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Home My WebLink AboutMING AVE AT KERN RIVER CANAL AND ALLEN ROAD AT KERN RIVER CANAL Sent By: ANNEX lst#; 6613247483; Oct-24-01 3:57PM; Page 3/3 APPLICATION FOR ENCROACHMENT PERMIT TO THE CITY ENGL'iEER OF THE CITY OF BAKERSFIELD. CALIFORNIA: 3. L""OOOfl~epropooedenaoechm...~~J1 ~ g~ ~ ~-:7~ Ilel/';;} r-_---:--....~ ~. Period of time for which the encroachment is to be maintained~ 1- p.J2l-tL~- Applicant agrees that if this application is granted. applicant shall indemnify. defend and bold harmless City, its officers. agents. :lnd employees against any and all liability . claims. actions. c:au5CS of acrion or demaRds. whatsOever against them. or any of them. before adminisaative. quasi.judical.or judiciallribunals of any kind whatsOever. arising out at: 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 nlnner agrees to maintain the aforesaid encroachment during the life of said encroachment or until such time that this pennit is revoked. Applicant funher agrees mat upon the expiration of the pennit for which this application is made. if granted. or ul'on the revocation thereof bv the City en1l!ineer. apolicant will at his own cost and ellDetlSe remo.e the same from the DubUc DrODe"" or right of way where the same is located. and restOre said public property or right of way to the conaition as nearly as that in which it was before the placing. erection. maintenance or existence of said encroac:nment. Applicant further agrees to obtain and keep all liability insurance required by the Ci[y Engineer in full forc:e and effect for however long the encroachment remains. Applicant shall furnish the Ci[y Risk Manager with a Certific:at.e or Insurance evidencing 5ufficent coverage ror bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The type! stand amounl(s) of insur.mc:e coverqe is: Applicant acknowiedges the right or the City Engmeer. pursuant to Bakersrield Municipal Code Chlq)ter 12.20 to revoke the permit at any time. Date: ID":3I-D/ ~~ 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) WILLtNOTI SUBSTANTIALLY INTERFERE WITH THE USE OFTHE PUBLIC PLACE WHERE THE SAME IS TO BE LOCATED AND (1) WILL (NOn CONSTITt:TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE: SAID APPLICATION IS THEREFORE {GRANTED} (DENIED). SAID PERMIT SHALL EXPIRE Date: Signature of City Engineer ~ . - 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 VI, Subdivisions DATE: November 27,2001 SUBJECT: Encroachment Permit Application for Ming Ave at Kern River Canal and Allen Road at Kern River Canal. Pacific Pipeline Systems, Inc. 8" & JO" oil pipelines within street R/W Please review the attached encroachment permit and return to me at your earliest convenience. t-JO LtW\. <.. C I .. > "'-V' .(., ( ( lA. 1.( .H I .L .) lI'\ Ctf';,vtJ-J(.,,,,, 'DY (..I-\-y iv&t.':::-'~l-L (5VlTiVl-c.~Vi'-'l") llJ;. ILl J,I (3 I S :\PERM ITS\ENCROACH\ TRAFFlC\Paci fie Pipeline. wpd From: To: Date: Subject: Manar Haddad Robert Wilson Tuesday, November 06,2001 2:39PM Re: Insurance Certificate Did I already respond to you on this, if not, I'm responding now! It's good! >>> Robert Wilson 10/15/01 09:15AM >>> Please let me know if you have received and approved certificates from Pacific Pipeline Systems LLC. . , 1- Co From: To: Date: Subject: Manar Haddad Robert Wilson Tuesday, November 06, 2001 2:39PM Re: Insurance Certificate Did I already respond to you on this, if not, I'm responding now! It's good! >>> Robert Wilson 10/15/01 09:15AM >>> Please let me know if you have received and approved certificates from Pacific Pipeline Systems LLC. . . . , MARSH USA INC. CERTIFICATE OF INSURANCE CERTIFICATE NUMBER 1-----,-- , SEA-000160187-01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 1225 17th Street POLICY, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE Suite 2100 AFFORDED BY THE POLICIES DESCRIBED HEREIN. Denver, CO 80202 COMPANIES AFFORDING COVERAGE COMPANY P2220 -01234-PPS X- A AMERICAN HOME ASSURANCE CO INSURED COMPANY PACIFIC PIPELINE SYSTEM LLC B NATIONAL UNION FIRE INSURANCE CO 9F PITTSBURGH, PA 5900 CHERRY AVENUE LONG BEACH, CA 90805 COMPANY C COMPANY D COVERAGES __________ Thil) _9f}rtifi~!ELl)l,lp_f}@.e~Els af}dJElPl?,ce~af}y_pr~viQu~lyisl)l,l~dfertlfi~teJort~.El_POUfY_peri()Q nQt.f}~_beIQ"",__,__, -.- - THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, , CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATlor LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 f-- GL 5441867 08/01/01 08/01/02 A X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2,000,000 I CLA'IMS MADE 0 OCCUR PERSONAL & ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 - X ..~ l: FIRE DAMAGE (Anyone fire) $ 50,000 MED EXP (Anv one person) $ 5,000 AUTOMOBILE LIABILITY $ 1,000,000 - COMBINED SINGLE LIMIT A X ANY AUTO CA 5487960 08/01/01 08/01/02 - - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - X HIRED AUTOS BODILY INJURY $ - (Per accident) X NON-OWNED AUTOS - - PROPERTY DAMAGE $ , GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ - - ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ - AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 B fl UMBRELLA FORM BE8718805 (GL) 08/01/01 08/01/02 AGGREGATE $ 1,000,000 B OTHER THAN UMBRELLA FORM BE8718804 (AUTO, WC) 08/01/01 08/01/02 $ WORKERS COMPENSATION AND I WCSTATU-: I 10TH EMPLOYERS' LIABILITY X TORY LIMITS ER A WC 7206358 (CA) 08/01/01 08/01/02 EL EACH ACCIDENT $ 1.000,000 THE PROPRIETOR! ~INCL EL DISEASE-POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATIONSfLOCATIONSIVEHICLESfSPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS) CITY OF BAKERSFIELD, ITS MAYOR, COUNCIL, OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSUREDS AS THEIR INTEREST MAY APPEAR UNDER THE ABOVE GENERAL LIABILITY, AUTO LIABILITY AND UMBRELLA LIABILITY POLICIES. COVERAGE PROVIDED BY THE GENERAL LIABILITY AND AUTO LIABILITY POLICIES SHALL BE PRIMARY AND IS LIMITED TO THE LIABILITY ARISING OUT OF THE NAMED INSURED'S OWNERSHIP AND/OR OPERATIONS. WAIVER OF SUBROGATION APPLIES, CERTIFICATE HOLDER CANCELLATION 1-"'-"-'-'-- --._---," -.-.- - "m' .-.- ,-, ,- SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL E~ MAIL ---3..ll DAYS WRITTEN NOTICE TO THE CITY OF BAKERSFIELD CERTIFICATE HOLDER NAMED HEREIN, OR 1501 TRUXTON AVENUE BAKERSFIELD, CA 93301 MARSH USA INC. ....... BY: Dorothy A. Stevens IJr ,... 4- ...... -- - ..-- ~.- ~ --- . -". ' --- MM1(9/99) VALID AS OF:10/25/01 Received: 10/25/01 1: 26PM; 303 308 4900 -> ANNEX 15tH; Page 3 ? (~ OCT 25 2001 14:45 FR MARSH USA INC 303 308 4900 TO 916613247483 P.03/04 POLICY NUMBER: GL 5441867 Insured: ANSCHUTZ COMPANY (lNC) COMMERICAL GENERAL L1ABILIlY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS [Form B] This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization . p..---,Cit:.y of Bakersfield, its mayor, council, Officers, agents and employees 1505 Truxtun Avenue Bakersfield CA 93301 (if no entry appears above I information required to complete this endorsement will be , shown in the Declarations as applicable to this endorsement) WHO IS AN INSURED (Section II) is amended to include as an Insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for the Insured by or for you. CG,20 10 1185 Copyright Insurance Service Office, Inc. 1984 Received: . 10/25/01 1:26PM; 303 308 4900 -> ANNEX 1st#; Page 4 'J''' ,~ OCT 25 2001 14:45 FR MARSH USA INC 303 308 4900 TO 916613247483 P.04/04 .. . BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT' This endorsement changes the policy to which tt is attached effective on the inception date of the policy unless a different date is indicated below. (The fcHewing wattaching clauseW need be completed only when this endorsement is issued $lJbsequent to prepara~on 01 the policy). This endorsement, effective 12:01 AM 08/01/2001 forms a part of Policy No. we 720-63-58 Issued to ANSCHUTZ COMPANY (I NC) By AMERI CAN HOi'\E ASSURANCE COMPANY We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce OUr right against any person or organization with whom you have a written contract that requires you to obtain this agreement from uS, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 5 .00 % of the total estimated workers compensation premium for this policy. Schedule Person or Organization ;.-_ City of Bakersfields its mayor, council officers, agents and employees 1505 Truxtun Avenue Bakersfield CA 93301 Job Description Work Pennit we 04 03 61 (Ed, 11-90) Countersigned by Authorized Representative ** TOTAL PAGE.04 ** \