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Home My WebLink AboutHLP2021-0651March 1, 2021 The attached application is for a Helicopter Lift Request. Please sign the attached memo and forward packet to the City Manager's Office. Once City Manager has signed please return to Connie Cook, Development Services. Location: 801 Industrial Blvd. #200 — Arrow Electronics, March 5, 2021 at 8:00 a.m., with a rain date of March 16, 2021 at 8:00 a.m. Melanie Hill, Risk Manager Bruno Rumbelow, City Manager lkro Thank you, Connie Cook Development Services (817) 410-3158 Permit will not be issued until FAA Approval has been received. 0:1C000KII nstructionslHelicooterlrrfolCoverLetter MEMORANDUM CITY OF GRAPEVINE. TEXAS TO: BRUNO RUMBELOW, CITY MANAGER MELANIE HILL, RISK MANAGER FROM: DON DIXSON, ACTING BUILDING OFFICIAL SUBJECT: HELICOPTER LIFT REQUEST DATE: MARCH 1, 2021 Attached is a request for a helicopter lift scheduled for March 5, 2021 at 8:00 a.m. for 801 Industrial Blvd. #200 (Arrow Electronics) with a rain date of March 16, 2021 at 8:00 a.m. if it meets your approval, please sign below: V/ 0:%000O MlnstructionslHelicopterinfoNEMO , City Manager , Risk Manager , Building Official , FAA Approval HOLD HARMLESS AND INDEMNITY AGREEMENT PROJECT ADDRESS: Arrow Electronics 801 Industrial Blvd, Grapevine, TX 76051 NATURE OF OPERATION: Helicopter external lift operation of Roof Top Units to building roof. DATE OF OPERATION: 05 March 2021 with rain date of 16 March 2021 with a 10 day grace period for each date mentioned. I, Shawn Harris, the undersigned, representing 5-State Helicopters, Inc., binding my heirs, executors, 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, 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 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 26thday of February 2021 COMPANY: 5-STATE HELICOPTER7S, I BY: Shawn Harris (printed) Sh Fi TITLE: OWNER (signature) .--,% STATE OF TEXAS COU TY OF Rockwall This instrument was acknowledged before me on this the 261h day of February 2021 NOTARY PUBLIC IN AND FOR THE STATE OF TEXAS My commission exZ 08-26-2024 SUSAN BITROS ��` �P • �a az° lac Notary Public, State of Texas Signature Comm. Expires 08-26-2024 , Notary ID 132643898 Arthur J. Gallagher Risk Management Services, Inc Aerospace US 300 S Riverside Plaza, Suite 1500, Chicago, IL 60606 serah_allen@ajg.com February 17, 2021 To: City of Grapevine 200 S. Main St. Grapevine, TX 76051 Certificate Of Insurance Gam, Gallagher Insurance I RiA management I consulting This is to certify that the insurance brokers of Arthur J. Gallagher Risk Management Services, Inc. have placed Insurance for 100% with Starr Indemnity & Liability Company, Policy Number SASICOM60184921-01, on behalf of the Named Insured covering their operations against the following risks and up to the limits stated whilst operating Worldwide or as defined in the policy. Named Insured: 5-State Helicopters, Inc.; California Helicopter Airways, Inc. dba Centerpointe Aerospace and Aviation Resources Holdings LLC at 285 Blackland Road, Royse City, TX 75189-4746 Policy Period: February 15, 2021 to February 15, 2022 both days at 00:01 Local Standard Time at the address of the Named Insured Coverages: Combined Single Limit Bodily Injury, including Personal Injury and Property Damage Liability: $5,000,000 each occurrence as respects to Sikorsky S-513T and BK 117 B2 type airacraft. Cargo Legal Liability including Slung Loads: $1,000,000 each occurrence, subject to a deductible of $2,500 each occurrence. Physical Damage: As per Insured Values below subject to deductibles of: 5% Of Insured Value Not In Motion and 5% of Insured Value In Motion. Aircraft And/Or Eauipment: 1. One (1) Sikorsky S-513T, Registration Number N4XY, Serial Number 58700 2. One (1) Sikorsky S-5BT, Registration Number N6BL, Serial Number 581567 3. One (1) BK 117 B2, Registration Number N170MC, Serial Number 7217 Contracts: Special Provisions Subject always to the scope of the referenced policies and all the policies' declarations, insuring agreements, terms, conditions, limitations, exclusions, deductibles, warranties and endorsements thereof remaining paramount: Solely as respects: (i) The Coverage(s) noted above; (ii) the Contract(s) (and then only to the extent of the Named Insured's obligation to provide insurance under the terms of the Contract(s)); and (III) the operations of the Named Insured; the policies are endorsed to include the following provisions(s): City of Grapevine is included as an Additional Insured ("the Additional Insured") as their respective rights and interests may appear, warranted no operational interest; however, no party shall be included as an Additional Insured as respects its legal liability as manufacturer, repairer or servicing agent of the Aircraft and/or Engines. In the event of cancellation or material changes of the policies by insurers which would adversely affect the interests of the Certificate Holder(s), Insurers agree to provide 60 days (ten (10) days in the event of cancellation for non-payment of premiums) prior written notice to the Certificate Holder(s). This is to certify that policies of insurance listed above have been issued to the Insured named above and are in force at this time. Notwithstanding any requirement, term or condition of any contracts or other documents with respect to which the certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all terms, exclusions and conditions of such policies. 4L�,l i Authorized Representative City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817)410-3012 Fax CONTRACTOR 5 State Helicopter's 285 Blackland Rd. Fate, TX 75189 (972) 636-4009 Phone OWNER Ktr Dfw Llc HELICOPTER LIFT PERMIT Issue Date: March 4, 2021 PROJECT DESCRIPTION: Helicopter Lift - March 5, 2021 with Rain date of March16, 2021 @ 8:00 a.m. %"Arrow Electronics%" - [RTU] PROJECT # H LP-21-0651 LOCATION 801 Industrial Blvd. Suite # 200 Grapevine, TX 76051 (817) 410-3010 Inspections TENANT Arrow Electronics INFORMATION "APPLICANT NAME —APPLICANT PHONE NUMBER APPROVAL CITY MANAGER APPROVAL DEVELOPMENT SERVICES APPROVAL RISK MANAGEMENT County DATE & TIME OF HELICOPTER LIFT RAIN DATE FOR HELICOPTER LIFT Zoning WWW.mygov.us Permits LEGAL Heritage Business Park Addn-Gv Bilk 2 Lot 1a Susan Bitros 97263640109 YES YES YES Tarrant 2021-03-05 08:00 am 2021-03-16 08:00 am LI - Light Industrial MYGOV.US City of Grapevine I HELICOPTER LIFT PERMIT I HLP-21-0651 I Printed 03/04/21 at 4:10 p.m. Page 1 of 1 � T ! ► 1 t r City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410-3012 Fax CONTRACTOR 24 Hour, Ltd. State ID # MECH3730570 8911 Directors Row Dallas, TX 75247 (214) 630-3000 Phone (214) 638-8378 Fax (214) 616-1616 Mobile OWNER Ktr Dfw Llc 1800 Wazee St Denver, CO 80202-3822 -HLt? al --G(o-5- ) MECHANICAL PERMIT (VALUE) Issue Date: February 23, 2021 PROJECT DESCRIPTION: Install (4) RTU's, (1) Ductless Split System, Exhaust for (2) Restrooms "Arrow Electronics" PROJECT # (817) 410-3010 WWW.mygov.us MECH-21-0570 Inspections Permits LOCATION TENANT LEGAL 801 Industrial Blvd. Arrow Electronics Heritage Business Park Suite # 200 Addn-Gv Blk 2 Lot 1a Grapevine, TX 76051 INFORMATION Is Duct Work Being Installed? YES Square Footage 65975 VALUATION 178970 FEES TOTAL = $ 1,221.85 Mechanical Permit Fee {Value} $ 1,221.85 PAYMENTS TOTAL = $1,221.85 AVAILABLE INSPECTIONS ► Mechanical Duct (required) ► Mechanical Ceiling (required) ► Mechanical Rough (required) * Mechanical Vent Hood (1 st Wrap) (required) ► Mechanical Vent Hood (2nd Wrap) (required) ► Mechanical Final (required) 24 Hour, Ltd. (James Eddie Griffin) Cc on 0212312029 ($1,221.85) NOTICES ALL work must be done in compliance with the 2006 INTERNATIONAL MECHANICAL CODE. PLAN SUBMITTAL: WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE OTHERWISE REQUIRED BY STATE LAW. READ AND SIGN I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIANCE WITH THE CITY OF GRAPEVINE CODES REGULATING CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS PERMIT