HomeMy WebLinkAbout07-30000013
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 .....
Application type description
07-30000013 Date
COFFEE RD
PW - ENCROACHMENT PERMIT
4/18/07
Owner
Contractor
CITY OF BAKERSFIELD OWNER
1501 TRUXTUN AV
BAKERSFIELD CA 93301
----------------------------------------------------------------------------
permi t . . . . .
Additional desc .
phone Access Code
Permit Fee . . .
Issue Date
ENCROACHMENT PERMIT
665851
.00
4/18/07
Valuation
o
Qty Unit Charge Per
1.00 .0000 EA PW ENCROACHMENT
Extension
.00
----------------------------------------------------------------------------
Special Notes and Comments
Kern Co. Water Agency will begin work on
cross valley canal pump station 6B.
City owns the land, but it is to sold
to KCWA Council Agreement #
, Location is south of Brimhall Rd. on
Coffee Rd.
CONTACT is KCWA 634-1400 Jon Parnell
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Grand Total
.00
.00
.00
.00
'.0.0 .00
,~ . DO. ,- .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.
W
'i
:To N "",I. fAAP~L-V
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)
SUBST ANTIALL Y 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.
/:L---/
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
administrcitive 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
. '
.
~
.
-
BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 18, 2007
SUBJECT: Encroachment Permit Application for: Coffee Rd. at KCW A pumping plant
Name of Applicant: Kern Co. Water Agency
Description of Encroachment: Working on city property, until Council.
Agreement is signed.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to work on city property until they buy said property.
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
07- /3 \
~ .
-
OB J\. K E R S F I E L I)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ralph Korn, Risk Manager
~
J- {}P ~
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 18, 2007
SUBJECT: Encroachment Permit Application for: Coffee Rd. at KCW A pumping plant
Name of Applicant: Kern Co. Water Agency
Description of Encroachment: Working on city property, until Council
agreement is signed.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANCUnsurance memo. doc
APPLICATION FOR ENCROACBl'rlENT PER.\1II
, TO Tm: CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFOR:.~L.\.:
.,
Pw-suan", , t to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, tbe undersigned applies for a permit
to place, ere~t. .use and ~~il1 an ~ro~~ent on p~blic property .o~ ri~t-of.way as therein defined.
1. Full name ofaoDlicant and comolete address includin.g phone num~r: Kern County Water Agency
3200 Rio Mirada Dr '.' Bakersfield, CA 93308 (661) 634-1400
.' ..
2. Nature or description of the encroachment for which this application is made; Cci n s t r u.c_t io t:l 9 f .
.Cr:oss. Valley Canal Pump Station No. '6'B and the Friant-Kern Canal Intertie
3. Locatioaoftheproposedencroachmcnt: South of Brimhall Rd, East of Coffee Ro~d.
North of the Cross Valley Ca~al ~nd We~t nf thp Fri~nt-KE'rn C~n91
4. Perio'doftimefory.rhichtheencroacbmcntis to be maintained: ~ntil subject pr9pertY is
. -
ac;:quired by the Kern Co.!.m~y Water Aqency. ..
Applicant agrees that if thisappucation is ~ted, applicant sbaU indemnify. defend and hold bam11ess Cify, its
officers,' ,agents and cmploycC$ against any and allliabillty. claims, actioDS, causes ofaction or demands, whatsoever
againstthem.orany 9fthem. before administrative, quasi-Judiciall or judicial tribunals of any kind wbatsoever, arisinS
OU, t o~ conn," ~ wi,,!fl; or, caused, b,' y app, licant' ~ placement. erection, us~ (by. applicant or .anyother person or entity)
~ matntc:nanceof saldencroaclu;nent. 11ie appliC2I':t .furth~ ~grees 10 mamtam the afor~d encr~chment during the
life ot5111d encroaehment or'\U1tU such tune that this pemut 15 revoked. . . . .
~PPUcanffurth~~, ,., that ~pon.th~ expiration of the perimt r~r ~hichtiris ap~1ication i~ mad~. if granted. on,will
therevocation e eo. v e' ,. eet i twifIathisowncostandexenseremovethesamefromthe-public
propertY or right.o w~yw . e same is loca~ and ~tQre ~d pu lie prop?iY or right.of way to thccondition
as ne.arlyas that m which it was before the pl.acmg, erectIOn. mamtenance or cxlstence of saldcncroacl1meot,
. .
Apllucantfurlheragrees toobwn and keeP, allllilbility insu.rance re~ by t~e Ci~y EngineC1' in ~l force a.nd effect
, for however long theencroacbment rernams. Applicant shall furnish the City Risk M"anager Wlth a Certificate of
InswanC, , e evid~ sufficicnteoverage for bO(lily injury or propertX damage liability or both and required
endotsement~ c\I'1dencing the insuran~ required. The type(s) and amount(s) of insurance' coverage is:
- .
