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10046
�;�(�a,•� See below for Finance Revenue Codes 4v Qum& ENCROACHMENT PERMIT COP, �F of ncF PUBLIC WORKS CONSTRUCTION For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS: DATE: 9/20/2010 Subdivision Improvement Permit - Class III Minor Improvement Permit - Class IV LOCATION OF CONSTRUCTION: Verizon; Avenue 50 East of Jefferson St on the South Side PURPOSE OF CONSTRUCTION: Expose a Buried Telephone Splice for Verizon Located Under Pavement for Isolation of Trouble DESCRIPTION OF CONSTRUCTION: Dig Splice Pit to Expose Buried Splice Under the Asphalt DIMENSION OF INSTALLATION OR REMOVAL: Remove 4'x8' Piece of Asphalt APPROXIMATE TIME WHEN WORK WILL BEGIN: 9/27/2010 TIME OF COMPLETION: 10/4/2010 ESTIMATED CONSTRUCTION COST: $2,600 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occuring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760) 777- 7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at least twenty-four (24) hours prior to the anticipated inspection. Comply with all applicable City Ordinances, the terms and conditions of the permit and all ap licable rulnd tequlations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work.patuoYApplicant 1�►' 1A—��(i,��S Sig or Agent• Verizon - Thomas Flinn 950 S. Williams Rd, Palm Springs, CA 92264 760-327-1576/218-9010 Name of Applicant Business Address Telephone No Arizona Pipeline- Ivan Matamoros 84391 Cabazon Rd, Indio, CA 92201 760-775-6543 / 909-208-6944 Name of Contractor and Job Foreman Business Address Telephone No. 423545 Contractor's License Number Travelers Prop Cas Co _ Applicant's Insurance Company FEES Subdivision Improvement Permit - Class I Minor Improvement Permit - Class I Finance Revenue Code Inspection Fee EE=1 $0.00 Permit Fee. E_1 $100.00 As -Built Deposit E-A $0.00 Cash Deposit -Surety Bond, E_B $0.00 if required TOTAL $100.00 6849 City Business License No VTJEXGL5643B14AT1L10 Policy Number Public Improvements: 3% of estimated construction costs Private Improvements: 3% of estimated construction costs PERMIT NUMBER,,:` 10046 DATE ISSUED: (# !.0 10 EXPIRATION DATE: BY: WORK INSPECTED B *: PERMIT COMPLETION DATE*: ' If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. ,- U., (,;- c1) b� � 1 I tP '4' � ;,,t.;' inti: PUBLIC WORDS DEPARTMENT APPLICATION FOR PERMIT Date: Recervto Tract No: Project Name- 80041 AVENUE 50 Vicinity: EAST OF JEFFERSON 2010 Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) EXPOSE A BURIED TELE- nt 1� PHONE SPLICE FOR VERIZON LOCATED UNDER PAVEMENT FOR ISOLATION OF TROUBLE Ei Description of Construction (i.e.: See Plan Set No. 01234) DIG SPLICE PIT TO EXPOSE BURIED ! SPLICE UNDER THE ASPHALT Dimension of Installation or Removal: REMOVE 4'X8' PIECE OF ASPHALT (ANOTHER HOLE OF SAME DIMFNTION MAYBF RFQU!RF..D). AZP VALL LET YOU KNOW IF REQUIRED. Approximate Construction Start Date: 9127/10 Approximate Construction Completion Date: 1014110 Estimated Construction Cost: $ 2,600.00 <tima!ed Constn;c!ion Cost shall include the removal r al! obstruc'tions' materia:, and dcbris. back -filling, cmmnacticin ;mc! Plar,ing permainent resurfacing anti or replacing improvements Contact Name. THOMAS FLINN Phone Number: 760 327-1576 Name of Applicant/Owner: VERIZON Applicant Address: 950 S. WILLIAMS ROAR, PALM SPRINGS, CALIFORNIA 92264 Applicant Telephone Number: 760 327-15761760 218-9010 Applicant E-mail Address: thomas.b.flinn@verizon.com — Name of Contractor: ARIZONA PIPELINE/ IVAN MATAMOROS E-MAIL imatamoros@arizonapipeline.com Contractor Address: 84391 CABAZON RD. INDIO, CALIFORNIA 92201 Contractor Telephone Number: 760 775-65431909 208-6944 Contractor State License Number: 423545 Contractor City Business License Number: Contractor E-mail Address: 6849 ®A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED® Applicant or Contractor General Liability Insurance Company: TRAVELERS PROP CAS CO Applicant or Contractor General Liability Insurance Policy Number: VTJEXGL.5643B 14ATAL10 Office i. se WIN - l1 Permit E�cc: / As-Buiii Uepcsii: Drat C ontrnd Dupocii: -_—...... Crcdit TOTAL FEE DUE: icati:m for Office t srmit Nu no�� Assiened Permit Number: V Approval Dam: Eiapiration w Date: Issue Date: Administrative Authority Sep -22. 2010 11:53AM Harris Agency No. 3525 P. 1 ACORD. CERTIFICATE OF LIABILITY INSURANCE 9/2zizo o' PRODUCER (102) 368-1144 FAX: (702) 368-1155 The Harrill Agency, LLC J yf 5105 S. Durango Drive suite 100 Las Vegas NV B9113 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 MAIC # INSURED Arizona Pipeline Company PO BOX 401865 Hesperia CA 92340 INSURER Travelers Prop Cas CO INSURERS: INSURER C: INSURER D: INSURERS: 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 - REG kTELIMITS SHOWN MAY !JAVE BE JREDUCED BY PAID CLAIMS. INSRAOD'L TYPE OF INSURANCE POLICY NUMBER DATEIMMIIDIWEPDATEMM/PDIY°N LIMITS GENERAL LIABILITY EACH OCCURRENCg 1,000,000 DAMAGETOaa�rnce $ 300,000 X COMMERCIAL GENERAL LIABILITY A X CLAIMS MADE FRI OCCUR VTJExGL5643B14ATIL10 4/1/2010 4/12011 MED EXP (Any one son S Expluded $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGO S 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY FX1 PRP 0 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO (Eaaccldenl) BODILY INJURY A ALL OWNED AUTOS VTC2JCAP5643B151TIL10 4/1/2010 4/1/2011 SCHEDULED AUTOS (Perpereon) $ BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN FAACr ANYAUTO AUTO ONLY: AGG S ExCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLEATU A WORKERS COMPENSATION AND X I n SLIM)T }{ OTM EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.LEACH ACCIDENT $ 1,000,000 E.L.DISEA6E-EA EMPLOYEE $ 1,000 000 OFFtCER/MEMBEREXCLUDED? VTJUDS643929210 4/1/2010 4/1/2011 If yea, describe