BUSINESS LICENSE
APPLICATION City of Merced
678 W. 18th St.
Finance Department
TEL # (209) 385-6843 Merced, CA 95340
КОРОВНО КЛАНА FAX # (209) 388-7217 Application Date: 11-27-24 Email: [email protected]
Please Check All That Apply: New Application • Change of Owner • Change of Address - Previous Address:
• Change of Business Name; previous business name:
• Add/Delete Partner • Temporary Business From _to
• New Business Operating Within an Existing Business
(provide name of existing business).
Business Name (Include DBA, if applicable)
Cal Valley Security
**State licensed care facilities, must use the same name as listed on the state license.
Business Address and Telephone Information:
Address (Home-based businesses must use the home address as the business address): Suite/Apt #:
P.0. BOX 17048
City: State: Zip Code: Telephone:
Fresno Ca 93744 (559) 385-2505
Mailing Address: Same as Business Address?
Address: P.o. Box 17048 Suite/Apt. No.:
City: State: Zip Code: E-Mail Address:
Fresno (a 93744 V0500019 a0 • com
Business Activity (Provide a detailed description of all proposed business activities):
security guard services
Licensed Private Patrol Operator 2-23-25
Contractor? N License #: 17963 Classification: Expiration:
Contractor's License Verified By (official use):
Check Cashing Permit #:
Business? Y
Business Start Date Number of Number of Units:
In Merced: 11-27-24 Employees/Professionals: 3
Tax Identification Numbers:
Federal Tax ID #ISSN• State Tax ID #ISSN• State Sales Tax#:
N/A
• Corporation • Partnership • Sole Owner Non-profit #:
Non-profit
Owner's Information
(If more than 2 owners please attach a separate sheet of paper) 1) First Name: Middle Initial: Last Name: Suffix (Jr./Sr./III):
Richard Rodriguez
Home Address (No P.O. Boxes): Apt. #: City: State: Zip Code:
Hama Talanbana: I Date of Birth: Driver's License #
(The Finance Dept. will make a copy of your license)
2) First Name: Middle Initial: Last Name: Suffix (Jr./Sr.III):
Home Address (No P.O. Boxes) Apt. #: City: State: Zip Code:
Home Telephone: Date of Birth: Driver's License #:
) (The Finance Dept. will make a copy of your license)
Corporate Information (If Applicable)
Person/Agent for Service of Process (First and Last Name): Telenhone.
Richara Rodriquez,
Home Address (No P.O. Boxes): Apt.#: City: State Zip Code:
Emergency Contact Information (Provide two names):
Emergency Contact: CJ Rodriguez Telephone Number:
Emergency Contact: Telephone Number:
( )
Select a billing method: CPI Base Rate • Gross Receipts O I understand that this selection shall remain in effect for a minimum of four (4) consecutive quarters. Falsification of this statement is a misdemeanor. (RR) Initial
FOR FINANCE USE ONLY
Date Billed: Classification:
Additional Fee $ Gross receipts • CPI Base Rate •
License Fee $ License Number Issued:
Total Due Initial:
NOTE: Application continues on the following pages
Police Department Review Assessment
Will your business involve any of the following? (answer all questions/circle yes or no) Firearms or Gunpowder (if gunpowder is used a fire permit may be required) Y Storage of Explosives Y N
Tattoo Establishments Y N
Curb Painting Y N
Taxicabs and Drivers (requires City Council approval) Y N Limousine Service Y N
Card Room If yes, how many tables? N
Pool/Billiard Rooms and Family Billiard Parlors If yes, how many tables? Y N Bingo or other games open to the general public Y (N)
Carnivals or Circuses Y
Fortune Teller Y
Child Care Centers If yes, how many children? Y N
Dependent Adult Care Centers Y
Massage. State Certified? include number_ and expiration Y date
Door to door soliciting of goods or services Y
Pawn Shop/Secondhand Dealer/Junk Dealer (requires City Council approval) Y Street or Sidewalk Vendor Y N
Liquidation Sale Y
Itinerant Vendors Y
Motion Picture Filming Y (N)
Dancing Permits Y
Nightclub Y
Alcohol Sales On-Sale D Off-Sale • Y
Adult Entertainment Business Y (N
Renting or Selling Adult-Type Videos and Books Y (N
Escort Service and/or Figure Modeling Y
Mobile Auto Repair Y N
Tow Company and Drivers Y
Fire Extinguisher Refill Business Y (N)
Alarm Companies Y N
Lock and Key Businesses, including mobile services Y
Private Patrol, Security Services and Guards (requires City Council approval) (Y) N If you answered "yes" to any of the questions, your license may be subject to Police Department review.
