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Home My WebLink About06-30000009 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 . . . . . Property Address . . . . . . ATN (11 Digits) : Application type description 06-30000009 Date 1300 VIRGINIA AVE 010-043-04-00-8 PW - ENCROACHMENT PERMIT 3/22/06 t ef2Q. : 3 \ 0 1;t-:rc1 - d- -=r-3 Co Owner Contractor FINBERG ABRAHAM E 8856 GUTHRIE AV LOS ANGELES OWNER/BUILDER CA 90034 BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 522094 150.00 3/22/06 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments BUILD PICKET FENCE NEXT TO SIDEWALK AT 1300 VIRGINIA AVE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Grand Total 150.00 150.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permi...lJt any time. oco~rz . ~ Ld'fe-n 7Z. 6(U}()1\.efL Signature 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) CITE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO ('GRANT / (DENIED). Said permit shall expire on date stated above. ---- Signature of City Engineer \ Additional Terms on the Back Applicant agrees that if this application is granted, applicant shall indemnify, defend, and hold harmless 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 or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant, or in any way arising from, the terms and provisions of this permit or the placement, use (by applicant or any other person or entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment during the life of the 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 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 issuance evidencing sufficient coverage for bodily injury or property damage liab~lity of both and required endorsements evidencing the insurance required. " '- "io_ 'i 4 . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 19, 2006 SUBJECT: Encroachment Permit Application for: Name of Applicant: Description of Encroachment: Virginia 1300 Virginia Ave. Finberg Abraham E. Picket fence next to sidewalk at 1300 '3'J-~ /{P( Engineering andTraffic staff has reviewed the attached encroachment permit to allow the applicant to build their corner of the garage onto the adjacent slope easement. The applicant has provided proof of appropriate insurance coverage to Risk Management, and has provided signatures of all immediate neighbors stating that they have no objection to the proposed construction. Based on their review, staff recommends approval of the permit. S:\PERMITS\ENCROACH\_Approval memo,doc OG-Oq ~ . - Bi\KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw,. Civil Engineer IV, Subdivisions DATE: April 11 ,2006 SUBJECT: Encroachment Permit Application for: 1300 Virginia Ave. Name of Applicant: Finberg Abraham E. Description of Encroachment: Picket fence next to sidewalk at 1300 Virginia 4f Please review the attached encroachment permit and return to me at your earliest convenience. 4 III / ~, ~w- tU':Jl ;JoW r!t1Z- If "-rIM P6'^!c(3- fflM ,fJ(-d" e/!cK PF 5IPfif,tJ!f4t;? 4d S:\PERMITS\ENCROACH\TRAFFIC\ 1300 Virginia Ave..doc ~ . - B.~KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 31,2006 SUBJECT: Encroachment Permit Application for: 1300 Virginia Ave. Name of Applicant: FinbergAbraham E Description of Encroachment: picket fence next to sidewalk at 1300 Virginia Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANCUnsurance memo,doc CitK of Bakersfield f~. CUSTOMER RECEIPT ~*F Oper: V1)AVlS Type: DC Dl'<l}Jer: 1 uate:3/22iiJ6 01 Receipt no: 99345 9escription {}~antity 21J€06 30eeOO89 UP BUILDInG PERNITS 1.0~ iJ/ilount Ta.tltti2r ~at(jil C~ ';:;':"XS159 T~J;:~'ii ;~€J:.ier.ad i'oidl PGyas.llt SlS0.ea 'l'r-P.:IS d~te; 3122!~ $lJ.d.ee $'159,tl0 Slse,0~ PLEASE BE A RESPOfJSIBLE PET OWNER NAVE YOUR PETS SPnYED OR HE1!TERE.D Time: 15:42:22 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 . . . . . Property Address . . . . . . ATN (11 Digits) : Application type description 06-30000009 Date 1300 VIRGINIA AVE 010-043-04-00-8 PW - ENCROACHMENT PERMIT 3/22/06 Owner Contractor FINBERG ABRAHAM E 8856 GUTHRIE AV LOS ANGELES OWNER/BUILDER CA 90034 BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee Issue Date ENCROACHMENT PERMIT 522094 150.00 3/22/06 Valuation o Qty Unit Charge Per 1. 00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments BUILD PICKET FENCE NEXT TO SIDEWALK AT 1300 VIRGINIA AVE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Grand Total 150.00 150.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Signature of Applicant (Ownerf 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) (DENIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back Applicant agrees that if this application is granted, applicant shall indemnify, defend, and hold harmless 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 or judicial tribunals of any kind. whats~ver, arising out of, connected with, or caused by applicant, or in any way arising from, the terms and provisions of this permit or the placement, use (by applicant or any other person or entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment during the life of the 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 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 exisfence 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 issuance evidenCing sufficient coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required. I have read and acknowledge the above. _Applicant's Initials ~71 i i.1 fo~/!j~ . ~ III . ':...y ~f/~.~!l ,~:i'!.~&{o APPLICATION FOR ENCROACHl\-IENT PER.\1IT . TO TilE CITY ENGINEER OF THE CITY OF BAKERSFIELD~ CALIFORNL-\: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Mwlicipal Code, the undersigned applies for a pennit to place, ere~t, ,use and main;ain an encroachment on public property or right-of-way as therein defined. ( ~()) I. Full Oatlle of ao~licant and com lete a~ess includin. obone n~er. 'c {; '? ~ c> - 1- () e.- -::ij= I € "Z.(J Z-~ 2. Nature-or aescrilmon of the encroaclimefit~for which this-appIication-is-made: - -1fi-<.-r~/d~ l?: l-C:f:::e +-. -r~ \I\. c.e.. VI.e;J.+- -t (J: .~ Iz...: w ctL k 12.:p- (~ O(l l!, '{J' 1,1 I 't\. A-\I~w.L(~.' -....'. . - -- - 3. Locatioll of the Qroposed encroaclunent: / :5 00 Vi" r.li tit /a___ -.41r e . ~" Jot--t41<a'ber- +9oVl 9+, f"rOV1+CI<.