HomeMy WebLinkAboutItem 11 - Fireworks PermitMEMO TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
FROM: BRUNO RUMBELOW, CITY MANAGER
MEETING DATE: APRIL 5, 2022
SUBJECT: APPROVAL OF A FIREWORKS PERMIT
RECOMMENDATION: City Council to consider approval of a fireworks permit to be held at
Paradise Cove on Saturday, April 9.
FUNDING SOURCE:
BACKGROUND: A fireworks display permit was requested for a wedding at Paradise Cove
on Saturday, April 9 at 8:30 pm. The show would be four minutes in length
and put on by Illumination Fireworks.
Staff recommends approval.
NpE', GrapeyJne Fire Department
601 Boyd Drive Metro 817-410-8100
n , Grapevine, Texas 76051 Fax 817-410-8106
PERMIT APPLICATION
Application Date: 03.14.22 Business Name: Illumination Fireworks Partners LP
Permit Address: 3029 Midway Rd Southlake, Texas 76092
Permit Needed (Please check appropriate boxes)
_ Amusement Buildings
_ Carnivals or Fairs
_ Compressed Gases (over 200 cu. ff.)
_ Exhibits and Trade Shows
_ Fire Protection or Detection Systems, Install or
modify
_ Flammable or Combustible Liquids, Store, Use
or Install
_ Hazardous Materials, Store, Use or Install
_ High -Piled Storage, Storage over 12 feet
_ Open Burning, Recreational Fires are excluded
X Pyrotechnic or Fireworks Displays
_ Repair Garages and Fueling Stations
_ Tents and Membrane Structures
—Vehicle Displays in Public Buildings
_ Block Party
Please attach plans, documents and any specifications for permit review.
Permit Time: Permanent _ Temporary _X Permit Type: Operational X_ Construction _
Applicant Information
Plans: New X Revision _ Correction _ Application # City Project/Property: Yes _ No
Submitting Company Name: Illuination Fireworks Partners LP
Mailing Address: 1605 Crescent Circle, Suite 200 Carrollton, Texas 75006
City, state, country, zip: Carrollton, TX 75006
Company E-mail Address:
Company Phone: 972-245-7976
Applicant Phone: 972-245-7976
Applicant E-mail Address:
Name of venue: Paradise Cove
Name of Event: Lisa Marino Wedding
Event Date/s: April 9, 2022
Details of Event or Process: Time of Show - 8:30, 4 minute pyromusical - 1.4g
Matthew Hardin 7,ii�2 l.��rr l
Applicant Name and Title: Production Manager Applicant Signature: Y r/a446
We are preparing for a 4 minute 1.4g pyromusical show at Paradise Cove. My design team can provide an exact
product list as soon as they have the display completed, but rest assured that ALL products will be 1.4g.
The following is a summary of information:
WHEN: April 9, 2022 @ 8:30 PM
WHAT: 1.4g pyrotechnic display
WHERE:
• Paradise Cove @ 3029 Midway Rd, Southlake, Texas 76092
SHOOTER(S):
Bethany Rainwater 803-528-4032
Attached you will find the following:
COI
Shooters license
Shooters DL
Permit application
Site plan
Illumination distribution license
Matthew Hardin
Production Manager I Illumination Fireworks
Office Main: 972-245-7976 1 Direct Line: 469-208-8561 1 Fax :972-245-7977
www.IlluminationFireworks.con-j
A Full Service Fireworks & Special Effects Company
LASERS • FIREWORKS • CONFETTI • FLAMES • PYROTECHNICS • FOG
2
04.09.22 Paradise Cove Wedding -Lisa Marino Site plan
F I R E W 0 R K 5,«c
I
PYROTECHNICS FLAMES LASERS FIREWORKS CONFETTI FOG
1605 Crescent Circle, Suite 200, Carrollton, Texas 75006 Phone: 972-245-7976 1 Fax: 972-245-7977 1 Illumination Fireworks.co m
INSURED
Illumination Fireworks Partners, LP
1 1605 Crescent Circle, STE 200
Carrollton TX 75006
CERTIFICATE OF LIABILITY INSURANCE J DATE
IMM/ D/Y
022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICIATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
The Partners Group Ltd PHONE Janet Nau
11225 SE 6th St., Suite 110 �'. No,
ExU: 425 455-5640 a No 425 455-6727
Bellevue WA 98004 E-MAIL jnauiatpgrp.com
INSUREWS) AFFORDING COVERAGE NAIC d
INSURER A: T.H.E. Insurance Compan', 12866
