HomeMy WebLinkAboutJoseph Leroy/Stannard Cleaners
May 4, 2005
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C\TY CLERKS OFF\CE
City Attorney's Office
Phone: (920) 236-5115
Fax: (920) 236-5090
Mr. Joseph LeRoy
1900 Cliffview Ct.
Oshkosh, WI 54901
RE:
Privilege in Street Permit/City of Oshkosh
Sec. 66.045, Wis. Stats.
Dear Sir:
On April 12, 2005, by resolution #05-92, the City of Oshkosh Common Council approved your request
for a privilege over sidewalk permit subject to certain conditions that are made a part of the approval
resolution. In order for the permit to be valid, each one of these conditions must be satisfied.
To that end, please find enclosed for your signature an Agreement releasing, and holding the City
harmless, from all liability arising from your use of the permit. This, along with the insurance filing
" requirements ($200,000/$500,000 limits) are part of state law that enables the City to allow you this use.
e ~ndly return to this office the signed Agreement along with your proof of insurance, either a separate
policy or naming the City as an additional insured on your policy.
Please have the proper officials of your company execute and return to us as soon as possible. These
conditions of approval must be met before you exercise the privilege over the sidewalk. If not, the city
. is empowered to shut down any activities undertaken before the paperwork is finished. Direct any
questions about insurance and liability releases to this office. Any other questions concerning the
remaining conditions should be directed to the Public Works Department at 236-5065. Thank you very
much for your timely cooperation in these matters.
Sincerely,
CITY OF OSHKOSH
Lynn A. Lorenson
Asst. City Attorney
cc:
Pamela R. Ubrig--City Clerk
Dave Patek, Dir. of Public Works
Darryn Burich, Com. Development
~¡~"Iìs",,¥~~...:'."£¡MUNi¡Y DEVo! 00,.. I
653 N MAIN ST --------. --' ,v:~~NT I
OSHKOSH WI 54901 --'~'--J
COVERAGES
CSR BL DATE (MMIDDNYYY)
STANN-l 06 21/05
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.
ACORD,.
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
Burr-Sullivan-Richards
1010 W 20th Avenue
PO Box 2424
Oshkosh WI 54903-2424
Phone: 920-235-1980 Fax:90-2
INSURED
INSURERS AFFORDING COVERAGE
INSURER A: SECURA INSURANCE
INSURER B:
NAIC#
INSURER E:
INSURER C:
INSURER D:
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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LTR INSRt TYPE OF INSURANCE POLICY NUMBER PD9N~1ri~fJ~~E Pgk!PEY( ~:'b'W~~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
-
A X COMMERCIAL GENERAL LIABILITY BP 3096852 01/01/05 01/01/06 PREMISES (Ea occurence) $ 100,000
I CLAIMS MADE GU OCCUR MED EXP (Anyone person) $ 5,000
PERSONAL & ADV INJURY $1,000,000
-
GENERAL AGGREGATE $2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
-
A X ANY AUTO BP 3096852 01/01/05 01/01/06 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
PROPERTY DAMAGE $
, ",'" (Per accident)
GARAGE LIABILITY AUTO ONLY - EAACCIDENT $
==l ANY AUTO OTHER THAN EAACC $
, AUTO ONLY:
AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $1,000,000
A ~ OCCUR D CLAIMS MADE BP 3096852 01/01/05 01/01/06 AGGREGATE $
$
~ DEDUCTIBLE $
X RETENTION $10,000 $
WORKERS COMPENSATION AND I T~~ySJ~Wš I luE~-
A EMPLOYERS' LIABILITY BP 3096852 01/01/05 01/01/06 $ 100,000
ANYPROPR1ETORIPARTNERIEXECUTIVE- - EL. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 100/000
If yes, describe under EL DISEASE - POLICY LIMIT $500,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CITY OF OSHKOSH IS NAMED AS ADDITIONAL INSURED
CERTIFICATE HOLDER
CANCELLATION
CITYO-l SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
CITY OF OSHKOSH NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
ATTN CITY PLANNER IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
215 CHURCH AVE
OSHKOSH WI 54901 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
DAVID WAGNER
ACORD 25 (2001108)
@ACORD CORPORATION 1988
7~
AGREEMENT
WHEREAS, the City of Oshkosh has granted to the undersigned a privilege to place an obstruction
within the sidewalk right-of-way as follows:
Construction of an addition to the existing building with the proposed architectural style of
the building involving the creation of a hip style roof to project approximately 30 inches over
the sidewalk at an elevation above the sidewalk of approximately 27 feet at 653 N. Main Street,
per attached Exhibit A.
WHEREAS, State law provides that by its acceptance of this privilege the undersigned shall become
primarily responsible for damages to person or property by reason of the granting of the privilege;
NOW, THEREFORE, in consideration of the City of Oshkosh, a Municipal Corporation granting
permission to the undersigned to place an obstruction within the sidewalk right-of-way, the undersigned agrees
that he is solely responsible for his activities under this agreement. The undersigned hereby releases the City
of Oshkosh from all debt, claims, demands, damages, actions and causes of action whatsoever which may
result from the placement of an obstruction in the sidewalk right-of-way by the undersigned. Further, the
undersigned agrees to protect and hold the City of Oshkosh harmless against all actions, claims and demands
of any kind or character whatsoever which may in any way be caused by the activities under this privilege by
the undersigned or agents or employees. Further, the undersigned agrees to indemnify and refund to the City
all such sums which the City may be obligated or adjudged to pay, including the City's attorney fees and costs,
on such actions, claims or demands within 30 days after written request for such indemnification. The
undersigned agrees that this paragraph is to be liberally construed in favor of the City of Oshkosh, in
consideration of the privilege granted by the City under this agreement.
This agreement and the privilege cannot be assigned without the written consent of the City of Oshkosh. The
privilege is subject to all terms and conditions contained in any authorizing resolution adopted by the City of
Oshkosh Common Council, which is incorporated by reference as if fully recited within this document. By
executing this agreement and by using the privilege, the undersigned agrees to fully abide by such terms and
conditions, including revocation upon written notice for noncompliance with the authorizing resolution and this
agreement.
Dated this /'1 day of
~, 2005.
~~~
J PH EROY
STATE OF WISCONSIN)
) SS.
WINNEBAGO COUNTY)
Personally came before me this I i7iA day of .JV\ V\ ~ ,2005, the above-named JOSEPH
LEROY 10 me known 10 be the person who executed 1 !oregoãocument and acknowledged the same,
Notary Public, tJll>neÞ~ò . Co., Wisconsin
My Commissio~ --I ~
Attachment:
Exhibit A - Resol. #05-92 and attachments of Oshkosh Common Council Meeting 4/12/05.
APRIL 12, 2005
RESOLUTION
05-92
(CARRIED 7-0
LOST
LAID OVER
WITHDRAWN
)
PURPOSE:
GRANT PRIVILEGE IN STREET 1653 N. MAIN STREET
INITIATED BY:
JOSEPH LEROY 1 STANNARD CLEANERS, OWNER
PLAN COMMISSION RECOMMENDATION: Approved w/conditions
WHEREAS, Joseph LeRoy is proposing an improvement project to Stannard
Cleaners at 653 N. Main S1. to include construction of an addition to the existing building
with the proposed architectural style of the building involving the creation of a hip style
roof; and
WHEREAS, Joseph LeRoy has requested the Common Council grant him the
privilege of allowing the hip style roof to project approximately 30 inches over the
sidewalk at an elevation above the sidewalk of approximately 27 feet; and
WHEREAS, Section 66.045, Wis. Stats., provides for the granting of a privilege in
a right-of-way; and
WHEREAS, the Plan Commission has approved of this request with conditions.
NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of
Oshkosh that the proper City officials are hereby authorized and directed to grant
Joseph LeRoy the privilege of allowing a hip style roof to project approximately 30
inches over the sidewalk at 653 N. Main S1., per the attached, contingent upon the
following:
1 )
The petitioner secures and submits to the City Clerk a separate insurance policy
which names the City as an additional insured with a minimum coverage of
$200,000 per person and $500,000 in general aggregate.
It is the responsibility of the petitioner to file in a timely manner a new insurance
certificate with the City Clerk upon expiration of an existing certificate. Failure to
do so will result in the revocation of the privilege in street within ten (10) days of
notice.
The petitioner execute a hold harmless agreement with the City.
The property owner accepts responsibility for maintenance of the sidewalk, in
regard to the accumulation of snow and ice, to keep the sidewalk clear and safe
for pedestrian traffic.
The roof structure be designed to prevent direct roof drainage onto the right-of-
way.
2)
3)
4)
5)
PROPOSED BUILDING OVERH,lIJIIj
PRIVILEŒ IN STREET
MET A!.. COLUMN GoveR.
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