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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 ---------------------------------------------------------------------------- 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 #; R@: \ "'~~ evt:tic':~ Bu.'.." ~.me. c.,~ ",f ~b+:~ w- ~ b/:.. ~ #- of Pages: 4- Phone #:; pate:~~o1 '~." 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: ~: ~~ u tt:~ t"'".rh~ec ~~-fl\(~'~ ~"'- r ~c-tj. ScfJ:- iA~_r~ce tf_ul, ~~.......s" (...,..I Wle. ~ -,y.... ,^",eJ, ~~b ciS<". bCor - (,1 'f" I ~7 ) 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 I ' : I I, '/ J [ Iii II " t. ,.> ... 'I I I " n i \;:J i i ';/1 / 'i II f ) L; ^ 111 / 11 !i ' , 0 !!i' / II [' ; ,i ~ !i I ' J SO' / ! III Ii ! , ....--..,..... !i r / / i iiil.!:] i / I.: ! (1",1 ;',;.:;.;; ! !!;l~,l.,: , !fil 1 , \. :;j'''''''' /" ':~! ;, /'u ~~. 0" r':2.~'.~'"~): ~., ': ~ ::/ 1~ i) , i ., <0 "'::::::"'~:: "~~,~.)L: ' ':: n. ,...'/0';" ,'" . 'I! ,,," ' (, /', )~~~i~~;;;;"~;~':~ !l:J!'!lii!l) ~: I !;,j ;;}Il,'fft~ '. , . '.0. 'll=m.,' / n.., ::;:': :':i'r':;"" .~' ~)"~~, rb"'i ,\ 'I ',~S,i! \,'i' "~-'., "', ' i:,;'!,,(0 ,r C' . <':Q ~1~ ';" 1 ' \ 'i(:'~ ,.:;:;,,;,Z'(Jc~I:~7Y- .....ff)I T ,I . ,i'ii /\'" ",. /./--, tl'" (,;;~-r !/ \' ",i" io~,..-. .,..~',.".--,.,;;:~'--..,.""'" .'" ,.,i',::" "j:.~ ... 1.=;P;i~ 'i)! OVC!i'"K INTE~TIE ". 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I ~ \~.//~';:~,~ 11<" "ii/ / \;~~!: / '/.', ~.~. 68 NORTH ~'~~,/ (.c~~~~=("i:< ~,~:\,I.i ~ ~/ "~,~:r'/ ::~ . '~'" ", : ~;:!;", AND ':"" ;." :, \/1 ~1.,~);/)~)i~\=@~/~;;.;5../7*;:~~!:J\ I:l:~~~~!i/j:f: .' / ./~:;~.,'/ ;;"~";,~~';' . <:.J:?! " ,'(,'\' i I~Ja~~T1~ :" iii, , ",," , .!\I'''' <::'j //.,1; ,4i;C;-;,';':{ji?:/> /' /:-::!~.,>?/ ..., .. (- {"" / -~- :1 I r ~ /([',)'" .,. /i Ii, 111 """""('11" i ..[ I ," ',~l~ ".:: i..lJ. I , i,~(:~~:",~: .~,.\ \: . ....'" ''', ... ,/ \~.~, ) c--, '....., '<.::-;, " (:- ,",. , ! (\ _'., (,,'" n:,,":-':" :(::./";~" (:;~:::~ :':,' f.1 ':') Y.,/ "!~i~:':!:C\)';~t~j!\ \~: >' .. <,:,>" "~, ')<~"/,,'" ;\r.:'}f:f););, ' ') \,~ :~j'\,\'~:::'~ (c:~:;/ ". /l~=' ')1) i urn ,;.;:" ',):~ \ ~ ;: .,,1\ \:" ':, ~",,/ . \' ~r~':~!' .!!\:::}\~ /1'_' , ", , \ .L i(~ () I 1 ...rf ~~ \ \::~:j " \ ! c,; \ \ i \ ~:i. ' \ ,I. ~~;, " I " i ':'-\':".."", "::,,:,,,. t;;,;:::';' .G?7::"::?,:., ,-, .'.., .....;:::":'::":':!" .) "'" <> ,:) (~'). "1.', I;, ~~'") I ,\,: .., (,.! -.; DW(;; D:\K16\.OO""kRI"F\C-LP-PI.M'S1-"~OWC ltSfR: ~Q'dllC:a DATE Yo. 19. 2001 10n.om XRIH C-rp-PS2.5 C_fF'.psl A.f"-CNTRl.-Il.00 C.fP-PSfi C-fP-PS6-..uK:TION "'_fl'_CN1Rl._BlDG68 C-RP-30K~le C-LP-LlN[R lU,IG[S (, 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