Special Event, Haines Wedding Fireworks Display

City Council Agenda Item Report

FROM: MEETING

Jamie Wolters

DATE:

8-6-25

SUBJECT:

Special Event – Haines Wedding Fireworks Display

DESCRIPTION: The applicant is requesting City Council approval for a fireworks display as part of their upcoming wedding in Saugatuck to take place on August 30, 2025, from 10:50-11:00.

CITY CODE OF ORDINANCE:

§ 92.07 FIREWORKS DISPLAY. A permit from the City Council is required for the possession, use, or discharge of display fireworks, articles pyrotechnic or special effects (collectively for purposes of this subchapter hereinafter "display fireworks") for public or private display within the city on terms and in a manner consistent with the Act. The storage of fireworks shall be prohibited in the city except in compliance with the Act. All permits shall be subject to compliance with this subchapter and the Act. In the event of any conflict between this subchapter and the Act, the more stringent provision shall control. (Ord. passed 5-10-2004; Am. Ord. 130909-1, passed 9-9-2013) Penalty, see § 10.99 § 92.08 PERMIT APPLICATION; FEE; DECISION OF CITY COUNCIL. Application for permits shall be made in writing, on forms provided by the Michigan Department of Licensing and Regulatory Affairs, to the City Council at least 60 days in advance of the date of the display of fireworks. If an application for a permit is not timely filed as provided herein, the City Council may consider the application only if the applicant shows good cause for submitting a late application. The City Council may, by resolution, establish a nonrefundable fee schedule for the city's cost of reviewing and acting on the application. If such schedule is established by the City Council, the applicant shall submit the nonrefundable fee with the permit application. The City Council may grant, grant with conditions, or deny the permit in accordance with the Act and this subchapter. Notwithstanding any provision of this subchapter, no applicant has a right to issuance of a permit. Nothing in this subchapter shall be construed to limit or impair the discretion of the City Council to deny a permit pursuant to the Act or this chapter. If a permit is granted, the sale, possession, use, or discharge of fireworks for such display shall comply with all terms and conditions of the permit. A permit granted hereunder shall not be transferable, nor shall any such permit be extended beyond the dates set out therein. A permit for a particular display granted by the city under the Act's predecessor shall remain valid subject to its original terms. (Ord. 130909-1, passed 9-9-2013) § 92.09 LIABILITY INSURANCE. Before a permit for display fireworks is granted by the City Council, the applicant shall furnish to the city a liability insurance policy, in a form satisfactory to the city, in the amount of not less than $1,000,000 to satisfy claims for damages to property or personal injuries arising out of an act or omission on the part of the applicant, or an agent or employee thereof. The city shall be named as an additional insured on the insurance policy. Before a display fireworks permit is issued, the applicant shall furnish a certificate of insurance for the policy which shall provide for 30 days prior written notice to the city of cancellation or revocation of the policy.

Please see attached documents: • City of Saugatuck Special Event Application • City Council Letter • Site Map

Safety Plan Certificate of Insurance Great Lakes Fireworks Contract Application for Fireworks Other Thank Consumer or Low Impact

Efforts to meet the necessary requirements include: • City of Saugatuck safety meeting conducted with Fire, Police and DPW. • Coordination with Safe Harbor Marine, which has granted permission to use their property for the fireworks setup. Boats will be launched empty from Union Street and floated over for setup. • Approval from Chief Kent to allow the hiring of a police officer for event security; the applicant has reviewed and agreed to the associated personnel costs. • Saugatuck Township Fire Department has discussed associated costs with applicants. • Submission of the Special Event Application to the City of Douglas, which is on the August 4th agenda. The application includes the required fencing per DPW’s guidelines. • Submission of the DNR Marine Event Application, which is pending local approval. The DNR has confirmed with applicant they are willing to proceed and finalize the permit once local approval is granted. LEGAL REVIEW: None. SAMPLE MOTION: Workshop Discussion.

Dear Saugatuck City Council, Thank you for your consideration of our firework display for our wedding. I apologize for the late submission. This is my first wedding and first firework display (hopefully!) and took a fair amount of coordination to organize. My wedding planner, Sarah, reached out to the city in early May 2025 and was able to get some information on what it would take to secure city approval at that time. We then researched a variety of firework vendors, reviewed safe location options, and got in touch with the US Coast Guard in order to have all our ducks in a row to complete the city’s application. Again, I apologize for the delay in submitting this information to you, but hope you are still able to approve the request. We are really looking forward to celebrating our marriage amongst our family & friends in Saugatuck this summer and know this would be a wonderful way to cap off the evening.

Thank you for your time & consideration, Andrea Haines

Council Action

__ Approved

-- Denied

C<.1A..l:J )t

_____Date

EST. 1868

SPECIAL EVENT & PARADE APPLICATION

Must be filled out in its entirety & returned to the City Clerk's Office 60 days prior to scheduled .

SPONSORING ORGANIZATION INFORMATIQN:

drea Haines LEGAL BUSINESS NAME:An 1125 3 Mile Rd N W, Grand Ra pids , Ml 49544 MAILING ADDRESS: Andrea H ai n es CONTACT NAME: ainesfitness @gm ail.co m E-MAIL ADDRESS:ah

609 - 69 4-1873

TELEPHONE:

1873 TELEPHONE:609 -69 4See above CELL PHONE:

CONTACT PERSON ON. DAY OF E\/ENT! Sarah G onzales

CONTACT NAME:

TELEPHONE:

sarah @ holdenm ichaelevents .com E-MAIL ADDRESS:

9 89 - 506-3514 See above

CELL PHONE:

EVENTJI\IFORMATION: Hys ka Wedding Fi rewor k D isplay NAME OF EVENT:

DATE(S) OF EVENT:

lebrate ou r m ar ri age PURPOSE OF EVENT:Ce

N A RAIN DATE: / ·--------

OS 30 2o25

D City Operated/Sponsored

D Non-Profit

D For-Profit

D Marathon/Race

D Festival/Fair

D Video/Film Production

Coghlin Par k EVENT LOCATION:---------------

ESTIMATED NUMBER OF ATTENDEES:

D Co-Sponsored Other Weddi ng

10:50 - 11:00 PM EVENT HOURS:

15 --------------------0

ESTIMATED NUMBER OF VOLUNTEERS:·---------------------OS 3 0 2025

ESTIMATE DATE/ TIME FOR SET-UP:

ESTIMATE DATE/ TIME FOR CLEAN-UP:OS/30/2025

I I I I

I I I I I I I

102 Butler Street• P .0. Box 86 • Saugatuck, Ml 49453 Phone: 269-857-2603 • Website: www.saugatuckcity.com

�\/t:ll�t

11:00 _____ IIIA.M.

□ P.M. 11: ____ DA.M. ■ P.M. 00

EVENT DETAILS WILL MUSIC BE PROVIDED DURING THIS EVENT: TYPE OF MUSIC PROPOSED:

□ Live

□ Yes

■ No

D Amplification

D Recorded

D Loudspeakers

END: -----------

PROPOSED TIME MUSIC WILL BEGIN:--------

FOOD VENDORS/CONCESSIONS: (Contact Allegan County Health Department) □ Provide Copy of Health Department Food Service License

□ Yes

■ No

WILL ALCOHOL BE SERVED AT THIS EVENT: Yes II No □ Provide Copy of Liquor Liability Insurance (listing the City as additionally insured) □ Provide Copy of Michigan Liquor Control License If yes, describe measures to be taken to prohibit the sale of alcohol to minors:------------

No WILL FIREWORKS BE APART OF EVENT: II Yes g Iii Provide Copy of Liability Insurance (listin the City as additionally insured) Iii Provide Copy of Fireworks Permit EVENT SIGNAGE: City Council approval is required for any temporary signing in the public right-of-way, across a street or on City property. Which of the following signs are requested for this event:

"YARD" SIGNS - Number requested:_ (Maximum size is 21 x2'. Cannot be displayed no more than 15 days prior to first day of event and must be removed 24 hours after end of event.) BANNER UNDER SAUGATUCK PALETTE SIGN - (Size cannot be greater than 14' x 4 1 ). Cannot be displayed more than 15 days prior to first day of event and must be removed 24 hours after end of event.) SIGNAGE AT EVENT SITE - Location(s): _______________________ Description of signs:______________________________ (Signs at event site cannot be displayed prior to day of the event and must removed at the end of the event.)

TENTS/CANOPIES/MISC: The City of Saugatuck does not have tents, stage, tables or chairs available for rental. There are a number of businesses listed in the yellow pages under "Rental Service Stores" that specialize in the rental of event supplies. Will the following be constructed or located in the event area:

□ BOOTHSQUANTITY______ □ AWNINGSQUANTITY______ □ PORTABLE TOILETSQUANTITY_____

□ TENTSQUANTITY-------□ TABLESQUANTITY______

VENDOR PARKING: Have you made arrangement for vendor parking? Iii Yes □ No If yes, where do you propose your vendors park?At Saugatuck Center for the Arts where the weddir Will the Interurban be utilized? □ Yes

Iii No

Time(s)_____________

,DEPARTMENT OF PUBLIC WORKS

□ APPROVED

□ DENIED

Authorized Personnel Signature

Will this event require the use of any of the following municipal equipment:

D Yes

ISl"'No

□ BARRICADES - QUANTITY_____ □ TRASH RECEPTACLES - QUANTITY_____ □ PARKING SIGNS - QUANTITY ____ □ TRAFFIC CONES - QUANTITY _____ □ ELECTRIC □ RESTROOM CLEANING □ FENCING □ WATER □ OTHER_________________________________ POLICEbEPARTMENT!

□ APPROVED

ADDITIONAL OFFICERS REQUIRED?

□ DENIED □ Yes

Authorized Personnel Signature

[g"No

If yes please describe & include times________________________ Other (describe):_______________________________

SAUGATUCK,TOWNSHIP FIRE DISTRICffl

□ DENIED

□ APPROVED

STREET CLOSURES: D Yes

�No (use attached map to outline proposed closures)

Street closure date/time:______ Street re-open date/time:______

SIDEWALK CLOSURES: D Yes

Authorized Personnel Signature

□ A.M. D P.M. __ _ __□ A.M. D P.M. __ _ __

IS:fNo (use attached map to outline proposed closures)

Describe Sidewalk Use: __________________________ Sidewalk closure date/time: Sidewalk re-open date/time: _______

PARKING LOT CLOSURES:

□ Yes

_____□ A.M. □ P.M. -----□ A.M. □ P.M.

E('No (use attached map to outline proposed closures)

Parking Lot Location: ___________________________ Sidewalk closure date/time:________ Sidewalk re-open date/time:________

_____□ A.M. □ P.M. _____□ A.M. □ P.M.

What parking arrangements are proposed to accommodate potential attendance:_______

�PPLICATION CHECK LISll

is;(Completed Application

efevent Map (includes detailed event layout for vendors, booths, porta potties, etc.) E:('Road/Sidewalk/Parking Lot Closure Map gl"Certificate of Insurance (listing the City of Saugatuck as additionally insured) !!("Fireworks Permit (if applicable) D Michigan Liquor Control Commission Special Event License (if applicable)

IV J �

D Health Department Food Service License (if applicable) N / ij If document is missing, please explain:

The applicant and sponsoring organization understand and agrees to: Provide a certificate of insurance with all coverages deemed necessary for the event, name the City of Saugatuck as an additional insured on all applicable policies and submit the certificate to the City Clerk's Office no later than one (1) week following notice of the event approval. Comply with all City and County Ordinances and applicable State laws, City policies and acknowledges that the special events permit does not relieve the applicant or organization from meeting any application requirements of law or other public bodies or agencies. Applicant and sponsoring organization further understands the approval of this special event may include additional requirements and/or limitations based on the City's review of this application. The applicant and sponsoring organization understands that it may be necessary to meet with City staff during the review of this application and that City Council approval is necessary. Applicant understands that he/she is responsible for contacting the Michigan Liquor Control Commission and/or Allegan County Health Department to secure all permits required for this event. Applicant agrees to defend, indemnify and hold harmless the City of Saugatuck, Michigan from any claim, demand, suit, loss, cost of expense or any damage which may be asserted, claimed or recovered against or from this Special Event by reason of any damage to property, personal injury or bodily injury, including death, sustained by any person whomsoever and which damage, injury or death arises out of or is incident to or in any way connected with the performance of this contract, and regardless of which claim, demand, damage, loss cost of expense is caused in whole or in part by the negligence of the City of Saugatuck or by third parties, or by the agents, servants, employees or factors of any of them. As the duly authorized agent of the sponsoring organization, I hereby apply for approval of this Special Event and affirm the above understandings. The information provided on this application is true and complete to the best of my knowledge.

� Applicant Signature

7 / l7 / Zo =$el 2s=

L0

SMP

0RTH ST.

:11

SPEAR ST.

FRANCIS ST.

MARY ST.

Cl)

a: w �

Cl

11 ---

□□ .,.: Cl)

Cl

MAIN ST.

Cl)

HOFFMAN

ST

Ill

MASON

ST.

..: Cl)

ti

CULVER ST. AllEGAN ST.

Cl)

ffi

I I-

a: 0

Haines Wedding (Revised) 3" Shell Max

Legend 225' Safety Barge Location

Set Up @ Safe Harbor Marine

Safe Harbor Tower Marine Set Up Location Set Up Location Spectator Location

Spectator Location

Image NOAA Image Landsat / Copernicus

41 1000 ft

​FIREWORKS DISPLAY SAFETY PLAN​ ​Event:​​Haines Wedding​ ​Date:​​August 30th, 2025​​| Time:​​Approximately 10:50 PM - 11:00 PM​ ​Location:​​Kalamazoo Lake, Saugatuck, MI​ ​Pyrotechnics Company:​​Great Lakes Fireworks, LLC​ ​Lead Pyrotechnician:​​Jacob Ellis​ ​Contact #:​​616-240-7385​ ​Set Up:​​Safe Harbor Tower Marine - 216 St Peters Dr,​​Douglas, MI 49406​ ​Set Up Time: Approx.​​3:00 PM​ ​Launch into Position: Approx.​​8:00 PM-9:00 PM​

​1. Public Safety Measures Surrounding the Barge ​● ​The display will be launched from a secured, floating platform/barge positioned ​on Kalamazoo Lake. ​● ​The barge will comply with​​NFPA 1123 Standards​​for​​waterborne fireworks ​displays. ​● ​A​​safety perimeter​​will be established on the water, enforced by public safety ​agencies,​​Saugatuck Township Fire District and/or Allegan Police Department​​to ​prevent boats or individuals from entering the fallout zone. ​● ​The barge deck will be covered in​​fire-resistant materials​​and clearly marked ​with​​No Smoking​​signage. ​● ​The barge will be equipped with​​fire extinguishers​,​​flares, and all necessary ​emergency tools. ​● ​Only​​trained and certified crew members​​will be allowed​​on the barge. All crew ​are trained in​​fire suppression and emergency procedures​. ​● ​There will be​​zero tolerance for open flame or smoking​​on or near the barge at ​any time.

​2. Fireworks Storage and Setup ​● ​All 1.3G fireworks will be stored in​​ATF approved, fire-resistant containers​​until ​the date of the display. ​● ​Fireworks will be loaded onto the barge the day of the display by trained ​pyrotechnicians. ​● ​Once on-site, racks will be secured to the barge prior to loading the fireworks. ​● ​All firing systems and safety components will be​​tested​​thoroughly​​to ensure ​safe and proper function before final arming. ​● ​At all times, setup will be supervised by licensed professionals adhering to​​state ​and federal regulations​.

​3. Public Security Measures Throughout the Event ​● ​Crowd control and perimeter enforcement will be managed by​​local law ​enforcement, including but not limited to Saugatuck Township Fire District, ​Allagan Police Department and Douglas Police Department, Department of ​Public Works​​where applicable and/or required. ​● ​Notifications to the public regarding the display date, time, and safety zones will ​be made in advance via​​local press​​and/or​​public postings via DNR and USCG​. ​● ​Emergency medical services will be on standby or within immediate response ​range for the duration of the event if required by local jurisdictions.

​4. Requested Support from Public Safety Agencies ​Saugatuck Fire Department/Allegan Sheriffs Department/Department of Public Works​ ​● ​Assistance in establishing and monitoring fire safety protocols. ​● ​Fire personnel on standby during the display for emergency response. ​● ​Fire Chief Janik​​will participate in the pre and post-display safety inspection, i​ncluding hazardous material sweep (e.g., duds/unexploded shells). ​● ​Douglas Police Chief Kent​​will assist in security for setting up the display. ​● ​The Department of Public Works​​has been requested to provide fencing required ​for the set up location.

