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Home My WebLink About03-20021520 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. 03-20021520 Date 6/19/03 4518 1810 BAKER ST PW - ENCROACHMENT PERMIT Application Number . . pin number . . . . . . Property Address . . . Application description Owner Contractor Send The Light Ministries 1820 Baker Street Bkfld. CA 93305 OWNER/BUILDER BAKERSFIELD CA 93301 --------------------------------------- Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 98525 145.00 6/19/03 Valuation o Qty unit Charge Per 1.00 145.0000 EA PW ENCROACHMENT Extension 145.00 ------------------------------------------------ Special Notes and Comments encroachment permit - installing planters in or near alley. 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 pe . t any time. 0( Signature of Applicant (Owner/Agent) ;1 Eldon C/enckn~J 7Print 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. ~ Signature of City tngineer Additional Terms on the Back '.. Applicant agrees that if this application is granted. applicant shall indemnify. defend, and hold harmless CITY, its officers, agents and employees against any and all liability. claims. actions. causes of action or demands whatsoever against them. or any of them, before administrative or judicial tribunals of any kind whatsoever, arising out of, connected with. or caused by applicant, or in any way arising- from, the terms and provisions of this permit or the placement. use (by applicant or any other person or entity) or maintenance of said encroachment. whether or not caused in part by a party indemnified hereunder. except for CITY's sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment during the life of the said encroachment or until such time that this permit is revoked. Applicant further agrees that upon the expiration of the permit for which this application is made. if granted. or upon revocation thereof by the City Engineer. applicant will at his own cost and expense remove the same from the public property or right of way where the same is located. and restore said public property or right of way to the condition as nearly as that in which it was before the placing. erection. maintenance or existence of said encroachment. Applicant further agrees to obtain and keep all liability insurance required by the City Engineer in full force and effect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a certificate of issuance evidencing sufficient coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required. ~ ~~e read and acknowledge the above. IX. J Applicant's Initials /"""'- ,,~ ~ 4 . ~~ j) ~<(~>. ;) il Z13 - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 22, 2003 SUBJECT: Encroachment Permit Application for Installation of planter within alley.. Send The Light Ministies 1820 Baker Street Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of a planter within the alley. The site is located at 1820 Baker Street. 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 ap~:~:,al of the permit. S:IPERMITSIENCROACH\2003 Permitsl1820 Baker St.doc O;J- /S.~6 ! I, ~O"\.;!;~:;!l..U.. J ~.J~~!il!i~;O) ;rC?DArf:\f;'I~J}W' 'I' .' ":.':>:>:' :': :. '. <):':<...;;::.;;.::;g:~:;>.