Loading...
3925�, NOTE: �.. With proper validation Q this form constitutes an t �� encroachment permit fik CITY OF LA7 QUINTA APPLICATION FOR PERMIT PUBLIC ' WORKS CONSTRUCTION ,(ENCROACHMENT). of Tt��ws 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 DATE -:,June 6: 2003 Minor •Improvement Permit Class IV X LOCATION OF CONSTRUCTION, 78-400 Highway Ill (Street address orDescription of Location) , PURPOSE OF CONSTRUCTION Construction 'pf. Aeut Sketch (attach construction plans if appropriate) B441x of Mietl,co. buildiEg DESCRIPTION OF•CONSTRUCTION ASPhalt, curb & gut -ter hSaa Att shed 'Special. Condi.tioni ** DIMENSION"OF INSTALLATION OR REMOVAL 14,000 SF SIZE OF -EXCAVATION, IF NEEDED 4.000 SF APPROXIMATE TIME',WHEN.WORK WILL BEGIN.Upon'receipt of oermiC APPROXIMATE�TIME OF COMPLETION October 2003 ESTIMATED CONSTRUCTION COST$ 26.110'.00 (Including removal'of all obstruction; materials, and debris, backfilling, com-. paction and-pla'cing permanent resurfacing and/or replacing improvements) I.n consideration ofthe 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 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 permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary.aslthe result of this. work. ;jA . Signafur�e�af Applicant or Agent AEB.-Coastrxiction (Steven Cervantes) ..1210 'N. _Jefferson St,.. Suite D, • "albeim .(714). 632-6680 Name of Applicant (please print) Business Address Telephone.No. DEB Comstructiot (Mark 'T omn'son) -78-400 Hwy. ' 111. 1a Quinta (760) 564!­5818 (714) 493-3258 Name of Contractor and Job Foreman Business Address Telephone No., 372419 03275 Contractor's License No. City Business License No. i State fund . 046-•03 Unit 00,12606 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I Public improvements: 3% of estimated construction costs JUN 1 2 2003 Private improvements: 3.% of estimated construction costs OF Minor. Improvement Permit =Class IV.: See attached scheduLA OUINTA le ., 3 ANCE KEPT LA Fee $ 783.00: PERMIT VALIDATION Permit Fee 100,00 ` PERMIT NO. 3925 Penalty Aa-Built 1,000.00 DATE APPROVED June 6, 20t13 Cash Deposit -Surety Bond � . if required EXPIRATION DATE. JU•ne 30 2004' TOTAL: $ ' 1.883.00 DATE ISSUE© % l�•/r1 ::...: Receipt No. C` y �--� - Received by Date `""� v r ✓ • Administrative Authority Recorded by Telephone: (760) 777-7075 ft 1r,- a � NOTE: t .. With proper, validation c`4 this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC. WORKS CONSTRUCTION (ENCROACHMENT): G`'MoFT1�9� • For -the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, watermains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class 111_ DATE: t12 s/o3 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION v 00" I If, (Street address of Description of Location) - - - PURPOSE OF CONSTRUCTION N �1t� eft STyr"Zt� "�'� 'Sketch (attach constructio lans ) appr r ate D R PTIQt� OFPCONS RU TI N h DIME SI N OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, nFE :)ED APPROXIMATE TIME W EN W L A, teQ U i APPROXIMATE TIME O ETI ESTIMATED CONSTRU Op��6P !®® (Including removal of all r o , marn�dl. d deb i , ac g, com- paction and placing per anent r s rfaci re g improvements) In considerationofthe n f thisthe applicant hereby agrees to: Indemnify, defend aav a City,•its authorized agents, officers, representatives and employees. ,harmless from and 'against any and all penalties, liabilities r 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 t time when wor4 will be started. _ Comply with all applicable City Ordinances, the terms and'conditions of the Wind applicable/%l)rles and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result .lo� � //,577A4 Cy%a/Y JitCC„ Signatureo Applicant or Agent „ e Name of Applicant (please print) r Bus; e A dlrretss ,` Staw I11 . Telephone No: l y-(��Z,—�j�, Yo _ I/ H + ay ft.