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HomeMy WebLinkAboutC11-320 Recreational Lease Application OPEN SPACE TOBY SPRUNK
970 - 328 -8698 Director
FAX: 970- 328 -7185
Email: toby.sprunk @eaglecounty.us
www.eaolecounty.us
EAGLE COUNTY
September 27, 2011
Lane Osborn
District Manager
Northwest District Office
555 Breeze Street, Suite 110
Craig, CO 81625
Post Office Box 1094
Craig, CO 81626
Re: Recreational Lease Application
Dear Mr. Osborn:
On behalf of Eagle County, Colorado enclosed please find the following:
1) Complete Recreational Lease Application Form .
2) A check representing the $100 application fee made payable to the State Board of Land Commissioners.
3) A check in the amount of $2,172.36 representing the offered first year of rent. We understand the check
will be returned if the application is not accepted.
4) Certificate of Liability Insurance.
As background to our lease application, Eagle County recently acquired a parcel of land from John and
Marianne Cochran as part of the County's open space program. That land is adjacent to the property which is
the subject of this application. The land that we would like to lease from the Colorado State Board of Land
Commissioners was leased by Mr. Cochran (Recreational Lease No. 70396). As part of our transaction with Mr.
Cochran, he has agreed to terminate his Recreational Lease. If you require additional infoiniation or formal
correspondence from Mr. Cochran, please let us know and , p d we are happy to arrange for this.
Please do not hesitate to contact me should you require additional information or have any questions.
Yours very tru).
Toby Sprunk
Eagle County Director of Open Space
Enc.
Beverly Rave, Field Operations Manager - Colorado State Land Board
Diane Mauriello, Assistant County Attorney
Eagle County Building, 500 Broadway, P.O. Box 179, Eagle, Colorado 81631 -0850
41 - 33
• COLORADO STATE BOARD OF LAND COMMISSIONERS
RECREATIONAL LEASE APPLICATION
MULTIPLE -USE MANAGEMENT PLAN
Application is hereby made by the undersigned on this "VI _ day of �� /, f i f , to lease the following and located in Lt - County.
B � Y
No. of Acres Subdivision Sec. Twp. Rge. No. of Acres Subdivision Sec. Twp. Rge.
5EE i vrt - e:vre .- esC- --L P T1 n.! • E A Whit "}4
The following information is necessary to process this application. Please submit the complete application packet to the State Land Board's District Manager for
approval consideration by the State Board of Land /n C ,, ommissioners. Any information not provided will delay your application being considered for approval,
APPLICANTS NAME(S):LI% W V NTy 1 CO� I.AC�
(PLEASE PRINT) —" —`
ADDRESS /PO BOX: -- PerT o F F• kC - 5o X 8 SO - S U O e , : , iN t._,., b y
CITY /STATE/ZIP: E Le 1 co Q3I c 3 1
PHONE NUMBER: (1 V 2-9 . OU - Q`8 FAX NUMBER: ) 325? . - 41e 5
LOCAL CONTACT PERSON: Th -y 5e CUIki K._
PHONE NUMBER: (_ .1 52S • 13& FAX NUMBER: e t . 3 7.-45_ t t u 5
APPLICANT(S) REQUESTS THE LEASE BE ISSUED AS:
❑ an Individual ❑ Joint Tenants t ❑ a Corporation 2 ❑ Tenants in Common ❑ a Partnership'
i�
❑ a Trust ❑ a Company 2 LOther (specify) '10 veyv me4..I e,4
) Interest of one tenant in the lease reverts to remaining tenant(s) upon the death of one tenant.
' If applying as a corporation, company or other entity, applicant must be registered with the Colorado Secretary of State. Applicant must submit a current
"Certificate of Good Standing" issued by the Colorado Secretary of State and Articles of Incorporation, including a list of the entity's
officers/directors/stockholders, demonstrating who has the ability to bind the entity.
3 Interest of each tenant transfers to the tenant's estate upon death until lease expiration, cancellation or assignment.
a If applying as a Partnership, applicant must submit the Articles of Partnership indicating the General Partners.
3 If applying as a Trust, applicant must submit the Declaration of Trust indicating the Trustees.
The standard teen for a private recreational lease is one -half the agricultural lease term.
'1"' In cases where the agricultural lease terra is nine (9) years or less, the private recreational
APPLICANT REQUESTS A TERM OF YEARS. lease term shall coincide with the agricultural Le t r
16 A et ferwtag('s a �, e
APPLICANT OFFERS S 4 • PER ACRE, PER YEAR / ZJ 1 1, Z • 3G• p G.- �I .
- . .12
AGRICULTURAL USE LESSEE: t N ( AGRICULTURAL
AGRICULTURAL LEASE NO.: N .gyp EXPIRATION DATE:
Recreational Uses of Property and Time Periods:
?ItYi+ -vt c.r h'M •11,144. AD vv wd -i, l4.41 4v eys iww�h`W) . 144k -L is e �edCd b _,€- 4 " 1- ",,
i 1 Ci.t /j0 <k P)e/ ' :
Agliciti raI Uses of Property and Time Periods: _ - --
Other Uses of Property and Time Periods:
N — — irLielkt Points or Access: (describe and provide map) 31 r 124 i'GV -- ai kk (j . µ(/C- 1 • ! � . ( (,Gd j 01.5, mett 1 ( ) Fenced t /t�Not Fenced Comments: — IAe,(4(:4i.t1e4 4
( ) Surveyed ( ) Not Survey.' Comments:
(CONTINUED ON RACK)
Colorado State Forest Service (CM'S) Timber Plan. Yes ( ) No (O` ) If yes, CSFS Contact Date: -.. --
Colorado I)ivision of Wildlife (DOW) Nomination: Yes ( ) No (eds..) If yes, DOW Contact Date.
Applicant plans to protect and enhance the natural resources of this leased and during the tens of this lease by doing the following: t I'
AQp C..d.J1 W ..
1 k \L� t_ a ww� . LWteu.4 WA &d c �le!tf o s a. 44. /134 I Gr lc ('ooutz't
II cio al (l 06 Objectives: � �` �� G S tJ r� - �i - Gt,GC., a,µ
.. .
•
Exis ing Conservation Problems.._1411,k____
Special Management Considerations: V .L4 6 V - _ d Vv -_1: -_ 1
.1M Att.d- AA . _ _a ..4...11 ; t.k
• Describe method of monitoring /evaluating this management plan: itl:1. . L 1 • T G ;(4 1K _
x.. . . ..1!
BE ADVISED THAT PROVIDING OUTFITTING SERVICES FOR THE PURPOSE OF HUNTING OR FLSHIN'G ON LAND WHICH YOU LEASE REQUIRES
REGISTRATION AS AN OUTFITTER WITH THE OFFICE OF OUTFITTERS REGISTRATION. FOR FURTHER INFORMATION REGARDING REQUIREMENTS
PLEASE CALL (303) 894-7778.
GUIDE & OUTFITTER: ! — -_-- -
LICENSE NUMBER: /VIA PHONE NUMBER: ( _-
MANDATORY LIABILITY INSURANCE REQUIREMENTS:
1. The minimum amount of coverage required by the SLB is $1,000,000 per occurrence, per lease.
2. If you intend to provide one (1) insurance certificate to cover multiple SLB REC leases the minimum aggregate amount, if specified, must be
$1,000,000 multiplied by the number of leases covered by the Certificate.
3. The SLB must be named as Additional or Co- Insured. Naming the SLB as the Certificate Holder is not the same and is not sufficient.
4. The SLB REC Lessee must either be the named Insured or listed as an Additional or Co- Insured, along with the SLB.
5. If the SLB REC Lessee is different from the existing SLB Agricultural (AG) Lessee, then the AG Lessee must also be listed as additionally insured on
the certificate. Likewise the coverage specified on the Certificate of Insurance must reflect coverage for the approved use.
6. The Certificate of Insurance should reference both the current SLB REC Lease number, if applicable, and the legal description of the leased
property to be covered by the Certificate.
7. Once the lease is issued, it is the Lessee's responsibility to ensure that the insurance coverage is renewed annually and that a current certificate is
forwarded to the SLB District Office until the lease expires or is cancelled.
Applicant has read, understands and agrees to comply with the Board's Multiple Use Policy and chat any Recreational use lease issued will be issued as an
additional lease to the Agricultural use lease and that any recreational use lease will expire on the expiration date of the agricultural use lease in place for
the same parcel of State Trust Land.
All information provided on this lease application is true and accurate. False or inaccurate information is cause for cancellation of any lease issued as a
result of the lease application.
APPLICANTS 4ttSST RE AT LEAST 21 YEARS OF AGE
Applicant's Printed Nam a cants Signature
,}1tf N6 (�l7ll (l.'/� Ik l 1/✓ of Zea0
Po. hint Entity
Applicant's Printed Name Applicant's Signature
Applicant's Printed Name Applicant's Signature
APPLICA'T'ION FEE -- $100.00 RECREATIONAL LEASE APPLICATION NO. —_ APP REC - -3non
. „ .
Exh:ibit A
ONW.IIIP 2 SOUTH -.RANGE :83 WSTtPH L
Eagle Coanty
•
Section 8 TRACT 50 -FRACTIONAL PART LOTS E & F 1736 acms
• (LESS PATENT •021)
Section 9 TRACT 50 - .LOTS A-C
248 acres
TRACT 50- FRACTIONAL PART LOTS D &
(LEO:PATENT 8021)
28,154 acres
TRACT 50 •-• WES-H.4
98.52 .acres
Section 16 TRACT 50.- FRACTIONAL PART LOTS K-N,
332.:0.2 acres
Section ii TRACT 50 - LOTS 0, P, & Y
64107 acres
Total Acres.: 543:09
•
R.EC Lease No.10396 Pogo of 311:1Y.2010
•
` z { : t g -- T , - ' t, 1 $ o' . 4 y 3-
�; � „4 ! 44 „ t , ' Burearo of Land Management
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Colorado State Board
of Land Commissioners
543 Acres
,'” r+ r to "Al -ter 7.1i
7 41 1 :-.11 , . ray ,+ . , e
r y r
,;µ'x� - r re
I ' Y ° +.'` -r,e, 4 1 '
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Bureau of Land Management ti , irs ` > _F y t 1 u •
4 Feet
t
`` 0 500 1,000
1
AC ° » CERTIFICATE OF LIABILITY INSURANCE 09 /12M/DD/YYYY) /2011
.�, - -- 09/12
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 1- 303 - 773 -9999 CONTACT Anita Bruner
NAME:
Arthur J. Gallagher Risk Management Services, Inc. PHONE 303 - 889 -2574 FAX 303 -889 -2575
(A/C, No, Extl: (A/C, No):
6399 S. Fiddlers Green Cir E-MAIL ADDRESS: bruner@a'
ADDRESS: _ Jg• com
Suite 200 PRODUCER
Greenwood Village, CO 80111 CUSTOMER ID #:
Karen Graham INSURER(S) AFFORDING COVERAGE NAIC #
INSURED
INSURER A: Colorado Counties Casualty & Property
Eagle County
INSURER B: ONEBEACON AMER INS CO 20621
P.O. Box 850 INSURER C: SAFETY NATL CAS CORP 15105
Eagle, CO 81631 INSURERD: LEXINGTON INS CO 19437
INSURER E :
INSURERF: County Worker's Compensation Pool
COVERAGES CERTIFICATE NUMBER: 23036760 REVISION NUMBER:
THIS IS TO CERTIFY THAT 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 MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP
(MMlDD/YYYY) (MMIDD/YYYY) LIMITS
A GENERAL LIABILITY X PER PARTICIPATION CERT. 01 /01 /11 01/01/12 EACH OCCURRENCE $ 250,000
DAMAGE TO RETED
X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $
X CLAIMS -MADE OCCUR MED EXP (Any one person) $
PERSONAL &ADVINJURY $ 250,000
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 250,000
POLICY PRO-
,IFCT LOC $
A AUTOMOBILE LIABILITY PER PARTICIPATION CERT. 01 /01 /11 01/01/12 COMBINED SINGLE LIMIT $ 250,000
X ANY AUTO (Ea accident)
BODILY INJURY (Per person) $
ALL OWNED AUTOS
BODILY INJURY (Per accident) $
SCHEDULED AUTOS
PROPERTY DAMAGE
X HIRED AUTOS (Per accident) $
X NON -OWNED AUTOS $
X Claims Made $
B X UMBRELLALIAB OCCUR 7910003550000 01/01/11 01/01/12 EACH OCCURRENCE $ 10,000,000
EXCESS LIAB X CLAIMS - MADE
AGGREGATE $ 10,000,000
DEDUCTIBLE
X RETENTION $ 250,000
C WORKERS COMPENSATION SP4041067 12/31/OS 12/31/11 x WCSTATU- O TH-
AND EMPLOYERS' LIABILITY
YIN
TORY LIMITS ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000
OFFICER /MEMBER EXCLUDED? N / A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000
D EXCESS PROPERTY, SEE ATTACHEE 020412751 01/01/10 01/01/12 BLANKET BLDG & PP 100,000,000
A Prop, Mob Eq, Auto PD, XS PER PARTICIPATION CERT. 01 /01 /1C 01/01/12 DEDUCTIBLE $500 150,000
DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Colorado State Board of Land Commissioners is named additional insured, as respects general liability coverage,
per form CAPPL Revd 2009, as required by written contract with the named insured regarding recreational lease #70396
for land located at: T2S, R 83 W, 6th PM, Eagle County
Section 8, Tract 50 Lots E & F; Section 9, Tract 50, Lots D & G Lots H -J; Section 16, Tract 50, Lots K -N, Q -S, V -X
Section 17, Tract 50, Lots 0, P & Y for a total of 543.09 acres
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Colorado State Board of Land Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn: Lane Osborn ACCORDANCE WITH THE POLICY PROVISIONS. �!
Northwest District Office
PO Box 1094 AUTHORIZED REPRESENTATIVE � a... 4 I,
Craig, CO 81626
USA i�... �t ..�
I
anibru © 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
23036760
DATE
SUPPLEMENT TO CERTIFICATE OF INSURANCE 09/12/2011
NAME OF INSURED: Eagle County
Additional Description of Operations /Remarks from Page 1:
Additional Information:
Excess Property:
Carrier: Lexington Insurance Company
Policy # 020412751
Policy Term: 01 /01 /10 to 01/01/12
$100,000 000 Loss Limit Excess Property /Real & Personal Property (All Risk Including Earthquake,
Flood, Boiler and Machinery) (Annual Aggregate for Earthquake and Flood)
$150,000 Deductible
Carrier F: CWCP is a qualified Self Insured Pool and is reinsured by Carrier C.
SUPP (05/04)
EAGLE COUNTY GOVERNMENT WARRANT NO. 36447
DATE INVOICE NO. DESCRIPTION NET AMOUNT
09/07/2011 090711 Application Fee - Recreational Lease Application 100.00
•
LA : I . E Cit N I 1 44 C LORA 0
{
- _ WELLS FARGO BANK, EAGLE CO 81631 _ 1 19h
ALE COUNTY
BOARD COMMISSIONERS DATE _ AMOUNT ( W ------ =RANT
09/14/2011 82 -91 36447
1021
I
i if j tfil_: Ilillfil, I 1I �IU 1111f J. II Ili ,, ,„ l li ,1i11i11 „, PAY One Hundred and 00 /100 Dollars � Iy,i,i,;� i 'l11,11 �I I dll { pll l llf # ,, Ih�61 r Ii f i I ' 44j I II�I,i ;VOID AF 6 DAYS = piilll 11 1 ll l'!lil � _ —_
r
I i1 � hll ll I I ( ll « 7
LII $ 100 . 0 0
i N
I 11,10.If I tilit,i l I I i !' 1 ' b '
TO Colorado State Board of Land Commissioners
ORDER 1127 Sherman Street, Su 300 o��ooU,n,
DENVER, CO 80203-2206 ,, t - T � itho ' i i ;I ” 1'11�glllll� 4* - �x
u'36447II 1:L02L009LEO: 80L27035LLilo
EAGLE COUNTY GOVERNMENT WARRANT No. 36448
DATE INVOICE NO. DESCRIPTION NET AMOUNT
09/09/2011 090911 First Year Rent - Recreation Lease 2,172.36
•
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=r = i�lllU IIII lillx.. I I =N Pliull = = _ __— _ ,, ..,il°9,I
� ����� Ij!�II� I 1����� II�� WELLSFARGOBANl AGL� � � - _ ,,,1 Et.�UfTY � ,h � �� IU I ���� ® III � ; AMO - 11VARRA
,l' 11 lh ,
BOARD OF COMMISSION
09/14/2011 8021 - 36448
PAY Two Thousand One Hundred Seven -Two and 36/100 Dollars
_ VOID AFTER 60 DAYS_ __ — _
9i, � � i l' llil�lq
� l " �� { '1 , 1 , l'IP :: I All r 'i' 'Il��i "I I �Ii Illll� �1191�,0 1 ;illdl�;10,1,l,, I III ':',:,',,,,,,00111,i' . gill ,,, 11 ;� 61U1�� L a�
TO THE
C olorado State Board of Land Commissioners
ORDER OF 1127 Sherman Street, Suite 300 - CHAIR _:a1;opc � zic . avmA . , . E
DENVER, CO 80203 -2206 = = '� '
�III, ' I�VII II IIIIIIr 14 II�Iil�l�jl II; ),*, = caur c�c�a ��
II 3644811' I: 10 21009 LB': 80/ 27035 11 11'