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Home My WebLink AboutHLP2012-2411MEMORANDUM 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: July 11, 2012 Attached is a request for a helicopter lift scheduled for Tuesday, July 17, 2012 at 6:30 A.M., for 3000 Grapevine Mills Parkway #231 if it meets your approval, please sign below: Bruno Rumbelow, City Manager Dan Hambrick, Risk Manager O: \CCook \He] icopterMemorandum FAX CITY OF GRAPEVINE P.O. BOX 95104 200 S. MAIN STREET GRAPEVINE, TX 76099 (817) 410 -31659 FAX (817) 410 -3012 TO: Linda Norman (Five State Helicopter) FROM: Susan Batte 817 - 410 -3155 FAX #: 1- 972 - 636 -1300 SUBJECT: Approval of Helicopter Lift DATE: July 16, 2012 Pages: 2 sheet. COMMENTS: Your request for a helicopter lift scheduled for Tuesday, July 17, 2012 at 6:30 A.M. at 3000 Grapevine Mills Pkwy #231, has been approved. E- MAILED NOTICE TO LINDA ON 7/16/2012 OACCook\Helicopter Fax 07/11/2012 15:13 9726361300 5 STATE HELI PAGE 02/11 HOLD HARMLESS AND INDEMNITY AGREEMENT PROJECT ADDRESS:Grapevine Mills Mall, 3000 Grapevine Mills Pkwy, Grapevine, Tx 76051 NATURE OF OPERATION: Air lifting Air conditioning units DATE OF OPERATION: 7 -17 -2012 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 harrztless 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 fees, and all other expenses resulting from any and all activities conducted within the city of Grapevine, Texas. It is the understanding of all parties that this release, indemnity, and hold harmless agreement shall apply whether or not the claims, damages, harm, personal injury, 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 / 1 day and (month) 0_2012. COMPANY; 5 -STATE HELICOPTW, INC. BY: LINDA NORMAN (printed) / i TITLE: OWNER (signature) STATE Ok ,r, COUNTY This instrument was acknowledged before me on this the Day of .2012 NOTARY PUBLIC IN AND FOR THE STATE My commission expires S-r signature y :IL-INDA M. VAUGW Mmmission IEVNVS ay 01, 2013 07/11/2012 15:13 9726361300 5 STATE HELI PAGE 03/11 nian insu ltio�(V Inc. Certificate of Insurance Certificate Numbar: This is to cartify that the policy(ics) of insurance as devCAbcd below have been issued to the Insured far whom thin Certificate is executed and istare in force'at this time. This Certificate is issued The information only and contbrs no rights upon the bolder, This Certificate neither affirmatively nor negatively amends, extends or alters the coverage afforded by such polivy(ies) or binders) stated herein, This certificate cancels and supntaedes all previously issued certificates, Cerdfleate holder: City of Grapevine PO Box 95104 Grapevine, TX Named Insured: 5 - State Helicopters, Inc. 285 Blackland Road Royse City, TX 751891746 Policy Type: Aircraft Hull & Liability and .Aviation General Liability Policy Policy Period: February 01, 2012 to February 01, 2013 both days at 12:01aan Local Standard Time at the address of the Named Insured shown above- Insurer(s)- Corirpany Policy No. % Participsition StarNet Insurance Company through Berkley Aviation, LLC Aircraft Covered: Sikorsky 558T, N4XY, Sikorsky S58T, N68L Coverages & Limits Aircraft Liablllty Combined Single Limit Bodily Injury, including Personal Injury and Property Damage Liability(Excluding Passeiugcr Liability) Cargo Legal ]Liability Cargo Legal Liability including Slung Loads Coverage Limit 510,000,000 eaeb occurrence. Coverage Limit $500,000 each occurrence, subject to a deductible of Sl,o00 each claim, Certtileate Provisions Additional Insured Witb respect to Aircraft Liability, it is