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HomeMy WebLinkAbout200 2ND STTO THE CITY ENGINEER OF THE CIN 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 publicproperty or right of way as therein defined. Application Number . . . . . 12-30000029 Date 8/07/12 Property Address 200 2ND ST Application type description PH - ENCROACHMENT PERMIT Owner contractor ------------------------------------------------ ENNIS PAINTS INC OWNER 200 2nd STREET BAKERSFIEDD CA Permit ENCROACHMENT PERMIT Additional desc . . Phone Access Code 1229103 Permit Pee 208.00 Issue Data 8/09/12 Valuation 0 Qty Unit Charge Per Extension BASE FEE 208.00 -------------------------- . ----------------- Special Notes and Connecta Construct 10 ft high chainlink fence with razor e top along N half of V Street and across. 3rd street. John Hwang 000-331-8118 x2636 -------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- --------------------------- Perm't Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 tc revoke the permit at any time. rign� upPlicant (Owner/Agent) 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION In THEREFORE (GRANTED) (DENIED) Said permit shall expire on date stated above. Signature of'City Engineer Additional Terms on the Back ENCROACHMENT PERMIT BAxER Q pWVoypge J' in CITY OF BAKERSFIELD t) PUBLIC WORKS DEPARTMENT 4.1�, 1501 TRUXTUN AVE 'nom BAKERSFIELD CA 93301 cALIFO 1 (661) 326-3724 TO THE CITY ENGINEER OF THE CIN 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 publicproperty or right of way as therein defined. Application Number . . . . . 12-30000029 Date 8/07/12 Property Address 200 2ND ST Application type description PH - ENCROACHMENT PERMIT Owner contractor ------------------------------------------------ ENNIS PAINTS INC OWNER 200 2nd STREET BAKERSFIEDD CA Permit ENCROACHMENT PERMIT Additional desc . . Phone Access Code 1229103 Permit Pee 208.00 Issue Data 8/09/12 Valuation 0 Qty Unit Charge Per Extension BASE FEE 208.00 -------------------------- . ----------------- Special Notes and Connecta Construct 10 ft high chainlink fence with razor e top along N half of V Street and across. 3rd street. John Hwang 000-331-8118 x2636 -------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- --------------------------- Perm't Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 tc revoke the permit at any time. rign� upPlicant (Owner/Agent) 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION In THEREFORE (GRANTED) (DENIED) Said permit shall expire on date stated above. Signature of'City Engineer Additional Terms on the Back 2 B :' k: t; r. S r r e r- o Public Works Depamodot 1501 T,,,we Avenue Bakersfield California 93301 (661132e.-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 To the City Engineer of the City of Bakersfield, California: - . - n..1, cr.y✓isior= of Chapter 1220 of the Bakersfield A9unlcipal Cotle, the undersigned applies for a Perm+.:o erect use and maRitain an encroachment on public property or righkof way as therein defined F,ili rime of applicant and comatatr address including phone number ENNts P&I"r 11 +c too SeC-0r.YV ST2Ge'r 8/r KF'¢SFr eZD Ch 'I33.04 T. No. trip e. 331-811& ..r -+ description of the encroachment for which this application is made (Example: Wood or wroucnf filen n-mte block wau ra li planter, aid I 2815E e° NCE -i 'Q,147 To 10 FeeT ll . 5^alien of oroposed encroachment. 'l aanrP(e: Side yafd at back of sidewalk or fronr Vard at back of srdelvalk i rPT y.ftD ON V STaer-"(, } ghcK ;,J s r2kE7 J rie&T "R n- cr...Rg YKll for winch the encroachment is to be maintained 1ndefmife or Other. ease Circle) , ,r, pan of a Homeowners Association yes V No _art a.;rcil that f frac application Is granted, applicant shall indemnify, defend and hold harmless the City, Its -. -, ao3nts aro employees against any and all liability, claims. actions, causes of action or demands, whatsoever :mc trier^., or any of them. before administrative, quasi-judicial, or judicial tribunals of any kind whatsoever, ansmg out _-,,cteJ mn or caused by applicant s placement, erection, use (by applicant or any other person or entity) or "rte nance of said encroachment_ The applicant further agrees to maintain the aforesaid encroachment during the Ice s.aro•:mr.rcachmrot or until such time that this permit Is revoked ?oobcant 'inner agrees that upon the expiration of the permit for which this application is made. if granted or ty=rght of way where the same Is located, and restored said public property or right of way to the condition as es 'nat in Annh it was before the placing, erection, maintenance or existence of said encroaenment .. -"t usher agrees to obtain and keep all liability Insurance required by the City Engineer in full force and effec' 4O1 ver one the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of Insurance mcng suRrcient coverage for bodily injury or property damage liability or both and required endorsements evldeoo- n5!Cance required The typefsi and amouri of Insurance coverage is JJInoDeras Gorr+PN 14,in .+ve c6s+e 1-.5111 T7 rN]uor.nmF I.,1 FAVOR OP -•"C CITY dF Bi'l rS il'o nowieugos fine rlg)n or the City Engineer, pUreua nl Io Bakersfield Municipal Code Chapter 12 2e 10 revoRe the perm'. a --- e:E+aaacnmem ` P.A he Nblk Uapartrnellt-- 101 Trm M, A,w nun ❑A%1 fa Lrafl, C:Ih1Cl Ola 4'1191 Iglu 729'J]n; '.WI V IO I I MAY t UNCI*RN'. tnln��.v- Y JnC S�:rpM ': I'/i t4' I f�•_:U(r.>,•;; f-rr tii , kni n->.3/ fil/ 4; zv st,eacr'L-, 1 ST 3AQ _r✓512 Z-3'7- V yl>e - ---- -- 514AI?6---- J a % t Jt7s��✓_ _ ;acorzo® CERTIFICATE OF LIABILITY INSURANCE oATEIMMI°°""' 10/31/2011 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If thecertificate holder is an ADDITIONAL INSURED, the policy(kni must 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 Pontificate does not confer rights of the certificate holder in lieu of such andomement s . PRODUCER MCQueary Henry Bowles Troy -FW 301 Commerce Street, Ste 2201 Fort Worth TX 76102 "NVe' Michels Mariano PHone FAx ,, 817-877-3660a1c "°' Al 7-877-a4RO noD°ai6sm thele ar'an �0@ORDINGC4D1 GENERALUABILTY INSURER�RDING COVEnAGE NAIC p. INSURERA' uacbAmeri An.If1S.U(aOG€Ci_ EZL594280203 11112011 INsuae° ENNISPA2 INSURE�ateadfasl Insurance CempanY 638Z INSURERC_ Ennis Paint, Inc. INSURER o: 591 ON. Central. Expressway,. Suite 1050 Dallas TX 75206 OAMA F' REM.° PREMISE$Leocculems 5300,.000 CLAIMS-MADE�]OCCVR INSURER E. INSURER F: j COVERAGES CERTIFICATE NUMBER: 1 RA71 S77A3 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MISSTypEOFINBVRANCE iADDL UBft POUOYNUMBER POLICYEFF MMNNYVYY POLICYEXP LIMITS B GENERALUABILTY EZL594280203 11112011 111/2m2 EACH OCCURRENCE 31000,000 g rpMMERCIALGENERAL LIABILITY - OAMA F' REM.