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Home My WebLink About1600 18TH ST3Ak ENCROACHMENT PERMIT woe, CITY OF BAKERSFIELD e2 PUBLIC WORKS DEPARTMENT �, 1501 TRUXTUN AVE .w-fr 1® BAKERSFIELD CA 93301 LIFO (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 . . . . . 15-30000021 Data 6/11/15 Property Address 1600 18TH ST Application type description PW -.ENCROACHMENT PERMIT Owner Contractor ________________________ CITY OF BAKERSFIELD LIGHTING IN STYLE SSD1 TROXTGN AV PO BOX 413 BAKERSFIELD CA 93301 BAKERSFIELD CA 93302 (661) 912-4800 ---------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional dean . . Phone Access Code 1649029 Permit Fee . . . .00 Issue Date . . . . 5/29/15 Valuation 0 ---------------------------------------------------------------------------- Special Notes and Comments Permit is being issued to allow anchors with string lights. hanging in Wall Street Alley between H Street and Eye Street. As approved, per the Street Permit_ Maintenance such as, removal and/or replacement will be allowed. NOTE Will not be able to add decorations or any other ornamental fixtures without City of Bakersfield approval. Closing of the alley for any intanance will require a Street Permit. Blair Budai (661) 912-4800 ------------------ Applica€deasknidy4edges t�fight of the 1C� Engi6iii, tp9irsuantdSk the Bakersfield Municipal Code Chapter 12.20 to revoke the ermitat an me------- --------- ------ ——--— ------ P Eee TT .00 .Do .00 .00 crap .00 .00 .Oo 00 Signature of Applicant (Owner/Agent) d 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) (DENIW Sairy permit shall expire on date stated above. ignature oT City Engineer Additional Terms on the Back From:VdRi Praft,APO, DISK. CRIS, MILE FE.10:CliRwtl Bradford Paget of DaDC311=01504:59 PM PA1o2 at 4. Ic n,s In: VP 11YYl /�CORO'nn CERTIFICATE OF LIABILITY INSURANCE 0. 3MV20vzals ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, TMS THIS CERTIFICATE is ISSUED 48 A MATTER OF INFORMATION AMEND, EXTEND OR ALTER. THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY NOT CONSTITUTE A CONTRACT BETWEEN THE 1S8UINO INSURERIS), AUTHORIZED BELOW. THIS CERTIFICATE OF INSURANCE DOES REPRESENTATIVE OR FROOUOER, AND THE CERTIFICATE HOLOEfl. IMPORTANT: If the cetllllcate holtl0Y 11 an ADDITIONAL INSURED, D.Po11CAR. must Do endone6 If SUBROGATON IS WAIVED, suEled t0 the terms and condition. of the uaftlr, numn Polldee moy Intel. oa eer.m ment A statement on this c rofidno aoaa not colla Car. to MP cedifkete holder In lieu of each andomement(.. °$ T^. Be. ..is W. Christian ciifford s Bndrord IF..Deny °" .661-2836100 n 66P180-0111 151630th Street Bkenfield, CA 93301 A ..1mialian clifforeandlenuford.com S.F.BBln W. Christien xuov B'dAY msuAce e Associated' dIv-1 In.COE R.A.C. Lighting In style --- Ia....... -- Blair BUg01 C: _INBURFq 3033 EI Encanto#14 Bakarefleltl, CA 83301 I: murder COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1510 CERTIFY THAT TILE PoLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO THIS WHICH TILS ANY REOUIRFMENT, TERM OR OONODION W ANY CONTRACT OR OTHER DOCUMENT N9TH RESPECT INDICATED. NOTWTHBTANOING Ll THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TEPMB, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, CLAIMS. EXCLUSIONEANO CCND 7m.S OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCE. BY PAID Yen xeI.e. m WP Idue, MwatM'w ° untie IS X COMSERIALFOERERALunexltt eeAACHOCCViUENCE 1.000,01) NTETC PEx1E. 100.00 ❑X X N10313.302xW 11101/0014 41101rz01fi IMB.W ce 0 cVP 6,00 Is eadur, SADnIaem 1,000100 .P. _ _.....____. DG !. ce..m1.rx.1m1uT' i. 2.000,00 OExLKcnEw^T[LMn noauFP rte 2.000,00 tEv w1oDJc15 �cOMP10Pn0a s ICOi ❑RX PO AUtt1MCEILeLMCNTY - 60ocvlxmgvlPxPe'°^1 eiYD vlxaxv m..�e.Ml e —'" ^arr�nuLFn EO wnullme _ T. a ARIA -11A. CS., wcH«wn,mc. 1 nCLABEARAdol 1 --xemxwxl enuuivoexr il:iov° s`uOFO} Yx EM L L ln. ,B mrl Ing Px E eMJa.W+OFOP Ft.M n cL Odeon It'A4axme.on. aud.aNy m,V M.,m.... men q,o anaeual CRY OF BAKERSFIELO ITS MAYOR AGENTS, OFFICERS EMPLOYEES AND VOLUNTEERS PRIOR TOLOSS.GL t 09 0611 ATTACHED INS AS REQQUIRED BV R WRITTEN CONTRACT IN PLACE TIFICATE HOLDER CANCELLATION CITVDAe BH.MG ANY OF S BE CBE C E ABOYS eNDTCEI THE EXPIRATIOHH DATE THEREOF WILL DELIVERED IN OF BAKERSFIELD ACCOROA...1. THE PolmY PR.R.N.. : RISK MTG. 7SIAKERSFIELD. RUXTUN AA 93300R CA SJ309 nn„ nrnen.•nwonRAT(ON. all .i°htn reAarvad. AOOR025(2014SM) The ACORD name and 100° are reglanned mark. of ACORD PramMW red, AA, CISR, CRIS. ALIS FoodD.Ciflord Bradford Page 3 oft Date 311=015 04:59 Pro Paga:3 or 4 POLICYNUMBER: 1IN103136302 COMMERCIAL GENERAL LIABILITY NX GL IBS a6 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSUREDS - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART /Number: XN10a13B902 Named Insured' PL AIR RUDA1 LIGHTING IN STYLE Endorsement Effective: 11101/14 Counter Signed By'. SCHEDULE a.m. Name of Person or Organization: Any person or Organization that the named Insured isobligated by virtue of a written contract or Agreement to provide Insurance such as is afforded by thin policy. I. acation'. (If no entry appears above, information required to completo this andorsement will be shown in the Declarations as applicable to this endorsement.) A Section 11— Who Is An Insured is amended to Include as an insured the person or organization shown In the Schedule, but only to theeMent[hat the person oromznization shown in the Schedule is held liable for your acts cr omissions ening out of your ongoing operations performed for that insured. B. With respectto the insurance affordedto these ekiniche insureds, the following exclusion isadded 2. Exclusions This Insurance does not apply to "bodily injury' or "property damage- occurring after: (1) All work, including materials, parts or equipment furnished In connection with such work, on the project (other then services, maintenance or mpairs) to be performed by or on behalf of the additional insuretl(s) at the site of the covered operations has been completed: or (2) That portlon or your work" Out ofwhich the Injury or damage arses has been put to hs intended use by any person or organization other than another contractor or subcontractor engaged In performing operations for a principal as a on of Na same. project. C. The words "you" sod "your" refer t0 the Named Insured shown in the Declarations. NX OL 189 0611 Pago 1 a42 Includes copyrighted material of Insurance Services Office, Inc., with Its permission FromVital Far. Mt. CISR. CRIS, MLI$P-10Clifford Sadford Pace 4 of Oale:311220 15 04S9 PM Page4 of COMMERCIAL GENERAL LIABILITY NX GL 199 06 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. D. The dilowing are added to SECTION V— DEFINITIONS; 'Yourwork"means woikorection such orkby youor on your behalf; and materials, parts or equipment furnished in connection with ouch work or operations E. The following additional provisions apply to any entity that is an Insured by the terms of this endorsement: 1. P Rmly Wardlli Wtth respect to the Third Party shown above. this insurance is primary and non-conlributing. Any and all other valid and celleatabls insurance available to such Third Party in respect of work pelformad by. you underwritten contractual agreements with said Third Party for loss covered by this policy, shall in no instance be wnsidared as primary, co-insureoce, or contributing insurance. i Rather, any sli other Remained shall be considered excess over and above the Insurance it provided by this polity. I 2. Waiver .1 Subrogation If required by written contract or agreement We waive any right of recovery we may have against an entity Mat is an additional insuredper the terms of this endorsement because of payments we make for Injury or damage arising out of 'you worts done under a contact with that person or organization, NX GL 159 05 11 .page 2 of 2 Includes copyrighted material of Insurance Services Offer, Inc, with its permission USAA 3/13/2015 1:51:33 PM PAGE 2/002 FaX Server 9900 F,trovi b, X l R 6 762 San Mo, TIX u LISAA BLAIR 3 BUDAI March 13, 2015 3333 EL ENCANTO CT APT 14 BAKERSFIELD, CA 93301-1531 Reference: Auto Insurance Confirmation