Read the following information before signing below
The payment of a license tax required by the provisions of the Merced Municipal Code and its acceptance by the City, and the issuance of such license to any person shall not entitle the holder thereof to carry on any business unless he has complied with all the requirements of the Merced Municipal Code, California Fire Code, California Building Code, and all other applicable laws, nor to carry on any business in any building or on any premises designated on such license in the event that such building or premises are situated in a zone or locality in which the conduct of such business is in violation of any law.
This business license does not grant authorization to occupy any space, building, premises or property that requires modifications or additional approvals or permits. Any modifications or change of occupancy category to the building or space may require building permits. All new uses occupying space through lease, rent or ownership, whether a lot, tenant space, or portion of a property, must comply with local zoning laws. It is the responsibility of the business license applicant to obtain all necessary permits and approvals from the building department, fire department and planning department prior to occupying the space. For the reasons stated above, it is highly advisable that applicants for a business license contact the Building Department and Planning Department as early in the process of obtaining a business license as is possible. By ensuring permits and approvals are obtained in advance of occupancy, unforeseen construction and permit fees may be avoided.
Additionally, the Merced County Environmental Health Department has requirements for certain business operations such as any Food Facilities, Hazardous Materials/Waste (including medical), Care Facilities, Labor Services (handyman/contractors/janitorial/yard service, and many others).
Please contact them at (209) 381-1100, or visit their offices at 260 E. 15th Street.
By signature below, I certify that I will operate my business in accordance with all applicable Federal, State, and City laws and regulations, including the requirements of the California Fire and Building Codes. I also certify that I am aware that it is my responsibility to obtain any necessary permits and/or approvals prior to occupying a business location, and that violations must be corrected.
Applicant's Printed Name: Richard Rodriguez
Applicant's Signature: Richard Rodriguez Date: 11-27-24 Applicant's Title: CEO
Is there a need for Supplemental Application Forms? Check all that apply.
Business-Related Activity and Supplemental Application Form Responsible Department
• Massage? Massage Application Finance Dept.
Street and Sidewalk Vendor? Solicitors Permit Finance Dept.
Curb Painting? Curb-Painting Application Finance Dept.
Motion Picture Filming? Motion Picture Filming Application Finance Dept.
Adult Entertainment? Adult Entertainment Business Applications Police Dept.
Weapon Sales? Sale of Weapons Application Police Dept.
Taxicab Service? Taxicab Service Application Police Dept.
Pool and Billiard Rooms? Pool and Billiard Room Application Police Dept.
Private Patrol Service? Private Patrol Application Police Dept.
Second Hand Dealer/Pawn Shop? Goods Resale Application Police Dept.
Work from Home in City? Home Occupation Certificate Planning Dept.
Circus or Carnival? Temporary Outdoor Use Application Planning Dept.
Endorsements from other Departments and Agencies
Endorsement Required? AYES ANO
City of Merced Rolice Department 611 W. 22nd Street. (209) 385-6912 By: Date: 32725
Endorsement Required? DYES ENO
City of Merced Planning Department. 678 W 18th Street. (209) 385-6858 Zoning: _ _. Home Occupation Certificate No. (if applicable).
By: Date • Is a Land Use Entitlement Required Y / N
Endorsement Required? DYES /NO
Merced County Environmental Health Department 2222 M Street, 2nd Floor. (209) 381-1100 By: Date:
Endorsement Required? •YES ENO
Merced County Public Health Department (massage only) 260 E. 15th Street. (209) 381-1023 By: Date:
*** Under federal law and state law, compliance with disability access laws is a serious and significant responsibility that applies to all California building owners and tenants with buildings open to the public. You may obtain information about your legal obligations and how to comply with disability access laws at the following agencies: The Division of the State Architect at www.dgs.ca.gov/dsa/Home.aspx; The Department of Rehabilitation at www.rehab.cahwnet.gov; The California Commission of Disability Access at www.ccda.ca.gov.
