Our bottling facilities have consistently scored 100%on the NSF annual quality assurance and sanitation audits. NSF, the National Sanitation Foundation International, is a recognized independent third party organization that annually inspects bottling facilities. We appreciate your business and the opportunity to serve you. Should you have any addition questions please feel free to call me direct. 951 538-3723 We sincerely thank you for your interest in Sparkletts products and services; we look forward to hearing from you soon. Cordially, Debbie Lancaster Business Development Manager Ds Waters of America, Inc. Sparkletts I lome & Office Delivery iiik or 20998 INTERSTATE 25 FRONTAGE R0, BERTHOU0, CO 80534 (INSET MAPI CONTROL AREA NARRATIVE : tticititThe entire permit area will be cordoned with a rope barrier on the north end (spectator viewing), and fencing on the east, west & southern sides. Participants & spectators will enter from the west side through a gated section with four security personnel. There will be two(2) emergency exits, one on the NW corner and the other on the western side of the permit area (these are also the start and finish shoots for the race) Security will also be positioned at the entrance to the beer service area checking ID's and wrist banding anyone over 21 Only guests that have a wrist band will be allowed into the beer service area. r It A Rapp a er ` . ,ms s0 .^, 6, t. 4,, I / 1/4: rr -Ai Ma fan tilt' d •-CU / It 111 :iistt1 imi Li i lied' print a) ni LS. s•�IrvniletcliPPUIP am Enti *4, q Si MI IIIP Ex. Fven ink axe/exit wed) secunt-v • 44 vit. ,, , 4c, 42, al I Port-o Potties C51 'J It 11 WY ket t. 0 0 .. st ,. _ • .., .. iiicH. N • lIl . ICI 41. or t t.t r t,.. F Etch , , ‘ . 4,* 40lei i I 4 4. • ek ri Not to ...it , I , . . . _•fro 'per ?*-4 `• Advanced Professional Security ADVANCED Advanced Professional Security Quote 3356 Dayton St. * Denver,CO 80238 Date I Quote NO: DDflr tWint (303)371-7873 06/18/2014 1229 SECURITY info@advancedprofessionalsecurity.com Exp. Date l http:9www.advancedprofess ionalsecurity.com (Address Kevin Sartin Active Life Events 33562 Yucaypa Blvd Yucaypa,California 92399 Date Security Service Security Guards • Amount 07/19/2014 Security Guards Non-Armed Security Officers for Event Security 760.00 I, 5 unarmed officers needed from 6:45 am-1:00 pm on July, 19,2014 for Survivor Mudd Run event in Berthoud,CO. I unarmed officer from 9am-3pm on July, 19, 2014 for Survivor Mudd Run event in (Berthoud,CO.,38 a $20.00 Please let us know if this quote is on target. If not,we will quickly revise it to Total _ "$760.00 accommodate your needs. Thank you for your business. Accepted By Accepted Dale 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 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 #: 2014-54 DATE: July 7, 2014 TIME: 9:00 a.m. APPLICANT: Active Life Events, Inc. 33562 Yucaipa Blvd #4 Yucaipa, CA 92399 REQUEST: Application for a temporary assembly of more than 350 persons on July 19, 2014 LEGAL DESCRIPTION: S1/2, S1/2 of Section 22, Township 4 North, Range 68 West of the 6th P.M., Weld County, Colorado LOCATION: Valley Dirt Riders, 20998 1-25 Frontage Road, Berthoud, Colorado 80534 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: June 24, 2014 PUBLISHED: June 28, 2014, in the Greeley Tribune Affidavit of Publication STATE OF COLORADO ss. County of Weld, I Desirea Larson 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 Greeley, in said county and state; that the notice or advertisement, of which the annexed is a true copy, NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY has been published in said daily newspaper for consecutive(days):that the notice was published in Pursuant to the Weld County Code,a public hearing will be held in the Chambers of the Board of County Commissioners of Weld the regular and entire issue of every number of said County,Colorado,Weld County Administration Building.1150 O Street,Assembly Room,Greeley,Colorado 80631.at the time newspaper during the period and time of specified. • If a court reporter is desired,please advise the Clerk to the publication of said notice, and in the newspaper Board,in writing,at least five days prior of the hearing. The cost proper and