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DOCUMENT LAYOUT THIS FILE MAY OR MAY NOT CONTAIN ALL OF THE INFORMATION LISTED BELOW IN THE FOLLOWING ORDER Summary Sheet Resolution for the BOCC and/or P&Z Ordinance for the BOCC and/or P&Z Determination for the Hearing Officer Administrative Determination Staff Memo Application Public Notice, Acceptance Letter, Referral(s) Letter Site Plan Miscellaneous Plat(s) I,,,y Parcel ID: 2463-14-1-02-005 Application Date: 6/14/10 Case No: SPE019-10 Description: The Happening-A Carbondale Rotary Classic Temporary Commercial Planner: Cari Anne Holcomb Use/Special Event Permit # Copies: Allocated Hours: 3 Project Address: 100 ANGUS LN, CARBONDALE, CO 81623 % Over Hours: 3.6 Property Owner: ROARING FORK ROTARY Address: PO BOX 538 Owner Phone: (970) 963-3900 FOUNDATION CARBONDALE, CO 81623 Owner's REP: LYNN KIRCHNER Address: PO BOX 538 REP's Phone: (970) 963-5155 CARBONDALE, CO 81623 REP's Email: Referrals: ALL OTHER REFERRALS Other Referrals: Comments Due Date: Meetings: 1st Meeting: 2nd Meeting: 3rd Meeting: Meeting Date: Review Body: Public Hearing? Notice Date: Meeting Notes: Approvals: BOCC Resolution #: P&Z Determination #: BOCC Ordinance #: HO Determination #: Admin Determination #: 041-2010 Other Information: VR Approval Date: VR Expires Date: Remarks: 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 HAPPENING - A CARBONDALE ROTARY CLASSIC" Determination Not;~/~-2010 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. The Carbondale Rotary (hereafter, the "Applicant") has applied to the Director for approval of a Temporary Commercial Use/Special Event Permit to conduct their annual fund raiser at the Tybar Ranch at 100 Angus Lane in Carbondale. The dinner party and dance is July 10, 2010 from 5:00 P.M. to 11 P.M. Approximately 500 people are expected. 3. The Pitkin County Sheriff's Office and the Carbondale Fire Department have approved this event. A Certificate of Insurance covering this event and naming the County as an Additional Insured has been obtained. The Planning Engineer has approved the parking plan. 4. The Applicant has obtained a Special Events Liquor License from the County, as required. 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 PermR for the "The Happening - A Carbondale Rotary Classic", 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 3. No parking shall occur on County roads. 4. All servers shall be "TIPS" trained prior to the start of the event. 3. Failure to comply with the conditions of approval may result in revocation of this permit. APPROVED this,~l~ daCy of ~_~, 2010. ~- ~~ Cindy ouben Community Development Director SPE0019-10 P1D# 2463-141-02-005 Cari Anne Holcomb From: Vern Holmes [vholmes@carbondalefire.org] Sent: Monday, June 28, 2010 3:21 PM To: Cari Anne Holcomb Subject: RE: Carbondale Rotary "The Happening" 4th of July -Comments Due Carrie, We have no problems with their application. Thanks. From: Cari Anne Holcomb [mailto:CariAnne.Holcomb@co.pitkin.co.us] Sent: Monday, June 28, 2010 3:17 PM To: Ron Leach; Vern Holmes Subject: Carbondale Rotary "The Happening" 4th of July -Comments Due Gentlemen: Just a final opportunity to sign off on the Carbondale Rotary's 4`" of July event at the Tybar Ranch. I will be issuing the permit at the end of the day tomorrow. THANKS Cari Anne Holcomb I Planner t 970.920.5092 I f 970.920.5439 CariAnne.Holcomb(a~co.pitkin.co.us From: Cari Anne Holcomb Sent: Friday, June 11, 2010 2:24 PM To: Ellen Anderson; 'Ron Leach'; Tom Grady; Valerie MacDonald Cc: 'crcaucus@gmail.com'; 'Delia Malone' Subject: Reminder/update Carbondale Rotary "The Happening" 4th of July All: This is a reminder/update for the Carbondale Rotary's "The Happening" which will take place on the 4t" of July at the Tybar Ranch. We are still in the process of obtaining the correct proof of Liability Insurance. The Special Event Liquor License is scheduled for June 23`x. Thus far I only have comments/approval from G.R. on the parking, which looks fine as long as they follow their parking plan. Thank you in advance for all your help! Cari Anne Holcomb ~ Planner t 970.920.5092 ~ f 970.920.5439 CariAnne.Holcomb(cilco.pitkin.co.us From: Cari Anne Holcomb Sent: Thursday, June 03, 2010 4:25 PM To: Ellen Anderson; Ron Leach; Tom Grady; Valerie MacDonald; Bryan Daugherty; Carla Ostberg; ooooo~ o-~'3L Gerald Fielding Cc: crcaucus@gmail.com; Delia Malone Subject: Pitkin County Special Event Application Referral -Carbondale Rotary "The Happening" 4th of July All: Another 4~" of July Special Event: The Carbondale Rotary is having a fund raiser. It will be held at the Danciger Tybar Ranch @ 100 Angus Lane. I have attached the application. We are in the process of obtaining their Certificate of Insurance and should have it in a day or so. They have applied for a Liquor License and are schedule before the Board on June 23'". In order to accommodate their permit I would like to set the due date for comments as J U N E 2 ~ st by Noon. As always, please feel free to send me questions or requests for additional insurance. Thank you! Cari Anne Holcomb I Planner Pitkin County Community Development 130 South Galena Street, 3rd Floor Aspen, CO 81611 t 970.920.5092 I f 970.920.5439 CariAnne.Holcomb(a~co.pitkin.co.us 00~3(~C2 Cari Anne Holcomb From: Tom Grady Sent: Wednesday, June 23, 2010 11:30 AM To: Cari Anne Holcomb Cc: Ellen Anderson; Valerie MacDonald Subject: TYBAR Ranch Cari....The PC50 is ok w/the event at the TYBAR Ranch as is......w/approved parking & "TIPS" trained servers.....T. Grady Cu~~~3 Cari Anne Holcomb From: Cari Anne Holcomb Sent: Tuesday, June 22, 2010 10:24 AM To: Wurtsmith, Michele; Lynn Kirchner Cc: Jeanette Jones; leavitt@sopris.net Subject: RE: Certificate of Insurance -Carbondale Rotary Event July 10, 2010 The County's requirement for proof of insurance has been satisfied. Thank you for all your help! -cah Cari Anne Holcomb I Planner t 970.920.5092 I f 970.920.5439 CariAnne.Holcomb(a)co.pitkin.co. us From: Wurtsmith, Michele [mailto:MWURTSMI@amfam.com] Sent: Tuesday, June 22, 2010 10:20 AM To: Lynn Kirchner; Cari Anne Holcomb Cc: Jeanette ]ones; leavitt@sopris.net Subject: RE: Certificate of Insurance -Carbondale Rotary Event July 10, 2010 Lynn (and everyone else), The revised Certificate is Attached. Do you need anything else? I hope you have a great event!! Thanks, Michele Wurtsmith Licensed Office Manager John D. Bell Agency, Inc. 0350 Highway 133, Suite 1 Carbondale, CO 81623 Phone: (970) 963-5711 Fax: (970) 963-8525 mwurtsmi(a~amfam.com K/D Powers asks you -please te!/him we a2 a f0.!t -----Original Message----- From: Lynn Kirchner [mailto:lynnk@rof.net] Sent: Wednesday, June 09, 2010 12:44 PM To: 'Carl Anne Holcomb'; Wurtsmith, Michele Cc: 'Jeanette ]ones'; leavitt@sopris.net Subject: RE: Certificate of Insurance -Carbondale Rotary Event July 10, 2010 Importance: High Michelle Please correct and reissue asap Hi Lynn This is close, however, the name at the bottom left corner needs to read: Pitkin County c/o Cari Anne Holcomb 130 South Galena Street, 3'd Floor Aspen, CO 81611 The Certifcate that you currently have is only for the Tybar Ranch. Your insurance company should be able to easily correct it. Thanks Cari Anne Holcomb 1 Planner t 970.920.5092 I f 970.920.5439 CariAnne.Holcomb(a~co.oitkin.co.us ---Original Message----- From: Lynn Kirchner [mailto:lynnk@rof.net] Sent: Wednesday, June 09, 2010 10:03 AM To: Cari Anne Holcomb Cc: Jeanette Jones; leavitt@sopris.net Subject: Certificate of Insurance -Carbondale Rotary Event July 10, 2010 Hi Cari Here is our Insurance Certificate! All the Best, Lynn Lynn M. Kirchner, Owner & Managing Broker MBA, MRE, CRB, CRS, GRI, ABR, CNE, SPHR Amore Realty 711 Main Street Carbondale, CO 81623 970-379-4766 Cellular 970-963-5155 Office Direct Line 970-963-5177 Main 970-963-5178 Fax LynnK@raf.net www.AmoreRealty.com "work is love made visible" '" Kahlil Gibran ~ ;t~OL?~ ---Original Message---- From: Wurtsmith, Michele [mailto:MWURTSMI@amfam.com] Sent: Wednesday, June 09, 2010 9:56 AM To: Lynn Kirchner Subject: FW: AFBI re: Roaring Fork Rotary Foundation (AFBIN 000387905)-Agent letter Hi Lynn, These are the certificates. I will fax them also. Thank you, Michele Wurtsmith Licensed Office Manager John D. Bell Agency, Inc. 0350 Highway 133, Suite 1 Carbondale, CO 81623 Phone: (970)963-5711 Fax: (970)963-8525 mwurtsmi@amfam.com If 10 Powers asks you -please tell him we are a SO!! If you do not want to receive future unsolicited commercial email advertisements or promotions from American Family you may opt-out by visiting the following website: <https://www3.dncsolution.com/SSL/DNESolution/OptOutCode/OptOut.aspx?e1=5 > Note: After opting-out, you may receive emails that you have specifically requested from American Family. If you are a current American Family customer, you may still receive transactional emails regardingyour existing polities or accounts with American Family. American Family Mutual Insurance Company and its affiliates utilize the PossibleNow DNESolution to administer this email opt-out process. U~~~~aV Cori Anne Holcomb From: Cori Anne Holcomb Sent: Friday, June 11, 2010 2:24 PM To: Ellen Anderson; 'Ron Leach'; Tom Grady; Valerie MacDonald Cc: 'crcaucus@gmail.com';'Delia Malone' Subject: Reminderlupdate Carbondale Rotary "The Happening" 4th of July All This is a reminder/update for the Carbondale Rotary's "The Happening" which will take place on the 4~^ of July at the Tybar Ranch. We are still in the process of obtaining the correct proof of Liability Insurance. The Special Event Liquor License is scheduled for June 23`d Thus far I only have comments/approval from G.R. on the parking, which looks fine as long as they follow their parking plan. Thank you in advance for all your help! Cori Anne Holcomb I Planner t 970.920.5092 I f 970.920.5439 CariAn ne. Hol com b(a)co. oitkin.co. us From: Cori Anne Holcomb Sent: Thursday, June 03, 2010 4:25 PM To: Ellen Anderson; Ran Leach; Tom Grady; Valerie MacDonald; Bryan Daugherty; Carla Ostberg; Gerald Fielding Cc: crcaucus@gmail.com; Delia Malone Subject: Pitkin County Special Event Application Referral -Carbondale Rotary "The Happening" 4th of July AII: Another 4'" of July Special Event: The Carbondale Rotary is having a fund raiser. It will be held at the Danciger Tybar Ranch @ 100 Angus Lane. I have attached the application. We are in the process of obtaining their Certificate of Insurance and should have it in a day or so. They have applied for a Liquor License and are schedule before the Board on June 23ftl. In order to accommodate their permit I would like to set the due date for comments as J U N E 21 st by Noon. As always, please feel free to send me questions or requests for additional insurance. Thank you! Cori Anne Holcomb I Planner Pitkin County Community Development 130 South Galena Street, 3rd Floor Aspen, CO 81611 t 970.920.5092 I f 970.920.5439 CariAnne. Holcomb(a)co.pitkiaco. us Yi~®tPll °T'HE HAPPENING - A CARBO NDAL,E ROTARY GLASSICn PITKIN COUNTY PERMITS , _ _ SECTION DESCRIPTION COMMITTEE ASSIST APPLICATION INFORMATION PRIMARY JURISTICTION PITKIN COUNTY, CO SPECIFIC LOCATION DANCIGER TYBAR RANCH-BARN, 700 ANGUS LN. OVERALL STATUS -EVENT CAT. MINOR IMPACT DATES AND TIMES SETUP 7/09/10 7:OOAM EVENT START 7/10/1D S:OOPM EVENT END 7/10H0 12 MIDNIGHT DISMANTAL 7/11/10 10:QOAM PRIMARY AND SECONDARY CONTACTS CARBONDALE ROTARY LYNN KIRCHNER, CHAIRPERSON, 96 3S155w, 378-4766c, 963-5178f AMORE' REALTY........... CARBONDALE,CO, 8162 3 EVENT CONTACTS Permits: JAY LEAVITT, 970-379-1436, leavitt sopris.net TRIPP ADAMS, 970-618-6226 LYNN KIRCHNER, CHAIRPERSON, 963S155w, 379~766c, 963-5178f AMORE' REALTY, CARBONDALE,CO, 81623 Medical: Jeff Wadley 87D-379-2080 Parking: Jim C;' 0 Safety: Jeff Wadley 870-379-2080 Security: Jeff Wadley 970379-2080 Transportation: Jim Noyes 970389-9997 1 Event Summa Plan: Event Discription: "The Happening - A Carbondale Rotary Classic" is a one evening event tasting approximatety 6 hours. Setup and Dismantle: There will be 20 to 30 eople for these activities Event: 500 paid guests $1D0 per ticket plus ba_n_d plus kkchen staff of 20 Volunteer training: Nane required 2 SITE PLAN: 1) Outdoor IigMing, 2) Registration entry, 3) First aid supplies, 4) Handicap portable restrooms, 5) Portable lighting, 6) Parking including handicap parki ng 7) Portable toilets, 8) Bar areas, 9) Table layout and buffet, 10) Fire extinguisher locations, 11) Band and dance floor THERE WILL BE NO: 1) Moveable routes or barriers, 2) Fencing, 3) Advertising signa e 4) Site improvements, 5) Ambulance pickup point, 6) Transit stops, 7) Food vendors 3 Communication Pian: Carbondale Rotary Event Chair. Lynn Kirchner 9633156w, 378-4766c Metlical: Jeff Wadley 870379-2080 Parking: Jimife~es 1.1. 970, . 0 Safety: Jeff Wadley 970379-2080 Security: Jeff Wadley 970-378-2080 Transportation: Jim Noyes 970-388-8997 Catering Band Permits: JAY LEAVITT 970379-1436, leav' sopris.net 4 Securi Plan: Jeff Wadley 970379-2080 l.'efodIDe~ NoiBfy: I M FIa~Ealflg N1U 1 0l :1 oats of PII00aQ 5/1 /(LO10 o ~ ©®L No security company is being hired. No public law enforcement services are required. 5 Medical Plan: Jeff Wadley 970-979-2080 No professional medical services will be on site. Ambulance will be on call. First aid supplies will be inside (see Site Plan) 6 Safe Plan: Jeff Wadley 970-379-2080 Event limites to 500 paying nests. Event is in a designated area inside the barn. tend line and cell phone service is available at all times. Location of access routes, fire extinguishers and external lighting is on Site Plan. There is no substantial risk to attendees. Barn is constructed of steel. There are no wilderness, water, or mountain activities. No aircraft are involved. 7 Trans ortation-Traffic Plan: Jim Noyes 970-389-9997 There is no public transportation to the event site. Guests will arrive in approximately 150 private vehicles. Car pooling will be encouraged. Tempos directional signage and balloons will be placed on Hwy 133 and Prince Creek Rd. Maps will be printed on the back of the tickets. There are no: transport companies, changes to normal transportation patterns, or road closures. There are no:designated pick-up areas needed, traffic control needed, transportation needs. 8 Parkin Plan: Jim Noyes 970-389-9997 An estimated 7b0 on site parking spaces are required. No vendor, booth, etc parking is required. See authorization letter attached. Parking is free. There will be 4 people to direct parking. _ Ingress and egress will be normal patterns. No towing company is required. There will be lighting in the parking areas. 9 Sanitation Plan - Rec clin Plan This is an indoor event therefore waste, campost,and rec ycling wi116e inside. Collection will be the following day. There are no disposable dishes, glasses, or utensils. There is ample running water on site, There are 2 indoor toilets with handwashing stations. One is handicap accessible. There are 2 portable toilets with handwashing stations Portable toilet provider: Name UN/7ED 3/~ S /GE Address: Z /p C Phone: Contact person 10 Alcohol Miti ation Plan sill Lamont Hours of the event: 6:30pm to 11:OOpm Wine, beer, and alcoholic beverages will be served. 3 bars are shown on the site plan. Professional bartenders will be used who have had TIPS t raining. This is an aduR only event Food will be available at specified times. No smoking allowed on the ranch premises. Public transportation is not available to or from the event site. 11 Accessibili Plan Jim Hall Accessible parking, seating, and aisles are provided. 26% of the restrooms are accessible. Cabcarlde Rofety. The Flappening 2010 2 of 3 Oats a(pnnting 5/17f2010 n~f1~?~a All food, beverages, and events will be accessible. Signage is minimal. Outdoor lighting is provided. 12 Alcohol Peremit and License sill Lamont Carbondale Rotary has applied for a s ecial event liquor l icense with Pitkin County and the State of Colorado. 13 Food Permit - ~ Dinner will be served buffet style. The facility has sinks, stoves, counter space, etc necessary for a kitchen. Food preparation will be off site. Cooking and heating will 6e done on site. No food will be stored on site overnight. <14 Pal•ks .and Open Space Permit - NA 15 Sales Tax and Business License Licenses are not applicable. Carbondale Rotary has a State of Colorado sales license # ......................... 16 Misc Permits -Temp Structures - NA 17 Notification of Nei hbors - NA No changes in traffic. Nearest neighbor is one-half mile away. _ 18 Insurance Bill Lamont Carbondale Rotary has obtained a Certificate of Liability Insurance naming Pitkin County its officers, employeesand agents with limits as outlined (see attached). 19 Event Debriefing 20 References ~ ~ - S Carbondale Ralary: The H~pereg 2010 3 of 3 Date of printing 5/772010 t~ s O0OQiO i~ // X~~81T5 ~ i~~~ t~,~F~f °~ ANC ~~ I, .~! ~2P.~ar/G~tGE ~vY.4~y G~~~G ~/U~ y ~D, ZO/o -~ ~ ~I~P«c~rr~o,U- ,~tr~,~ C~r~,~rry ~~r,~L ~~T ~ II ~~r~ ~~ ~ n~~~~~ ~ j ~ ~~r~ Pr~/-T3 s~~r~.~C ~- ~x~Ts G ,,, StT~ ~r,,.ra/-c Srr~ L~c~T,,~ ~ ~ ~,9,uP Ca~Ti~GT ~ ~ j rZ~_s`/ ~l Co~v7i~~T ~' i I so/ c. 3 ~~~7vs r ! i ~a~.r~ ~r~l,~rO~NG - ~~vo ,T I ~ etis~r~c~ ,~ I << C~T~r~ca ~~~~~ ~A• k i' ~~- ~ r ~ r; 1 ) 1 ."~ '~ ~ t~1 rfi r i. ...' r~~i'.+Ti~~ ~ fr r f ~x .l" ~ r1j ~ ~ ~,~ 1 ref J~ 'o'' ~ ~I =f . ...T ~ ~! ~ f f f.. \~ y 1. ~: J I L ~ , ;' ii 1 ~~ ~~,~ ~!~ z Z I ~ J 4~ 1 ~ ~ J Q Z W F rw~ j a 1 1' I~ ~~ ~ W N QU 0 ( ' F q U Z ~, ~ r~ . ~_ °z7i N rr ° ~° ~~ ~' I +' fn '~'[ ~~ 1 I V ^ ~ ~~ ~ , 1 j ;4;1) 1 ~ j ,., .~. , ""'1 "1 , ~ _ F60~ ~'.~ ' 7 1 _ _ I J'. - i *~ ~ 1 ~~ ; _~ ~ ~ + 1 ~ n J _ ~ . ~. _~ o;~i ;'`` ', 7 _. .~6~_.~ _ _ ~ ' !- ~ 1 ~ _ . _. rs Y ~ ~ .~/. .-~/^. ,- ~ ,~ . L_ .--_~.-,.~~ ~ ~ -- -----: -~ ti ;;~ ;.~ ~ ~ J'y / jjj / ' / / Ir ~ ~ /~ ~ ~~" ~ ~ 0~~90~.2 ._ - .- r \ != _ _ _ 1 A ~ ~ ~ /- _~ ~ ~ y/ d ,g. 5, fi F~15 Client: Cart Event Date: Locotion : I 55,56,57 ar t® t t8 OO 0 t © 23 24 ® 26 27 ® 2 30 32 33 3a 35 36 Q 39 40 41 42 43 44 4 ® 4 48 49 5 St 52,53,54 57(6x30) b~1. ~~ ~y 30X30Doncefloor L.A'I Screen 0 49 48 47 41 42 43 5 46 40 39 38 'a~C' 37 36 Tab" 3~5 'bed' }ty3~4x 'RF' ;y{3ap73_{ ~co" ,~yo3~2x ~W" xy23 Taa' 224~1{ N~ ~2pv5~x Tca" 2~6 Tiid' x~2~7oR 'Dad' ~28 `OOd' }_jg2a9px~ ~o~" t{y3c0~x "aab' xpo3~Ri Taa" t4 15 16 17 18 t9 20 2t 22 "brfi' Tob" 'Aad' 'Dad' Tom' 5 yoQ 6 7 8 9 t0 1t t2 t3 2~ R 4 3 2 t ~~j~~,\Q x~~.ppo5ooa0yy~(60" Round Tables)=500 Beatings ~V/`~ 22X30 Buffett xRK =Reserved for Unde~ r~;~ }.~`C _ t H'71rZANGt. `! ~~' 'F.~tl-t ~~ Ex, r +~~rwy~I ~~,~,~At~y ~m~ ~~~~ C+9N~uM('77ot/ ~JO~' 3 ~y ~~ ry~ 1 ~ '~' ~ --- ,` I I e, f7 ~ ffJ'~~~;f..y,M~ i m F-.:. ~~ '~J ~ a a ~. a x o j' r ~ ~j '- ~ r :; ~ O a ~ ~ ~ , ~~r ~,~ -~ ~ ,i~ . s` ;`, ' '~/, tel. ? ~ ~ ._ i +,~ ~ P~ ~~~ ' t J / - ~~ 7 I h~~`) _ T _ _ _ _ _ ~ ~ { r _. y ~~ _ ~ ill v ~ .-, !2 Y,~ ~ ~ C I i i ,~ i ..~. . / :6580'.. d. T.. i___ ;~ ~~, _ _ ; /, 1 I1r= ~` , , ./ ~s ., l ~/ ' ~/. i ..~ L--- --..~ ~-,.'~ --- ; , /' i / ~. / ~ 1~ ~S ~/ / ` / ~QS ,l J. ./ !~~ ' / / / ~ , ~ / ~ ].'/ r j , ( /' ~~ fi ~' ~ ~ 4 ,, ,'.~ ~~.. ~~ ~ ~`„~ %~ G4 YY R y$G~~ h ~~i9~3`Y ~i~~~ ~~~ caw ~ _iessr - VnitedW SITE SERVICES- PORTABLE RESfROOMS, SINKS, RESTRppM TRa1LER8 s~ MQRE www.un itedsitese rvlces.com Restroom Trailer Agreement {Special Event) 'llls agreement is entered into as of the 17 day of , 2014, by and between United Site Services of Colorado, lnc., a Colorado corporation ("Contractor") located at 6015 )3.58`" Ave., Commorce City, Colorado, 80022 arld Carbondale Rotary Club, ("Customer's , Carbondale, CO 81623. ~ . Q • t'"0x ~~ Contractor agrees to deliver clean portable xestroom equipment to each site mutually agreed to by the Customer and Contractor. Contractor is respons~7rle for servicing the portable nestmom equiprent, which inclades pumping, restocking, wiping down of the equipment, and disposal of waste, as required by all state and local permits. Custtuaer agrees that any extras such as hand carting units, moving units that slave been placed correctly in acre with inshuclions, unreasonable waiting time for placement decisions, and any other labor costs shove and beyond the scope of services contracted far, will be billed at tha overtime rate of $90.00 per hour. Customer agrees to take responsibility to ensure that all units are accessible at the time of service. if the unit(s) ratan: not accessible at the time of service, Contractor will provide an additional trip to service the amt(s) at the rate listed above, $90.00 per hour, with a 1 hr minimum. Customer acknowledges that they will order the recommended service needed, if any, for the units ordered. 37ris is based on the number of units and the people expected to attend the event Contractor will not make sate adjustments for any losses due to acts of God, and attendance. Customer also acknowledges that it has the care, custody, and control of the egnipment owned and famished by Contractor. `Therefore, Casroiner expressly agrees to defend, indemnify and hold hanriless Contractor frmn and against any and ail claims fox Loss of, or damage to property, injury, or to death to person or persons, resulting from m arising in any manner out of Customers use, operation, or possession of any equipment famished by Contractor. iof3 United SHe Services - P.O. Box 219 -Commerce City, CO 80037 Phone: (308} 985-0184 -Toll Free: (888} 232-0001 -Fax: (303) 985-1428 ~v~l~ ,~. United SITE SERVICES www.unitedsiteservices.com 1 ,~~sr J~oo~s - t PORTABLE RESTROOMS, SINKS, RESTROOM TRAILERS entl MORE • Customea agtces that while the portable restrooms are in their possession, if said portable restrooms are contaminated with radioactive, volatile, flammable, explosive, toxic, ar hazardous materials (including ails and solvents), the Customer will pay, at their expense, to lawfully remove and dispose of such contaminates thereof. By signing Customer agreea and fully understands the terms and conditions set forth within the agreement and the written proposal. Customer further agrees that Contractor will be a provider of requested services at the agreed upon rates. Both Contractor and the Customer sigering an behalf of the organization mast agrce to any changes to this document Upon your request fox the use of the Comfort Station(s), Contractor would like to make the customer xware of the following. 1) The customer must provide the following: • A generator or power source providing (2 or 3) dedicated 30At110V NON-GFCI circuits, per unit. • A water supply with a minimum of 40 PSI and a maximum of 60 PSI. (Water may not be required of theAmericcae Presidential Cor~art Station.) • Additional electrical extension cords if the power sotn~ce exceeds 50' in distance- (Contractor does provide uP to 50' electrical extension cards. Addifinna~ add $I.00 per foot) • Additional water (garden) hose if the water source exceeds 50' in distance. (Contractor does provide ap to 50' water (garden) hose. rtdditioaal, add $1.00 perfoot.) 2) To encore prompt installation, Contractor requests that the power and water source is available and operating at the trme of delivery. 3) Due to safety and quality control, Contractor will be responsible for the connecting of the power and water sources to each unit 4) Upon installation, a refaesentative from Contractor will do a final walkthrough with the Customer to ensure clean&ness and that the unit is functioning properly. 5) It is the responsibility of the customer to ensme that the comfort station adequate space and a flat, ieve[ surface. ~ The customer is fully responsible for any excessive cleanup in and around the comfort station. Additional charges wtll apply if this is requitement is not met 7) The wstomer is folly responsible frn' all inside and outside damage caused to the comfort station while in their possession. Damages will be assessed at time of removal and appropriate fees will be billed to the customer. 8) Contractor is not responsible :for any damages to the comfort station unit while in customers' possession. 9) It is the respons-bilitp of the customer to provide a cettificate of insurance. (Replacement value of $SO,000AO per unit). Pricing oapage 3 of 3. aof3 Unfted Site Services - P.O. Box 2i9 -Commerce City, CO 80037 Phone- (303) 985-0164 -Toil Free: {888) 232-0001 -Fax: {303) 985-1428 ~i~~~~~ ~' Unitedry S~ st,~~s- www,unitedsiteservices.com 1 ~°~I',~ir.~rs - s PORTABLE RESTROOMB, SINKS, RCtiSTR00M TRAILERS ead MORE Everyatmg will be delivered to Tybar Ranch at 1644 Prilue Creek Rd In Carbondale an Fr(day, dtdy 9,2010 and picked np on Motttlay, July 12, 2010. A 2396 cancellation fee (oftbe TOTAL COST below} will be charged to ynu if we do not teceivc a notice cancellation two weeks prior to the delivery date above. PRICINCI AGREED UPON BETWEEN HOTH PARTIIiS, TILE CUSTOlvffit AND THE l~NTRALTOR. $2,550.OD 16' ACSI Presdantiel Reatroom Trefler for Guests (No extra serviae requested) $?,,250.00 TOTAL. COST '~~{- ~')OUD IN WITNESS WHEREOF, thepatties have execoted this Agreement as of the dace fixat written above. (~Banller: l~rK}t22~anrirlu (.r_ KA~ra ru Namc ~-ytn.~YVL ~c.tv~c.irt.•~' Sign te~~..~~ 3- / 7• / ~ Title ~'~-~Gt(/at,r 'QB.,-so.-- Connnctor: United Site Services of Colorado, Inc. Name $reYt .A.tl~ell Title Sales & Special Events 3~3 United Site Services - P.O. Box 219 -Commerce City, CO 80037 Phone: (303) 985-0164 -Toll Free: (888) 232-0001 -Fax: (303) 985-1428 ~~®Q- AFFIDAVIT Of ORGANIZATION'S §501 Please print dearly. Thy form must be signed before a notary by the President, Chair Person, or Chief Administrative Officer AND Secretary and filed with the event appllcatlon. ..rw. 3.1, J i I ~CX1~,1,{~I") . as -`(P_t'L~ ~ 1`~„f; lr (Prim Name) .•lI (Title) of the above named organization, da hereby certify and affirm to the following (check aU thot apply): / The argantzation's §$01(c)(3) status has not been revoked 6y the Internal Revenue Service, and the organization's §SDl(c)(3) certiDcate is attached. The organization meets the Town of Carbondafe's definition of a Charitable Organization under section 3.04.020 (E), "Charitable organization" means any entity that: 1. has been certified as anal-for-profit as organization under section 501(c){3) of the °Intemal Revenue Code of 1986," as amended; and, 2, is organized and operated exdusively far religious, charitable, scientific, testing for public safety, literary, or educational purposes, or to foster national or International amateur sports competition {but only If no part of Its activRies involve the provision of athletic fecilfties or equipment), or far the prevention of cruelty to children or animals, no part of the net earnings of which inures to the benefit of any private shareholder or individual, na substantial part of the acUvhles of which is carrying on propaganda, or otherwise attempting, to Influence legislation, and whir}t does not participate in, or intervene in (induding the publishing or distributing of statements), any pollUal campaign on behalf of any candidate for public office, or any veterans' organization registered under secton 501(c)(19) of the "Internal Revenue Code of 1986," as amended, for the purpose of spbnsodng a special event, meeting, or other function in the state of Colorado sa long as such event, meeting, ar function b not part of such organization's regular activities in the state; and The sales meat the oaasfanaf sales deflnJtion under section 3.04.020 (U) U. "Ocaslonat sales by a charitable organization" means retail sales of tangible personal property, including concessions, forfund-raising purposes far charitable organhations-as defined above if: 1. The sale of tangible personal property or concessions by the Charltabie organization takes place no mare than twelve days, whether consecutive or not, during anyone calendaryear; 2. cite Funds raised by the charitable organization through these sales are retained by the organization to be used In the course of the organization's charttableservice; and, '~AaY~.~a 3. T}re funds raised by the charitable organization through these sales do not exceed flue tho dollars($25,ODO)duringanyanecafendaryear. ~~~~,,, , anted ~tle (Presidegt, ~iairpersoMn o~~A~ Signature ~y,~ ~,~: t Secretary's Name (Print ~A~ l ., C)I~~2 Notary Sworn to & subscribed County/State This, the day of "f 20 °f . y,u~ZJ:J ~. T,4~ / ~D. - Tvmaovar. REVBlICIB $$AVi4.. . DBE. .ti4Et~1T OF TRB TRBABLiRY P. O'.HOB 4508 . CINCINNATI, O$ 45201 ~ _ " . JUG ~.~ .^~ Bmployer Identification Nainb~r; _ DatD: Y [ .. 