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Home My WebLink About2100 19th St.ENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (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 . . . . 15-30000011 Data 3/30/15 Property Address 2100 19TH ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor SANGERA PROPERTIES LLC D & S ELECTRIC 5600 GASOLINE ALLEY DR 609 JAMAICA WAY BAKERSFIELD CA 93313 BAKERSFIELD, CA BAKERSFIELD CA 93309 (661) 330-5309 •----------------------------------------------- Permit ENCROACHMENT PERMIT Additional desc . . Phone Access Code 1615099 Permit Fee 208.00. Issue Date . . . . 3/30/15 valuation . . . . o Qty Unit Charge Per Extension BASE FEE 208.00 --------------------------------------------------------------------------- Special Note. and Comments will install and maintain 6 decorative street lighter 3 is front of building and 3 on the east side of building in the grass area.. Bob MCStmaker (661) 333-9329 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Fermit Fee Total 208.00 208.00 .00 .00 Applicant ac& oUedges the ngAt°of the &y Engineer, pursuant to t)1e Bakersfield Municipal Code Chapter 12.20 to revoke thepermitat any time. 4/11Fi1' OA6zr� Signature of App�nt (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 IS THEREFORE (GRANTED) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT 1 APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661)326-3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT COMPLETE ADDRESS: & 07 J mica WGu/ PHONE:&& �3 � Sj L U6`5& 1;04 ,a Cd- T-3702 I FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron 1fence, c4nerete block wall, raised planter, etc.): A Sir �� e /< /noun 4hx PERIOD OF TIME FOR ENCROACHMENT: EFINI or OTHER: (Please Circle) CONTACTPERSON Heb PHONE: `�P ,3� /C�•I rj' 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, orjudicial 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 revocation thereof by the City Engineer applicant will at his own cost and expense remove the same from the public property or right of way where the same is located, and restore 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 evidencing the insurance required. The type(s) and amount(s) of insurance coverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $208.00 S.\PERMITS\ENCROACIIVInc .h.,M Permit Req Porm,1 C Sept. 2013 OP ID: KC aCERTIFICATE OF LIABILITY INSURANCE Ile DA031272015 03127/2015 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(SI, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(los) 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 certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER Phone: 661-327-3321 Stockdale Ins (Bksfld Office) 9OC26131 Fax: 661.127.3490 NAMEACT: Pa Paa P: c NLICENSE ADDRESS: PO Box 10269 Bakersfield, CA 93389-0268 Bentle. Navenski Jr cOSTOMERID r: STEVE -7 NSURERISLAFFORDINGCOAERAGE NAICI INSURED DSS Electric INSURER A: Mercury Insurance Group 11908. Steve Hernandez 4800 New Horizon Blvd. SteE Bakersfield, CA 93313 INSURERB;State. Compensation Ins Fund 35076 InsuRER r.James River Insurance Co. 00064251-0 10/08/2014 INSURER D: INSURER E: CLAIMEMADE EX OGGTR INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 WHICH 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. NEAR LTR TYPEOFINHURANCE Ache. ACCORDANCE WITH TIE POLICY PROVISIONS, POLICYNUMBER M MMA LIMITS GENERALLNBILITY P. 0. Box 41765 AUTH�OWZEO REPRE$�ENTAT�pVE Bakersfield, CA 93394-1765 EACNOCCUPRENCE R 1,000,00 C X COMMEPCIA. GeNEPAL LIABILITY X X 00064251-0 10/08/2014 10/0920151 PREMISESEun< $ 100,00 CLAIMEMADE EX OGGTR MEOEME(Ar, m, ,—n) $ 5,00 PERSONAL S AW INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 I AGGREGATE LIMIT APPLIES PER: PRODUGrA CGMAADA AGS $ 2,000,0010 _I POLICY X PRO LOC $ AUrOMOBiLELNBILITY COMBINED SINGLE LIMIT on A 'ANYAUTO (Eun<daem) HODLYINdUPY(Bereccson) I ALL OWNED AUTOS BorAYIe:DRYIG azntleneFROP X SCHEDULEDAOTOS BA040000005370 03120/2015 0120/2816 X HIREDAUTOS BaoaeoODDos37o 03202015 rdentiGE DLze2D16 IPPfa«IddnnNon-OWNEGAULOS BA040000005370 D3120/2015 03120120161UMBRELLA PS LIAB .oc:EACH OCCURRENCE EXCESS LIAB. CLAIMS MADE AGGREGATE DEDUCTIBLE RETEN➢ON $ WOPo(ER9 COMPENSATION y� p i X OER ANO EMPLOYERS' LIABILITY YIN TPRYTIMITS it B A. PROFRIErORFARTNEWEFECUnvE 102014-2015 03/1212015 0112/2016 E L. EACH ACCIDENT. 1,000,00 OFFICER,MEMBEREHLLUOEV/ D NIA X (NtMMory In NH) EL. DISEASE-EAEMPLCYEE $ 1,000,00 If Yes.tlesnlbe under DESCRIPTION OF OPERATIOHPOL.1ry EL DISEASE -POLICY LIMIT IS 1,000,00 OESCW IDNOFOPERATOMILOCATONe IYEHCLES Oulach ACCRIGNE! AdMecml Rereares Schedule, No—space lv rogUlbfR Job: 02-0564 City of Shafted, - Veterans Park Field House Design Building OPTS Construction, The City f Shafted, its officials, officers, emalo ees 0 insux'ed liability agents Volunteers aremcluded as additional on general £Or ingoing and completed operations. Waier of subrogation applies to WC and. GD. CERTIFICATE HOLDER CANCELLATION JTSCONS MOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE SOPRTATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH TIE POLICY PROVISIONS, J.T.S. Construction reneeatsconstruoti on.com P. 0. Box 41765 AUTH�OWZEO REPRE$�ENTAT�pVE Bakersfield, CA 93394-1765 OO 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS SECTION II — Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the "bodily injury' or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The. person or organization is only an additional insured with respect to liability, arising solely out of "your work" or "your product' which is imputed to the Additional Insured. 2. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products —completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contract or written agreement and only for "bodily injury" or "property damage" that occurs during the policy period arising out of"your work" or "your product". 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis. 5. Where no coverage under this policy shall apply for the Named Insured,no coverage or defense shall be afforded to the Additional Insured. & This insurance does not apply to "bodily injury" or "property damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US O4-10 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS. AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US O4-10 Page 1 of 1 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION 9102014-15 RENEWAL NE 2-05-77-97 PAGE 1 HOME OFFICE SAN FRANCISCO EFFECTIVE MARCH 24, 2015 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING MARCH 12, 2016 AT 12.01 A.M. AT 1201 AM PACIFIC 09 STANDARD TIMEEOR THE TIME INDICATED AT PACIFIC STANDARD TIME D & SELECTRIC 6.07 JAMAICA WAY BAKERSFIELD, CA 93309 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING., II IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND WAIVES ANY RIGHT OFSUBROGATION AGAINST, JTS CONSTRUCTION WHICHMIGHT ARISE BY REASON OF ANY PAYMENT CINDER THIS POLICY IN CONNECTION WITH WORK PERFORMED BY, D & S ELECTRIC IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE EMPLOYER. IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH EMPLOYEES SHALL DE INCREASED BY 03i. NOTHING IN THIS ENDORSEMENT CONTAINED. SHALL HE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND A�T(/'S�AANNMARCH 26, 2015 !ISSUED FRFRANCISCO: tY'�"•'rte F �.[/Q AUTHORIZED REPRESENTMIVE PRESIDENT AND CEO 2570 SCIF FORM 10217 IREV.7-10141 OLD OF 217 Choose Ballast and Lamp :. Choose Pole Height Quantity (/getmetafile/d490a5b0-e76a- 4146-9609-6dle43ff000a/CL2- AA. aspx?m axsidesize=960) Request Information As an established manufacturer of decorative streetscape solutions with thousands of satisfied customers, we pride ourselves on personal service. Our customers luww they can count on us for rapid quotations and for on-time shipments. Let our streetscape experts help plan your next streetscapel LEARN MORE About Brandon Products TAN DCU AA LUMINAIRE � SErd NEIGF3T C 29 19'4 CL21 ❑ C122 12'4" {7 CL23 73'4" D CI24 14"4- 0 (Y 35 75'4" SELECT BALLAST AND LAMP ID INCANDESCENT gp HiGPl PRE55UES0DIDM METALHALTDE 35WATTHIGHPRESSURESODIUM El 70WATTMETALHALIDE El 59WATTHiGHPRESSURESODiUM El I00WATFMETALHALIDE ❑ 70WATTHIGHPRESSURES0DIUM 0150WATTMETALHAUDE El I00 WATTHIGH PRESSURE SODIUM ❑ 175WATTMEFALHAUDE D ISOWATT HIGH PRESSURE SODIUM ❑ 250WATTMEFAL HALIDE ❑ 250WATTHIGHPRESSURES0DIUM BASE CASTALUMINUM H0GHT 32- WIDTH 15.5" POLE 4"0Dz.125"WALLEXTRUDED ALUMINUM HOLDER: CASTAWMINUM GLOBE ACRYUCACORN BALLAST, SPECIFY VOLTAGE SPECIFY FASTENERS: STAINLESS STEEL FINISH: POLYESTER POWDER-COATELECTROSTATICALLY APPLIED AND THERMOCURED /jB/AA��ASS�E��FOOTPRINIT �o 1>"CIR RBASEPATFERN REQMNGFWR(4)b2" GALVANICAN RBOLT&NUT 32° TOTALHEIGHT FROM 72'8"T01T8" POLE HEIGHT FROM 10'4"7015'4" ACCESS DOOR