not in a supplement thereof; that the ,. of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act,if first publication of said notice was contained in the special accommodations are required In order for you to partici- pate in this hearing,please contact the Clerk to the Board's Of- Twen -el th da of June A.D.2014 and the last Tice at(970)336-7215.Extension 4226,prior to the day of the `7 �1 }r nearing. publication thereof: in the issue of said newspaper The Complete case file may be examined in the office of the ii Clerk to the Board of County Commissioners,Weld County Ad- bearing the date of the 1. ministration Building,1150 O Street.Greeley,Colorado 80631. E-Mail messages sent to an individual Commissioner may not be Twenty-eighth day of June A.D. 2014 that said Included in the case file. To ensure inclusion of your E-Mall • correspondence into the case file,please send a copy to age- sick©co weltl.co.us The Greeley Tribune has been published • DOCKET 4: 2014-54 continuously and uninterruptedly during the period DATE: July 7,2014 of at least six months next prior to the first issue TIME: 9:00 a.m. APPLICANT: thereof contained said notice or advertisement Active Ile Events,Inc. 33562 Yucaipa Blvd fro above referred to; that said newspaper has been Yucaipa,CA 92399 admitted to the United States mails as second-class REQUEST Application for a temporary assembly of more than 350 persons on July 19,2014 matter under the provisions of the Act of March LEGAL DESCRIPTION: North,Range 88 West of the 6th P.M.f Section.Weld County Color Townshdo a 3,1879, or any amendments thereof; and that said LOCATION: Valley Din Riders,20998 I-25 Frontage Road. newspaper is a daily newspaper qualified for Berthoud,Colorado 80534(See Legal Description for precise lo- duly BOARD OF COUNTY COMMISSIONERS publishing legal notices and advertisements within WELD COUNTY,COLORADO the meaning of the laws of the State of Colorado. DATED: June 24.20!4 The Tribune June 28.2014 June 28,2014 Total Charges: $9.55 LI' AIiA L41 28th day ofJ :re 01' My Commission Expires 6/14/2017 14......if fei4V Notary Public O RECEIPT DATE __�0'aLD-2QjtJ NO. 87636 o - " RECEIVED FROM �t1�`° L �l U o o ADDRESS c m co o B'(U2 �wxtdy td cl,�at ojta £ °i lea $ 160.as 2 Q 1 anamt 3 lc a. Uoo Y m � FOR \ q m ao p m HOW PAID V 1�� U a 0 CASH jillr 0 CHECK /00 00 BY CRAM, Ws till MONEY U 1 V �� ORDER RECEIPT DATE _(l 01014 NO. 87637 o -o M RECEIVED FROM }1lle, Ueu tiiu ij )9t tf, PESS 2 co O WlfL .�L .,��I.`Qmil° (AJatthA and [lQO $ iCO, Oa U 2 o FOR ElinitA etas. ir) -N, 11.930 O HOW PAID 0 0- 0 Si (oy]' CASH ae CHECK O BYe\ e• l MONEY ORDER I O RECEIPT DATE ukj oat/ 020/1 Na 87638 dy � -o M RECEIVED FROM a `(�1J�-�i pJ �1.lQJlid - O i�C/ ..m ADDRESS "n� c m to O �uanL ?in, ( 1 4 , 00 - $ Of OO U ° o m FOR - Y03N NIir1L32 5 O O HOW PAID Q CASH , 1��G CHECKFM/E a5BY ��1 LLL 111,,,-- /// 04Wii MONEY ORDER Rafaela Martinez From: Frank Piacentino Sent: Monday, June 30, 2014 3:21 PM To: Rafaela Martinez Subject: RE: Temporary Assembly and Special Event Application -Active Community Engagement No Concerns Frank Piacentino Building Official Weld County Building Inspection 970-353-6100 Ext 3531. , ' ri 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, June 30, 2014 9:08 AM To: Dan Joseph; Deb Adamson; Bethany Salzman; Frank Piacentino; Lisa Carpenter; Mark Mellon; Janet Lundquist; Roy Rudisill; Bob Choate Subject: Temporary Assembly and Special Event Application - Active Community Engagement 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. Your report will be used by the Board of County Commissioners in considering renewal of the Temporary Assembly application. PLEASE RESPOND NO LATER THAN: July 3,2014 Applicant: Tom Sorenson—Diggity, Active Community Engagement ***Please note that I have spoken with the applicant in regards to the food service license (s). ****Also please note that these applications are time sensitive and will go before the Board on Monday July 7 as the event is on July 19. Thank you, Rafaela 1 1$61 MEMORANDUM J TO: Rafaela Martinez, Clerk to the Board DATE: 07/1/14 U N T Y FROM: Janet Lundquist, Public Works SUBJECT: Temporary Assembly Active Life Events 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. Please submit a Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS) 4. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 5. Please submit an Incident Command Plan for the Office of Emergency Management. 6. The Colorado Department of Transportation (CDOT) has jurisdiction over all accesses to the state highways. Please contact Gloria Hice-Idler at the Greeley office (970-350-2148 or 970-350-2163) to verify the access permit or for any additional requirements that may be needed. (Interstate 25) Page- I - of 1 July 1,2014 CA Users\ramartmet AppData'Local A Microsoft i Windows\Temporary Internet FilesV Content.Outlook VBBCGBZMY\Temp Assembly Active Life 070114(2).doc MEMORANDUM TA ,r , = To: Rafaela Martinez, Deputy Clerk to the Board July 7, 2014 . ' From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Review of the following Temporary Assembly Permit and Special Events Permit by the Department of Planning Services shows the following: Applicant: Active Life Events 33562 Yucaipa Blvd#4 PO Box 141 Yucaipa CA 92399 Location of Event: 20998 1-25 Frontage Rd Berthoud, Co 80534 Property Owner: HFE LLC C/O Glade Hill 4591 Grove St Denver Co 80211 Dates/Times of Event: July 19, 2014, 9 AM-3 PM **Special Event permit states from 7 AM until 6 PM** Maximum Number of People: 1500 Zone District: C-4 (Commercial) through Z-393 (03-28-1984) This use is permitted through a Site Plan Review(SPR-306) permit. No existing violations were noted. SERVICE,TEAMWORK,INTEGRITY,QUALITY #r z� 0 '41% :• 4 Colorado Motocross Medics 729 Remington Street,Fort Collins,Colorado 80524 1-303-907-9694 comxmedics(2i msn.com INVOICE #071914 TO: Active Life Events Inc DBA Survivor Mud Run 35589 Oleander Ave Yucaipa, CA, 92394 Event Location: Valley Dirt Riders, 20998 Interstate 25 Frontage Rd, Johnstown, CO Purpose: This invoice will serve the purpose of a contract between Colorado Motocross Medics, LLC and Active Life Events, Inc. assuring medical coverage on 07/19/14 for the Survivor Mud Run at the Valley Dirt Riders track in Berthoud Colorado. Date Start Time Finish Time Total Hours 07/19/14 7:00 am 2:00 pm 7.0 Total: 7.0 Service Price Amount Medical Protection, 6 Medics $1,250.00 $1,250.00 Total Due: $1,250.00 Paid By: Print Name Signature and Date Received By: Print Name Signature and Date Please make payment to "COLORADO MOTOCROSS MEDICS". Thank you. 729 Remington Street Fort Collins, Colorado 80524 Jacob Family Services Licensed Child Placement Agency July 20, 2014 Jacob Center North KEVIN SARTIN 729 Remington Street Fort Collins,CO 80524 Director/President (970)484-8427 ACTIVE LIFE EVENTS INC. Fax: 482-8713 RACE CONSULTING INC. www.SurvivorMudRun.com ® www.TheNeonRun.com® Jacob Center East Direct: 909.800.2695 1220 11th Ave,Suite 303 Greeley,Co 80631 Kevin ActiveLifeEvents.com (970)352-2852 Fax: 352-4428 Dear Kevin: Thank you very much for your donation of$300.00. With your donation,we provide clothing and social activities for youth we work with. The continued support from individuals and companies in the local community, such as you, makes us better able to continue providing services for those youth and families in need. We thank you for your kindness and generosity. The Jacob Center is a non-profit 501(C)3. Our Federal Tax Identification number is 84-1218941. Our Tax-Exempt number is 98-15001-0000. Please let this document serve as your receipt. No goods or services were exchanged for this donation valued at $300. Thank you again for your generosity. Sincerely, Joel D. Painter Executive Director The Jacob Center appatas4-- p &ruts U.S. Postal Services: 0-nci ��Ju��� CERTIFIED MAIL., RECEIPT .� (Domestic Mail Only;No Insurance Coverage Provided) 9e0F.r .eliverymf.rmati.nvisit urwe.siteattnww.us.s.c mau D-- is) Postage $ —1/7.a p Certified Fee p Postman p Retufn Receipt Fee - Hare (Endorsement Required) e p Restricted Delivery Fee W' (Endorsement Required) f1J Total Postage&Fees $ O eel 0 or POBfl 1071 LJaeAstirori . Raz& City,Stale.ZIP+4 bAll-Lith- g0z03 PS Fern]3800 June 2002 See Reverse fur Instructions (°) 051-kit am 5&\uiAnr.j and eonb«mAcl dhs W-utc.9-,ured Cs-V to ob (appUbatuon , Mw el . ti, „QS&Ac\— orn3 I�Wttti, and \Oar• t O� OR� D ✓ I"
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