The URL can be used to link to this page

Home My WebLink About1930 R STA ENCROACHMENT PERMIT AW+ CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 c9�IFO (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 . . . . . 15-30000038 Date 11/06/15 Property Address 1330 R ET Application type description PW - ENCROACHMENT PERMIT ..her Contractor BAKERSFIELD ART FOUNDATION INC OWNER 1930 R ST BAKERSFIELD CA 93301 ---------------------------------------------------------------------------- Permit . . . ENCROACNMENT PERMIT Additional nese . . Phone Access Code . 1738442 Permit Fee . . . . 208.00 Issue Data . . . . 11/06/15 Valuation o Qty Unit Charge Per extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Commants Remove existing fence and replace with concrete wall with wrought iron behind thesidewalk. Mark Engelien (6611 323-7219 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 A licant r�vkw as the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to " v kethe rl it '�t any me. I ignature of Applica (Owner/Agent) 6' 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) S17permit expire on date stated above. Signature of City Engineer e1u Museum of $aketsf� Mark Engelien Exerurioe Director 1930 RSt... G Bak,fidd, Galitomie 933a� pix 661323.7266 ,�.w.bmaxn�g 6G1.323en�Rmoa.0 e mrnge' � OACHMENT PERMIT 'LIGATION FORM CITY OF BAKERSFIELD 'LIC WORKS DEPARTMENT 1501 TRUXTUN AVE IAKERSFIELD CA 93301 t26-3724 Fn:(661)552-2012 ss required where available): — ----- to work describe limits of work by distances from nearest xisting street intersection. e APPLICANT INFORMATION n� FULL NAME OF APPLIS-Aill 4-1+- f PHONE: COMPLETE ADDRESS: /i FAX: _ —�` CELL: DESCRIPTION OF planter, etc.): COARA PROJECT INFORMATION RNT (Example: Wood or wrought iron fence, concrete block wall, raised PERIOD OF TIME FOR ENCROACHMENT INDEFINITE r OTHER: CONTACT.PERSON Df� iPan PHONE: 9 �JZ�7�'Z Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the City, its st any and all liability, claims, actions, causes of action or demands, whatsoever officers agents and employees again tive, quasi judicial, orjudicial tribunals of any kind whatsoever, arising out against them, or any of them, before administra of, connected with, or caused by applicant's placement, erectionuse (by applicant any other person or entity) , aforesaid encroachment during [hee life of maintenance of said encroachment. The applicant further agrees to maintain the afore said encroachment or until such time that this permit is revoked. tion is e. Applicant further agrees that upon The expiration io ^l µt �I a histownr cost whiand ex�nse aremove the d and restore said public property or right of wav to the c erection, maintenance or existence of said encroachment. as that in which it was as Applicant further agrees to obtain and keep all liability insurance required by the City Engineer it full force and effect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a Crrtiticate 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 $300.0110.00 Commcreial: Commercial Liability coverage in an amount of at least $1.000,000.(10 Encroachment Permit Fee: $208.00 January 2009 S:\PERMITSNF.NCROACH',Encmnhment permit Req Form -DOC CERTIFICATE OF LIABILITY INSURANCE oarE p.R.n001YYYv1 11/24/2015 CERFIPICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS THIS DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN T,E ISSUING lNSURER(S), AUTHORIZED BELOW. THIS REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holtler is an ADDITIONAL INSURED, the policy(ie3) m'et he end.,sed. If BUBROGATION IS WAIVED,. subject to this cedlflcalo dans Got Confer rights to the the terms and cOndidons of the policy, certain policies may require IT endorsement A statement on cerdflcate holder in lieu of such endorsement(s). xTAcr coNAME: as.B. Barrio PRODUCER KEA Insurance Associates, Inc. PHONE (661)835-4542 AIDC MPEG.) B,, -,.mo ENT E-MAIL License $ 0415101 ADDRESS: P.O. BOX 11390 INSURERBAFFOROING COVERAGE NAIC Y. Bakersfield CA 93389-1390 PISURERANOn rofitS' Insurance Alliance INSURED INSUREFISMiCNest (aan"A1 I Burgs Ce INSURER c: Bakersfield Art Foundation, Inc., DBA: GENEPAL UNBILT' 1930 R Street INSURER D: GE RENT $ INBORES E: Ixsu.ERF: Bakersfield CA 93301 20,000 oF1nSIrTN N11MRFR1 COVERAGES GERFIHIUAIh NUMmt1X:.=I-- HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS15T0 CERTIFY THAT THE.POLICIES OF INSURANCE LISTED BELOW OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED_ NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AUTHORSED REPRESENTATVE AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1501 Truxtun Ave. EXCLUSIONS R POU YORE MUCYouR LIMITS CA 93301 MSR TYPEOFINSVRANCE POLICY NUMDER MMNDIYWY MMI00/YWY Li R 1,000,000 GENEPAL UNBILT' EACH OCCURRENCE $ GE RENT $ 500,000 X COMMERCIAL GENERAL UABILTY 1/1/2015 1/1/2016 PREMIL Eaecc+menm MEDE%P(A"eumpenere $ 20,000 A CIAIMSidADE � OCCUR 01512352 -NPO 1,000,000 PERSONAL8AW INJURY S GENERAL AGGREGATE S 2,000,000 PRODUCTS OOMPIDPAGG S 2,000,000 GENT AGGREGATE LIMTAPPLIES PER, If PRO- X POLICY LOC CDa NED SINGLE LIMIT 1 000 000 BI AUTOMOLEWDILITY E a o. $ BOOILY INJURY (Per peenn) $ X ANY AUTO A ALL OWNED 6CHEDULEO 01512352 -NPD 1/1/2015. 1/1/2016 BO DILYINJURYURravJCen)) S AVIOs AMAGE y NOLHOMEO Perent HIRED AUTOS ARGUE $ 5 000 Beef a en15. EPCH OCCURRENCE 5 11000,000 X UMBRELLA LIAR OCCUR A EXCESS BAB CIAIMSMADE AGGREGATE $ 01512352 -UJB -NPO 11/1/2015 1/1/2016 S 10,00 OED ON$ VyC SlpT0. OTX- g O ENSATI F E9CH ACCIDENT $ 1 000 000 AMDTMOEMPS CERN LIABILITY AHD EMPLOTERRGEARTLitt yly ANY PROIAEMSER VC11) PoEXECIRNE ❑ E%CWDED] OFFlCmer,in NIA p.,ppO514219800 ]/1/2015 /1/2016 EL. DISEASE -FA EMPLOYE S 1 000 000 EL. DISEASE -POLICY LIMIT $ 1 000 000 IR (f reeryin NHI DUPTIONantler DESCRIPTION OF OPERATIONS below 11/1/2015 3/3/2016 An $1,000,000 A Directors & Officers 01512352 -TIO -NPO $1,000,000 General AD9m9ace G-emrAeum DESCRIPTION OF OPERATONBI LOBATBNSI VENCILES (AXa[h ACORD 101, AECNonel Re -CLS ScreftIO, N mom Speneh Refired) agents and volunteers are added as additional Bakersfield, it. mayor, .--oil, employees, The City of Bakersfiem sured's with respect to encroachment Of Nei on the General Liability Pelioy Par endorsement CG20100704 attached. CERTIFICATE HOLDER CANCEL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Bakersfield AUTHORSED REPRESENTATVE Public Works Department 1501 Truxtun Ave. Bakersfield, CA 93301 Q� Will Daramore/SOSAN �� 4 nn Artnwn CEIRPORATION. All dAhfS reserved. ACORD 25(2010/05) -'--'— ---- IN5025mm�rta,n The ACmmn name and Innn em enni-ho—H--va of AfnRn Additional Ahmed insureds Other Named insureds _ Bakelsfield Mueeo- of Axt Boiny Ei�sineee As Blue Ribbon Circle Doing Business As OFAPPINF (0212007) COPYRIGHT 2007, AMS SERVICES INC ADDITIONAL COVERAGES Raft Description Liquor Liability Coverage Cad=_ LIQUR Form No. Edition Rate Llmit 'I 1,000,000 Limit2 L?mita Deductible Amount 6edswYible Type Premium Ref # Description Uninsured motorist combined single limit Coverage Code UMCSL Form No. Edition Date Limit 100,000 Limit2 Limit Deductible Amount Deductible Type Prnmium Ref# Description Expense constant Coverage Ca de EXCNT Form No. Edition Data Limitt Limit2 Limit Deductible Amount Deductible Type Premium $725.00 Ref# Description Premium discount Coverage Code PDIS Form No. Edition Date Limit Limit Limit3 Deductible Amount Deductible Type Premium $189.00 Raft DescriptionCoverage Ta;JSurcharges Cotle ASMN Form No. Etlition Date Limit Limit Limit3 Deductible Amount Detluctible Type Premium $344.00 Ret# Description Schedule rate adjustment Coverage Code SRA Form No, Edition Date Limit Lim!] 2 Limit3 Detluctible Amount Deductible Type Premium -$1,836.00 Ref# Description Coverage Cotle Form No. Edition Date Limit Limit 2 Limit3 Deductible Amount Detluctible Type Premium Ref# Description Coveage Code Form No. Edition Dale Limit Limit Limit3 Deductible Amount Detlucdble Type. Premium Ret# Description Coverage Code Farm No. Edition Date Limit 11m11,2 Limit3 Deductible Amount -0eductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit Limit2 Limit3 Deductible Amount Deductible Type Premium Ref.# Description Coverage Code Form N. Edition Date Limitt Limit2 Limit3 Deductible Amount Datlucgble Type Premium OFADTLCV Copyright 2001, AMS Services, Inc. 1IOLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations Any person or organization that you are required to All insured premises and operations add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Information required tocomplete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured theperson(s) or organization(s) 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: 1. Your acts or omissions; or 2. The acts or omissionsof those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds,. the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "propertydamage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