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HomeMy WebLinkAboutBeatniksKittitas County, Washington BOARD of C OUNTY COMMISSIONERS EVENT APPLICATION Thank you for your interest in holding a special event in Kittitas County. Please complete and return this application along with any other materials to the Kittitas County Board of Commissioners at least 60 days prior to the day upon the event is scheduled. Any misrepresentation in the application materials or deviation from the final agreed upon route and/or method of operation described may result in the immediate revocation of an issued permit. Specifics outlining Event Permits can be viewed at htt2:/ /www.co.kittitas.wa.us/boc/countycode/title05.asp Event Information Name of event: The Beatniks: Tribute to the Beatles Date(s) of event: Friday, September 7th, 2018 Hours of operation: 6PM-10PM Description of the event: An outdoor concert in the Swiftwater Cellars Amphitheater with approximately 600-700 guests. Has this event taken place before?/s No Dates: 7W013,715t2014,714r2015,7=01e.712r2017,WJ.� Estimated attendance: 600-700 How is your event being publicized? Radio. Print, Social Media-, Television. Only posters have been created thus far. Please attach any flyers, posters, etc. with your application submission. Contact Information Name of the organizer/ contact person: Colette Graham Address: PO Box 492, Roslyn, WA 98941 _ Phone number(s): 509.852.7310 Email ddLh-054: colette _ swiftwatercellars.com Date of birth of applicant: 11/22/1984 KITTITAS COUNTY COURTHOUSE • 205 WEST 5h, SUITE 108 ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www_co.kittitas.wa.us If the application is made on behalf of a partnership, please submit full names with their residence and post office address for a period of six months prior to the date of application together with the location of principal office or place of business of such corporation. Emergency contact name(s) and phone number(s) that can be contacted during the event: Colette Graham 509.572.5756 Name Phone Number Leena Haiia 509.378.8814 Name Phone Number WRITTEN PERMISSION TO ENTER EVENT SITE I/ We hereby permit law enforcement and/or County officials to enter the site for which the Event Application has been granted at the time of the event and up to five days prior to the event for the purposes of inspecting and enforcement of County Code and other applicable laws, and pursuant to my agreement and representations made in connection with this Event Application. SWORN STATEMENT OF COMPLIANCE I/ We hereby acknowledge that I/We have read Kittitas County Code, have familiarized myself with County requirements. I/ We agree that either my designated agent or I/we shall be on site at all times and shall be responsible for the operation of the event and for compliance with all legal requirements in connection with this event. I/ We understand that failure to comply with the rules, regulations and conditions set forth in Code may be deemed a gross misdemeanor and that drug or narcotics violations are crimes under RCW. A Colette Graham Applicant Name (Print) f Leena Hasa Applicant Name (Print) Applicant Signature KITTITAS COUNTY COURTHOUSE - 205 WEST 5", SUITE ] 08 • ELLENSBURG, WA 98926 (509) 962-7508 - FAX (509) 962-7679 www_co. k ittitas. wa. u s Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Fire Safetv and Protection If more than 50 people are expected at your event, you must complete a separate application process which can be obtained through the Kittitas County Fire Marshal's office. You may contact the Fire Marshal's office at 509-962-7000. Will there be a temporary structure erected for the event? Vs No If yes, you must attach a drawing including the dimensions. The structure may require an inspection by County staff prior to the event. Public Health/Environmental Health Will there be food served at the event? No If no food will be served at the event then, no permit or application is required. If yes, is the food and beverage that you intend on preparing and serving at the event exempt from permit requirements litW://www.co.kittitas.iA,a.tis/heaIt-h/ft.x)d.aW? - If yes, please submit an apylication for exemption from permit and proof of food handlers training to the Kittitas County Public Health Department (KCPHD). If yes, and the food or beverage is not considered exempt from permit, then does the person or organization preparing and serving the food have a food service permit, temporary food service permit, or catering permit from KCPHD? - If yes, please provide a list of foods and beverages that you intend on having prepared and served at the event along with the name and phone number(s) of the permitted person or organization. If yes, and the person or organization preparing and serving the food does not already have a food service permit. - Then a temporary food service permit or catering permit will need to be acquired from KCPHD prior to the event. Please allow at least 2 weeks to complete the food service permitting process. KITTITAS COUNTY COURTHOUSE • 205 WEST 5h, SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.colittitas.wa.us Are there permanent or fixed bathroom facilities already available at the location of the event? Y/s No If yes, please provide an estimated attendance for the event, a detailed map that identifies the name and address of the physical facility that will provide lavatory facilities for the event, quantity of toilette facilities available for each gender, and the distance from the event that patrons must walk. If no, please provide an estimated attendance for the event, specific information related to the number of portable restrooms that will be provided, the distance from the event that patrons must walk, and a service plan to ensure that sari -cans remain in a sanitary condition. You must include the location of the portable restrooms on a map/ diagram of the event. KITTITAS COUNTY COURTHOUSE • 205 WEST 5h, SUITE 108 - ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kittitas.wa.us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Law Enforcemen! SecurityfEmer envy_ Medical Services Will there be security on site during the event? Vs No If yes, please provide a complete list of names and contact information for who will be providing the security. Will Emergency Medical Services (EMS) be on site during the event? �s No If yes, please provide written verification from the providers. Will there be music, sound amplification or any other noise impacts? Vs No If yes, Kittitas County has a noise ordinance in effect (see County Code for details). If your event is scheduled for outside of the allowed time, you must submit a written letter to the Board of County Commissioners requesting a waiver and it must be included with your application materials. Will you have traffic control? Vs No If yes, please provide documentation on how the traffic control will be addressed. Will there be off-site parking? Vs No If yes, please provide the location and a parking plan. Will there be shuttle buses provided for attendees? Vs No If yes, provide a map of their route. Will there be alcohol served at the event? Vs No If yes, a State permit is required from the WA State Liquor Control Board and must submitted with your application materials. KITTITAS COUNTY COURTHOUSE • 205 WEST 5", SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co,kittitasma.us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Public Roads Will the event obstruct, interfere or require the closure and free use of any public road, street or right-of-way? Yes V6 If yes, please provide a detailed adequate traffic and detour plans at the time of submission of the application. Will there need to be road closure or detour signs posted? Yes V KITTITAS COUNTY COURTHOUSE • 205 WEST 5", SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co, kittitas.wa.us r—nw, A011' Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Garbage/Recycling Do you have a plan for garbage and recycling? VIs No A written plan for garbage and recycling must be attached to your application materials. For questions or assistance contact the Kittitas County Solid Waste Department at 509-962-7542. Insurance Have you obtained a Certificate of Insurance, specifically naming "Kittitas County" as an insured? Y/s No A copy of the Certificate of Insurance must be included with your application materials. Kittitas County must be named as an additional insured in the amount of $1,000,000.00 per occurrence and $2,000,000.00 aggregate coverage. Penal Bond - Bond of Indemni A $5,000.00 Penal Bond - Bond of Indemnity is required to be deposited with the County Treasurer to save and protect the streets, pavements, bridges, etc. from damage. The deposit or its balance will be returned once the event has been held and the Board of County Commissioners has certified no damage has been done and that the County has not incurred additional expenses Are you submitting 000.00 Penal Bond - Bond of Indemnity with your Event Application? VS No If no, you must request a letter in writing to the Board of County Commissioners requesting a waiver to the Penal Bond - Bond of Indemnity and outline the specific reasons why it should not be required of your event. County Filings and Registration Is there a cost to attend the event? Y/s No How much are you charging to attend your event? Adult $35/Child $25 KITTITAS COUNTY COURTHOUSE • 205 WEST 5", SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kittitas.wa.us r-� SWIFTWATER Seating Seating for this event will be festival style seating. This means that there will be general admission with the venue being a large open area and patrons will have to bring their own seating i.e. chairs or blankets. The "seating" will be filled on a first come first served basis. Food & Beverage Swiftwater Cellars will be serving various foods that will be prepared onsite in our cooking facilities as covered under our Kittitas County Public Health Department "General food services food level 3/ Supplemental Catering" Permit. The permit number is FE -16-00160 and is valid through October 31, 2018. All staff that will be handling food will have valid food handler's permits. Beer, wine, and select hard alcohol will be available during the concert. All staff serving alcoholic beverages will have valid MAST permits. Swiftwater Cellars staff and security will be on hand to check IDs for all patrons who will be consuming alcohol and staff will also be roaming the venue looking for any alcohol consumption violations that may occur. Bathroom Facilities Currently, the Swiftwater Cellars Amphitheater has 8 fixed restroom units. We will be bringing an additional 7 restrooms and 2 hand washing stations to handle the crowd of approximately 800 people. With a total of 15 restrooms, approximately 7 will be for males and 8 for females. Please see the attached map for the proposed restroom locations that are marked with an X. Patrons will not need to more than 200 feet to reach a restroom from anywhere inside the venue. M.T.H Septic Service will be providing the portable units for our event. The address for M.T.H Septic Service is 281 Hugh Banks Road, Cie Elum, WA 98922. Security Swiftwater Cellars staff will be providing security for the event. We anticipate have 3-5 staff members onsite for security during the event to keep patrons safe and assist in controlling human traffic in an orderly fashion. Leena Haija will be the event manager at the concert. We also plan on having 3-4 security guards onsite for any disturbances and safety concerns. We have hired Phoenix Protective Corporation (PPC) for the additional security guards. The address for Phoenix Protective Corporation is 1519 E. Nob Hill Boulevard, Yakima, WA 98901. The contact for PPC is Gabe Villanueva, Operations Manager. There will also be an additional 15-20 Swiftwater Cellars staff members onsite handling various functions for the event. EMS Services We have an agreement with Fire District 7 and they will provide an onsite team to handle any EMS needs that may arise during the event. Traffic Control Parking at the event venue will be extremely limited and all event attendees will be encouraged to park at the offsite parking location. Please see the offsite parking plan below. Handicap access parking spots will be maintained at the event venue for patrons displaying a state certified placard. Offsite Parking Event patrons will be instructed to park at the Maintenance Building parking lot and Dawson Park parking lot located on Suncadia Property. Parking attendants will be at the offsite location to direct traffic and maintain safety at the location. Any patrons staying at the Suncadia Lodge can and will be encouraged to park there and take the Suncadia shuttle to the venue. Shuttle Buses Shuttle vans will be provided for patrons parking at the Maintenance Building parking lot and Dawson Park parking lot. There will be 2-3 vans shuttling between the venue and offsite parking. Due to the closer proximity of the designated parking areas many of the patrons will likely walk to the venue. Garbage/Recycling We have a contract with Waste Management of Ellensburg and they will bring additional dumpsters to our location to handle the increased amount of garbage produced by the event. We will also have the proper recycling receptacles placed next to each garbage can to reduce the amount of trash produced by the event. Insurance Swiftwater Cellars current certificate of liability has been included with the Kittitas County event application. The included certificate of liability expires on 7/7/2018. Kittitas County will be receiving a new certificate of liability from the Swiftwater Cellars insurance agent prior to the policy expiration date and Kittitas County will be named as an insured certificate holder. • 7 the �.. TRIBUTE TO THE BEATLES LW 1 WIFTWATCR C E L L A R S presents $35 ADULTS / $25 KIDS Purchase tickets at the Boutique at Swiftwater Cellars or by emailing concerts@swiftwatercellars.com 4 ab1� • 0 g m � a' v n . o rD s. g 8 M �j Z 9 ro � I a (nI r'�` KITTITAS COUNTY FIRE MARSHAL'S OFFICE 411 N. Ruby St., Suite 2, Ellensburg, WA 98926 , \ US Office (509) 962-7657 Fax (509) 962-7682 Fire Marshal `Special Event/Assembly" Permit ►lication Date:5j 2p 1 Qj ❑ Initial ❑ Renewal Permit #; Event Permit(Temporary) em ora Title of Event: (T P 1•k1trJK„t'!]ts�vatk�:r !(}nly {�cmific�S Ei+r AgSveYbl�Ucaap�trn:y 1'cFn�ita} � - SUN: MON: TUE: WED: THU: FRI: SAT: Specific Description of Operation/Event: (Required for both permits) ` v i b, iff— 6u-iA o rm p-e%r 4 i rq + w , - L-. 'vet i Hva.� U-CAlar:5 - -70b - Food/Deverage? No Alcohol Served? NO Live Entertainment? YES NO Security On Site? NO Tents? #of YES NO Stages? #ofd_ YE5 NO Emergency Contact: Phone #: After Hours: Phone #: 4L�-�O-, 5oq. (p7-4. oafb :30 • 3 5, f I hereby state that the above information is correct. I agree to comply with all requirements related to this Event/Assembly Permit. I further agree to, and hereby grant to the Kittitas County Fire Marshal's Office the bight to enter onto the premises as described for this permit application, for the purpose of making such inspections and tests as may be required. This permit is valid until renewed, revoked, or expired and is non- transferrable. Owner / Auth 'Zed Agent Signature: Print Name: p GM��� Tit. e' E,XC..,U-hV Version 2009.2 ?__o rS' d (vpl't.� t ��- EnG{S c�- I D�t►.1 Physical 1.0calion of Event: 2,� I � �/ ,o p Y-� �e CLL l�t�- (UWL P" �A ❑ V� %�v� Indoors Outdoors Event Coordinator; Iru� l Phone #: �•^Gj . ` . �2 I „ Cell Mailing Address �]/� city `�IV ;& { St,YVA ZZi P 28�- Eimai [ 171 YQ ! ❑ Assembly Occupancy (Permanent) Specific Ute of kiilding: Physical Address; Assessor's Map #: Building`foumu Phone #: 4CCU #: — Mailin Address g City St Zip Email: Building Owner: Phone #: Cell #: Mailing Address City St Zip Email: 1•k1trJK„t'!]ts�vatk�:r !(}nly {�cmific�S Ei+r AgSveYbl�Ucaap�trn:y 1'cFn�ita} � - SUN: MON: TUE: WED: THU: FRI: SAT: Specific Description of Operation/Event: (Required for both permits) ` v i b, iff— 6u-iA o rm p-e%r 4 i rq + w , - L-. 'vet i Hva.� U-CAlar:5 - -70b - Food/Deverage? No Alcohol Served? NO Live Entertainment? YES NO Security On Site? NO Tents? #of YES NO Stages? #ofd_ YE5 NO Emergency Contact: Phone #: After Hours: Phone #: 4L�-�O-, 5oq. (p7-4. oafb :30 • 3 5, f I hereby state that the above information is correct. I agree to comply with all requirements related to this Event/Assembly Permit. I further agree to, and hereby grant to the Kittitas County Fire Marshal's Office the bight to enter onto the premises as described for this permit application, for the purpose of making such inspections and tests as may be required. This permit is valid until renewed, revoked, or expired and is non- transferrable. Owner / Auth 'Zed Agent Signature: Print Name: p GM��� Tit. e' E,XC..,U-hV Version 2009.2 SWIFCEL-01 PIfRL6-QHEF CERTIFICATE OF LIABILITY INSURANCE D061272017ATE Y) _ 06l�7l2077 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 have ADDITIONAL INSURED provisions or 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 - – – – – – – "CArT --�— – — — -- Richland Office PHONE i P VP newest Insurance, Inc- -QgV�1C�p, ko, Ii �tE,�9j 946-6161 _ , eoy-(866) 215-4862 390 Bradley i31vd- Q�tIRiLS Richland, WA 99352 INSURRER A Allied! world spl;(alty risygnce, gnmp. " . INSURED I w5unfit B: Swiftwater Cellars, LLC t1ISURErpc: PO Box 492 INSURER a : ) Roslyn, WA 98941 — - - INSURER E INSURER F 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. (NSR ILTR TYPE OF INSURANCE T! DDL1 B POLICY NUMBER POLICY EFF I POLICY f m- LIMITS – A X COMMERCIAL GENERAL LIABILITY EA SWCWEFNCg $ 1,000,000 CLAIMS -MADE X OCCUR 5115007904 07/07/2017 07/07/2018 I DAEAAGE 1 (TED 1,000,000 JX X IX Liquor Liability II H�pt) 10,000 .—X WA Stop Gap — 1 PERSONAL & ADV INJURY $ 1,000,000 jjg_kN'LAGQRE TELIIMITAPPLIESPER GENERAL AGGREGATE_ _� 2,000,000 _ { POLICY I, JECT LOC PRODUCTS - COMPIOP AGG •1 $_ 2,000,000 f OTHER _+– A I' AUTOMOBILE LIABILITY – 4 X j ANY AUTO 5116007904 JJ{ OWNED SCHEDULED AUTOS ONLY AUTNy�ry�OSS X I AUTOS ONLY . X AUTOS ONLY A X UMBRELLA LIAR X OCCUR 4 EXCESS LIAB �• CLAIMS -MADE j 5117007904 DFD. J X RETENTION $ 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N I ANY PROPRIETOR/PARTNERIEXECUTIVE jI QFFICERIMEMBER EXCLUDED? N / A f (mandatory In NH) i 07107/2017 07/07/2018 j { 07/07/2017 07/07/2018 C:VMFSINED JEa. lan1SiNCvI.ELiM1T 1 3 _ BODILY INJURY JPerperson�$ — BODILY INJURY (Per accid_er) $ PR REkAlidngE $ – EACH OCCURRENCE $ 5, �GREGA - $ _ 5, PER OTH- -..srazurF,l E.L EACH ACCIDENT — $ F=L DJSFASE,4 FMPLOYE, $ � I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space Is required) re: All Events. Kittitas County is added as additional insured per form WIGL00014 attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Kittitas Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS, 205 W 5th Ave Ellensburg, WA 98926 - - - AUTHORIZED REPRESENTATIVE I Ax'-x-- ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ly4?-b SWIFIWATER CELLARS, LLC Washington Trust Bank ���� 1-0OLL788-4578 (509) 674-6555 P.O. Box 492 28-8/1251 Roslyn, WA 98941 5/9/2018 PAY TO THE ORDER OF Kittitas County Commissioners $ **800.00 Eight Hundred and 00/100************************************************************************************************* 60LLARS Kittitas County Commissioners MEMO ALIT S]Ri/EIS 4rNATUnr J �Q �0 5� 1f, - V0194 2611' 1:1 25 L000891: 10098 3 4 6 3 111' SWIFTWATER CELLARS, LLC • (509) 674-6555 19426 Kittitas County Commissioners 5/9/2018 Date Type Reference Original Amt. Balance Due Discount Payment 5/9/2018 Bill Battle of the Bands 200.00 200.00 200"00 5/9/2018 Bill Cher, Rod, Elton 200.00 200.00 200.00 5/9/2018 Bill Beatniks 200.00 200.00 200.00 5/9/2018 Bill Country Concert 200.00 200.00 200.00 Check Amount 800.00 Washington Trust Ban 800.00 SWIFTWATER CELLARS, LLC • (509) 674-6555 19426 Kittitas County Commissioners 5/9/2018 Date Type Reference Original Amt. Balance Due Discount Payment 51912018 Bill Battle of the Bands 200.00 200.00 200.00 51912018 Bill Cher, Rod, Elton 200.00 200.00 200.00 51912018 Bill Beatniks 200.00 200.00 200.00 5/9/2018 Bill Country Concert 200.00 200.00 200.00 Check Amount 800.00 Washington Trust Ban 800.00 SS ard SF5001NL-1 TO REORDER, CALL YOUR LOCAL SAFEGUARD DISTRIBUTOR AT 509-545-6845 C894SM10000 Y10SF005M LFHOUSA SFSLIN CK7SWIfIr. SWI F"X AL i ER CELLARS, LLC Vlfashin onTrust Bank �� '� 1-800-7884578 (509) 674-6555 P.O. Box 492 28-8/1251 Roslyn, WA 98941 5/9/2018 1 PAY TO THE 1542 ( ORDER OF Kittitas County Fire Marshall $ **165.00 One Hundred Sixty -Five and Kittitas County Fire Marshall 411 N Ruby St Suite 2 Ellensburg, WA 98926 AAM,; t� G MEMO r6oralM) sIrn,71R7 ell, 1 �� 2016 Event Permits . }; 1110 194 2 711" 11: 12 5 L000891: L0098 346 3 111' SWIFTWATER CELLARS, LLC • (509) 674-6555 19427 Kittitas County Fire Marshall 5/9/2018 Date Type Reference Original Amt. Balance Due Discount Payment 5/9/2018 Bill 2018 Event Permits 165.00 165.00 165.00 Check Amount 165.00 Washington Trust Ban 2018 Event Permits SWIFTWATER CELLARS, LLC • (509) 674-6555 Kittitas County Fire Marshall Date Type Reference 5/9/2018 Bill 2018 Event Permits 5/9/2018 Original Amt. Balance Due Discount 165.00 165.00 Check Amount Washington Trust Ban 2018 Event Permits SF6001NL-1 TO REORDER, CALL YOUR LOCAL SAFEGUARD DISTRIBUTOR AT 509-6 5-sm .®r�7�, L—�-==1=v L}R10 USA SFSi16s 0R7SD911!18 C894SM10000 Y10SFOOSM 165.00 19427 Payment 165.00 165.00 165.00 WashingtonTK0 Bank ri aj SWIFTWATRR CELLARS, LLC 1.800798.4578 (509) 674-6555 P.O. Box 492 28-8/1251 Roslyn, WA 98941 5/9/2018 1942E PAY TO THE ORDER OF Kittitas County Treasurer $ **5,000.00 Five Thousand and 00/100*************************************************************************************************DOLLARS Kittitas County Treasurer 205 W. 5th Ave., SUITE 102 Ellensburg, WA 98926 � S G MEMO hL17HORtZEG srGNATURE F£ Penal (Bond for 2018 Events at Swiftwater Cellars _ ;c ��Tx"�Tii���]�a'"-r"r,i•..:::::: I:� w :� �msrlr���,�— _ � II'0 194 2811° 1: L 2 5 1000891: L0098 346 3 111, SWIFTWATER CELLARS, LLC • (509) 674-6555 19428 Kittitas County Treasurer 5/9/2018 Date Type Reference Original Amt. Balance Due Discount Payment 5/9/2018 Bill Event Penal Bond'18 5,000.00 5,000.00 5,000.00 Check Amount 5,000.00 Washington Trust Ban Penal Bond for 2018 Events at Swiftwater Cellar SWIFTWATER CELLARS, LLC • (509) 674-6555 Kittitas County Treasurer Date Type Reference Original Amt. Balance Due 5/9/2018 Bill Event Penal Bond'18 5,000.00 5,000.00 Washington Trust Ban Penal Bond for 2018 Events at Swiftwater Cellar SF6001NL-1 TO REORDER, CALL YOUR LOCAL SAFEGUARD DISTRIBUTOR AT 505345-8846 ® �B�:Sisf L3 LM40USA MUM OPS98111M 5,000.00 19428 5/9/2018 Discount Payment 5,000.00 Check Amount 5,000.00 C8948SO010000 YI0SF005089 5,000.00 ,Q Kittihas County Office Of The Treasurer Brett Wachsmith, Treasurer 205 W 6th Avenue, Suite 102 Ellensburg, Wa 98926 Phone (509) 962-7535 Fax (509) 933-8212 Cash Receipts Receipt Number: 2018-2998 Received From: MANDY BUCHHOLZ - DEPUTY CLERK OF THE BOARD Il Check Amount: $800.00 Cash Amount: $0.00 Other Amount: $0.00 Total Amount: $800.00 Deputy: LowatchieR Receipt Type: CHK Template: Comments: CSR# 2018-2199 SWIFTWATER CELLARS 4 CONCERTS (SPECIAL EVENT APPLICATION) Date: 05/14/2018 FundCode G1Code Description Amount 001 1632171 SPECIAL EVENTS FEE $800.00 Total Amount: $800.00 Kittitas County Treasurer's Office Submitted By: Rachael Lowatchie (c) 2002 Cashtax All Rights Reserved www.balancedacdon.com