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HomeMy WebLinkAbout9815 Panama Lnwe -"'k j -a'C'G C- ENCROACHMENT 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 . . . . . 21-30000018 Date 6/28/21 Property Address . . . . . . 9815 PANAMA LN Application type description PW - ENCROACHMENT PERMIT Owner Contractor Jacaranda Hood, LLC WALLACE & SMITH CONTS 7613 Verano Drive 3325 LANDCO DR BAKERSFIELD CA 93309 BAKERSFIELD CA 93308 (661) 401-4249 327-1436 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2767044 Permit Fee . . . . 575.00 Issue Date . . . . 6/28/21 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 575.00 ---------------------------------------------------------------------------- Special Notes and Comments 6/28/2021, 1:19:08 PM MMENDENHAL Install 1,400 if of temporary 6' high chain link fencing along Old River Road and Panama Lane per the attached sketch. Permit valid through 5/1/22. They will be grading the lot and building on it. Contact person: Josh Slayton - 817-0725 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 575.00 575.00 .00 .00 Grand Total 575.00 575.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke thepermit at any time. ' nature 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRANTED) (DENtEDYSaid permit shall expire on date stated above. Signature of City Engineer Date 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 LOCATION OF ENCROACHMENT(Address required where available): SWC of Old River Rd. & Panama Ln. (9821 Panama Ln.) Bakersfield, CA, 93311 .-1. <cJ 41Q- �Ll Vf-,,nAA-YL L4 If there is no address adjacent to work, describe limits of work by distances from nearest existing street APPLICANT INFORMATION FULL NAME OF APPLICANT Wallace & Smith Contractors COMPLETE ADDRESS: 3325 Landco Dr. Bakersfield, CA 93308 PHONE: (661) 327-1436 FAX: (661) 327-8865 CELL: (661) 817-0725 PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): Install 1,400 LF of temporary fencing along Old River Rd. & Panama Ln per the attached sketch. PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: Thru 3/1/22 (Please Circle) CONTACT PERSON Josh Slayton PHONE: (661) 817-0725 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 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $575.00 S:IPERMITSIENCROACH\Encroachment Permit Req Form. DOC 7/1/19 mid ooaayse HSMNIDW I 41 �P41;.?@@@@@@@@@@!@1�Pi�@C@@@@teQii� iij;9• ="`zst:t:$ $y� ���@ .�..e. i ;3E �a� � ;��, � — s$�i@j ) I '� 3eo n i Fy i j 11 1 f I avoN d3l%Ri 010 t Michelle Mendenhall From: Ed Murphy Sent: Wednesday, August 18, 2021 9:59 AM To: Michelle Mendenhall Subject: RE: 9815 Panama Lane Encroachment Permit Traffic is Ok. Thanks -Ed- From: Michelle Mendenhall <mmendenh@bakersfieldcity.us> Sent: Monday, August 16, 20214:57 PM To: Ed Murphy <Emurphy@bakersfieldcity.us> Subject: 9815 Panama Lane Encroachment Permit Please review. If you cannot see the drawing clearly I can bring a hard copy over to you. Thank you. Michelle Mendenhall I Engineering Tech Public Works Subdivisions City of Bakersfield email: mmendenh ..bakersfieldcitv.us web: www.bakersfieldcity.us phone: 661-326-3582 00110 Michelle Mendenhall From: Sent: To: Subject: This is good. Thank you. Security: Confidential Andreina Cruz Tuesday, August 17, 2021 9:13 AM Michelle Mendenhall RE: 9815 Panama Ln Encroachment Permit Andreina Cruz I Accounting Clerk Risk Management City of Bakersfield email: acruz(c-)_bakersfieldcity.us web: www.bakersfieldcity.us phone: 661-326-3096 WARNING/CONFIDENTIAL: This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please return the message to us via return e-mail immediately and delete the message and reply message from your system. Thank you. From: Michelle Mendenhall <mmendenh@bakersfieldcity.us> Sent: Monday, August 16, 20214:56 PM To: Andreina Cruz <acruz@bakersfieldcity.us> Subject: 9815 Panama Ln Encroachment Permit Please review. Wallace & Smith is not the property owner, but is working as the contractor to place a temporary fence around the location. Thank you. Michelle Mendenhall I Engineering Tech Public Works Subdivisions City of Bakersfield email: mmendenh(abbakersfieldcity.us web: www.bakersfieidcity.us phone: 661-326-3582 1 ACORO® CERTIFICATE OF LIABILITY INSURANCE `..-� ATE(MM/DD/YYYY) r10/20/2020 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 the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 to the certificate holder in lieu of such endorsement(s). PRODUCER C & B Insurance Services, Inc. 1800 19th Street Bakersfield CA 93301-4315 CONTACT Lee Ann Benham PHONE FAx A/C No Exe • 661-283-8132 AIc No : 661-283-8162 ADDRESS: benham@cliffordandbradford.