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HomeMy WebLinkAboutHLP2013-121171 - I;z 1' mt4 13-OW MEMORANDUM CITY OF GRAPEVINE, TEXAS TO: BRUNO RUMBELOW, CITY MANAGER DAN HAMBRICK, RISK MANAGER FROM: SCOTT WILLIAMS, DEVELOPMENT SERVICES DIRECTOR/ BUILDING OFFICIAL SUBJECT: HELICOPTER LIFT REQUEST DATE: APRIL 3, 2013 Attached is a request for a helicopter lifts are scheduled for Wednesday, April 10, 2013 at 7:00 A.M. & a Rain Date of April 11, 2013 at 7:00 A.M. for 3000 Grapevine Mills Parkway #418, if it meets your approval, please sign below: Bruno Rumbelow, City Manager Dan Hambrick, Risk Manager OACCook\HehcopterMemorandum HOLD HARMLESS AND INDEMNITY AGREEMENT PROJECT ADDRESS: Grapevine Mills Mall, 3000 Grapevine Mills Pkwy, Grapevine. Tx. 76051 Crocs Suite 418 NATURE OF OPERATION: air lifting air conditioning units DATE OF OPERATION: 4-10-2013 with 4 -11 -2013 as weather date 1, Linda Norman . the undersigned, representing 5-State Helicopters, Inc., binding my heirs, executors, administrators., administrators, estate and assigns, do hereby agree to completely and wholly release, indemnify the hold harmless the city of Grapevine, its officers, agents. Independent contractors, and employees from any and all claims, damages, Harm personal injury, including death, property damage, lawsuits and judgments, including court costs, expenses and reasonable attorney's lices, and all other expenses resulting from any and all activities conducted within the city of Grapevine,Texas. It is the understanding f all parties that this release, indemnity, and bold 9 harmless agreement shall apply whether or not the claims, damages, liarra, personal iqjury, including deaths, property damage, lawsuits, judgments, court costs, attorney's fees and any other expenses arise from the negligence of whatever nature, omissions, willful and intentional acts of this individual, company or company's officers, agents, employees, independent contractors, other representatives, invitee, licensee, or guests. I the undersigned individual and/or company or company's officer certifies. warrants and represents that the individual whose signature appears below is duly authorized to execute this agreement on behalf of the firms, corporation partnership or other entity who will operate within the city of Grapevine, Texas. In witness whereof, this agreement has been executed this 3 day and (month.) j�� 2013. COMPANY: 5-STATE HELICOPTERS, INC. BY: LINDA NORMAN (printed) L I AICI 14 NO:tYid Al '11TLE: OWNER (signature) tIN � A "11, I STATE OF TEXAS COUNTY OF ROC `W LL Caledonim Insurance Group, Inc. Cerfificate of Insurance Certificate Number. This is to certify that the polic)lics) of insurance as described below have been issued to the Insured for whom this Certificate is executed and Ware in force at this time. This Certificate is issued for information only and confers no rights upon the holder. This Certificate neither affirmatively nor negatively amends, extends or alters the coverage afforded by such policy(ics) or binder(s) stated herein. This certificate cancels and supersedes all previously issued certificates. Certificate Holder: City of Grapevine PO Box 95104 