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Test Permit Application

  1. By filling out this form you agree that you have read and understand the Encroachment Permit Application Procedures. Any information that is required but not submitted, will delay the processing of your application.


  2. JOB/PROJECT INFORMATION


  3. OWNER INFORMATION


  4. CONTRACTOR INFORMATION


  5. LIABILITY INSURANCE AND ENDORSEMENT
    Applicant must provide two items, (1) a Certificate of Liability Insurance with, and (2) an endorsement form which names the "City of Morgan Hill, its' elected officials, officers, employees, agents, volunteers and representatives" as "Additionally Insured". The general liability coverage of the policy must be for at least One Million Dollars ($1,000,000.00).


  6. BONDS
    All public improvement work in excess of $50,000 will require a 100% Performance Bond.


  7. TRAFFIC CONTROL
    If the work might impede pedestrian or vehicular traffic, contractor and/or sub-contractor must submit two copies of a traffic control plan for review and approval prior to any change in traffic flow.

  8. I understand that the City's acceptance of this encroachment permit application does not constitute approval by the City. Furthermore, I understand that any person who does or causes to be done any improvement or encroachment work of any kind within the City's right-of-way without first having obtained a permit therefore, is in violation of Municipal Code Section 12.08.040 and therefore deemed guilty of a misdemeanor and upon conviction thereof shall be subject to a fine of not more than $1,000.00 or by imprisonment in the county jail for not more than six months, or by both fine and imprisonment, per Municipal Code Section 12.08.150.
    By entering your name below you acknowledge that you have read and agree to the statement above.

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  10. This field is not part of the form submission.