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Home My WebLink About4115 VINELAND RDENCROACHMENT PERMIT A CITY OF BAKERSFIELD v d PUBLIC WORKS DEPARTMENT .� 1501 TRUXTUN AVE c �.4;�,.s BAKERSFIELD CA 93301 LI 0 (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 . . . . . 13-30000033 Data 5/13/13 Property Address 4115 VINELAND RD Application type description PW - ENCROACNNENT PERMIT Owner Contractor ___ ________________________ CITY OF BAKERSFIELD OWNER 1501 TRUKTUN AVE BAKERSFIELD CA 93301 Permit ENCROACHMENT PERMIT Additional dean . . Phone Access Code . 1323419 Permit Fee . . . . 208.00 Issue Date . . . . 5/13/13 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 ___________________________________________________________________________ Special Notes and Comments 6- concrete wall around Fletcher Elementary school. Wall is located on Bedford Green or and Highland Knolls Dr. Contact Greg Millspaugh 661-510-8056 --------------------------------------------------------------------------- Fee summary Charged Paid Credited __________ __________ ____------ __________ Due _________________ Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 206.00 .00 .00 Applicant acknowlepips the right of the City Engineer, revoke the,permit t any time. Signature of Applicant (Owner/Agent) pursuant to the Bakersfield Municipal Code Chapter 12.20 to 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) C TUT A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTED (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back E A K E R S F I E L O 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 12.2d of the Bakersfield Municipal Cade, the undersigned applies for a permit to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined. (HIAA I i �_�h 1 1. Full name of applicant and complete address Including. phone number. (`cca le<e- lC r, ci; tD\=�s,A i'cc P—,A� SA U I X31 4ttoo 2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) ( 7 Ir l- , is 5. Location of proposed encroachment (Example: Side yard at back of sidewalk or front yard at back. ofsidewalk) e Period of time for which the encroachment is to be maintained: Indefinite or Other. hirk(17, le (Please Circle) 5. Is property part of a Homeowners Association. Yes No 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, orjudidal tribunals of any kind whatsoever, arising out 'of, connected with, or caused by applicant's 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 rightof 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. Thetype(s) and amount(s)of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. StEncrvachmenlPermilsW.ppllcationforEnccoa thmenl B A K E R S F L E L D Public Works Oapartmenl 1501 Truxtun Avenue Bakersfield, California 933o1 . (661)326-3724 TO WHOM, iT ivrA`f CONCERN: we the undersigned, have no objection to the construction of a fence beside the sidewalk within the ' Public right-of-way. (Sartre Dr proposctl encr0ach:ncnt BY. (Owners Name) 04 Vhn r (Addreas of proposed cncroachmanc) I)Name ' Address. I) Name: Address 3.) Name: Andress: a)Name Address: 5 ; Name'. Address 5) Name Address Date: Date Date: ate: o3/z3/zolz CERTIFICATE OF LIABILITY IN74- 123I1201n ACORDINSURANCE ,; THIS CERTIFICATE IS ISSUED AS 5. 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 ISSUING INSURER($), AUTHORIZED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: )!the ceNRcate holder is an ADDITIONAL INSURE ,the polieypes)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, contain policies may moire an endorsement. A statement on this Certificate does not wntarrlghb to the Certfficate holder in Ile. of such endorsement(s). PRODUCER Self Insured Schools of CA NRME: pwON1; 661 636 4495 ND. Ne: 661.636.4418 ADDRESS: PO Boz 1847 Bakersfield, CA 93303-1847 INBURERISI AFFOROINOtOVERAGE ENDO IxsDMERA: Self Insured Schools of Calif. anuREO Self Insured Schools o CA SISC II Ix3URERe_ - INSURERC:__. - 1300 17th Street INSURER O: PD Box 1847 _-_ INSURER E-. Bakersfield, CA 93303-1847 _ INSURER I: n..- i - TT RFVI%InN NUMBER: SISC I & II Member Districts (See attached) ......--..-11 an ,.,-I. COVERAGES eeN uncAlc numoHE BCL ,....�.....- - _ --------- THISIS' UCE TIFY THAT THE OLICI SOF IN RANCELISTEUa LOW HA E BEEN ISSUED TO THE I.EIUHCDN MED ABOVE FOR THE FOLIGY PERIOD INDICATED. NOTWI THSTANDINGANYREOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDRIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE He wo POUCYNUMBER MMI pn LJMNB SLP 7112 1307/07/2012 07/01/2013 EAcx OCCURRENCE 8 1 750 OD aBxewr LwwTr A X COLNERCVLGENERp1 A I'-cw CWMSM1UOE[k) PREMISED Esamrvv 3 _ MEG EXP MAP .. pe,un) S _ PERSONALaADVINJURY s GENERAL AGGREGATE S. PRODUCTS COMPNP AGO S A SAP 7112 130710'12012 $1,000 DEDUCTIBL ALV CDMA/COL 0710112013 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jH FLOC AUTOMOBILE uamtm' X ANYAUTO ALL OVMEO SCHEDULED AUTOS AUTOS O HIRED AUTOS ANTOSWNED S Eee11H s _.1,750•_00 BODILY INJURY(Pxpmwn) $ BODILY INJURY(Per -Went S Par aclEeM $ S UMBRFLIALNB M.m. UAB OCCUR CLAIM. EACH OCCURRENCE 5 AGGREGATE S S DED RETEMIONE WDRNEAe VINE. ATNIN AND EMPLOYERB'LUBOJTY yIM- pNYPEPEN TINUPML OEM EClrn✓E—I DFFICERIMFMBERE%CLUOEOi U A NIA NC 7II2 11 O7/OV2O7T 07/01/2073 TORY LIMITS ER EL. FALX ACCIDENT $ 1 DOO OO E.1015EA3E-EAEMPLOYEE S 1,DDO DD A IWtKarxyln NH) M HILN ONq OEANKEION OF LDINIJJ SEOImx LANKET BUILDINGS Is ERSONAL PROPERTY . SPP 7112 1 0710112012 07/01@0131 'ELDISEASE POLICY LIMn $ 1 DDD D DLANKET LIMIT $250,000 $2.,500 DEDUCTIBLE° PAS APPLICABLE OEMMETIONOFOPEM90HSILOCADONSIVEHICL@S AReCM1 ACORD 101, Mtllllontl Remulq BeM1etluN,Hmon ap6eIFngWntl) arious permits and use of various facilities, for which the City of Bakersfield, its mayor, council, officers, agents, employees and designated volunteers are listed as additional insureds, as respects attached list of school districts covered under the SISC MOC. (See attached list) rAufmlennM SHOULD ANY OF THE AROVB DESCRIBED POLICIES BE CANCELLED BEFORE THE D%N ATmN DATE THEREOF, NORGE WELL INC DEUVEREO IN ACCORDANCE WITH THE POLICY PRONSIONa. City of Bakersfield Risk Management Attention: David Stricker 1501 Tr.Xtun Avenue. Bakersfield. CA 93301 ACORD 25120/0105) The ACORD name and logo are registered marks schools ADDITIONAL INSURED 101114la-1 i14M This endorsement modifies the following: Self -Insured Schools of California (SISC ll) Commercial General Liability Memorandum of Coverage SLP 711213 Commercial Auto Liability Memorandum of Coverage. SAP 711213 Workers' Compensation Memorandum of Coverage WC 711213 Effective: July 1, 2012 to July 1, 2013 Name of Person or Organization: City of Bakersfield, its mayor, council, officers, agents, employees and designated volunteers Per written contract with the member District: SISC I & II Member Districts This endorsement, issued by SISC, forms a pan of and is for attachment to the above described memorandum of coverage, takes effect on the date shown above and expires concurrently with said memorandum of coverage. Very truly yllflurs, Robert J. Kretzmer Director, Property & Liability Dated: March 21, 2012 RJK:Im R O. Box 1847+ Bakersfield. CA 93303-1847.*http://w ..kern.org/sisc/ 1300 17th Street - CITY CENTRE * Bakersfield, CA * (66 1) 636-4710 + FAX (661) 636-4418 AJoint Powers Authority administered by the Kem County Superintendent of Schools Office, Christine Lizardi Frazier; Superintendent ELF"- I „HI RNI Schools Helpi114 ng sdlads SCHOOLS WITHIN KERN HIS DISTRICT POLICY YEAR JULY 1, 2012 TO JULY 1, 2013 THE FOLLOWING ARE LISTED AS ADDITIONAL INSUREDS FOR INJURY OR DAMAGE CAUSED BY THE ACTIONS OF KERN HS DISTRICT School Name 1. ABLE Center 2, AIM Center 3, Career Resource 4. Constellation Center 5. Aurora Learning Center 6. PROP Center 7. Arvin HS 8. Bakersfield Adult School 9. Bakersfield HS 10. Centennial HS. 11, Central Valley Continuation HS (Shaffer) 12. East Bakersfield HS 13, Foothill HIS 14. Frontier HS 15, Golden Valley HS 16, Highland HS 17, Independence HIS 18. Kern Valley HS School Name 19. Liberty HIS 20. Mira Monte HS 21. North HS 22, Nueva Continuation HS (Lamont) 23. Reg. Occup. Center (Herbert E. Martin Center) 24, Ridgeview HS 25. Ruggenberg Career Center 26. Schuetz Career Center 27. Shafter HS 28, South HS 29, StockdaleHS 30. Summit Continuation HS 31. Tierra Del Sal Continuation HS 32. Vista Continuation HIS 33, Vista West Continuation HS 34. West HS POLICY NUMBERS SLP 711213 GENERAL LIABILITY SAP711213 AUTOMOBILE LIABILITY SPP 711213 BLANKET BUILDINGS & PERSONAL PROPERTY WC 711213 WORKERS COMPENSATION 6616364495 Self IneweL Sohaols of CA (SSC In Propedy & Liability UCALIFORNIA =1 Helping Sclrods SCHOOLS WITHIN BAKERSFIELD CITY SCHOOL DISTRICT POLICY YEAR JULY 1, 2012 TO JULY 1, 2013 THE FOLLOWING ARE LISTED AS ADDITIONAL INSUREDS FOR INJURY OR DAMAGE CAUSED BY THE ACTIONS OF BAKERSFIELD CITY SCHOOL DISTRICT POLICY NUMBERS School Name GENERAL LIABILITY School Name 1 Casa Loma 22 Mount Vernon 2 Cesar E. Chavez Elementary 23 Millie Gardette Munsey 3 Chipman Junior High 24 Colonel Howard Nichols 4 College Heights 25 Myra A. Noble 5 Compton Junior High 26 Bessie E. Owens Intermediate 6 Curran Middle 27 Bessie E. Owens Primary 7 