CITY OF OLATHE. Please type or print. PROPERTY OWNER NAME (PERMIT HOLDER): OWNER AGENT: ADDRESS: CITY: STATE: ZIP:

Similar documents
Guidelines for Submittals for Land Disturbance Permits

CITY OF PETALUMA. POST OFFICE Box 61 PETALUMA, CA ADDENDUM NO. 1. AIRPORT PREVENTIVE MAINTENANCE RAMP CRACK SEAL City Project No.

CONTRACT. This agreement, made and entered into this day of, 2013, in Reno, Nevada, by and between the City of Reno, hereinafter called the City, and

LAND IMPROVEMENT AGREEMENT

BOND FOR FAITHFUL PERFORMANCE

PERFORMANCE BOND. Surety Bond No. STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF

MAINTENANCE & WARRANTY BOND. Carroll County Board of Commissioners 423 College Street, Carrollton, Georgia, 30117

BOND FOR FAITHFUL PERFORMANCE

Yurok Tribe Planning and Community Development Klamath, California. Yurok Justice Center Bid Documents EXHIBIT B: BID FORM

BUILDING PERMIT PERFORMANCE AND MAINTENANCE BOND (Owner and/or Contractor Form)

BOND INSTRUCTIONS 1. IF THE PRINCIPAL IS AN INDIVIDUAL OR PARTNERSHIP:

EXHIBIT VIII-N PERFORMANCE AND PAYMENT BONDING REQUIREMENTS

WEST BOYLSTON MUNICIPAL LIGHTING PLANT 4 Crescent Street, West Boylston, Massachusetts Telephone (508) Fax (508)

EXHIBIT F-1 (I) FORM OF DESIGN-BUILD LETTER OF CREDIT VIRGINIA DEPARTMENT OF TRANSPORTATION 1401 EAST BROAD STREET RICHMOND, VA ATTN: [ ]

RECEIVED AT WHICH TIME BIDS

ALASKA MORTGAGE LICENSEE SURETY BOND

Bid Addendum #1 Bid # 13/14-01FA: Furniture and Equipment Bid Issued March 19, 2014

BEFORE THE DEPARTMENT OF CORPORATIONS OF THE STATE OF CALIFORNIA EXHIBIT B BOND OF FINANCE LENDER AND/OR BROKER FINANCIAL CODE SECTION 22112

I-11 BOULDER CITY BYPASS DESIGN-BUILD PROJECT FINAL REQUEST FOR PROPOSALS NO A INSTRUCTIONS TO PROPOSERS EXHIBIT E PRICE PROPOSAL FORMS

Contract for St. Johns County School Board Osceola Elementary School Classroom Expansion

CITY OF RICHMOND PERFORMANCE BOND

Tender Security Form

September 16, 2016 CCTA Contract No. 427 Caltrans Contract No. 04-4H1604 Balfour Interchange Project

RULES OF DEPARTMENT OF REVENUE VEHICLE SERVICES DIVISION CHAPTER TITLE BONDS TABLE OF CONTENTS

C. Public-private partnership construction contracts. (a) Definitions for purposes of this section: (1) Construction contract.

ATTACHMENT NO. 1 BIDDER S PROPOSAL ACKNOWLEDGEMENT

E&S PERFORMANCE BOND

OHIO DEPARTMENT OF TRANSPORTATION

City of Malibu Stuart Ranch Road Malibu, California Phone (310) Fax (310)

APPENDIX B SURETY BOND FORM CASH BOND FORM LETTER OF CREDIT CERTIFICATE OF DEPOSIT

Bond No. GAS AND OIL DRILLING AND OPERATING BLANKET SURETY BOND KNOW ALL MEN BY THESE PRESENTS, THAT THE UNDERSIGNED. , Name of Corporation Permittee)

WEST VIRGINIA STATE TAX DEPARTMENT Revenue Division SAMPLE COLLECTION AGENCY BOND. (1) That we, (Principal): (2) Address:

Invitation to Bid. FUNDING: The project shall be funded entirely with County funds, and shall be governed by strict guidelines for use of funds.

