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Home My WebLink AboutSTOCKDALE RANCH W/STOCKDALE HWYENCROACHMENT 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 . . . . . 14-30000065 Date 11/12/14 Property Address STOCKDALE RANCH, S/ STOCK DR Application type description PW - ENCROACHMENT PERMIT Owner Contractor WM BOLTHODSE POEMS INC 0200 E BRMDAGE LANE BAKERSFIELD CA 93307 (661) 366-7209 Permi[ ENCROACHMENT PERMIT Additional de6C . . Phone Access Code . 1552864 Permit Fee . . . . 209.00 Issue Date . . . . 11/12/14 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 ___ --- ________________________________________________ Special Notes and Comments Will be placing a IV irrigation line underground. Work is being done o Stockdale Ranch Drive south of Stockdale Hwy at begi.ing at station 75+00.00 to 79+18.85 per Approved Signed Plans page 3. See Attached Sheet. Contact: Donny Hopkins (661) 330-2612 Fee summary Charged Paid Credited Due Per 1C Fee Total 208.00 208.00 00 00 Applicant;ac�tnaw�dges the rig8d.ot the Catr�.Emgineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Si g6atur e o cant (Owner/Age 1 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 APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661)326-3724 Fax_(661)852-2012 US LOCATION OF ENCROACHMENT(Address required where available): S+ack4l'- AA104 bt'A'/)11�1 If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICAN'111�6z, arxseTkc COMPLETE ADDRESS: 72aoe, Lie. �Aa1 PHONE: 6(91- 54-7700( �FiG!St,a(r� CA- 933ei __ FAX: f -&I— 3s6-2d'IZ CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): oh ire ai;1.... 1 •., 4 z AAA. f, 2.5'0', :. ' c PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE r OTHER: _ yy�� l, (Please Cire e CONTACT PERSON UfgLj_dfM1.irl`.i PHONE: 661 -3.0 -2612 - 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 ofthem, 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 lite of said encroachment or until such time that this permit is revoked. Applicant farther agrees that upon the expiration of the permit for which this application is made, if granted or uoun the (y or right of way where the same is located and restore said public property or right of way to the condition as as that in which it was before the vlacin% 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 arc: 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 III4. S,Vk fCr. ul jun y . ie k( {9 Cao! C l +rt IL f� Ch„19 5 &- 14-31 refxrd, na Gr�rk Ie1 + d WLR -r U'A It u S . Encroachment Permit Fee: $205.00 S:\PEItMI"1518NCROACH\Lneruachmeat Permit Req Form.DOC January 2009 ACOA.DATEIRAMM-Y)") CERTIFICATE OF LIABILITY INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcygesl must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights tothe certificate. holder In lieu of such endersement s). AOOO Risk services central, inc. LAND Philadelphia PA Office NAME?cx TNG Nu, Etll: U61) ]83 -]LII <BVO) 363-0105 % RCIALGENERALLIABILT' one Liberty PlaceoI[ss: 1650 market Street INSURER(S) AFFORDING COVERAGE MAIC. Suite 1000 Philadelphia PA 19103 USA INSURE. INS URER A: Travelers Property CBS CO Of America 25674 INSURERS: American Guarantee d Liability Ins CO 2624] IYm. BOlth0U5e Farm$, Inc. BO1th.Use Farms INSURERL: 7200 E. Brundage Lane Bakersfield CA 93307 USA INSURER E INSURER 1: MEDEXPIAly—peri, $500,000 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested PURS R NPE OF INSURANCE iDSAULO WVO POLIGYNUMRER MM O W20'S LIMITS % RCIALGENERALLIABILT' TC 1GLSA T 4 EACH OCCURRENCE 52,000,000 PREMISES Eascrmmur $1,000,000 ,AN.I.AOE O OCCUR MEDEXPIAly—peri, $500,000 PERSONAL& A.MINJDRY $2,000,000 N APPLIES PER GENERALAGCREGATE $3,000,000 PRODUCTS-COMPSEPAOG $2,000,000 PROEkLE NET:E❑ECI WC OTH AUTOMOBILE LIABILITY TC2ICAP-HHT9868-14 O8/01/2014 08/01/2015 Co ED M.Le LIMIT $3,000,000 Se d—Alm BODILY INJURY (Per person) % ANY AUTO SOOILY INJU RV (PIT a w.E... UL EO AOIOSLIED A TOO HIRECAR OR NON.NEO OPERTYDAMBI IPenaMenl eRELLAUARCUR A356295113 OC 08/01/2014 0810112015 EACH OCCURRENCE $1,000,000 GGREGATE $1,000,000 E%DESS LIFE CLAIMRWIDE mal RETENTION VJORNERSCOMPENSATIONOND EMPLOYERS RnPRETLlACOTY lo DO 'PARTNER EATE ER STATUTE ER EL.EPACHACLIDENT %Lnem (Menenn-I NH) N E. L asSeEFA EMPLOYEE If, i RIPTION OF OPERATIONS below IL. DISEASE POLIOV..IT DESCRIPTION mn OPERATIONS I LOCATIONS (VEHICLES LAC 101,Ander al Resere, SCMOule,—,F slue ae[ 1l eapaaia reQuiretll volunteers are added as additionally insured's with respect TheCtyyOF Bakersfield, its ayor, council, mpl Oyees, agents and r to Stec kdale RanC) Drive North Side irrigation lin underground with regards to the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE AleVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MAINE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, city of Bakersfield I AVTHORREDREPRE6ENTATIME Attn: Risk Management ^� �o � ® 1600 Truxton Avenue c - L.12 wie�G Il 1600BakeTFied CA venue USA O1988-2014 ACORD CORPORATION. All. rights reserved. ACORD 25 f2014101) The ACORD name and logo are registered marks of ACORD L•' AGENCY CUSTOMER ID: .570000029468 LOCM: o ADDITIONAL REMARKS SCHEDULE Page _ of _ ANrNrY Nan Risk Services central, Inc I NkMIDwIONEu wm. Bolthouse Farms, Inc. O1cl numBlP See Certificate Number: 570055719010 FFIEa See Certificate Number: 570055719010 NAIL c01E ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, insurance certificate issued for wm. Bolthouse Farms., Inc. a subsidiary of Campbell soup. Company (acquired March 31,2013). n se.;E r. s P { L G o Public Works n¢partment 1501 Truxlun Meme 88kers6eld, Callrurnla 83301 (661) 3263724 ENCROACHMENT PERMIT REQUIREMENTS Application 2. Permit Fee. of $206.00 3. Drawing; Minimum 8 1/2 x 11 showing encroachment on lot in relation to the existing curb, gutter and sidewalk, along with distances from curb, gutter and sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and any additional information thatmay assist the City in making a determination as to your request. 4. Type and Amount. of Insurance Coverage for fence installation or construction for A Residences Homeowners General Liability coverage to an amount of at least $300,000.00 B. Commercial Commercial General Liability coverage in an amount of at least E1,000,000 00 2 Additional Insured Verbiage (For Commercial) A. The City of Bakersfield, its mayor, council, employees, agents and volunteers are added as additional insured's with respect to (i.e. the installation of a chain link fence at 1501 Truxtun Ave. ). S\Pn<OaO��ar,IParml'sllnavrenceNepuircmenb • E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: November 12, 2014 SUBJECT: Encroachment Permit Application for: Stockdale Ranch Drive Name of Applicant. WM Bolthouse Farms Inc Description of Encroachment: Will be placing a 10" irrigation line underground. Work is being done on Stockdale Ranch Dr. s/o Stockdale Hwy from station 75+00.00 to 79+18.85. Please review the attached encroachment permit and return to me at your earliest convenience. P c, lel 2014 0 q Apr S: PERMITS\ENCROACH\TR FFIC\ .ro kdale Ranch DCdoc Y. ..a T-�: F, R S F I E L I PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager -& FROM: Bob Wilson, Supervisor II, Subdivisions DATE: November 12, 2014 SUBJECT: Encroachment Permit Application for: Stockdale Ranch Dr Name of Applicant: WM Bolthouse Farms Inc Description of Encroachment: Will be placing a 10" irrigation line underground. Work is being done on Stockdale Ranch Dr. s/o Stockdale Hwy from station 75+00.00 to 79+18.85. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S9 ERMITSENCROACH\INSURANCE6 tockdale Ranch or Eac