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HomeMy WebLinkAbout01459 - -. ~ {~. , ? APPLICA nON FOR ENCROACHMENT PERMIT ,PERMIT NO.: EN-01459 ~ 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 e-~.~-;;.'--=-""';"~-..-;-""-, -_.--"':'--,-~~ -'---..__.,,"--~..---."'-- >..--_~ -- ....,. -- -~. 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__, I~ Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. .~~.....9. :<:"'~ .r:::;............ Signature of Applicant (Owner/Agent) ~ Date:07 /27 /2000 ~ PERMIT I HEREBY\.CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE " ,. " . MAINTENANlSE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PUBLIC "- PLACE WHERE THE ", "\. 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 '\. ~ , . . 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. - Please review the attached encroachment permit and return to me at your earliest convenience. C~DV\iT l? ~1~r-..=>C4. --- ~ v ~ J1-/lIloo S:\PERMITS\ENCROACH\TRAFFIC\6800 McDivitt Dr.wpd ORIGINAL '> ~ . - 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. IZ,/IZ! tlD .--r;! )11,cr~- otL ~-"--- ~ . /?ft1?> .......'- 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.) .::~@l!flPAii:::~llll::::tttt\ll:::ttt::ttiltl:::\::l~::t::tt::t~:::t:~ttttt\l:::\::::~~:::tr\:\gNQ.~ngH@tttfftf:::ll::~ft:::::l::@i:t:l:::t::t:ll:::t::::ttffttfftf\t::~:t~:tfffff:::ttttf:t:f\::::::t:\~f 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: ~A.~ SCHOOL DIST. / - 93 I I 31 ::1 0' .-~I -as I Q)I V5' o' - - - - 0' , , 00 .- ' I ' .- .- i '<t I It)1 001 (\') .1 " L__ C, 9 /SJ)C .... '0 <:> " "l PARCEL MAP 6963 PTN. 5J/2 OF SEC. 16 T 30 S. @ 4 0 @I 24.JAC I ~, : 44 0' ~ /8"4 2 80 1.21AC 70 /2/AC Zi!O 6(6) /~C 220 ("''28.28 . /64 /58 /84 11JISTRICT~~- _1>9 c:: p,J ~ < ~ R. 27 E. 0/6 @ @ /84 9/ 9.3 236.33 2 @I.J I I p. Iv!. 7642 I 236.33 - ,:.0; @ I zzo ZZ5 2/6.6; 209./1 I .Jm 2 ~ I lAC ;0 /2 AC III @ @)I <:s '" , 2.8AC. 1.54AC., ~ ~ 0 "l ~ 9/ 1'" (, 9.3 / 2 2/0,82 .J @! 2.86ACi III ~ PM. 92.J3 .'7 III ;;j 150 ' /9@ 4 '" 237 I "'~I ,;' ..,.. 'S::::?tI \". 1.22AlC ~ I ~ 200 ~ ~g: "l C) ~ ltl ~ 28.Z8";> 60 ('28.28 /64 . ~: Zll 7 ~o ~ BLVD (/> .384,65 ~I - ~I I I ! Note: This mop Is 'or ossesame\ only. II Is not to be conslrued c legol ownership or, divisions 0' I purposes 0' zonIng 01' eubdlvlslol I ASSESSORS MAP N ~ , (.~ ~ . - /(P / 3ole741' 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 1t- 14~