~e- 4. Period o!time for whicb tbe encroachment is to he ma~tain~: ~ III i e{!i'vr. I ~~ . , Applicant agrees that if this application is granted, ap,p!icant shall indemnify, defend and hold hannless City, its officers, agents and employees against any and allliablhty, claims, actions, causes of action or demands, whatsoever against them, or any pfthcm. before administrative, quasi-Judicial, or judicial tribunals of any kind whatsoever, arising out of, cOIUlccted with, or caused by applicant's placement, erection, use (by applicant or any other person or entity) ~__~ ~--..:----=_____ _ _?r ~~~ceof_said encroac~ent. ~e applic~t furthe: ~grees to maintain the aforesaid encro~chment during the - ufe or:salQ encr?achrnent-or-1;1I1tiJ.such:tunethauhis.pernutlsrevoked._ :_-~. _ _ '_ _ ' Applicant' t:urther agre~s that upon,th~ expiratio~ of the.l'e~t [~r ~hich this ap~lication i~- rnad~, if granted, ~r '~~n the revocatIon thereofbvthe Cltv em!meer. aoohcant WIll at his own cost and expense remove the same from the pu .he property or right of way where the same is located, and restore said public property or rimt of way to the condition as nearly as that in which it was before the placing, erection, maintenance or existence or said encroachment. - ='~Applicant further agrees to obtain and keep all liability insuranc'e 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 ~Ins~~ evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsemcnts-eViaencmg- tne insurance'required.--The-type(s)and,amQu.{l!(~) of ~urance' coverage is: ,..- - - - -. - -- ., '\ . -. Applicant acknowledges the right of the City Engineer. pursuantto.-aIsersfield Municipal_Cgde..C~WJc~2.20 to revoke the permit at any time. , Date: ~ - }-(}G ' - PER."\IIT I HEREBY CERTIFY TRA T I HAVE MADE A..'l INVESTIGA nON-OF THE FACTS STATED IN THE FOREGOING APPLICATION AL"lD FIND ffi-\T THE MAINTENA."lCE OF SAID ENCROACHMENt (1) Wll.L (NOT) SlJBST I\.L"'lTIALL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME IS TO BE LOCATED Al'ID (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS T~REFORE (GRA.'lTED) (DE~rIED). s~ PERMIT S~L EXPIRE Date: No. " Signature of City Engmeer ~ "" -. ~- ~~- (1-"" , 1(' - CITY O~ BAKERSFIELD " , DEPARTMENT OF PUBLIC WORKS TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the . __~~d~W~lk within. the~p-,u~gt!.~ of way. _ Vr::(bf;~~P. !,!;. ~ i5(J3(ZISc9;; -=--- -I&/~b&~G;;4lb~~'7~ JE2r3 (Street for puposed encroachment) 'R iON IrZi5A'(['f/ ~~'~ _/ Bv: t-oe/?U iSe./H.JtuG l. (Owners Name) of l s tJO U r::-t:- for:. JJr. A It ute,. .... (Address of purposed encroachment) Phone: .510 - ssor- 72S I SIGNED: \) <'" _\ \ (,L l>J ~ o.rlo.- Address: Af+ 8. f 'l:CfLf Vi'r9i/1(~ .4~' - - .J2rNaffi-~'"'~~~4e-T~rx:-4(-4~5~t1~?'~~.~-:... ,:--=--_~~._~~e,~ ~_= 1 - ~ ~. Address: ~ 4-\ Ij 'f r. \ t'\ l'\?:< 1'\\ t~ ": . I - ',- - , " " . , 3).Name: I 5 I cd 0 i f' Y'~ a -'.1' ~ os;;( / U ;":6 ' Address: / 3 d: '" r'J 1\'1 Iii :.1:, ' iiFe, , f\'IY.. rof 0 c "<. A V ~, I . ~~::~-'~~'Jfg:t~;~~~"" ~. 5)~::s: }=~C~ 6) Name: f1.t1A17/1.[-;) ~~9,.:)e~ . \.... . Address: q Q!2 ~ l A J \ \ \ \ ~ \\J\... 'J ___../-'""'"~..-<:"- .:::'----- ~__ _ _ _-.J~...;.....~~__ 1) Name: Date: 2--:1-- Oc" Date: .~ /1 q 06 , ' ,,~~ ~~~e~f")-~:~ n~n(Q r;;;t== - Date:} -10-06 ---""- -~~-- - ~ (, II ,,' j [- -1- 1 I I 1 \ .'" - 1 r '" . Nt . : 6' ~ . ~ 3 . , , \ \ , \\'I~ .,. ~. \ e,;,.'~-h'f\ ch>>".\_\l! w,.,. , ~~ ~ " ~ ".,.osccl pic..\c.c.-t' f'"cc. ",. , ..... ... .. .. ... .. --.. -- - Ii' .. --=- ....