HomeMy WebLinkAbout2011 CON (Encroachment Agreement) Restructure Petroleum Marketing Services - Monitoring WellsPLEASE COMPLETE THIS INFORMATION
RECORDING REQUESTED BY:
RESTRUCTURE PETROLEUM MARKETING SERVICES
•
AND WHEN RECORDED MAIL TO:
CITY CLERK OF NATIONAL CITY
1243 National City Blvd.
National City, CA 91950
9000
DOG it 2011 -0221 460.
1111111111111101111111111111111111111101110111 III
APR 28, 2011 10:33 AM
OFFICIAL RECORDS
SAN DIEGO COUNTY RECORDER'S OFFICE
Ernest J. Dronenburg, Jr., COUNTY RECORDER
FEES: 114.00 WAYS: 2
PAGES
29
IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII Ilia IIII
THIS SPACE FOR RECORDER'S USE ONLY
ENCROACHMENT PERMIT AND AGREEMENT: WITH RESTRUCTURE
PETROLEUM MARKETING SERVICES FOR THE INSTALLATION OF
FOUR GROUNDWATER MONITORING WELLS IN THE VICINITY OF
TOLAS COURT, 7TH STREET AND SALOT STREET
(Please fill in document title(s) on this line)
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
9 Poi
FEE: $490.00
MONITORING WELL ENCROACHMENT
PERMIT AND AGREEMENT
The Cit of National City hereby grants an Encroachment Permit to the undersigned,
R?M. - CA(0.1/ Wile a (hereinafter referred to as "PERMITTEE") in accordance with and
pursuant to the terms and conditions set forth in Chapter 13.12 of the National City Municipal Code to
install monitoring wells. The term "PERMITTEE" includes all successors in interest and assigns of the
PERMITTEE.
The PERMITTEE, in consideration of this grant of permission by the City of National City (hereinafter
referred to as "CITY") to install and maintain MONITORING WELLS (all hereafter designated from
time to time as an "encroachment") within or upon a CITY easement, property, or right-of-way for the
use and benefit of PERMITTEE'S property and adjacent lands, now covenants and agrees as follows:
The site of installation and any description of PERMITTEE'S encroachment are described in EXHIBIT
A, attached.
The terms and conditions under which the encroachment is to be installed and maintained are as follows:
1. This Encroachment Permit and Agreement (collectively hereafter, AGREEMENT) is
made for the direct benefit of PERMITTEE and PERMITTEE's property described above, and the
covenants herein contained shall be binding on the PERMITTEE and its assigns and successors. This
AGREEMENT is issued pursuant to Chapter 13.12 of the National City Municipal Code, the terms of
which PERMITTEE hereby specifically acknowledges, accepts. and agrees to. PERMITTEE also
acknowledges that those terms and conditions include, without limitation, the CITY's right to require the
removal, relocation, or undergrounding of the encroachment when deemed necessary and feasible by and
in the sole discretion of the City Engineer, at PERMITTEE's expense. The terms and conditions of
Chapter 13.12 shall govern the interpretation and application of this Encroachment Permit, the
maintenance of the encroachment, and the PERMITTEE'S duties and obligations. In the event of
litigation to enforce any of the terms and conditions of this permit, the CITY shall be entitled to its
attorney's fees and costs of enforcement. A copy of this Encroachment Agreement may be recorded
against the PERMITTEE's real property that may be benefited by the installation and maintenance of the
encroachment. Upon request by CITY, PERMITTEE shall record this Encroachment Agreement with the
County of San Diego , County Recorder's Office, and upon recordation shall return the original to the
CITY.
2. The encroachment shall be maintained in a safe and sanitary condition at all times at the
sole cost, risk, and responsibility of PERMITTEE and all successors in interest, so long as the
encroachment exists.
3. Upon notification in writing by CITY's City Engineer, the above described encroachment
shall be abandoned, removed, or relocated by PERMITTEE at the PERMITTEE's sole expense. If
PERMITTEE fails to remove or relocate the encroachment herein permitted within thirty (30) days after
notice of removal or relocation from the CITY, CITY may cause such removal or relocation to be done at
PERMITTEE's sole cost and expense, which cost shall be a lien upon the land benefited by the
encroachment and the personal liability of the PERMITTEE.
4. PERMITTEE shall furnish the CITY with a faithful performance bond as security for the
prompt completion of the installation, removal, abandonment, and all appurtenant operations, including
any necessary subsequent street resurfacing or restriping required for installing or maintaining the
encroachment, which bond shall be maintained so long as the encroachment exists.
5. CITY shall not at any time be liable for injury or damage occurring to any person or
property from any cause whatsoever arising out of PERMITTEE's construction, installation, maintenance,
repair, use, operation, condition, or dismantling of the monitoring wells or the encroachment except to the
extent caused by CITY's sole negligence or willful misconduct.
6. PERMITTEE shall indemnify, defend, and hold harmless CITY and its officers, agents,
and employees from all liability, loss, costs, claims, demands, suits, and defense costs, including
attorneys' fees, arising out of PERMITTEE's and others entry upon and use of CITY's easement or right-
of-way for the installation, maintenance, removal, and use of the PERMITTEE's encroachment.
PERM1TTEE shall indemnify, defend, and hold harmless CITY and its officers, agents, and employees
from all liability, loss, costs, claims, demands, suits, clean-up costs, and defense costs, including
attorneys' fees and expert witness fees, arising out of or related to PERMITTEE's monitoring wells
subject to this Agreement, except for those claims which arise out of the sole negligence or willful
misconduct of the CITY.
7. Insurance.
PERMITTEE shall take out and maintain, during the time the encroachment remains on CITY's
easement or right-of-way, commercial general liability insurance with minimum limits of Two Million
Dollars ($2,000,000.00) per occurrence, and Four Million Dollars ($4,000,000) aggregate, covering all
claims of bodily injury, including death, and property damage arising out of this Agreement.
