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Home My WebLink About01408 APFLICATiON FOR ENCROACHMENT PERMIT PERMIT NO.: EN-01408 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: HARBIN GLENN E 220 OAK ST 93304 Phone No.323-2277 2. Nature or decription of the encroachment for which this application is made: 6' FENCE along Bank StreeLat back of sidewalk 3' fence along Oak Street at back of sidewalk 3. Location of proposed encroachment is : 220 OAK ST BAK 220 OAK ST-FRONT OF BLDG - ----.- - ---- ~ .-.,- --~-~---~- 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 appiicant or any other'person or entity) or maintenance of said encroachme~t, :rp.e applicant further agrees tomant.aiIlth~ aforesaid encroachment during the life of the said encroachment or until such time that this permit is revoked. ' .) . " ,. I, - . . Applicant further agrees that upon the expiration of the permltfor whichthis"application is made, if granted, orupon 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. I_The type( s ).and.amount( s).of.insurance.coveragejs:_ WESTERN FAMILY INSURANCE CO Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. . J / Date:04/22/1999 .............~../!t::......S:...... Signature of Applicant (Owner/Agent) PERMIT I HEREBY CERTIFY THAT i HA VE'MADE AN INVESTIGATION OF THE FACTS STATED' IN Tim FOREGOING APPLICATION AND F~THATTHE ". . . . ,..... . 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 ~ THEREFORE ~(D~D). Said permit shall expire Date:04/22/1999 A~!fA..~ V ~re of City Engineer ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM MEMO TO: Bob Wilson FROM: Nick Fidler, Engineer II Traffic Operations DATE: March 15,2001 SUBJECT: Line of sight at south east corner of Bank Street and Oak Street. I have reviewed and approved the line of sight issue at the above mentioned location. The owner of the property is in the process of lowering the existing 6 foot tube steel fence to meet the line of sight standards per C.O.B. Std. T -11 for a controlled intersection. The fence will remain at the back of sidewalk, lower than the sight line. cc: s:\ WP\Forms\memo _subd. wpd ~ . - B A K E R 5 F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer VI, Subdivisions DATE: April 27, 1999 SUBJECT: . Encroachment Permit Application for 220 Oak St Glenn Harbin 6' high wrought ironfence on Oak and Bank around used car lot. Please review the attached encroachment permit and return to me at your earliest convenience. 4/2-6/qq ~., I/IG/I W'/.2out;HT //J..(JI-I Fefllc8 c/rIA.Je5 ~ V/>/81t.1''I frrJP SIGIfT Lla f(1.0{JL~HK;lTr Tiff: 5ottrflf3IJST c...Of.,vefl.. He/GifT OF peNCe E3,c..ceEfJ5' Nf,4;c//"4t.etvJ 'PeNce [te'1<T/+, f2-e'67u/tf3MEfUT Cf'-~a:-~~(n.b/off'''& Ol/Ie ~ lYIt-IlC ) MOP Vil? lLi~~..s f\IlUh;'t,.iV'vd Cod-0 17,0~,17~ :rCI..(..u...v S'-7'\",t\l~.e.w1\ S:IPERMITSIENCROACHITRAFFICI220 Oak.wpd 5 '-G+t<J l"l G {s &(.,. a..i't....d... "A, ~ 1../{3.0/11 c^-V"(,Lw .-.-'\. /') ~ . - B A K E R 5 F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM RECEIVED APR 2 9 1999 RISK IVI~MT. TO: Scott Manzer, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 27, 1999 SUBJECT: Encroachment Permit Application for 220 Oak St. Glenn Harbin 6' high wrought ironfence on Oak and Bank around used car lot. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. 0 ~ ~-~ 4-/'3Dlq ~ S:IPERMITSIENCROACHIINSURANCI220 Oak.wpd . . :1)3 -; , 97<-/ <./ ;; :. ..... 't,; I'(, 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 penn it 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: C Ie..,..., fJ f. \---\cva.. 'b iN :J~O ()f\,,- &\. '6~~c-#lL...f,~IQ OiQ ~T30~ ({.,(;I) 513-.).27,,/ 2. Nature or description of the encroachment for which this application is made: %>r tei"\('''' ("',I\.j 0A1l- -&\ ~{).N\~ gIVe '(l./')(>,C h ~M"r rea..j-\j., 3. Location of the proposed encroachment: :J.if-.C) OA\.<;. 8\_ ~l"t<'l?/f'';-h~\O C(J. { 4. Period of time for which the encroachment is to be maintained: v~ (l.(V\ fw,Je.JI'"\ Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hannless 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 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 pennit for which this application is made, if granted, or upon the revocation thereof by the City enl:ineer. 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 and required endorsements evidencing the insurance required. The type(s) and amount(s) of insurance coverage is: I () 0 G u". C1Qo '7~~ 00-0 I ' Applicant acknowledges the right Ofth~...uant to Bake...field Municipal Code Chapter 12.20 to "voke the penn it at any time. ._ _ ~ ~ Date: if'- / b ~ 1 '7 . - '2" Signatur of Applicant (Owner or Representative) 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) (DENIED). SAID PERMIT SHALL EXPIRE Date: L( - ;1.1 r ? ~ Signature of City Engineer No. ~ . ~. I i"'~ CITY OF BAKERSFIELD DEPARTMENT OF PUBLIC WORKS TO WHOM IT MAY CONCERN: We, the undersigned, have no objection to the construction of a fence or behind the sidewalk on: . 0 A \( ~. ~L\.'" '1< ( Street) of ;Mo ()f\\<\ 0\. (Address) SIGNED: !5-e:,sr ,t:CJdc-( !3cedoul 1) Name ot;~ ~o~a3 Address' ~ A k S;:r 2)Name D~ Addre~hVj;JI'. . . -3~~-1 ~/ S-- 3) Name Address J)Name Address 5) Name Address 6lName :\ddress Bv: (/f'NN (. fhqfZfV;"; (Owner's Name) Phone: C 6"& \ ) .323 ~ ..< A ~ ') Date: Date: Date: C;~cJ). 9 / 'I '-;(2.- 9'7 Date: Date: Date ~~~ 1&/ /:/ ~ ( I I I i r I I / I 1 ~ i Ii , I I . I i-I-/- I J . " 'l> ~ WESTERN FAMILY INSURANCE COMPANY "\.,. .,. Commercial General Liability Commercial Automobile "." Insurance Poli~~_H geo'tf}e 9ipe't INSURANCE SERVICES THIS POLICY CONSISTS OF: INSURANCE SPECIALIST 1 AUTO DEALERS. REPAIR SHOPS. RENTALS. B DS PAGER 818707-7008 818228-1163 800897-700; · Declarations · Common Policy Conditions · One or More Coverage Parts A Coverage Part Includes- · One or More Coverage Forms · Applicable Forms and Endorsements WFOO 1 (8-96) , ' ~ POLICY NO: 04GAR00581 \:,: . WESTERN FAMILy INSURANCE CO. . RENEWAL OF: NEW COMMON POLICY DECLARATIONS I I .1 I NAMED INSURED GLENN E HARBIN, AN INDIVIDUAL DBA: HARBIN MOTORS MAILING ADDRESS 220 OAK STREET BAKERSFIELD, CA 93304 POLICY PERIOD FROM 2/16/1999 TO 2/16/2000 BUSINESS DESCRIPTION USED CAR DEALER EFFECTIVE 12:01 STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE I I IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAYBE SUBJECT TO ADJUSTMENT. Commercial Auto Coverage Part - GARAGE FORM -.,:.. Commercial Crime Coverage Part " "'" Commercial General Liability Coverage Part Commercial Inland Marine Coverage Part Commercial Property Coverage Part PREMIUM SHOWN IS PAY ABLE $2,424 AT INCEPTION FORMS APPLICABLE TO ALL COVERAGE PARTS (SHOW NUMBERS) CA0006 0-87), CA0007 0-87), IL0017 01-85), CA0005 (6-92), CA0143 00-91), IL0270 (2-94), IL0021 (11-85), CA0030 02-88), CA0035 1J3~~~1l DATE BY IP COUNTERSIGNED WESTERN FAMILY INSURANCE COMPANY WF 000 (8-96) ~ " , " COMMERCIAL AUTO COVERAGE PART GARAGE COVERAGE FORM OECLARA TIONS CA 00 06 01 87 \~ ' ~ . . \ I. '10. 04GAR00581 Effective Date: 2/16/1999 ** 12:01 A.M. Standard Time ITEM ONE-Named Insured and Mailing Address/Policy Period-shown in Policy Declarations. Form of Business: X Individual 0 Partnership 0 Corporation 0 Other ITEM TWG-SCHEDULE OF COVERAGES This policy provides only those coverages where a charge Is shown In the premium column below. Each of these coverages will AND COVERED AUTOS apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a particular covemge by the entry of one ex more of the symbols from the COVERED AlJTOS Section of the GaIage Coverage Foon next to the name of the covemge. Ent1y of the symbol next to LIABIUTY provfdes coverage for "garage operations". COVERED AUTOS LIMIT (Enlry d one or mae dlhe ~boIs COVERAGES from COVERED AUTOS Section d THE MOST WE WILL PAY FOR ANY ONE PREMIUM lhe Gnge Ca.Ierage Form ACCIDENT OR LOSS shows v.tlich autos are CXMlrlld autos) LIABILITY 21 $ 500,000 $ 1,406 PERSONAL INJURY PROTECTION (P.I.P.)tt SEPARATELY STATED IN EACH P.J.P. END. MINUS $ DEDUCllBLE $ ADDEO P.I.P. (exeQuivaJent added No-faultcov.l SEPARATELY STATED IN EACH ADDED P.J.P. ENDORSEMENT $ PROPERTY PROTECllON INS. (P.P.I.) SEPARATELY STATED IN THE P.P.1. ENDORSEMENT MINUS (Michigan only) $ DEDUCTIBLE FOR EACH ACCIDENT $ AlJTO MEDICAL PAYMENTS 21 $ 2,000 $ 55 MEDICAL PAYMENTS 21 $ 2,000 $INCL UNINSURED MOTORISTS (UM) 21 $ 30,000/60,000 BI $ 87 UNDERINSURED MOTORISTS $ $ I (when not induded in UM Cov.) en COMPREHENSIVE COVERAGE 30 $ 9,000 EACH LOCATION MINUS $1,000 OED. FOR EACH $ 39 a::: LU COVERED AUTO FOR LOSS CAUSED BY THEFT OR MISCHIEF $ a... LU SPECIFIED CAUSES OF LOSS OR VANDALISM SUBJECT TO $ 5,000 MAXIMUM DEDUCTIBLE ~. COVERAGE FOR ALL SUCH LOSSlbl ANY ONE EVENT ~\ 30 $ 9,000 EACH LOCATION MINUS $"1;1l00 OED. FOR EACH $ 24 COLLISION COVERAGE COVERED AUTO ACTUAL $ 1,000 DED. FOR EACH COVERED AUTO, $ ~ COMPREHENSIVE COVERAGE CASH VALUiBUT NO OED. APPLIES TO LOSS CAUSEO BV RRE ~ OR COST OF OR LIGHTNING. ttt SPECIFIED CAUSES OF LOSS 31 REPAIR, $25 DEDUCTIBLE FOR EACH COVERED AUTO FOR $ 363 ~ COVERAGE WHICHEVER LOSS CAUSED BY MISCHIEF OR VANDALlSMttt 31 IS LESS - ~ COLLISION COVERAGE MINUS $1,000 DEDUCTIBLE FOR EACH COVEREDAlJTOttt $ 450 a... TOWING AND LABOR $ for each disablement of a private passenger auto $ I (Not Available in California) FORMS AND ENDORSEMENTS APPLYING TO THIS COVERAGE PART AND MADE PART OF THIS POLICY AT TIME OF ISSUEt: CA2154,(9-93), CA2101 (12-93), CA0305 (10-91),CA2505 (12-93), CA9903 (12-93) CA2504 (12-93) CA9937 (6-92), ADP0004 (8-96) I PREMIUM FOR ENDORSEMENTS $ . I ESTIMATED TOTAL PREMIUM $2,424 tt(or equivalent No-fault cov.) tttSee Supplementary Schedule for dealers "autos" and "autos" held for sale by trailer dealers and non-dealers. THIS DECLARATIONS MUST BE COMPLETED BY THE ATTACHMENT OF A SUPPLEMENTARY SCHEDULE tFonns and Endorsements applicable to this Coverage Part omitted if shown elsewhere in the polley. "Inclusion of date optional. THESE DEClARATIONS AND PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. CA 151 (Ed. 1-87) . Includes copyrighted material of Insurance Services Office, Inc., with its pennission. CA 00 06 01 87 CoPyright, Insurance Services Office, Inc., 1985 Page 1 of 1 '. " .... " ,,' " . NUMBER: 04GAR00581 GARAGE COVERAGE FORM-AUTO DEALERS' SUPPLEMENTARY SCHEDULE CA 00 07 01 87 PART 1 OF2 \" ",' ~~ -, '" .. ; I'IEE-LOCATIONS WHERE YOU CONDUCT GARAGE OPERATIONS. Address-state our main business location as Location No. 1 220 OAK STREET, BAKERSFIELD, CA 93304 - ITEM FOUR-LIABILITY COVERAGE-PREMIUMS. Loc. Rating Number Rating Total Rating Liability Personal Injury Property Classes of Operators Protection Protection No. Factor of Persons Units Units Premium Premium Premium Class 1- Regular Operators 1.0/.25 3 2.25 Employees All Others 1 Class 11- Under age 25 Non-Emplovees Aae 25 or over 2.25 1 ,406 Class 1- Regular Operators Employees All Others 2 Class 11- Under Aae 25 Non-Employees Age 25 or over Definitions: I TOTAL PREMIUMS 1 ,406 Class !-Employees Regular Operator - Proprietors, partners and officers active in the "garage operations,' salespersons, general managers, service managers; any employee whose principal duty involves the operation of covered "autos' or who is furnished a covered "auto." All Others - All other employees. NOTE: 1. Part-time employees working an average of 20 hours or more a week for the number of weeks worked are to be counted as 1 rating unit each. 2. Part-time employees working an average of less than 20 hours a week for the number of weeks workE!d are to be counted as 1/2 rating unit each. Class II-Non-Ernployees Any of the following persons who are regularly furnished with a covered "auto': Inactive proprietors, partners or officers and their relatives and the relatives of any person described in Class I. ITEM FIVE-LIABILITY COVERAGE FOR YOUR CUSTOMERS. In accordance with paragraph a.(2)(d) of WHO IS AN INSURED under SECTION II-LIABILITY COVERAGE, liability coverage for your customers is limited unless indicated below by m'. 0 If this box is checked, paragraph a.(2)(d) of WHO IS AN INSURED under SECTION II-LIABILITY COVERAGE does not apply. ITEM SIX-GARAGEKEEPERS COVERAGES AND PREMIUMS. Location Coverages Limit of Insurance For Each Location (Absence of a limit or deductible below means Premium No. that the corresponding ITEM TWO limit or deductibJe applies) for all locations .. MINUS $ 1,000 DEDUCTIBLE FOR EACH ~OVERED AUTO FOR Comprehensive. LOSS CAUSED BY THEFT OR MISCHIEF OR VANDALISM SUBJECT TO $ 39 MAXIMUM DEDUCTIBLE FOR ALL SUCH LOSS IN ANY ONE EVENT. MINUS $ 1,000 DEDUCTIBLE FOR EACH COVERED AUTO. Specified Causes of Loss: MINUS $ DEDUCTIBLE FOR EACH COVERED AUTO FOR $ LOSS CAUSED BY THEFT OR MISCHIEF OR VANDALISM SUBJECT TO 2 Specified Causes of Loss $ MAXIMUM DEDUCTIBLE FOR ALL SUCH LOSS IN ANY ONE EVENT. Collision: Collision $ MINUS $ DEDUCTIBLE FOR EACH COVERED AUTO. $ 24 I GARAGEKEEPERS COVERAGE applies on a legal liability basis unless one of the Direct Coverage Options Is Indicated below by'. DIRECT COVERAGE OPTIONS X EXCESS INSURANCE. If this box is checked, GARAGEKEEPERS COVERAGE Is changed to apply without regard to your or any other "insured's" legal liability for "loss' to a covered "auto' and is excess over any other collectible insurance regardless of whether the other insurance covers your or any other I "insured's' interest or the interest of the covered "auto's' owner. I o PRIMARY INSURANCE. If this box is checked, GARAGEKEEPERS COVERAGE is changed to apply without regard to your or any other "insured's' legal liability for "loss" to a covered "auto. and Is primary insurance. 'I ITEM SEVEN-PHYSICAL DAMAGE COVERAGE-TYPES OF COVERED AUTOS AND. INTERESTS IN THESE AUTOS-PREMIUMS-REPORTING OR . NON REPORTING BASIS. S ecified Causes of Loss $ 5,000 Collision $ 9,000 $ Comprehensive '\' Comprehensive $9,000 Each of the following PHYSICAL DAMAGE coverages that Is indicated in ITEM TWO applies only to the types of "autos' and interests indicated below by Kl Types of "Autos' Interests Covered Used "autos,' Your interest in Your interest only in Your interest and the interest of any All Interests in any "auto' Coverages New demonstrators not owned by you or any "autos" and service covered 'autos' financed covered creditor named as a loss payee creditor while in your "autos. .' vehicles you own possession on consignment for sale Comprehensive 0 0 0 0 0 0 Specified Causes of Loss 0 X X 0 D D Collision 0 X X D D D Location No. . Coveraaes Limit of Insurance for Each Location Rates Premium Comprehensive $ 100,OOOMINUS $ 1,000 DEDUCTIBLE FOR EACH COVERED AUTO FOR $ 1 LOSS CAUSED BY THEFT OR MISCHIEF OR VANDALISM SUBJECT TO Specified Causes of Loss $ 5,000 MAXIMUM DEDUCTIBLE FOR ALL SUCH LOSS IN ANY ONE EVENT. $ 363 Comprehensive $ MINUS $ DEDUCTIBLE FOR EACH COVERED AUTO FOR $ 2 LOSS CAUSED BY THEFT OR MISCHIEF OR VANDALISM SUBJECT TO Specified Causes of Loss $ MAXIMUM DEDUCTIBLE FOR ALL SUCH LOSS IN ANY ONE EVENT. $ CA 152(1)a (Ed. 1-87) Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Copyright, Insurance Services Office, Inc., 1985 Page 1 of 1 . ~ . ..., -;.- ;... .., ;. -- " \ --- .. NUMBER: 04GAR00581 GARAGE COVERAGE FORM. AUTO DEALERS' SUPPLEMENTARY SCHEDULE. (Continued) CA 00 07 0187 PART20F2 v IEN (Continued) \ No. Coveraaes Limit of Insurance For Each Location ..:\ $ 100.000 MINUS $ 1.000 DEDUCTIBLE FOR EACH COVERED AUTO. Adjustment \ " Collision BLANKET ANNUAL COLLISION RATES Factor Premium First $50.000 I $50,001 to $100.000 I Over $100,000 .64 I .26 I 1.0 $450 Our Limit of insurance for "loss" at locations other than those stated in ITEM THREE. I TOTAL PREMIUM $ 813 $ Additional locations where you store covered "autos" $ In transit PREMIUM BASI8-Reporting (Quarterly or Monthly) or Nonreportlng (Indicate Basis Agreed Upon by "/81"). o REPORTING BASIS (Quarterly or Monthly as indicated below by "/81"). You must report to us on our fonn the locations of your covered "autos" and their total value at each such location. For your main sales location identified as location no. 1. you must include the total value of all covered "autos" you have furnished or made available to yourself, your executives. your employees or family members and other Class II-Non-Employees. and covered "autos" that are temporarily displayed or stored at locations other than those stated in ITEM THREE above. For your main sales location you must include the total value of all service vehicles. YOUR REPORTING BASIS IS: 0 QUARTERLY- You must give us your first report by the fifteenth of the fourth month after the policy begins. Your subsequent reports must be given to us by the fifteenth of every third month. Your reports must contain the value for the last business day of every third month coming within the policy period. o MONTHLY- You must give us your reports by the fifteenth of every month. Your reports will contain the total values you had on the last business day of the preceding month. Premiums will be calculated pro rata of the annual premium for the exposures contained in each report. At the end of each policy year we will add the monthly premiums or the quarterly premiums to detennine your final premium due for the entire policy year. The estimated total premiums shown above will be credited against the final premium due. X NONREPORTlNG BASIS. Stated limit of insurance shown above a plies. Loss Pa ee-An loss Is a able as interest ma a ar to ou and: ITEM EIGHT-MEDICAL PAYMENTS COVERAGE. REFER TO ITEM TEN FOR COVERED AUTOS INSURED ON A SPECIFIED CAR BASIS Covera e Premium Detenninatlon Auto Medical Pa ments Onl Auto Medical Pa ments Premium uals Premises and Operations Medical Payments (Does not Premises and Operations appl to bodil in'ucaused b an auto Medical Pa ments Premium uals Premises and Operations and Auto Medical Pa ments Premises and 0 erations and Auto Medical Pa ments Premium equals ITEM NINE-UNINSURED MOTORISTS COVERAGE-PREMIUMS Premium $ of the Liability $ Premium $ 55 Number of Plates Rate Per Plate Premium 3 "<" 10 ,... ". 30 ITEM TEt+-SCHEDULE OF COVERED AUTOS WHICH ARE FURNISHED TO SOMEONE OTHER THAN A CLASS I OR CLASS II OPERATOR OR WHICH ARE INSURED ON A SPECIFIED CAR BASIS Covered DESCRIPTION PURCHASED Auto Year Model; Trade Name; Body Type Original Cost Actual NEW (N) TERRITORY: Town & State Where the Covered No. Serial Number (S); Vehicle Identification Number CVIN) New Cost & USED(U) Auto will be DrlnclpaUv aaraaed 1 2 3 CLASSIFICATION Business use Primary Rating Covered Radius of s=servlce Size GVW, GCW Age Factor Secondary Except for towing aU physical damage loss is payable to you and the Auto Operation r=retail or Vehicle Group Llab. Phy. Rating Code 1055 payee named below as Interests may appear at the time of the No. (In Miles) c=comm'l Seatina Capacity Damaae Factor loss 1 2 3 ~OVERAGES-PREMIUMS, LIMITS AND DEDUCTIBLES (Absence of a deductible or limit entry In any column below means that the limit or deductible ently In the corresponding ITEM TWO column aoolles Instead) . ADDED IAUTO. MED. PAY SPEC. LIABILITY P.I.P. P.P.I. (Mich. only) COMPREHENSIVE CAUSES COLLISION TOWING & LABOR P.I.P. OF LOSS Covered Limit" LImit" Limit" Auto No. Limit minus minus Limit Limit" minus minus Limit (In Premium deductible Premium Limit" deductible Premium (In Premium deductible Premium Limit"" deductible Premium per dis- Premium Thou- shown Premlurr shown Thou- shown below Premium shown ablement sands below below sands \ below 1 2 3 Total Premium XXX XXX XXX XXX XXX)( XXX ~dd'l Coverage(s).~remlum, limit. Deductible: "limit stated In each applicable P.I.P or P.P.I. Endorsement. ""Limit stated in ITEM TWO. Covered Auto No. Person or oraanlzatlon to which the Covered "Auto" has been fumlshed. (Do not Include Covered "Autos" which has been furnished to Class' or Class \I ooerators' 1 2 3 I ITEM ELEVEN-LIABILITY PREMIUM FOR PICKUP AND DELIVERY OF AUTOs-NON-FRANCHISED DEALERS ONLY No. of Driver Trips 51-200 mi.: Rate: Premium: Over 200 mi.: Rate: Premium: Tot. Prem.: CA 152 (2)a (Ed. 1-87) Includes copyrighted material of Insurance Services Office, Inc., with its pennission. Copyright, Insurance Services Office, Inc.. 1985 Page 1 of 1 ,~, ~ . ; ..-. 1, j /1vM-B;~ ~ , 06~N ~ \<: s Lt'4 Kc OA~' Sf ~7 ) ,r- \ l t l \ l (\ :: (e.t"(!' /" (\ ~ b re.,~, 1Prtl (h II fQ;/'fl (( u5W ~ ()..J (2.Cuq tn- ~ .f-tlO tJ o ", ;r- ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jack R. LaRochelle, Interim Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions :6 (., c... ....-- ~291Z7 ~, DATE: Apri110,2001 SUBJECT: Encroachment Permit Application for wrought iron fence alongfront & side of property. Glenn E. Harbin 220 Oak Street (southeast corner Oak & Bank St.) Engineering and Traffic staff have reviewed the attached encroaclullent permit to allow the installation of a wrought iron fence along front & side of property. The site is located at 220 Oak Street (southeast comer Oak & Bank 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:IPERMITSIENCROACHI200 I Pennits\220 Oak Stwpd xc: ~(''Pd4-//IIOI , _tnJctmi\'lInso"c~ if \ L{D<t