(~.so-2016 certified copy of order€¦ · 26/05/2016 · 26th day of may 20 the following, among...

(~.So-2016

CERTIFIED COPY OF ORDER

STATE OF MISSOURI } ea.

County of Boone

May Session of the April Adjourned Term. 20

In the County Commission of said county, on the 26th day of May 20

the following, among other proceedings, were had, viz:

Now on this day the County Commission of the County of Boone does hereby recognize Boone County Family Resources for 40 years of service to Boone County.

Done this 26th day of May, 2016.

District I Commissioner

16

16

b/\A;h ____ _ M. Thompson

ict II Commissioner

Proclamation Recoqniz.inq

Boone County Family Resources

For 40 Years of Service to Boone County

Whereas, the people of Boone County have long recognized the strengths, contributions and support needs of citizens with developmental disabilities and their families; and

Whereas, in 1976 Boone County voters approved a proposition creating a property tax to help those citizens with developmental disabilities; and

Whereas, the creation of Boone County Family Resources forty years ago began a tradition of innovative and exemplary services and supports for these citizens; and

Whereas, Boone County Family Resources has held national accreditation since 1985 from the Commission on Accreditation of Rehabilitation Facilities (CARF) which assures quality in key areas; and

Whereas, Boone County Family Resources has grown from serving the original eight group home residents to over 1,600 persons of all ages and their families annually, and

Whereas, Boone County Family Resources promotes inclusion by providing support for living, working and playing in our community; and

Whereas, the Board members, staff, persons served and their families have through their dedication and hard work empowered individuals with developmental disabilities to thrive in the community, connect with others and achieve their personal goals; and

Therefore, The Boone County Commission does hereby proclaim May 26, 2016 as Boone County Family Resources Day in Boone County and encourages the citizens of Boone County to recognize the accomplishments of these citizens and all of those who have supported them over the past 40 years.

IN TESTIMONY WHEREOF, this 26th Day of May, 2016.

Dan Atwill, Presiding Commissioner

Karen M. Miller, District I Commissioner

Janet Thompson, District II Commissioner ATTEST:

Wendy S. Noren, County Clerk

c:.~-5° I -2016


STATE OF MISSOURI May Session of the April Adjourned Term. 20 16

County of Boone

In the County Commission of said county, on the 26th day of May 20 16


Now on this day the County Commission of the County of Boone does hereby accept the attached ABC Laboratories Chapter I 00 Compliance Reports, Exhibits B & C.


Presiding Commissioner

c--~ J~ ___ ffeAJ

EXHIBITB

ANNUAL COMPLIANCE REPORT

Date: /4 ~f, \ \ , 20 _Llp

A. COMP ANY INFORMATION.

Name: ~'.LMA ~~o-U,-£AM~.f~ \-v~~~~1-TtvL' Address: '-f 1 ~() Q\'-i eJ'J ~~ ~ . · City: lQ\U\~ State: V\fvf) Zip Code:(,("~\

Contact: N. ~ ~ M Aft,- Telephone: \ "1 ~ '1 "'\ l ~ lo I() If-f Title:\0\IJ'_Q)'° A,iu\Mt~. Fax:~'\~ -r-q- ~033

B. EMPLOYMENT INFORMATION.

Maximum Number of "Jobs" in the County during the 90-day period ending on March 31, 2o{J(the March 31st prior to this Report): -'-?)""'"Gt.....:'O"-----

Maximum Number of "New Jobs" in the County during the 90-day period ending on March 31, 20 ..0t (Maximum Number of "Jobs" at the Project less 224): ----'~t.....'1 ..... ~-'C......--

Attached is a copy of a report verifying the above calculation containing at a minimum the following information for each Job:

1. Name or Social Security Number. 2. Hire Date. 3. Termination Date.

C. CERTIFICATION.

The undersigned hereby represents and certifies that, to the best knowledge and belief of the undersigned, this Annual Compliance Report contains no information or data, contained herein or in the exhibits or attachments, that is false or incorrect in any material respect

- -Dated this f ~day of AwA \ , ~6\ ~.

B-1

EXHIBITC

PROJECT EQUIPMENT

No Chapter 100 bond proceeds were used for machinery, equipment and parts or other personal property.

ANALYTICAL BIO-CHEMISTRY LABORATORIES, INC.

April 1, 2016

ABC Laboratories

ABC Laboratories

Active Em lo ees 03/31/16

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1 elf Judith A. · 03/21/2016 ['.Bfi --·--·=·


County of Boone J ... May Session of the April Adjourned Term. 20 16 STATE OF MISSOURI



Now on this day the County Commission of the County of Boone does hereby approve the Organizational Use of the Courthouse Plaza by Mid-Missouri Peaceworks for the following dates and times:

• September 11, 2016 • October 16, 2016


ATTEST: .. , /, \ i' J ' ~-~\:.! u~i1'tfl\J fl. ,,,

Wendy S. l or n · Clerk of the'e;unty Commission/

5:30 p.m. to 7:30 p.m. 12:00 p.m. to 4:30 p.m.

Daniel K. Atwill, Presiding Commissioner Karen M. Miller, District I Commissioner Janet M. Thompson, District II Commissioner

Boone County Commission APPLICATION FOR ORGANIZATIONAL USE OF

BOONE COUNTY COURTHOUSE PLAZA

Roger l:3. Wilson Boone County Government Cen1e1

80 I East Walnut. Room 333

Columbia. MO 65201-7731

573-886-4305 • FAX 573-886-4311

The undersigned organization hereby applies for a use permit to use the Boone CountyCourthousc Plaza as follO\vs:

Organization: Mid-Missouri Peaceworks

Address: 804-C E. Broadway

City: Columbia State: MQ ZIP Code 65201

Phone: 573-875-0539 Website: WWW. midmopeaceworks. org

T d .. <l 11.) . c· Mark Haim n 1v1 ua --.equestmg Jsc: ______________________________ _

I) . . . 0 . . Director os1t1on m rgan1zat1on: ______________________________ _

Address: Same as above

City: ____________ State: ____ ZIP Code ____ _

Phone: Email: [email protected] -----------

Event:: 9/11 Commemoration

Memorial gathering w/speakers & acoustic music Description of Use (ex. Concert, speaker, SK): _______________________ _

. 9/11/16 Date(s) of l!sc: __________________________________ _

c .1~- t·s 5:30 p.m \1'£/PT\r .,tart 1mc o ctup: _________ .J 1v 1\'

Stan Time of Evcnt:_6_p_. m __ · _____ AM/PI'vl (If start times vary for multiple day events, please specify)

End Time of Event: _?_p_._m_. _____ AM/PT\[ (If end times vary for multiple day events, please specify)

End Time of Cleanup:_7_:_3_0_p_. m_. ___ AM/PM

Emergency Contact During Event:_M_a_r_k_H_a_im ________ Phone: 314-825-4444

\'(/ill this event be open to the public? Iii Y cs D No If yes, please explain the publicity that will be used to promote the event, including names and contact information of any promoters: __________________________ _

We invite people via our newsletter, e-mails, Facebook and media PSAs, no promoters.

t lr.rl.'liP.cl t/30/14

f-{ ] (" 1 d" l . d . . b . ;i 30-45 ow many attennees me u mg vo unteers) · o you ant1c1pate emg at your event. ____________ _ If you anticipate more than 50 attendees (including volunteers) at your event, please detail your safety plan in the event of an emergency. If you have a separate Fire Safety, Public Safety and Erncuation Plan, please submjt "\vith application. ________________________________ _

This is a small event and, in the unlikely event that we need to

evacuate the area, we would simply encourage participants to

walk away in an orderly fashion, and would assist any with mobility issues.

If you anticipate more than 1000 attendees (including volunteers), please provide the names and contact information of your crowd managers (1 per every 250 attendees): ________________ _

N.A.

