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E-10. Approval of Fireworks Display Permit, Lake Minnewashta, July 40 CITY OF CHANHASSEN 7700 Market Boulevard PO Box 147 Chanhassen, MN 55317 Administration Phone: 952.227.1100 Fax: 952.227.1110 Building Inspections Phone: 952.227.1180 Fax: 952.227.1190 Engineering Phone: 952.227.1160 Fax: 952.227.1170 Finance Phone: 952.227.1140 Fax: 952.227.1110 E10 MEMORANDUM TO: Todd Gerhardt, City Manager FROM: Mark Littfin, Fire Marshal DATE: June 9, 2014 OW SUBJ: Private Fireworks Display at Lake Minnewashta on July 4, 2014 PROPOSED MOTION: "The City Council approves the fireworks display permit from Pyrotechnic Display Inc., on behalf of the Lake Minnewashta Fireworks Committee, to conduct a fireworks show from Minnewashta Regional Park on July 4, 2014, with the conditions noted in the staff report." Approval of this request requires a simple majority vote of the City Council. Staff has received a request from Pyrotechnic Display Inc., on behalf of the Lake Minnewashta Fireworks Committee, to conduct a fireworks show from Minnewashta Regional Park on July 4u`. This application is similar to what has occurred for the past twelve years and meets Fire Code regulations. Park & Recreation The following conditions have been communicated and agreed to by all concerned Phone: 952.227.1120 parties. Fax: 952.227.1110 1. The fireworks display operator will be required to adjust the launch angle so as to aim Recreation Center over the lake in order to minimize drop -down material from landing in the wetland 2310 Coulter Boulevard area resulting in grass /swamp fires. A plan must be submitted to the Fire Marshal to Phone: 952.227.1400 show how this will be accomplished. Fax: 952.227.1404 2. Staff will require the Fire Department to have a standby crew at the launch site. Planning & Additionally, a boat from either the Carver County Sheriff's Department Water Patrol Natural Resources Division or the Chanhassen Fire Department will be required on the lake to secure the Phone: 952.227.1130 fireworks drop -down zone. I will coordinate this as we get closer to July 4u'. Fax: 952.227.1110 Additionally, the group has provided a certificate of liability insurance policy covering this event. Public Works 7901 Park Place RECOMMENDATION Phone: 952.227.1300 Fax: 952.227.1310 Staff recommends approval of the request from Pyrotechnic Display, Inc. for a fireworks Senior Center display permit on July 4, 2014 at Lake Minnewashta Regional Park with the conditions Phone: 952.227.1125 noted above. Approval requires a simple majority vote of the City Council. Fax: 952.227.1110 ATTACHMENT Web Site www.ci.chanhassen.mn.us 1. Application for Display of Fireworks g:\ safety\ ml \mwshtafireworkdisplaymemo.doc Chanhassen is a Community for Life - Providing for Today and Planning for Tomorrow APPLICATION FOR OUTDOOR DISPLAY OF FIREWORKS/PYROTECHNIC SPECIAL EFFECTS Applicant instructions: This application must be completed and returned at least 15 days prior to date of display. Name of applicant (Sponsoring Organization): Keeping America's Birthday Observation over Minnewashta Address of applicant: 3611 Ironwood Road, Excelsior, Minnesota 55331 Name of authorized agent of applicant: Pyrotechnic Display, Inc. Address of agent: 9405 River Road SE, Clear Lake, MN 55319 Telephone number of agent: 320 - 743 -6496 Ext. 1 Date of display: July 4, 2014 Time of display: _ about lOpm Location of display: Lake Minnewashta Regional Park— please see attached site Map, Chanhassen, Minnesota Manner and place of storage of fireworks /pyrotechnic special effects prior to display: Delivery and storage in truck on day of display Type & number of fireworks /pyrotechnic special effects to be discharged: 1.3G product - up to 6 inch aerial shells, Multi -shot Box Items Minnesota State law requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. Name of supervising operator: _Lael C. Litecky Certificate No.: 00219 Required attachments. The following attachments must be included with this application: 1. Proof of a bond or certificate of insurance in amount of at least $ _5.000.000.00 2. A diagram of the grounds at which the display will be held. This diagram (drawn to scale or with dimensions included) must show the point at which the fireworks /pyrotechnic special effects are to be discharged; the location of ground pieces; the location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained 3. Names and ages of all assistants that will be participating in the display. The discharge of the listed fireworks on the date and at the location shown on this application is hereby approved, subject to the following conditions, if any: I understand and agree to comply with all provisions of this application, MN Statute 624.20 through 624.25, MN State Fire Code, National Fire Protection Association Standard 1123 (2006 edition), applicable federal law(s) and the requirements of the issuing authority, and will ensure that the fireworks /pyrotechnic special effects are discharged in a manner that will not endanger persons or property or constitute a nuisance. Signature of applicant (or agent):� Date of application:Z Signature of Fire Chief: _ / Date: _ Printed name of above official: Phone: Signature of issuing authority: Date: Printed name of above official: Phone: ' DATE (MM /DDNYYY) �'��' CERTIFICATE OF LIABILITY INSURANCE 5!22/2014 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 Britton Gallagher One Cleveland Center, Floor 30 1375 East 9th Street Cleveland OH 44114 INSURED Pyrotechnic Display Inc. 8450 W. St. Francis Road Frankfort IL 60423 INSURER A INSURER B INSURER C INSURER D INSURER F: rnvGOArrI=s CERTIFICATE NIIMRFR• a� ')nau7nn REVISION NUMBER: NAIC # 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DD POLICY EXP MMIDD LIMITS A GENERAL LIABILITY [DAMAGE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IX-1 OCCUR S18ML00006 -131 /30/2013 /30/2014 EACH OCCURRENCE $1,000,000 TO RENTED PREMISES Ea occurrence $300,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $3,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP /OP AGG $3,000,000 $ C AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS Ix AUTOS SI8CA00006 -131 /3012013 /30/2014 Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EAU733983 /3012013 /30/2014 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 DID RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA MNAR0000019718 (MN) /30/2013 /30/2014 X �O LIMIT ER T I ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) DISPLAY DATE: July 4,2014 LOCATION: Lake Minnewashta Park, Chanhassen, Minnesota ADDITIONAL INSURED: City of Chanhassen, Minnesota; Carver County of Minnesota; Keeping America's Birthday Observation over Minnewashta [tla:a117[NL \I7:NllgII i Keeping America's Bithday Observation Over Minn Attn: Ms. Beth Ginther 3611 Ironwood Road Excelsior MN 55331 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988 -2019 AGOKU GUKPUKA I III AN rlgnts reservs.U. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD