HomeMy WebLinkAboutpitkin.planning.273521400005 (16)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)
Parcel ID: 2735 - 214- 00-005 Application Date: 3113/1,
Description: David's Bridal/White by Vera Wang Photo Shoot Temporary Commercial
Use /Special Event Permit
Project Address: 3125 MAROON CREEK RD, ASPEN, CO 81611
Property Owner: T -LAZY SEVEN RANCH CORP Address: 3129 MARCO 8N6CREEK RD
Owner's REP: JERE LONG
REP's Email: aspenproductions @mac.com
Referrals: ALL OTHER REFERRALS
comments Due Date:
Meetings:
Meeting Date:
Review Body:
1st Meeting:
Public Hearing?
Notice Date
Meeting Notes:
Approvals:
BOCC Resolution #:
BOCC Ordinance #:
Admin Determination #: 017 -2012
Other Information:
VR Approval Date'
VR Expires Date:
Remarks
Address: PO BOX 8862
ASPEN, CO 81612
Other Referrals:
2nd Meeting:
Plat Recorded Date:
Plat (Bk. PG)'
P &Z Determination #:
HO Determination #:
Case No: SPE007 -12
Planner: Mike Kraemer
# Copies:
Allocated Hours: 3
% Over Hours: 3.6
Owner Phone:
REP's Phone: (970) 925 -1031
3rd Meeting:
Application Type:
ADMINISTRATIVE DECISION OF THE COMMUNITY DEVELOPMENT DIRECTOR OF
PITKTN COUNTY, COLORADO, APPROVING A TEMPORARY USE /SPECIAL EVENT
PERMIT FOR A VERA WANG PHOTO SHOOT
Administrative Decision No.
RECITALS
1. Pursuant to Subsection 4- 30 -50(i) of the 2006 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 public events.
2. Aspen Productions on behalf of Portfolio One (hereafter, the "Applicant ") has applied to the
Director for approval of a Temporary Commercial Use /Special Event Permit for a still photo
shoot on March 13` -14 with a tech scout day on March 12. This footage will be of models
wearing Vera Wang wedding dresses. T Lazy 7 located at 3125 Maroon Creek Road is the
proposed location for the shoot.
3. Approximately 25 people will participate in the filming. Parking will occur entirely on private
property.
4. The Applicant has provided written consent from T Lazy 7 to use the property.
5. The Applicant has provided a Certificate of Insurance demonstrating adequate General Liability
coverage acceptable to the standards of the Risk Manager (and naming Pitkin County as an
Additional Insured).
6. This application was referred to the Sheriff's Office and Communications Department. Referral
comments were received from the Sheriffs Office who approved of the event and its safety and
operations plan.
7. 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.
NOW THEREFORE BE IT RESOLVED that the Community Development Director of Pitkin County
does hereby grant approval for the Vera Wang Photo Shoot Temporary Use /Special Event Permit subject to
the following conditions:
The Applicant shall adhere to all material representations made in, or in connection with, the
application, including but not limited to its Safety and Operations Plan.
2. The Applicant shall not park on County Roads.
3. Failure to comply with the conditions of approval may result in revocation of this permit.
Page 1 of 2
APPROVED this 19 \ day of March, 2012
G�A
C indy Hou en
Community Development Director
PH)#: 273521400005
SP007 -12
Page 2 of 2
PITKIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
TEMPORARY COMMERCIAL USE /SPECIAL EVENT PERMIT - --
INFORMATION ON THE PERMIT PROCESS AND APPLICATION
The temporary use and occupancy of public or private properties and /or roadways for
commercial activities or special events that are not otherwise permitted within a specific Zone
District may be permitted by the Community Development Director.' The Community
Development Department coordinates the review of these activities /events by various referral
agencies in order to ensure that the activities /events are conducted in a safe manner, and that
any impacts on the community or on public resources are mitigated by the permittee. The
permittee is required by the Code to demonstrate that adequate provisions have been made for
police supervision, public parking, insurance, site set -up, maintenance and clean -up,
emergency services, and safety of operations. A permit will not be issued unless these
requirements are satisfied.