... _.. I'
- ..~.... ~
. ,
",."\
. ~
. - - ~ .
Applicant aclcn~wledgC$;he right of the City En.,oineer, pursuan~.to-B~ersiield Mum~'CiPal Cgde"chj\P;er..)2.20 to
revoke the~t at any time. '.
Date: .3 ~b/~7-'
~ . t wner or ~presentat1ve
lBElrKBycn.TIFYTJIA T IllA VEMAl):EA.'l m:" CATION OF 1'llEFACTSSTATEDINTHE
FORl!:GOmGAPPLICATIONAJ."'IDFlNDm~TTHEMAlNTENk"JCEOF SAij)ENCROACBMEl";",T(1) WILL
(NOT)SUBSTA..1I(TI.,\LLYINl'EMEREWITHTSEUSE OF THE PUBLICPLACEWH.ERE1'HESA.\U IS:rO
B, E,LO, C,A"TED, ',,',',4.~, ~wn.L CNOTfCONSlTl1.ITEAHAlA:RD TO,' PEltS,". ',0, N, ,S,~,' ," 'GSAIDP, U,,3 I.ICPLACEi
SAlDAl'PLICATIONIS THER!FOItt (G~.,TEI))(DEmED). SAlpPERl\-nT SHALLEXPlRE
Date:
No.
~ngineer'
[7
04/16/2007 17:10 FAX 661 634 1428
KE~~ COl~Y WATER AGENCY
[itJ 001
Kern County
Water Agency
Facsimile 'l'rJlIl$RJissioD
Ea~t Will9
< T", Qp-"'J.~ ~ tv, S.. '"
Sender: ~ ~t'hl-
Fax #;
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#- of Pages: 4-
Phone #:;
pate:~~o1
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Our faC5imile may be reached by dialing.{661) 634-1428
. -
If you have any probleMs _itlt tile reception of this fa~simi(B, p1ti!'ilSC call sender at (661) 634-1400
~Bnl
o For Review
o Please Commenl
o Pie.:!$e Reply 0 Pl~se Recycle
.. Comments:
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PAGE 1/4 ~ RCVD AT 411612007 5:10:30 PM ~acific Da~ightTimel ~ SVR:NEWYORKI6! DNIS:2011 ! CSID:6616341428 t DURATION (mm-ss):01.20
04/16/2007 17:10 FAX 661 634 1428
~qI1b/~~~' 10:10 ~~b~bOb~ql
KERN COl~~Y WATER AGENCY
ALWA .Jt-'lA
Association of California W~ter Agencies I Joint Powers Insurance Allthority
- 58:20 Birdcage Street. Suite 200, Citrus Heights, CA 95610
CERTIFICATE OF COVERAGE
Id.1 003
I""~~ 11:4/11;:1
'1'1-11$ C"ERiIFlCATE IS ISS1J&I AS A MATTER OF lNFORW-T10N ONLY AND cON~IiFlS NO RlGHiS UPON THE Oe;;P,T1FICATE HOLD5R OTHER '!'I--IAN
THOSE PROVI05D 1111 THE COVERAGE DOCUMENT. Tl-Irs CER1lFlCAT~ ooes NOT AMEND. EXTEND OF! AI.. TEFl 'THe COVl!!RAGE AFFOADED BV THIS
COVSRAGS DOCUMI!IllTS LISTED HE!ftliIN. '
MlilftllbER
Kern COUnty Water Agency
PO Sox 58
Elakel'5fleld, CA g3302.oosa
.. .'~
COVERAGE INFORMA. TION
lltis ~ 10 ceI'lIfy Ihat Cll\/emge I1OetIIl'lents dsted herein haw been jSSUll'd 10 the Member Agr::nCy l'lGroin \'Or lhe O1ver;lge period indicalall. Nol wl\lIsl.!Indlng any
req\lllllltll:nl. lorm Or condition or ilhy \:Dnlrsct CIr cUter dOCllment Willi "",peat In wtlicll the carWlcate may be ISlIrJed or may pcrtJin, lIle ~ l1fb'~d by 111"
CO\fEI'SIlI! dr:leuma~ Dstccl "~n III ~uI:lJ~c:l: to ~llIIe lerlM, ClIndhlons ana IllCC/USiOnS or su;h c:lVi!lBgl! dllCllmen\$.
rvoe of Ccwet1lae Certiriellte A ar..c::~ Date l;-irat!on Data UI'IlIf$
Gerremlliabilllf MQlC-100106 1011/2006 1011/2007 Aggregate 51,000,000
61! Commen::ial Oeneral LIability Pet OcaJlTBnce 11,000,000
~ Contraotual t.ial:liUtjr
611 ProdudslCompleteclOlleratlons
e OcetJrrenc:e
.-
Auto UabirJty MOle~100106 101112006 101112007 Per Occurrence 51.000.000
&:3 OWned Autos
Ii1 HIred Autos
I?J Non-Owned Autos
AutO' PhySical Damage
Sdll!ldu1ed Autos.
Jo4.ir~d Autos
Pr0p9Jty
SpecJalForm
Mal:lUe Equipment
Boilerand Machinery
CritTl~
Workers' CgmpenWlon 1
I
CoIIArllg9 A - Workers' Comp.
Coverage 8. Employers Uabili\y
PEiSCRlPTlON
The eel'tir~ta Holder, its maYQr, CQuncil, employees. agents and vOlunt@ef'r;, have been adcted as AddiliO"'-l1 ~Bred Parfres 10 tile Liability
Program. but solely with respect to those cOU!:O$ of action arlsino ditectly OUt cf tlle adlvltJes covered by the Encroachment Permit Application
for construction afCrass Vall~ Canal Pu~ Station No.. 6B, and the Friant-Ken"t Cal'\l:tollnlartir:l,
CERTIFICATE HOLDER CANCELLATION
Soould tu1y Of tile eflllMag" dcco.rmen1l! hell!ln be
C1l'lC!Qlll!cl befole tI'Il! llXpiratlon a;ne I~P.reQf, ACWAJJPIA
""m cnde6\1O( to provide: 30 11~)'a wrll1cn ~Ul>O ~~ II'\I:l
certlflCl'llB holClat named "'ere1n.
Olty of Bakersfield
Alln: Rllndy Jghn$QI'I A\nH~EJ) RE.P~AT1VE DATE
1501 Truxtun A\lenl,lc \ J III 1~' 4/16/2007
Bakersfield, CA 93302
......::.
(J
PAGE 3/4 ~ RCVD AT 411612007 5:10:30 PM ~acific Da~ight Timell SVR:NEWYORKI61 DNIS:2011 ~ CSID:6616341428 ~ DURATION (mm-ss):01,20
04/16/2007 17:11 FAX 661 634 1428
~ ~q{Lb/~~~' l~:l~ ~!b~b~b~Q(
KE~, COUNTY WATER AGENCY
r:c.WA JPIA
IdJ004
PAGE: 1:13/63
ADDENDUM
to the
Memorandum of Liability Coverage
for the
ASSOCIATION OF CALIFORNIA WATERAGENClES
JOINT POWERS INSURANce AUTHORITY
MEMBER: Kern County Water Agency
COVERAGE pel;tIOD: 10/1/2008 ~ 10/1/2007
"OD~NDUM DATE: 4J1612007
ADDENDUM NUMBER~
Change In WHO IS COVERED
'The following entities are hel'l!:bv :added as Adci!lonal Covered PartieS:
The City of Bakersfield, its mayor, council, employees, agents and .volunteers, but solely wllh res~ct to those
causes of action arising directly out of the ar;tivities covered by the Encroachment Permit Application for
construction of Cross Valley Canal Pump Station NI;I. 68, and the Friant-Kem Canallntenie, and subject to a
$1,000,000 per occurrence and annual aggregate limit of liability.
Signed By:
\i iIJ. ~
(Auth6~Zed Repres~ tive)
. .
~. .
Date: 4/1612007
PAGE 4/4 t RCVD AT 4/16/2007 5:10:30 PM ~acific Da~ight Time] * SVR:NEWYORKI6 * DNIS:2011 t CSID:6616341428 t DURATION (mm-ss):01.20
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Message
Page 1 of 3
Randy Johnson - FW: Insurance
From:
To:
Date:
Subject:
CC:
Attachments:
"Parnell, Jon"
4/17/2007 4:55 PM
FW: Insurance
"Ted Wright"
"Ted Wright"
Randy:
Here's the insurance certificate from the Kern County Water Agency's contractor, Blois Construction, Inc., for the
Cross Valley Canal Pumping Plant 6B Project located near the intersection of Brimhall and Coffee Roads. Please
let me know if you need anything else. Thanks.
Jon Parnell
Manager - Cross Valley Canal
Kern County Water Agency
(661) 634-1475
From: Jose Rolon [mailto:joserolon@bloisconstruction.com]
Sent: Tuesday, April 17, 2007 4:30 PM
To: Parnell, Jon; Rich HARRIS (E-mail)
Cc: Mike Ireland
Subject: FW: Insurance
Hi guys,
Attached is the certificate requested with The City of Bakersfield added. Let me know if you need
any hard copies.