\'{'ill the majority of attendees be under the age of 18? D Y cs ii No

If yes, please note the number of adult supervisors in attendance: ___ # adults per ___ #minors

Will you need access to electricity? Iii Yes D No

Will you be using amplifiers? I!! Yes ONo

Will you be serving food and/ or non-alcoholic drinks? D Yes ~ No

If yes, will you be selling food and/or non-alcoholic drinks? D Yes ~ No

If yes, please prm·ide the following with copies of licenses attached to application:

Missouri Department of Revenue Sales Tax Number: ___________ _

County Merchant's License Number: __________________ _

City Temporary Business License Number: ____________ _

Will you be serving alcoholic beverages? D Yes ~No

If yes, will you be selling alcoholic beverages? D Yes ti No

If yes, please provide the follmving with copies of licenses attached to application:

State Lil1uor License Number: _________________ _

County Liquor License Number: ________________ _

City Liquor License Number: ____________ _

Updated 1/30/14

\v'ill you be selling non-food items? D Yes I!! No

If yes, please provide the following \vith copies of licenses attached to application:

i'vfissouri Department of Revenue Sales Tax Number: ____________ _

County l'v[erchant's License Number: ___________________ _

City Temporary Business License Number: _____________ _

\"l{lill outside vendors be selling food, beverages or non-food items at this event? D Y cs

If yes, please provide the following information (use separate sheet if necessary):

~No

Vendor Type of Sales Contact Information License Number(s)

Will you be reguesting a road and/ or sidewalk closure? D Yes~ No

If yes, what road(s) and/ or sidewalk(s)? _________________________ _

Please attach to application a copy of the order showing City of Columbia City Council approval.

Does your event include cooking or use of open flames? D Yes I!!! No

If yes, please pwvide the Colmnbia Fire Department Special Events Permit Number: ________ _

Please attach to application a copy of the approved Columbia Fire Department Special Events Permit

Events that may pose increased responsibilities to the local law enforcement may be reguired to enlist the services of a professional security company. This will be determined by the Boone County Sheriff's Department and Boone County Commission. If necessary, have you hired a security company to handle security arrangements for this event? D Yes l!!J No

If yes, please provide the following:

Security Company: ___________________________________ _

Contact Person Name and Position: ____________________________ _

Phone: _____________ Email: ________________________ _

Updated 1/30/14

\X1i11 you be using portable toilets for your event? D Yes Iii No ''*Please note: portable toilets are not permitted on the Boone County Courthouse Plaza grounds. Please contact the City of Columbia for options.

If your e,0ent is such that rcguircs insurance per the Boone County Courthouse Pla7.a Rules and Regulations, please provide a copy of acguired insurance plan.

The undersigned organization a6i-rces to abide by the following terms and conditions in the event this application is approved:

l. To notify the Columbia Police Department and Boone County Sheriff's Department of time and date of use and abide by all applicable laws, ordinances and county policies in using Courthouse Plaza grounds.

2. To abide by all rules and regulations as set forth in the Boone County Courthouse Pla7.a Rules and Regulations document updated July 11, 2013 and attached to this document.

3. To remove all trash or other debris that may be deposited (by participants) on the courthouse grounds and/or in rooms by the organizational use.

4. To repair, replace, or pay for the repair or replacement of damaged property including shrubs, flowers or other landscape caused by participants in the organizational use of courthouse grounds and/ or carpet and furnishings in rooms.

5. To conduct its use cif Courthouse Plaza grounds in such a manner. as to not unreasonably interfere \vith normal courthouse and/ or Boone County Government building functions.

6. To indemnify and hold the County of Boone, its officers, agents and employees, harmless from any and all claims, demands, damages, actions, causes of action or suits of any kind or nature including costs, litigation expenses, attorney fees, judgments, settlements on account of bodily injury or property damage incurred by anyone participating in or attending the organi?.ational use on the courthouse grounds and/ or use of rooms as specified in this application.

Organization Reprcscntative/Title:_M_a_r_k_H_a_i_m_,_D_i_r_e_c_t_o_r _______________ _

Address: 804-C E. Broadway, Columbia, MO 65201

573-875-0539 . . . 5-16-16 Phone Number: Date of Applicat10n: ____________ _

Email Address: [email protected]

Signature:._~~:_::_~..::!14=--1-_-Z£.!...·,,..-::-¥c~~==" =------------------------

Applications may be submitted in person or by mail to the Boone County Commission, 801 E. Walnut, Room 333, Columbia, MO 65201 or by email to _c::on1111!ssion(~1nx,onccm1nty1110.urg-.

