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HomeMy WebLinkAboutpitkin.planning.273503400034 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 copies (11x17) .,..._.u.. ~. .„,~ .:' w"tm'k'~„1a">~~m,~<, ~: ~,~'s..,~. ~"ri'P., h '. cy-y _... .. _~.. .,. ,., z„ ~.. ~.-.- ,,a~t~,a=vc n ("') ~. ,:.,,. , PAR~~L.If~2735-034-00-034 ~3A"Cr~ Ftf:1ICF: ~ 4/11/2006 ~C4RI~5~~~` ~a~ NG1~P104-06 > ..,.. , , . W.... _.. , C7i~ I~Afii[~ Nature Valley Granola Bars Commercial Use/Special Event P~»N~t: Ezra Louthis .w .- ,PR€'?;tAL#ClFI:.Panda Peak ;. ....... .~.~.~M ~o~. , . - ; CIWNiA~p~ Rant Films ADiR, : :_:: . <,: Gt~• PHN' .. R~p'.I David Roth Ai3R I31 West 26th St ~. ;.. C/~J2;._~ New York, NY 10010 P}t~E,I310-740-1910 ~'~E$-~~: $448 ~•: -°-° ~I F~ rib $448 #21515 ,: .• ALC.~}C~4i`~~r NC#t1RS4~ 3 : -._ . ~. ,: , 'i o ii 3.6 /o {7;'1%1=1'~: . RIEI=~F2l2Al:S - ; , _. p. ;, ~t~t~s. SY~.. ~ _ <. l7>kJ~i~........... MTG 17~kTE t~U` Bt717Y: I~H NOTCG~p k?aT~ Q~` F~NA AC'~7N: I 4/18/2006 . ,;.. ... . "' Administr no ;:: ~ !!' " "" `" _ __.. __. .. ( .. ...........~...... -~ . ~ .. _.... L..._ ...... .... ;° E~C>CG C?rd ~~ . . „ }'~~~~+~ app to rep 4/18/06//bj admin to rep 4/27/06/bj .:. , ~5 p. .:.:. :.. ,:: . G GC©SEi7~~ 4/27/2006 BY° bj HC) INDEX I , . ; : ,: °° i11Utt~ ' ~32 2006 #523097 A ,. PLAT I~EC(3RpE)r}~ ., .. Pt.~IT (81~,1'~~~... ,. ,: _ ,.. , _~... ;. Ak~~1AtN ~NII7EK ~ , 17~t APF~FtU1tA~. ~~t't't=.;) Vet E?XPI'€tS. GASH TY~: ,. or "~AS>M'T1t~+~. Special Event Permit Min „ , , , r` PITKIN COUN~_ . COMMUNITY DEVELOPMENT DEPARTMENT 130 South Galena Street Aspen, Colorado 81611 (970) 920-5526 FAX# (970) 920-5439 April 18, 2006 David Roth 31 West 26~' Street New York, NY 10010 Re: Nature Valley Granola Bars Commercial Use/Special Event (CASE P104-06; PID 2735-034-00-034) Dear Mr. Roth: The Planning Office has completed its preliminary review of the captioned application. We have determined that this application is complete. After a more detailed review of the submittal information, additional information specific to the application maybe requested in order to adequately review and process the application. The planner in charge of the review will request the information from you directly. If you have any questions, please call Ezra Louthis, the planner assigned to your case, at 920-5092. Sincerely, Bonnie Waechtler Administrative Assistant _.. ~2~0~~ ~I~~ I~ Page: 1 of 2 04/19/2006 09.,;44P __ JANICE K VOS CAUDILL`~I~'IC~t'~ ~`d'GM1~1'Y4Cd""`j~""0';06A3 '~y~~ D~ 6.00 ADMINISTRATIVE DETERMINATION OF THE COMIVIUN~ITY' DEVELOPMENT DIRECTOR OF PITKIN COUNTY, COLORADO, APPROVING A~TEN1pORARY COMMERCIAL USE/SPECIAL EVENT PERMIT FOR THE FILMING OF A NATURE VALLEY BARS COMMERCIAL IN THyE CASTLE CR~E~EI~'ARE'A ON APRIL 12, 2006, AND STAGING OF A HELICOPTER FOR T~iE COMMERCIAL SHOOT AT THE BUTTERMILK SKI AREA Determination No.~-2006 RECITALS 1. Pursuant to Subsection 3-200-030 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. Rant Films, LTD. (hereafter, the "Applicant") has applied to the Director for approval of a Temporary Commercial Use/Special Event Permit to engage in a commercial shoot in the Castle Creek Valley with a helicopter that will stage out of the Buttermilk Ski Area. The shoot will commence at sunrise and conclude at approximately 7:30PM. Approximately 12 people will be involved in the shoot, and set-up for the shoot will began on April 11, 2006, in the afternoon. 3. The Applicant has indicated that the Pitkin County Sheriffs Office has been contacted and has granted verbal approval to the use of the helicopter for the shoot. The Pitkin County Airport has been notified, and has accepted the use with some conditions noted hereon. 4. The Director finds that, to the extent applicable, the application complies with the standards in Subsection 3-200-030 of the Land Use Code. THE DIRECTOR HEREBY APPROVES the Temporary Commercial Use/Special Event Permit for "Nature Valley Bars" commercial shoot with the use of the Buttermilk Ski Area as a staging area for the helicopter, subject to Applicant's compliance with each of the following conditions: All material representations made by the Applicant in the application (which shall specifically include representations made in all related supporting documents, correspondence subsequently provided by the Applicant, and representations .made at the meetings held with Applicant), shall be adhered t® and considered conditions of approval, unless superceded by specific conditions in this Determination. 2. Use of the Airport shall be limited to lam to 10pm. 3. There shall be no vehicle parking along. County Roads. ._. •~; 4. The Applicant shall provide the County with a copy of the Forest Service Permit, and consent from the Aspen Skiing Company for use of their property. 5. Failure to comply with the conditions of approval may result in revocation of this permit. APPROVED this ~~ ~ day of ~n~ ~~ , 2006. ~ , Cindy Hoube Community Development Director PID 273503400034 52309( Page: 2 of 2 JANICE K VOS CRUDILL. PITKIN COUNTY CO R 0.00 04/19/D 0~00~9.44r- !^'~ PITKIN COUNTY COMIIIIUNTT'~(`D~VELO`~MENT D~PAR~'~VI~NT``"~"`T'M`~' "~ `•` ` ~.. TEMPORARY 'COIVIMERC1dL C~S~/~I~E~IAL`E~/Ir'1Vf PERMIT --= ` "~Y " INFORMATION ON THIr ~PERIVIrT PI~dC~SSaAN~~APPL1`C~-~I~N 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'gs concerts o~~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: ..._ .. ~ _ .. _ ....:,.. w w.,:..._Mx~..3 . a..._ Is this afund-raising or non-commercial event for a nonprofit ^ Yes I ^ No religious, educational, or community service organization? Will the event be conducted entirely (including parking) in a ^ Yes ~ ^ 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 I ^ 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"). 5/13/05 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 andlor 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 6U days prior to the event date, along with the following: 1. Fee for application: $1344 (Major Events), $448 (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 216 hours at a rate of $224 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 insurancelindemnification (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. 5/13/05 y ..,~ __ .. - ~fz~ £l uc.T'~ n ~- o G~c--1, c.~ ~ ~ ~/r '4 ~d -- ~ Z 5 - ? ? Z. 7 r-~~. PITKIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT TEMPORARY COMMERCIAL USE/SPECIAL EVENT PERMIT APPLICATION Please answer the following questions in defail. If an item does not pertain to your activity/event, please mark it "N/A." 1. Name of event/activity: ~G~~-- ~~~ 7~~~ 'l(~/~/1C '~ftC(~ 1;~~'~-", _/~.5 2. Location of event/activity: y - /d~3 t'y ~A/laA 7EFyd l / 13c1Tj„ ,t~; ~; 3. Type of eventlactivity (parade, assembly, sporting event, filming, etc.): Y~/[~i~,.~U .~ If the eventiactivity involves movement (e.g., parade, foot race), describe the route, including starting and dispersal locations, and attach a map. 4. Name of applicant (sponsoring organization/event coordinator): flnv+nLo c.v~pK~«i -~ ~~ t (=t~~5 Address: 31 w EYT' ~ to 5 T 1JCc-w Yc,~ K. 1~-~ ~ oe~ u Phone(s): Zl Z ~9.6.92aD E-mail: ~.~++R"lrtwv-S. ooM Name and title of person primarily responsible for oversight of eventiactivity: Address: . Phone(s): E-mail: Cell phone, radio frequency or other means of contact during the event/activity. 5. Date(s) of eventiactivity: /~PiZt L t 2 , ~ 3 , [ 4 , Zoo6 _. Starting time(s): Ending time(s): 6. Number of people involved (including participants, staff (including volunteers), and spectators): 12- If you will be using volunteers, what type of advance training will they be receiving and when? tiro 7. Will you provide notification of the eventfactivity tv the public andior to adjacent/affected property owners? ~ ~E~ If YES, describe who~+ou will notify, when, and how: ASP~x,, sue, Co r-.~~ U S ~lLEST St>h1,C.~ 8. Are you planning to erect temporary structures or tents? If so, describe location, size, purpose, and if they will be heated/air conditioned: No Temporary structures shall conform fo 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 contacfed to complete a life safety inspection prior fo the event. 9. Do you require electricity; if so, what is the source of your electric power? Nn 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. 10. Will there be amplified sound, music, or fireworks? If YES, please describe: T+.-p 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? 1V~ if YES, the applicant will be required fo submit an Event Information Application to County Environmental Health. Applicant may also be required to submit an Event Coordinafor'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. In connection with sales Transactions, applicant maybe required to have a CO Standard Sales Tax License or CO Special Event Sales Tax License. Contact the CO Department of Revenue for information. 12. Will you be providing portable toilets and/or hand-washing stations? ti+o If so, where will they be located and how many will be provided? Describe the types, number and location of trash/recycle containers to be provided: tJo nt!~ Trash/recycle containers and toilets/hand-washing stations must be removed within 24 hours of the event/activity. Name, title, address, a-mail and telephone number(s) of person. responsible for clean up: 13. Will beer, wine, or other alcoholic beverages be dispensed at your event? N ~ 2 r, ^~ If YES, complete Attachment D and contact the County Clerk & Recorder's Office to determine if yo.u 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)? ~tl If YES, please specify: The County may require applicant to post financial security to ensure restoration/revegetation of County property. 15. Are you requesting road closures? ~ If YES, please include date(s) and times: Road From To .Date Road From To .Date If road closures are approved, the permittee wil(be required fo publish notice of the closures in local daily newspapers at leasf 2 days prior to the closures. 16. If you do not require road closures, will your event/activity use any public or private roads? INS. If YES, describe: 17. Where will you provide parking? Number of spaces available at each location: Describe any arrangements made for towing illegally parked vehicles: 18. Will shuttle service be prov"ided? t~1a 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: 20. How many personnel will be provided for security, and traffic and parking control? 2 5~.cc~~.~~fY 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 ouf at the current hourly rate established by "the Sheriff's Department and ONLY if resources permit. The Sheriff reserves the righf to place officers and staff of the event,"at the perniittee s expense;"if"deemed necessary in the interest of public safety. For further information, contact the Sheriff's Office. 3 _, 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. _ ~~,.jfllt Prr'A tG. 2. t 1 t ~.~c~ P?t~-S. t L 4 PT rCtZai c~ . ! t=veL ''il2-v taC. . 22. Are you planning to use fixed wing or rotor wing aircraft for any aspect of the event/activity? If YES, please describe: 2. Nt"'l.tc~PY'kf~S 23. Describe any special requirements or aspects of your event/activity that have not been covered above: *** 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 eventslactivities 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. certify that I am an authorized representative. of the applicant, 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 from the event. E. The permittee shall adhere to all representations made in the application and in public meetings. 4 ems, `" Signature of Autho zed Representative of Applicant Uc».rP~A Lv~+v-PKi~ Print Name P~0 v C.~--L~ Title 3l w Zb L~ 'tv~c. ~{ t0o~o Address 5 m^., 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 acorporate-sponsored event for profit? ^ or anon-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 ^ NO A) Does the event pose risks to the individual participants and public safety? ^ YES ^ 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 Sheriffs 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 certifrcafe, which may cover costs of an emergency through the Colorado Department of Local Affairs-DOLA Grant. A Safety and Operations Plan must be completed by aH applicants. It can be written in outline format. It should: 1. Outline, in detail, all of the activities, risks, or other safety issues associated with staging or participating in your event. 2. 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? B. Who has overall responsibility for the safety of the event? C. Describe (bullet topics) your safety briefing for event staff. D. Outline, in detail, your safety preplans. 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. 5-13-05 `"" 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-likelyfo be encountered by the staff or participants and how will they be addressed (e.g., road crossings; stream crossings, etc.)? F. What are your inclement weather contingency plans? 5-13-05 ATTACHMENT B CONTACT LEST (All Area Code "970") DEPARTMENT OR AGENCY I CONTACT PERSON Aspen/Pitkin County I Cheryl McCulloch Airport Aspen Fire District ~ Ed Van Walraven Aspen Police I Loren Ryerson Department Aspen Community Linda Gerdenich Relations/Com- munication Aspen Valley Hospital Janice Martin (Trauma Coordinator), Dr. William Rodman Basalt Fire District I Bill Harding/Scott Thompson County Building Division ~ Vicki Monge Bureau of Land I Brian Hopkins Management Carbondale Fire District Bill Gavette/Carl Smith CO State Patrol (Capt. Barry Bratt County Communications ~ Bruce Romero PHONE ~ 920-5384, ext. 850 ~ 925-2690/925-5532 920-5400/920-5404 920-5082 925-1120 ~ 927-3365 920-5526/920-5450 947-2840/947-2829 963-2491 County Community I Ezra Louthis Development County Clerk & Recorder ~ Jennifer Doss County Engineering ~ Bud Eylar County Environmental I Carla Block Health County Open Space 8~ I Barb d'Autrechy/Gary Trails Tennenbaum County Road 8~ Bridge ~ Temple Glassier Crystal River Caucus ~ John Baker East of Aspen Caucus (Chuck Downey Emma Caucus ~ Liz Newman Frying Pan Valley I Dale Coombs Caucus Maroon/Castle Creek I Marc Mathys Caucus Owl Creek Caucus ~ Chuck Vidal Public Safety Council - I Ellen Anderson County Emergency Mgt RFTA ~ Dan Blankenship County Risk I Kris Jewkes Management County Sheriff ~ Tom Grady Snowmass/Capitol ~ Michael Kinsley Creek Caucus ~ 945-6198 ~ 920-5328 920-5092/920-5526 ~ 920-5180 ~ 920-5206 920-5070/920-5438 920-5232/920-5355 ~ 920-5211!920-5397 ~ 963-2846 ~ 925-8987 927-2870 925-2400 920-5234 920-1905, ext. 204 920-6017 ~ 920-5300 927-3851 FAX 920-5378 ~ 920-4451 1920-5409 920-5119 920-5439 ~ 920-5339 920-5439 ~ 920-5196 ~ 920-5374 920-5077 920-5198 ~ 920-5374 920-7991 920-5198 920-2864 920-5049 ~ 920-5251 5-13-05 Snowmass/Wildcat Fire ~ John Mele District U.S. Forest Service I Woody Creek Caucus ~ Phil Holstein 923-2212 925-3445 (Aspen District) 963-2266 (Sopris District) 925-61.77 ~ Contact Janis Taylor at County Community Development (920-51_09_) to obtain contact names and phone numbers for Homeowners' Associations. 5-13-05 ~~ ATTACHMENT C APPLICABLE CODES ~ REGULATIONS; CONTACTS MATTER Bleachers APPLICABLE CODES & REGULATIONS ICC/ANSI 300 Electricity, Temporary Fireworks Food Service Liquor License Noise Limits Refuse Disposal Road Closures Sanitary Facilities: Toilets and Hand- Washing Stations Temporary Commercial Use/Special Event Permit Temporary Contractor's License Tents or Temporary Structures 5-13-05 National Electrical Code (current edition) Temporary and Occasional Food Service Establishment Requirements, Colorado Food Service License State of Colorado Special Event Liquor License Permit Title VII of the Pitkin County Code (BOCC Ordinance #99-38) Colorado Department of Health Standards and Regulations for Group Gathering Areas f Pitkin County Road Management 8~ Maintenance Plan Colorado Department of Health Standards and Regulations for Group Gathering Areas Land Use Code Subsection 3-200-030 International Building Code, 2003 International Fire Code CONTACT County Community Development - Building Division County Community Development - Building Division ~ Fire District, Sheriff County Environmental Health ~ County Clerk County Environmental Health County Environmental Health County Engineer County Environmental Health County Community Development County Community Development - Building Division County Community Development - Building Division; Fire District ATTACHMENT 1D Complete if liquor will be served at your event. A State of Colorado Special Event Liquor License Permit (if required) must be applied for with the County Clerk's Office. This permit process takes 30 days and is ONLY issued to incorporated, non-profit organizations. Proof of Liquor Liability insurance, with a $1,000,000 limit, must be provided. Please indicate Yes/No to the following questions if liquor is to be served at the event. Will there be: YES NO a. Non-transferable Legal Age Identification bracelets? _ _ b. TIPS (server) training for bartenders and caterers? _ _ c. A designated "Family Friendly" seating area? _ - d. Inclusion of Tipsy Taxi in the planning of event? _ _ e. Provision of alternatives to alcohol; free non-alcoholic drinks for designated drivers? _ _ f. Free water and ice available? _ _ g. Cessation of alcohol service at predetermined point prior to the end of the event? What time? _ _ h. Food available at all times? _ _ i. Training of security staff and volunteers on friendly intervention? _ _ j. Prohibition of use of alcohol or drugs by staff and volunteers while on duty? _ _ k. A desighated smoking area? _ _ I. A designated medical detox area on-site? _ _ m. Other: 5-13-05 f! _ ~ l ?:. ,, ~~1~ - 2sZ-~ ECan~r' ~~6uYl~j_i~jZLI~~YVtuYI~~GD~_~~~o -- ~I ~ ~ (~l~~au«leS ( fi~,~e~n Ot t ~C~_e~-15 are ~_ ~~~ ~~~ ~~~~ ~b ~~.~1 ~nu~ ~ ~rn-~ ~~e~ef~ rl~(( i - - ----- 2~~~~,/~1--rs-- - - - aVa~lalQl~ -~~~ -~~I ~~~~~h- -0; ... ~~f ;i'""~; HE.~ICOP~"ER ACCI~DE.IVT Tf information has been received that a DBS helicopter has been in an accident, do the following: 1. If ou received acall- take down all Y information on the attached checklist 2. Notify company personnel „~ w i~.i 0cri 7YuY iu$'C1 T _. . 1 Tl 7 DBS Helicopters (Aspen) Vice President Barbi Sheffer Director of Maintenance Paul Rinker - e {970) 920-4472 (970) 925-3065 home (970) 379-4555 cell (970) 625-2991 office (970) 625-3695 home 3. Notify National Transportation Safety Board (303) 36I-0600 r 4. Notify FAA Salt Lake City (800) 532-0268 5. Notify Dr. Maggiore's Office (Drug tests are mandatory ASAP ) (970) 945-8503 office (970) 945-6647 home 6. Notify John F. Throne &. Co. (Brian Nixon) (206) .622-3636 office 7. DO NOT release any information except to company personnel or appropriate FAA , NTSB or law enforcement people Page 1 ~"'~ ~' NOT~.~ ICATION OF ACCIDENT CHECKLIST' RECORD THE FOLLOWING INFORMATION I . TIME OF DAY DATE 2. NAME OF CALLER '~~ 3. CALLER'S ADDRESS =~. CALLER'S TELEPHONE ~. IS THE CALLER AN EYE WITNESS YES NO ~. LOCATION OF ACCIDENT (CITY/TOWN) 7. AIRCRAFT (COLOR) 8. LOCAL POLICE {NAME) , 9. CAN CALLER Dl RECT EMERGENCY EQUI PMENT TO THE SCENE? . (CIRCLE ONE) YES NO 10. ARE THERE OTHER WI~f-NESSES YES NO NAME/TELEPHONE . NAMFITELEPHONE NAME/TELEPHOI~tE NAMFJTELEPHONE 1 1. BRIEF DESCRIPTION OF , A C'C~i nFNTri iV (~1 T1~1~1T Apr 13 06 10:23a He,'~.capter Services of.Ut 80295-5795 p,2 January 1, 2004 UTAH CLASSIC HELICOPTER EMPLOYEES AERIAL OPERATIONS PRE-ACCIDENT PLAN In aerial operations, even though there is no intent of having an accident, the possibility always exists: In order to prevent confusion in the event of an accident we have developed apre-accident plan to assist in expediting search and rescue efforts. The purpose of this plan is to: 1. Establish flight plan procedures so that someone on the ground has knowledge of the general location of the aircraft at all times. 2. Establish actions to be taken in the event of an overdue aircraft, an aircraft accident or incident so that crash or search and rescue services can be provided as rapidly and orderly as possible. Flight Plans (Generally): 1. All flights that are not on a FAA flight plan will be monitored by a Government Agency, (i.e. fire fighting operations, game surveys, etc.), or be monitored by a company dispatcher. Flight Plans (Remote Area): 1. Without fuel service vehicle on site - The pilot will be responsible to (a) file a flight plan with the local Flight Service Station or (b) establish a flight plan with the Classic Dispatch Center. 2. With fuel service vehicle on site -The pilot will establish a contact person at the point of departure, destination or in the flight area. The contact person will be an employee of Classic Helicopters. The only exception will be in the case when no company employee is on site: The pilot will maintain communications with the contact person and report his A e r 1 a.. 1 p e r a. t 1 0 n S P r e A C C 1 d e n t P 1 a n r- Apr 13 06 10:23a Het' copter Services of Ut 80,-295-5795 p. 3 .~ . ~. position and intention every 15 minutes, when circumstances allow. Exceptions to the 15 minute reporting interval: Circumstances that require remote area or low .. level operations, where no radio or telephone contact is possible with the company dispatch or operations centers. Examples aze: Animal game counts, surveys, construction or repair work, etc... Under these circumstances, the pilot will insure that his ground support crew is informed of all • r flight routes, areas of operation and expected time of return. Rpr 13 06 10:23a He ~copter Services of Ut 80295-5795 ~ _ OVERDUE AIRCRAFT 1. If the aircraft is one hour overdue, the dispatcher assigned to the flight will contact operations at Classic's main office: ,. ., _ Home Base (Woods Cross): (801) 295-5700 Mark Henderson (President): (801) 589-5970 Orin Kinghorn (Dir Of Ops): (801) 721-1 i89 / 375-9024 Mario Nickl (Chief Pilot): (801} 440-0582 / 296-6606 Jeff Mabbutt (Dir. Of Main): (435) 671-1991 Matt Stein (Page Base Mgr): (928) 640-0214 / 645-5356 if unable to contact Home Base or those listed above, contact other Classic Helicopter employees or County Sheriff: Supervisors should consider local and neighboring state Classic Helicopter aircraft and personnel as first option in search and rescue. If another company is involved call the company in addition to the above procedures. (See Attached List) 2. Contact person should provide the following information: 1. Name of Pilot / 2. Names of crew on board 3. Aircraft Number 4. Aircraft Color 5. Departure Point and Time 6. Location of Last Contact 7. Destination or Intentions of Last Contact O V e r u e A r 1 r C r a f t p.4 Contact person will coordinate location effort and intention until relieved by another authority. Rpr 13 06 10:23a He~opter Services of Ut CRASHED AIRCRAFT REQUIREMENTS (as listed in Section D of Operations Manual) l., All. pilots will„become. familiar with.the currcnt Classic Helicopter pre-accident plan. Lead pilots at job sites will develop a pre-accident plan for their location. 2. In the event of an accident t1~e pilot in command will immediately accomplish the following: A. Provide or summon care for the injured. B. Secure the aircraft wreckage and the crash site. C. Notify one of the persons Iisted in the following order: Mark Henderson (President) (801) 589-5970 Orin Kinghorn (Director of Operations) (801) 721-1189 (801) 375-9024 Mario Nickl (Chief Pilot) (801),440-0582 (801) 296-6606 Jeff Mabbutt (Dir. Of Maintenance) (435} 671-1991 (435) 654-4554 D. In the event that the pilot in command is incapacitated, the next senior Classic Helicopter employee on the site will immediately accomplish the above items. 3.. The first management individual (2-C above) receiving notification of the accident will make the necessary notification to the NTSB and the FAA. During normal business hours, call the FSDO (801) 257-5020.. After hours or on weekends and holidays, call (425) 227-1999. 4. The same notification procedures to Classic Helicopter Management are required for any aircraft overdue by one hour or morc. 5. Classic Helicopters is governed by NTSB 830.for any incident or accident to any company aircraft. The current NTSB 830 will be found as a supplement to each operations manual, and is located in the company office in the Jeppesen Manual. 80"°~`?95-5795 p, 5 ~.r . ; ., .... , .. _ , r a S h e d A i r C r a f t Rpr 13 06 10:24a Hcopter Services of Ut 8 z95-5795 p.g ~, . .. LIST OF TELEPHONE NUMBERS Woods Cross Office :............................................. . - (801) 295 5700 Mark Henderson :................................. . ...... (801) 589-5970 :_ Tony Henderson:..,...........,.............,_......:....:........ (801) 597-8669 Alan Bailey :.............................................. (801) 699-5813 Orin Kinghorn :........................................... (801) 721-1189 Mario Nickl :.............................................. (801) 440-0582 Page FBO :......................................................... (928) 645-5356 Matt Stein :................................................ (928) 640-0214 Dan Piper :................................................. (928) 660-0146 Emer~encv Response Contacts: FAA Regional Operations Center (24-hour} :..............:.. (425) 227-2000 -Crashed Aircraft- (24-hour) :................ (425) 227-1999 FAA Flight Standards District Office (FSDO) :....:......... (801) 257-5020 SLC Airport. Police :.............................................: (801) 575-2225 Fire Department (Salt Lake City) :.............................. (801) 799-3473 (Bountiful) :.................................... (801) 298-6230 Ambulance/Hospital :............................................. 911 Center for Disease Control :...................................... 1-800-232-0124 CHEMTREC :...................................................... State Department of Emergency Services :..................... 1-800-424-9300 1-800-753-2858 Disposal of Hazardous Materials :.............................. 1-800-633-8253 (Residue of spill, cleanup, etc.) National Response Center (NRC) :.............................. 1-800-424-8802 For Radioactive Materials: Department of Energy (DOE) :................................,. (202) 586-8100 Nuclear Regulatory Commission :.............................. (301) 816-5100 State Radiation Control :......................................... (801) 536-4250 County Sheriff_ (* indicates area code 435} Beaver:........ 438-2862* Box IJlder.. , ...734-9441 Cache........... 752-41 10* Carbon........ , 637-1621 Daggett..(800) 243-0456* Davis...... , .... 776-3060 Duchesne.(800) 243-0456 Emery.......... 3 81-2404* Garfield........ 676-2411 Grand:........, 259-8115* Iron............ 586-6511 Juab............ 623-1344* Kane ...............644-2349* Utah...375-3601 Millard.........864-2755` Wasatch.......... Morgan........ 829-3745 ........ 654-1411 Piute..........., 896-6471 Rich............ 793-2285 Salt Lake.:.... 535-5441 San 7uan....... 587-2237* Sanpete..(800} 662-1526 Sevier.......... 896-6471 Summit........ 649-9.561 Tooele ......... 882-5600 Uintah......... 789-4222 Washington....... ........ 634-5730* Wayne............ ........ 896-6471 Weber............ ........ '399-8411 L i S t..... O f T e 1 e p h_ n e N m b e r s Rpr 13 06 10:24a Hel' opter Services of Ut 801'95-5795 p,'7 AIRCRAFT INFORMATION Helicovters . •.-•. - B3 ASTAR ~ • N117MB B3 ASTAR N353MH B2 ASTAR N352CH Bell 407 N407MH Bei 1407 N407M7 Bell 206 L4 N722LM Bell 206 L4 N206GH Bell 206 L3 N700EA Bell 206 L1 C34P N902GH -- -blue, silver, white red black, green dark blue dark blue blue, white, gray red, white red, white, gray green, white Airulanes Lear 3SA N28MJ white, medical stripe Piper Malibu PA46 N397PM blue, white RADIO FREOUENC>(ES Function Transmitter Receiver Tone Remarks Classic He]icopters 151.515 151.515 110.9 Home Base Guard .168.625 168.625 110.9 Emergency National Flight Fol. 168.650 168.650 X USES Dispatch Highway Patrol 155.505 155.505 X Emergency NOAH Weather 162.400 Receive only Weather 162.475 Receive only 162.550 Receive only A i r c .. r~ .. a f t I n f 0 r m a t 1 0 n a 21 d R a d i 0 F r e q. u e n c i e s .,,~;,_ TO: Sherif# Bob Braudis CJo Pitkin County Sheriff s Office Pitkin County Court House Main Street, Aspen, CO April 12, 2006 ~~~- Hi Bob, ~~ ~c~~f~r-t"iN Grp _ ~Ye -lYla qa 5- -o~(3.L Great to visit with you yesterday. Thanks for seeing me. As you suggested, we have obtained a permit from the County Community Development Office which, will allow us to shoot our Nature Valley Granola -...~~.~..~o. ~~ p o have a permit from Bar television commercial from a helico ter. We als ~~ the Forest Service. In addition, we would like #o land the helicopter on John Wilcox' properly at the end of Castle Creek Road. This is private property and we have Mr.. ' Wilcox' permission. We would like to let you and the Sheriff s Department know that we are intending to do #his. The shoot will be tomorrow, Apri113~' and Friday, April 14~'. Unfortunately, there are no speaking parts for Mr. DiSalvo. Please let me know if you have any objections to this.. Yours holy, a~,e~~-,,. Tami Solondz 970-948-0410 or 12 2006 8 : 40RM The i tt 1 e IYe 1 1 Concierge 97C?'' 04670 p . 1 ~^ _ _~ THE LITTLE HELL m FACSIMILE Date; y~ A Room # (~ a From: ~ '~-~ '~-g Facsimile # "1 ~ ©'° t ~" ~ ~~~ Facsimile # {970) 920-4670 # of Pages: including this shep+ Confirming Tel. # (970) 920-4600 When you have completed your facsimile, please hand it to the Concierge: Message: r 675 East Durant Avenue: Aspen, Colorado .9161 I '" A Cx l~'Q~ CliA~~;(. FIBS Rpr 12 2006 8:43RM MARSH USA INC. PRaoucER b~rsh Rlslc and l~urance 8ervfces 77T 3. F~ueroa St. 27h F{oor l.QS Angeles, CA 90017 213-Ci4$-5202 Attn: Sarah Yates IPG! CamobeY tN'dhun - Minneaoo9s INSURED Rant Films . 3~ West 26"I' Street 51~ Floor New York, NY IOOlU The ittle Nell Concierge 970"04670 p.2 ' h CERTIFICATE OF INSURANCE CERTIFICATE NUMBS THIS CERTIFICATE i8 T86UED""Ak' A~"MATTE"A~~OF"INFO'kli~I TTOK OtiLl' AND"CONFEJU $IGHTB UPON' THE, CEB:TIFICAY'8' HOLDER 'OTHER THAN T$OS'8 PROVIDi%D IPr POT:TCY. THtB CSR`1'TLrrCA'i'E""I)uS3 17OT' AM$-YD, fiKTEND OR ALTER TSTS COVET AFFORDED BY THE POLICIES HHREIN. ~ COMPANIES AFFORDING COVERAGE ><:o AMY Flr~ernan'a Furxf Insurance Company 1 COMPANY CHUBS 13 COMPANY ~ _~ ... - c . I COMPANY - . ---- I D CQVEAAGES This certificate supersedes and replaces any previously Iswued certificate fovthe policy period noted below. THIS IS 7o CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE 6EEN t38UEDTQ THE INSURED NAMED HEREIN FOA THE POLICY PERIOD INDICATED. NO?WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITHRESPECT TO WHICH'THE CERTIFICATE MAY 19E 188UED OA MAY PERTAIN, THE INSURANCE-AFFORDED 0Y THE POLICIES DESCRIBED HEFIEIN IS 9U&IECT TO qLl TrIE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES- LIMn5 SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS 0 L T R A A TYPE DF INSURANCE GENERAL LIABILITY ® COMMERICAL GENERAL :IABILITY CLAIMS MADE ®OCCUPI;3ENGE ^ QWNER'S & CONTRACTORS PROT ® FOREIGN LIABILITY (INCLUDING AUTO) AuraromLE uAalurr ^ ANY AUTO ^ ALL OYVNED AUTOS ^ SCHEDULED AUTOS ® HIRED AUTOS ® NON-OWNED AUTOS ® AON-OWNEOMIRED PHYSICAL pAMAGE POLICY NUMBER XXC80419371 IEX69345551 XXC80419371 MPT 07105757 POLICY EPFECTIYE DATE (MRYDDIYY) 211 ros ?J1 /08 ~n roe 211 lOS POtJCY EXPIRATK]N DATE (MMiDDJYY) 211107 2/11107 2f1 /O7 2J1107 LIMITS GENERALAGGREGATE I $2,000,000 PRODUC7S~OMPfOP AGG I $1,000,000 PEASONP.L & ADY INJURY I $1,000,000 EACH OCCURRENCE I $1,000,000 FETE DAMAGE tgny one Gre) ! $ 300,000 MED PAY (Any one person) ( $ 10,000 COMBINED SINGLE LIMIT I $1,000,000 BODILY INJUFIY ~ $ (Per persor>) BODILY INJURY ~ $ (Per axlCertl PhysEsl Dmraga ~ $lnd. In Misc Equipment Limi GAI?AGE LIABILITY _..-... • ~ _._---- ~ i -- - ~ . ~ ............ -- I AVTOONLY-EA ACCIDENT I $ ^ ANY AUTO ' CRHER THAN AUTO ONLY: EACH ACCIDENT I $ EXCESS LIA6IUTY - - -..._... ~ ~ I AGGREGATE I $ .. _- -- UMBRELLA FORM EAGHOCCURAENCE ~ $19,000,000 B ® OTHER THAN UMBRELLA ECRU 79535903 211!06 2/1107 AGGREGATE I X19,000,000 B _ _... - ....._. I $ W~OEIi~iS CObfPENSATIQN A2~ %6~LOY@RS' LIARIIS7Y _... ....-... ~ ~ ViC 6TA7UrDRY ~ ~ ~ OTHER I I InARC ~ EL EACH ACCIDENT ` $ p~~ggg,g~O~yE ~ II7CL ) EL DISEAS2 -POLICY UM 17 $ ~~~ _ ~~~ - -- m I ELDSEASE-EACH EMPLOYEE I $ ' MSF 07003566 2/11013 -- - 211!07 Limit $ 1,000,000 Ded: $25000 OTHER: ErrorsagdOmiBS/ara Limit $1,000,000 Ded: $1,SOD A Prope,sepa 4 Wardrobe MPT 07105757 2/1/013 2/iPo7 Limit $2,DDO,oDO Ded: $2,SDo ~laneoue Equipment Limit $1,000,000 Ded: $2,500 T11rd Petty Prowletr Da1r°aae DESCRIPTION OFOPERATIONS/LOCAT10N5/Vp~11C(.Egl'3pEC-AL REIN6 (LIMITS NAY BE SUBJECT TO DECUCi~I.@ OR pETt:N'rIOHS) Certificate Noider is Included Additio l i as na nsured and Lose Payee as their Interest may appear ae respects io ANency: Campbel Mithun - N~nneepoils for the production referenced as Job No: 1GMNESM7008; Clierrt: General i+~lls Inc ; Carn rd l Titl °C h" . .. me a e: runc . With respect to other, coverage Is Worldwide; in trans!! and All Risk_ With respect to Aubomoblle rentals, Non-Owned ~ Hired Auto Physical Damage lirriits era includad[n Miscellaneous Equipment. Deductible is t0%of loss; subject to $2,500 minimum and $7,500 max. (per occurrence) Interpublic. _ _ CERTiFlCATE HOLDER CANCELLATION /~ ~ SHOULD ANY OF THE ABOVE DESCRIBED POLL CI E9 HE CANCELLED BEFORH THE EXPtRATiON O~ f T K,' ~ / !T~ ~~f~~ W I ~ T7IEREOF, THE INSURER AFFORDING COVERAGE WILL ENDS=AYCR TO MAIL',FQ DAYS WRITTEN NOTICE THE CERTIFtG1TE HOLDER NAMED HEREIN; BUT FAfLURE TO D0-S0 SHALL IMPOSE N0~051JOA710N UABILAY OF ANY KIND UPON THE INSURER AFFORDING CDVEAAOE, ITSAGENTS OR AEPAE9ENTATIVES , MAABN UBA ftdC. BY: or 12 2006 8:43RM Theittle (Yell Concierge 97.204670 THE LITTLE NELL FACSIMILE Date ~~ AA Room # To: ~1.G~f~ From: ~ ~ ~ ~~ ~~ ^-1 Facsimile # "~ ~~ ~ ZC7° ~ 43~ Facsimile # (970) 920-4670 # of Pages: including this sheet ~- Confirming Tel, # (970) 920-46Q0 When you have completed your facsimile, please hand it to the Concierge: Message: 675 fast Durant Avenue: Aspen, Colorado 8!611 c~~~~..~ ~' P . 16c ~~ ~~'~°T1P ~IIATFAUx. p.l F1B3 Rpr 12 2006 8: 40RM Theyi tt 1 e Ne 1 1 Concierge 97C'"`''.04670 p. 2 ------.._.. a _ . , I MARSH USA INC. I PRODUCER Marsh Rlsk end inaUtence Services 777 S. Figueroa SL 27~ Floor Los Angeles, CA 90017 213-345-5202 Attn: Sarah Yates CERTIFK:ATE NUMBER CERTIFICATE OF INSURANCE THLB CERTIFICATE: IB ISSUED AS A A1A2T8B OF INFORMATION ONLY AND CONBER6 RIG7iT9 UPON TSE C$RTIFICAT'E '80LD$IL O'T918 `THAN' T$O SE' PROVIDED IN ' POLICY. TSIB CERTIFICATB DOGS NOT AMEKD, EXTFT+TD OR"AI.'IER THE COVER. AFFORDED HY THE POLICIES HESFSN. ~ COAARANIES AFFORDING COVERAGE camQ'nNY Fireman's Fund Insurance Company SPGf Carnobell Mdhun - Mlnreanolie 1 _.. _ - - INSURED COIWANY CHUBS B Rdltt F1I.i=!S . COMPANY 31 West 26th Street S`'' Floor c New 'ark, NY 10010 coMPANY D COVEfaAGES Thi® oertil~Bta super6ledes and replaces any previously issued certificate for the policy period Holed below. a THi6 IB TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSUgED NAMED HEREIN FOR THE POLICY PERIOD INDICATt3]. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT' QR'OTh1ER DOCL7PlENT YJI7H RESPECT TO WHId-I T}IE CERTIFICATE MAY ~ ISSUED oR MAY PEgTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN kS SUAIECT TO ALL THE TERMS, CONDRIONS AND EXCLUSIONS OF SUCH POLICIES.~LIMiTB ShOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. _... _ , C O L TYPE OF 9JSURANCE POLICY NUMBER POLICY EFFECTIVE DATE QAWDD/YYj POLICY EXPIRATION DATE (MWDD/YY) LIMrrS T R (iENERAL UABiLIiY ( GENERAL AGGREGATE $2,000,000 A ®COldMERiCALGENERAI LU1i31LITY XXC804193T1 2/1/06 2nro7 j PRODUCTS-C OMPIOP AGG I $1,OD0,000 ^ CLAIMS MADE ®DCCURRENCE I PERSONAL b ADV INJURY I $1,000,000 I EACH OCCURRENCE I $1,000,000 QYMIER'S 8 CONTRACTOR'S FROT I FIRE DAMAGE (Any orro lie) I $ 300,000 ® FOREIGN LIABILITY ONCLUOWG AUTO} IEX69345551 211106 2!1!07 I MED PAY (Arty one person} I $ 10,000 _.__ _. AUTONOBILEUAbLLITY _. _--- 2/1106 2(1/07 I COMBINED SINGLE LIMB I $1,Op0,D00 ^ ANY AUTO XXC80419371 - ALL GWNED AUTOS I BOOiLY INJURY $ (Per pe raon) ^ SCHEDULED AUTOS I ® H{FED AVTOS 2h /~ ~ ~eDI~LYGI~RY I `~ 211107 ) Q ®NON-DVYNED AUTOS MPT 07105757 ® NON-OWNEDMIRED PHYSICAL DA1dAGE I Phyaacal Dernage I Egt~ilp erp UI GARAGE LIABILITY _ - - -- _ I AUTO ONLY - EA ACCIDENT I $ ^ ANY AUTO I OTHER THAN AUQD ONLY: I , „,,,,. ,. .,;, EACH ACCIDENT I $ __ j I AGGREGATE I $ EXGEI3S LIABILITY I EACH OG.,URRENCE l $19,000,000 ® UMBRELLA FORM 7953:5903 21'1!08 217/07 ~ AGGREGATE I $19,000,000 B ®OTHER THAN UMBRELLA FORM I- _. I S ' WOBtOZiS COMQ~SR4ATION AMID ~.. - -- ~ LtC STATUTORY ~^I OTHER I EMM.OY.ERS' ISIBIIdTX EL EACH ACCIDENT S -~pg~Ipp~ ~~~, ~ EL DISEASE -POLICY LIMIT $ PAALN~'B ola7rntcsnRS ~gxcL EL DISEASE-EACH£MPLOYEE ( S MSF 07003508 2!1108 2/1/07 llrnlt S 1,000,040 Ded: $25000 07Ha:Fl~fyrora and r71nissMrrs Urn{t S1,OOD,D00 Ded: 31,500 MPT 07105757 2/1!06 2/1/07 UrnR 52,000,000 Ded: $2,9DD A Pte, Sew 8 t~rdmt~ Umft 51,000,OGD Ded: S2,500 YlecaYarrow EqutpmelR Third PsAV Proaarly Demaee DESCRIPTION OF OPERATIONS/LDCA'iIONSIVE}tICI.ESISPECIAL ITEMS (LIMITS MAY 8E SUBJEC'T' TO QEOUCTIBLE OR RETENTIONS) Certificate Holder is included Rs Addltiorlal insured and l,oea Payee ae their interest may appear as respects io AgencytCampbel Mithun -Minneapolis the production referenced as Job No: 1GMNESM7009; Client: Geheral 11M{Is, Inc..; Commerebal Title: "Crunch°. With respect to other, coverage is Worldwide, In transtt and Aii Risk. With respect to Automobl le rentals, Non-Owned & Hired Auto Physical Damage limits are included In Miscellaneous Equipment. Dedudlble is 109b of lose; subyect to $2,500 minimum and $7,500 maoc. (per occurrence) InterpubGc. CEiRTIFIGATE HOLDER - -- _ ., - _ ~ CANCELlJ1TION //~~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIDN IJ~ 'r (/ ~ _ 1 ^ A~ ~ THEREOF, THE tN8URER AFFOROINCa COVERAGE WI:L ENpEAVOR TO MAIL $Q DAYS WRITTEN NOTI 1111__ 1 tG. r11 (~ THE GERT{FlCATE HOLAER NAMED HEREIN, BIIr FAIU/RE TO lK7 80 SHALL IMPOSE NO OBU GATL UABILR'Y OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, RS AT3ENTS OR REPRE9ENTATI 16AiISFI U6A INC. BY: FROM ' PHONE N0. OCT. untitled Authorization 1D. ASP342 Contact ID: SYS0144722 Fs-2~oo•25 (02/99) Expiration Date: 04/15/2006 OMB NO. 0598.0082 Use Code; 552 U.S. DEPARTMENT OF AGRICULTURE Forest Service TEMPORARY SPECtAt_ - U$E PERMIT (FSH 2709.11, sec. 54.6) AUTHORITY: ACT OF MAY 26, 2000, PL 10G-206 May 26, 2000 24 2005 11:32PM P3 Page 1 Lumpion, Don, hereinafter called the Holder, is hereby authorized to use, subject to the terms and conditions of this permit, Nationa Forest System land identified within the unit area and described as , , as shown on the attached Exhibit(s) Permitted on the White River National Forest only. Permitted areas include two miles up Independence Pass, Ashcroft art,a and Star Peak. All permitted areas are non-wilderness areas. No activity will be authorized within Wilderness areas.. This authorization covers approximately 5 acres and/or .Oi miles. The holder is authorized to conduct the following activities and/ or install the following temporary improvements on the permitted area: _ Shoot TV Commercial TERMS AND CONDITIONS 1. Use under this permit shall begin on 04/12/2006 and end on 04/15/2006.. The permit shall not be extended. 2. The fee for this use is $ .1000 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 sp®cifications, Exhibits} above. 4. The holder shall not install any improvements not specifically identified and approved above. 