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b. COAST GUARD PERMITS (where required): <br />1. if the fireworks are to be displayed on or near the water, the following may be required: (Requests for permits must be filed <br />at least 60 days prior to the Display Date (135 days prior for 4th of July events). <br />2. Coast Guard Application and Permit to Handle Hazardous Materials. <br />3, Coast Guard Marine Event Permit. <br />0, 5l UN1VK Kr0rUNJIGIL1I Ica HIYV GAI- GIYJGJ I I IIC IVIIVYYIIIA Dc, vlVVa u c ww.,vo.. a,,., v <br />SPONSOR in addition to the Fireworks Display Price, <br />1) SECURITY: MUST BE PROVIDED FOR FIREWORKS EQUIPMENT AND TO MAINTAIN THE FIRE SAFETY ZONE AT <br />STAGING AREA FROM FIREWORKS TRUCK(S) ARRIVAL, UNTIL COMPLETION AND CLEAN -UP OF DISPLAY AREA <br />AND TRUCK DEPARTURE. <br />2) Sand: Please provide _0_ yards of sand. <br />3) Laborer(s): _0— laborers to arrive at fireworks site on (They will not handle fireworks). <br />4) Hotel Room(s): _0— hotel rooms. <br />5) Vehicle(s): Four -wheel drive vehicle for movement on sand: Yes No._XX� <br />6) If you have ordered a set pioee(s), you are responsible for erecting the scaffolding and it must be ready when the <br />crew arrives <br />d. RADIO SIMULCAST EXPENSES (if applicable): <br />1) Setup and staff a fireworks simulcast command center on site by 1:00 PM on the display date. <br />2) Provide broadcast relay to PEI Firing Center. Call our office for details. <br />3) Speaker system for VIP viewing stands. <br />e. INSURANCE: Please list below the additional insured, as they should appear on the insurance certificate: <br />.YYYY.YY YY O Y a Y YY YaYJ /............................................. Y.YYYYYY.IIYYYY....YY.Y... <br />/,lay of , in the yeti <br />, personally known to <br />to the within instrument and ackn <br />tre(s) on the instrument, the indivi( <br />Signature and Office of <br />taking acknowledgment <br />Please Initial each page. <br />Inilial here: <br />Sponsor PEI <br />before m ie undersigned, a Notary Public in and itu <br />xov o me on the basis of satisfactory evidence to be <br />W�d to me that he /she /they executed the same in his/he <br />qr the person upon behalf of which the individual(s) V <br />drially appeared <br />I whose name(s) <br />es), and that by <br />instrument. <br />Jill <br />Isom_ <br />, �M�W! <br />.YYYY.YY YY O Y a Y YY YaYJ /............................................. Y.YYYYYY.IIYYYY....YY.Y... <br />/,lay of , in the yeti <br />, personally known to <br />to the within instrument and ackn <br />tre(s) on the instrument, the indivi( <br />Signature and Office of <br />taking acknowledgment <br />Please Initial each page. <br />Inilial here: <br />Sponsor PEI <br />before m ie undersigned, a Notary Public in and itu <br />xov o me on the basis of satisfactory evidence to be <br />W�d to me that he /she /they executed the same in his/he <br />qr the person upon behalf of which the individual(s) V <br />drially appeared <br />I whose name(s) <br />es), and that by <br />instrument. <br />