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, _ _ <br /> . � , <br /> Permittee agrees to defend, indemnify and hold harmless the City, iq City Council, vfficera, agents,cfficta�a <br /> and empioyees frorn and agatnst all clalms, demands, expensea and liability, includinq but not limited to, <br /> peraona!injury and propeny damage eriaing out of or related to work pertormed by the permittee pu�auant to <br /> this permit,or arising out oi or related to tho tailure an the <br /> or a�ising out of or roleted to the atructuras or�ncroachmen a placed in ont und�ef or over the�suifat:e c�fma�nly <br /> right-of-way or Clty�+roperty pursuant to this permk. <br /> Permittee ahall file end maintain on file with the City evldence of self-inaurance or a certificate ot fnsuranoe <br /> demonstratlng public liebility and property damage insurance coverage of a type and'm amounts determined <br /> su�cient by the City's Riak Mana�er. 7he insurance coverage ehall insure the permittee and the City, its <br /> City Coundl, officers, agents,omcfals and employeea, apainat any loss by reason of inJuries to,•or death of <br /> Persons,or damages to property arising out of or rotated to any work performed by the permitOee, its apents <br /> or empbyees pertormed under thie permit,or ariainp out of the fatlure on the pertnittee'a pa�t to perform work <br /> under this permit,or ariain�from or caused by the atructuroa or encroachments pl�osd in,on, under or ove� <br /> the surface of any right-of-way or Clty property pursuant to thia permit. Such inaurance shall be prlmary and <br /> proviqe coverage for afl liability assumed by the pemiittae for work performed under this permit and shall be <br /> provided by tha permittee in minimum amounts as required by the City's Risk Manager, <br /> �n submlttiny this app�/cetion, App/kant(s) �groe(s)to 8ccept end comp�yr with aN tenns and condJticns aet <br /> forth !n thls pennit appllcation, and�pares fha/,seld terms, conditions snd provisirons shall be bindln� on <br /> permittee(s),co-owners.hefrs, a na,tmn�s and asors oflntervst ot every natwe. <br /> Applicent(s)Signeturo(s): -� '' � <br /> Date:�/�8/15 <br /> Applicent(s)Sipneture(s): �te. <br /> (Rase�ved for Crty's use) <br /> PERMIT GRAN'I"Ep gY CITY ENGINEER�CITY OF REDWOOD CITY <br /> PermltValfd From: 5-5-15 8-5-15 <br /> �o: <br /> Fees Patd: $5000 Bond/8ecurity; western Surety Co. <br /> Evldencs of Insurence Provlded• Financial Pacific Insurance Co <br /> Address/Location of Activlty: 555 Twin Dolphin D�. <br /> Nature of Perrnttted Acttvity: �N� �PE conduits to connect fiber op ic c le <br /> CondltlO�S:*"permlt ar,.,�p�nuant To T� �j� wM •�•o�e .. <br /> KAo � - � <br /> Pern't1t Issusd By n this dete:_ .S�/G Iir <br /> P�rmittee's Acceotance of Cltv'a Permit Term�and Seecisl P�r,.,�.r na <br /> Perm!ltes(s)heieby accepts fhis permR s�bject to al/terms snd canditlons set fath in the permit applicaf/on <br /> and afteched Special Prnvfsions foim, snd egrees 1/tet eN of aald terms, condltJons end provisiona eha//ba <br /> binding on Pem�ittee(s),co-owners,he' slgns,t sferees ccessors of infe�st o/every nature. <br /> Pennittee(s)Signatu e(s); y <br /> Date: 3/18/15 <br /> Penr�ittee(s)Signatu-e(s): <br /> Date: <br /> Work 3att�factorlly Completed:Inspector <br /> Date: <br />