HomeMy WebLinkAboutAgenda - 05-16-2006-5mORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: May 16, 2006
Action Agenda
Item No. ,~-i%yl ,
SUBJECT: Pyrotechnics Approval; Blue Cross Blue Shield Family Day
DEPARTMENT: Purchasing and Central PUBLIC HEARING: (YIN) No
Services
ATTACHMENT(S):
Checklist
Letter of Request
License of Pyrotechnician
Site Layout
Product Inventory
Certificate of Insurance
INFORMATION CONTACT:
Pam Jones, (919) 245-2652
Mike Tapp, (919) 968-2050
PURPOSE: To consider approving a pyrotechnics permit for Blue Crass/Blue Shield Family
Day 2006 on Saturday, June 3, 2006.
BACKGROUND: Blue Cross/Blue Shield has requested that the County Commissioners
approve a pyrotechnics permit for aloes-level fireworks display to be held in conjunction with its
Family Day on June 3, 2006. GS 14-414 indicates that the Board shall consider a fireworks
permit for "any and all kinds of fireworks and explosives, which are used far exhibitions or
amusement purposes."
County policy further requires assurance from the sponsoring agency that adequate public
safety measures will be exercised; and that the County will be protected as an additional
insured on the insurance policy(ies) covering the event,
The display will occur in the Town of Chapel Hill Fire Department's jurisdiction, County
approval is a criterion for Town approval, Blue Cross/Blue Shield has fulfilled the County's
criteria for a pyrotechnic permit as evidenced by the attached documents
On the day of the display, the Town of Chapel Hill Fire Department will be responsible for
ensuring that the site is set up as per the site plan and the inventory of pyrotechnics is
commensurate with what is approved, At such point that both the Chapel Hill Fire Department
and the Emergency Management Director are satisfied that the criteria for approval have been
met, the permit will be signed and officially issued.
FINANCIAL IMPACT: None
RECOMMENDATION(S): The Manager recommends that the Board approve the pyrotechnics
permit for the Blue Cross/Blue Shield Family Day 2006, June 3, 2006, contingent upon final
approval of the set up by the Emergency Management Director or his designee.
2
PYROTECHNICS PERMIT CHECKLIST
Blue Cross/Blue Shield Family Day 2006
North Carolina General Statue 14.413 empowers County Commissioners in the State to Issue
permits for the use of pyrotechnics in connection with shows of ail descriptions after satisfactory
evidence is produced to the effect that the pyrotechnics will be used for the aforementioned
purposes and no others.
The Orange County Commissioners have adopted a policy which cites the completion of the
following criteria as prerequisite to the issuance of a pyrotechnics permit. Verification of the
receipt of information will be evidenced by the signature of the appropriate official on this form.
Only after all criteria listed below have been met will the permit be issued. it should be further
noted that ail signatures must be written on the face of the permit in order for the permit to be
valid. Penalties for use of pyrotechnics without a permit are cited in the North Carolina Building
Code, Administration and Enforcement, Volume 1A, Chapter 8.1.
CRITERIA APPROVED BY DATE
1. LETTER OF REQUEST RECEIVED FROM SPONSORING AGENCY Yes 4-26-06
2. FIRE DEPARTMENT CONFIRMED ADEQUATE FIRE PROTECTION Yes(fown of Chapel HIII 4.26.06
MEASURES WILL BE OBSERVED AT EVENT. Fire Department
3. LAW ENFORCEMENT CONFIRMED THAT ADEQUATE MEASURES Yesrtown of Chapel Hill 4.26.06
WILL BE IN PLACE TO ENSURE PUBLIC SAFETY DURING EVENT
4. QUALIFICATIONS/LICENSE SUBMIITED FOR PYROTECHNIC Approval by Town of 426-06
OPERATOR Chapel Hill Fire Dept
5. SITE LAYOUT SUBMITTED BY THE PYROTECHNIC OPERATOR Approval by Town of 426-06
Cha el Hill Fire De t.
6. INVENTORY OF PYROTECHNICS TO 8E USED SIJBMITTEO Will be approved by Town
of Chapel Hill Fire Dept on
de of dis la
7. CERTIFICATE OF INSURANCE FOR GENERAL LIABILITY COVERAGE Pam Jones reviewed 4-26-06
RECEIVED; MUST INCLUDE COUNTY AS A NAMED INSURED ON THE Names County as
FACE OF THE CERTIFICATE; MINIMUM LIMIT St,000,000 PER Additional Insured as
PERSONIPER OCCURRENGE.. required; acceptaba i(mits
8. LOCATION OF PYROTECHNIC DISPLAY HAS CURRENT FIRE Yeslrovm of Chapel Hill 4.26-06
INSPECTION AND IS INCOMPLIANCE WITH THE STANDARD FIRE
PREVENTION CODE, 20001NTERNATIONAL FIRE CODE WITH NORTH
CAROLINA AMENDMENTS.
SHOW SET UP HAS BEEN APPROVED BY THE FIRE OFFICIAL IN
9 Chapel Hiil approval, 426-06
.
APPROPRIATE JURISDICTION PRIOR TO THE BEGINNING OF contingent upon County
SHOW. a royal
CERTIFICATION RESPONS181LITIES:
ITEMS t-T: DIRECTOR OF MERIGENCY MANAGEMENTIOR DESIGNATE. L SERVICES or ORANGE COUNTY
REM 8: JURISDICTION'S FIRE OFFICIAL _
ITEM 9: SIGNATURE CERTIDFIES THAT THE FIRE OFFICIAL IN THE APPROPR ATE JU SDICTION HAS MADE
THE SETUP INSPECTION- IT IS NOT INTENDED TO INDICATE THAT THE COUNTY'S EMERGENCY
MANAGEMENT DIRECTOR MUST INSPECT AND APPROVE SETUP PERSONALLY.
FOLLOWING CERTIFICATION OF ITEM 9, PLEASE RETURN THIS FORM TO THE PURCHASING AND
CENTRAL SERVICES DIRECTOR..
BlueCrossBlueShield
~~~. ~'/ of North Carolina
MEMO1tANDUM
An Independent Licensee oC the
0lve Cross and Slue Shield Association
PO Oox 2291
Durlmm NC 27702-2291
019-489-7431
To: Pam Tones for Orange County Commissioners
Via: Mile Tapp, Orange County Fire Marshal
From: Rick Fahrer, Corporate Safety & Security ~~ ,_`~~%
Date: April 21, 2006
Subject: Request for Pyrotechnics Permit
On Saturday, .tune 3, 2006, BlueCross and BlueShield of North Carolina (BCBSNC) will
he having their 8`I' annual Family Day at the Headquarters building located at 18.30
Fordham Blvd. in Chapel Hill. This event will begin at 4:30 PM and end just after dark
with a short fireevorks display. S & W Productions is the company employed to produce
the fireworks show- They also produced the identical show for the previous seven Family
Day events, They have extensive experience producing these type of small scale, low
level "shoots", including events at the Dut°ham Bulls ball park, etc.
The Chapel Hill Fire Department will be providing a fire truck and fire personnel during
this event to insure adequate fire protection measures ar•e met. 'the Chapel Flill Fire
Marshal has reviewed. this request and will make the final inspection on Saturday prior to
issuing the Town oPChapel I-Iill permit.
Pour off duty Chapel Hill police officers will be employed by BCBSNC to insure
adequate public safety during this event. They will be assisted by members of the
BCBSNC Coq orate Safety & Security team as well as numerous Allied Security o~ecrs.
Two off-duty EMTs and an ambulance will be on site during this event. BCBSNC will
pay South Orange Rescue Squad for this setvice-
Copies of the operator's license, site layout, pyrotechnics inventory, and certificate of
insurance will be provided by Ricl: Timberlake of S & W Productions. Their telephone
number is 919-554-4969. if I can be of further assistance, please don't hesitate to contact
meat 919-765-1911.
0° non>:~ ucr nn nvvanr v, u,~ vr~n,.,v, .. ..... .._...: .:, ,~..,,... ..... ,,.... ._... ._ _ -
y° ~ "e LICENSE/PERMIT (18 U.S,C. CHAPTER 40, EXPLOSIVES)
" 7 In accordance with tho provisions of 711Io 1(1. Orgmtizad Crlmo Control Act of 1970, and Iho regWntions isaued theroundar (27
S v~ CFR Parl 55), you mny engnge In the nmlvily speallied In ibis Ilcansc/parmil within Iho Ilmllsllons o1 Chnpter AD, Tllla 1 B, Unilotl G,
~~an_~vj Slnles Codo and Iho reFpdollons Issued Ihoroundar, until tha axpirnilon dnlo abown. Sae 'WARNING" and 'NDTICE9" on bock
III:ENSFJ
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omecinTr CHIEF, NATIONAL IICENSINq CENTER I+lemen
connerremlErrcE ATF -
To 2600 CENTURY PARKWAY, SUITE 4OD Ex!'IMTIDN
Aliania, GA 30345 tNtE , s ~
fWAE Promisaa ntkimsl
S&W PPiODUCTIONS 729 BEEC:FI COVE
______
_._______._- YOUNGSVILLEi NC 2759E-0000
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IssunU to m~o anga a in Iho nrlivlty sperPiad
IGIC.NAt11n OF LICENSEE/fElllAiI TEEI
the Ilconsae/permlilro namod horeln shell use 2 rspt0dhrllon of IhIA
Iicenss;perrnit to assist a Iranslarol ni oxplosives {o vorily Ittn idnnllly
end slnlus of tlln Ilcrouee/pannltiae ns pravidad In 27 CFR Parl 55
f he slgnnNm ar! each reproduction must bo nn ORIOVVAI. gignntura
LICENSEE Ofl PERMITTEE MAILING AODRESS-
SIiEl~RON, WILIIAMFi JR
SRW 1'f-iODUCI"IONS
I'O BOX 1 103 '.