64-1589051 DLN: . . ~ ~ 17053186713067 ' ROARING FORK ROTARY CL(iB $OVNDATION COritaCt HDTa03}; INC JO68PH R I~ID78DY ID$ 31647 ~C/O CHIC BI88.OP Contact TelDphone Number: 1000 Dgi,OReG AAY STS.H (897) 829-5500 " CARHONDAL6, CO 81623 - Public Charity Status: 170 (b)(1)(A)(vi) DDdY Applicant: ' Onr letter dated June 2001, stated yon would be exempt from Federal _ income tax under section 50a,(C)(3) oP the Internal Revenue Code, and you would be treated as D•publia charity, rather than as a piivate Poundatloa, during an advance ruling period. sased.on the'informat3.ou you submitted, you arD Classified as a public charity ' under the Code section listed in the heading of this letter. Since your exempt statue was net under coaeideration, you aaatimie so be claseilied as as organisation exert Fran gefleral income tas'undez section 501(0){3) of the Cade. Publication 537, Tax-$xettglt Statue Per Your organisation, pmvidas detailed information about your rights and responsibilitiaa ae an exempt organisation, You may request a copy by calling the toll-free number for forme, (8003 829-3676. Iatoxmation is also available as our Interact web Bita at ,wvW.iza,gov. IP you have general questions about exempt organisations, please call our toll-free"number shrngn in the heading. Please keep this letter in your permanent records. Sincerely yours, ~Y ~'yN~ Robert Choi Director, $xempt Organi,aatioas Ruliaga Dad Agrecmmlts zettar 1050 (DO/C4)• ~~~~L~i '-~ "- ,~ 'olTi'1tJ o~~'tJ -.-_ ,~ ,: ;t. it•,.i':.: s~: °~ ~~~~ r~7~:•:.a .. ,'~ coa o~we~aesar oa neYmtis • , ~ .. ~. ~ ..' . . , ~ . 'oetvancoaoam-ao,a' CERTIFICATE OF EXEMATION FOR COLORADO STATE SALES/1JSE`.TAX,DNLY y-us of is - xor Txur~aAiafE CARBONDALE ROTARY CLUB FDUNDATIDN .1000 DOLOR7:5 WAY 5TE 8 CARBONDALE CO 8ffi23 LffiEACCgJ+PfNtlMBgf . 11AB1LITYINFORMAT(ON - .-... ,; .:. ~ ' ' ~ tarall refarencsa ISSUE . DA7 ~~ - ; 98-15fi98-0000 24 007 N 1i0f02 NOV 26 20U~'' Iuuu uuLUKts wAY STE CARBONDALE CO t'~S. axaoatlw Dtnater ~ayarLnmtt of eeavanua IdEIN AUTOMA7ID SLi2NIF~LS FOR AND ANOIR 13US~SSES * CotnradoSalesTarc R.qs-flree(ax,aotfiFCity.ac,ud]Nem spsedd dlaMOtrettae. .._.-...e __.,.._..._w....oa. • Verificaltt?n of SaltwTaxLkeve 6temptlon iJurnbers - tfekntdnewhether a Colorado safes taz license m exemption exrtiflpats invalid. a Tax RateabyAcataartNumber - fnd sales taxratu andloo+tlons for specl8aades taxaccounts- ~ neseaeeroecea eetete rtpoaseew,artaxpayeram MlptMertselvesm Infonnatlon 24hoors a da f -wdhoutrogtilr[np theassistehee of atsatomarwrviesrspreaeumt0rte.titltls vral:marecomplkrtedacanfidandal trot intormadon ....._~:... v _ n..__.tl. iexiufr(es can he resttrueo for Listenand bok fa theseservlces to 1TrtlapartmartYs hualnass tax ktformatlon phone Ibuea[303-298-FA57 (3278,1 feu specitic accami inttematlory 309-238-$ERV (73181 ftueenerat keformaelon trtlreOOFt Web Meat teWtltarewteratfe,agtn Web eroars cmt tryMe newgatvm onMartrwwAaotviewrateteaous We are Interested(nyourrnmments about dte ayatten You tansard us an a-mail wdh yourcommen,at(troug(t otet Oeparbnent of Hetrontai Webalte. ~;~~~~i OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE I, Bernie Buescher, es the Secretary of State of the State of Colorado, hereby certify that, according to the records of rive office, Roaring Fork Rotary Clnb Fonndxtion Iac is a Co Uon formed or registered on 04!13/2001 under the ]aw of Colorado, has complied with all applicable requirements of this office, and is in goad standing with this oice. Phis entity has been assigned artity identification number 200 1 1 07623 1. This certificate xeflects .fads established or disclosed by documents delivered to this office on pap er through 08/28/2009 that have been posted, and by documents delivered to this office electronically through 09/02/2009 ®10:56:56. I have affixed hereto the Great Seal of fhe State of Colorado and duly generated, executed, authenticated, issued, delivered and communicated this official certificate at Denver, Colorado on 09!02/2009 10:5656 pursuant to and in accordance with applicable Saw. This certificate is asaigaed Confirmation Number 7450567. 3eorotary of State oethe State of Colorado rrrrrsrrsrrrrarrrrrarpprrrrrrrrrrrrrrrrrr~d ~(,~a~rrrrrrrrrrrrrrrrrrrrrrr.rrrrrrrrrr+wr+r+rrrr l(017fd~ A anlaoarc t®.erd dreanalmlb kow /Ar f oobrndo Seovmv d'Smre's IPrD a1k 6 rauy aaddrm edI •h rra +.l o' gam,. o<m opa6oa, rue Laminemdse6iitydeeatbiwd+MepnnimaY ~Ybr mlabN~edbY ~NnE die fbvlflcure GmJflwnomstydr pf We Srvalmy r~Srrdrl iPeb aaa ~_awnvsu.!r~eanc!~r[_-;;!<~n,ayemxhOYL+~+'o.dn mrufgq Nu cotdlmte's cmfinnatluu mm~5m d~lrryed w. Wr mY~lmre, md. folloxib8lhe 6rbncllmra dGpinyed. (,n086nfn¢ Weis ,m[ ~' .nxspre r orjv oorm~wr rd ! nor c®.romrdaelmt CSaLdTA Rrvlard daUW7a0.t Qu~~i~G ~ j~ //Vf~lit~4~tJG+E- Heritage General Agency, Inc. 9250 E Costilla Avenue www.herita~esa.CO11II 303-290-6445 Suite 650 Fax :303-290-0285 Englewood, CO 80112 Wats: 800-548-7816 'oroxer4Lamram.com' American Family Brokerage Date: 4/26/2010 6000 American Parkway Re: Roaring Fork Rotary Foundation Madison, WI 53783 Renewal of: 2516003100 Expiration: expired Quote No: R1376 TJB RENEWAL QUOTE This policy expires on the date shown and does not automatically renew. We are pleased to offer the following renewal quote which is based on the information we have on file. Coverage: Commercial General Liability -Occurrence Form -Special Event -Spectator Liability Only Limns: $1,000,000 Each Occurrence .Deductible: $0 CGL $2,000,000 General Aggregate Included in Above Products-ComplOp Agg $1,000,000 Personal & Adv Injury $100,000 Fire Damage $5,000 Medical Expense Premium Split: Number of Days: 1 Rate: $220.000 per each = $220 CGL No. of Days(setup Take down) 2 Rate: $28.000 per each = $56 CGL Additional Insured: 1 Rate: $50.000 per each = $50 CGL Additional required to meet minimum premium: $24 CGL Premium. $350.00 Minimum & Depositwith annual audit Policy Fee: $150.00 State Tax $15.00 Total Premium .515.00 Premium is 100% earned and Policy Fee is fully earned at inception SJor binding Special Conditions/Exclusions (X) Policy Period 7/09/2010 to 07/11/2010 '(X) Attached Terrorism Notice must be accepted or rejected by insured -this must be completed prior to binding. if Certified Terrorism Coverage is desired an additional premium of $103.00 will be added. ()C) Net Premium of: $480.00 (after deducfing your commission) Agency Checks Only! (X) Excludes Injury to participants, absolute liquor. (X) Excludes Punitive Damages, Absolute Pollution, Assault & Battery, and OCP. (X) ISO Contractual Liability Limitation Endorsement CG2139 applies. uX Completed apalication. signed and dated by insured (enclosedl (X) Carrier will be Burlington -Best's rated A-VII (X) Advise exposures, hazards, etc. 'rf different (7Q Quote valid until: expired (Policy F~cpiration Date) This will be subject to the issuing company's policy Conditions. We appreciate your business and look forward to receiving your renewal instructions. ~~~~~~ 3 ~~ ~ JP ~toa-AASPENAIRPORT sasrvBSS cENTEB ASPENCOlORADO 81611 PHONE: 970.920-4262 FAX.