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Five Flags Pyrotechnics Permit Copyrig hted March 15, 2021 City of Dubuque Consent Items # 19. City Council Meeting ITEM TITLE: Five Flags Pyrotechnics Permit SUM MARY: City Manager recommending approval of a Pyrotechnics Permit submitted by the Five Flags Center for March 26 and 27, 2021. SUGGESTED Suggested Disposition: Receive and File;Approve DISPOSITION: ATTACHMENTS: Description Type Five Flags Pyrotechnics Permit-MVM Memo City Manager Memo Five Flags Pyrotechnics Permit-Staff Memo Staff Memo Pyrotechnics Permit Supporting Documentation Dubuque THE CITY OF � ui-Aseria cih DuB E , . � . , � II � Maste iece on tj2e Mississi i zoo�•zoiz•zois YP pp zoi�*zoi9 TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: Five Flags Pyrotechnics Permit DATE: March 11, 2021 Fire Chief Rick Steines recommends City Council approval of a Pyrotechnics Permit submitted by the Five Flags Center for March 26 and 27, 2021. I concur with the recommendation and respectfully request Mayor and City Council approval. � � Mic ael C. Van Milligen MCVM:jh Attachment cc: Crenna Brumwell, City Attorney Cori Burbach, Assistant City Manager Rick Steines, Fire Chief Dubuque TH�CITY OP � All-lmerica CitY Du B E ��r�r�.�x� M:, ' � �I ��' MC1St� 1ECE �Yl t�2e M1SS1SS1 1 zoo��zoiztzoi3 �"P PP zoi�*�oi9 TO: Mike Van Milligen From: Rick Steines, Fire Chief DATE: March 11, 2021 RE: Five Flags Pyrotechnics Permit Introduction The Five Flags Center has requested a Pyrotechnics Permit for the Flat Track Racing events on March 26th and 27th, 2021.The event coordinators would like to perform a body burn stunt at the start of the event.They have applied for a Pyrotechnics Permit through the fire marshal.All Pyrotechnics Permits require City Council approval prior to issuance. Discussion International Championship Events, LLC has been contracted for a Flat Track Racing Event at the Five Flags Center on March 26 and 27, 2021.They would like to begin their performance by doing a body burn stunt.The stunt will be conducted in the middle of the track by a professional stunt person with over 30 thirty performances of this stunt.The performer will be assisted by a professional crew with experience in the body burn stunt. International Championship Events, LLC has submitted a certificate of liability insurance. They have also submitted all required documents including a site plan, the materials safety data sheet, safety equipment, and a description of the performance. In addition to the performance crew's safety procedures,the Five Flags Center has agreed to pay overtime for a firefighter to standby during the body burn performance. Action Requested I respectfully request approval of the Pyrotechnics Permit submitted by the Five Flags Center for March 26 and 27, 2021. �!�� D:U'BUC��TE . .. �F'T�E:� �� _.- 'f 1 WEST 9T". STREET DUBUQU� IOWA 520D1 563-589-4160 FAX 563-589-4209 Permit Application , Date of Application: ?��c� ��,��1 Business, Organization, or T ' Applican�Name: �r i�-�� 5��.��'�-� -�c�-t��n„rti�.�v�t� G��Y��;, �,,!`ti�4`;M,�� ,�,,�r•'E� Contact Person: -,� -�, �� ;�..,�- .� , Address: t�c��Ju1r.�.tiY� �,r . ��.:i�� L.� S,:�"�c� i Phone Number: �;�� .j�� Sy Fax: CeII phone: �? -}�•(.�.?�'��r�t-i`-1�- �;� E-Mazl address `� � ��.5��ti ��'�� .�--��s C'�=.��;�^,t��v� Type of Permit Requested: (Check one) ❑ Agricultural Land Burn (30 day) ❑ Bon Fire (1 day) ❑ Blasting (30 day) � Fireworks / Pyroteehnics (1 day} ❑ Land Clearing Burn {30 day) ❑ Prescribed Burn (30 day) Please provide informatian regarding permit request and event location: —a � �_ �"7 c�Cl��>��t'r� ��'z'��i..�s,'� � � � ��'r� :�Yl ' G �s.�/ '�� L..l� �o � ,� � _ i��_.. .� �_J�;��G�� Gt.� .,�-r'" � G�L��—G ; �� •�- . v �. ��"'� � rl .:"�� YE L'e`� V�:J C^ 'i� i� !rl !-4:� �,�.�, � .�� G4 I�:� ..!;Y i�`_. �T �� `- .. '�r� CJL4 �✓!` �'��G� _ � Detai s regarding the permit requirements must be filed when application is made and w�ienever rec�uested by the Fire Marshal. It is the applicank's responsibility to satisfy all petmit requirements, submit applicable fees with application, and ensure that conditions are in accord.ance with applicable S"ate and Local fire regulations. .� � : } ,� � /.�` ! �'e/ �� _�"' Ap�Iicant's Si� ature FOR DEPARTMENT LJSE ONLY DATE ISSFIED: FEE: $ ❑ PAID FIRE NIARSHAL Pyrotechnics (Pyrotechnic use will require Gty Countil approval priorto permit issuance) APPLICATION REQUIREMENTS • Name of the person, group, or organization sponsoring the production • Date and time of day of the production • Exact location pf the productian • Name of the persan in charge of firing the pyrotechnics (i.e.,the pyratechnic operatorJ • Number, names, and ages af all assistants whp are to be present • Qualificatians of the pyrotechnic operator • Pyrotechnic experience of the operatar • Confirmatian af any applicable state and federal licenses held by the operator or assistant(s) • E�idence ofthe permittee's insurance carrier orfinancia[ respansibility • Number and types of pyrotechnic de�ites and materials to be used,the operator's experience with those de�ices and effects, and a definition af the general responsibilities of assistants �• biagram of the grounds or faciliti�s where the praduction is ta be held that shows the point at which the pyrotechnic de�ices are to be fired, the fallout radius for ea�h pyrotechnic de�ice used in the performance, and the lines b�hind which the audience is to be restrained Y Point of on-site assembly of pyratechnic devices + Manner and place af storage ofthe py�otechnic materials and de�ice5 • Material safety data sheet (M5D5�far the pyrotechnic material(s}to be used • Certification that the set,stenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame-retardancy • Certification that all materials worn by perfarmers in the fallout area during use of pyrotechr�ic effects shall be inherently flame-retardant or have been treated ta achieve ffame-reta rdancy • In the case of a hybrid flame effect, identification of those portions of the flame effect that require compliar�ce with NFPA 160 and those portions that require compliance with NFPA 1126 Ail plans shall be submitted as saon as possible so that the authority ha�ingjurisdiction has tirne to be present and to notify ather interes#ed parties. Upon receipt af such application for the pyrotechnics display,th�AHJ shauld make or initiate an in�estigation 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 Information pyrotechnics Five Flags 3/26-27/21 application At the beginning of the Flat Track Racing, this pyro will happen in center of track. One body burn, with details written below. • International Championship Events . Friday and Saturday March 26-27, 2021 7:OOpm • Middle of track, see drawing . Person in charge:Ken Remer& Paul Kaiser • Assistants; Scott Remer age 44,Marcus Solofra age 230, Tommy Solofra age 32 . Qualifications: o Ken Remer: 26 year veteran volunteer fire fighter TOBFD; 25 year movie industry MidWest Stunts; over 30yr performances of this stunt. o Paul Kaiser;over performances of this stunt. o Marcus Solofra 7 year TOBFD fire fighter o Tommy Solofra 12 year TOBFD fire fighter . Experience: o Ken Remer: over 30 performances of this stunt. o Paul Kaiser;over 30 performances of this stunt. . Insurance see attached . Number&Type; one body burn suit • Diagram attached will show assembly and storage location o Fire Jell will happen at another location, but the application of rubber cement will take place in front of audience and then suit will be ignited. Video to show. • MSDS for pyrotechnic materials attached o Ignition rubber cement will be applied to back of coat and pants, ignites within 2mins of introduction of event. • Materials worn: o Body Burn —base layer of carbonex 0 2°d layer will be Nomex soaked in fire safety jell 0 3�d layer NFPA approved bunker coat and pants o Hoodie soaked in Fire safety Jell with helmet for protection 0003d2020Q1 English Page 1 of 7 _... _.� ..._ _....._ �_._._ _._.. .____ 24 Hour Emergency Phone Numbers: MedicallPoison Conirol: Maferia �� .5.: �a�� ,-$oo-�zz-��22 Outside U.S.: Call your local poison �a�e� controf center TransportationlNationaf Response � . �� Center: 1-8U0-535-5053 � �afa '1-352-323-3500 4 I Sheef .NOTE� 7he National RespunseCenter emergency numbers to be used• + �oniy in the event o£chemical emer�encies involving a spill,Leak,Eire, 'exposure or accident involving chemicals. . . . I141POC2TANT: Provide this infonnation to employees,custorr�ers,and users of this product.Read this MSDS before f�andling or dispasing of this product.This proc�uct is covered by the OSHA liazard Communication Standard and tllis document has been prepared in accordance with requirements of this standard. All abhreviated terms used in tE�is MSDS are further described in Section 16. Section 1 - Chemicaf Product 1 Company Information This Material Safety Data Sheet is available in American Spanish upon request. Los Datos de Serguridad del Producto pueden obtenerse en Espanol si lo riquiere. Product Name: Welcfwood Original Contact Cement Bottle Revision Date: 07118120�3 Product UPC Number: p70798D01022, 070798001053 5upersedes: 08/13/2001 Product UselClass: Contact Cement MSDS Number: �0030202Q01 Manufacturer: DAP Praducts Inc. 2400 Boston Street 5uite 200 Baltimore, MD 21224�4723 88$-327-8477 (no�-emergency matters) Section 2 - Hazards Identification Emergency Overview:A(n}#an iiquid product with a strong sofvent odor. DAfVGER! Extremely flammable liquid and vapor. Vapors may cause flash fire or explosion. Vapors can form an ignitable mixture with air. Vapors can flow along surfaces to a distarot ignitian source and ffash back. Do not smoke. Extinguish all flames and pilot lights, and turn o�f stoves, heaters, electric motors and other sources of ignition during use and until all�apors are gone. Store away from caustics and oxidizers. Keep container closed and away from heat, sparks, and open flarr�e. Vapors may be harmful if inhaled. Harmful or fatal if swallowed. Aspiration hazard if swallawed -can enter lungs and cause damage. Aspiration may cause pulmonary edema and pneumonitis. Irritating to eyes, respiratory system and skin. May affec#the brain or nervous system causing dizziness, headache or nausea. Avoid breathing vapors. Prolonged or repeated inhalation of solvent vapors may cause irregular heartbeat. Use only with adequate�entilation. Pre�ent build-up of vapors by opening all windows and doors to achie�e crass-ventilation. In case of insufficient ventilation, wear suitable respiratory equipment. Refer to oth�r MSDS sections far other detailed infarmation. Effects Of Overexposure - Eye Contact: May cause eye irritation. 5igns and symptort7s may include: pain, tears, swelling, redness anc! blurred vision. Effects Of Qverexposure -Skin Contact: May cause skin irritation. �rolonged and repeated skin contact may cause dermatitis, drying and de�atting due to the solvent properties. Effects Of Overexposure -Inhalation: Vapors may be harmful if inhafed. Inhalation of vapors may cause irritation of the nose, throat, lungs and respiratory tract. Inhalation of vapors in i�igh concentra#ion may cause shortness of breath. Prolonged, repeated or high exposures may cause central nervous system depression leading to headaches, nausea, drow5iness, dizzin�ss, and possibly narcosis. In extreme cases, may cause �oss of consciausness. Intentional misuse by d�liberately concentrating and inhaling the contents may be harmful or fatal. 