under APFCIAL PROVISIONS below FI DISEASE_POLICY LIMIT S 1,000,000 OTHER DESCRIPTION OF OPERATIONSfLOCAT10NSNEHICLESIEXCLU810N9 ADDED BY ENDO R6EMENT/SPECIAL PROVISIONS RT: ALL PROJECTS PERFORMED BY THE NAND INSURED A3 RESPECT TO WATER, HEWER, GAB, COMMUNICATION, OR POW9R LINE WORK. CERTIFICATE HOLD&R IS INCLUDED AS ADDITIONAL INSURED ON GENERAL LIABILITY PER ATTACHED EXG373 01/06 SUBJECT TO POLICY TERMS AND CONDITIONS. *EXCEPT 10 DAYS NOTICE OB' CANCELLATION FOR NON PAYMENT OF PREMIUM.. CERTIFICATE HOLDER CANCELLATION (760) 777-7155 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF LA QUINTA EXPIRATION DATE THEREOF, THE (99UING INSURER WILL ENDEAVOR TO MAIL ATTN: AMY YU—Assistant Engineer II 30* PAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT PO BOX 1504 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 78-495 CALLS TA14PICO LA QUINTA, CA 92253 INSURER, ITS AGENTS OR REPRESS ATIVES. AUTHORIZED REPRESENTATIVE--/ . _ ACORD 26 (2001108) / 0FORD CORPORATION 1988 INS026lotoe).oea' v Pape 1 of 2 Sep, 22. 2010 11:53AM Harris Agency No. 3525 P. 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 The Certificate of Insurance on the reverse side of this form 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 26 (2001108) Page 2 of 2 ItVS626 (008).08e Sep.22. 2010 11:53AM Harris Agency No -3525 P. 3 SELF-INSURED EXCESS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifles insurance provided under the following: SELF-INSURED EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE FORM WHO IS AN INSURED- (Section II) Is amended to include any person or organization that you agree in a "written contract requiring insurance" to Include as an additional insured on this Coverage Part, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown In the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement shall not increase the limits of insurance described in Section 111 - Limits Of Insurance. b) The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal Injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including: I. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications: and Supervisory, inspection, architectural or engineering activities. a) The insurance provided to the additional insured does not apply to "bodily injury' or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and (hen the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 3. Subparagraph (1)(a) of the Pollution exclusion under Paragraph 2., Exclusions of Coverage A. Bodily Injury and Property Damage Liability (Section I — Coverages) does not apply to you if the "bodily injury" or "property damage" Is caused by "your work" performed at any promises, site or location which Is owned by, or rented to, the additional insured at the time "your work" is performed there. 4. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other Insurance', whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non- contributory basis, this insurance will apply as if "other insurance" available to the additional Insured which coeers that person or organization as a named insured for such loss does not exist, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and'collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under such "other Insurance". 5. As a condition of coverage provided to (lie additional insured by this endorsement: EX G3 73 01 06 © 2006, The Sl Paul Travelers Companies, Inc. Page 1 of 2 Sep, 22. 2010 11:53AM Harris Agency No. 3525 P. 4 SI=LFANSURED EXCESS a) The additional insured must give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim under this insurance. To the extent possible, such. notice should include: 1. How, when and where the "occurrence" or offense took place; R. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offense. b) If a claim is made or "suit" is brought against the additional insured which may result in a claim against this. insurance, the additional insured must= 1. Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c) If a claim is made or 'suit" is brought against the additional insured which may result in a claim against this insurance, the additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the Investigation or settlement of the claim or defense against the "suit and otherwise comply with all policy conditions. d) The additional insured must tender the defense and indemnity of any claim or "suit" to any provider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether, as described in paragraph a, above, the insurance provided to the additional insured by this endorsement will apply as if "other insurance" available to the additional insured which covers that person or organization as a named insured does not exist. 6. The following definition is added to SECTION V. — DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and `property damage" occurs and the "personal injury' is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before fhe end of the policy period. EX G3 73 01 06 0 2006, The St Paul Travelers Companies , Inc. Page 2 of 2 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number 10046 The following shall always apply. ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's right of way ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any paved surface unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operation in paved areas. If the existing pavement is scarred, spalled, or broken during the term of this contract or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation. CARE OF DRAINAGE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe, steel culvert and concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains shall be kept free of debris at all times for proper drainage. RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill. DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The following shall apply when indicated. ® R1 NOTIFICATION: Permittee shall be notified the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting construction. ® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. Damage to existing substructures resulting from operations conducted under this permit'shall be the sole responsibility of the permittee. ® R3 UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the proposed work site. The permittee shall notify all concerned utility companies of the proposed work. ❑ R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced with ( " N/A " ) inches of A.C. paving placed on ( " N/A " ) inches of ( " N/A " ) aggregate sub -base course having an "R" value of not less than ( " N/A ") and in conformance with the City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. ® R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of one-fourth inch (%") to one foot (1'). ❑ R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by a licensed engineer. ❑ R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (" N/A ") feet shall be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207. ❑ R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be two and a half inches (2 %") of A.C. paving on (*' N/A ") of class (" N/A " ) aggregate base. ® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all times. ❑ R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the manufacturer's specifications. City of La Quinta ® R11 COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. ® R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly, replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified upon completion or replacement of all survey monuments for proper clearance. ® R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be used to excavate prior to cutting or pavement.) Excavation material shall be placed in such a position as to best facilitate the general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected. ❑ R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction material is actually on the work site. ® R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes of producing and adequately consolidated backfill. Ant material which the City of La Quinta deems unsuitable (spongy or saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced by an approved sand or gravel. ❑ R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts not greater than three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway. ❑ R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the trench before flooding or a maximum of five feet (5) lifts where trenches are of excessive depths. Care is to be exercised that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall not be less than ninety percent (90%) or equivalent to the surrounding ground, whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuos. ❑ R18 COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one - thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City . Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ❑ R19 COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ® R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting of two inches (2") of SC -800 shall be placed on a prepared sub -grade. The SC -800 temporary paving shall be placed after a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no case shall the placement of the temporary pavement exceed a five (5) day limit. ® R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of three inches (3") of SC -800 shall be placed immediately. A permanent patch of Asphalt Concrete surfacing per City of La Quinta Standard 600 shall be placed no later than ( 5 ) days after completion of temporary road repair. ❑ R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as determined by the City Engineer. ® R23 STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon completion of permanent repairs. ❑ R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate signs, flagmen and or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. PERMIT NO. 10046 Verizon / Dig Splice Pit to Expose Buried Splice / Ave 50 E of Jefferson, South Side In addition to the standard permit conditions, the following shall apply: 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. 2. Prior to commencing the excavation of a trench 5 feet in depth or greater and into which a person will be required to descend, the Contractor shall first obtain a permit to do so from the Division of Industrial Safety pursuant to 7-10.4.1. 3. "The permittee shall not construct an improvement that reduces vehicular sight distances. If such improvement is found to reduce the vehicular sight distance, then the permittee shall relocate the improvement prior to sign off of their encroachment permit." 4. The permittee shall not install improvements with the intention of providing video transmission services unless the permittee obtains a valid Franchise Agreement. 5. The permittee shall remove any underground utility markings that are no longer being used for this project. The permittee shall remove markings on paved areas using high pressure wash or a method equivalent and at the discretion of the City Engineer. 6. Any asphaltic or concrete repairs shall closely match the existing. paved areas in color at the discretion of the City Engineer. A finish product with a checkerboard appearance will not be accepted. 7. The permittee shall maintain the existing pedestrian path of travel and must maintain ADA compliant pathways leading to areas for use of public transportation systems. 8. No stockpiling of any materials will be allowed within the City R/W without an approved permit explicitly stating the use for stockpiling and/or storage. 9. This permit or copy of it shall be on the work .site (usually the job trailer) for inspection during the actual work performed. 10. Verizon (Thomas Flinn), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 11. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 12. The permittee shall submit inspection requests by calling the City Inspection Hotline at (760) 777-7097 before 1:30 p.m. and at least twenty-four (24) hours prior to the anticipated inspection. 13. The permittee is responsible for obtaining a valid.separate permit from the California Department of Transportation Department (CalTrans), other.City, or County jurisdictions if any of the work or traffic control devices extend into the CalTrans, other City, or County right of way. Special Conditions Page 1 of 6 PERMIT NO. 10046 Verizon / Dig Splice Pit to Expose Buried Splice / Ave 50 E of Jefferson, South Side 14. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (ie any 4 lane street) before 8:00 a.m. 15. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3 p.m.' Traffic control shall be set up after 9 a.m. and removed before 3 p.m. 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. 16. Pursuant to Section 14.1.6.110 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 streets or facilities as a result of work performed under this permit. 17. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, a letter from any owners of the driveways/access ways that will be closed down due to the construction. The letter must be approved by the city and at minimum state from the owner the following: A. Approval of the construction B. Plan identification C. Time Frame of Closure D. Alternative Routes 18. The permittee shall place temporary no parking signs along the parking area affected by the construction. The signs shall be placed along the area 48hrs prior to the start of closing the area, and removed immediately after the construction completion date. 19. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), at residential streets, advance warning signs and traffic control shall be installed and maintained in accordance the latest version of the California Manual of Uniform Traffic Control Devices (MUTCD). 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. Special Conditions Page 2 of 6 PERMIT NO. 10046 Verizon / Dig Splice Pit to Expose Buried Splice / Ave 50 E of Jefferson, South Side 20. 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. 21. 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. 22. 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, 5`" Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 23. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random trench compaction testing performed by a city approved material testing firm. If the inspector's phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Assistant Engineer II at 777-7047 to determine the city inspector's phone number. The inspector shall determine the number and location of the test location/s. The above testing does not relieve the permittee's responsibility for future repairs due to settlement at and near the locations of the work area. Materials testing must be performed under direct supervision of a California Registered Civil Engineer. 24. The issuance of this permit and the City approval of the related construction improvement plans do not provide a vested entitlement for all design parameters that may have been utilized for the plans. As such, plans approved for this permit may be "at risk" for further modifications as it relates to any follow up improvement plan requirements as required by the city or existing errors & omissions by the architect or engineer of record. 25. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, the name of the City approved contractor, who shall submit to the City the following items: a. General Liability Insurance Company and Policy Number b. City Business License c. Contractors State License Number 26. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts provided in the Engineering Bulletin for Indemnification & Insurance Requirements. This insurance shall be kept in full force and effect at all times by Applicant or Contractor during the prosecution of the permitted work and updated Certificate of Liability Insurance shall be submitted to the City. Each policy shall name the City as an additional insured. Special Conditions Page 3 of 6 PERMIT NO. 10046 Verizon / Dig Splice Pit to Expose Buried Splice / Ave 50 E of Jefferson, South Side 27. The permittee shall not encroach upon private property without prior written approval (submit to the Public Works Department, attention to the Assistant Engineer II) of the private land owner whom is being encroached upon. 28. The permittee shall haul all offsite debris to a certified landfill. Prior to hauling debris, the permittee shall inform the City (Inspection staff or 777-7047) of the name and location of the certified dump site. 29. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the Public. Works Department, a traffic control plan for review and approval prior to start of construction or parking on the paved R/W. 30. The permittee is required to provide a changeable message board informing the commuters using the affected Major and Primary Arterial roads of major construction and possible traffic delays, time of construction, and if possible alternate routes. The message board shall be provided for the commuters 48 hours prior to the start of traffic delays. 