• 970-910-2102 wiurv.ervocatasoen.cani steve®¢nroca7aspen.cora CATERING PROPOSAL TPPEOFEVENT: SUMMER HAPPENING (CARBONDALEROTARI~ DATE&TIME: YIQ2010aQ6:DO CONTACTNAME: M5: iYNN%IRC'F7F'NRR PHONE: 963-5155 ~I.L: 379-4766FAX.• 963-5178 F.'MAIL: lynnk~ajofnet LOCATIONOFE T: TYBARRANCH NUMBER OF GU T.• ~ 5D" +- -- MENU PASSED HORSD' OEUYRE.S ROBERT'S.POTATO SRINS HONBYMUSTARD GRILLED SHRIMP SMOKED SRII'1'AS.E QUESADILLAS COCONUT CHICKBNSATE FIVE SPICE SF,~LRF.DAHI TOSTADA BUFFL*'T SUMALE'.K GREENS SALAD CAERRYTOMAYbES, Jr(~MA, CARBOYS, TOASTRD NUTS & LEMONSTILTONORANCE BASIL CITRUS VINAIGRETTE BASSETS OFBISCUTIS, ROLLS & JALAPENO CORNBREAD Y-HIPPED HONEYBUTT6R MARINATED GRIr.rF-n ~ SLOfYROASTED PRIMERIB OFBEEF IVII.D MUSBROOfW J(JS aPc HOBSERADLSHCREAbI _ FARMRAISED BARRAe1TUND7 FItESH~rANCOrrco B O s B BLACRTRUFFLESCENTED `SYIAC & CIIEF..SE" SEASONAL SELECTIONOF GRILLED YEGETABLEDISPLAY O VEN R OASTED MIXED NEW POTA T DES cARL~c ~ HERBs DESSERT PEACH& TART CHERRYCRISP VANILLA BEAN CINNAMONWIIII'PEI) CRls`~LIE MINI ROOT B ~ ~ FLOATS 0~©0?~ K• ~ ' Z COFFEESERVICE ^LSTIMATZ BASED ONEIGHT HOURSFOR ALL STAFF & 500 PERSONS FOODCOSI: $30.0©P/P (SIS,OOAQO) LABOR BILLED (a t WA[T ST.tFF70 ®$35. ROPIfI FRnNT OFTH,BHOUSE G;.nTAI1Y b CHEFS 6 BARt~ivDERSQ $4500 P/H (ALL STAFFWILL BEBH.LED Q $30.00 P/BJ ($5,280.00) NO CHARGEONECIIEF BAR SET UP: TOINCLUDE BIIxFRC, LEMONS, LL~YIESETG; $7,000.00 ICEDELIVERYAND COOL&R: $300.00 MOBD:Effi1'CHEN• REGULAR $500.00 THISEYENT $150.00 PAPER SERVICE: $N1C EDROPEAN CATZRERS WILL PROYIDEALL BUFFET'SERVICEPIECES, ADDITIONAL ICEAND 270X10 TENTS SUGGESTED GRATUTTYIS % ON ROOD: 52,700 TAX: 6.9%: EXEMPT ES7~ATEDTOTAZ: $2!,530,0 MENUAPPRO DATE. ~ e THANX YOUFOR CHOOSING EUROPF.~3N CATTRERSAS YOUR CATERER OF CHOICE FOR YOUR EVENT INTHEASPENAREA. STEVE & THESTAFFOFEUROPEAN CATERERS ~~~~~~ •~, PITKIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT AGREEMENT FOR PAYMENT OF LAND USE APPLICATION FEES PITKIN COUNTY (hereinafter "COUNTY") and (JGc r-bortda l~ (hereinafter "APPLICANT") AGREE AS FOLLOWS: 1. APPLICANT has submitted to COUNTY an application far 'rh 2 ~ p ~ ~.,,, ,q ~~rloordo.lt (2~rc_ru C.tdSS t C (hereinafter, the "PROJECT'). 2. APPLICANT understands and agrees that Pitkin County Ordinance No. 30-2009 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 to 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 $ Z~_ 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%, 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 C~fizeorrda ~~ ~or~ ("APPLICANT") Lvnv. YVl K-ir[.hr-tr, IYP~f~ °j C1t-A,~fi Pnnt Name and Title (if applicable) Mailing Address: ~;~~G? H / ~ ~ olorad ~ C Q „r tit".'.-.. .~'ra< ,.*-,y.. Secretary of State, Bernie Buescher _~,. ~'' ~ `'~ t. --Business-Diuision - ~ ~~ For this RecoN... Hiatary & Documents Cart of Gootl sbntling Summary Foe a Document 9ubs<ribe Email Netificatlon Unaubacriba Email ID Number: 20011076231 NoHffeaden Name: Roaring Fork Rotary Club Foundation tnc Buaineaa Home Registered Agent: WHITSITT & GROSS P.C. easiness information 6ucinep Search 320 MAIN STREET, SUITE 200, CARBObiDALE, CO 81623, United Registered Agent Street Address: States Registered Agent Mailing Address: FAQc, Glossary and Information -.-.. ._. _ _..._ _. ... _.. _. _ Principal Street Address: 1000 DOLORES WAY STE B, CARBONDALE, CO 81623, United States Principal Mailing Address: Status: Good Standing Fonn: Corpotzdon JudsdlCtlon: Colorado Formation Dale: 04/73Y2001 Term of Duration: Perpetual Annual Report Monm: April You may: . View History and Documents . Obtain Certificate of Good Standing . File a Document . Subscribe to E-mall Notlgcatlon Regarding this Record . Unsutucribe from E-mail NotMcatlon Regarding this Record Plevlous Page Search I A¢essibility I Prlvary statement Terrns of use 1700 Broatlway, Denver CO e0290 1 3o3-a94-2200 sos.6usiness~ses.sta[e.co.us lP~®l'~ 1 htta//www.sos.state-DO.us/biz/BusinessEntitvDetai].do:isessionid=0000IvIBuN23V zwnJs... 4/27/2070 DR 8439 (08/28!08) COLORAOD DEPARTMENT OF REVENUE ~~ ~~~ APPLICATION FORA SPECIAL UOUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET EVENTS PERMIT DENVER CO eazet ( 303) zas-z300 IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT, YOU MUST SE NONPROFR AND ONE OF THE FOLLOWING (See back Tar datallsy ^ SOCIAL ^ ATHLETIC ~ PHILANTHROPIC INSTITUTION ^ FRATERNAL ~ CHARTERED BRANCH, LODGE OR CHAPTER ^ POLITICAL CANDIDATE ^ PATRIOTIC ~ OFANATIONAL ORGANIZATION OR SOCIETY ^ MUNICIPALITY OWNING ARTS ^ POLITICAL ^ RELIGIOUS INSTRUTION FACILITIES LU13 TYPE OF SPECUIL EVENT APPLICANT IS APPLYING FOR: DO NOT WRITE IN THIS SPACE 217 ~ MALT, VINOUS AND SPIRRUOUS LIQUOR $25.00 PER DAY LIQUOR PERMIT NUMBER 2170 ~ FERMENITED MALT BEVERAGE (32 Beer) $10.00 PER DAY 7./NA~ME OF APPLICANT ORGANIZATION OR POLTICAL CAND~~IDjjATE }}~~ Smte Sales Taz NUmoer (Required) (.~ LE K~ t} YOU one 2 MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE 9. ADDRESS OF PLACE TO HAVE BPECIAL EVENIT (Irciuda slreeL dryttown and ZIP) 1a lflHi?~iTT~f C.e~55 /~G. (lndude sneer, dtyAOwn and ZIP) Q,ai/elc ~I~ ~Ye~,~ ,~~A>~ ~,9r2•t/ 32© MAIN ~r , /oo ~}N~u~ L<yuE NAME DATE Cf BIRTH HOME ADDRESS (Street. Ciry, Stale, ZIP) PHONE NUMBER 0. PRERJSCC'Y OF ORG. or POLITICAL CANDIDATE ~lf~ldS4'HEL ~ /~iL Ja P,o,Pi.l~'J Si>~a~C0, 8J~i2/ 5. EVENTMANAGEA ~ Joo-! 7 636 S~~~y GA28m~~t ~ ~ 9~©-9~i-5i L y~N ,~iQ~v/A~ a e. HAS APPLICANT ORGANIZATION ORPOLITICAL CANDIDATE BEEN 7. IS PREMISES NOW LICENSED UNDER STATE LIQUOR OR BEER CODE? ISSUED A SPECIAL EVENT PERMIT THIS CALt~i IDAR VEAR7 NO ~ Y6 HOW MANY DAYS? ^ NO ~ YES TO WHOM? & DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISF~TO BE LICENSED? Yas ^No LIST BELOW THE EXACT DATE(S) FOR WHIGH APPLICATION IS BEING MADE FOR PERMfT -•"` Dale 7 JO / O Date Daze Date Hours .m. g } Hours From L,(bRm. Hours Fmm .m. Hours From m. Hours From .m. To . Ta ~ To .m. To .m. To .m. OATH OF APPLICANT !declare under penalty of perjury in the second degree that I have read the foregoing application and al! attachments thereto, and that all information therein is true, correct, and complete to the best of my knowledge. SMiNATURE ITLE DATE REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY (CITY OR COUNTY) The foregoing application has been examined and the premises, husiness conducted and character of the applicant is satisfactory, and we de report that such permit, if granted, will comply with the provisions of Title 12, Article 48, C.R.S., as amended. THEREFORE, THIS APPLICATION IS APPROVED. LOCAL LICENSING AUTHORITY (CITY OR COUNTV) CITY TELEPHONE NUMBER OF CITY/COUNTY CLERK / /C/~v COUNTY SIGNATURE TITLE DATE 00 NOT WRITE IN THIS SPACE -FOR DEPARTMENT OF REVENUE USE ONLY LIABILITY INFORMATION License Account Number Llablllty Date State TOTAL -75D (999) (Instmctlons on Reverse Size) ~~''~'uL~~~ ,L/dvo~ 3~ COLORA00 DEPARTMENI'OF REVENUE LIOUOR ENFORCEMENT DIVISION 1887 PIERCE STREET, SUITE 108 LAKEWOOD, COLORADO 80214 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THIS ORGANIZATION AT THIS CARBONDALE ROARING FORK ROTARY FOUNDATION FIRE STATION #1 300 MEADOWLAND DRIVE CARBONDALE CO 81623 license Number GE 1 5-61 21 7-0000 SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITUOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS Date Hour Date Hour FROM JUN 13, 2009 4:00 PM TO JUN 13, 2009 11:00 PM Date Hour Date Hour FROM XXXXXXXXXXXX XXXXXXXX TO XXXXXXXXXXXX XXXXXXX This permit Is issued subject to the laws of the Siate of Colorado and especially under the provisions of Title 12, Article 48, Colorado Revised Statutes. This permit (s non-transferable. It is issued only for the specific location described above, and must be conspicuously pasted at that location. In testimony whereof, I have hereunto set my hand and seal 05!28/09 KA ~aN~.w ]'~~ ~ '\ ~/ 4,. Y' ' Ia R ENFORCEMENT DIRECTOfl ECE DIRECTOR ~vl~~ uvr u~r cuau a.