CE0435_Atch-3_BNSF_2017_Temp_Occupancy_App_and_Instructions.pdf

TEMPORARY OCCUPANCY PROCESS INSTRUCTIONS

Licensing Process:

If you require access to BNSF Railway Company’s property for a Seismic Survey you must first enter into a Lease Agreement.

Please contact: Jennifer Kindred Phone: (918) 895-8037 Farmers National Company 5110 S. Yale Suite 400 Tulsa, OK 74135 jkindred@farmersnational.com After submitting a Lease Agreement with your application package Jones Lang LaSalle Brokerage, Inc. (JLL) will review the area to determine ownership of mineral rights and forward to the local BNSF Roadmaster for approval.

1. Once application package is received by (JLL), and all prior approvals have been obtained, if required, the application and drawing will be forwarded to the engineering firm to prepare the Exhibit “A” drawings for the contract. This process takes approximately 10 to 15 working days.

2. When the Exhibit “A” is completed, a contract will be prepared and two (2) copies will be forwarded to you for an original signature. A letter will be sent to you that will provide directions regarding insurance and any additional fees.

3. Return the signed contracts (2 contracts with original signatures), along with the appropriate payment to JLL’s Permit Department.

4. The final contracts, with original signatures, are presented for execution provided payment has been received and insurance has been approved.

5. Once the contract is executed, one original will be returned to you for your files.

6. Prior to commencing any work on the Premises, Licensee shall complete and shall require its contractor (all parties who will be working on the site) to complete the safety orientation program at Internet Website http://bnsfcontractor.com/. This orientation must be completed no more than one year in advance of Licensee’s entry on the Premises.

7. The cover letter and the executed contract will list the Roadmaster’s name and phone number. You will need to contact the Roadmaster ten (10) days prior to beginning work.

Process Time:

Please be advised that the average time period for completion of this process is 4 weeks from the time that the application is received. Every effort will be made to complete this process in a timely manner.

CE0435 Rpr/Rpl Elec Distro Line Main-Gingko Substations Atch-3 mailto:jkindred@farmersnational.com http://bnsfcontractor.com/

Insurance Requirements for the following Agreement:

Temporary Occupancy

Commercial General Liability Insurance

Contractual Liability with a combined single limit of a minimum of $2,000,000 each occurrence and an aggregate limit of at least $4,000,000.

Business Automobile Insurance

Combined single limit of at least $1,000,000 per occurrence.

Workers Compensation and Employers Liability Insurance

Employers’ Liability with limits of at least $500,000 each accident, $500,000 by disease policy limit, $500,000 by disease each employee.

Railroad Protective Liability Insurance

Coverage of at least $2,000,000 per occurrence and $6,000,000 in the aggregate, with the exception of New Mexico in which coverage is $5,000,000 per occurrence and $10,000,000 in the aggregate

Note: These limits are subject to change without notice. An Agreement will be provided to you, which contains details concerning insurance requirements.

Please send the following so we may process your License request:

1. If License is for a Seismic Survey send a copy of your Lease Agreement.

2. Completed Application.

3. $800 non-refundable processing fee. Check should be made payable to BNSF Railway Company.

4. One set of drawings (no larger than 11 x 17) for the area to be occupied. (Include: streets, distance from tracks and streets, mileposts if available and any distinguishing land marks.) Please ensure all information is accurate, as each change will add an additional $800 to the processing fee.

Forward application and payments to:

Jones Lang LaSalle Brokerage, Inc.

Attn: Permit Services 4200 Buckingham, Ste.110 Ft. Worth, TX 76155

APPLICATION FOR TEMPORARY OCCUPANCY

Jones Lang LaSalle Brokerage, Inc. Applicants Tax ID #

Attn: Permit Services or SS #

4200 Buckingham Suite 110 Fort Worth, TX 76155

We submit for your approval the following application for temporary occupancy on BNSF Railway Company’s right of way as shown on the enclosed location plan and detailed sketch.

Legal Name of Company/Municipality that will occupy the property

If a corporation State in which incorporated (If not incorporated, attach name(s) of owners or partners.)

Contact Name: Phone # FAX

Mailing Address:

Email Address:

Legal Name of Contractor performing work:

If a corporation State in which incorporated (If not incorporated, attach name(s) of owners or partners.)

Contact Name: Phone # FAX

Mailing Address:

Email Address:

Is this project ARRA funded? Yes No Is this a condemning authority? Yes No Is Applicant a Railroad Shipper? Yes No If yes, BNSF Marketing Rep Name Phone #

Was this service requested by BNSF? Yes No If yes, BNSF person requesting service Phone #

Is this in conjunction with a track or track expansion project? Yes No If yes, BNSF contact name Phone #

Purpose of Occupancy?

Name of nearest town on RR County State

Name of nearest roadway crossing RR

Location of proposed occupancy ¼ Section Township Range

Railroad Milepost Latitude Longitude

Is the work to be performed within 50 ft. of the track? Yes No Percentage of project done within 50 ft. of the tracks. %

Area to be occupied ft. (x) ft.

Length of time for Project: Date from: Date to:

Will a crossing under the railroad tracks be required? Yes No If yes, location of railroad mileposts

Total cost of project $

For a Seismic Survey:

Dates you will actually be on property Total # of cables on property

Attached to this sheet is a location plan and a detailed sketch. Shown on the sketch are exact dimensions of the project area and distances to the centerline of nearest railroad track and road crossing, bridge or other railroad structure.

I understand that submission of this application does not authorize occupancy of the property. Exact fees and insurance requirements will be forwarded after the application has been reviewed and approved by the BNSF.

Date: Signed:

Print Name:

Title:

Phone #: FAX

If you require additional assistance, please contact your Jones Lang LaSalle Brokerage, Inc. representative.

http://www.bnsf.com/communities/contact-us/permits.html