Iowa Grocer's Assoc. Fireworks Permit Request Copyrighted
September 5, 2023
City of Dubuque Consent Items # 014.
City Council Meeting
ITEM TITLE: lowa Grocer's Assoc. Fireworks Permit Request
SUM MARY: City Manager recommending City Council approval to issue a permit to
J&M Displays, I nc for a fireworks display on September 12, 2023, on the
Riverwalk between the Star Brewery and the Grand River Center.
SUGGESTED Suggested Disposition: Receive and File;Approve
DISPOSITION:
ATTACHMENTS:
Description Type
MVM Memo City Manager Memo
lowa Grocer'sAssoc. Permit Request Memo Staff Memo
Certificate of Liability Insurance Supporting Documentation
lowa Grocer's Permit Information Supporting Documentation
lowa Grocer's Dubuque PermitApplication Supporting Documentation
lowa Grocer's SC Supporting Documentation
Pyrotechnic Operator License-Justin Thomas Supporting Documentation
Letter from Stone Cliff Supporting Documentation
Dubuque
THE CITY QF �
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: lowa Grocer's Association Fireworks Permit
DATE: August 30, 2023
Fire Marshal Kevin Esser is recommending City Council approval to issue a permit to
J&M Displays, Inc for a fireworks display on September 12, 2023, on the Riverwalk
between the Star Brewery and the Grand River Center.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
�
Mic ael C. Van Milligen
MCVM:sv
Attachment
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Amy Scheller, Fire Chief
Kevin Esser, Fire Marshal
Dubuque
THE CITY OF �
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TO: Mike Van Milligen, City Manager
FROM: Kevin Esser, Fire Marshal
DATE: August 24, 2023
RE: lowa Grocer's Association Fireworks Permit
INTRODUCTION
J&M Displays Inc. has applied for a permit for fireworks display during the lowa Grocer's
Association Conference on September 12, 2023. Aerial Fireworks displays require the
approval of City Council prior to permit issuance.
BACKGROUND
A permit application has been received for a fireworks display on September 12, 2023
at approximately 9:00 p.m. The fireworks display will be held on the Riverwalk between
the Star Brewery and the Grand River Center. The applicant has submitted all required
documentation including a certificate of liability insurance and qualification of the
pyrotechnics operator. The applicant will reserve the Mississippi Riverwalk and the
Amphitheater for the event.
RECOMMENDATION
I recommend submittal to the City Council requesting approval to issue a permit J&M
Displays, Inc for a fireworks display on September 12, 2023.
cc: Amy Scheller, Fire Chief
�`�� CERTIFICATE OF LIABILITY INSURANCE DAT$/�/ZOZ�)
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:
Acrisure, LLC dba Britton Gallagher&Associates PHONE Fax
One Cleveland Center, Floor 30 a�c r,o eX�: 216-658-7100 aic No:216-658-7101
1375 East 9th Street ADDRESS:
Cleveland OH 44114 INSURER(S)AFFORDING COVERAGE NAIC#
iNsuReRa: Everest Denali Insurance Com an 16044
INSURED INSURER B:AXIS SUfpIUS IIIS COI71p811 26620
J &M Displays, Inc.
18064 170th Avenue iNsuReRc: Everest Indemnit Insurance Co. 10851
Yarmouth IA 52660 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1097266278 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSR WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY
C GENERAL LIABILITY SI8ML00060-231 1/15/2023 1/15/2024 EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
PREMISES Ea occurrence $500,000
CLAIMS-MADE � 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,OOQ000
POLICY X jE� LOC $
A AUTOMOBILE LIABILITY SI8CA00033-231 1/15/2023 1/15/2024 COMBINED SINGLE LIMIT
Ea accident $1 000 000
X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
X X NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS Per accident
$
B UMBRELLA LIAB X OCCUR P-001-000063943-05 1/15/2023 1/15/2024 EACH OCCURRENCE $5,000,000
X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
DED RETENTION$ $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS'LIABILITY Y�N TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? � N�A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
C ExcessLiability#2 SI8EX01313-231 1/15/2023 1/15/2024 EachOcc/Aggregate $4,000,000
Total Limits $10,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 701,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 or permit.
DISPLAY DATE: SEPTEMBER 12,2022
RAIN DATE: TBD
LOCATION: ENERGY ALLIANT AMPHITHEATER WATERFRONT, DUBUQUE, IA
ADDITIONAL INSURED: CITY OF DUBUQUE, IOWA, ITS EMPLOYEES,VOLUNTEERS,OFFICERS, ELECTED OFFICIALS, PARTNERS,SUBSIDIARIES,
DIVISIONS&AFFILIATES, EVENT SPONSORS AND LANDOWNERS AS THEIR INTEREST MAY APPEAR IN RELATION TO THIS EVENT; IOWA
GROCERY INDUSTRY ASSOCIATION(SPONSOR);GREATJ RIVER CENTER,GLOBAL SPECTRUM d/b/a OVG 360(VENUE);AND ENERGY ALLIANT
AMPHITHEATER(PROPERTY OWNER)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
lowa Grocery Industry Association
2540 106th Street, Suite 102
Urbandale IA 50322 AUTHORIZED REPRESENTATIVE
i=���
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
1. Sponsoring Organization. lowa Grocery Industry
Association, Contact: Annie Lallier 2540 106t" St., STE. 102,
Urbandale, IA 50322 PH: 515-270-2628
alallier@iowagrocers.com
2. Fireworks Company — J&M Displays, Inc. See attached
application
3. Proof of Insurance is attached.
4. Display Date is Sept. 12t" at around 9:00 pm No rain date.
5. Shoot site location is Amphitheater Waterfront —Port of
Dubuque - See Attached
6. Licensed Operator — Justin Thomas- See Attached
7. Product List — See Attached
8. Fireworks will be stored at J&M Displays prior to display.
9. Shoot Site Diagram — See Attached
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11 WEST 9TM. STREET DUBUQUE. IOWA 52001
563-589-4160 FAX 563-589-4209
Permit Application
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Date of Application: ,��,�� �� .�_�
Business, Organization, or
Applicant Name: J���'j i�,:r:��r,�,h. Z rt`,
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Contact Person: -��;,<,,ctivt .'S fict 1� Y, .s�k' i
Address: " � (p<l 01" y� .
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Phone Number: ,3/ � ,3 y y ��(r �5;�'' Fax: �(F-7 ,.3 Jc� 3� i C
Cell phone: �g/ 9 7S% /L/ ��i'
E-Mail address <3u.3uY, �• �,�,,.,d;v; c.��5n )ay� ��"r'`"'
Type of Permit Requested: (Check one)
❑ Agricultural Land Burn (30 day)
❑ Bon Fire (1 day)
❑ Blasting (30 day)
� Fireworks / Pyrotechnics (1 day)
Land Clearing Burn (30 day)
❑ Prescribed Burn (30 day)
Please provide information regarding permit request and event location•(
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�� .S`;r'?o i n-4 ; rm .
Details regarding the permit requirements must be filed when application is made and
whenever requested by the Fire Marshal. It is the applicanYs responsibility to satisfy all
permit requirements, submit applicable fees witl� application, and ensure that conditions
are in accordance with applicab State and Local fire regulations.
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Applicant's Signature
FOR DEPARTMENT USE ONLY
DATE ISSUED:
FEE: $ ❑ PAID
FIRE MARSHAL
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1 J&M Displays Proposal for:
-'"'� lowa Grocery Industry Association
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Main Event
Close proximity multi-shot plates
Quantity Name Rising Effect
4 Tracer Mine Board-RED,WHITE&BLUE 40-60',22 sec
1 8 Shot Comet 30mm Blue Comet 200'11 Sec.
Category Shell Count:33
Close proximity multi-shot fans
Quantit Ny ame Rising Effect
6 5 Shot Fan Rack All Fire Yellow Comet W/Crackle Mine 200'
6 5 Shot Fan Rack All Fire Yellow Comet W/Yellow Mine 200'
Category Shell Count:12
Close proximity mine
Quantity Name Rising Effect
2 40MM SRC GREEN STAR MINE
1 45mm Aqua Mine
6 Electric Rockets with Reports,Red tails
Category Shell Count:9
1.4G Multi-shell Barrage Units
Quantity Name Rising Effect
2 Multi-Effect Straight Cake 66 shot(85sec)
2 Brocade Palm w/Color Dahlias 9 shot(20sec)
2 Brocde to Color Tips w/Mine 9 shot(20sec)
2 White Strobe ELECTRIC FIRE ONLY
2 36s Multicolor Peony(25sec)
Category Shell Count:240
Close proximity comet
Quantity Name Rising Effect
5 38mm Blue Comet w/Gold Tiger Tail
5 38mm Crackle Comet w/Crackle Tail
5 38mm Gold Comet w/Gold Tiger Tail
5 38mm Green Comet w/Gold Tiger Tail
5 38mm Lemon Comet w/Gold Tiger Tail
5 38mm Orange Comet No Tail
5 38mm Purple Comet w/Gold Tiger Tail
5 38mm Red Comet w/Gold Tiger Tail
5 38mm Silver Comet w/Silver Tail
5 COMET30-Gold glitter Crackle
