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Home My WebLink AboutHLP2012-1473MEMORANDUM 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 25, 2012 Attached is a request for a helicopter lift scheduled for Wednesday, May 2, 2012, with Rain dates of Thursday, May 3, 2012 or Friday, May 4, 2012 at 7:00 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:ACCook \HelicopterMemorandum April 25, 2012 The attached application is attached memo and forward Manager has signed pleas e Services. Dan Hambrick, Risk Manager for a Helicopter Lift Request. Please sign the packet to the City Manager's Office. Once City forward back to Connie Cook, Development Bruno Rumbelow, City Manager Thank you, n e�L Connie Cook Development Services (817) 410 -3158 04/30/2012 14:17 9726361300 oAD f, 24. 20124; 3! 5 0 PW4726361300 PAGE 4 S -STATE HELICOP'1' M, INC CONT1 UMX -,>�- 100 SITE: GRAPEVaNFs MIX,1,$ MALL 3400 OmpevLu Mil Pkwy Grgcvbe, Texas 76051 DATE: 5.1 -2012 J TIM&: 5 -i 2012 Z,, 6p ort U e Gi 5 STATE HELI 5 SCA7t FELT pI ks /1) L-)K y s PAGE 09/09 No. 5965 P. 1: 05/07 5 -STATE MUCOPIM GROUNDSMAN AND ROOF PEitSON HAS RAMO`S AND WILL M3 TAL KWO WITH THE PILOT AT ALL TIMES DURING THB LIFTING PROCESS. IF FOR ANY REASON THERE SHOULD BE A SAF TY FACTOR ARISE TIF Y WR L li&4Mi 4T1~T. -Y ALERT TUB PIIAT. TIM PILOT WUJ, MM, TM HELICOPTER TO A SAFE AREA UNM TW PaK HAS BEEN CORRECTED. IF THERE ARE )POWER LINES AND LION' POLES IN THE A"A , IMY Wff L NOT CAUSE .A. SAFETY HAZARD TO TS LIFE. HAZARD MATERIAL CARRIED: NO TODAY'S DATE: 444 -2012 WOULD A WEATHER, NIECFIANICAL OR MATERLAL DELAY BE EXPERIENCED THIS CAP IS APPROVED FOR TOE DATE AND TIla 118'MD ABOVl3 PLUS 10 DAYS. , el, —/ FAA: DALLAS, TEXAS APPROVED BY: I oil �J E THIS COMPANY COMPLIES WTIT1 THE "CODE OF MKS: OF TB E RMICOP M AMOCIATION NTf RNATIONAL OF AMERICA. aNa 04/30/2012 14:17 9726361300 5 STATE HELI PAGE 02/09 HOLD HARMLESS AND INDEMNITSt' AGREEMENT Project Address: Grapevine Mills Mall, 3000 Grapevine Mills Pkwy, Grapevine, Tx 76051 NATURE OF OPERATION: Air Lifting Air Conditioning Units DATE OF OPERATION: 5 -2 -2011, or weather date 5 -3 -2012, 5-4 -2012 I, 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 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 fjCom the negligence of whatever mature, 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 day and (month) &Q,_2012. COMPANY: 5 -STATE BELICOPTERS, INC BY: LINDA NORMAN (printed) r TITLE: OWNER (signature ) STATE O)F -s COUNTY OF RpLew, ►11 This instrument was acknowledged before me on this the Day o 2012 NOTARY PUBLIC IN AND FOR TBE STATE OP My commissfoll expires p " signature LINDA M. VAUGHT My Commiasi*0 ExWo May 01, 2018 04/30/2012 14:17 9726361300 5 STATE HELI PAGE 04/09 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. LDUL59913 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: Crawford Service 999 Real Row Ste 100 Dallas, Texas 75247 LOCATION: Grapevine Mill Mall Suite 229 3000 Grapevine Mills Pkwy Grapevine, Texas 76051 HEIGHT OF BUILDING: 25 FEET TOTAL OF LIFTS 5 Rtu's off 2600 lbs CARRYING HAZARDOUS MATERIAL YES NO_X� DESCRIPTION: DATE: 4 -24 -2012 IF A PROBLEM OR SA'FI FTY 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. DATE OF LIFTS: May 