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HomeMy WebLinkAboutencroachment.501 West Hopkins Avenue.driveway.2018I Illffl ll4ll Iffflfllll 444f1 IIIII44ffl flll l4I III Ilfl4lll44llfll Iflfll Ill Illl RECEPTION#: 652552, R: $33.00, D: $0.00 DOC CODE: APPLICATION Pg 1 of 5, 12/12i2018 at 10:34:35 AM Janice K. Vos Caudill. Pitkin County, CO REVOCABLE ENCROACHMENT LICENSE APPLICATION For Office Use Only: Date Received: Permit Number: 5.�Jl•� INSTRUCTIONS: COMPLETE THE FOLLOWING SECTIONS AS IT APPLIES TO YOUR REQUEST THIS LICENSE IS FOR: (mEcK oNE oNLY) PERPETUATUAL UNTIL REVOKED BY THE CITY. PRE-EXISTING CONDITION AND PERPETUATUAL UNTIL REVOKED BY THE CITY. VALIDATION PERIOD: REQUESTED START DATE: n- i3-�Lofg This Agreement made under this license and entered into this ) 5 day of Nit 801 -20J�_, by and between the CITY OF ASPEN, Pitkin County, Colorado, hereinafter referred to as "ASPEN" and J�o N:- N ' D . DI,-J01V at (Print Owner's Full Name) (Print Owner's Legal Mailing Address) daytime phone number: , hereinafter referred to as "Licensee", WHEREAS, Licensee is the owner of the following described properties located in the City of Aspen, Pitkin County, Colorado Street Address: 'SO/ W . �� P �tTOJs (� iS Q �� / (E) g) & `) Legal Address: Sul WCSi` l�l-0/'h>eNS, �rS(11;✓N� G O f (.611 WHEREAS, said properties about t ie following dE �R�Iarwl,�Y � bedppublic right(s)-of-way (name of streets/alleys im WST_ 100r zN I 5rlorlAN 65, WHEREAS, Licensee desires to encroach upon said right-of-way for the following purposes and as shown and described in Exhibit "A attached to this License. Describe Exhibit "A"• ^ r ` L ( n Rt Ew Oav k}h ST(l.lECT {j-_VLW1 Q+� Att 1. 41�o Vr�tll.1�'wtw `its C-IYi�4P W• WHEREAS, Section 21.04.050 of City of Aspen Municipal Code delegates the authority to the City Engineer to grant encroachment licenses, WHEREAS, ASPEN agrees to the grant of a private license of encroachment as built subject to certain conditions, THEREFORE, the consideration of the mutual agreement hereinafter contained ASPEN and Licensee covenant and agrees as follows: A revocable license is hereby granted to Licensee to occupy, maintain and utilize the above described portion of public Right-of-way for the purposes described. This license is granted for a specific use and within a specified term as checked above, subject to being terminated at any time and for any reason at the sole discretion of the City Engineer of the City of Aspen. This license shall be subordinate to the right of ASPEN to use said area for any public purposes. City of Aspen - Engineering Department, 130 South Galena Street, Aspen Colorado 81611 !221970-920-5080 REVISED: 12/20/2017 3 The Licensee clearly understands the following actions of Licensee or his/her agents and employees shall automatically terminate and cancel this agreement: 1) Discontinuation of insurance coverage 2) Change of ownership or alteration of use from the original specific use in encroached area 3) Restriction of ASPEN or its agents and contractors from access to its public land under the encroached area not occupied by a previously constructed building Under these circumstances, the Licensee shall restore the right-of-way under the encroachment to its original or better conditions immediately and in accordance with the latest Engineering Department standards for improvements of Public right of way. IN WITNESS WHER arties executed this agreement at ASPEN the day and year first written. (Licensee signature must be notarized) FRITZ GONZALEZ THE FOLLOWING SECTION MUST BECOMPLETE'DBYANOTARY PUBLI'C: Notary Public , STATE OF COLORADO State of Colorado ) Notary ID # 20184038373 SS. M Commission Ex ires 09-27-2022 County of Pitkin ) The foregoing instrument was acknowledged before me this I <Ii�k Day of Llo\ I -F.I, `,',,be,,( 20 by _fl `� t) . of <-o' , (Licensee). WITNESS MY HAND AND OFFICIAL SEAL. (Print Licensee Name) 7 Notary commission expires: [ 207- "Z.-. _ [d ) (Notary Public) r. [ ,I ' Z <r (Address) CONDITIONS of APPROVAL (if any): 'W1.0 ISM- " = 1.1I � r (DO NOT WR[ TE BELOW THIS LINE. FOR CITY USE ONLY) DATE: City of Aspen - Engineering Department, 130 South Galena Street, Aspen Colorado 81611 2?970-920-5080 REVISED: 1212012017 5 PelmanentEncroachmentlicense 501 Aest Ifopkim, Lot 4 Boomerang Lot Split; 4 Planned Communit'g .4ccording to the plat thereof recorded June 16, 2006, in Plat Book 7..9 at Page 70, as Recepfion No. 5,2537'O, City of-Ispen, Counte of Patkir4 State of Colorado ,%MWAX 2=5..I2466" - _ - ErvMAt,Yti Mr AREA ,12 39 aF. t/- work '�a ►1 UFCA Mn 1*w.11• . m Lot > 7,500 Sq Ft 1 iz •r TIlTTl�' SllRY�'YINC S�RYIC�'.S 92J Cooper A venue Glenwood Springs, Colorado 81601 (970) 928-9708 (FAX 947-9007) Arad- i&_AjVf*a�u8 vom I11,911l Scale-1 'I=10' ACORD 25 (2016103) BRIKASS-01 SARAI ACO DATE (MM1DD/YYYYI CERTIFICATE OF LIABILITY INSURANCE 11112/2018 _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER =@ACT tiaran 7aitala Nell-Garing Insurance an affiliate of Mountain West Insurance & Financial PHONE Services LLC la/c,No, E:ty; PO BOX 1576 ass, ssaka)a@neil• ar)ng.cam Glenwood Springs, CO81602 INSURED Brikor Associates, Inc. Nathan Waldron 20 Sunset Or #1 Basalt, CO 81621 wsURERD- ENSUIRER EJ_ _ _ INRIMPR F r :AX (AIC, Nol: 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. El T; TYPE OFINSURANCE NDL iUiHR. POLICYNUMBER Ivry yyI 0AMMiODrDW1 LIMITS I X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 CLAIMS -MADE X . OCCUR EPP0181903 0212512018 02/2512019 VA{µ,�ETDREFITEII 500,p0 X PttE[ ISES (Eaoc nsiml 5- MED EXP (Any one person) S 10,00 _EgM IAL IL ADV 1NJ V s _ 1,000,00 >.I: J'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 2,000,00 POLICY LOG ! PRODUCTS •COMP/OP AGG S 2,000,00 A AUTOMOBILE LIABILITY COMBINED SINGLE LI MI I LEA acvdenO , S JF ANY AUTO EBA0181903 02125/2018 02/2512019 RgN1.Y Ig8&V Lam pepYY OWNED SCHEDULED AUTOS ONLY HOpLYINJURY_LPBrantidentj, S _ ooI.1 EEpp ,. AUTOS ONLY �ALITO�OhJLY PR4i>C �. TY DAMAGE _iPHacndenll S A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 5,060,000 EXCESS LIAB CLAIMS -MADE I IEPP0181903 02/2512018 02/2512019 AGGREGATE , 5 _ DED . X RETENTIONS 0 1 'Aggregate t 5T000,00C B !WORKERS COMPENSATION PER AND EMPLOYERS' LIABILITY Y / N 4003274 . STATUTE ', EERR 071011201 B 07/01/2019 1,000,00a ECUTIVE NIA _ ACI{.AC�)(1 NT S O%OFF.1SEH'1AJIMBEER EXCLUDED? 1,000,OOC Ikan slory to NH) ii5£A$� _EAGMPI,O*'vs.., S If yes, describe under D CRIPTION OF OPERATIONS below F , DkSEaSE - POLI LIMIT $ 100O,OOQ , A Equipment Floater IEPP0181903 02125120161 02/25/2019 Leased/Rented 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1017 Additional Remarks Schedule, may W atInched if more space is required) 4older is included as Additional Insured on General Liability only in regards to ongoing operations as required by written contract. City of Aspen and Pitkin County 130 South Galena Aspen, CO 81611 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. All rights reserved.