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HomeMy WebLinkAboutVail 12-31-18 Permit.pdf TOWN OF VAIL' Vail Fire Department Permit FEE: $212.00 PERMIT NUMBER: 18-123118 PERMIT TYPE: Pyrotechnics DATE OF ISSUANCE: EXPIRATION DATE: PERMIT ISSUED TO: Cheryl Davis NAME Western Enterprises, Inc. COMPANY P.O. Box 60, Carrier, OK 73727 (800) 375-2204 COMPANY ADDRESS LOCAL CONTACT NAME / PHONE NUMBER: Ron Burnett 406-580-6156 Magnus Nilsson (970) 390-7788 PERMITED LOCATION: Vail Golden Peak Water Tank Site Compliance with the International Fire Code, 2012 edition, section 5608 and NFPA 1123 or NFPA 1126 is required. OTHER CONDITIONS ARE REQUIRED AS FOLLOWS: 1. Indicate shooting location. Provide site plan. Vail Golden Peak Water Tank site Vail Snow Days 2. Indicate time and date pyrotechnics are to be staged at the launch site. Pyrotechnics shall not be staged without responsible person in continuous attendance. Fireworks shall be staged Monday, December 31, 2018 at 8:00 AM 3. Indicate projected start time. Fireworks Display scheduled for 6.30 PM and Midnight on Monday, December 31, 2018 4. Indicate method of launch (ie electronic from mortars, pre-packaged, or portable launch device or other means) 3" through 6" display shells preloaded into HDPE mortars and hand fired. Display duration 12 minutes. Grouped Racks will be separated by one mortar size diameter. 5. Indicate post launch recovery plan (clearance plan, time, number of personnel, etc.) Any unfired product shall be promptly removed from premisis and stored in ATF approved magazine by Colorado licensed technichians after 15 minute"cool down" period. Supervised at all times. ADDITIONAL CONDITIONS ARE NOT ATTACHED. TOV PERMIT# 18-123118 This permit shall constitute permission to maintain, use or handle materials, or to conduct processes which produce conditions potentially hazardous to life and/or property,or to install equipment used in connection with such activities, unless specifically restricted under the terms and conditions set forth herein. Such permission shall not constitute any endorsement by the Town of Vail. This permit shall not be construed as authority to violate,cancel, set aside,or otherwise release the permitee from the obligation to abide by the strict provisions of the uniform fire code,state, local or federal laws and regulations pertaining thereto. This permit shall not take the place of any license, permission, permit, or other regulatory requirement. The permitee,agents,employees,subcontractors, subsidiaries, successors and assigns, are hereby directly obligated and agree to abide by the conditions referenced and set forth herein. Permit applicants and the permit applicant's agents and employees shall carry out the proposed activity(s)in compliance with the uniform fire code and other laws, regulations,statutes, and regulations applicable thereto,whether specified or not, and in complete compliance and accordance with approved plans and specifications. Permits which purport to sanction a violation of the uniform fire code and other laws, regulations,statutes, and regulations applicable thereto,shall be void and approvals of plans and specifications in the issuances of such permit(s)shall likewise be void. All equipment, materials, processes and related devices shall be available for inspection by the fire department. A copy of this permit and any conditions attached thereto,shall be kept on site and readily available for inspection. Such permit may be revoked by the fire department without review for violation of any of the following, but not specifically limited to, conditions listed as follows: 1.The permit is used by any person other than to whom it was issued. 2.The permit is used for a location other than that for which it was issued. 3.Any of the conditions set forth in the permit have been violated. 4.The permitee failed, refused, or neglected to comply with orders or notices duly served whether by verbal or written means within the time frame of the permit. 5.There has been a false, misleading statement,or misrepresentation of a material fact made by the applicant,operator, permitee,employee,agent or assign as to the nature,scope,frequency, location,or other details pertaining to this permit. 6.The permit was issued in error in violation of the provisions of the uniform fire code and other laws, regulations,statutes, and regulations applicable thereto. PERMIT ISSUED BY: NAME TITLE I, Cheryl Davis As Agent for HAVE READ AND DO NAME OF APPLICANT Western Enterprises, Inc. TITLE HEREBY AGREE TO THE TERMS AND CONDITIONS SET FORTH HERE IN. Town of Vail Page 2 r le.e r. ?Ili -•14:‘,22,,, of at ;i 5ti •• ajy. ! ' Nty 1 Ya /:� L . `,€ s �+ �. Yi.b: t ' ! r +ff,�r j, l� 117`C. r • ` t :`.6 st'' "* •-4"..."t•.:.:!0.•-•y 4 r� % ,,r,',. ..•..50a `` r •'6,!"a• r l/fie, : } '4r fti ..,, `. 7(rr ' ,,•'1 s 4,;,l tart . Cj .; .;,Rst !',i yt r; 4.at t 's a r psi Yt �? tr rys...01./..t... ` r:,;`,,..r,,,,..a 4 `t lif f s t,•.,A• .`� Y � 1 ' h ge'' •-•'; - 7F int......I."e, IF, • aY --1- l- re,..."- '4„�U�.Q,r! •.,,ti • /j•4_•ctr J ! 4, 4`• `.r • .. 47'` r "•k i.• .:;• 2►• { 't.' `. f1r. € •¢r'P \ , ....r sl• ..,` - , \f .�,`.•r ),y+, '*P�rsqyf�/,1! t, 'r/a '}'i �t't ' 4 4-J,'‘ -J,'•; fi I , Rrd1 ti . ? ,�� . ''0'4, 11,i�\Ir't'tY� ti �@' I ! •l : 's ‘id s+ i • • ` , , < - - 'wS rt-et,_ a..J` �.�' r LI-,.. 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' . •-1_.- . , c -T , 1" - . rl- '-' - •co ,-n) Oh , . , -- Q (A ---.„ CD in D N > Lo cp m iv n i-t• . , CD n . •-t: 0) < '-• O N c 1-5-• "` n m CD: cn ul - . .di � l AE9RD® DADD/YYYY) ® TE(MMICERTIFICATE OF LIABILITY INSURANCE 11iTE(MM/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 NAME: Britton Gallagher (AIC, Ex0:216-658-7100 FAX No1:216 658 7101 One Cleveland Center, Floor 30 E-MAIL 1375 East 9th Street ADDRESS: Cleveland OH 44114 _INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Everest Indemnity Insurance Co. 10851 INSURED INSURERB:Everest National Insurance Company 10120 Western Enterprises, Inc. INSURER C:Maxum Indemnity Company 26743 13513 W.Carrier Road INSURER D: Carrier OK 73727 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1531601407 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 TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY Y SI8ML00068-181 2/15/2018 2/15/2019 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $500,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 RO- 7 POLICY X JECT LOC $ B AUTOMOBILE LIABILITY SI8CA00037-181 2/15/2018 2/15/2019 Ea acc deotSINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ C UMBRELLA LIAB X OCCUR EXC6018292 2/15/2018 2/15/2019 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE: $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement. Additional Insureds: Ren Event Productions;Vail Resorts, Inc.;Town of Vail; USFS Display Date: December 31,2018 Location:Vail,CO CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ren Event Productions THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3011 Basingdale Blvd ACCORDANCE WITH THE POLICY PROVISIONS. Vail CO 81657 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Li hi m — -.. R. H (-) a) 1 = CD i ...... cr) D 00 — Cil -1 0 F). (D CD -..,.... . 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STD- ."---,_ .---' ' ' 0.... I\J. --''.-' `Nsi -•'-':4-- --.''''' (-) > CD----,:, --,-, ,.. s,___._„__,,,._e 6,..---- --,....--- • ,_,_ C I ., rrn —I, '" —VI C (D V) r) r-i• -S t• ‘- - . -• 1= < CD 0 < w (D •-• 0 -h 0 l'••) (I) N) ia.) 0 0- r-i- /-1 (1) 00 W p r+- 70 CD 0.4 • • . , . . •• Department of Justice (18 ((� Chapter 40au of Alcohol,Tobacco,Firearms and Explosives oma:e HIM n€166tr1nnalr31r1Luulnem Ar1at cordance with the provisions of Title XI,Organized Crime Control Act of 1970,and the regulations issued thereunder(27 CFR Part 555),you may engage in etivity specified in this license or permit within the limitations of Chapter 4Q,Title lS_United States Code and the regulations issued thereunder,until the ation date shown. THIS LICENSE IS NOT TRANSFERAAVE b sT•C k{33.1 ...See-"WARNINGS",and"NOTICES"on reverse. rt ATF ATF-Chief,FELC /.1� License/Pern1iE`r ' sspondence To 244 Needy Road +'rr Number 5-OK-047-23-1 D-00004 Martinsburg,WV 25405- 43Jj f,FederalELtd ives Licensing Center(FELL I Expiration ` ■ Pi. ri . . Date _ April 1, 2021 er 4a, 1` 0 , iia e, ; .a WESTERN ENTERPRISES SNC errliset Address(Changes?Notify tlre'FELC'at least 10 days beforathemove.) ~\ 13513 W CARRIER ROAL�t•,'., • • t , CARRIER, OK 73727- 'I , i r of License orPennit f '•:I I P 23-IMPORTER OF EXPLO$1VES rI • • Purchasing Certificlatioii Statement Mailing Address(Changes?.Notify the FELC of any changes) icensee or pennittee named above shall usV.a copy'ofthis license or pennitto-assisl.a1 feror of explosives to verify the identity and'ho licensed status of the licensee or ittee as provided by 27 CFR Part 555. The signature on each'conv must be an original WESTERN ENTERPRISES INC lure. A faxed,scanned or e-mailed copy ofthe`Iicense or permit with a signature - • i' ded to be an original signature is acceptable. Th8 siggature must be that of the Fediial PO BOX 60 i osivesLicensee(FEL or�espo,if person oftlieFEL. Icertifythiatthis isatm CARRIER,OK73727- of a license• r-:rfnt iss ed to+ - icensee or pennitteenamed aboi'eto engage in the t- rm.•-::o/,l=''1 -E /Il und�peofLiceus'eorP- :E " 7pr `�77e'al :, •e'PermitteeRes n '.ePerson Signature Po`siti6n/•Title• . Printed Name Date ATR Form 5400.1415400.15 Part I Revised October 2011 ousBdiiioo is Obsolete WESTERN ENTERPRISES INC:13513WCARRIER ROA0:73727:5•OX-047-23-10-00004Apt111,2021:23•161PO0TER OF EXPLOSIVES • • Federal Explosives License(FEL)Customer Service Information iral Explosives Liceiisiiig Center(FELC) Toll=free Telephone Number:- -(877)283-3352 - -. .. - - ATF Homepage:-www:atf gov--- - - -- -- - - Needy Road FaxNumber: • (304)616-4401 tinsburg,WV 25405-9431 E-mail: FELC@atf gov • nge of Address (27 CFR 55-5.54(a)(1)). Licensees or permittees may during the term of their current license or permit remove their business or operations to a location at which they intend regularly to carry on such business or operations. The licensee or permittee is required to give notification ofthe new location of the ness or operations not less than 10 days prior to such removal with the Chief',Federal Explosives Licensing Center. The license or permit will be valid for the finder of the term of the original license or permit. (The Chief,FELC,shall,if the licensee or permittee is not qualified,refer the request for amended license ermit to the Director of Industry Operations for denial in accordance with§555.54.) , • ht of Succession (27 CFR 555.59). (a)Certain persons other than the licensee or permittee may secure the right to carry on the same explosive materials ness or operations at the same address shown on,and for the remainder of the term of;a current license or permit. Such persons are: (1)The surviving spouse iild,or executor,administrator,or other legal representative of a deceased licensee or permittee;and(2)A receiver or trustee in bankruptcy,or an assignee for slit of creditors. (b)In order to secure the right provided by this section,the person or persons continuing the business or operations shall furnish the license or nit for for that business or operations for endorsement of such succession to the Chief,FELC,within 30 days from the date on which the successor begins to y on the business or operations. (Continued on reverse side) t Here X - I Federal Explosives License/Permit(FEL)Information Card I 1 icense/Permit Name:WEST FmRN ENTERPRISES INC i I . usinessName: sl '. t • • � -. IP,r l I E 1 icense/Permit Number:511rOK=,047-23_id-0000•41 I 1 • ,s • 1 icense/Permit Type:23-IMPARTER OF Ek?LOSIVES • ;i'' I I xpiration: April 1,2021 I1 • 1 :ase Note:Not Valid for the Sale or Other Disposition of Explosives. I I