The URL can be used to link to this page

D-12. Approval of Fireworks Display Permit, Lake Minnewashta Fireworks Committee, July 4, 2015, Pyrotechnic Display, Inc. ; � --:+w�.r.rm...� MEVIORANDUM TO: Todd Gerhardt, City Manager C��1 0�� FROM: Mark Littfin,Fire Marshal C �'��i'��1� DATE: May 18,2015 �<.��:,,;�� 7700 Market Boulevard SUBJ: Private Fireworks Display at Lake Minnewashta on July 4,2015 PO f3ox 147 Chanhassen.MN 55317 PROPOSED MOTION: Administration Phone:952.227.1100 "The City Council approves the fireworks display permit from Pyrotechnic Fax�g52.227.1110 Display Inc., on behalf of tl�e La1ce Minnewashta Fireworks Committee, to Building Inspections conduct a fireworlcs show from Minnewashta Regional Park on July 4, 2015, Phone:g52.22711Bo with the conditions noted in the staff report." Fax:952.27_7.1190 Approval of this request requires a simple majority vote of the City Council. Engineering � Phone:952?_7_7.1160 Staff has received a request fi-om Pyrotechnic Display Inc., on behalf ot Tb.e Lake Fax:952.22Z1170 Minnewashta Fu-eworks Coimnittee, to conduct a fireworks show from Minnewashta Regional Parlc on Jlily 4`". This application is siinilar to what has occurred for the past Finance �elve years and ineets Fire Code regtilations. Phane 952.227.1140 f ax�95?.2?I.1110 The following conditions have been communicated and agreed to by all concerned 6�c�rlt t�I�ecr�a4io�i p�rties. Phone�952.227:1120 Fax:952.227.1110 l. The fireworks display operator will be required to adjust the launcb angle sc� as to aun over the lake in order to minimize drop-down material froin landing in the wetland Recreation C�nter area resulting in grass/swamp fires. A plan inust be subinitted to the Fire Marshal to 2310 Coulter Boulevard show how this will be accomplished. Phone�952.227.1400 1 ax 952.227.i40�! 2. Staff will require the Fire Departinent to have a standby crew at the launch site. Additionally, a boat froin either the Carver County Sheriff's Department Water Patrol E'la��i�i�� Division or the Chanhassen Fire Department will be required on the lake to secure the Natural Resources fireworks drop-down zone. I will coordinate this as we get closer to July 4`�, Phone�952.227.1130 Additionall the rou has rovided a certificate of liabilit insurance olic f ax:952.??L1110 Y, g P P Y P Y covering this event. ��1°�� RECOMMENDATION 7901 Park Placc Phone:952.227.I3oo Staff recominends approval of the request from Pyrotechnic Display,Inc. foi•a�reworks Fax:952227.1310 display permit on July 4, 2015 at Lake Minnewashta ,Regional Park with the conditions Senior Center noted above. Approval requires a simple majority vote of the City Council. Phone:952227.I 12� 1 a_x��522?�1'rio ATTACHMENT I�Ieb�i�� l. Application for Display of Fireworks ��v,��h�,ci chanhassen ir�n us 2. Certificate of Liability Insurance g:\safety\ml\mwshtafireworkdi sp laymemo.doc Chanhassen is a Community for Life-Provlding forToday and Planning for Tomorro!�v APPLICATION FOR OUTDOOR DISPLAY OF FIRE`VORKS/PYROTECHNIC SPECIAI,EFFECTS Applicant instructions: This application must be completed and returned at least 15 days priar to date of display. Name of applicant (Sponsoring Organization): Keepin�America's Birthday Observation over Minnewashta Address of applicant: 3611 Ironwood Road, Excelsiar, Minnesota 55331 Name of authorized agent of applicant: Pvrotechnic 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, 2015 Time of display:_about l Opm Location of display: Lake Minnewashta Re�ional Park—�lease see the attached site map, Chanhassen,MN Manner and place of storage of fireworks/pyrotechnic special effects prior to display: Delivery and stara�e in truck on da o�isplay Type&number of fireworks/pyrotechnic special effects to be discharged: 1.3G product -up to 5 inch aerial shells, & Multi-Shot Box Items & Candles Minnesota State law requires that this display be conducted under the direct supervision of a pyrotechnic operator certi�ed by the State