163-22 Exhibit - Fireworks at Montclair Golf Club - 2022.pdf

DIVISION OF FIRE SAFETY STATE OF N.J. Montclair Golf Club, July 2, 2022 1. TOTAL NUMBER OF SHELLS ARE LISTED ON THE FIRE PERMIT APPLICATION 2. TOTAL, IF ANY, ARE LISTED ON THE FIRE PERMIT APPLICATION 4. DISPLAY TO BE HAND FIRED AND OR ELECTRICAL FIRE CERTIFIED OPERATOR IS: Gabe Auslander AND CREW 5. DELIVERY TO SITE WILL BE APPROXIMATELY 2:00 P.M.TO 3:00 PM UNTIL COMPLETION AT APPROXIMATELY 5:00 TO 7:00-P.M. 6. INSURANCE CERTIFICATE ISSUED AND ON FILE WITH THE PROPER OFFICIAL 7. AGREED AND UNDERSTOOD 8. AGREED AND UNDERSTOOD 9. Gabe Auslander AND CREWO 10. AGREED AND UNDERSTOOD 11. WE ATTEST TO THE UNDERSTANDING OF ALL RULES AND REGULATIONS AND THE DISPLAY WILL BE IN ACCORDANCE WITH NFPA 1123,1124 AND 1126 AND NJAC IFC 2015 CHAPTER 56. THE DISPLAY WILL BE IN COMPLIANCE WITH THE SAME cte Date: May 16, 2022 Display Company Representative