~- --- ------------ ~ ~eA~'" \ooa.ia ., , "" ---- .. .... f+ . l,t. .~ . 1 e O\e"":1 f ,C1G' · · · · ~~~~J.s' 1- 30' ~\.\O~~ , +", .. ,,~ \I) .. ~ s,c,\e,~ \L ~'" I .... . I ..,,~, - - ~ .{~~ , . . . . . 1, 1;' 1, ~'. 3 ~! - ~ ..... 0 ~ -., " (1'. S , 0- e ' CL , l.,~ \J l {~ \ 1\ \ "" ~tf\\le- ~ .-;- TN.('c.. i~ e.u ~ ISho ~ O~ ~it\ - ! . I'"t\"- WI\C.er "y~ ~t" W\ ~ t.~\k.. . ().\'\c1 eWA.'f\-\\~~ fC,N&6 bt.:tw C.ct\ ~ ~f~ . ~(. ~v\cl.f,\te. -h ~~lcatL ~ ~ tc.nc.e... W"'" ~ .... ~\c.\&c.+ f&.f\C&,. \~.. .f.tD"" 'tv\c.. ~~cdJt. I ~ ~ (,'.wQocl.~~~~ ~~e" N.,~.. ~N.c.. 'tnc.. w>uw- "\~ so for~. we. WO\l'cC. \i,"- \0 ~ tJ>J~ ~,,~~n ~1V\ "l.l!)c,' t>>ooJr '/a, 'oc.~" ~c. ~ o.Nl. 1N. ~ ~f'-\-# ~~ ~~\ ~ ~ ~. ~ ~a. ~ ~ b~ ~C09...x.c.s if' ~ . \J\'\f\~ w~ f&nU~ r:# 'W. ..,.&. ~ J noh...... ! ~t' ~c.~" no.v" .\'N.\u~C' 0. otaW.~ . -to '\\\J~ ~t" \~..DeA ~~. ~'y..'1tN ~ o.c:l\Jo."'~J ~(1..~~.~ . , J R NAVA AGENCY 650 349 4740 % -82 -2; Memorandum of Fire Insurance. California 03!30/2006 Pt-lat DBtC ___,___,_._._,~ Policy Numb"., 92'711._ R2 Effenivl'Dale: 12/2(J!2005 JIo\lsehold Numb\'c: 1 %}736631 _21 Primary Insured: RIGL\RD ART' P.() lU lX 0031029 SIOUX E\LLS SD 571 Bl,-OOlll Named Insul'eds fo.. this Policy, RICII.."nl) AHP Company: FIRE Ii':SllKANCE EXU UN(;f'. Policy Type: (,,-I.NDU lRD PROTECTOR Product Group: 11()1Tl"Clwnn.~ Deductibles All Perils: ._~I.OOO,(JO 03/29 '06 16:25 NO.006 02/02 Policy NuftllKr:':"~:~,~.,_=~_~_. -21 lohnllv Nav3 .~(n V,ntaW: Park Dr FosTer Ot\' C. \ 9441M-lll', (,50-.,74-0l)OO Properly Addrn!: BOO "rRGI~I.-'I. ,WI:' BAKl':R~(o'IELD C.\ l):nw..1744 Agent: Lc:pl DC!IC:ription: tin District Name. B.\KER:~)-iIEJ.!) ProtK'tion CI3!i.~; f)) Fan Hydrant within \ 000 feet: \{ SabKription ..-ire Distr;.;t: r-..: Wit,.! & H:l.i1: Notc\pplicablc Tht"ft:N .,.t.,.~ppli('.abk COVERAGE DESCRIJ>TION P,\c"-'.,;r.: en\'.\ DWF.r.I.IN(~ P-:-~'(":K..\g[~. C( :ly',B. ~. SI'. p .-\'RX;ii~"B'i<Ri)~jj.:RES ,. P: \CI;;\.Qb.-:..~,:(K(':'..Y!;:_R,.9 IN:\L PR( ll')Elrn:_... ~.~~~.!\GE O.?Y...r~..: LOSS (U.:I}_~i ...."..._._ P,\CKAGE, CO\' I'~.. PIIRSON.\L Ll:\BlUTY P;\CK$,F ... U l\;I~' Cl1E=,T MED](':..\L 1:j"':RiH 7)-~.8~t~~I~~ C~,,)~~:b~R:\(;E" ..... ...........~----. llllILDIN(~ ( )J{l)JN,\NCE OR L\W COVERAGI--:. .._..._._n n__..__. J:~~!f;.:\I$I\J) nEPL:..\CEME!\:'r:.!~()~T ._.._.__ c.oVERA(;F. UMI1' .____.._.._..~ 150,(~~)J)l1 ___....... $151~10.()(~ _m"_ . . ..._. i75(M)'J~' x --.----.. _._L'i.!.j(.l.(~.!:~!!.~ ,.,_.1!1I()(I.(N) x . ...._____.____u._.. State Cbarp $ NOr-..;E .- -.-.....,.-.......-.-- l'ulicy Fees $ 12.00 "'-....'......0-4__.' Premium $ 437,87 Tell:.l Pft~i~-" $ 449.87 Monthly Pnemium $37.00 ___m. ...tQ~. --...--.,. ~, Estimated Reconslrudion COllt Deri~ for This Dwelling: s 9R.(1{~l,~~... Th~ bl i"",~"d Rl'l'OI1~trllLLiOIJ em. is ha~..d un thc uniljllc consuuni('\/l Lhal;ll:l\'r i,[i, ~ anJ gt"'j;""pl, i.; I~'c~tit>n of your dwelling. The: L~lj"';I\C: i~ i1 h'l.lidc n. ,t~siSI YOll in d('tt'rmining cOYClagl' for your dwdlinj;, II i~ roUl I'C~p(lll~ibiliIY IIJ ('hOO5\:' [hc coverage: limir thai is I'i~l't hlT you, Howevcl', WI: will not insure it dwelling for an an10unr I.'ss than the E~lill1.Il..d R"',:'.>rIstnlLlion COSL If the: (lwelling amollnt shown for (:ovl,r;ll?' A is high'=" than thc 1::~limarcd RCCOI1Sl111UillTl c.).