HomeMy WebLinkAbout07/11/2007 AGENDA
FILE
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CITY COUNCIL 345 6th Street, Suite 600, Bremerton, WA 98337-1873 D (360) 473-5280
JULY 11, 2007
CITY COUNCIL MEETING & STUDY SESSION AGENDA
1. PRE-COUNCIL STUDY SESSION: 5:00 - 5:30 P.M. in COUNCIL CONFERENCE ROOM 603
A. General Council Business
B. Presentation of an Agenda Bill to "Approve Public Display of Fireworks on July 14, 2007 at
Miller Woodlawn Memorial Park" by Fire Chief AI Duke - Action is anticipated...
2. CALL TO ORDER: 5:30 P.M. in CHAMBERS LOCATED ON FIRST FLOOR
A. Pledge of Allegiance
B. Invoc~tion
3. PUBLIC RECOGNITION & ANNOUNCEMENTS
4. CONSENT AGENDA
A. Claims & Check Register (#AB07 -165)
B. Minutes of Meeting - July 2,2007 (#AB07-166)
C. Approval of Public Display of Fireworks on July 14, 2007 at Miller Woodlawn Memorial Park
(#AB07 -167)
5. GENERAL BUSINESS - There are no GENERAL BUSINESS items scheduled this week...
6. ADJOURNMENT OF CITY COUNCIL BUSINESS MEETING
CITY COUNCIL STUDY SESSION
Immediately following the City Council Meeting, the Council Members will reconvene in COUNCIL
CONFERENCE ROOM 603. Please note that the Study Session is open to the public but there will be no
opportunities for input or participation; that no action will be taken, and the content of these items is
subject to change. . .
A. NO DISCUSSION PLANNED - The following items are budgeted items or have been reviewed by the
appropriate Council Committee; and will be placed on the next Council Meeting Agenda for action. . .
1.. Contract Award for Glenn Jarstad Aquatic Center Pool Tank Renovation - Jeff Elevado, Parks &
Recreation Department (budgeted item)
2. Purchase of 12 replacement Mobile Computer Terminals (MCTs) and software for Police vehicles
- Bill Eley, Information Technology (budgeted item)
3. Purchase of a refurbished complete rotating assembly (screw conveyor & bowl) for the existing
Humboldt S3-01 Centrifuge at the Westside Wastewater Treatment Plant - Pat Coxon, Public
Works & Utilities (budgeted item)
4. Purchase of 8 Spring City style street lights for Pacific Avenue - Mike Mecham, City Engineer
(budgeted item)
CONTINUED ON BACK...
A. NO DISCUSSION PLANNED - Items Continued...
5. Approval of PSA with HDR/FishPro for design of the Brentwood Drive Fish Passage Culvert
Project - Mike Mecham, City Engineer (budgeted item)
6. Sole source contract with NORTHWIND MARINE of Seattle for refurbishment work on Fire
Department Rescue Boat - Mick McKinley, Fire Department; and Brad Gehring, Chair of Public
Safety & Parks Committee
B. FULL DISCUSSION ITEMS
7. Settlement Agreement and Release between the City of Bremerton and Scott Alexander and
Daryl Matheny - Wyn Birkenthal, Parks & Recreation Department; and Brad Gehring, Chair of
Public Safety & Parks Committee
8. Budget Adjustment of $13,100 to Parks & Recreation for the purchase of furniture and minor
equipment for use at Harborside Fountain Park - Wyn Birkenthal and Tom Cressman, Rarks &
Recreation Department; and Brad Gehring, Chair of Public Safety & Parks Committee
9. Proposed ordinance to amend Chapter 9.48 of the Bremerton Municipal Code (BMC) relating to
Public Displays of Fireworks - AI Duke, Bremerton Fire Chief; Ken Bagwell, Assistant City
Attorney; and Brad Gehring, Chair of Public Safety & Parks Committee
10. Proposed ordinance creating a new Bremerton Municipal Code (BMC) Chapter 10.42 regarding
regulating and using photo enforcement devices - Lt. Pete Fisher, Bremerton Police Department;
and Brad Gehring, Chair of Public Safety & Parks Committee
11. Contract with REDFLEX TRAFFIC SYSTEMS for Photo Enforcement - Mike Mecham, City Engineer;
and Adam Brockus, Chair of Public Works Committee
12. Proposed ordinance approving the Reimbursement Agreement with GEM1 LLC for the West 580
Zone - Mike Mecham, City Engineer; and Adam Brockus, Chair of Public Works Committee
rI Americans with Disabilities Act (ADA) accommodations provided upon request. Those requiring special accommodations
should contact the City Clerk's Office at (360) 473-5323 by noon on the Monday preceding the Council meeting.
CITY COUNCIL MEETING
SPEAKERS LIST
PLEASE NOTE THAT ALL REQUESTS FOR INFORMATION FROM THE CITY OF
BREMERTON MUST BE SUBMITTED IN WRITING.
THANK YOU.
PLEASE PRINT YOUR NAME BELOW IF YOU PLAN TO
SPEAK DURING THE COUNCIL MEETING TONIGHT
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AGENDA BILL
CITY OF BREMERTON
CITY COUNCIL
BILL # 07--1(-/(
DATE SUBMITTED:
&fA
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SUBJECT:
Committee Meeting Date:
COUNCIL MEETING Date: July 11, 2007
Department: Financial Services
Presenter: Cathy Johnson
Phone: 473-5296
SUMMARY: Consent Agenda item. Approval of payroll, checks and electronic fund transfers.
ATTACHMENTS:
FISCAL IMPACTS (Include Budgeted Amount):
APPROVALS:
DEPARTMENT DIRECTOR:
CITY ATTORNEY:
FINANCE DIRECTOR:
MAYOR:
COMMITTEE CHAIR
COUNCIL PRESIDENT:
~~~ ~.
CONSENT AGENDA 0
GENERAL BUSINESS 0
PUBLIC HEARING 0
RECOMMENDED MOTION: Move to Approve
1) Check #'s 317833 through 318901 and EFT's 7225 through 7246 in the amount of $3,603,638.69.
2) Regular Payroll for the pay period ending June 30, 2007 in the amount of$701,037.66.
COUNCIL ACTION: 0 Approve 0 Deny 0 Table
o Continue 0 No Action
DATE SUBMITTED: :rult .:<. I ;).001
B ILL iF
07- (fob
itS
AGENDA BILL
CITY OF BREMERTON
CITY COUNCIL
........................................................................................
SUBJECT: City Council Meeting Minutes
for meeting of ;:rC)Jy 2. J ')...007
Committee Meeting Date:
COUNCIL MEETING Date:
Department:
Presenter:
N/A
Tu I~ If l ;;1..007
City ,ouncil
Will Maupin,
Council President
(360) 473-5280
Phone:
SUMMARY: Attached is a summary of the City Council Meeting held J(,{ II.( Z J 2.007
ATT ACHMENTS: Meeting Minutes for ru I 'f 2-) ;;.007
FISCAL IMP ACTS (Include Budgeted Amount): N/ A
APPROV ALS:
DEPARTMENT DIRECTOR:
CITY ATTORNEY:
FINANCE DIRECTOR:
MA YOR:
Council President
N/A
N/A
N/A
COMMITTEE CHAIR
COUNCIL PRESIDENT:
N/,\
.~'
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4C~i!jY {'//7~
CONSENT AGENDA [3"
GENERAL BUSINESS D
PUBLIC HEARING D
RECOMMENDED MOTION: Move to approve the Consent Agenda as presented.
COUNCIL ACTION: D Approve D Deny D Table
o Continue D No Action
DIGITAL RECORDING
CITY COUNCIL SPECIAL MEETING MINUTES
Monday, July 2, 2007
The weekly meeting of the City Council of the City of Bremerton was called to order in the City Council
Chambers, of the NORM DICKS GOVERNMENT CENTER 345 6th Street, Bremerton, Washington, Monday,
July 2, 2007, at 5:30 PM, with Council President Will Maupin presiding. Council members present
were Nick Wofford, Carol Arends, Dianne Robinson, Wendy Priest, Adam Brockus, Cecil McConnell,
and Brad Gehring. Council Member Mike Shepherd was absent. Also present were City Attorney
Roger Lubovich; City Clerk Paula Johnston; and Legislative Assistant Lori Smith.
