Dubuque Golf and Country Club Fireworks PermitCity of Dubuque
City Council Meeting
Consent Items # 014.
Copyrighted
June 17, 2024
ITEM TITLE: Dubuque Golf and Country Club Fireworks Permit
SUMMARY: City Manager recommending City Council approval to issue a permit to
the Dubuque Golf and Country Club for a fireworks display on July 4,
2024, with a rain date of July 5, 2024.
SUGGESTED Suggested Disposition: Receive and File; Approve
DISPOSITION:
ATTACHMENTS:
Description
MVM Memo
Dubuque Golf & Country Club Fireworks Permit
Request
DGCC Fireworks Permit
Correspondence
Type
City Manager Memo
Staff Memo
Staff Memo
Supporting Documentation
THE C
DUjIBQTE
Masterpiece on the Mississippi
TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Dubuque Golf and Country Club Fireworks Permit
DATE: June 7, 2024
Dubuque
WAWca 914
ii
2007-2012.2013
2017*2019
Fire Marshal Kevin Esser is recommending City Council approval to issue a permit to
the Dubuque Golf and Country Club for a fireworks display on July 4, 2024, with a rain
date of July 5, 2024.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
v
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
THE CITY OF
DUB E-E
Masterpiece on the Mississippi
TO: Mike Van Milligen, City Manager
FROM: Kevin Esser, Fire Marshal
DATE: May 31, 2024
RE: Dubuque Golf and Country Club Fireworks Permit
INTRODUCTION
Dubuque
AII•Ameft Cky
�I
2007-2012.2013
2017*2019
The Dubuque Golf and Country Club has applied for a permit for a fireworks display on
July 4, 2024. Aerial fireworks displays require the approval of the City Council prior to
permit issuance.
BACKGROUND
A permit application has been received for a fireworks display on July 4, 2024 at
approximately 9:30 p.m. with a rain date of July 5, 2024. The applicant has submitted all
required documentation including a certificate of liability insurance and the qualifications
of the pyrotechnics operator.
RECOMMENDATION
I recommend submittal to the City Council requesting approval to issue a permit to the
Dubuque Golf and Country Club for a fireworks display on July 4, 2024.
cc: Amy Scheller, Fire Chief
11 WEST 9T". STREET DUBUQUE, IOWA 52001
563-589-4160 FAX 563-589-4209 Email: fire@cityofdubuque.org
Permit Application
Date of Application:
aca-/
Applicant Name:
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Contact Person:
(Q #7,a,4; n rr! .
Address:
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Phone Number:
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Cell phone:
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E-Mail address
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Type of Permit Requested: (Check one)
❑ Agricultural Land Burn (30day)
❑ Bon Fire (1 day)
❑ Blasting (30 day)
Fireworks / Pyrotechnics (1 day)
Land Clearing Burn (30 day)
❑ Prescribed Burn (30day)
❑ Temporary Membrane Structure, Tents, and Inflatables
Please provide information regarding permit request and event location:
Details regarding the permit requirements must be filed when application is made and
whenever requested by the Fire Marshal. It is the applicant's responsibility to satisfy all
permit requirements, submit applicable fees with application, and ensure that conditions
are in accordance with applicable State and Local fire regulations.
ZIC7 A" , 40
Applicant's Signature
FOR DEPARTMENT USE ONLY
DATE ISSUED:
FEE: $
FIRE MARSHAL:
❑ PAID
d
Fireworks Display
(Aerial fireworks will require City Council approval prior to permit issuance)
APPLICATION REQUIREMENTS
yt The name, address, email address, and phone number of the individual, group, or
organization sponsoring the outdoor fireworks display.
�. The name, address, email address, and phone number of the supplier of the fireworks,
if different from that of the operator.
Evidence of financial responsibility by the sponsor of the event or festival and by the
operator of the fireworks display. This could take the form of an insurance certificate or
other document attesting to coverage or responsibility.
: The date and time of day at which the outdoor fireworks display is to be held, with a
proposed rain/wind date and time in the event the display is postponed.
The exact location planned for the outdoor fireworks display.
• Confirmation of the license of the operator and the number of assistants who are to be
present.
• The approximate number and kinds of fireworks to be discharged.
• The manner and place of storage of such fireworks prior to delivery to the outdoor
fireworks display site.
• A diagram of the grounds on which the outdoor fireworks display is to be held, showing
the point at which the fireworks are to be discharged; the location of all buildings,
highways, and other lines of communication; the lines behind which the audience is to
be restrained; and the location of other possible overhead obstructions.
Upon receipt of such application for the outdoor fireworks display, the AH1 should make or
initiate an investigation of the site of the proposed display in order to determine
compliance with regulations in the case of the particular display.
Permit Fee: $ 100.00 plus standby if required
Update July 2017
Fireworks Display Permit Information
S o nsor
Dubuque Golf & Country Club
1800 Randall Place
Dubuque, Iowa 52003
Lance Marting, GM 608-346-9578 Iance@dubuguegolf.org
Kary Waite, ..jry@dubuquegolf.or�
Date: July 4t", 2024 at approximately 9:30 pm
Rain Date: July 5t', 2024 at approximately 9:30 pm
Operator/Supplier
AM Displays, Inc.
18064 170t" Avenue
Yarmouth, Iowa 52660
Jesse Speer, Pyrotechnician
Dubuque Golf and Country Club
Shoot Team
Lead Technician — Jesse Speer PH: 563-559-6187
Jesse is AM trained and has been the lead tech on the
Dubuque Golf and CC show since 2018.
Assistants: (assistants are trained AM employees)
EricArensdorf
Justin Bell
Jennifer Hoover
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Multi -shell Barrage Units
Quant;, • Name
2 Report with color w/ silver tail 100 shot
Category Shell Count: 200
Section Shell Count: 200
J&M Displays Proposal for:
Dubuque Golf & Country Club
Opening
Risim: Effect
Main Event
Multi -shell Barrage Units
Quant"ame
2 Color, whistles & reports with report finale 49 Shot Cake
2 Red Blue & White strobe finale cake 49 shot
2 White Glittering Mine To Purple Dahlia With Lemon Dahlia With White Strobe
Category Shell Count: 396
3 Inch Color Shells
Quantin Name
2 Assortment Q of 20 different J&M Brand Shells ELECTRIC FIRE
2 Assortment X of 20 (5 salute, 15 color) J&M Brand Shells ELECTRIC FIRE
Category Shell Count: 80
4 Inch Color Shells
Price Total
Risins Effect Price Total
Risim; Effect
mixed tails
mixed tails
Quantity Name Rising Effect ,
1 Blue to dark to red
1 Brocade Crown crossette
1 Green ring inside brocade to purple ring
1 Silver palm tree
1 Assortment A Of 20 different J&M Brand shells ELECTRIC FIRE
1 Assortment F of 20 different J&M Brand shells ELECTRIC FIRE
Category Shell Count: 44
4 Inch Special Effect shells
Quantity. Name
1 114 Red green blue & yellow peony w/spangle pistil
1 Aqua meteor
1 Blue ghost peony
1 Blue to red ghost peony
1 Crackling nishiki kamuro
1 Golden silk chrys
1 Golden wave to green chrys
Category Shell Count: 7
Silver tail
mixed tails
Risin Effect _
Price Total
Proposal #: 27199 Designed on: 2024-05-17 18:59:25 Printed on: Thu May 30 13:17:22 2024 Page: 1 of 6
Total
Total
18064170th Avenue, Yarmouth, Iowa 52660-9772
1-BW-648-3890 • Fax:1-319-394-3265 9 main@iandmdisplays.com • www.jandmdisplays.com
AM Displays Proposal for:
I �
Dubuque Golf & Country Club
5 Inch Color Shells
Quanti: Name
1 Dahlia, assorted colors
1 Gold Glitter chrys to color assorted
1 Gold willow with color pistil
2 Wave to variegated
2 Fancy willow to crackle
2 Glittering willow
1 Rainbow crossette
1 Three color change peony with glittering willow pistil
1 White flickering crossette
1 Assortment L of 15 different J&M Brand shells ELECTRIC FIRE
2 Assortment T of 15 different J&M Brand Shells ELECTRIC FIRE
Category Shell Count: 57
5 Inch Special Effect Shells
Quantity Name
1 Green strobe
1 Kamuro with Happy Face pattern
Category Shell Count: 2
6 Inch Color Shells
Quantity Name
1 Brocade Crown crossette
1 Glitter chrysanthemum to color w/pistil assorted
1 Glittering silver to blue chrysanthemum
1 Gold willow to white strobe with crackling pistil
1 Sea blue with orange strobe pistil
1 Silver crackling crossette
1 White strobe red dahlia
Category Shell Count: 7
8 Inch Special Effect Shells
Quant V Name
1 Lemon peony with pink pistil
Category Shell Count: 1
Section Shell Count: 594
3 Inch Finales
Quantity Name
6 Color red white and blue peony 10 Shot finale chain
6 Red salute and blue dahlia 10 Shot finale chain
Category Shell Count: 120
Main Event
Rising Effect Price Total
gold tail
Silver tail
crackling tail
glitter tail
blue tail
silver tail
mixed tails
Rising Effect Price
Rising Effect
Gold tail
rising whistle
Rising Effect
Finales
Rising: Effect
mixed tails
mixed tails
Price
+
Price
Proposal #: 27199 Designed on: 2024-05.17 18:59:25 Printed on: Thu May 30 13:17:22 2024 Page: 2 of 6
18064170th Avenue, Yarmouth, Iowa 52660-9772
1-800-648-3890 • Fax:1-319-394-3265 • main@iandmdisplays.com • www.iandmdisplays.com
Total
a 1,
Total
Total _
Total
J&M Displays Proposal for:
Dubuque Golf & Country Club
Finales
41nch Finales
Quantity Name
Risimw Effect
3 Color (rainbow) 8 shot finale chain
mixed tails
Category Shell Count: 24
8 Inch Special Effect Shells
Quanti:, Name
_ Rising Effect
1 Red to blue peony w/golden palm tree w/green pistil
Category Shell Count: 1
Section Shell Count: 145
Miscellaneous
Ignition Items
Quantity Name
Rising Effect
265 MJG 10' (non -regulated ATF) Igniters with 10' leads (FWI 10 - 30 per box)
2 5 shot finale chain with a -match connectors
1 Wire 22 gauge copper duplex 250 foot spool
Category Shell Count: 0
Section Shell Count: 0
Multi -shell Barrage Units
Quantir Name
2 Rainbow Crossette 50 shot Z shape
Category Shell Count: 100
4 Inch Color Shells
Quantity Name
1 Color dahlia with silver strobe
1 Crossette assorted
1 Golden kamuro to white strobe
1 Lemon and pink ring with crackling pistils
1 Pastel Cycas
1 Pink and Lemon crossette
1 Purple to dark to green
1 White strobe and red dahlia
Category Shell Count: 8
Section Shell Count: 108
8% Free for Early Payment
Risirq Effect _
Rising Effect_
Gold tail
Gold tail
Gold tail
whistling tail
Gold tail
whistling tail
Free for Advertising
Price
Price
Price
Price
,
Proposal it: 27199 Designed on: 2024-05-17 18:59:25 Printed on: Thu May 30 13:17:22 2024 Page: 3 of 6
18064170th Avenue, Yarmouth, Iowa 52660-9772
1-800-648-3890 • Fax:1-319-394-3265 • main@jandmdisplays.com a www.jandmdisplays.com
Total
Total
Total
Total
Total
AM Displays Proposal for:
Dubuque Golf & Country Club
Free for Advertising
Multi -shell Barrage Units
Quanti,, Name Rising Effect
1 Crackling mine to blue and red dahlia w/ crackling 120 shot Fan cake
Category Shell Count: 120
5 Inch Color Shells
Quanti', Name
1 Assortment A of 15 Patriotic J&M shells ELECTRIC FIRE
Category Shell Count: 15
5 Inch Special Effect Shells
Quantir. Name
1 Golden willow to white strobe
Category Shell Count: 1
Section Shell Count: 136
Rising Effect
Rising Effect
15% Free for Loyalty Program
Multi -shell Barrage Units
Quantitv Name Risin,i Effect
2 Red, silver comets in V with white crossettes, 80 shot W shape
Category Shell Count: 160
4 Inch Special Effect shells
Quantity Name _
1 Aqua magic peony
Category Shell Count: 1
5 Inch Color Shells
Quantity Name
1 Twitter glitter to red to blue with red strobe pistil
Category Shell Count: 1
5 Inch Special Effect Shells
Quantity Name
1 Crackling nishiki kamuro
1 Glittering silver to aqua to lemon chrys
1 Glittering silver to strobe
1 Happy Face Pattern
Category Shell Count: 4
Effect
Price Total
P
Price Total
Price Total
Price
Price
Total
Total
Rising Effect _ Price Total _
Rising. Effect
Price Total
Proposal #: 27199 Designed on: 2024-05-17 18:59:25 Printed on: Thu May 30 13:17:22 2024 Page: 4 0f 6
18064170th Avenue, Yarmouth, Iowa 52660-9772
1-800-648-3890 9 Fax:1-319-394-3265 • main@iandmdisplays.com t www.iandmdisplays.com
t<
AM Displays Proposal for:
Dubuque Golf & Country Club
15% Free for Loyalty Program
6 Inch Special Effect Shells
Quantk Name Risin Effect Price Total
1 31) ghost peony
1 Aqua to multi color small flowers
1 Blue to silver swimming
Category Shell Count: 3
Section Shell Count: 169
Proposal #: 27199 Designed on: 2024-05-17 18:59:25 Printed on: Thu May 30 13:17:22 2024 Page: 5 of 6
18064170th Avenue, Yarmouth, Iowa 52660-9772
1-800-648-3890 • Fax:1-319-394-3265 • main@jandmdisplays.com , www.jandmdisplays.com
tr-
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AM Displays Proposal for:
I i
{i; I4 Dubuque Golf & Country Club
This proposal includes an extension of our $10,000,000.00 spectator liability insurance, and workers compensation on our shoot team.
Subtotal Fireworks:
J&M Production:
Total Price of Show:
Please Note the Following Comments:
Total Shot Count:
Packing Check: 358
Date of Display: 07/04/24
Customer Number: 10477
Summary of Free Items Added to Your Show
See Previous Pages for a Listing of Free Items
8% Free for Early Payment
Free for Advertising
15% Free for Loyalty Program
Total Free
The data in this proposal is confidential, and is to be accorded confidential treatment and shall not be disclosed 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. AM 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 AM 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.
Proposal #: 27199 Designed on: 2024-05-17 18:59:25 Printed on: Thu May 30 13:17:22 2D24 Page: 6 of 6
18064170th Avenue, Yarmouth, Iowa 52660-9772
1-800-648-3890 • Fax:1-319-394-3265 • main@iandmdisplays.com c www.jandmdisplays.com
ACORD 25 (2010105)
l ® DATE (MMIDDNYYY)
A� o CERTIFICATE OF LIABILITY INSURANCE
5/31 /2024
i
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
Acrisure, LLC dba Britton Gallagher PHONE FAX
3737 Park East Dr. STE 204 • 216-658-7100 A/c. Nor 216-658-7101
Beachwood OH 44122 ADDRESS:
INSURED
INSURED
J & M Displays, Inc.
18064 170th Avenue
Yarmouth IA 52660
_ INSURER(S) AFFORDING COVERAGE
INSURERA: Everest Denali Insurance Company
INSURER B : Axis Surplus Ins Company.
INSURER C: Everest Indemnitv Insurance Co.
INSURER D :
INSURER E :
INSURER F :
RAVFRAr%FR CFRTIFIrATF NIIMRFR• 9339An179 RFVISION NUMBER'
16044
26620
10851
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.
ILT R TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM% Y EFF MM/DD PV
LTRINVO
LIMITS
C GENERAL LIABILITY
S18ML00060-241 1/15/2024 1/15/2025
EACH OCCURRENCE $ 1,000,000
DAMA�iRENTED
X GENERAL LIABILITY
PREMISES (Ea occurrence) $ 5W,000
_COMMERCIAL
CLAIMS -MADE Ek] 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
POLICY X PRO- LOC
$
A AUTOMOBILE LIABILITY S18CA00033-241 1 1/15/2024 1/15/2025
COMBINED SINGLE LIMIT
Ea accident
1_0D0.000
$
X ANY AUTO
BODILY INJURY (Per person)
$
ALL OWNED SCHEDULED
BODILY INJURY (Per accident)
AUTOS AUTOS
$
X X
PROPERTY DAMAGE
HIRED AUTOS AUTOS
_ Perr a c den
(Per
B UMBRELLA LIAB X OCCUR P-001-000063943-06 1/15/2024
1/15/2025
EACH OCCURRENCE _ $ 5,000,000
X EXCESS LIAB CLAIMS -MADE
AGGREGATE $ 5,000,000
DED RETENTION $
$
WORKERS COMPENSATION
CRSTATU-OTH-
AND EMPLOYERS' LIABILITY --
Y / N
— --
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? N / A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOY $
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $
C Excess Liability #2 S18EX01313-241 1115/2024 1/15/2025
Each Occ/ Aggregate $4,000,000
Total Limits $10,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required)
Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement or permit.
FIREWORKS DISPLAY DATE: July 4, 2024
RAIN DATE: TBD
LOCATION OF EVENT: Dubuque Golf & Country Club
ADD'L INSURED: The City of Dubuque, Iowa, its employees, volunteers, officers, elected officials, partners, subsidiaries, divisions & affiliates, event sponsors &
landowners as their interest may appear in relation to this event; Dubuque Golf & Country Club (sponsor)
CERTIFICATE HOLDER
Dubuque Golf & Country Club
1800 Randall Place
Dubuque IA 52003 AUTHORIZED REPRESENTATIVE
USA / __V
01988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
OUBUQUE GOLF
6 i2❑ YEARS
STR❑NG
June 11, 2024
Honorable Mayor & City Council
50 West 13th Street
Dubuque, IA 52001
Ladies and Gentlemen:
1H■1■j0hdr 'MHN■1=3
The Dubuque Golf & Country Club requests permission to display
fireworks on Thursday, July 4, 2024 at about 9:30 p.m. on the Dubuque Golf
& Country Club grounds, near the pond in the middle of the golf course. The
rain date for the display would be Friday, July 5, 2024. Responsible persons
will supervise the display.
If you have any questions, please feel free to call. Thank You.
Sincerely,
Lance Marting,
General Manager/CEO
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