4357With praper validation
this formconstitutes an
encroachment permit
i
u
:�. CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC- WORKS CONSTRUCTION (ENCROACHMENT)
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: Minor Improvement, Permit Class IV
LOCATION OF CONSTRUCTION _ VILLAGE AT COR" KOUHT.M. TRACT 31249
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION BBSIDWIXAL HH Sketch (attach construction plans if appropriate)
-`-'DESCRIPTION OF CONSTRUCTION PKIO ANDNCLEAR & GRUB
[c, PC,
DIMENSION. OF INSTALLATION OR REMOVAL 33•3 ACRES
SIZE OF EXCAVATION,,IF NEEDED,
APPROXIMATE TIME'WHEN WORK WILL BEGIN �.
APPROXIMATE TIME OF COMPLETION
ESTIMATED'CONSTRUCTION COST $ SAe-
(including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
'
In considerationof 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 a•II
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 as the result of this work.
r• ,
Signature of Applicant or Agent
rnRATQrIMe.117r T (VATA1,9UA ICTUr) 7R—Q' n Aft' A7. RMTR 102 TA IQIITNTA 92253 760-771- 9130
Name of Applicant (please print) Business Address Telephone No;
8ffi.M CO. SAilE AS ABOVE
Name of Contractor and Job Foreman Business Address Telephone No.
s��>Q�11AR 2697
Contractor's License. No. City Business License No.
QUMTA SPECIALTY MStMCE COMPANY Q1 OQ n
Applicant's Insurance Company Policy Nu
FEES: Subdivision Improvement Permit — Class Ill
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 11500400
100.EDt1
Permit Fee '
,p"'e aI, y DUST COMOL. DEPOSIT -See•;Bond
Cash Deposit -Surety Bond
if required
1.600o,00 , ,
TOTAL: $
Receipt No.
Received by Date;
Recorded by
�OFfi
QU
144A
43-57
PERMIT VALIDATION
PERMIT NO.
4357
.v
DATE APPROVED
/F- e) 1
EXPIRATION DATE
DATE ISSUED
' "
By
"'^ ,✓ �"y
Admmistrative Authority
Telephone: (760) 777-7075
PERMIT NO.4357
The Village at Coral Mountain / Clear and Grub / Tract No: 31249
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.. This permit or: copy of it shall be on the work site, (usually the job trailer) for inspection during the
actual work performed.
3. Ehline Co. , hereinafter referred to as "Permittee", shall be responsible for providing.continuous dust
and erosion control.
4. Streets shall be kept clean. They shall be completely. cleaned at the end of each working day and more
frequently., if required.
5.,- Pursuant to Section 6.08.050 of.the La Quinta Municipal Code (Ordinance.18 § 1, 1982), throughout the
work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of
equipment within one-half mile of human occupancy shall be performed only during the following time
periods:
October 1 st to April30: Monday -Friday 7:00 a.m. to 5.:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
May lst to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m:
�r 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.
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. Any land on which Williamson Act contracts apply shall remain undisturbed.
8. 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 maintainedin 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 3
�-
4
PERMIT NO.4357
The Village at Coral Mountain / Clear and Grub / Tract No. 31249
.Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § I (part), 1982), street
closures shall'not be permitted. A minimum of two (2) travel lanes of paved surface shall be
maintained at all times.
9. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422-
4133. It shall be the.Permittee's responsibility to notify the Public Works Department of anticipated
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
10. Should additional work, materials,. or modifications of the work be required in order to meet City
standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall
be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to
the, City of La Quinta.
11. The issuance of this permit and the City approval of the related construction improvement plans do not
provide a vested entitlement for all .design parameters that may have been utilized for the plans. As
such, plans approved for this permit may "at risk" for further modifications as it relates to any follow
up improvement plan requirements as required by the city or existing errors & omissions by the
architect or engineer of record.
12. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to
start of construction, the name of the City approved contractor, who shall submit to the .City the
following items:
a. General Liability Insurance Company and Policy Number
b. City Business License
c. Contractors State License Number
13. -,The per mittee.shall not encroach upon private property without prior. written approval (submit to the
Public Works Department, attention to the Assistant Engineer 1) of the private land owner whom is
being encroached upon.
14. Prior to performing construction work and closing any lanes in the Public Right of Way, the permittee
shall call the City at (760) 777-7097 at. least 48hrs prior to work and request an appointment for a
preconstruction meeting with the City Inspection staff.
15.. The permittee shall haul all offsite debris to a certified landfill. Prior to hauling debris, the permittee
shall inform the City (Inspection staff or 777-7089) of the name and location of the certified dump site:,
16. Prior to excavating in native Soils, the owner of the project shall have employed by proposal contract
an archaeological observer for the site excavations, within native undisturbed soils. A copy of the
contract must be submitted to the Public Works Department and attention this to the Assistant Engineer
I. If the archaeologist determines the site note to be required to be observed, please submit a letter
signed by -the archaeologist stating their determination.
Special Conditions. Page 2 of 3
i
.17.
PERMIT NO.4357
The Village at Coral Mountain / Clear and Grub / Tract -No. 31249
If public traffic lanes are required to be closed, this permit is not valid until the permittee•submits, to the
Public Works Department, an approved traffic control plan at least 2 weeks prior to start of construction
or parking on the paved R/W.
18. 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 3064.3 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 shalt be the
Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection,
onsite, at all times during backfill operations.
This permit is for clear and grub only. No excavation is permitted.
19. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its
original condition.
20. Access and ,egress to all local properties shall be maintained at all times.
21. 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:
Asphalt work of any kind is'not permitted.
22. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed
under this permit with anapproved dust control treatment. Soil stabilization shall be done immediately
after completing the operation.
23. • 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) Js 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.
24. The City of La Quinta reserves the right to revoke, suspend or void this permit• at any time.
25. 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.
26. If it is the intent of the petmittee 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.
Special Conditions( Page 3 of 3.
City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number 4357
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, spilled,
or broken during the term of this contract or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced
over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted. and barricaded as deemed necessary by the City
Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the
project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation.
CARE OF DRAINAGE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe, steel culvert and concrete
structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or
cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains
shall be kept free of debris at all times for proper drainage.
RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All
paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line
and drainage ditches shall be replaced to their original standard or better. All excess material shall. be removed prior to paving. Water tanker
shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill.
DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be the
responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary.
CLOSING STREETS: No'street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for
the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time,
permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The following shall apply when indicated:
® R1 NOTIFICATION: Permittee shall be notified the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting
construction.
® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right=of-way authorized
by permit, the permittee shall contact all concerned utility companies relative, to the location of existing substructures.
Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the
permittee.
® R3 UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
❑ R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with (.** N/A ** ) inches of A.C. paving placed on ( ** N/A *' ) inches of ( ** N/A *' ) aggregate sub -base course having an
"R" value of not less than ( ** N/A **) and in conformance with the City of La Quinta Road Improvement Standards and
Specifications, Ordinance #461.
® R5 PARKWAY GRADING: Area between the property fine and top of the proposed concrete curb shall be graded to a slope of
one-fourth inch ('/") to one foot (1').
❑ R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
❑ R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (*' N/A ") feet shall
be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and
concrete driveway. approach shall be constructed in conformance with City. of La Quinta Standard #207.
❑ R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property
line and the existing road paving, shall be two'and a half inches (2'/2") of A.C. paving on (*' N/A") of class ( **.N/A
aggregate base.
® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all
times.
❑ R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the
manufacturer's specifications.
City of La Quinta
® R11 COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of
La Quinta may conduct in this area during the period ,of this permit. Work shall be coordinated with the State or City of La
Quinta forces to preclude delay or interference with 'State or City of La Quinta projects.
® R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly,
replaced by a licensed civil engineer orsurveyor at the expense of the permittee. A complete set of notes showing the ties
to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be
notified upon completion or replacement of all survey monuments for proper clearance.
❑ R13 PAVEMENT CUTTING: Pavement will. be mechanically saw cut to a straight edge prior to excavation. Method of pavement
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be
used to excavate prior to cutting or pavement.) Excavation material shall be placed in such a position as to best facilitate the
general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
❑ R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill
operations must begin. All excavations shall be properly barricaded with.lights overnight, on weekends and holidays for the
protection of the traveling public. The Public Works Inspector shall determine. the suitability of excavation barricading in
each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the
construction material is actually on the work site.
❑ R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing and adequately consolidated backfill. Ant material which the City, of La Quinta deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or
replaced by an approved sand or gravel.
❑ R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts not greater than
three feet (3') and vibrated using vibrostamper or equivalent equipment.. Alternate methods may be substituted, but in any
case, a relative compaction of ninety-five percent'(95%) shall be maintained. with the structural section of the roadway.
❑ R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the
trench before flooding or a maximum of five feet (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
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 surroundingground, 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.
P
PUBLIC WORKS DEPARTMENT
' APPLICATION FOR PERNIIT
(l 2M, o PIS.
Date: LJA,YPh ly, 200�
Location of Construction: )1d�
e 11 a(.0fAl MOLMMInTV'4 p r o
Purpose of Construction:
Description of Construction:
Cc s4_,
1 .-,r C' V_.�I' f cep
[Dimension of Installation or Removal: 2 o�CNt°S
Approximate Construction Start Date: 05 / O
Approximate Construction Completion Date:
Estimated.Construction Cost: $ 50, Me)
Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and
placing permanent resurfacing and or replacing improvements
Contact Name: Phone Number: 5'7 q, ,.