The Pledge of Allegiance was led by Council Member Adam Brockus followed by the invocation
provided by Associate Pastor Dennis Huelle of Peace Lutheran Church.
President Maupin announced that a Pre-Council Session to discuss General Council Business and a
10-Minute Executive Session to "Review Labor Negotiations" per RCW 42.30.140 (4)(b) were held
prior to the meeting; and that Item 5A was pulled from the agenda.
MAYOR'S REPORT - There was no MA YOR'S REPORT tonight...
PUBLIC RECOGNITION & ANNOUNCEMENTS
Brad Gehrina encouraged the public to see local favorite "Jr. Cadillac" this Friday, July 6 from 6:00 to
8:00 PM at the 19th annual "Concerts on the Boardwalk" free summer concert series
Nick Wofford invited the public to attend the "SR304 Bremerton Tunnel Ground Breaking Ceremony"
also on Friday, July 6 at 10:00 AM at the Old Les Schwab Tires Building located at 628 Burwell Street;
and provided a reminder about the Joint Open House on the City's 3 ongoing planning projects: the
Downtown Sub Area Plan, Parks Master Plan, and the Non-motorized Transportation Plan to be held
in the Chambers on Thursday, July 12 from 5:30 to 7:30 PM.
Mike Walton provided the Council with a monthly update of the programs and activities taking place
at the YMCA including the new "Drop-in Military Preschool"; and participation by the YMCA in the
"Summer Meltdown" with the Parks Department and the Ice Skating Rink; and the "Spaghetti Feed"
fundraiser with the Manette Business Association and the Manette Neighborhood Coalition"
CONSENT AGENDA
A. Ck:limf: 8. Chock Rogif:tor (ttAB07 156) This item was pulled tonight...
B. Minutes of Meeting - June 20,2007 (#AB07-157)
C. Minutes of Meeting - June 27, 2007 (#AB07-158)
D. Grant of Easement to PUGET SOUND ENERGY (PSE) on City Property at Northeast Corner of Park
Avenue & Burwell Street (#AB07-159)
E. Release of Sewer Easement for BREMERTON PARTNERS LLC 400 Condominium Property on
Washington Avenue (#AB07-160)
F. Interlocal Agreement with Kitsap County for Use & Improvement of Facilities on Tibardis Road for
BKATStudio (#AB07-161)
G. Budget Adjustment for City Attorney's Office to fund remaining anticipated attorney's fees for
2007 (#AB07 -162)
H. Award of Sodium Hypochlorite Proposals for the Westside Waste Water Treatment Plant (#AB07-
163)
I. Interlocal Agreement Amendments G and H between the City of Bremerton and Kitsap County for
Improvements of SR304 Navy Yard Highway (#AB07 -164)
City Council Reg. Mtg. Minutes
Monday, July 2, 2007
Page 2 of 2
There were no comments from the public.
05:40:20 M/S/C/U (Priest/Arends) Move to approve the CONSENT AGENDA as presented.
GENERAL BUSINESS - There are no General Business items scheduled this week...
COUNCIL MEMBER REPORTS
Brad Gehrina wished everyone a happy and enjoyable 4th of July but also cautioned citizens to
please be respectful of other people's property and to be careful with the fireworks.
Cecil McConnell agreed, and added that the Fire Department has enough work to do already without
fighting grass fires and other causes of fire works.
Adam Brockus reminded the public that fireworks are only allowed on Wednesday, July 4th.
Dianne Robinson wished everyone a happy 4th of July and asked everyone to please be careful.
Carol Arends was pleased with the flower baskets on Callow Avenue, and noted that several
businesses have also expressed their appreciation. She also mentioned this week was the First
Friday Art Walk in downtown.