​Michigan DNR / U.S. Coast Guard​ ​● ​Provide public notification (as required) regarding waterway restrictions or ​temporary closures. ​● ​Coordinate Marine Event Application approval and compliance checks related to ​water-based pyrotechnics. ​Great Lakes Fireworks​ ​● ​Ensure​​barricades, signage, and public access control​​around staging areas and l​aunch-related logistics. ​●

​Conduct post-event​​clean-up coordination​​and disposal of debris if needed.

DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE

7/16/2025

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). CONTACT NAME: PHONE (A/C, No, Ext): 216-658-7100 E-MAIL ADDRESS: info@brittongallagher.com

PRODUCER

Acrisure Great Lakes Partners Insurance Services 223 West Grand River Ave #1 Howell MI 48843

FAX (A/C, No): 216-658-7101

INSURER(S) AFFORDING COVERAGE

NAIC #

License#: BR-1796277 INSURER A : Everest Indemnity Insurance Company GREALAK-88

INSURED

Great Lakes Fireworks LLC P.O. Box 276 West Branch MI 48661

INSURER B : AXIS Surplus Insurance Company

10851 26620

INSURER C : Everest Denali Insurance Company

16044

INSURER D : INSURER E : INSURER F :

CERTIFICATE NUMBER: 414420881

COVERAGES

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 LTR

ADDL SUBR INSD WVD Y Y

TYPE OF INSURANCE

COMMERCIAL GENERAL LIABILITY CLAIMS-MADE

POLICY NUMBER

GCI0010160-251

POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY)

1/26/2025

1/26/2026

OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER: PROX LOC POLICY X JECT

LIMITS

EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence)

$ 1,000,000

MED EXP (Any one person)

PERSONAL & ADV INJURY

$ 1,000,000

GENERAL AGGREGATE

$ 2,000,000

PRODUCTS - COMP/OP AGG

$ 2,000,000 $

OTHER: C

AUTOMOBILE LIABILITY

ANY AUTO

OWNED AUTOS ONLY HIRED AUTOS ONLY

$ 500,000

GCD0010069-251

1/26/2025

1/26/2026

SCHEDULED AUTOS NON-OWNED AUTOS ONLY

COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person)

$ 1,000,000 $

BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident)

UMBRELLA LIAB

EXCESS LIAB

OCCUR

P-001-001560155-01

1/26/2025

1/26/2026

CLAIMS-MADE

DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

EACH OCCURRENCE

$ 4,000,000

AGGREGATE

$ 4,000,000 $

PER STATUTE

Y/N

OTHER

E.L. EACH ACCIDENT

N/A

E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Additional Insured extension of coverage is provided by above referenced General Liability and Auto Liability policies where required by written agreement. Display Date: August 30th, 2025 Rain Date: TBD Location: Shot off a Floating Platform in Kalamazoo Lake Andrea Haines including all its elected and appointed officials, employees, volunteers, boards, commissions, and/or other authorities; Sarah Gonzales including all its elected and appointed officials, employees, volunteers, boards, commissions, and/or other authorities; The City of Saugatuck including all its elected and appointed officials, employees, volunteers, boards, commissions, and/or other authorities;

CERTIFICATE HOLDER

Andrea Haines 1125 3 Mile Rd NW Grand Rapids MI 49544 United States

ACORD 25 (2016/03)

CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

© 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD

GREAT LAKES Fl R EW�;R KS 3275 W. M-76 • West Br:anc . Ml 4866.1 • Office: 989.726.5040 • Fax: 939.726.5041 • g·reat1akes 1rew ri<s.oom

THIS CONTRACT AND AGREEMENT for the sale of Fireworks made and concluded this July

16th Day of

, 2025 and between GREAT LAKES FIREWORKS, LLC of Eastpointe, Michigan, (hereinafter referred

to as "Great Lakes") and ____A_n _d_r_e _a_H_a_in_ e_s____ , (hereinafter referred to as "Customer''). GREAT LAKES Agrees: 1. To sell, furnish and deliver to Customer, fireworks to be exhibited on the following dates set forth and agreed upon at the time of signing this contract and Customer agrees to pay Great Lakes for the fireworks as follows: Display Date(s): August 30th, 2025 Alternate Date(s): _N_/_A___________________________ _