-f . 6 "hi rZIL 'PNh- ps o 14. J._a c?4 . ,-r -1-A <.4. -7 W - 5GY- s g/ Name of Contractor and Job Foreman IF Business Address Telephone No. o Contractor's License,No. City Business License No. 5ik1' 1 G1r+s7 O'�dr- A3 't�s/T DOf ZGbf. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ �,n�YoD PERMIT VALIDATION Permit Fee O ` OD LL d� PERMIT NO. /,, Penalty/%�(,t1 �T d� `Q5 Cash Jposit-Surety Bond DATE APPROVED. lU if re uired Q EXPIRATION DAT E 50/04 TOTAL: $ I . Og 3• DATE ISSUED Receipt No. By ... Received by Date Administrative Authority. Recorded by "r' i Telephone: (760) 777-7075 T Milestone Risk 'Ma n a g e in e.n,t & Insurance Services Eight Corporate Park, Suite -.130 Irvine, California 92606 5105 800 808-8458 Fax 94.9 ' 852-1131 949 851=Q.90.9. 0 404/03 1:2.5 PM Milestone T o Steven Speer Company: City of La Quinta Fax Number: 760-777-7155 F `r o m : Catherine A Sariana R e : Deb Construction,Co. K2HA 121922 01/01/2003 to 01/01/2004 # of pages: 4 Comments: Hello Steven Our client is Deb Construction. They are requesting a"grading permit. In order to obtain the permit, I understand that you require a certificate of insurance. I would like to obtain pre -approval from you for the attached certificate. Please let me know if this satisfies your requirements. Please let me know if you have any questions. or need any additional information. Regards, Catherine ariana Client Fulfi lment Service Manager csariana@milestonepromise.com Extension 234 License #OB72766 -ACO&D,M CERTIFICATE OF LIABILITY INSURANCE DATE (MWODNY) 06/04/2003 PRODUCER (949)852-0909 FAX (949)852-1131 Milestone Insurance Brokers P.O. BOX 19598 8 Corporate Park, Ste 130 Irvine, CA 92623-9598 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 INSURED Deb Construction, Inc. 1210 N. Jefferson, Suite D Anaheim, CA 92807 INSURER A: Royal Surplus Lines/Amer E & S. INSURERB: Hartford Casualty Insurance Co INSURERC: Royal Insurance Co. of America/Amer E&S INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE M DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY K2HA121922 01/01/2003 01/01/2004 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR FIRE DAMAGE (Any. one tire) $ 50100 MED EXP (Any one person) $ Excl ude A PERSONAL & ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS . COMP/OP AGG $ 2,000,00C POLICY PRO- JECT El LOC AUTOMOBILE LIABILITY ANY AUTO 72UUNUSOS33 02/09/2003 01/01/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00C X B ALL OWNED AUTOS SCHEDULED AUTOS COMP. $1000 DED. COLLISION $2 , 000 DED . BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO ` $ EXCESS LIABILITY X OCCUR CLAIMS MADE P2HA208124 01/01/2003 01/01/2004 EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 91000,000 C $ $ DEDUCTIBLE RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER Business Personal 72UUNUS0533 02/09/2003 01/01/2004 Blanket $158.000 Special 90% B Property Co-In,Replacement Cost $500 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The City, City employees and officers, the City Engineer, its consultants, elected officials, agents, and