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D-4. Approve Fireworks Display at Lake Minnewashta on July 4, 2017 "-"L 1-4 • w q CITY OF ClIANIIASSEN S Chanhassen isa Community for Life-Providing for Today and Planning for Tomorrow MEMORANDUM TO: Todd Gerhardt, City Manager FROM: Mark Littfin,Fire Marshal DATE: March 22,2017 SUBJ: Private Fireworks Display at Lake Minnewashta on July 4, 2017 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, 2017, 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 4th. This application is similar to what has occurred for the past twelve years and meets Fire Code regulations. The following conditions have been communicated and agreed to by all concerned parties. 1. The fireworks display operator will be required to adjust the launch angle so as to aim over the lake in order to minimize drop-down material from landing in the wetland area resulting in grass/swamp fires. A plan must be submitted to the Fire Marshal to show how this will be accomplished. 2. Staff will require the Fire Department to have a standby crew at the launch site. Additionally, a boat from either the Carver County Sheriff's Department Water Patrol Division or the Chanhassen Fire Department will be required on the lake to secure the fireworks drop-down zone. I will coordinate this as we get closer to July 4th. Additionally,the group has provided a certificate of liability insurance policy covering this event. RECOMMENDATION Staff recommends approval of the request from Pyrotechnic Display, Inc. for a fireworks display permit on July 4, 2017 at Lake Minnewashta Regional Park with the conditions noted above. Approval requires a simple majority vote of the City Council. ATTACHMENT 1. Application for Display of Fireworks 2. Certificate of Liability Insurance g:\safety\mI\mwshtafireworkdisplaymemo.doc PH 952.227.1100• www.ci.chanhassen.mn.us • FX 952.227.1110 7700 MARKET BOULEVARD • PO BOX 147 • CHANHASSEN • MINNESOTA 55317 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 4,2017 Time of display: about at 10 pm Location of display: Lake Minnewashta Re.ional Park — .lease see attached site ma. 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 5 inch aerial shells and Multi-Shot Box Items&Candles 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 Litecky Certificate No.: 0 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,49,Craig Armbrust,36 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: March 17,2017 Signature of Fire chief: L-7 /11Q- - Date: 3 - - 17 Printed name of above official: Phone: Signature of issuing authority: �cl�'�� Date: 3-2'-17 Printed name of above official: ; Phone: 6/2-' q ' ® DATE(MM/DD/YYYY) AW o CERTIFICATE OF LIABILITY INSURANCE 3/17/2017 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 CONTACT NAME: Britton Gallagher PHONE FAX One Cleveland Center, Floor 30 (A/C. EXtI:216 658 7100 (A/C,No): 1375 East 9th Street ADDRESS: Cleveland OH 44114 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Ax1 rel S Ins Omf- INSURED INSURER B:Everest Indemnity Insurance Co - Pyrotechnic Display Inc. INSURERc:Everest National Insurance Company 10120 8450 W.St. Francis Road INSURER D:MN WC Assigned Risk Plan Frankfort IL 60423 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:929849856 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. INSR ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTRINSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS B GENERAL LIABILITY SI8ML00006-161 9/30/2016 9/30/2017 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $500,000 _ CLAIMS-MADE X OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE _ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 IPOLICY X 1281: LOC I $ C AUTOMOBILE LIABILITY SI8CA00006-161 19/30/2016 9/30/2017 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED ^SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) A UMBRELLA LIAB X OCCUR EAU733983 9/30/2016 9/30/2017 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED RETENTION$ I $ D WORKERS COMPENSATION MNAR0000019718-8(MN) 9/30/2016 9/30/2017 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement. DISPLAY DATE: July 4,2017 LOCATION: Lake Minnewashta Park,Chanhassen, Minnesota ADDITIONAL INSURED: City of Chanhassen, Minnesota; Carver County of Minnesota; Keeping America's Birthday Observation over Minnewashta CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Keeping America's Bithday Observation Over Minnewashta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Ms. Beth Ginther ACCORDANCE WITH THE POLICY PROVISIONS. 3611 Ironwood Road Excelsior MN 55331 AUTHORIZED REPRESENTATIVE / ©1988-2010 ACORD CORPORATION. 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