HomeMy WebLinkAboutpitkin.planning.273521400005 (10)~~~~71~~1~ ~ ~ :~~'~~J 1
LAS ~~~.~ I~ZA`r' f~R IF~AY ~®T C€3i°dTAI`d ALA C'tF 1~~ fi~?~'€I1~IS~AT~f1~IvT
Ss~nnaar,~ SCteet
r~esol~ttcn for the i~~~t: an~ior F~~
Q~r€~?gaance ~'o~r the ~€~C~ and/or ~~~
~etertaesn~tnon ffor t?ne ~earnt~g f3i~eer
Adme~nastratn~~e Eleteraunnatson
Staf€1~2eeno
Agnp~acaQeom
F~h~.ee 1~Qtnce, Acceptance Letter, Referrah(s) Letter
Site Flan
lt~nsceilaneo~s
F4at(s)
~£-'=
Parcel ID: 2735-21-4-00-005 Application Date: 10/29/09 Case No: SPE028-09
Description:
Other Referrals:
Project Address: 3125 MAROON CREEK RD, ASPEN, CO 81611 % Over Hours: 3.6
Property Owner: T-LAZY SEVEN RANCH CORP Address: 3129 MAROON CREEK RD
ASPEN, CO 81611
Owner's REP: TIM TELLURIDE ON SITE PROCAddress: PO BOX 1592
TELLURIDE, CO 81435
REP's Email: tim@tellurideonsite.com
Referrals: ALL OTHER REFERRALS
Comments Due Date:
Meetings:
Meeting Date:
Review Body:
Public Hearing?
Notice Date:
Meeting Notes
1st Meeting:
2nd Meeting:
Planner: Cari Anne Holcomb
# Copies:
Allocated Hours 3
Owner Phone:
REP's Phone: (970) 728-4720
3rd Meeting:
Approvals:
BOCC Resolution #:
BOCC Ordinance #:
Admin Determination #: 99-2009
Other Information:
VR Approval Date:
VR Expires Date:
Remarks:
P&Z Determination #:
HO Determination #:
Plat Recorded Date:
Plat (Bk, PG):
Application Type:
ADMINISTRATIVE DETERMINATION OF THE COMMUNITY DEVELOPMENT
DIRECTOR OF PITKIN COUNTY, COLORADO, APPROVING A TEMPORARY
COMMERCIAL USE/SPECIAL EVENT PERMIT FOR THE FILMING OF THE
NISSAN "A TO Z" COMMERCIAL
Determination No. qq -2009
RECITALS
1. Pursuant to Subsection 4-30-50(i) of the Pitkin County Land Use Code,
the Community Development Director of Pitkin County, Colorado
("Director") may approve a Temporary Commercial Use/Special Event
Permit for commercial activities or special events.
2. Aero Films (hereafter, the "Applicant") has applied to the Director for
approval of a Temporary Commercial Use/Special Event Permit to film a
commercial on Maroon Creek Rd on 11/5/2009 from 3PM to 7PM.
Additional filming may be required on 11/06/2009 from 7AM to 7PM as
necessary. The cast and crew consist of approximately 20 people, who
will be based at the Maroon Outfitter's facility at 2125 Maroon Creek Rd.
3. Colorado State Patrol shall provide traffic coordination and are required by
the USFS to be present at all times for the USFS Permit to be valid.
4. County Risk Management has received and approved a Certificate of
Insurance covering this event and naming the County as an Additional
Insured. Pitkin County Sheriffs Office has approved the Application and
the CSP requirement. Public Works approved the Application.
5. The Director finds that, to the extent applicable, the application complies
with the standards in Subsection 4-30-50(i) of the Land Use Code.
THE DIRECTOR HEREBY APPROVES the Temporary Commercial
Use/Special Event Permit for Aero Film to film the Nissan "A to Z" commercial,
subject to Applicant's compliance with each of the following conditions:
1. Applicant shall adhere to all material representations made in, or in
connection with, the application.
2. No emergency access shall be blocked.
' ~~
~~ z~9
3. Parking shall be on private property only. No parking shall take place on
County roads.
4. The Applicant shall apply for and obtain a US Forest Service Temporary
Special Use Permit prior to the start deadline.
5. The Applicant shall not use helicopters for filming within Pitkin County.
6. Failure to comply with the conditions of approval may result in revocation
of this permit.
APPROVED this ~fh-, day of N ,,,, , 2009.
Cin y ouben
Community Development Director
PID# 2735-214-00-005
SP028-09
Z
~11~'16i2009
12:48 970468'?35
USFS DILLON RD
FAX COVER S~-IEET
Dillon Ranger District
PO Box, 620, 680 Blue River Parkway
Silverthorne, CO 80498 -
Telephone (970) 468-5400 Fax: (970) 468-7735
TO : CGS r C. ~n, ~~ ~. f-'l ~,I ~ ~v-'n ~b
FAX NUMBER: ~ ~ ~ 9 a. ~ = s4--' ~
FROM:
PAGE 01; 04
DATE: (i/ i ~/,~ ~....
of pages (including cover sh~et):
~~N
MESSAGE: -This ~s f1.~. ~.tgwta.a, . err,-~~~ ~f=
11/16/2009 12:46' 9x04687135 USFS DILLON RD
Authorization ID: DIL838 FS-2700-25 (03/06)
Contact ID: AFRO OMB NO, 0586-0082
Expiration Date: 11/06/2009
Use Code: 552
U.S. DEPARTMENT OF AGRICULTURE
Forest Service
TEMPORARY SPECIA4 -USE PERMIT
(FSH 2709.11, sec. 54.6)
AUTHORITY:
ACT OF MAY 26, 2000, PL 106-206 May 26, 2000
PHGE 02/04
AERO FILM, hereinafter called the Holder, is hereby authorized to use, subject to the terms and
conditions of this permit, National Forest System land Identified within the unit area and described
as Sec. 22, 34 T. 4 S., R_ ~6 W., 6TH PRINCIPAL MERIDIAN, Sec. 35, T. 5 S., R. 88 W., 6TH
PRINCIPAL MERIDIAN, Sec. 1, T. 10 S., R. 89 W., 6TH PRINCIPAL MERIDIAN, as shown on
the attached Exhibit(s) A (Application), B (Operating Plan). and C (Maps). This authorization
covers approximately 30 miles.
The holder is authorized to conduct the following activities and/ or install the following temporary
improvements on the permitted area:
Aero Film is filming a Nissan car commercial on Hwy 6 on Loveland Pass, Glenwood Canyon and
McClure Pass using a camera car and also filming the car from a helicopter In these locations.
Only the picture and camera car are authorized on Maroon Creek Road. Helicopter landing and
refueling is authorized at the Loveland Valley Skf area parking lot C in the corner of the parking
lot furthest from the creek- A fuels spill plan must be in place as well as absorbent fuel mats laid
down. Pullouts along the pass will be used for the two vehicles to pull into while traffic is allowed
to pass by. This is taking place on the Eagle/Holy Cross, Aspen, Dillon and Clear Greek Ranger
Districts on 1 110 6/2 00 9 from 6:30 A.M. to 7:00 P.M, and Maroon Creek Rd 11/05/2009 from 1:00
P.M. to 7 P.M. There will be 20 people on site.
The Colorado State Patrol shall be present at all times for this permit to be valid. They will be
coordinating traffic. Hwy 6 over Loveland Pass maybe closed temporary while filming.
The FAA has approved the flight plan in these areas for the times specified.
Pitkin County has approved filming along the Maroon Creek Rd for the picture and camera car
ONLY and the CSP will monitor the filming in this area. A helicopter Is NOT authorized at this
location.
Staging area: Parking lot at Loveland Ski Loveland Valley lot C for 2 vans, 1 picture car, 1
camera car, truck with camera equipment, a RV and a helicopter.
TERMS AND CONDITIONS
1. Use under this permit shall begin on 11/0512009 at 1 P.M. and end on 11/08/2009 at sunset.
The permit shall not be extended.
2. The fee for this use is 1 761.00. It shall be paid in advance and is not refundable.
3. The holder shall conduct the authorized activities according to the attached approved plans
and specifications, Exhibit(s) A (Application), B (Operating Plan) and C (Maps).
