HomeMy WebLinkAbout04-30000047
- - ----=- ~
-
ENCROACHMENT PERMIT
-,
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN A VB
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
pin number . . . . . .
property Address . . .
ATN (11 Digits) :
Application description
04-30000047 Date
.605164
REINA RD
528-192-18-00-0
. . . PW - ENCROACHMENT PERMIT
5/07/04
Owner
Contractor
KING RANCH AND GARDINER r:AeM~
8223 ROOD RD
BAKERSFIELD
BAKERSFIELD CA 93304
(661) 589-4687
OWNER/BUILDER
BAKERSFIELD
CA 93301 .'.
--------------------------------------------
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
216416
150.00
5/07/04
~
, .
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL 30" STEEL CASING WITH 18" PVC
INSIDE UNDER REINA RD @ INTERSECTION OF
ALLEN RD & REINA RD
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 150.00
Grand Total 150.00
150.00
150.00
.00
.00
.00
.00
AppJicant acknowledges the right of the City Engineer, pursuant to}he Bakersfield Municipal Code Chapter 12.20 to revoke the
. perini!al any ime. ., ..~ _~ _
;' / /i?/- ~/~
PriJlt ame
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.eCity Engineer
Additional Terms on the Back
L{,~ " /D(
ot./ - Lf: 1
------ ~ -
1.1 r
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.
'<,
</jt;/' .i ead. and acknowledge the above.
,/ Applicant's Initials
/' /
./ <
, ~' ,.-
~- --- /
, v'
.1.,
~
.
-
BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
May 25,2004
SUBJECT:
Encroachment Permit Application for 18" pvc irrigation line w/30" steel casing
Gardner Farms/King Ranch
Across Allen Road at Reina Road
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of
18" pvc irrigation line w/30" steel casing. The site is located at Allen Road at Reina Road.
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\04-30000047 Allen & Reina.doc
~
MAY-12-2004 WED 11:03 AM MURRAY-KNOX/IN~~~T.
AL;URLt CERTIFICATE OF LIABILITY INSURANCE
PRODUCER (661)327-3300 FAX (661)327.3309
InWest Insurance SerVices
5001 California Avenue Ste ISO
Bakersfield, CA 93309
Kathy Trower
INSURfo James Gar 1ner. Ke1th Gardiner. Lucille Ciardine
DBA: Gardiner Farms
8226 Rudd Avenue
Bakersfield, CA 93312
FAX NO. 661 327 3309
P. 01
DATE IMM1PDIYyyy)
05/11/2004
THIS. CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. nus CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES B~lOW.
COVERAGE;S
THE POLtCI!:;S OF INSURANCE LISTED BELOW HAVE BEEN ISSUf;D TO THE INSURED NAMED A.60VE FOR THE POLICY PERIOD INDICATED. NOrwlTHSTANDINI
ANY REQUIREMENT, TIORM OR CONDITIoN OF ANY CONTRACT OR O'rHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAtE MAY fiE ISSUED OR
MAY PERTAIN, THE fNSURANCIO AFFORDED BY THE POLICIES DESCRIBED HERJ;;IN 15 SU~JECT TO ALl- THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE aeeN REDUCEOay PAID CLAIMS,
If'~:- ~~ TYPE OF INSURl\HCE POLICy NlJMIlt;R POYC;Y EFfEc:TIYE POIJCy EXPIRATION UMlTS
~NEML ~BIUlY 700.73SK3813-TIl~03 10/15/2003 10/15/2004 EACH OCClJRRl'NCE is 1. 000. OO(]
X COMMERCIAl. GENERAL I.IASlllTY DAMAGI' TO RENTED S SO.OOO
~ I ClAlMS MADE 0 OCCUR Meo EXP (Any 0110 person) is S.ooo
A PERSONAl & ADV INJURY S 1. 000.000
GENERAL AGGREGATE is 2. 000. OO()
- 2.000.000
GeHl. AGGREGATlO LIMIT APf'Ui:S PER: PROllUClS . COMPIOP AGG $
I PoUCy nrre>i h-I.oc
~OMoalLE U48IUTY P-710-73SK3813-TCT-03 10/15/2003 10/15/2004 COMBINf;D SINGLE lIMrr iii
ANY AUTO (Ei alXidonl) 1. 000. OO(]
f--
ALL OWNeo AUTos 1I00lL Y INJURY
"x- $
SCHEouLED AUTOS (Per person)
A ~
..!- HIRED AUTOS SOOII.Y INJURY
S
~ NON-OWNED AUTOS (Pet' =cc1dent)
Physical Damage $250 OED COMP/COll PROPERTY DAMAGE $
(Per ~llenl)
GARAGE UAelLIlY AUTO ONLY. ~ ACCIDENT S
R -ANY AUTO OlliER THAN EA ACC $
AUTO CHL Y: AGG $
EXCESsIUMBRSl.LA UAelLITY FS-ex-735K3813-TIl_03 10/1S/2003 10/15/2004 EACH OCCUARalce is S.OOO.OOC
:!j OCCUR 0 CLAIMS MADE AGGREGATe; is 5'. 000. OO()
A is
R DEOUCTlBLE $
RETENTION is S
w~ COMPENSATION ANP 1 WCSTATU.T 1OJ'bi-
- I'MPLOYEAS' I.lAEIlLITY
ANY PROPRIE'ORIPARTNERIIOX!:CUTIVE E.L. EACH ACCIDf'HT is
OFFICERlMELlBER EXCLUDED? 1",1., OISEASE . EA EMPLOYEE S
~, deseriba Ul'Ider
ECw. PRoVISIONS below E~. OIS~SE . POLICY UMrr $
O'l11ER
!>1lSCRlPlJoN OF Of>ERA1JqNs II..OCATlONS I VEt1lCLEs I EXCI.US~.N.f ADDED BY ENPORSEMI'~T I ~PEClAl. PROVl~S
~,ty of Bakersfleld, Its Mayor, Councl . Agents, Emp oyees and Vo unteers are named as additional
lnsured. iRE: All California Operations
INSURERS AFFORDING COVERAGE
INSURER A; Travelers Casualty & Property
INSUflal B:
INSUREI'{ C:
INSURER 0;
INSURER E:
NJ\JC#
The City of Bakersfield
lSOS Truxtun Ave.
Bakersfield, CA 93301
SHOULD ANy OF tHE AElOVI: DIi:SCRlSED POLICIES BE CANCELLED 1lE1'0R(! 'tHe
~lIlATION PATE THEReOF. 'HI" ISSUING INSUI'{ER WILl. j;NDI'AVOR TO MAIL
~ CAYll WRm'EN NOlle" TO Tlie CERTII'1CATE HOUlER NAMED TO ,"'" LEFT.
BUT FAILURE 'f0 MAIL SUCH NOllcl' SHALL IMPOSE NO OBLIGATION OR LIABII-ITY
OF My /QNO UPON nfl;: INSURER. rrs AGENTS OR REPRESeNTATIVES.
AUTKO~ REPRESENTATIVE /2. . -:Jrl
Gardner Murra KATHYT ~~
@ACORD CORPORATION 1988
ACORD 25 (2001/08)
3~1o- 03101
MAY-12-2004 WED 11:03 AM MURRAY-KNOX/INWEST
FAX NO. 661 327 3309
P. 02
POLICY NUMBER:
700-735K3813-TIL-03
COMMERCIAL GENERAL LlAalLllY
CG 20 10 10 93 Modified
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED.. OWNERS, LESSEES OR
CONTRACTORS. FORM B
ThiS endorsement modifies insurance provided under the foJ/owing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or OrganIzation; City of Bakersfield. Its Mayor, Council, Agents,Employees
& Volunteers.
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.) .
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization
shown in the Schedule, but only to the extent that the person or organization is held liable for your
acts or omissions far your ongoing operations performed for that insured.
CG 20101093 Modified
Page 1 of 1
Includes copyrighted material of Insurance Services Office. Inc.. with its permission.
. '. 0,:.'
APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKE~FlELD, CALIFORNIA:
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersi~ applies for a permit to
place, erect, use and maintain an encroachment on public property ot right-of-way as therem deffi1oo.