Jose
-----Original Message-----
From: Palmer Douglas
Sent: Tuesday, April 17, 20074:24 PM
To: Jose Rolon
Cc: Mike Ireland
Subject: FW: Insurance
Jose,
Attached is the revised insurance certificate you requested. Please advise if you need a copy mailed by our
insurance company to anyone.
Thanks,
!?~!>>~
Palmer Douglas
Controller
Blois Construction, Inc.
file://C:\Documents and Settings\rljohnso\Local Settings\Temp\XPgrpwise\4624FC08CIT... 4/18/2007
Message
Page 2 of 3
-----Original Message-----
From: Karen Hill [mailto:KHiII@ohins.com]
Sent: Tuesday, April!7, 20074:23 PM
To: Palmer Douglas
Subject: RE: Insurance
Hi Palmer,
Veronica is out sick. I revised the certificate. Is there someone you want me to fax it to?
Thanks
Karen Hill, CIC
Ogilvy Hill Insurance
1555 W. 5th. St., Suite 270
Oxnard, CA 93030
License Number: 00397199
Phone Number: (805) 204-4604
Fax Number: (805) 966-7810
Email: khill@ohins.com
-----Original Message-----
From: Palmer Douglas [mailto:PalmerDouglas@BloisConstruction.com]
Sent: Tuesday, April!7, 2007 3:38 PM
To: Karen Hill
, Subject: FW: Insurance
Karen,
Please amend our insurance certificate to include the City of Bakersfield et al as per the attached request.
This is on our Job# 2637 with the Kern County Water Agency.
Thanks,
!?~g~
Palmer Douglas
Controller
Blois Construction, Inc.
-----Original Message-----
From: Jose Rolon
Sent: Tuesday, April!7, 2007 3:29 PM
To: Palmer Douglas
Cc: Mike Ireland
Subject: FW: Insurance
Hi Palmer,
Here is the request to add The City of Bakersfield to our insurance. They are really in a hurry
to get this done. Please advise when we can get this done for them, so I may contact the Kern
Water Agency Manager.
Thank you,
Jose
-----Original Message-----
file://C:\Documents and Settings\rljohnso\Local Settings\Temp\XPgrpwise\4624FC08CIT ... 4/18/2007
Message
Page 3 of 3
From: Rich Huffman [mailto:rhuffman@harris-assoc.com]
Sent: Monday, April 16, 2007 3:44 PM
To: Jose Rolon
Subject: Insurance
Please see the attached Field Memo and provide the requested information.
Richard Huffman
Construction Manager
Harris & Associates, Inc.
file://C:\Documents and Settings\rljohnso\Local Settings\Temp\XPgrpwise\4624FC08CIT ... 4/18/2007
ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID 1~ DATE (MMIDDIYYYY)
BLOIS 1 04/17/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Ogilvy-Hill Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. Box 929 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Santa Barbara CA 93102
Phone: 805-966-4101 Fax:805-966-7B10 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: 'travliIlDr'. P~operty " Callualty 25674
INSURER B: Na U"";U Union Fire Insurance
Blois Construction, Inc. INSURER C: SeaBright Insurance C~sny
P. O. Box 672 INSURER 0: Liberty Surplus Ins. Co.
Oxnard CA 93032
INSURER E:
COVERAGES
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 CONmACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AfFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR'~DD~6 POLICY NUMBER 'iJ~~~Tri,rnf8~E Pgk~cll~,J;b'1f~N UMITS
LTR NSR TYPE OF INSURANCE
I GENERAL LIABIUTY ' , .. . - - -. s 1,000 000
EACH OCCURRENCE
- ~~~..,~~
A X COMMERCIAL GENERAL LIABILITY DTEC00791C399 10/01/06 10/01/07 PREMISES (Ea occurenca) S 300 000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) S 5,000
PERSONAL & ADV INJURY 51,000,000
GENERAL AGGREGATE s2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER: PROOUCTS . COMP/OP AGG s2 000,000
h POLICY Tx ~8i n LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
A Ji.. ANY AUTO DT8100791C399 10/01/06 10/01/07 (Ea aecldent)
ALL OWNED AUTOS BODILY INJURY
I-- (Per pelSllnl $
I-- SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
f-- S
NON-OWNED AUTOS (Per aecldanlf
I-
I-- PROPERTY DAMAGE: 5
(Per accident)
GARAGE LIABILITY AUTO ONLY. EAACCIDENT $
tJ ANY AUTO OTHER THAN EA ACC $
I AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE Is 3,000,000
B iJ OCCUR D CLAIMS MADE BE7227548 10/01/06 10/01/07 AGGREGATE $3.000,000
5
~ DEOUCTIBLE $
I X RETENTION 510,000 / s / / /
I WORKERS COMPENSATION AND X ITORY LIMlTli I IU~~'
C ' EMPLOYERS' LIABILITY BB1060230 04/01/06 04/01/07 E.L EACH ACCIDENT 51,000,000
ANY PROPRIETORlPARTNERlEXECUTlVE
OFFICERIMEMBER EXCLUDED? E.L DISEASE. EA EMPLOYEE $.1,000,000
II yes. desc:-ibe under E.L. DISEASE. POLICY LIMIT $ 1,000,000
SPECIAL PROVISIONS below
I OTHER
D Pollution UBESFI00679016 10/01/06 10/01/07 Pollution $1,000,000
I Ded. $10,000
!
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES I EXCLUSIONS AODED BY ENDORSEMENT / SPECIAL PROVISIONS
Job#:2637.The City of Bakersfield, its Mayor, Council, Officers, Agents,
Employees, Volunteers and certificate holder
are named as additional insureds as regards Kern County Water
Agency Cross Valley Canal Expansion Project Pumping Plant 6B North. (RFB No.
continued... . .
Kern County Water Agency
Cross Valley Canal
Jon Parnell, Manager
P.O. Box 58
Bakersfield CA 93302
CANCELLATION
CRO-- 5 8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR,.O MAIL * 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO Oil LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTH Z ~NTATlVE
@ACORD CORPORATION 1988
CERTIFICATE HOLDER
ACORD 25 (2001/08)
RCWA 20D6~lB)per endorsement attached .Insurance is primary per form
CGD31607/04 in respects to general liability and per form CAT3530602
in respect to auto liability.
*10 day notice of cancellation for non payment of premium.
CERTIFICATE ISSUED IN LIEU OF CERTIFICATE DATED 12/27/06
.-..............--.............
"N"'"o"'m:''''m'';:e,oc;e'''";''
-. - " . .
.'_ . u. _ .
._ ... ._ ....; __u
... ... ..u
:: :: ::,.. .-. .::~. ~:: ;~\;!:I~~T b~ ~{~ l
.. .. .......--~,."
COMMERCIAL GENERAL L1A.BIUlY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
BLANKET ADDITIONAL INSURED
(CONTRACTORS OPERATIONS)
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILllY COVERAGE PART
COMMERCIAL GENERAL L1ABILllY - CONTRACTORS COVERAGE PART
1. WHO IS AN INSURED - (Section II) Is amended work" Included In lhe "products~rnpleted
,to Il')gu[jEi.anY pflrBonororganlzatlon, you ,are re~. ' ,', 'operatIons hazard". .
" qllired to Include as an additional Insured on Ulls . 3. Subpart (1)(a) of the Pollution exclusion under
policy by a written contract or written agreement Paragraph 2., exclusions of Bodily Injury and
tn effect during ~Is policy period and sIgned and Property Damage Uablllty Coverage (Section I _
executed by you prior to the loss fer which cover- Coverages) does not apply to you If the "bodDy
age is soughl The person or organizatIon does Injury" or "properly damage" arises out of "your
not qualify as an additional Insured with respect to work" perfO/med on premises whIch are owned or
the Independent acts or omissions of such person rented by the additional Insured at the time "your
or organization. The person or organlzallon is work" Is parformed.
only an addlUonallnsured wtlh respect to liability
caused by "your work" for that addItional Insured. 4. Any coverage provld~d by this endorsement to an
addlUonallnsured shall be excess over any other
2. The Insurance provided to tha addiUonal Insured valid and coRecUble Insurance available to the
Is IImlled as follows: addlllonallnsured whether prlmary, excess, con-
,a) I n the event Ulat the limits .of liability slated in Ungent or on any other basIs unless a wrltlen
the polioy exceed the limits of liability required contract or written agreement In effect during this
by a written. conlract or written egreement In policy period and signed and executed by you
effect dUring this policy period and sIgned and prior to the loss for which coverage Is sought
executed by you prior to the loss for which speolfically requIres that this Insurance apply on a
coverage Is sought, this endorsementshall be primary or non-conbibutory basis. When this In-
limited to the limits of lIablDty requIred by such surance Is .prlmary and there Is other Insurance
contract" or agreemenl This endorsement available to the additional Insured from any
shall not Increase the IImlls stated In Sectlon source, we will share wlfr.1 that other Insurance by
III - LIMITS OF INSURANCE. 1he method described In the policy.
