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HomeMy WebLinkAbout1917 EYE ST.Policy Change: Business Owner’s Policy Form SC 00 06 10 18 Page 1 of 2 Process Date:08/02/2024 © 2018, The Hartford Policy Expiration Date:03/15/2025 (May include copyrighted material of Insurance Services Office, Inc., with its permission) Policy Number:57 SBA BE6VU1 Policy Period:03/15/2024 to 03/15/2025 Named Insured and Mailing Address: Toss It Salad Bar, 1917 EYE ST, BAKERSFIELD, CA 93301-4409 Policy Change Number:001 Policy Change Effective Date:08/01/2024, Effective hour is the same as stated in the Declarations Page of the Policy. Insurer: Hartford Underwriters Insurance Company, a property and casualty company of The Hartford One Hartford Plaza, Hartford, CT 06155 Name of Agent/Broker: DIRECT ACCESS INSURANCE SERVICES 1410 ROCKY RIDGE DR STE 335 ROSEVILLE, CA 95661 Code:57129850 Coverage Parts Affected: Liability Common This is NOT a bill.However,any changes in your premium will be reflected in your next billing statement.You will receive a separate bill from The Hartford.If you are enrolled in repetitive EFT draws from your bank account, changes in premium will change future draw amounts. As a result of the changes described herein, there is an additional premium in the amount of:$32 *Price is subject to fees and surcharges Countersigned by:08/02/2024 Authorized Representative Date PW-EPA-24-303-0016 10/21/2024 Policy Change: Business Owner’s Policy Form SC 00 06 10 18 Page 2 of 2 Process Date:08/02/2024 © 2018, The Hartford Policy Expiration Date:03/15/2025 (May include copyrighted material of Insurance Services Office, Inc., with its permission) Waiver of Subrogation has been added and modifies your Liability coverage. The following schedule applies. Person or Organization:Address: City of Bakersfield Office of Risk Management Waiver Name Overflow 1600 TRUXTUN AVE, BAKERSFIELD, CA 93301 The following Additional Insured has been added as an Additional Insured - State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations. Additional Insured Name: City of Bakersfield Office of Risk Management , 1600 TRUXTUN AVE,, BAKERSFIELD, CA 93301 Policy is amended to add the following Endorsement Forms reflecting the changes made to your policy. FORM NUMBER FORM NAME COVERAGE PART SC 00 06 10 18 POLICY CHANGE Common SL 30 03 10 18 WAIVER OF SUBROGATION Liability SL 30 40 10 18 ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS Liability Premium associated with this Policy Change has pro rata factor 0.619. PW-EPA-24-303-0016 10/21/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Form SL 30 03 10 18 Page 1 of 1 © 2018, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply. The following is added to Section E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS: We waive any right of recovery we may have against: a.Any person or organization shown in the Declarations, or b.Any person or organization with whom you have a contract that requires such waiver. PW-EPA-24-303-0016 10/21/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Form SL 30 40 10 18 Page 1 of 1 © 2018, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) ADDITIONAL INSURED – STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION – PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply. A.The following is added to Section C. WHO IS AN INSURED: Additional Insured –State Or Governmental Agency Or Subdivision Or Political Subdivision -Permits Or Authorizations a.Any state or governmental agency or subdivision or political subdivision shown in the Declarations as an Additional Insured –State Or Governmental Agency Or Subdivision Or Political Subdivision –Permits Or Authorizations is also an additional insured,but only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. b.If coverage provided to these additional insureds is required by a written contract or written agreement,or when required by a written permit or authorization issued by a state or governmental agency or subdivision or political subdivision,the insurance afforded to these additional insureds will not be broader than that which you are required by the contract, agreement, permit, or authorization to provide for these additional insureds. c.The insurance afforded to these additional insureds only applies to the extent permitted by law. B.With respect to the insurance afforded to such additional insured(s)by this endorsement,the following additional exclusion is added to Section B. EXCLUSIONS: This insurance does not apply to: a."Bodily injury","property damage"or "personal and advertising injury"arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b."Bodily injury" or "property damage" included in the "product-completed operations" hazard. PW-EPA-24-303-0016 10/21/2024 PW-EPA-24-303-0016 10/21/2024 PW-EPA-24-303-0016 10/21/2024 July 26,2024 Dear:Neighbors of 19th Street and Eye, Subject:Justification for Repair and Replacement of Security Gate I hope this letter finds you well.I am writing to provide a detailed justification for the necessary repair and replacement of our security gate,which has sustained significant damage due to recent encroachment.The work proposed is essential to maintaining both the security and aesthetic integrity of our property. Description of Damages Our existing security gate,which is 23.3 feet wide,6 feet deep,and 3 feet tall,has incurred substantial damage.The gate,constructed of wrought iron,has suffered from both structural and aesthetic issues following recent encroachment activities. Need for Repair and Replacement Repairing and replacing the security gate is imperative for several reasons: 1.Security Concerns:The compromised state of the gate affects the security of the property.An effective gate is essential for deterring unauthorized access and protecting the premises. 2.Aesthetic Value:As the primary entrance,the security gate plays a crucial role in the visual appeal of the property.A well-maintained gate enhances curb appeal and reflects the overall quality of the property. 3.Safety:The current damage poses potential safety hazards.A structurally compromised gate can fall or malfunction,posing risks to individuals and vehicles. PW-EPA-24-303-0016 10/21/2024 Conclusion Given the scope of the damage and the importance of a secure and aesthetically pleasing gate, the proposed expenditure is justified.This investment will not only restore the gate's functionality and appearance but also ensure the continued security and safety of our property. I appreciate your consideration of this matter and am happy to provide any additional information or answer any questions you may have. Thank you for your attention to this important issue. Sincerely, GabrielGoal Owner Toss it 1917 Eye Street Bakersfield CA 93301 (661)742-1288 _____________________________________________________________________ Signature Print ____________________________________________________________________ Signature Print PW-EPA-24-303-0016 10/21/2024 PW-EPA-24-303-0016 10/21/2024 PW-EPA-24-303-0016 10/21/2024 From: 811-response@pge-811.com Date: 29 July 2024 at 9:33:28 AM GMT-7 To: iknowrob@icloud.com Subject: Job update. ============================================================================== To: --Property Owner/Resident-- Attn: Caller Voice: 661-421-9822 Re: PG&E Response to a USA Locate Request This is a message from Pacific Gas & Electric Company replying to your request to mark our facilities. ============================================================================== Ticket: 2024072502422 County: Kern County Place: Bakersfield Address: 1917 Eye St PGEBFD: P G & E has determined that there is no conflict with our facilities at this excavation site. Always review the excavation area for signs of newly installed facilities before excavating. If a PG&E facility is suspected in the excavation that is not identified on the PG&E USA ticket response, please contact 811. "No PGE" marked in the delineation zone: Yes Does the GDGIS buffer zone encompass the delineated area?: No Verbally confirmed with the excavator: No Are there mapped but unmarkable spare ducts in the excavation area?: No Additional comments: No PG&E facilities in conflict. Any questions call Dustin at 661-557-1268 ============================================================================== Please call USA at 8-1-1 if you have questions about white paint or the USA process. If you have a question for PG&E, please call 1-800-743-5000. ============================================================================== This message was generated by an automated system. Please do not reply to this email. PW-EPA-24-303-0016 10/21/2024