00030202001Engtish Aage 2 of7 Effects Of Overexposure - Ingestion: Harmful or fatal if swallawed. May cause gastrointestinal disturbances with dizziness and central nervous system depression. Ingestian may cause gastrointestinaf irritation, nausea, �omiting and diarrhea. If ingested, may cause depressed respiration. Aspiration hazard if swallowed. Aspiratior� of material into the lungs due ta vomiting can cause chemical pneumo�itis, which can be fatal. Effects Of Overexposure -Chronic Hazards: �iepeated or prolanged exposure may cause skin, respiratary, kidney and liver damage. NOTICE: Reports have associated repeated and prolonged occupational overexposure to solv�nts wifh permanent brain and nervous system damage. Symptoms inclucle: loss of inemory, loss of intelEectual ability and loss of coordination. In#entianal misuse by defiberately concentrating and inhaling the contents may be harmful ar fatal. Overexposure or misuse of toluene can cause fiver, kidney, and brain damage as well as cardiac abnormalities. Primary Route(s) Of Entry: Skin Contact, Skin Absorption, �nhalatian, Eye Contact Meclical Conditions which May be Aggra�ated by Exposure: Pre-existing eye, skin and pulmpnary di5arders may be aggravated by exposure to this product. Carcinogenicity: None Section 3 - Com osition I In�'ormation On In redients Chemical Name CASIZN Wt% Toluene 108-88-3 15-40 Acetone 67-64-1 15-40 Li ht ali hatic solvent na htha 64742-89-8 7-13 n-He tane 142-$2-5 5-10 Meth lc clohexane 108-87-2 0.5-1.5 Section 4 - First Aid Measures First Aid -Eye Contact: In case of contact, immediat�ly flush eyes with plenty of water for at Eeast 15 minutes. Gef inedical attention imrnediately. First Aid -Skin Contact: Wash skin with soap and water for 15 minutes. Get medical aid if symptort�s persi5t. Remo�e and wash contaminated clothing. To remove from skin, remove completely with a dry cloth or paper kowel, before washing with detergent and water. DO NOT try to peel the solidified material from the skin or use solvents or thinners to dissolve it. The use af vegetable oil or mineral ail is recomm�ncled for removal of this material from the skin. Flush exposed area with water while removing conEaminated clothing. Get medical attention if irritation persists. First Aid - fnhafation: If inhaiec4, remo�e to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get medical at#entipn immediately, NOTE: Only trained personnel should administer artificial respiration or give oxygen. First Aid - Ingestion: If swallowed, DO NOT IfVDUCE VOMITING. Get medical attention immediately. Not�to P�ysician: inhalation of high concenkrations ofi this material, as could occur in enclosed spaces or during deiiberate abuse, may be associated with cardiac arrhythmEas. Sympathomimetic drugs may iniiiate cardiac arrhy#hmias in persons exposed to this rnaterial. This material is an aspirafton hazard if swallowed. Pofential danger from aspiration must be weigh�d against possible aral toxicity when deciding whether ta induce vomiking. Preexisiing disarders of the following organs (may be aggravated by exposure to this material; skin, lungs(for example, asthma-like conditions). Individuals with preexisting heart disorders may be more susceptibla to arrhythmias (irregular heartbeai) if exposed to high concentrations of this material. COMMENTS: If over-exposure occurs, call your poisan conkrol center at 1-8�0-222-1222. Secfion 5 - Fire Fighting Measures 00030202001 English Page 3 of 7 Extinguishing Media:Carbon Dioxide, Dry Chemical, Foam Unusual Fire And Explosion Hazards: Flammable liquid. Vapprs can form an ignitable mixture with air. Vapars can flow along surFaces to a distant ignition 5ource ar�d flash back. Vapors may form explosi�e mixtures with air. Eliminate sources of ignition: heat, electrical equipment, sparks and flames. Containers may explode if exposed to extreme heat. Empty containers retain product resiclue(liquid ancflor�apor). Vapor ean ignite �otentially causing an explasion. Special Firefighting Procedures:Wear self-contained breathing ap�aratus pressur�demand (NIOSH approved ar equivalent) and full protective gear. Use water spray to caol exposed surfaces. Section 6 - Accidental Release Measures Steps To Be Taken If Materia� Is Released Or Spilled: Wear proper protective equipment as specified in Section 8. f mm�diately eliminate sources of ignition. Dike ta prevent entering any sewer or waterway. Transfier Eiquid to a holding container. Contain spilled material and remove with inert ab5orbent. Dispose of contaminated absorbent, container and unused canten#s in accardance with local, staf� and federa] regulations. 5crape up dried materiaf and place into containers. Section 7 - Handling Ar�d Storage Handling: KEEP OUT OF REACH OF CHILDREN! DO N07 TAKE IN7ERNALLY. Flammable liguid. Avoid heat, sparks and a�en flames. Keep away from open flames, hot surfaces and sources of ignition. Use in well ventilated area. Open all windows and doors or use other means to ensure cross-ventilation and fresh air entry during application and drying. Avoid breathing vapar and contact with eyes, skin and clothing. Intentional misuse by deliberately concentrating and inhaling va�ars may be harmful or fatal. Construction and repair acti�ities can adversely affect indoor air quafity. Consuit with occupants or a representati�e(i.e. maintenance, building manager, industrial hygienist, or safety officer}to determine ways to minimize impact. Storage: Store away from sources of ignition and heat. Keep containers tightly closed. Do noi siore at temperatures above 120 degrees F. S#ore containers away From excessive h�at and freezing. Store away from caustics and oxidizers. Section S - Ex osure Controls ! Personal Protection Chemical l�'ame CASRV ACGIH TW',1 ACGIH S`1'EL ACGIH CE[I. OSE�A TW'A OSH.4 STEL OSHA CEIL Skin Toluene 108-88-3 2U PPM N,F... N.E. 200 PPM N.E. 300 PPM Yes Acetone 67-6�-I 500 PPEv[ 7�0 PPM N.E. IOOQ YPM N.E. N.E. No Li�hi ali hatic solvent na htha 647�2-89-3 300 PPIv[ N.E. N.E. 344 PPM 400 PPM N.L. No n-He tane 142-82-5 400 PPN[ 500 PPM N.G. 544 PPM N.E. N.E. No Meth Ic clohexane 108-37-2 400 PPM 500 PPM N.E. 500 PPM N.�. N.E. Nu �IT1F]Oftallt: Listed Permissible Exposure Levels{PEL}are from the 11.5.Dept.of Labor OSHA Final Rule Limiis(CFR 29 1910.1000);these limits may vary between siates. NOt4: An employee's skin exposure to substances having a"YE5"in ihe"SKIN"column in the table above shall be prevented or reduced ta the extent necessary under the circumstances through the�se of gloves,coveralls,goggles or other appropriate personai protective equipment,engineering controls or work practices. Exposure Notes: Non� Precautionary Measures: Please refer to other sections and subsections af this MSDS. Engineering Controls: Use onEy in well-ventilated areas. Vapors are hea�ier than air and may spread along floors. Check alf low areas for presence of vapor. Provide sufficient general andlor lacal exhaust ventifation to maintain exposure below recommended exposure limit. The fallowing exposure control techniq�es may be usec€to ef�ectively minimize employee exposure: local exhaust ventilation, encEosed systern design, process isolation and remote contral in combination with apprapriate use of personal protective equipment and prudent work practices. These techniquss may not necessarily address all issues p�rtaining to your operations. We, Eherefore, recommend that you consult with experts of your choice to determine whether ar nat your programs are adequate. 00030202001English Page 4 of7 If airborne contaminants are generated when the material is heated or handled, sufficient ventilation in �olume and air f{ow patterns should be provided to keep air cantaminant concentration levels below acceptable criteria. Respiratory Protection: In case of insufificient ventilat�on, wear suitable respiratory equipment. If concentrations exceed the exposure limits specified, use of a NIOSH-approved supplied air respirator is recommended. Where the protection factor is exceeded, use of a Self Contained Breathing Apparatus(SCBA) may be necessary. A respiratary protection program that meets the OSHA 1910.134 and AN51 Z88.2 requirements must be followed wh�never workplace conditions warrant a r�spirator's use. Skin Protection: Solvent-resistant gloves. Eye Protection: Goggles or safety glasses with side shields. Other protective equipment: Provide eyewash and salvent imper�ious apron if body conEact may occur. Hygienic Practices: Remove and wash contaminated clothing before re-use. Section 9 - Physical And Chem�cal Properties Boiling Range: Not Established Vapor Density: Heavier Than Air Odor; 5trong Solvenf Odor Threshold: Not Established Color: Tan Evaporation Rate: �aster Than n-Buty! Acetate 5alubility in H2O: Not Established Specific Gravity: p.85 Freeze Point: Not Established pH: Not Applicable Vapor Pressure: Not Established Viscosity: Not Established Physical S#ate: Liquid Flammability: Extremely Flamrnable Flash Point, F: -50 F' Method: (5eta Closed Cup) Lower Explosi�e Limit, °10: Not Determined Upper Explosi�e Limi#, %: EVqt Determined When reported,vapor pressure of#his procluct has been calculated theoretically based on its constituent makeup and has�been determined experimentally. {See section 16 for abbreviation legend) Sec#ion 10 - S#abili�y And Reactivity Cpnditions To Avoid: Excessive heat and �reezing. Avoid contac#with skin, eyes and clothing. Keep away from open flames, hat surfaces and sources o#ignition. Keep away from oxidizing agents, strongly alka[ine and strongly acid materials in arder to avoid exothermic reactions. Incompatibility; Incampatible with strong bases and oxidizing agents. Avoid contact with strong acids and oxidizable orgar�ic materials in the presence of heat. Incompatible with apen flames, hot surfaces and sources of ignition. Hazardous Decomposition Products: Normal decampositipr� producfs, i.e., COx, Nox. Hazardous Polymerizakian: Hazardous �olymerization will nat occur under normal conditions. Stability:Stable under recommended storage conditions. Section 11 - Toxicolo ical Information Product LD50:Not Esiablished Praduct LCSD: Nat Established CASRiV Chemical lYame LD50 LCS� IQ8-33-3 Toluene ------------- l2at:49 m�lm3l�H 67-64-f Acctone RaC�OlOU m�:/m313ll 142-82-5 n-He tane Rat:10}�•mlm314H 108-87-2 Methvlevclohexane Mice22�Om�dk�� M[C:a1�04me1m3l2H Significant Data with Possible Relevance to Humans: None. 00030202001English Page 5 of 7 I�Section 12 - Ecological lnformation J Ecological Information: Ecological injuries are not known or expected under normaf use. Section 13 - Disposal Informat�on Disposal Information: Dispose of material in accordance with all federal, staie and locai reg�lations. State and Lacal regulatiqnslrestric#ions are complex and may differ from Federal regulations. Responsibility for proper waste disposal is with the owner of the wast�. Liquids cannot be disposed of in a landfill. Discardecf material should be incinerated at a permitted facility. Do not re-use empty containers. EPA Waste Code if Discarded {40 CFR Section 261}: D001. Section 14 - Transportation Information DOT Proper Shi�ping Name:Adhesives, containing a f[ammab�e Packing