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Home My WebLink About01377 ~ ~ ~ ,,. ~ APPLICATION FOR ENCROACHMENT PERMIT PERMIT NO.EN-01377 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: HOLMAN KAREN JULIE RUTH 1600-20TH STREET BAKERSFIELD CA 93301 Phone No. (805)634-0806 2. Nature or decription of the encroachment for which this application is made: FOUR 2'X2' PLANTERS, TWELVE 2' DIAMETER CAFE TABLES. 3. Location of proposed encroachment is 1600 20TH ST 1600-20TH STREET 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:07/08/1998 Code Chapter 12.20 to revoke Applicant acknowledges the the permit at any time. ~ ........ .....~~ Signature of 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:07/08/1998 ..---:;::........ .; .' 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 permit to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted, or upon the revocation thereof by the City en~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: Applicant acknowledges the right of the City Engineer. pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Date: Z / /1 / 9' f I , ~---~ 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: Signature of City Engineer No. + 4~ ~.;~" ~ -i ~ ~; . .h', 1-< 1 - 1 ~4" 1 .L ~ + , ,:.i _'j;' ~_;-_~, , ---, , i J. 1 ' .ll . .., --~ .., . . ,U i ,1 ;9. -. . 1 ! 11 i L' + 1 + l.l p~ ~~.L' r=: 1 ~'T I ,---;- I : [ i i ! , i J J ' 1 -1- , 1 J 1 ~ i .Ljl.L.L!~ i I ~ , ' t i ! J J I i ~ ! 1~' i 1 + =J 1 ~ 1 .L : 1 J 1 1 ..! 1 i I 1 .1 I , i -. 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I ;1 -' / /' , J. , .1 , i ' : vi '/1 , '.L _ 1/ i/~ ' '-!- +~t -;-, I : /J ,: , ; /i /: ' :. : , i i ,"f 1 /, 'L i 1 /1 J. -1- ! ! /: ' 1 ! i i ' ! \ 1 ... -'- -: tJ., I I ~ -+ I ,--- , '-~ j 1 -'- -'- ...:. J.:. J. ' ~ 1 1 , j ". --'-~ . I A-CORD~ ~>>:~. l'lIOCIUCEft Agri-Center Znsurance, Znc. 'P.o. Box 6350 Fresno, CA'93703-6350 (209) 233-0123 ntlS CEfmFICATE IS' ISSUED AS A IlAlTIR OF INFORMAnON ONLY AND CONFERS NO RIGHTS UPON THE CIRnFlCATB HOLDER. THIS CERnFlCATI DOES NOT AMIND, IXTIND OR ALTER THe COV&RAGIi AFFORDED BY THE POUClEI BELOW, C MPANlES AFFORDING COVERAGE DAGNY'S COFFEE COMPANY' 1 (,Ob '2bth Sot. _ BAKBRSFIELD, \ \J '- ',' ~ "),,,- /1) ,'J /1' l, / CA 93301 Cl:N'NIY A FZR:&:KAN'S FUND ZNSu:RANCE CQli>NIY 8 "lUllED COIPNIY C THIS IS TO OERTIFY THAT 1HI! POllC/EI ()II IN8UfWICE UlTEO BELOW HAve HEN ISSUED TO THE IN8URI!D NAMED ABOVE FO/II THe POllCY PERIOD INDIOATEO. ~TH8TANDING ANY REOUlAEMINT, TERM OR OONDIllON OF ANY CONTRACT OR OTHER DOCUMeNT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PI!R1'A1N, THE INSURANCE A/lFOROf!D BY THe POlICIES DESCRIBED HEfl&IN IS SUBJECT TO ALL THE TERMS. EXCWSlONS AND CONDmONS OF SUCH POUCI . UNITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CI.AlMS. CO LTR n.. OP IllUlWlCa pouoy ~ POIJC1' UftC11Va PClUOY lDll'IIATIOM &.MIS DA"'I~ DATI ~ 07/09/97 07/09/98 OENEIW.AGOllEQATE PRODUCTS . COMPJOP AGO PERSONAl. l KN INJJRY A CIIlHIIW. UAKI'TY AZC8OIa1UI COMMERCIAL G&NEIW.. I.IABLlTY a.AlMSMADE[i]OCQJfl 0\MER'8 l CXlN1RACT0R'S PftOT CCMB.NEO SHOl.I! LIMIT . BODLY IWR1' ,Pet IIIflllll) . 800L Y INJURY (PeI1CC1denO . PIIOPeR1Y DAMAGE . CIAlIAGa UUlUn AHY AU10 1Na. EXa. AUTO ONLY . fA ACCIlENT ontER lHAN AU10 ONLY: EACH ACCIDENT AGOAEOATE EACH 0CCUfRlNCE AOGIlEGATE . \)~\jl~~~~ill?:~jf:*lff:h*jjtf~~~::~reJx:j IXCUIl.IAIIlLII'Y UM8IlELIA FalM OTHER lHAN UMBABJ.A FOAM WORICIIII COIIIIIIHM1ION AIID I1II'I.O'fIM' l.IAIIlLII'Y lllEPROPRIETORI PAR'INEAS4iXEaJT OFFIClm ARE: OnteR e. EACH ACClDENr e. DISEASE . POLICY LNIJ a DlSfASe . EA EMPLOYEE . . . DUCflIP'I1QN or 0I'IR411ONM.OCA~ mMI CERTZFICATE HOLDER IS NAMED AS ADDITIONAL INSURED FOR GENERAL LIABILITY PER 'I'D LEASIlD LOCATION. 2005 ED S'l'UBT BAlCBRSJ'IBLD, CA LANDLORD ARTHUR E. MASTERS 6100 BEL AJ:RB WAY BAKBRSPIBLD, CA,93309 IHOUl.D AllY CII' .... AllOW DlItCRIIID I'OUCIU .. CAItC.... UFClRIl 11IS ~TIOM DATI 11lIMOI', ntI ISIUIHO COWANY wu. INDIAVGft 10 lIIAL --1ll.- DAYI WMTllII IlO11Ca 10 11IS CIR1W'ICATI IfOIDIIl __ 10 M UI'f, "" 'MURa 10 MAl. IUCH NO'I1CI IHALL -.oM NO 0llUlIA1lOII 011 UARIrI Ofl Afty ~ UPON THa 11'1 AGIHI'I OR """""4'11V1lL AUnIOIIIZIl:t qva ~. .ri-Center Insurance Agency, I. P.O. Box 6350 Fresno, CA 93703 (209) 233-0123 fax 266-8858 Dagny's Coffee Company Karen Holman 661 Roberts Lane Bakersfield, CA 93308 Insurance Summary Company: Policy #: Premium: Term: Fireman's Fund Insurance Company AZC80521276 $ 535.00 7-9-98 to 7-9-99 Location: 1600 20th Street, Bakersfield, Ca 93301 Commercial Fire Bus Pers Property $ 20,000 Special Form Replacement Cost $250 Deductible Business Liability General Aggregate Limit Products/Completed Operations Aggregate Limit Personal and Advertising Injury Limit Each Occurrence Limit Fire Damage Limit Medical Limit Hired and Non-Owned Auto $ 2,000,000 $ 2,000,000 $ 1,000,000 $ 1,000,000 $ 100,000 $ 10,000 $ 1,000,000 This is a brief summary only. The policy contains a number of exclusions, limitations and policy conditions. We've highlighted some of them for your convenience, however, you should review the actual policy for the terms that will apply if a loss occurs. Presented By: Mike Riggs July 7, 1998 0 .~.: '" w ~ w <'i Ii) a., Cl (.). lL \U (D .0 N U L 'll) '-1~ :-,,"'M(ft~~J:.~ [ s to",.. 1 ' I I , _.-~ , -, - - ===." - -, - - :::.::: - - - - - - - - - . - - - - j << i ~ I ~ il ~ o \1 (Q !J ~ (.) 1 << .:;,d cr. ~ Ul ~ -- ~ ~ 1, .'.~~:t' '.\ >_..../ a ~ Firemans Fund POLICY NUMBER, A Sl;'~ZC 80521276 Previous Policy Numbers A Sl AZe 80521276 Coverage for policies other than WORKERS' COMPENSATION is provided in the following Company I FIREMAN'S FUND, INSURANCE COMPANY NOVATO, CA 94998 A STOCK INSURANCE ~O. (01) RENE~AL CERTIFICATE GENERAL DECLARATIONS Risk ID. J20/ Named Insured and Mailing Address KAREN HOLMAN & CHARLES HOLMAN DBA: DAGNY'S COFFEE COMPANY 661 ROBERTS LANE BAKERSFIELD ]'1 CA 93308 Producer Name and Address AGRI CENTER INSURANCE AGCY INC ':-':;; P.O. BOX 6350 FRESNO CA 93703-6350 rhe Named Insured is a(n) INDIVIDUAL h " {,:~\ i:;1S ,~~r l\lsiness or Operations of the Nam,ed Insureds COFFEE HOUSE I,surance is provided only under each coverage of this policy or the NORKERS' CIWIPENSATlON AND EMPLOYERS' LIABILITY POLICY listed below, subject otherwise to all the terms and conditions of the G~neral Provisions and of said Coverege(s) or' policy having ~eference thereto. PROPERTY/LIABILITY COVERAGES In consideration of the preMium stated below, and subject otherwise to all of th9 provisions of this policy existing on expiration thereof, it is agreed that tht policy period is extended and made to raads I iL; ." " ~. Policy Period (For above coverages) INCEPTION DATE 07-09-98 EXPIRATION DATE 07-09-99 Beginning and Ending at 12:01 A.M., Standard Time at the address of the insured ) ;~. ~ '~ \,1_: ;':: \)(1 RC - 1. ~ -----.--....------. , {7:::~.;~~-~-= ~'~-=~.~ ~ ~--~-~ ----- - - =-:~-::- - ~=~=~-=::~,--. --- -- ;- >) .~~~. .~I \~~ I " \~ I \111 \b " 'I' ..~._.__.~~ ,- -< . _.......~..... ~~.......~..-"'..-..... "'-p .' ....-..---.--.. 1- I' I :-~l ~; POLICY NUMBER A 81 Aze 80521276 RENEWAL CERtIFICATE Named Insur'ed DAGNY'S' COFFEE COMPANY RENEWAL CERTIFICATE Continued "r", b: ,..I' i ! I 1 ' I PREMIUM SUMMARY I ,'~J This policy is being renewed at rates in ef;fect on the date of renewal. This' policy may be subject to premium adjustment per pulicy terms. Read your policy carefully. I ! Estimated Annual Premium Premium Due at Inception $535.00 $535.00 This Policy:may be subject to Premium Adjustment per Policy Terms. .~~~ 1. ;,.,\ / lOCATIONS OF PREMISES--Applicable to Coverages specified in these Declarations (Not applicable to WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY POLICY) LOCo 001 1600 20TH STREET BAKERSFIELD CA 93301 1 I ------------------------------------------------------------------------------- ".J' FQTms Added at the Inception of this Renewal Certificate "f< i GENERAL PROVISIONS Il0270 12-96 CALIFORNIA CHANGES - CANCEllATION AND NONRENEWAl (ll 02 70 12 96) ,"' ! ;:~. " ~l i H ',,< J RC - 2 . -~ TO: FROM: DATE: SUBJECT: ~ . 3. D ~ 1811 ~ - B AK E R 5 FIE L PUBLIC WORKS DEPARTMENT M~MORANDUM o } ~ul M. Rojas, Public Works Director r Jacques R. LaRochelle, Engineering Services Manager " .!. i.' , ;,/ . ,,:,.~~: July 14, 1998 Encroachment Permit Application for four 2' x 2' planters and twelve 2' diameter cafe tables, at 1600 20th Street. Owner: Holman, Karen Julie Ruth Engineering and Traffic staff have reviewed the attached encroachment permit to allow the placement of four planters and twelve cafe tables in the sidewalk area at 1600 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:IPERMITSIENCROACHIl600-20St. wpd xc: Reading File Project File Marian p, Shaw ~ \31( ~'=-