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IWP- Diamond Bar Limited Collection Permit Application-FY24-25.pdf
Attachment A The State of California mandates that the City of Diamond Bar meet diversion requirements and accurately monitor and report all waste and diversion activities. Per Diamond Bar Municipal Code (DBMC) Section 8.16.460, residents and businesses must utilize one of the City’s two franchise waste haulers or secure a Limited Collection Permit approved by the Program Manager. The City reserves the right to modify the terms and conditions of the permit at any time and may revoke a permit for violation of any permit condition. 1.Application Process Permittees must submit this completed application, including but not limited to the following additional requirements listed in DBMC Section 8.16.540: o Liability Insurance; Workers Compensation Insurance; Indemnify City against liability; Maintain an office for inquiries and complaints; Obtain all applicable permits and licenses required by Federal, State or Local agencies; Responsible for damages caused as a result of its acts or omissions; Maintain records and provide City with inspection authority; Hours of collection requirements; Minimize impacts to noise and public traffic. Certain covered projects must also submit a completed Recycling and Waste Reduction Application as required under DBMC Section 8.16.650. Applications will be reviewed within ten (10) business days. The decision of the Program Manager is final. 2.General Provisions Limited Collection Permits are valid for one calendar year and expire on December 31st. Notification by the City prior to the expiration of the permit will not be provided. Pay Limited Collection Permit Fee as follows: Issued January-March: $305.37; April- June: $229.03; July-September: $152.69; or October-December: $76.35. Permittee shall not have any past due balances with the City or the City’s franchise waste haulers, or any outstanding violations. Approved permits shall not be transferred, delegated or assigned. No Collection Permittee shall perform Solid Waste Collection Services otherwise provided for in a Solid Waste Franchise Agreement. 3.Waste Containers Containers shall comply with all local, state, and federal health and safety standards. 4.Disposal/Diversion and Reporting Requirements Waste shall be disposed of at least on a weekly basis only at licensed waste disposal facilities, including a landfill, recycling center, recyclable material purchasing center, compostable materials handling facility, transfer station, green material composting facility, or other facility permitted to accept such materials. Permittee is required to recycle at least 75% of all waste generated by the covered construction project as defined in Section 8.16.620. Permittee shall retain and provide documentation, consisting of a completed Recycling and Waste Reduction Compliance Report, gate tickets, receipts for disposal, etc. that proves waste has been disposed in the proper manner and at the required frequency. Documentation shall be provided to the City for verification on a monthly basis no later than the 10th day of each calendar month. Limited Collection Permit Application City of Diamond Bar ~ Environmental Services 21810 Copley Drive ~ Diamond Bar, CA 91765 (909) 839-7015 ~ www.DiamondBarCA.gov Attachment A 5.Authorized Vehicles/Transport Permittee shall transport waste only in approved vehicles. Permittee is subject to all local, state, and federal laws related to the transportation of solid waste, as well as storm water discharge regulations. Permittee is responsible for any damages or clean-up costs resulting from its activities. 6.Modification of Limited Collection Permit The City reserves the right to modify the terms and conditions of the permit at any time. 7.Revocation, Suspension, Appeal. The City Manager may revoke or suspend any permit. The applicant may appeal the denial, revocation, or suspension of a permit. Upon revocation of the permit, service must be immediately established with the appropriate franchise waste hauler. It is unlawful for any person to operate under a permit which has been revoked or suspended. Zip Code: Name: APPLICANT INFORMATION Mailing Address (If Different From Above): Business Address: E-mail: City: State: Zip Code: Phone: Print Name: Signature: Date: I agree to the Limited Collection Permit requirements as listed above and declare under penalty of perjury under the laws of the State of California that the information provided in this application is true and correct. STAFF USE ONLY Application Complete If no, explain :____________________________________________________ Approved Denied Revoked (City Manager)— If Revoked, explain:_______________________________________ ____________________________________________________________________________________________________ Signature Print Name Program Manager Date PLEASE READ, SIGN AND DATE Description of vehicle(s) and/or equipment: List of customer(s) to be served: Proposed Rates: Services offered and listing of customer(s) receiving service: Additional information as requested by the City: Imperial Western Products, Inc 479-209-0608 4085 Bain Street, Jurupa Vallet, CA 91752 P.O. Box 1110 Coachella CA 92336 aiyana.andrew@denaliwater.com 2-3 YARD FRONT LOADER BINS Neighborhood Market- 1180 S. Diamond Bard Blvd $0.99 p/ton picked up Organic Food Waste Collection Service Food waste is processed for use in commercial feed Aiyana Andrew 1/7/2024 AGENCY CUSTOMER ID: LOC #: ’®ACORD ADDITIONAL REMARKS SCHEDULE Page 1 of 1 ADDITIONAL REMARKS AGENCY Arthur J.Gallagher Risk Management Services,LLC NAMED INSURED Imperial Western Products,Inc. 220 South Commerce Avenue,1st Floor Russellville AR 72801POLICYNUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:25 FORM TITLE:CERTIFICATE OF LIABILITY INSURANCE Workers Compensation Policy #:014195821 covers all other States. Excess Liability policies follow form of underlying policies as listed below: Policy #:EXC4279462 -6/30/2024-25 -Colony Insurance Company -$5,000,000 limit and is excess over General Liability,Pollution Liability and Professional Liability only. Policy #ENVX000051324 -6/30/2024-25 -Certain Underwriters at Lloyds,London -$15,000,000 xs $5,000,000 over General Liability,Pollution Liability and Professional Liability only. Policy #GVE100272504 -6/30/2024-25 -Gemini Insurance Company -$$3,000,000 limit and is access over Automobile and Employer's Liability only.NAIC #10833 Policy #P00100394576401 -6/30/2024-25 -AXIS Surplus Insurance Company -$2,000,000 xs $3,000,000 over Automobile and Employer's Liability only.NAIC #26620 Policy #140001789 -6/30/2024-25 -QBE Specialty Insurance Company -$2,000,000 xs $5,000,000 over Automobile and Employer's Liability only.NAIC #11515 Policy #42XSF31613704 -6/30/2024-25 -National Fire &Marine Insurance Company -$3,000,000 xs $7,000,000 over Automobile and Employer's Liability only. NAIC #20079 Policy #G7438919302 -Westchester Surplus Lines Insurance Company -$5,000,000 xs $15,000,000 over Automobile and Employer's Liability only.NAIC #10172 Policy #NHA601612 -6/30/2024-25 -RSUI Indemnity Company -$5,000,000 xs $10,000,000 over Automobile and Employers Liability Only.NAIC #22318 Equipment Coverage: Policy#:IMP400132401 Carrier:Transguard Insurance Company Policy Dates:06/30/2024-06/30/2025 Cargo Limit:$100,000 Trailer Interchange Limit:$85,000 Rented/Leased Equipment Limit:$1,000,000 Scheduled Equipment:$65,385,890 Deductible:$50,000 ach occurrence Auto Comprehensive Deductible is $100 Auto Collision Deductible is $500 Complete list of Named Insureds: AWS Dredge,LLC;Co-West Commodities,Inc.;Denali Water Solutions LLC;Dispatch Acquisition Holding,LLC;Dispatch Parent,LLC -1ST NAMED INSURED; Aux Arc Solutions,LLC;HydroAg Environmental,LLC;Imperial Western Products,Inc.;New Earth,LLC;NuTerra Finance,Inc.;NuTerra Holdings,LLC;OR Composting,LLC;OR Processing,LLC;Organix Composting of Texas,LLC;Organix Recycling,LLC;Robert Endy Commodities,Inc.;Solid Solutions,LLC; Swanson Bark &Wood Products,Inc.;Terra Holding Company;Terra Renewal Services,Inc.;TerraGro Farms,LLC;Veris Environmental,LLC;Viridiun Equipment,Inc.;Viridiun Products,LLC;Viridiun,LLC;WeCare Denali,LLC ACORD 101 (2008/01)©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD