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Home My WebLink AboutCC RESO 15,085RESSOLUTION NO. 15,085 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY APPROVING '1'HE NATIONAL CITY CENTENNIAL COMMI'rt'r FIREWORKS DISPLAY PERMIT ON SEPTEMBER 18, 1986 BE IT RESOLVED by the City Council of the City of National City that it hereby approves the National City Centennial Committee Fireworks Display Permit for September 18, 1986, as set forth in Exhibit "A", attached hereto and incorporated herein by reference. PASSED and ADOPTED this 16th day of September, 1986. Rile ATTEST: l» Io'e Campbell, City erk APPROVED AS TO FORM: George H. Eiser, III -City Attorney City of National City Fire Department - 333 E. 16th St., National City, Ca. 92050 Phone: (714) 477-1187 Richard B. Bridges - Fire Chief S E P 1 2 1936 (File in duplicate) APPLICATION FOR PERMIT - PUBLIC FIREWORKS DISPLAY INSTRUCTIONS:. Applications in DUPLICATE shall be submitted to the. Chief of -the Fire Department or the Chief Fire Prevention Officer of the city. or county in which the -display is to be held,.or to the State Fire Marshal, or to such authorized deputy as he may designate' for such purpose, if there is not a Fire Chief or Chief Fire Prevention Officer in the area. • I (we) hereby make application for permit to conduct a display of fireworks as defined by the California State Health and Safety Code,.. and agree to comply in every particular with the law pertaining thereto as set forth in Part 2 of Division 11 of the Health Safety Code, and the rules and regulations adopted by the State Fire Marshal. San Diego 1. Sponsoring_Organization National City Centennial Committee (Fireworks) P.O. Box - .Address 711 AAve. Box 1055 (203186 ) State License No GPD500 2. Res onsibie Person in5of displaSan D1Ron,Dixon921Geor e Webster _... -P chargedisplay g 3: Date of display Sept. 18, 1986 from /:UU e M. to -2`0o p M. 4. Location 12th & d St. in Kimball Park A diagram of the grounds and firing area is ATTACHED. �5 .Persons 1,(J(�x� r3P-un GFi'1 fr and Assistants who will actually discharge fireworks: (Minimum STATE LICENSE NUMBER (pyrotechnic Operator in charge of -two)-. 6. Number, size and kind of fireworks: 10-3" SALUTES, 10=3" 30-3" smoke shells and one shot from the cannon ( 60 mg.) • aerial --shells, -- 7:: Description of storage facilities and location_on.grounds: Delivery on date of display Certificate of Employees' Compensation Insurance_.date-: issued-hy State Compensation Insurance Fund Company is 11/.5/86 --- attached. 9. Documentary proof of one of the following is attached: Surety Bond not less than $10,000 ( ) Public Liability Insurance not less than $20,000 (x) Check One General License No. issued by State Fire Marshal (xx) Applicant's Signature Applicant's Address P.O.J Box 203186 San Diego, Ca. 92120 PERMIT FOR PUBLIC DISPLAY OF FIREWORKS to be held,(date) 17/ i ? hereby an ~) (AUNORIMO. Signature: cross out one " _ Title , i ._ )l aNnv-o.pig► ISSUE .!ATE 8-7-86 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TSB. PIRATION DATE THEREOF. THE ISSUING COMPANY If/IL! "NDEAV'-.• MAIL 10 DAYS WRIT'. EN NOTICE TO THE CERTIFICATE HOLDER .NAMED LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE. NJ OBLIGA..•.