SAMPLE CIGARETTE TAX CREDIT PURCHASE BOND

CERTIFICATE. Final. Upon. Instructions: letterhead. Page 1 of 3. CDC Documents. Revised 1/22/2018

BID: Escanaba WWTP Digester Roof Restoration

Administrative Report

CITY OF FREDERICK, MARYLAND PERFORMANCE BOND

FORM OF AGREEMENT BETWEEN CONSTRUCTOR AND OWNER

SURETY BOND GUARANTEEING PAYMENT

SURETY BOND (CORPORATION) (Public Resources Code )

NOTIFICATION OF ADDENDUM ADDENDUM NO. 2 DATED 11/05/2018

SURETY BOND-MINING (SUBSIDENCE) License No. Permit No. Bond No. (Name of Mine Operator)

JEFFERSON COUNTY Land Development SITE IMPROVEMENTS BONDING & BOND SURETY POLICY (Effective Date: September 2, 2010)

Protest Procedures. Any issues raised by the protesting party after the seven (7) calendar day period shall not be considered as part of the protest.

REQUEST PERMISSION TO TAKE MASTER ELECTRICIAN EXAMINATION AND RECEIVE MASTER LICENSE - FEE - $30.00 (RE-EXAM FEE - $25.00)

In replevin actions service of process may be made as provided by Rule 54. (Adopted April 4, 1977, effective December 1, 1977).

EXCAVATION BOND. To Cover Excavations on Property and Highways Belonging to Salt Lake County. THAT, we,, as Principal,

PERFORMANCE BOND. Date Bond Executed: Effective Date: Type of Organization: (Insert individual, joint venture, partnership, or corporation )

HIGHWAY TRAFFIC ACT DEALER S TRADE LICENSE REGULATIONS

STORMWATER TREATMENT DEVICE AND LOW IMPACT DEVELOPMENT STRUCTURE ACCESS AND MAINTENANCE AGREEMENT

Invitation for Informal Bid (IFIB) Summary. 3. Exhibit A Proposal / Bid Forms.. 7. Agreement. 12. Payment Bond 14. Performance Bond 17

Rock Island County Raffle License Application Packet

EXHIBIT WARRANTY BOND. (Address), hereinafter called Principal, and

RIGHT OF WAY OR OTHER TOWN PROPERTY STANDARD FORM

CONTRACT FORM CONTRACT #

Alaska Railroad Corporation

SUBDIVISION IMPROVEMENT AGREEMENT. (Date of Subdivision Map Recordation: )

EQUIPMENT RENTAL PROPOSAL AND CONTRACT (WHEN EXECUTED) DRUMORE, PA ADDRESS Proposals will be opened and read at approximately 1:00 P.M.

The Electrical Contractor s Guarantee Bond Regulations, 1988

ATTACHMENT B: SAMPLE CONTRACT (AGREEMENT)

Proposal for Bidding Purposes

CONTRACT AND BOND FORMS FOR

AGREEMENT 4 pages. SPECIFICATION 1 page. LABOR & MATERIALS 4 pages. PERFORMANCE BOND 4 pages

CITY OF GIG HARBOR MAINTENANCE BOND for ENCROACHMENT PERMIT City Project EN #: Surety Bond No.: DATE POSTED: PROJECT COMPLETION DATE:

Newark Unified School District 5715 Musick Ave., Newark, California Telephone (510) ; FAX (510)

13 14 Legal Name of Principal Signature Printed Name of Person Signing Title of Person Signing Name of Surety

Sunnyside Valley Irrigation District

SOUTH CAROLINA SECRETARY OF STATE EMPLOYMENT AGENCY

SUBDIVISION PUBLIC IMPROVEMENT PERFORMANCE AND MAINTENANCE SECURITY AGREEMENT

Special Provisions. Special Instructions to Bidders. Instructions to Bidders. General Conditions

Financial Information

CITY OF NORTH LAS VEGAS BID PROPOSAL., (hereinafter called Bidder)* a *, organized and existing under the laws of the State of

QUOTE DOCUMENTS FOR CALLANAN GYM FLOOR REPLACEMENT center Street. Des Moines, Iowa QUOTE # Q7088

FORM A: PROPOSAL (See B11) 1. Contract Title TRANSIT BUS MAINTENANCE AND REPAIR GARAGE EXPANSION DESIGN BUILD PROJECT

STORMWATER UTILITY MAINTENANCE AGREEMENT

APPROVED FOR THE CITY ENGINEER BY BOND CONTROL

SPONSOR OF MORTGAGE ORIGINATORS BOND

INSTRUCTIONS FOR SCHOOL APPLICATION

APPLICATION FOR 2019 SEWER AND WATER BUILDER S LICENSE

*INSTRUCTIONS* TO BONDING COMPANY FOR EXECUTION OF THE 2017 SEWAGE TREATMENT SYSTEM INSTALLER, SERVICE PROVIDER, AND SEPTAGE HAULER REGISTRATION BOND

