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Signed Contract_Dubuque Rescue Mission Revocable License for 389 Main Street ROW Copyrighted October 7, 2019 City of Dubuque Consent Items # 24. ITEM TITLE: Signed Contract(s) SUMMARY: Braun Intertec for Roosevelt Street Water TowerAdvanced Geotechnical I nspection and Testing (Pressure Zone 2); Dubuque Rescue Mission Revocable License for placement of planters and trash receptacles in the public right-of-way at 389 Main Street. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File ATTACHMENTS: Description Type Braun Intertec Contract Supporting Documentation Dubuque Rescue Mission Rewcable ROW License Supporting Documentation � � IIIII ��II��IIIIIIIIII II I�IIIIIIIIIIII IIIIII IIIII� � Doc ID: 010347330007 Type: GEN � Kind: MISCELLANEOUS � Recorded: 09/05/2019 at 10:41:20 AM � Fee Amt: $47.00 Paqe 1 of 7 Dubuque County Iowa John Murphy Recorder File2 V��J-OOq 10506 � �, ; � � .� ; . � �, ;� ;, Prepared by: Gus Psihoyos,City Engineer,City of Dubuque,50 W. 13"'Street,Dubuque,IA 52001 (563 589-4270) 'i Return to: Gus Psihoyos,City Engineer,City of Dubuque,50 W.13"'Street,Dubuque,IA 52001 (563 589-4270) I; ;. � � REVOCABLE LICENSE � AUTHORIZING y _;�n ` C..��.�.u't�._> ��.,i��G+'� �� TO CONSTRUCT"��.��" (?f��-$�'P�.c,1�,, '3 `7' �IG��'�r� j; ON PUBLIC RIGHT-OF-WAY � ' �� Section 1. �'�� w�� u� as the owner of the premises, !i (business) (Licensee), known as ��`�,��,-��,� � a.�;;�., ��I�`�6t� in ! Dubuque, lowa, and legally described as ,�,��.t�i� ��,'�,� 6��`,��. -J� ��.�� `��' � be and is hereby granted a Revocable License an authority to construct and maintain �� '�, � �' � � (�f �.,,.� , (Encroachment) (see attachment for 'i I`ocation) under the terms and conditions set forth in this License. �i �� Section 2. The permission herein granted is expressly conditioned on ij Licensee's agreement to: � � a. Assume any and all liability for damages to persons or property which may r result from the existence, location, installation, construction or I; maintenance of said Encroachment; � � b. Procure and maintain in force during the term of this License a policy of � liability insurance as set forth in the attached Insurance Schedule or private policy of liabifity insurance which covers your encroachment of the � public right of way; as required by the City Manager � 0 c. Pay on behalf of the City of Dubuque, all sums which the City of Dubuque � shall become obligated to pay by reason of the liability imposed upon the City of Dubuque for damages of any kind resulting from the location, � installation, existence, construction or maintenance of said Encroachment � , sustained by any person or persons, caused by accident or otherwise to � defend at its own expense and on behalf of said City any claim against the � City of Dubuque arising out of the location, installation, existence, construction or maintenance of Encroachment and to pay reasonable attorney fees therefor; and � � �"e�w�r�ra �i ��t� � 1 a e1 E']O�a � , � � � �a d. Indemnify, defend and hold the City of Dubuque free and harmless from � any and all claims, including but not limited to damages, loss, liability and � expense for death and/or injuries to third persons or damages to property � of third persons, or for damage to any property of the City of Dubuque � which may occur as a result of or in connection with the location, j� installation, existence, construction, maintenance and repair of !i Encroachment. � !i , 'i e. Any speCial conditions as set fort for this License as i entified: i ,,�� i✓'�, , � Y r�t".c.. _�.? ,r !i , i; Section 3. The Encroachment shall be maintained in accordance with all applicable state and federal laws and regulations, and the Ordinances of the City of II'i Dubuque. � �� ; �, � Section 4. The permission herein granted is expressly conditioned upon Licensee's further agreement that should the right and privilege herein granted be �j,, rescmded or revoked by the City Manager, with or without cause, Licensee, shall withm ten (10) days after receipt of written notice from the City Manager, so to do, at its own '� expense, remove said Encroachment at Licensee's expense and dispose of the same, �� and Licensee shall have no claim against the City or its officers, agents, or employees �j for damages resulting from the removal of said Encroachment. �; ,, Section 5. Licensee covenants and agrees that the Revocable L.icense herein � granted does not constitute an approval of the design, erection, location, construction, repair or maintenance of said Encroachment and Licensee hereby covenants and � agrees not to assert such clair�n or defense against the City of Dubuque on the event of � claim asserted for death, personal injuries and/or property damage against Licensee � arising out of or in any way connected with the location, installation, construction, ;, design, repair