sub -consultants are hereby added as Additional Insured insofar as Work dont under this Contract is concerned. This policy shall be considered primary insurance as respects any other valid and collectible insurance, including self -insured retention, the City may possess, and any other insurance (see attached addendum) CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL KAi=M= MAIL City of La Qu i nta * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Thomas. P. Genovese lU(xIX kXiXXU(MKXd(1QLYM)6Xi)6XXD0(iX XXX PO Box. 1504 X#J6XA))fD(*)006Xa)fA)Jka=dMXQWM MKMYkMXXXXXXXX AUT OR MPS ATIVE ' ` La Quinta, CA 92253 ACORD 25-S (7/97) \__•' — - ( ) ©ACORD CORPORATION 1988 City of. La Quinta Certificate issued to City of La Quinta 06/04/2003 Milestone Insurance Brokers 06/04/2003 the City does possess shall be considered excess insurance only. This insurance shall act for each insured, and Additional Insured, as though -a separate policy has been writeen' for each. This, however, will not act to increase .the limit of liability of the insuring company. Project Name: Bank of America - La Quinta, Project -Number: 001-03. Job site address: Bank of America, 78= 400 Highway 111, La Quinta CA 922,53. *Except ten.(10) days notice of cancellation for non payment of premium. r i POLICY NUMBER: 'K2HA121922 COMMERCIAL GENERAL. LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY$ ADDITIONAL. INSURED OWNERS, LESSEES OR : -CONTRACTORS -(FORM B) This endorsement modifies Insurance provided under the following: r COMMERCIAL GENERAL LIABILITY COVERAGE PART. a SCHEDULE. Name of Person or Organization: ANY PERSON OR ORGANIZATION TO WHOM' OR TO WHICH YOU ARE OBLIGATED BY VIRTUE OF A y WRITTEN CONTRACT OR BY THE ISSUANCE OR EXISTENCE OF A PERMIT, TO PROVIDE INSURANCE SUCH AS 1S AFFORDED BY THIS POLICY. (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown 1. in the Schedule, but only with respect to liability.adsing out of 'your work' for that insured by or for you. IF YOU ARE REQUIRED BY A WRITTEN CONTRACT TO PROVIDE PRIMARY INSURANCE, THIS POLICY " SHALL BE PRIMARY AS RESPECTS YOUR NEGLIGENCE AND CONDITION 4. OTHER INSURANCE DOES NOT APPLY, BUT ONLY WITH RESPECT TO COVERAGE PROVIDED BY THIS POLICY. r a CG 20 10 11 85 Copyright, Insurance Services Oflce, Inc., .1984 . Page 1 of 1 0 t , r • ' }, . 1 • r� . • °5 , � � , . -Y.t 'r' `# " .��5}.w. ""+ g . -",� • � r • " is �" � � -,ram c � ",y,�} .. STATE $P O BOX 420807 SAN FRANCISCO GA 94142 0$07 COMPENSATION 'INSURANCE - FUN -D- � � . � � ��` � -` ���� � ��• � ATE QF WORKERS' COMPENSATION INSURANCE .`CERTIFIC • r JANUARY 47' '2003 ,, '! '� `` POLICYNUMBER. 046-03 UNI7` :8tb12606 f'" ° 1 ` + :' CERTIFICATE EXPIRES: 1-1-0 , rr ? t�" CONTRA&ORB --YATE �UCENSE BOARD ,.• XORKEitS'COMPSHSATI4 BOX 26000 SACRAMEHTO, CA 95826 JOB: 4372419 J, ' F _ SANTA ' ANA `DISTRICT Ofi(:ICE L This is to certifythat we. have issued a valid .Workers` Compensation olic In a form p p y ' approved by'the Califon nia Insurance Commissioner to the employer named below for the policy period indicated.: ` f a •;,— This policy is not•sub,iect to cancellation by the Fund except upon ten days' advance written notice to the employer...•. ; We will also give you TEN days' advance notice should this policy be cancelled pnor to its normal expiration'.. r ? This certificate of;insurahce is not an insurance policy, and does hot. 'amend; extend'or, alter the coverage afforded.by the`- policies listed herein. Notwithstanding any requirement,,rterm,%or -condition "of any contract or other .documeht with;;:. respect towhich Phis certificate of insurance may tie. issued or .may pertain,,,A4: insurance afforded by the policies • described h�reih is subject to all the terms exclusions and conditions of such policies: AUTHORIZED F3EPRESI NTATIVE '; PRESIDENT" y 'EMPLOYER'S -LIABILITY LIP�IT _: LHCLIJDING DEFENSE COSTS 1, 000, 000 PER OCCURRENCE '� ,�; � .r t' '• -- y. ., .. t t,'„i a o-�'•�;,1: J. a.�.� +�,��,iryx r+ .. x ♦i � ?, t' �x '�"'''a � s"�,'" k } •{}`" +•' ✓ j� t 'tii .'.T �� cr, ,�t� i. !. t i C.,., f:u f ems`{ Yr�.- T'w 't , f _ µ r � ,r r '^, `` R: :1" 'f :,�� 4 N:h " r. r J .'' c. r .� r� },�j a .,k�✓`� '9.L. +-fX• l t EMPLOYER c " �Ar ° ' •� +. ,: �� y" ti' . r S r .}: �- . ...i. V�:T ✓? +`� .• r� �.4M ,,'r� ",'�7 i4"- s'� -; ' r� r•" S : * _i`f .,h,, ;fir•.+,. '. w' r;., '., M.k:... r t..e '�:.i.:S+.. '�'Hr".L`.y 7-!...-- - r....�..> .< .' t, ... '•�a. �i. - 1...... i.: _. "* +•.r '•\h a �S.C� tr ?V,' NL 11 1`1210 R JEF>h EiI s,� ? ;'e }, terry � �•� BUSINESS•L.ICENSE CERTIFICATE NONTRANSFERABLE � 5 CITY OF LIB'QUINTA The Licensee named herein having paid to the City of La Ouinta all fees required, license is hereby granted said Licensee to transact the business herein set forth, for the period stated, in comformity with the Provisions of Ordinance No. 2 of this city. This License Is issued without verification that the licensee is subject to or exempt from licensing by the State of Califomia. NUMBER LOC: 1210 NORTH JEFFERSON,'SUITIE. D 03275 ANAHEIM,CA. 92807- BUSINESS LICENSE 10 TYPE ISSUED EXPIRES DEB CONSTRUCTION 1500 04/;O1/03 - 44/01/04 GENERAL CONTRACTOR LICENSEE: DEB CONSTRUCTION PLEASE POST IN y'. CONSPICUOUS PLACE. 1210 NORTH JEFFERSON,- SUITED I ANAHEIM, - C.A 92807- CONTROL No. 15558 =0 L-Lfrl� I MU-, I UN bib f102 JIJN U15 'UZ5 11 i U"f- ms PAVING PIIQUSAL & CONTRACT Date: 6/6)2003 Estimator: Rafael Rivero Contract No: RR430 DEB Construction n Company Job Name: Bank of America 12`10 N. Jefferson, $to. T' Address; 78400 Hwy 111 Anaheim CA 621108 City, St.- I P, Quints, CA Attn:'Staven Cervantes ftone: 714-632-6680 FAX: 714-032-5721 We hereby propose to furnish all material and labor for the following! 1. Install 4 112inches of Class 11 bose matatial to approximulaly St729 sqtiam, Pont. Moohine roll fcrrneximunj compaction. 2. Fine grade same 5,729 square feel Of base M2*121, AtId prep t1-r,pV.,vIMg. 3. Pave S.729 square feel iNith 3 Inches, average, new 'tot enlx asphalt. Mach!'nt roll for rriaximurn compaction. 4. Layout, stripe, and paint parking Stalls and pavamnt markings os per pla;i, Including: (2) 4'conorate.whee; stops ajjr.' pins, (2) handicap posts and zigns, (1) entry pc*t sign 25patt of travel, (2) handicaps and (25) sl;nqle line Mells, NOTE: Profeci bid as rock ready, 4-or-.10- WE HEREBY PROP08E, to furnish all moterial and left, In accordance with the at)ovs.specir.-catlons for the com.p1slion of all contracted work for the sum of; Thirteen Thou3snd Eight Hundred Eighty Eight and 0011 DO. TOTAL DUE UPON COMPLETION InlValed, This proposal may be withdrawn if not accepted.withim 30 ,d.ays. NOTE - ALL TERMS, PROVISIONS, AND CONDITIONS AS SET FORTH ON THE FOLLOWING PAGES WILL BECOME INCORPORATED INTO ANO AN INTEGRAL PART OFTHIS CONTRACT. ACCEPTANCE OF PROPOSAL —'1% �tZmveqrtces, spacifloations,-and conditions are hereby accepted. You are authcrIzed to do Ine work as s eullsed, and Byrn t 417e ae utlined above. cuslorKeF WOW Auftry ig �ituri Date I Page, IWO Banana Ave., Fonumn, CA 7,2337 =Ace; 909/357,0711.- Lic.: # 4154.16• Fix: 909/357-0713 �� - � � i {,.. f �,. '` �3� '• . `'_., .. 146,;25731 DEB CONSTRUCT i W" Concrete taro 2002 0 Accurate Guns:ruciian Eatimat!n� Syaterns Gila PQp Jilfd 06 ' O3 11 r a? F ACES-Est;rnaVng.COA,t ®��.arrs teor�ro A U i . Deae�P CA f>22t, (710)?YZ•2M Fax (780)7t? 2a40 �� - p . �aoaoeae�.�,urreo ro r Co Uon REVigBO E--.7148 2.88✓�0. Marei� 1a —1— 1 7210 N, JefForeon St Suke D Beak of America air,nArs,aw aeu: f: Ana°wfm CAB2807CA t328S Point PavI}lort Le .1uinia Stev@n Cerventea a86.9016 esr��wroa 74 8721 Jeff • wo awrby wen,a.s'tixit. eno epearteauonc nor . The following pfopoaat'includcs the below listed COACrOtO Site work 1) Cub and Gutter 238 Li± S 3,808,00 r 2) Curb only 1631E 8 1,793.0a 3) Rlbbon gutter 88 LF $ 1,320.00 4) 4" G7 groom Tinlsh tat wfthW reWwcemeni . 1250 6F 3 3.437.00 5) Handicap Ramps 2 EA 8 000.00 6) Add far I day work week 1 LS 1,000.00 C EE I �0O Stipulations: p t3id Excludes: ingtneering t'res,'festinp tow, InWcdens frees, IN nit Nees, o Grade slid CompacNun tit be �►- 0. tU' by otlsars . - o Hid Wjed Vpon U nappproved Pltarta n . Final 1, rnestt io;kla uwlo by!t<1et3 Measurement o liid Valid for 13 Vays 1 ha"y.jQ qph M Wpad (sbw,wmOojo;mate+Bann%iu+meusmaoackWOM6.f1votsum or TOTAL j),ru►rnt to bt mitts 40 10110'WM Net 30 Days, 10% Retention tG be ps d 30 days thomatter; l 8 ohs ea Arley over 30 days. • lWemWMpweeMaro9.uuvre.w.aiwaaeeWt+ekrrA,MminVWrWav"weft - — asr Koaa+sr.Maaawadr,weeonnoadw..(w+A le�+�mamh. abo Authorixe8 errJai � r� v,A�ammda, tyao re aaoane w cxr � c•r .arsre.►I1rra�w..:td $tgnetura �'� yryynlErNllLpM Ypaf wrat0. aa>ra+A a � brp"r eu, menru C.wberM Ma emA - udOYIEIMr arVaC� Ca N1rq„M4 raM Y,wM•. � M M ®i riN•SO Agin. 3RrrtyGmra of �rotrettni ••'ibaab0'bP�44FaeEfxeticno —"7 anQ eontl6lloaA sea s6UakeoNtnd aaRar 3ECo0Utl1'Pu MD 8i'410�btl _ � f . so �eva�oaapos7Nd.�ay�sntNifllw!rodsasouw,udsesra 6�1et+:'® `'� . �..• �w....,,.�,� ! Dole of ACo+ PMM S Print Name W14/2003 PERMIT NO.3925 DEB Construction In addition to the standard permit conditions, the following shall apply: 1. Pursuant to Section 14.16.320 of the La Quirlta 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. DEB Construction, 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 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. 5. Work performed within 500 feet of a signalized intersection is restricted 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 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. 7. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), 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 4 i PERMIT NO. 3925 . DEB Construction 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 lane 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 306-1.3 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. 