Proposal for Bidding Purposes

*INSTRUCTIONS* TO BONDING COMPANY FOR EXECUTION OF THE 2015 SEWAGE TREATMENT SYSTEM INSTALLER, SERVICE PROVIDER, AND SEPTAGE HAULER REGISTRATION BOND

Proposal for Bidding Purposes

ALABAMA A&M UNIVERSITY Carter and Chambers Fire Alarm System(s) A. Project Identification: New Fire Alarm system(s) Carter/Chambers

SURETY BOND KNOW ALL MEN BY THESE PRESENTS, THAT THE UNDERSIGNED. (hereafter PRINCIPAL), whose principal place of business is,

PROCEDURE FOR 2016 CONTRACTOR REGISTRATION. The following requirements must be met in order to register whether a new application or renewal:

f? :~ PIERCE ATWOQDj c pierceatwood.com March 29, 2016 VIA OVERNIGHT DELIVERY

[1] TWO [2] PASSPORT SIZE [2X2] PHOTOGRAPHS OF THE APPLICANT [NO SUBSTITUTES].

Cherokee County Board of Commissioners

QUOTE DOCUMENTS FOR KING PARKING EXPANSION Forest Avenue. Des Moines, Iowa QUOTE # Q6747. Owner

ATHENS-CLARKE COUNTY BUILDING RELOCATION PERMIT APPLICATION

CONTRACT DOCUMENTS SPECIFICATIONS. for RAILROAD AVE. AND MAIN STREET TRAFFIC SIGNAL UPGRADE CITY OF FORT MORGAN, COLORADO.

Termination for Default,

Michigan Department of Natural Resources and Environment, Environmental Resource Management Division

PETITION FOR VOLUNTARY ANNEXATION NON-CONTIGUOUS LAND

(A) PROVIDE A SURETY BOND NOT TO EXCEED 15% ABOVE AGGREGATED PRIZE VALUE (B) WRITE A CHECK TO OFFICE OF LOTTERY AND CHARITABLE GAMES

EXHIBIT CONSTRUCTION CONTRACT BOND

FINANCIAL WARRANTY CORPORATE SURETY

BID FORM EAST LINCOLN COUNTY SEWER IMPROVEMENTS WSP # I

Transcription:

OFFICE USE ONLY: PERMIT NO. CITY OF OLATHE LAND DISTURBANCE PERMIT APPLICATION DEVELOPMENT-PLAT NAME: PROPERTY LOCATION: RELATED OLATHE PERMIT #: Please type or print. ESTIMATED DATE OF START OF CONSTRUCTION: DESCRIPTION OF LAND DISTURBANCE ACTIVITIES: NOI & SWPPP ATTACHED: PROPERTY OWNER NAME (PERMIT HOLDER): OWNER AGENT: ADDRESS: CITY: STATE: ZIP: PHONE #: FAX or EMAIL: CELL#: GENERAL CONTRACTOR COMPANY: CONTRACTOR AGENT: ADDRESS: CITY: STATE: ZIP: OFFICE PHONE #: FAX or EMAIL: CELL # EROSION CONTROL CONTRACTOR COMPANY: CONTRACTOR AGENT: ADDRESS: CITY: STATE: ZIP: OFFICE PHONE #: FAX or EMAIL: CELL #: # OF BMP FACILITIES ON SITE: ESTIMATED CONSTRUCTION COST OF FACILITIES:$ NUMBER OF ACRES TO BE DISTURBED: PERMIT FEE: (ACRES x $170) = $ PERFORMANCE BOND ATTACHED FOR (Construction Cost x 1.25): $ MAINTENANCE BOND ATTACHED FOR (Construction Cost): $ ABATEMENT BOND ATTACHED FOR (# of acres x $1500, min. $5000): $ Staff Contact: Michael Sylvester Phone: 913-971-9072 Email: msylvester@olatheks.org U.S.Mail Address: P.O. Box 768, Olathe KS 66051-0768 Delivery Address: 1385 S. Robinson Dr., Olathe KS 66061

LAND DISTURBANCE PERMIT INSTRUCTIONS Land Disturbance Permit is required for all projects that will disturb ground. When less than 1 acre of ground is disturbed, the abatement bond requirement will be waived. Related project number is project number associated with plan review (ie. The Building Permit plan review number) If the Land Disturbance Permit is required for site grading prior to issuance of another related city permit. The Land Disturbance Permit issued is temporary and only approves site grading. A separate permanent Land Disturbance Permit will be required before any site improvements other than grading can occur. If a permanent Land Disturbance Permit is applied for within 60 days of receiving a temporary Land Disturbance Permit, the permit fee will be credited toward the permanent Land Disturbance Permit fee requirements. If more than 60 days occurs, the applicant will need to pay the full permit fee when applying for the permanent Land Disturbance Permit. If the area to be disturbed remains the same or decreases, the abatement bond amount will be credited toward the permanent Land Disturbance Permit. If the area to be disturbed increases, a new bond will be required for the permanent Land Disturbance Permit. The NOI (Notice of Intent) and associated SWPPP (Stormwater Pollution Prevention Plan) for the NPDES Permit through KDHE must be submitted to the city for review when disturbing more than 1 acre before the Land Disturbance Permit will be issued. The Land Disturbance Permit Fee will be $170 per acre disturbed. Example 1: 0.5 acres x$170 = $85. Example 2: 10 acres x $170 = $1700 The Performance Bond is required for any BMP (Best Management Practice to clean stormwater runoff) facilities to be constructed as part of the permit. If the project doesn t include any BMP facilities, then no performance bond is required. The Maintenance Bond is required for any BMP facilities to be constructed as part of the permit. If the project doesn t include any BMP facilities, then no maintenance bond is required. The Abatement Bond is required for all Land Disturbance Permits that disturb more than 1 acre. The bond shall be for the amount of $1500 per acre of ground to be disturbed with a $5000 minimum. The number of acres to be disturbed needs to be clearly called out on the grading and erosion control plan submitted with the application.

MAINTENANCE BOND City of Olathe, Kansas KNOW ALL MEN BY THESE PRESENTS: THAT we, the undersigned, of, hereinafter referred to as "CONTRACTOR", and, a corporation organized under the laws of the State of and authorized to transact business in the State of Kansas, as "Surety", are held and firmly bound unto the City of Olathe, Kansas, hereinafter referred to as "CITY", in the penal sum of Dollars ($ ), lawful money of the United States of America for the payment of which sum will and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally by these presents. THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH THAT: WHEREAS, the above bonded CONTRACTOR has, on the day of, 20 applied for a Land Disturbance Permit with the aforesaid CITY for furnishing all materials, equipment, tools, superintendence, and other facilities and accessories, for the installation of all best management practice facilities for cleaning stormwater runoff described in the attached Land Disturbance Permit application and the construction plans approved in association with the Land Disturbance Permit application. NOW, therefore if the said CONTRACTOR shall construct or cause to be constructed and completed the entire improvement in accordance with specifications used by the City of Olathe for like improvements, and to the lines and grades shown on the plans, all to be done subject to the approval and acceptance of the ENGINEER for the said City of Olathe, and shall construct said with such materials in such manner that same shall endure without need of any repairs for the period of two (2) years from and after the completion of said improvement and acceptance thereof; and if the completion of said improvement and acceptance thereof; and if said improvement shall endure without the need of repairs for the period of two (2) years from and after completion and acceptance thereof as aforesaid, then this obligation shall be void; otherwise to be in full force and effect.

IN TESTIMONY whereof, the CONTRACTOR has hereunto set his hand, and said surety has caused these presents to be executed in its name, and its corporate seal to be hereunto affixed, by its attorney-in-fact duly authorized to do so at, on this day of, 20. Name Title Surety Attorney-in-fact State Representative (Accompany this bond with the attorney-in-fact's authority from the surety company certified to include the date of the bond)

PERFORMANCE BOND City of Olathe, Kansas KNOW ALL MEN BY THESE PRESENTS: THAT we, the undersigned, of, hereinafter referred to as "CONTRACTOR", and, a corporation organized under the laws of the State of and authorized to transact business in the State of Kansas, as "Surety", are held and firmly bound unto the City of Olathe, Kansas, hereinafter referred to as "CITY", in the penal sum of Dollars ($ ), lawful money of the United States of America for the payment of which sum will and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally by these presents. THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH THAT: WHEREAS, the above bonded CONTRACTOR has, on the day of, 20 applied for a Land Disturbance Permit with the aforesaid CITY for furnishing all materials, equipment, tools, superintendence, and other facilities and accessories, for the installation of all best management practice facilities for cleaning stormwater runoff described in the attached Land Disturbance Permit application and the construction plans approved in association with the Land Disturbance Permit application. NOW, therefore if said CONTRACTOR shall and will, in all particulars observe, perform, install, and abide by the requirements of the CITY s Municipal Code Title 17 as well as the plans and stormwater pollution prevention plan which describe work to be completed as set out in the attached Land Disturbance Permit, then this obligation shall be and become null and void; otherwise, it shall remain in full force and effect. PROVIDED, further, that the said surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the plans described in the Land Disturbance Permit application, or the work to be performed thereover, or the specifications accompanying the same, shall in any way affect its obligations on this bond and it does hereby waive notice of any change, extension of time, alteration, or addition to the terms of the contract, or to the work, or to the specifications:

IN TESTIMONY whereof, the CONTRACTOR has hereunto set his hand, and said surety has caused these presents to be executed in its name, and its corporate seal to be hereunto affixed, by its attorney-in-fact duly authorized to do so at, on this day of, 20. Name Title Surety Attorney-in-fact State Representative (Accompany this bond with the attorney-in-fact's authority from the surety company certified to include the date of the bond)

ABATEMENT AND PERFORMANCE BOND City of Olathe, Kansas KNOW ALL MEN BY THESE PRESENTS: THAT we, the undersigned, of, hereinafter referred to as "CONTRACTOR", and, a corporation organized under the laws of the State of and authorized to transact business in the State of Kansas, as "Surety", are held and firmly bound unto the City of Olathe, Kansas, hereinafter referred to as "CITY", in the penal sum of Dollars ($ ), lawful money of the United States of America for the payment of which sum will and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally by these presents. THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH THAT: WHEREAS, the above bonded CONTRACTOR has, on the day of, 20 applied for a Land Disturbance Permit with the aforesaid CITY for furnishing all materials, equipment, tools, superintendence, and other facilities and accessories, for the installation and maintenance of all measures for containing soil erosion resulting from all ground disturbance activities described in the attached Land Disturbance Permit application. NOW, therefore if said CONTRACTOR shall and will, in all particulars observe, perform, install, and abide by the requirements of the CITY s Municipal Code Title 17 as well as the plans and stormwater pollution prevention plan which describe work to be completed as set out in the attached Land Disturbance Permit, then this obligation shall be and become null and void; otherwise, it shall remain in full force and effect. If the CONTRACTOR fails to comply with any requirement of the Municipal Code, stormwater pollution prevention plan, or Land Disturbance Permit, the CITY shall give the CONTRACTOR 3 days after submitting written notice to comply with the requirement; and thereafter the CITY shall cause the work to be done to meet any such requirement; and the CITY shall be reimbursed from the penal amount of this bond for any costs incurred by the CITY for the work to be done. If as a result of a failure to properly install and maintain erosion control measures, sediment is found to have damaged or accumulated on property outside of CITY right-of-way beyond the limits of the permitted land disturbance area, the contractor will at his/her cost remove said sediment and repair any damage caused within 14 days; and thereafter the CITY shall cause the removal of sediment and repair of the damage and shall recover any costs incurred by the CITY as part of the removal and repair of the damage up to the agreed upon penal sum amount from this bond. If as a result of a failure to properly install and maintain erosion control measures, sediment is found to have damaged or accumulated on pavement in the CITY right-of-way, the contractor will at his/her cost remove said sediment within 4 hours of being made aware of said sediment; and thereafter the CITY shall cause the removal of sediment and shall recover any costs incurred by the CITY as part of the removal up to the agreed upon penal sum amount from this bond. 1

PROVIDED further, that the said surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the contract, or the work to be performed, or the specifications accompanying the same, shall in any way affect its obligations on this bond and it does hereby waive notice of any change, extension of time, alteration, or addition to the terms of the contract, or to the work, or to the specifications: PROVIDED further, that if the said CONTRACTOR shall construct or cause to be constructed and completed the entire improvement in accordance with specifications used by the City of Olathe for such improvements, all to be done subject to the approval and acceptance of the ENGINEER for the said CITY, and shall construct and maintain all measures needed to control erosion caused by the grading activities until such time as the conditions are met as described in the CITY s Municipal Code Chapter 17 to terminate the Land Disturbance Permit. Upon termination of the Land Disturbance Permit due to acceptance of work, then this obligation shall be void; otherwise to be in full force and effect. IN TESTIMONY whereof, the CONTRACTOR has hereunto set his/her hand, and said surety has caused these presents to be executed in its name, and its corporate seal to be hereunto affixed, by its attorney-in-fact duly authorized to do so at, on this day of, 20. Name Title Surety Attorney-in-fact State Representative Attach to the bond the attorney-in-fact's authority from the surety company certified to include the date of the bond. 2