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Fireworks Request for Iowa League of Cities Conference Copyrighted September 3, 2019 City of Dubuque Consent Items # 27. ITEM TITLE: Fireworks Requestfor lowa League of Cities Conference SUMMARY: PermitApplicationfrom J&M Displays, Inc. requesting approve to present a fireworks display for the lowa League of Cities between 9:00 p.m. and 10:00 p.m. on September 26, 2019 at the Alliant EnergyAmphitheater. SUGGESTED DISPOSITION: Suggested Disposition: Receiveand File;Approve ATTACHMENTS: Description Type Fireworks Request Supporting Documentation �. � DUBU U _ ;t4 Y FI_ R� ,,,, �� { � 11 WEST 9T".STREET DUBUQUE, IOWA 52001 J 563-589-4160 FAX 563-589-4209 1 Permit Application Date of Application: ,�-����/ 9 Business, Organization, or � Applicant Name: �' �� °5 � , n�, , . , Contact Person: ���,•�. � �� � � ,yt i y�S�' � � Address: 1���1 f� Lt ��t���4�,e_., �f�.r�csu��L�, .�/� ��te�C� ; Address of Burn: ' Phone Number: �a d t���3�=�� Fax: �� �' - i1� ! ri.lP .� r�� (�j�c�'�� Cell phone: ,�1 � 4t��5 7 l���` � E-Mail address. si ,�a i 1 � 5' L � ��6�r�r dr-1>E« �(t+1s�CY Vl2 z�i��� �ry$. �'3 ►-1.-7 ; `=, . ��.s�,,����,,.�� � ���pf�ys.Cp� ' Type of Permit Requested: (Check one) j ❑ Bon Fire. (1 day) � Fireworks / Pyrotechnics (1 day) ; ❑ Prescribed Burn (30 day) (City Council Approval Required) ❑ Land Clearing Burn. (30 day) ; ❑ Agricultural Land Burn. (30day) ❑ Blasting. (30 day) �' � � Please provide information regarding permit request and event location: j '�-� , � . � '� r--�� � �" t c n �.l � � �'�E}e�/`" i fk- ���z-[.tf�r� 'r'k S r]�t`�(l r �-Lt� �'.e��� � -� G� cw� C....t''7`l'� � ! tJ _ �-`' Ch�'r- � � � � i�Y�(�G't h d""� ' /� , � � � � e �i ,�71 r1� t,sc�L1 � f`1-�d . �� G[.C.-� e i I 1 Details regarding the permit requirements must be �led when application is made and ! whenever requested by the Fire MarshaL It is the applicant's responsibility to satisfy all j permit requirements, submit applicable fees with application, and ensure that conditions ; are in accordance with applicable State and Local fire regulations. �.-�.� �� ��� .����� � Applicant's Signature FOR DEPARTMENT USE ONLY DATE ISSUED: � v '�� ,�L�J � FEE:$ f l/Z� �� � �! f FIRE MARSHAL i I I � i lowa League of Cities Fireworlcs Display ' I September 2Gt", 20 7 9 — Dubuque Alliant Energy Amphitheater � Sponsor Information: � Iowa League of Cities � l 500 SW 7�St.,Ste 101 � Des Moines, IA 50309 ; Contact: Katie Wheeler j Ph: (515) 974-5332 ; � Email: katiewheelerC�iowaleague.o� � ; � , Fireworks Display Company � , J&M Displays, Inc. � 18064170�Ave. Yarmouth, IA 52660 PH: 800-648-3890 i Email: susan(�jandmdisplays.com ; Lead Technician ; j Steve Baumer (See Attached info) ; Cell: (563) 726-9687 ; { Email: mrandmrs�, ro gmail.com 3 � Fireworks 3torage ? i Fireworks will be in storage at the J&M bunker in Eldridge, Iowa prior to the display date and be delivered on site by a j&M driver the day of the show. i i t � � l � i i i i i I � � CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) ACO�22Cy� 3l4/2019 THIS CERTIFICATE IS 15SUED A5 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 PHONE � tio: One Cleveland Center, Floor 30 E•MAIL 1375 East 9th Street ADDRESS: Cleveland OH 44114 INSURER S AFFORDING COVERAGE NAIC# INSURERA:EV r t I m 't In r 5 INSURED INSURERB:MBXUIII IC1CI ni Com n 6743 J&M Displays, Inc. iNsuReR c:Axis 5ur us nsurance Com an 6620 1 18064170th Avenue �NsuReR o:Everest Dena i Insurance Com an 1 44 � Yarmouth IA 52660 INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:524504960 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 7ypE OF INSURANCE ADDL SU6R POLICY EFF POLICY EXP LIMITS ' LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENErtnLLweILITY SI8ML00060-191 1/15/2019 1/15/2020 EACHOCCURRENCE $1,000,000 � x DAMAGE TO RENTED { COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $5D0,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $ __ � PERSONAL&ADVINJURY $1,000,000 j GENERAL AGGREGATE $2,000,000 ; GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG $2,000,000 X PRO- $ � POLICY LOC i D AUTOMOBILE LIABILITY SI8CA00033-191 1/15/2019 1/15I2020 COMBINED SINGLE LIMIT j; Ea accidenl 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ � ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ � X HIREDSAUTOS X NO OWNED PROPERTY DAMAGE $ { AUTOS Per accident $ I B UMBRELLA LIAB X pCCUR EXC6028118-04 1/1512019 1/15/2020 EACH OCCURRENCE $5,000,000 ? ----�-- + X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 I � DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- ' AND EMPLOYERS'LIABILITY Y�N TORY L M TS ER � ANY PROPRIETOR/PARTNERlEXECUTIVE❑ N�A E.L.EACH ACCI�ENT $ i OFFICERlMEMBER EXCLUDED7 ' (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ ' If yes,describe under % DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ j � Excess Liability P-001-000063943-01 1/15/2019 1/15/2020 Each Occurrence $4,000,000 ; Aggregate $4,000,000 Total Excess Limits $9,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attach ACORD 101,Addltional Remarks Schedule,lf more space is required) � Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement. ;' DISPLAY DATE: SEPTEMBER 26,2019 � LOCATION: DUBUQUE, IOWA � ADDITIONAL INSURED: CITY OF DUBUQUE, IOWA, ITS EMPLOYEES,VOLUNTEERS,OFFICERS, ELECTED OFFICIALS, PARTNERS, j SUBSIDIARIES, DIVISIONS&AFFILIATES, EVENT SPONSORS AND LANDOWNERS AS THEIR INTEREST MAY APPEAR IN RELATION TO THIS EVENT; IOWA LEAGUE OF CITIES(SPONSOR); DUBUQUE ALLIANT ENERGY AMPHITHEATER(EVENT VENUE) � CERTIFICATE HOLDER CANCELLATION � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE � lowa League of Cities THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN � 500 SW 7th Street,Suite 101 ACCORDANCE WITH THE POLICY PROVISIONS. Des Moines IA 50309 � AUTHORIZED REPRESENTATIVE .�.'����/ !. � i I O 7988-2010 ACORD CORPORATION. All rights reserved. j AC�RD 25(2010105) The ACORD name and Iogo are registered marks of ACORD � � � � i �1 / . �. �I II I�I I . �r,, _' t , . .. . � � �����GI��� ��,���, � M � � � ,��:, �i - � � - � . _ -�.: .^ �� �� a. - -, � : �� �� � . . , : , � � .' � '�` 4'�., - �'s w'�,�, � `��� : � �� � � . _,. � — _. ;� . � _ — � . , a� � r� ' ; r �' _ t_ ; � �.� �, �' ° � � _ � n �. . � _ _ ` . y � .: , , ,. �m� , .; � . , - _ � � � � � r : ,. ; ,�, ,� � : � ' r -�. "� '` ��� � � �� _ �.�, � � � } .�� ,�N i_ � `` r � .c, ,: ;, .. JI � . � . Y�sr'm"°�."u^�.,,�,�^r„„. . 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MO TH r - 72 � o � i i _ j�eaT STE�/EN:B/�UMER � ;, , i :� -_; � � N .- � �. .�- k 3 i q{'�����r � n��.�, f� - ��� "�p�,- :'.� ��� F � 3���`' � >1 � �€ y s,:_ � � � � �� � ��� r r+���.���.4 a�.`_, '� & -a''���L��—'�.,=.�p[�y - a; ��,..�a� .'�r � ���� ���4�� ..a z�� �0�.�1�af���k�e,.����pA�a��d tc�ttr�.��c�������'���-c�������� �� �� �� ; . � _j.r`r' : : emp�aye�,possessor uncler the Fec�eral eXplosiv.e I�cerise�r p�i���iit��ca�ed��c��� '�hi� , � clearanee.is,only vaYid under the Iicense'or permit referenced`above.' ; , _ : . , .. Sincerely, < ; . � �L� � �` k'� . � � �� , ; Chixstophe�R. Reeves. ' � Y. � � � . Chief,,Federal Explo.sives�icensing::Centez �FELC) � :>: s, . - =t 4 � i i FE�C Customer.�Service.;If you believe that inf,oi-mation oi�yotir"Letter of C,le�rance`'is incorrect,,gl�ase�return a GOPY � • of tlae l�tter to tl�e Ctue� Federal�xplosives Ucei�sing Center(FELC),,with a Statement Slio�virig the na�ure of the eixor. ` ' The:Cl3t�f,�ELG shall cdrrect Yhe error,aiid ref�izii an ainetidec�.lettel to�you.. � , ' I Mail A�'�' , Fax: 1=3Q4 616-4401 Call"toll-frees 1:877 283 3�52 ' � . Chi:�f FELC ' Chie,f,�E�.,C i ` ' Attn ,LOC Gorrecti.qn Attn::LOC Correction ' � 244-Needy':Road '; z � Martinsbutg,West:Vu•ginYa 25405 ; � � � , r ! : ` IF�0�54P•T11162018:.BAUMEp�.qTEVENMICMqEL--PYROTECHNICIAtq ,WWW.A'I'FaGOV�� �� � , Ip k, +� � . . .. 1J I . .: �. .. .. . t � � , ; ':.: �.� ': . . : �, � . . .� . . .: . . _ .:�.. ,.. ... : . . , . .. .. . . . . . , r. 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Wa��s " i I 1.4G Multi-shell Barrage Units i Quantity Name Rising Effect ; 4 Multicolor Peony 36s(25sec) ' Category Shell Count:144 � � Section Shell Count:144 � Flight 1 ; ; Close proximity mine � Quantity Name Rising Effect j 5 Multi-color Go-Getter Mine(Red Green Purple Yellow Silver) 5 Silver Palm Crossette Mine 40mm ] 5 48mm Multicolor Stars mine(no debris) 5 48mm White Glitter Stars mine(no debris) Category Shell Count:20 9 i Section Shell Count:20 j Main Event � � � Ignition Items ' Quantity Name Risin Effect " 73 Igniter 2 meter leads � Category Shell Count:0 � 1 Close proximity multi-shot fans � Quantity Name Risinq Effect �, i 2 15s SuperSweep Twilight G�itter Comet with multicolor mine � 2 Red yellow orange green aqua blue&purple(rainbow mine) � 2 Sllver Flsh 8ombard w Silver Tall+Sllver Fish Mine 40mm � 2 Twilight Glitter and Blue bombardment w red tail 40mm i Category Shell Count:72 � I � ( � I Proposal#:5364 Deslgned on:2019-03-01 17:30:40 Printed on:Fri Mar 1 11:44:00 2019 Page:1 of 3 � � 18064170th Avenue, Yarmouth,lowa 52660-9772 i 1-800-648-3890 • Fax:1-319-394-3265 • main@jandmdisplays.com • www.jandmdisplays.com i i � I � ��•s� �-a�: �z •' �, - , I .� `�"� "� 'E�.� '�',;6:hYf�^ .��'`i'�..t r >' =a.m'w v. -� { c ..' u�� c � R,.t.� —�K `?�""<`T 'r �. ,;� s.*,.r,v,: „�r��"��F -�• 1 �.,�� �` s `s � _ I i a � � `� a� .�.,�`=�' ��i�� `� �.�' v���4�"�`,��T �� . :i zY � �.� � �� K� #i � s, i 5,-' '�. 3 7 �-"'�r ���' 'S p�� . i �� � �L� . 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L- _. i _ "}yTe.?._ � ,y� _�: -,.�-'�_�,tt.` � _ z.sa� ''� .:�:. �=- :f" 1 � � :� � � f� �� � J&M Displays Proposal for: j h�����•�~ " '!'f'�,' . � � � - - � lowa League of Cities ' Advertising in Cityscape � 1 Main Event � Close proximity comet � Quantity Name Risin Effect 5 Multi-Color Bombard w/SilverTai150mm � 5 Red Aqua Purple and Lemon Dahlia Bombardment 50mm i 5 Red Palm and Whfte Strobe Bombardment w/Red Tafl SOmm 5 Twice Crackling Rain w Crackling Bombard 50mm i 5 White Strobe Bombard 50mm � 5 30mm Red comet to green to white strobe(No Debris) 5 40mm Gold Glitter comet(No Debris) i ; Category Shell Count:35 1.4G Multi-shell Barrage Units ; Quantity Name Rising Effect ; i 2 Brocade Crown 36s(25secJ 2 Brocade Crown Barrage with Three Layer Mine 18s(20sec) 2 Color to Red Gamboge Fan 25s(30sec) i i 2 Crackle 36s(25sec) � 2 Double Timerain Crackle 12s(30sec) { 2 Multicolor Peony 12s(40sec) � 2 Neon Color Barrage 36 shot(20 sec) 2 Rainbow Peony wlth Rainbow mine Fan 25 shot(20 sec) Category Shell Count:458 j Section Shell Count:565 � I Finales i 1.4G Multi-shell Barrage Units ; Quantity Name Risi� Effect 4 Finale Box:Crackling 12s(5sec) 4 Finale Box:Multi Color Peonyl2s(5sec) � Category Shell Count:96 ; Section Shell Count:96 1 � i � � i i i � ' 0 i i i i � i i Proposal#:5364 Deslgned on:2019-03-01 17:30:40 Printed on:Fri Mar 1 11:44:00 2019 Page:2 of 3 j I 18064170th Avenue, Yarmouth,lowa 52660-9772 � 1-800-648-3890 • Fax:1-319-394-3265 • mainC�jandmdisplays.com • www.jandmdisplays.com I i i � i � � .s.�r�-i �c._y<<•� . �fr��} ?� � , .uE' as `�,`�z. .�' �,., ��„-�y.;� � ,y�'� ��[t"�,;��-�.x"�"ij,�':` �. k..�'ts,k �.._`i�``�3�� �r k��-st� �.'-'�,r�t.�� �r`}4:,�'1s �3." _I r _�l:��s'� �x."�'"" .L� �3 '�iwut�itt""� . �tr �*�}f'� i' .�t`l Y� ��,t,�L � R€ Ra b �� i,�"� KI��`f g3�i y�' � s„ �`� '�E�., �i"�,. ���t 3� �,���'����,�rt$A.��.��' }x��� �� �:;;3� g x''y.�"�^�2'M �y'.s�# �-�,� . `� �,- -�.r � ��. - rti ��`� � - � �� +� ��br�#f �.' '�.'�- ������5� �� � �{ � Y � �� ����� ° '� ��- �'��v�,�+�',�� -�- �' ' '�����r��`�•�•- � �'„B�I � �£ � � � X ����`}�a:: ����„��u����._ ,a *-..�.'������'�}''��:'�e � � , ,'� �r �....�,,. �-�'�'�}'�� 'n3� �e., , w: ��Y. ����v,z.....n.. � J&M Displays Proposal for: �y'� _ � I � ���� � � - lowa League of Cities 1 Advertising in Cityscape � � This proposal includes an extension of our$10,000,000.00 spectator liability insurance,and workers compensation on our shoot team. + � � Total Price of Show: $5,000.00 Total Shot Count: 923 � Packing Check: 166 ; Date of Display: 09l26/19 j 1 Customer Number: 12450 � � i 3 i 3 i i i ; s ; 3 � I i � 1 I � , i Please Note the Following Comments The data in thls proposal Is confidentlal,and is to be acwrded confidential treatment and shall not be dlsclosed other than lo the officlal representatWe of the organizalion lisled on the cover,and only then when in � the evaluation of this proposal.Any repmdudion of the contenls of this proposal,whether in whole or in part,Is expressly forbidden.J8M Displays,Inc.requests that all informalion be safeguarded Bom release j pursuant to any request under the Freedom of Information Law of thls state or any other state or jurisdictian;as it may cause compelitive disadvanlage to our company,The enclosed concepts and materials are lhe � sole and exclusive property of J&M Displays,Inc.We reserve the right to make substitutions of equal or grealer value.Prices and specffications are subJect to change without notice.For choreographed dlsplays the quantity and sizes of product may change 6ased on the music selected;however,lhe dollar value of the product will remain the same. 3 f i i � i ; , ; � � � � i i i � Proposal#:5364 Deslgned on:2019-03-01 17:30:40 Printed on:Fri Mar 1 11:44:00 2019 Page:3 of 3 � � i 18064 770th Avenue, Yarmouth,lawa 52660-9772 ; 1-800-648-3890 • Fax:1-319-394-3265 • main@jandmdisplays.com • www.jandmdisplays.com ; i � i �