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2/26/2019 IWORQ Systems Inc. � •+ � t of Lodi ENCROACHMENT PERMIT P .ablic Works Department ERMI 1333 E TURNER ROAD Permit Address TRAFFIC CONTROL Date : 2/26/2019 Applicants Name STERICYCLE Address Phone 916-351 -0980 ENVIRONMENTAL SOLUTIONS 11855 WHITE ROCK ROAD RANCHO Marc Winkler CORDOVA CA 95742 Cellular Starting date 4/6/2019 Completion Date 4/6/2019 License No Phone Contractor Address Cellular Pursuant to the provisions of the Lodi Municipal Code, the undersigned applies for permission to excavate,construct,and/or otherwise encroach on City Street Right-of-Way or Easement by performing the following: NOTIFY USA (800) 227- 2600 48 HOURS PRIOR TO ANY EXCAVATION. MARKINGS MUST BE REMOVED UPON COMPLETION OF WORK, Work Description : The work consists of placement of traffic cones/sandwich board signs on the south side of East Turner Road, EAST of Beckman Road for stacking of cars waiting for entry to 1333 East Turner Rd for purposes of Household Hazardous Waste Collection event. Traffic cones to be placed at north boundary edge of parking lane. Cluff Avenue intersection to remain clear and unobstructed at all times ; Traffic Warning Sign to be posted at Beckman Road. "NO PARKING" signs to be posted 24 hours prior to closure of parking lane . Stacking of waiting cars shall not affect or obstruct parking restricted areas and facilities. At conclusion of event traffic control apparatus to be removed from public right-of--way. Debris, spillage and the like to be removed, street swept and not flushed, and returned to a like or better condition. No foreign material to enter city storm drain system. DATE : APRIL 6, 2019 TIME : 7 : 00 AM THRU 7 : 00 PM ALL CONDITIONS/DOCUMENTS ATTACHED ARE A PART OF THIS PERMIT. CONTACT THE PUBLIC WORKS DEPARTMENT (209 - 333 - 6706) 24 HOURS PRIOR TO START OF WORK AND FOR FINAL INSPECTION. Permit void if work not started within 6 months of permit date. j Licensed Contractor Required for this work 'e Certificate of insurance in the permittee's name which names the "City of Lodi, its elected and appointed Boards, Commissions, Officers , Agents, Volunteers and Employees" as an Additional Named Insured is required for Comprehensive General Aggregate per occurance and Automobile Liability Insurance in an amount determined by Risk Mgmt. Primary and Non-contributory as required. The undersigned does hereby agree to insure, indemnify and save the City of Lodi free and harmless from any liablity as set forth in an attached City of Lodi Insurance Requirements and in accordance with the provisions of Sec. 12 .04.040 of the Lodi Municipal code. Permittee is specifically aware of Sec. 12.04.290 thereof relating to the relocation or removal of said encroachment if ftlhtre construction requires such relocation. If the work for which this encroachment permit has been issued has not been completed by _ the City Of Lodi shall have the right to complete the work, and to file a Cause of Action to recoup the City's Expenses in completing the work and for all other costs and fees in accordance with the provisions of Sec, 12,04, 120 of the Lodi Municipal Code. Signed . REFER TO APPLICATION Required Improvement Security This permit is grunted subject to all provisions of Chapter 12.04 or the Lodi Municipal Code and to 11 gencral rovlslon% and uppllcable sp"lal provislnus as shown on the attached Certification of Insurance n i Commercial Lines- USI Insurance Service Pcrn�� 111rov d : IT CSF LODI Comp. Gen . Policy No EG 1932356 Exp 6/1 /2019 By / . I_ _ Inspected Date Public Above Ground Date 2/26/2019 Completed Date Public Underground 71 Other Permit No. 20190382 Fee: 46.00 Paid https ://www.iworq . net/iworq/permit/popupPermitEditLetterPrint.asp?sid=JMIMQHFPFPQOHLDIBAHBCKRPIP601 &permitletterid=3425001 &permitid=9 . . . 1 /1