HomeMy WebLinkAbout01379
07/20/98 MON 11:56 FAX
CITY OF BKSFD BLDING DPT
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APPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.EN-01379
TO Tim CITY ENGINEER OP THB CITY OF BAJtIl]lSPIBLO CALI I1'ORNIA:
Pursuant to the provieions of Chapter 12.20 of the Bakerefield Municipel Code, the undersigned appliee for a permit
to place. erect, use and maintain an encroachment on public property or right of way as therein defined.
90280
Phone No.5&2-928-0l00
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1. Pull name of applicant and complete address inclUding phone number,
WORLD 0 II. CORP
9302 S GARFIELD AVE
JOmf RUNDLBY VP E:NVIR
SOUTH GATB CA
2. Nature or decription of the encroachment for which this application is made.
TBNPORARY. LOCItBD OIAINLIHK PENCB AROUND CITY MANHOLE & PSRMIT 'I'O OpEN CITY MANHOLB 'I'O
DISc:JIARGE REAPPROVED 630,000 GALS OP PRB- TREATBD INDUSTRIAL WASTEWATER
3. Location of proposed encroachment ie I
2152 COPPBB RD
CITY MNlHDLB LOCATBD Cll'l EL 'I'ORO ao. (DIRT) SOUTH OP SANTA PB RAILWAY
4. Period of time for whiCh the encroachment is to be maintained,
8/1/98 - 8/31/9B
Applicant agrees that if thie 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 thsm, before administrative, quasi-judicial or judicial tribunals of any kind whatsoever,
arising out of, connected with or caueed by applicant.s placement. erection. use (by applicant or any other person or
entity) or maintenance of said encroachment. The applicant further agress to mantain the aforesaid encroachment during
t~e life of the s&ld encroachmsnt 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 ne~rly as that in which it wae 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:07/20/1998
of the City Bngineer. pursuant to Bakersfield Municipal
.......~~P,.....
Signature of Applicant (owner/Agent)
Code Cbapter 12.20 to r@VOke
Applicant acknowledges the right
the pe=it at any time.
PSRMIT
I HBRBBY CBRTIPY THAT I HAVE MADK AN IllVBSTIGATICll'l OLP THE: FACTS STATIlI) IN THe PORllGOING APPLICATION AND PIND THAT THE
MAINTBNANCB OF SAID ENCROACIlMIlNT (1) WILI.o (NOT) SUBSTANTIALLY INTERPERE WITH THE USE OP THE PUBLIC PLACB WHSRB THI!l
SAME IS TO BB LOCATED AND (2) WILL (NOTl CONSTtTUTB A HAZARD 'I'O PERSONS USING SAID PUBLIC PLACE, SAID APPt.ICAT!OR IS
TlIBIlBPORB (GRANTED) (DBNIBD). Said permit
Oate.07/20/1998
07/20/98 MON 11:57 ~AX
(;1'l'Y Ui' til\:Si'U tiW1N\O V1'T
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PERMIT INFO
Permit No..,..: EN-01379
Permit Type..,: ENCRO
Status........: PENDING
LOCATION
Job address,..: 2152 COFFEE RD
Description...: TEMPORARY, LOCKED CHAINLINK FENC
PEOPLE
Owner.......,.: WORLD OIL CORP
Applicant.....: WORLD OIL CORP
Arch/Engr.....:
Contractor, . . . :
FEES
Total Due...........: 135.00
FEES TO BE PAID
TOTAL Due...........:$
COMMENTS:
Initials
Date
...
Insurance Criteria for Typical Encroachment Permit
The permittee shall furnish the City Risk Manager with a certificate of insurance and required
endorsements evidencing the insurance required. These must be approved prior to the issuance
of the encroachment permit.
Type and Amount of Insurance:
$1,000,000.00 Per Occurrence for Broad Form Commercial General Liability for
commercial or residential
Q.R
$300,000.00 Per-Occurrence for Homeowners Policy for residential
Required Endorsements:
Additional Insured: The City of Bakersfield, its mayor, council, employees, agents and
volunteeI$ 3!e added as additional insureds with respect to the installation of a 6' wooden
fence behind the sidewalk.
Cancellation or Change: All policies shall contain an endorsement providing the City
with thirty (30) days written notice of cancellation or material change in policy language
or terms.
Insurance is to be placed with insurers with a Best's rating of no less than A:VII. Any
deductibles, self-insured retentions or insurance in lesser amounts must be declared prior to the
approval of the insurance documents and the issuance of the encroachment permit.
~1t<C1tllwm:. /
JUl 2 0 \998
WASTE WATER DlVlS10/ll
CITY OF BAKERSFIELD
C:\WINDOWS\TEMP\_ TYPIN-l. WPD
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',' ACO ..oe ' , "IIIUD1O ""111'''1'' 'BUiIIilIIlS'IIII..ee..'............,..........,....."...., DATE(IIMlDD(YY)
i:\::,:::,:,:,::,::,::,:,::,:,:,:,:,:,:,:,:,:,:,:,:,:,:.:,!.~.:,:L:;:::;:;;;::::;;;;:~;:::J:::I;::}::::;:::::}\:;;\;:::::;;:;:;:;;;~::;:::;:::::::l::::;:j:i:::;::::::;::i:;:/i:~;:i:;:::::::;::::::::::i~;*x;x:LL:::::::::::;::::::::::::::~;:::i::::::::::::::):::::,::::;::::::!::::::::::::;:)t:;;:':;:~;<:;::;:::::::;;::::::::;;::::;::;::i.~:::::~::ii<iEI::i:::Qit::i::;i2Ii2~uL-1998
PRDDUCER . 8951 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Willis Corroon Corporation of Los Angeles ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
801 N. Brand Blvd. #400 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Ca. Dept. of Ins. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
License #050751 6 COMPANIES AFFORDING COVERAGE
Glendale CA 91203 COMPANY American International Specialty Lines Ins. Co.
(818) 548-7500
Kathy A. Housel A
INSURED COMPANY National Union Fire Insurance Co. of Pi1tsburgh.PA
B
-
World Oil Corp. COMPANY
9302 South Garfield Ave. C
South Gate CA 90280 COMPANY
, 0
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
INDICATED. NOlWlTHSTANDING 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAMS.
EXCWSIONS AND CONDITIONS OF SUCH POUCIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co TYPE OF INSURANCE POlICY NUMBER POLICY EFFECTIVE POlICY EXPIRATION L.IIIIT8
LTR DATE (ll1I/DDIYV) DATE (ll1IIDDjYY)
A GENERAL LIABILITY GL2670009 01~UN-1998 01~UN-1999 GENERAL AOOREC3ATE .._--, $ -2 ,000 . 000
f-'--- - 1 000 000
X COMMERCIAL GENERAL UAalUTY PAOOUC~IOP AGO : $ , ,
1(< I ClAIMS MADE [KJ OCCUR PERSONAL & ADV INJURY $ 1 . 000 , 000
OWNER'S & CONTRACTars PROT EACH OCCURRENCE ,$ 1 . 000 . 000
f-- 50 000
ARE DAMAGE 'Anv one lire' $ .
f-- 5 000
MED EXP ,Anv one D8tSonl is .
B ~OMOBILE LIABILITY CA7202020 01~UN-1998 01~UN-1999 1 200 000
COMBINED SINGLE UMIT $ . .
,..!.ANYAUTO :
f-- ALL OWNED AUTOS BOOlL Y INJURY $
(Pet person)
- SCHEDULED AUTOS
X HIRED AUTOS BOOIL Y INJURY $
-
X NON-OWNEO AUTOS (Pili accident)
-
- PROPERTY DAMAGE $
~RAaE 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 s
WORKERS COMPENSATION AND I~~~llirs I Iwr .:,;::;:':";',:::'
EMPLOYERS' LIABILITY $
EL EACH ACCIDENT
THE PROPRIETORI
PARTNERSiEXECunVE RINCL EL OISEASE-POUCY UMIT $
OFFICERS ARE: EXCL EL OISEASE-EA EMPLOYEE S
OTHER
DESCRIPTION OF OPERATlONSlLOCATIONS/VEHICLES(SPECIAL ITEMS
S E E ATTAC H ED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY W1U. ~lt. MAIL
30 DAYS WRITTEN NOTICE TO THE CEAT1F1CATE HOLDER NAMED TO THE LEFl.
-
Bakersfield Publio Works Department IIUIC lFlUUIUX1lX_lBUClHU..YKVUGIlC lIDIll9IlI JlICIC..llIIllUlONllClRl UQIIllI1Nl X x
1501 Truxtun Avenue 0lIl X QYX lMUIIX lIJIIIaNC x.. x XXMCXJC....XKlax__I_IiI~XX
World Oil Corp.
9302 South Garfield Ave.
South Gate CA 90280
PRODUCER
Willis Corroon Corporation of Los Angeles
801 N. Brand Blvd. #400
, Ca. Dept. of Ins.
Ucense #0607516
Glendale CA 91203
(818) 548-7500
Kathy A. Housel
I
'I
INSURED
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
INDICATED, NOTWITHSTANDING AtN 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. UMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POUCY NUMBER
POUCY EFFECTIVE POUCY EXPIRATION
DATE DATE
UIIITS
DESCRIPTION OF OPERATIONS/LOCATIONS/YEHICLES/SPECIAL ITEMS
Re: Request for Temporary Discharge of Industrial Wastewater ~rom Sunland
Refinery/North Tank Farm. 2152 Coffe Road. Bakersfield. CA
~-Industrial Wastewater- DiSCharge Permit
- Permit to Use City Manhole for Discharge
- Temporary Connection Fee and Sewer Surcharge
Additional Insured: The City of Bakersfield. its mayor. council. employees.
agents and volunteers are added as addtional insureds as required by permit.
'.9m__llqum'f1JMMkJ.t.t%Jf@HWlltM%&U@m@MlmMdMfWdL~~::;>}L.,,~;::'.f@Mt~MftmiJJ&fmUMMM}@11TnlfMltM%mlMm!tljjii
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COIIPANY WILL ~ltl MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAilED TO THE LEFT,"
Bakersfield Public Works Department IliIXlCf'U.lCl'UINIC8Qt(II.~If<IIJQWXBX.'~XBlICeMlUftXX
1501 Trwctun Avenue
Bakersfield CA 9330 1 A~ORIZ REPRESEIll' E
ititimY.J...iMB.fjf.'.,.,.,' Jl*~ur~wmfiiUttiiJiMt.1MNHm%tgjmt]ji~&.bti:df.#.t.4*;,M,.jii:; ;,,;J;4#Jf.M~fjijjBi'.]MrMnJ
A' '.-.
IlANXOF AMElUCADISBURSEMENT ACCOVNr
BANK OF AMERICANT&SA
CITY OF COMMERCE CBC
saoo S. EASTERN AVENUE
CITY OF COMMERCE. CA 90040
FIRST UNION BANK
CHAPEL HILL. NORTH CAROLINA
'2555
SUNLAND . REFINING CORPORATION
· .' P.O. BOX 1345
BAKERSAELD, CALIFORNIA 93302-1345
J805) 589-9615
66-156
531
"PAY,~
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576 AN/):clOcts
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,OR,D~.O~Gity:of Bakersf~elQ"';;';PtiblicWorks Dept.
. ,DATE _ -', ' AMOUNT
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SUNLANDREFlNING CORPORATION "
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, BAKER~.~RNIA., --: ..::."
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PLEASE DETAC'H
THIS REMrrrANCE ADVICE
BEFORE DEPOSmNG CHECK
THE 'ATTACHED CHECK
" IS IN PAYMENT OF THE
':_' ITEMS LISTED ABOVE
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City of Bakersfield
Miscellaneous Charge Entry
Customer ID: 15353 Name: WORLD OIL CORPORATION
Location ID: 4274 Addr: 2152 COFFEE RD
Cycle/Route: 01 01
Initiation date 8/01/98
Termination date: 0/00/00
Type options, press Enter.
