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Home My WebLink About06-30000018 ----- 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 06-30000018 Date 5413 JONAH ST MD 433-090-05-00-8 PW - ENCROACHMENT PERMIT 5/09/06 @kttN 3't3 - lPLJO 'f Owner Contractor DURAN ERNESTO P & AIDA A 5413 JONAH ST BAKERSFIELD CA 93307 OWNER/BUILDER BAKERSFIELD CA 93301 -----~---------------------------------------------------------------------- Permit . . . . . Additional desc , Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 543140 150.00 5/09/06 valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments INSTALL FENCE OUT TO SIDEWALK Permit Fee Total Grand Total Charged Paid Credited Due ---------- ---------- ---------- ---------- 150.00 150.00 .00 .00 150.00 150.00 .00 .00 Fee summary Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any ti C f2J/e.s70 ~tJ 10 ~jJ 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) SUBSTANTIALLYRFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) NSTIT E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO (GRANTED (DENIED). Said permit shall expire on date stated above. /~ Signature of Cit~gineer ----- 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 liability of both and required endorsements evidencing the insurance required. I have read and acknowledge the above. _Applicant's Initials _____ - - .-- J 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 06-30000018 Date 5413 JONAH ST MD 433-090-05-00-8 PW - ENCROACHMENT PERMIT 5/09/06 Owner Contractor DURAN ERNESTO P & AIDA A 5413 JONAH ST BAKERSFIELD CA 93307 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 543140 150.00 5/09/06 valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments INSTALL FENCE OUT TO SIDEWALK Fee swnmary 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 _/ A'- Signat e/Z~ (j (jtJ (/f rJ)U /Mr/-J Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACfS 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 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 liability of both and required endorsements evidencing the insurance required. I have read and acknowledge the above. _Applicant's Initials ~R1V 30 I~~ 10 ~ . ~ BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: May 22, 2006 SUBJECT: Encroachment Permit Application for: 5413 Jonah St. Name of Applicant: Ernesto Duran P & Aida A Description of Encroachment: Instal/4' fence at back of the sidewalk Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build a 4' fence at back of sidewalk in city ROW. 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\5415 Jonah St..doc OCo-/B 4 . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM I' TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 23, 2007 SUBJECT: Encroachment Permit Application for: 5413 Jonah St. Name of Applicant: Ernesto Duran P & Aida A Description of Encroachment: Instal/4' fence at back of the sidewalk In future would build fence in back yard. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build a 4' fence at back of sidewalk in city ROW. 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\5415 Jonah St..doc ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: May 16, 2006 SUBJECT: Encroachment Permit Application for: 5413 Jonah St Name of Applicant: Ernesto Duran P & Aida A Description of Encroachment: Install fence out to the back of sidewalk Please review the attached encroachment permit and return to me at your earliest convenience. SflBlob 1 pelJe,G ~/(;H-1. re-QJl#- UJ(k'(' ~ ? Ckf- t'Ct'r- S:\PERMITS\ENCROACH\TRAFFIC\5413 Jonah St..doc ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Luda Fishman, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: May 11 , 2006 SUBJECT: Encroachment Permit Application for: 5413 Jonah St. Name of Applicant: Ernesto Duran P.& Aida A Description of Encroachment: Install fence out to back of sidewalk Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\5413 Jonah St..doc ~1 i ~"'.P !.!iia~..11~ '~il'a-!J ~: $' ~ &1 Oij $ .~ APPLICATION FOR ENCROACHMENT PE~\1IT . TO THE CITY ENGINEER OF THE'CITY OF BAKERSFIELD, CALIFOR.r.'lL-\: Pw-suant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the Wldersigned applies for a pennit to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined. 1. ~ n~ o~ aDllIicanl and comnlele .:.u... includin~ phon. number: k ~ ,d;l')v 6/., /- 9 - / . achment for which this application is made: . -- . . . 3. Locatio:~fthepropo:e'd~croaChm~:&~ 'OJ 'iI~'~~a:;,d ~~ ;/~ ()'~ -Y- - <.J~ C Vi/i)" 5. ',' ,~__"' , ,4. Period of time for ~hich the encroachment is to be mai;Itain~: ~c17~ . , .. . . Applicant agrees that if this application is granted, ap'plicant shall indemnify, defend and hold hannless City, its officers, agents and employees against any and allliabihtr, claims, actions, causes of action or demands, whatsoever against them, or any pfthem, beforc administrativc, quasi-Judicial, or judicial tribunals of any kind whatsoever, arisinS out of, cozmected 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 ~ife of.said encr?achment or l:IDtil such time that this pennit is revoked. . . .... Applicant ~rther agrees that upon, th~ expiratio!l of th~ pe~t f~r ~hich this ap~lication i~ mad~ if ~ted, or '!U?Q!l the revocatIon thereofbv the Citv eneIneer. aODhcant wlIl at his own cost and exoense remove the same from the DubHe prooertv 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 allliabilio/ insurance required by the City Engineet in full force and effect . for however'long the encroachment remains. Apphcant shall furnish the City Risk Manager with a Certificate of Insurance cvidcI).cing sufficient coverage for bodily inj~ or property damage liability or both and required ~,e t! evid~c~g the insurance required. The type(S) and amount(S)o.finsurance'covera, ge is: . ""~1 -r) .; .j~, !J7Jt) , , - - - . ~. *.. Applicant acknowledges the right of the City Engineer, revoke the permit at any time. . Date: aJ-~!.iJ7; , ,.,. , PER.,nT ' I HEREBY CERTIFY THAT I H.-\.VE MADE A."l INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION At.'1D FIND ffi-\.T THE MAlNTENA.~CE OF SAID ENCROACHMENi (1) WILL (NOT) SUBSTAl~TLU.L Y INTERFERE WITH THE USE OF THE PIJBLIC PLACE WHERE THE SAME IS TO BE LOCATED A."ID (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRA.'iTED) (DENIED). S~ PERMIT SHALL EXPIRE Date: Signature of Cuy Engtneer No. " / ;/-"-' "1 . CITY OF. BAKERSFIELD . DEPARTMENT OF PUBLIC WOR~S TO WHOM IT MAY CONCERN: We the undersigned I have no objection to the construction of a fence beside the sidewalk within the public right of way. . ,. () . -s-t/I J Bv' Ab/ <'I- Q jtV &~a.J (Stfj . (Owners Name) Phone:&(; 1- B9~- /;I;;I? II. t, t / ~ C; 7.:z.. -. C; r/ S';2 i!Il.tL SIGNED: Date: ') - ~ ~ 0 ~ 1) Name: ], (L~{ P ()..r/l.. ~ Address: .,~ V -:-.e l 1-- L- - 2,Name:=_ . .Ili.CJ J7/rtlt/f0 .(\ddrcss: IS/7 /)f!Rf/! Av. o 3) Name: 9"-' /,U~ :f?... 'rL~ v' c- "7 4)A=::: t4:~~~-. Address: 156-J.' r } J-\Av~ 6 5) Name: ~/J--Ch:<oa 6;::::S: ~~ ~~~~ a . Address: :v5J - t: /rJ . f1/~ I j ~ D~te: 6/6/tJ6 Dim: ~/t/ t:}6' Date: D/7/~ Date: O'5"lor!~ Dale: .S) ~!~ ( r I I ~ II I 1 FRll'1 : FAX NO. : 176037686B3 May. B8 2006 02: 44PM P2 1..I.~.ool(@.8 .........Farnuars Agency Dashboard ( e-Home I Change Premium Summary. Insured: Ernesl: >> Duran I advanced Find a Ctlstomer: 'Name or Poli~ , ICUstomer View Processing Agent 95-41-332 --... .-.-..-------....-- 17- /111p .;I'--~ ~~.!'old I Insured I OweIIing I ~structlon Cost I Cover3!e -f' ',...;;~:.:- 5413 J;~A~-ST~ ~~ElD, ~'~3307 ------ Ex1eftded Property Addre&S:' Same as PtopeI'ty Address IndJdes chiJllge& eHsctlve o:i/oe/Z006 Policy Number: 902120311 ftl<<tJVe Defe:, 07/1112006 HWHhold N_ber: 0526681941 Riding Tier: PremiUm Group: PrOlecdoft Oass: "0 001 03 P8V PIaft: Rwpvmling ,. ... Deplrlme_., ClItastrophe I' itltJatiolt NumMr: Standard B QAKellSRE 1/KERN Policy T,.,.; HOInf!OWJ't'n SPECIAL FORM/TOWNltOUSe SPECIAL - Type: Ten1tory: OGT FIRE INSUf EXCHANGE Camp-y; -------------....------..---- . View DiscountlSurcharae$ VIeW Endorsement'Forln$I~-- I . . ,'- Basic cov~rages ----.-----.--..----. Coverage Description Umit Premium Deductible .11 Um OWeLLlNG 163.000' tnuo' An perils ..------ SEP STRUCTURES 16.300 Included .------..-----...-------------.---..,.- PERSONAL PROP 114,100 : Included .------------- lOSS OF USE 48.900 In~lud~d PERS UABIUlY >~ 120.00 --------_._-_._-----,--....;.,~-~--~----_...: GUeST MeoICAL. 1.000 Inchlded ~. Reconstruction Costs Coverage Descrlptioli Umit Premium Coverage DescrlptiDD Lhidt .!..~~~ED ~~!~______~_ Yes ____.___ $1~.46 MODIFIED REPl CONTENTS REPL Yes $108.45 ROOF ACV --,--_._----~._._------ No No AddftionalCoverages Coverage Description BLOG ORDINANCE Limit 10 Premium Coverage DescriptiOn Umit $0.00 LTDtal: , I, f ;j f~ '~ ~ " ~ .CO R ,.. [ ~ ,P , ~ IX) ...... ;.....t f ' ... '- "'\ \ " , ,!Ie '~ ~ .J .' ' r- . I, '~ :5 c~'. , Poo\ -, ,A / i ' ~I eel? I; 01 " 'elL CT ~ & '] ~ I ) // ../' ~ PEB-07~2007 11:0~ SHEEDY DRAYAGE CO P.02 . r"- Policy Number: SRSGLCA06113 Named Insured: SHItED l{ .DIU. v AGtI: Co. 'll ... ! THE ENDORSEMENT CIlANGES "fill! POLlcY. PLEASE READ IT CAREP1.Jl.L Y. BLANKET ADDITIONAL INSURED ENDOl(SEMENT It ls agreed that the person(s) or erg.anizatlon(s)' named below is (are) added triSection III (Who js an Insured) , Any person(s} or organizalion(s) wWl whom you agree in a written oonstruction contract to ~ name as an Insured (hereinafter. the -AddlUonsllnsUred") is an Insured with r~pecr \0 Rabilit)f 3r1sing out of y-our work" fOf' lhe AddiUonall~ured on lhe project specified in the censtructlo.-it contract. ioduding acts or omissions of the Addll:lonal Insured in con~ection wil~ the general = sUpervision of "your woo.:--. .:.. However, the Insurance provided to.the Addition3llnsured does not ~pply 10: : (3) "Bodily Injury"'. .Property Oamage., or dPersonallnjul)l' occuning after: r. (1) all work 00 tile project .(other ~an service, maintenance 'or r~pairs) ko tie pet10aned by or on behatf of the AddiUoll8llosiJred at the site of lhe- covered operations has beefI completed; or '.' (2) Ihal portion of "your wad(' out of which the injury or daJ'l'ldge arises has. been put to Its Interlded use by any Person or OrganizatiOn other than .= another conl.r8ctur or subcontractor e093ged in performing Op9I'c:dions '" for a principal as part of the same project.' '. "=' ,- (a) .Property Damage: to: .. (1) property owned, used. or occupied by or rented to the Additional Insured; . . ,; (2) pl'operty in the care. custody, or control of'the Additional' Insurecl or ov{r whic1l the Additional Insured Is tot' any purpose exerdsing physical ." control; or (3) :YOlK work'" for the MdillonallnsUfed. ..r .= -Bodily InJUry"'. .Property Damage", or "Pefflonal ",,!jory" arising. out of anarchitecrs' englneet's or su~eyor's rendering of or fallure to render any professionai services for '~ you. for the Adfllhonallnsw-ed; or for others. Including; .~ (1) 'f!1e pre~ng. aw,rovtllQ, .orfaUing to prepare or approVe. maps. sholf- draw.ngs, opImons, reports. StJM)y&, field orders; change orders or" dr3wlngs .. .- " . (2) Supel'VlsOfy, inspectl~, or engineering selViCes. All other terms and c;onditions ramaln undlanged. SRSQ..JOOS(03 02) ,r---. , I 110 "d ~l:LL LOO~ L q8~ 689~888606:X8~ TCTAL P."'.? Sl1W~3d l~J ~l~aWOJ FEB~07-2007 11:86 SHEEDY DRAYAGE CO .. P.1ZI1 CERTIFICATE OF LIABILITY IN~UKA~Lt .. ,- ~CORD.. ur nJI J,..1 09/01/Ofi SHEeDYL I'IIIOIlUI;EA nus CERTifiCATE ts ISSUED AS A MA rrER or; INfORJlA 110N Gallaqh~r Cona~Dtion ONLY AND CONFERS NO RIGHTS UPON THE QERT1FICAlt:: sepriCCll 'HOLDat.lHIS CERTlFICATEPOai NOY A.~ritp. f'XTeHD OR 580 Cal~fornia st., Suito l~OO Al~ THE COVERAGE AFFPRDHl BY THE P~)lI(:.1ES 8ElOW. ~ )'rano.iaco CA 94104-1098 , ii ! i I I ~_ ,~Q;800-500-720Z Fax:~lS~391-l8B2 INSURERS AFFOR~NG COVI;R.AGf;: ni" HAle It ~ INSU1'tER ", Un~:ritQrB' at Ll ovds ,~ ~II: ~...~ J'UhU'^~~ ~ '. INSURER C: : I' :,: She~ or3=f"'{JG Co_ .......I.~),~~y P-o- ox 7 0 4 IJiSI..IIlffiD: S'ulC;.e ~a.Utd 1"'.1'. ~ " San Francisco, CA 94107 ;~ ~Ile:: .......... ..- ~ , .- Ii _~ I !x 17 .s I ' DJ1t 09/01/07 I l;.LIEAOfAc.apa.tT K ~ 000.000 , ! :e.L D4SEAS( . Ea a..~Y'l:~ '1 000.000 I l::.L Dl&EAS~. POuCV;r"...rr 1 1. ..000 ,000 ! i: II : l i, C.NCa1..A11ON . ~~2 5MCIUUJ - OF TMIE ~QVlj Dl<'M:RBi!t> POUC11!.3 al; c.Aq:~tI eEf'OflI! ntE IDlPRA . -j. DA1I!'f'MOIIECIF. ~ISSlJDI(i~"'Ll e:1IIOE)o_ TO M~\ll 30. DA~-.nEN wanee YO 'Ill!! ~1CATJ! ItoUJUI ~ TO ~ lEf'l. i!:.n F,AlI".\,IIIE TI;1 PO so PW.l. ~ IIQ..........._ OtllJ.l'ell".\"n' ~ AK't IlJIC) Ul"0N ~ _.n;&; _ 0IIl ~"""lIW€ll. . A~"'l!I'llI!SII!!NT"'11YE coYBlAGES -'-~- ntE RIlICIES OF 1N$U_a: usno ~......IIE BEEN IS3Uffi TO l'HE INSUA9) JW.e>AIIOVI'. FOR T~ POI..IGY PeRaoo .NOICA 'fEiO'. .aolWl'THSl' A1II>1NG .. Mtt~NT, n;_OOl. CQNDlTION OF N<< ~Cl' ~01l4ER ~ WllHIlESfeC'fTOWMJCH~IS~""~Ic;.aTI;: -... 8I!:ISSUEO OR .. ......1' P9t'JAlI'(, 'OlE IN3l,IRNU AFf05lOro 6'i ni"~!!. cesatl8e) MIOREIN IS suwECrTO.AU. ntI! 'fffU.IS. OQ.u.!ItOKS ANO cONOITlONS OF SUCH .. .P(II.JCIeS.~(OATE LNlT3.:;HCWN """hAve IIUI< M:lJUCEO 8'r'PNDCLAU$.. :;.- ~ rn'E OF 1IlQJIWOC'- 1 j>QUCYIlIUIlRFl DA 'l~y .' - - .-~ , ~NE'lW- uA8ll1rY I x I <<IWNlRCW- GfNf~ UA$IlITY i SRSGLCAO l>123 J t1.AIlo&!. oAADl!: [iJ QC(..'IJR ! I X Cx'oaa Liabili tv II ~ AGGA:eGAn: L.cIY APf'UU Pff\; I KJuO( [Xl ~~ n we ~OIl106ft..E UAIIIIUT"t' 1 ~ ","AUTO SFT599381.301 ~ AUO~(1 ALlioS ~ SCHEDUl..EO Avr05 ~ H1R1<O /l.I)fOS ~~A.I.f100 r....., ~ A 09/01/06 09/01/07 ~ 1)C:CUflREt.Q .' :~$&~' :ueD IOX9 (My "".IK"2. '1 :PEI\SOWll ~ !l.OV IH.JJ'v :6.ttll:lW- AGGfl:E(>.<o ni if'l{(X)UC'TS - ~ OG i ! I !COM81r11:0 $JNCLE L1J,ir l:E.o __I .r- i i li~~I~ ~ ~80~IL V INJURY I. I '( P'er ..,;Id~l J I :f'ROIl"CRTr ~ .~ ;IPw .oddenJ) .r; . . . _l. :...UTIJ 0Nl. y - ~ ACC'C' ~ rIO'n1ER THAN EJ ACA;. I iAUrO ONLY 1AGG ; !~CM OCCu.w;~ ! ;AGC~~~T'" r "i B Ofj/OJ./Ofi 09/01/01 c ~ lJ.I>BILl'l'T I ANY MJTO ~IiMl.EL~l,UlalVT'f ~ OCC~ D CI..AlYS "'-AOI< mJN217149 09/01/06 09101/0'1 ItIIiEJlJC;T18lE ~ ~~lON $ i ! t ADR66S1029-06 ADR7651 028-06 09/01/06 _~'nOMA"'D ~'UMllJN D /4N'I ~1JfWNffl\lERJDfoC\IYt\I[ ~t.ftlER EXCl.UI)I;O? w~__ SPECIAL PRO\Il<JIONS_ ~ ~ OF CIPt;AA.'I)O'" IUX...JJ04<<II ~I..E;S I tela::LU!lIoM$ AOOIfJ) BVENDOIlSD,II;N'J I ~..~ GENERAL LYABYX,:rTY: J\DD:rTlONAL lNS~ ~ ATTACIIED ENDo~tn' RB: JU1Califo~13 OpQra.tlom. . 10 day no.tie:e f01; nonpay.m.ent or pr_iWll ~l1FtCATJ: HO\.DER r"\ City of Baker~fi~ld 1715 Cb&ster A"Qnue Bakur9~~e1d, CA 93301 ACOflb ~ (2001J08) e ACQRD CORPOAAlIOM 1lN18 s 1.000-000 s 100.QOO s 100.000 51 000.000 .2..000,000 12.000,000 5 1, 000,000 S i S S S J sl 000.000 .1 000.000 $ I .. .. .. '" ,- .. '. - 80 'd LL: LL LOOZ: L qa.:l 689z:888606:X8.:l Sl1W~3d 1~3 ~1~aW03