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2004-09-14_GENERAL DOCUMENTS - M1993041
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2004-09-14_GENERAL DOCUMENTS - M1993041
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Last modified
5/5/2020 3:43:37 PM
Creation date
11/23/2007 6:24:46 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M1993041
IBM Index Class Name
General Documents
Doc Date
9/14/2004
Doc Name
Compliance with Permit Stipulations
From
Banks and Gesso LLC
To
DMG
Media Type
D
Archive
No
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BURLINGTON <br />NORTHERN <br />RAILROAD <br />ADDENDUM TO BURLINGTON NORTHERN RAILROAD COMPANY <br />PERMIT NO. RIGHT-OF-WAY OCCUPANCY RW94-22596 <br />ys.eh <br />,J• •~ <br />`` ~?:_k . <br />The Permittee or his contractor(s) shall procure and maintain in full force and effect during the construction <br />period and all future maintenance or reconstruction periods, which require the use of heavy machinery or excavation <br />of soil upon Burlington's right-of-way or within fifty-feet (50') of Burlington's tracks the following insurance: <br />(1) Commercial General Liability Insurance, including contractual liability and products completed/operations, <br />against claims arising out of bodily injury, illness and death and from damage to ordestruction of property of others, <br />including loss or use thereof, and including liability of Burlington Northern Railroad Company, with minimum limits <br />for bodily injury and property damage of 51,000,000 for each occurrence, with an aggregate of 52,000,000. This <br />policy shall contain a 'Waiver of Transfer Rights" endorsement to waive any right of recovery that the insurance <br />company may have against Burlington Northern Railroad Company because of payments made for bodily injuries and <br />property damage. <br />(2) Business Automobile Policy Insurance, including owned, non-owned, and hired vehicles with minimum limits <br />for bodily injury and property damage of 51,000,000 per occurrence, on all vehicles that the Permittee or any of its <br />agents or employees may use at the time in connection with the performance of this Agreement. <br />(3) Worker's Compensation Insurance or coverage as required under the Worker's Compensation Act of the <br />applicable state. The policy should include occupational disease to required statutory limits, employer's liability of <br />51,000,000 to include FELA, if appropriate, and an "all states" endorsement. <br />Evidence (Certificate of Insurance) of the above insurance must be provided prior to commencement of work under <br />this Agreement. Burlington Northern Railroad Company shall not be a named insured under the above policies and <br />Permit No. TO shall be shown in the description section of the Certificate. <br />(4) A Railroad Protective Liability Insurance policy issued in the name of Burlington Northern Railroad Company <br />with limits of 52,000,000 for bodily injury and property damage per occurrence, with an aggregate of 56,000,000 <br />must be provided when construction work will be within fifty-feet (50') of our tracks. The policy will remain in force <br />during the construction phase of this project and must be provided priorto Burlington signing the Permit. <br />The Railroad Protective Liability coverage may be provided by exercising one of the two following alternatives:. <br />(a) Permittee or his contractor(s) purchase a policy on the open market or, <br />(b) Permittee or contractor(s) may participate in Burlington's Blanket Railroad Protective Liability Insurance Policy by <br />pa ing to Burlington, with Permit No. RW94.22596, the amount of 51060.00. <br />Contr ctor Subcontractor <br />PO Box 657 <br />Address <br />Harrisburg, IL 62946 <br />618 252 0551 <br />City, State, Zip, Phone Number <br />Address <br />City, State, Zip, Phone Number <br />Project Engineer's Name <br />Project Engineer's Name <br />If more than one Subcontractor is involved, attach additional information to this Addendum, together with <br />Insurance required. <br />
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