understood and agreed tite Certificate Holder(s) shall be included as Additional Insured(s) hereunder solely with respect to the operations of the Named Insured, It is specifically agreed the inclusion of more than one Insured hcrcwrder shall not operate to increase the Limits of Liability and is limited to those'coverages providcd by these policies. Certificate Date: 1/30/2012 Authorized Representative 3023 80th Avenue SX, Suite 300 Mailing Address: P.O. Box 60, Mercer Island, Washingbon 98040.0060 phone; (2o6)232 -9870 - Fax: (206)232 -9515 07/11/2012 15:13 9726361300 5 STATE HELI PAGE 04/11 5 -State Helicopters, Inc. 285 Blackland Rd. Royse City, Texas 75189 Brad Ladue Linda Norman 972- 636 -4009 972 - 636 -1300 fax City of Grapevine, Texas Attention: Nir. Scott Williams Aircraft Won - nation: SIKORSKY S -58T: N #'s N4XY and /or N6BL Both Standard Category Faxed with this letter are maps, with the location, date, and time of a external load project that is being done by, 5 -State Helicopters, Inc.. This Letter is to make sure that there is no restrictions or regulations that prevent the helicopter from landing within the city limits of the city of Grapevine, Texas Location of helicopter lift: Grapevine Mills Mail 3000 Grapevine Mills Pkwy (H&M Suite 231 ) Grapevine, Texas 76051 Date and time of helicopter lift: 7 -17 -2012 approximately 6:30 am Please feel free to contact me at the following number and any questions and /or concerns that you may have. Sincerely Linda Norman PLEASE SIGN AND FAX BACK TO 972 -636 -1300 APPROVED 13Y DATE: 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 CURT, LDUL399B PROCEDURES REQUEST PER 8900,1 CHG. 89 5 -STATE HELICOPTERS, INC. 285 BLACKLAND ROAD ROYSE CITY, TEXAS 75189 972 -636 -4009 800 -543 -8442 972- 636 -1300 FAX CONTRACTOR: Berger Engineering Doug Lovern 10900 Shady Trail Dallas, Tx. 75220 LOCATION: Grapevine Mills Mall 3000 Grapevine Mills Pkwy Grapevine, Tx 76051 HEIGHT OF BUILDING: 25 FEET TOTAL OF LIFTS 5 rtu's up 2500 lbs and down CARRYING HAZARDOUS MATERIAL YES NO x^ DESCRIPTION: DATE OF LIFTS: 7 -17 -2012 TIME: approximately 6:30 am CONTACTED: DATE: 7-11-2012 IF A PROBLEM OR SAFETY HAZARD EXISTS THE GROUND PERSONS WITH RADIOS WILL NOTIFY THE PILOT TO MOVE THE HELICOPTER TO A SAFE AREA. N6BL OR N4XY SIKORSKY S -58T STANDARD CATEGORY PILOT: BRADFORD S. LADUE COMM. CERT. 2760587 PILOT: SCOTT B. LADUE COMM. CERT 3250744 LENGTH OF THE CABLES WILL BE 75 FT. FAA DFW Mr. Mike Porter 972 -615 -2833 City: Mr. Scott Williams (Connie) 817410 -318 Police and Fire Dispatch: Karen Ballard 817 -410 -3214 Mall Manager: Cooper Black 972 -724 -4910 C & /�i� SIGNATURE OF RESPONSIBLE COMPANY OFFICIAL 07/11/2012 15:13 9726361300 5 STATE HELI PAGE 06/11 DATE: 7 -11 -2012 5 -STATE HELICOPTERS, INC. 285 BLACKLAND ROAD ROYSE CITY, TIwXAS 75189 972 - 6364009 800- LIFT442 FAX 972- 636 -1300 FAA CERTIFICATE #LDUL599B CONGESTED AREA PLAN- EXTERNAL LOAD LIFT TO: FAA OFFICE: Dallas, Texas TELEPHONE 972- 582 -1800 Fax 972 -582 -1872 JOB SITE Grapevine Mills Mall 3000 Grapevine Mills Pkwy (H &M 231) Grapevine, Texas 76051 SCHEDULED DATE AND TIME OF OPERATIONS: 7 -17 -2012 approximately 6:30 am CONTRACTOR: Berger Engineering 10900 Shady Trail Dallas, Texas 75220 CONTACT PERSON: Doug Lovern 214- 358 -4451 AIRCRAFT: S -58T N -6BL OR N4XY STANDARD CATEGORY PILOT: BRADFORD S. LADUE COMM CERT. # 2760587 SCOTT B. LADUE COMM, CERT. #3250744 LOADS: NUMBER 5 rtu's 2500 lbs and down CARRYING HAZARDOUS MATERIAL: YES NO X DESCRIPTION, — TYPE WEIGHTS CONTACTS: DFw FAA Mr. Mike Porter 972 -615 2833 City of Grapevine, Texas Mr. Scott Williams (Connie) 817410 -3158 Police and Fire: Karen Ballard 817410 -8127 Mall Manager: Cooper Black 972 - 724 -4910 COORDINATION WITH AIR TRAFFIC CONTROL: SIGNATURE OF RESPONSIBLE TO BE CONTACTED BY THE PILOT COMPANY OFFICIAL 07/11/2012 15:13 9726361300 5 STATE HELI PAGE 07/11 PAGE 3 NARRATIVE OF PLAN OF OPERATIONS: 5- STATE HELICOPTERS, INC. JOB SITE: Grapevine Mills Mall 3000 Grapevine Mills Pkwy H &M Suite 231 Grapevine, Texas 76051 DATE OF JOB: 7 -17 -2012 END OF JOB: 7 -17 -2012 ENCLOSED ON SKETCH ATTACHED 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 PENETRATED IF THE LOAD 19 RELEASED AT THE MAXIMUM HEIGHT WHEN LIFTED ABOVE THE ROOF IS NONE. FOR SAFETY REASONS THE SECTION OF THE MALL 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 MAIL, 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 JOTS SITE DURING THE LIFTING OF THE EQUIPMENT TO THE ROOF. THE PARKING LOT ON THE EAST SIDE OF THE BUILDING WILL BE USED FOR LANDING, STAGING. AND EMERGENCY AREA. HELICOPTER LANDING AREA WILL BE SECURED BEFORE THE HELICOPTER ARRIVES AND WILL REMAIN SECURED UNTIL THIr HELICOPTER HAS LEFT THE AREA. CONTRACTOR OF THE JOB SITE WILL BE ULTIMATELY RESPONSIBLE FOR THE OPERATIONAL AREA SO NO UNAUTHORIZED PERSONS WILL BE ALLOWED INTO THE PARKING LOT DURING THE LIFT . THE RESPONSIBILITY HAS BEEN CONVEYED TO THE CONTRACTOR BY 5 -STATE HELICOPTERS, INC. THE PATH 13ETWEEN 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 BE GIVEN BEFORE THE LIFTING BEGINS. THE JOB SITE AND OPERATIONAL AREA WILL BE SURVEYED BY 5 -STATE HELICOPTERS GROUND PERSONAL FOR ANY SAFETY HAZARDS BEFORE THE LIFTING OF THE EQUIPMENT BEGINS. IF ANY SAFETY HAZARDS EXIST THE CONTRACTOR WILL BE REQUIRED TO ELIMINATE THE HAZARD BEFORE THE LIFTING OF THE EQUIPMENT BEGINS. LIFTING AREA COULD BE ANYWHERE INSIDE THE OPERATIONAL AREA DUE TO CONTRACTOR AND OR SUPERINTENDENT MOVING THE EQUIPMENT BEFORE THE HELICOPTER ARRIVES, FLIGHT PATCH WILL BE WITHIN OPERATIONAL AREA. SIGNATURE OF RESPONSIBLE COMPANY OFFICIAL 07/11/2012 16:14 9726361300 a Liu 1. 1 1, a i n: J: t t r" 72b3b1 300 PAGE 4 5 -STATE HE11COPTRRS, INC CONTINU)w>>> 1013 SITE: ORAPEVNL MILLS MALL 3000 GLUIPR"F, MILLS PKWY. Um SC1m 2131 GRAPE rI 15,, TX 76051 DATE: 7,17 -2012 TINM' APPROXIINATBLX 6:30 AM 5 STATE HELI PAGE 02/02 5 STATE HFLT ND. 6615 P, 1: 05/ 88 5 -$TATS HELICOPTERS GROUNDSMAN AND ROOF PERSON RAS RADIO'S AND WILL BE TALKING WrM THE PU-01 AT ALL TII M AURINCx'ITCE LIFTING PROCESS_ IF FORANY RRASON TWM SHOVLD BE A SAFETY FACTOR ARISE TTIE1i WILT. U15CWIATELY ALERT TM PILOT. THE PILOT WILL MOVE TW RMICOPTU TO A, SAFE AREA UNTIL THE RISK HAS BEEN COMCTED. IF THERE ARE POWER ,LINES AND LIGHT PULES IN THE AREA, TMY WILL NOT CAUSE A SAFETY HAZARD To TBE LIFT. HAZARD MATERIAL CARRIED; NO TODAY'S DATE: 1 -I I -2012 PLAN PREPARED BY: NORMA SHOULD A WEATIM, WCHAMCAL OR MA7WAL DU Ay BE EXPMENCED THIS CAP IS APPROVED FOR THE DATE AND TwE LISTED ABOVE PLUS 10 PAYS, FAA: DALLAS, TBXAS AI'`PRQVED 73Y' u � i XA&-U.MP: TMS CQ?aANY CoMPLIPS WrrH 1"M "CODE OF £TWCS; Op THE TLBLICOPIMR ASSOCIATION INTERNATIONAL OF AMMRICA. 07/11/2012 15:13 9726361300 5 STATE HELI PAGE 10/11 A rr177 T-T-CT Tf-"CNDrPUD Q TXTO Meg 14.00 Wad Jul 11 14:00 2012 Scale 1,31,250 (at center) 2000 Faet 1000 Meters Local Road Trail Intemwe/1-11mitad Access Major Connector State Route Exft Railroad Point of Interest Small Town Park/Reservation County Boundary Water RivartCanal 07/11/2012 15:13 9726361300 5 STATE HELJ wrm,--~�- 4F a v � � - ri — '-T PAGE ll/11 ~ CL CL Ln oo ol - ri — '-T