Downtown Elementary 28. LeoG.,Pauly 8 Henry Elssler 29 William Penn 9 Emerson Junior High 30 Pioneer Drive 10 Evergreen Elementary 31 Rafter Community Day 11 Franklin 32 Refer Johnson Childrens Center 12 John C. Fremont 33 Roosevelt 13. Ramon Garza 34 Sequoia Middle 14 Ruth Harding 35 Sierra Middle 15 Carolyn Hams 36 Walter Stiem Middle 16 Stella Hills 37 JulietThomer 17 Hort 38 Marsa Voorhies 18 Jefferson 39 Washington Junior High 19 Longfellow 40 Wayside 20 Horace Mann 41 Frank West 21 McKinley 42 Williams POLICY NUMBERS SLP 711213 GENERAL LIABILITY SAP 711213 AUTOMOBILE LIABILITY SPP 711213 BLANKET BUILDINGS & PERSONAL PROPERTY WC 711213 WORKERS COMPENSATION Self Insured Schcols of CA (SISC I0 661.636,"95 Properly & Liability SISC II MEMBER DISTRICTS BY COUNTY WHO HAVE BOTH SISC I & SISC II COVERAGE FISCAL YEAR 201212013 FRESNO (1) Caruthers Unified School District KERN COUNTY (continued) Kern County Superintendent KERN COUNTY (continued) of Schools IxCSDS) Siena Sands Unified School District INYO (T) KCSOS Foundatfons•GL 0nly: South Fork Union School District Big Pine UnifiedSchool District California Living Museum COMMEQUIP Southern Kern Unified School District Bishop. Unified School District Community Connection for Child Care Standard School District Taft City Elementary School District Death Valley Unified School District Foundation Taft Union High School District Inyo County Office of Education Kern Child Development Foundation Tehachapi Unified School District Lone Pine Unified School District Kern Co. Academic Decathlon Foundation Vineland School District Owens Valley Unified School District Kern Co. Network for Children Foundation Wesco Union Elementary School District Round Valley A. Elementary School Kern Co. Schools Financing Corp. Wesco Union High School District District Kern Co. Science Foundation Westside R.O.P. Kern Co. Supt. of Schools. Educational KERN COUNTY(53) Services Foundation LAKE (1) Arvin Union School District Kem Environmental Education Foundation Kelseyville Unified School District Bakersfield City School District Ready to Start Foundation Beardsley School District Kern High School District LOS ANGELES 111 Belridge School District Kerrville Union School District Wilson School District Blake. School District Lakeside School District Buttonwillow Union School District Lamont School District MADERA (2) Caliente Union School District Linns Valley-Poso Flat Union School. District Chowchilla Elementary School District Delano Union Elementary School Lost Hills Union School District Madera County Office of Educatioin District Maple School District Delano Joint Union High School Mancopa Unified School District MONO CO (3) District McFarland Unified School District Eastern Siena Unified School District Di Giorgio School District McKittrick School District Mammoth Unified School District Edison School District Midway School District Mono County Office of Education EI Tejon Unified School District Mojave Unified School District Elk Hills School District Muroc Unified School District SAN BERNARDINO (1) Fairfax School District Norris School District Trona Unified Fmitvale School District North Kern Vocational Training Center General Shatter School District Panama -Buena Vista Union School District S.L.O. (2) Greenfield Union School District Pond Union School District Bellevue -Santa Fe Charter Kern Community College District Richland. School District Grinly Challenge Charter Rio Bravo -Greeley Union School District Rosedale Union School District SANTA BARBARA (1) Semitropic School District Santa Barbara Unified School District Self -Insured Schools of CA (SISC) SISC I SISC II Updated 312312012 SISC III >L B ?. K E K S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: May 13, 2013 SUBJECT: Encroachment Permit Application for: 4115 Vineland Rd Name of Applicant: Bakersfield City School District Description of Encroachment: 6' concrete block wall around Fletcher Elementary. Fence is located on Bedford Green Dr & Highland Knolls Dr. Please review the attached encroachment permit and return to me at your earliest convenience. S:WERMITSIENCROACRITRAFFICW115 Vineland Rd.doc S _� h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: May 13, 2013 SUBJECT: Encroachment Permit Application for: 4115 Vineland Rd Name of Applicant: Bakersfield City Schools District Description of Encroachment: 6' concrete block wall around Fletcher Elementary. Fence is located on Bedford Green Dr 6 Highland Knolls Dr.. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S9PERMITSENCROACMINSURANCE4115 Vineland Rd.doc