Special Events include, but are not limited to the following:
Public events for amusement or entertainment, such as concerts or festivals;
Fund - raising or non - commercial events to benefit nonprofit religious, educational, or
community service organizations; and
=> Foot races and bike races.
Temporary Commercial Uses include, but are not limited to the following
Filming of movies, commercials, or promotional spots, and
Trade shows.
EXEMPT EVENTS
Is this a fund - raising or non - commercial event for a nonprofit
religious, educational, or community service organization?
❑ Yes
X No
Will the event be conducted entirely (including parking) in a
❑ Yes
X No
permanent facility on private property owned or leased by the
sponsoring entity?
Will the event have a maximum duration of 1 day and be limited to
❑ Yes
X No
the hours between 8:00 AM and 9:00 PM?
If you answered YES to ALL of the questions above, then a permit from the Community
Development Department is NOT REQUIRED. However, you must still obtain any other
required permits or approvals, such as a special event liquor license, pyrotechnics permit, etc.
Contact Community Development at (970) 920 -5526 for assistance in determining what other
permits may be required. In addition, you must notify the Sheriff and the County Engineer of
the time, place and estimated attendance for your event at least 72 hours prior to the event.
OTHER EVENTS AND USES:
If you answered NO to ANY or ALL of the questions above, you must complete the attached
application and submit the required fee and application (with all required attachments) to the
Community Development Department for review.
See Subsection 3- 200 -030 of the Pitkin County Land Use Code (the "Code ")
7 -06 -04
I 13
The Community Development Department will be the primary contact for the applicant during
the review process. Once the completed application and fee are submitted, Community
Development will distribute the application to the necessary referral agencies and, if necessary,
will schedule a date for the referral agencies to review the application with applicant and /or put
the referral agencies directly in touch with applicant.
Following review of the application, the Community Development Director will issue an
Administrative Determination granting or denying the permit. The Board of County
Commissioners reviews events of duration longer than 72 hours.
Special event permit applications and temporary commercial use permit applications shall be
submitted to the Community Development Department not less than 60 days prior to the
event date, along with the following:
1. Fee for application $1872 (Major Events), $649 (Minor Events); make check payable
to " Pitkin County Treasurer ". Whether or not an event constitutes a "Major Event" or a
"Minor Event" will be determined by staff at the time of submittal. The fee is based on 2
hours of staff time, for Minor Events, and 6 hours of staff time, for Major Events; if staff
review time exceeds 2.4 hours for Minor Events, or 7.2 hours for Major Events, the
applicant will be charged for time in excess of 2/6 hours at a rate of $215 per hour.
2. Map (sketch or site plan) of event site, detailing any temporary or permanent structures,
street closures, all impacted properties (identifying owners), and parking.
3. Vicinity map.
4. Schedule of events /activities.
5. Detailed Safety and Operations Plan (see Attachment A ).
6. Proof of General Liability insurance /indemnification (naming Pitkin County as an
"Additional Insured ") and proof of Liquor Liability insurance (if applicable).
7. Letter of authorization /executed contract granting approval to use the specific site(s)
from public or private property owner(s).
8. Written approval of any applicable Caucus(es) /Homeowners' Association(s).
9. Copies of all other applicable permits. (Some helpful contacts and references are
included in Attachments B and C.) Other permits may be processed concurrently with
the application.
a 7.06.04
PITKIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
TEMPORARY COMMERCIAL USE /SPECIAL EVENT PERMIT APPLICATION
Please answer the following questions in detail If an item does not pertain to your
activity /event, please mark it "N/A."
Name of event/activity: David's Bridal/White by Vera Wang Photo
Shoot
.ocation of event/activity:
`T Lary -7 Ranch
Dates: Tech Scout and Setup 3/12/12. Shoot 3/13 or 3/14, 2012 (Client requires good weather
for shoot dam_
2. Type of event/activity (parade, assembly, sporting event, filming, etc.):
Still photo shoot for David's Bridal/White by Vera Wang featuring a models in a wedding
dress and bridesmaids dresses.
If the event/activity involves movement (e.g., parade, foot race), describe the route,
including starting and dispersal locations, and attach a map.
3. Name of applicant (sponsoring organization /event coordinatorh.
Portfolio One
4. Address: 714 N. La Brea Ave. Suite 210, Los Angeles, CA 90038
5. Phone(s): 323.634.1944
E -mail: cat(cDportfolioone.com ( Cat Burklev)
6. Name and title of person primarily responsible for oversight of event/activity:
Cat Burklev Farber / Producer (Portfolio One)
Jere Long / Location Manager (Aspen Productions)
Address: Box 8862, Aspen CO 81612
Phone(s): 917.837.7356 (Jere cell)
E -mail: Aspen productions(cDmac.corn
Cell phone, radio frequency or other means of contact during the event/activity:
917.837.7356
7. Date(s) of event/activity: "Shoot: 3/13 or 3/14, 2012 (1 shoot day) "
Starting time(s): Approx. 8am (daytime & sunset shots)
Ending time(s): Approx. 7pm
8. Number of people involved (including participants, staff (including volunteers), and
spectators): Approx 25 in cast and crew
9. If you will be using volunteers, what type of advance training will they be receiving and
when?
10. Will you provide notification of the event/activity to the public and /or to adjacentlaffected
property owners? NO If YES, describe who you will notify, when, and how:
There are no other locations affected other than our shoot locations. At T -Lazy 7 Ranch,
our shoot will be located in a field away from the road and crew staged inside the lodge
11. Are you planning to erect temporary structures or tents? If so, describe location, size,
purpose, and if they will be heated /air conditioned:
YES — we will have two small white canopy tents (10X10 and 10X15) to use as
wardrobe rooms on set at the T -Lazy 7 Ranch location.
Temporary structures shall conform to any and all applicable building codes and other
County regulations. The applicant shall obtain any required building permits from the
County Building Department. If a tent is to be erected, the Fire Marshal shall be
contacted to complete a life safety inspection prior to the event.
12. Do you require electricity; if so, what is the source of your electric power? We have 2
small portable generators that we will use for power.
Temporary electric power connection(s) shall conform to any and all applicable electrical
codes and other County regulations. The applicant shall obtain any required electrical
permits from the County Building Department.
13. Will there be amplified sound, music, or fireworks? If YES, please describe: NO
If fireworks are planned, the applicant shall obtain approval and a permit from the
applicable Fire Marshal and the Sheriff, and shall comply with the County regulations on
Noise Abatement (Code Title 6, Chapter 6.36).
11. Will any food be sold? NO If YES, the applicant will be required to submit an
Event Information Application to County Environmental Health. Applicant may also be
required to submit an Event Coordinator's Application and, in connection with its food
vending, applicant shall submit, or require each of its independent caterers to submit, a
Special Event Food Service Application to County Environmental Health.
12. Will you be providing portable toilets and /or hand - washing stations? NO If so,
where will they be located and how many will be provided? We will be using
existing facilities at the property.
Describe the types, number and location of trash /recycle containers to be provided:
All trash will be taken with us when we leave the location.
Trash /recycle containers and toilets/hand- washing stations must be removed within 24
hours of the event/activity.
2
Name, title, address, e-mail and telephone number(s) of person responsible for clean
up: Jere Long (917.837.7356)
13. Will beer, wine, or other alcoholic beverages be dispensed at your event? NO
If YES, complete Attachment D and contact the County Clerk & Recorder's Office to
determine if you need to obtain a State of Colorado Special Event Liquor License
Permit.
14. Are you requesting use of any County properties (e.g., parks, trails)? NO If YES,
please specify: N/A . The County may require applicant to post financial security
to ensure restoration /revegetation of County property.
15. Are you requesting road closures? NO If YES, please include date(s) and times:
Road From To Date
Road From To Date
If road closures are approved, the permittee will be required to publish notice of the
closures in local daily newspapers at least 2 days prior to the closures.
16. If you do not require road closures, will your event/activity use any public or private
roads? NO If YES, describe:
17. Where will you provide parking We will park in the designated parking lot at location.
Number of spaces available at each location:
Describe any arrangements made for towing illegally parked vehicles:
N/A
18. Will shuttle service be provided? NO If YES, describe shuttle service (including
hours of operation) and methods to be used to encourage use of public transit: _
19. Describe traffic control measures to be instituted: We will not be controlling any traffic.
20. How many personnel will be provided for security, and traffic and parking control?
Security is not needed - Jere will be responsible for parking.
Identify any subcontracted security and traffic /parking control service providers (name,
address, contact person, telephone number(s), and e- mail):
Law enforcement services will be charged out at the current hourly rate established by
the Sheriffs Department and ONLY if resources permit. The Sheriff reserves the right to
place officers and staff at the event, at the permittee's expense, if deemed necessary in
the interest of public safety. For further information, contact the Sheriffs Office.
21. How many and what size vehicles and equipment do you plan to use to stage the
event/activity? Please provide the location for staging of all vehicles and equipment. We
will have the following vehicles with us: 6 passenger vehicles, 3 cargo vans (photo
equipment), 1 prop van, and 1 wardrobe van.
22. Are you planning to use fixed wing or rotor wing aircraft for any aspect of the
event/activity? If YES, please describe: NO
ALL APPLICANTS: Please complete the attached Safety and Operations Plan or
provide a separate document containing all of the required information (see Attachment
A). A Safety and Operations Plan is required for planned events /activities
because the emergency service infrastructure is funded by the Pitkin County
taxpayers to offset unplanned events that pose a threat to life and property. As a
result, any demand for services generated by a planned event/activity should be
alleviated ahead of time by the event sponsor or organizer. The posting of financial
security, in an acceptable form, may be deemed necessary by the Pitkin County
Sheriff's Office upon review of the Safety and Operations Plan.
23. Describe any special requirements or aspects of your event/activity that have not been
covered above: ALL ASPECTS COVERED
I certify that I am an authorized representative of the applicant, Portfolio One and have the
power to execute this application on behalf of the above -named organization. All of the above
statements are true to the best of my knowledge, information and belief. I acknowledge that
any Temporary Commercial Use /Special Event Permit that I receive shall be subject to the
following terms and conditions, in addition to those specified in the Administrative
Determination /BOCC Resolution granting the permit:
A. The County may revoke a Temporary Commercial Use /Special Event Permit prior to or
during the event if the permittee violates any of the conditions of the permit.
B. The County may require the permittee to participate in a post -event debriefing with
referral agencies, affected citizens and other interested /involved parties to address
issues that arose during the event.
C. The County may require the permittee to post financial security to ensure compliance
with any of the conditions of the permit.
D. If a major incident or emergency occurs in the County during the event, the Sheriff
reserves the right to remove any and all emergency medical, fire and law resources
, kpRYf he event.
"
E. -IN perm# ee Mall adhere to all representations made in the application and in public
Signa owe Authorized Represe tative Title f
of Applicant
5 � Po, a{ R yeti , CC)
Print Name Address
It
ATTACHMENT A
SAFETY AND OPERATIONS PLAN REQUIREMENTS
The purpose of this part of your application process is to promote public safety in the
conduct of special events in Pitkin County. Please provide the following information as
it applies to your event. Note that some questions will not be applicable, or appropriate, given
the nature and /or scale of your event.
Contact the Public Safety Council for additional information or direction regarding these
requirements.
• Is this a corporate- sponsored event for profit? X or a non - profit event? ❑ (Check
one.)
The following statements assess the level of risk to the participant/citizens of the County
by the event and its potential to affect normal public safety resources. (Check
appropriate boxes.)
❑ YES X NO A) Does the event pose risks to the individual participants and public
safety?
❑ YES X NO B) Does the event occur in wilderness, swift water /open water or
mountainous terrain and have the potential to affect normal public
safety resources?
If either A or B were answered YES, then the applicant may be required to post financial
security with the Sheriff's Office.
All participants of an event are encouraged to purchase and carry during the event a hiking,
fishing, hunting, snowmobile, boat registration or back county certificate, which may cover costs of
an emergency through the Colorado Department of Local Affairs -DOLA Grant.
The Safety and Operations Plan can be written in outline format. It should:
Outline, in detail, all of the activities, risks, or other safety issues associated with staging
or participating in your event. NONE
Outline, in detail, the safety measures you will have in place for the event:
A. Name the single point of contact public safety officials will be in communication
with at all times during the event. List all means of communication and
numbers /frequencies (e.g., cell phone, radio). Where will this individual be
located during the event? 917.837.7356 (Jere Long - location manager) will
be at the location for the duration of the shoot. We have cell service at
our location, and we will also have a working landline available to
immediately contact emergency services or any other off -site
communication needs.
