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Home My WebLink About1101 PLANZ RD9A E ENCROACHMENT PERMIT OF wNaw,,,k CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 LIFO (661) 326-3724 TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and maintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 12-.30000013 Date 4/02/12 Property Address 1101 PLANZ RD Application type description PW - ENCROACHMENT PERMIT Owner Contractor KERN CO UNION .HIGH SCH DIST OWNER ONRNOWN ---------------------------------------------------------------------- ENCROACHMENT PERMIT Additional desc . Phone Access Code . 1189012 Perini[ Fee . . . 208.00 Fe Issue Dale 9/02/12 Valuation 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ---------------------------------------------------------------------------- Special Notes and Comments April 2, 2012 9:48:20 AM mmendenhal. Place 8' high chain link fence along Raider Street on the east aide of South High School. Contact person: Daniel Blant iak 323-751-4304. --------------------------------------------------------------------------- Fee summary Charged Paid Credited -------------------- ---------- Due ----------------- ---------- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.0D .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke th any time. Sire of Applicant (Own aht) Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) )E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTE (DENIED) Said permit shall expire on date stated above. Signaturex City Engineer Additional Terms on the Back 2 B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326.3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 To the City Engineer of the City of Bakersfield, California: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined. 1. Full name of applicant and complete address including phone number: /1,gf2,21S 671Z fEV [5 CL, yam. 97 Z% S. 51+N Sr. L"-'> �tLEt`2L£ S, G.rt_ 104>0? 2. Nature or description of the encroachment for which this application is made: fence, concrete block wall, raised planter, etc...) CrtA L r r K 1--, Nc. (Example: Wood or wrought iron 3. Location of proposedencroachment (Example: Side yard at back of sidewalk or front yard at back of sidewalk) S. )-crrt SG[ -/Doc— .ST. 4. Period of time for which the encroachment is to be maintainer/1ncI1f or Other. \ease Circle) �5. Is property part of a Homeowner's Association Yes N0 Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the City, its officers agents and employees against any and all liability, claims, actions, causes of action or demands, whatsoever against them, or any of them, before administrative, quasi-judicial, or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicants placement, erection, use (by applicant or any other person or entity) or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the life of said encroachment or until such time that this permit Is revoked. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted or upon the property or right of way where the same is located, and restored said public property or right of way to the condition as nearly as that in which it was before the placing, erection, maintenance or existence of said encroachment. Applicant further agrees to obtain and keep all liability insurance required by the City Engineer in full force and effect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of Insurance evidencing sufficient coverage for bodily Injury or property damage liability or both and required endorsements evidenc- ing the insurance required. The type(s) and amounts) of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit a any time. 5'\EncmachmentPennit AppliO tlonrorEnmacnment Fromlon FI"a01U1 Fm10:943299-4911 Page 2 of 14 One:03MO11211:28 AM Page:20114 ACORD„ CERTIFICATE OF LIABILITY INSURANCE I PRCDUCM LIC 0010299 1-949-Ss9-4 ,..torr Pacific references 0-1rae, Inc. 29101 9mrt. R.al sten nG ...is. vlejo. CA 91691 dam.. sarwn THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERSAFFORDIHGCO%ERAGE NAM tl ria Ptol Fmm. 9111 aA.Ci. 8919 9 gas Is.— Los An9elae. CA 9088] IINSURERA Pearlefe 1m On 16198 NCuaUNg....... amal. l,uo— Corn IN9VXERu:PTeetorlm I" Co 3$409 x UNITS OEXEML W9IYR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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 RATED OR MAY PERTAIN, THE INSUMNCE AFFORDED BY THE POLICIES DESCRIBED HEREIN B SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NX NoUCYNesur, I EY IT x UNITS OEXEML W9IYR MPOIS9219 MRrCNCF i 1r 000, 00e A 06/01/11 06/01/1d A00 X LOMNERCWLOEIEPK1IpDLITY5100 Lf OCCUR MMffiMO MEOP6FmgmEN flor 000 E% 77 ER90RU AAOV WURY a14.04Co GEIAE A001SMTE a".C8r000 MNLAGORLUATEGUITAPPUESPER pRoctAas ocumpAea t2.0ooroco PEUCY� MOT C A AUTOMOBLEYAOEM X AYVAUTO CAPS159227 C6/01/11 06/01/12 CON aBIC&NGULMR (Eeaede.dl 151.0001000 iLYW �N OSWI s .LAYNCOAVTOS ScHEAME0AUTW (Poe YItteI f HwtOAUTie xoxGwREOMlros ,�GPEmC�vIDM.acP f MMOEYAaLNY MITOORLY-EAACOPENT i OTHERTIAN EA A. E ANYAVIO AUIOOHLY: ADS 1 9 E%CE89NI�aFLALNBMIT CO"S"ST 06/01/11 O6/O1/11 pptN OCCURRENCE S1r0...... M9REGATE 5].000.000 X OCCUR F7OAMSMAVE f t OEUUCTear �- f X RETENTION 1 NIL C cawEM. ps AxU en I.. LMenm kGX0029T9 07/29/11 09/29/12 QD u % TV ta.0oo.000 AW P"P°PnilrE.aa°c.Tr"ro6oi Ecvr�vE EL. SUEASE RAEMPLOYEEI f1, 000.000 EL OISEA9EPDLICYLMR $1,000,000 xvEff olMmdar SPECNLFROV1910N9 Mbw EsFPONOPess..."MrsATG-G I PHUSESI or . SpBe AS OUT .I.....ENTISPer. A....,. .CM 30 tlW notice for non Paymnt of p,—i.- Unless .—INd.d or not onwzitten Contract additional inaviaG, primary/ -contilDutory AM Waiver of P3Drogatlan 9noeicAA.te a espectsCOTeral LA9111ty/Auto Liefility are attaaketll Rocks, can,..... ion malvaz of eebrogatian apnli.. per attaeTa andconenmL addiCi0nal I..uz.d: city of akkar.fi" rsana....a.YE BEPC.ASD RoUrs... GMCELLFV IensiT%E EPn— City of aakazeli.ltl XEREa, TIE caVX3 YKW6RPoU AT6R'Til%53NAA 10. DAYSP.BTEN iICE Tl TH CE0.TEIMTENq:OER NAMED MTE LEE]. NMItl1'NAmtlgWM61RYMi9Il{IatLBGW WifWtlYa1W%i1LAWl19tXi'AIt1VMgMtlM% 1600 Siof[Cen Ave bakat.lS.ldr ca 93101 ANNDI ....ES[NPTVG USA ACORD 25.(300tlOB) Loa IF Op ACORO CORPORATION 1908 6x096]1 �jaX�a3 From:Lori FllocarIck Fax10:949-297-4611 Page 4014 Oala=511211:29 AM PageF mf 14 Forming a part of. Policy Number: CSP 5157227 CovsrogelsProyMedin PEERLESS INSURANCE COMPANY -A STOCK COMPANY Named Insured: Agent. HARRIS STEEL FENCE CO INC UNITED AGENCIES INC Agent Code: 4295239 Agent Phone: (e25)535-8300 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement nodules Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: ANY PERSON OR ORGANIZATION WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED M WRITING IN A CONTRACT. AGREEMENT DER PERMIT THAT SUCH PERSON OR ORGAN1 h70N BE ADDED AS AN ADDITIONAL INSURED. ON YOUR POLICY TO PROVIDE INSURANCE SUCH AS IS AFFORDED.UND Eft THIS COVERAGE PART (If no entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable W this endorsam9M). A. For all sums which the Insured becomes legally obligated to pay as damages Mused by'occurcences° under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents under COVERAGE C (SECTION 1), which can be attributed only to ongoing operations at a single designated construction project shown In the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and that limit Is equal to the amount of the General Aggregate. Limit shown In the Declarations. 2. The Designated Construction Project General Aggregate Limit Is the most we wiH pay for the sum of all damages under COVERAGE A, except damages because of'bodlly injury' or 'property damage Included In the "products - completed Operations hazard," and for medical expenses under COVERAGE C regardless of the number of: a. Insureds; b. Claims made W'sun9' brought; or c. Persons or organizations making claims or bunging°suns.' 3. Any. payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for mat designated construction project. Such payments shall not reduce the General Aggregate Limit shown In the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Lbnit for any oder deeignatetl construction project shown In the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Expense continue to apply. However, Instead of being subject to the General Aggregate Limn shown In the Declaration, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. CG 25 03 (03197) eepythk Insesnm Smi®s Office. mc.. lase AGENT COPY catt ail 9fer]lr NN151M 0203 POURNM00 A2100 aaAOPPN coagayea Page W Pram:Lorl FlkpaMEk Faslb',949-297-4911 P4ge 50114 Dab:03Qe1121 t29 AM Page:5 of 14 S. For all sums which the Insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A (SECTION 1), and. for all medical expenses caused by accidents. under COVERAGE C(SECTION g, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: t. My payments made under COVERAGE Afor damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Unut or the Products-Complelsd Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit: C. When coverage forilebllry wising outofthe"products-oomplatel operations hazard" is provided, any payments for damages because of"bodlly Injury' or "property damage" Included in the "products -completed operations hazard" will reduce the Products -Completed Operations Aggregate Limit. and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate LlmiL D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or If the authorized contracting parties covets from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Limits Of Insurance (SECTION III) not otherwise modified by this endorsement shall continue to apply as stpulated. CG 25 a3 (03107) Oopg1951. I..nm aeMcee Orks, Inc,, 1998 AGENT COPY 0fl1alYlpii atsrm NN1815a3 DataPopM0900 J02000 GCAOPPN 00c0ad59 P94 34 From',l.arl F xpetda FaxI0,949267-0611 Pape 6 W 14 ➢x18:8326/121126 AM P09o:6 W 14 rotmlmg a Part of PONCYNutnbir CBP8157227 Coiaragals Providedis PEERLESS INSURANCE COMPANY -A STOCK COMPANY Named Insured: Agent: HARRIS STEEL FENCE CO INC UNITED AGENCIES INC Agent Code: 42g528g Agent Phene: (828).535-8300 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, AMENDMENT OF OTHER INSURANCE CONDITION - DESIGNATED PERSONS OR ORGANIZATIONS This endorsement mod0ie, insurance provided under me following: COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to coverage afforded by this endorsement, the provisions of the Policy apply unless modRed by the endorsement A. Thefollowing Is added to provision a. Primary Insurance ofp9ragroph 4.Other lnsuraneeunderSECTIONIV— COMMERCIAL GENERAL LIABILITY CONDITIONS. However, when the person ororganizatbn shown in the Schedule ofihis endorsement has been added as an additional Insured tothis Coverage Part by attachmem of an endosemem, we will not seek contribution from Ne'person's or oMenbratlon's own insurance pmvlded that; (1) You and such pamonor organization have agreed In a written contract that this Insurance is primary and non-contributory. and (2) The'bodity Injury' or `property, damage' occurs, or the 'personal and advertising Injury' Is committed, Subsequent ro the saeouWn of such contract. B. For the purposes of this enoomemorri following is added to SECTION V —DEFINITIONS: 'Pemon's or orgalllzatbn's own insurance' means other Insurance; a. Thmcovem liability fordamages arising out ofthe premises, ongoing operations, products Or completed operations described in Ne Schedule of this endorsement: and b. For which the person or organ¢ation shown In the Schedule of this endorsement is designated as a Named Insured. SCHEDULE Name and Adi rens of Person Or Organization: ANY PERSON OR OROANIZATION WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED M WRITR4G IN A. CONTRACT, AGREEMENT OR PERMIT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICYPO PROVIDE. INSURANCE SUCH AS IS AFFORD ED UNDER THIS COVERAGE PART Description of; Promises: ANY LOCATION AT WHICH YOU PERFORMED WORK DESCRIBED IN WRITMG IN THE CONTRACT, AGREEMENT OR PERMIT FOR A PERSON OR ORGANMAT10N THAT HAS DEEN OUALIFfED AS AN ADDITIONAL INSURED IN THIS ENDORSEMENT. IncWdes C,r,khmd melalar of momma 6ary w MM3, Nw„ wry Ib Nmesbm 22123 (011/07) AGENT COPY 0de12D11 1157227 NN101M 8208 PGOM0000 Jo2006 DCAOPPN 088G84/9 Falls 29 Fmm:Lcrl FlhpaM Faxl"9 297-4911 Page ] of 14 C WOM6/121428 W P090:7 of 14 Ongoing Operations: Produots: Completed Operations: (If no entry appears above, information mquired to complete this endorsement will be shown In the Oeolara ons as applicable to this endorsement.) Includes c pydghlad melerW1 of Inslusnm 8ervinee O6be, 1�, with In Pelmleebn 23123 (01107) AGENTCOPY ON IMI 918= NN1616J3 0106 POON660O Moos GCAOPPN 00060450 Pe94 30 From:LM PIKpar(MFUIMSA 2974911 Pwea d 14 One:03Qz12 11:28AM Pages of 14 P0LfCYkCBP8157227 HARRIS STEEL. FENCE, ETAL 6ririlfi/Ir12 COMMERCIAL AUTO GOLD ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided undarthe following: BUSINESS AUTO COVERAGE FORM SECTION 0 — LIABILITY COVERAGE A. COVERAGE 1. WHOISANINSURED The following Is added: d. Any organization, other than a partnership or Joint venture, over which you maintain ownership ora majority interest on the effective date of this Coverage Form, if there is no similar insurance available to that organization. e. Any organization you newly acquire or form other than a partnership orjoint venture. andoverwhlch you maintain Ownership of a majority Interest. However, coverage under this provision does notapply: (1) if there is similar insurance Ora sell -ensured retention plan available tothatorganization: Or (2) To 'bodily Injury' or "pmpeny damage" that. occurred before you acquired 0 formed the organization. L Any volunteer or employee of yours while using a covered 'auto* you do not own, hire or borrow In your business or your personal affairs. Insurance provided by this endorsement is excess Over any other Insurance available In any volu Meer or employee. g. Any person, organization, trustee, estate or governmental entity with rospect to the operation, maintenance or use of a covered "auto' byan insurad, if: (1) You are Obligated to add that person, organization, trustee. estate orgovernmemaf entity as an additional insured tothis policy by: (a) an expressed provision of an *Insured contract', orwritten agreement; or (b) an expressed condition of a written permit issued to you by a governmental or public authority. (2) Tho'bodily Injury' or "property damage' is caused by an "accident' wfth takes place after: (a) You executed Reinsured conlracr or written agreement; or (b) the permit has been issued to you. 2, COVERAGE EXTENSIONS a. Supplementary Payments Subparagraphs: (2) and (4) are amendedas follows: (2) Up to $2500 for cost Of bail bonds (irrciuding bonds for related traffic haw violations) required because of an'accidear we cover. We do not have to furnish these bonds, (4) All reasonable expenses incurred by the"Insured'st our request, inducing actual loss downing up to $500 a day because of time off from work. IncNJea wpyephled mele,ieJ or Inau,mrce s—;.e Oft, i,- .1h m Ilertniuian G£CA ]Of (09/04) Page 7 of 3. AGENT COPY 1"512005 80]rW] NeU9xEZC2610 P0pAiaaep .t0e127 OCAOPPN 0.W�8a P+ea 19 From:Lorl Flhyatfle, FaXIM949-297-0911 Page 9 of 10 ea+a 0 3 28112 11:29 AM Papas of In SECTION III —PHYSICAL DAMAGE COVERAGE A. COVERAGE The following is added: S. Hired Auto Physical Damage e. Any "auto" you lease, hire, rent or borrow from someone other than your employees or partners or members of their household Is a covered "auto' for each of your physical damage coverages. b. The most we will pay for "loss" m anyone "accident' is the smallest of: (1) $50,000 (2) The actual cosh value of the damaged or stolen property as of the time of the "loss', or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind. and quality. If you are liable for the "accldent". "Will also pay up to $500 per"accident" forthe pduai loss of use to the owner of the covered "auto". c. Our obligation to pay for, repair, return or replace damaged or stolen property, will be reduced by an amount that is equal to the amount of the largest deductibleshown for any owned "auto' for that coverage. However, any Comprehensive Coverage deductible shown 111 the Declarations does not apply to "loss" caused by fife or 6ghming. J. For this coverage, the Insurance provided is primary