1, 2012 w; rh Gt e*1110a ,lam fP— TIME: approximately 7 :00 am CONTACTED: City of Grapevine, Texas Mr. Scott Williams (Connie) 817 - 410 -3158 ,Police and Fire Dispatch: Karen, Ballard 817-410-8127/3214 DFW Airspace: Mall Operations Manager Cooper Black 972 - 7244910 SIGNATURE OF RESPONSIBLY COMPANY FFICIAL 04/30/2012 14:17 9726361300 --� C lan hour Jnc. 5 STATE HELI PAGE 03/09 Certificate of Insuraace Certificate Number. This is to certify that the policy(iea) of insurance ea described below bavo been issued to the Insured for whom this Certificate is executed and islare in forcc,at this time. This Certificate is issued for information only and confers no rights upon the holder, This Certificate *either atTtn*atively nor negatively amends, extends or altars the coverage afforded by such policy(ics) or biuder(s) stated herein. This certificate cancels and supersedes all previously issued cartirrcatcs, Certificate Holder: City of grapevine PO Box 95104 Grapevine, TX (tamed fissured, 5 - Stare Helicopters, Inc_ 285 Blackland Road Royse City, TX 75189 -4746 Policy Type: Aircraft Hull & Liability and Aviation General Liability Policy Policy Period: February 01, 2012 to February 01, 2013 both days at 12:01 am Local Standard Time at the address of the Named Insured shown above, Inourer(s): Company Policy No. % Partfeipadon SWNet Insuitance Company through Berkley Aviation, LLC Aircraft Coveredt Sikorsky S58T, N4XY; Sikorsky S58T, N63L Covero¢es & Limits Aircraft Liability Coverage Limit Combined Single Limit Bodily injury, including Personal Injury and 510,000,000 each occurrence - Property Damage Liabtlity(E,xcluding Passenger Liability) Cargo Legal Liability Coverage Limit Cargo Legal Liability including Shuig Loads $500,000 each occuarenca. subject to a deductible of $1,000 east, Claim, Certificate Provisions Additional Insured With respect to Akeraft Liability, it is understood and agreed. the Certificate Holder(,) *hall be included as Additional Insureds) bcr+eurtder solely with respect to the operations of the Named Insured. It is specifically agreed the inclusion of more than one Insured hereunder shall not operate to increase the Limits of Liability and is limited to those coverages provided by these policies. k� Certificate Date: 1/30/2012 Authorized Representative 3023 80th Avenuo S.E., Suite 300 Mailing Address, P.O. Boys 60, Mercer Island, Washington 980400060 Phone: (206) 232 -9870 - Faxf (206) 232.9515 04/30/2012 14:17 9726361300 5 STATE HELI PAGE 05/09 5 -STATE FIBLICOPTERS, INC. 28513LACKLAND ROAD ROYSE CITY, TEXAS 75189 972 -636 -4009 800 - LIFT -442 FAX 972- 636 -1300 FAA CERTIFICATE #LDUL599B DATE: 4 -24 -2012 CONGESTED AREA PLAN - EXTERNAL LOAD LIFT TO: FAA OFFICE: Dallas, Texas TELEPHONE: 972 - 582 -1800 972 -582 -1872 fax JOB SITE Grapevine Mills Mall (H &M) Suite 229 3000 Grapevine Mills Pkwy Grapevine, Texas 76051 SCHEDULED DATE AND TIME OF OPERATIONS: 5 -1 -2012 approximately 7:00 am W;'rh Wo-a Mee ba+tie T- .z - a*I,z A'yd S -V /:L CONTRACTOR: Crawford Services 999 Regal Row Ste #100 Dallas, Texas 75247 CONTACT PERSON: Jonathan Cell: 214 -701 -6286 TELEPHONE: 214- 271 -8800 AIRCRAFT: S -58T N -6BL OR N4XY STANDARD CATEGORY PILOT: BRADFORD S. LADUE COMM CERT. # 