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Home My WebLink AboutHLP2021-1534May 3, 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), May 10, 2021 at 12:00 p.m., with a rain date of May 21, 2021 at 12:00 p.m. Melanie Hill, Risk Manager Bruno Rumbelow, City Manager Thank you, Connie Cook Development Services (817) 410-3158 09CCOOK\Instructions\Hehcopterinfo\CoverLetter v-� Permit will not be issued until FAA Approval has been received. 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: MAY 3, 2021 Attached is a request for a helicopter lift scheduled for May 10, 2021 at 12:00 p.m. for 1501 Gaylord Trail (Gaylord Texan) with a rain date of May 21, 2021 at 12:00 p.m. if it meets your approval, please sign below: City Manager Risk Manager ilding Official A Approval 0 ,CCOOKVInstructions\HelicopterrinfoAMEMO City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410-3012 Fax HELICOPTER LIFT PERMIT Issue Date: May 5, 2021 PROJECT DESCRIPTION: Helicopter Lift - May 10, 2021 with Rain date of May 21, 2021 @ 12:00 p.m. "The Gaylord Texan" - [Transformers] PROJECT # HLP-21-1534 (817) 410-3010 Inspections www.mygov.us Permits LOCATION TENANT LEGAL 1501 Gaylord Trl. Building # 1 Grapevine, TX 76051 Gaylord Texan Opryland Addition Blk n/a Lot 1 CONTRACTOR 5 State Helicopter's 285 Blackland Rd. Fate, TX 75189 (972) 636-4009 Phone OWNER Opryland Hotel INFORMATION **APPLICANT NAME Susan Bitros **APPLICANT PHONE NUMBER 9726364009 APPROVAL CITY MANAGER YES APPROVAL DEVELOPMENT SERVICES YES APPROVAL RISK MANAGEMENT YES County Tarrant DATE & TIME OF HELICOPTER LIFT 2021-05-10 12:00 pm RAIN DATE FOR HELICOPTER LIFT 2021-05-21 12:00 pm Zoning PCD - Planned Commerce Development MYGOV.US City of Grapevine | HELICOPTER LIFT PERMIT | HLP-21-1534 | Printed 05/05/21 at 2:42 p.m. Page 1 of 1 City of Grapevine P O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410-3012 Fax ELECTRICAL PERMIT (VALUE) Issue Date: February 26, 2021 PROJECT DESCRIPTION: Replace Transformers " Gaylord Texan" PROJECT # ELEC-21-0638 LOCATION 1501 Gaylord Trl. Building # 1 Grapevine, TX 76051 (817) 410-3010 Inspections TENANT Gaylord Texan WWW.mygov.us Permits LEGAL Opryland Addition Elk nla Lot 1 CONTRACTOR INFORMATION DFW Electric Group, LLC ELEC County Tarrant State ID # 200892 Square Footage 1010 Squire Drive' VALUATION 84000 Wylie, TX 75098 Zoning PCD -Planned Commerce Development (972)442-9584 Phone (972)442-0161 Fax FEES TOTAL=$ 715.00 ( - - Electrical Permit Fee (VALUE} $ 715.00 PAYMENTS TOTAL = $ 715.00 OWNER _ Opryland Hotel DFW Electric Group, LLC ELEC (Kevin 1 Gaylord Or Freudiger) ($715.00) Cc on 02126/2021 Nashville, TN 37214-1207 NOTICES AVAILABLE INSPECTIONS ALL work must be done in compliance with the 2005 NATIONAL ELECTRIC CODE. k Electrical Ceding (required) � Electrical Service (required) PLAN SUBMITTAL. WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS Electrical Final (required) 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-21-06381 Printed 05/03/21 at 8 35 a m Page 1 of 2 HOLD HARMLESS AND INDEMNITY AGREEMENT PROTECT ADDRESS: The Gaylord Texan 1501 Gaylord Trail Grapevine, TX 76051 NATURE OF OPERATION: Helicopter external lift operation of transformers. DATE OF OPERATION: 10 May 2021 with rain date of 21 May2021 with a 10 day grace period for each date mentioned. 1, 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, attorneys 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. 1, 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 30th day of Lil;IL� 2021 COMPANY: 5-STATE HELICOPTERS, INC. RY: Shawn Harris (printed) Shawa-Harris TITLE: OWNER (signature) 4r STATE OF TEXAS COUNTY OF Rockwall This instrument was acknowledged before me on this the 30th day of April 2021 NOTARY PUBLIC IN AND FOR THE STATE OF TEXAS My commission Tres _ 08-26-2021� / 1 e...",u . Sl1SAN 81TROS !y Signatur y :r; �aRotery Publid, State of Texos, hComm. Expires 08.26-2024 1! Notary ID 132643898 I Arthur J. Gallagher Risk Management Services, Inc Aerospace US 300 S Riverside Plaza, Suite 1500, Chicago, IL 60606 sarah_allen@atg com February 17, 2021 To: City of Grapevine 200 S. Main St. Grapevine, TX 76051 Certificate Of Insurance s' Gallagher Insurance I 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-58T 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 AndlOr Eauioment: 1 One (1) Sikorsky S-SBT, Registration Number N4XY, Serial Number 58700 2. One (1) Sikorsky S-SBT, Registration Number N6BL, Serial Number 581567 3. One (1) BK 117 62, Registration Number N170MC, Serial Number 7217 Contracts: Soecial 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; (it) 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 (Ili) 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. Authorized Representative �uc°rrt:Rs CAP# 51021 Date: April 30, 2021 To: FAA Office North Texas FSDO REFERENCE:KONGESTED'/ CONTINGENCY — SAFETY PLAN DATE/TIME OF JOB DATE: May 10, 2021 TIME FRAME: 12:00 PM - 4:00 PM JOBSITE INFORMATION ADDRESS: The Gaylord Texan 1501 Gaylord Trail ` Grapevine, TX 76051 JOBSITE CONTACT: Kevin Freudiger PHONE NUMBER: 469-363-3902 I CONTRACTOR INFORMATION DF W Mechanical Group 1010 Squire Dr. Wylie, TX 75098 ` CONTACT: Kevin Freudiger 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 N6BL SIKORSKY S-58T TRANSPORT CATEGORY 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 dAdA-*-� K;t 44— APPROVED BY: Y3 OPERATING CERTIFICATE #LDUL5996 285 BLACKLAND ROAD FATE, TEXAS 75189 ( TATE iAEUCUPTEAS AIR CRAXESERVIffR April 30, 2021 285 BLACKLAND ROAD FATE, TEXAS 75189 (972)636-4009 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: May 10, 2021 The Gaylord Texan DFW Electrical Services 12:00I;.M - 4:00 PM 1501 Gaylord Trail 1010 Squire Dr. I Grapevine, TX 76051 Wylie, TX 75098 Helicopter Type: Sikorsky S58T, Kawasaki BK 117TRANSPORT 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 $5,000,000.00 showing the City of Grapevine as an additional insured. Please feel free to contact 5 State Helicopters with any questions and/or concerns that you may have. Office: 972-636-4009 Please sign and e-mail back to: Office@5state.com ERELY, 1(�K� S� APPROVED/DISAPPROVED BY DATE Gaylord Texan 1501 Gaylord Trail Grapevine, TX 76051 r BRAPEIIIBEFINAL .,;;i6A&' � . Gaylord Texan MII1S IUTLLREG TO FLY TNROI/CJI�THE FINAL APPROACH I 1501 Gaylord Trail NA" I.000ills£TOauNWAYSIrI�,f7C,17N,,yL,AND IOR. L^ Grapevine, TX 76051 53<; �Sj Date of Lift: i ,• r`? COPPELL N 5/10/2021 Time �.1 SOLANA CCMMLEX�ANO NONTN IAKE 9NOUtD BE AT OR BELOW t000 ; } FEET AISLWNEIV - VISrN NORiN FLt yy AT OR BELOW l D 1 SOUTH FLOW 32° 5T 14.4"N N 5 A fu141 97° 03' 50.0"W NE /N► Noah 1916 1 IrE (499y Lake ORSPEVIN£ ' I 774 Lpr 509 * gas +; SAYLOR IRVING COPPI q 52727 L 0 Helicopter will not Z i1 / Be more than 125' 1 121 Above a 40' building �`^ f ,\ ^�0 OOff When air lifting NO SVFR \ Equipment to the WALLAS - FT WORTFI INTL (OFVA KI—I"k FIRoof CT .124.15 126.55 127.5 134.9 Pilot will contact ATFS 723.7T5 Dallas Fort Worth BGrEt L 12$ BS.. 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