2=Change 4=Delete 5=Display
Opt Code Description Charge Amount Reference
P3 WW DISCHARGE PERMIT 440.00
8/03/98
11:25:00
Amount due: $,00
Pending $440,00
Customer/Location status: A
Customer status: A
F3=Exit
F6=Add
F20=Cst/loc functions
F12=Cancel
Date
8/03/98
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WORLD OIL CORP.
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July 28, 1998
Ms. Lara Kimm
Public Works Department
City of Bakersfield
1501 Truxtun Avenue
Bakersfield, CA 93301
P.O. BOX 1966
SOUTH GATE, CA 90280-1966
TEL (310) 928.0100 FAX (310) 928-3234
Re: Temporary Discharge oflndustrial Wastewater from
Sunland Refinery/North Tank Farm
2152 Coffee Rd., Bakersfield, CA
Dear Ms. Kimm:
Thank you very much for your cooperation and assistance in approving the Industrial
Wastewater Discharge Permit for the above referenced facility. World Oil Corp. (World)
has reviewed the tentative Industrial Wastewater Discharge Permit and determined that
modifications to this permit are not necessary. World therefore kindly requests the Public
Works Department to issue an official Industrial Wastewater Discharge Permit. Enclosed
are the following:
. Executed copy of the Application for an Encroachment Permit,
. Certificate of Liability Insurance, and
. Check # 2555 in the amount of$575.00 for annual permit fee & encroachment fee.
If you have any questions, please call me at (562) 928-0100.
Sincerely,
WORLD OIL CORP.
~~'
--~
John P. Hundley
Vice President of Environmental Affairs
ill ~ CC~ 11 W~IQ)
'JUt 3 1 "we
cc. Phil Kinney, SECOR (w/o attachments)
WASTE WATER DlVISjO~4
cln OF Sft..KERSFIELD
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9302 S, GARFIELD AVENUE, SOUTH GATE, CALIFORNIA 90280-3896
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sUNLAND REFINING CORPORATION
P.O. BOX 1345
BAKERSFIELD, CALIFORNIA 93302-1345
(805) 589-9615
BANKOF AMERICA DISBVRSEMENT ACCOUNT
BANK OF AMERICANT&SA
CITY OF COMMERCE CBC
5800 S, EASTERN AVENUE
CITY OF COMMERCE. CA 90040
FIRST UNION BANK
CHAPEL HILL. NORTH CAROLINA
2555
66-156
531
PAY
EXAffitffj
fr:7 ,F =,~,gm pat ~ r'l"'("'
U .f.I.J ~~i'!Lf W 4tJ ~L, / <;~;i
DATE
AMOUNT
TO THE
ORDER OF
City of Bakersfield '- Public Works Dept.
****$575.00***
III 0 ? 0 000 2 5 5 51~ I: 0 5 ~ .0 . 5 b ~ I: ? q q B 5 2 q q b 5 III
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2555
SUN LAND REFINING CORPORATION
BAKERSFIELD, CALIFORNIA
DATE
REFERENCE
DESCRIPTION
-
ACCOUNl! NO,-
AMOUNT
__. .}:=7"h"-":'-'
7/24/98
2555
,-
Annual permit fee ': 0_:.1:;7\.'U.~I'(.Lj
Encroachment fee iL~,'if:~'J..i;-';'i.I,"",i.)
$440.00
135.00
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$575.00***
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t PLEASE DETACH
THIS REMITTANCE ADVICE
EFORE DEPOSITING CHECK
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~: ,;", _ _ - 'rTEMD USTEO ABOVE
If you have any questions, please call me at (562) 928-0100.
. ,.1
Sincerely,
WORLD OIL CORP.
<:W\e; -
John P. Hundley
Vice President of Environmental Affairs
1 0) ~CC1ZTI\r~TU)
d~ ~!
