HomeMy WebLinkAbout1810 WESTWIND DR�Oa OR.4 s� ENCROACHMENT PERMIT
r CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE APPROVED
✓'`'` "RY" A BAKERSFIELD CA 93301
IF OR�1 (661) 326 -3724
rO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA:
'ursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and
naintain an encroachment on public property or right of way as therein defined.
Application Number . . . . . 10- 30000028 Date 7/02/10
Property Address . . . . . . 1810 WESTWIND DR
Application type description PW - ENCROACHMENT PERMIT
Owner
------------------------
HINMON LIVING TRUST
15510 BLACK HAWK AV
BAKERSFIELD CA 93314
Contractor
TW TELECOM, INC
575 E. LOCUST AVE 120
ATTN: BARBARA
FRESNO CA 93720
----------------------------------------------------------------------------
Permit . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 1014414
Permit Fee . . . . 208.00
Issue Date . . . . 7/02/10 Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 208.00
----------------------------------------------------------------------------
- Special Notes and Comments
Place conduit and pull boxes in street
from 1810 Westwind along E curb S to
Truxtun, then along N curb W approx 300
ft, then crossing Truxtun to S side and
existing box behind sidewalk.
Contact:
Robert Harrison
559- 256 -3735
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
- --- ---- --- - - ---- - -- - -- ---- --- --- ---- - - -- -- ---- - - - ---
kpplicant aclmoev�ledges'ri� fight of2ftCity EngineeP,opursuant toohe Bakep tell Municipal Code Chapter 12.20 to revoke the
)erl7tlt at an�ffff0.Total 208.00 .00 .00 2088.00 i f V.
iig i e Zat Applt nt ( wnedAgent) Print Name
HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING
%PPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT)
iUBSTANTIALLY 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
EHEREFONt (DENIED). Said permit shall expire on date stated above.
signature of Cr y Engineer
Additional Terms on the Back
CITY OF BAKERSFIELD - PERMIT RIDER
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVENUE, BAKERSFIELD, CA 93301
(661) 326 -3724
INSPECTION 326 -3049
DATE `'�1 -� , 20�
To be attached to and made a part of: w0— - Street °Permit No 1 t�) — 3t -Dc� (7) °2-a
❑ Transportation Permit No
APPLICANT °"T'W PHONE
LOCATION
In response to your request of �� �� 20 it we hereby amend the above
numbered permit as follows:
Date of expiration extended to:
Description of work changed to: 1 k I C.LA I Vz>t > ( In(')I -) kt-.. IM(r.6-5 S ;
Except as amended, all other terms and provisions of the original permit shall remain in effect.
This rider must be attached to the original permit.
APPROVED BY: Raul Rojas
CITY ENGINEER
BY: l
j` DEPUTY
Rider Fee $
Other Fee $
Total $
White — Applicant Yellow — Public Works Pink — Construction
2/08
^r.
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CITY OF BAKERSFIELD - PERMIT RIDER
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVENUE, BAKERSFIELD, CA 93301
(661) 326 -3724
INSPECTION 326 -3049
To be attached to and made a part of:
DATE `,° -' 2 20 I
~;U— °Street"Permit No
❑ Transportation Permit No
APPLICANT -r kk f 11-Pl a,.�4../. r--:j PHONE
LOCATION lt
In response to your request of r9' f%�z 20 11 we hereby amend the above
numbered permit as follows:
Date of expiration extended to:
Description of work changed to:
1(7) 1
Except as amended, all other terms and provisions of the original permit shall remain in effect.
This rider must be attached to the original permit.
APPROVED BY: Raul Rojas Rider Fee
CITY ENGINEER
BY:- f�'✓ Other Fee
DEPUTY
i Total
i
White — Applicant Yellow — Public Works
$ (l'
Pink — Construction 2/08
B A K E R S F I E I- L3
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: April 19, 2011
SUBJECT: Encroachment Permit Application for: 1810 Westwind Dr
Name of Applicant: TW Telecom Inc
Description of Encroachment: Place conduit and pull boxes in street from
1810 Westwind along East curb South to
Truxtun, then along North curb West approx
300' then crossing Truxtun to South side
and existing box behind sidewalk
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\181OWestwind Dr.doc
B A K E R. S F I E L z3
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: April 19, 2011
SUBJECT: Encroachment Permit Application for: 1810 Westwind Dr
Name of Applicant. TW Telecom Inc
Description of Encroachment. Place conduit and pull boxes in street from
1810 Westwind along East curb South to
Truxtun, then along North curb West approx
300' then crossing Truxtun to South side
and existing box behind sidewalk
Please review the attached encroachment permit and return to me at your earliest convenience.
WF
SAPERMITS\ENCROACHURAFFIM1810 Westwind Dr.doc
AC.ORQ_. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDm)
07/06/10
PRODUCER 1- 303 -534 -4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
IMO of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OR
THIS CERTIFICATE DOES O
1550 17th Street
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
suite 600 INSURERS AFFORDING COVERAGE
Denver, Co 80202
INSURED
INSURER A: Travelers Propercy caauaic
tw telecom of California l.p.
INSURERS:
tw telecom inc.
9665 Granite Ridge Drive
INSURER C:
INSURER D:
INSURER E:
San Diego, CA 92123
NAMED ABOVE
FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING
COVERAGES
THE
POLICIES OF INSURANCE LISTED
BELOW HAVE BEEN ISSUED TO THE INSURED
DOCUMENT WITH
RESPECT TO WHICH
THIS CERTIFICATE MAY
BE ISSUED OR
ANY
REQUIREMENT, TERM OR CONDITION
OF ANY CONTRACT OR OTHER
HEREIN
IS SUBJECT
TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS
OF SUCH
MAY
PERTAIN, THE INSURANCE AFFORDED
BY THE POLICIES DESCRIBED
POLICIES.
AGGREGATE LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS,
-EXPIRATION
POLICY EFFECTIVE
POLICY
LIMITS
INSR
TYPE OF INSURANCE
POLICY NUMBER
HJOLSA158D433110
05/01/10
05/01/11
EACH OCCURRENCE
$ 1,000,000
A
GENERAL LIABILITY
FIRE DAMAGE (An one fire)
$1,000,000
X COMMERCIAL GENERAL LIABILITY
MED EXP Anyone arson
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
CLAIMS MADE a OCCUR
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS. COMP /OPAGG
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO- X LOD
HC2JCAP158D434310
05/01/10
05/01/11
COMBINED SINGLE LIMIT
$ 1,000,000
A
AUTOMOBILE LIABILITY
(Ee accident)
X ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
(Per person)
$
SCHEDULED AUTOS
HIRED AUTOS
BODILY INJURY
(Per accident)
$
NON -OWNED AUTO.
PROPERTY DAMAGE
$
(Per accident)
AUTO ONLY ACCIDENT
$
GARAGE LIABILITY
EA ACC
$
ANY AUTO
OTHEjTHAN
AUTO AGG
S
EACH RE NCE
$
EXCESS LIABILITY OCCUR � CLAIMS MADE
AGG
$
$
$
$
DEDUCTIBLE
RETENTION $
HRJUB0117D242810 (AZ,OR,WI)
WC STATU- 0TH -
05/01/10 05/01/11 X
A WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY HC2JUB3758C58110(AOS)
1,000,000
05/01/10 05/01/11 E,L. EACH ACCIDENT $ _
A
E.L. DISEASE - EA EMPLOYE $ 1,000,000
E.L. DISEASE - POLICYLIMIT $1,000,000
OTHER
S
s
s
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
employees are included as Additional insureds on
The City of Bakersfield, its mayor, council, officers, agents,
if required
and
by written contract or agreement subject to the policy terms
the General and Automobile Liability Policies
A Waiver of Subrogation is provided in favor of the City, its mayor, council, officers,
by written contract or agreement
and conditions.
agents, employees and volunteers on the Workerts Compensation
Policies if required
subject to the policy terms and conditions.
CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER:
ACANCELLATION
ID
DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
SHOULD F E ABOVE
THEREOF, THE ISSUING INSURER WILL dk4#XWV4 MAIL 30 DAYS WRITTEN
City of Bakersfield
DATE
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BIIh4JiiLtiAKY5X
Public Works Department
XB11iSiklUiS�tl{iCiltfJtl6WiGYal 7�487�)>iiKS%%
Attn: Marian Shaw
1501 Truxtun Avenue
XKMXUgWMK CAKIXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Bakersfield, CA 93301
AUTHORIZED REPRESENTATIVE
USA
G/
G ACORD CORPORATION 1988
ACORD 25 -S (7197) oan
16567
tw telecom Inc.
POLICY NUMBER: HJGLSA158D433110
Effective: 05 -01 -10 to 05 -01.11
COMMERCIAL GENERAL LIABILITY
ISSUE DATE: 05- 01- 10
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
(CONTRACTORS)
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
NAME OF PERSON(S) OR ORGANIZATION(S):
City of Bakersfield, Its Mayor, Council, Officers, Agents, Employees and Volunteers are
named as Additional Insured 1501 Truxton Avenue, Bakersfield, CA 93301
PROJECT/LOCATION OF COVERED OPERATIONS:
Waterline Extension to Wastewater Treatment Plant #3
1. WHO IS AN INSURED — (Section II) is amended
to include the person or organization shown in the
Schedule above, but:
a) Only with respect to liability for "bodily injury",
"property damage" or "personal Injury% and
b) If, and only to the extent that, the injury or
damage is caused by acts or omissions of
you or your subcontractor in the performance
of "your work" on or for the project, or at the
location, shown in the Schedule. The person
or organization does not qualify as an, addi-
tional insured with respect to the independent
acts or omissions of such person or organiza-
tion.
2. The insurance provided to the additional insured
by this endorsement is limited as follows:
a) In the event that the Limits of Insurance of
this Coverage Part shown in the Declarations
exceed the limits of liability required by a
"written contract requiring insurance" for that
additional Insured, the insurance provided to
the additional insured shall be limited to the
limits of liability required by that "written con-
tract requiring insurance ". This endorsement
shall not increase the limits of Insurance de-
scribed in Section III — Limits Of Insurance.
b) The Insurance provided to the additional in-
sured does not apply to "bodily injury", "prop-
erty damage" or "personal Injury" arising out
of the rendering of, or failure to render, any
professional architectural, engineering or sur-
veying services, Including:
1. The preparing, approving, or failing to
prepare or approve, maps, shop draw-
ings, opinions, reports, surveys, field or-
ders or change orders, or the preparing,
approving, or failing to prepare or ap-
prove, drawings and specifications; and
11. Supervisory, inspection, architectural or
engineering activities.
c) The insurance, provided to the additional in-
sured does not apply to "bodily injury" or
"property damage" caused by "your work"
and Included in the "products- completed op-
erations hazard" unless a "written contract
requiring insurance" specifically, requires you
to provide such coverage for that additional
insured, and then the insurance provided to
the additional insured applies only to such
"bodily injury"' or "property damage" that oc-
curs before the end of the period of time for
which the "written contract requiring insur-
ance" requires you to provide such coverage
CG D2 47 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2
COMMERCIAL GENERAL LIABILITY
43
U
or the end of the policy period, whichever Is
earlier.
The insurance provided to the additional Insured
by this endorsement is excess over any valid and
collectible "other Insurance ", whether primary,
excess, contingent or on any other basis; that is
available to the additional Insured for a loss we
cover under this endorsement. However, If a
"written contract requiring insurance" for that ad-
ditional insured specifically requires that this in-
surance apply on a primary basis or a primary
and non - contributory basis, this Insurance is pri-
mary to "other Insurance" available to the addi-
tional insured which covers that person or organi-
zation as a named Insured for such loss, and we
will not share with that. "other Insurance ". But the
insurance provided to the additional Insured by
this endorsement still is excess over any valid
and collectible "other insurance ", whether pri-
mary, excess, contingent or on any other basis,
that is available to the additional Insured when
that person or organization is an additional In-
sured under such "other Insurance ".
As a condition of coverage provided to the
additional insured by this endorsement:
a) The additional Insured must give us written
notice as soon as practicable of an "occur-
rence" or an offense which may result in a
claim, To the extent possible, such notice
should include:
i. How, when and where the. "occurrence"
or offense took place;
11. The names and addresses of any injured
persons and witnesses; and
III. The nature 'and location of any Injury or
damage arising out of the "occurrence" or
offense.
b) If a claim Is made or "suit" is brought against
the additional Insured, the additional insured
must:
tw telecom Inc.
HJGLSA15OD433110
Effective: 05 -01.10 to 05 -01 -11
1. Immediately record the specifics of the
claim or "suit" and the date received; and
11, Notify us as soon as practicable.
The additional insured must see to it that we
receive written notice of the claim or "suit" as
soon as practicable.
c) The additional Insured must immediately
send us copies of all legal papers received in
connection with the claim or "suit ", cooperate
with us in the investigation or settlement of
the claim or defense against the "suit ", and
otherwise comply with all policy conditions.
d) The additional insured must tender the de-
fense and Indemnity of any claim or "suit" to
any provider of "other insurance" which would
cover the additional insured for a loss we
cover under this endorsement. However, this
condition does not affect whether the insur-
ance provided to the additional Insured by
this endorsement is primary to "other Insur-
ance" available to the additional Insured
which covers that person or organization as a
named insured as described in paragraph 3.
above.
5. The following definition is added to SECTION V.
DEFINITIONS:
"Written contract requiring Insurance" means
that part of any written contract or agreement
under which you are required to include a
person or organization as an additional in-
surdd on this Coverage Part, provided that
the . "bodily Injury" and "property damage" oc-
curs and the "personal injury" Is caused by an
offense committed:
a. After the signing and execution of the
contract or agreement by you;
b. While that part of the contract or
agreement is in effect; and
c. Before the end of the policy period.
Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 47 08 05
TRAVELERS WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 99 03 76 (00) —
tw telecom Inc.
POLICY NUMBER; HC2JUB3758C58110
Effective: 05.01 -10 to 05 -01.11
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
ENDORSEMENT - CALIFORNIA
(BLANKET WAIVER)
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule.
You must maintain payroll records accurately segregating the remuneration of-your employees while engaged in
tha work described in the Schedule.
The additional premium for this endorsement shall .be
mium otherwise due on such remuneration.
Schedule
Person or Organization
City of Bakersfield, its mayor, council,
officers, agents, employees and volunteers
DATE OF ISSUE: 05 -01 -10 ST ASSIGN:
% of the California workers' compensation pre-
Job Description
Mill Creek Linear Park
Electrical Distribution System
Jun,18. 2010 1:30PM TIME WARNER TELECOM
Fax
Date; June 18, 2010
To: Permit Technician
Fax: 661.852.2012
Phone:
No, 0528 P. 1
J�tw telecom.
1W telecom inc.
\, 10475 Park Meadows Drive
Littleton, CD 00124
# of Pages: 15 Including Face Sheet
tw telecom
From: Robert Harrison
Phone: 559,255.3753
FAX 650,256,3771
RE: Permit Request 9700 Stockdale Highway, Bakersfield
ZUI gent Q T'or• Review ❑ Plea. +r. C:urrrrnrrrl 0 .!Tram. reply ❑ Please Recycle
NGTP.,S /CCUNIMRNTS:
Please issue a permit to tw telecom place one 1.25 -inch HDPE conduit, two pull boxes, and one 12 -count
fiber optic cable from the south side of Truxtun Ave to 1810 Westwind Ave, This will require excavating to
expose and intercept existing tw telecom facilities on the south side of Truxtun Ave, bore from existing tw
telecom facilities on the south side of Truxtun north traversing Truxtun Ave, east on Truxtun, and north on
Westwind to the building entry conduit, and set one pull box in sidewalk on Truxtun Ave and one pull box
in sidewalk connecting to the building entry conduit. Place one 1.25 -inch HDPE conduit from new box on
Truxtun to building entry conduit, and intercept building entry conduit, using a wye- connection.
Tw telecom plans to start construction on 06- 28 -10. Please call 559 266 3753 with any question.
When the permit is ready, please FAX to 559,253.3771, or call 559.256.3753 for pick up.
,��r telecom
Robert B. Harrison tw telecom inc.
iawor Qtr /Cif /A Plsvlt [ r'nginear 7575 N. Del Wr Avc 11106
Fresno, Ca 03711
T 5661.2liG.3763
f- 559.266.3771
kob0 it. Hnrrison-,'g) Wfe lecom.con)
Attachments: Permit drawing
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Jun.30. 2010 12:42PM TIME WARNER TELECOM No,0533 P. 1
Fax US< �Otelecoms
twteleCOM inc.
10476 Park Meadows Drive
LllifeIon. CO 60124
Date: June 30, 2010 # of Pages: 14 Including Face Sheet
tw telecom
To: Permit Technician From: Robert Harrison
Fax: 661.852.2012 Phone: 559.256.3753
Phone: FAX $69.256.3771
RE: Kermit Request 9700 Stockdale Highway, Bakersfield
ElUtgent 121 1,'oyRevlew 0 Please Comment 0 ,Please 4# A Please Recycle
N0Tr7,SjC0MMFN'1'&
Please issue a permit to tw telecom to excavate, expose, and intercept tw telecom facilities on the north
side of Stockdale Highway, and the 4 -inch building entrance conduit in the green belt. Intercept one fl-
inch building entry conduit, using a wye•connection extend up to surface. Bore and hand trench from
existing tw telecom facilities in street to the building entry conduit and set new pull box in green belt.
Place two 1.25 -HDPE conduits from street to new pull box and pull in one 12 -count fiber optic cable from
the server room in 9802 through building entrance conduit, new pull box and twtc street conduit to pull
box in front of front of 9602.
Tw telecom plans to start construction on 07- 19 -10. Please call 559 256 3753 with any question.
When the permit is ready, please FAX to 559.253.3771, or call 559.256.3753 for pick up.
�jpv telecom
Robert 13. Harrison tw telecom inc.
Senior Outside Plant Engineer 7576 N. Del Mar Ave #106
Fresno, Ca 93711
T $69.256.3763
F 569.256.3771
Robert.Harrison@twtelecom.com
Attachments: Permit drawing
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JUN ,16'2010
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10475 Park Meadows Orlve
Lilllelon, CO 80124
# of Pages: 15 Including Face Sheet
tw telecom
From: Robert Harrison
Phone: 559.256.$753
PAX 569.266.3771
IZUgvent 01-or Revreip El ,Please Comment Q mvase Reply d Pleare recycle
NOTES /COMMENTS:
Please issue a permit to tw telecom 'Excavate to expose and intercept tw telecom facilities at the
intersection of 17'h and Eye Street Hand trench from existing tw telecom facilities to the City pull box.
Intercept one vacant 1.25 -inch conduit, and extend to City pull box.
Pull one Maxcell Inter -duct and one 12 -count fiber optic cable from the existing tw telecom pull box on the
North West corner of 17`h and Eye to server room at 1501 Truxtun utilizing City of Bakersfield conduit.
Tw telecom plans to start construction on 07- 19 -10. please call 559 256 3753 with any question.
When the permit is ready, please FAX to 559.253.3771, or call 559.256.3753 for pick up.
Robert B. Harrison
Senior Outside Plant Engineer
Attachments: Permit drawing
�Otelecorn
tw telecom Inc,
7576 N. Del Mar Ave #106
Free -no. Ga 93711
T 559.296.3753
F 559.256.3771
Robert. Hardson @twtelecom.cam
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