~.w ~ruva~Ya ~a irnrx rawvi.n ~.~~. rr-x~C uuur o.v a/Lain an: oo einaeaaty;t TYHAR RANCH LLC PQE£ 81105 - j~,~~G~C~~t2 ~~,yT~4G 'nANC;vcE~t ~Aiz RAPIcx FVEIYT RENTAL AGfiEEMENT ~,~~~~ f, Agreementr This agreement (the "AgreemeeP') ie made by sad beewean ~~~(b,erea$et referred m as eRemter'~ and DANCiGER TYSAR RA1V(:H, LLC ('"lYbar'7- •2 Event: [iNSEItT TVENf NAME} ("Event") 3, A•aex [QtSEAT 1)ATTi 4. Vas of Radiity: Renter shall have use of the [describe barn anther areas of use} beginning on ~ at O q~wt and ending on Suwdac+~~ (7 ~~t sf ~w T8e Event shall no Teter than 11:00 p.m, a ~ Swiwc ld, r~• 5. Iasnrxnae: For rite entire period of the $vetit, Renter shall obtain and aetry uuurance coverage ("insurance Coveiage'7, svlt$ en "A" rend or batter rated insurance carrier ea rand by Beats Gufdq for aqy persona( Enjuries to or death o£ spectators and/or other perso:ts arising from ar in wmection with the Bvent. Such Insru'anc• Gwerege to be obmarcd. and provided by tlu Ranter shell 6e in rite minimum atntlunt of Five Hdndred Thouearul Dollars (5500,000) far each ooeturatce add Ons Million hollers ($1,000,000) In the aggregate, combined sbrglo liIDita for bodilY'~1~'Y, ~•~ tl£ env pence, and property dsutage- Rr shall name DKD 2004 71vs! and lte Tknatee9, and Tybar, its. mwnbera, employees, and suc}t other emf$es and/or persons as Taber mqY rseconably daeigaate as additional insureds, all without carat or obllgatlon on the part of DKD 2004 'Trust end its Tnut••s, and 'lpber, or of any such nnaud add(rtoturL inarnv:da. Renter shall deliver a eeXtifleete o£ #lstuance evidexintt the insurance coverage described above to each additional ina~eod not later then ten (10) days pxior to ttte eommeucatnart of the Event. Failure to comply with any of the pmvietans of thin paragraph of this agreement in aqy respect shall wnetitute a matarlal breach bf this Agrcemeut 6, Power: Tybat will provide itenter with eleeuieel hoolc•nps begilulling ou the data of the Event. 7. Cowpeaattox 1 {''oeW par the 8voat, the Reamer agrees to pay S a75 O O ~ the mmi rantalmTpbarpnrauaattothefollowlnQtetm~_awd a_ ~ SOo dcr.,.~c~gC cf~pur,+ _ ~3,PdlJ • ltottter shall pay Tybar 5,, On or before ~`'n I 'So, p.d ~ c "+i-7'+a • a rite oftho Event (prior oommcncetnent o c Bvent), the au~af S . ~anm boing t1le~reIDa*adct.o~the torsi due as set forth ~~. ~•~.~ Renter shall bo responsible for payitlg the coats eeaooiated with the followia¢ net ep Iteulr Portable toilets All other set up items neceeeery for rite Event, iflCiuding but not limdted m dance fltlox, tables, ehadrB, tampotury lighting, and the like Alt pmisirag for the Hvont IMaraaaaAerue~ou ~ Paget C4tlevalMeJkNppbeWLaaellMfemeoRlWladorv311}anpolary ffitmntt FtlerlCanatMJ651NYt75L6R1Evwt Renal Aimee (c).pOC 00003' UY/ OJ/ LUlU lU. L4 ] f UJOJ4L JL I TDH1C KNIYLII LLI+ rHVL UJ/ U / e9/ii/2018 14:56 978963d292 '[l'BAF2 RMICFi LLC PAGE e2/eti - Belbeque grills and attar food and bavezage service items - Any other items necessary for the Event, except 9rom tba beta and faoililies doscribcd ftl Section 4 above. Wltbm tiara (3) days after the Avert, Tyhar will inspect the Satin and other fadlitlea rested fa Render hnrennder purauaat to 5action 4 above, sad i£ Renter hen oleeaed such £eeiaty to rybar'a roasollabfe setfsfactory, end there is no dama~, Tybar will xefand the $500 cleaning fee / dazasge fee doposh to Reaiar. Qdlervrise, Tybar shell xetnln such dapaait $. Spacial Vae Permit; Renter shall be xaepoasible for obtainrug, at AaYbet'9 expense, a spacial use permit from Firkin County for the $veat, and shall provide a copy of seal] parMit to Tybar ao later than des (10} days prior to the Event. 9. ltestrletlons on Vae; 'fo the extoat flier Renton plena to have mltsio at the $vcut, the tblIowiag restrictions rhall apply: - such aa:aia shall he kept a volume that does nee disturb neightlars or create a nuisance. - if the mvsio is ontaidiq~ai~511 cad no ]eta rhea 9:00 p.en. 20. Agtrerment Tarm:lTlf3 is s biadinP agreem/ant between Reuter and Tybar far the Event. 11. Vaane; Attoraeya' Feost ©ovarnin~ I.,ewt Sevet`abtlfdy: [a any action brottgltt to iatelpzet or eet'orce rhia Agreement the prevailing paMY shall be titled to recover its cdsts slid reasonable atomoys' fax (whotlleR iacutred ~ tidal or In conneofion wi91 aqy zeview hY appeal ar by certlOxari), and to eltclttadve venue of e:1Y sash action shall bo in the state dialect courts of i?iti`ia Calmry, Colorado. Each party to this Agraemeat waives and ranounoes aaty ayht to have say such eadion brought or tried fa any other plecq whetilez by zaoaon of rho doetnne of forum rroK oorHaalrnr or otherwi;sa 'I'bis AIIreemaat shall be goveuled and construed in accordance Witt the laws of the State o£ Colarcado (wlthoat egad to that jnrledicdon's zules goveraitlg the resolution of confltotg of laws). If arty part of this Agreement aboard Provo to ba ltlvatd or void, it shall fu no mantur affect err imps tine remattling pmvisfone of tlis A$zcement whieir can ba given affect witlloat tha invalid or void part. 12. EnLLre As~;'eerneak 'ibis AgFeacnerot aoIdaRte the ezztlre agreement end understanding of the pandas with zoapeet to its .subject rnattrr. 13, indemnity &)ieleau: Reuter hereby agrees to indomni£y, defuld, and hold harmless tke DKk7 2006 /fra8t and lt9 Traeteea, and Tybar, ]te ownaze, managers, employees, ageata sad Weruara (e011eotve]y, "Lldomalteee'~ Sam gad agafnal e+U' and ell demmlds, clnirne, oeueos o£ action, (including, bet not Itmired to, ealtsee of actau in ~oatraot, tort, aatot liabflity oz othexwiae, and speeifieelly +ncdading. but nqt Itmited to, app claim of negligence aad/oz fault of say iadenlaitee), Sees, penalties. damaEes, liabllfties, jadgmeats, and CxPeneas (including, without Hudiedca, reasonable ~tomeya' fees inclnxed In canneatiop with or anisiag froze: YwatRmfstAgrrament riae2 C.'VAaaM~rk~MPtlkdt.aaailMluorolXWlndawaNbnlp°re'Y ]nkma FLLaslCaMmt•16J4NX8T~LOJDBVeat AgtW. AP's (°)~DOC QIIULt~1 UY/U]/LfJ1U 1'J. LY J(U]O.]YL JG ITDiM ICNIYLII LL.. rMUC Vx/[I( ua/r2/Ltl1tl '14t5tl y/tly634292 TYBaR R~IVCFI LLC PAGE 03!95 a. the we or occupanoy oz laaanct of use or oocvpeacy of the facilities rented to Ranter described in Section 4 above and the TYbar ltaaoh by ltpnier or arty person aisimia8 under the Ranter, inoludla~ any spectatoz or atkadee at the L•Wwt; b. any activity or tiling Hone or peanitted by indenuvtees in ox about the facilities re>+tzd