PERMIT FOR ORGANIZATIONAL USE OF BOONE COUNTY COURTHOUSE PLAZA The County of Boone hereby grants the above application for permit in accordance with the tertns and conditions above written. The above permit is subject to termination for any reason by duly entered order of the Boone County Comm.ission .

. \TTEST:

--(b DATE:. ____________ _

Updated 1/30/14

Daniel K. Atwill, Presiding Commissioner

Karen !VI. Miller, District I Commissioner

.Janet M. Thompson, District II Commissioner

4i'1 OF(10~

{/vo~&.::"/~--·: :o~

1-~· \ . \*- ~ ,,, -' j, ~~

Boone County Commission

l'\.Ugt:t D. VV 11;'.IUII

Boone County Government Ccnicr



573-886-4305 • FAX 573-886-4311

APPLICATION FOR ORGANIZATIONAL USE OF BOONE COUNTY CONFERENCE ROOMS

The unde1:signed organization hereby applies for a use permit to use rhe Roger B. \'{/ilson Boone County Government: Center conference rooms or Cc-ntralia Satellite Office as follows:


.\ddress: 804-C E. Broadway

City: Columbia Starc:_M_O ___ ZTP Code_6_5_2_0_1 __ _

Phone: 573-875-0539 Website: WWW.midmopeaceworks.org

J I .. d 11., . lJ Mark Haim P . . . 0

. . Director nc 1v1 ua \.ec.1uest111g se: __________________ osttton m rgantzauon: ______________ _

Facility requested: 0 Chambers 0 Room 301 DRoom 311 DRoom 332 DCentralia Clinic

Event: Indoor rain site for 9/11 Commemoration, No More Victims, plus film screening afterwards.

. . . . . . . Memorial Gathering followed by a documentary film. Descnpt1on of Use (ex. Speaker, meettng, recept10n): ________________________________ _

Datc(s) of Cse:_9_1_1_1_11_6 __________________________________ _

. ·1··· f, 5:30 p.m. 'I\f/Pl\f Start .1me o Setup: ______________ .c, t ., ·1·· f1· 6:00 p.m. \1\r/PT\r Start 1me o ,,vent: _______________ t . ,

l, 1 ·r·· fl:' 9:oo p.m. \"I/P"f :,nc 11ne o 1.cvenr: _____________ .- n. 1., E d T. fCI 9:30 p.m. "[/P'f n une o _ eanup: ______________ \ h 1,

The.undersigned organization agrees to abide by the following terms and conditions in the event t-his application is approved: l. To abide by all applicable laws, ordinances and county policies in using Boone County Government conference rooms. 2. To remove all trash or other debris that may be deposited (by participants) in rooms by the organizational use. 3. To repair, replace, or pay for the repair or replacement of damaged property including ca1vet and furnishings in rooms. 4. To conduct its use in such a manner as to not unreasonably interfere with Boone County Government building functions. S. To indemnify and hold the County of Boone, its officers, agents and employees, harmless from any and all claims, demands.

damages, actions, causes of action or suits of any kind or nature including costs, litigation expenses, attorney fees, judgments, sctrlements on account of bodily injury or property damage incurred by anyone participating in or attending the 01·ganizarional use of rooms as specified in this application .

. ) . . 1, .

1.1

.. 1

Mark Haim/Director (. rgamzat1011 '-epresentanve .tr e: _______________________________________ _

Phone Nun1ber:_5_7_3_-_B_?_S_-0_5_3_9 __________ Date of .·-\pplicarion:_5_1_1_6_1_1_6 _____________ _

.·\ddr·ec.·s··[email protected] Email .,.

PERMIT FOR ORGANIZATIONAL USE OF BOONE COUNTY GOVERNMENT CONFERENCE ROOMS The Count)' of Boone hereby grants the above application for permit in accordance wirh the terms and conditions above writren. The above permit is subject ro termin,llion for any reason by duly entered order of the Boone County Commission.