Dear Mr. Budai, Please use this as confirmation of auto insurance; however, this does not take the place of an Insurance Identification card. Registered owner: Policy #: Policy effective: Policy expiration: Vehicle: VIN: Bodily Injury liability limit: Property damage liability limit: Comprehensive deductible: Collision deductible: Llenholder: BLAIR3 BUDAI USAA 002325248 7104 December 1, 2014 June 1, 2015 2006 GMC SIERRA 1500 1GTEC19X66Z187767 $1,000,000 each person / $1,000,000 each accident $300,000 each accident $1,000 $1,000 NAVY FEDERAL CREDIT UNION NAVY FEDERAL CREDIT UNION PO BOX3000 MERRIFIELD VA 22119 Meets California minimum statutory liability requirements Liability limits meet those required by most leasing companies This confirmation of coverage neither affirmatively nor negatively amends, extends or alters the coverage givenby the policy issued. by United Services Automobile Association. Thank you for choosing us for your auto Insurance. needs. If you have questions, please call us at 210-531-USAA (8722), our mobile shortcut#8722 or 800-531-8722. Thank you, United Services Automobile Association 002325248 - OM -04664 93127-0414 A$htL B k egik, Bakersfield, CA 93301 661-912-4800 lightinginsYyle@hotmail.com Date: March 1.3, 2015 To: Nicole Flores From: Blair Budai, Lighting. in Style, Owner/Designer Workman's Compensation Coverage Exemption Declaration The undersigned (hereinafter referred to as "I" or "Me") hereby declares that the following is true and correct: I am an individual or a company that has entered, or will be entering, into an agreement with the City of Bakersfield to provide goods or services. I am familiar with the terms of said agreement which require Me to maintain workers' compensation coverage as required by California Law, I am familiar withthe workers' compensation laws of California (generally contained in section 3700 of the Labor Code), including those provisions which provide for specific exemptions from the requirement that all employers must carry workers' compensation insurance, and I am exemptedunder the law from the requirement to maintain workers' compensation. insurance coverage. In addition, during the term of any work for the City of Bakersfield under said agreement, (i) I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, or (ii) should I become subject to the worker's compensation provision of Section 3700 of the Labor Code for any reason, I. shall forthwith comply with those provisions and send evidence of compliance to the City of Bakersfield. Sieved Blair Budai Lighting in Style, Owner/Designer s r • - Y, ?, h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 12, 2015 SUBJECT: Encroachment Permit Application for: 160018"Street Name of Applicant: Lighting in Style Description of Encroachment: Permit is being issued to allow anchors with string of lights hanging in Wall Street Alley between H Street and Eye Street. As approved, per the Street Permit. Maintenance such as, removal and/or replacement will be allowed. NOTE: Will not be able to add decorations or any other ornamental fixtures without City of Bakersfield approval. Closing of the alley for any maintenance will require a Street Please review the attached encroachment permit and return to me at your earliest convenience. S:\ ERMITS\ENCROACH\TRAFFIC\160018th St doc • E P S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager q--) / FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 12, 2015 SUBJECT: Encroachment Permit Application for: 1600 W Street Name of Applicant: Lighting in Style Description of Encroachment: Permit is being issued to allow anchors with string of lights hanging in Wall Street Alley between H Street and Eye Street. As approved, per the Street Permit. Maintenance such as, removal and/or replacement will be allowed. NOTE: Will not be able to add decorations or any other ornamental fixtures without City of Bakersfield approval. Closing of the alley for any maintenance will require a Street Permit. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANCE\160018th SLdoc