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Home My WebLink About2601 F STENCROACHMENT 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 . . . . . 14- 30000056 Date 8/20/14 Property Address . . . . . . 2601 F ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor ---- --------- ----- - - - - -- ---------------- ---- - - -- NEW ADVANCES FOR PEOPLE WITH D OWNER 2601 F ST BAKERSFIELD CA 93301 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1514165 Permit Fee . . . . 208.00 Issue Date . . . . 8/20/14 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Place wrought iron fence, 6 ft high, along F and 26 Streets behind sidewalk. 2601 'F' Street ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---- ------- - - - - -- ---- - - - - -- ---- - - - - -- - --- - - - - -- ---- - - - - -- Permit 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 to revoke the permit at any tim . Signature of Applicant (Owner gen 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 GRANTE ) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT `f APPLICATION FORM d CITY OF BAKERSFIELD w� PUBLIC WORKS DEPARTMENT cA'� 1501 TRUXTUN AVE R �L LIFO BAKERSFIELD CA 93301 _ (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ENCROACHMIENT(Address required where available): 62601 F-0-- _ If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME OF APPLICANT G W 1 � " P; i��h �15a 1 e5 COMPLETE ADDRESS: PHONE: (101-3 9 S - B (o) FAX: \ CELL: Q G PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): •'f l?7iA Al M / (-b le— Yo ~/04 . -2 % q' OP- 16 ' %%Gi% V 1rp.5S 100 in/ g /P. `l PERIOD OF TIME FOR ENCROACHMENT: NDE INITE OTHER: ircle) .n CONTACT PERSON N168 PHONE: 6M ) 4 Cl 53 q - 3 YD 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 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 Encroachment Permit Fee:. $208.00 S :IPERMITSILNCROACH\Encroachment Permit Req Form.DOC January 2009 B A K E R S I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 83301 (661) 326 -3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk wi in the public right -of -way. 26 A (Street for proposes enc,,rooachmenlj �"� (wn rs atne ?c l e.G 6G� / . cS}% PhQna %G I , J 7 S (Address or proposed encroachment) SIGNED: 1.) Name: UVuV\ + Address: LA ' yo 2.) Name: �' Addres �z"_ - 3.) Name: _ Address: �tGra k�• �� ,..,� 1l q11 4.) Name: Address: 5.) Name: Address: 6.) Name: Address: Date: / 11,,17 U Date: Date: Date. Date, -Date: Aug,21, 2014 9:03AM hi Montgomery Insurance 'r�� — CERTIFICATE OF LIABILITY INSURANCE No. 3062 P. 1/1 F DATE(MMIDD/YYYY) /21/2014 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If tho certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, cerlaln pollcles may require an endorsement, A statement on this certificate does not confer rights to the certificate holder In Ileu of such endoreement s). PRODUCER R,W.Montgomery Insurance Services 5500 Ming Ave, Suite #270 BakerBfield, CA 93309 License #:0579984 N N A rn IJE (661) 832 -9311 we No:(661) 832 -8620 ADDRESS: lindadrwm@ yahoo. com R TOMER 10 fi;!• INeURER(31 APFORDIND COVERAGE NAICo INSURED NEW ADVANCES FOR PEOPLE WITH DISABILITIES 2601 F STREET BAKERSFIELD, CA 93301 661- 395 -1361 INSURER A: NONPROFITS' INSURANCE ALLIANCE OF CALIPO"JA wsURERB:NORTH AMERICAN ELITE S 1,000,000 INsuRER 0; Cypress Insurance X COMMERCIAL GENERAL LIABILITY INSURER D: INSURER E' INSURER F: PREMISES (Ea omrrs ce GUVt-KALiCJ C1FU I IFIUATF K111RAPPWI DCVIQVIAI KI1IneDCD• 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 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I�Tp TYPE OF INSURANCE INeR POLICY NUMBER rAA DD/rWY MM D LIMITS GENERAL LIABILITY FACN OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea omrrs ce g 100,000 CLAIMS•MADE 0 OCCUR MED EXP (Any one person) $ 10,000 A X Prof.. Liability 2014 -03625 09/01/14 OB/01/15 PERSONAL aAOVINJURY 000 S 1A00,000 }'; �a'OCi]Ai Services _ GENERAL AGGREGATE g 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP.AGG S 21000,000 POLICY PE 0 LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1f,000,000 ANYAUTO BODILY INJURY (Per person) $ ALL.OWNED AUTOS BODILY INJURY (Per accidenO S A, X SCHEDULED AUTOS 2014 -03625 09/01/14 08/01/15 PROPERTY DAMAGE S }: WIRED AUTOS (Per accidenl) X NON -OWNED AUTOS S S UMBRELLA UAB' X OCCUR EACH OCCURRENCE g 3,000,000 AGGREGATE S 3,000,000 A EXCESS LIAR tLAIMS•MADE 2014-03625 09 /01/14 09 /01/15 DEDUCTIBLE g S RETE010N . S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCS OTH- X TORY IMIT C YIN AN V PROPRIEYORIPARTNEMEXECUTroE a 07 EXUUDEO7 "'A E,L.EACHACCIDEN7 .. g 1,.000 000 � E.L. DISEASE - EA EMPLOYEE S 1 , 0 0 0. , O,O O oaaRyyInNO) 3300059488 -141 07/01/14 07/01/15 If Yed dev4t a under DESLRiPTION OF OPERATIONS bolow E.L. DISEASE • POLICY LIMIT S 1,000,000 A I IMPROPERT SEXUAL CONDUCT 2014 -03625 0e /O1 14 08/01/15 $1,000,000 GENERAL AGGREGATE B 'Property 1 1 12014-03625 08/01/14108/01/15 $6,940,050.00/DED $500 DESCRIPTION'OF OPERATIONS I LOCATIONS I VEHICLES (At(ach ACORD 101, Additional Remarks Senedule, it rnore cpsco to required) TH.E:: _CITY OF BAKERSFIELD, ITS MAYOR, COUNCIL, EMPLOYEES, AGENTS AND VOLUNTEERS ARE ADDED AS ADDITIONAL INSURED'S WITH RESPECT TO PERMETER WROUGHT IRON FENCE at 2601 F STREET, BAKERSFIELD, CA 93301 UtK11hIL%Nlt HULUtK CANCELLATION B1�RSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVENUE BAKERSFIELD, CA 93301 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.' AUTHORIZED REPRESENT IVE 0 88 -2009 AC-OR CO ORATION. All rights ACORD25(2009/09) The ACORD name and logo are registered marks of ACORD V� 9/ALl/) Ll M�1 Vo OR Ali. - �1 M MIN 1 r r n 1 tot -tv A8 g � C tAl 6Riri �. =n1 ,• r7 �1 � ►tea 0 �.• Ott ,� t r. 2613 F St - Google Maps GOOSIC- Address 2613 F St Address is approximate Page 1 of l https:/ /maps. google. com /maps ?q =2601 +f +st, +Bakersfield, +CA& sll =3 5.3 83175, - 119.023 8... 9/24/2014 2613 F St - Google Maps C Address 2613 F St Address is approximate Page 1 of 1 24, r t1i t^ f ! Nib. a t` In i MAW �,W i. as e t d',�1�jd�R.� fi: � '° ti • F.d �Yl`d - ' .- ^d'y�i i r a� W4 4 y`h s. IN y y�nyr,*� sypax C 13 ✓ � 7"t I • E A K E P S F I E E D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 28, 2014 SUBJECT: Encroachment Permit Application for: 2601 F Street Name of Applicant: NAPD Description of Encroachment: Place 6' high wrought iron fence along F Street and 26th Street behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. e2'6 5' � /tilt 16F .- 3 -- 7A S: \PERMITS \ENCROACH \TRAFFIC\2601 F St.doc D A Imo. E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 28, 2014 SUBJECT: Encroachment Permit Application for: 2601 F Street Name of Applicant: NAPD Description of Encroachment: Place 6' high wrought iron fence along F Street and 26th Street behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANCE \2601 F St.doc