180-18 Exhibit A - Fireworks at Rock Spring at Montclair Golf Club for Labor Day Celebration - 2018.pdf

State of New Jersey Department of Community Affairs Division of Fire Safety 101 S, Broad St. P.O, Box 809 Trenton, NJ 08625-0809 (609) 633-6132 Fax (609) 633-6330 Cee tend mss 0] Seen DISPLAY COMPANY REQUIREMENTS Provide total number of shells and sizes (U.S. diameter) being used. Provide types and amounts of ground (set pieces) or low level devices (cakes,candles) to be used. . For displays fired from barges or roof tops, provide documentation, including all calculations that the discharge area meets or exceeds the requirements of NFPA 1123 (2000 Edition) Section 4.3.1 or 4.4.1 Indicate method in which display will be fired. If it is an electrically-fired display, provide name of N J Department of Labor licensed operator. Operator must have valid license in their possession at display site. Provide timetable of: delivery of fireworks to site; set-up; live load. Provide Certificate of Insurance (general and auto liability) in the amount of not less than $500,000.00. Certificate must be valid for duration of event, including rain dates. The use of salutes/reports larger than 3” is prohibited. No display shall be fired if winds exceed 25 MPH. Provide the name of the lead operator who will be representing the display company. Provide a post-display report within 48 hours of display. Report must include the following: display information; time search of fallout zone was conducted and results; any product malfunctions; and any injuries, Provide a letter attesting to the understanding of all of the above requirements as well as requirements set forth in Chapter 33 of the 2006 International Fire Code — New Jersey Editions and NFPA 1123, 1124, and 1126 and that the display will be in compliance with the same. Ceapuet Y tes 219-18" Display Company Representative Date ALL REQUIRED INFORMATION MUST BE PROVIDED WITH THE PERMIT APPLICATION. FAILURE TO PROVIDE THE REQUIRED INFORMATION WILL RESULT IN DELAYS WHICH COULD AFFECT THE PROCESSING OF THE PERMIT. SPECIFIC CODE SECTIONS MAY BE VIEWED BY GOING TO THE FOLLOWING WEBSITE: WWW.ECODES.BIZ MUNICIPAL/SPONSOR REQUIREMENTS ARE ON THE REVERSE SIDE OF THIS FORM. Revised 7/9/09