Grape-vine, TX Named Insured: 5 - State Helicopters, Inc, 285 Blackland Road Royse City, TX 75189-4746 Polity T)pe: Aircraft Hull & Liability and Aviation General Liability Policy Policy Period: February 01, 2013 to February 01, 2014 both days at 12:01 am Local Standard Time at the address of the Named Insured shown above. Insurer(s): Company Aircraft Covered: Sikorsky S58T, N4XY; Sikorsky s58'r, N6131. Coverages & Limits Aircraft Liability Combined Single Limit Bodily Injury, including Personal Injury and Property Damage Liability(Excluding Passenger Liability) Cargo Legal Liability Cargo Legal Liability including Slung Loads Coverage Limit S10,00(000 each occurrence. Coverage Limit 5500,000 each occurrence, subject to a deductible of $1,000 each claim. Certificate Provisions Additional Insured With respect to Aircraft Liability, it is understood and agreed the Certificate Holder(s) shall be included as Additional Insured(s) hereunder solely Kith respect to the operations of the Named Insured. It is specifically agreed the inclusion of rijoie than one Insured hereunder shall not operate to increase the Limits of Liability and is limited to those coverages provided by these policies. Certificate Date: 1125/2013 MR Authorized Representative 3023 801h Avenue S.•., Suite 300 Mailing Address: P.O. Box 60, Mercer Island, Washington 98040-0060 Phone: (206) 232-9870 - ;Fax: (206) 232-9515 5- STATE HELICOPTERS INC. -AERIAL CRANE SERVICE" 285 BLACKLAND ROAD ROYSE CITY, TEXAS 75189 972-636-4009 800-543-8442 FAX 972-636-1300 FAA CERT. LDUL59911 PROCEDURES REQUEST PF'R 8900.1 C11G. 89 Congested Area Plan DATE: 4-3-2013 5-STATE HELICOPTERS, INC. 285 BLACKLAND ROAD ROYSE ary, TEXAS 75189 972-636-4009 800 - 543 -8442 972-636-1300 FAX CONTRACTOR: Express Service Heating and Air P.O. Box 1012 Rockwall, Texas 75087 JOB SITE: Grapevine Mills Mail Croes Suite 418 3000 Grapevine Mills Pkwy Grapevinc,'I'exas 76051 HEIGHT OF BUILDING: 25 FEET TOTAL OF LIFTS: I rtit up I rtu do 2400 lbs DATEOFLIFTS: 4-10-2013 weather date: 4-11-2013 APPROXIMATELY: 7:00 atri IF A PROBLEM OR SAFETY HAZARD EXISTS THE (-.►R.OLJNI) PERSONS WITH RADIOS WILL NOTIFY THE PILO] I TO MOVE THEE I-IELICOPTERTO A SAFE AREA. N6BL OR N4X.Y SIKORSKY S-58-F STANDARD CATEGORY PILOT: BRADFORD S. LADUTE COMM. CERT. 2760587 PILOT: SCOTT BRADFORD LADUE COMM. CERT 3250744 LENGTH OF THE CABLES WILL BE 75 FT. CONTACTED: City of Grapevine: Mr. Scott Williams (connie) 817-410-3158 Police and Fire Dispatch: 817-410 -8127 !3214 Karen Ballard DFW Airport: SIGNATURE OF RESPO L PANY OFFICIAL 5-STATE HELICOPTERS, INC. 285 BLACKLAND ROAD ROYSE CITY, TEXAS 75189 972-636-4009 800-LIFT-442 FAX 9721-636-1300 FAA CERTIFICATE # LDUL-599B DATE: 4-3-2013 CONGESTED AREA PLAN-EXT[,,RNAI, LOAD LIFT TO: FAA OFFICE: Dallas, Texas Telephone: 972-582-1800 Fax 972-582-1872 JOB SITE: Grapevine Mills Mail Cross Suite 418 3000 Grapevine Mills Pkwy Grapevine, Texas 76051 SCHEDULED DATE AND TIME OF OPERATION: 4-10-2013 with rain date of 4-11-2013) 7:00 am CONTRACTOR: Express Service Heating& Air P.O. Box 1012 Rockwall, Texas 75087 CONTACT PERSON: Jeff Telephone: 972-771-7807 Fax 972-771-1551 AIRCRAFT: S-58T N-6BLORN4XY STANDARD CATEGORY PILOT: BRADFORD S. LADUE COMM CER'l-. #2760587 SCOTT BRADFORD LADUE CONIM. CERT. #3250744 LOADS: NUMBER TYPE WEIGHTS I rtu tip and I rtu down 2400 lbs CARRYING HAZARDOUS MATERIAL: NO DESCRIPTION: CONTACTS: City of Grapevine: MR. Scott Williams (connic) 817-410-3158 Fire and Police Dispatch: Karen Ballard 817-410-8127 DFW Airport: SIGNATURE OF RESPQ IBLL,' COMPANY iO�l-'Fl-�-C-IA�L NARRATIVE OF PLAN OF OPERATIONS: 5-STATE HELICOPTERS, INC. Congested Area Plan Job Site: Grapevine Mills Mall: Crocs: Suite 418 3000 Grapevine. Mill Pkwy Grapevine, Texas 76051 DATFOFJOB: 4-10-2013 with rain date of4-I 1-2013 END OF JOB: 4-10-2013 with rain date of 4 -11 -2013 ENCLOSED ON SKETCH ATTACI IEO TO THIS REQUEST FLIGHT PATH FROM THE STAGING AREA WHERE THE EQUIPMENT IS LIFTED TO THE AREA WHERE THE EQUIPMENT IS PLACED ON THE BUILDING WILL BE CLEARED OF UNAUTHORIZED PERSONS. THE ESTIMATE OF HOW MANY FLOORS OF THE BUILDING WILL BE PENETRA'FED IF THE LOAD IS RELEASE[) AT THE MAXIMUM HEIGI-IT WI-IEN LIFTED ABOVE THE ROOF IS NONE. FOR SAFETY REASONS THE AREA OFTI-IE BUILDING BEING LIFTED OVER WILL BE VACANT. ESTIMATED LENGTH OF CABLE IN FEET .APPROXIMATELY 75 FEET EMERGENCY LANDING AREA: UNLESS OTHERWISE NOTED ON THE PLOT PLAN. THE HELICOPTER LANDING AREA AND PICK UP SITE WILL BE EMERGENCY LANDING AREAS, ADDITIONAL INFORMATION: THIS IS A EXSISTING MALL. THE SECTION OF THE MALL BEING LIFTED OVER WILL BE VACANT DURING THE LIFT. NO UNAUTHORIZED PERSONS WILL BE ALLOWED INTO THE OPERATIONAL AREA OF JOB SITE DURING THE: LIFTING OFTI IF' EQUIPMENT TO THE ROOF. THE PARKING LOT ON THE NORTI-IWEST SIDE OF `I'[ 11, MALL WILL BE USED FOR LANDING, STAGING. AND EMERGENCY AREA. HELICOPTER LANDING AREA WILL BE SECURED BEFORE THE HELICOPTER ARRIVES AND WILL REMAIN SECURED UNTIL THE HELICOPTER HAS LEFT THE AREA. CONTRACTOR AND SUPERINTENDENT OF THE JOB SITE WILL CLOSE TI IE OPERATIONAL AREA SO NO UNAUTHORIZED PERSONS WILL BE ALLOWED INTO THE PARKING LOT DURING THE LIFT. THE PATH BETWEEN THE STAGING AREA AND WHERE THE UNITS WILL BE PLACED ON THE ROOF WILL BE CLEAR. NO UNAUTHORIZED PERSONS WILL. BE ALLOWED IN 'THE LIFTING AREA. SAFETY BRIEFINGS THAT ARE GIVEN BY 5-STATE HELICOPTERS GROUND CREW WILL 11F, GIVEN BEFORE THE LIFTING :BEGINS. THE OPERATIONAL AREA WILL BE SURVEYED BY 5-STATE HELICOPTERS GROUND PERSONAL FOR ANY SAFETY HAZARDS BEFORE THE LIFTING OF TI IF EQUIPMENT BEGINS. IF ANY SAFETY HAZARDS EXIST THE CONTRACTOR WILL BE REQUIRED TO ELIMINATE THE HAZARD BEFORE THE LIFTING OF THE EQUIPMENT BEGINS. 5-STATF, HELICOPTERS GROUNDSMAN AND R0017 PERSON, I IAS RADIO'S AND WILL BE TALKING WITHTHE PILOT' AT ALL "TIMES DURINGTHF.' LIFTING PROCESS. IF FOR ANY REASON THERE SHOULD BE A SAFETY FACTOR ARISE THE'Y WILL IMMEDIATELY ALERT Tf I.EPILOT. ']'HE PILOT WILL MOVE TIME HELICOPTER TO A SAFE AREA UNIT THE RISK HAS BEEN CORRECTED. LIFTING AREA COULD BE ANYWHERE INSIDE T11E OPERATIONAL AREA DUE TO CONTRACTOR AND OR St.)PERIN'1'1-,Nl)l N'I'MOVIN(i'THE 1:,"Qtl"IIPMEN'I' BEFORE '1'14L- HELICOPTER ARRIVES. FLIGHT PATH WILL BE WITHIN OPEMTIONAL AREA. SIGNATURE OI-'RESPONSIBI- E(',OMPAN'Y' 01-1 °1CIAL PAGE 4 5-STATE HELICOPTERS, INC. Congested Area Plan JOB SITE: Grapevine Mills