PERMITTEE shall take out and maintain, during the time the encroachment remains on CITY's
easement or right-of-way, pollution liability coverage with minimum limits of Three Million Dollars
($3,000,000) per occurrence covering all claims of bodily injury, including death, and property damage
arising out of this Agreement.
PERMITTEE shall take out and maintain workers' compensation insurance covering all of
PERMITTEE's employees, with limits sufficient to satisfy California statutory requirements. In addition,
PERMITTEE shall take out and maintain employer's liability coverage with limits of not less then One
Million Dollars ($1,000,000) per occurrence. The policy shall be endorsed with a waiver of subrogation
as to the CITY.
All policies required by this Agreement shall be written by insurers licensed to do business in the
State of California, which are rated at least "A, VII" by the current A.M Best Ratings Guide and
otherwise approved by CITY's Risk Manager. Coverage written by non -admitted, surplus lines carriers
may be acceptable provided the insurer is included in the most recent California List of Eligible Surplus
Lines Carriers (LESLI list) and otherwise meets CITY insurance requirements. Coverage shall be written
on occurrence forms; in the event coverage is written on a claims made form, the retro date must be on or
before commencement of this Agreement, and coverage must be maintained for a period of at least three
(3) years following the termination of this Agreement. All deductibles and/or self -insured retentions must
be disclosed on the certificate of insurance. These policies shall name CITY and its officers, agents, and
employees as additional insureds, and shall constitute primary insurance as to CITY and its officers,
agents, and employees, so that any other policies held by CITY shall not contribute to any loss under said
insurance. Said policies shall provide for thirty (30) days prior written notice to CITY of cancellation or
material change. Prior to commencement of this Agreement, PERMITTEE shall furnish CITY a
certificate of insurance with all required endorsements evidencing the coverage required by this section.
Should PERMITTEE fail to do so, CITY may elect to obtain such coverage at PERMITTEE'S expense or
immediately terminate this Agreement, and require removal of the encroachment.
8. PERMITTEE is further responsible for obtaining any required construction, excavation,
or building permits; for notification to Underground Service Alert, when applicable; and for the safe
installation and maintenance of the encroachment at all times.
9002
2
Encroachment Permit and Agreement
Monitoring Well
9. This Encroachment Permit shall not be valid nor confer any rights to install and maintain
an encroachment until it is approved by the CITY, and accepted and acknowledged by the PERMITTEE,
and if determined necessary by the CITY, recorded.
10. PERMITTEE shall within 48 hours upon written notification by the CITY adjust, or
cause to adjust the top of the well, if and when such adjustment will become necessary as a result of
CITY's street resurfacing, or other construction operations.
11. PERMITTEE shall provide and maintain adequate traffic control at the sole cost, risk and
responsibility of PERMITTEE and successor in interest, during the course of the construction of the well,
and the monitoring and sampling periods or any other operation within the CITY right-of-way.
PERMITTEE shall hold CITY harmless with respect thereto.
12. PERMITTEE shall notify the CITY in writing of any proposed change in the location of
the well prior to installation. PERMITTEE shall obtain additional permits for any such changes from the
CITY prior to the commencement of work.
13. PERMITTEE shall apply to the City Engineer for a construction permit prior to the
installation of the well and for subsequent adjustments.
14. All operations conducted by the PERMITTEE on the CITY premises, including
monitoring and sampling of the well and running of equipment shall be limited to the hours set by the
City Engineer, and there shall no deviations from these hours.
15. PERMITTEE shall notify all adjacent residential and commercial developments as to the
intended construction, and shall post notices indicating the type and the hours of construction and all
other subsequent work. The PERMITTEE shall diligently proceed to complete all work with a minimum
of inconvenience to the public.
16. At least 48 hours prior to start of construction, PERMITTEE shall contact Underground
Service Alert for all underground utility mark -out. It shall be the responsibility of the PERMITTEE to
locate all substructures and protect them from damage. The expense or repair or replacement of said
substructures shall be solely borne by the PERMITTEE, and the CITY shall be held harmless with respect
thereto.
17. The PERMITTEE shall be responsible for the prevention of damage to the adjacent
property. No person shall excavate on land so close to the property line as to endanger any adjoining
public street, sidewalk, alley, or any other public or private property without supporting and protecting
such property from settling, cracking, erosion, silting, scour, or the damage which might result from the
PERMITTEE's operations.
18. The PERMITTEE shall design, construct, and maintain all safety devices, including
shoring, and shall be solely responsible for conforming to all local, state, and federal safety and health
standards, laws, and regulations.
19. The proposed well may exist in the public right-of-way for a maximum of two years.
The PERMITTEE shall inform the CITY if additional time will be required for groundwater monitoring,
and shall obtain the CITY's written approval for any time extension.
20. PERMITTEE shall notify the CITY in writing at least 48 hours prior of any intended
monitoring of the well to be conducted during the length of this encroachment. Such notification shall
900
3
Encroachment Permit and Agreement
Monitoring Well
9004
21. PERMITTEE shall deposit a sum equal to $2,000.00 in the CITY's account, to be used
only for emergency purposes, prior to the approval of this Encroachment Agreement.
22. The well cap installed under this permit shall have information printed giving the name
and phone number of the responsible entity in charge of the installation and maintenance of the well.
23. The PERMITTEE shall provide the CITY with a copy of the site assessment and
remediation report; a copy of the Department of Health Services, County of San Diego response; and the
site remediation completion report. The report shall show the extent of ground water and/or soil
contamination, if any.
Dated:
CI
orrison, Mayor
DYATION L CITY PERMITTEE: L
Entity/Company ON gtt14.4-F (51 ef-STRuc�`RJreG
P rtoefivwl .MA-aKe /Nj se-avc 3 bF C4-
('QPMS)
Signature ce o-r-r 1)
tat /4`'
Name & Title Xe5, l?M Cam_
J
ATTACH NOTARY CERTIFICATION FOR THE NAME OF PERMITTEE SHOWN ABOVE.
USE CALIFORNIA ALL PURPOSE ACKNOWLEDGEMENT NOTARY ONLY.
PERMITTEE/APPLICANT INFORMATION:
Sc o-rrt— �L- 4'6/, \/
Person in Responsible Charge
6( -76. g
24/7 Phone Number
/NNoij 'vi l/a0/1/, fern u47d vs
Firm Name
Mailing Address:
�39 _SEC cJ7$T::
t6/C-f ( i B5,
c4 9202y
PLAT SHOWING LOCATION OF WELL HEADS OR OTHER STRUCTURES, EASEMENT, OR RIGHT-OF-
WAY, AND SEWER AND/OR DRAINAGE FACILITIES: SEE EXHIBIT "A", ATTACHED
4
Encroac
nt Permit and Agreement
Monitoring Well
9005
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
u�^wcc�ec eG� cry cerc�eGc ec Gecrefi
State of Califor
County of
On %
D
e
personally appeared
3e zit
before mArthur P. Arqunla, Notary Public
Here Insert Name and Title of the Officer
Name(s) of Signeris)
OFFICIAL SEAL
P. AQUILLA
NO. ARYJR PUBLIC-C
TL TORN AE
COMM. NO.1872932
SAN DIEGO COUNTY -
MY COMM. EXP. JAN. 7, 2014
Place Notary Seal Above
who proved to me on the basis of atistactory evidence to
be the person(s) whose name( re subscribed to the
n instrument and acknowl ed to me that
he/they executed the a hi er/their authorized
capacity(ies), and that his er/their signature(s) on the
instrument the person(s , or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is
true and correct.
WITNESS my
Signature
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
•
Signer(s) Other Than Named Above:
ffici az,ci.74
c
SignyPublic
Capacity(ies) Claimed by Signer(s)
Signer's Name:
E Individual
❑ Corporate Officer—Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Signer's Name:
❑I Individual
ET Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
02007 National Notary Association• 9350 De Soto Ave., P.O. Box 2402 *Chatsworth, CA 91313-2402• www.NationalNotary.o,g Item #5907 Reorder:Call Toll -Free 1-600-676-6827
9006
MONITORING WELL INSTALLATION QUESTIONS
1) What is the time of completion of the drilling and well construction?
-
1.5
2) What is the time required to install each well? 1— 2 hour tc zll+& pk1S
3) How long will the wells remain in the street? 02 - S7Q,tLeS (A frco
4) How long will the abandonment of the wells be? (time frame) %—/O WoZt4 D4-ys
5) How often will the wells be monitored and sampled? SeMt —A 1NJ%-L
6) How long will it take to purge and sample each well? VtoJ 'S
7) Who will be responsible for removing the wells from the public right-of-
way and restoring the street?
gE s -R%, c_ -u►2€ /2e 72o Z.tyro /y%rt7W 'ri n! of (6 / Fort */rA f M L.Ae)
//o/ AMLBc 4 /7b,4?A P2
-1- -44,7 ( FL 56 i 9
8) Who will be responsible for top of well head adjustments?
/A//JovAI", ✓E �ilv�Ad�✓�VJFW1 t— - c L �T/ o nJS
eft S ;o4 9 5r , 5 ' 2-
5 CA al �ZS' Co 11i cr .r e Lar - Le 4":Z. � r
' 36 ,--7LF6
-T{ To d�j% �.) A -/Ty or 5✓ l30 % -.
%t1 t=
14 / /Zuiv.Ne ey C754 L %7 L "rtr /,,.4-t t ,Amy DEc- D t
P/z. „eL„c y To Q L,Aet1Exz of
New
Existing
Date:
NA`E on,
MCOMYOIIATT�
ENGINEERING DIVISION
TRUST & AGENCY REVENUE TRANSMITTAL
0014-14
/ANnI�
Name of Bu iness/Person Pa ing:
/ a
Amount: $ /
QlJ
Verified by: /�
Engineering Staff Name: 44. A/E4/14--
r6172, fr / a/cc/Tons
900 7
Project Name: /v /177
Project Address: g ` '
APN No.(s)
wme7/0464
Purpose: er-
-
AMOUNT ($)
I'h'I4!'1C1 �r-2d DefOSi
ACCOUNT #
#726.1141
Others:
DESCRIPTION
Trust & Agency Deposit
REFUND PAYABLE TO: (if applicable) /
Name & Address //7/? o(j V OU. ty
,/u-koy; 8g9 Se- e,574d 5 2, plc etc -g7z)2
I certify under the penalty of law that the information submitted is to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fine and imprisonment for knowing violations.
> �-tT Lt-✓r-v
Print Name
Engineering Permit No.
REFUND Date:
Final Inspection Date:
Amount Refunded: ($)
( The um shall be in the nature of a deposit only and as an advance against the obligation of the
developer to pay the city for maps, public improvements, private grading plans, inspections,
NPDES reviews, and any expenses provided for under city ordinances.
Rev. 07/01/10
9008
Finance Department
619 '336-4330
National City 39 / 38008
01/04/2011 07:44:43.000 Reg WXPCASHF1
Validation Receipt
CHARGES-
001-06029-3142
EG GRADING PERMITS $ 396.00
001-06029-3585 /
GF2135 MISC. USER CHARGES$ 490.00
726-1141
726114 001474-innovative $ 2000.00
001-06029-3144
TRANS HOUSE MOVING PERMI$
476.00
Sub -total
$*******3362.00
PAYMENT -
Check - 1069 $ 3362.00
innovative
Change $**********0,00
THANK YOU!
Business Hours:
7:00 - 6:00 Monday through Thursday
Closed on Fridays
EUCLID AVE.
Harbison
Elementry
School
UNNAMED SURFACE
WATERCOURSE (USGS, 1975)
SITE
Paradise Hills
Elementry
School
a
APPROX. SCALE • 1 INCH • SOLO FEET
aar
VICINITY MAP
FORMER RPMS (E-Z SERVE) LOCATION 100802
3530 EAST 8TH STREET
NATIONAL CITY, CALIFORNIA
PROJECT NO. 100802-005
FILE NO. is\Projects\RPMS\100802\Reports\Figs
Innovative
Environmental
Solutions
EXHIBIT
A
NOTE:
PRIOR TO DRILLING USA WILL BE
NOTIFIED TO LOCATE UTILITIES.