° PREMISE$Leocculems 5300,.000 CLAIMS-MADE�]OCCVR j MEDE%P me arson $10,000 X O PERSONAL&ADVINJURr 51,(000EN) GENERALAGGRE3ATE—($2,000,000 GEN'LAGGREGATE LIMITAPPLIESPER: PRODUCTS- COMP/OPA_GG 520Up00 POLICY X PRO- ,LOC $ A AOTOMOBUELIANUTY BAP94UI6003 11/112011 1/112012 acas�WHLIHWH 1000000 BOOILY INJURYIPec.Im's-9 S XANY AUTO ALLOWNED SCHEOULFO AUTOS AUTO$ BODILY INJURY(PereWdenq S X HIREOAUTOS X "N0'wNEO PPRi$pwRrvL GE $ b UMBRELLA Dan OCCUR EACH OCCURRENCE S AGGREGATE 5 EXCESS LIAR CLAIMS -MADE DEC 1 1 RETENTION $ ' S A WORKERS COMPENSATION INANY 111RD11 111/2012ANDEMPLOYERS'LIABILITY EL EACH ACCIDENT 51000000.1ACEP.EMRER PROPRIETORIPARTNERIEXECUTIVE iaouuoE mantlNOry In No #C943416103 E. L. OISEPSE-EA EMPLOYE $1.00.000 NYe peacho Under. OE SCRIWI.. OF OPERATION. CeIw {.L. DISEASE-POLICYU.n 3100.000 I DESCRIPTION OF OPEIiATION&ILOCATIDNS IVEHICLES IAMcn ACORD 101, Additional name is S[M1[Oulq If mom space is requi,¢tlI Additional Insured form #STFEZL201-A CW edition 08/10 applies to the General Liability policy. Additional Insured form #STFEZL215-A CW edition 05/10 applies to the General Liability policy. Additional Insured form #CA 20 01 editions 0/01 applies to the Automobile Liability policy. Waiver of subrogation form .STFEZL201-A CW edition 08110 applies to the General Liability policy. Waiver of subrogation form #U-CA320BCW edition 04/94 applies to the Automobile Liability y 9 PP Y Policy. Waiver of subrogation form #00000313 edition 04/84 applies to the Workers Compensation policy. See Attached... aHOULD ANY OF THE ABOVE DESCRIBER POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Bakersfield ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Tluxtun Avenue, 2nd Floor Bakersfield CA 93301......................�......._.T ACORD 25(2010/05( The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER 10: ENNISPA2 _ LOC #: I ® ADDITIONAL REMARKS SCHEDULE Page of L AGENCY McQueary Henry Bowles Troy -FW NAMED INSURED Ennis Paint, Inc. 5910 N. Central Expressway, Suite 1050 Dallas TX 75206 POLICY rvumasa CARRIER NAIc CODE EFFECTVE DATE:. AUUI I IUNAL KtMAKAb THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Primary & Non -Contributory General Liability form #STFEZL201-A CW edition 08/10 and #STFEZ215-A CW edition 05/10. Certificate Holder is named as an Additional Insured per the above form(s) on the General Liability and Automobile Liability policies of insured with. Primary and Non Contributory status per the above General Liability form and Waiver of Subrogation per the above for(s) on the General Liabilityri Automobile Liability and Workers Compensation policies of insured, but only to the extent that the limits and fors are Required to satisfy the terms of a written contract. Certificate Holder includes: City of Bakersfield, its mayor, council, officers, agents, employees and volunteers ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD V Street Ennis Traffic Safety SnlutionS Bakersfield Paullty SITE MAP Third Street Gall's -P—E Tate ❑eamng Gate 1 Gate i Second Street 011911 yz �s r� � __ � w c� � � m s +n y � ti � rn Q m -� �, -„ Ci "'°: ro m ca cs m h E R S F I E L I) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 14, 2012 SUBJECT: Encroachment Permit Application for: 200 2ntl Street Name of Applicant: Ennis Paints Inc. Description of Encroachment: Construct 10' high chain link fence with razor wire top along N half of V Street and across a Street. Please review the attached encroachment permit and return to me at your earliest convenience. A�24�2a/2 MoD 2nd StAx • B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager + U' LI FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: August 14, 2012 SUBJECT: Encroachment Permit Application for: 200 2nd Street Name of Applicant: Ennis Paints Inc Description of Encroachment: Construct 10' high chain link fence with razor wire top along N half of V Street and across 3'd Street. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:NERMITMENCROACF NSURANCE\2002nd Stdoc