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Home My WebLink AboutMS-11-0000 - Supplemental - 0130 Patchen Road.n 0�''gPV LICENSE AGREEMENT �La-�w KNOW ALL MEN BY THESE PRESENTS THAT the CITY OF SOUTH BURLINGTON, a municipal corporation situated in the County of Chittenden and State of Vermont (herejnafter "City', does hereby grant to A,� t z �,b►��_. G c.�.,, of iso PrJC' &'6 , South Burlington, Vermont (hereinafter "Grantee', a license for purpose of installing, repairing, maintaining and replacing a fence within the public right-of-way for A;,, e `-) e�.. a public roadway in the city of South Burlington. The grant of this License by CITY to GRANTEE is subject to the following terms and conditions: 1. No portion of the fence shall be I cated closer than 5 feet to the paved road surface of Pj�, z S iLf T 2. GRANTEE shall, at its sole cost, construct the fence so that it is structurally sound and maintain it in such condition. 3. In addition to any requirements contained in this License, GRANTEE shall construct and maintain the fence in accordance with any and all applicable federal, state, and City of South Burlington laws, regulations, and by-laws. 4. GRANTEE hereby indemnifies and holds CITY harmless from any and all claims, causes, actions, damages, and demands whatsoever, in law or in equity, resulting from or attributable to the cons ruction, maintenance or presence of the fence within the )',,, Situ- T right-of-way. 5. GRANTEE shall maintain liability insurance in the minimum amount of $ per person and $ per occurrence. GRANTEE shall provide CITY proof of such insurance if City so requests. 6. CITY retains the right to revoke this License at any time upon provision of sixty (60) days written notice of GRANTEE. 7. Upon termination of this License, GRANTEE shall have sixty (60) days to remove the fence from the �,�u �-�-c i right-of-way. Upon GRANTEE'S failure to remove the fence within such time, CITY may remove the fence and recover the cost of removal from GRANTEE in any manner provided by law. Such cost, if unpaid by GRANTEE shall bear interest at the rate of twelve percent (12%) per annum and shall constitute a lien on GRANTEE'S above -referenced property upon the recording of a notice of lien in the City of South Burlington land records. 8. GRANTEE may assign this License to successor owners and/or mortgages of the above -described property. 9. This License may be recorded in the City of South Burlington Land Records. IN WITNESS WHEREOF, the CM OF SOUTH BURLINGTON has hereunto set its hand and seal this day of f 200_. IN THE PRESENCE OF: CITY OF SOUTH BURLINGTON A STATE OF VERMONT COUNTY OF CHITTENDEN, SS. Its Duly Authorized Agent At South Burlington, in said County and State, on this day of , 200_, before me personally appeared Duly Authorized Agent of the CITY OF SOUTH BURLINGTON, and he acknowledged this instrument by him sealed and subscribed, to be his free act and deed as such Duly Authorized Agent and the free act and deed of the CITY OF SOUTH BURLINGTON. Notary Public My Commission Expires: IN WITNESS WHEREOF, hand and seal this IN THE PRESENCE OF: STATE OF VERMONT COUNTY OF CHITTENDEN, SS. day of has hereunto set , 200_. At South Burlington, in said County and State, on this day of 2002,_before me personally appeared , and he/she acknowledged this instrument by him/her sealed and subscribed, to be his/her free act and deed Notary Public My Commission Expires: from : Blondin Insurance Agency , Terri fax 802-878-6897 page 2 of 2 4/13/2011 10:32:29 AM NATIONWIDE MUTUAL FIRE INSURANCE COMPANY MEMORANDUM OF INSURANCE PAGE 1 OF 1 NON -ASSESSABLE POLICY PERIOD BEGINS 12:01 AM MEOWNER POLICY: 5144HOOB4-929 POLICY PERIOD INCEPTION 1- B-11 STANDARD TIME AT THE EXPIRATION 1- B-12 RESIDENCE PREMISES. T MORTGAGEE AND ADDRESS NAMED INSURED AND ADDRESS LOCATION OF DESCRIBED PROPERTY 2ND MORTGAGEE AND ADDRESS CHASE HOME FIN LLC MICHAEL D AND/OR 130 PATCHEN RD VERMONT STATE EMP CU ISAOA ATIMA JOANNE M MOODY SOUTH BURLINGTON ISAOA ATIMA PO BOX 47020 130 PATCHEN RD VT 05403-5707 PO BOX 67 DORAVILLE SOUTH BURLINGTON MONTPELIER GA 303620020 VT 05403-5707 VT 05601-0067 AN NO. 4703111636 *****TO REPORT CLAIMS, CALL 1-800-421-3535 IMPORTANT NOTICE This Memorandum or Insurance provides basic information regarding coverage, premium and interests protected by ur policy as of 4-13-11. A formal Declarations page superseding this Memorandum will be mailed which will ovide complete updated coverages and premium details. CTION I COVERAGES LIMIT SPECIAL LIMITS OF LIABILITY DWELLING $224,900 DTHER STRUCTURES $38,990 SEE POLICY PERSONAL PROPERTY $157,430 LOSS OF USE $224,900 CTION II COVERAGES PERSONAL LIABILITY $300,000 PO/BI-EA OCCURRENCE MEDICAL PAYMENTS $1.000 TO OTHERS -EA PERSON HER COVERAGES LIMIT IOLOGICAL OETR/DAMAGE CLEAN UP $10,000 IRE DEPT. SERV. CHARGES $500 REDIT CARD -FORGERY $1,000 AND ELEC. FUNDS TRANS. DUCTIBLE-SECTION I (IN CASE OF A LOSS DER SECTION I, WE COVER ONLY THAT PART THE LOSS OVER THE DEDUCTIBLE STATED). ALL PERILS S 250 WATER BKUP DED $ 500 pt of payment is hereby acknowledged. ved subject to collection only. CLAIM FREE/LONG-TERM DISCOUNT APPLIES** EMIUM $667.00 JNTERSIGNATURE DATE: 4-13-11 ADDITIONAL COVERAGE OPTIONS OPTION LIMIT H-COMPUTERS $5,000 J-EXT. REPL. COST APPLIES K-REPL. COST PLUS - DWELLING APPLIES L-PROTECT. DEVICE APPLIES R-WATER BACKUP $10,000 SECTION II EXCEPTIONS: The residence premises is the only premises owned or held for rental by the named insured or spouse, other than business property, and is used solely for private residential purposes. Exceptions, if any: NONE SPECIAL PROVISIONS (Applicable only if indicated): INFLATION PROTECTION COVERAGE IS INCLUDED. Balance, if any, will be billed by the company. Checks and drafts are g w - April 13, 2011 AGENT NAME AND NO. BLONDIN INSURANCE AGENCY V1 63' a W, I " .