4. The holder shall not install any improvements not specifically identified and approved above.
a
11i'16i2009 12:48 9'04687735 USFS DILLON RD
17./05/7.009 THU 12:48 FAX 970 925 9037 SNN AT ASPLN
11/05/2009 10:33 97t,.... d7735
USFS DILLON R.,
5. No soil. trees, or other vegetation may be destroyed or removed from National Forest System
lands without specific prior written permission from the authorized otflcer.
6. The holder shell campty with all Federal. State, county, and municipal taws, ordinance9, and
regulations vfiich are applicable to the area or operations covered by this permit.
7. The holder shall maintain the improvements and premises to standards of repair, orderliness,
neatness, sanitation, and safety acceptable io the authorized officer. Thehoider shall fully repair
and bear the expense for all damage, ether than ordinary wear and tear, tc National Forest
System lands, roads and trails caused by the border's activities,
8. The holder has the responslbiliry of Inspecting the use area and adJoining areas for dangerous
trees, hanging limbs, and carer evidence of hazardous conditions which would pose a flak of
Injury to Individuals. After searing permission from the authorized officer, the holder shall
rem ova Such hazards,
9. The holder shalt be (table for any damage suffered by the United States resutting ftam or
related tv use of this permtt, ficluding damages to National Forest resources and costa of fire
suppression.
10. The holder shah hold hennless the United States from any Ilablliry from damage to IIPe or
property arising from the holder's occupancy or use of National Forest lands untlar this permit.
11. The holder agrccs to permit the free end unrestricted access to and upon the premises at all
times for an lawful and proper qurposes not inoonsistant with the intent of the permR or with the
reasonable exerolse end enjoyment by the holder of the prlvlleges thereof.
12. 1Tis Dermit Is aubJect to all vaii4 existing rights and claims outstanding in third parties.
PAGE 03i'04
®noz/oo3
PAGE 03/04
13. This permit maybe revoked upon breach of arty of the conditions herein or at the discretion
of the etrfhorized officer, Upon expiration or revocation of this permit, the hoidor shell
immetliately remove all improvements except those owned by the United Slates, end shall resrore
the site within 1 day(s), unless otherwise agreed upon in writing. If the holder falls to remove the
improvements, they shall bocome the property of the United States, but that will not relieve the
holder of liablltty for the cost of their removal and restoration of the site.
14. This permit is a Itcense for the use of federally owned land, It does not grant any interest to
real property. This permit Is not Nar>efetable. The holder shall not enter Into any agreements with
third parties far occupancy of the authorized premises and improvemerds.
15. Appeal of any provisions of this permit or any requirements thereo4 shall be subject to the
appeal regulations at 36 CFR 251, Subpart C, or revisions thereof.
16. 71tis permit Is accepted subject fo the condttions set fodh herein, condition(s) 115 and
~Xhiblt(s) A, H, C attached to and made a paR of brie perm,
t 7, The above clauses shall control If (hey conflict with additional clauses or provisions.
i have read and understand the terms and conditions and agree to abide by them.
HOI,OFR' Aero Fllm U. S, DEPARTMENT OF AGRICULTURE
_ Forest Service
i`" 1
By' ~~ ~ By: %~' J
~M "TP rrr}cl .
3
11/16/2009 12:48 9104687;35 USFS DILLON RD Pi;GE 04/04
Address: PQ (3~y6 t Sri ~
"I'e,i,(-Ur. i ~,ll, r (mot',. ~S !y ,s1~
Phone #: 3 f U `~ t~ /-~ - `'I'7 S 3
Date: ~ S~.le'~ rj
Name: Jan Cutts
Title: District Ranger
(Authorized Officer)
Date: ~ ~ U~
According Lo the Paperwork Reduction Act of 1995, an agency may not conduq or SDOnsor, and a person Is not
required to respond to a collection of Information unless it displays a valid OMB control number. The valid OMB
control number for this information collection Is 0596.0082. The time required to complete this informaton
collection is estimated to average 1 hour per response, including the time for revlawing Instrudlons, searching
erlsting data soUMRS, gathering and maintaining tha data needed, and Completing and reviewing Iha wlleUlon
of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination In all Its programs and aclivWee on the
balls of race, color, national origin, gender, religion, ago, disability, politleal beliefs, sexual orientation, and
marital of family status, (Not all prohibited bases apply i0 all programs.) Persons with dlsabilltles who require
altemadve means for communlcatlon of program Information (Braille, large print, audlotape, etc.) Should contact
USDA7s TARGET Center al 202-720-2600 (voice and TDD).
7o file a complaint of dlscrlminatlon, write USDA, Director, Offw of Civil Rights, 1x00 Independence Avenue,
SW, Washington, DC 20250-9x10 or wll toll free (B88) 832-9992 (voice). TDD users wn mntact USDA through
Iowa relay or the Federal relay at (000) e77.6339 (TDD) or (666) 377-66E2 (relay voice). USDA is an squat
opportunity provider and employer.
The Pdvacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (6 U.S.C. 552) govern the confidentiality to
be provided for infonnatlon recalved by the Forest Service.
MEMORANDUM
TO: Cindy Houben, Pitkin County Community Development Director
FROM: Cari Anne Holcomb, Planner
RE: Aero Film -Nissan "A to Z" Commercial Shoot, Temporary Commercial
Use/Special Event Permit
DATE: November 4, 2009
REQUEST: The Applicant is requesting approval of a Temporary Commercial Use/Special
Event Pennit in order to film a TV commercial on Maroon Creek Rd. The shoot will
potentially take place in the afternoon hours on 11/5/09 and during the day on 11/6/09. The
base camp will be located at 2125 Maroon Creek Rd at the T-Lazy 7 Ranch as contracted
by Maroon Outfitters. The only vehicles on the road will be:
- Colorado State Patrol (traffic control);
- The camera truck;
- The vehicle being filmed;
- Lead/Follow Van for traffic control;
APPLICANT: Aero Film (thereafter, "Applicant").
REPRESENTATIVE: Tim Ten'itolTelluride On Site Productions
LOCATION: Base camp at Maroon Outfitters (2125 Maroon Creek Rd); Film location an
eight mile stretch of Maroon Creek Rd.
BACKGROUND: This is a TV commercial shoot for Nissan vehicles entitled "A to Z".
Aero Film will be filming a vehicle driving on Maroon Creek Rd on November 5"', in the
afternoon until dark and on November 6'" from approximately 7 A.M. until 7 P.M. They are
also filming in Glenwood Canyon so the shoot will only be in Pitkin County for a portion of
the 'film' time. Base camp will be at the T-Lazy 7 Ranch from the Maroon Outfitters facility.
The crew will consist of 20 people. The Applicant is also obtaining a permit for the USFS.
REFERRAL COMMENTS: The application was referred to Risk Management (Kris
Jewkes), Public Works (G. R. Fielding), Pitkin County Sheriffs Department (Tom Grady),
USFS (Jim Stark).
Kris Jewkes reviewed and approved the Certificate of Insurance provided by Applicant.
Approval was given via phone.
Public Works approved the application, with the condition that the Applicant receive a
USFS permit.
Sheriff Tom Grady approved the application. Colorado State Patrol (coordinated by
Caption Duran) will provide traffic control. PCSO will provide non-obtrusive extra patrol to
the area.
I O~
STAFF COMMENTS:
Pursuant to Subsection 3-200-030 of the Land Use Code, Applicant must demonstrate that
adequate provisions have been made for all of the following:
1. Police supervision (if necessary);
2. Public parking;
3. Insurance;
4. Site set-up, maintenance and clean-up;
5. Emergency services; and
6. Safety of operations.
Additionally, temporary structures must conform to applicable building codes and other
County regulations. Each of these requirements is addressed, in tum, below.
Police Supervision: CSP will be providing direct traffic control and PCSO will provide
non-obtrusive extra patrol to ensure safety on Maroon Creek Rd.
Public Parking: Overflow vehicles and crew members will be based at the T-Lary 7
Ranch in the Maroon Outfitter's facility. No parking is allowed in the ROW
Insurance: Applicant has provided adequate proof of insurance.
Site Set-Up. Maintenance and Clean-Up: Outdoor set-up is minimal for this type of
event. The Applicant will provide set-up, maintenance and clean up, including trash
removal from the site.
