The URL can be used to link to this page

Home My WebLink About03-30000018 -' ... ENCROACHMENT PERMIT f;'tt/t 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 . . Property Address . . . parcel/APN: _ Application description Owner Kern Oil & Refining Co. 7724 E Panama Ln. Bkfld. CA 933Q9 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . 03-30000018 Date 3/24/03 UNKNOWN ADDRESS NE corner Panama Ln & Buena Vista Rd. 384-315-43-00-9 PW - ENCROACHMENT PERMIT Contractor OWNER ENCROACHMENT PERMIT 67470 145.00 3/24/03 Valuation o Qty Unit Charge Per 1.00 145.0000 EA PW ENCROACHMENT Extension 145.00 ---------------,------------------------------------------------------------- Special Notes and Comments INSTALL ANODE BED AND RECTIFIER FOR PIPELINE CATHODIC PROTECTION Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 145.00 145.00 .00 .00 Grand Total 145.00 145.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the pemntatkZd- lJ~ Signature of Applicant (Owner/Agent) Ro~€R\ WI\-fOJL Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRANTED) (DENIED). Said permit shall expire on date stated above. 3 --16 Additional Terms on the Back t, 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. [have read and acknowledge the above. ~PPlicant's Initials " .. ~. , ;- APPLICATION FOR ENCROACHMENT PERMIT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA: Pursuant to the provisio~s of Chapter 12.20 of the Bake~sfield Municip,al Code, the undersigned applies for a permit to place, erect, use and mamtam an enctoaclunent on publIc property or nght-of-way as therem defined. 1. Full name of applicant and complete address including phone number: 1<eR.\\) OIL.. ~ ~~ltV() CO. 1724- t.o' PPrtJ~A 4), t ~R~nru\ }"CI\. 1330'1 ",( - 84-5""- 07(; I 2. Nature or description of the encroaclunent for which this application is made: ~S'D\LL ~"f)oc... ~fZ1) M\)'l) REL1"$:\!dL. fOR- PlI\tL\I\.JC.. CA1l-\OD1C- PR.o~ I \ 3. Location of the proposed encroaclunent: \SO fA~\ ef BvWA VlSTJ\ Rl) ON f$'oA...W Sll~(L.. oF .PANPrM.A LN. 4. Period of time for which the encroaclunent is to be maintained: PIZP..J"I\ANP"J\)\ . II\) SJAU.A\7ot-,j i I Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless City, its officers, agents and employees against .at;ly an~ a11Iiabil.ity, ~l~ims, ac~io~sl cau~es of action or del!lands, whatsoever <:tgainst them, or any of them, before administratIve, quasI-JudicIal, or Judicial tnbunals of any kmd whatsoever, ansmg out of, connected 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 life of said encroaclunent or until such time that this permit is revoked. Applicant further agrees that upon the expiration of the fermit for which this application is made, if granted, or upon the revocation thereofbv the Citvengineer. applicant wil 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 encroaclunent. Applicant further agrees to obtain and keel? allliabilio/ insurance reCJ.uired by ~e C~ty Engineer in ~ll force ~d effect for however long the encroachment. remams. ApplIcant shall furnish the CIty Risk Manager With a CertIficate of Insurance evidencing sufficient coverage for bodily mjury or property damage liability or both and required endorsements evidencing the insurance required. The type(s) and amount(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. () A \ Date: .3! \ \{ 03 f:::Juit t.JccIVVV Signature of Applicant (Owner or Representative) PERMIT 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 PUBLIC 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 Date: .6!Zst ~3 (}:J ~ :~(JO()yJ / X' Signature of City Engineer No. G:\GROUPDA 1\FormslEncroachmenIPennilApp.wpd eA ~1 [p \ EX l~ t-.l.() t>I\V - I"\HJT a cJ. ;3 : ":) , en l'"': , (tI' I" " ~I _, ? l- 1.l,.2 r ~~ .,,' ~ ,;4 I ~ X' cfl ,;J ti;J ~i 1- ...~ I ~~ 3 :1' 'J} 0' : I I ~I ~I I 1-1 \-1 ~I ~I ~I 1 I ,L. ~ ~~oPoc:.,;.[.t Rfi.:CTl f I €..R. \\ K \., \ 10'2.. 2/ LB /03 i. W~R.N'L r:0::p..I\1 on_ &-- RffHJ'{\J~ cD. LocAl/uN fuR.. !\j€,0 A{-J~ ","f00NL ~@ ~R.... I (A-l+h? t, ,<:... p~ D'I12:C..1) ot-J. I //-- .~. NE. W R( c. T1 FlQ Bcx M6\J<'-1,12.b oN G' POLlt.;., tJoR.<<H . COli \)tA)( 3m'. A""""- ~<b (~~~ (- Eb6w.:. OF Ro,t l'; / __. /__ . I ,y ~ ANDt)f 2> ~ . : \ EA~IZ..MavTLX -.-..... ,) \, IR,OJ-J -----. ----~ ---~_.- --- -----...... J. of -, t- it.- - =~. \i EXIs.T: ,," ~ . COIL f>>PEUNIj; ____-I- ------- --------. -----~- - .-----------'"'---- --.-- , , + t>ANt\MA. LN ' I - -tk--..---,.. --- I 'I '"> '<t t1- ~11 ~I ~' - ---J --I _l~ ------.-.----.- -.--~._--_._-----, -....------. ....;;;J \SOI, . ~. i ~ 10' /tCORDn< PRODUCER INTERNATIONAL ENERGY INSURANCE BROKERS 445 SO. FIGUEROA ST., 27TH FLOOR LOS ANGELES, CA 90071 213-612-7772 I DATE (MM/DD/YYVYI 03/14/2003 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, CERTIFICATE OF LIABILITY INSURANCE INSURED \'INSURERSAFFORDING COVERAGE H_ . ..______._ . _____.___ . INSURER A: STEADFAST INSURANCE COMPANY ~INSURER 6: AMER.I~AN ~UARANTEEE & LIABILITY INSURER C: -----_._---------. IIN5URER ~:__. I INSURER E: ~AIC# _...~~- ,U -- KERN OIL & REFINING CO, 7724 PANAMA LANE BAKERSFIELD, CA 93307 I 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 CONTRACT OR OTHER DOCUMENTWlnt RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUS.JEeT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH .POLlCIES.AG.~REGATI; LIMITS SHOWN MAY HAVE BEEN REDUCE()~Y PAID CLAIMS. _'.. ~~-a~~'!-!- .. - . - . . .'--r'-~:;:~~--~;;=-~I~;~~;';;ERH 'uc"'rpoLicVEFFECTIVE POLICYEXPIRA110N I LIMITS .. ~ENERALUABIUTY I' EACfiOCCURRENCE ..L_____1QQ'O,OOO_ ~ BOG 928659 02 I 6/15/2002 6/15/2003 ""OAIIJA""Ol: TO RENTED 50,0.00.. . COMMERCIAL GENE. RAL LIABILITY - - PREMISES lEa occurence) $ - CLAIMS MADE W OCCUR MEO EXP(Any Dne person) $ 5..0.0.0 _ .__ PERSONAL&ADVINJURY $ 1,000,00_9_ GENERAL AGGREGATE s 2,OO.o,qQ..~ ~'lAGGRE~ElIMITAP~PER: PRODUCTS,COMPIOPAGG S 1,000.000 . I POLICy I I ~~.P.: I I LOC . .... . ijAUT.OMOBIlE.LIABILITV ANY AUTO X ALL OWNED AUTOS I'.. . ~: SCHEDULED !'U!OS .. . 'A"liIREDAUTOS..' ';;;.. . '.. I' ..... ~ N~N'OWNEOAUTOS I .1 A 8 BAP-929866-02 6/15/2003 COM61NED 51NGLE LIMIT. ... (Ea aCCident) $ . .1;0.00,0.0.0 . 60DfL Y INJURY (Perpersan) $ INCLUDED . ",:.i BOOIL Y INJURY (Per 8CCi~enl): ' . . ,";:, ,..S.., '. INCLUDED " "';. - PROPERTY DAMAGE (Per accident) $ .. ...INCLUDED I ~RAGE LIABILITY ~ ANY AUTO OTHER THAN AUTO ONLY: AUTO ONLY I EA ACCIDENT $ EA ACC S AGG $ $ $ S $ S _~E8SJUMBRELLA LIABILITY ~ OCCUR D CLAIMS MADE R O~DUCTlBLE RETENTION $ WORKEA8 COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRiETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ~~~~~~~~~~I~~~NS below OTHER EACH OCCURRENCE AGGREGATE I' -"~I<.STATU'! 10TH. , ,u"Y LIMITS f ER E,L, EACH ACCIDENT $ E.L. DISEASE. EA EMPLOYEE $ E.L. DISEASE I POLICY LIMIT S ..- I DES.CRIPTION OF OPERA nONS/ LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BV ENDORSEMENT rSPECIAL PROVISIONS niE CITY OF BAKERSFIELD, ITS MAYOR, COUNCIL, OFFICERS,AGENTS, EMPLOYEES & VOLUNTEERS. ARE: NAMED AS ADDITIONAL: INSUREDS;.10DAYSNOTICE OF CANCELLATION APPLIES FOR NON-PAYMENT OF PREMIUM... '''" ... .'. ;'. "' -"-;'". ";1. :' ,. . . I. :','" .... .., ., CERTIFICATE HOLDER CITY OF BAKERSFIELD 1801 TRUXTUN AVENUE BAKERSFIELD, CA 93301 -_.I. CANCELLATION SHOU LD ANY OF T HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA110N CAll! THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRmEN NOTICE TO Tile CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAiLURE TO DO SO SHALL IMPose NQ;'OBLIGATlON OR LIABILITY Of' ANY KIND UPON TilE IN&URER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) - -- --'-ACORD CORPORA nON 1988. 03/26/2663 lG:68 6666666666 PAGE 62/62 STATE COMPeNSATION INSURANCE F=UND P.O. BOX 420807, SAN FRANCISCO, CA 9414UJ807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MARCH 21, 2003 POLICY NUMBER: CERTIFICATE EXPIRES: 0746819 - 03 1-1-04 , 'r.- CITY OF.. 'BAKERSFIELD 1505 TRUXTON AVE BAKERSFIELD CA 93301 THIS SUPERSEDES AND CORREC'l'S "THE. CERTIFICATE ISSUED ON 03-:19-03. .JOB: ALL f:.A OPERATIONS L Th.iS is to r;ertify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for tl1e policy period indicated. This policy is not subject to cancellation by the Fund except upon te&a:lays' advance written notice to the employer. . XX We will also give you rSL9 days' advance notice should this policy be cancelled prior to its normal expiration. XX This certificate of insurance is not an insurance poiicy and does not amend, extend or alter the coverage afforded by the policies listed her~in. Notwithstanding any requirement. term, or condition Of any contract or other document wit" respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms. exclusions and conditions of Such policies.. ~~..~~ AUTHORIZE.O REp.~'::E: '; I(~ PRESIDENT EMPWYER'"S LIABILITY LIMIT INCLUDING DEFENSE COSTS: '$l~OOO.OOO PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS~NOTICE EFFECfIVE 01/01/03.~S ATTACHED TO A~D FORMS A PART OF THIS POLICY. ENDORSEMENT #2570 ENTITLED WAIVER OF SUBR()(",ATION EFFEctIVE 03/19/03 IS ATTACHED TO )U~D FORMS A P.~T CF THIS POLI~l_ . THIRD PARTY NtlliE: CITY OF BAKEIISF:ZLD EMPLOYER r CASEY COMPANY DBA; KERN OIL & REFINING COMPANY 7724 E.PANAMA LN BAKERSFIELD CA 93307 L ~~t: selF \0282 (~EV. s.Q,) t FILE COPY " ADDITIONAr~~'iSURED.OWNE..RS I LESSEES ORCONll~TORS TIUS ENDORSEMENT CHANGES 1'HI POLICY, PLE~SE READ IT CAREFULLY. This endorsement modifies insurance provided under the (ollowing: COMMERCIAL GENERAL '_lABILITY COVERAGE PART SCHEDULE Name onterson or Ol'galli~alion: BI~Dkel as rcquindby written conlraet {If no entry appears above, information required to complete this endorseqLent will be shown in the Declarations as applicable to this endorsemcQt). . WHO IS AN INSURED {Section 11) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising our of "YOIll work" done Wldcra conlJ"sct which requires that person or organization to be an additional insured, Name of Person or organization: City of Bakersfield, Its Mayor, Council, Agents, Employees and Volunteers, 1505 Truston Avenue, Bakersfield, CA 93301 Named Insured: Kern Oil & Refining Co. - steadfast Insurance Co. policy No. BOG 9298659-02 Policy term: 6/1S/2002-200J BOG 20 00 1001 Page 1 of I ele aBed ~~dge:e 80'v.JdV ~ 8LLL e ~9 8 ~e ~S3~I~~O 3~NV8nSNI :^8 +uas '.-----...., .; , - ~ . - Bi~KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 14, 2003 SUBJECT: Encroachment Permit Application for NE corner Buena Vista Road & Panama Ln. Kern Oil and Refining Anode Bed & Rectifier for Pipeline Cathodic Protection. I I I Please review the insurance certificate with the attached ~'ncroachment permit and return to me at your earliest convenience. ~ / 7~ I S:\PERMITS\ENCROACH\INSURANC\NE Comer BV Rd & Panama Ln - Kern Oil & Refining.doc .; t. '" ~ . - Bi\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 14, 2003 SUBJECT: Encroachment Permit Application for NE corner Buena Vista Road & Panama Ln. Kern Oil and Refining Anode Bed & Rectifier for Pipeline Cathodic Protection. Please review the attached encroachment permit and return to me at your earliest convenience. €f/t" joy f) . {c... G4 Wlt7P S:\PERMITS\ENCROACH\TRAFFIC\NE Corner BV Rd & Panama Ln - Kern Oil & Refining.doc