Loading...
10012Sloe below for Finance Revenue Codes ENCROACHMENT PERMIT of PUBLIC WORKS CONSTRUCTION For the construction of Public or Prlwate chubs, drnreways, ptivettteritst aidowalks, Perktn9 lobs. , water rttalrta and other like public works Improvements In acdior► terittt MINOR IMPROVEMENTS and APPROVED S1.11IDMS1 NS. Subdivision Improvement pwnh - Class III Mmol Improvement Per n t - Claw IV DATE: 2rA=010 LOCA-noN OF OONSTRwnotk Dotrsert Iritotntdlomal end Sprint Triathlon; Lake CahW ft Nadlson alt. Airport IBivtl, Van Bunco lit, Ave 09 PURPOSE OF CONSTRUCTION: Temporary Ttftc COMM far Triathlon Bpedal Event - Slke Portion{ ttlrlthin La QuIRb City Limits Only DESCRIPTION OF CONSTRUCTION: See Aiyphad Ytullic CaftbW Plan DIMENSION OF INSTALLATION OR REMOVAL: 8ss Aftwhed TMNo Conftl Plan APPROMATE 11ME WHEN WORK WILL BEGIN: 9RM0 TIA4E !3F COMPIETIObJ: 3/7/Z010 ESTIMATED CONSTRUCTION COST: WA (Including removal of all obstruction, ma!S iele. and debris, bang, oompaction and pladng permanew resurwng and/or MP18ft Imp) COMMENTS Tbh Permit is A* gn Traflia Conftl Setup WrtMn the City of L& Qulnfa Llmtb In conelderatim of thegr@r V of drie permit, the epptimnhWft agreasto. rridentrtify. ddlend and save Ats City. lis ou"todsed agents, OMM8, Mrsswftlives and amployeW, harmless fivm end against and all Penalues. IlabBW� des or loss reafrom dalms or Court action end arising out of any weldont, lose or damage pwaorw�or P "mrty h&PPOft or occUft as a proodmate result of ary work undertaken under the permit gm*ted p►iretrant to this application. Notify the Admkrstrallve Autllortty at Isest bverllrsour (T4) tours In adverm of Ste time when W0* Will be ster6ad at (760( 71"7- 7097. M80 IWW4�fturT �a k bave a meseepe or Ilse Ir on Repute Hogs at (76p) 777-7097 prior to 1:90 P.M. at pilor to fits MiticPpeied Inspedlon. Comply wMA all 413pleaW Cllr Ordinarms, the tame and ommions of the txnmlt and atl e101 -110a neat: end regulations of the City of La Quints NW to pay for any sdd@l=W MPlacemertt necessary es the result of If is vtwcrk. rarep Khdn - OOeln and Clark sports LLC 80 Vie Del M*mRto. Raecho Ukase. CA 05270 (760) 324-7000 Name of Applicant Business Address Telepttorte No Top N Barrltade 44431 Jridmm 8% India, CA 112201 (7601347.2111 Nettie of CwMmtar and Job Fvrerrtan 8usbum Andress Telephone No. 767881 Contrsetoes License Nurteer Lexittgtor Inauranea Company AWgantz ktstrsrics taornnanv Palley Number IBESPu� 1 Pub ImprbvernwItc: 3% of estimated conch milon coats Private Imprpvemenie. 3% of estimated constriction coets 103875 City Business License No 9471630 1 Finance Revaurtte Cods InspeeYon Fes Permit Fes sum A6 -Built Deposit Im Cash Dqxd*&n" Bond. TOTAL PERMIT NUMBER: 10012 DATE ISSUED: Marc A S Lo to EXPIRATION C -1 - BY: WORK INSPEc Br•_; PERMIT COMP1.91'ION DATE'• If the work is covered by a Subti inion Impmwerrord Aaree nwd, Subdivider dod !epueet Anal awsptutoe at trrlp mono* Atm M coy c4ur". Tldf 4 4dc9lxfa PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 2--29 - i O S�-tn.00 O'Ka Tract No: Project Name: Se,+V I --'f 0 4l' to r Vicinity: pct o_ Ca "ki1101 Sorrow C1 in S - c IV Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.)�ern ara 5e + Ion S Pec t cd Even- — 8 i ke 96.-- vr% "ni- mct P iC� �o•�Yo � �� I Description of Construction (i.e.: See Plan Set No. 01234) See. aa-Iq cL2d 61 ke Mae a nd `c c Ions Dimension of Installation or Removal: S A n S X- Co nes Jpo� 67 ke ro u r.Sg Approximate Construction Start Date: Moo reli -7 201 o Approximate Construction Completion Date: /ala r c l -1 , t a l o Estimated Construction Cost: $ Nl^ Estimated Construction Cost shall include the remova of all obstructions, materials, and debris, back -filling, compaction and placing permanent resurfacing and or replacing improvements Contact Name: G reel "KI -e n Phone Number: 760 32 �1=lo,b Name of Applicant/Owner: 1< (2 + h ar,d Clark sy o r� s LLC. Applicant Address: g0 V Tm Del Merrn o Applicant Telephone Number: Sa em e Applicant E-mail Address: r - Name of Contractor: 7 o p S N Sg rr;cotJeS Contractor Address: :r --v 4to 44631 JACI_sorl S+ , r-vGo CA Iq Contractor Telephone Number: 'lb v) 341 - ZI 1 1 Contractor State License Number: Z $1(0 6 4 Contractor City Business License Number: 0 3 87 S Contractor E-mail Address: ►A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED Alicant or Contractor General Liability Insurance Company: L-�exih9h S•�s�� e Cow.�awtr ITY6 V rct „ e2 Q1 read S wl` 4+eci rto QE6, V f La Applicant or Contractor Gen al Liability Insurance PolicyNumber: Cf4+-7lb3o Office Use Only:I I Office Use Only: Ins ection Fee: Assigned Permit Number: ODI Permit Fee: 0 As -Built Deposit: Dust Control Deposit: Credit Amount: TOTAL FEE DUE: -t O ormS & ADDlicavonwADDllcatlon Approval Date: Expiration Date:_ Issue Date: Administrative Authority: A� �® CERTIFICATE OF LIABILITY INSUkANCE TE DA/12/DD/YY0 2/12/2010 PRODUCER (641) 842-2135 FAX: (641) 828-2013 McKay Insurance Agency, Inc. 106 East Main Street P O Box 151 Knoxville IA 50138 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Silent Sports Association - Triathlon Klein Clark Sports, LLC 80 Via Del Mercato Rancho 14irage CA 92270 INSURER A: Lexington Insurance Company 19437 INSURER B: INSURER C: INSURER D: INSURER E: !`r%VFRAf:FC 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 OFSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' INSURANCENSR TYPE OF POLICY NUMBER POLICY EFFECTIVE (MMIDDIXY111 POS Y EXPID ON MMIDDATE LIMITS REPRESENTATIVES. AUTHORIZED REPRESENTATIVE GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTE5 PREMISES Ea occurrence $ 100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ Excluded A X CLAIMS MADE OCCUR 9471630 3/7/2010 3/8/2010 PERSONAL & ADV INJURY $ 1,000,000 X Includes Athletic Participants GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO X LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE_ $ AGGREGATE $ OCCUR EICLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION WCSTATU- OTH- TORY LIM ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNER/EXECUTIVE - E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - POLICY LIMIT 1 $ If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS 11th Annual Desert International & Sprint Triathlon: March 7, 2010. Certificate holder is an additional insured but only with respect to liability arising out of the operations of the above named insured. "This policy is issued, pursuant to Iowa Code section 515.147, by a nonadmitted company in Iowa and as such is not covered by the Iowa Insurance Guaranty Association." CFRTIFICATF wni nFR CANCELLATION ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200900 The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of La Quinta DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn : Stan Sawa NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 78495 Calle Tempico La Quinta, CA 92253 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Dan McKay/MEG ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200900 The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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 endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ' ACORD 25 (2009/01) IN S025 (200901) PERMIT NO. 10012 Desert International and Sprint Triathlon / Temporary Traffic Control — Bike Portion / Lake Cahuilla, Madison St, Airport Blvd, Ave 60 In addition to the standard permit conditions, the following shall apply: The applicant, Greg Klein, shall be available during the event by phone at (760) 832-0497. 2. Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer. 3. Klein and Clark Sports, LLC (Greg Klein), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 4. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 5. The permittee shall remove all signs immediately after the completion of the event. Sign removal 'should be accomplished by the end of 5PM on March 7, 2010. 