Included Appendices. The appended documents listed below are incorporated by reference to this Master License as if fully set out in the body of this agreement: Appendix A – Description of Premises— Pole Locations Appendix B – Form Pole License Agreement Appendix C – Form Commencement Letter Licensee Name: Master License Agreement Approval Date: Master License Agreement Expiration Date: Date: APPLICANT FIELD CONTACT Name: Name: Title: Title: Company: Company: Street Address: Street Address: City, State, Zip: City, State, Zip: Telephone Number: Cell Phone: Email Address: Email Address: **Processing Fee of $250 per pole is due to SFMTA upon filing of this application** FOR SFMTA OFFICE USE ONLY Pole License Application Number: Date Complete Application Received: SFMTA Transit Signature: Date: Planning Department Design Review Signature: Date: SFMTA Pole License Approval Signature: Date: Project Description: Attach the following: 1. A printed map showing the exact locations of the proposed Pole locations with City & County of San Francisco Pole numbers and nearest street address and cross street; 2. Photo of the existing Pole and other poles, utility boxes, and street furniture within a 60’ radius; 3. A rendering of proposed Equipment installation, showing buildings and utilities in the vicinity; 4. Wet-stamped engineering drawing showing Equipment proposed for installation, including pole loading calculations; 5. Size and conduit occupancy details; 6. Size and number of pull boxes; 7. Typical installation details of equipment to be attached to the Pole. 8. An electronic file of all of the above, including GIS shape files for all Pole locations. E- mail is acceptable. POLE LICENSE PROCESSING CONDITIONS: I am submitting this Pole License Application with the full understanding of the following conditions: 1. An application fee of $250 per pole is required for complete submittal of a Pole License Application. 2. The processing fee is a non-refundable fee required for SFMTA staff review of the proposed Pole License, work of a preliminary nature to be undertaken by SFMTA staff, including, without limitation, survey and field inspection work, review of engineering plans and specifications and other related work, that precede or are required to facilitate the approval of the Licensee’s Equipment in, on, or about SFMTA poles. 3. To the extent practicable, Pole License applications should be submitted in batches no smaller than ten (10) Pole License applications. 4. Review of Pole License Applications will proceed according to the process as described in the Policy for Placement of Wireless Facilities on SFMTA
Appears in 2 contracts
Samples: Master Outdoor Distributed Antenna System Pole License Agreement, Master Outdoor Distributed Antenna System Pole License Agreement
Included Appendices. The appended documents listed below are incorporated by reference to this Master License as if fully set out in the body of this agreement: Appendix A – Description of Premises— Pole Locations Appendix B – Form Pole License Agreement Appendix C – Form Commencement Letter CITY/LICENSOR: City AND COUNTY OF SAN FRANCISCO, a municipal corporation By: Xxxxxx X. Xxxxxxx Director of Transportation San Francisco Municipal Transportation Agency Board of Directors Resolution No. Adopted: Attest: Secretary, SFMTA Board of Directors APPROVED AS TO FORM: XXXXXX X. XXXXXXX City Attorney By: Xxxxxx X. Xxxxx Deputy City Attorney LICENSEE: NEW CINGULAR WIRELESS PCS, LLC, a Delaware limited liability company By: Xxxx Xxxxxxx Director of Construction and Engineering Licensee Name: Master License Agreement Approval Date: Master License Agreement Expiration Date: Date: APPLICANT FIELD CONTACT Name: Name: Title: Title: Company: Company: Street Address: Street Address: City, State, Zip: City, State, Zip: Telephone Number: Cell Phone: Email Address: Email Address: **Processing Fee of $250 per pole is due to SFMTA upon filing of this application** FOR SFMTA OFFICE USE ONLY Pole License Application Number: Date Complete Application Received: SFMTA Transit Signature: Date: Planning Department Design Review Signature: Date: SFMTA Pole License Approval Signature: Date: Project Description: Attach the following:
1. A printed map showing the exact locations of the proposed Pole locations with City & County of San Francisco Pole numbers and nearest street address and cross street;
2. Photo of the existing Pole and other poles, utility boxes, and street furniture within a 60’ radius;
3. A rendering of proposed Equipment installation, showing buildings and utilities in the vicinity;
4. Wet-stamped engineering drawing showing Equipment proposed for installation, including pole loading calculations;
5. Size and conduit occupancy details;
6. Size and number of pull boxes;
7. Typical installation details of equipment to be attached to the Pole.
8. An electronic file of all of the above, including GIS shape files for all Pole locations. E- mail is acceptable. POLE LICENSE PROCESSING CONDITIONS: I am submitting this Pole License Application with the full understanding of the following conditions:
1. An application fee of $250 per pole is required for complete submittal of a Pole License Application.
2. The processing fee is a non-refundable fee required for SFMTA staff review of the proposed Pole License, work of a preliminary nature to be undertaken by SFMTA staff, including, without limitation, survey and field inspection work, review of engineering plans and specifications and other related work, that precede or are required to facilitate the approval of the Licensee’s Equipment in, on, or about SFMTA poles.
3. To the extent practicable, Pole License applications should be submitted in batches no smaller than ten (10) Pole License applications.
4. Review of Pole License Applications will proceed according to the process as described in the Policy for Placement of Wireless Facilities on SFMTA
Appears in 1 contract
Samples: Master Outdoor Distributed Antenna System Pole License Agreement
Included Appendices. The appended documents listed below are incorporated by reference to this Master License as if fully set out in the body of this agreement: Appendix A – Description of Premises— Pole Locations Appendix B – Form Pole License Agreement Appendix C – Form Commencement Letter Licensee NameMaster License Agreement Number: Master License Agreement Approval Date: Master License Agreement Expiration Date: Licensee Name: Date: APPLICANT FIELD CONTACT Name: Name: Title: Title: Company: Company: Street Address: Street Address: City, State, Zip: City, State, Zip: Telephone Number: Cell Phone: Email Address: Email Address: **Processing Fee of $250 per pole is due to SFMTA upon filing of this application** FOR SFMTA OFFICE USE ONLY Pole License Application Number: Date Complete Application Received: SFMTA Transit Signature: Date: Planning Department Design Review Signature: Date: SFMTA Pole License Approval Signature: Date: Project Description: Attach the following:
1. A printed map showing the exact locations of the proposed Pole locations with City & County of San Francisco Pole numbers and nearest street address and cross street;
2. Photo of the existing Pole and other poles, utility boxes, and street furniture within a 60’ radius;
3. A rendering of proposed Equipment installation, showing buildings and utilities in the vicinity;
4. Wet-stamped engineering drawing showing Equipment proposed for installation, including pole loading calculations;
5. Size and conduit occupancy details;
6. Size and number of pull boxes;
7. Typical installation details of equipment to be attached to the Pole.
8. An electronic file of all of the above, including GIS shape files for all Pole locations. E- mail is acceptable. POLE LICENSE PROCESSING CONDITIONS: I am submitting this Pole License Application with the full understanding of the following conditions:
1. An application fee of $250 per pole is required for complete submittal of a Pole License Application.
2. The processing fee is a non-refundable fee required for SFMTA staff review of the proposed Pole License, work of a preliminary nature to be undertaken by SFMTA staff, including, without limitation, survey and field inspection work, review of engineering plans and specifications and other related work, that precede or are required to facilitate the approval of the Licensee’s Equipment in, on, or about SFMTA poles.
3. To the extent practicable, Pole License applications should be submitted in batches no smaller than ten (10) Pole License applications.
4. Review of Pole License Applications will proceed according to the process as described in the Policy for Placement of Wireless Facilities on SFMTA
Appears in 1 contract
Samples: Master Outdoor Distributed Antenna System Pole License Agreement