B. Who has overall responsibility for the safety of the event? 917.837.7356 (Jere
Long /Aspen Productions)
7 -06 -04
C. Describe (bullet topics) your safety briefing for event staff.
• Stay with group
• Wear sunscreen
• Drink water to stay hydrated
D. Outline, in detail, your safety preplans. Please see "Safety and Operations
Plan" submitted.
1) Is your written safety /security plan developed and distributed? Please
provide a copy. It should address the following items:
a) Dispatch procedures for your internal emergency response
resources. Drawings (flow chart) may be helpful.
b) Requests for assistance procedures.
C) Event communications plan. Drawings may be helpful
2) Please ensure that your map attached to the application clearly identifies
emergency facilities, emergency access routes and hazards.
3) Outline, in detail, how you will detect and respond to event emergencies.
4) Describe event - provided emergency medical personnel, facilities and
provisions for staff and participants.
Will your event's safety facilities (aid stations, heli- spots, etc.) be
prominently and clearly marked? If so, how?
(The event may be required to supply its own Emergency Medical Services
(including ambulance service), depending on the scale and risk assessment of
the activities. You may contact local fire and ambulance departments, or private
providers for quotes and availability )
E. Are there any low risk hazards likely to be encountered by the staff or
participants and how will they be addressed (e.g., road crossings, stream
crossings, etc.)? There are no low risk hazards that we know of.
F. What are your inclement weather contingency plans? In the event of
inclement weather, crew will take shelter at the lodge at T -Lazy 7 Ranch
until weather returns to suitable conditions.
7 -06 -04
7
Submitted 3/04/2012
Aspen Productions: 917.837.7356 cell
Additional information for: Portfolio One - David's Bridal Photo Shoot
8
Safety Operation Plan
Crew Size: Approx: 25 people
PITKIN COUNTY / PERMIT APPLICATION
Dates: Tech Scout /Setup: Monday, 3/12/12
Shoot: Tuesday, 3/13/12
Wednesday, 3/14/12*
*Only one shoot day
Times: Approx start time: Sam
Approx end time: 7pm
SAFETY & OPERATION PLAN:
The areas that we will be shooting are:
*T -Lazy 7 Ranch
The area we will be shooting at is a private property and not open to the public.
Each crew member will have a handheld two -way radio for communication
among the crew. In any areas where we do not have cell service, a land line will
constantly be available to contact emergency services. We will always have a
vehicle ready for transport to medical help, if necessary.
Contact at the location will be: Jere Long: 917.837.7356 Cell
• Point of contact Person: Jere Long (Locations Manager) 970.925.1031 Office
917.837.7356 Cell
*Jere will be present on location during the entire event.
Overall Responsibility for the safety of the event is: Portfolio One
Submitted 3/04/2012
• Description of event:
A still photo shoot featuring models in wedding and bridesmaids' dresses.
In the event of a medical emergency - We will stabilize the individual / apply
appropriate care & seek further assistance if needed from outside help.
In the event of an emergency & someone does need to be rushed to the hospital
we will have a Suburban standing by to take them to the hospital. We will also have
a hard line available to use to call 911.
ADDITIONAL INFORMATION REGARDING PARKING & VEHICLES:
We will park all vehicles on the private property (in the existing parking lots). We will
have the following vehicles:
6 passenger vehicles
3 cargo vans (photo equipment)
1 prop van
wardrobe van
Please feel free to call us with any questions or issues.
Thank you!
Jere long
970.925.1031 o
917.837.7356 mobile
/0
Mar 04 12 02:18p T Lary 7 Ranch Rick Deane 970 - 9257040 p.1
PROPERTY RELEASE
DATE, Wednesday, February 29, 2012
JOB NAME: David's Bridal/ White by Vera Wang
JOB #: 7125
This is to confirm our entire agreement covering our use of your property
which is located, and is described as follows:
Location description and dates of use -Lary 7 Ranch - 3129 Maroon = =k Road A� en O 8161 1
Tech Scout: 311212012, Shoat 3113, 31141 012. Only 1 of these days.
2. Permission: You confirm to us that we have your permission to photograph the above described
location, (including any signs, displays, names and the like appearing thereon( for use in a film shoot
invctving & specifically limited to the product DAVID'S BRIDAL/ WHITE by VERA WAN G, You also agree that
we are free to make any and all photographic scenes that we may desire, and that we. our clients, and
their respective successors, licensees, nominees and assigns, can use these photographic scenes or any
print solely in connection with this film shoot.
a. Ownership and Permits: You hereby warrant that you are the owners and or agents of this property and
that you are fully authorized to grant us the permission and rights stated herein and to use the property for
the purposes granted herein.
4. Condftion: We agree that we will leave said premises in ors good condition and broom clean as
when we received it from you for our use.
5. Insurance: We are fully insured and agree to indemnify you from and against any and all loss and Iiabifity
incurred by you or imposed upon you directly resulting from injury to or death of any person appearing on
said property directly resulting from negligence in connection with our use of said property.
6. Equipment and Crew: You understand that we will have with us on the day(s) 3! 12- 3174!20 f2 of
photography our shooting crew, talent and all of the attendant cameras, lights and other photographic
equipment. There will be approximately 15 people.
7. Schedule and Weather. We will be at your property on 3/12-3/14/2012 If ony of our use of your property
is based upon an exterior portion of the property, and if it should rain or the weather is otherwise inclement,
and prevents us from doing our photography, then it is agreed that we shall have the rights to reschedule
use of your property in advance on a mutually agreeable day in the immediate future without any
additional fees.
8. Fee / Payment: The fee that will be paid to you on the day of the shoot for allowing us to film at your
location is = P is ate due only for days we use the property.
i
Agreed and `e Very Truly You /
�� C/
x x
Ign Jere Long / Location Manager
Print
PC Box 8862 • Aspen, CO.81612 • 970.925.1031 p • 970.925.7769 f
OP ID: BL
CERTIFICATE OF LIABILITY INSURANCE DAT03105UIYYYYI
03/05/12
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). _
PRODUCER
rom C. Pickard & Co., Inc.
320 Pacific Coast Hwy
-lermosa Beach, CA 90254
INSURED Portfolio One, Inc.
714 North La Brea Avenue #210
Los Angeles, CA 90038
COVERAGES CERTIFICATE NUMBER:
REVISION
I COVER _
RA: GREAT DIVIDE INSURANCE COMPANY
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE HON THE HULIUY VLKIUU
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH
THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
TERMS,
EXCLUSIO AND CONDITIONS OF SU POLICIES. LIMITS SHO MAY HA BEEN RE DUCED BY PAID CLAIMS.
PITKIN COUNTY
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',LIMIT
1,000,0
(PROPERTY DILMAGE
DEDUCT.
2
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ANach ACORD 101, A Wdnal Remelt SchedYN, K mom space Is required)
THE CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED AND LOSS PAYEE
BUT ONLY AS RESPECTS TO CLAIMS ARISING OUT OF THE NEGLIGENCE OF THE NAMED
INSURED.
CANCEL I ATION
VCR! lFICME FIVLYCR
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PITKC01
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PITKIN COUNTY
ACCORDANCE WITH THE POLICY PROVISIONS.
530 E. MAIN STREET, 3RD FLOOR
AUTHOI REPRESEN
ASPEN CO 81511
7 ip7ra�
ACORD 25 (2009109)
IS; Tsae -Luus
The ACORD name and logo are registered marks of ACORD
X 31 0 -379 -7788
cerl
' i ID #: PORT
IN SURER B
INS URER C :
INSURER D:
4VRFORMI IVn. All uyu rcac•r -
/ Z-
Name:
Project Address:
Type:
Permit Number
0007.2012.PSPE
0007.2012.PSPE
PITKIN COUNTY COMMUNITY DEVELOPMENT
Permit Receipt
RECEIPT NUMBER 00032169
Aspen Productions Date:3/13/2012
3125 MAROON CREEK RD
check # 649
Fee Descr Amount
PP- Special Event Flat Fee 624.00
PP- Clerk Tech Fee 25.00
Total 649.00
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