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Home My WebLink AboutAgenda - 05-20-2003-8gORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: May 20, 2003 Action Agenda Item No. SUBJECT: Pyrotechnics Approval -Blue Cross Blue Shield Family Day DEPARTMENT: Purchasing and Central Services PUBLIC HEARING: (Y/N) No ATTACHMENT(S): INFORMATION CONTACT: Checklist Pam Jones„ (919) 245-2652 Letter of Request Mike Tapp, (919) 968-2050 Fire Department Approval TELEPHONE NUMBERS: License of Pyrotechnician Hillsborough 732-8181 Site Layout Chapel HiIN 968-4501 Product Inventory Durham 688-7331 Certificate of Insurance Mebane 336-227-2031 PURPOSE: To consider approving a pyrotechnics permit for Blue Cross Blue Shield Family Day 2003 on Saturday, June 7, 2003. 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 their Family Day on June 7, 2003. GS 14-414 indicates that the Board shall consider a fireworks permit for "any and all kinds of fireworks and explosives, which are used for exhibitions or amusement purposes." County policy further requires assurance from the sponsoring agency that adequate public safety measures wilt 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 2003 on June 7, 2003, contingent upon final approval of the set up by the Emergency Management Director or his designee. r~ ~, PYROTECHNICS PERMIT CHECKLIST--- Blue CrossJBlue Shield Family. Day 2003 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 all 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 all 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 5-2-03 2. FIRE DEPARTMENT CONFIRMED ADEQUATE FIRE PROTECTION Yeslfown of Chapel Hill 5-2-03 MEASURES WILL BE OBSERVED AT EVENT. Fire Department 3. LAW ENFORCEMENT CONFIRMED THAT ADEQUATE MEASURES Yes/Town of Chapel Hill 5-2-03 WILL BE IN PLACE TO ENSURE PUBLIC SAFETY DURING EVENT. 4. OUALIFICATIONS/LICENSE SUBMITTED FOR PYROTECHNIC Approved by Town of 5-2-03 OPERATOR Chapel Hill Fire Dept 5. SITE LAYOUT SUBMITTED BY THE PYROTECHNIC OPERATOR. Town of Chapel Hill Fire 5-2-03 De t. 6. INVENTORY OF PYROTECHNICS TO BE USED SUBMITTED Will be approved by Town 5-2-03 of Chapel Hill Fire Dept on da of dis la 7. CERTIFICATE OF INSURANCE FOR GENERAL LIABILITY COVERAGE Pam Jones reviewed. 5-2-03 RECEIVED; MUST INCLUDE COUNTY AS A NAMED INSURED ON THE Names County as FACE OF THE CERTIFICATE; MINIMUM LIMIT $1,000,000 PER Additional Insured as PERSOWPER OCCURRENCE. reugired; acceptabe limits 8. LOCATION OF PYROTECHNIC DISPLAY HAS CURRENT FIRE Yeslfown of Chapel Hill. 5-2-03 INSPECTION AND IS IN COMPLIANCE WITH THE STANDARD FIRE PREVENTION CODE, 1988, WITH NORTH CAROLINA AMENDMENTS. 9. SHOW SET UP HAS BEEN APPROVED BY THE FIRE OFFICIAL IN Chapel Hill has approved, 5-2-03 APPROPRIATE JURISDICTION PRIOR TO THE BEGINNING OF contingent upon Count' SHOW. a royal CERTIFICATION RESPONSIBILITIES: ITEMS 1-7: ORANGE COUNTY DIRECTOR OF PURCHASING AND CENTRAL SERVICES or ORANGE COUNTY DIECTOR OF EMERGENCY MANAGEMENT OR DESIGNATE. ITEM 8: JURISDICTION'S FIRE OFFICIAL ITEM 9: ORANGE COUNTY DIRECTOR OF EMERGENCY MANAGEMENT OR DESIGNATE" NOTE: THIS SIGNATURE CERTIFIES THAT THE FIRE OFFICIAL IN THE APPROPRIATE JURISDICTION HAS MADE THE SET UP INSPECTION. IT IS NOT INTENDED TO INDICATE THAT THE COUNTY'S EMERGENCY MANAGEMENT DIRECTOR MUST INSPECT AND APPROVE SET UP PERSONALLY. FOLLOWING CERTIFICATION OF ITEM 9, PLEASE RETURN THIS FORM TO THE PURCHASING AND CENTRAL SERVICES DIRECTOR. ~,.