31. The permittee is required to provide an informative message board (approved by the City Engineer) informing the commuters using the affected Primary Arterial roads or heavier traffic of possible traffic delays, time of construction, and if possible alternate routes. The message board shall be provided for the commuters 48 hours prior to the start of traffic delays. 32. 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. Native material may be used as backfill material provided that minimum compaction, achieved in the manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no water densified compaction via jetting or flooding or other means shall be allowed. It shall be the Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all times during backfill operations. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all test results shall be furnished to the City Inspector. 33. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if within the existing travel way, at the end of every workday as directed by and to the satisfaction of the City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight, however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length, open overnight at a point where construction will begin the next day, provided that this length of trench is completely covered by steel plating. 34. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 35. Access and egress to all local properties shall be maintained at all times. Special Conditions Page 4 of 6 PERMIT NO. 10046 Verizon / Dig Splice Pit to Expose Buried Splice / Ave 50 E of Jefferson, South Side 36. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement shall be completed no later than seven (7) days after the completion of the work. Permanent pavement replacement shall conform to the following conditions: A. Existing asphalt concrete pavement shall be sawcut one (1) foot beyond trench edges. Edges shall be straight and clean. B. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker than existing of asphalt concrete over the same existing thickness of crushed aggregate base or crushed miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard Specifications for Public Works Construction. The replaced pavement and base material shall be compacted to 95% relative compaction and respectively tested, for each 300 linear feet of trench. Verify exact structural replacement section thicknesses with the City prior to installation. C. Permanent pavement replacement shall be installed using a City approved 3/" max medium asphalt concrete as the base course lift and a City approved %2" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior to its placement. D. Cold -Mill and Overlay - The existing pavement which was properly protected in place during the trenching operation located adjacent to the trench saw cut shall be cold -milled to a depth of 0.10 feet with butt joint created next to the existing unmilled pavement surface. The cold -milled area and base asphalt concrete in the trench area shall be overlaid with a City approved C2 -AR -4000 asphalt concrete mix. The width of the cold milling area shall be as follows: • For longitudinal trenches located in a parking lane: three (3) feet outside the sawcut removal lines. • For longitudinal trenches located in a traffic lane: three (3) feet outside the sawcut removal lines, or to the lane line striping, whichever is greater. • For transverse trenches across existing street: two (2) feet outside the sawcut removal lines. E. If grinding and capping operations are not performed in the same day as base paving operations, the base course lift of 3/" max medium asphalt concrete shall be installed from saw -cut edge to saw -cut edge flush with the existing street surface. The base course lift of paving shall not be left 0.10' low in anticipation of grinding and capping. F. Any existing lane striping or any existing detour lane striping affected by this resurfacing shall be replaced in kind by the Permittee, as directed by and to the satisfaction of the City Engineer. Affected traffic signal loops shall be removed and replaced in kind. The finished pavement surface shall be smooth, consistent, and shall conform to the surrounding grades. 37. 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. Special Conditions Page 5 of 6 PERMIT NO. 10046 Verizon / Dig Splice Pit to Expose Buried Splice / Ave 50 E of Jefferson, South Side 38. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment. 39. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 40. 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. 41. If it is the intent of the permittee to cut the pavement and have it restored by a third party, the permittee shall postpone cutting the pavement until the intended third party has acquired a permit from the City to perform the require& restoration work. Special Conditions Page 6 of 6 /N� w - -. NO SCALE C= y v �' $' e20 2 SEND 03 0-0 0 {0 � Wn'; D RALPH'S I SHOPPING K. CENTER 0a y yr 4211- D D D 'of W D 0 D D W20-1 EN ROAD ROAD ROAD K WORK AHEAD '00,01,1 0 0,-- / wo 6/7 ,2 S NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH 2006 CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (M.U.TC.D.) 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 THE CITY OF LA QUINTA OR THE CITY OF INDIO REPRESENTATIVE. 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10'(12' TYP.) TRAFFIC LANE WIDTH AT ALL TIMESAND A MINIMUM 2' BETWEEN THE EDGE OF CUTAND THE NEAREST TRAFFIC LANE. 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. 6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND RETURNED TO NORMAL. W 1 AVE. 50 50 Telephone System Repair Prime Contractor Based on Standard Arizona Pipeline N/A Traffic Control Design by Phone Prepared By Tops N Barricades, Inc. (800)852 -TOPS Ron Fifield Sheet Number Date Permit Number 1 of 1 9/21/10 To Be Issued on Approval