.. \TTEST: BOONE COUNTY, I\fISSOUR.I

County Commissioner

D.\TE.: _______________ _

Upd>ted 7 /17 /13

BOONE COUNTY TREASURER RECEIPT

Receipt Number: 2016 1928 Receipt Date: 5/24/2016 ,,,<2,i-,;;~ ·;-o~~

Received From: MID-MISSOURI PEACEWORKff" 'i;<\ !; '~

Remarks: COURTHOUSE PLAZA 091i\i2~rl'°', , ~l SECURITY DEPOSIT \'.;~{,-~~;.'_~,~:,>""

Employee Initials: TRKATEL~

Amount: $********100. o

Boone County Treasure~~~

Treasurer of Boo County

I ._.'

I i


Ka1·en M. Miller, District I Commissioner

Janet M. Thompson, District II Commissioner

Boone County Commission APPLICATION FOR ORGANIZATIONAL USE OF

BOONE COUNTY COURTHOUSE PLAZA

Roger 8. Wilson

Boone County Government Ccnte1

801 East Walnut. Room 333

Columhia. MO 65201-7732

573-886-4305 • FAX 573-886-43 I I

The undersigned organi7.ation hereby applies for a use permit to use the Boone County Courthouse Plaza as follmvs:

Organizacion: Mid-Missouri Peaceworks

i\dclress: 804-C E. Broadway

ciry: Columbia

Phone: 573-87 5-0539

State: MQ ZIP Code 65201 Website:WWW.midmopeaC8WOrkS.Org

T d .. 1 1 R . t- Mark Haim n 1v1cua ec1uestrng _:se: _____________________________ _

P . . . 0 . . Director os1t1on 111 rga1117.atlon: _____________________________ _

Address: Same as above

City: ____________ Statc: ___ ZIP Code ___ _

Phone: Email: [email protected] -----------

Event: Walk for the Climate, Walkathon Kick-off

Description of Use (ex. Concert, speaker, SK): Short gathering with some speakers

. 10/16/16 Dare(s) of LTse:. _________________________________ _

S .1-- f s 12 noon J·\l'vr/r1\. ,f , tart 1me o ~ ctup:_________ 1.,1

Start Time of Event:_1_:_Q_Q __ p_._n_n_. ___ AM/PM (Tf start rimes vary for multiple day events, please specify)

End Time of Event: _4_:_0_0 __ p_._m_. ___ AM/PM (If end times \'ary for multiple day events, please specify)

End Time of Cleanup:_4_:_3_0_p_. m_. ___ AM/PM

Em.ergency Contact During Event:_R_u_th_S_c_h_a_e_f e_r _____ Phone: 5 73-864-6849

\'{1ill this event be open to the public? iii Y cs D No If yes, please explain tl1e publicity that will be used to promote the event, including names and contact information of any promoters: _________________________ _

Newsletter, E-mail, Facebook, PSAs to media, etc. No promoters.

Uod;.ted 1/30/14

Ho"\v many attendees (including volunteers) do you anticipate being at your event;i_7_5 ___________ _ If you anticipate more than 50 attendees (including volunteers) at your event, please detail your safety plan in the event of an ern.ergency. If you have a separate Fire Safety, Public Safety and Evacuation Plan, ple:i.se submit with application. _______________________________ _

This is a small event and, in the unlikely event that we need to

evacuate the area, we would simply encourage participants to

walk away in an orderly fashion, and would assist any with mobility issues.

If you anticipate more than 1000 attendees (including volunteers), please provide the names and contact information of your crowd managers (1 per every 250 attendees): ________________ _

N.A.

\X'ill the majority of attendees be under the age of l 8? D Y cs l!!!l No

If yes, please note the number of adult supervisors in attendance: ___ # adults per ___ #minors

Will you need access to electricity? ~ Yes D No

Will you be using amplifiers? I!! Yes ONo

\\?ill you be serving food and/ or non-alcoholic drinks? D Yes i1 No

If yes, will you be selling food and/or non-alcoholic drinks? D Yes I!! No

If yes, please provide the following with copies of licenses attached to application:

Missouri Department of Revenue Sales Tax Number: ___________ _

County l\frrchant's License Number: __________________ _

City Temporary Business License Number: ____________ _

Will you be serving alcoholic beverages? D Y cs ~No

If yes, will you be selling alcoholic be\.-etages? D Yes ~No

If yes, please provide the following with copies of licenses attached to application:

