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Home My WebLink About3700 river blvdENCROACHMENT 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 . . . . . 09- 30000023 Date 5/18/09 Property Address . . . . . . 3700 RIVER BLVD Application type description PW - ENCROACHMENT PERMIT Owner Contractor - ------------------------ ----------------------- MARSHALL E HELM CORP OWNER P O BX 1726 BAKERSFIELD CA 93302 ----------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 906784 Permit Fee . . . . 208.00 Issue Date . . . . 5/18/09 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ----------------------------------------------------------------- Special Notes and Comments Greenlawn Cemetery would like to plant roses bushes and irrigation system on the River Blvd.side of the cemetery. This will be in the city R.O.W. -------------------------------------------------------------- Fee summary Charged Paid Credited - - - - -- ---- - - - - -- -- Due - - - - -- ----------- - - - - -- ---- - - - - -- ---- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledge a right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. (i " Siena Ap cant ( r/Agent) Print Name I HEREB 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 PERSONS PLACE WHERE ID PUBLIC P ACE; BE LOCATED ATION (IS WILL (NOT) CONSTITUTE A HAZARD THEREFORE (GRANTED) (DENIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back Applicant agrees that if this application is granted, applicant shall indemnify, defend, and hold harmless CTTY, 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 or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant, or in any way arising from, the terms and provisions of this permit or the placement, use (by applicant or any other person or entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment during the life of the 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 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 issuance evidencing sufficient coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required. I have read and acknowledge the above. Applicant's Initials B A K E R S F I E L ID PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: May 26, 2009 SUBJECT: Encroachment Permit Application for: 3700 River Blvd Name of Applicant: Marshall E Helm Corp. Description of Encroachment: Greenlawn Cemetery would like to plant rose bushes and irrigation system on River Blvd. side of cemetery. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. Idl S: \PERMITS \ENCROACH \INSURANC \3700 River Blvd.doc B A I-Z E R S F I E T— I PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Civil Engineer II FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 9, 2009 SUBJECT: Encroachment Permit Application for: 3700 River Blvd. Name of Applicant: Marshall E. Helm Corp. Description of Encroachment: Greenlawn Cemetery to plant rose bushes and install irrigation system on River Blvd. side of cemetery.. Please review the attached encroachment permit and return to me at your earliest convenience. VF S: \PERMITS \ENCROACH \TRAFFIC \3700 River Blvd..doc • S A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 14, 2009 SUBJECT: Encroachment Permit Application for: 3700 River Blvd. Name of Applicant: Marshall E. Helm Corp. Description of Encroachment: Greenlawn Cemetery to plant rose bushes and install irrigation system on River Blvd. side of cemetery. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to install fence as described above. The applicant has provided proof of appropriate insurance coverage to Risk Management. Based on their review, staff recommends approval of the permit. SAPERMITS\ENCROACH\2009 approval letters \3700 River Blvd..doc ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 LOC TION OF ENC O CHMENT(Ad ress required where available): �)'l 0 b Q,f - . -),>30s 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 MARSHALL E. HELM CORP COMPLETE ADDRESS: 3700 RIVER BLVD. BAKERSFIELD CA 93305 PHONE: 661 324 -9701 FAX: 661 324- 97118 CELL: Ctoto6 j® k- °��"�� PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): IRRIGATION SYSTEM AND ROSE BUSHES PERIOD OF TIME FOR ENCROACHMEN : INDEFINITE OTHER: ease CONTACT PERSON JIM LaMAR PHONE: 661 324 -9701 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 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 mpon 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. Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Encroachment Permit Fee: $208.00 S:\PERMITS\ENCROACI4\-Encroachment Permit Req Form.DOC 0 q- 3 coo vO;z 3 January 2009 . j CITY OF BAKERSFIELD DEPARTMENT OF PUBLIC WORKS TO WHOM IT MAY CONCERN: We the undersigned , have no objection to the construction of a fence beside the sidawalk within the public right of w2Y. RIVER BLVD. BV' MARRHATT F 11VT.M__ (Street for puposed encroachment) (Owners Name) S 3700 RIVER BLVD. Phone: 661 324 -9701 of BAKER SFIELD,A 305 -- f, Cdress of purposed encroachment) SIGNED: _ f t 6 1 j Name- cf Date: ` Address: -11U—R-11 u iZ d ..._. - / � � A 2) Name: R� Address: i>�77 3 3 Name: '5761 , v ' r OA 1 � O+ `6c,� Address: Q� -V ate: 4) Name: _ Address: S) 2Me-- - ---- -- �°°_ _. R Address: Z-0— 6) Name: Address:l �� a W ye D � 1 j D 0 Al, 6-� 0 Q-7 q JT7 (-V,-7 I-- ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID BY DATE(MM,DDIYY GREEN-1 05/15/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION TYPE OF INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Clifford & Bradford Ins Agency 1515 20th Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bakersfield CA 93301 REPRESENTATIVES. AUTHORIZED REP14JESENTATIVE Phone:661- 283 -8100 Fax:661- 283 -8111 INSURERS AFFORDING COVERAGE NAIC;<# INSURED INSURER A: Unigard insurance Company S 1 000 000 A INSURER R X COMMERCIAL GENERAL LIABILITY INSURER C: € 01/01/09 Greenlawn Cemetery P.O. Box 1726 Bakersfield CA 93302 W INSURER D: 5100,000 INSURER E: CLAIMS MADE kwl E OCCUR COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 3SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRr:CT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT -!'0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR (D NSR TYPE OF INSURANCE POLICY NUMBER I pATE MM1�DA7E MMEXPIO mJ L1M'TS REPRESENTATIVES. AUTHORIZED REP14JESENTATIVE GENERAL LIABILITY EACH OCCURRENCE S 1 000 000 A X COMMERCIAL GENERAL LIABILITY CM012928 € 01/01/09 01/01110 PREMSES(Ea enc�e) 5100,000 CLAIMS MADE kwl E OCCUR ME EXP (Anyone person) S5,000 PERSONAL & ACV INJURY '0 X Professional Liab GENERAL AGGREGATE s2,000,00 G€N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOP AGG S 00 POLICY 3EC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 A X ANYAUTO CM012928 01/01/09 01/01/10 {Ea actadant} BODILYINJURY 5 S ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per acc denl) PROPERTY DAMAGE I S _. (Per accident) T GARAGE LIABILITY AUTO ONLY- EA ACCIDENT . $ OTHER THAN EA AC(I 5 ANY AUTO ! 5 i 11113 AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY I EACH OCCURRENCE $10,000,000 A X OCCUR Fl CLAIMSMADE CU'0'! 3996 01/01/09 01/01/10 AGGREGATE $10,000,000 5 S DEDUCTIBLE iX RETENTION $10,000 ff S WORKERS COMPENSATION AND € f TORY LIMITS ER_ EMPLOYERS' LIABILITY E L EACH ACCIDENT S ANY PROPRIETOPJPARTNEPJEXECUTIVE S OFFICERIMEMBER EXCLUDED? E( DISEASE - EA EMPLOYEE Ifyes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMFF I S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 DAY NOTICE OF CANCELLATION FOR NON - PAYMENT OF PREMIUM. CERTIFICATE HOLDER CANCELLATION CITYOBA SHOULD ANY OF THE ABOVE DESCRIBED POLtCEES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WELL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CITY OF BAKERSFIELD PO BOX 2057 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR BAKERSFIELD CA 93303 REPRESENTATIVES. AUTHORIZED REP14JESENTATIVE ACORD 25 (2001108) OACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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 endorsement(s). DISCLAIMER The Certificate of insurance on the reverse side of this form does not constitute a contract bet4veen the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon, 12(1011091 it It is ii it it TIN lit it Nil It QGD it ,, � � '\ `� ' - ` ' �,,,.. `r . , Y ,,' , ` � � � _ ! ��•,� k it LA