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Home My WebLink AboutHLP2018-3125MEMORANDUM CITY OF GRAPEVINE, TEXAS TO: BRUNO RUMBELOW, CITY MANAGER MELANIE HILL, RISK MANAGER FROM: SCOTT WILLIAMS, DEVELOPMENT SERVICES DIRECTOR / BUILDING OFFICIAL SUBJECT: HELICOPTER LIFT REQUEST DATE: AUGUST 10, 2018 Attached is a request for a helicopter lift scheduled for August 16, 2018 at 6:30 am — 10:00 am, for 2501 Bass Pro Drive, please let me know if it meets your approval. City Manager () K —, Risk Manager OXCook\HeficopterMemorandum Development Services Director HOLD HARMLESS AND INDEMNITY AGREEMENT PROJECT ADDRESS: Bass Pro 2501 Bass Pro Dr. Grapevine, TX 76051 NATURE OF OPERATION: Air lifting air conditioning units DATE OF OPERATION: 16 August 2018 with rain date of 17 August 2018 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, 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. 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�,7 day of'rZ L 2018 COMPANY: 5 -STATE HELICOPTERS, INC. BY: Shawn Harris (printed) ®� TITLE: OWNER (signature) .Ile, if -ill, STATE OF A N -S COUNTY OF E I)c L L This instrument was acknowledged before me on this the L day of �'i -2018 NOTARY PUBLIC IN AND FOR THE STATE OF -I1 My commission expires sem_ Signature�,.�.0% 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 officeg5state.com www.5state.com Congested Area Plan FAA CERT. LDUL599B DATE: August 8, 2018 TO: FAA OFFICE: North Texas FSDO 214-277-8500 REFERENCE: Congested Area Plan Request Date / Time of Job: Job Site: Contractor: August 16, 2018 Bass Pro Lennox Industries 06:30-10:00 2501 Bass Pro Dr. 7358 Dogwood Park Dr. Cable Length: Grapevine, TX 76051 Richland Hills, TX 76118 Approx. 85 Feet I Contact: Quaiguai Miller 214-876-4953 Quaiguai Miller 214-876-4953 Aircraft Registration: N -613L, N4XY Aircraft Type: S -58T Transport Category Pilots: Dennis A. Banks ATP # 3369851 Scott B. Ladue Commercial Certificate # 3250744 Hazardous Material: No Description: N/A Height of Building: 40' Load Description: Number, Type & Weight Helicopter lift of 15 RTU's g 3,800 lbs. *If a problem or safety hazard exists the crew will contact the pilot to cease operations & move the aircraft to a safe area using two-way radios, or hand and arm signals* City of Grapevine Contacts City Manager Connie Cook Fire Darrell Brown ccookggrapevinetexas.gov dbrownggrapevinetexas.gov 817-410-3155 817-410-4400 Dispatch 972-564-7600 Police Eddie Salame esalameggrapevinetexas.gov 817-410-3204 Fire Marshall Russell Batchelor ATC Dallas Fort Worth Intl. Airport rbatchelorggrapevinetexas.gov felicia.l.fullergfaa.gov 817-410-4420 972-615-2615 Chase Lutjen 5 State Helicopters HELICOPTERS DATE: August 8, 2018 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 office@5state.com www.5state.com Congested Area Plan FAA CERT. LDUL599B Date / Time of Job: Job Site: Contractor: August 16, 2018 Bass Pro Lennox Industries 06:30-10:00 2501 Bass Pro Dr. 7358 Dogwood Park Dr. Cable Length: Grapevine, TX 76051 Richland Hills, TX 76118 Approx. 85 Feet Contact: Quaiquai Miller 214-876-4953 1 Quaiquai Miller 214-876-4953 Narrative Plan of Operations: Flight path from the staging area to where the equipment is placed on the building will be cleared of unauthorized persons. Estimate of how many floors of the building will be penetrated if the load is released at the maximum height when lifted above the roof is none, but for safety reasons the area of the building being lifted over will be vacant. Emergency Landing Area: Unless otherwise noted on the plot plan, the helicopter landing area and pick up site will be the emergency landing area. Additional Information: This is existing construction in a commercial area. The Building will be vacant during the lifting of equipment. No unauthorized persons will be allowed into the operational area of the job site during the lifting of the equipment to the roof. The parking lot on the West side of the building will be used for landing and emergency area. Helicopter landing area will be secured before the helicopter arrives and will remain secured until the helicopter has left the area. Contractor and superintendent of the job site will close the operation area, so no unauthorized persons will be allowed into the parking lot during the lift. The path between the staging area and where the units will be placed on the roof will be clear. No unauthorized persons will be allowed in the lifting area. Safety briefings that are given by 5 State Helicopters crew will be given before lifting begins. The operational area will be surveyed by 5 State Helicopters crew for any safety hazards before lifting of equipment begins. If any safety hazard exists, the contractor will be required to eliminate the hazard before lifting of equipment begins. 5 State Helicopters crew have radios and will be communicating with the pilot during the lifting process. If for any reason, there should be a safety factor arise they will immediately alert the pilot. The pilot will move the helicopter to a safe area until the risk has been corrected. Lifting area could be anywhere inside the operational area due to the contractor and or superintendent moving the equipment before the helicopter arrives. Flight path will be within operational area. Chase Lutjen 5 State Helicopters HELICOPTERS ------------ 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 office@Sstate.com www.5state.com Notification of Grapevine City Officials 5 State has contacted the following city officials with the date and time of the lift to be performed on August 16, 2018: 2501 Bass Pro Dr. Grapevine, TX 76051 Citv Manaeer: Connie Cook Your message has been delivered to the following recipients: Connie Cook fccookc, gra. evinetexas.gov Subject: 5 State Helicopter Lift of HVAC Equipment 16 August 2018 in Grapevine Texas at approximately 06:30-10:00. Police: Eddie Salarne Your message has been delivered to the following recipients: esa1arne@qrapeyinetexas._qoy (esalameC grapevinetexas.gov Subject: 5 State Helicopter Lift of HVAC Equipment 16 August 2018 in Grapevine Texas at approximately 06:30-10:00. Fire Chief: Darrell Brown Your message has been delivered to the following recipients: rbatche1orCd)araDevinetexas.gov lrbatchelor@ ra:)evinetexas.gov Lr ------- — q --g --------- -- Subject: 5 State Helicopter Lift of HVAC Equipment 16 August 2018 in Grapevine Texas at approximately 06:30-10:00. ATC: Dallas Fort Worth Intl. Airport Your message has been delivered to the following recipients: fe1ida.1. �oy Subject: 5 State Helicopters lift operations 4 miles North DFW. Best Regards, Chase utjen 5 -State Helicopters TRTE HELICOPTERS DATE: August 8, 2018 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 office*5state.com www.5state.com Congested Area Plan FAA CERT. LDUI.59913 Date / Time of Job: Job Site: Contractor: August 16, 2018 Bass Pro Lennox Industries 06:30-10:00 2501 Bass Pro Dr. 7358 Dogwood park Dr. Cable Length: Grapevine, TX 76051 Richland Ilills,'I'X 76118 Approx. 85 Feet Contact: Quaiquai Miller 214-8764953 1 Quaiquai Miller 214-876-4953 `]'here are power lines and light poles in the area but. the will not cause a safety hazard to the lift. Plan Prepared By: Chase Lu1jen: V,--�hiould a weather, mechanical or material delay be experienced this CAP is approved for the date and time lifted above plus 10 days. **5 State Helicopters, hie. will re-nolify a// Contacts listed on lite CAP if ais extension is required" APPROVED FAA: North Texas FSDO 214-277-8500 APPROVED BY: FAA STAMP: THIS 1171H HIE -CODE OFEIRICS: OFIRE IIELIC*01'IER.-IKOC'I.�1110.\'Ol.I,ill-.'Rl( 'J 3 T - LO 0 co 2 X a - co co Ln -i 6 u < " C*4 cni c:> E �? M U-) I r,j co �i C) ya Ln 0 0 r4 0 r., cn 0) T - LO 0 co 2 X a - co co cn C: 2 -i m .5; m a. a) '$.- 0 0 < " tog0- cn C:) m Q a) (0 c:> E �? M U-) o co �i C) ya =0 CL (Q'gypLL WN, 0 E > 0 0 0 0 EL 0) (D .0cr m w a. 4nrn ME a m LC) 0 x I- rL F - co co 0 'n CL co > (D 0 04 0- C) CU CD C> co M C%4U) 0 0oo 0 a m Susan Batte From: Melanie Hill Sent: Friday, August 10, 2018 9:51 AM To: Susan Batte Subject: Re: Helicopter Lift - Bass Pro Approved. Sent from my Whone > On Aug 10, 2018, at 9:06 AM, Susan Batte <sbatte@grapevinetexas.gov> wrote: > Please see attached application and let me know if you approve > <SKM_C55818081009010.pdf> "McGriff, Seibels & Williams, Inc. Certificate of Insurance Certificate No. 82775 Rev. Date: Jan 31, 2018 This is to certify that the policy(ies) of insurance as described below have been issued to the Insured for whom this Certificate is executed and is/are in force at this time. This Certificate is issued for information only and confers no rights upon the holder. This Certificate neither affirmatively nor negatively amends, extends or alters the coverage afforded by such policy(ies) or binder(s) stated herein. This certificate cancels and supersedes all previously issued certificates. Certificate Holder: City of Grapevine PO Box 95104 Grapevine, TX 76051 Named Insured: 5 State Helicopters, Inc. 285 Blackland Road Fate, TX 75189-4746 Policy Type: Aircraft Hull & Liability and Aviation General Liability Policy Policy Period: February 01, 2018 to February 01, 2019 both days at 12:01am Local Standard Time at the address of the Named Insured shown above Insurer(s): Company Policy No(s). StarNet Insurance Company through Berkley Aviation, LLC BA-18-02-00056/BA-18-02-00055 Aircraft Covered: Sikorsky S58T, N4XY; Sikorsky S58T, N6BL Coverage & Limits Aircraft Liability Coverage Limit Combined Single Limit Bodily Injury, including Personal Injury and $10,000,000 each occurrence as respects Sikorsky S-58BT and Sikorsky Property Damage Liability(Excluding Passenger Liability) S-58ET type aircraft. Cargo Legal Liability Coverage Limit Cargo Legal Liability including Slung Loads $500,000 each occurrence, subject to a deductible of $1,000 each claim. Certificate Provisions Additional Insured It is agreed that the Certificate Holder is included as an Additional Insured under the Aircraft Liability Coverages, but only to the extent of liability vicariously imposed upon the Certificate Holder solely as the result of an act or omission of the Named Insured or its employees in connection with the Named Insured's Aircraft operations, subject to all policy terms, conditions and exclusions. Auttzedltepre ntative 7525 SP 24th Street, Suite 520, Mercer Island, Washington 98040 Certificate No: Page 1 of I Phone: (206) 232-9870 - Fax: (206) 232-9515 82775