HomeMy WebLinkAboutPermit Correspondence 1991-7-9
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Hay 31. 1990
CITY OF SPRINGFIELD
CONTRACT TRANSMlTTAL FORH
TO: CITY MANAGER'S OFFICE
JULIE WILSON
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FROM: ~
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DEPT.: PUe:Llc:.. \."'OUS
CONTRACT VENDOR NAME(S) (MAXIMUM 58 CHARACTERS):
~u:=t-J ~ (~c.s;:. '12e:M1f\..lb~/-J
DESCRIPTION OF CONTRACT (MAXIMUH 58 CHARACTERS):
U ~ OF- RJ&.j <... R.\ (d...I1 -,0 F -u..Jt:>.:Y eo y
CONTRACT MANAGER: ~ l342OW)-..)
EFFECTIVE DATE: '-'9--<71
\ t;;..Jt.-E:S€:l S PL..l::::d::.
TERMINATION DATE:'
INSURANCE OR BONDS REQUIRED?
(ill) NO
If insurance or bonds are required, please send 'the following to PENNY OLSEN:
(1) Photocopy of the contract
(2) Photocopy of contract transmittal form
(3) ORIGINAL insurance and/Dr bond certificates
If insurance or bonds. are required, please send the following to JULIE WILSON:
(I) Original contract
(2) Original contract transmittal form
(3) PHOTOCOPY of insurance and/Dr bond certificates
NOTES:
DATE RECEIVED:
DATE FILED:
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ATTACHMENT 2
PAGE 1 OF 3
USE F:ERotIT AND AGRmIENl'
'IHIS F:ERotIT AND AGRmIENl', made an:l entered iIlto this c::>-r14 day of JUL'Y ,
1991, by an:l between the CI'lY OF SrlUl....FmD, ul<B"..d, a municipal ~.t^-'.o.tion,
hereinafter refc..L.."j, to as CI'lY, an:l Glen an:l Terese RemiIgton.
WITNESSETH
FOR AND IN CXlNSIDERATiON of the granti.n;J of a pennit to use an:l c.o~....o.ch
upon a portion of public right-of-way abutti.n;J t-.~"":lleased by t-J:.1<MJ.n=
known as 650 Main street an:l shown as Tax lDt 9000 on Lane O:>unty ~""="or's Map
17-03-35-31, t-J:.1<MJ.'n= does hereby agree to the followi.n;J terms:
1. '!he use an:l c.o.~.~o."':~.~."" pennitted shall =nsist solely of restaurant
tables an:l chairs to provide outdoor seati.n;J for patrons of PERl'lJ:n:= I S
leased building, as shown in "Exhibit A" attached hereto.
2. '!he area covered by this o..".=.~..... shall include a portion of the Main
street right-of-way exterxling fran the west margin of Tax lDt 9000 to the
east margin of Tax lDt 9000, incl~ only that portion of sidewalk area
neco""""Y for the pla",,",~,"" of restaurant tables an:l chairs. Clean
passage, a mi.niJnurn width of 7 feet, must be maintained for pedestrians
usi.n;J this sidewalk.
3. "'J:.1<MJ.TH.<. shall be .=t^-'..sible for keepi.n;J the c.o.~....o."':~.~."" area free of
litter an:l debris. In the event of a failure on the part of the PERhl.n=
to t-.'-'t=-ly mainfuin the same, the CI'lY mayt=-.;:v.... such maintenance as it
may deem J1O"'O""~ry an:l "':""'''<; the costs thereof to the t-~'IJ:n= an:l the
"'~"IJ:lT= hereby a.".== to pay the same iInmediately upon bei.n;J billed
therefor.
4 . "'~'llTJ:= agrees to store restaurant tables an:l chairs iIxioors duri.n;J
non '-'t=-o.ti.n;J hours.
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5. !-'~n= shall deferxi, iIxiemnify, hold hannless CI'lY fran an:l against arrj
an:l all liability to all persons an:l against arrj an:l all liability claims
arisi.n;J fran personal injuries or t-.~"":l damage which might be
occasioned by PERhl.n'= I S use of the public right-of-way as described
herein.
6. ...~'llT.1= shall maintain in effect a \..u!L~J.,,".ensive GCUc..Lo.l Liability
Policy with limits of $ 500.000 per occu...c.o.-..c. Said Policy shall include
a 30 day Notice of Cancellation clause to CI'lY. CI'lY shall be narred as an
additional insured. A certificate of insurance evidenci.n;J all insurance
required by this pennit shall be provided to CI'lY prior to. use of the
sidewalk.
7. It is urrlerstood an:l a.".~ that in the event the public right-of-way
subject to this use an:l c.o~....o.-..:i...~..... is needed by CI'lY for arrj p.n:pose,
such need to be detennined through the sole an:l tu....=',..ricted discretion of
CI'lY, r~'lln= shall rem:we arrj an:l all c.o.~~Cocl~.~.;..s i.nunediately or as
specified by CI'lY.
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STATE OF OREGON )
) s s.
COUNTY OF LANE )
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On this ~ day of JUL.'.!
signed the above document.
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IWTARY PUBLIC
STATE OF OREGON )
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COUNTY OF LANE )
On the ,"1\-1 day of ..)UL'J
signed the above document,
DEP'- Q.. ~
IIOTARY PUBLIC
REVIEWED bY
CITY Or SPRINGFIELD
/ RISK MANAGEMENT
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C,:i=:C::: CF CITY ATTORI'{EY
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ATTACHfJ,ENT 2
PAGE 2 OF 3
By: X~e..':::..L r:K~\""" \e. _
Glen cnd Terese 'R~ingtonU
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, 19~1, there personally appeared before me and
My Commission Expires: ~OJ Go ,1c;,'34-
. CITY OF SPRINGFIELD
A Municipal Corporation
By:
10 e0vt
'Y,lbl ic
~ . 0f /l..-v'hL-1.0
Horks Di rector
, 19~ 1 , there personally appeared before me and
'"y Commission Expires: Not Ca 119'74-
OFFiCIAL SEAL
oor< R. nOGERS
I<OT ARY PUBLIC - OREGON
COMMISSION NO. 002788
MY IlJMMISSiON EXPIRES NtH. 6. 1994
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EXHIBIT A
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ATTACHl"ENT 2
rAGE 3 OF 3
Uquidation
Outlet
1\\r~liitt
Mercury
Theater
Antique
Peddlers
Cafe 131
Sixth Street
@ 8 Museum -
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c:. Craft
O'! World
u.
Fifth Street
Antique'
Peddlers
:~ -.---------~jlit~;;.~:,~....-.,.-' ,-~- ~~;:.1.~~~~~'~~~~~~~~~~;}~fSll~~.~'fJ~;~~~~~~fE~~~;;-~-.:.~i~
............. I'itf.'CRII~Ir.f. E,OI?INSURAN~~~~~',~::,,,",,.":;-,,;~,(~;O;,,..
: ~.IP.. . .... ..... \J'~ " I:: V. '. ;. r;;~ , " " '. \i1;;;~;.Foq",;~~,~;,:"~,,,'';'''.'':'''~~~~.:';''~:_'''~/'O::''''''~_~:
?~'~'~-:-,_-.-.-~=--~,::~.tb""'.;:::.:;;-"~"1~E~!~~~~~:~~~~~~[.f~_?~~::'~-;=~~~'''''''''''''-'~''"~'~''';''''-' ~~~~....t;"I;,:.~~~~.!;V~.t"'""'-'4~" 7 -2 -91
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
, POLICIES BELOW.
FITCH-HUGGINS-POWELL INS
P.O. BOX 166
SPRINGFIELD, OR 97477
747-3381
COMPANIES AFFORDING COVERAGE
36 26398
COMPANY A
LETTER
A"!.1;1?I: C~/L ~T.l!:r..r;~. :r,lf~.r}B!<J~t::' 1;. .___ __._..__..__..
INSURED
! TERESE REMINGTON
i TERESE'S PLACE
I 650 MAIN STREET
i SPRINGFIELD OR 97477
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:Cc:l.Y"'M(l,~;;,:~~';~;;::::.', .' '.C". . .c. .. , '-.. .. .... ........ ,.. .." ,'. .<'::-.;0...'....
i 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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUSJECT TO All THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS,
_. _.__ COMPANY B
LETIER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETIER
CO
lTR
,
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE! POLICY EXPIRATION
DATE (MM/DDfYY) DATE (MMfDD/YYI
LIMITS
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GENERAL LIABILITY
.X..~~~~ERCIAL GENER.~~L~ABILlTY .
..._....._._._ CLAIMS MADE ._.x_ OCCUR.
OWNER'S & CONTRACTOR'S PROT.'
01 CC 758046 2
05-08-91
05-08-92
~:.NE~~_~~.~':~.?~:~._.._._....!_. $ 00. I. OOQ 0_... _.._.
.~~.~~y_c:~~.~.~.~.:~~~ :~.~~:_.~! .50.0. 1,0.0.0..0____
~~_~?~~.~..~~~~:~~~~.':~._.~.! 50.0. 1 DQO._~...
....C.H():.C.':''.'.~.:N.''..E..___....~. 500,000. .......
~I~~E._~~~~.~~.~.~~~.~~~.~~_~!... ..~.. '. SO I 000. ... _~_
MED. EXPENSE (Anyone pen;on) S ,. flnn
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
COMBINED SINGLE
LIMIT
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BODILY INJURY
(Per person)
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BODILY INJURY
(Per eccident)
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PROPERTY DAMAGE S
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
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WORKER'S COMPENSATION
STATUTORY LIMITS
EACH ACCIDENT
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AND
EMPLOYERS' LIABILITY
DISEASE-POLICY LIMIT S
DISEASE-EACH EMPLOYEE S
OTHER
i DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/SPECIAL ITEMS
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! Restaurant operations
.CERTlFICATE HOLDER & ADDITIONAL INSURED
CANCELLATION
CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD OR 97477
SHOULD ANY OF THE ASOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAil 1Q.... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
L1ASILlTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
Nei ta A, Dilley
747-3381 ~ 4~
CACORD CORPORATI~90
ACORD 2S-S (7/90)