-CREEK DR NORTH BEAR
Merced County
Merced Police Departmen Environmental Health Dept.
11 W 22nd St 2222 M St, 2nd Floor
*
O ST -22ND ST. -23RD ST-
N ST. -21ST-ST-
-MAIN ST T CANAL ST- 20TH ST-
City of Merced
Civic Center TB TH ST
678 W. 18th St.
L.HWY 99- 15TH ST-
13TH-ST-
Merced County
Public Health Dept.
260 E. 13th St.
DISABILITY ACCESS REQUIREMENTS AND RESOURCES
NOTICE TO APPLICANTS FOR BUSINESS LICENSES AND
COMMERCIAL BUILDING PERMITS:
how to comply with disability access laws at the following agencies:
DEPARTMENT OF DEPARTMENT OF DEPARTMENT OF
GENERALSERVICES, REHABILITATION GENERALSERVICES,
Division of the State Disability Access Services California Commission on Architect, CASp Program Disability Access
www.dor.ca.gov
www.dgs.ca.gov/dsa www.rehab.cahwnet.gov/ www.ccda.ca.gov www.dgs.ca.gov/casp disabilityaccessinfo www.ccda.ca.gov/resourc es-menu/
CERTIFIED ACCESS SPECIALIST INSPECTION SERVICES
Compliance with state and federal construction-related accessibility standards ensures that public places are accessible and available to individuals with disabilities. Whether your business is moving into a newly constructed facility or you are planning an alteration to your current facility, by engaging the services of a Certified Access Specialist (CASp) early in this process you will benefit from the advantages of compliance and under the Construction-Related Accessibility Standards Compliance Act (CRASCA, Civil Code 55.51-
55.545), also benefit from legal protections.
Although your new facility may have already been permitted and approved by the building department, it is important to obtain CASp inspection services after your move-in because unintended access barriers and violations can be created, for example, placing your furniture and equipment in areas required to be maintained clear of obstructions. For planned alterations, a CASp can provide plan review of your improvement plans and an access compliance evaluation of the public accommodation areas of your facility that may not be part of the alteration.
A CASp is a professional who has been certified by the State of California to have specialized knowledge regarding the applicability of accessibility standards. CASp inspection reports prepared according to CRASCA entitle business and facility owners to specific legal benefits, in the event that a construction-related accessibility claim is filed against them.
To find a CASp, visit www.apps2.dgs.ca.gov/DSA/casp/casp certified list.aspx. (Issued 12-28-18)
DISABILITY ACCESS REQUIREMENTS AND RESOURCES
GOVERNMENT TAX CREDITS, TAX DEDUCTIONS AND FINANCING
State and federal programs to assist businesses with access compliance and access expenditures are available:
Disabled Access Credit for Eligible Small Businesses
FEDERAL TAX CREDIT-Internal Revenue Code Section 44 provides a federal tax credit for small businesses that incur expenditures for the purpose of providing access to persons with disabilities. For more information, refer to Internal Revenue Service (IRS) Form 8826:
Disabled Access Credit at www.irs.gov.
STATE TAX CREDIT-Revenue and Taxation Code Sections 17053.42 and 23642 provide a state tax credit similar to the federal Disabled Access Credit, with exceptions. For more information, refer to Franchise Tax Board (FTB) Form 3548: Disabled Access Credit for Eligible Small Businesses at www.ftb.ca.gov.
Architectural and Transportation Barrier Removal Deduction FEDERAL TAX DEDUCTION-Internal Revenue Code Section 190 allows businesses of all sizes to claim an annual deduction for qualified expenses incurred to remove physical, structural and transportation barriers for persons with disabilities. For more information, refer to IRS Publication 535: Business Expenses at www.irs.gov.
California Capital Access Financing Program
STATE FINANCE OPTION-The California Capital Access Program (CalCAP) Americans with Disabilities Act (CalCAP/ADA) financing program assists small businesses with financing the costs to alter or retrofit existing small business facilities to comply with the requirements of the federal ADA. Learn more at www.treasurer.ca.gov/cpcfa/calcap/.