Group: III liquid DQT Technical Name: N.A. Hazard Subclass: N.A. QO� Hazard Class: 3 Flammable liquit� aOT UNlNA Number: UN1133 Section 15 - Regulatory Information CERCLA- SARA Hazard Category: This product has been reviewed according ta the EPA'Hazard Cafegories' promulgated uncier Sections 311 and 312 of the Superfund Amendment and Reauthorization Act of 19$6 {SARA Title III) and is considered, under applicable definitions,to meet the following categaries: Immediate Health Hazard, Chronic Health �lazard, Fire Nazard SARA Section 313: This product contains the following substances subject to the reporting requirements of Section 313 of Title I11 of the Superfund Amendment and Reauthorization Act of 1986 and 40 CFR part 372: Chemical Name CAS Number Toluene 103-$$-3 Toxic Substances Control Act: All ingredients in this praduct are either on TSCA inventory list, or otherwise exempt. This product contains the fallowing chemical substances subject to the reporting requirements of TSCA 12(B) if exported frorn the United States: Chemical Name CA5 Number n-He tane 1�2-82-> New Jersey Right-to-Know: 000302020Q1English Page 6 of7 The fallowing materials are non-hazardous, but are among the top frve components in t�is produck: Chemical Name CA5 Number Pol chIo��nated Rubber Pro rietary Phenolic resin Pru aetan Pennsylvania Right-to-Know: The following non-hazardous ingredients are present in the product at greater than 3%: Chemical Name CAS Number Pol chlorinated Ra6ber Pro rietary Phenolic resin Propriefary California Proposition 6S: WARNING: This produci contains chemicals known to the State of California to cause cancer, birth defects or other reproductive harm. Section 16 - Other Information HMIS Ratings: Elealth: 2 Flammabilit :3 Reactivit : 0 Personal Protection:X Volatile Organic Compounds (VOC), less water less exempts: gIL; 646.5 Ib/gal: 5.40 wt:wt%: 53.8 Volatile Organic Gompounds (VOC), less water less exempts, Eess �VP-VOCs: wt:wt%: 65.7 REASON FOR REVIS[ON:Periodic Update Lege11CI: N.A.—Not Applicable ACGIH—American Conference of Governmental Industrial Hygienisfs N.E.—Not EstabEished SARA—Superfund Amendments artd Reauthorizatlon Act pf 1986 N.D.—I�ot Determined NJRTK—New Jersey Right-Yo-Know Law VOC—Volatile Organic Compound OSHA—Occupational Safety and Health Administration PEL—Permissible Exposure Limit HMIS- Hazardous Eviaterials Identification System TLV—Threshold Limit Value NTP—National Toxicology Program CEIL—Ceiling Exposure Limit STEL—Shprt Term Exposure Limit L�50—Lethal�ose 50 LCSfl—Lethal Concentration 50 F—Degrae Fahre�heit MS�S—Material Safety Data Sheet C—Degree Gelsius GASRN—Tk�e Chemical A�stracts 5ervice Registry Numher DAP believes the data and statements contained hei-ein are accurate as of the ciate hereof.Tl�ey are offered in�ood farth as typical values and OOfl30202041�nglish Page 7 of 7 not as a product specificatioa.NO Vb'ARRANTY OF MERCHAIYTABIL[TY,WARRANTY OF FITNESS FOR ANY PARTICULAR PURPOSE OR ANY OTHER�VARRAIYTY, EXPRESS OR IMPLIED, [5 MADE WITH REGARD TO THE INFORNIATION HERE[N PROVIDED OR THE PRODUCT TO WHCCH TH� [NFQRMATION REFERS.Since this document is intended only as a �uide to the ap�ropriate use and precautionary hanc�lii�g of the referenced proc�uct by a properly trained person,it is tllerefore the responsi6ility of the user to(i}review the recommendations with due consideration for the specific context of the iniended use and(ii) c�etermine if they are appropriate. <End of'MSDS> � �� . . �� ,�� t:�� ,;�G�a,�.f�� lo�tn west Exst Qaors � �oad�ng Door and Romp r�o�tn East Ex�t Doors North Bieaeher I �`°� �ectncal Northwese Narthea9t Raom Oraseing �ressing � Narth Bleache� I Storage aoom qoam Storage , L__ �,,,G„�. L————— Blue Wall 15�-�� Opening 191._8}" 5'—1 ��., � 184'-8�,� � �� 90'-3" �ra'-3�� Pit Area� 2b0' " Qasher Boards Blue Wqll 's�-4 Opening �s,.. Gate Gote A � B C erea GatB GOie 1°°� Gaie saoea � o E F ,�� , ,,_�� ' m }Sd�6�T6G a �is�ve ITL� '1Sd40'TCi 19545!]�Y, �iea y Fiv� Fl�gs Aren� a a;h �a�� E�e�«�� aoof� Ficat Tr-ock —Aa— 2020 600th Room b. ;r�✓� ,�e ' k� �„s;FF;.z� �`� �d��jf{. �i9U�� ,.:� '� a � X rrr4+kI �r�►�e, C'(�� ':rC Q��ats On 5�� b� on �}'�r. USINGHl CERTIFICATE OF LIABILITY INSURANCE DATE�MMIDDlYYW) A CORDTM 3,os,z 1 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 have ADDITIONAL INSURED provisions or 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 K & K Insurance Group, Inc. NAMEACT MOTORSPORTS P.O. Box 2338 PHONE g00-348-1839 FAX 260-459-5118 Fort Wayne, In 46801 E ALo•Ext: AlC,No: ADDRESS: KK.MOTORSPORTS@KANDKINSURANCE.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: NATIONAL CASUALTY COMPANY 11991 INSl1RED INTERNATIONAL CHAMPIONSHIP EVENTS, LLC INSURER B: D/B/A ICE INSURER C: 2915 KNOLLCREST DRIVE INSURERD: BURLINGTON, WI 53105 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: zozzs34 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 INSl1RANCE ADDL SUBR pOLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DDlYYYY MMlDD1YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1000000 A CLAIMS-MADE �OCCUR DAMAGETORENTED 300000 12:Ol 12:OlAM PREMISES Ea occurrence Owners & Contractors KE00008739100 3/24/2 3/24/22 MEDEXP(Anyoneperson) NC X E&0 5100,000 PERSONAL&ADVINJURY 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE UNLIMITED POLICY �PROJECT �LOC PRODUCTS-COMPlOPAGG 5000000 OTHER: Part Lgl Liab 1000000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea Accident 10 0 0 0 0 0 ANYAlITO 12:01 12:OlAM BODILYINJURY(Perperson) A KK00008740100 3/24/2 3/24/22 OWNED AUTOS ONLY SCHEDULED BODILY INJURY(Per accident� AUTOS X HIRED Al1TOS ONLY X NON-OWNED PROPERTY DAMAGE AUTOS ONLY Per accident 11MBRELLALIAB X OCCUR EACHOCCURRENCE 1000000 A EXCESSLIAB CLAIMS-MADE XK00008739200 12:01 12:OlAM AGGREGATE 3/24/2 3/24/22 DED RETENTION WORKERS COMPENSATION PER-STATUE OTHER AND EMPLOYERS'LIABILITY Y!N ANY PROPRIETORIPARTNER! ❑ E.L.EACH ACCIDENT EXECUTIVE OFFICERlMEMBER N(A EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached if more space is required) EVENT: MOTORSPORTS RACING EVENT DATE: 3/26 & 3/27/2021 LOCATION: FIVE FLAGS CENTER, DUBUQUE, IOWA ADDITIONAL INSURED: SEE ATTACHED ADDENDUM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE A80VE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 8E ELIVERED IN INTERNATIONAL CHAMPIONSHIP EVENTS, ACCORDANCE WITH THE POLICY PROVISION 2915 KNOLLCREST DRIVE AUTHORIZEDR ENTATI BURLINGTON, WI 53105 � ACORD 25(2016I03) O 1988-2015ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC# CERTIFICATE: 2022834 DATE ISSUED: 3/05/21 ACORDTM ADDITIONAL REMARKS SCHEDULE page 1 of 1 AGENCY NAMEDINSURED K & K INSURANCE GROUP, INC. INTERNATIONAL CHAMPIONSHIP EVENTS, LLC D/B/A ICE POLICY NUMBER 2 915 KNOLLCREST DRIVE GL KE00008739100 BURLINGTON, WI 53105 AL KK00008740100 EX XK00008739200 CARRIER NAIC CODE SEE ACORD 2 5 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM T�T�e: CERTIFICATE OF LIABILITY INSURANCE ADDITIONAL INSURED: A. ANY PERSON OR ORGANIZATION ENGAGED IN OPERATING, MANAGING, SANCTIONING, SPONSORING THE "COVERED PROGRAM" , OR PROVIDING THE "PREMISES" FOR A "COVERED PROGRAM" , INCLUDING OFFICIALS OF THE "COVERED PROGRAM" B. ANY "PARTICIPANT" (EXCLUDING DRIVERS) , " COMPETITION VEHICLE" OWNER AND "COMPETITION VEHICLE" SPONSOR. C. ANY "PARTICIPANT" DRIVER BUT ONLY WITH RESPECT TO "BODILY INJURY" OR "PROPERTY DAMAGE" TO PERSONS OTHER THAN ANY OTHER DRIVER. D. FIVE FLAGS CENTER, ; BUT ONLY AS RESPECTS TO THE OPERATIONS OF THE NAMED INSURED. ACORD 101 (2008/01) O 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD