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APPLICA nON FOR ENCROACHMENT PERMIT ,PERMIT NO.: EN-01459
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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 defmed.
I. Full name of applicant and complete address including phone number:
PILLISBURY (ATTN PATRICK GRIFFIN)
MS34J4 200 SIXTH ST MINNEAPOLIS
MN 55402-1464 Phone No.612 3171312
2. Nature or decription of the encroachment for which this application is made:
INSTALLATION OF CONDUIT UNDER MC DIVITT TO CONNECT TWO
BUILDINGS TOGETHER WITH 3" LINE FOR COMMUNICATION
3. Location of proposed encroachment is :
6800 MC DIVITT DR BAK
6800 MC DIVITT DR
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4. Period of time for which the encroachment is to be maintained:
PERMANENT
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 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 insuance evidencing sufficient coverage for bodily injury or property damage liability of both and required
endorsements evidencing the insurance required.
>__,_The typ~(~Lal!damQ.unt(~) of insurance coverage is: ~~__ _ __v__,
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Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time.
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Signature of Applicant (Owner/Agent)
~ Date:07 /27 /2000
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PERMIT
I HEREBY\.CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION
AND FIND THAT THE
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MAINTENANlSE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PUBLIC
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PLACE WHERE THE ",
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SAME IS TO BE LGCA TED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID
APPLICATION IS
:::::::;RAN~~~lleXPire 0 RIG I N A L
Signatu,~e of City Engineer
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ryan Starbuck, Civil Engineer III
FROM:
Marian P. Shaw, Civil Engineer VI, Subdivisions
DATE:
December II, 2000
SUBJECT:
Encroachment Permit Application for 6800 McDivitt Drive.
Pillisbury (attn.: Patrick Gr(ffin)
Communication conduit under McDivitt Drive.
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Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\6800 McDivitt Dr.wpd
ORIGINAL
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B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
RECEIVED '~1
DEe f I 200J I
CITY MANAGER'S o~'
TO: John W. Stinson, Assistant City Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: December 11,2000
SUBJECT: Encroachment Permit Application for 6800 McDivitt Drive.
Pillisbury (attn.: Patrick Griffin)
Communication conduit under McDivitt Drive.
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\INSURANC\6800 Mcdivitt Dr.wpd
ORIGINAL
~RODUCER ......,....,......'..........,....,...,...............................'...............,...................., THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS I
Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN i
1166 Avenue of the Americas THE POLICY. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE I
COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN.
New York. NY 10036-2774
COMPANIES AFFORDING COVERAGE I
COMPANY
A LUMBERMENS MUTUAL CASUAL TY
I'
INSURED
THE PILLSBURY CrJ1PANY
200 SOUTH SIXTH STREET
MINNEAPOLIS, MN 55402
COMPANY
B A!1ERICAN MOTORISTS INS CO
COMPANY
C ARBELLA MUTUAL INSURANCE CO.
COMPANY
D
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 POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYYI DATE (MMIDDIYYI LIMITS
A GENERALLIABILlTY 5M038025-00 7/01/00 7/01/01 GENERAL AGGREGATE $ 2,000.000
B COMMERCIAL GENERAL LIABILITY 5AB038344-00 PR 7/01/00 7/01/01 PRODUCTS. COMP/OP AGG $ 2.000.000
CLAIMS MADE 00CCUR PERSONAL & ADV INJURY $ 2,000.000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE 2.000.000 I
FIRE DAMAGE (Anyone fire) 500,000 I
I
MED EXP (Anyone person) 5,000
A AUTOMOBILE LIABILITY F5D 006 888 00 AOS 7/01/00 7/01/01 ! ,
ANY AUTO F5D 006890-00 (VA) 7/01/00 7/01/01 COMBINED SINGLE LIMIT i
A X 2.000.000 i
A ALL OWNED AUTOS F5D 006891-00 (Hl) 7/01/00 7/01/01
BODILY INJURY
A SCHEDULED AUTOS F5D 006892-00 TX 7/01/00 7/01/01 (Per person)
C HIRED AUTOS X3P 08376102 (f1A) 7/01/00 7/01/01
BODILY INJURY
B NON,OWNED AUTOS F5R 006264-00 PR 7/01/00 7/01/01 (Per accidenll
PROPERTY DAMAGE
GARAGE LIABILITY AUTO ONLY, EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM 1$
A WORKER'S COMPENSATION AND 5BAl29408 -02 NV. OR. WI 7/01/00 7/01/01 X oE1t ::t::tt:f':f'tt::t:ftt:ff::fff
A EMPLOYERS' lIABIUTY 584129409-02 AZ,KS 7/01/00 7/01/01 $' 2,000.000
A THE PROPRIETOR/ INCL 5BAl29410-02 ADS 7/01/00 7/01/01 EL DISEASE. POLICY LIMIT $ 2,000.000
PARTNERS/EXECUTIVE 2.000.000
OFFICERS ARE: EXCL EL DISEASE, EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES / SPECIAL ITEMS
ORIGINAL
(See reverse and/or attached for additional infonnation.)
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SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR
TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED
HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS
OR REPRESENTATIVES.
BAKERSFIELD PUBLIC WORKS
DEPARTf1ENT
1501 TRUXTON AVENUE
BAKERSFIELD, CA 93301
Marsh USA Inc.
BY:
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SCHOOL DIST. / - 93
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legol ownership or, divisions 0' I
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
December 18, 2000
SUBJECT:
Encroachment Permit Application for Installation o.f communication conduit under McDivitt
Drive
Pillisbury (attn.: Patrick Griffin)
6800 McDivitt Drive
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of
communication conduit under McDivitt Drive. The site is located at 6800 McDivitt Drive.
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\6800 McDivitt Dr.wpd
xc: Applicant (?Y1~)
Reading File
Construction Inspection
ORIGINAL
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