2760587 SCOTT B. LADUE COMM. CERT. #3250744 LOADS: NUMBER TYPE WEIGHTS 5 Rtu's off 2600 lbs CARRYING HAZARDOUS MATERIAL: YES � NO X DESCRIPTION: CONTACTS: City Of Grapevine, Texas Mr. Scott Williams (Connie) 817 -4,10 -3158 Police and Fire: Daren Ballard 817 -410 -81271 3214 Mall Operations Manager: Mr. Cooper Black 972- 724 -4910 DFW Airspace & Proceedures COORDINATION WITH AIR TRAFFIC CONTROL: SIGNATURE OF RESPONSIBLE TO BE CONTACTED BY THE PILOT COMPANY OFFICIAL 04/30/2012 14:17 9726361300 5 STATE HELI PAGE 06/09 PAGE NARRATIVE OF PLAN OF OPERATIONS: 5 -STATE HELICOPTERS, INC. JOB SITE: Grapevine Mills Mall 3000 Grapevine Mills Mall Grapevine, Tx 76051 DATE OF JOB: 5-1-2012 END OF JOB: 5 -1 -2012 u�iti weaM— 4e g-f 15 - a+ 5- 3; - :e 2. 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 IS RELEASED AT THE MAX MUM HEIGHT WHEN LIFTED ABOVE THE ROOF IS NONE. FOR SAFETY REASONS THE SECTION OF TIM MALL BEING LIFTED OVER WILL BE VACANT. ESTIMATED LENGTH OF CABLE IN FEET .APPROXIM.ATELY 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 INI=ORMATION: THIS IS A EXSISTING MALL. THE SECTION OF THE MALL BEING LIFTED OVER WILL BE VACANT DURING THE I.1FT. NO UNAUTHORIZED PERSONS WILL BE .ALLOWED INTO THE OPERATIONAL AREA OF JOB 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 THE HELICOPTER HAS LEFT THE AREA. CONTRACTOR AND/ MALL SECURITY 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 "SPONSIBILITY HAS BEEN CONVEYED TO THE MALL SECURITY AND /OR CONTRACTOR 13Y 5 -STATE HELICOPTERS, INC. 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 BE GIVEN 13EFOU 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 JAYTING 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. a ab' V' ' 06- SIGNATURE O RESPONSIBLE COMPANY OFFICIAL 04/30/2012 14:17 9726361300 5 STATE HELI PAGE 07/09 5-STATE HELICOPTERS. INC. All Mag 13.00 Tue Apr 24 14:28 2012 Scale 1:62,500 (at center) 1 Miles Local Road Trail 0 Interstate /Limited Access '""""' Major Connector State Route Exit — Railroad Point of Interest Small Town Alrfleld Park/Reservation shed Service Airport Locale + Cemetery County Boundary Water Nornh ,Lak 04/30/2012 14:17 9726361300 � . / | CP ^ �H , im /// / UWE 5 STATE HELI PAGE 08/09 Gibson good /\ u 04/25/2012 09:04 9726361300 eApr.24. 2012s: 3:50P%726361390 PAGE S -STATE HELICOPTERS, iNC 100 SITE: GRAIN; M Mir z MALL 3000 Grvmiae M1Is Pkwy Grapevine, T-xu 76051 DA'TS= 5.1 -2012 Tire & 5- 12012 5 STATE HELI PAGE 02/02 5 STAT9 HELx N0. 5995 P, 1: 06/07 5•8TATE REL[COPTERS GROUNDSMAN AND RUOP PM9ON HAS RADIO'S AND WILL H$ TALKM WITH THE PIIDI* AT ALL TI16S DURMG TM LITMG PP oCESS. IP POxi ANY RRASON n4LU SHOULD BE A SAFETY FACTOR ARISE TIMY WILL JNtvMDL4,My ALERT THg pU= TIgE PILOT W]LL MOVE . TIM IMLICOPTBR TO A SAtr'R AREA UNTIL THE RLSK HAS BEEN CORRECTED. IF TMRF AM POWER LINES AND UGF T POLES IN THE AREA, THEY WILL NOT CAUSE A. SA,PI;'IY HAZARD TO TM LIFT. HAZARD MATMAL CAXWD: NO `PObAY'5 DAM: 4. 24.2012 m- S90ULD A WEATHER, MF.CTIAMGAL OR MATERIAL DELAY BE BXPE UWCED THIS CAP Js APPROVED FOR TkM DAZE AND To& EjsM ABOVE pLUS 10 DAYS. FAA: DALLAS, TEXAS APPROVED BY' e ,F� THIS COMPANY COMPLIES -%TM UM "CODE OF Lz'1'HICS: OIL M BELICC1pM ASSOCIAMON IN' MtNATXONAL OF AMERICA,. 15+ � ",