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APPLICATIONFORENCROACHMENTPERMIT PERMIT NO.: EN-01412
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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.
1. Full name of applicant and complete address including phone number:
CIT DEV INC
909 CHESTER AVE
93301 Phone No.631-9541
2. Nature or decription of the encroachment for which this application is made:
(2) 22" STUCCO COLS
3. Location of proposed encroachment is:
2701 F STBAK
2701 F ST
4. Period of time for which the encroachment is to be maintained:
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:
Date:05/10/1999
......~'::r7.~ to Bokernfield Monicipal Code Chapte' 12.20 to revoke
e of Applicant (Owner/Agent)
Applicant acknowledges the
the permit at any time.
Sig
PERMIT
I HEREBY CERTIFY THAT I HA VB 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) (Dill JIEE). Said permit shall expire
Sig
Date:05/1 0/1999
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--.APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
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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:
CtiTA- O€N', t V)~ .
2. Nature or description of the encroachment for which this application is made: (~) "?,,1-I/ tP ~~CCO
CD ~ ~, \ @ t: u lV~tru ~f\ "STD ~ 15 ~ --- E: iUG-Q2DACF;<;
1-/....... b -'(p t I \" \ tJ'f""O 'IV ~ 0" ..:? I v./E. i }:) ~ . ..
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3. Location of the proposed encroachment: "2--,0. \ '. II f II . sT. ..' ~;rL '. .~' .'
4. Period of time for which the encroachment is to be maintained: ~vz...vv'A~1::S 'f-Sj . -
Applicant agrees that if this application is granted., applicant shall indemnify, 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-judical,or judicial tribunals of any kind
whatsoever, arising out of, connected ~ith, 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 permit is revoked.
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Applicant further agrees that upon the expiration of the permit for which this application is made, if ~ted, or
upon the revocation thereof bv the City en~ineer, applicant will at his own cost and expense remo~e 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 and required
endorsements evidencing the insurance required. The type(s) and amount(s) of insurance coverage is:
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time. '//
Cj ( 01/ q~
Date:
Sign~~
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 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) {:W1a.--,:), SAID PERMIT SHALL EXPIRE
Date:
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Signature of city Engineer
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PRODUCER (661) 324-2424 FAX (661) 324-2323 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
allgatter Rhodes Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
5100 Cal i forni a Ave. Sui te 110 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Bakersfield, CA 93309 COMPANIES AFFORDING COVERAGE
.~.~~.~~~~. .......fOPA"tnsuran.c.e..Compan'y....
A
Attn: Cynthi a Sosa
...............................
INSURED
Robert E. & Connie L. Taylor
DBA: Summer Tree Interiors
4612 California Ave.
Bakersfield, CA 93309
Ext:
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
COMMERCIAL GENER~,L. ~IABILlTY :
CLAIMS MADE L"H: OCCUR NLP1067
OWNER'S & CONTRACTOR'S PROT :
03/15/1999
03/15/2000
..G~~ERA.LI\i3.C>f<~C3~T~..........$.. .... ..:I.,.O()()...()()()
: PRODUCTS - COMP/OP AGG : $ None
None
... ..H..:I..,9QQ, . ().()9.
None
None
: PERSONAL & ADV INJURY $
:$
: FIRE DAMAGE (Anyone fire) : $
.........................................
: MED EXP (Anyone person) : $
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDNY) DATE (MM/DDNY)
LIMITS
A
: EACH OCCURRENCE
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT $
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO
: AUTO ONLY - EA ACCIDENT : $
............... ............................
: OTHER THAN AUTO ONLY:
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..................
EACH'ACCIDENT: $
AGGREGATE: $
1-
THE PROPRIETOR!
PARTNERs/EXECUTIVE
OFFICERS ARE:
OTHER
$
$
$
: WC STATU-: : OTH- :::.:,:..,.,H
. n.H:'..f.l?~y.L.I.IlAI!l).:.w . E.R (}:::::::::: Hn.
:cEL-EACWACClDENT-~-$
-I
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
EACH OCCURRENCE
AGGREGATE
INCL
EXCL
. .
. EL DISEASE - POLICY LIMIT '$
: EL DISEASE - EA EMPLOYEE: $
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLEs/SPECIAL ITEMS
o Day nbotice will be sent in event of nonpayment of premium.
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City of Bakersfield
Public Works dept.
Attn: John Ussery
1501 Truxtun Avenue
Bakersfield, CA 93301
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
EPRESENTATIVES.
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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
May 19, 1999
Encroachment Permit Application for 2701 F st
Cit Dev Inc.
Two 22" stucco posts located in front of a new furniture store.
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ryan Starbuck, Civil Engineer III
FROM:
John Ussery, Engineering Tech. 1, Subdivisions
DATE:
May 19, 1999
SUBJECT:
Encroachment Permit Application for 2701 F st I I I
Ot Dev Inc.
Two 22" stucco posts located in front of a new furniture store
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Please review the attached encroachment permit and return to me at your earliest convenience.
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BAKERSFIEL
PUBLIC WORKS DEPARTMENT
MEMORANDUM
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TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
June 2, 1999
SUBJECT:
Encroachment Permit Application for 2701 F st
Ot Dev Inc.
Two 22" stucco posts and canopy in front of a new furniture store
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of
removable stucco posts and canopy in front of a new furniture store. The site is located at 2701 F st.
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:IPERMITSIENCROACH\2701 Fst.wpd LA _ __ '. (pL J
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