Name of Applicant: �
Applicant Address: �- D0 R y SUi+e 0 i a5
Applicant Telephone Number: 0 -� -
Name of Contractor: EhI i new r'0 '
Contractor Address: "76-q00 AVefl e 4'I , 5u tfe log La Q U i ✓I 91(' A q a; 5, 3
Contractor Telephone Number: p) r1 r7 l'- g l jp
Contractor State License Number: RN$;t0A(6
Contractor City Business License Number: '4& 3 r 7 '
► A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED -4
Applicant or Contractor General Liability Insurance Company:
_uavit-cl fiWiali!t IhCwaric Com>2an�
Applicant or Contractor General Liability Insurance Policy Number:
aNGroo i q g (0olo k
Office Use Only:
Inspection Fee:
a
Permit Fee:
�0 C?
As -Built
Deposit:
N
�.`
Dust Control
C—' n
Deposit:
���jee Y e
Credit
Amount:
�—
TOTAL FEE DUE:
6 6 0 0, 0 J
Office Use Only:
Assigned Permit Number:
4352
Approval Date:
Expiration
Date:
Issue
Date: r
Administrative Authority:
fod/14/2005 16:22 FAX 714 516 2965
ROHM Insurance Agency 1@002
OP ID S DATE (U=DrYYYY)
CERTIFICATE OF LIABILITY INSURANCE MINE1 0 14 05
MOW
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PROpucFx
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.TIIIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Ro1� In6usa>ace Agency
ALTER THE COVERAGE AFFORDED BYTHE POIJCIESBELOw.
26 Playa Square, Suite 200
Orange CA 92866
Phoueo714-516-2960 Faxs714-516-2965
INSURERS AFFORDING COVERAGE NAIC#
INSURED.
INSURER ants aClialt In8 _ CO
USBURERH: p�mariean States Ins. CO_
INSURER C;
Shl'Ae CO.
7 8 -t 0 o Avenue 47 suite 102
INSURER D:
La Quints CA 922§3
FINSURERfi:
THE POLICIES OF INBIJKANUt Lit, +� o U- —v o - -- •- — "^'
ANY REQUIREMENT, TERM OR CON13MON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE h
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND
POUCHES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
E
DATE
TYPEOFINSU CE POLICY NUMB
GENERAL 0 1TE2/Ol/05
rA fIAL GENERAL LIABILITY
0003996012/01/04
C(/yMS MADE X OCCUR
GEN'LAGGREGATE LIMIT APPLIES PER:
POLICY J LOC
AUTOMOBILE LIABILITY
$ X ANYAUTO 02CE082551 09/06/04 08/06/05
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CERTIFICATE HOLDER CANCELLATION
LAQUIN2 SHOULD ANY OF THE ABOVE DESCRIBED. POLICIES BE CANCELLED BEFORE THE El(PIRATIO•N
DATE THEREOF, TWELSSUIN01NBURERWLLENDEAVOR TOMALL *3O DAYS WRITTHId*
CITY OF LA QVINTA NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT, BUT FAILURE TO DO 80 SHALL
ATTN : PUBLIC WORKS DRPT IMPOSE NO OBUOATION OR LIABILITY of ANY )ONO UPON THE INSURER M AGENTS OR 1
P.O. BOX 1504 REPRESENTATIVES.
LA QUINTA CA 92233 AUTHORIZED E
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1102
- CORAL RIDGE, LLC PFF BANK &TRUST
78-900 Avenue 47, Suite 102 LA QUINTA, CA 92253
La Quinta, CA 92253 90-7049-3222 09/16/2005
760-771-8130 o.
PAY TO THE * o
ORDE*� City of La Quinta ***** $1,600.00
t
**SIX HUNDRED DOLLARS EXACTLY** _
DOLLARS . a
s City of La Quinta -
P. O. Box 1504 =
o La Quinta CA 92253 N
MEMO
l�
'11500 10'2110
. 1:3 2 2 27049So: 11839845 263 7110
CORAL RIDGE, LLC 110 2
Vendor:--CITYLAQU City of La Quinta Check Date: 09/16%2005 Check: 1102
Invoice Invoice Date Reference "Amount Retention Discount Net -Amount'
050916 09/16/2005 Clear & Grub Permit 1600.00 .00 .00 1600.00
Totals 1600.00• .00 ..00 1600.00
BANK&TRUST
Customers Flrst.