•:. LIABILITY OF ANY KING UPON THE COMPANY. ITS AGENTS OP REPRE SENT-T PRODUCER X Robert F. Driver Co., Inc. P.O. Box 670 San Diego, CA. 92112 (619) 699-1357 INSURED San Diego Fireworks P.O. Box 203186 San Diego, CA. 92102 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. COMPANIES AFFORDING COVERAGE Golden Eagle Insurance Co. Lz-T-FFR COMPANY c LETTER COMPANY D LETTER COMPANY LETTER THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INJDICA TED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MA' BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS. AND CONu,- TIONS OF SUCH POLICIES. 0 TR TYPE OF INSURANCE POLICY NUMBER T r,;r. �,-� AL .ITS IN TH=rU - DP A * : GENERAL LIABILITY. COMMERCIAL GENERAL LIABILITY GL017356 7-26-86 7-26-87 .. .. - �0 $ 500 x x CLAIMS MADE OC r RaE'.UE :L... _ 500 T OWNER'S & CONTRACTORS PROT C iVE AUTOMOBILE LIABILITY ANY AUTO Ca S d'. I BODE.. ac9 V a rEG$o'ii Q $ aOD�LY INJURY PER LCICENN iCCI S DAMAGE $ EXCESS LIABILITY OTHER THAN UMBRELLA FORM c '`tbJ '' - _ EtCE OCGuGDEN_E --- WORKERS' COMPENSATION - AND EMPLOYERS' LIABILITY STATUTORY SF OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/ VEHICLES! RE' TRICTIONS /SPECIAL ITEMS All operations *Additional Insured as their interest may appear * City of National City % National City Fire Dept. 1243 National City Blvd. National City, CA. 92050 Att: Chief Kinniball COMPENSAT STq'j'IE P.O. BOX 807, SAN FRANCISCO, CALIFORNIA 94101 l N 8 U R A N C e. UN ID CERTIFICATE OF WORKERS' COMPENSATION INSURANCE October 8, 1985 POLICY NUMBER: CEFTIFICATE EXPIRES: 621958-85 11-5-86 This�is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California n Insurance Commissioner to the employer named below for thepolicy period indicated. This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insuranceyoes p on. policies listed herein. Notwithstanding any requirelment dterm, or condition extendnot amend, or ontr the coverage document afforded by with respect to which this certificate of insurance may be issued or may described herein is subject to all the terms, exciLsions and conditions of such policies.any contract or other document with pertain, the, insurance afforded b _ y the policies Job: All Operations L • EMPLOYER San Diego Fireworks, Inc. P.O. Box 203186 San Diego, 'CA 92120 SCIF 10262 (REV. 8-84) EN`e t s OLD PAPA Milli (�6WllIIli IHJG1H111IiIiI ul I rl u u ! I ,:,: I. a 41iel!iiilul!!i9i!illlNllp)>U!fI1i111!1111llEll11i1LEA ➢III111IiI( 11g11H11 111111IGliiilJll2111IBMI linli1ILIifUIid10�0��I��IUli�lili�I7llmr�ji�L117i1111iii10E1I11E11 111111I�1L111Wll11Tu�11i'Hf111�11Lh11!ui. !!!I;I,!11u!!u!r!!l!!!!1";I STATE FIRE MAR -IAL. Issued MAY 20, 1 Expires June 30 • # K 16,913 CALIFORNIA STATE FIR ii', MARSHAL Fireworks License Licensee SAN DIEGO FIRE4'1OR street P,O, &)X 28791 City SAN DIEGO S State 7ip 92128 Location of Special or Limited Display: Street City The named licensee is authorized to perform .permitted a fireworks GENERAL PUBLIC DISFI AY pursuant to Part II, Chapter I of the Health and Safety Code of the State of California. STATE FIRE MARSHAL Registration Number (;P11-ST) By iIIIIIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiI uottIIIIIl01IDIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIUIIIgllllllllllll!IIIIIIIIUIIIIIIIIIIIImIItlIIIIIIIIIiIIIIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIk01111111muitillllllllilllllllllllllliltlalllllllllllllllllllllllllllll I II IIIIIIIIIIIAlI1111111111111111111111111111111111111111111111111111111111pNllllllllllllllllllllllllill111111111111111111111111111111111111111111111 rI F1V 39 (RN I6422-3i5.l I-10 20? CS osr STATE FIRE MARSHAL 7171 BOWLING DRIVE. SUITE 600 SACRAMENTO, CA 95823 SAN DIEGO FIREWORKS P.O. BOX 203186 SAN DIEGO. 921200000 CA EXPIRES: JUNE 30, 1987 ID NO: GPD 500 RENEWAL NUMBER: N01750 GENERAL PUBLIC DISPLAY