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~, ,~" APPLICATION FOR ENCROACHMENT PERMIT PERMIT NO.: EN-01502
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.
1. Full name of applicant and complete address including phone number:
PANAMA BUENA VISTA UNION SCHOOL DISTRICT
!~200 Ashe Roa~Bakersfield CA 933ill3
Phone No. 831-8331
2. Nature or decription of the encroachment for which this application is made:
STREET IMPROVEMENTS AT STOCKDALE ELEMAENTARY SCHOOL.
School Bus Turnout
3. Location of proposed encroachment is :
7801 KROLL WY BAK
7801 KROLL WY (SEE PLANS)
4. Period of time for which the encroachment is to be maintained:
INDEFINITE
Applicant agrees that if this application is granted, applicant will idemnify, 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-judicial or judicial tribunals of any kind whatsoever,
arising 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 mantain 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 smne 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 insuance evidencing sufficient coverage for bodily injury or property damage liability of both and required
endorsements evidencing the insurance required.
The type(s) and amount(s) of insurance coverage is:
PERFORMANCE BOND ON FILE
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
thep~rmitatanytime. (' /l_ JA . ~
Date.08/07/2001 ..Y1!~................ .......
Signature of Applicant (owne([A'~~
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
THEREFOR~RANTg?) (DENIED). Said permit shall expire
.......IL1A....~......
Si~ture ~f City'Engineer '
Date: 08/07 /2001
J
08/06/01 MON 09:40 FAX 6613341879
~OR(06/01 MON 09:31 FAX
BOWMAN ASPHALT INC
CITY OF B~SFD BWING DPT
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APPLICATION FOR ENCROACHMENT PERMIT
1"0 THE CITY ENGINEER OF 1HE em OF BAkERSFIELD. CA.LIF'ORNIA:
Pursuant to [he p~ isions of Chapcc:r 12.20 of thc 8akersn~ld Muni~pal Code. me IIndcmgned applies for it penn it
ro place. c:rcet.. use and rnain~in an enc:roadunrnt on public propcny or rigftHJ(~wIlY as dacn:in defined..
I. Full name D1 applicant and co"'plete lIddlrSS includin~ phone numbt:r: Panama-Buena Vista Union
School District, 4200 Ashe Rd., Bakersfield, CA 93313 (661) 831-8331
., Narure or descri~lion of the encroachment for wllkh this application is mad~ Street lmorovement at
Stockdale Elementary School
oJ. Lot:alion of the propused enc;roaduur;nr NF. f'nrn<>r nf f'ami~n n<>l O<>~t-<> & no~ Ri o!': .JiTay
..L Period of tim~ for whh::h the en~mcnl is to be maincUned: Indef ini te
AppliQflt a~rees cn8I ifthi~ appli~ion is grmued.. applicant shall indemnity. defend IIIJd hold hannlcsa City. im
offieers. a~enlS. and employe=s againit my lIf\d all liability- claims.. a.eUOIl.S.I:3II!lES ofac::tion or dcmaDds..
\OIhatsoe\fer agllirm them. Dr i1n) of diem. bef~ adminisnari"c_ quasi-judic:alor judiciallribunals of lUly kind
what5oever. arising out of. C:OlQlect= ""im.. or ellusett b~ ;sppHl:anE's plac:emem. ~on.. use C by appliC3D1: or any
otner person or entity) Dr maintenance of said encroilcnmellL The: appliCUlt t\mher BgJ'C'CS roltlainrain ihe afoRSaid
encroachment during dte life of said encroachment or until sud\ dme mat thl$ pern'lit is ~oted.
Applicant further ~ thac upon me expiration ofthe permit for which this appliauion is mlUok=.. if grunltll or
u,pon the rcvoc:UIDII . hereof bY IhI: City en,ineer. :JDDliC3nt will lit bis O*t'l rMt _nsll!lrDell!le I1:mave the sa.
[nun th-: ~ blie Dropert" or ri~t or way where the 5amC IS loeared. and ~re said public propcny or right of
wa~ [0 (he condition as nearl" as.that in whiclJ it w;l$ beto~ the plill:ing. ereaian. maintenance Dr e,cistmcc of said
.:m:ruachmeflL
A !'plic;:aol funher 3grees to obtain and keep all liability ins(,ll4llcc l'CQuired b~ the Ci~ Engineer in full for= and
e rfect tor howl!!ver long the encrmu:hment remains. AppliQRt shall furnish d1e City Risk Managlll" with Il Cenifi~
Qr" Insurance t!videnc:ing surlicmt tgve...~e for bodily injury or pro1*'lY damage liability or both and R!C(Um
endorsemenlS e"iden~ing the insul1lftl:erequin:d. The typetst::\nr:l amounl(s) ofinsunng: cDverage is:
~<><> A.J:t-..phD~
Applicant acknowledges the right of the City Engineer. puN1anr 10 Bakmtield Mqni,ipal Code Chapter 11.10 to
..- thE "121..y time.
Date: 'g ~~I
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I HEREBY CERTIFY THAT I HAVE MADE AN INV~IC.r\TION OFTHE FACTS STATED IN
THE FORECOll-ilG A.PPLlCATION ANt) FIND THAT THE MAINTENANCE OFS~ID
ENCRDACHM€~T (I) wlLUNOn sUBSTANTIAl.,LY INT~RF~RE 'WITH THE USE. OF THE
PUBUC PLACE WtlERE THE SAME IS TO BE LOCAT~D A~D (1) WILL.NOll
CONSTITl'TE" HAZARD TO PERSONS USING SAID PUBLIC rLACE~ SAID A.PPLlCATION
IS THEREfORE (GRA~TED) (DENIE01- SAID PERMIT SH"LL EXPIRE
Oale:
SigmuUfe or Ci~ Engineer
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FROM:
DATE:
SUBJECT:
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CITY OF BA'{~:JS""'ELD
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B A K E R 5 FIE L D 20m AUG I 0 PH 3: 31
PUBLIC WORKS DEPARTMENT
MEMORANDUM
Pat Flaherty, Risk Manager
Marian P. Shaw, Civil Engineer IV, Subdivisions
August 9, 200 1
Encroachment Permit Application for 7801 Kroll Way
Panama-Buena Vista School District
School Bus Turnout
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
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S:\PERMITS\ENCROACH\lNSURANC\7801 Kroll Wy.wpd
" ~ AUG-06-2001
15:48
KCStiS
661 636 4893
P.01
'. v:'l' A..Rlt. ,.eERtlFlCA TE' OF INsURANCE" '. " .:-- .... '...,. ': ;,',.;,:<. .' >- . :;::. ...." . ISSUE o~i~';~~~~/YY)
II PRODUCER .' THIS CE~TlF~~;'E IS iSSUED ;.s .~ '';~T~~' O~ INFORMATION g:L ~N~
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
Walt.er Mortensen Associates Insur
4701 Stockdale Hwy-
Bakersfield, CA 93309
COMPANIES AFFORDING COVERAGE
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INSURED LETTER
! SELF IlISURm SCHOOLS OF CALIFQRNIA,El' IIWPANY C
I P.o. Box 1847 LETTER
'1300 17th Street
Bakersfield
CA 93303-1847
'~YA
SISC:::,~1f .~ ~ls of:: ~1i.f..
COMP/lNY D
LEl'YEA
Post-i~ F8J( Note
To
7611
Fax'
Pl'IOne'
COMPANY E
ST. U!TTER
Fall' ?fl
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THIS IS TO cEA1lFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BeEN iSSUED TO, THE INSURED NAM 0 A OVE FOR 1'11!; POLICY PEAlOD
INDICATfO. NOTW'THSTANOING ANY REQU'REMENT. TEFfM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO \'II1.lICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DeSCRIBED HEREIN IS SUBJeCT TO All THE TERMS,
EXCLUSIONS AND CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAY H"'VE BEEN REDUCED BY PAID CLAIMS.