Mall Crow Suite 418 3000 Grapevine Mills Pk,,N,,v Grapevine, Texas 76051 DATE OF JOB: 4-10-2013 with weather date of 4-11-2013 TIME: approximately 7:00 am THERE ARE POWER LINES AND LIGHT POLES IN TI AREA BIJT, THEY WILL NOT CAUSE A SAI`E'rY HAZARD TO THE LIFT. TODAY'S DATE: 4-3-2013 PLAN PREPARED BY: Linda Nomian SHOULD A WEATHER, MECHANICAL OR MATERIAL DELAY BFFIXPERIENCED THIS CAP IS APPROVED FOR TI-1E DATE AND TIME LISTED ABOVE PLUS 10 DAYS. FAA: Dallas, Texas APPROVED BY: FAA STAMP: THIS COMPANY COMPLIES WITH THE "CODE OF I,. ri i ics: OF THE HELICOPTER ASSOCIATION OF AMERICA. 2 3 6 3 a: V9 7426 3 6 13 0- L F i ITE HELI PAGE 4 5-STATE'HELICOPTERS, Nc.i Congested Area Plan 1013 SITE: Goapevilk-, Mills Mall ?Wt-. 418 -3000 Grapevine Mills Pk5, Oveviat, Texas 716W I )DATE 2 OFIODM4-1, 1 TIME: apVroxWaTc;l)-Vy-17-!-:;lo arn L MU, ARE PQWFR LDIES AND� TOHT�POLES IN THE AREA BUT, THEY Wes. N-OT,,, ._.'CAUJSE A SAFETY HAZARD TO. I E-LJFJ;'% TODAY'S DATF: 4-m'-1 -2) 0 13 PLAN PREPARED BY: SHOULD A WEATHER, ME-ClINNICAL O;ZINLAM-3.-AL DELAY BE EXPERIENCED THIS CAP IS AMR.011RD F:)R TIE DAT7- AND I' WE LIST)FI) AJ30'VE PLUS 10 DAYS, FAA: Dallas, Tcus THIS COMPAN'YCOMI'l . N�v-j,l,t4-'HE",'.,'GO O'ETRICS:0 F HE 'f CO TER R F F ASSOCIATION OF AMI 1� 7 04/07 5-STA hHtLICU'-"-PT-hr-' TRZ, S INC. Bolo jkkJPKNJ Point P., Al Mag 12,00 Wed Apr 03 09:02 2013 Scale 1:125,000 (at center) 2 Miles 2 krn - LocalRoad - Trail C--= Interstatell-imited Access Major Connector State Route Exit Railroad Small Town G� E ROYAL UN YAf iz 41L ParklReservation --*tSched Service Airport Locale +VALN,;T Cemetery Hiqhl County Boundary �01%7�s ITC, Water 7y' 4t. iltltC�:I Airfield Geographic Feature 41L ParklReservation --*tSched Service Airport Locale Cemetery County Boundary Water INC. 5-SrI"ATE HELICOPTERS, ` ,Grapevine Recreational Park "1� 7 " vRoc letiuc Park m t W S..&NOY LA KE RD N32" 58,043' t---t - - -- Oak FW19 �y ` 02.470,' e SAU �� i .� ?TTT -1 C1 j GELIPE l' 11\.L t1tLLS %9 ;1LL �> -- T 3000 GRAPEVINE MILLS PKN, � zs " � �l� .-tf r. GRAPEVINE, TEXAS' b051 ,,' IT tiE RO t DATE OF LIFT: 4-10-2013 wk tl I IELICOPTER WILL NOT BE ° TIME: APPROkIMA; LLY 7:00 AM 1 � `- -� ti101.ZE " �`� t4?rr 1 i ��� '1 *1IA1N 1`5 1"T. AB�?VE A25 _, ,1 P 1y r a� : LL_ F.Nd�t.L.. coFartt. RD 121 _ NIALL WlIEN AIR LIFTING o ' 4vwL� -I 382 114 EQL1Pb1Et`7 "1 "O'TLIE ROOF. , G I p ine 1?/ y4 1 ./J�,� PILO "r �\ 1I.L ELI= IN_� �cti _ z �+ `° '� CONTACT �� y ' , A WITH DFW CONTROL 14 TOWER �- K�z a 11.1 `-- rte,,,,... _.-^ -! � i 'i''oicc� � � � �•f � • �« —r m _`.�` � to — �.•—} �" tDal)a, '1't Worth )ntemati . at r t ' � Leo � i '� t,a� L L _ r Minters' Chapel �. ��, �, 1D RJE;GpADF R IN 29TH ) eyv 4, r - i2?( s 1E1 cAROON ro 2001 D4 nrnle Stie�K <ltlas U5l 21G i iIli Inc.. Re[. tt:'?tn ?1 g ,.t, „ ,. , %lag 13.00 — Wed Apr 03 08:59 2013 Local Road Small Town Scale 1:62,500 (at center) Trail Airfield t 1 Miles C== InterstatelLirrited Access PaNReservation 2 km Major Connector Sched Service Airport State Route Locale Exit Cemetery Railroad County Boundary Point of Interest Water �� I X0 hti cz it LIP 'ZJ 71 tlY .... . .. . ji �!: ... ............ .... ............ Un O�v Jf . . ..........