for any covered 'auto' you hire without a driver am excess over any other collectible insurance fm any covered -auto" that you hire with a driver. S .Ramal Reimbursement Coverage We will pay up to $75 per day for up to 30 days, for formal reimbursement expenses Incurred by you for the rental of an "auto' because Of'loae'to a covered 'auto. Rental Reimbursement will be based on the rental of a comparable vehicle, which in many cases may be substantially less than 575. per day, and will only be allowed for a period of timeit should take to repair or roplace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. We will oleo pay up to 5500 for reasonable and necessary expenses incurred by you to remove and replace your materials and equipment from the covered "auto If "loss'results fmen the total that of s covered "aubY of the private passenger type, we will pay underth19 coverage onlythat amount of your rental reimbursement expenses whichis not already Provided under paragraph 4. Coverage Extension. S. Lease Gap Coverage 0 e kxg-term lemed'auto' is a covered "auto* aid Oho lessor Is named as an Additional Insured - Lessor, in the event of a idol loss, we will pay your additional legal.Obligation to the lessor for any difference between the actual cash value of the "auto' at the time of the loss and the'outslanding balance' of the lease. "Outstanding balance" means theamount you owe on the lease at the Ilm s of loss leas any amounts representing taxes; overdue payments; penalties, Interest or charges hreulti g from overdue payments: addltbnal mileage charges; excess wear and tear charges; and lease termination lees.. B. EXCLUSIONS The following Is added to Paragraph 3: The exclusion for 'loss" caused by or resulting from mechanical or electrical breakdown does not apply to the accidental discharge of an airbag. Paragraph 4 is replaced with the following: 4, We will not payfor'Wss' to any of the following: a. Tapes. records, disks or other similar audio, visual or data electronic devices designed for use with audio, visual or data electronic equipment. IncWeascgyrcly9ba maleMbnnsrvanw eeM1lto9 omfee, mc. Mm Int pCrndn>bn GEGA 701 (09/09) Page 2 of 3 fnnnnms mr>99r MFrlxxFxnamn AGENT COPY Fmm:Led Reseal& Faxlp:949-]9}-4911 Page 10 M 14 core 036RV121128 AM Pagel 0 of 14 b'. Equipment designed or used for the detection or location of radar. c. Any electronic equipment that receives or transmits audio, visual or data signals. Exclusion 4.0: does not apply to: (1) Electronic equipment that receives or transmits audio. visual or data signals, whether or not designed solely for the reproduction of sound, if the equipment Is permanently Installed in the covered "auto" at the time of the "loss" and such equipment Is designed to be solely operated by use of the power from the -adds" electrical system. In or upon the obverad'auW: or (2) Any other electronic equipment that is: (a) Necessary for the normal operation of the covered "auto or the monitoring of the covered 'auto's" operfai gsystem; or (b) An Integral pad offhe"me unit housing any sound reproducing equipmentdescrded ie(1) above and permanently installed in the opening of tlw dash or console of the covered 'auto' normally used by the manufacturer for Installation of a radio. D. DEDUCTIBLE The followimg is added: No deductible applies a glass damage Atha glass Is repaired rather than replaced. SECTION IV. — BUSINESS AUTO CONOITIONS A. LOSSCONDWIONS Item 2.a. and b. are replaced with: 2. Duties In The Event of Accident, Claim, Suit, or Loss a. You must promptly notify us. Your duty to promptly notify us is effective when any of your executive officers. partners, members, or legal representatives ie aware of the accident. claim, *50'. or loss. Knowledge of an accident, claim, "suit", or loss, by other employee(s).does net imply you also have such knowledge. b. To the extent possible, beliefs to us Should include: 41) How, when and where the standard or lose took place; (2) The names and addresses of any Injured persons and witnesses: and (3) The nature and location of any injury of damage arising out of the accident or loss. The following Is added or S. We waive any right or recovery we may have against any additional Insured under Coverage A.1. Who Is An Insured 9., but only as respects loss arising out of the operation, maintenance or use of a covered "auto' pursuant to the previsions of the 'Insured contract', written agreement, or permt. B. GENERAL CONDITIONS 9. Is added: 9. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Your unintentional failure to disclose any hazards existing at the effective date of your policy will not prejudice the coverage afforded. However, we have the right to collect additional premium for any such hazard. COMMON POLICY CONDITIONS 2.1). Is replaced by the lolowing: b. 60 days before the effective date of concegatba if we cancel for any other reason. IncAnMacopy,lahtad maMagi or Inrumne9 sameea ergces.lnc, v fit Ili parmloakm GECA Tot (e9/e4) Pege 3 of 3 AGENT COPY 10I182Wx£ 8 e0T193} NEVaZC9af0 PGOMOeOO JpefT} pCAOPPN 000@960 Pqa 21 Fmm LM Fiapaldck Faal0:9i9-29rr-0911 Page 11 a119 eab:e32e/1211:29 AM P29e:H 0114 POLICY NO CBP8157227 GOLDEN EAGLE GOLD ENDORSEMENT - FORM GECGO602 HARRIS STEEL FENCE, els! 6/1/11-611/12 ADDITIONAL INSURED AND WAIVER OF SUBROGATION A. ADDITIONAL INSUREDS • BY CONTRACT, AGREEMENT OR PERMIT' 1. Paragraph 2, under SECTION 11 -WHO IS AN INSURED is amended to include as on insured any person or organization when you and such parson or organization have agreed in writing In a contract, agreement or permit that such person or organumnion be added as an additional insured on your policy to provide insurance such as Is afforded under this Coverage Part Such person or organization is not entitled to any notices that we are required to send to the Named Insured and is an additional. insured only with respect to liability arising out of: a. Your ongoing operations performed for that person or organstalion: or It. Premises or facilities caned or used by you. With respect to provision 1.a.. above, a person's or organization's status as an insured under this endorsement ends when your operations for that person or organization are completed. With respect to provision t.b. above, a person's or organiza0ien's Status as aninsured under mile endorsement ends when their contractor agreement with you for such premises or facilities adds. 2. This endorsement provision A. does not apply: a. Unless the written contract or agreement has been executed, or permit has been Issued, prior to the 'bodily injury', "property damage' or 'personal and advertising injury'; b. To "bodily Injury' or "property damage' occurring after. (11 All work, including materials, parts or equipment furnished N connection with such work, in the project (ateer than service, maintenance or repairs) to ba performed by or on behalf of the additional Inaured(s) at the site of the covered ops rations has bean completed; or (2) That portion at 'your work' out of which Ine injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the some project; c. To the rendering of or failure to render any professional services including, but not limited to, any professional architectural, engineering or surveying services such as: (1) The preparing; approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders; change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities; d. To"bodily injury", 'property damage" w'pi fsonal and advertising injury" arising out of any act, error or omission that results from the addilienal Insured's Is negligence or wrongdoing; a. To any person or organization included as an insured under provision B. of file endorsement; L To any person or organization I Buried ac eu it i —.d by 7 ,eparate ap.lmorul insuretl erdo^cenmel Issued by as and mads a sant of thin policy. Transfer of Rights Of Recovery Against Others To Us a. If the insured has rights to recover all m part of any payment we have made most this Coverage Part, those rights are transferred to us. Tho inriimid must do nothing after loss to knpalr them. At. aur regma9l, the Insured will bring suit