b) The Insurance provided lo' the addJUonalln- 5. As a condmon of coverage, each addlUonal
sured does not apply to "bodily InJury", "prop- Insured must:
erty damage", "personal Injury" or "advertising a.) GIve us prompt written noUee of any "occur~
injury" ariSing out of an archltecrs, engIneer's rence" or offense which may result In a claIm
or surveyor's rendering of or' failure to render and prompt written notice of "sull".
any professional services Including:
b.) Immedlalely forward all legal papers to us,
I. The preparing, apprOVing or falling to coopemte fn the defense of any actlons, and
prepare or approve maps, shop drawings, othwwlse comply with policy condltlons.
opinions, reports. surveys, field orders,
change orders, or drawings and spectn- c.) Tender the defense and IndemnIty of any
cations; end claim or "suit" to any oth~r Insurer which also
Insures against a loss we cover under this
II. SupervIsory or InspecUon activities per- endorsemenl This Includes, but Is nbt limited
fonned as part of any related architectural to, any Insurer which has Issued a policy of
or engIneering acUvltles. Insurance In which the addiUonal Insured
0) This insurance does not apply to "bodily In- qualifies as ail Insured. For purposes of this
Jury" or "property damage" caused by "your requIrement, the term "Insures against" refers
CGD24B1D 02
Copyright, The Travelers IndemnIty Company. 2002
Page 1 of2
COMMERCIAL GENERAL LIABILITY
to any self-Insurance and to any Insurer whIch
IssUed a policy of Insurance that may provide
coverage for the loss, regardless of whether
the addlUonallnsured has actually requested
that the Insurer provide the addlllonallnsured
Page 2 of 2
with a defense and/or IndemnIty under that
policy oflnsurance.
d.) Agree to make available any other Insurance
that the addlUonal Insured has for a loss we
cover under this endorsemenL
~ ,.
CopYrlght. The Travelers Indemnity Company, 2002
CG 02481002
COMMERCIAL AurO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO COVERAGE EXTENSION FORM
this endorsement modlnes Insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provIsions of the Coverage Form apply unless modIfied
by the endorsemenl
.. , A:SROADFORMNAMEDINSliRED
Section II - Uablllly Coverage A. 1. WHO IS ~N
INSURED provision Is amended by addIng the
following:
d. Any busIness entlty newly acquIred or
formed by you during the polley period pr~
vlded you own 50% or more of the business
entity and the business entity Is not sepa-
rately Insured for BusIness Auto Coverage.
Coverage Is extended up to a maximum of
1 aD days following acqulslUon or formation
of the business entity.
B. EMPLOYEES AS INSURED
Seotlon II - Uablllty Coverage 1. Is amended by
adding the following:
An employee of yours Is an "Insured" while
using a covered "auto. you don't own, hIre or
borrow In your business or your personal
affairs.
C. COVERAGE EXTENSIONS
SUPPLEMENTARY PAYMENTS
Section 11- Llablllty Coverage A. 2a. COVERAGE
EXTENSIONS, Supplementary Payments 2 and
4 Is replaced by the following:
2. Up to $2,000 for cost of ball bonds (Including
bonds for related traffic law vIolations) re-
quired because of an "accident" we cover.
We do not have to furnish these bonds. '
4. All reasonable expenses Incurred by the "in-
sured" at our request, Including actual loss
of eernlng up to $250 a day because of Ume
off from work.
D. HIRED CAR PHYSICAL OAMAGE - LOSS OF
USE
Sacllon II - Uabllity, B. exclusions 2 and 6 are
changed as follows:
Notwithstanding Section II, Llablllty B. ~-
elusions 2 and 6, we will pay sums whIch
you legally must pay to the lessor of a cov-
CA T3 53 06 02
'. e'redautO Which YoU l1ave'leaseawitl1otilEl
drlverfor 30 days or less for the lessor's loss
of use of the covered auto, provided:
1. This Insurance provides comprehensive,
speclfied causes of loss or collision cov-
erage on the covered auto;
2. The loss of Use results from the covered
auto beIng damaged In an accident
while you are leasIng It.
We w11l pay up to $65 per day subject to a
maximum limit of $750.
E. PERSONAL EFFECTS COVERAGE
Section III - Physical Damage Coverage A. Is
amended by adding the following:
We will pay to $400 for lass to wearing ap-
parel and other personal effects which are:
a.' owned by an Insured; and
b. In or on your covered auto.
This coverage applies only In the event of a
total theft of your covered auto.
No deducllbles apply to this coverage.
