HomeMy WebLinkAboutHLP2021-1886May 25, 2021
The attached application is for a Helicopter Lift Request. Please siq n 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), June 1, 2021 at 12:30 p.m., with a
rain date of June 11, 2021 at 12:30 p.m.
Melanie Hill, Risk Manager
Bruno Rumbelow, City Manager
Thank you,
Connie Cook
Development Services
(817) 410-3158
Permit will not be issued until
FAA Approval has been received.
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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 25, 2021
Attached is a request for a helicopter lift scheduled for June 1, 2021 at 12:30
p.m. for 1501 Gaylord Trail (Gaylord Texan) with a rain date of June 11, 2021 at
12:30 p.m. if it meets your approval, please sign below:
, City Manager
Risk Manager
uilding Official
FAA Approval
0:10000 K1lnstrudions%Helicopterl nfo%MEMO
_
HELICOPTER LIFT PERMIT
Issue Date: June 4, 2021
PROJECT DESCRIPTION: Helicopter Lift - June 7, 2021 with Rain date of June 11, 2021 @ 12:30 p.m. "The
Gaylord Texan" - [Transformers]
PROJECT # (817) 410-3010 www.mygov.us
HLP-21-1335 Inspections Permits
City of Grapevine
P.O. Box 95104
LOCATION TENANT LEGAL
Grapevine, TX 76099
1501 Gaylord Trl. Gaylord Texan Opryland Addition Blk n/a Lot
(817) 410-3165 Voice
Building # 1 1
(817) 410-3012 Fax
Grapevine, TX 76051
CONTRACTOR
INFORMATION
5 State Helicopter's
—APPLICANT NAME Susan Bitros
285 Blackland Rd.
"APPLICANT PHONE NUMBER 9726364009
Fate, TX 75189
APPROVAL CITY MANAGER YES
(972) 636-4009 Phone
APPROVAL DEVELOPMENT SERVICESYES
APPROVAL RISK MANAGEMENT YES
OWNER
County Tarrant
Opryland Hotel
DATE & TIME OF HELICOPTER LIFT 2021-06-07 12:30 am
RAIN DATE FOR HELICOPTER LIFT 2021-06-11 12:30 am
Zoning PCD - Planned Commerce Development
MYGOV.US
City of Grapevine I HELICOPTER LIFT PERMIT I HLP-21-1886 I Printed 06/04/21 at 8:54 a.m.
Page 1 of 1
CAR VIBN
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VIP
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 # (817) 410-3010 www.mygov.us
ELEC-21-0638 Inspections Permits
LOCATION
1501 Gaylord TH.
Building # 1
Grapevine, TX 76051
CONTRACTOR
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)
► Electrical Service (required)
► Electrical Final (required)
TENANT LEGAL
Gaylord Texan Opryland Addition Blk n/a Lot
1
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
onnie Cook
From:
Sent:
To:
Subject:
No worries. You're good to go.
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817-490-3105
From: Connie Cook
Michelle Gambaro
Thursday, June 3, 2021 3:22 PM
Connie Cook
RE: Helicopter Lift
Sent: Thursday, June 3, 2021 12:50 PM
To: Michelle Gambaro <
Subject: FW: Helicopter Lift
Sending this to you also, wasn't sure if Stephanie was in.
Thanks
rest RegaYRd5,
Connie Cook
' P " DeveLap w ewt serVwes Assista wt City of
Grapevine
200 S. Main St. Grapevine, TX 76051
p: 817.410.3158
Office Hours: M-F, 8:00 - 4:30
From: Connie Cook
Sent: Thursday, June 3, 2021 10:12 AM
To: Stephanie Porter <, ; Melanie Hill <.
Subject: Helicopter Lift
The recent Helicopter Lift permit for June 1 and rain date of June 11th has changed their lift for the 71h. This is about the
41h application for the Gaylord for this lift.
It is either taking them multiple times to get the Transformers up on the roof or they just haven't gotten around to
getting it done at all.
Checking with you to see if you want to see a new application with the date change.
Connie Cook
From: Melanie Hill
Sent: Thursday, June 3, 2021 12:18 PM
To: Connie Cook; Stephanie Porter
Subject: Re: Helicopter Lift
I don't need a new app as long as the date of the insurance policy is still effective when they do the work.
Get Outlook for iOS
From: Connie Cook <ccook@grapevinetexas.gov>
Sent: Thursday, June 3, 2021 10:12:27 AM
To: Stephanie Porter <sporter@grapevinetexas.gov>; Melanie Hill <m hill @gra pevinetexas.gov>
Subject: Helicopter Lift
The recent Helicopter Lift permit for June 1 and rain date of June 11th has changed their lift for the 7t". This is about the
4t" application for the Gaylord for this lift.
It is either taking them multiple times to get the Transformers up on the roof or they just haven't gotten around to
getting it done at all.
Checking with you to see if you want to see a new application with the date change.
Best Regards,
AB
�- Cowwie Goole
GRAPY
Devaopmewt sev/toes Assistavtt
c�t� of c,rapev�m
200 S. Ma%vI, street
c,rapMvLe, Tx 70052
o f five Hours: M-I=, s:oo - 4:so
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: 1 June 2021 with rain date of 11 June 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 25th day of May 2021
COMPANY: 5-STATE HELICOPTERS, INC.
BY: Shawn Harris (printed) Shawn _Harris
TITLE: OWNER (signature)
STATE OF TEXAS COUNTY OF Rockwall
This instrument was acknowledged before me on this the 25th day of May 2021
NOTARY PUBLIC IN AND FOR THE STATE OF TEXAS
My commission . sires _ 08-26-2021
Signatur ,,rtic
ot? ::-",, `% MAN t3iTRb5 :a
—�J I *j.1NOtbry Pubilo, State of texas`
, � }�c Comm. Explrea 08-26-2024
d
Notary 10 132643898
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
iTi Graftigher
Insurance I R;sk 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 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 Enuinment: 1. One (1) Sikorsky S-513T, Registration Number N4XY, Serial Number 58700
2. One (1) Sikorsky S-513T, 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.
Authorized Representative
rHE cAP# 51021
Date: May 25, 2021
To: FAA Office North Texas FSDO
REFERENCE:ICONGESTEDI / CONTINGENCY — SAFETY PLAN
DATE/TIME OF JOB
DATE: June 7. 2021
TIME FRAME: 12:30 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
CONTRACTOR INFORMATION
l3FW Mechanical Group
1010 Squire tar.
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
N66L
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 v
APPROVED BY: 1F��' -<y,► ��!'�
OPERATING CERTIFICATE #LDUL599B
285 BLACKLAND ROAD
FATE, TEXAS 75189
(972) 636-4009
tHEUCOPTEM
May 25, 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.
J Date / Time of Job: Location: Contractor:
June 1, 2021 The Gaylord Texan DFW Electrical Services
12:30 AM - 4:00 PM 1501 Gaylord Trail 1010 Squire Dr.
Grapevine, TX 76051 Wvlie, TX 75098
Helicopter Type: Sikorsky S58T, Kawasaki BK 117TRANSPORT CATEGORY
Call Sign: N4XY (Blue), N613L (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
S ERELY,
APPROVED / DISAPPROVED
BY DATE
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Grapevine, TX 76051 ra35r JJJ
Date of Lift: r I 2i. SELL
6/1/2021
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Helicopter will not
Be more than 125'
Above a 40' building
When air lifting
Equipment to the
F! Roof.
r`
Pilot will contact
.�
Dallas Fort Worth
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Airport.