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24451+ r Wii114pro^perwalidation + :. tiis•form Gonstitutes an tsCITY OF LA QUINTA' . ,•r ,..=encroachment permit - " :�-- APPLICATION FOR PERMIT. '.` ` PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) pavements, , drivewa s For .the construction .of public or private curbs, , sidewalks, �.�• ,, y p parking lots, sewers, water mains '1f and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS `• Subdivision Improvement Permit —Class I I I DATE: 31-21/96 + Minor Improvement, Permit CISss,IV �Aveuida Bermudas from Arroba to Nogales ' LOCATION OF CONSTRUCTION ' (Street address or Description of Location) , Hold Soap Box Darby PURPOSE OF CONSTRUCTION Sketch (attach constructi n plans if appropriate) on Avoaida-Bermudae on 3/23/96 ,! DESCRIPTION OF CONSTRUCTION Close Bemudas from Atroba to Nogales to hold Soap Box Derby Race ' { 1 day). DIMENSIONIOF INSTALLATION OR REMOVAL r, N. SIZE'OF.EXCAVATION, IF NEEDED .• �t' APPROXIMATE TIME WHEN WORK WILL BEGIN 3/23/96, 6200 _A ��APPROXIMATE TIME OF COMPLETION 3/23/96. 7:00 p.m. ESTIMATED CONSTRUCTION COST $ " (Including removal. of,all obstruction, materials, and debris, backfilling, com i pactiori and placing permanent resurfacing and/or replacing improvements)4. — �' In consideration of the granting of this permit, the applicant hereby agrees to: "I 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 occurring 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. Comply with all applicable City Ordinances, the terms and conditions of the per itInd all applicab.e rules and regulations of the City of La Quinta and to pay for any additional replacement necessary•as the r!s^I` this work. Srgnature f Applicant or Agent Greater Coachella Vatley Soap Box l%exby P.04 Box 1305 La Quinta, CA 92253 (619) 345-;1101 Name of Applicant (please print),,+",-- Business Address Telephone No. Lucia Moran (619) 564-P61 Name of Contractor and Job Foreman Business Address ' Telephone No. Contractor's License No. City Business License No. ' Great American GTP 7-01-22-01}'02 Applicant's Insurance Company Policy Number ' •a FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required . TOTAL: Receipt No. Received by Recorded by $ -0- $ -0- Date t rI PERMIT NO 445 PERMIT VALIDATION 2445 DATE APPROVED 3/21/96 EXPIRATION DATE 3/23/96 DATE ISSUED 3/4/96 By �. straiive Authority TELEPHONE: (619) 777-7075 "I. I . v - - PRODUCEF' ............. BRUNER GOODHUE cOOKE CRANZ AGENCY INC 544 WINE POND DR STE A AKRON OH 44320 DATE (MM/DD Y R 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. COMPANY GREAT AMERICAN A INSURED INTERNATIONAL SOAP BOX DERBY INC COMPANY P O BOX 7233 B HARTFORD AKRON OH 44306-7233 COMPANY C COMPANY RAGES......:.::::....................:.::.....................::::.............::::..:::::...................::::.................:..,.::::......................::::.........................::.................:.:.::::..........:.:::.::::.:.:.......................... . .....:::...::.:::�:.:...:::..�:::.:_;:;:.;:.;;:a:•;:o::•:,:i9.::�:;::;::�>:.:::>::.;::»:o:;•i:;:�:::::::i�:::.;;:::isi;::;;•::;:c::;�+;;`.:i::r:a;i:.::a::::•i::.::^;':�:L::�::;•o:�•;;:«:.::;>:i: THIS .>i5:o::4iv:;�:.:ti::::;::t::.:.::;.;;:;":%::�:3i',':;Y:#:;�:<;;:::>:::;:':«<::::>;;:;i::+>�:<:>i:<:;,:;o::; S O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO -ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ) CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY AGENERAL AGGREGATE COMMERCIAL GENERAL LIABILITYGLP 7-01-22-01-02 05/18/95 05/18/96 PRODUCTS - COMP/OP AGG $9�9�DYi/-DVD. CLAIMS MADE ©OCCUR r PERSONAL 8 ADV INJURY $ OWNER'S & CONTRACTOR'S PROT Participants Li ab lity' EACH OCCURRENCE $ DQO�DO! FIRE DAMAGE (Any one fire) $ MED EXP Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT I $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS ` BODILY INJURY S . i GARAGE LIABILITY ANY AUTO ' EXCESS LIABILITY r� UMBRELLA FORM , OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ^' THE PROPRIETOR/ , I I EL EACH ACCIDENT $ (Per accident) PROPERTY.DAMAGE $ - i I I AUTO ONLY - EA ACCIDENT 1$ $5,000 Accident Medical.. OTHER THAN AUTO ONLY: ii".:':i>(i:l'i'i'i>a`E`S`< Sponsorship, or running of your. All American Derby Event to be run on the following dates; Soap,Box {Race EACH ACCIDENT 1 $ AGGREGATE $ GREATER CGACHI9'A vim= SOAP BOX DERBY 1 (AGGREGATE I EACH OCCURRENCE !$ BOYS AND GIRLS CLUB OF OOAC�TEI,I,A VAI,I,EY j$ EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ^' THE PROPRIETOR/ , I I EL EACH ACCIDENT $ INCL PARTNERS/EXECUTIVE i OFFICERS ARE: Ii - EL DISEASE.- POLICY LIMIT $ EXCL I OTHER, B Special Risk 4538750382 Partici I EL DISEASE - EA EMPLOYEE j $ Accidental 45SR750381 volunteer i eer (12/01/95 12/01/96 $250 Dental Limit 12/01/96 $5,000 Accidental Death $5,000 Accident Medical.. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEM Certificate holder $ insured as pertains to the�Licensee � )named below sha11'be an additional Sponsorship, or running of your. All American Derby Event to be run on the following dates; Soap,Box {Race Date - March.23 1996 GREATER CGACHI9'A vim= SOAP BOX DERBY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE. BOYS AND GIRLS CLUB OF OOAC�TEI,I,A VAI,I,EY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL THE CITY OF LA QUINTA DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 42-600 CORK 3TE 110 BUT FAILURE TO MAIL SUCH NOTICE SHALL' IMPOSE NO OBLIGATION OR LIABILITY PRIM DESERT CA 92255 I F ANY KID UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. RIZEDII RE TWE r c � CU `llVL7, ' CU CQ = 4= _-_- 78-495 CALLE TAMPICO.— LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (61'9) 777-7101 March.20, 1996 Derby. Coordinator ly,4i� Q Ms. Lucia Moran, ? � Greater Coachella Valley.Soap Box Derby p ? PO Box. 1305 ve�-IL 494 La Quinta, CA 92253 ORk s SUBJECT: TEMPORARY STREET CLOSURE .PERMIT REF: MINOR TEMPORARY OUTDOOR EVENT PERMIT 96-115 Dear Ms. Moran: �--- On March 19, 1996, the Council reviewed your request to.hold the Second Annual Greater : Coachella Valley Soap Box Derby on Avenida Bermudas between Calle Arroba and Calle Nogales on March 23, 1996'. The Council, by unanimous vote, approved. the temporary street closure request by adoption of:Resolution 96-14. Please contact the 'Public Works .. Department and obtain an encroachment permit .to hold. the event on Avenida Bermudas .as required. If you have any questions, please feel free to contact me at 619477-7067. Very truly yours, Jlr Y RMAN MU DEVELOPMENT DIRECTOR q 4at TROUSDELL e Planner GT. c:. Fire Marshal Sheriffs Department Public `yorkc Dement Building and Safety Department Community Development Director Parks and Recreation Department MAILING ADDRESS P.O. BOX 1504 - 'LA OUINTA, CALIFORNIA 92253 �-J- I TRAFFIC CONTROL P LAN N SOAP BOX . DERBY / MTOE 96-115 n.ts. - Sat., March 23, 1996 Drawn By: Rw Dat X21/96 - 05 "DETOUR (LT)" C5 -DETOUR T)r. EISENHOWER DRIVE7 H H Q Z d _ W_j Q Q J � Q'1 f ui MARTINEZ o z _ MARTINEZ o (nn v ¢ I vv z w MENDOZA MENDOZA M M H H H Cl "DETOUR AHEAD" C19 "ROAD CLOSED AHEAD" J I ) t i C19 "ROAD CLOSED AHEAD" Cl "DETOUR AH AT C3A "ROAD CLOSED TO THRU TRAFFIC" I l f NAVARRO NAVARRO H (i " ��� H HC " ®HHH ® R41 "RIGHT TURN ONLY R41 RIGHT TURN ONLY' R2 "15 MPH" R42 "LEFT TURN ON h 1 '® R1 r ONE WAY'. ® R10 ONE WAY' H x a�' b�M00000IC — �p cxFA �.. \ O O O a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O o 0 0 O$ p °0000p0" °poo z r a e 0 a e e e 0 0 a e e o x AVENIDA BERMUDAS ' 40' CONE SPACING ® ® ® ® ® ® ® ® ® ® ® C19 "ROAD CLOSED D" 500' Taper - 15 Cones ///—ri "DETOUR AHEAD" i I l j 4 'I i i C19 "ROAD CLOSED AHEAD" Cl "DETOUR AH AT C3A "ROAD CLOSED TO THRU TRAFFIC" I l f NAVARRO NAVARRO H (i " ��� H HC " ®HHH ® R41 "RIGHT TURN ONLY R41 RIGHT TURN ONLY' R2 "15 MPH" R42 "LEFT TURN ON h 1 '® R1 r ONE WAY'. ® R10 ONE WAY' H x a�' b�M00000IC — �p cxFA �.. \ O O O a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O o 0 0 O$ p °0000p0" °poo z r a e 0 a e e e 0 0 a e e o x AVENIDA BERMUDAS ' 40' CONE SPACING ® ® ® ® ® ® ® ® ® ® ® C19 "ROAD CLOSED D" 500' Taper - 15 Cones ///—ri "DETOUR AHEAD"