water main break permit us-81 alt 10/21/1980KANSAS DEPARTMENT OF TRANSPORTATION
STATE OFFICE BUILDING -TOPEKA, KANSAS 88812
JOHN B. KEMP, Secretary of Transportation JOHN CARLIN, Governor
City of Salina
P. 0. Box 746
Salina, Kansas 67401
P. 0. Box 857
Salina, Kansas 67401
October 21, 1980
File: 2705-85
US -81 Alt.
Salina, Kansas
Permit No. 2-5604
ATTENTION: Don Hoff, Assistant City Engineer
Dear Mr. Hoff:
We are enclosing approved copy of Highway Permit No. 2-5604,
to repair an 8 -inch C.I.P. water main located in the west ditch
of US -81 Alt.
Please notify Irvin D. Spillman, Area Superintendent at
Ellsworth, when this work has been completed.
Very truly yours,
R. L. ANDERSON, P.E.
District Engineer
-A&O
E. ALBERT GRAHAM
District Office Coordinator
:pm
Enc.
cc: Irvin D. Spillman, Area Supt.
Department of Transportation
P. 0. Box 147
Ellsworth, Kansas 67439
E. L. Fulton, P.E., Area Engr.
Department of Transportation
P. 0. Box 123
Ellsworth, Kansas 67439
White — Maint. Dept.. KANSAS DEPARTMENT OF TRANSPORTATION Permit No. ^ = " 0 4
Yellow— Petitioner
Maintenance Department
Pink — DistrictRoute Q ✓�
Green — Area
Blue — City or Sub—Area HIGHWAY PERMIT AGREEMENT
USE OF HIGHWAY RIGHT OF WAY
THIS AGREEMENT, made and entered into this 16th day of Oct' , 1980, by and between the Secretary of Transportation
h 11 11 City of Salina
oft a State of Kansas, hereinafter referred to in the Secretary, and
P.O. Box 746 Salina, KS
hereinafter referred to ss the "Owner," and
as the Agent, Lessee or Contractor of the Owner, hereinafter referred to as the "Agent." The Owner and Agent are hereinafter referred to col—
lectively as the "Petitioner," where both are applicable, otherwise Petitioner shall refer to the Owner.
WHEREAS, the Secretary has jurisdiction and control of all highway right-of—ways within the State Highway System of Kansas,
and
WHEREAS the Secretary believes it is in the interest of the Citizen's of the State of Kansas to permit certain work or projects to
be performed upon State Highway rights—of—way, and
WHEREAS, the Owner and/or Agent requests permission and authority from the Secretary to perform certain work, described
as follows:
Repair of an du C.I.P. viater plain located in the west ditch of U.S. 81
Alt.. (See attached location drawing)
involving State Highway right—of—way in, upon or along State Highway Rout U s"81 in Sec. 36 _Twp. 13S Range 3W
Saline gamy 0.1 teles south Prem U.S.81 Alt. & I-70 and
(Direction) -(eftser Junction)
WHEREAS, the Secretary has delegated full and complete authority to the District Engineers of the Kamm Department of Trans—
portation to execute Highway Permit Agreements, hereinafter referred to as Permits, for and on the Secretary's behalf.
NOW THEREFORE, in consideration of the permission granted hereunder by the Secretary to utilize State Highway rights—of—
way in the manner described above, the Petitioner agrees to the following terms and conditions:
1.0 PLANS: Petitioner shall furnish five (5) sets of comprehensive plow or sketches, Hifi" x 11"or larger, of the proposed work.
1.1 Plam for utility installatiow must include a description of the size, type, and method of installation for the proposed
facilities to be located within highway rights—of—way, and adequate sketches to indicate the location of the proposed iwtallation with
respect to the traveled way of the highway, the rights—of—way lines and, where applicable, the control of access lines.
-1.2 Placa for entrances must include a plan layout sketch or drawing for the proposed installation, and a description of the
location of the entrance, surfacing material, and provision for drainage structures.
2.0 MATERIAL AND METHODS: All requests to perform work in, upon or along State Highway rights—nf—way must be ap—
proved by the District Engineer.
2.1 The Petitioner shall furnish all material, do all work and pay all costs for the work described on this permit.
2.2 All utility installations shall comply with the conditions and requirements of the "Utility Accommodation Policy for
the Kamm Department of Transportation", current edition.
2.3 All entrance installations shall comply with the conditions and requirements of the "Driveway Control Standard Hans
and Regulatiom", current edition, as established by the Kanas Department of Tranportation. Proposals for commercial entrances must
be reviewed by the Urban Highways Department.
2A Drainage structure requirements shall be determined by the Petitioner, but said requirements are subject to review and
approval by the District Engineer.
2.5 Commercial Entrances shall be surfaced with material of the same general type and thickness as the adjacent highway
roadway surfacing.
2.6 All materials and construction methods wed on work within the limits of the right—of—way shall be equal to or better
than that required by the Standard Specifications for State Road and Bridge Construction, current edition.
3.0 OBSTRUCTION OF TRAFFIC: Petitioner agrees that highway traffic will be free of interference unless specifically pro—
vided for as a part of this Permit. Traffic protection shall be in accordance with the Manual on Uniform Traffic Control Devices, current
edition.
4.0 RIGHT—OF—WAY: Petitioner agrees to restore said right—of—way to the condition existing prior to approval of the work
described on this Permit.