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TYPE OF INSURANCE
POUCy NUMIlEJI
I'OUCY EFFECTIVE POLICY EXPIAATlON
DATE (MMJODIVV), DATE (MMIOO/VY)
UIIITS
AUTOMOBILE !.IAGlLITY
ANY AUTO
Nolo OWNED AUTOS
SCHEOU!.EO AUTOS
MIRED AUTOS
NONoOWNED "UTOS
GARAGE LIABILITY
: OENER~ .~GREGATE .
: .P~?DU~S.cO.MPIOP AOG, $
PERSONAL & AOV. INJURY so
07/01/2001 07/01/200P~tl' OC~~RRENce s 100000o..
FIRE DAMAGE (An, on. lir.) $
liED. ElCPENSE IJVfV _ ponon) s I
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COMBINED SINGLE S
LIMIT
800ILY INJURY $
(1'Qr petsan)
BODlL Y INJURY S
(per acclllenu
PROPERTY DAMAGE .
EAC" OCCURRENCE S
AGGReGATe $
, STATUTORY LiMns
..... ..
EACI-4 ACCIDENT S
DISEASE~lICY LIMIT $
DISEASE-eACH EMPLOVEE $
GENERAL LlA8lutY
X COMMERCIAL GENERAl. LIABIUTY
A CLAIMS MADE X OCCUR.
OWNER'S. CONTRACTOR'S PROT, SLP 7101 02
EXCESS lIABIU1"'I
UMBReLLA FOflM
OTHER THAN UMBREUA FOAM
WORlCI:R'$ COIIPENSATION
AND
EMPLOYERS' !.IADIUTY
OTHER
DESCRIPTION OF OPERATlONSlLOQTIONSlYEHI~PII!c:w..ITEMS ~ PEErHIT FOR S'l'OCKI>>\LE l!:[BDTARY
SCHOOL, F(8 WHICH THE ern OF ~, ITS MAYOR, cnJRCIL, ~, AGERTS AND
VOLUN'lHIlS Am: NAMED AS ADDITIOHAL IRSUIIFDS, Bl11' ONLY ~ PAlWtA-BUERA VIS'l'A URICH SO'S
IN 'l'HE ~ PROJECl'.
CANCELLATION -","', ,:''''::' '. ". ',.. . !",::~ ,',
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CITY OF 8AI<DSFIELD
CITY RISK MAI1AC&
1501 'llUJXl'UII AVf.3lE
BI\KERSFIEW, CA 93301
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C"'NCELLED BEFORE THE
EXPIRATION CATE THEREOF, THE ISSUING COMPANY Will ENDeAVOR TO
MAIl. ~ DAYS WRITTEN NOTiCe TO THE CE!ATIFICATE HOLOER NAMED "0 THE
LEFT. BUT FAILURE 10 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
L1ABllIl'V OF ANY KIND UPON THE COMPANY. ITS AGeNTS OR REPRESENTATIVES.
Aun10RIUll REPRESENTATIVE
J .B.JEl"!', Chief .Adlninlstrat.1ve Officer
. .~ . . ," . . , .. L" ...... -,.. . ..:: .r." to,-. . 'f ... .' .'. ... ." ..
, '. .,' ".'.: . ,~".". ".,:" ... eAeoRDCORPORATlON 1990
TOTAL P.01
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B A K E R 5 F I E L 0
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ryan Starbuck, Civil Engineer III
FROM:
Marian P. Shaw, Civil Engineer VI, Subdivisions
DATE:
August 9, 2001
SUBJECT:
Encroachment Permit Application for 7801 Kroll Way
Panama-Buena Vista School District
School Bus Turnout
Please review the attached encroachment permit and return to me at your earliest convenience.
g/n/o /
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BAKERSFIEL
PUBLIC WORKS DEPARTMENT
MEMORANDUM
D
TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
August 16,2001
SUBJECT:
Encroachment Permit Application for Installation of a school bus turnout.
Panama-Buena Vista School District
7801 Kroll Way
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Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of a
school bus turnout. The site is located at 7801 Kroll Way.
The applicant has provided proof of appropriate insurance coverage to Risk Management.
Based on their review, staff recommends approval of the permit.
S:\PERMITS\ENCROACH\2001 Pennits\7801 Kroll Way,wpd
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