Fire 1VIarshal. Name of supervising operator: _Lael C. Liteckv Certificate No.: O 0219 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 Eric Ostman,47&Craig Armbrust,34 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 firewarks/pyrotechnic special effects are discharged in a manner that will not endanger persons or property or constitute a nuisance. � �--�� 1 - � � Signature of applicant(ar agent): � ti .,,��,� �� Date of application: �� Signature of Fire chief/County Sheriff: � � � Date: ��'��'�' °��'J�_��t,�'�„�+��'i/ Printed name of above official: d�� -�� ': `��'�� Phone: __. f- r , f . Signature of issuing authority: � � � � , �� , ' .,��.�� ._. . J . Date: �=�-��E1�.. 1.�; ��_ , ti k!p r�V 7 � G..� �,.. ,: `� s' ,. ,6 ) ,�_yS i ;..�,, Printed name of above official: � c��{C� �` �a."�r �� Phone: 1 ¢ ��t � r '� �`'�� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 4/20/2015 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 li REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. �I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to i 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 N A T NAME: Britton Galiagher PHONE FAX One Cleveland Center, Floor 30 A�c n,o eXc:21 - -7100 n�c n,o: _ E-MAIL 1375 East 9th Street aooRess__ _ ---- �' C�eVe�and�H 44��4 _ INSURER�SJAFFORDWGCOVERAGE . _ __ NAIC#__ ; ____ __ ___ irusuReRa:Axis Surplus Ins Company ___ _ _____ II WSURED INSURERB:MN WC IIIS r�C�sociation__ _ ____ � Pyrotechnic Display Inc. _wsuReRc:Everest In e�mnity Insurance Co ------ ' 8450 W. St. Francis Road wsuReRo:Everest National Insurance Compan�______ 10120 Frankfort IL 60423 - INSURER E: I W SURER F: ' Gz)VERAGES CERTIFICATE NUMBER:1592863359 REVISION NUMBER: 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. i INSR ADDL SUBR POLICY EFF POLICY EXP �i LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS '� C i GENERALLIABILITY SI8ML00006-141 /30/2014 /30/2015 EACHOCCURRENCE ��1,OOQ000 I, �x i DAMAGE TO RENTED � � � �� COMMERCIAL GENERAL LIABILITY '� pREMI ISES(Ea occurrence '� 5500,000 I ' CLAIMS-MADE �OCCUR � '� MED EXP(Any one person) $ ___ _ ', � PE SR ONAL&ADVINJURY 51,000,000 ,. i - — ----- � f_� GENERALAGGREGATE $2,000,000_ ___ �GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG �2,000,000 � X PRO- `— - —�—._.---- I � � POLICY I LOC �' ' $ D AUTOMOBILELIABILITY SI8CA00006-141 /30/2014 /30/2015 Eaaccident) _ �1,000,000 __ ��. X ANY AUTO I BODILY INJURY(Per person) 5 I ALL OWNED SCHEDULED BODILY INJURY Per accident S '�� AUTOS AUTOS I � � ' NON-OWNED PROPERTY DAMAGE I, X HIREDAUTOS X AUTOS i Peraccident f� — � � -- � ' A UMBRELLA LIAB X OCCUR i EAU733983 /30/2014 �/30/2015 EACH OCCURRENCE �54,000,000 i X EXCESS LIAB CLAIMS-MADE ' I AGGREGATE �4,000,000 li DED RETENTION 5 I '�� —� -s� ' WORKERS COMPENSATION ' WC STATU- OTH- B MNAR0000019718(MN) �9/30/2014 /30/2015 X I AND EMPLOYERS'LIABILITY Y�N I ____ T RY LIMITS !.ER...__ ' ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L EACH ACCIDENT $1,000,000 i I OFFICER/MEMBER EXCLUDED? ❑�N/A � � ._ _____ �, (Mandatory in NH) � I E.L.DISEASE-EA EMPLOYEE $1,000,000 '� i If yes,describe under � I — !� ' DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT 51,000,000 I III �il DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) ' DISPLAY DATE: July 4,2015 ( LOCATION: Lake Minnewashta Park, Chanhassen, Minnesota ADDITIONAL INSURED: City of Chanhassen, Minnesota; Carver County of Minnesota; Keeping America's Birthday Observation over � Minnewashta i I CERTIFICATE HOLDER CANCELLATION I� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ! THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ', Keeping America's Bithday Observation Over Minnewasht ACCORDANCE WITH THE POLICY PROVISIONS. ' Attn: Ms. Beth Ginther '! 3611 Ironwood Road AUTHORIZEDREPRESENTATIVE Excelsior MN 55331 ' �, , � as��`.�=' ' O 1988-2010 ACORD CORPORATION. All rights reserved. i ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD