HomeMy WebLinkAbout01385
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APPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.EN-01385
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 defined,
1, Full name of applicant and complete address including phone number:
BURNS & FRYE INC
Phone No,588-8870
2, Nature or decription of the encroachment for which this application is made:
SCAFFOLDING IN SIDE WALK AREA APPOX 250'X 3'
3, Location of proposed encroachment is
1515 20TH ST
ON SIDEWALK
4, Period of time for which the encroachment is to be maintained:
8/19/98 - 9/17
Applicant agrees that if this application is granted, applicant will idernnify, 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: 08/13/1998
'" '"""""'.P~"d.""n"'p.,
Code Chapter 12,20 to revoke
Applicant acknowledges the
the permit at any time,
f Applicant (Owner/Agent)
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 (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) (DENIED), Said permit shall expire
Date: 08/13/1998
LIFFORD & BRADFORD INS.
831 TRUXTUN AVE.
AKERSFIELD CA 93301
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3247483 P.02
08-14-1998 09:31AM
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PAOlNCI;R
lJISURED
URNS DRYWALL, INC.
URNS , FRYE, INC.
0010 ROSEDALE HWY.
AKERSFIELD, CA 93312
CCIolPAHY
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B UNIGARD INSURANCE COMPANY
A UNITED PACIFIC INSURANCE CO. (ARM)
C FlREMANS FUND INSURANCE
D CALIFORNIA COMPENSATION INSURANcE CO
XEK74383134
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9/30/98
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tlO DAY CANCELLATION NOTICE WILL APPLY IN THE EVENT OF NON-PAYMENT OF PREMIUM
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m SHOUlD API'( OF l1iE ABO'VE DESCRISeD POUCrES BE CANCelLED BEFo~e THE
l;:~ El(PIRATION DATE lliEREOF, THE ISSUING COMPANY WILL ENDEA\fOR TO
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CITY OF BAKERSFIELD ::;,.;,~,:;:>[, MAlL..3.0...- DAYS WRITTel NOTICE TO Tl1E CERTIFICATE HOLDE;~ NAMED To THE
DEPT OF GENERAL SERVICES :;>'" LEFT, BIJT F",LUAE TO MAIL SUCH NOTICE; SHAu'INPOSE"O OBUGAllO" OR
A TTN" STEVE eHA VEZ m~ UABILm' OF AMY I(JNO UPON TI1E COMPANY"rTS "Gems OR REPRESENTATIVES.
4101 TURXTUN AVE ~~ AU1ltORIZEDREPRESEMi'ATM; /7 I' " L/ ~ /_ .
BAKERSFIELD CA 93309 ~':~ /' J~/?>~ .::;.7-. 1.',./
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TO:
Scott Manzer, Risk Manager
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
August 14, 1998
SUBJECT:
Encroachment Permit Application for 1515 2{Jh Street
Bums & Frye
Scaffolding in sidewalk area
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
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TO: Raul M. Rojas, Public Works Director
FROM: rJyt-i;.cques R. LaRochelle, ~ngineering Services Manager
DATE: f August 14,1998 .
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SUBJECT:
Encroachment Permit Application for Scaffolding in the sidewalk area.
Burns & Frye
Location, 1515 2{Jh Street
Engineering and Traffic staff have reviewed the attached encroachment permit to allow temporary
scaffolding at 1515 20th Street
The applicant has provided proof of appropriate insurance coverage to Risk Management.
Based on their review, staff recommends approval of the permit.
S:\PROJECTS\MAINDIST\ 1515Tandy, wpd
xc: Reading File
Project File
Marian P. Shaw
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