Emeroencv Services: Applicant has provided a plan for dealing with emergencies during
the shoot. This includes the Colorado State Patrol and 911 services.
Safety of Operations: A first aid kit and fire extinguisher will be available on site.
Conformance with Building Code: Electricity will be supplied at base camp. No
additional structures are required.
RECOMMENDATION: Staff recommends that the Director approve the Temporary
Commercial Use/Special Event Permit application subject to Applicant's compliance with
each of the conditions in the attached Administrative Determination.
Z
~~~? ~m
~E'.A' M l
FAk= CO4`ER SHEET pale i of
~~P~
2'135-2,-4~~-~5
I~~ ~ Date
M at7tFl71"~IZ`~ l o' a a ~ 0 9
Fram: Tim@ 2i~G~ ~~~ ~fl
Telluride Onsite Productions C~ k Y~
P.O. Box 1592
Telluride. CO 81435
To'. ~!~ r I ~ n /1 z ~ o l C c wl to
Comments: !~ ~ Cyr i ~,~,~ z
-~ rn~ ~ <. u o f ~. v Cn h
y w~9 ~~o I
+ ~ b~ ~ Flo ~ ~ ~.
So I I r1.^1 z~ ir~ Oi.~ 0.,.. C.~ 0.r^- ~c~~~,.~ ! ~
!
+~-` , s~.
V if(/ M i.. 1, ~ Tot L/u N r ~I t. I'p
~~~~~~~ti ~ l /
/f f ~
If you have any questions or concerns please contact Tim Territo at 970.728.4720 (Oiiice):
310.994.9753 (Cell). or via email: iim@telluritleonsite.com
THANK YOU FOR YOUR BUSINESS!
www.tellurideonsite.com
0~!1v01 ~ 2~
Telluride On Site Productions
>r~nim~~l~rliurirlr. O~li~r:nl~r :uni !hr Fnur 1 ern r~~r. IL~_ii~n
Aero Film (Director Klaus Overseer) 3000 31s` st. Santa Monica Ca.310-396-3636
Producer :Liz Welonek ,Location Scout: Tim Temto H. 970-728-4720 C. 37 0-994-9753
Would like to film a TV Commercial for Nissan on 11/06/09 + rn ~~ b :, ~~~~ '~r~-- ~r ^ ° n ' 1 I o s I o 9
For a few hours at Maroon Bells county rd. 13 / Mazoon Creek Rd.
The crew consists of 20 crewmembers
With the help of the Pitkin county Sheriffs dept or Colorado State Patrol.
We would do traffic control holding traffic for no longer then 10 min. at a time. While
filming a picture car (Nissan) from a camera car.
We will base from the Maroon Bell Outfitters.
Vehicles include a motor home, 2 vans, a camera car, a picture car and truck with camera
equipment.
Only the Camera caz, picture car, 1 van and Patrol car would be on the road.
We aze permitting with the U.S Forest Service.
Thank You,
Tim Territo
li U', {~
City of Aspen/Pltkln County/Town of SnoWmass Villaye: Special Event On-line Application
10!28/09 12:34 PM
~( MINOR EVENTS MODERA'T'E EVENTS MAJOR EVENTS
Minor impact (see impact list Minimal or Moderate impact (see Significant, cross-jurisdictional
below) impact list below) impact (see impact list below)
Submit Application at least 30 Submit Application at least 60 Submit Application at least 90
Days prior to event Days prior to event Days prior to event
Damage/Security deposit as Damage/Security deposit as Damage/Security deposit as
determined determined determined
Up to three impacts below Up to three impacts below Up to three impacts below
requires a Minor Event Permit requires a Moderate Event Permit requires a Major Event Permit
MULTIPLE PUBLIC MULTIPLE DAYS
X IJSE OF PUBLIC PROPERTIES DURATION
PROPERTY STREET CLOSURE MULTIPLE PUBLIC
MUSIC/NOISE/
FIREWORKS MUSIC/NOISE/ FIREWORKS PARKING FACILITIES
ALCOHOL SANITA"I'lON SERVICES EXCEEDS LOCAL
416 UP TO 500 PERSONS CONTRACTED PUBLIC TRANS.
X ONE (I) DAY OR LESS PUBLIC CAPABILITIES
DURATION TRANSPORTATION MULTIPLE STREET
PUBLIC PARKING CON"I'RACTED CLOSURES
PUBLIC MULTIPLE lST ALCOHOL
TRANSPORTATION RESPONDERS CONTRACTED CAMPING
FOOD VENDORS (FIRE/VIED/LAW) MULTI-
FIRST RESPONDERS NIGHT TIME JURISDICTIONAL PERMITS
CONTRACTED AI COHOI REQUIRED
(FIRE/MED/LAW)
500 - 3,500 PERSONS OVER 3,500 PERSONS
__
........................._.... .
__
_ _..
APPLICATION CHECKLIST
USE THE FOLLOWING LIST TO GUIDE YOU IN DEVELOPING YOUR EVENT PLAN.
Site Map: Produce an accurate detailed drawing of your event. Complete Site Plan. Section 2.
Communications: Aplan, including all staff cell phone numbers and radio information must be
provided. Complete Communications Plan. Section 3.
Security: Required if serving alcohol. Event organizer may want to hire private security to secure
valuables/goods. Complete Security Plan. Section 4.
Medical: If you are providing Emergency Medical Services by calling 9l I or hiring a professional
service you must provide this plan. Complete Medical Plan, Section 5.
file:///Users/timterri[n/DesktoplCl[y%20of%20ASpen-Pitkln%20[ounty-._20Snowmass%20Village%205pedal%20EVent%200n-line%20Appiicatton.htm Page 2 of 22
~f'i) X03
City of Aspen/Pitkin County/Town of Snowmass Village: Special [vent On-line Application
10/28/09 1234 PM
References: Have you previously organized this type of event, locally or elsewhere? If yes, provide
references (names and phone numbers). Kefer to References Section 20.
_ .
F,VENTS THAT POSE A SUBSTANTIAI. RLSK FOR SERIOUS INJURY TO PARTICIPANTS
OR STAFF WILL BE DESIGNATED AS AN EXTREME EVENT.
,i, ANY EVENT WITH THIS DESIGNATION MUST COMPLY WITH ALL REQUESTS
MARKED BY THIS SYMBOL
Event Summary & Plans
SECTION 1: EVENT SUMMARY
NOTE: Required fields are marked with """
*Primary jurisdiction: ~I i~l`~', G^^t~
"Specific location(s): 1/~,~roo •, i3el I ,
`Name of Event: /~//5SA1~( (-,~jM,vl~~gL
__ _ _ _
« A -~ z'l Nis~s.~~
Dates/Times imm/dd/yyyy] [hh:mm am(or pm)~
Set-up:
'"Start: i~Jo~'o9 ~.oaP'^ to7:~°r~
*End: /106+09 ~`':nM~'.~~p`~
Dismantle:
__ _.. _ __
...._. .....................
~tPrimar-y~ontact T ~-. Tc ~ ~'~°
'State: C.o . '°Zip: `~ l c~ 3 S
__
__ _ _
EVENT CONTACTS Duz-ing event - corxtact names & phone numbers
'Primary Contact Name: T M Te~ ~ ~ t~ Phone: 3 1 ~
Secondary Contact Name: Phone:
Medical. Contact Name: Phone:
Parking Contact Name: Phone:
Safety Contact Name: Phone:
Security Contact Name: Phone:
Transportation Contact Name:
_ _.__ Phone:
99y 953
PLEASE PROVIDF, THF, FOLLOWING EVENT SUMMARY INFORMATION:
Flee / / /Users/tlmterrim/Desktop/City%20o(%20ASpen-Pitkin%20County-._ 205nowmass%20Village%205pecial%20Even t%200n-line%20ADPIication.htm
Page 4 of 22
l1 :J ,.3 j O r2
City of Aspen/Pltkin County/Town of Snowmass Village: Special Event On-Ilse Application
10/28/09 12:34 PM
• Sanitation and Solid Waste
o Locate and identify the number of restrooms and/or portable toilets and hand wash
stations.
o Placement of trash and recycle containers and dumpsters.
• Alcohol, Food Service, Vending and Tech Areas
o Placement of bar areas and/or beer gardens including security fencing and entry/exit gates.
o Locate food vendors and identify those cooking with flammable gases or barbeque grills.