DOES NOT GRANT OR AUTHORIZE ANY VIOLATION OF ANY CODE OR ORDINANCE OF THE CITY OF GRAPEVINE. I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND / OR LOCAL LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS, AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST Signature Date kVWHEUC0PTERS February 26, 2021 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 office@5state.com www.5state.com Connie Cook, City of Grapevine Attention: City Manager Reference: 5 State Helicopters Landing and Operations This letter, with the location, dates, and time of a helicopter external load operation that is being flown by 5 State Helicopters, Inc. is to ensure there are no restrictions or regulations preventing the helicopter from landing within the city limits of Grapevine, Texas. Date / Time of Job: Location: Contractor: March 5, 2021 Arrow Electronics 124 Hour Ltd 8:OOAM - 12:OOPM 801 Industrial Blvd 8911 Directors Row Grapevine, TX 76051 Dallas, TX 75247 Helicopter Type: Sikorsky S58T, Kawasaki BK 117, Sikorsky UH-60 TRANSPORT CATEGORY Call Sign: N4XY (Blue), N6BL (Red), N170MC (Yellow) or N112HC (Green) Pilots: Bradford Ladue, Robert Smith, Andrew Smith, Steven Phelps or Shawn Harris 5 State Helicopters, Inc. assures the City of Grapevine, Texas that it will comply with all State, Federal and local regulations, holds and required permits and is licensed to do the type of work as described in this request. 5 State Helicopters, Inc. agrees to provide a Certificate of Insurance with liability coverage of $5,000,000.00 showing the City of Grapevine as an additional insured. Please feel free to contact 5 State Helicopters with any questions and/or concerns that you may have. Office: 972-636-4009 Please sign and e-mail back to: SINCERELY, APPROVED / DISAPPROVED BY DATE HEU 0PPTERS J800rarr DATE: February 26, 2021 TO: FAA OFFICE North Texas FSDO REFERENCEM CONGESTED I CONTINGENCY - SAFETY PLAN DATWIME OF JOB JOBSITE INFORMATION DATE: March 5, 2021 ADDRESS: Arrow Electronics TIME FRAME: 8:OOAM-12:OOPM 801 Industrial Blvd. Grapevine, TX 76051 JOBSITE CONTACT: Toby Walters PHONE NUMBER: 469-853-8356 CAP# 30521 CONTRACTOR INFORMATION 24 Hour LTD 8911 Directors Row Dallas, TX 75247 CONTACT: Toby Walters PHONE NUMBER: 469-853-8356 ** SHOULD A WEATHER, MECHANICAL OR MATERIAL DELAY BE EXPERIENCED, THIS PLAN IS APPROVED FOR ABOVE LISTED DATE PLUS 14 CALENDAR DAYS. ** AIRCRAFT INFORMATION: I N6BL SIKORSKY S-58T TRANSPORT CATEGORY 144AI AllWAI )vhl 1KAMNFUHI LAIHjUKI N170MC MESSERSCHMITT TRANSPORT CATEGORY PILOT INFORMATION: BRAD LADUE COMMERCIAL CERTIFICATE # 2760587 ROBERT SMITH COMMERCIAL CERTIFICATE # 3493515 ANDREW SMITH COMMERCIAL CERTIFICATE # 3993823 SHAWN HARRIS ATP # 2727633 PREPARED BY: Susan Bitrosrc.1�.+, K 1 Digitally signed by Brent J Furlow Brent J Furl O W Date: 2021.03.0412:06:31 APPROVED BY:-06'00' OPERATING CERTIFICATE #LDUL599B 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 HEucoPTEls LOAD DESCRIPTION HAZMAT: YES XX (DOT-SP 16606 & DOT-SP 20490) NO X_ ROOFTOP UNITS MATERIALS EQUIPMENT OTHER: NUMBER OF TOTAL LIFTS (RANGE) 2 - 10 WEIGHT RANGE 500 - 3,000 PERCENTAGE OF LIFT ABILITY OF AIRCRAFT 71% LOAD AERODYNAMIC: YES NO XX LENGTH OF ATTACHING GEAR (FROM HOOK TO BOTTOM OF LOAD) 85, BUILDING OCCUPIED DURING LIFT: YES XX NO (if yes see narrative) *IF YES, ESTIMATED LOAD PENETRATION OF FLOORS NONE AREA CONSIDERED CONGESTED: YES XX NO OPERATING CERTIFICATE # LDUL599B 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 . TATE NELICOFrER5 nmwwwu CONGESTED COMMERCIAL AREA CONGESTED RESIDENTIAL AREA XX CONGESTED AREA PROBABILITY/POSSIBILITY This is congested area operations. Items are located in staging area(s) on either transportable vehicles or ground surface. Item(s) to be placed on building/structure roof top(s) or designated areas. Direct flight path(s) from staging area(s) to placement area(s) will occur unless otherwise notated on provided maps. Lift(s) amount(s), description(s), order and placement could be altered by contractor