Variance request #1 – Specific Variances by Sector: Public Gatherings

Variance #1 – Specific Variances by Sector: Public Gatherings

PHO 20-28 Section I. C.
Please note, this submission is subject to open records requests through Colorado Open Records Act.
Name

First Name Last Name
Email
example@example.com
Title of submitter
Location of activity

Street Address

Street Address Line 2

City

Postal / Zip Code
Business / Agency
This plan submission is required if you are hosting an event that falls into the attendence of 11- 50 people. If the event organizer and/or facility can demonstrate compliance via a written plan with provisions below, gatherings may be approved not to exceed 50 people.
Number of attendees. At this point there cannot be events of more than 50 people.
Date of event:

Month Day Year
Date
Detailed plans on the space or area used for the gathering or event and controls that will be implemented to maintain 6 feet distancing requirements;
Face coverings must be required and plans should outline how the requirement will be communicated to participants and enforced during the event;
The plan must include methods used to register or sign-in attendees so that contact tracing may occur if necessary. Phone numbers must be collected. How will you do this?
Susceptible populations will be strongly recommended to refrain from participating in any public gathering during the Safer at Home phase. How will you handle this?
Posting signs throughout on requirements for physical/social distancing.
Any additional file or information please attach here.

Browse Files

Cancel of
Any open business that has an outbreak at their facility of 2 or more employees might be required to close for 72 hours for disinfection and detailed contact tracing to minimize risk in the community.

Yes I understand and will work with the health department if cases are connected to this facility.
Any other comments or things we should know?
Contact info:

We are requiring a primary contact to work with on complaints received or any contact tracing that might need to be done at you location. Please give us the name, phone and email of the person we should reach out to if needed.
COVID-19 Contact person

First Name Last Name
COVID-19 Contact Email
example@example.com
COVID-19 Contact phone number

Area Code Phone Number
Should be Empty:

Variance #1 – Specific Variances by Sector: Public Gatherings

Contact info: