HomeMy WebLinkAboutR-2007-091 State Fair Park / Western Display Fireworks Ltd.1
RESOLUTION NO. R-2007 — 91
A RESOLUTION granting a public fireworks display permit to Western Display
Fireworks Ltd. on behalf of the State Fair Park;
WHEREAS, Western Display Fireworks Ltd. has applied to the City for a public
fireworks display permit to conduct a public fireworks display at State Fair Park (Central
Washington State Fairgrounds), July 4, 2007 at 10:00 PM; and
WHEREAS, Western Display Fireworks Ltd. 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, and 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 Ltd. 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 thisl9thday of June, 2007.
ATTEST:
CITY CLERK
Updated: 6/16/06
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT
Office of Code Administration * codes (4 ci skima.wa.us
D
Maples, (B0, Code Admin. and Phoning Manager "www. a yakime wags
129 North Second Street, 2nd Floor
Yakima, Washington 98901
(509) 575-6126 or 575-6121 • Fax (509) 576-6576
APPLICATION FOR PERMIT FOR PUBLIC DISPLAY OF
FIREWORKS AND/OR PYROTECHNICS DISPLAY
WITHIN THE CITY LIMITS OF THE CITY OF YAKIMA
(Application Must Be Submitted No Less Than 15 Days ]Prior to Fireworks Display Date)
The undersigned does hereby apply this date Mali 3b, 2001 for a permit for
public display of fireworks. The applicant shall provide detailed site plan of the exact location of the
display, along with the signature of the property owner or person responsible upon whose property the
public display of fireworks is located.
The applicant for a public display of fireworks shall, at the time of application, submit his license issued
by the State Fire Marshall for inspection. In addition, the applicant shall submit a Certificate of
Insurance in an amount not less than Fifty Thousand Dollars and One Million Dollars for each person
and event respectively. And not less than Twenty -Five Thousand Dollars for property damage liability
for each event and the Certificate of Insurance shall also name, as additional insured parties, the City of
Yakima, its officers and employees acting in their capacity as agents of the City.
Display Date: jL(.l„t l q, 1001
Display Location:
Signature of Responsible Person/Owner:
Signature of WA St Licensed Pyrotechnic Operator:
Reviewed by: �� CcF"1 , Fire Code Inspector
Approved by: l/L.yI2it._ , Code Admin & Planning Manager
lie Art_ch P- 028so
Enclosed: ( Site Plan
(>Q Proof of Insurance
ELLENSBURC
1-82
EXIT 1134 - MOB
PART II
PERMIT# ��a� I fl04-
PERMIT
DATE. te, la.` O 7
In accordance with the provisions of RCW 70 77 and applicable local ordinances, this permit is granted to conduct a
fireworks displaya per the above application
e
NAME.
RESTRICTIONS
S ►" 1 l p taLL., LT
(Full namepf person, firm, or corporation granted permit)
Permit not valid without verification of
the appropriate State Fireworks License
LICENSE NUMBER. Q ? 11
(Instructions on reverse side)
(Signature of fficial granting permit)
(Title)
3000-420-050 (R 02/05)
Distribution: WHITE (A): Local Fire Authority; YELLOW (B): Permitee
tmot APPLICATION
PART I
sr
r, FIREWORKS DISPLAY PERMIT
DAE
7
FAPPLICATION
30, 07
TO: Governing
; FOR PUBLIC
body of city, town, or county in which display is to be conducted.
,APPLICANT ' "'... . . , .
NAM
fiestem ®ibpLt.q 6A/its
ADDRE S
Po. sox gill, Car+ . on • 1 +/
PHONE
0 -(oS - len/
SPONSQR
itta n.a.. yI of jiij ,
ADDR SS
go. f54,0 la,llt, izzvwit n$aoi
HO E
,�D - 2y5-125)
YROTECHNIC OPERATO� /
N E
A ne GUnc4-
ADDRESS .n�r1I1
22820 W. Cons•�1tttlonl Ln. l tthgru.m, h A
L ENSE #
02.8 5 o
NA OF ASSISTANTS: (at least one required)
�ME
/ {rsonl
ADDRESS
2osiq SE 281st Kent, w4- lgoh12
AGE
50
NAME
ADDRESS
AGE
EXACT 'LOCATION OF ,PROPOSED DISPLAY"
yyppCAT ON •
an -Dial Wash n &On gate FA.t-r rou.ncts, Jtcrna, w/.
� 14., . 07
1ppro lOprn
NUMBE"AND KINDS OF "FIREWORKS TO. BE DISPLAYS •.
1.5" O tnt5- 300 Ll" ShtLIS- 1424 23/ » IDtspi t3 & r 4tifs- 3
2" Shells- 1.'4 5" Shells- 1G7
6" Shells- 14314 I• S" QC5pLaU Candles- S
_2.
3" Sheis- Ll5b 2" ®I:c �Undies- q
MANNER &PLACE OF STORAGE PRIOR. T.O'DISPUAY (Subject to approval of Local Fire Authority)
Overniakt iv/ yultret @ Centra, Washn ton Poi ro .ncds
j&kima
ATURE OF/AP L NT
4.krOoot--
'mriANCIAL RE PONSIBILITY
BONDING OR INSURANCE COMPANY
6L99 , Lj'iSikra,n ce. Se.VVL C.e s
(Mark One)
g -Bond or certificate of insurance attached
DRES�t/
P1. / a g
1L
Ua,n ^ o L V ej � ft q ��
Bond or certificate of insurance on file with State Fire Marshal
Bond or certificate of insurance shall provide minimum coverage of
$50,000/ely, an 00 bodily injury liability for each person and event,
respectively, and $25,000 property damage
PART II
PERMIT# ��a� I fl04-
PERMIT
DATE. te, la.` O 7
In accordance with the provisions of RCW 70 77 and applicable local ordinances, this permit is granted to conduct a
fireworks displaya per the above application
e
NAME.
RESTRICTIONS
S ►" 1 l p taLL., LT
(Full namepf person, firm, or corporation granted permit)
Permit not valid without verification of
the appropriate State Fireworks License
LICENSE NUMBER. Q ? 11
(Instructions on reverse side)
(Signature of fficial granting permit)
(Title)
3000-420-050 (R 02/05)
Distribution: WHITE (A): Local Fire Authority; YELLOW (B): Permitee
INSTRUCTIONS
APPLICANT
Compete Part 1 of the Appication and presentboth copies to the Chief Fire Officialofthe�\y.�wn.orcoun|yirwhivhthpdiep|eyishz
�
bhe|d If Special Pb|ioD�p\ U nueiouuntemp|e�d. hdocump�4/y of a surety bond or a certWcate of public
�|io8Uih'innurmrice-covehngthe tin -ie period ,of th'e'dioplay`|/meopp|icant already has o-Genam|'Disp|ay.Li6onSe,fordis-aYS bt-Various
locations, indicate that -a bond or certificate of insurance.is on file with the State Fire Marshal covering the date and location ofthe
display ' ` ' |`��� '' ' ` ` ` � `�� . �� - '�� � '' � .' ` `
�. 1/4
Genera|P blicDisplay Liin the|iconse will authorize the purchase
of the speeial fireworks Iisted on the Appcation Copy bo.mn/mgmeda(the disptav site and made avai'able 10 laog|ocstate
officials to verify the Permit and License. `~
/, , , �. ' � . � �� �
-° — � ^ ' .� ' ` , �� � . , � � ' . ^.
CHIEF FIRE OFFICIAL / GOVERNING BODY
0 Determine that the applicant is in possession of a current state fireworks rcense and that the Pyrotechnician holds a current
license.
-° Make an investigation of the proposed sitetpd inwhether the display will be hazardous
Exercise reasonable.,discretiOn in ev,dluating fire rwards; vehicle parting, crowd,control, stocage prior to displayaand general : .
precautions against fire, exb|osion.orpanibduf-ingthe disp| (Use of NFPA 1123 Pubilo Disptay of Fireworks is recommended
for guidelines.) Submityour findings and /ecomqpe to\heguvorninObodyforOna|douiuionnr.ih1hoeven��ha�8�io^
`,
authority has been delegated to you, ioa�oordeny the 'pe�ni�
6 �oppmved.the govomfire official governing body Part U
eof�eAp��od��
Application _'�"p|uathe^' documentary
' ,'°��'�� `��<
FIREWORKS WHOLESALER
Possession by the applicant of Copy "B" of the -completed Apptication, sigbed by the local issuing authority along with the litense issued
by the State Fire Marshal, shall serve as authoi-dation to the wholesalert6Sell the applicant the Special Firewoi4S"listed en'the "
Application, for use at the date and location specified,- Tkrie,.Pyrote,chpician's report, required to be filed by-the-Pyrotechnician within ten ,
days following the display, will be retained by the State Fire.Marsh'al-aS_ e\iiderice of fhe display
-.`. _Y � ` ' � ' ^`, . ` ^
RCW 70.77.28'5. �'°' OR OF
' `
The applicant for a public di;Play of,,fireworks,perinit shall, at the time of the application, file with the officer to whom the -application is
made, a bond -issued by an atithorized tir-e-fs, cOrripany to be approved by such officer, conditioned upon tn6 applipnt.' paVment:of all
damages to persons or property which shall or.may result from or be caused by such public display of fireworks, or any negligence -on
the part of the applicant, or their agent, servants, employees, or sub-contractorsrn the presentation thereof, or a certificate of insurance
evidencing the carrying of appropriate public liability insurance for the benefit:6f theiperson named therein_.ds,-assured, as evideni;eiof
ability to respond in damages in at least such amount, said policies to be similarly approved. - ... '
- ,
,"
RCVV70J7�gs.AMOUNT OFBOND ORINSURANCE. `- ~ �
In (he case of an application for a permit for the public display of fireworks the amount of stiCh such a surety bond or.certificate of insurance
ahoUhonot|oauthenfiftythouoanddol|ammndonemiUionduUaroforbodi|yinjury|iabiU4/foreunhpensOnundovent.mapactive|y.ond
not less than twenty-five thousand dollars for property damage liability for each event.
RCW 70.77.355. ALTERNATIVE PROVISIONS FOR GENERAL LICENSEES.
(1) Not withstadi of the other provisions of this chapter relating to public Ilability insurancebonds, d hindivNua|.
concern, firm, corperation, or. Co -partnership may secure a general license for the public displaylof fi,eW,ork withinthe state of
Washington subjecto the provisions of this chapter relative to the securing of local permits for the public display of fireworks in any city
or county, except that in lieu of filing the bonds cr certificate of public liability insurance as required in RCW 70.7,7.285 and 70.77.295, a
surety bond similarly conditioned or a certificate evidencing public liability—insuranceliability-insurance in like nt shall be filed With the State Fire
Marshal The bond or |ip| insurance ina'like mmdunLunuU�nv\decdhak dinounarv�Uncdoanoe!
the inoumd'ocoverage wkhd
ho��Meonayop�arwh�'�
written—notice State
UhnFina/K8amha|;(btheduly |�ansod'ynj�echniooperator
required by law to supervise and discharge the public display, acting either as an employee of the insured or as an independent
contractor and the state of Washington, its officers, agents, employees, and servants, are included as additional insured, but only
irsofar as any operations under contract are concerned and (c) the state is not responsible for any premium assessments on the
policy.
(2) The State Fire Marshal shall have the authority -to � such |imnnoos, subject to such reasonable rules and regulations which he or
she may adopt, not inconsistent with the provisions cf this,chapter AoerUfioateevido*±ngsuch general license, when aoobtained,
shall be filed with the legislative body or officer granting a•perniit for the public display of fireworks prior to the issuance thereof
ACQIW CERTIFICATE OF LIABILITY INSURANCE
CSR EF
WESTE-5
DATE (MM/DD/YYYY)
05/30/07
PRODUCER
Biggs Insurance Services
P.O. Box 189
916 Main Street
Vancouver WA 98666
Phone:360-695-3301 Fax:360-696-2232
INSURED
Western DisplayFirewo>cks,Ltd.
DBA:Western Inern'l Fireworks
P.O. Box 932
Canby OR 97013
THIS CERTIFICATE 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 POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURER A
INSURER B
INSURER C:
Liberty Surplus Insurance Comp
Praetorian Insurance Company
Arch Specialty Insurance Co
INSURER D
INSURER E
NAIC #
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED
ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITII
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ABOVE FOR THE IPOI.ICY
RESPECT TO WHICH
TO ALL THE TERMS
PFRIOD INDICATED. NOTWITHSTANDING
THIS CERTIFICA I E MAY BE ISSUED OR
FXI'.I IISIONS AND CON0I1 IONS OF SUCH
POLICY EFFECTIVE—POLIOWEXPIRATION
--- -
INS R ADD'
LTR IN SRD
TYPE OF INSURANCE POLICY NUMBER
DATE (MM/DD/YY)
-'-
LIMITS
DATE (MM/DD/YYIi
tj GENERAL
LIABILITY
EACH OCCURRENCE
$1,000 , 0.00
A ;• X I X ; COMMERCIAL GENERAL LIABILITY
DGCH184304-034
01/15/07 01/15/08
AMAGE I U RENTED
_PREMISES(Eaxwrence)
$ 50, 000
I ! CLAIMS MADE X OCCUR
MED EXP (Any one person)
_
s Exclud ed
PERSONAL F. ADV INJURY
$ 1,000 , 000
_ -__
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
--_1
PRODUC f$ - COMP/OP AGG
--'
s 2 , 000 , 000
POI ICY X PRO-
JECT LOC
— —
_
._... _
AUTOMOBILE LABILITY
COMBINED SINGLE LIMIT
B X . ANY AUTO
P000910011002
01/15/07 01/15/08
(Ea accident)
$1 000 000
/ r
--i ALL OWNED AUTOS
130011Y INJURY
II"
SCHEDULED AUTOS
(Per person)
I
1 F X
HIRED AUTOS
BODILY INJURY
$
1 I X
NON -OWNED AUTOS
!
(Per accident)
—
_- _.._. _
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABIUTY
AUTO ONLY - EA ACCIDENT $ \
i
ANY AUTO
' OTHER THAN EA ACC $
1
AUTO ONLY AGG $
EXCESs/UMBRELLALIABILIW
EACH OCCURRENCE $1 000, 000
C (X OCCUR LJCLAIMSMABE
ULP000291302 01/15/07 01/15/08
AGGREGATE
_
51,000,000
DEDUCTIBLE
$
RFTFNTION $
$
WORKERS COMPENSATION AND ' STAN- 1 O 1 H -
EMPLOYERS' LIABILITY ,__TOORR Y LIMITS I _ ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $
__._ _
OFFICER/MEMBER EXCLUDED?
E L DISEASE - EA EMPLOYEE $
11 yes. describe under
SPECIAL PROVISIONS beloW : FL DISEASE - POLICY LIMIT $
OTHER
1 i
I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Show Date: July 4, 2007 Site: Central Washington Fairgrounds /Additional
Inaured per CG2033 1) Yakima 4th of July Committee, its officers, agents and
volunteers 2) Central Washington Fair Association, its officers, agents and
employees 3) City of Yakima
CERTIFICATE HOLDER
CANCELLATION
YAKI004
Yakima 4th of July Committee
P.O. Box 9668
Yakima WA 98909
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUT
1
REPRESfjrATIVE
ACORD 25 (2001)08)
®ACORD CORPORATION 1988
WESTERN
INTERNATIONAL
FIREWORKS
P.O. BOX 932
CANBY, OREGON
97013
1.800.628.6529
(503) 656.1999 OFFICE
(503) 656.6628 FAX
A.B.N. of Western Disploy Fireworks Ltd.
May 30, 2007
Yakima County Public Works Dept.
Attn: Permit Dept.
129 N Second Street, 2nd Floor
Yakima, WA 98901
To Whom It May Concern::
Enclosed please find the following for the fireworks display on July
4th for the City of Yakima:
1. Application for Fireworks Display Permit
2. Certificate of Insurance
3. $50 permit fee made payable to Yakima County
4. A copy of our City of Yakima business license
If you have any questions or need further information to process the
permit please contact us.
Sincerely,
&'h?. 11/At
Emily Wood
Western Display Fireworks, Ltd.
F Enclosures
2'
17-t'c 2fl S�-
Western Displa\ Fireworks. Ltd.
Dba Western International Fireworks
DGLCI-II 84304054
COti1MERCIA.L GENERAL LIABILITI
CG 20 33 03 9"
THIS ENDORSEMENT CHANGES THE POLICY'. PLEASE READ IT CAREFULLY .
ADDITIONAL INSURED - OWNERS. LESSEES OR
CONTRACTORS - AUTOMATIC STATUS WHEN
REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU
This enaorsemern modifies insurance provided unaer the totlowinR.
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Who Is An Insured (Section II) is
amended to include as an insured am
person or organization for whom you are
perform;ng operations when you and
such person or organization have agreed
in writing in a contract or agreement that
such person or organization he added as
an aodiuonal insured on 'our poise\ .
Such person or organization is an
additional insured oni with respect to
liability arising out of your ongoing
operations performed .for that insured A
Person's or organization's status as an
insured under this endorsement ends
when \ our operations for that insured are
completed.
CG 20 33 07 98
Eft
B. With respect to the insurance
afforded these additional insureds_ the
following additional exclusion applies
This insurance does not appl\ 10.
"Bodil\ Iglu \ " nronert\ tamaoe—
•-personal iniur%" or "adLerusin_ iniur\"
arising out of the rendering* of or the
failure to render. an professional
architectural engineering or surveying
services including
1. The preparim:. approving. o- iailino
10 prepare or approve. mans. shop
drawings. opinions. reports. cur\•e\'s_
field orders. change orders o; drawlnire
and specifications and
2. Supervisor. Inspection. arcnitectural
or engineering activities.
Page l of 1
06/13/2007 11:08 5036566628
WE5TERN DI5FLAY
rput kortuz
Washington State Patrol 7469
Fire Protection Bureau
Office Of The State Fire Marshal
r t e to o.LJfrich
Operator
2008
BUSINESS OF THE CITY COUNCIL
YAKIMA, WASHINGTON
AGENDA STATEMENT
Item No. 15 Q
For Meeting of June 19, 2007
ITEM TITLE: Application for permit for Public Display of Fireworks
SUBMITTED BY: Bill Cook, Director of Community & Economic Development
CONTACT PERSON/TELEPHONE: Doug Maples, Code Admin. & Planning Manager
SUMMARY EXPLANATION:
Western Display Fireworks Ltd. has applied for a fireworks display to be held July 4,
2007 from approximately 10:00 to 10:30 PM. at State Fair Park (Central Washington
State Fairgrounds).
Evidence of liability insurance, state permit and site plan have been submitted and are
on file in the office of Code Administration.
The Public Display of Fireworks application complies with the provisions of Chapter
10.15 of the Yakima Municipal Code.
Resolution x Ordinance_Contract_Other (Specify) Public fireworks display permit
Funding Source
APPROVAL FOR SUBMITTAL: " �`- /1-017
City Manager
STAFF RECOMMENDATION: Pass Resolution
BOARD RECOMMENDATION:
COUNCIL ACTION:
Resolution adopted. RESOLUTION NO. R-2007-91