personnel, however, pick up site and drop site shall not be outside the parameter of this request. Helicopter landing area(s) will be secured at all times (prior, during and departure). Flight path(s) during lift operations inside the designated operational area(s) will remain clear of unauthorized personnel, equipment, obstacles at all times. Flight path(s) will remain within operational area(s) at all times. The operational area(s) has been surveyed for hazard(s) and mitigated to the lowest risk level acceptable to, or able to obtain, by both 5 State Helicopters, Inc. and contractor(s). Should a unforeseen, or additional hazard(s) surface, lifting will immediately halt till the hazard(s) have been rectified or mitigated. Primary means of communication via radio will be maintained constantly during the operation. Secondary means of communication via hand signals will be immediately incorporated should radio communications fail. Appropriate ATC communications will be maintained by pilot in all possible and/or feasible situations. Narrative: Due to the job -site being a Medical facility in a residential and commercial area we classify this to be a potential congested area. However, all entrances will be blocked and controlled by security personnel so that no unauthorized persons shall enter or cross the operational area. The North end of the building (inside the operational area) will be vacant during operations. Personnel on the South end of the building will remain 125' from placement site. Security personnel will have the area blocked so that no personnel can cross into the portion of the building being operated over. 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 $TATE 285 BLACKLAND ROAD FATE, TEXAS 75189 5 (972) 636-4009 IiELICOPiEAS tjaCRRNESERVICES office@5state. of Grapevine City Officials 5 State Helicopters has contacted the following city officials about the lift to be performed on March 5, 2021: 801 Industrial Blvd. Grapevine, TX 76051 City Manager: Connie Cook 817-410-3155 Your message has been delivered to the following recipients: Connie 5 State Helicopter Lift of Transformers March 5, 2021 in Grapevine, TX at approximately 8:00 AM - 12:00 PM. Police: Mike Hamlin 817-410-3225 Your message has been delivered to the following recipients: ImhamlinC) 5 State Helicopter Lift of HVAC Equipment 5 March 2021 in Grapevine, Texas at approximately 8:00AM-12:0013M. Fire: Darrell Brown 817-410-4400 Your message has been delivered to the following recipients: dbrown0araoevinetexas. 5 State Helicopter Lift of HVAC Equipment 5 March 2021 in Grapevine, Texas at approximately 8:00AM-12:0013M. ATC: Dallas Fort Worth International Airport 972-615-2605 Your message has been delivered to the following recipients: Sealeski. 5 State Helicopters lift operations 4 miles North West of DFW on March 5, 2021. Best Regards, �a X&:� 4y- 5 State Helicopters Arrow Electronics 801 Industrial Blvd. Grapevine, TX 76051 Date of Lift: 03/05/2021 Time: 8:OOAM Zi 32" 55' 46.8"N 97' 06' 18.2"W h Operctlonal Arca .� ti Flight Path mod. Landing Area ' Staging area . Emergenry Area Blocked Arcas r I _ J ti +.. It as lot I �1 Ir it r ir rl Iq Arrow Electronics n t30�� 801 Industrial Blvd. Grapevine, TX 76051 Date of Lift: ,- 03/05/2021 , ALTrrum BETWEEN SOI.ANA COMPLEX�ANO Time: tiPORTt•i LAKE SHOULD Se AT OR BELOW 1000 FEET MSL WHEN DFW IS IN NORTH FLOW AM 8:OOAM AT OR BELOW WO FE r MSL WHEN AFW IS IN SOUTH FLOW so COMPLEX GRAPEVINE SAYLOR S O WFIITE 114 n GRAP 714E1LlINE 32' 55' 46.8"N 970 06' 18.2"W 41 �• ''� WEST TOWER • • FREQUENCY 134.9 w� 12 121 NO SVFR COLLEYVILLE DAIJAS - FT WORTH INTL (QFY1lj CT 124.15126,55 127.5 134.9 . N ATIS 123. M Ate 1 1000 A } s (504) 1 44 NJ .1777. Helicopterwill not Be more than 125' Above a 40' building When air lifting Equipment to the Roof. r Pilot will contact Dallas Fort Worth !qt" ( Airport. rig •� � Sfiiv�Fl�*. 51��^ �.•]" s any _' .i ..,.!a,�";sf'M; w _ IA MX j' � � :- ` � � � � y i� ••ems r L. i • _ -'1a�- - ^lip f•1•. — - _ .1E �;'•