Contract Amount:$ 7,000.00**

; Fifty percent (50%) due upon signing the contract and balance due

within 15 days of the display date. All payments shall be made by draft or certified check payable to Great Lakes Fireworks, LLC. Great Lakes will assess a 1.5% late charge on balances 30 days past due and a 7% per annum late fee on balances not paid in full by the display date. 2. Great Lakes further agrees to furnish sufficiently trained personnel to present a display. 3. Great Lakes agrees to furnish Customers with liability insurance in the amount of $5,000,000 and other coverages as identified in the Certificate of Insurance attached. All Individual/Entities listed on the certificate will be deemed an additional insured per this contract. CUSTOMER Agrees: 4.

To procure and furnish a suitable place to display said fireworks, to furnish the necessary police and fire protection; to secure all police, local, and state permits, and to arrange for any security bonds or insurance as required by law in their community when necessary.

5. Prior to, during, and immediately following the display, Customer shall be solely responsible to keep all persons (except employees of Great Lakes) out of the designated danger areas and behind safety zone lines and limits. 6. Immediately following the display, Great Lakes, to the best of its ability, will police the area for any misfires ("duds"). Great Lakes agrees to police the area again at "first light." Great Lakes will pick up misfires for disposal. If Customer must move misfires for safety reasons, Customer understands that the misfires are only to be handled by trained personnel. Customer is responsible for debris clean up and the refilling of any holes. 7. Customer agrees to hold harmless Great Lakes for any liability caused by other than the employees or products supplied by Great Lakes. The PARTIES Mutually Agree: 8. Should inclement weather prevent firing of said display on the "Display Date(s)", then it will be understood the program is postponed and will be fired on the "Alternate Date(s)", and there will be a charge to cover the costs of the postponement of ten percent (10%) of the contract amount. If the program is not fired on either the "Display Date(s)" or the "Alternate Date(s)," then it will be understood the program is canceled; and there will be an additional charge of ten percent (10%) of the contract amount to cover the cancellation costs. 9. Great Lakes reserves the exclusive right to make minor modifications and substitutions provided that such changes are reasonable and necessary and do not materially adversely affect price, time of delivery, functional character, or display performance. 10. If the location of the firing site, spectators' location, parking areas, or structures is deemed unsuitable or unsafe, Great Lakes may refuse to fire the display until conditions are corrected. If such conditions are not corrected, Great Lakes may cancel the display without further liability to the Customer for such cancellation. 11. In the event of fire, accident, strikes, delay, flood, act of God or other causes beyond the control of Great Lakes, which prevent the delivery of said materials, the parties hereto release each other from any and all performances of the covenants herein contained and from damages resulting from the breach thereof. Amendments: **Includes Barge & Tow Costs

FOR: Great Lakes Fireworks, LLC

FOR: Andrea Haines

u Name/Title: Barry Beltz - Member

Signature: _____________

Signature: fJ� fJ�

Name/Title: ____________

**All Documents Are Due By:

Authority:

The LEGISLATIVE BODY OF CITY, VILLAGE OR TOWNSHIP BOARD will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. If you need assistance with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this Legislative Body of City, Village or Township Board.

2011 PA 256

TYPE OF PERMIT(S) (Select all applicable boxes) Agricultural or Wildlife Fireworks

Articles Pyrotechnic

Public Display

Private Display

Display Fireworks

Special Effects Manufactured for Outdoor Pest Control or Agricultural Purposes NAME OF APPLICANT

ADDRESS OF APPLICANT

Andrea Haines

1125 3 Mile Rd. NW Grand Rapids, MI 49544

NAME OF PERSON OR RESIDENT AGENT REPRESENTING CORPORATION, LLC, DBA OR OTHER

ADDRESS PERSON OR RESIDENT AGENT REPRESENTING CORPORATION, LLC, DBA OR OTHER

IF A NON-RESIDENT APPLICANT (LIST NAME OF MICHIGAN ATTORNEY OR MICHIGAN RESIDENT AGENT)

ADDRESS (MICHIGAN ATTORNEY OR MICHIGAN RESIDENT AGENT)

TELEPHONE NUMBER

NAME OF PYROTECHNIC OPERATOR

ADDRESS OF PYROTECHNIC OPERATOR

AGE OF PYROTECHNIC OPERATOR 18 YEARS OR OLDER YES NO

NO. YEARS EXPERIENCE

WHERE

NO. DISPLAYS

AGE OF APPLICANT 18 YEARS OR OLDER YES NO

NAME OF ASSISTANT

ADDRESS OF ASSISTANT

AGE OF ASSISTANT 18 YEARS OR OLDER YES NO

NAME OF OTHER ASSISTANT

ADDRESS OF OTHER ASSISTANT

AGE OF OTHER ASSISTANT 18 YEARS OR OLDER YES NO

EXACT LOCATION OF PROPOSED DISPLAY

60 Griffith St, Saugatuck, MI 49453 (Kalamazoo Lake W/ Viewing Distance from Coghlin Park) DATE OF PROPOSED DISPLAY

TIME OF PROPOSED DISPLAY

August 30th, 2025 (Rain:N/A)

Approx. 10:50 PM

MANNER AND PLACE OF STORAGE, SUBJECT TO APPROVAL OF LOCAL FIRE AUTHORITIES, IN ACCORDANCE WITH NFPA 1123, 1124 & 1126 AND OTHER STATE OR FEDERAL REGULATIONS. PROVIDE PROOF OF PROPER LICENSING OR PERMITTING BY STATE OR FEDERAL GOVERNMENT

AMOUNT OF BOND OR INSURANCE (TO BE SET BY LOCAL GOVERNMENT ) NAME OF BONDING CORPORATION OR INSURANCE COMPANY

ADDRESS OF BONDING CORPORATION OR INSURANCE COMPANY

NUMBER OF FIREWORKS

KIND OF FIREWORKS TO BE DISPLAYED (Please provide additional pages as needed)

Approx. 120

3" Shells

Approx. 10

Various Barrage Cakes 2.5" & Smaller

SIGNATURE OF APPLICANT

BFS-417 (Rev 01/25)

DATE

2025 Permit for Fireworks Other than Consumer or Low Impact Authority:

The LEGISLATIVE BODY OF CITY, VILLAGE OR TOWNSHIP BOARD will not discriminate against any individual or group because of race, sex, religion, age, national origin,color, marital status, disability, or political beliefs. If you need assistance with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this Legislative Body of City, Village or Township Board.

2011 PA 256

This permit is not transferable. Possession of this permit authorizes the herein named person to possess, transport and display fireworks in the amounts, for the purpose of and at the place listed below only through permit expiration date. FOR USE BY LEGISLATIVE BODY OF CITY, VILLAGE OR TOWNSHIP BOARD ONLY.

TYPE OF PERMIT(S) (Select all applicable boxes)

Agricultural / Wildlife Fireworks

Articles Pyrotechnic

Public Display

Private Display

Display Fireworks

PERMIT(S) EXPIRATION DATE (ENTER DATE OF EXPIRATION)

Special Effects Manufactured for Outdoor Pest Control or Agricultural Purposes AGE (18 YEARS OR OLDER) YES NO

NAME OF PERSON PERMIT ISSUED TO

Andrea Haines

ADDRESS OF PERSON PERMIT ISSUED TO

1125 3 Mile Rd. NW Grand Rapids, Saugatuck, MI 49453 NAME OF ORGANIZATION, GROUP, FIRM OR CORPORATION ADDRESS

NUMBER AND TYPES OF FIREWORKS (Please attach additional pages if necessary)

Approx. 120 Approx. 10

3" Shells Various Barrage Cakes 2.5" & Smaller

EXACT LOCATION OF DISPLAY OR USE

60 Griffith St. Saugatuck, MI 49453 (On Kalamazoo Lake in Viewing Distance from Coghlin Park) CITY, VILLAGE, TOWNSHIP

DATE

Saugatuck

August 30th, 2025 (Rain:N/A) Approx. 10:50 PM

BOND OR INSURANCE FILED

YES

TIME AMOUNT

NO

Issued by action of the Legislative Body of the City

Village

Township of

____________________________ on the

day of ____________________ , 2025.

(Signature and Title of Legislative Body Representative)

*THIS FORM IS VALID UNTIL THE DATE OF EXPIRATION OF PERMIT*

BFS-416 (Rev 01/25)