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Cities of Dublin and Pleasanton | Disaster Debris Management Plan | 2022 <br /> <br />190 <br /> <br />Attachment M: Sample Right of Entry Permit <br /> <br /> <br />RIGHT-OF-ENTRY PERMIT <br />[For Providing Debris Removal on Private Property] <br /> <br /><Insert name of owner> (“Owner”), hereby permits the City of ____________ its officers, <br />employees, agents, contractors and subcontractors (“City”), to enter upon Owner’s property <br />commonly identified as <insert property address>, County of Alameda, State of California <br />(“Premises”), subject to all licenses, easements, encumbrances, and claims of title affecting the <br />Premises upon the following terms and conditions: <br /> <br />1. Grant of Right of Entry. Owner hereby grants the City a right of entry (“Permit”) over the <br />Premises for the purpose of inspecting the Premises, testing materials on the Premises, removing <br />and clearing any or all <name of incident> generated debris of whatever nature including by not <br />limited to ash, vehicles, construction debris, trees, waste or other materials from the Premises, <br />subject to the terms and conditions set forth in this Permit. It is fully understood that this Permit <br />does not create any obligation on the City to perform inspection, testing or debris clearance. Owner <br />understands that the City will undertake no cleanup action until the Right-of-Entry Permit is signed <br />and returned. <br /> <br />2. Private Insurance Coverage. Most homeowner’s insurance policies have coverage to pay for <br />the costs of removal of <insert type of incident> generated debris. Owner understands that in <br />the event federal financial assistance is received by the Owner for purposes of inspection, testing <br />or debris removal hereunder, federal law (42 United States Code 5155, et seq.) requires Owner to <br />reimburse the City for the cost of removing <insert name of incident> generated debris to the <br />extent covered in Owner’s insurance policy. Owner also understands that, when requested, Owner <br />must provide a copy of the insurance policy, proof/statement of loss and settlement agreement <br />from Owner’s insurance company to the City. <br /> <br />Owner (_____does, ____ does not) have homeowners or similar insurance. If Owner indicates that <br />Owner does not have such insurance, Owner certifies under penalty or perjury that there was no <br />insurance in effect at the time of the <insert type of disaster>, which may provide coverage for <br />the costs of inspection, testing or debris removal. <br /> <br />3. Duplication of Benefits. Owner (____ has, ____ has not) and (____ will, ____ will not) receive(d) <br />any compensation for debris removal from any other source including Small Business <br />Administration (SBA), individual and family grant program or any other public assistance program. <br />Owner will advise the City in writing within 10 days of receipt of any insurance settlements for <br />debris removal. Owner further agrees to reimburse the City within 30 days of receipt, from such <br />proceeds, for the cost of the debris removal conducted by the City. In the event the insurance <br />proceeds are less than the cost of debris removal incurred by the City, Owner will not be <br />responsible for the difference. If the insurance proceeds exceed the City’s cost of debris removal,