~ a~ . BlueCrossBlueShield An Independent Licensee of the t• • ~ of North Carolina Blue Cross and Blue Shield Association PO Box 2291 Durham NC 27702-2291 919-489-7431 MEMORANDUM To: Pam Jones for Orange County Commissioners Via: Mike Tapp, Orange County Fire Marshal From: Rick Fahrer, Corporate Safety & Security ~~ Date: May 2, 2003 Subject: Request for Pyrotechnics Permit On Saturday, June 7, 2003, Blue Cross and Blue Shield of North Carolina (BCBSNC) will be having their Sa` annual Family Day at the Headquarters building located at 1830 Chapel Hill Blvd. in Chapel Hill. This event will begin at 4:00 PM and end just after dark with a short fireworks display. S & W Productions is the company employed to produce the fireworks show. They also produced the identical show for our last four Family Day events. They have extensive experience producing these type of small scale, low level "shoots", including events at the Durham 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 are met. The Chapel Hill Fire Marshal, Deputy Chief Mellon, has reviewed this request and will make the final inspection on Saturday prior to issuing the Town of Chapel Hill permit. Two off-duty Chapel Hill police officers, under the direction of Capt. Everette Johnson, will be employed by BCBSNC to insure adequate public safety during this event. They will be assisted by members of the BCBSNC Corporate Safety & Security team as well as numerous Allied Security officers. Two off-duty EMTs and an ambulance will be on site during this event. BCBSNC will pay Orange County EMS & Rescue for this service. Copies of the operator's license, site layout, pyrotechnics inventory, and certificate of insurance will be provided by Rick 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 me at 919-765-1911. °~t°~,~° DE~nrTrnnEl~t Or rliE tnEnSU~'~ BUFF=nU Or n~C~IIUI. iUen~COnNU rlraEnr~MS a ° ~ . ~~° ~t-~ ; LICENSE/PERMIT (18 U.S.C. CHAPTER 40, EXPLOSIVES) ~ 'g ~ In accordance with the provlelons of Tllle XI, Organized Cnlme Control Ael of 1970, and the regutallons hsued therwnder (27 '~ ~~. ~~. CFR PaA 55), you may engage In the activity epecllled In Ihls tlcenselpermlt within the Ilmltallons of Chapter 40. Tttl• 1t), Unllad ~~ns . •t~• Stales Code and the regulations Issued thereunder, unlit the expiration date shown. See 'WARNING' and 'NOTICES' on beck. ._ ..- LIOFNSt9: ... --- rrnr~t ~ OInECtnrF CHIEF, NATIONAL LICENSING CENTER ri(uaen ': conroESmIroENCE ~ ATF, P.O. Box 2994 - ~~IM~bN-~ to Atlanta, GA 30301-2994 DAtE • ~ NA A1E rremkee Artdrssp. S&W PRODUC~IONS 129 f3EE~F-I COVE YOUNGSVILLE, NC 27596-0000 LICENSE on renrrrr 3~t-USEfi O~,LC~W E:Xlyl_O,t'iIVFS CHIEF, 11~110tN1 //~_~~----_- _--___--_. _ _., - UCENSIfpCEMER / / - PUnCI+nStNGCEIirIFlCnrifjN _ LICENSEECRPERMfTTEEMAILINGADDRESS- I certify that this is a Irun copy of a Ilcenselpermll _ Issued to ma to ongage in the activity tpecifled ~~ ~ S-fEnKiON, WI~LIhM Il ,IR ~t..,- ' ~,,' 5&W f~ROUIJC710NS (SIGNA tURE OF UCENSEF!TTERM~ri ~E) '. (yU RC)X ~) 03 ~., YOUNGSVIILLE, NC 2~59Fi•0000 The ricensee/permBtee named herein shall usP. A rP,ryrodlli;tiAn 01 IMF license/permit to assist a Iranslemr nl evplosives to verily Iho lilenti(v and status of iho licensee/pemrillee ns provided in 77 ('Fr7 F'9tt 55. The signghue nn oath roprn<krction most bra an OnIGINnI tlgi~~hvg, ATF F 5400.1415400.15, Part t (8/A9) 1 -~- -~ .~~ ~, ' / ~ ~~~~_ ~ I i ~ , ~ \ ~, ,~: -~_ ~ - I ~ ~ j I, ~ ~i ~ ~ ~ ~ j ~ I ~ ~ i i ! i i I i ~ ~ I ~ I ~ ~ ~ ~ i i ~ ~ ~~ ~ ill ~ i ~ ~ ~ i~i i l i I ~!; I ~ i i l ~! I ~ I! '. ~ i ~ i I ~ i i , ~ ~ '~~ I i ~ ~ ~ ~ ~ ~~~ ~~ i ~ ;~- ; , I~ j' it ~: i i i~ ~ i~ l i ~I~I ~l~j i t i , i i i ; ; i I ~ ~ I ~ ~ i i I ~iij i ~ ~~ i I i ~~ ~~ i C. I i c7 ~~~ ~~ ~i~ j i W i r' R (~ ~; N N _._ _. -- --- - S & W PRODUCTIONS, INC. fT 129 BEECH COVE RD YOUNGSVILLE, NC 27596 ~919~ SSd•d969 (919556-0826 i _ Product Type Inventory X20- Low level cakes !18- 4" Bag Mines(No Fallout) 30- 3' Stickless Rockets(No Fallout) 1- Set Piece All product to be fired electronically Same type show as fired last ~ years Rick Timberlake ~' ACORD,~ CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DO/YY1 ~_~ n~ PRODUCER 440-248-4711 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Britton-Gallagher & Assoc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 6240 SOM Center Rd. COMPANIES AFFORDING COVERAGE Cleveland, OH 44139-2985 COMPANY A LexingzDn Insurance Company INSURED COMPANY S & W Productions s BOX ~ ~ O3 COMPANY Youngsville NC 27596 ~ COMPANY I D COVERAGES 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 CONDITI ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFF ORDED 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. CO LTR TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GATE IMMIDD/YY) DATE IMMIDOlYYI ,4 GEN ERALUABILITY 9539757 3/19!03 3/19/04 GENERAL AGGREGATE f 2000QQQ X COMMERCIAL GENERAL LIABILITY PRODUCTS • COMPlOP AGG i 2000000 CLAIMS MADE ~ OCCUR PERSONAL & AOV INJURY f 1 OOOOOO OWNER'S A CONTRACTOR'S PROT EACH OCCURRENCE f 1 OOOOOO FIRE DAMAGE tAny one fire) f SOOOO MED EXP (Any one person! f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS IPSr psreonl f HIRED AUTOS BODILY INJURY NON-OWNED AUTOS IPer sccidentl f f PROPERTY DAMAGE OARAOE UABIIiTV AUTO ONLY • EA ACCIDENT f ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT f AGGREGATE f A EXCESS LIABILITY 5642444 3/19/03 3/19104 EACH OCCURRENCE f 4000000 X UMERELLA FORM AGGREGATE f 4000000 OTHER THAN UMBRELLA FORM f WC - U WORKERS COMPENSATION ANO q IMI EMPLOYERS' LIABILITY EL EACH ACCIDENT f THE PROPRIETOR/ INCL EL DISEASE • POLICY LIMIT f PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE f OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Location:Chapel Hi11,NC Additional Inslired:Orange County Date:6-7-03 Town of Chapel Hill CERTIFICATE HOLDER CANCELLATION ~ ~D POLICIES BE CANCELLED BEFORE THE SHOULD ANV F THE ABOVE DESCRIB / EXPIRATION GATE THEREOF, THE SV1N0 COM NY WILL ENDEAVOR TO MAIL B 1 u e C r o s s B l u e S h i e l d 3Q D YS WRITTEN NOTIC O THE CERTI ATE H DER NAMED TO THE LEFT, of North Carolina BUT F UR TO All SUC NOTICE SHA IMro NO OBLIGATION OR LIABILITY OF Y IN 0 T COMPA ITS AGENTS OR REPRESENTATIVES. AUTHOR ED EP A r j I .. . ,l u i ~ ACORD 25-5 !1/951 2- gy 0 ACORD CORPORATION 1988