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Home My WebLink About2111 BRUNDAGE LNENCROACHMENT 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 . . . . . 14-30000035 Date 4/30/14 Property Address 2111 BRUNDAGE IN Application type description PW - ENCROACHMENT PERMIT Oscar Contractor ________________________ ________________________ KERN HUMANE SOC INC OWNER 2111 BRUNDAGE IN BAKOMFIRLD CA 93304 Permit . . . ENCROACHMENT PERMIT Additional desk . . Phone Access Code 1462464 Permit Fee 208.00 Issue Data . . . . 4/30/14 Valuation . . . . 0 Qty Uhit Charge Per Extend on BASE FEE 208.00 Special Notes and Comments Existing chain link fence around commercial property. Contact Arlene Hunter (661) 742-3910 - Fee summary Charged Paid Credited u___________ 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 revokkeej the permit att� any time. t7GGyt&1 Ar I en 2 U /I Te r - `Signature of Applicant (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) CONS TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE NTE (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back ffl ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661)326-3724 Fax:(661)852-2012 LOCATION OF ani/ ENCROAC IMENT(Address regm where available):._ ----- � 9 0 If there is no address adjacent to work describe limits of work by distances from nearest existing: treet intersection. FULL NAME OF APPLICANT COMPLETE ADDRESS: e21A 7=05c CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or w ught iron fence, co rcrete block wall, raised plan) r, etc.): -, ez PERIOD OF TIME FOR ENCROACHMENT: �NDEFINITE r OTHER: CONTACT PERSON (,i/u'F�rt.Q. r! (CA/{'[RX/(. a PHONE: &&L %yZ -39/O Applicant agrees that ifthis application is granted, applicant shall indemnify, defend and hold hat mless 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 ofany kin) 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 tv or rialut of way where the same is located, and restoresaid public property or right of wa ✓ to the condition as as that in which it was before the placing, erection, maintenance or existence ofsaid encro chmcm. 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 C rtificate of Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required, fhe type(s) and amount(s) of insurance coverage required arc: Residences: Homeowners General Liability coverage in an amount of at least $300,01u).00 Commercial: Commercial liability coverage in an amount of al least $1,000,000.00 Encroachment Permit Fee: $205.00 SAPERM H S\LNCROACH\Encroachment Permit Req Form.DOC January 2009 B A K E R S F 1 E L D Public Works Department 1501 Trumun Avenue Bakersfield, California 83301 (661) 3263724 TO WHOM IT MAY CONCERN: We the undemigneo, have no objection to the construction of a fence beside the sidewalk within tie public right-of-way. f� (Sates for proposedJ enc ac m�en//l) (Address or proposed encroachmen[ SIGNED By, A�Oln wn rs ame 1hm,- /V /0ia ass9 1.)Name:91a, /�._ Date: `/•�oC /� Address: QT _ 2-) Name: 13/1'KF.RSrTi6G.D CA,438O[� e� .-�„y� ¢pn:�A)w s� Date: 41z.o/1— Address: ztolra- 3.) Name: I Ll.�r[•'�— Nwlw�'1 �'�� o Address: � f O7 ft!✓n .4 -aLGcts A- -8l`—lai CA - 4,) 4.)Name Cil S' ` r� Date: (Ji(•2j3-fie_ Address: 5.) Name: Date: Address: j�f'i0 Z3 fUA4 �p (4cHe 6.) Name: Ka her -L D • �J Address: iz 1 y, K a. I f a�L-fiJ 7) NoirK: 9 From:Rebelmll ShaIe F.ID:CliOord Bradford Page 2of3 OMACM01404:21 PM Page:2 of 3 /—"i 4C®R®, la�. THIS CERTIFICATI Agonay CERTIFICATE OF LIABILITY INSURANCE OATC VANW "'I AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS IRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED They require Rn M,borsem.M A ataamont on thls ceMikalt. do. not confer GOvhHAGeb--..- THIS iS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS, IXCLUSIONS AND CONDITIONS OF SUCH. POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIJNMS. IA T'PEOf&6UflANCE X COHIAENONI NEPN. LAMU Y %❑ OCCUR '% POLICY.NUM0E0. M NMVYY MMmdWW UNTR BDG001195306 07/1112009 07/1412010 EACHOCCURRENCE E 1r0OB,BB Pra D s 100.00 MEDIDR(Anymu m¢ml 4 6r00 Peasaxuaruvmmnr i 1,000,00 GENLAGGREGATEUMNAPPLESPet X PDIKY0 JECOiLj LOC J= GEIERPLAGGRECATE S 1,000,00 PRODNCT6-COMP/OPAGG s EXDLUDE ER' AUTO MOBILE UAaUNY COMBINED LE IMIi g to DRY INJIURY IPar pamp) ANYAUTO on NED SOHWULE ALNO6E71 NGNOSWXED BODILY INNRY IPmaa+LW) 5 pEl,(sy yA E B C`NACL1AU. OCCUR [ACx OECURR[NCE AGGREGATE S IXaE5. CWMSNADE -0ED S TATUTE GL FlrCXACCIDFNT s AND EM%AYfR6'LIA9ILT' TINFArn AND Ra n"e'WAIILN Any EG DI6EA6E.FAEMPLOYEE b .PFICEOPRIBTORPPRTNFAIE%ECUIIVE ❑ IYemtlel¢ryE1MNm E%CW DEDi NIA DE6C IPTION V-110!INUI IR— E.L. DIISASE-POLICYLIMR S D66CRIPTNN OF OPERA90N61LOCAPONB/ VExICLEG IACORO sD,Atltlllbnal R¢madaeC2dUq may po aXc1,gU Xn,ore apaceM mqulretll installation O£ chain link fence 9 2111 Brundage Lana T6a city o£ BakarsFlekd, ita Nayor, council, employoos, agents and wluntoors azo additional insured tO the general ltebility Par £grm CG2010 BT/04 GEKI IFItiAI C 1M1V Lu�rt CITYBAK SHOULD ANY OFTHE ADESCRIBED POLICIES LCANCELLED BEFORE THE EXPIRATION DATEM TTHEREOF, NOTICE IMLL BE DELIVERED IN _ CITY OF BAKERSFIELO ACCORDANCE WITH THE POLICY PR0VI310N3. Public Works Dept 15DI TRUXTUN AVE AUTHORED REPR MTFTP/E BAKERSFIELD, CA 93301 M 1985:2014 ADDED CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are regisi[red marks of ACORD From:Rebekah she" F.ID:Ufflord Bradford Page of Date:429R01404:21 PM Page:3 of Policy Number: CBP3169435 CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provide under the following: COMM M- CIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Nemo Of Additional Insured= Or entrails. sLocations A, — Of Covered0 ratbnCity Of Bakersfield, its mayor, councidage Laneagents and volunteersinformation aired towm let -this will be shown in the Declarations re - A. Section II - Who Is. An Insured is amended to include as: an additional insured the person(s) or organization(-) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or `personal and advertising injury" caused, in whole or in part, by: I. Your acts ca omissions: or 2. Theactsoromissionsofthoseactingon yourbehalf, In the performance of your ongoing operations for the additional insured(S) at the locatiun(s) designatedabove. B. with respect m the insurance afforded in these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including. materials, parts or equipment famished in connection with such work, on the .project (other than service, maintenance or repairs) no be performed by or on behalf of the additional insured(s) at the location of the coveredoperations has been completed; or 2. That portion of`your work" out of which the injury or damage arises has been put to its intended use by any person or organization other then another contractor or subcontractor engaged m performing operations for a prhtcipal as a part of the same project. CO 2010 07 04 ISO Properties, Inc., 2004 Page 1 of 1 From:Rebelah aheley Fa10alRord Bradford Page 1 e3 oate:429201404:24 PM Page:t of Gb Clifford & Bradford FAX Clifford & Bradford Insurance 151520th Street, Bakersfield, CA 93301 CA License #0673141 J"wmw 49p.NL'.L,L 661-283-8100 or 800-327-3833 77— --7� Fax 661-283-8111 From: Rebekah Sheley To: P. Enriquez Pages: 3 Fax: (661)852-2012 Date: 4/29/2014 04:21:43 PM Phone: ( ) - Subject: Kern Humane Thrift Store Message: Hello - Enclosed isthe requested certificate of insurance. Please feel free to contact me with any questions. Rebekah The information contained in this electronic transmission is intended only for the personal and confidential use of designated addressee indicated, and is intended to be privileged and/or confidential. If the reader of this transmission is not the intended recipient or addressee, you are hereby notified that you have received this transmission in error, and that any review, dissemination, distribution or copying of this electronic transmission or any of the information contained herein, in any manner whatsoever, is strictly prohibited. If you received this transmission in error, please notify the sender immediately. Thank you J �s Z Z ��aro r vro _ o I` U Q Q B s Es LSI U b W � z 0 0 J J ��aro r vro _ o Q Q s Es LSI U b J • PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 30, 2014 SUBJECT: Encroachment Permit Application for: 2111 Brundage Ln Name of Applicant: Kern Humane Society Description of Encroachment: Existing chain link fence around property. Please review the attached encroachment permit and return to me at your earliest convenience. S?PERMITS\ENCR0ACH\TRAFFIC@111 Bwdage Ln.doc .g • B A R E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager V FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 30, 2014 SUBJECT: Encroachment Permit Application for: 2111 Brundage Ln Name of Applicant: Kem Humane Society Description of Encroachment. Existing chain link fence around property. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:IPERMITS\ENCROACHVNSURANCEH111 Brundage Ln.doc