Nick Wofford reminded citizens to take a look at the condition of their streets and to report any
observations to Mayor Bozeman at (360) 473-5266.
Will Maupin reported on his attendance at the all-day Kitsap Economic Development Alliance
Conference held last week where a discussion was held about ways to help local government and
local businesses to work together. Lastly, he congratulated new County Commissioner Steve Bauer.
With no further business, President Maupin adjourned the Council Meeting at 5:45 PM.
pre1iii1P:I
L I SMITH
Legislative Assistant
Attest:
PAULA JOHNSTON, City Clerk
WILL MAUPIN, City Council President
WM:PJ:ls:cg
DATE SUBMITTED: July 3, 2007
BILL# 07-/07
AGENDA BILL
CITY OF BREMERTON
CITY COUNCIL
L/C
........................................................................................
SUBJECT: Approval of public display of
fireworks on July 14,2007 at Millcr
Woodlawn Mcmorial Park
Committce Mecting Datc: July 1 1,2007
COUNCIL MEETING Date: July I 1,2007
Department: Fire Department
Presenter: Al Duke
Phone: 473-5381
SUMMARY: Brcmerton Fire Department has received an application for a permit for a public
display of fireworks at Miller Woodlawn Memorial Park on July 14, 2007. State law mandates that
City Council approve a public display of fireworks. The approximate discharge time is 9:30 p.m.,
lasting approximately 30 - 45 minutes.
ATTACHMENTS: Fire Code Permit Application for Mountain Fireworks
FISCAL IMPACTS (Include Budgeted Amount): None
APPROV ALS:
DEPARTMENT DIRECTOR:
CITY ATTORNEY:
FINANCE DIRECTOR:
MAYOR:
CONSENT AGENDA ID
GENERAL BUSINESS D
PUBLIC HEARING D
COMMITTEE CHAIR
COUNCIL PRESIDENT:
RECOMMENDED MOTION: Move to approve a public display of fireworks on July 14, 2007 at
Miller Woodlawn Memorial Park subject to the Fire Marshal's approval.
COUNCIL ACTION: D Approve D Deny D Table
D Continue D No Action
.
.
.
.5505 Kitsap Way, Bremerton, Kitsap, Washington 98312, United States - Google Maps
Page 1 of 2
Address 5505 Kitsap Way
Bremerton, W A 98312
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7/11/2007
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FIRE CODE PERMIT APPLICATION
APPLICATION #
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KlTSAP COUNTY
FIRE MARSHAL'S OFFICE
ASSESSOR'S ACCT. #:
"_7Rf~Cf
Zip
BUSINESS
MAlUNG ADDRESS:
('rf different from above)
a~ ILf th
Number/Street
t3O'f
S ceJSuite
BUSINESS OWNER: Charles Wilson
MAlUNG ADDRESS: Same as above
Number/Street
PHONE 36D-509-8803
SpaceJSuite
City
State
Zip
APPLICANT:
('sf arfferent fnJrn abov~)
MAIUNG ADDRESS:
PHONE
Numbel1Street
SpacelSuite
City
$tate
Zip .
EMERGENCY CONTACT NAME: Chris Williams
EMERGENCY CONTACT PHONE NUMBER: DAYTIME #: '360) 692-6228 AFTER HOURS #: '360) 535-2308
APPUCATlON IS HEREBY MADE FOR A PERMIT TO DO THE FOLLOWING: 1) Provide description & details. Attach additional
sheets if needed. 2) Check boxes on reverse.
MmerWoodland Memorial Displav FrrewOJ1(s Show. UP to a 5" shell
Location: libertv Miller Woodland Memorial ParK
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EVENT DATE(S): FROM: _::T"u,ly ..L~ uj)' TO: -<l~
BID FOR MATERIALS & LABOR:
(To be provided by appncant for fire alannlsprinlderlsuppression systems)
,r.' ~007
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VALUATION BASeD PERMIT FEES: $
PLAN REVIEW FEES $
(Construction permitS)
FOR OFFICE USE ONLY
Date Received. DCD
FOR OFfTCE USE ONLY
Date Received - KCFMO
F'IRE CODE PERMIT FEE:
(operational permits - $100.00)
_ INSPECTION FEE:
(openiltional permits - $50.00)
$ 100.00
$
r,
FIREWORKS PERMIT FEE:
(Stand. tent, display. $100.00,
includes pennit & inspection)
$
Parent Pennit f.
