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IBX-OR Q SV"tc;I]I's Irl c.. PCIP, i cel i <br /> it of Lodi ENCROACHMENT <br /> { <br /> PERMIT <br /> Pabiic V/lorks Department <br /> Permit Address 1333 E TURNER ROAD Date: 4/4/2018 <br /> Applicants Name STERICYCLE Address Phone 916-351-0980 <br /> ENVIRONMENTAL SOLUTIONS 11855 WHITE ROCK ROAD RANCHO <br /> Marc Winkler CORDOVA CA 95742 Cellular <br /> Starting date 4/7/2018 T Completion Date 4/7/2018 License No Phone <br /> Contractor Address Cellular <br /> Pursuant to the provisions of the Lodi Municipal Code,the undersigned applies for permission to excavate,construct,and/or otherwise encroach on City Street <br /> Right-of-Way or Easement by performing the following: <br /> NOTIFY USA(800)227-2600 48 HOURS PRIOR TO ANY EXCAVATION.MARKINGS MUST BE REMOVED UPON COMPLETION OF <br /> WORK. <br /> Work Des_CTigtion: <br /> The work consists of <br /> placement of traffic cones/sandwich board signs on the south side of East Turner Road, EAST of Beckman Road for <br /> stacking of cars waiting for entry to 1333 East Turner Rd for purposes of Household Hazardous Waste Collection event. <br /> Traffic cones to be placed at north boundary edge of parking lane. <br /> Cluff Avenue intersection to remain clear and unobstructed at all times;Traffic Warning Sign to be posted at Beckman <br /> Road. "NO PARKING" signs to be posted 24 hours prior to closure of parking lane. Stacking of waiting cars shall not <br /> affect or obstruct parking restricted areas and facilities.At conclusion of event traffic control apparatus to be removed from <br /> public right-of-way.Debris,spillage and the like to be removed, street swept and not flushed,and returned to a like or <br /> better condition.No foreign material to enter city storm drain system. <br /> DATE: APRIL 7,2018 <br /> TIME: 7:00 AM THRU 7:00 PM <br /> ALL CONDITIONS/DOCUMENTS ATTACHED ARE A PART OF THIS PERMIT. CONTACT THE PUBLIC <br /> WORKS DEPARTMENT(209-333-6706)24 HOURS PRIOR TO START OF WORK AND FOR FINAL <br /> INSPECTION. <br /> Permit void if work not started within 6 months of permit date, <br /> ❑ Licensed Contractor Required for this work <br /> Certificate of insurance in the pennittee's name which names the"City of Lodi,its elected and appointed Boards,Commissions,Officers,Agents, <br /> Volunteers and Employees"as an Additional Named Insured is required for Comprehensive General Aggregate per occurance and Automobile Liability <br /> Insurance in an amount detennined by Risk Mgmt.Primary and Non-contributory as required. <br /> 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 <br /> 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 <br /> relocation or removal of said encroachment if future construction requires such relocation.If the work for which this encroachment permit has been issued has not been <br /> 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 <br /> other costs and fees in accordance with the provisions of Sec,12,04,120 of the nodi Municipal Code. <br /> Signed:REFER TO APPLICATION <br /> Required Improvement Security This permit is granted subject to all provisions of Chapter 12.04 of the Lodi Municipal Cade and to <br /> I il general provisions and applicable special provisions as shown on the attached <br /> Certification of Insurance <br /> USI Insurance Service Natioottl Pel' t pp v I 7']'�Dl_ <br /> Comp.Gen.Policy No EG 1932356 Exp 6/1/2018 B ` <br /> Inspected Date ❑ Public Above Ground Date 4/4/2018 <br /> Completed Date ❑ Public Underground <br /> © Other <br /> Permit No.20180810 Fee:45.00 ❑ Paid <br /> -__-_n :,na:.T —�__n..:— -___n_:a—A 4TrnnnnrnY.TT)nf­1 n is i1tn1 0 <br />