5. No soil, trees, or ether 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 damag®, other than ordinary wear and sear, 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 to 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 National Forest lands under.this permit. 1 i. The holder agrees to permit the free and unrestricted access to and upon the premises at alt times for all lawful and proper purposes not inconsistent with the intent of the permit or with tFie 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 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 liability for the cost of their removal and restoration of the site. FROM PHONE N0. t ;~ OCT. 24 2005 11:33PM P4 utztitled Page2o 14. This permit is a license for the use of federally owned land. It does not grant any interest in real property. This permit is not transferable, The holder shall not enter 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 at 36 CFR 251, Subpart C, or revisions thereof. 16. This permit is accepted subject to the conditions set forth herein, condition(s) and Exhibit(s) above attached to and made a part of this permit_ 17_ The above clauses shall control if they conflict with additional clauses or provisions. I have read and un rstand the t and conditions and agree to abide by them. HOLDER U. S. DEPARTMENT OF AGRIC ft7T~E Forest Service ...._._..._.... -- --~-~ B ~2 per' Ftc. Y _........ ~` ._..... ". ~~/ Address' 31 ~w~sr Z6 t"~+ Si , Phone #; Z {2 - 69~., _.`x.20.0,, . , . Date:...hPt2-~.._ .t.4...-.200_............ Nam®: )(~lallac_~(BIIIa,Vllestbrook Title: D~strici_R.alr.>,g~r (Authorized Officer) Date: _...... 4_.= ... ~..~..Q_ ~.-..._.. According to the Paperwork R®duction Act of 1985, no persons are required to respond t0 a coil®ctlon of information unless it displays a valid OMB Control number. The valid OM$ control numberforthls;ntormation collection is 0596.0082. This lnformatlon Is needed by the Forest Service to evaluate requests to use National Forest System lands and manage those lands to protect natural resources, adminlst®r the use, and ensure public health and safety. This Information Is required m obtain or retain a benefit. The authority for that rgquiremen Is provided by the Organle Aei of 189'7 and the Federal Land Policy and Management Act of 1876, which authorize the Secretary of Agriculture to promulgate rules and regulations for authorizing and managing National Forest System lands. These statuses, along with the Term Permit Act, National Forest Skf Ared Permit Act, Granger-Thye Act, Minarai Leasing Act, Alaska Tarm Germlt Act, Act of September 3, 1954, Wilderness Act, National Forget Roads and Trails Act, Act Of November 16, 1973, Archeological Resouroes Protection Act, and Alaska National Interest Lands Conservation Act, authorize the Secretary of Agriculture to issue authorizations inr the use and occupancy of National Forest System lands. The Secretary of Agriculture's regulations at 36 CFR PaR 257, Subpart B, establish procedures for issuing those authorizations. The Privacy Act of 1974 (5 U.S.C_ 552x) and the Fr®edOm of Information ACt (5 U.S.C. 552) govern the confidentiality to b® provided for Information received b. the Forest Service. Public reporting burden for collection of Information, if requested, is estimated to average 1 hour per response for annual financial Information; average 1 hour per response io prepare or update operation and/or maintenance plan; average 1 hour per response for inspection reports; and an average of 1 hour for Bach request that may include such things as reports, logs, facility and user information, sublease information, and other similar miscellaneous Information requests. This includes the time for reviewing instructions, searching existing data sources, gathering arts maintaining the data Head®d, and completing and reviewing thf collection of information. h+tn-/(irY~ah fc tiyeAa rrnv/tittle/r~rnr•wceP,~rmit ien7rPfFilr~%ni~zrnh'~filoe/infra~inno/fn.„~../n~,~if..o.i FROM PHONE ND. OCT. 24 2005 11:32PM P2 -A W N -i ~ ""~ ~ Q ~ ~ < ~ ~ cD -„~, Cn q iC7 ~ ~ ~ ~ ~ Q ~ -°r N ~ ~. N Q ~ ~ ~ O ~ Q 3 -i ~ ~ d ~ ~ ~ ~ tQ ~ p -~ CO O Cfl -v C1 W ...~ O CO ~ V N -Op- -VA ONo O OD O N ~P ~ O ~. ~ O W ~ -f~ O O WA, ~~' e~i~ ... `I S~ _r ~~ ~.. ,.~,~..,~.,. ~. .~.,,..,.,,...,...,.,....-.^..__..r,.,_ ~ _ .. ~ r <, __ ~""""~; IMMUNITY DEVELUPNIENT DEPARTMENT 130 South Galena Street f Aspen; Colorado 81611 ._ (970)_920=5526- Pitkin Coumy i Land Use: " ` 172 Board of t~djustment ~ ~' ' ~ .w ~ '~ 159 County Land Use Code :~. 174 Flat Fee ~ ,: ~ •~--~ _~. _. f 162 Zoning and Sign [ .._._,~ _.- 169 Public Notice c _. _ ..: _.,. ;;. _.. .~ 160. Planning Enforcement 3 175 Hearing Of~'icer Referral Fees: 210..-. ` Airport LUCO'1 County Clerk . __. ..: - 211 County Engineer _ 194 Environmental Health i 208 Historic. ' 198 Housirig 190 Land Management 209 Redstone HPC 1 206 ~"~ildlife Officer ~ ~ ~, F ' Building Fees: ~ ; 170. Board of Appeals 105` Building Permit ij ~:~.~.,, t 120 Electrical F~ermit '' ~ . ~ 195 Energy Code Review „wa.~ ~, „u.~ 115 Mechanical Permit 150 P1an~Check `" " __ .~__ ` 110 Plumbing Permit ,; ,_., 130 Renspection 152 AVFD Fire Marshal .. ~,......_,w .,.... , ...... . _ . 158 BFD FSre Marshal Other Fees: 155 Use Tax _ ~ ' 165 Copy ~~ ~~ _1 PZ005 Master Plan Copy .., 185 Park bedication - ~ 186 Parking"Cash in Lieu , v~d' I S GIS Requirements 161 Housing Impact Fee ;~ B1202 Road Impact Fee ~~ B1203 School Impact Fee >a E. TOTAL ~.~x r ~.~' s„~,,,,„.w.,. H ~~ ,,-' ` ADDRESS/PROJECT ..~.'`~ ~_~' ~, ` .~ ~ ~ j y g ~,I ;..r° CHECK#,... ~: P ~° `~ ..~ ~ ~- .~ CASE/~E~rtlviY~T ~.,~.~..~ ~ .,~, ~~ ~~ ~..._-,~3~,-__ . __,.. _ ... DATE: .~ ~ i ~~,..~ INITIAL. ~ ~,