m Renter dercr9»d in Section 4 above or the Tybar Stanch; sad a any injury ar damage to the persarr ox property of the Renter, anyone claiming under the Renhu, any spectator or attendee at the Bveat, or their laviteea eaGerfag Tybar Aanch under thn express ur SmpUed iaviffifion ofRentot If aqy notion or proceeding is brought apatnet any hrdemaiteea by mason o£ aoy of the foregoing (a) >attough (c), the Renter, upon wrttraa notloe $orn such Inderoaiteea, shall defend the same at the Rmtet's eXpmae, with counsel reasonably setls£aatory to lndemaitees, Renter, as a mateis3 eoasldezatioa to Tyber to Bates into Chia Agreement, waives and releases ail claixrrs against Iadamail+xs arlSing out of airy of the psattexn net forth abavra lA. Mlscelianeoala Praviaions; ~ x°fl~a, Any nottw xrgltirta to ba seat under t>ve agr~marrrt moat ~a in writing amt may be getved by deposltiag same 8r rile ualted States Mail, addressed ZQ the patty to be amiHed, postago prepaid and mgiatered or oertl$ad with reaua receipt rcquertsd, or by delivering the same is parson m such party via ahand-delivery service, Federal Express or any courier service that provides a refute receipt showing the date of acteal delivery o£ same to the addreasco ther~f. Notice liven in accordance horewith s]reII be etYectlve trpotr reeelpt at the address of the addressee. Fox purposes of notice, the addresses of the parties shall be u 4allov+e: If to rybat: Danciger zYbax Ranh, LLC Attn: MarlcNiasianik,Managez P.O. Bon 5 1 ti44 prince Creek Road Carboadalq Colorado 81623 Fax: (970)963.0469 With a copy to: Paul C. Sewed, liaq. Madden5ewe[I, I/LP 1751 Wittiag[on P1aca Suite 300 Dallas, Texas 75234 Fax: (972) 484-?843 pnstR~amlAarmmw! Pa;e3 C1ltrrmNlerkl/~ppnadLonlV.fimaoalWLrdewaTe®pormy Wterae Fi7adCWltcall651NYar51AXlE~'mt !Gnarl Agroa (a~~OC Ov~fl3~ tler11/[tl1n 14:ee y!tl`Jh~4Y'!'1 T'BAR RAh1CH LLC t~ $q(g$ If io Renter; Y =e~ G aJ b) ¢~atian. Thin Agreetrtem is execukd by 4lu pwtti~a hereto witboat eoeredon oc domes twd far eubstantlal oottaidcwtioa, the aufftalency of which is forever coafr.~ed. o)~g~pt tem. T3is Agrermatt may be axeauted In a number of ideattcal coun6etpatts, each of which shall be domed ~ arigfnat for all parpoaes, d) ~ 'I1te individuals executing thin Agreement an bel+elf o£ the respeedva parttes below xepreeemt to each other and to otbexs Chet all appmprlate and necessary acNom lt~ been taken to aathvdze the lndivlcWai whe is egooutirlg this Agteandat to do so for and on behalf of Ste party !br wltioh his or her signatttte appears, that tlfam aro,aa otl>Ier parties or eaFi4les requited to execute this Agreement in order tbx the eons to be au authonzed and bindittQ agreement oa the patty for wlloat. the lndividuat is slgahtg this Agreemont and that each individual et3Fixltig ltia or her ai~ature hetoto is agthodzad to do so, and anch atu]fodzatlon ie valid sad offactive a4 the date hereo£ e) 5~,gS{6eyerahibijy to CEae any One ~t mOrO 0£the provisioaa COltialAad 111 this Agreement shall far any rmaen be hdd !o be Invalid, iltegat or unenforeaable in nay rmpeet, each ftrvelidlgq ttlegeiity or uaer>fbrccability abell not affect any other provision khereol7 and ~ Agresntont shall be wastnted as i£~uch itrvelid, illegal ar unanfarceable provision had never hart mntmned herein. ij f• Etch signatory ropmaonts thin Agreement has beers road by the party for which this Agreement is egeeutad and that such parry hen had an oppornwtty ro confer with its wttnsnL g) Misaellenentu DraRina Pmvisic~. TJtjs Agreemern shalt be dammed drafted equally by all periles hereto, The language of all parts of this Agreoment abali bG eodatrved ea a wlmlo according w its 61r moaning, sad say pxeswnptlan err prittoiple that the laagaage hertla 3a to be Construed agaitltt any patty shall ao4 apply. t3eedinga is thia Agreaneat ate for the eoavarica~e of rho parties and are not hltended to be used !n eousttviag this document. h) ~tt1t This Agreement Or sny part thereof shall not be assigned or frads>krmd by Beater withotu the prior arlctea consent ofTybar. jSlgnaturee on separate pegs] awatxmw Aeroaooat Faaaa GiVamlMadMppaetal[.4ak~M3croadflWladowsl7empnrn+y resents FikslCuntaaeI&iWYalSLG7CtEvmtReate! Atroe (oyDnC O~~1~3 .~., wr cwu ice, cY u:uuuw uc i ra,m rtr-, w.,n w, rraa~ uorur tl3l11/2B1k7 Satss 57®9636292 TVBAR RANCk LLC PgGE 85lflb RENT~Ri ff nn ¢C~Y1.aG- ,~4~. . gy; vt vG~i kti2 i/" ~/~ ~~a D~~;~ ' Namo: pANCAY)ER TYBAR RANCTi, LLC ~~~, e~ nay 6rW AAn4~l Ai~'~Moek PaBeS C:WerteV.ft~9C1,4PPTkM1fArnI~MiefeSaRlWkdeMA'temyor~tY 1Mamak P4m1000Fauf16l~NYBIIjDRICveat RrnW AB~~ (n}~OOC C~J~3~ ACORD TM CERTIFICATE OF LIABILITY INSURANCE DATE 6/17/2010 PRODUCER Heritage General Agency, Inc. 9250 E. Costilla Avenue, Suite 650 Englewood CO 80112 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: The Burlington Insurance Co. Roaring Fork Rotary Foundation INSURER B: 1017 Heritage Drive INSURER C: Carbondale CO 81623 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. waR LTR DD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE GATE (MM/DDIVV) POLICY EXPIRATION DATE (MM/DDIYY) LIMITS GENERAL LIABILITY EACH OCCURENCE 51,Beu,uu6 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $100,000 A X CLAIMS MADE X^DDDDR 2516003534 07/09/2010 07/12/2010 MED EXP (Any one person) E5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO- PRODUCTS-COMPI OPS AGG Food Included X POLICY EOT LOC A M IL LIABIU COMBINED SINGLE LIMIT NY AUTO (Ea accitlenQ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) HIRED AUTOS DILY IN URY NON-OWNED AUTOS (Per accitlenry PR PERTV DAMAGE (Per a«Itlenq GARAGE LIABILITY UTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURENCE OCCUR ^CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION WORKERS COMPENSATION AND Iwc aTAT uMlTSI IOTHER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT NY PROPRIETORIPARTNERBHIP,E%ECUTIVE OFFILERIMEMBER EXCLUDED4 E 1. DISEASE ~ EA EMPLOYEE It yes, tlesaiba untler. SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BV ENDORSEMENTISPECIAL PROVISIONS AMENDED Fund raising event Certificate holder is an additional insured 10-day notice for non-payment CERTIFICATE HOLDER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Pitkin County 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 130 S. Galena St. 3rd Floor LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY Aspen, CO 81611 OF ANY KING UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Qis~~~~ M. Nye AGORD 3S5 (3001/08) CopynBM1t ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the attached or reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter coverage afforded by the policy(ies) listed thereon. as~~AQL•~v AGENT: American Family Brokerage, Inc. 6000 American Parkway Madison WI 53783 PHONE: 608-242-4100 ext 36339 Opt. #1 FAX: 608-245-8657 ncoao zs-s ~zaanoe~ PITKIN AUNTY COMMUNITY DEVELC,„MENT Permit Receipt RECEIPT NUMBER 00029391 Name: Roaring Fork Rotary Foundation Date:6/14/2010 Project Address: 100 ANGUS LN Type: check # 4072 Permit Number Fee Description Amount 0019.2010.PSPE PP-Special Event Flat Fee 624.00 Total: 624.00