or transfer Noce rights to us and help os enforce them. b. it required by a written "Insured wntracl", we waive any right of recovery we may, have against ant,. person or or,Ianizallon because of "laments we make for injury or damare arising Out of your ongoing operations or "your worn' done under that wridcn "insured contract" for that person at organization and included. in the "products-coniplered aperatialls ha2ard'. Fmm:LW FlerI Fax10:949-297-4911 Page 14 of 14 Due AM Pa0e:14 or 14 Pmmine a Bart nt Policy Number. CBP8157227 Coverage Is Provided in PEERLESS INSURANCE COMPANY -A STOCK COMPANY Named. insured: Agent: HARRIS STEEL FENCE CO INC UNITED. AGENCIES INC Agent Code: 4295289 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement mad Rtes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section II — Who Is An Insured ie amended to include as an additional insured the persons) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage' caused, in whole or in pad, by "your work° at the location designated and described in the Schedule of this endorsement performed for that additional Insured and Included In the'products-completed operations hazard". SCHEDULE .Name OtAddltlonal Insured Parodies) Or Organlzation(s): ANY PERSON OR ORGANIZATION WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADD'L INSURED ON YOUR POLICY TO PROVIDE INSURANCE SUCH AS IS AFFORDED UNDER THIS COVERAGE PART Location And Description Of Completed Operations: ANY LOCATION AT WHICH YOU PERFORMED WORK DESCRIBED IN WRITING IN THE CONTRACT, AGREEMENT OR PERMIT FOR A PERSON OR ORGANIZATION THAT HAS BEEN QUALIFIED AS AN ADDITIONAL INSURED IN THIS ENDORSEMENT. Information required to complete this Schedule, it net shown above, will be shown in the Declarations. 0ISO Pmpenies, Inc. 20" CG 20 07 (07104) AGENT COPY MOV2010 6157227 NEVA%RPT2105 PGDM0890 Agree GCAFPPN 00000745 Page Fm:LM Flhyamtli Fu16849-297-4811 Page 12 or 14 Do. ...1211p9 AM Pa8a:12.1W Policy No. AQW002979 Harris Steel Fence Co WORKERS COMFENSAIION ANO EMPWYERS LWDRdTY INSURANCE WC0003 PO1.iCY 13 (Ed. 4.84) WATVER OF OUR.HIGHT TO RECOVER FROM OTHERS FJVDORSEN= We have the rlghtto rawer our payments from anyone, liable for an injury covered by ddu policy, We will not eNoroa eurrigla egoist the person oragmtimtion Reared M Ne Scheiula. (11de Weems applies only tothe eMrnl[hut you perform work under. written con0act that l ues you to elwtin this agaeement frames.) This agreamcot shell av operate dimctlya induce ly to benefit anyooerlot gagged in. the Schcdulo SCHEDULE: ANY FER.90N OR ORGANIZATION FOR WHOH YOU PERFORM WORK ANGER A WRITTEN CONTRACT THAI REQUIRES YOU TO OBTAIN THIS AGREEMENT MOM US. THE WRITTEN CONTRACT MAST BE IN EFFECT PRIOR TO THE MrE OF THEW$S OCEURRZNCE BLANKET WAIVER Tld. e4etsmmt WenW Nep9ky mwhW LL4 uuawe mJ k Y!ldRx W IM YlelweeuWeaY dNrvltt pded (IM1 li(ommaeebdaw l4ngnaa4alJY wM1ea tlJs ma02eaeM UVaeu4mbYryuaa l0 prepV.11en grawRNRy.) F.rvbrcoxBEnadire a)/tW2mt PdkyTb.AQWW19]9 ISbvenuM Na. Lwlaa HARRIS STIfe4 PHe1CR CA RIC LWattt Cmpeny l'RACIC1RfANIN3VRANCHCOMPANY c'asm&WlH WCWW13 (Ed, 4.84) CopyNSM 1981.wiland emlrcll. Cw acelm xwuatt.. • B _-1 I� E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: April 11, 2012 SUBJECT: Encroachment Permit Application for: 1101 Planz:Road Name of Applicant. Kern Co. Union High School District Description of Encroachment: Place 8' high chain link fence along Raider Street on the east side of South High School. Please review the attached encroachment permit and return to me at your earliest convenience. 4/3�vo/z &TERMIMENCROAMTRAFFIM1101 Pla. RC.doc • P _A, IS E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager a FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 11, 2012 SUBJECT: Encroachment Permit Application for: 1101 Planz Rd Name of Applicant. Kern Co. Union High School District Description of Encroachment: Place 8' high chain link fence along Raider Street on the east side of South High School. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: PERMITS\ENCROACH\INSURANCE\1101 Pianz Rd.doc