'JUL 3 :'998
cc. Phil Kinney, SECOR (w/o attachments)
NAS7E 'NATE.=l :'UISiO'1
.:,::( OF 2.~.;<.=RSF;::i...D
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O~/20/98 MON 11:56 FAX
CITY OF BKSFD BLDING DPT
"
APPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.EN-01379
TO THB CITY ENGINEER OF THE CITY OF BA~ERSFIELD 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,
WORLD OIL CORP
9302 S GARFIELD AVE
JOHN HUNDLBY VP ENVIR
SOUTa GATE CA
90280
Phone No.562.928-0100
2. Nature or decription of the encroachment for which this application is made:
TEMPORARY, LOCKED CHAINLINK FENCE AROUND CITY MANHOLE & PERMIT TO OPEN CITY MANHOLE TO
DISCHARGE PREAPPROVED 630,000 GALS OF PRE- TREATED INDUSTRIAL WASTEWATER
3. Location of proposed encroachment is .
2152 COFFEE RD
CITY MANHOLE LOCATED ON ilL TORO RD. (DIRT) SOUTH OF SANTA FE RAILWAY
4. Period of time for which the enoroachment is to be maintained:
8/1/98 - 8/31/98
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 aetion or demands, whatsoever
against them, or any of thsm, before administrative, quasi-judicial or judicial tribunals of any kind whatsoever,
arising out of, connected with or caused by applicant's plaoement, erection, use (by applicant or any other person or
entity) or maintenance of said encroachment. The applicant furthsr agrees to mantain the aforesaid encroachment during
the life of the said encroachment or until such time that this psrmit is revoked,
Applioant 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 ne~rly 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 fer bodily injury or property damage liability of both and required
endorsements evidenoing the insurance required.
The type(sl and amount(s) of insurance coverage is.
Applicant acknowledges the right
the permit at any time_
of the City Engineer, pursuant to Bakersfield Municipsl Code Chapter 12.20 to revoke
.......~~.,.....
Signature of Applicant (Owner/Agent)
Date,07/20/1998
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 USB OF THE PUBLIC PLACE WHERE TilE
SAME IS TO BE LOCATED AND (2) WILL (NOT) CONSTITUTB A HAZARD TO PERSONS USING SAID PUBLIC PLACE/ SAID APPLICATION IS
THEREFORB (GRANTED) (DENIED). Said permit shall expire
Date:07/20/1998
~002
07/20/98 MON 11:57 ~AX
<':1'1'Y U1' HMj}<J) HLUINu J)l'T
IfI,JUUol
."
.'
PERMIT INFO
Permit No...,.: EN-01379
Permit Type..,: ENCRO
Status.. ......: PENDING
LOCATION
Job address...: 2152 COFFEE RD
Description...: TEMPORARY, LOCKED CHAINLINK FENC
PEOPLE
Owner... ......: WORLD OIL CORP
Applicant..,..: WORLD OIL CORP
Arch/Engr. . . . . :
Contractor. . . . :
FEES
Total Due.. ....., ...: 135.00
FEES TO BE PAID
Initials
Date
TOTAL Due. ,.. .,.....:$
COMMENTS:
Insurance Criteria for Typical Encroachment Permit
The permittee shall furnish the City Risk Manager with a certificate of insurance and required
endorsements evidencing the insurance required. These must be approved prior to the issuance
, of the encroachment permit.
Type and Amount of Insurance:
$1,000,000.00 Per Occurrence for Broad Form Commercial General Liability for
commercial or residential
OR
$300,000.00 Per-Occurrence for Homeowners Policy for residential
Required Endorsements:
Additional Insured: The City of Bakersfield, its mayor, council, employees, agents and
volunteer!) ~e added as additional insureds with respect to the installation of a 6' wooden
fence behind the sidewalk.
Cancellation or Change: All policies shall contain an endorsement providing the City
with thirty (30) days written notice of cancellation or material change in policy language
or terms.
Insurance is to be placed with insurers with a Best's rating of no less than A:VII. Any
deductibles, self-insured retentions or insurance in lesser amounts must be declared prior to the
approval of the insurance documents and the issuance of the encroachment permit.
mlM~ltlIW)]:,. /
JUl 2 0 1998
WASTE WATER OIVISIOlli
CITY OF BAKERSFIELD
C:\ WINDOWS\TEMP\_ TYPIN-l.WPD
[~~~!!g~:j.i:IIII!lillllll:::::II!I::iill:II!I:I!.':'i,1:llil'III:II!.i:.ii:':i.lllliili,i~!i:'III.II!ili'll1'-1," . . . . . . . . - . . . . . . - . . . . . - . .
-....................-
DATE (MMfDDfYY)
24--.1UL-l 998
-' PRODUCER 8951 6 THIS CERTIFICATE IS ISSUED AS A MAneR OF INFORMATION
Willis Corroon Corporation of Los Angeles ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
801 N. Brand Blvd. #400 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Ca. Dept. of Ins. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
License #050751 6 COMPANIES AFFORDING COVERAGE
Glendale CA. 91 203 American International Specialty Lines Ins.
(81 8) 548-7500 COMPANY CO.
Kathy A. Housel A
INSURED COMPANY National Union Fire Insurance Co. of Pittsburgh.PA
B
World Oil Corp. COMPANY
9302 South Garfield Ave. C
South Gate CA 90280 COMPANY
I D
:::#.Qyjjii.i!(It:!:::::J:IJ:::!:!:it:;::!:i:t:::i::::::J:JiI:!:!:::i:Jm:!:!:!:i:iJ:J!:::i:::!:!I:::j::I:::mJ::lr:m:::Jm:Jm:::J::::Jt:::J:::tJ:::::;!J:tm:::J::::J::m:::::::::::::::::::::::::::::::::t::t:::mJ::::::::::::Jt::::::t::::::rr::r:J:::r:::::::::!:J:::::::::::::::::::::::::::::::::::::::::::::::::Jmt::::J:r::::t:t!::::t'!::t:m::::mt::::::::::::::::::!:%!:!
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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDfYV) DATE (MM/DDfYV)
A GENERAL LIABILITY GL2670009 01""UN-1998 01""UN-1999 GENERAL AGGREGATE $ 2 . 000 . 000
~
X COMMERCIAL GENERAL LIABILITY - PROOUCTS-COMP/OP AGG $ 1 000 000
. .
y I CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY $ 1 . 000 . 000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1 . 000 , 00 0
~
FIRE DAMAGE (Anv onelirel $ 50 . 0 00
~
MED EXP (Anv one "eISon' I", 5 . 000
B ~TOMOBILE LIABILITY CA 7202020 01""UN-1 998 01""UN-1 999 1 200 000
COMBINED SINGLE LIMIT $ . .
~ ANY AUTO
- ALL OWNED AUTOS BODILY INJURY $
(Per pelSon)
- SCHEDULED AUTOS
~ HIRED AUTOS BODILY INJURY $
~ NON.QWNED AUTOS (Per accident)
I-- PROPERTY DAMAGE $
~RAGE LIABILITY AUTO ONLY EA ACCIDENT I",
ANY AUTO OTHER THAN AUTO ONLY: :::/:: ::::'::::
I--
I-- EACH ACCIDENT $
AGGREGATE I",
EXCESS L1ABIUTY EACH OCCURRENCE $
R' UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM It
IWC STATU. I I~~H- : ,,:;::: ,:::::"
WORKERS COMPENSATION AND I TORY LIMITS :::::::::': ,
EMPLOYERS' L1ABIUTV ACCIDENT $
R EL EACH
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL EL DISEASE-POLlCY LIMIT $
OFACERS ARE: EXCL EL DISEASE .EA EMPLOYEE I~
OTHER
DESCRIPTION OF OPERATlONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS
S E E ATTAC H E D
fp'$.j~f.iHjb.tijat~:~:::!H~:fffff~:ff!:rfr::::!:::::~t:!:::~:::rlt:::::::!:t::::~:!:::!:::::~:;:::::::m:rt:::~:!t:::t::::r::rmt::::r:t::DiIilWtiiimN:ttt:::::I:::!:fl:t::::!t:!:::::::t:::rttm:t::t::r::::::!tt:rrItr::::r::!::tt:::::::::::r:::tm:t::r::::r!:rr::::t:::
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~lt~ MAIL
30 DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFl.
-
Bakersfield Public Works Department &me JllUlllX'la ltNMlll8UCftCNlraxsullIX IMlUllIllC lIlll(.llllrllAlf1OM Xl'RC I(WlIllm( X X
1 501 Truxtun Avenue ~XlM.X~N'X~X~X Xmll<Xl41IlN1IlilCX~~XX
Bakersfield CA '93301 A~O~::~RE.."RESEN~E
::iearibaj~~lniiWrlfI;:r::l:r:::::::::Itr@r:::{:I:~tfj:::::!fr!f:n!::~K:t!tm::i::m!:ttm::]n:!:t::::::!r::tlt;ii{H:::fflmmm1@mi:J@~mr:rln~iiahBlfaRi8iitlai;hi:iWf::::
t.,W,~~~~~N""",I",,'\j:::II,III:llllllji:::jlil:::1:1:lil,I:IIII:I:!:::",:!:::i:il:::li:!:i:!::ii'lilll1,:::lil~ii:I':'li:~'il~::I:I::I' nU~~~~~~~~~
THIS CERTIFICATE IS ISSUED AS A MATTER OF lNfORMA1ION ONLY.AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIF CATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
89516
INSURED
World Oil Corp.
9302 South Garfield Ave.
South Gate CA 90280
PRODUCER
Willis Corroon Corporation of Los Angeles
801 N. Brand Blvd. #400
· Ca. Dept. of Ins.
License #0507516
Glendale CA 91203
(818) 548-7500
Kathy A. Housel
I
i:~WiAiiii:':'::fi:i:i::r::rrr::rmmI:ff:i:r:t\:::t::\:t::\:::\:\:\:t:i::ttt\'\:\:ftt\:Erri\::iff:l:n\:i::ltil:\:MiI:HitfH:\:\i\l;iH::i:r:i\:ttttttlttt:;lll;llrttirl:::ttt:::::i]::rr:i::ri:rr:i:t:::i::t::t:rit\r:it:ii:ii!l::itii:lrll:i'i:i:t:{r:::i:::::::\::::if:'\::::,:r:::
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I POLICY NUMBER I POLICY EFFECTIVE I POLICY EXPIRATION I
TYPE OF INSURANCE DATE (MM/DDNYl'\ DATE /MMJDDNYl
LIMITS
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Re: Request for Temporary Discharge of Industrial Wastewater f~om Sunland
Refinery/North Tank Farm. 2152 Coffe Road. Bakersfield. CA
- Industrial Wastewater- Discharge Permit
- Permit to Use City Manhole for Discharge
- Temporary Connection Fee and Sewer Surcharge
Additional Insured: The City of Bakersfield. its mayor. counci,l. employees.
agents and volunteers are added as addtional insureds as required by permit.
IP~.;I.!f.tfl9'_IIrr:ti::r:::t:m:\i::!mmrrr:\:Ht:\::m:H:::\ii:ttHt:::t:m::t\i::\:\:\:\:::!'!:!:H:::::t!:::\:\:tttWtltAI.;Utl.n9,,:::\:tm:;:!:!ittttHlttl@ftt:!:mr:t:::lIt:::::t::::!i:r::rImftmIi::t!i:::i:::::::i:riitmt::t:::IIi::(::::
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~lt. MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,.
Bakersfield Publio Works Department IlIBJAlUIUXWXlMflIlCl&UQt(".~~INllQ$Il(JXlX.'~lCIft(tuJJJln xx
1501 Truxtun Avenue
Bakersfield CA 93301 ' A~H~':;~D R:PRESEN~VE
Wlti'li::ii.#.lfiQQlIfiifdUlitiit::i:;;tmimm::;:I:n::::::::::::i::iitiUtii.i:rir:lI::lii:i:1Il::::;imWW:ni:lfii::::Bii::il(t::i.,:(gft~~:mWi:1Wl@iIi_ijtjij\rj.{{{:ffm{:?f
~.'
BANKOF AMERICA DISBURSEMENT ACCOUNT
BANK OF AMERICANT&SA
CITY OF COMMERCE cec
5800 S, EASTERN AVENUE
CITY OF COMMERCE. CA 90040
- FIRST UNION BANK
CHAPEL Hill. NORTH CAROLINA
:2555
. '
.-'SUNLAND REFINING CORPORATION
P.O. BOX 1345
BAKERSFIELD; CALIFORNIA 93302-1345
';~.-': '::(805) 589-9615
66-156
531
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,C?R,DE~P~_':,: City::''-of -Bakers~~e~d::~~ :}~blicd
,Works Dept~'
, ,::.~. ; :; ::::I?ATE ". '
AMOUNT
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- .." .
SUNLANDREFiNING'CORPORATION " _' ," __'",' d' .:::;,'~~:";~~- '
... _..- _. . ... .
",-,AKERSFI~LQ. C~LIt:~RNIA_, --'..,' - ,
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, _,. ..~-~ ,11::: tll =-2~?~ Ii, -:: A!J.~uaJ.. ,peput.::.fee.:-:; ',::: ij; .:::::!, ,~ $440iJOO: Ii! =: ;1\:-.: Iii -:~:. W-:::::!H' ~r:i:~,::-:" ," ',--
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. .-- . _.- . .'._~ '15 IN PAYMENT OF THE
_ __, ,..._' ''::=. .: -.::,:: ,ITEMS L.ISTED ABOVE
~:
. .:. PLEASE OET AC~H
THIS REMITTANCE ADVICE
BEFORE DEPOslTlNG CHECK
-~-~. ::! -=: ; i _._
--
~~
~
UT400E03
City of Bakersfield
Miscellaneous Charge Entry
Customer ID: 15353 Name: WORLD OIL CORPORATION
Location ID: 4274 Addr: 2152 COFFEE RD
Cycle/Route: 01 01
Initiation date 8/01/98
Termination date: 0/00/00
Type options, press Enter.
2=Change 4=Delete 5=Display
Opt Code Description Charge Amount Reference
P3 WW DISCHARGE PERMIT 440,00
8/03/98
11:25:00
Amount due: $,00
Pending $440,00
Customer/Location status: A
Customer status: A
F3=Exit
F20=Cst/loc functions
F12=Cancel
F6=Add
Date
8/03/98
, , "ft"
City, Attorrj[, ' y~ _S F' Ice
TO" i~
V\. cw1~<VJ
DEPT~-- Q (A; "-
For your information
return to me
For your information
For your handling
Let's discuss
Sign and return copies
Investigate
Approval
Please Advise
Your File
Extension #3721
DATE
6"-((-<:(8"
() rc. ,
.~
e
rIl<,
From ' .k5
~
9
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WORLD OIL CORP.
July 28, 1998
P.O. BOX 1966
SOUTH GATE, CA 90280-1966
Ms. Lara Kimm
Public Works Department
City of Bakersfield
1501 Truxtun Avenue
Bakersfield, CA 93301
TEL (310) 928-0100
FAX (310) 928-3234
Re:
Temporary Discharge of Industrial Wastewater from
Sunland Refinery/North Tank Farm
2152 Coffee Rd., Bakersfield, CA
': O:--~\ (-' ~,~ rr:i j; --
:. (,'.,.,-S t.i:;:.i /2', ;i \\!,'.I, i;;;, /... -.,'
, I ,A' __ _ .. ; \! 1/ ,r '"
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Dear Ms. Kimm:
Thank you very much for your cooperation and assistance in approving the Industrial
Wastewater Discharge Permit for the above referenced facility. World Oil Corp. (World)
has reviewed the tentative Industrial Wastewater Discharge Permit and determined that
modifications to this permit are not necessary. World therefore kindly requests the Public
Works Department to issue an official Industrial Wastewater Discharge Permit. Enclosed
are the following:
. Executed copy of the Application for an Encroachment Permit,
. Certificate of Liability Insurance, and
. Check # 2555 in the amount of$575.00 for annual permit fee & encroachment fee.
If you have any questions, please call me at (562) 928-0100.
Sincerely,
WORLD OIL CORP.
~\~ - .
John P. Hundley
Vice President of Environmental Affairs
m~CC~llW~IQ)
'JUl 3 1 -1998
cc. Phil Kinney, SECOR (w/o attachments)
W~STE WATER Di'lISiO'j
cr,( OF SAi<::RSF:ELD
* \:?1~
9302 S. GARFIELD AVENUE, SOUTH GATE, CALIFORNIA 90280-3896