45097 INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1160812835 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR IINSI;�wVD POLICY NUMBER iMM/DDYVYY; ;MWDD,'YYYY1I
TYPE OF INSURANCE LIMITS
A GENERAL LIABILITY I Y 5/17/2021 5/17/2022 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F_k1 OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO- LOC
A AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED X SCHEDULED
.AUTOS AUTOS
X HIREDAUTOS X] NON -OWNED
AUTOS
UMBRELLA LIAB X OCCUR
X EXCESS LIAB CLAIMS -MADE
DED RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / A
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Excess — Auto
Per Occurrence
DAMAGE TO RI=W TEIJ— D
PREMISES (Ea occurrence)
$ 100,000
MED EXP (Any one person)
$ Excluded
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 10,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000 _
5/17/2021 5/17/2022 COMBINED SINGLE LIMIT
$
Ea accidents_
'- 1 000.000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
$
Per accident,
$
5/17/2021 5/17/2022 EACH OCCURRENCE
$ 9,000,000
AGGREGATE
$ 9,000,000
$ GL ONLY
WC STATU- I OTH-
Y.:LIMrI'S I _ ER i
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
5/17/2021 5/17/2022 Each Occurrence
$4,000,000
Aggregate
$4,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Certificate holder is included as Additional Insured on General Liability as their interest may appear as respects operations performed by or on behalf of the
Named Insured, as required by written contract.
Paradise Cove, Safe Harbor Marinas, The City of Grapevine, the U.S. Army Corps of Engineers, and all associated officers, employees, representatives and
agents are additional insureds for the fireworks display to be held at Paradise Cove, 3029 Midway Rd, Southlake, Texas 76092 on Saturday, April 9, 2022.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Paradise Cove
3029 Midway Rd AUTHORIZED REPRESENTATIVE
Southlake TX 76092
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
3115/22, 9:54 AM
lO�n�liin{e Apply Payment
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Thank you for your payment!
You may print this page for vour records
ant , !City of Grapevine _
rime Mar-15-2022 09:53:52 AM 1
:nt amount 90.00
Name of Event _ 04.09.22-Paradise-Cove - Pyro
Inspection Address 3029 Midway Rd Southlake, TX
Inspection Date and Inspection Type"104.09.22 - Pyro Standby
Contact Name and Phone YF CID fire, Matthew Hardin - 469-208-85I
Transaction id 87055472
Authorization code 248883
Payment method y IfAmerican Express
Transaction response Approved
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63.235.108.1011apply/ubtippmt_apply.php 111
Issued To:
Rainwater, Bethany Grace -
6380 S RIVULET CT
SPRINGFIELD MO 65810-3106
F1 REWO
DATE ISSUED. June 29, 2021
Issued To:
Rainwater, Bethany Grace
6380 S RIVULET CT
SPRINGFIELD MO 65810-3106
FIREWO
DATE ISSUED. June 29, 2021
License Number
FEC-2206262
Expiration Date: 07-21-2022
LICENSE
lX di A "" GIsW;
Orlando P Hernandez, State Fire Marshal
License Number
FPO-2206263
Expiration Date: 07-21-2022
EFFECTIVE DATE 07-21.2017
LICENSE
Orlando P Hernandez, Stale Fire Marshal
Issued To: �- License Number
Rainwater, Bethany Grace - SEO-2206264
6380 S RIVULET CT r' " OF ''�.,�, Expiration Date: 07-21-2022
SPRINGFIELD MO 65810-3106EFFECTa>weonIE 0721.2017
FIREWORKS
S LICENSE
SF08111119
DATE ISSUED, June 29, 2021
Orlando P Hernandez State Fire Marshal
wrt.:, ! ' iI
Registered Location(s):
1605 CRESCENT CIR STE 200
CARROLLTON TX 75006-3500
FI
Issued To:
Illumination Fireworks Partne
DATE ISSUED: March 4, 2021
Registration Number
FWD-2402278
Expiration Date, 04-30-2022
EFFECTIVE DATE: 04-30-2019
NSE
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SF08111119
Orlando P. Hernandez. State Fire Marshal