and maintenance of the Encroachment. � Section 6. This Revocable License shall become effective and the rights ' hereunder accrue to Licensee when this License has been approved by the City i Manager and the terms and conditions thereof accepted by_ Licensee,by acceptance endorsed on this License. This Revocable License is not assignable or transferable to another location. This license is for this property only. Section 7. The City Clerk shall file a copy of this License at Licensee's � expense in the Office of the Recorder in and for Dubuque County, lowa. � � � 2 a � � � Section 8. lowa One-Call registration may be required by the Code of lowa. When applicable Licensee shall submit documentation to the City Engineer of lowa One-Call registration membership. � � Signed this �� day of �'` , 20�. I! N � Fl 7 � ' hael C. Van Milligen, City Manager � � '�i i ii Atte st: h� � '�i �� ;. ��.�. I� � �� '' �� il Kev��i S. Firnstahl, City Clerk ,,I �I ;i �; State of lowa ) � SS� I�1 County of Dubuque ) � � On this �� day of (.�- " , ��/ � , before me, the p undersigned, a Notary Public in and for t e State of lowa, personally appeared Michael � C. Van Milligen and Kevin S. Firnstahl, to me personally known, who, being by me duly ;i sworn, did say that they are the City Manager and City Clerk, respectively, of the City of E Dubuque, lowa, a municipal �orporation, that the �eal affixed #o the foregoing ;; instrument is the corporate seal of the corporation, and that the instrument was signed a and seale on behalf of the cor oration, ' ' , on the � day of , r.�GI , and Michael C. Van Milligen and Kevin S. Firnstahl � acknowledg the execution of the instrument to be their voluntary act and deed. � � � ,P�' cs KERRY JO BRApLEY Nota P� lic in and for s� d State o � Commission Number 808090 x ,°°• My Cornmissian Expires r�P � ___.`^�-„�r°�c? 3 I � � e � � � � � � ; f I � P � �� a � i � ACCEPTANCE OF TERMS AND CONDITIONS OF LICENSE `; � The undersigned, being duly authorized to execute this Acceptance on behalf of '? ��da��U�L�±��i., (i�.;l. ,��1� , and having read and being familiar with the terms I+I and conditions of the Revocable License, accepts the same and agrees to be bound by � the terms and conditions herein. i'I ;; ,I � LI NSEE: �f �,�, ? ; ig t re !' B �� y' ;-.-� -��.�1� u i Title: ��IF i � r� �i , Dated: �`� 2-0 Q �, _ �i I ;i Signature requires notary— Use "All Purpose Acknowledgement" on next page �� Ii !i �, �� ' il fi ;I l; „ r I I� ; �� II � � ' � � { � , � � � � � � 4 �� ALL PURPOSE ACKNOWLEDGMENT STATE OF IOWA ) � COUNTY OF DUBUQUE ) � � On this � day of ��'' , 20�, befor. me„ t e undersigned, a � � Nota Public in and for said State e�a eared • � '�' 1 rY , p Y p P (NAME/S) to me personally known, OR proved ' me on the basis of v satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within � instrument and acknowledged to�me that he/she/they executed the same in his/her/their � authorized capacity(ies), and that by his/her/their signature(s) on the instrument the �� person(s) acted, executed the instrument.` '', � (Notary Seal� � � � r �� ,{ � _ , � �p.�+ s KERRYlO BItAQLEIf ' (Slgtl 111 Itlk� � � Comm�ssian Number$0809U � � °°' '` M o missi Exp tes f � � ',�,P ' '��..- � `�Y� � �print/type name) I � � � Notary P lic in"and ,, r State of lowa '�� f i� � CAPACITY CLAIMED BY SIGNER I� _ INDIVIDUAL � CORPORATE OFFICER(S) (Title) , ;; ;� � (CORP SEAL) �� AFFIXED � „ NO SEAL PROCURED " � R, _ PARTNER(S) LIMITED GENERAL li u RTTORN EY-!N-FACT � � TRUSTEE(S) w GUARDIAN/CONSERVATOR � �� OTHER � � � SIGNER IS REPRESENTING: � � Name of Person(s) or Entity(ies}: � � � � 5 . � � � � ; y � CITY OF DUBUQUE ENGINEERING DEPARTMENT � APPLICATION FOR LICENSE OF ENCROACHMENT-DETAIL SHEET OWNER: �>lA 1�i ��.�f.Q._. �V�1��t'� Date: ��f1�1� OWNER MAILING: ��j�-,' '1(�„(,�,t� 'C,,--�-- Contact Na e&Phone Number� � CITY/STATE/ZIP: „�a � "�". � � _- „�, '�� '"�,811��" "'I��'��.�� . � �. � `. �,,��j ��'' j LOCATION: �'�L� �,�A6/1�-. 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V v U V'�t.�. l.r�l��G�� "�"�� 1`L�.(r`�r ` 'i� Submitted: �. ✓ Letter of Application � I'i Application License � � � .� � '� (nsurance Certificate . i 'I Drawing w/dimensions ,,,� & right-of-way - Use Attached Detail Drawing Sheet or Scaled plan of your choice ; License Fee J ($250.00 UNLESS OTHERWISE INDICATED) i (Does not mclude Permit to Work In Right of Way Fee or Recording Fee) i * Amount of staff investiqation, review, involvement, reason for encroachment, mav � necessitate the adiustment of this fee and will be determined bv the Citv Manaqer. �I� Recordinq fee for this document is not included. ';� �;i Any permits throuqh Buildinq Services or other departments are not included. � � � , _ � STANDARD FORM FOR "REVOCABLE" ENCROACHMENT LICENSE I� Rev 1 22 2014 Rev. 11 18 2015 2b tl � � 4 G � �p I I �