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 an 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 4 k PERMIT NO.3925 DEB Construction 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 14.16:375 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 956/o 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 1/4" max medium asphalt concrete as the base course lift and a City approved''/z" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior.to-its placement. Special Conditions Page 3 of 4 PERMIT NO.3925 DEB Construction 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 asfollows: 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/4" 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 bythe 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 f 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 of4' City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number 3925 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 - 7075 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 (Y") 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. ® RI 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 straightedges 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 two inches (2") of SC-800 shall be placed immediately. A permanent patch of ( ** N/A ** ) inches of A.0 surfacing placed on a ( ** N/A'** ) inch (** N/A ** ) aggregate base shall be placed no later than (** N/A"** ) 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. A_. GOKU,, UhK 111.1C:A I t VI- LIAML11 Y IN,UKAM;t 06/04/2003 PRODUCER (949)8S2-0909 FAX (949)852-1131 Milestone Insurance Brokers P.O. Box 19598 8 Corporate Park, Ste 130 Irvine, CA 9262379598 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 INSURED Deb Construction, Inc. 1210 N. Jefferson, Suite D Anaheim, CA 92807 INSURER A, Royal Surplus Lines/Amer E & S INSURER B: Hartford Casualty Insurance Co INSURERC: Royal Insurance Co. of America/Amer E&S INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWD POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY K2HA121922 01/01/2003 01/01/2004 EACH OCCURRENCE $ 1,000,00 FIRE DAMAGE (Any one tire) $ 50.00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (Any one person) $ Excl ude PERSONAL & ADV INJURY S 11000,00 A GENERAL AGGREGATE S 2,000,001 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00( POLICYF_j jERCOT LOC AUTOMOBILE LIABILITY X ANY AUTO 72UUNUSOS33 02/09/2003 01/01/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00( BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULED AUTOS COMP. $1000 DED. COLLISION $2 , 000 DED . BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO ` $ EXCESS LIABILITY 2HA208124 01/01/2003 01/01/2004 EACH OCCURRENCE $ 9,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 9,000,000 $ C $ DEDUCTIBLE S RETENTION $ 10,000 WORKERS COMPENSATION AND W A • TH- TORY LIMBS ER E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY E_L DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ B OTHgR Business Personal Property 72UUNUS0533 02/09/2003 01/01/2004 Blanket $158.000 Special 90% Co-In,Replacement Cost $500 Deductible DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS fhe City, City employees and officers, the City Engineer, its consultants, elected officials, agents, ind sub -consultants are hereby added as Additional Insured insofar as Work dont under this Contract is -concerned. This policy shall be considered primary insurance as respects any other valid and :ollectible insurance, including self -insured retention, the City may possess, and any other insurance ;see attached addendum) CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION City of La Quinta Attn: Thomas P. Genovese PO Box. 1504 La Quinta, CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MM MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, if 8U(dfiid�lUXI�CXEl(X�(l��flyd(alE)614J616aCd6I(il(IX�I(XX l OACORD CORPORATION 1988