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Home My WebLink AboutHLP2021-1217April 7, 2021 The attached application is for a Helicopter Lift Request. Please sian 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: 1501 Gaylord Trail (Gaylord Texan), April 13, 2021 at 11:00 a.m., with a rain date of April 23, 2021 at 11:00 a.m. Melanie Hill, Risk Manager `IZI Bruno Rumbelow, City Manager Thank you, Connie Cook Development Services (817) 410-3158 Permit will not be issued until ✓ FAA AnDroval has been received. 0%CCOOKinstructions\Helimoterinfo\Cove Le er NUPaI -iai? p� C�)-o (a 30 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: APRIL 7, 2021 Attached is a request for a helicopter lift scheduled for April 13, 2021 at 11:00 a.m. for 1501 Gaylord Trail (Gaylord Texan) with a rain date of April 23, 2021 at 11:00 a.m. if it meets your approval, please sign below: �2 0\CCOOK\Instructions\Hel,woterinf.WEMO City Manager Risk Manager ding Official FAA Approval City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (8171410-3165 Voice (817) 410-3012 Fax HELICOPTER LIFT PERMIT Issue Date: April 9, 2021 PROJECT DESCRIPTION: Helicopter Lift - April 13, 2021 with Rain date of April 23, 2021 @ 11:00 a.m. "The Gaylord Texan" - [Transformers] PROJECT# HLP-21-1217 LOCATION 1501 Gaylord TH. Building # 1 Grapevine, TX 76061 (817)410-3010 Inspections TENANT Gaylord Texan WWW.mygov.us Permits LEGAL Opryland Addition Elk n/a Lot 1 CONTRACTOR INFORMATION 5 State Helicopter's —APPLICANT NAME Susan Bltros 286 Blackland Rd. *`APPLICANT PHONE NUMBER 9726364009 Fate, TX 75189 APPROVAL CITY MANAGER YES (972) 636-4009 office@5state.com APPROVAL RISK MANAGEMENT YES OWNER County Tarrant Opryland Hotel DATE & TIME OF HELICOPTER LIFT 2021-04-13 11:00 am ,I RAIN DATE FOR HELICOPTER LIFT 2021-04-07 11:00 am Zoning PCD - Planned Commerce Development MYGOV.us City of Grapevine I HELICOPTER LIFT PERMIT I HLP-21-1217 I Primed 04109/21 at 1234 p.m. Page 1 of 1 City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410-3012 Fax CONTRACTOR ELECTRICAL PERMIT (VALUE) Issue Date: February 26, 2021 PROJECT DESCRIPTION: Replace Transformers " Gaylord Texan" PROJECT# (817)410-3010 WWW.mygov.us ELEC-21-0638 Inspections Permits LOCATION TENANT LEGAL 1501 Gaylord TO. Gaylord Texan Opryland Addition Blk n/a Lot Building # 1 1 Grapevine, TX 76051 lopryland Addition Un-Numbered Lot DFW Electric Group, LLC ELEC State ID # 200892 1010 Squire Drive Wylie, TX 75098 (972)442-9584 Phone (972)442-0161 Fax (469) 363-3902 Mobile OWNER Opryland Hotel 1 Gaylord Dr Nashville. TN 37214-1207 AVAILABLE INSPECTIONS Electrical Ceiling (required) r Electrical Service (required) Electrical Final (required) INFORMATION County Tarrant Square Footage VALUATION 84000 Zoning PCD - Planned Commerce Development FEES TOTAL = $ 715.00 Electrical Permit Fee (VALUE} $ 715.00 PAYMENTS TOTAL = $ 715.00 DFW Electric Group, LLC ELEC (Kevin Freudiger) ($715.00) Cc on 0212612021 NOTICES ALL work must be done in compliance with the 2005 NATIONAL ELECTRIC 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 MYGOV.US City of Grapevine I ELECTRICAL PERMIT {VALUE} I ELEC-21-0638 I Panted 04/07/21 at 3.38 p.m Page 1 of 2 HOLD HARMLESS AND INDEMNITY AGREEMENT PROJECT ADDRESS: The Gaylord Texan 1501 Gaylord Trail Grapevine, TX 76051 NATURE OF OPERATION: Helicopter external lift operation of transformers. DATE