State Liquor License Number: _________________ _

County Liquor License Number: ________________ _

City Liquor License Number: ____________ _

Updated 1/30/14

\\?ill you be selling non-food items? D Yes l!!!I No

If yes, please provide the following v.,1.th copies of licenses attached to application:

1V1issouri Department of Revenue Sales Tax Number:. ____________ _

County l\:Ierchant's License Number: __________________ _

City Temporary Business License Number:. _____________ _

\\Jill outside vendors be selling food, beverages or non-food items at this event? D Yes l!!!!No

1f yes, please provide the following information (use separate sheet if necessary):

Vcn<lot Type of Sales Contact T n fonnation License Numbcr(s)

\'v'ill you be rec1uesting a road and/ or sidewalk closure? D Yes~ No

lf yes, what road(s) and/ or sidewalk(s)? __________________________ _

Please attach to application a copy of the order showing City of Columbia City Council approval.

Docs your event include cooking or use of open flames? 0 Yes l!!!!No

Tf yes, please provide the Columbia Fire Department Special Events Permit Number:--------~

Please attach to application a copy of the approved Columbia Fire Department Special Events Permit

Events that may pose increased responsibilities to the local law enforcement may be required to enlist the services of a professional security company. This will be determined by the Boone County Sheriffs Department and Boone County Commission. If necessary, have you hired a security company to handle security arrangements for this event? 0 Yes~ No

If yes, please provide the follO\ving:

Security Company:. ___________________________________ _

Contact Person Name and Position:. ____________________________ _

Phone: _____________ Email:. ________________________ _

Updated 1/30/14

\X1ill you be using portable toilets for your event? D Yes I!!! No **Please note: portable toilets are not permitted on the Boone County Courthouse Plaza grounds. Please contact the City of Columbia for options.

If your event is such that requii:es insurance per the Boone County Courthouse Pla7.a Rules and Regulations, please provide a copy of acquired insurance plan.

The undersigned organization agrees to abide by the following terms and conditions in the event this application is approved:

1. To notify the Columbia Police Department and Boone County Sheriff's Department of time and date of use and abide by all applicable laws, ordinances and county policies in using Courthouse Plaza brrounds.

2. To abide by all rules and regulations as set forth in the Boone County Courthouse Plaza Rules and Regulations document updated July 11, 2013 and attached to this document.

3. To remove all trnsh or other debris that may be deposited (by participants) on the courthouse grounds and/ or in rooms by the organizational use.

4. To repair, replace, or pay for the repair or replacement of damaged property inclt1ding shrubs, flowers or other landscape caused by participants in the organizational use of courthouse grounds and/ or carpet and furnishings in rooms.

::>. To conduct its use of Courthouse Plaza grounds in such a manner as to not unreasonably interfere \Vith normal courthouse and/ or Boone County Government building functions.

6. To indemnify and hold the County of Boone, its officers, agents and employees, harmless from any anJ all clain1s, demands, damages, actions, causes of action or suits of any kind or nature including costs, litigation expenses, attorney fees, judgments, settlements on account of bodily injury or property damage incmred by anyone participating in or attending the organizational use on the courthouse grounds and/ or use of rooms as specified in this application.

(.) · · R . ;-r· 1 Mark Haim, Director rgamzat1on epresentat1ve 1t e: ________________________________ _

Address:804-C E. Broadway, Columbia, MO 65201

573-875-0539 . . 5/16/16 Phone Number: Date of Application:. _____________ _

Email Address: [email protected]

/J# /7 1f:_ </ _--Sibrnature: _ __,F:__"_'t.~-=-~=-.;---~::..__J<.... ___ --' -==-----------------------------......

Applications may be submitted in person or by mail to the Boone County Commission, 801 E. Walnut, Room 333, Columbia, MO 65201 o1' by email to con1_1i1_issionut-:boonccm1mymo.on>.