F. PHYSICAL DAMAGE - TRANSPORTATION
EXPENSE
Section III - Physical Damage Coverage A. 4.
Coverage extension Is replaced by the follOWing:
We will pay up to $50 per day to a maximum
of $1,500 for transportation expense In-
curred by you because of the total theft of a
covered "auto' of the priVate passenger
type. We will pay only for those covered
"autos" for which you carry either Compre-
hensive or Specified Causes of Loss Cover-
age. We will pay for transportation expenses
Incurred during the period beginnIng 48
hours after the theft and ending, regardless
of the pOlicy's expiration, when the covered
"auto" Is returned to use or we pay for Its
"loss".
Copyright, Travelers Indemnity Company
Page 1 of3
COMMERCIAL AUTO
If the transpertaUon expense Incurred arises
from your rental of an "auto" of the private
passenger type, the most we wlI pay Is the
amount It costs to rent an "aula" of the private
passenger type which Is of the same like kind
and quality as the stolen covered "auto",
G. NOTICE OF AND KNOWLEDGE OF
OCCURRENCE
Seellen IV - BusIness Auto Conditions, A. 2.
DuUes In the Event of Accident, ClaIm, SuIt or
Loss, Is amended by adding the following:
e. ,In.the event of ."accldent"jclalrnj' ~sull" or
"loss., you must give us or our authorIzed
representative prompt notice of the .aCl:l~
dent" or "loss" Including:
(1) How, when and where the "accIdent" or
"loss" occurred;
(2) the "Insured's" nsme and address; and
(3) to the extent ,possible, the names and
addresses of any Injured persons and
wItnesses.
Your duty to' give us or our authorized repre-
sentative prompt noUce of the "accident" or
"loss" applies only when the "accident" or
"loss" Is known to:
1. You, If you are an Individual;
2. A partner. If you are a partnership; or
3. An el<ecuUve officBr or Insurance man-
ager, If you are a corporaUon.
H. UNINTENTIONAL ERRORS OR OMISSIONS
Section IV - BusIness Auto CondlUons, B. 2.
Con-cealment, MlsrepresentaUon, or Fraud, Is
amended by addlng the followIng:
The unintentional omission of, or unlntenUonal
error In. any InformaUon given by you shall not
prejudice your rights under this Insurance. How-
ever this provisIon does not affect' our right to
colleel addlUonal premium or exercIse oUr right
of cancellaUon or non-renewal.
1. MENTAL ANGUISH
Section V - Definitions C. Is amended by adding
the followIng:
"Bodily Injury" also Includes mental anguish but
only when the mental anguIsh arises from other
bodily Injury, sickness, or disease.
J. BLANKET WAIVER OF SUBROGATION
Secllon IV - Business Auto Condllions, 6. Is re-
placed by the following:
Page 2 of 3
TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
We waive any right of recovery we may
have agaInst any person or organlzaUon to
the extent required of you by a written con-
tract executed prior to any "accident", pro-
vided that the "accident" arises out of
operations contemplated by such contraot.
The waiver applies only to the person or or-
ganIzation designated In such contract
K. HIRED CAR-WORLDWIOE COVERAGE
. TERRITORY ....... ....... .... .
Secllon IV - Business Auto Conditions B. 7.
General Conditions, Policy Period, Coverage
Territory Is amended by adding the loll owing:
e. Coverage Territory - Outside the United
States of America, Its territories and
possessions, Puerto Rico, and Canada.
We will pay all sums an "insured" legally
must pay as damages because of "bodily
Injury" or "property damageD to which this
Insurance applies, caused by an "acd-
dent" which occurs outside lhe United
Slates of America, the territories and
. possessions of the United States of
America, Puerto Rico, and Canada re-
sulting from the operation. maintenance,
or use of any covered "auto" of the pri-
vate passenger type you leasel hire, rent,
or borrow without a driver for 30 days or
less.
With respect to any claim made or suit
Instituted outside the United states of
America, the territories and possessions
of the United States of America, Puerto
Rico, end Canada:
(a) you shall undertake the InvesUga-
tlon, settlement, and defense of
such claims and suits and keep us
advised of all proceedings and ac-
tions.
(b) You will not make any setUsl1)ent
~thoutourconsBnL
(c) We will reimburse you
(1) for the amount of damages be-
cause of llablllty imposed upon
you by law on account of "bodily
Injury" or "property damage" to
which this polley applies, and
(2) for all reasonable expenses with
our consent Incurred In connec-
Uon with Investigation, settlement
Copyright, Travelers Indemnity Company
CA T3 53 06 02.
COMMERCIAL AUTO
or defense of such claims or
suIts, and
(3) our reImbursement obllgatlon for
the sum of all damages Imposed
on and eKpense Incurred by you
shall be limited to the amount
stated In the policy as the appH-
cable limit of our liability for
damages.
LIMIT OF INSURANCE
With respect to HIRED CAR - WORLDWIDE
COVERAGETERRITORY,THEUMIT OF
INSURANCE provision _ of UASIUlY
COVERAGE Is amended by adding the fol~
lowIng:
1. The Insurance provided by this en-
dorsement Is excess over any' other
collectible Insurance available to you.
2. You must maintain primary auto Insur-
ance for any suoh auto at minimum limits
of $300,000 Combined Single Umlt or
$100,000 parpersonl $300,000 per acd-
dent Bodily Injury, $100.000 Property
Damage. If you fall 10 comply with the
above, this Insurance Is not Invalidated.
However, In the event of B loss, we will
pay only to the extent that We would have
paId had you so complied.
CA T3 53 06 02
Copyright, Travelers Indemnity Company
Page 30f3
@
Association of California Water Agencies / Joint Powers Insurance Authority
5620 Birdcage Street, Suite 200, Citrus Heights, CA 95610
CERTIFICATE OF COVERAGE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN
THOSE PROVIDED IN THE COVERAGE DOCUMENT. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
COVERAGE DOCUMENTS LISTED HEREIN.
MEMBER
Kern County Water Agency
PO Box 58
Bakersfield, CA 93302-0058
COVERAGE INFORMATION
This is to certify that coverage documents listed herein have been issued to the Member Agency herein for the Coverage period indicated, Not withstanding any
, , requirement, term or condition of any~cof!tract or other document with respect to which the certificate may be issued or may pertain, the coverage afforded by the
- -", ,~ - =cO\ierage'documents'listed'herein.is'subje:;t,~::.."!:!:the'terms, r;onditio'ls,andexclus,ons of.sucn.coverage,documents"
General Liability
Ii:] Commercial General Liability
Ii:] Contractual Liability
Ii:] Products/Completed Operations
Ii:] Occurrence
Auto Liability
Ii:] Owned Autos
Ii:] Hired Autos
Ii:] Non-Owned Autos
Auto Physical Damage
Scheduled Autos
Hired Autos
Property
. Spe<;:ial. Form
Mobile Equipment
'Boiler and Machinery
-'-~-Crime-~' 0__, -'
Workers' Compensation
Coverage A - Workers' Compo
Coverage B - Employer's Liability
Certificate #
MOLC-100105
Effective Date
10/1/2005
Ex iration Date
Limits
Aggregate
Per Occurrence
$1,000,000
$1,000,000
I
I
I
~
$1,000,000 I
I
I
I
----i
DESCRIPTION
The Certificate Holder, its mayor, council, employees, agents and volunteers, have been added as Additional Covered Parties to the Liability
Program, but solely with respect to those causes of action arising directly out of the activities covered by the Encroachment Permit Application
for construction of Cross Valley Canal Pump Station No, 5B, and the Friant-Kern Canallntertie,
CERTIFICATE HOLDER
City of Bakersfield
AUn: Randy Johnson
1501 Truxtun Avenue
Bakersfield, CA 93302
1 0/1/2007
MOLC-1 00105
10/1/2005
10/1/2007
Per Occurrence
CANCELLA TION
Should any of the coverage documents herein be
cancelled before the expiration date thereof, ACWAiJPIA
will endeavor to provide 30 days written notice to the
certificate holder named herein
AUTHORIZED REP
to' t.
If'1
j._,,~/ -0
DATE
4/16/2007
ADDENDUM
to the
Memorandum of Liability Coverage
for the
ASSOCIATION OF CALIFORNIA WATER AGENCIES
JOINT POWERS INSURANCE AUTHORITY
MEMBER: Kern County Water Agency
COVERAGE PERIOD: 10/1/2006 - 10/1/2007
. _ADDENDUM-DA:rE:-~4/-16/2007---
ADDENDUM NUMBER: 14
Change in WHO IS COVERED
The following entities are hereby added as Additional Covered Parties:
The City of Bakersfield, its mayor, council, employees, agents and volunteers, but solely with respect to those
causes of action arising directly out of the activities covered by the Encroachment Permit Application for
construction of Cross Valley Canal Pump Station No, 6B, and the Friant-Kern Canallntertie, and subject to a
$1,000,000 per occurrence and annual aggregate limit of liability,
I n.
Signed By:
. c\ r)fl\ ('i(I~,A---
\.~~. l.Lr. <~YJ?M\
. - ,-
.. (Auth6ft1zed Repres~niative)
t.-/
Date: 4/16/2007