OF OPERATION: 13 April 2021 with rain date of 23 April 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 7th day of April 2021 COMPANY: 5-STATE HELICOPTERS, INC. BY: Shawn Harris (printed) ShawA. Harris TITLE: OWNER (signature) / 4h STATE OF TEXAS _ COUNTYOF Rockwall This instrument was acknowledged before me on this the 7th day of ril 2021 NOTARY PUBLIC IN AND FOR THE STATE OF TEXAS My commission tres _ 08-26-2021 —0 / 4&AYo'gJ SNAN S(TROS d Signatur — �_ Pr°+�' jNcnbtery Publlo, State of Texas, Iv-' +P a Comm. IFxplree 08-26.2024 1 C Notary 10 132843898 I Arthur J. Gallagher Risk Management Services, Inc Aerospace US February 17, 2021 To: City of Grapevine 200 S. Main St. Grapevine, TX 76051 Certificate Of Insurance Qw Gallagher Insurance Risk 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-5BT and BK 117 B2 type aracraft. 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 Ecutoment: 1. One (1) Sikorsky S-5BT, 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: Soecial Provisions Subject always to the scope of the referenced policies and all the polices' 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 parry 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. Authorized Representative i HEUCEPTERS unauEmrv5 oz April 7, 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: April 13, 2021 The Gaylord Texan DFW Electrical Services 11:00 AM - 2:00 PM 1501 Gaylord Trail 1010 Squire Dr. Grapevine, TX 76051 _Wylie, TX 75098 Helicopter Type: Sikorsky S58T, Kawasaki BK It 7TRANSPORT CATEGORY Call Sign: N4XY (Blue), N6BL (Red), N170MC (Yellow) Pilots: Bradford Ladue, Robert Smith, Andrew Smith 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: APPROVED / DISAPPROVED BY DATE r SCAP# 41321 � Date: April 7, 2021 To: FAA Office North Texas FSDO REFERENCE:�CONGESTED'/ CONTINGENCY— SAFETY PLAN DATE/TIME OF JOB JOBSITE INFORMATION CONTRACTOR INFORMATION DATE: Amit 13, 2021 ADDRESS: The Gaylord Texan DFW Mechanical Group TIME FRAME: 11:00 AM - 2:00 PM 1501 Gaylord Trail 1010 Squire Dr. Grapevine, TX 76051 Wylie, TX 75098 JOBSITE CONTACT: Kevin Freudiger CONTACT: Kevin Freudiger PHONE NUMBER: 469-363-3902 PHONE NUMBER: 469-363-3902 ** SHOULD A WEATHER, MECHANICAL OR MATERIAL DELAY BE EXPERIENCED, THIS PLAN IS APPROVED FOR ABOVE LISTED DATE PLUS 14 CALENDAR DAYS. ** AIRCRAFT INFORMATION: N4XY SIKORSKY S-58T TRANSPORT CATEGORY MN6BL SIKORSKY S-58T TRANSPORT CATEGORY 1 f N170MC KAWASAKI BK-117 TRANSPORT CATEGORY PILOT INFORMATION: Bradford Ladue COMMERCIAL CERTIFICATE #2760587 Robert Smith COMMERCIAL CERTIFICATE #3493515 Andrew Smith COMMERCIAL CERTIFICATE #3893823 PREPARED BY: Susan Bitros dcjIL.fLiotlp� Dwayne B' Digitally signed by Y Dwayne B Holt HOI} Date:2021.04.08 APPROVED BY: l 06:55:18-05'00' OPERATING CERTIFICATE #LDUL599B 285 BLACKLAND ROAD FATE, TEXAS 75189 (972)636-4009 f RELATE mwmwso= LOAD DESCRIPTION HAZMAT (DOT-SP 16606, DOT-SP 20490):YES NO XX ROOFTOP UNITS MATERIALS XX EQUIPMENT OTHER: NUMBER OF TOTAL LIFTS (RANGE): 10 - 20 WEIGHT RANGE: 500lbs - 1,500 Ibs PERCENT MAX LOAD: 36% 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 Dwayne B Holt NO Digitally signed by Dwayne B Holt Date: 2021.04.08 06:56:09-05'00' OPERATING CERTIFICATE #LDUL599B 285 BLACKLAND ROAD FATE, TEXAS 75189 (972)636-4009 CONGESTED COMMERCIAL AREA CONGESTED RESIDENTIAL AREA XX CONGESTED AREA PROBABILITY/POSSIBILITY This is a congested area operation. 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 an 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 an Existing Resort and Spa we classify this to be a potential congested area. All entrances will be blocked and controlled by security personnel so that no unauthorized persons shall enter or cross the operational area. With the roof roof being engineered to withstand the weight of rooftop HVAC's and each floor in between being constructed of steel and concrete, with the load weighing no more than 1,500lbs and being flown no higher than 10 feet above the building 5 State Helicopters has estimated the if the load were to be dropped it would not penetrate the roof structure. Therefore for safety purposes, the top floor and one (1) additional floor below will be vacant in each section of the building flown over during operations. No personnel will be allowed to use elevators to access top 2 floors or be allowed to enter or exit the building while the helicopter is overhead. OPERATING CERTIFICATE #LDUL599B 285 BLACKLAND ROAD FATE, TEXAS75189 (972)636-4009 Digitally signed Dwayn by Dwayne B Holt e 6 Ho It Date: 2021.04.08 06:57:10-05'00' 5. ATE it'mPTERS AEI W4HSFAEICFS 285 BLACKLAND ROAD FATE, TEXAS 75189 (972)636-4009 Notification of Grapevine City Officials 5 State Helicopters has contacted the following city officials about the lift to be performed on April 13, 2021: 1501 Gaylord Trail Grapevine, TX76051 City Manager: Connie Cook 817-410-3155 Your message has been delivered to the following recipients: Subject: 5 State Helicopter Lift of Transformers April 13, 2021 in Grapevine, TX at approximately 11:00 AM - 2:00 PM. Police: Mike Hamlin 817-410-3225 Your message has been delivered to the following recipients: Grapevine, Texas at approximately 11:00AM-2:0013M. Fire: Darrell Brown 817-410-4400 Your message has been delivered to the following recipients: ) Subject: 5 State Helicopter Lift of HVAC Equipment 13 April 2021 in Grapevine, Texas at approximately 11:00AM-2:00PM. ATC: Dallas Fort Worth International Airport 972-615-2605 Your message has been delivered to the following recipients: Subject: 5 State Helicopters lift operations 4 miles North West of DFW on April 13, 2021. st Regards, 5 State Helicopters Waynep Digitally signed by L7 Dwayne B Holt HOI+ Date:2021.04.08 L 06:58:04-05'00' Gaylord Texan 1501 Gaylord Trail Grapevine, TX 76051 Date of Lift: 4/13/2021 Dway Time ne B a 11 MAM Holt r»Po«m Gaylord Texan J�` \ CRAPMNE w•••••..„•'. •••..+•.L -•.R,• w y MILLS UTIUZEO TO FLY TNROUGFH THE FINAAPRROACH 1501 Gaylord Trail M,µt ICPVRSE"rOFuNw, PYiIIM.ITR. 18L.AND IOR, Imo{ -A Grapevine, TX 76051r Date of Lift: L701PPELl. 4/13/2021 •` Dway a Time: ne B 11:00AM Holt —1 SOLANA COMFI. /AND NORTH LAKE SHOULD BE AT OR BELOW 1000 FEET MSL WHEN" IS IN NORTH F ATUT BELOW 57' H lot t SOUTH FLOW 32° 57' 14.4"N Spa IN 97° 03' 50.0"W FELINE m M 1 f IB ^' ` BAVLORSCO GRAPEVINE WHITE rF fh9B1 ff r fs• 1 �' -, L3� �3 !Purl ISAYLOR IRVING COPPI y 527 L Helicopter will not 1 i i Be more than 125' [• 121. � Above a 40' building When air lifting Equipment to the NO SVFR F, Roof DALLAS - FT WORTH INTL tDFWE O' L CT-124.15 126.55 127.5 134.9 t Pilot will contact _ •' WS L2. 51 755 \ Dallas Fort Worth Airport ..�MIFr 4 IovYerh `6djRd- z / � i ♦ I CLr Gaylord F -. 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