HomeMy WebLinkAboutROW_Block_PartiesRIGHT-OF-WAY (ROW)
USE PERMIT REQUESTS
BLOCK PARTIES
INFORMATIONAL PACKET
Contents:
1. Right-of-Way Use Application for Block Parties (Form FE107) 1 page
2. Block Party Petition (Form FE161) 1 page
3. Right-of-Way Use Application Notice to Applicant (Form FE189) 1 page
4. Hold Harmless Agreement (Form FE002) 1 page
5. Right-of-Way (ROW) Use Permit Process (Form FE036) 2 pages
6. General Conditions for Issuance of Right-of-Way (ROW) Use Permits (Form
FE035) 3 pages
H:\FORMS\FE103.docPage 1 of 1
Right-of-Way UseCity of Auburn
ApplicationEngineering Division
Permit #:
Name of Organization:
Officer/Agent/Person Requesting Permit & Title:
Address:City/State/Zip:
Daytime Phone:Email:
Desired Use of Right-of-Way (if needed please attach a letter to describe more detail regarding the request):
Location of Right-of-Way:
Date(s) Requested:
The Department requires the name and daytime telephone number of three (3) responsible persons, any of which
can be contacted at any time during the life of the permit in the event the need arises.
Name:Daytime Phone:( )
Name:Daytime Phone:( )
Name:Daytime Phone:( )
Date:
Signature of Applicant
Documents Required:
Permit Application Fee *Legal Description
Initialed Notice to ApplicantContractor's Additional Insured
Signed Hold Harmless AgreementBond
Certificate of InsuranceSigned Petition (Abutting Prop. Owners)
Traffic Control Plan
* Fee Schedule:
Type B$60.00
Type C$100.001st year
$30.00each add'l year# of years ____ TOTAL __________
Type D$100.00plus add'l estimated staff time @ $50/hour
Street Closure add'l to Type B or C$90.00
Sidewalk Closure add'l to Type B or C$60.00
Parking Closure add'l to Type B or C$60.00
NOTES AND/OR CONDITIONS
1) This permit does not constitute approval or compliance with the rules, regulations, or requirements of any other
jurisdiction, which may relate to the above project.
2) If this permit is to be recorded with the County Assessor's Office, please attach a legal description.
For all questions, contact Amber Mund at 253.804.3120 or email amund@auburnwa.gov
FE068
PETITION FOR USE OF RIGHT-OF-WAY FOR A BLOCK PARTY
The persons signed below hereby petition the City of Auburn Public Works Department to use City
right-of-way for ____________________________________________________ (purpose of use).
Date of Party ROW Use Permit No.
Contact Person Daytime Phone
You must secure signatures of ALL persons
whose access is affected by the use of the right-of-way.
Name (please print) SignatureAddressDate
REF. H:\FORMS\FE161 (10/06)
Right-of-Way Use Application
Notice to applicant
Right-of-Way Use Permit #_______________
1. Applicant acknowledges receipt of “General Conditions for issuance of Right-of-Way Use
Permits”
Applicant’s initials:_______________
2. Applicant acknowledges that Right-of-Way Use Permit application fees are non-refundable.
Applicant’s initials:_______________
3. Applicant is responsible for planning in advance of the requested permit to allow sufficient
time for City review and determination that the application is complete and adequate for
providing a staff recommendation and forwarding to the Public Works Committee for
consideration.
Applicant’s initials:_______________
4. Applicant understands that submittal of an application and payment of the application fee
does not guarantee approval of the permit or limit in any way the conditions the City may
place on the permit, if approved.
Applicant’s initials:_______________
5. Applicant is solely responsible for providing all elements of the application as the City
determines is necessary to provide a complete and adequate application.
Applicant’s initials:_______________
6. Applicant acknowledges full responsibility for any liabilities arising from their use of the
right-of-way.
Applicant’s initials:_______________
H:\FORMS\FE189.DOC (10/06)
HOLD HARMLESS AGREEMENT
,
For and inconsideration of being given permission by the City of Auburn, Washington to
use City right-of-way (location and use as described on the permit)within the corporate limits of
the Cityof Auburn, Washington, the Applicant shall defend, indemnify and hold the City of
Auburn, its officers, officials, employees and volunteers harmless from any and all claims,
injuries, damages, losses or suits including attorney fees, arising out of or in connection with
activities or operations performed by the Applicant or on the Applicant’s behalf out of issuance of
this Permit, except for injuries and damages caused by the sole negligence of the City of
Auburn.
DATED THIS_______________________ DAY OF_______________ ,20___.
___________________________________________
SIGNATURE OF APPLICANT
____________________________________________
COMPANY OR ORGANIZATION
(If Applicable)
STATE OF WASHINGTON )
ss
)
County of ______________)
On this day personally appeared before me________________________, to me known
to be theindividual described in and who executed the within and foregoing instrument, and
acknowledged that_______________________ signed the same as________ freeand
voluntary act and deed, for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this_____ day of_____________20____.