1. Full name of applicant and complete address includirig phone numbe .:
Co
3. Location of the proposed encroachment:
,
2. Nature or description of the
II
4. Paiod of time for which the encroachment is to be maintained:
. !
Applicant agrees that if this application is ~anted, applicant shall indemnify, defend and hold hannless City, its officers,
agents and employee~ against .~y an~ all habil~ty, ~la;ims, ~i~s~ cau~s of'action or ~ whatsoever ~gainst them,
or any of them, before administtative, ~l-JudlCial. or JUdiCIal tnbunals of any kind whatsoever. a:nsmg out of,
connected with, or caused by applicant s plooement. erection, use (by applicant or any other person or entity) OT
maintenance of said encroachInent. The applicant further ~ to maintain the aforesaid encroaclunent during the life
of said encroachment or until such time tliat this permit is n:voked.
Applicant further agrees that u,pon the expiration. of the ennit for which this application is madet -if granted, or !!QQll
the adon 11 fb the 1 in Ii. wi hi own. ex: en ve the s from the ublic
prQP~ or n~ht 0 wa:y w re e .same IS located, and restore sm.Q public property or ri t way to the con tion as
near y as that m which it was before the placing, ereetion, l'namteriance 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 remams. ApJll:icant shall funush the City Risk Manager with a Certificate of
Insurance evidencing sufficient coverage for bodily mjury or property damage liability or both aDd required endorsements
evidencing the insurance required. The type(s) aDd amoutrt(s) of insurance coverage is:
. Applicant acknowledges the right of the City Engineer. pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time.' ~ ~
Date: 6/z/of ~~ .~' .
.. . , re 0 . p cant wner or Representative)
PEBMIT
1. HEREBY CERTIFY THAT 1 HAVE MAnE AN INVESTIGATION OF TaE FACTS STATED 1M THE
FOREGOING APPLICATION AND FIND THAT.THE MAINTENANCE OF SAID ENCROACHMENT (1)
Wn,L (N01) SUBSTANTIALLY INTERJ'Etm WITH tHE USE OF THE PUBLIC PLACE WHERE TIlE
SAME IS TO.BE LOCA1'ED AND (1) ~:L CNo.T) CONSTITUTE A HAZARD TO PERSONS USING SAID
PUBLIC PLACE; SAID APPLICATIO~ IS THEREFORE (GRANTED) (DENIED). SAID PERMIT SHALL
EXPIRE
Date:
No.
Signature of City Engineer
O:\GROUPO.\1\PClltM~..
W'd
~c: S1 1700c O~ ..Jdl:l .
~6178a~199:xe.:l
I:lsn HJ31H1IWS-....-..... .-
r. VI
"
~ CERTIFICATE OF LIABILITY INSURANCE I DATE lMI"DDIV'I'VYl
05/03/Z004
PRODUCER (661)n7~:nOO FAX (661)327-)]09 THIS CERTIFICATE IS IS&UED AS A MATTER OF INFORMATION
InWest Iftsu~ance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATe
H~:~THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
5001 California Avenue Ste ISO Al. E COVERAG~ AFFORDED BY THE POLICIES SB.OW.
Bakersfield, CA 91109
Kathy Trower INSURERS AFFORDING COVERAGE HAle II
INSURED J..s Ca~di ner . ke1 ~fi Giard, fter , Luc ill e (;ard i ne, INSURER A; Travelers Casualty I Property
DBA: Cardiner FllrlllS INSURER B:
1226 Rudd Avenue INSURER c:
Bakersfield, CA 93312 INSURER It.
INSURER E:
THE POlICIES OF INSURANCE LISTED PELOW HAVE PEEN ISSUED TO TliE INSURED NAMED ABOVE FOR THe POI.ICY PERIOO INDICATED. NOTWITHSTANDINt
ANY REQUIREMENT. TERM OR CONDITION Of' ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFlCATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POI.ICtES DESCRlllED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONOITIONS OF SUCH
POl.ICIES. AGGREGATE LNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CI.AIMS.
~ 'M'EOf'~ ~NIMIER ~~. LMTI
GeNIERAL. WIIIUTY 7oo-7J 5K31l3 - TIL -03 10/15/2001 10/15/2004 i.'CH OCCuRREHCE S 1.OOO.00ll
~
X COMNERCWo GeNERAL UABlLITY . DAMAGE TO RENTED S so. ClOd
== =:J ClAIMS MADE 00 OCCUR MED f>> ~ one persOn) s s.OOd
A PERSONAl & ArN "JURY S 1.000. Oriij
r--
GEtfERAlAGGIlEGATE s 2.000.0001
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOP 10GB S 2.000.0001
hPOUCYn~ nlDC
AU1'OM08ll.l UAIIIUTY P-71O-73SK3813-TCT-03 10/15/2003 10/15/2004 CoMBINED SINGlE LIMIT
~ S
AI<< AUTO te. acddenl) 1 000. DOC!
~
~ ALL OWNeD AUTOS BODIlY INJURY
SCHEDULED AUTOS (Pwpelllll'l) s
A "X
H1JU;D AUTOS BOOlLYINJURY
T NOHoOWNED AUTOS (PW .-tl S
~
Physical OalIlage $250 OED COMP/COLL PROPl!IUY DAMAGE
(PIlr~ .
GNW;e UAIIlLITY AUTO ONLY. &t. ACCIDENT S .
~.AWAUTO OllfER THAN EA. ACe S
AUTOON1.Y: AGO S
FVC::USll,..,1OR I .. WIIIIUTY FS-EX-73SK3813-TIL-03 10/15/2003 10/15/2004 EACH OCCURRENCE S S.OOO.OOIl
]]. OCCUR 0 ClAIMS MADE AGGREGATE I 5.000.000
A s
==f DEOUCTIBLE S
RETENTION S I
WORKERS t:OMI'ENSAllON AND I we STATU- I IO~
EWl.OYl:RS' UABlUTY
ANt PROPAlET()RIP~ E.L. eACH 4CCIOENT S
OFFICERlMEMIlER EXClUDED? E.L. DlSEA!le . EA I
~__und..
IAL PROYISIONS IIelGW E.L. DISEASE . POLICy LIMIT I
OTHER
DESCRIPTION OF OPEMTlONS J LOCA'l1ClN$ J~IRCLES' EXCLUSION5 ADDeD IV ENllORSENEHT' ~ECIAl.l'ttCMilQNS
The City of Bakersfield
Sl40ULD MY OF THE A80VI f)ESCRlBED POUCIES BE CIlHCEU.m BEFORE THE
DPlRA110IiI DATE THIREOl', MlSSUlNG IIIlSlIRER WIU. eHDEAVOR TO IlWL
~ IIAY1I_1TEN HOTlCE TO THE CERTIFICATE HOLDER ~ TO THE lEFT,
BUT !'A1LURE TO _ SUCH NOTICE IHllU. IMPCl:IE NO O8l.IGATlON OR UAIIIUTY
Of ItJf'( IClNO UPON THE IHSIIlWl. ITS AGeJmI Olt REPRESEH'I'ATI\IM.
AIm<<JRlZED I&IESEHTA'TIYE 1"2, . . :
Gardner Murra THYT ~.A.:frl
ClACORD CORPORATION '881
ACORD 25 (2001108)
"-
.~
.
-
BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 17, 2004
SUBJECT: Encroachment Permit Application for Reina Road at Allen Road.
King Ranch & Gardiner
18" pvc irrigation line with 30" steel casing.
Please review the attached encroachment permit and return to me at your earliest convenience.
"""-~"C jlV\tI.,'"-;."",,, 2-v,~y TvC(.,FI~{L-. ~ S;/17/oy
S:\PERMITS\ENCROACH\TRAFFIC\Reina Rd irrig line crossing at Allen Rd.doc
"---
~
.
-
BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 17, 2004
SUBJECT: Encroachment Permit Application for Reina Road at Allen Road.
King Ranch & Gardiner
18" pvc irrigation line with 3D" steel casing.
RECEIVED
MAY l' 7200\
RISK MGMT.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\Reina Rd irrig crossing at Allen Rd.doc
.-.....-