PERMIT FOR ORGANIZATIONAL USE OF BOONE COUNTY COURTHOUSE PLAZA The County of Boone hereby grants the above application for permit in accordance with the terms and conditions above written. The above permit is subject to termination for any reason by duly entered order of the Boone County Commission.

BOONE COUNTY, l\. )

·.· .... / 1-"-,1. C £ ·- I ( DATE:. ___ rl __ - ___ }o ____ _

Updated 1/30/14


Karen M. Miller, District I Commissioner

.Janet M. Thompson, District 11 Commissioner

~'\'i OF &o"'~

U l~o1'~) \1( ID)(&*

~ Boone County Commission

Koger Li. WJJSOll

Boone County Government Ct:nter



573-886-4305 • f-AX 573-886-431 I


111e unde1·signed organizarion hereby applies for a use permir to use the Roger B. \'{'ilson Boom: Conni~· Governmenr Center conference rooms or Centralia Satellite Office as follows:


_ \ddrcss: 804-C E. Broadway

Ciiy: Columbia Statc:_M_O ___ ZIP Codc_6_5_2_0_1 __ _

Phone: 573-875-0539 \~'cbsite: WWW.midmopeaceworks.org

T l .. d 1 r . LT Mark Haim P . . . 0

. . Director nc iv1 ua {equcsung ,sc: __________________ osmon 111 rga111zat10n: ______________ _

f':-tcility requested: 0 Chambers D Room 301 DRoom 311 DRoom3:\2 DCentralia Clinic

Event: Rain site for Walk for the Climate, Walkathon Kick-off

. . . . . . Short gathering with some speakers Descnpnon of- Use (ex. Speaker, mcetmg, reception): ________________________________ _

. , 10/16/16 Daie(s) ot Use: ____________________________________________ _

.. . ·r·· f s 12 noon \"f/P'r .-:>tart 1me o • ctup: ______________ .: n 1, S 1.. fE 1:00 p.m.. I ~tart 1mco ::.vent: _______________ ·\l\I PM

] .. d 1·· fE 4:00 p.m. "'I/P"f 2.11 tmco ~vent: _____________ .,l\ ·" F d T . fCl 4:30 p.m. I ,n tme o ... eanup:. ______________ . \ i\I Pl\!

The undersigned organization agrees to abide by the following terms and conditions in the event this application is approved: l. To abide by all applicable laws, ordinances and county policies in using Boone County Government conference rooms. ,., To remove all trash or orl1cr debris that may be deposited (by participants) in rooms by the organizational use . . 1. To repair, replace, or pay for the repair or replacement: of damaged property including caq1et and furnishings in rooms. -l. Tn conduct its use in such a manner as to not unreasonably interfere with Boone County Government building functions . . 'i. To indemni0· and hold the County of Boone, its officers, agents and employees, harmless from any and all claims, demands,

damages, actions, causes of action or suits of any kind or nature including costs, litigation expenses, attorney fees, judgments, scrrlcmcnts on account of bodily injury or property damage incurred by anyone participating in or a trending the organizarional use of rooms as specified in this application.

0 . .

1 .

1 . ..

1 Mark Haim/Director rgamzanon Zepresenranve 1 n e: _______________________________________ _

PJ1()11e N,, '•titill)er--. 573-875'"0539 D f 1 1. t' 5/16/16 ---------------- ate o ,,pp 1ca 1011: _________________ _

Email.\ddrcss:[email protected]

PERMIT FOR ORGANIZATIONAL USE OF BOONE COUNTY GOVERNMENT CONFERENCE ROOMS The County of Boone hereby grants the above application for permit in accordance with the terms and condir.ions above written. The above permit is subject to termination for any reason by duly entered order of the Boone County Commission.