FEDERAL AND STATE LEGAL REQUIREMENTS ON ACCESSIBILITY
FOR INDIVIDUALS WITH DISABILITIES
AMERICANS WITH DISABILITIES ACT OF 1990 (ADA) —The ADA is a federal civil rights law that prohibits discrimination against individuals with disabilities, and requires all public accommodations and commercial facilities to be accessible to individuals with disabilities.
Learn more at www.ada.gov.
CALIFORNIA BUILDING CODE (CBC)-The CBC contains the construction-related accessibility provisions that are the standards for compliant construction. A facility's compliance is based on the version of the CBC in place at the time of construction or alteration. Learn more at www.bsc.ca.gov.
(Issued 12-28-18)
City of Merced Public Works City of A
WATER QUALITY CONTROL DIVISION
1776 Grogan Avenue • Merced, CA 95341 Merced
Office: (209) 385-6204
Gateway to Yosemite
PLEASE COMPLETE EACH SECTION BELOW:
Name of Business: _Cal Valley Seluritu
Name of Owner: Richard Rodriguez
Address of Business: P.U. B0x 17048
City: Fresno State: Ca Zip: 93744
ContactPhone: (559) 222-3475_ContactE-mail: [email protected] Type of Business:_ Security Guard Service
SIC Code: 1290 _(www.osha.gov) WDID: N/A
1. Are you a new Food Service Establishment? YES • NO,E If yes, please contact the Water Quality Control Division at 209.385.6204 for a General Waste Discharge Permit before opening day of business. (Merced Municipal Code 15.30.010)
2. Will your facility be involved with any product manufacturing? YES NO E If yes, list products) below:
Businesses undertaking any activity, or use of premises, that may cause or contribute to storm water pollution or contamination shall comply with Best Management Practices (BMPs) consistent with the California Storm Water Quality Association guidelines.
BMPs are suggested steps to prevent stormwater pollution. Brochures are available to help get you started. Please visit the brochure rack in the Finance Department lobby or contact the Water Quality Control Division.
INTERNAL USE ONLY:
Review Date:
Notes:
City of Merced Municipal Code, Title 15, Division III - Storm Water System, Chapter 15.50, "Storm Water Management and Discharge Control"
ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/6/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements).
CONTACT Susan Hansen
NAME:
El Dorado Insurance Agency, Inc. PHONE (713) 521-9251 FAX (A/C, No, Ext): (AC, No): (713) 521-0225
El Dorado Sec Sevs Ins Agy ADDRESS: [email protected] E-MAIL 3673 Westcenter Drive INSURER/S) AFFORDING COVERAGE NAIC # Houston TX 77042 INSURERA: Champlain Specialty Insurance Co 16834 INSURED INSURER B:
Cal Valley Security Inc INSURER C:
P O Box 17048 INSURER D:
INSURER E:
93744
CERTIFICATE NUMBER:CERTIFICATE (07/2024)
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE 1,000,000
CLAIMS MADE DAMAGE TO RENTED
A PREMISES (Ea occurrence) 100,000
Errors & Omissions CSPI-0004774-01 7/30/2024 7/30/2025 MED EXP (Any one person) 10,000 PERSONAL & ADV INJURY 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5,000,000 PRO
POLICY LOC PRODUCTS - COMP/OP AGG 5,000,000
OTHER:
AUTOMOBILE LIABILITY OMBINED SINGLE LIM $
Ea accider
ANY AUTO BODILY INJURY (Per person)
ALL OWNED SCHEDULED BODILY INJURY (Per accident)
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS (Per accident) $
AUTOS
s
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTION S
WORKERS COMPENSATION PETITE
AND EMPLOYERS LIABILITY
YIN
ANY PROPRIETOR PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER MEMBER EXCLUDED? NIA
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE
If yes. describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
El Dorado Insurance Agency El Dorade Insurence Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Dorado Insurance Agency El Dorado Insulasce Agency El Dorado Insurance Agency ACCORDANCE WITH THE POLICY PROVISIONS.
SPECIME AUTHORIZED REPRESENTATIVE
R.L. Ring, Jx./SUSAN
Ian orado Insurance Agency El Dorado Insurance Agency aBenarogurance Agency © 1988-2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD