COLORADO PARKS AND WILDLIFESpecial Use Agreement • November 12th, 2016
Contract Type FiledNovember 12th, 2016RESPONSIBLE ORGANIZATION / PERSON This information will be used for both public and park reference. Business Name: Individual Name/Title: Address: City: State: Zip: Federal E.I.N. or Social Security Number: Public Contact Phone #: Park Only Event Day Cell Phone #: Public Contact E-mail: INSURANCE the responsible person holding the event will submit a certificate of insurance indicating insurance coverage in the minimum amount of $350,000.00 per person / $100,000,000.00 per occurrence as specified in 24-10-114, C.R.S. ---- IMPORTANT ---- The State of Colorado and US Army Corps of Engineers are to be listed as Additionally Insured Parties. The Event Organizer will be Certificate Holder. PROOF OF INSURANCE IS REQUIRED WITH SUBMISSION OF FINAL PACKET REQUEST SUBMITTAL Upon submittal of this agreement, your requested dates will be reserved in our calendar. You will receive a letter from Park Management requesting specific support documentation. All support documentation must be submitted