.\.TfEST: BOONE COUNT\·, i\1TSSOURT

Counry Clerk County Commissioner

D.\TE: _______________ _

Updatad 7/17/13

BOONE COUNTY TREASURER RECEIPT

Receipt Number: 2016 1929 Receipt Date: 5/24/2016 :.i:'t!'~~r'.:,;i·of-=;;~~

Received From: MID-MISSOURI PEACEWOR:tSf' ·~\

Remarks: COURTHOUSE PLAZA 1011\i2~·rt;(· *} i?:~ ~t \, /~-

··-~-:..~ ~~ s O 0.t .. (!~ •:r· •• ,_.,,A::0:-"

SECURITY DEPOSIT

Employee Initials: TRKATEL~

Amount: $********100. o,

Boone County Treasure:i:.~ Ve . /,.._. Treasurer ~County

I .. .J

i \

Jf3 -2016


STATE OF MISSOURI J ... May Session of the April Adjourned Term. 20 16

County of Boone



Now on this day the County Commission of the County of Boone does hereby approve the Organizational Use of the Government Center Chambers by the Missouri Sierra Club for June 11, 2016 from 10:00 a.m. to 4:30 p.m.


ATTEST:

_W.'2,~ Wendy S. Clerk of th,/

Daniel K. Atw 11 Presi · 9missioner

---~~ Kare M. Miller Distr'tct I Commissioner

_°"',vv~·L1 /wZJ/·--Jane· M. Thompson District II Commissioner

Daniel K. Atwill, Presiding Commissioner Knrcn M. Miller, District I Commissioner Janet M. Thompson, District II Commissioner

Boone County Commission

Roger B. Wilson Boone County Government Center

801 East Walnut, Room 333 Columbia, MO 65201-7732

573-886-4305 • FAX 573-886-4311


The undersigned organization hereby applies for a use permit to use Boone County Government conference rooms as follows:

0 . . Missouri Sierra Club rgamzatton: ___________________________________________ _

.-\ddress: 2818 Sutton Blvd

Cicr: St. Louis Stace:._M_O ___ ZIP Code 63143

Phone: 314-644-1011 ..,.., b . missouri.sierraclub.org we s1te:·-----------------------------

I di .d a1 R . u John Hickey P . . . 0 . . Chapter Director n v1 u equesnng se: ___________________ osmon lI1 rgantzauon: _____________ _

Facility requested: IZI Chambers CJ Room 301 ClRoom 311 0Room332 DCentralia Clinic

Evenc: MO Sierra Club state board meeting

D . . f u ( s k . . ) meeting escr1pt1on o se ex. pea ·er, meeung, recepoon :·------------------------------

Date(s) of Use: Saturday June 11

. 10am Start Time of Setup:. __________ ~AM/PM . 11am Start Tnne of Event: ___________ ~AM/PM

End Time of E,•enr: _4_p_m _________ ~_-\I\1/Pl\1 End Time of Cleanup:_4_3_0_p_m _______ --'.-\M/PM

The undersigned organization agrees to abide by the following terms and conditions in the event this application is approved: 1. To abide by all applicable laws, ordinances and county policies in using Boone County Govemment conference rooms. 2. To remove all trash or other debris that may be deposited (by participants) in rooms by the organizational use. 3. To repair, replace, or pay for the repair or replacement of damaged property including caq>et and furnishings in rooms. 4. To conduct its use in such a manner as to not unreasonably interfere with Boone County Government building functions. 5. To indemnify and hold the County of Boone, its officers, agents and employees, harmless from any and all claims, demands,

damages, actions, causes of action or suits of any kind or nature including costs, litigation expenses, attomer fees, judgments, settlements on account of bodily injury or property damage incurred by anyone participating in or attending the organizational use of rooms as specified in this application.

John Hickey, Chapter Director Organization Representative/Title: ___________________________________ _

Ph N b 314-800-8171 D f.,,

1. . 5.25.2016 one um er: _________________ . ate o .,pp 1caoon: __________________ _

E il .. ddr [email protected] ma ., ess·-------------------------------------------

Applications may be submitted in person or by mail to the Boone County Commission, 801 E. Walnut, Room 333, Columbia, MO 65201 or by email to commissionta!boonecounrrmo.org.

PERMIT FOR ORGANIZATIONAL USE OF BOONE COUNTY GOVERNMENT CONFERENCE ROOMS The County of Boone hereby grants tl1e above application for permit in accordance with the terms and conditions above written. The above permit is subject to termination for any reason by duly entered order of the Boone County Commission.

Upd>tcd 7/17/13

(~.so-2016 certified copy of order€¦ · 26/05/2016 · 26th day of may 20 the following, among...

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