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!PPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.: EN-01422
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.
1. Full name of applicant and complete address including phone number:
LEVEL (3) COMMUNICATIONS
6689 OWENS DR SUo A PLEASANTON
CA 94588 Phone No.925-398-3000
2. Nature or decription of the encroachment for which this application is made:
INSTALLATION OF OPTICAL CABLE UNDER CARRIER CANAL
3. Location of proposed encroachment is:
3800 CHESTER AVE BAK
3800 CHESTER UNDER CARRIER
CANAL
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 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 type(s) and amount(s) of insurance coverage is:
AON RISK SERVICES LIABILITY
4000000
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time.
Date:08/16/1999
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Sig~~~~~pplicant (Owner/Agent)
PERMIT
I HEREBY CERTIFY THAT I HA VE 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
THEREFORE (GRANTED) (M@..--,V). Said permit shall expire
Date:08/16/1999
.......~.....~
Signa~~~"~'f'C'i~'~~~....
ORIGINAL
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APPLICATION FOR ENCROACHMENT PERMIT
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 pennit
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:
'" " ' "
3. Location of the proposed encroachment:
EtJkpA. S+~ee +
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4. Period of time for which the encroachment is to be maintained:
Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hannless City, its
officers, agents, and employees against any and allliabi/ity, 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 applicant 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 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 Insurance evidencing sufficent coverage for bodily injury or property damage liability or both an~ required
endorsements evidencing the insurance required. The type(s) and amount(s) of insurance coverage i~:
/~.
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time.
Date:
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 (I) WILL(NOT) SUBSTANTIALLY INTERFERE WITH THE USE OFTHE
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) $BNUm). SAID PERMIT SHALL EXPIRE
Date:
o;~f-71
Signl1lllri:~""----
No.
ORIGINAL
.-
~ACGRD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYV)
TM 07/09/1999
PRPDUCER Serial # A1452 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
AON RISK SERVICES, INC. OF COLORADO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
14023 DENVER WEST PARKWAY, SUITE 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
GOLDEN, COLORADO 80401
TOLL-FREE: PHONE 877-266-9727 (877-AONWRAP) INSURERS AFFORDING COVERAGE
f----
INSURED INSURER A: ZURICH INSURANCE COMPANY
LEVEL 3 COMMUNICATIONS, LLC INSURER B: ROYAL INSURANCE COMPANY
7581 WEST 103RD AVE. INSURER C: INDEMNITY INSURANCE CO. OF NORTH AMERICA
WESTMINSTER, CO 80021 INSURER 0:
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
~NERAL LIABILITY EACH OCCURRENCE $ 2,000,000
A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $
I CLAIMS MADE []] OCCUR GL 2908557-00 08/01/98 08/01/01 MED EXP (Anyone person) $
,-~ ------ --- .-~ -" ------ :-_- - -. - -----, - - " - PERSONAL & ADV INJURY $ 4,000,000
GENERAL AGGREGATE $ 4,000,000
GEN'L AGGREn LIMIT APPlS PER: PRODUCTS, COMPIOP AGG $ 4,000,000
!Xl POLICY P,~R,: LOG ,
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
- $
A _ ANY AUTO (Ea accidenl)
_ ALL OWNED AUTOS BAP2090865 10/1/98 08/01/01 BODILY INJURY
$
X SCHEDULED AUTOS (Per person)
- --
X HIRED AUTOS BODILY INJURY
- $
_ NON-DWNED AUTOS (Per accident)
, ,
- PROPERTY DAMAGE $
..... , " , (Per accident) ,
" -,
~RAGE LIABILITY . " -- AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ 100,000,000
B 1J OCCUR 0 CLAIMS MADE PHN 203008 08/01/98 08/01/01 AGGREGATE $ 100,000,000
C XLXG 19500214 08/01/98 08/01/01 $
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I WCSTATU" I 10TH,
TORY LIMITS ER
A EMPLOYERS' LIABILITY WC2908556 08/01/98 08/01/99 E.L. EACH ACCIDENT $ 1,000,000
- - .,.--- - - . -- . -- " - - E.L. DISEASE - EA EMPLOYEE $ 1,000,000
-
E,L. DISEASE - POLICY LIMIT $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONSlLOCATIONSNEHlCLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
AS RESPECTS LEVEL 3 COMMUNICATIONS, FIBER OPTIC INSTALLATION PROJECT., FOR ENCROACHMENT PERMIT FOR CITY
CROSSINGS.
.. CERTIFICATE. HOLDER -I I ADOITlONALlNSURED; INSURER LETTER:
CANCELLATION
I
ACORD 25-5 (7/97)
ORrGll\JAL
SHOULD ANY OF THE ABOVE DeSCRIBED POUCIES BE CANCELLED 'BEFOR"E THE EXPlAAll0N
DATE THEREOF, THE ISSUING INSURER W1L~ ENDEAVOR TO MAIL .' 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL
IMPOSE NO OBLlGA110N OR LIABILITY OF AN'( KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTA~. '/'? .
AT'-7"~ RESENTATIVE ~ ~ . . "
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\,.. @ACORD CORPORATION 1988
CITY OF BAKERSFIELD
CITY HALL, 1501 TRUXTUN AVE.
BAKERSFIELD, CA 93301
ATTN: LAUREN DIMBERG
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TO:
FROM:
DATE:
SUBJECT:
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
Scott Manzer, Risk Manager
John Ussery, Engineering Tech. 1, Subdivisions
August 30, 1999
Encroachment Permit Application for 3800 Chester Ave
Level (3) Communications
Installation of Optical Cable Under Carrier Canal and Kern River
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
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S:\PERMITSIENCROACH\INSURANCI3800 Chester. wpd
ORIGINAL
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BAKERSFIEL
PUBLIC WORKS DEPARTMENT
MEMORANDUM
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TO:
Raul M. Rojas, Public Works Director
~~Marian P. Shaw, Civil Engineer IV, Subdivisions
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FROM:
DATE:
August 31, 1999
SUBJECT:
Encroachment Permit Application for ~~pO Chester Ave
Level (3) Communications
Installation of optical cable under Carrier Canal and Kern River
Engineering and Water Resources staff have reviewed the attached encroachment permit to allow the
installation of a optical cable under the Kern River and the Carrier Canal along railroad right-of-way. The
site is located near 3800 Chester Avenue.
The applicant has provided proof of appropriate insurance coverage to Risk Management.
Based on their review, staff recommends approval of the permit.
S:\PERMITSIENCROACH\3800 Chester. wpd
xc: Applicant
Reading File
Construction Inspection
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ORIGINAL
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