Occupancy 10;
TOTAL FEES: $100.00
Payment Rec'd $ Receipt #
FIRE APPROVA.... REQUIRED 0 BUILDING APPROVAl (required ifcl1ecked)
CORRECTIONS REQUIRED
CORRECTIONS REQUIRED
APPROVED AS REVISED
FIRE APPROVED
CORRECTIONS REQUIRED
CORRECTIONS REOUIRED
APPROVED AS REVISED
BUILDING APPROVED
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.- Plea$e U$e this checklist to aid in preparing a complete application package. Most pennit processing delays ar
the result of incomplete or inadequate permit submittal information. This checklist has been developed in al
effort to expedite the application review process. Please check off each line as you identify that your submitt;:
contains the requimd infonnation. place NlA on lines that do not apply to your 9peeific project. then submit th
ehBckJid with your application.
Office AppliCClnt Basic Requirements. all applications
1 ~x_ Completed fire code permit application, including all information
2 _ 2 copies Material Safety Data Sheets, if applicable.
3 _ 2 copies Hazardous Materials Management Plan, if applicable.
4 _ List and quantities of hazardous or toxic materials proposed to be used Of stored, jf applicable.
5 _ List and quantities of flammable and combustible liquids or solids to be used or stored. if applicable.
6 _ List and quantities of compressed or flammable gases to be used or stored, if applicable.
7 _ List and quantities of liquefied petroleum gases and equipment if applicable.
8 _ List and quantities of organic peroxides; oxidizers; pyrophoric materials; pyroxylin (cellulose nitrate)
plastics; or unstable (reactive) materials, if applicable.
Plans: (3 sets required) Verify that all of the following are provided:
9 _ Scaled site plan showing general area, roads and widths, buildings with dimensions. parking, property
lines
10_ _ Floor plan(s) (indicate use of all rooms), including dimensions, exits. stock and storage, seating capacity,
arrangement of seating and location and type of heating and electrical equipment
11_ _ Vicinity map .
12 _ _ Location of materials. gases, solids etc., listed above
13 _ Certificate of Flame Resistance (Tents only)
Additional Requirements - Fire Alarm Systems - Plans shall include the following:
14 _ _ Locations of alarm-initiating and notification appliances
15 _ _ Alarm control and trouble signaling equipment
16_ ~ Annunciation
17 _ _ Power connection
18 Battery calculations
19 == == Conductor type and sizes
20 _ _ Voltage drop calculations
21 _ _ Manufacturers, model numbers and listing information for equipment, devices and materials
22 _ _ Details of ceiling height and constmction
23 _ _ The interface of fire safety COntrol functions
Additional Requirements - High-Piled Combustible Storage - Plans shall include
the following:
24 _ _ Floor plan of the building showing locations and dimensions of high-pilecl storage areas.
25 _ _ Usable storage height for each storage araa.
26 Number of tiers within each rack, if applicable.
27 == ==: Commodity clearance between top of s10rage and the sprinkler deflector for each storage anangement
28 _ _ Aisle dimensions between each storage anay_
29 _ _ Maximum pRe volume for each storage alTIiY.
30 Location and classification of commodities in accordance with Section 2303.
31 == == Location of commodities which are banded or encapsulated_
32 _ _ Location of required fire department access doors.
33 _ _ Type of fiffi suppression and fire detection systems.
34 _ _ Location of valves controlling the water supply of ceiling and in-rack sprinklers.
35 _ _ Type, location and speciffcations of smoke removal and curtain board systems_
36 _ _ Dimension and location of transverse and longitudinal flue spaces.
Additional information regarding required design features. commodities, storage arrangement and fire protection
feabJres within the high-piled storage area shall be provided at the time of permit when required by the fire code
official.
Additional Requirements - Fireworks
37 _ -2L- Washington State Stand, Tent Of Display Application
38 _ _ Marine Event Permit for displays, if applicable
39 X ~yrotechnic Operators license, for displays
40 ~ x Washington State Fireworks License
41 _ ---X _ Certificate of Liability Insurance
42 _ J _ Stand or Tent Diagram or Plan
43 _ _ Lease agreement with property owner, if applicable
44 _ _ Certificate of Flame Resistance (Tents only)
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L.J FCEC-AFES Automatic fire-extinguishing
- systems
o FepC-HOOD Automatic fire-extinguishing
systems - Hood (may also require
mechanical permit)
Compressed gases
Fire alarm & detection systems &
related equip.
D FCPC-FPUMP Fire pumps & related equip.
o FCPC-FCLlQ Flammable and combustible
liquid operations & related
equipment
Hazardous materials
I ndustrial ovens
LP-gas system (may also require
mechanical permit)
Fire hydrants
Standpipe systems
Spraying or dipping, spray rooms,
dip tanks, booths
:;:, ~~.,..,.;.:.: '::F.IRE:-cobe' OPERAtJONA1t:'.PERMr[S:~".:;, ,:'.,~ ~:.;~:
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~ FCPO-AEROS Aerosol products "- ._,
o FCPO-AMUSE Amusement buildings
o FCPO-AVlAT Aviation facilities
o FCPC-SA TT Battery systems
o FCPQ-BB Bed & Breakfast!
Boarding House
Carnivals & fairs
Cellulose nitrate film
Combustible dust-producing
operations
Combustible fibers
Compressed gases
Cryogenic fluids
Covered mall buildings
Cutting and welding
o FCPC-CGAS
o FepC-FA
o FCPC-HAZMT
o FCPC-INDOV
o . FCPC-LPGAS
o FCPC-PFHYD
o FCPC-STAND
o FCPC-SPRA Y
o FCPO-CFAIR
o FCPO-CELL
o FCPO-CDUST
1:1 FCPo-CFI8R
o FCPQ...CGAS
o FCPO-GRYO
o FCPO-MALL
o FCPO-CW
"'Fireworks Wholesaler:
Mailing Address:
N/A
~~R(~E:(;Cfr)~Q~~~;:P~!~~~ji~ED:;,'j
o FCPO-EXHIB Exhibits and trade shows
1:1 FCPO-EXPLO Explosives
o FCPO-FW-ST Fireworks Stand*
o FCPo-FW- TE Fireworks T ent*
X FCPO-FW-DI Fireworks Display"
o FCPo-FCLlQ Flammable and combustible
liquid operations & related equip.
Floor finishing
Fruit & crop ripening
Fumigation & thermal insecticidal
fogging
o FCPO-HAZMT Hazardous materials
o FCPO-LPGAS LP-gas (except <500 gal. in R-3.
Residential tanks >125 and <500 gal
require buOding permit)
o FCPO-MCSTO Miscellaneous combustible
storage
Open flames and torches
Open flames and candles
Organic coatings
Places of assembly
To use Pyrotechnic special
effects material
Pyroxylin plastics
Refrigeration equipment
Repair garages and service
stations
o FCPo-RHEU Rooftop heliports
o FCPO-SPRA Y Spraying or dipping, spray
rooms, dip tanks, booths
o FCPC- TENT Temporary tents and canopies
o FePQ-TIRES Storage of scrap tires and tire
byproducts
Tire-rebuilding plants
Waste handling
Wood products
o FCPO-FLOOR
o FCPO-FRUIT
o FCPC-FUMIG
o FCPO-OPFL 1
o FCPO-OPFL2
o FCPO-oRGAN
o FCPC-ASSY
o FCPO-PYROT
o FCPO-PYROX
o FCPO-REFRI
o FCPO-REPAI
o FCPC- TIRER
CI FCPO-WASTE
o FepO-WOOD
Phone
NumberlStreet SpaceJSuite City State Zip
A COMPLETED APPLICATION SUBMITTAL CHECKLIST MUST BE SUBMITTED WITH THIS APPLICATION
I hereby certify that I have read and examined this application and know that the information contained herein is true and correct. I also certify
that I am the owner (or owners authorized agent) of this property and that all work shall be performed in accordance With all state and local laws
regulating the project proposed by this application. r understand that failure to comply with such laws or the submission of inacx:urate information
may result in the revocation af any pe~. m this apPMonh . J' /J .
OWNERlAGENT SIGNATURE: ~ U ~. DATE:;) - J. ~ V 7
OWNER/AGENTPRINTED: C ,.u'> JJ cJi (r;o",- DATE: 2--)....) ~O '>
PHONE: 36C> 5'D1 t 90:3
CONTACT NAME (If different than above);
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Office Of The State Fire Marshal
Washinl!ton State Fireworks License
7680
General Display License
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Genenl Disulav:
Mountain Fireworks
2512 14th Avenue South, Apartment 304
Seattle, W A 98144
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In-State Representative:
Charles N. Wilson
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Offlee Of The State Fire Marshal
Date of Issue
March 30, 2007
Expiration Date
January 31, 2008
License Number
C-04237
Gelleral Displav: Mountain 'Fireworks
License Nllnlber: C,042':n, '.
'Tvpe ..fLicense: .'~h~~a~'p~~p.~~y
Phone Nllmber: ,,(J.6.0) ,109::'8803
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Licensee Location: 2512 14tn Avenue South
Seattle, WA 98144
Phone Number: (206) 377-8270
Date of Issue
Expiration Date
January 31.2008
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License Number
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PRODUCER ~IS CEFlTIFICAT!; IS ISSUeD AS Jl, MAlTeR O~ IN~Oi=lMATIOIIl ONLY ANO
Combined Specialties International, Inc. OONF1:RS NO RIGHTS UPON THE CEFlTlFICATE HOLDEFl. THIS CERTIFICATE
8362 'ramatac:k Village DOES NOT AMEND. EXTEND OR LATER THE COVERAGE AFFORDED BY THE
Suite 119 POLICIES BElOW.
Woodbury MlnneElllta 55125 INSURERS AFPORDING COVERAGIii
INSURER A: UndeIWritsrs. LJovds of LDndon
INSURED INSURER B:
Mountain Fireworl\s INSURER c:
2512 14th Avenue $-./1304
Seattle Washln!lton 98144
COVEFlAG5S
THIS IS TO CERTIFY THAT THE f)OUCles OF INSlJrlA.NCE l.1ST5D Sa-ow HAVE BeEN ISSUED TO THE NAM~D INSURED ASOVE FOR Ti'lE P=FlIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TeRM OR CONOmoN OF ANY COtm:lACT ~ OTHER DOCUMENT WI,.,., REspeCT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. lHE INSURANCE AFFORDED BY THE POUCIES DESCRIBEC HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES INCWDING. BUT NOT UMI1ED TO THOSE FOLLOWING: UMITS SHOWN MAY HAVE BEEN REDUCED BY
PAID CI.AIMS. ADDITIONAL CONDITIONS AND EXCLUSIONS: 1) lHE INSURANCE EVIDENCED BYlHlS CERTlRCATE IS UABILITY INSURANCE ONl.Y, IT IS
NOT A BOND OR ANY FORM OF SURETY AGAINST WHICH SOMEONE OlHER AN "INSURED" MAY ASSERT A CLAIM OR BRING ANY ACTION. SUlilJECT TO
POLICY TERMS, CONDITlONS, DeFINITIONS ANO SXCLUSJONS THE INSURANCE ONLY INDEMNIFIES AN INSURED AGAINST CeRTAIN LEGAl. UASI1.rTY_ 2)
THE INSURANCE DOES NOT COVER CLAIMS FOR BOblLY INJIJPlY OR PFlOPeATY OAMAQe OF THe NAM~D It-lSURED"S SHOOTER(S) ASSISTANT(S) OR
ANY OTHER P.ERSON(S) INCLUDING ANY VOWTEER{S) PARTICIf)ATINQ IN ANY WAY IN ANY OISPIJ'" 01'\ SPIilCIAl. eFJ:EC1' PErlFORMF;C OR EXecUTED
BY THE NAMED INSURED. 3)COVERAGE DOES NOT APPLY TO CLAIMS FOR BODILY INJUAY OR PROPERTY DAMAGE ARISING OUT OF lHE INSURED'S
FAIUJRf:: TO FOl.LOW NFPA OR OlHER APPLICABLE REQUIREMENTS. LAWS OR RECOMMENDATIONS. INCLUDING THOSE RELATING TO POST DISPLAY
OR SPECIAL EFFSCT SEARCHES OR CLEAN UP.