PROPOSED LOCATION MAY
REQUIRE REPOSITIONING. AFTER
DRILLING EACH WELL BE SURVEYED.
RESIDENTIAL
NOT TO SCALE
RESIDENTIAL
E. 7TH
STREET
SHELL
LEGEND AVENUE
MW-14
® PROPOSED WELL ID AND LOCATION
EXISTING GROUNDWATER
MONITORING WELL ID AND LOCATION
* ON PRIVATE PROPERTY (MW-13 IS
NOT PART OF THE PERMIT APPLICATION)
MW-15
tED
PARADISE N
VALLEY RD.
MW-16
® TOLAS
COURT
RESIDENTIAL
B
MW-14
SALOT
STREET
1VI1N30IS3a
e
RESIDENTIAL
HARBISON ELEMENTRY
SCHOOL PARKING LOT
PROPOSED MONITORING WELL LOCATION MAP
(MW-14 THROUGH MW-17)
FORMER RPMS (E-Z SERVE) LOCATION 100802
3530 EAST 8TH STREET
NATIONAL CITY, CALIFORNIA 91950
N
N
E. 8TH ST.
FORMER _ 4 0 O
PUMP
ISLANDS
r
E
MW-13*
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PROJECT NO. 100-802-005
FILE NO. i:\Projects\RPMS11008021Reports\EPermits\Figs
4
Innovative
Environmental
Solutions
EXHIBIT
B
9011
DEPTH BELOW
GROUND SURFACE
(FOOT)
3
8-INCH DIAMETER
BOREHOLE
41'
43'
45'
65'
80'
NOT TO SCALE
3 FOOT PERIMETER SEAL
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GROUND SURFACE
CONCRETE SEAL, 3 FEET
TRAFFIC RATED,
WATER-RESISTANT VAULT
2-INCH LOCKING EXPANSION PLUG
BENTONITE GROUT, 38 FEET
2-INCH SCHEDULE 40 PVC,BLANK
CASING, 45 FEET
BENTONITE PELLET SEAL, 2 FEET
2-INCH SCHEDULE 40, 0.020-INCH SLOT
SCREEN, 35 FEET
ESTIMATED DEPTH TO GROUNDWATER,
65 FEET AVERAGE
FILTER SAND, NO. 3 MONTEREY OR
EQUIVALENT, 37 FEET
2-INCH PVC END PLUG
ESTIMATED TOTAL DEPTH, 80 FEET
(DRILLING DEPTH MAY VARY BASED
ON CONDITIONS DURING ASSESSMENT)
PROPOSED GROUNDWATER MONITORING WELL
CONSTRUCTION DETAILS
(MW-14)
FORMER EZ-SERVE NO. 100802
3530 EAST 8TH STREET
NATIONAL CITY, CALIFORNIA
PROJECT NO. 100-802-004
FILE NO. i:lProjectslRPMS11008021Reports1EPermitslFigs
Innovative
Environmental
iiJ Solutions
EXHIBIT
B-2
NOTE:
PRIOR TO DRILLING USA WILL BE
NOTIFIED TO LOCATE UTILITIES.
PROPOSED LOCATION MAY
REQUIRE REPOSITIONING. AFTER
DRILLING EACH WELL BE SURVEYED.
RESIDENTIAL
NOT TO SCALE
LEGEND
PROPOSED WELL ID AND LOCATION
t9 EXISTING MONITORING WELL
— — CENTER OF ROAD (UNPAINTED)
E. 7TH ST.
RESIDENTIAL
1_140'
1 13'
16' ®MW-14
.l
TOLAS
COURT
MW-8
S
RESIDENTIAL
SALOT
STREET
co
H
co
W
MW-9
S
RESIDENTIAL
PROPOSED MONITORING WELL LOCATION MAP
(MW-14)
FORMER RPMS (E-Z SERVE) LOCATION 100802
3530 EAST 8TH STREET
NATIONAL CITY, CALIFORNIA 91950
PROJECT NO. 100-802-005
FILE NO. i:\Projects\RPMS11008021Reports\EPermits\Figs
Innovative
0 Environmental
Solutions
EXHIBIT
13-3
NOTE:
PRIOR TO DRILLING USA WILL BE
NOTIFIED TO LOCATE UTILITIES.
PROPOSED LOCATION MAY
REQUIRE REPOSITIONING. AFTER
DRILLING EACH WELL BE SURVEYED.
RESIDENTIAL
N
NOT TO SCALE
E. 7TH ST.
RESIDENTIAL
5'
MW-1 5 i- i GAS LIUNDER EROUND
® I
7 I-j
10' I
17' I 150'
TOLAS
COURT
MW-8
S
RESIDENTIAL
SALOT
STREET
MW-9
S
RESIDENTIAL
LEGEND PROPOSED MONITORING WELL LOCATION MAP
PROPOSED WELL ID AND LOCATION (MW-1 5)
B EXISTING MONITORING WELL
- L -
CENTER OF ROAD (UNPAINTED)
FORMER RPMS (E-Z SERVE) LOCATION 100802
3530 EAST 8TH STREET
NATIONAL CITY, CALIFORNIA 91950
E. 8TH ST.
PROJECT NO. 100-802-005
FILE NO. i:\Projects\RPMS\100802\Reports\EPermits\Figs
Innovative
0. Environmental
'7 Solutions
EXHIBIT
p_4
NOTE:
PRIOR TO DRILLING USA WILL BE
NOTIFIED TO LOCATE UTILITIES.
PROPOSED LOCATION MAY
REQUIRE REPOSITIONING. AFTER
DRILLING EACH WELL BE SURVEYED.
RESIDENTIAL
NOT TO SCALE
RESIDENTIAL
E. 7TH ST.
TOLAS
COURT
16' ® MW-16
r9,
5
RESIDENTIAL
PARADISE
VALLEY RD.
N \-
RESIDENTIAL
E. 8TH ST.
PROPOSED MONITORING WELL LOCATION MAP
LEGEND (MW-16)
® PROPOSED WELL ID AND LOCATION FORMER RPMS (E-Z SERVE) LOCATION 100802
- - CENTER OF ROAD (UNPAINTED) 3530 EAST 8TH STREET
NATIONAL CITY, CALIFORNIA 91950
PROJECT NO. 100-802-005
FILE NO. i:1Projects\RPMS11008021Reports\EPermits\Figs
Innovative
Environmental
Solutions
EXHIBIT
B- 5
9Oi5
DEPTH BELOW
GROUND SURFACE
(FOOT)
8-INCH DIAMETER
BOREHOLE
41'
43'
45'
65'
70'
V
NOT TO SCALE
3 FOOT PERIMETER SEAL
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GROUND SURFACE
CONCRETE SEAL, 3 FEET
TRAFFIC RATED,
WATER-RESISTANT VAULT
2-INCH LOCKING EXPANSION PLUG
BENTONITE GROUT, 38 FEET
2-INCH SCHEDULE 40 PVC,BLANK
CASING, 45 FEET
BENTONITE PELLET SEAL, 2 FEET
2-INCH SCHEDULE 40, 0.020-INCH SLOT
SCREEN, 25 FEET
ESTIMATED DEPTH TO GROUNDWATER,
65 FEET AVERAGE
FILTER SAND, NO. 3 MONTEREY OR
EQUIVALENT, 27 FEET
2-INCH PVC END PLUG
ESTIMATED TOTAL DEPTH, 70 FEET
(DRILLING DEPTH MAY VARY BASED
ON CONDITIONS DURING ASSESSMENT)
PROPOSED GROUNDWATER MONITORING WELL
CONSTRUCTION DETAILS
(MW-15 THROUGH MW-17)
FORMER RPMS (E—Z SERVE) LOCATION 100802
3530 EAST 8TH STREET
NATIONAL CITY, CALIFORNIA 91950
PROJECT NO. 100-802-004
FILE NO. i:\Projects1RPMS11008021Reports\EPermtslFigs
Innovative
Environmental
Solutions
EXHIBIT
NOT TO SCALE
RESIDENTIAL
SIDEWALK
E. PLAZA BLVD.
SIDEWALK
TWO STORY SHOPPING
AND OFFICE COMPLEX
F'-24' 30'
MW-17er9.
36'
65'
JESTONI BAR
AND GRILL
co
44,
co
2VZ
NOTE:
PRIOR TO DRILLING USA WILL BE
NOTIFIED TO LOCATE UTILITIES.
PROPOSED LOCATION MAY
REQUIRE REPOSITIONING. AFTER
DRILLING EACH WELL BE SURVEYED.
LEGEND
PROPOSED WELL ID AND LOCATION
9 EXISTING MONITORING WELL
- M - EDGE OF MEDIAN
PROPOSED MONITOR NG WELL LOCATION MAP
(MW-1 7)
FORMER RPMS (E-Z SERVE) LOCATION 100802
3530 EAST 8TH STREET
NATIONAL CITY, CALIFORNIA 91950
PROJECT NO. 100-802-005
FILE NO. isIProjects1RPMS11008021Reports\EPermits\Figs
Innovative
Environmental
Solutions
EXHIBIT
B-7
CO
d
0)
INNOENV-01
MES
ACORD,,,, CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD
3/2412011V U
PRODUCER,
Vanorsdale Insurance Services
4909 Murphy Canyon Road, Suite 510
San Diego, CA 92123
(858)541-2900
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.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Innovative Environmental Solutions
839 2nd Street 2-B
Encinitas, CA 92024
INSURER A: Endurance American Specialty Insurance C
INSURER B: Oak River Insurance Company
INSURER C:
INSURER 0:
INSURER E:
COVERAGES
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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
ADD'L
NSRDI TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YYI
POLICY EXPIRATION
DATE (MM/DDA N)
LIMITS
A
X
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
ECC10100767601
5/27/2010
5/27/2011
EACH OCCURRENCE
$ 2,000,000
PREMISES(Eeoc urence)
8 50,000
j CLAIMS MADE X OCCUR
MED EXP (Any one person)
$ 5,000
PERSONAL BADV INJURY
$ 2,000,000
GENERAL AGGREGATE
$ 4,000,000
GEN'L
X
AGGREGATE LIMIT APPLIES PER
PRO-
POLICY ,)eCT LOC
PRODUCTS-COMP/OPAGG
$ 4,000,000
A
AUTOMOBILE
X
X
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
ECC10100767601
5/27/2010
5127/2011
COMBINED SINGLE LIMIT
(Eaeccident)
1,000,000
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident
PROPERTY DAMAGE
(Per accident)
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
AUTO ONLY AGG
$
EXCESS/UMBRELLA
LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
AGGREGATE
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
f yes, describe under
SPECIAL PROVISIONS below
2200015400101
1011012010
10J10/2011
WC STAILL OTH-
X TORY LIMITS ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
A
OTHER
Pollution Liability-
ECC10100767601
5/27/2010
5127/2011
Limit-$3.000.000 PerOcc/Agg
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT !SPECIAL PROVISIONS
See attached page.
CERTIFICATE HOLDER
CANCELLATION
City of National City
1243 National City Blvd
National City, CA 91950-
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE //�� /j
C-_i..FGor c e...—__
ACORD 25 (2001/08)
O ACORD CORPORATION 1988
17
INNOENV-01
MES PAGE 1
OF 1
DESCRIPTION OF OPERATIONS -
Innovative Environmental Solutions
839 2nd Street 2-B
Encinitas, CA 92024
City of National City
1243 National City Blvd
National City, CA 91950-
*Except 10 Days Notice of Cancellation is given for Non -Payment of Premium.*
RE: Project- Former RPMS (E-Z Serve) Location 1008002, IES Project No. 100802-004. The City of National City and its officers,
agents and employees Is added as an additional insured In operations of the policyholder as respects to General Liability per form
CG20261185 . Primary Wording applies per form FEI-548-ECC-0708. Amendment of Limits Endorsement- Project Specific applies
per form FEI-522P-ECC-0708. Waiver of Subrogation applies per form WC990110A for Worker's Comp.
**THIS CERTIFICATE CANCELS AND SUPERCEDES THE CERTIFICATES ISSUED ON 10!22H0.**
18
Endurance
Innovative Environmental Solutions
Endorsement Number: 27
Additional Insured — Designated Person or Organization
This endorsement, effective 10/21/2010 attaches to and forms a part of Policy Number
ECC101007676-01. This endorsement changes the Policy. Please read it carefully.
CG 20 26 11 85
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
City of National City
1243 National City Blvd
National City, CA 91950
(If no entry appears above, information required to complete this
endorsement will be shown in the Declarations as applicable to this
endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured
the person or organization shown in the Schedule as an insured but only
with respect to liability arising out of your operations or premises owned
by or rented to you.
Copyright, Insurance Services Office, Inc., 1984
9019
"may
Endurance
Innovative Environmental Solutions
Endorsement Number: 15
Automatic Primary and Non -Contributory
Insurance Endorsement
Designated Work Or Project(s)
This endorsement, effective 5/27/2010 attaches to and forms a part of Policy Number
ECC101007676-01. This endorsement changes the Policy. Please read it carefully.
SCHEDULB
Name of Person or Organization:
Any person(s) or organization(s) whom the Named Insured agrees, in a written
contract, to provide Primary and/or Non-contributory status of this insurance.
However, this status exists only for the project specified in that contract.
In consideration of an additional premium of $Applied and notwithstanding
anything contained in this policy to the contrary, it is hereby agreed that this
policy shall be considered primary to any similar insurance held by third parties
in respect to work performed by you under any written contractual agreement
with such third party. It is further agreed that any other insurance which the
person(s) or organization(s) named in the schedule may have is excess and non-
contributory to this insurance.
FEI-548-ECC-0708
Endurance
•
Innovative Environmental Solutions
Endorsement Number: 26
Amendment — Limits of Insurance
(Amended Limits for Specified Coverage Parts)
This endorsement, effective 10/21/2010 attaches to and forms a part of Policy Number
ECC101007676-01. This endorsement changes the Policy. Please read it carefully.
This endorsement modifies insurance provided under the coverage part indicated by an "X":
X COMMERCIAL GENERAL LIABILITY COVERAGE PART
X CONTRACTORS POLLUTION LIABILITY COVERAGE PART
PROFESSIONAL LIABILITY COVERAGE PART
PREMIUM SCHEDULE:
Additional Premium: $1,509
LIMITS OF INSURANCE:
Regardless of the number of Coverage Parts written under this policy or applicable to any one occurrence
or claim, the Limits of Insurance shown below apply once for the entire policy, and not separately for each
Coverage Part. The amended Limits in this endorsement do not increase or change the Limits shown on
the Coverage Part Declarations for Coverage Parts not indicated by an "X" above.
Estimated Project Gross Receipts: Not
Applicable
Project Rate: Flat
Applicable to Contractors Pollution Liability Coverage Part:
$3,000,000 Damages Limit for Each Occurrence, Claim or Pollution Condition
$3,000,000 General Aggregate Limit
$3,000,000 Claims Expense Limit for Each Claim
$3,000,000 Claims Expense Aggregate Limit
Applicable to Professional Liability Coverage Part:
Not Applicable Damages Limit for Each Occurrence, Wrongful Act or Claim
Not Applicable General Aggregate Limit
Not Applicable Claims Expense Limit for Each Claim
Not Applicable Claims Expense Aggregate Limit
Applicable to Commercial General Liability Coverage Part:
$4,000,000 General Aggregate Limit (Other Than Products -Completed
Operations)
$4,000,000 Products -Completed Operations Aggregate Limit
$2,000,000 Personal and Advertising Injury Limit
$2,000,000 Damages Limit for Each Occurrence or Claim
$50,000 Fire Damage Limit (Any one Fire)
$5,000 Medical Expense Limit (Any One Person)
RETROACTIVE DATE FOR THE ABOVE LISTED LIMITS: Not Applicable
The above increased limits apply only to the project performed for the City of National City.
FEI-522P-ECC-0708
9 021
9022
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 10A (Ed 07-07)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA
BLANKET BASIS
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our
right against the person or organization named in the Schedule. (This agreement applies only to the extent that you
perform work under a written contract that requires you to obtain this agreement from us.)
The additional premium for this endorsement shall be 2.00 % of the total policy premium otherwise due on such
remuneration.
The minimum premium for this endorsement is $ 350 no
Schedule
Person or Organization Job Description
ALL ORGANIZATIONS FOR WHOM THE WAIVER OF SUBROGATION IS
ISSUED
ALL CALIFORNIA OPERATIONS
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 10/10/2010
Policy No. 2200015400-101 Endorsement No. 1
Insured INNOVATIVE ENVIRONMENTAL SOLUTIONS (A CORP) Premium $
Insurance Company
Oak River Insurance Company
WC 99 04 10A
(Ed 07-07)
Countersigned by
A
1
I
0
I
oo/
9023
Effective Date: November 3rd, 2010
Western Surety Company
LICENSE AND PERMIT BOND
KNOW ALL PERSONS BY THESE PRESENTS:
That we, RPMS-CA c/o Innovative Environmental Solutions
of the City of Encinitas , State of California , as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of
California
City of National City
Bond No. 24859022
, as Surety, are held and firmly bound unto the
, State of California
, as Obligee, in the penal
sum of Two Thousand and 00/100 DOLLARS ($2, 000.00 ),
lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made,
we bind ourselves and our legal representatives, firmly by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been
licensed Encroachment Permit
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply
with the laws and ordinances, including all amendments thereto, pertaining to the license or permit
applied for, then this obligation to be void, otherwise to remain in full force and effect until
November 3rd 201 3 , unless renewed by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class
U.S. Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration
of thicw'�, a from the mailing of said notice, this bond shall ipso facto terminate and the Surety
sh l'Cz�eup llieved from any liability for any acts or omissions of the Principal subsequent to said
de S'•,e"the number of years this bond shall continue in force, the number of claims made
azts is bo the number of premiums which shall be payable or paid, the Surety's total limit of
141"sfl shall not b4 ZElnulative from year to year or period to period, and in no event shall the Surety's total
lit Ity4LtaRro4f g"gexceed the amount set forth above. Any revision of the bond amount shall not be
I cCA �* i Y .y
I V ,e Q�\`
Dated'ttl'ito 13th day of December 2010
Rpms-Ca C/O Innovative Environmental
Solutions
Principal
Principal
WESTE 13SURET COMPANY
By
Paul T. Bruflat, Sfnior Vice President
i
i
Form 532-1-2010
'STATE OF SOUTH DAKOTA l ss
COUNTY OF MINNEHAHA l(
ACKNOWLEDGMENT OF SURETY
(Corporate Officer)
9024
On this 13th day of December 2010 , before me, the undersigned officer,
personally appeared Paul T . Bruflat , who acknowledged himself to be the aforesaid
officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, executed
the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such
officer,
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
✓ r
✓ S. EICH ,
r NOTARY PUBLIC r
: • SOUTH DAKOTA )
+ +
My Commission Expires February 12, 2015
STATE OF
COUNTY OF
} SS
Notary Public — South Dakota
ACKNOWLEDGMENT OF PRINCIPAL
(Individual or Partners)
On this day of
, before me personally appeared
known to me to be the individual _ described in and who executed the foregoing instrument and acknowledged to me
that _he — executed the same.
My commission expires
STATE OF
COUNTY OF
�ss
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL
(Corporate Officer)
On this day of
, before me personally appeared
who acknowledged himself/herself to be the
of , a corporation, and that he/she as
such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing
the name of the corporation by himself/herself as such officer.
My commission expires
E
0
U
s
E
License or Permit No.
0
aJ
Name of Applicant
co
Notary Public
0
O.
0
0
Western Surety Company 9025
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and
authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut,
Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey,
New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United
States of America, does hereby make, constitute and appoint
Paul T. Bruflat of Sioux Falls
State of South Dakota , its regularly elected Senior Vice President
as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on
its behalf as Surety and as its act and deed, the following bond:
One Encroachment Permit City of National City
bond with bond number 24859022
for RPMS-CA c/o Innovative Environmental Solutions
as Principal in the penalty amount not to exceed: $ 2,000.00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company
duly adopted and now in force, to -wit:
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys -in -Fact or agents who shall have authority to Issue bonds, policies, or undertakings in the name of the Company. The corporate seal is
not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any
such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Senior Vice President with the corporate seal affixed this 13th day of December
2010
ATTEST WESTEURETG.COMPANY
STATE
CO
Paul T. BruflaC, Senior Vice President
659. 7-d.414r71
L. Nelson, Assistant Secretary
`ie@co�n(P�t t r se r rr�rrytriro.
.z i FOR r, �p�JPA✓
i4Wif •• Dra -/ ~G
:tali: �a
OFSOUTHDAKOTA1 *S� j )`
JI
UNTY OF MINNEHAHA .p jp AA rPrOiN M it`�r44
On this 13th day of December 2010 , before me, a Notary Public, personally appeared
Paul T. Bruflat and L. Nelson
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Senior vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
SS
voluntary act and deed of said Corporation.
+ +
i D. KRELL
+ NOTARY PUBLIC •
a SOUTH DAKOTA f
+%%%%%w0000 o,%%%%%%Y%%'I +
My Commission Expires November 30, 2012
By
Notary Public
Form F1975-9-2006
MI®
Western Surety Company
RIDER
It is hereby mutually agreed and understood by and between the Principal and Western
Surety Company, that instead of as originally written:
The description has been changed to read:
Encroachment Permit Security Deposit For The Life of The Monitoring
Wells Installed
No further changes other than above.
9026
Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, limits or
conditions of the Bond
`"Ne i�}r ('r
s. �.Yip
twe a :g+•. one
B W
v.
, except as hereinabove set forth.
effective on the 14th
'clock a.m., standard time.
g�� •
`i,li"�` Bond No 24859022
,, h& id an�, timing part of
issu' ;2`V E R N S U R E T Y C O M P A N Y of Sioux Falls, South Dakota, to
RPMS-CA C/O Innovative Environmental Solutions
day of February
2011
, at
Signed this 14th day of February
2011
WESTER SURETY�j`COMPANY
By ez -�— / .
Paul T. Bruflat, Se or Vice President
Form 128.4-2002
i•
WILSNItE
w
INTERLINE
WI 00 99 07 06
DATE: 02/18/2011
WILSHIRE INSURANCE COMPANY
P.O. Box 7006, Lancaster, California 93539-7006
NOTICE OF CANCELLATION / NONRENEWAL
To ALL Insureds, Loss Payees, and Other Interests named in the Policy shown below:
Additional Interest
CITY OF NATIONAL CITY
1243 NATIONAL CITY BLVD*
NATIONAL CITY, CA 92050-0000
9927
[Policy Number:
BA2490250 57 02
We are notifying you, in accordance with the Terms and Conditions of the policy shown above, that your policy will
cease at 12:01 a.m. Standard Time at the first Named Insured's Mailing Address on the date shown below:
CANCELLATION / TERMINATION DATE OF POLICY:
03/20/2011
PREMIUM ADJUSTMENT: If this policy is cancelled and the premium has not been paid, the earned premium due
and payable shall be computed as provided in the policy, and demand is hereby made for payment thereof. If
premium has been paid, the excess paid premium above the earned premium, if any, if, not tendered with this
Notice of Cancellation/Nonrenewal, will be refunded as soon as practicable after cancellation becomes effective.
