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HomeMy WebLinkAboutR-1996-038 Fireworks Permit / 4th of JulyRESOLUTION NO. R-96 18 A RESOLUTION granting a public fireworks display permit to Western Display Fireworks WHEREAS, Western Display Fireworks has applied to the City for a public fireworks display permit to conduct a public fireworks display at Yakima Speedway on July 3, 1996; and WHEREAS, Western Display Fireworks has complied with the requirements of Sections 10.15.040 and 10.15.050 of the City of Yakima Municipal Code in that it has shown proof of adequate insurance, is the holder of a valid State Fire Marshal Permit for such display and the Code Administration Manager has investigated and approved the location of such display, now, therefore BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF YAKIMA: Pursuant to the provisions of Section 10.15.040 of the City of Yakima Municipal Code, Western Display Fireworks is hereby granted a permit for public fireworks display according to the terms and conditions found upon the attached and incorporated permit application. ADOPTED BY THE CITY COUNCIL this 19th day of MARCH ATTEST: CITY CLERK , 1996. CERI tl-ICATE OF LNSURANCE This certifcate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy(ies) listed below. The Insurer accepts no responsibility for arry additions or changes rtiade hereon that are not on record with the Insurer Name and Address of Insured. WESTERN DISPLAY FIREWORKS, LTD. DBA: WESTERN INTERNATIONAL FIREWORKS P. O 130X 932 CANDY, OR 97013 This is to certify that the po1icy(tes) of uisarance listed below have been issued to the Insured named above and are in force at this tune. TYPE OF L'SURAINCE. and cprationsllocadons covered thereunder GEN -I- AL LIABILITY INCLUDING PRODUCTS AND COMPLETED OPERATIONS fl SURANCE PER POLICY FORM e CGL-EIC844 (CLAIMS MADE) INCLUDING BLANKET VENDORS NAME OF ENSURER. EVANSTON INSURANCE COMPANY POLICY IeUtifBER. MC -012707 LD CTS OF LIABILITY AND DEDUCTIBLE COMBS ED SLNGLE LIMIT Bodily Injury and Property Damage Liability $2.000,000 each occurrence $2,000,700 annual aggregate S 7,500 Deductible each occurrence Shoid the described policy(les) be cancelled before its (their) expiration date, the undersigned will endeavor to eive 30 da”s wntten notice to the certificate holder or 10 days written notce in the event the canccliatron(s) is (art) due to non-payment of premium and/or deductible or retention. Failure to give such notice shall unposc no obligation or liability of any kind upon the undersigned or upon the Insurer Name and Address of Certificate Holder• Cover ge under th:s policy is amended to include as additional insured Yalarna Speedway 1 The fair or etdtibrson association. sponsoring organization or carrsnicse 1600 Pacifi Ave 2. The owner or lessee of any premises used by the named insured Yamima WA 98901 3 Any public authority granting a permit to the named insured but only u respect aeti4ents &ruing out of the nesligrnoe of the named insured or the named utsured's employe= acting in the course and mope of their emelovment Show Date: 7/3/96 Show Site. Yakima Speedway Date. 1/18/96 SM 102-101/85 By SHAND MORAHAN & COMPANY, INC Shand Morahan Plaza Evanston, Illinois 60201 Evanston Insurance Company Evanston, Illinois Endorsement Named Insured WESTERN DISPLAY FIREWORKS, LTD DBA: WESTERN INTERNATIONAL FIREWORKS 01.6•1.11,1110.11. Policy No. - MC -012707 Endorsement No : 3 Effective Date : January 16, 1996 •MISIIIIIii91611291MMY.6.1111•1170M. ADDITIONAL INSURED Co'erage under this policy is amended to include as an additional insured 1 The fair or exhibition association, sponsoring organization or committee 2 The owner or lessee of any premises used by the Named Insured 3 A.p.