Account No. 801362393
FIXED RATE CERTIFICATE OF DEPOSIT (32 DAYS OR MORE)
WITH RULES OF THE CLASS
ACCOUNT SUMMARY, OFFICE
Accountholder La Quinta
Coral Ridge.,11C
Opening Balance $ 16,650.00 Date of Issuance 03/15/2005
Rate of Interest 2.47 % Initial Maturity Date 03/15/2006
Annual Percentage Yield 2.50 . °jo
Frequency of Compounding Term 12 Months
Daily
Renewal Term 12 Months
Minimum Balance Requirement Additions NOT PERMITTED.
$ 1,000.00
Earnings Distribution Date Beginning 03/31/2005 and quarterly
thereafter, with the last distribution on the final maturity date.
This account is not transferable, except on the books of the bank.
GENERAL TERMS AND CONDITIONS
Minimum balance to open the account - You must deposit the minimum indicated above to open this account.
Minimum balance to obtain the annual percentage yield disclosed -You must maintain the minimum balance indicated above
each day to obtain.the disclosed annual percentage yield.
Compounding frequency - Interest will be compounded every day.
Crediting frequency - Interest will be credited to your account every quarter.
Daily balance computation method - We use the daily balance computation method to calculate the interest on your account.
This method applies a daily periodic rate to the principal in the.account each day.
Accrual of interest on non -cash deposits - For non -cash deposits (such as checks), interest begins to accrue no later than the
business day on which we receive final credit (but in; no event later than the second business day after the business day of
deposit).
Time requirements - Your account will mature on the Initial Maturity Date specified above.
Automatically renewable time account - This account will automatically renew at maturity. You may prevent renewal if we
receive written notice from you before maturity'of your intention not to renew or you withdraw the funds in the account at
1119.3A Fixed Rete Qniliede Of posit(32 Dsys Or Mure) Willi Rules Of7Lc Class.dot .
(S/01)
• i
maturity (or within any grace period mentioned below). We can prevent renewal if we mail notice to you at least 30 days before
maturity. If either you or we prevent renewal, the account will be converted to a regular savings account and receive earnings at
the rate then paid on regular savings accounts. Each renewal terni will be the same as the original term, unless we advise you
otherwise, beginning on the maturity date. The Renewal Rate of Interest will be the same we offer on new time deposits on the
maturity date which have the same tern, minimum balance (if any) and other features as the original time deposit. Interest will
be calculated on the same basis as during the original term. You will have seven days after maturity to withdraw the funds
without penalty.
Early withdrawal penalties - A penalty will be imposed for withdrawals before maturity.
If the term is less than 90 days, the penalty will equal the greater of one *nonth's interest or all interest
earned.
If your account has an original maturity of 90 days- 23 months, the penalty will equal three months interest
on the amount withdrawn subject to penalty.
If your account has an original maturity of 24 - 47 months, the penalty will equal six months interest on the
amount withdrawn subject to penalty,
If your account has an original maturity of 48 - 71 months, the penalty will equal twelve months interest on
the amount withdrawn subject to penalty.
The penalty will be calculated at the interest rate in effect on the, date of withdrawal. There are certain circumstances,
such as the death or incompetence of an owner, where we may reduce the penalty. See your plan disclosure if this
account is part of an IRA or other tax qualified plan.
Any withdrawal which reduces the account balance below the Minimum Balance Requirement, or any change in the Term or
Rate of Interest, shall be considered as a withdrawal of the entire account balance and shall be subject to the penalty prescribed
herein.
Earnings credited to this account during any term may be withdrawn at any time during such term without penalty. If the account
is renewed at the same earnings rate, interest during the preceding term may be withdrawn at any time without penalty during the
Renewal Term. If the Renewal Term rate is different, earnings in the account at the commencement of the Renewal Term shall
be deemed merged with the principal and only earnings for the Renewal Term may be withdrawn at any time without penalty
during such term.
If the account or any portion thereof is withdrawn not more than seven days after a maturity date, earnings shall be paid thereon
at the Renewal Rate of Interest to the date of withdrawal without penalty.
To the extent necessary to comply with these requirements, deductions shall be made from the amount withdrawn or the
remaining account balance.
Withdrawal of interest prior to maturity - The annual percentage yield assumes interest will remain on deposit until maturity.
A withdrawal will reduce earnings.
Transaction limitations - You may make withdrawals of principal from your account before maturity. You can withdraw only
interest credited in the tern before maturity of the tern without penalty. You can withdraw interest any time during the term of
crediting after it is credited to your account. You may not make deposits into your account before maturity.
General Certification - This certifies that the Accountholder holds a savings account with the Opening Balance for the initial
term expiring on the Initial Maturity Date shown hereon in PFF BANK & TRUST of Pomona, California.
The provisions of this document supersede any con is i(i�,provi ors contained in any other disclosures previously issued with
this account. 1 1.
FDIC
Insured
-2-
1119.3A Fixed Rate Calificale Of Deposit (32 Days Or More) Wilh Rules Of71lc Class.dat
(5101)