The following, when applicable, have also been
notified (by separate notice) Certificate Holder(s),
Additional Insured(s) or Interest(s), and all
Domestic and Foreign Motor Carrier Regulatory
Entities.
Named Insured:
JOSE LUIS ALVARADO
DBA:J A T TRANSPORT, INC.
4313 GREYSTONE CIRCLE
RIVERSIDE, CA 92509-0000
AVAILABILITY OF OTHER INSURANCE
We are notifying you that we are cancelling your policy for
Commercial Automobile insurance. Other insurance is
possibly available through your agent, another insurer or
through the Automobile Insurance Plan. For additional
information, please contact your insurance agent.
Countersigned at Lancaster. California on 02/18/11
Policy Issued through Agency:
THE EMPIRE COMPANY
PO BOX 5400
RANCHO CUCAMONGA, CA 91729-0000
WI 00 99 07 06
Authorized Representative
Countersignature
Producer Code: 150670008
ADD'L INSURED
02/18/2011
1IUIlt IIIII III IIIII111IIIIIIIIIIIIIII111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111IIIIIIIIIIIIIIIIIIIIIIII111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIn11lVIIIIIIIIIIIIIIIIIIIIIIII
Page 1 of 1
ALL PURPOSE ACKNOWLEDGEMENT
STATE OF CALIFORNIA
COUNTY OF SAN DIEGO
}
}
8028
On April 20, 2011 before me, MICHAEL R. DALLA, City Clerk personally
appeared RON MORRISON, MAYOR who proved to me on the basis of
satisfactory evidence to be the person whose name is subscribed to on the
attached instrument, and acknowledged to me that he executed the same in his
authorized capacity, and that by his signature on the instrument the person, or
the entity upon behalf of which the person acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California
that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature
ichael R. ' alla — City Cler
RESOLUTION NO. 2011 — 88
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY
APPROVING AN ENCROACHMENT PERMIT AND AGREEMENT
WITH RESTRUCTURE PETROLEUM MARKETING SERVICES FOR
THE INSTALLATION OF FOUR GROUNDWATER MONITORING WELLS
IN THE VICINITY OF TOLAS COURT, 7TH STREET, AND SALOT STREET
WHEREAS, the Restructure Petroleum Marketing Services ("RPMS"), through its
contractor, Innovative Environmental Solutions, is seeking an encroachment permit and
agreement for the installation of four groundwater monitoring wells in the vicinity of Tolas Court,
7th Street, and Salot Street; and
WHEREAS, three of the four monitoring wells will be located within the public
right-of-way, and the fourth will be located on private property; and
WHEREAS, the monitoring wells are a requirement of the County of San Diego
Department of Health Environment to perform liquid phase hydrocarbons fingerprinting, and to
fully assess dissolved -phase benzene in groundwater.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National
City hereby approves an Encroachment Permit and Agreement with Restructure Petroleum
Marketing Services ("RPMS"), through its contractor, Innovative Environmental Solutions, for the
installation of four groundwater monitoring wells in the vicinity of Tolas Court, 7th Street, and
Salot Street, as required by the County of San Diego Department of Health Environment. Said
Encroachment Agreement is on file in the office of the City Clerk.
PASSED and ADOPTED this 19th day of April, 2011
on Morrison, Mayor
ATTEST.
Mich. -I R. Dalla, Ci Clerk
APPROVED AS TO FORM:
Claudia G. Silva
City Attorney
Passed and adopted by the Council of the City of National City, California, on April 19,
2011 by the following vote, to -wit:
Ayes: Councilmembers Morrison, Natividad, Rios, Sotelo-Solis, Zarate.
Nays: None.
Absent: None.
Abstain: None.
AUTHENTICATED BY: RON MORRISON
Mayor of the City of National City, California
4
City
Q
erk of the City o National City, California
By:
Deputy
I HEREBY CERTIFY that the above and foregoing is a full, true and correct copy of
RESOLUTION NO. 2011-88 of the City of National City, California, passed and adopted
by the Council of said City on April 19, 2011.
City Clerk of the City of National City, California
By:
Deputy
CITY OF NATIONAL CITY, CALIFORNIA
COUNCIL AGENDA STATEMENT
•1'1•c.
MEETING DATE: April 19, 2011
AGENDA ITEM NO. 10
TEM TITLE:
A Resolution of the City Council of the City of National City approving an Encroachment Permit and an
Agreement with Restructure Petroleum Marketing Services (RPMS) for the installation of four (4) units
groundwater monitoring wells located at the vicinity of Tolas Court, 7th Street and Salot Street,
National City.
PREPARED BY: Mauro Nebreja
PHONE: 336-4395
EXPLANATION:
See attached.
DEPARTMENT: Development Services/
Engineeripg,Di�uision
FINANCIAL STATEMENT:
ACCOUNT NO.
The permit fee of $490.00 will be deposited to the
Revenue Acct. No. 001-06029-3585.
ENVIRONMENTAL REVIEW:
N/A
ORDINANCE: INTRODUCTION:
FINAL ADOPTION:
APPROVED:
APPROVED:
Finance
MIS
STAFF RECOMMENDATION:
Adopt the Resolution.
BOARD / COMMISSION RECOMMENDATION:
N/A
ATTACHMENTS:
Resolution 5. Insurance Certificate
2. Notarized Encroachment Permit and Agreement 6. Copy of Surety Bond
3. Receipt of Fee Paid (including performance cash deposit)
4. Exhibit A and B
OFFICE OF THE CITY CLERK
1243 National City Blvd.
National City, California 91950
Michael R. Dalla, CMC - City Clerk
619-336-4228 phone 619-336-4229 fax
RESTRUCTURE PETROLEUM MARKETING SERVICES
RESOLUTION NO. 2011-88
Adopted 04-19-11
Resolution of the City Council of the City of National City
approving an Encroachment Permit and Agreement with
Restructure Petroleum Marketing Services for the
installation of four groundwater monitoring wells
in the vicinity of Tolas Court, 7th Street and
Salot Street.
Received 1 Fully Executed Original Encroachment Agreement
o
Print Name
Date