‘y public authority granting a permit to the Named Insured but only as respect accidents arising out of the negligence of the Named Insured or the Named Insureds employees acting in the course and scope of their employment 1) Yakima Speedway 2) City Of Yakima 3) C.A.R. Promotions, Inc. 4) Pollock Promotions, Inc. 5) Ted Pollock 6) Dennis P. Williams Page 1 of 1 other terms and condrtions rerrta!n unchanged. AlAnnzed Represeztal APPLICATION FOR FIREWORKS DISPLAY PERMIT D: Governing body of city, town or county in which display is to be conducted. DATE OF APP 1CATX)fi cg- c'163 NAM a -V �r ' `frui t �)4.s ADDRESS J ADI7f'Ep 6�,x 9 3 2-X 14 C c'/O13 1 l( aie Li-fc Alt YaJM lLF i 4 '1 TEL. 5t 3-‘,5"---. c 1 5A � t•kt,”tu Staid i?yROTECHNIC OPERATOR NAME i kr- cck.QC-ti, ADDRESS F® 62, rot 40.1-44 .: 9, 1 4 UCENSE8 NA;WE$ Of AS51STA.NTS (at least ore spur*ed) NAME j1t_(1cL jq- it El 1 . ADDRESS 24:724:7)( J PC �^ &Mel,U tq l q AGE l ADDRESS AGENAME EXACT LOCATION OF PROPOSED DISPLAY l6,C1C Pi c• t -(-1 c, 4 vcA ► -- 164 01 C-•1421 q 9C ° I DATE \JI 1 e! ' TIME.1 Z' y Al ; Qc" -10 ; 3 0 �M NUMBER AND KD 1. DS OF FIREWORKS TO BE DISPLAYED a. 5 " 51 4.1 s 1 0 7 2" 6,1-v:t ii s n 3c1 ; r ,, AL3 21 MMANNE? 8 PLACE 0, S'Oi +AZ_ CC OP TO ✓1: (Lt./ .jr„ SJolec tC Aporova o1 inial Fire R,aa•Jibesi C 71/1A:: 714 - U-1- ,5 Z; Synatura dt Apphcan' F!NANCGAL PESPOONSIB.L'Y Bonding or ins..,ance Co Aoo:ess t;17-4— ( C' '2— C- 1 (Mark One) ✓ Bond or certificate of insurance attached Bond or certificate of insurance on file with state fire marshal Bond or certificate of insurance shall provide minimum coverage of $50 000,$1,000,000 bodily injury liability for each person and event, respectively, and 525,000 property damage liability PART I1 PERMIT a PERMIT Dale , 19 In accordance with the provisions of RCW 70 77 and applicable local ordinances this permit is granted to conduct a fireworks display as per the above applIcatton. Name (Fun name of person. firm or corporatan grained permit) Restrictions Pe --.11 nor valid for conduct of d'sptay verif;cation of license and co,,nter•signat.,re of licensing agency COPY 'A" — Local Authority (Spnatue of oflcal graneng pe,mn (Tete) WA CTi Town or Only rPART Lieetod FOR TO: Governing body of city, town or county in O., 11 s area Dana awsr s r t ..^,,p' FIREWORKS DISPLAY PERMIT which display IS t® be conducted. APPLIGsNy NAME , ADDRESS lat. 1.•.... -to amt sen a4a e � J E L� g�y F rj -OTECb. C OPER. OA AME (� { oc pppafgryS a .i.r.iEt C>< ASSISTANTS tin asac ov raa9i..e'adr� 04.0E j�,-iBLp ADORE �SI...144 �:tia^y Sy [AGE =-_-_.4. H61.40_ E3ACT LOCATION OF PROPOSED DISPLAY D.,E NuraBEP tni }� t.,� '!'ill ._...—,...,--....L ir '�;J 4i. _� fz-_ __.....,....�._..._. AND a l $ OF FI EWOstX$ TO BE DISPLAYED ? t I.3 !113 55 5ii Ila 3c-_ z f — ..t.. _..2i.___. OANNER i P•...:E s,,...PRIOR TO D39..v VS ' r /��. 1 ' -a34.f 2.11%.E I [� Fes •! f !+ti s'h'ams al Apoksam FiiMANC IAL RESPONSIEWTY Okra One) Bond Or Pertefate Of insurance attached state tie IT,arshal average of parson and "rent.j 2,0n0rng Or !rawrawce Cc �•7 �(' J ^� 7 +�N�r 5 + w ! Y y 7 l �T. c, 1 [ ✓.2Y° (i , t� & r ,o,— Sant or c rafaate of ina;srart 7n !lila with Bond Or certificate Ot lnsuranCt shat` prOvrda minimum 150.0001$1.000,000 bodily !Nulty ltaadny for each respective.iy. and $25.000 property Carnage liability A30:oss S ii ;,Lf) CI Me, (..(k kft- rs• tPIa: , t/ a2, Z•4=^-• i PERMIT and applicable local Data /9 PART II PE�10rt;T a In accordance wilt, the provisions of RCW 70.77 the above application. ordinances his permit rs granted 10 ci0nds,et a tisaworks display as per Nan.* ;FLA nano or sone, tin d orwrmsr, waxed prow; Fkalcclions (Wows of arcs. 9rano% won; perm not vans for cOrvlucl of Display w:ihOut ve•:ficaticn Or Act,Ce and counter-siQnaIi re o1 Itcansi,$ agency (rao7 WA CAty toe* w C.txny PART VEiNaFicATION OF UCENSE Dale — q 19 G May Oils certify that the applica^d- _ has been Issued a Sprciai Public Display License 10' the date and location Ind•cated�,n the application., or t�'ftOlds a cirren1 Genera Fub.ic nispiay License arta nas a va:i0 a.>rnd 'iaoi'rty ins,efeK i - , c.p o the State Fire Marsna. �31� Yr/ . /.." i� OFFICE OF STA'£ FIRE MARSHAL At.rniORCAT1ON TO PURCHASE SPECIAL FIREWORKS PossesalOn by the applicant Of IRIS Ocmpeled application signed by both the I0C41 Issuing authority and the State Fire Marsha! authorizes the applicant to purchase the speca! fireworks listed in the application for use at the tOCatlion and Cate shown. COPY 'C' — Applicant' aer40n i l' '019rbI $ Fain sF sea • • I