< :-.'~ 0---- .9,~P:,~."dl';CO":' ::.' ," . ..:'..".......~,.-~~:W~k;'.7".......: .1" .11+~5~Ac)~ (b j,lj,l,v ~:.::; :::'. . . . . '" . ::: . : : : : :-: : ::: : :;: : : : : scilol,AR:-rin:(: ::: <.' .:. I ---. Q, -: ....:... . .:.::.,.:':. .,-::::": ::::::::.::::::::::: (~?:.~p~A. ~"P.PNiCA):::': :> (~1 f~ 0\ \. '::::;.:. :: ":: .: cqP-6T '~[}woob:-< .::: ::lfni:<:.:::.::fot'dQr~ I ') ~1'" .::,::::: ..:::: '::::- (SEC~U A- SEMPERVlR . S).::::':::: ':; -:::: :e:,l'i0~ ~~ I ~ '. .. . ........... .*-. I~ <>l .. :.~>>[~0~.H; ~~ ' .' ... '. '" '1' \. \\ . IT .. ... .... A . .. .. .~~ ~'" O~ .. -~ : :\:::: :-::::: :::i.;'\ :\( : ::, I:;: :>~<> < : : : : 0: ::: : : : ::: . <~ ~ V;c- 11 c;> . :~<<';.:: :::::~::'::;i\\:\': : ij</~~~;:: :::i;:::::::::::::::::\::'. ::: I" *" <(, o'Y.v ' - 1~"If>- , iff; ~ J ,~ I 19f}.Or;, rt, -f- / ~o. r; 7/1. of') (t- . :1'1' IO{)' . A" '# 0').fjb i 1 '- 0" CURB TO CURB ( ) /. -- .-::-:---:::-:.:-_~::-_-.::-:-- - -- ~o--- STREET~x~ ' ~ --....... ~. ------.::.~~_..-. ----.----. ---. --- '" / / PLAN C/ ~ L,tv " Q) I r. >k ~~O).'? BAKER - '-J "., ~ '..... f{ 0 ~ I ;" I 1'. 1 : '\j '1. ' : I . I. . I : . I' '. '. '--"~--- . . - ~ = Ex/ST/Nt: ELG"//A77CJ),/ ',/~ APPLICATION FOR ENCROACHMENT PERMIT TO THE CITY ENGINEER OF mE CITY OF BAKERSFIELD, CALIFORNIA: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a penn it to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined. l. 2. Nature or description of the encroachment for which this application is made: ~ . . 3. Location of the proposed encroachment: / >J ({) fuk./l..; ~j .6 ~I 41- 4. Period of time for which the encroachment is to be maintained: LJ!JJurnL)/yu /VIr 93505 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, quasi-judical,or judicial'tribunals of any kind whatsoever, arising out of, connected with, or-caused by applicant's placement, erection, use (by appli~ant 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 encroachment or until such time that this pennit is revoked. Applicant further agrees that upon the expiration of the penn it for which this application is made, if granted, or upon the revocation thereof by the City eneineer, applicant will at his own cost and exoense 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 requiredby 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 Insurance evidencing sufficent coverage for bodily injury 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 Eng.ineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the pennit at any time. Dat.: (26)1 J /OJ - ( PERMIT I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OFTHE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (I) 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: Signature of City Engineer No. I: \ .'\' '.~ t, - (' ,.' ....... .' t:..-- c,"" ,...'! Mutual Company Nonassessable CHURCH MUTUAL INSURANCE COMPANY 3000 Schuster Lane, P.O. Box 357, Merrill, WI 54452 COMMON POLICY DECLARA liONS pAGE POLICY NO.: 0152532-02-161680 ITEM 1. NA~ED INSURED AND ADDRESS: -f-. SENDTHELIGHT8181~ fJ/;1/5/f-;e-S 1820 BAKER ST BAKERSFIELD CA 93306 ~ ITEM 2. POLICY PERIOD: FROM 10/31/02 TO 10/31/05 .12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE 0152532-02-812542 (RENEWAL OF) ITEM 3. THE NAMED INSURED IS: RELIGIOUS INSTITUTION ITEM 4. AGENT: 75-133 CHURCH & CASUALTY INSURANCE AGE'NCY (SOUTH) 3440 IRVINE AVE., SUITE 150 NEWPORT BEACH CA 92660 (800) 995-7525 ITEM 5. THIS POLICY CONSISTS OF THE FOllOWING COVERAGE PARTS:. PROPERTY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: A 100(01-01) PROPERTY CONDITIONS A 101(01-01) BUILDING AND PERSONAL PROPERTY COVERAGE - RELIGIOUS A 127(01-01) CAUSES OF LOSS - SPECIAL FORM A 134(06-87) GLASS LIMITATION - SPECIAL CAUSES OF LOSS A 154(10-99) SYSTEMS/EQUIPMENT BREAKDOWN COVERAGE FORM A 936.1(02-01) CALIFORNIA CHANGES - ACTUAL CASH VALUE A 936.2(02-02) CALIFORNIA CHANGES GENERAL liABILITY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: A 052(06-87) NUCLEAR ENERGY LIABILITY EXCLUSION - BROAD FORM A 200(01-98) GENERAL LIABILITY COVERAGE FORM A 202(01-98) GENERAL LIABILITY ADDITIONAL PROVISIONS FORM - RELIGIOUS A 205(06-87) LOSS OF LIFE A 236(01-98) EXCLUSION - PROPERTY DAMAGE LEGAL LIABILITY A 251 (09-94) EXCLUSION - LEAD LIABILITY A 253(10-99) LEGAL DEFENSE COVERAGE A 254(10-99) AMENDMENT OF INSURING AGREEMENT - KNOWN INJURY/DAMAGE A 255(06-01) CATASTROPHIC VIOLENCE RESPONSE COVERAGE CRIME COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: A 300(06-87) CRIME CONDITIONS FORM A 302(05-89) CHURCH THEFT OF MONEY AND SECURITIES COVERAGE FORM A 309(06-87) BLANKET BOND COVERAGE FORM A 936.1(02-01) CALIFORNIA CHANGES - ACTUAL CASH VALUE Church Mutual 1M INSUUNCIIOMPANY PAGE 1 ISSUED DATE: 10/16/02 ,. ....... ~, :."., ( PROPERTY COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0152532.02-161680 ITEM 1. DESCRIPTION OF PREMISES AND COVERAGES: ************************************************************************* PREMISES NO: CONSTRUCTION: OCCUPANCY: LOCATION: COUNTY: CITY/STATE: 001 BUILDING NO: 001 FRAME CHURCH SERVICES 1820 BAKER STREET KERN BAKERSFIELD, CA COVERAGE: PERSONAL PROPERTY LIMIT OF INSURANCE: $72,000 COVERED CAUSE OF LOSS: SPECIAL LIMITED GLASS VALUATION: REPLACEMENT COST OPTIONAL COVERAGE: AUTOMATIC INCREASE IN INSURANCE AGREED VALUE ( OTHER AMENDMENTS OR ENDORSEMENTS: GLASS LIMITATION SPECIAL CAUSES OF LOSS ENDORSEMENT ITEM 2. DEDUCTIBLE - OCCURRENCE: $500 ITEM 3. ENDORSEMENTS: NONE ITEM 4. MORTGAGEHOLDERS, LOSS PAYEES, AND CONTRACT SELLERS: NONE (, Church Mutual I.. INSUIUlI (OMPANY A 001 P(10-99) - CA PAGE 1 ISSUED DATE: 10/16/02 'i . ( GENERAL LIABILITY COVERAGE PART ,DECLARATIONS PAGE POLICY NO.: 0152532-02-161680 ITEM 1. LIMITS OF INSURA~CE: GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED OPERATIONS AND SEXUAL MISCONDUCT OR SEXUAL MOLESTATION) PRODUCTS-COMPLETED OPERATIONS AGGREGATE LIMIT EACH OCCURRENCE LIMIT (BODILY INJURY AND PROPERTY DAMAGE COMBINED) PERSONAL AND ADVERTISING INJURY LIMIT (COMBINED) SEXUAL MISCONDUCT OR SEXUAL MOLESTATION LIMIT (COMBINED) - ALL LOCATIONS AND OPERATIONS EACH CLAIM LIMIT AGGREGATE LIMIT MEDICAL EXPENSE LIMIT - ANY ONE PERSON ( PROPERTY DAMAGE LEGAL LIABILITY - ANY ONE OCCURRENCE LEGAL DEFENSE COVERAGE LIMIT EACH DEFENSIBLE INCIDENT LIMIT AGGREGATE LIMIT CATASTROPHIC VIOLENCE RESPONSE PER PERSON LIMIT EACH VIOLENT INCIDENT LIMIT VIOLENT INCIDENT AGGREGATE LIMIT ITEM 2. DESCRIPTION AND CLASSIFICATION OF PREMISES AND OPERATIONS: ALL PREMISES AND OPERATIONS UNLESS EXCLUDED IN ITEM 3 BELOW. NONE ITEM 3. EXCLUSION ENDORSEMENTS: EXCLUSION - PROPERTY DAMAGE LEGAL LIABILITY. LOCATION OF EXCLUDED PROPERTY: PREMISES 1, BUILDING 1 - CHURCH SERVICES - 1820 BAKER STREET, BAKERSFIELD, KERN COUNTY, CALIFORNIA A 001 G(10-99) - CA PAGE 1 ISSUED DATE: 10/16/02 $ 3,000,000 $ 1,000,000 $ 1,000,000 $ 1,000,000 $ 300,000 $ 300,000 $ 10,000 $ 300,000 $ 5,000 $ 15,000 $ 50,000 $ 300,000 $ 300,000 Church Mutual. lTM INlUlUlI (OMPANY I' ; CRIME COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0152532-02-161680 ITEM 1. DESCRIPTION OF PREMISES AND COVERAGES: ************************************************************************* PREMISES NO: CONSTRUCTION: OCCUPANCY: LOCATION: COUNTY: CITY/STATE: 001 BUILDING NO: 001 FRAME CHURCH SERVICES 1820 BAKER STREET KERN BAKERSFIELD, CA ************************************************************************* COVERAGE FORM: CHURCH THEFT OF MONEY AND SECURITIES LIMIT OF INSURANCE: $1,000 SPECIAL COVERAGE DAYS: CHRISTMAS, EASTER AND THANKSGIVING DEDUCTIBLE: $250 ************************************************************************* COVERAGE FORM: BLANKETBOND LIMIT OF INSURANCE: $2,500 ITEM 2. ENDORSEMENTS: NONE ,.,^, Church Mutual 1M INSUlA." COMPANY A 001 Cl06-87) - CA PAGE 1 ISSUED DATE: 10/16/02 l' ,. . ~ PROFESSIONAL LIABILITY COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0152532-02-161680 ITEM 1. COVERAGE DESCRIPTION: COVERAGE COUNSELING PROFESSIONAL LIABILITY EACH CLAIM AGGREGATE LIMIT OF INSURANCE $ 1,000,000 $ 3,000,000 SCHEDULE OF POSITIONS COVERED "SCHEDULE OF POSITIONS COVERED" - "EMPLOYEES AND VOLUNTEERS ACTING UNDER YOUR DIRECTION AND CONTROL AND WITHIN THE SCOPE OF HIS OR HER DUTIES AS SUCH." 1 PASTOR ( "'0.' Church Mutual t IUUIAN(I (OMPANY A 001 PR(10-99) - CA PAGE 1 ISSUED DATE: 10/16/02 .' r "... ( HIRED AND NONOWNED AUTOMOBILE LIABILITY COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0152532-02-161680 ITEM 1. COVERAGE DESCRIPTION: LIMIT OF INSURANCE COVERAGE HIRED AND NONOWNED AUTOMOBILE LIABILITY COVERAGE RELIGIOUS INSTITUTIONS - EXCESS INSURANCE EACH OCCURRENCE AGGREGATE $ 1,000,000 $ 3,000,000 ITEM 2. ENDORSEMENTS: MEDICAL EXPENSE COVERAGE - EXCESS INSURANCE ANY ONE PERSON AGGREGATE $ $ 10,000 25,000 ( Church Mutual in. INSUIANCI (OMPANY A 001 H(10-99) - CA PAGE 1 ISSUED DATE: 10/16/02 :;- "" ~. . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 8, 2003 SUBJECT: Encroachment Permit Application for 1810 Baker Street A.~-- Send the Light Ministries J l'\ J Planter in alley R/W. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\1810 Baker St.doc ;.' ~ .-_A.._ ~ . - B A K " E R s F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 8,2003 SUBJECT: Encroachment Permit Application for 1810 Baker Street Send the Light Ministries Planter in alley R/W Please review the attached encroachment permit and return to me at your earliest convenience. 7/1010"3 o./c- . ~ PI t7 ~ S:\PERMITS\ENCROACH\TRAFFIC\1810 Baker St.doc