_______________________________________
NOTARY PUBLIC IN AND FOR THE STATE OF
WASHINGTON, RESIDING AT__________________
MY COMMISSION EXPIRES __________________
FE002 (10/06)
GENERAL CONDITIONS
FOR ISSUANCE OF
RIGHT-OF-WAY (ROW) USE PERMITS
CONTRACTORS
1. Must be licensed with the State of Washington.
2. Provide Bond of 150% of job cost.
3. Must provide Hold Harmless Agreement for the City.
4. Must abide by insurance requirements below.
5. Must have additional insurance for "collapse", “underground" and "explosion" and "products
and/or completed operations".
6. All subcontractors working for the contractor shall be covered by items 1-5 above.
7. Must submit a traffic control plan, consisting of a map of the area and indicating placement of
cones and/or barricades. Cones and barricades must be supplied by the applicant.
8. Must comply with any special conditions/provisions.
9. If work is an emergency repair, Contractor agrees to comply with requirements under this
section, on the next working day.
ALL OTHER APPLICANTS
1. Must abide by insurance requirements below.
2. Must provide Hold Harmless Agreement for the City.
3. May need to submit a traffic control plan, consisting of a map of the area and indicating
placement of cones and/or barricades. Cones and barricades must be supplied by the
applicant.
4. Must comply with any special conditions/provisions.
5. If the use involves blocking a street or portion of a street for a block party, carnival, sale, etc.,
the applicant must provide a petition signed by all persons whose access is affected by the use
of the right-of-way.
BANNERS
A. Other than where the city itself places a banner across a right-of-way, only
organizations co-sponsoring community events or special events with the city may be
entitled to apply for a right-of-way use permit for a banner, provided that the co-
sponsor shall meet all of the following criteria:
1. An Auburn-based organization;
2. Nonpolitical in nature;
3. A nonprofit organization (having obtained IRS certification as tax exempt under
26 U.S.C. 501(CC)(3)) or government entities;
4. An organization that does not discriminate in regard to race, religion, color,
gender, national origin, creed, age, marital status, veteran status, disability
status, or any other basis prohibited by federal, state, or local law.
B. Qualified applicants may display temporary banner signs. These signs shall not
advertise or promote the sale of any product, commodity, or service for which a person
pays a fee except a non-profit community event.
C. In the event that there is a competing interest of qualified applicants for such a right-of-
way use permit for a banner, the city shall give priority to community events. For
organizations not advertising a community event, each qualified applicant may display
banners for a maximum of two 7-day periods within any calendar year. In the event of a
schedule conflict between a community event and another application, the community
event shall take precedence.
D. Banners shall conform to the city’s standard detail for banners and shall be erected by
the city on city-approved support standards at a city-designated location.
FILE: H:\FORMS\FE035 (01/07) Page 1 of 4
Requests to install banners shall be made by submitting a Right-of-Way Use application to the
City Engineer who shall have the authority to administer the issuance of any such permits. The
application shall be made on forms provided by the City Engineer and issuance of any such permit
shall be subject to insurance requirements, bond requirements, hold harmless agreements and
other administrative details as administered by the City Engineer.
Banners must be delivered to the Engineering Division in City Hall, 25 West Main Street, at least
three (3) working days prior to the scheduled installation for inspection by Engineering Division
will not
personnel for conformity to Standard Banner Detail. City staff notify applicants if they
have forgotten to bring their banner in on time. Banners must be picked up within 3 business days
of being taken down.
In the event a banner requires emergency attention by the City of Auburn, the City will remove the
banner, notify a person listed on the permit, and hold item or items at the Maintenance and
Operation Yard (1305 "C" Street SW) for pickup. If a minor problem comes to the attention of the
City, the problem (at the discretion of the City) may be corrected and permittee notified of further
corrections, if necessary. Failure to make necessary corrections may result in removal of the
banner.
FEE SCHEDULE
Right-of Way Use Permit Fees: (Per Ordinance No. 6125)
Type A – Banner: $30.00
Type B – Short term: $60.00
st
Type C – Long term: $100.00 for the 1 year / $30.00 for each additional year
Type D – Hauling: $100.00 + estimated staff time @ $50.00 per hour
The following additional fees may apply to Type B and Type C permits:
Street Closure – Type B or C: $90.00
Sidewalk Closure – Type B or C: $60.00
Parking Closure – Type B or C: $60.00
Permits for 30 days or longer shall expire at the end of five years from date of issuance unless
sooner terminated by the City.The applicant must ensure that the City has a current
insurance certificate to be kept in the permit file at all times.
The application fee for a right-of-way use permit shall be paid at the time the application is
filed, provided however, bona fide governmental agencies of the federal government or the
State of Washington or subdivisions thereof shall be exempt from payment of said fee.
REFUNDS
Right-of-Way Use Permit application fees are non-refundable.
APPROVALS
FILE: H:\FORMS\FE035 (10/07) Page 2 of 4
1. All ROW Use Permit Applications (except for applications requesting a banner on East Main
Street, haul route, or dumpster) shall be reviewed by City staff and approved by the Public
Works Committee and City Engineer.
2. For certain uses the Public Works Committee may direct staff to draft a formal agreement that
would require approval by the City Council where the Public Works Committee determines
there may be future public concerns with the use that are not known at the time of the
application.
3. For structures the City may require a financial security that guarantees the safe removal and
restoration of ROW once the permit expires or terminates. A bank assignment of funds or bank
letter of credit in the amount established by the City Engineer may be required at the discretion
of the City Engineer. A staff review of the proposal will determine the need for such securities.
INSURANCE REQUIREMENTS FOR ROW USE PERMITS (unless otherwise noted in the special
conditions for your permit)
The Applicant shall procure and maintain for the duration of the Permit, insurance against claims
for injuries to persons or damage to property which may arise from or in connection with
operations or activities performed by or on the Applicant’s behalf with the issuance of this Permit.
No Limitation
. Applicant’s maintenance of insurance as required by the agreement shall not be
construed to limit the liability of the Applicant to the coverage provided by such insurance, or
otherwise limit the City’s recourse to any remedy available at law or in equity.
Minimum Scope of Insurance
Applicant shall obtain insurance of the type described below:
1. Commercial General Liability insurance shall be written on Insurance Services Office (ISO)
occurrence form CG 00 01 and shall cover products liability. The City shall be named as an
insured under the Applicant’s Commercial General Liability insurance policy using ISO
Additional Insured-State or Political Subdivisions-Permits CG 20 12 or a substitute
endorsement providing equivalent coverage.
2. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles.
Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute
form providing equivalent liability coverage. If necessary, the policy shall be endorsed to
provide contractual liability coverage.
Minimum Amounts of Insurance
Applicant shall maintain the following insurance limits:
1. Commercial General Liability insurance shall be written with limits no less than $1,000,000
each occurrence, $2,000,000 general aggregate and a $2,000,000 products- completed
operations aggregate limit.
2. Automobile Liability insurance with a minimum combined single limit for bodily injury and
property damage of $1,000,000 per accident.
Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following provisions for
Commercial General Liability insurance:
1. The Applicant’s insurance coverage shall be primary insurance as respect the City. Any
Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess
of the Applicant’s insurance and shall not contribute with it.
FILE: H:\FORMS\FE035 (01/07) Page 3 of 4
2. The Applicant’s insurance shall be endorsed to state that coverage shall not be cancelled by
either party, except after thirty (30) days prior written notice by certified mail, return receipt
requested, has been given to the City.
Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII.
Verification of Coverage
Applicant shall furnish the City with original certificates and a copy of the amendatory
endorsements, including the additional insured endorsement, evidencing the insurance
requirements of the Applicant before issuance of the Permit.
CONTACT INFORMATION
For questions regarding the ROW Use Permit Applications please contact Amber Mund,
Engineering Aide, Auburn Public Works Department, at 253.804.3120 or send an email to:
amund@auburnwa.gov .
Auburn Public Works Department (253) 931-3010
Office hours are Monday through Friday, except holidays, 8:00am-5:00 pm.
If you have an emergency while using the right-of-way, outside of the Public Works Department’s
normal business hours, please call 911.
SPECIAL NOTES
If this permit is to be recorded with the County Assessor's Office, please attach a legal description.
FILE: H:\FORMS\FE035 (10/07) Page 4 of 4
RIGHT-OF-WAY (ROW) USE
PERMIT PROCESS
1. Submit a Right-of-Way (ROW) Use Application to:
Amber Mund, Engineering Aide
Public Works Department
City of Auburn
25 West Main
Auburn WA 98001
2. Once the City receives your ROW Use Application, the Public Works Department
staff will review the ROW Use Application and determine if additional information is
needed. You will receive a phone call requesting any additional information.
3. Once the City receives all the additional information, staff will review the request
once again. If the request is something that impacts the general public (i.e.: parade,
road closure, use over 30 days) then the application will need to go before the Public
Works Committee (PWC). The PWC meets twice a month and is made up of three
Councilmembers. You will be notified of this meeting and may be requested to
attend to answer questions regarding your application. At the PWC meeting, your
application materials will be reviewed. If the request does not need to go to the
PWC then it will take at least 5 working days for staff to review the request.
4. Periodically a ROW Use Application is approved contingent upon certain conditions
being met. These conditions will be set forth in the ROW Use Permit. The ROW Use
Permit will not be approved by the City Engineer until all conditions have been met.
5. If you have questions as to the status of your particular ROW Use application,
please feel free to contact Amber Mund, Engineering Aide, at 253.804.3120.
The ROW Use Permit process takes approximately three weeks, if no problems arise
and if requests for additional information are received in a timely manner.
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