Category Shell Count:50
Section Shell Count:344
Finales
Proposal#:24976 Designed on:2023-07-12 1520:13 Printed on:Wed Aug 2 09:18:36 2023 Page:1 of 3
18064170th Avenue, Yarmouth,lowa 52660-9772
1-800-648-3890 • Fax:1-319-394-3265 • main@jandmdisplays.com • www.jandmdisplays.com
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-'"'� lowa Grocery Industry Association
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Finales
1.4G Multi-shell Barrage Units
Quantity Name Rising Effect
2 Gold Brocade Kamuro-Finale Vertical
2 RWB W/White Glitter-Finale Vertical
Category Shell Count:100
Section Shell Count:100
Miscellaneous
Ignition Items
Quantity Name Rising Effect
70 MJG 10'(non-regulated ATF)Igniters with 10'leads(FWI 10-30 per box)
Category Shell Count:0
Section Shell Count:0
15% Free for Loyalty Program
1.4G Multi-shell Barrage Units
Quantity Name Rising Effect
2 Brocade Crown 36s(25sec)
2 Multi-Effect Straight cake with Falling leaves 20 shot(18 sec)
1 Gold Brocade Kamuro W/Gold Glitter
1 Org,Lem,Grn Peony W/White Gltr
Category Shell Count:162
Section Shell Count:162
Proposal#:24976 Designed on:2023-07-12 1520:13 Printed on:Wed Aug 2 09:18:36 2023 Page:2 of 3
18064170th Avenue, Yarmouth,lowa 52660-9772
1-800-648-3890 • Fax:1-319-394-3265 • main@jandmdisplays.com • www.jandmdisplays.com
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1 J&M Displays Proposal for:
-'"'� lowa Grocery Industry Association
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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: 606
Packing Check: 166
Date of Display: 09/12/23
Customer Number: 12176
Please Note the Following Comments:
The data in this proposal is confidential,and is to be accorded confidential treatment and shall not be disdosed other than to the official representative of the organization listed on the cover,and only then when in
the evaluation of this proposal.Any reproduction of the contents of this proposal,whether in whole or in part,is expressly forbidden.J&M Displays,Inc.requests that all information be safeguarded from release
pursuant to any request under the Freedom of Information Law of this state or any other state or jurisdiction;as it may cause competitive disadvantage to our company.The enclosed concepts and materials are the
sole and exclusive property of J&M Displays,Inc.We reserve the right to make substitutions of equal or greater value.Prices and specifications are subject to change without notice.For choreographed displays the
quantity and sizes of product may change based on the music selected;however,the dollar value of the product will remain the same.
� � •
Multi-shell Barrage Units
0" 21 503
30mm 16 44
Multi-shell Barrage Units Qty: 37 Shot Ct: 547
Shells
30mm 5 5
38mm 45 45
40mm 2 2
45mm 1 1
48mm 6 6
Shells Shot Ct: 59
I niters Needed: 68
Proposal#:24976 Designed on:2023-07-12 1520:13 Printed on:Wed Aug 2 09:18:36 2023 Page:3 of 3
18064170th Avenue, Yarmouth,lowa 52660-9772
1-800-648-3890 • Fax:1-319-394-3265 • main@jandmdisplays.com • www.jandmdisplays.com
Illinois Office of the State Fire Marsl�al
Division of Fire Prevention
THIS IS TO CERTIFY THAT
.;� �,"' JUSTIN THOMAS
Pvrotechnic Operator License
Has completed all tl�e requirements under H�e
Pyrotechnic Distributor and Operator Act 225
J USTI N THOMAS ILCS 227 and is zmployed by
J & M DISPLAYS J&M DISPLAYS
18064 170TH AVENUE d/b/a:
YARMOUTH, IA 52660 License# �� � �
IL14-OPF-00031-01151 �
James A Rivera
Expires: 06/18/2026 sTnTE F�aE rviaasHnL
August 23�, �023
IC��in Es��r, CFQ
Fire Mar�hal � City ❑f Quhuque
11 West 9th Street
❑ubuque, Iowa 5���1
�
RE: Fireworks—5ept. 12th, ZD��
�ear Chief Esser:
5tone Cliff Winery �as been made aware that on Sept. 1�t", ��23 a small 3-4
minute firewor�Cs dispfay will �e shvt on the Riverview Walk and that a portian of
the Winery`s vutdoor seating is within t#�e fallout 2on�. The disp�ay s� scheduled
to k��gi n at 8:45.
❑uring the duration af�he display Winery personnel wiif malce sure that n�
�atrvns are seated in that area. We therefore d� give appra�al for J&M Displays
to canduct a display the e�ening of Se�t. 12t"
Regards,
[�' �t'1►�`�[SY1_- — �O�G��`
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