Porterville Municipal Code Art. XVI Forms (CA)

4-16.05: MUNICIPAL AIRPORT FORMS:¶

City Of Porterville

MUNICIPAL AIRPORT

General Information Form

Name/Company Name:

Address:

Phone Number:

Emergency Contact:

Phone Number:

Brief Description Of Airport Business:

Insurance Co.:

Description Of Aircraft:

Hangar Lease Lot Number:

PORTERVILLE MUNICIPAL AIRPORT

AIRCRAFT PARKING AND TIE-DOWN AGREEMENT

(MONTHLY BASIS)

NAME

ADDRESS

AIRCRAFT REGISTRATION NUMBER

OWNER OF AIRCRAFT IF OTHER THAN ABOVE

AIRCRAFT DESCRIPTION: COLOR NO. OF ENGINES

MANUFACTURER MODEL

YEAR GROSS WEIGHT

INSURANCE POLICY

The Undersigned:

Understands this agreement extends the right to park and/or tie-down one aircraft in a designated space at the Porterville Municipal Airport and conveys no other right or interest.
Agrees to pay monthly parking and tie-down fees as specified in this agreement.
Understands that the monthly fees are $ for single engine aircraft and $ for twin engine aircraft at the time of the signing of this agreement and that the City Council of the City of Porterville may, at any time, adjust the fees at their discretion.
Understands that he/she will be billed each month in advance for parking/tie-down fees and that all fees unpaid after one month of the billing date will be charged interest at a rate of one percent (1%) per month on any unpaid balance.
Agrees to comply with all codes, ordinances and rules of operation applicable to Porterville Municipal Airport.
Agrees to indemnify, defend and save harmless the City, its agents, officers, and employees, and each of them, from any and all losses, costs, expenses, claims, liabilities, actions, or damages, including liability for injuries to person or persons, or damage to property of third persons, arising out of or in any way connected with the above described aircraft.
Agrees, in the event the City has to resort to legal action to enforce payment under this agreement, to pay all court costs including reasonable attorney fees, of such action.
Agrees that the fees due under this agreement shall be due on the day of , and the first of each calendar month thereafter.

AIRCRAFT OWNER/AGENT:

SIGNATURE

DATE

APPROVED FOR PORTERVILLE MUNICIPAL AIRPORT:

SIGNATURE TITLE

DATE

NOTICE OF VIOLATION

CITY OF PORTERVILLE - MUNICIPAL AIRPORT

Name

Address

Phone ( )

VIOLATION

Your actions have been found to conflict with Article of the Rules and Regulations for the Porterville Municipal Airport. You are hereby formally ordered to cease any and all actions conflicting with the established Rules and Regulations.

Airport users who feel they have a compelling, legitimate reason to dispute a violation notice or a notice to cease may follow the Appeals Procedure set forth in Article XIII of the Rules and Regulations for the Porterville Municipal Airport.

Noncompliance with an official NOTICE OF VIOLATION may result in termination of lease agreement or the loss of Airport privileges.

Signed Date

Designated City Officer Date

City of Porterville

REPORT OF AIRCRAFT ACCIDENT

DATE OF ACCIDENT TIME A.M. P.M.

(Month) (Date)

Location of Accident
Operator (Pilot)

(Name) (Telephone Number)

(Number and Street, Apartment No., etc.)

(City, State, Zip Code)

Owner (if different)

(Name) (Telephone Number)

(Number and Street, Apartment No., etc.)

(City, State, Zip Code)

Type of Aircraft

(Manufacturer) (Model) (Identification No.)

Total Number of Persons on Board Aircraft
(Name, Address, Extent of Injuries to Occupants and/or Persons on the ground. Use additional sheets if number exceeds space.)

	Crew	Passenger	Non- Occupant	Fatal	Serious	Minor	None

Damage to Property (Other than that of Owner, Operator or Passenger, or in their care, custody or control). Describe fully, and give best estimate of dollar cost. Use additional sheets if necessary.
Was a Report made to Any of the Following Agencies:

Federal Aviation Administration		Yes		No
National Transportation Safety Board		Yes		No
Law Enforcement Agency		Yes		No

If such a report was made, to whom and at what address:

Was there, at the time of the accident, an Aircraft Liability Policy?

		Yes		No
or Bond?		Yes		No

or any other form of Liability Protections covering the aircraft operation?

		Yes		No

or have you registered with the Department of Aeronautics as a Self-Insurer?

		Yes		No

If answer to 10 was Yes, furnish the following data on Insurer or Bonding firm which issued your Policy or Bond to cover liability for damages or injury to others:

Complete name and address of Company

Policy Number Period of Coverage

(from) (to)

Policy issued to

(named individual or firm)

Report made by (print)

(Name)

(Number and Street)

(City, State, Zip Code)

(Telephone Number)

(Signature)

REMARKS or Additional Information:

Pilot Certificate Number

Ratings Total Flying Time

Weather/Visibility Conditions at time of accident:

Official Capacity, or relationship to the Operator or Owner

CITY OF PORTERVILLE

MUNICIPAL AIRPORT

After-Hours Tie-Down Fees

Name

Address

Phone Number ( )

Description of Aircraft

Manufacturer

Model/Year

No. of Engines

Aircraft Number

Overnight Tie-Down Fees:

$2/night (single engine)

$2.50/night (twin engine)

I agree to comply with all codes, ordinances and rules of operation applicable to Porterville Municipal Airport.

I agree not to hold the City and its employees liable for any losses, costs, expenses, claims, liabilities, actions, or damages in any way connected with the above described aircraft.

(Ord. 1652 § B, 4-20-2004)

Exceptions & meaning →