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10069 (2)Lai. See See below for Finance Revenue Codes 44 ENCROACHMENT PERMIT OFT°4 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. Subdivision Improvement Permit - Class III Minor Improvement Permit - Class IV DATE: 11 /3/2010 LOCATION OF CONSTRUCTION: Ave 50 PURPOSE OF CONSTRUCTION: Palm Tree Removal DESCRIPTION OF CONSTRUCTION: N/A DIMENSION OF INSTALLATION OR REMOVAL: Remove 6-12 Washington robustia and Replace with 6-24 Box Crate Myrtle APPROXIMATE TIME WHEN WORK WILL BEGIN: 11/4/2010 TIME OF COMPLETION: 11/5/2010 ESTIMATED CONSTRUCTION COST: $4260.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS N/A 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 applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Rafael Mendoza - Horizon Professional Landscape 84501 Guitron St, Coachella, CA 92236 760-333-9371 Name of Applicant Business Address - Telephone No Horizon Professional Landscape 84501 Guitron St, Coachella, CA 92236 760-333-9371 Name of Contractor and Job Foreman Business Address Telephone No. 799029 104345 Contractor's License Number City Business License No Essex Insurance Co. CL042600815 Applicant's Insurance Company Policy Number FEES Subdivision Improvement Pen -nit - Class I Public Improvements: 3% of estimated construction costs Minor Improvement Permit - Class I Private Improvements: 3%•of estimated construction costs Finance Revenue Code Inspection Fee EE=1 0.00 Permit Fee EE=1 0.00 As -Built Deposit E-A $0.00 Cash Deposit -Surety Bond, EE=6 $0.00 if required TOTAL $0.00 PERMIT NUMBER: 10069 DATE ISSUED: III-k1l O EXPIRATION DA / BY: WORK INSPECTED BY*: PERMIT COMPLETION DATE*: * If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) P4Lt -, 9YZAISK Agll"c ✓A I Description of Construction (i.e.: See Plan Set No. 01234) Dimension of Installation or Removal: 12X, 4 r9 c/ fl % _ / 7 AQ j, AAAA A. r'e A/SP &A c2' I.vt rW Approximate Construction Start Date: P // O '1/ / / 0 `le Approximate Construction CompletionDatT% Estimated Construction Cost: $ 0,T Estimated Construction Cost shall include the remov t f all obstructions, materials, and debris, back -filling, compaction and placing permanent resurfacing and or replacing improvements Contact Name: Rq C4 I-r4MF AJ -1> v 21.E Ld&hone Number: I (o d 3 3.3, - g 3 Name of Applicant/Owner: Paz fJSS oa rb '- LA,✓D_(cA Pt' Applicant Address: g �` _st3 �; �,�y-Q, c�2�� i co a cc4 GSL- E cl Applicant Telephone Number: 77 e o3 3 9 2 7 Applicant E-mail Address: /d'o 2n �� �1!pon e ,� s� . Cg Name of Contractor: /,{a ko Z o ,J )0" ��S S i©:J,AL 4_,,4,rx7 -c cA-P61' Contractor Address: 94/ S-0 / 6 c®A e1,¢e-4e'A _ ems. 9A.9�_g Contractor Telephone Number: '74.o -3:1 S - 9 �3 7 / Contractor State License Number: `1 9 9.0 -->q Contractor City Business License Number: / m x 3 5/' S' - Contractor E-mail Address: /a ©a p ",j cg 0 ►A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED Applicant or Contractor General Liability Insurance Company: Applicant or Contractor General Liability Insurance Policy Number: Office Use Only: Inspection Fee: > Permit Fee: 1- As -Built Deposit: Dust Control N Deposit: ,(/f Credit �y Amount: TOTAL FEE DUE: - Forms & Ap—pTi—caMoMMApplication Office Use Only: Assigned Permit Number: Approval Date: IJIJ Expiration Date: Issue Date: Administrative Authority: —2 </ s ' /;�, O;V a.3 Nov 03 10 11:28a RAFAEL -1 n LJ L.tJCJJ ALJ. A 1 r'r"U111. 760 3982250 p.1 1 0= 1 rb19,3'Jt$dC�V H a 9 e: 1-11 CERTIFICATE OF LIABILITY INSURANCE°"Tr`AN7ar YM 02-08-2010 THIS CERTIFICATE IS ISSUED AS A VATTER OF INFORMATION ONLY AND CONFERS NO RIGMS UPO4 THE CEIi; MCATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the cerI fica0r huldes is an ADDITIONAL IMURED, the policy(ies) must he endorsod. If SUBROGATION IS WAIVED, subject to the terms bald Corw i1i(m of the parity, certain poficim may esquire an endaMeMat. AstaWrnent on this eertifieame does not confer rights to the certificate holder in ri2u of such ondorsemen PRODUCER r=cT CSr1D8 TOri89 s J INSURANCE 77-910 COUNTRY CLUB DB PKOp 760-772-4455 P e„ 760-772-4470 W^U. carlOs.torreslf rahDO.COID iwA STE 5-8 es/a4/Zoic PALM DESERT CA 92711 1311s AFFCMXW COVERAGE ' aA1Cs INSURED WSUROtA: SBL;ex Ineuzanee CO. INSURER a-Progreasive Insurance ! Treri2on Professional Landscape amuRExc: 84501 Quitron Street BI$URAt D CLiUMS-MADE MOCCUR Coachella Ca 92236 8�UR6t f:: 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 Oft CONOMON OF ANY CONTRACT OR OTHER DOCUMENT YNTK RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERYAI1t, TME INSURATeCE AFFORDED BY THE POLICIES 9ESCR113W HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IasR TYPE OF llrSUAAMCEGUSR THE EXPIRATION DATE THEREOF, NOTICE MILL BE OELrVEREO IN 78-495 Calle Tampico DOLICY IN0.1MSER POLICY EFF POLICY EXP L=T9 CENEAAL L IAwu7Y CL04260083A es/a4/Zoic 08/041202.1 EACH OCCUFit�tCE $ 1 I QO O, O D 0 MNMEROALC-EMERALLI0.OUrt S 100,000 CLiUMS-MADE MOCCUR A $ MEaE,cpl one $ 1,000 000 PERSONAL&ADVCNJURY S 1%000, 000 GENERA AGGREGATE S 2.00 0, 0 0 0 i celfLpGCriICATEUMITAPFiJEsvE7i FI�OUC7s.DOVP,OPAGO S Included 77 PCUCY 17 M LOC S ' AUTONoeILE UAEWTr 02306874 09/41/2009 09/14/2010 comswEDSINOLEUMIT IEa 1,000,000 ANTAIlTO go"" GODLY IXJURY S ALL OW&DAUTOS 900RYWARLY(Pera S SCHEDULED PAN(* 8 g PROPERTYIDAIAWNE HIREDAUTOS ( aoade,rt) S NCN4DMEDAUTCS S 1 UML3RELLA Ho=m EACH OOCUMIkCE I EXCESS LIAR LYAorts^LIAOE AGGREGATE t OEDUCnBLf f RETEWTI s WDRKER8COMPOISAnom rUC STATLL OTN- ANDVAPLOYERSLIA8IUTY YIN E.L. EACH ACCDENT f AW PROPFdET(F1PARTNEP4E)*Cvnve yueElT! OMwr NIA , d&T� to wq Rp%. atCwiDa,naiy EI DMEASE-EA EMPLUM f EJ, DISEASE.PcucyLn/n i DESCRIPTION OIFOPERATIONS M" C)MCRIPMNCFOPEPATWMJLDrATIONSIVENIMO(ARaeeACORD 1ef.AddW*hflRsmP%schema%,irme" TPaco Lsrggwrea) ertificate Holder seemed aa additional iaaured 10 Day Concall■tiod Qdtiee Ear loom paysmt of Frendum City of ice Quints SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE MILL BE OELrVEREO IN 78-495 Calle Tampico ACCORDANCE WITH THE PQLRY PR*V[SIONS. La Quints Ca 92353 4+rtnOA1Z®RB+RESHtTATVE f%JOI/ — ■a90-Auw J41WW1W %AJKrUKR►IUN- All nghtS reserved. ACORD 25 (2009109) The ACORD name and logo are registered marlla of ACORD r +-o.- � waveendorseYne� �� ��c�1 �SuYcxVn c� CSS' ori 11 y / c� Nov 03 10 11:18a RAFAEL HAY -13-2009 17_50 Front: 760 3982250 p.1 aco & CERTIFICATE OF LIABILITY INSURANCE to 26. 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Y,t! RlPf Q NIA E.L<856A6E-F!1 S E.L1>5EpZE:-p01mLwW s ��yy��� GE ilO7LDF 7tQ'�9>rW+� t � pESly�rgpgpFpc$an961a/L�CL7iSiG/VB�1FS(AIbsAACO::D'1Di.iR�+Lilb9�++R1'.�cozabyia'a�9 Ca-rtifiaate Holder masted as Additional Insured 10 Days Canae33ation Notice For Vain PayZb*tit Of TreMiem 2ATE ?ygtEW. P.LL Y;E W.•.3L a CC'�D91�^E rix Ta!E 9S1tlCY �RQ��i510L>SS. ' s I►ORD w- u y P fthts aMR0 25 i2Sxi"..M% Thr- ACO.W I==rata+ fog* a:s: a^.ri5--'ed ; of ACQR-n City of La Quinta. The following General and Special Provisions are attached to and made a part of Permit Number 10069 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 specked 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 noted 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 (%d') 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 Y2") 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. Citv of La Quinta ® RI 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 fumished 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 excavatirig 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. ❑ R16 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 (6) 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. 10069 CIP 2009-05 Ave 50 Palmi Tree Removal In addition to the standard permit conditions, the following shall apply: 1. 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. Proiect Name , hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 3. Streets shall be kept clean. They shall be completely cleaned at the end of each working- day and more frequently, if required. 4. 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 1st 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 1 st 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. 5.. 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 Riverside Country Traffic Signal Maintenance Department at (909) 275-6894 if signal operation at the intersection is to be altered in any way. 6. Pursuant to Section 14. 16.110 of the La Qiiinta Municipal Code (Ordinance 10 § 1 (part), 1982), Permittee shall assume responsibility for repair of any pavement damage to any public or private street and .f any damage to other City streets or facilities as a result of work performed under.this permit. 7..Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1. (part), 1.982), advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). A traffic control plan shall be prepared in accordance with the WATCH Manual and submitted to the City for review and approval one (1) week prior to starting any construction. It shall be the Permittee's responsibility to appropriately detour and barricade all. construction sites. Special Conditions Page 1 of 5 PERMIT NO. 10069 CIP 2009-05 Ave 50 Palm Tree Removal 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. 8. 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. 9.' 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. 10. 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 with Section 306-13 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. Backfill compaction shall be achieved by the following conditions: A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material, such material shall be removed to the limits directed by the Geotechnical Inspector and/or the City Inspector and the resulting excavation backfilled with pipe bedding material. B. Backfill materials shall be brought to or maintained at appropriate moisture content for compaction. The appropriate moisture content range shall be established at the onset of the project and ensured prior to use of the materials through progress testing on the stockpiles. C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector. Compaction shall be tested at random depths at approximate three-foot vertical intervals as backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth of lift that can be compacted. D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall be taken within the. lifts to ensure that the full, depth of the lift is compacted. Upon satisfactory completion -of this portion of trench, the City Inspector shall establish the maximum lift thickness to be compacted for the remainder of the project. _special Conditions Page 2 of 5 PERMIT NO. 10069 CIP 2009-05 Ave 50 Palm. Tree Removal E. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of backfill, per 300 linear feet of open trench, at randomly selected,locations within the open length of trench. F. The depth of the randomly selected compaction tests shall also be randomly selected except that where multiple tests are required in a given length of trench, the tests shall be no closer than three feet (vertically) from each other. G. If any compaction test fails, previously placed backfill (in the same length of open trench or previous lengths of trench) which is represented by the failing test (as determined by the City Inspector), shall be tested for compliance with compaction'requirements. H. 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. 11. 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. 12. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 13. Access and egress to all local properties shall be maintained at all times. 14. Pursuant to Section 14.16.3 75 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. Special Conditions Page 3 of 5 PERMIT NO. 10069 CIP 2009-05 Ave 50 Palm Tree Removal C. Permanent pavement replacement shall be installed using a City approved '/4" max medium asphalt concrete as the base course lift and a City approved %" 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 adj acent 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 per in the same day as base paving operations, the base course lift of %" 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. 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. '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. 17. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 18. 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 4 of 5 PERMIT NO. 10069 CIP 2009-05 Ave 50 Palm Tree Removal 19. 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 required restoration work. Nov 03 10 11:24a RAFAEL MAY -13-2009 17:50 From: 760 3982250 p.2 19 : 1 f tA1J1JdtkZ0 t1a9e: a I I CERTIFICATE OF LIABILITY INSURANCE 10 26— o a THIS c2 RTH:WATi 95 1.5RJED AS A WATM OF ■TAoFaMTM ONLY AND CONFIM NO OWN= UPON THE CERTIt>W- ATF HOiIE M THIS c ERyw ATE.00m NOT AFFfI AinrE .Y OR Kwai tl wy Atter. 1E 1: OR ALTER THE COVEPJtGE AFFORDED I V THE POLICIES BELOW. 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Nov 03 10 11:24a RAFAEL 760 3982250 INSURANCE POLICY ENDORSEMENT Motor Carriers of Property Bodily Injury Liability and Property Damage Liability P.1 ................ . =:ffiQ7(Rt:C14RFUE7iGCI#=; CA# 347011 INSURER (INSURANCE COMPANY) NAME AND ADDRESS NAK # Status: I United Financial Casualty Company 11770 I_Rf Licensed to write insurance in the State of California PO BOX 94739 SURPLUS UNE BROKER# (Admitted Insurer) CLEVELAND, OH 44101 OTHER# ❑ Nonadmitted Insurer subject to Section 1763 of the California Insurance Code. ❑ Charitable Risk Pool SURPLUS LINE BROKER NAME ❑ Risk Retention Group I NSURED (MOTOR CARRIER} NAME AND ADDRESS RAFAEL LEE DBA: HORIZON PROFESSIONAL 42282 PITCHFORK DR INDIO, CA 92203 TYPE OF INSURANCE POLICY N U M POLICY EFFECTIVELIMITSD T D PRIMARY LIABILITY COMBINED SINGLE LIMIT $1,000,000 ❑ Coverage below statuary minimum BODILY INJURY OR DEA7H limits. CA 023068747 09/24/2010 (ONE PERSON) BODILY INJURY OR DEATH (MORE THAN ONE PERSON) IR Coverage equal to or exceedmg statutory minimum limits. PROPERTY DAMAGE EXCESS LIABILITY COMBINED SINGLE UMI $ in excess of $ ❑ Coverage between primary cover BODILY INJURY (ONE PERSON) $ in excess of $ age and statutory minimum limits. ❑ Coverage provided at or above BODILY INJURY OR statutory minimum limits. DEATH (MORE THAN ONE $ in excess of S PERSON) PROPERTY DAMAGE $ in excess of $ Inos endorsement shall be attached to and made a part of all policies insuring motor carders of`property required to obtain a permit pursuant to the Motor Carriers of Property Permit Act, commencing with California Vehicle Code section 346t)0. The ' purpose of this Endorsement is to assure compliance with the Act and related rules and regulations. Insurer agrees to each of the following: • The coverage provided by the endorsement excludes any costs of defense or other expense that the policy provides. • To pay, consistertt with the minimum insurance coverage required by California Vehicle Code Section 34631.5, and consistent with the limits it provides herein, any legal liabifity of insured for bodily injury, death, or property damage arising out of the operation, maintenance, or use of any vehide(s) for which a motor carrier permit is required, whether or not such vehide(s) is described in the attached policy. • No provision, stipulation, or limitation contained in the attached policy or any endorsement shall relieve insurer from obligations arising out of this Endorsement or the Act, regardless of the insured's financial solvency, indebtedness or bankruptcy. • The Certificate of Insurance shall not be canceled on less than thirty (30) days notice from the insurer to the DMV, written on an authorized Notice of Cancellation form and that the thirty (30) day/period commences to run from the date the Notice of Cancellation was actually received at the office of the California Department of Motor Vehicles, Motor Carrier Services Brands, in Sacramento, California. • To furnish DMV with a duplicate original of the referenced policy, DMV authorized endorsement, and all other related endorsements and documentation upon request. • Except as specified in this endorsement, the terms, conditions, and limitations of this policy remain in full force and effect. This endorsement shall not prevent insurer from seeking reimbursement from insured for any payment made by insurer solely on account of the provisions herein. Insurer certifies to each of the following.- This ollowing.This insurance policy covers all vehicles used in conducting the service performed by the insured for which a motor carrier permits required whether or not said vehicle(s) is listed in the insurance polity. I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. PRINTED NAME Of INSUREM AUTHORIZED REPRESENTATIVE TELEPHONE NUMBER EMAILADDR SS (OPr1ONAL) SCOTT MARKS 1 (800) 444-4487 CV FIUNGS@PROGRESSIVE.COM SIGNATURE OF INSURERS AUTHORIZED REPRESENTATIVEEXECULED AT (Crit, STATE) I PATE A, —A- MAYFIELD VILLAGE, OH 0911812010 D18V 67 MCP (REV. 612007) UH BEGS