~t, }'OLI havl' tl1<: "pri1m 10 TCtJU<:C [hat amount 10 tilt: ~S1ilT1atcd figmc, If tilt. E~tirnatcd RI~C(lnstructi(ll1 ellSI i.~ k~s than Y"lIl d..tcrmin;uioll ;IS tll till: 'lflll>lInt of coverage you need, YOII hav~, rh(, optioll [0 inn..,'".... Ih., amoLlllt of cover"!;,, 11l',J"1 Covcrage' ..\. 31.6lIH 6-05 CAlIFOIINIA 101''; Applicant In~", Agent Initia. ~ ., )~ J R NAVA AGENCY 650 349 4740 03/29 '06 13:16 NO.994 02/03 Evidence of Insurance for Mortgagee Interests .FARMERS Coverage aHorded by tile policy Is prav.." by: V.I Fire IIlSljl';lIll~C E1\ch;ingc [~ Mid-Century Imuranc.e Comp;lllY I ! The Company designated Oil Iht:' MTond p;lge a.\ JlUl'nbcr _._.___.._ 96 82 325 s\. m.,. All\. hi fllWI'S I n~1l ranee Exchange MOJ'[{\<lg"e Name and A.i.i,.",,~ PFF BANK AND TRUST INS, SERVICES ISAOA PO BOX 2729 1st Morrgagt:'c Loan '1(: 246275796 . 2nd Mortgagee Loan #: Polk)' NUlIIbl'r: 927418221 Nalued Insured Mdr~i'.~ RICHARD ARP 1300 VIR<JINIA ^ VE HAKERSflELD, CA 93307-1744 Scollld l\1(lngag4~; Location of Pu'mi.... (It (I[her thim shown ~h,w,,) Tbis form is not the c;ontrad of insUl'ancc::. Il i~ a memor,m,lllnl of (()vnagc limilxd to n1ortg.lgCC intcr('sts and applicable to rhc dwelling. building or mobile home at tile location ahoVC'. The pnl\'lsioll\ of th~~ poli.-y will pr('"Vflil in all n:spt."t..'ts. Effective Dall' 12120/2005 . u'__ Expiration D;\h? .__.____.........'m~.?i.2..0~.2,9..Q~__~_-_-_- Eumples ofTypcs ofPolides .... Special ~Ot"m Iloml.'<lwlI<'I' . Pwt:Clwr Plus HlJrnel)WI1Cr; Landlords PWteClOr; 'TOwnhouse: Owner; DP-_~ Policy Type: VI Accidental Direct Physical Loss (Special Pmm) r"1 Rw"d (RrtI;ld F(,tlIl) ...................., CClndoMlillillln Owncr; 1)1'.2; Addirinllal E.."\:to':lId.:d Coverage I ' hIe. E_C. (Bask J:orm) ................. "1; V&MM Poley Umlt of Uabilhy: Dwelling. Huilcling nr Mobile T tome Protectioll $, Deductihle: Applicahle ro [)wdling or Mohile HUllle Wind / I lail D('dl1cribl<~ (if :Ipplicahlc) Total Annual Polic;y Premium $ . 437,87 Balance: due $ 150.000,00 ---.----... ---..-.._~_.. ._~LQ.Q.Q.. Il, 1\11 Insured Perils 1...1 0,00 Forms cmd EncIorseme".s Appleoble Clt htception ~: 4:\g nFU NS J I,oss of Use: " Extended Replacement emt: 'Illis policy indmks u)'verJgc of up to 125% of the dwelling coverage, Ap;" lit Nilh\~ ~nl! A..idl\,...., JOliN NAVA 303 VINTAGE PARK DR.. STE 100 FOSTER CITY, C^ 94404 ~~_ 9\ ~JO.- .M1l (J Rcp<nm.tl.ri - . ., ~-2~.-a' [)~'" 25.1460 11,05 (ODY Dislribulion: MortOOlWe'S Coov. Mortuuau's Invoi(e (OIlY, Serril:u (enler (opy, Aaenl's (ODY .. .. ~ J R NAVA AGENCY 650 349 4740 03/29 '06 13:16 NO.994 01/03 FARMERS. John Nava Agency 30..1 Vintage Park Dr., Stf' 100 Foster City, CA 94404 Oftke: 650-574-0900 }'ax: 650-349-4740 To: Randy Johnson with Bakersfield Public Works Fax: 661-852-20 II T ~: . .F~~: Zoila llernandeil . Data: 03/29/2006 . . . Re= Richard A rp Pages: :3 (including cover letter) _._~r . o Urgent . . ~ For Review 0 PIe8se Camment 0 PIeate Reply o PWee Recycle (:.. Hello Mr. Johnson, Please find attached proof of insurance for 1300 Virginia A Vi:, Rakt:'rsli~ld Should you need additional information, please do not hesilale 10 c<lll. Thank you, M~~ Zoila Hernandez ............. ............ ........