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins. Co. of Pittsburgh, PA 19445 INSURED WALLA-4 Wallace & Smith Contractors, Inc. 3325 Landco Dr INSURERB: New Hampshire Insurance Co. 23841 INsuRERc: RSUI Indemnity Company 22314 INSURERD: GuideOne National Insurance Company 14167 Bakersfield CA 93308-6156 INSURER E : Westchester Surplus Lines 10172 INSURER F : COVERAGES CERTIFICATE NUMBER- 73ng71951 RFVIRIC)N NI IMRFR- 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. M R TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY MMIDD/YYYPOLICY Y LIMITS A X COMMERCIAL GENERAL LIABILITY Y GL5856942 9/1/2020 9/1/2021 EACH OCCURRENCE $1,000,000 CLAIMS -MADE FkI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT I LOG PRODUCTS -COMP/OP AGG $ 2,000,000 Employee Benefits 1 $ 1,000,000 OTHER: I I A AUTOMOBILE LIABILITY CA5717911 9/1/2020 9/1/2021 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ X Comp/Coll Deductibles $ 250/500 Physical Dm c D UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE NHA250154 56000223700 9/1/2020 9/1/2020 9/1/2021 9/1/2021 EACH OCCURRENCE $5,000,000 X AGGREGATE -- $ 5,000,000 DIED X I RETENTION $ n SECOND LAYER _ $ 5,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y WC014195854 9/1/2020 9/l/2021 X STATUTE EORH E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Builders Risk (COG) 560000223700 9/1/2020 9/1/2021 Non -Frame Limit 25,000,000 Replacement Cost Frame Limit 10,000,000 Reporting Form Deductible 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ENDORSEMENTS ATTACHED AND/OR DESCRIBED HEREIN APPLY WITH RESPECTS TO THE OPERATIONS OF THE NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS; SUBJECT TO STATUTE AND POLICY PROVISIONS. City of Bakersfield, its mayor, council, officers, agents, employees and volunteers are Additional Insured per endorsements CG2010 & CG2037. Coverage afforded Additional Insured is Primary and Non -Contributory per endorsement CG2001. Waiver of Subrogation applies per endorsement WC040361. 30 day notice of cancellation applies, with exception to nonpayment of premium to which 10 day notice applies. City of Bakersfield Office of Risk Management 1600 Truxtun Avenue Bakersfield CA 93301 UANL:tLLA 1 IUN 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 REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD GL5856942 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OWNERS,ADDITIONAL INSURED - OR • `ACTORS - SCHEDULED PERSONOR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. PER THE CONTRACT OR AGREEMENT. Information required to complete 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 the person(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 omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to 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 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 intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 0 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 04 13 ❑ GL5856942 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • well] 0 1 WAO• •; NKGRA ■ A • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. PER THE CONTRACT OR AGREEMENT. Information required to complete 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 the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insu- rance shown in the Declarations; whichever is less. 2. If coverage provided to the additional insured is required by a contract or agree- This endorsement shall not increase the appli- ment, the insurance afforded to such addi- cable Limits of Insurance shown in the Decla- tional insured will not be broader than that rations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 0 GL5856942 POLICY NUMBER: GL5856942 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURANCEPRIMARY AND NONCONTRIBUTORY - OTHER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribu- tion from any other insurance available to the additional insured. CG 20 01 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 BLANKET WAIVER OFOUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT ` This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The folmwing~attaching clause" need be completed only when this endorsement wissued subsequent mpreparation of the policy). This endorsement, effective 12:01 AM 09/01/2020 forms a part of Policy No. YVC014196854 Issued baWALLACE & 8M|TH CONTRACTORS, INC. By THE INSURANCE COMPANY OF THE STATE OF PENNSYL\84W|A We have a right to recover our payments from anyone liable for on injury covered by this policy. We will not enforce our right against any person ororganization with whom you have a written contract that requires you to obtain this agreement from us' as regards any work you perform for such person or organization. The additional premium for this endorsement ohe( be 2.00 96 of the total estimated vvorkano compensation premium for this policy. 1"� VVCO4U381 Countersigned by_________________ Authorized Representative