6. The Permittee shall contact the City Traffic Signal Maintenance Technician at (760) 250-0571 if signal operation at the intersection is to be altered in any way. 7. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), Permittee shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City sfreets or facilities as a result of work performed under this permit. 8. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), on Collector to Major Arterial Streets, the permittee must submit a traffic control plan which shall be prepared under the guidance of the latest version of the California Manual of Uniform Traffic Control Devices (MUTCD). It shall be the Permittee's responsibility to appropriately detour and barricade all construction sites. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall be maintained at all times. 9. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422- 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 10. Should additional work, materials, or modifications of the work be required in order to meet City standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. Special ConditionsPage I oft PERMIT NO. 10012 Desert International and Sprint Triathlon / Temporary Traffic Control — Bike Portion / Lake Cahuilla, Madison St, Airport Blvd, Ave 60 11. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for proper sight distance requirements per guidelines in the AASHTO " A Policy on Geometric Design of Highways and Streets, 5t' Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 12. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), backfill compaction within street rights-of-way shall conform to Section 306-1.3 of the latest edition of the Standard Specifications for Public Works Construction (SSPWC), except as otherwise specified herein. No excavation or backfill will be required on this.project. Reapply if excavation is required. 13. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 14. Access and egress to all local properties shall be maintained at all times. 15. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed under this permit with an approved dust control treatment. Soil stabilization shall be done immediately after completing the operation. 16. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 17. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. Special Conditions Page 2 of 2 4 . .> N MADISON ST. W-(�E _ IT E� NO SCALE n,.¢ ENTR) GATE THE QUARRY '=mm'" 350' a ]! s I J. :I J RFL �I KEEP KEEP' a LEG EFTt�.fm-1 AA4 c= �• r'�- --- - - � - r kj Rt•1 91. [R � r t-IVc4zslce wuory IIJACKSON ST. CALHOUN ST. VAN BUREN ST. MONROE ST. G I all I � I R1.1 4 +j 1 1 • :1 ' � t Ri.f ml ,I 1' R, 1 I R1.1 M 1 f R,.i t' F iG +7 1' 1' 1. i• 1' + 1• jf� 1' ,R V`E' � G i 1' ENI !!! 1 � f G • � i ,G 0� AIRPORT BLV BLVD. J I 1 -Y RI.1 Rt.l {1 i r Rt.t M-1 M I • RIA ! 1 1' 1 j I i 1' FxtfTG i{ 1' 1 KEEP 1' 15•• 4 E 1 Yc c j 1 RF.W � E YG 1 'I KEEP LEFT t !] I ` i I LEFT 1 IumnE ( In Fuo LEFT RI•I r ! RM R1.1 Rt•1 R1.1 1. R1.1 w1b 1 • � J4 i Rlip 1p G 1 YG G I' EY15 G STOP sroP, sT�OPr -S-T-0-P, s s, li � 1t t =J ���•eJii `i7 1 E R,-, OG F t It xx NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2006 CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROLS (M.U.T.C.D.) T`"cCantra1�"�" 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY a TRAFFIC ;Desert Triathlon Bike Portion CITY OF LA QUINTAAND/OR COUNTY OF RIVERSIDE REPRESENTATIVE. DIRECTION[Klein E Clark Sports �� N A 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. POLICE jIj 4. PARTICIPANTS SHALL FOLLOW ALL TRAFFIC LAWS. OFFICER i Tra�cCantdDes Pt1Qe �� 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. , Tops N Barricades, Inc. (800)852 -TOPS Ron Fifield 6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING EVENT HOURS ONLY. THE EVENT IS ON SUNDAY MARCH 7, 2010. THE HOURS ARE 5 AM TO NOON. TRAFFIC CONDITIONS ARE LIGHT VOLUME. i St" Nmtw Dale ll S REV 2/25/10 To Be Issued on Approval 7. A POLICE OFFICER SHALL BE POSTED AT EACH INTERSECTION ALONG THE ROUTE TO MONITOR TRAFFIC. t