4.1 Any sod, shrubs or trees destroyed by this work shall be replaced as directed by the District Engineer.
4.2 The right—of—way shall be kept free from parking, advertising sigm or any other commercial activity.
5,0 MAINTENANCE: All utility installations shall be maintained or caused to be maintained by the Owner.
Rev. 1-80 D.O.T. Form No. 304
6.0 BOND (cheek either 6.1, 6.2 or 6.8):
6.10 A check, or other suitable bond, in the amount of dollars g
made payable to the Kansas Department of 'Transportation, -hall be deposited with this Permit to guarantee satisfactory performance of
the conditions of the Permit before the Permit will be granted.
6.2 ❑ A standing bond has been filed with the Pascal Management Department by
in the amount of dollars $KDOT Reference No. (Bonding Co.)
6.310 No Bond Required.
6.4 Petitioner agrees, that if a check or bond is Filed pursuant to paragraph 6.1 or 6.2, said check or bond will be forfeited
or called if Petitioner fails or refuses to perform the work required under this Permit to the satisfaction of the District Engineer.
6.5 The District Engineer agrees that upon satisfactory compliance with all conditions of this Permit, said check or bond
will be released.
7.0 INITIATION AND COMPLETION OF WORK: Petitioner agrees to notify the District Engineer or his duly authorized repre—
sentative before work is initiated and again when the work is completed.
7.1 An approved signed copy of this Permit shall be on the premises before and during the period any work is performed.
7.2 Ali work, including right—of—way, restoration, shall be completed within calendar days of APPROVAL DATE,
otherwise this Permit is null and void. The District Engineer or his duly authorized representative may grant an extention of time provided
the request is submitted in writing and states the reasons for delay in completing the work.
8,0 LIABILITY: The Petitioner, his successor, or assigns, shall assume all risk and liability for accidents and damages that may
occur to persons or property on account of this work, and shall indemnify and hold the Secretary harmless from any and all costs, liabilities,
expenses, suits, judgements, or damages to persons or property or claims of any nature whatsoever arising out of or in connection with
this Permit, or the operation and performance thereunder by the Petitioner, his agents, employees, or sub—contractors. In this regard it is
further understood and agreed that the Petitioner shall obtain insurance coverage es may be required by the Secretary or the District Engi—
neer. (check either 8.1 or 8.2).
8.1 0 The Petitioner shall carry liability insurance to protect the public from injuries by reason of the carrying on of the work
to which this permit applies and to protect the Secretary from all liability on account of injuries to workmen, as provided by law, and to
protect the Secretary from all liabilities to any parson for damages sustained by reason of the carrying on of this work to which this Permit
applies.
•8.213 No liability insurance required.
8.3 The Petitioner agrees, that if liability insurance is required pursuant to paragraph 8.1, to file with the Secretary prior to
the granting of this Permit, "Certificates of Insurance" or other evidence to show that he caries Workmen's Compensation Insurance, Em—
ployer's liability Insurance, Standard Form Comprehensive Public Liability and Property Damage huurance, and Comprehensive Auto—
mobile Owned, Nonowned and Hired Insurance as recognized by the Commissioner of Insurance of the State of Kamal. The Standard Form
Comprehensive Public Liability and Property Damage Insurance shall carry the following coverages: minimum Coverage A "Bodily Injury"
each person $250,000; each accident $500,000; Coverage B "Property Damage" each accident $250,000; policy aggregate $500,000. The
Comprehensive Automobile Owned, Nonowned and Hired Insurance shall tarty the following coverages: minimum Coverage A "Bodily
Injury" each person $250,000; each accident $500,000; Coverage B "Property Damage" $250,000.
8A "Certificates of Insurance" shall include a clause requiring the insuror to notify the Secretary ten (10) days in advance
of any cancellation or change in insurance contracts.
8.5 Insurance as herein required shall be maintained in force until final release of the Petitioner by the District Engineer
from all obligation under the terms of this Permit. Said insurance contract shall cover claims for such length of time as said claims are per—
mitted by law.
9,0 HIGHWAY IMPROVEMENTS: In the event the Secretary deems it necessary or proper to make any alternation or improve—
ment along or upon the highway right—of—way which is the subject of lash Permit, the Petitioner agrees to hold the Secretary harmless for
any and all damage or injury to said Petitioner's construction, whether finished or unfinished, as well as damage or injury to Petitioner's
equipment, materials, employees, agents or contracted, and the Petitioner further agrees, that within a reasonable time after written notice
from the Secretary and without cost or expense to the Secretary, that he will altar, change the location of, or move his construction or
work.
9.1 Petitioner agrees that the work approved on this permit will be conducted in such a manner as not to Interfere with
construction or other work being performed by the Kansas Department of Transportation or it's contractors in the vicinity of the Perl—
tioner's work or project.
This Permit is hereby accepted and its provisions agreed to by the parties hereto.
City of Salina, KS
10/16180
Circle One: Agent — Leasee — Contractor Owrfar Z Date
Recommended
Asst. City Engineer
Title
Permit approved this.2/116 day of eto6 19429E
SECRETARY OF TRANSPORTATION
OF THE STATE OF KANSAS
q'
Permit No. 2 &,56 0 4
N
Ci
•CoO �
Q `
O
U v
V
J
M
N