CO TYpe OF INSURANCE POLlCY NUMBER POUCY eFFecrlVE POliCY eXPIRATION LIMITS
LTR DATE (MM/DDIYV) DATE (MMIODIYY)
A GENERAL UABIUTY 117624a162/007 AprIl 13, 2007 Aprl113,200e aACI-I ACCIDENT $1.000.000
CLAIMS MADE MEDICAl EXP $5,000
(eny one person)
FIRE LEQAl UABlUTY $50.000
GENERAL AGGREGATE $2,000.000
PRODUCTS-COMP/OPS AGG $1.000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea aceidenQ
ANY AUTO BOOIL Y INJURY $
ANY OWNED AUTO (Per per!lDll)
SCHEDlJleD AUiOS
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS Per accident)
PROPERTY' DAMAGE $
(Per person)
EXCESS LIABILITY EACH ACCIDENT $
FOLl.OWING FORM AGGREGATE $
WORKERS COMPENSATION WC STATU- OTHER
AND TORY UMITS $
EMPLOYERS' LIABILITY
E.L EACH ACCIDENT $
E.L. OISEASE-EA EMPLOYiiR $
~.L. C'lseASE.POL.ICY LIMIT s
OTHER
DESCRIP'l'ION 01" OPl:RATIONSIlOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Miller Woodland Memorial Fireworks Show: I<Jtsap County atJd City 01 S~meo1on a1'C .Acldilionallnsul'Gd as r8$p$ds the July 15, 2007 Fittworlts Display at MIller
Woodland Memorial Perk, S505 Kitsep Way. Bramarton. WA
CERTIFIOATE HOLDER CANOellATION
Miner Woodland Memorial SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELlED BEFORE THE EXPIRATION DATE
Fil'9WDOO; Show THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAlL 10 DAYS WRITTEN NOTICE TO THE
5505 Kitsap Way CERTlRCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAlL SUCH NOTICE SHALL IMPOSE NO
Bremmerton. WA 98380 OBUGATION OR LIABIUTY OF ANY KINO UPON THE COMPANY, IT'S AGENTS OR REPRESENTATIVES
AUTHOROED REPRESENTATIVE d: C<7'\. ~ -
l09-~ lOO/IOO'd Lvl-.L
SSZ8H€90Z+
S3JI^~3S ~NI.LNnOJJV 'Vn.Ln~ NO.L~NIHSVM-WOJ~
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LO-8Z-90
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DUPLICATE DUPLICATE DUPLICATE DUPLICATE
CITY OF BREMERTON
FINANCE DEPARTMENT
345 Sixth Street Ste. 600
Bremerton, WA 98337-1873
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Reg# #/Rcpt#: 005-00015898 [ MAVIS]
Accounting Date: Wed, Jun 27, 2007
Date/Time: Wed, Jun 27, 2007 10:28 AM
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LICENSE-FIREWORKS STAND
REF #:JULY 15, 07 FIREWORKS DISPLAY PERMIT
FEE AMOUNT: $100.00
RECEIPT TOTAL = $100.00
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Payment Data:
Pmt# :1
Payer: MOUNTAIN FIREWORKS
Method: CK
Ref#: 2053
AMOUNT = $100.00
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RECEIPT SUMMARY
****************************************
TOTAL TENDERED = $100.00
RECEIPT TOTAL = $100.00
CHANGE DUE = $0.00
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HAVE A NICE DAY!
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