YOUNGSVILLE, NC 2759G~0000
MF F 5,100]4f54d0 T5, PnN i (&+89)
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5 & W PRC9DUCTI0NS, INC.
~ 129 OEECH COVE RI?
YOUI-0G$Vill E, PIC 2759M1
19191 SSA A969
19191 556 UA26
PraducC Type ]nventory
20- Low level. calc.e
1.6- 4" Aag Mi_nea(No Fallout`.)
~30- 3' Atickl.ess F2.oclcats(No Fallout)
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1- Set Piece,
.Al.l. product t:o he fired electroni.c:ally
Same type show as fired ] ast. '7 year ~;
R.iclc 7'imtaer-Lake
A~~18D„ CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDD/YYYY)
03/23/2006
^itton-Gallagher and Associates, Inc.
240 SON Center Rd.
leveland, OH 44139
Rt 2 iZ9 Beach Cove
Youngsville, NC 27596
INSURERS AFFORDING COVERAGE
INSURER A: Lexington Insurance
INSUP.ERB Axis Surplus Ins Con
INSURER @ ~ _
INSURER D:~
NAIC #
8
RiE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED t V THt INSURtU NAMtU AtlUVt hUK 1 Ht YULIUT YtKIUU INUIGA I tD. NU I WI IMS IANVINIi
iNY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
AAY PERTAIN. THE INSURANCE AFFORDED BY THE PpUCiES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
R DD' TYPE OFINSURANCE POLICY NUMBER POL1Cr EFFECTNE POLI,~~ID~~II DMYtS
GENERAL LI0.BILRY 6990014 03/19/2006 03/19/2007 EACH OCCURRENCE S ]„ GOO, OO
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED g SO r OO
CtAM.S A1ADE ~ OCCUP, MED EXP (Any one person) 5
PERSONAL 8 ADV INJURY S ,_ ],tOOO, O
GENERA! AGGREGATE S 2 OOO DD
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP/OP AGG S 2 , GOO, OO
POLICY X PRO LOC
JECT
AU TOMOBILE LVlBIL1TY
ANV AUTO
I COMBINED SINGLE LIAIR
;Ea amidonq S
ALL OWNED AIROS
SCHEDULED A1R05
BODIL'f INJURY
!Per peroon)
S
HIRED AUTOS
NON•OWNEO AUTOS BODILY INJURY
(Per eCddorp
S
PROPERTY DAMAGE
(Per oxitlenQ S
GARAGE LUBILITY AUTO pNLV-EA ACCIDENT S
ANY AUTO EA ACC
DTHER THAN B ^~~___•~~
AUTO ONLY AGG 5
EXCESSlUMBRELW LU+BRATY EAU72'S 375 03/19/2006 03/19/2007 EACH OCCURRENCE ~ ~5 4 OOO OOO
OCCUR ~ CLAIMS M1L:DE AGGREGATE 3 4 OOO OD
5
I DEDUCTIBLE S
RETENTION S
S
WDRKER9 COMPENSATION AND
EMPLOYERS' LIABILRY ~ STATU•
O~TH• ~~
ANYPROPRIEi00.rPARTNER/EXECUTNE -
EL. EACH ACCIDENT S
OFFICERIMEMSER EXCLUDED'+
If yy06 tleevlbe under
E L DISEASE • EA EMPLOYEE
S
SPECW. PROVISIONS below
E.L. DISEASE • POLICY UM1IIT ___._.
S
OTHER _
~.....~.,,..,.., • .,,,,,,,,,,,,,, • ,~,.,,,we , ce~wmvna.wum o. cnwnocmerv ~ I areuAL re,wu,tmo Add 1 t 1 On a 1 Insured -
Location:5901 Chapel Hill Blvd. B.LueCross B1ueSheild of NC,•
Chapel Hi 11,NC27702 Town of Chapel Hill,
Date:6/3/Ob Orange County
BlueCross B1.ue6hield of NC
5901 Chapel Hill Blvd
Durham, NC 27702
SHOULD ANY OF THE ABOVE DESCRBED POLICIES SE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
3O GAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAL•URE TO MAIL 9UCN NOTICE SHALL IMPOSE NO 9BUGA'nON OR LIABILRY
~sn ae mnn~rne,