Show all vending booths, tech booths/trailers, work areas and/or storage.
SECTION 3: COMMUNICATION PLAN
EFFECTIVE COMMUNICATION between you, the event organizer, and participants and staff can
be the key to a smooth operating event. Please provide the following information in this plan.
STAFF
• Staff contact list with designated responsibility.
• Include all phone numbers.
• If using hand held radios include radio channels.
• List assigned frequencies (UHF or VHF)
• Identify radio channels for each staffing group. i.e. Security=channel #2
e Be prepared to provide Law Enforcement and/or Emergency Medical Services with one of your
radios.
EMERGENCY MEDICAL SERVICE PROVIDERS
e List assigned radio frequencies and detail how staff will communicate with medics.
• Detail how medics will communicate, i.e ambulance, hospital, etc.
o Include phone numbers
PUBLIC INFORMATION
• Detail how you will update participants or attendees with changing information about your event.
(i.e. radio spots, newspaper, etc.)
s Describe informational signage that will serve to inform attendees as they arrive at your event.
An operational and communication flow chart will assist in organizing this information, and may
be required.
SECTION 4: SECURITY PLAN
A SAFE AND SECURE ENVIRONMENT' needs to be provided for your event. If you are dispensing
alcohol this plan is required. Please describe your Security Plan.
• Have you hired a profe tonal security company (bonded/insured) to plan and manage security
for youl• event? (Yes/
file:///Users/tlmtarrito/Desktop/City%20o19620Aspen-Pitkin%20County-...205nowmass%20Village%205peclal%20Event%2DOn-line%20Appil<ation.htm Page 6 of 22
'i°"/11f~UJ
v
City of Aspen/Pitkin County/Town of Snowmass Village: Special Event On-line Application
10/28/09 12:34 PM
If Yes, please provide the following information:
o Security Organization
o Contact Person
o Mailing Address
o Telephone/Cell/Fax/E-mail
o List number of personnel, dates and times they will be in place and describe their duties
and/or functions.
o Show security stations on the event site plan, Section 2.
o Include security communications in the Communications Plan, Section 3.
• Will public law enforcement services be requested? (Yes o)
If Yes, please explain for what purpose (i.e.: security traffic control, arking control`?).
o List dates and times when officers are needed.
Public law enforcement services may be charged out at a rate to be determined in your
agreement with the appropriate Chief of Police or Sheriff. The Chief of Pofice and/or
Sheriff reserve the right to place officers and staff events as deemed necessary in the best
interest of public safety. An application for an agreement with the Police Department
and/or Sheriff's Department will also need to be completed in addition to this Plan.
• Provide a Security Contact who will he available to puhlic safety officials at all times during
your event.
o Name of Contact
o Mailing Address
o Telephone/Cell/E-mail/Fax
___ _ _._ _
SECTION 5: MEDICAL PLAN
MEDICAL AND EMERGENCY SERVICE NEEDS of the attendees and participants are an
important consideration. As the event organizer, you should develop a medical plan that is suitable for
your environment and size of your event. Enlisting the help of a Licensed Professional Emergency
Medical Services Provider to develop your plan is strongly encouraged. Please describe your Medical
and Emergency Services Plan.
• Will emergency medical services be summoned through 911? (Yes ],~j
If Yes, please provide the following information:
o Name (and number) of the on site staff person designated as the medical point of contact.
o Medical point of contact person must have the necessary information and training
regarding emergency calls.
o Identify an area or areas on yow event site plan where ambulances can pick up people.
flla://lUserz/timtecrito/Desktop/Ciry%20o1%20Aspen-Pitkin%20Counry-_.205nowmass%20VillaOe%205peciaNM20Event96200n-Ilne%20Applicationhtm Page 7 of 22
,,,v,i~Q6
v,
Clry of Aspen/Pitkin County/Town of Snowmass Village: Special event On-line Application
10/28/09 12:34 PM
• Do yo intend to have an on site Licensed Professional Emergency Medical Services Provider?
(Yes
If Yes, please provide the following information:
o Name of Service Provider
o Contact Person
o Mailing Address
o Telephone/Cell/E-mail/Fax
Ambulance Coverage
o Number of ambulances and staging locations at your event.
o Number of medical staff and level of certification, i.e. MD, RN, Paramedic, EMT.
o Identify hours of coverage for ambulance and staff.
o Provide plan for back up services in case your medical staff becomes unavailable.
Aid Stations
o Number of Aid Stations and their locations at your event.
o Hours of operation.
o Number of medical staff and level of certification at the Aid Stations, i.e. MD, RN,
Paramedic, EMT.
o Resources available at each aid station.
o Detail how medical staff will be identified, i.e. badges, uniforms, etc.
Aid Stations, ambulance staging areas,ambulance routes and points. of ingress/egress must he
shown on your Sitc Plan Section 2. Emergency medical services must be included within your
Communications Plan. Section 3.
• Provide a Security Contact who will be available to public safety officials at all times during
your event.
o Name of Contact
o Mailing Address
o Telephone/Cell/E-mail/Fax
?;i NOT);: Event organizer will provide at least one of the following options:
• Provide PARTICIPANT EVENT INSURANCE adequate to cover participant's medical expenses
resulting from injury acquired while participating in your event.
• Post MEDICAL BOND to cover EMS/hospital/areo-medical transport physician charges. Unused
bond would be refunded at 30 days post event.
SECTION 6: SAFETY' PLAN
file:l//Usersltlmterrito!Desktop/CitVK20of%2DAspen-Pitkin%20Counry-...20Snowmassg20Village%20Special%20Even[97l2gOn-line%20Applicatinahtm Page A of 22
City of Aspen/Pi[kin County/Town of Snowmass Village: Special Event On-line Application
10!28/09 12:34 PM
PROMOTING PUBLIC SAFETY at and around your event will help ensure your event's success.
Developing a safety plan will help identify and ultimately reduce the risks associated with your event.
You should consider the following a template to facilitate your safety program development.
• Detail your proposed event attendee capacity.
• Describe in detail the appropriate safety measures you will have in place for the event. Include in
your plan the following:
o Procedure for detecting and responding to emergencies.
o Requests for assistance procedures.
D Dispatch/communications for your internal emergency response. Include this in your
Communications Plan. Section 3.
o Include in your Site Plan. Section 2, emergency facilities, emergency access routes and any
hazards, fire extinguisher locations.
o Detail all safety andlor egress lighting if your event takes place after dusk.
o Develop a written safety plan to be handed out to your staff during your safety briefing.
Have your plan reviewed by Law Enforcement and the Fire Marshall.
o Describe exit routes for attendees
o What are your inclement weather contingency plans?
• Does the event pose substantial risks to the individual participant or public safety? (Ye /No
If Yes, describe in detail all the activities, risks, or other safety issues associated with staging or
participating in your event.
Does the cvcnt occur in wilderness, swift water/open wa r or mountainous terrain and have the
potential to affect normal public safety resources? (Ye. /No
If Yes, describe in detail the locations where your event will take place.
• Will you be using fixed wing or rotor aircraft? (Ye /No
The use of fixed wing, helicopters or halloons for your event requires the need for airport and
FAA approvals.
If you answered yes to any of the above questions you may be required to post financial security to the
5herifFs office.
If your event will take place in backcountry locations all participants are required to purchase
and carry during the event a hiking, fishing, hunting, snowmobile, boat registration or back
country certificate, which may cover costs of an emergency/rescue through the Colorado
file:///Users(tlmterrito/DCSktop/City?620of%20ASpen-Pitkin%20County-...20Snowmazs%20Villa9e%20Special°620Event%200n-line%20Appllcatlon.h[m Page 9 of 22
P;9 iiF?0~~
i• .i s . ,
City of Aspen/Pltkin County/Town of Snowmass Village: Special Even[ On-line Application
Department of Local Affairs-DOLA.
10!28/09 12:39 PM
Your event may be required to supply it's own Emergency Medical Services (including
ambulance services) depending on the scale and risk assessment of the activities. See (~Aedical
Plan. Section 5.
e~3i NOTE: For Major and Extreme Events, event organisers must be ICS100 certified.
• Provide a Safety Contact who will be available to public safety officials at all times during your
event.
o Name of Contact
o Mailing Address
Telephone/Cell/E-mail/Fax
SECTION 7: TRANSPORTATION/TRAEFIC PLAN
SAFE ARRIVAL ANll DEPARTURE of event attendees, participants, volunteers, vendors and staff
in a timely manner are very important. Your plan should encourage the use of alternate transportation
and include methods for mitigating traffic congestion. Please detail your transportation and traffic plan.
Please describe how people will arrive and depart from your event (i.e. private vehicles, walk, bicycle
or regularly scheduled public transportation).
What is your plan for the use of buses, vans or taxis to transport attendees and/or staff to and
from the event site. (~c h~.v~ ~U4~s ~~. ~~k{ Itis ~~ m._<•~~ c.,iC,7tl.r
Please provide a detailed plan including, but not limited to the following information:
o Statement of transportation objectives.
o Transportation Point of Contact. (phone numbers, email, etc)
o Route description with maps. ~~. WIS.,, ::, ck, re.A.
o Route schedule.
o Transport calculations, (i.e. Egress Route #l-Event to Parking Lot) Total bus capacity x
Round trips/hour =Passengers/hour x Length of egress = "Cola! passengers/route).
o Transportation companies contracted w/point of contact and copy of contract.
o Traffic flow maps (including location of barricades and/or cones).
o Road and/or traffic lane closure requests.
o Temporary informational signage locations. Safety lighting for night egress. (Include
signage and lighting locations on Site Plan. Section 21
o Provide for lodge vans, limos and taxis as needed; designate pick up/drop off locations.
o Describe any special transportation needs for artists, staff and/or volunteers.
o This plan is also linked to: Parking Plan. Section 8 and Accessibilit~Plan, Section I I.
o Will there be need for traffic control and flagging on State Highways or County roads? If
so, a traffic control plan. prepared by a certified traffic control firm will be required. A
certified Traffic Control Supervisor (TCS) must be on site at all times flagging operations
are taking place. All flaggers working of State Highways or County roads shall be
certified.
file: / / /Users/timrerrito/Desktop/City%20nF%20Aspen-PRkin%20County...205nowmass%20Village%205pecial%20Event%200n-line%20Application. htm
Page 10 of 22
^i)~Q~#
City of Aspen/Pitkin CoonrylTown of Snowmass Village: Special Event On-tine Application
City of Aspen only:
10/28/09 12:34 PM
• Do you require a street to be posted "No Parking"`? If yes, the City of Aspen requires 6 signs per
side of a block at a deposit of $2 per sign. # No Parking signs
• Do you need any cones or barricades? If yes, a deposit of $5 per cone and $35 per barricade is
required.
# Cones # Barricades
• Will you need any streets cleaned? (Yes/No)
• Street (s) from to date
SECTION 8: PARKING PLAN
ADEQUATE AND CONVENIENT YAKKING must be included in your event plans. Please
describe your parking plan, including the use of public and/or private parking areas.
o Please provide a parking plan including, but not limited to the following information:
o How many total parking spaces (attendees, participants, staff, volunteers, tech vehicles,
RVs, etc.) are required? I Pw ~ V:.rs l Trt.c~C I C~.n-rKA Co.i ~ ric~u.r~ Ca
Number of Public Spaces/Number of Days
Number of Private Spaces/Number of Days 8 ;l-~.~ts 1'~- ~ olw7 n,t tna-.=, o:~if,tFt.r
o Are the parking areas located on site or off site and how are the people to going to get
from the parking area(s) to the event?
o Will parking spaces be required for vendors, booths trailers, storage and/or staging? If so,
how many spaces each day?
o Have you received written authorization from the property owner(s) or authorized
representative for use of the parking area(s)? If so, please provide the letter(s) of
authorization.
o Will the parking be free or paid? If paid, what will be the rate and has the property owner
agreed to the parking charges?
o Will there be parking attendants to monitor and direct traffic?
o Will traffic flow patterns accommodate safe and efficient ingress and egress? If not, what
measures will be taken to improve the situation?
o Has a towing company been contracted for the duration of the event?
If so, please provide the name of the company and contact information.
a Is there night lighting provided for evening egress?
• Provide a Parking Contact who will be available to public safety officials at all times during your
event.
o Name of Contact '1,~~ ~^-.r~~c-~
o Mailing Address -f,~.-r«~,1-, e m~.<. c~-~
o Telephone/Cell/E-mail/Fax 97oyae~Y~~o~g,n 9?y-?7S3
tiley//Users/timterrlto/Desktop/City'620o~20Aspnn-Pllkin%].OCounly...20Snowmass%20Village%205pecial°620Evem%200n-Tine%20Application.htm Page 11 of 22
~, ytitl,'
~ v ..
City of Aspen/Pitkin County/T"own of Snawmass Village: Special Event On-line Application
If No, how will the parking for the event be handled and/or why it is not necessary.
Please describe your parking situation. ~,0.st Ce_M~ ^-t m«.a<,~`a~11 OKtf~tt~~s
__ ._.
SECTION 9: SANITATION/IIECYCLING PI.,.AN
10/28/09 12:34 PM
PROPER SANITATION AND DISPOSAL OF SOLID WASTE GARBAGE is a required part of
your event plan. Throughout the duration of your event and immediately upon conclusion of the even[,
the area must be returned to a clean condition. If you, as an event organizer, set a standard of leaving
the venue(s) better than you found it, you can have a highly beneficial impact on the community.
Proper storage and daily pickup of waste is required due to the wildlife activities in the community and
surrounding wilderness. IN ADDITION, RECXCLING IS REQUIRED.
Should you fail to perform adequate cleanup, or if damage occurs to public property due to your event
and mitigation attempts fail, you will be billed at full cost recovery rates plus overhead for cleanup and
repair. In addition, such failure may result in denial of future approval for a special event permit.
• Have you hired a prof sional security company (bonded/insured) to plan and manage security
for your event? (Yes No
If Yes, please provide the following information:
o Security Organization
o Contact Person
o Mailing Address
o Telephone/Cell/Fax/E-mail
o List number of personnel, dates and times they will be in place and describe their duties
and/or functions.
o Show security stations on the event Site Plan. Section ~.
o Include security communications in the Communications Plan. Section i.
ZGreen Checklist
NEW! All events in the City of Aspen must complete the ZGreen Events checklist.
Events requesting a permit to use City of Aspen property must complete the ZGreen cheelclist and must
comply with all ZGreen requirements. The following events are exempt from the ZGreen requirements:
• Events with fewer than 200 attendees that are only serving beverages.
• F_vents applying for a permit with the City of Aspen for the first time.
All other events in the City of Aspen must complete the checklist. Contact the Environmental Health
Department for assistance. (970k129-1798 or zUreenC~ ci.asoen.co.us.
Sanitation and Recycling
rile:///Users/[Im[errlto/Desktop/City9620o1%20Aspen-Pitkin%20Counry...20Snowmass%20Village%20Special%20Event%Z00 n-Iine~520Application.htm Page 12 of 22
J ~v 9.I 4 J
City of Aspen/Pitkln County/rown of Snowmass Village: Special Event On-line Application 10/28/09 12:34 PM
SECTION 10: ALCOHOL NHTIGATION PLAN
RESPONSIBLE SALE AND/OR llISTRIBUTION OF ALCOHOL is critical to a safe and
successful event. Please describe your alcohol mitigation plan.
(A State of Colorado Liquor License Special Cvent permit is required to dispense alcohol to the public)
• Is your event going to involve the sale and/or distribution of alcoholic beverages? (Yes No
If Yes, please provide a plan including, but not limited to the following recommendations:
o Hours of operation (include dates and times)
o Alcohol service should be ceased at a predetermined time prior to the end of the event.
o A designated, secured area for the dispensation and consumption of alcoholic beverages is
required. Show the area on your Site Plan. Section 2.
o Provide non-transferable [D bracelets for persons 21 and over.
o Use of TIPS trained servers. (drink maximum, ID check and no self serving)
o Will security staff and volunteers be trained on friendly intervention?
o Staff and volunteers should be prohibited from alcohol and drug use while on duty.
o Have you designated a "family friendly" seating area? If so, indicate it on your Site Plan.
Section 2.
o Will you provide alternative beverages to alcohol?
o Will food be available at all times?
o Is there a designated smoking area`? If so, show it on your Site Plan. Section ~.
o Will you provide alternative transportation for intoxicated attendees?
o Have you promoted public transportation in the planning of your event?
o Will you provide a designated medical detox facility on-site?
o How will you discourage Drinking and Driving?
SECTION 11: ACCESSIBILITY PLAN
ALL CITY, COUNTY, STATE AND FEDERAL DISABILITY ACCESS REQUIREMENTS
applicable to your event need to be addressed. A]1 temporary venues, related structures, and outdoor
sites for special events shall be accessible to persons with disabilities. If a portion of the area cannot be
made accessible, an alternate area shall be provided with the same activities that are in the inaccessible
area. It cannot, however, be offered only to patrons with disabilities.
Disability access may include parking, restrooms, telephones, clear paths of travel, transportation,
signage, accessible vendors and booths. If all areas are not accessible a map or program must be
provided to attendees indicating the accessible restrooms, parking, telephones, drinking fountains, etc.
• This Accessibility Checklist is intended to serve as a planning guideline and may not be
inclusive of all City, County, State and Federal access requirements.
o Will there be a clear path of travel throughout your event venue? Yes No)
Please describe. W L t.~ il~ ~ :. i ~ i/c l1 i c l z S ~~ ~ o~ ~'..~ r~ e.
o Have you developed a disabled parking and/or transportation lan (including the use of
public transportation or shuttle services) for your event? Yes No)
Vohs ~C.~r~,x~ 0.\ ~"tf ~0.3~C Cn.vti~
file:///Usersltlmterrito/Desktop/Clty%20o1%20Aspen-Pitkin%20County...20Snowmass%20Village%20Specia19d20Event%200n-line%20Application.htm Page 14 of 22
~1~~13
Ciry of Aspen/Pitkin County/Town of Snowmass Village: Special Cvent On-Ilne Application
State Retail Food Regulations
Pitkin County Temporv'y/Special Events Reeulations and P.equirements
Event Coordinator Application
Vendor Application
City of Aspen Temporlry/Cpeci•11 Events Applications
10/28/09 12:34 PM
You may be required to apply for a health permit if food or beverages are sold or given away during
your special event. For event venues in Aspen, contact the City of Aspen Environmental Health
Department at 920-5039; for event venues within the Town of Snowmass Village or unincorporated
Pitkin County, contact the Pitkin County Environmental Health Department at 920-5070. If applicable,
be sure to include your organization's 501(c)(3) identification number in order to receive a "nonprofit"
classification by the Environmental Health Department. Different permits, policies and procedures
depend on your classification and the number oP days of your event.
® Does your event include food concessions, preparation areas and/or giveaways? (Yes~o
If Yes, please describe how food will. be prepared and/or served.
• Do you intend to cook food in the event area? (Yes~No~
If Yes, please specify:
o Gas
o Electric
o Charcoal (May through October only-see Section 13.08.100(c], Aspen Municipal Code)
o Other
• Will food and/or cooking supplies be stored on site overnight? (Ye No
If Yes, please describe where and how it will be securely stored.
SECTION 14: PARKS/OPEN SPACE PERMIT
Use of City of Aspen Property: Use of City property (i.e. parks, streets, malls or facilities) requires
entering into a license agreement and paying the fee required by the Parks Department/Special Event
Committee. Availability of parks should be confirmed prior to submittal of application.
Use of Pitkin County Open Space Property or Trails: Use of Pitkin County open space or trails for
events requires approval of a special use permit. Please click hel=e to download a copy of the
application or contact Open Space and Trails at 920-5232 to obtain an application. Availability of
parks should be confirmed prior to submittal of application.
Use of Snowmass Village Property: Use of the Community Park requires a reservation by calling
923-5110. Availability of the park should be confirmed prior to submittal of application.
flle~///Users/timce rrlm/Desktop/City%20o1%20ASpen-Pi[kin%20County_.ZOSnowmass%20Village%205pecial%20Event%200n-line%20Application.htm Page 16 of 22
.,,J-'n~
City ofAspen/Pitkin County/Town of Snowmass Village: Special Event On-line Application
10/28/09 12:34 PM
• Type of activity (picnic, assembly, sporting event, etc.) TV Cp ~r.~,c (~`~
• Name of Sponsoring Organization Ae,ro ~i i ~^- r
Address
• Name of person responsible for the event ~;,.,T ~ t~~~,q <<~ ~'Ir, s j ~~ v c ~ I ~ Sn~~ti rr,,,A,~;~
Address ~~ ,
• Number of Participants ~o
• Do you plan to erect temporary structures? (Ye No
If Yes, describe size and purpose:
o Call the City of Aspen Parks Department at 920-5120 of the Town of Snowmass Village at
923-5110 at least one week prior to the event to locate irrigation and utility lines if you are
putting stakes in the ground for tents or other structures. You will be responsible for any
damage to the irrigation system. Do not put up any tents or structures in advance of the
days on the permit without the permission of the Parks Department.
City Parks rules:
• Crowd must be orderly.
• Area must be cleaned and all trash removed at completion of activity. No food, drink, ice or
charcoal is to be left behind or dumped on grass.
• Vehicles must stay off grass and walkways. Place plywood under barbecue grills, portable
restrooms, etc. to protect the grass.
• Sale or dispensing of beer, wine or alcoholic beverages is prohibited without a Special Event
Permit liquor license (See A Alcohol Permit and License).
• No person shall use any public park for business purposes, and no business of any kind shall be
carried on except with the necessary permits/licenses and as reviewed by the Special Events
coordinator.
• 1 understand that damages to park facilities and property or not abiding by these above conditions
is cause for cancellation or withdrawal of this Permit. Applicant will be charged for any damage
incurred during the event or during set-up or clean-up.
• 7. Person or persons will comply with all City 1•ules, regulations and ordinances.
I declare under penalty of perjury that this application has been examined by me, and that the
statements made herein are made in good faith pursuant to the tax regulations and, to the best of
my knowledge and belief, are true, correct and complete.
SECTION 15: SALES TAX & BUSINESS LICENSE
COMBINED SPECIAL EVENTS SALES TAX AND BUSINESS LICENSE APPLICATION for
the City of Aspen and Town of Snowmass Village. There ar•e no requirements for events within
unincorporated Pitkin County, except vendors must pay State sales tax and have the appropriate State
sales tax license.
(visit hrep•//specialevents aspenpitl<in com/www revenue State co us/fvi/htmllsales09 html)
• Are goods and/or services to be sold at your event? (Yes No
If Yes, please complete the following information.
Flle:///Users/tlmterrito/Desktop/City%20oF%20Aspen-Pitkin%20Counry...208nowmass%20Village%208pecial%20Even[%200n-line%20Applica[ion.htm Page 17 of 22
City of Aspen/Pitkin County/Town of Snowmass Village: Special Event On-Ilse Application
10/28/09 12:34 PM
At least one week prior to the event, a certificate of insurance must be submitted to the jurisdiction(s).
1'he certificate shall name the jurisdiction as an additional insured (for example: "City of Aspen, its
officers, employees and agents"). Coverage must be maintained for the duration of the event including
set up and dismantle dates.
Special Event Liability Coverage Available through City of Aspen (for events within the City of
Aspen ONLY)
Premiums are based on the type and scope of the event and must be paid to the City prior to the event.
An Event Holder Insurance Application is included in this packet. A completed application should be
forwarded to the City of Aspen Risk Management Department who will submit it to the insurance
carrier for a premium quote. Please direct questions 1•egarding insurance coverage to Risk Management,
429-2683.
Event Holder Insurance Application
(Provide this information in the text area below ONLY if you desire the City of Aspen's Special Event
coverage)
Name of Event
Name of Applicant
Address of Applicant
Event Contact Person (authorized to sign all documents)
Daytime Phone Number:
Fax Number
EVENT INFORMATION
Date(s) to Be Held
l~~ob~o`t ,~;
b:. ll~05'09 tr~.ti. 3:~~1,.~ :oar,,
Time 7 Ati - ~ r ^ ~ __'
(include set-up and take down days)
Location of Event: rv!ti~o~,, "(~;-l~
Detailed Description of Event: -ft/ C~ --~ r. ~ - °~' ~'
Total attendance (per day) including participants and spectators ~ 0 c'L I^'
(Note: If number of participants exceeds 7,000, then a separate application will be required)
Day One 2 n c ~ ", ~ r'\;n, t, :,r Day Five Day Nine
Day Two Day Six Day Ten
Day Three Day Seven
Day Four Day Eight
Additional event exposures`? (Yes No How Many?
Vendors/Exhibitors/Concessionaires?
Caterer?
Liquor Served?
Liquor Sold?
Food/Non-Alcoholic Beverages Served?
Food/Non-Alcoholic Beverages Sold?
Entertainment Activities? (provide a list)
Armed Security Guards?
file: (//Users /tim[errltolDesktop/Clty%20oFX20Aspe n-Pitkln%20Counry...205nowmass%20Village%205pecial%20Event%200n-line%20Apphcation.htm
Page 21 of 22
~;'~J~17
=role: Russel Foreman <russf@aol.com>
=.~`.Lje~~t: Re:lnsurence
~a?e: October 28, 2009 4:57:21 PM MDT
o: Tim Territo <timtemto@me.corru
1 Attachment, 99.8 KB
ACORD.x CERTIFICATE OF LIABILITYINSURANCE I DATE IMM/ODM}
,o-u-G9
PRODUCER THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION
AOWALBERT G. RUBEN INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE
10080 WILSHIRE BLVD., SUITE 7D0 HDLUER. iH15 CEftiIFIGATE DOES NOT gMEND, EICTEND OR
LOS ANGELES, CA 90024 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CONTACT: ISAAC RUVALCABA
DIRECT LINE: (910) 294-6809 INSURERS AFFORDING COVERAGE
INSURED INSURER A: AMERICAN INSURANCE COMPANY
Aero Fllm INSURER B: FIREMAN'S FUND INSURANCE COMPANY
300D 31~' INSURER C:
-
Santa Monica, CA 90405
INSURER D:
COVERAGES
T}1E POLICIES OF INSURANCE USiFD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED PROVE FOR THE POLICY PERIDD INDICATED, NOTMTHSTPNDING AN1
REQUIREMEM, TERM OR CONDITION OF M!V CONTRACT OR OTIEft DOCUMEM W IH RESPECT TO VvHIGM THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.
Tiff INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S1A.IECT TO P11 RIE TERMS, E%G"U$IONG PIJD CONDITIONS OF SUCH POLICES. AGGREGATE
LIMR6 9iOK}I M4V IIgVE ®6fN REDUCED BY PPID CLNMS.
[O
LTq
TTPE OF INBYRAXCF
IVLICY HVMBER MIICT EFFECTIVE PONLY fIflMTON
NNIF9
Og1F IMWODRn OgTF IMMNp,VY1
DENFML WBItfry JD((:$D.14BIB.$ P/i1N9 3FJ1/1B GENFRALAGGREGAIE $ 2,W0,000
x COtlMERCIPL GE11EpgL lLxBltltt
PRODUCTS-COMpXIP AGG
S 1,COD,DCG
CWNS VAOE aDC<UR PFASONgLEgOVINNpY
$ t,IXp,00D
A FACII OCCURRENCE $ 1
000
000
,
,
FlNE DAWLGE ZANY DNE FIRE) $ 1
DCF)
Dm
,
,
GFII'IAGGgEpGiE LI
w
i PPPLIFi PER. MED FXP-AItt ONE PERAN $ 11).Dm
I
~
POLICY
T lCC
h
` I
L
AMlo xoelLE WBIIFn X%C604CG1B$ 'Y!1/09 Y31/10
COMBINEOSWGIE LIUIi
AH/AUiO
LEO a~nrbnl $ 1, WJ,000
OLL OV.IIEO AVIOG BOpIT WIURV
5
A SLIIEOVLEAUi0.S IPp rynu nl
X AWED AU105 BONLY INNRY
X xoxamlED AUias Ivor.meeMl $
oRDPERiv DqusGF
IPn wbn) 5
6APAGE NABIInY gUI00NLY.EA pGEIOENi $
ANYAViO
' EAPCC
Ot11ER 114W _
~ $
OONIY:
wGD _
$
ExcEBSNMBREW wNUrc XAE82614671 3FJ1/09 3G1/70 Encx accuRRFxcE __ $ 19,COD,LW'
a X D!cUR ~ c tiG MmE AGGRECNTE $ t9,000,D00
VAIBRELIw FORD 5
% OnIBR TIWN VN.ORELNFORN $
rnrAxO i T~
~1v
Fl~ E
I
ENPIOYE PS' W&IIIT y
R
M'/FROPRIEIORTMTNE q.E %ECVTNE Et.EACHACC~-LNi $
OFFI<ERAEMBEIi FFCIUDEO?
N
..
e
.uAO UM
r
L. UI9UUE-u EMPLOYEE
$
F
.
e
i
SPECUI PROM 01 WI5 pevlr F.I OISEISE-POULT UNIT $
DINER MPIW1pB4I1 1Girtg Yit/10
THIRDPARTY PROPERTY DAMAGE ^mil S 1,000,000
B MI$GELlANE0U5 EQUIPMENT UmiC52,000,000
PROP&SEfS WARDROBE IimiC $ t,D00,000
VEI IICLE PHYSICAL DAMAGC ^mit $2,ODD,bq
DEECRIPMIN OF OPEMnOICILDCp11gV4VF111F1E919pECINL IIEp$
CERTIFICATE APPDES ONLY TO COMMERCIALS AND PRIM ADVERTI6ING PNO W UFD FUH rvISSAN r10RTH AMERICA, MG. THECETtTIFICATE HOLDER IS
INCLUDED AS AN ADDITIONAL INSURED UNDER THE GENERAL DABILRY OR AUTO W BNIY POLICIES ANO A LO65 PAYEE UNDER THE PRCOUCTION PACKAGE
FOUCY DUT ONLY AS REOUIRm DV AGREEMENT AND AS STATED BY THE POLICIES ANO OR ENDORSEMENTS. COVFRAGEAPPUES ONLY WITH RESPECT TO
PROPS SETS qND WARDROBE EOUIPMENf VEHICLES OR PREMISE$RENTED O0. LEA6ED BY THE NMIED IN6UR®FOR THE JOB NUABER: T3G65
CERTIFICATE HOLDER CANCELLATION
511(WID ANY OF THE ABOVE POLWIE$BE DAHrx ~mB~FORE THE E%PIRATION
PITKIN COUNTY COURTHOUSE PLAZA DATE n1EREOF,THC 19UN01lL9UREn WIV. ENOFAVORTO MAIL]0 DAY; VAVREN
NORCE TO ME CERRFICPnf HOLDER NAMED TO ME LER, BUT FAIIURET000 505HALL
53D EAST MAIN STREET 3RD.Fl[iOR IMVasE xo ellumnox oq uxemTV apxr aMD UpoxTxE lxsuRER. rts ADErv1s OR
ASPEN
COLORADO. Mi.„~..,,.~~.~"
.
~~
pIFTHOR~OREPREBENTATNE
ACORD 26I2OO7lOB) ~ ACORD CORPORATION 1988
~~i,1~.~18
fe11t>rid~? On Szte Prod>>ctiorxs
tirninr Trhn'iA.•, Crrlnt:ulo and ihr Four 1 in'rn•r.+ Rrgion
From: Tm~
Telluride Onsite Productions
P.O_ Box 1592
Telluride. GO 81435
To: C~lr1 /`n~lc' ~aolCo.~to
Comments:
I ~~
~~~~~~.
~,~.
FAX COVER SHEET page Z of
Date
/ u~z~ Io
97o-9yS_Gf 9~
g7d_ ~a s. sa ~ 7
It you have any questions or concerns please contact Tim Territo at 970.72@.4720 (C~ce),
310.994.9753 (Cell). or via email: tim@telluridaonsita.com
THANK YOU FOR YOUR BUSINESSI
www.tellurideonsite.com
a4''3~~ i J
v
~ ~- ~ ~W
,~ m ~ ~ ~,
%~
1
- ~p
~
~
. ~ ~ i. ~
~ ~ .-r
y
n ~,
j
J o j~
~
O
~-
n ,~
` ~; ~
ra~" M TS. 1
a n R
~~
YJ
;~
0
~ h
r
, ~
-,
_~
4
~ ~ On
~~~ w >
x'
J. ~
N
s
P
n
~~~
~N
AGREEMENT FOR PAYMENT OF LAND USE APPLICATION FEES
PITKIN COUNTY (hereinafter "COUNTY°) and Aero Film
(hereinafter "APPLICANT") AGREE AS FOLLOWS:
1. APPLICANT has submitted to COUNTY an application for A Nissan Commercial
(hereinafter, the "PROJECT°).
2. APPLICANT understands and agrees that Pitkin County Ordinance No. 32-2002 establishes a
fee structure for land use applications and the payment of all processing fees is a condition precedent to a
determination of application completeness. The fee structure is based on the COUNTY'S policy that
development shall pay, in full, the cost of development review in the COUNTY. Fees have been set to be
consistent and fair to the public and to reflect the expense incurred in providing such services to the public.
3. APPLICANT and COUNTY agree that because of the size, nature or scope of the proposed
PROJECT, it may not be possible at the time of application t~ ascertain the full extent of the costs involved in
processing the application.
4. APPLICANT and COUNTY agree that fees charged for the processing of land use applications
shall accumulate if an application includes more than one type of land use review.
5. COUNTY and APPLICANT further agree that it is impracticable for COUNTY staff to complete
processing or present sufficient information to the Planning Commission and/or Board of County
Commissioners to enable the Planning Commission and/or Board of County Commissioners to make legally
required findings for project approval, unless current billings are paid in full prior to decision.
6. Therefore, APPLICANT agrees that in consideration of the COUNTY'S waiver of its right to
collect full fees prior to a determination of application completeness, APPLICANT shall pay a base fee in the
amount of $ 499 which is based on ~ hours of staff time, and if actual time spent by staff to process the
application exceeds the average number of hours by more than 20°k, then the COUNTY will bill the
APPLICANT quarterly for the additional time spent. Such periodic payments shall be made within 30 days of
the billing date. APPLICANT further agrees that failure to pay such accrued costs shall be grounds for
suspension of processing.
PITKIN COUNTY
Cindy Houben
Community Development Director
7-~' Z~
("APPLICANT")
By: Tim Territo
Location Manager
Print Name and Titte (if applicable)
Date: 17/03/09
Mailing Address: P.O. Box 7592
Telluride Co. 87435
I o-~~
Authorization ID: DIL838
Contact ID: AFRO
Expiration Date: 11/06/2009
Use Code: 552 ,
FS-2700-25 (03/06)
OMB N0.0596-0082
U.S. DEPARTMENT OF AGRICULTURE
Forest Service
TEMPORARY SPECIAL -USE PERMff
(FSH 2709.11, sec. 54.6)
AUTHORITY:
ACT OF MAY 26, 2000, PL 106-206 May 26, 2000
HERO FILM, hereinafter called the Holder, is hereby authorized to use, subject to the terms and
conditions of this permit, National Forest System land identified within the unit area and described
as Sec. 22, 34 T. 4 S., R. 76 W., 6TH PRINCIPAL MERIDIAN, Sec. 35, T. 5 S., R. 88 W., 6TH
PRINCIPAL MERIDIAN, Sec. 1, T. 10 S., R. 89 W., 6TH PRINCIPAL MERIDIAN, as shown on
the attached Exhibit(s) A (Application), B (Operating Plan), and C (Maps).. -This authorization
covers approximately 30 miles.
The holder is authorized to conduct the following activities and/ or install the following temporary
improvements on the permitted area:
Aero Film is filming a Nissan car commercial on Hwy 6 on Loveland Pass, Glenwood Canyon,
McClure Pass and Maroon Creek Road using a camera car and also filming the car from a
helicopter. Helicopter landing and refueling is authorized at the Loveland Ski area parking lot.
Pullouts along the pass will be used to pull into while-traffic is allowed to pass by. This is taking
pace on the Dillon, Eagle/Holy Cross, Aspen and Clear Creek Ranger Districts on 11/0612009
from 6:30 A.M. to 7:00 P.M. and Loveland Pass 11/05/2009 from 3:00 P.M. to 7 P.M.
The Colorado State Patrol shall be present at all times for this permit to be valid. They will be
coordinating traffic. Hwy 6 over Loveland Pass maybe closed temporary while filming.
The FAA has approved the flight plan in these areas for the times specified.
Pitkin County has approved filming along the Maroon Creek Rd and the CSP will monitor the
filming in this area.
Staging area: Parking lot at Loveland Ski Loveland Valley Lot C for 2 vans, 1 picture car, 1
camera car, truck with camera equipment, a RV and a helicopter.
TERMS AND CONDITIONS
1. Use under this permit shall begin on 11/05/2009 at 3 P.M. and end on 11/0612009 at sunset.
The permit shall not be extended.
2. The fee for this use is 1 761.00. It shall be paid in advance and is not refundable.
3. The holder shall conduct the authorized activities according to the attached approved plans
and specifications, Exhibit(s) A (Application), B (Operating Plan) and C (Maps).
4. The holder shall not install any improvements not specifically identified and approved above.
5. No soil, trees, or other vegetation may be destroyed or removed from National Forest System
lands without specific prior written permission from the authorized officer.
6. The holder shall comply with all Federal, State, county, and municipal laws, ordinances, and
regulations which are applicable to the area or operations covered by this permit.
7. The holder shall maintain the improvements and premises to standards of repair, orderliness,
neatness, sanitation, and safety acceptable to the authorized officer. The holder shall fully repair
and bear the expense for all damage, other than ordinary wear and tear, to National Forest
System lands, roads and trails caused by the holder's activities.
8. The holder has the responsibility of inspecting the use area and adjoining areas for dangerous
trees, hanging limbs, and other evidence of hazardous conditions which would pose a risk of
injury to individuals. After securing permission from the authorized officer, the holder shall
remove such hazards.
9. The holder shall be liable for any damage suffered by the United States resulting from or
related to use of this permit, including damages td National Forest resources and costs. of fire
suppression.
10. The holder shall hold harmless the United States from any liability from damage to life or
property arising from the holder's occupancy or use of Nationalforest lands under this permit.
11. The holder agrees to permit the free and unrestricted access to and upon the premises at all
times for all lawful and proper purposes not ihconsistent with the intent of the permit or with the
reasonable exercise and enjoyment by the'holder of the privileges thereof.
12. This permit is subject to all valid existing rights and claims outstanding in third parties.
13. This permit may be revoked upon breach of any of the conditions herein or at the discretion
of the authorized officer. Upon expiration or revocation of this permit, the holder shall
immediately remove all improvements except those owned by the United States, and shall restore
the site within 1 day(s), unless otherwise agreed upon in writing. If the holder fails to remove the
improvements, they shall become the property of the United States, but that will not relieve the
holder of Iiabilityfor the cost of their removal and restoration of the site:
14. This permit is a license for the use of federally owned land. It does not grattt any interest in
real property. This permit is not transferable. The holder shall nofenter into any agreements with
third parties for occupancy of the authorized .premises and improvements:
15. Appeal of any provisions of this permit or any requirements thereof shall be subject to the
appeal regulations at36 CFR 251; Subpart C, or revisions thereof.
16. This permit is accepted subject to the conditions set forth herein, :condition(s) 1-15 and
Exhibit(s) A, B, C attached to and made a part of this permit.
17. The above clauses shall control if they conflict with additional clauses or provisions.
have read and understand the terms and conditions and agree to abide by them.
HOLDER: Aero Film
By: rYv-- ~==~>
1'i'~, 'f < ~,-, ~
U. S. DEPARTMENT OF AGRICULTURE'
Forest Service
By:
Address: ` g I~ ai 7 ~ ?~.'- '~ ~ (~.~, .'ti
Co 8 f 9 ~~~°
Phone #: ~ (° 4 ~ ~~ ~ ~ J J
Name: Jan Cutts
Titles District Ranoer
(Authorized Officer)
PITKIN COUNTY COMMUNITY DEVELOPMENT
Permit Receipt
RECEIPT NUMBER 00028502
Name: Aero Film Date:11/3/2009
Project Address: 3125 MAROON CREEK RD
Type: check # 44532
Permit Number Fee Description
PP- Special Event Flat Fee
Total:
0028.2009. PS P E
Amount
499.00
499.00