ENC2017-00031
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Qatct1
See below for Finance Revenue C,/
CEMof-the DESERT --
ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
:or the construction of public or private curbs, driveways, pavements, sidewalks; parking lots, sewers, water mains and other like public
Norks improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS.
)ATE: 10/9/2017 .
0
OCATION OF CONSTRUCTION (Street address or Description): MAIN ST EST OF DESERT CLUB DR S
'URPOSE OF CONSTRUCTION: SET UP TRAFFIC CONTROL FOR HOMECOMING PARADE
)ESCRIPTION OF CONSTRUCTION: LA QUINTA HIGH SCHOOL ASB HOMECOMING PARADE .
)IMENSION OFINSTALLATION OR REMOVAL: SEE ATTACHED TRAFFIC CONTROL PLAN
%PPROXIMATE TIME WHEN WORK WILL BEGIN: 10/25/2017 TIME OF COMPLETION:10/25/2017
ESTIMATED CONSTRUCTION COST: $NIA (Including removal of all obstruction, materials, and debris,:backfilling, compaction
md placing permanent resurfacing and/or, replacing improvements)
OMMENTS: THIS PERMIT IS FOR TRAFFIC CONTROL WITHIN CITY STREETS ONLY
of the granting of this permit, the applicant hereby agrees to:
ndemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and. against-any and all penalties,
abilities 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
ifximate result of any work undertaken under the permit granted pursuant to this application. ..
lotify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760) 777-7097. To
ubmit 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)
ours prior to the anticipated inspection. .
:omply 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
0 pay for any additional replacement necessary as the result of this work.
, 10Z7 X _ - IgMi'aif& of
)SUSD - STEPHANIE SMITH 78255 BLACKHAWK WAY. LA QUINTA, CA 92253 760-772-4150 x25101
lame of Applicant (please print) Business Address . Telephone No.
OPS N BARRICADES 44502 JACKSON ST. INDIO CA 92201 760-347-2111
lame of Contractor and Job Foreman Business Address Telephone No.
'87664 5 . . S . 103875 '
ontractor's Licens? No. . S
,
City Business License No.
;OUTHERN CALIFORNIA RELIEF SCR 00101-31
%pplicant's Insurance Company . . . . . Policy Number '.
PERMIT NO.ENC0 7-0003
DATE ISSUED: /0/b/f 7 /
EXPIRATION DATE 7 . ..
BY: ,74'.
WORK INSPECTED BYe :_________________________
PERMIT COMPLETION DATE*:.
*If the work is covered by a Subdivision Improvement Agreement,
Subdivider shall request final acceptance of improvements from the
City Council.
Finance Revenue Code
'ERMIT INSPECTION $0
IOTAL . 0 $0
SC5 (CA)
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ClOSED AT
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ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN
ACCORDANCE WITH THE 2014 CALIFORNIA MANUAL ON UNIFORM
TRAFFIC CONTROL DEVICES (CaM.U.T.C.D.)
TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED.
ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE
PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY
CITY OF LA QUINTA REPRESENTATIVE.
THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT
TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND
MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS.
CONTRACTOR SHALL MAINTAIN A MINIMUM 10 (TYP. 12') TRAFFIC
LANE WIDTH ATALL TIMES.
ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIME
THIS TRAFFIC CONTROL SHALL BE IN PLACE WEDNESDAY OCT 25,
2017 FROM 4:30 PM UNTIL APPROXIMATELY 8:00 PM. PARADE
STARTS AT 5:30 PM. DESERT CLUB SHALL REMAIN OPEN WITH MAIN
ST. CLOSED UNTIL 5:15 PM, JUST BEFORE THE PARADE STARTS.
THEN DESERT CLUB WILL BE CLOSED AND MAIN ST. OPENED FOR
THE PARADE, ALL TRAFFIC CONTROL DEVICES SHALL BE RETRO
REFLECTIVE AND IN GOOD CONDITION. ALL BARRICADES SHALL
BE EQUIPPED WITH FLASHING LIGHTS.
THE CONTRACTOR SHALL NOTIFY SUNLINIE TRANSIT IN ADVANCE
TO REQUEST CLOSURE OF AFFECTED BUS STOPS DURING THE
EVENT,
THE CITY TRAFFIC ENGINEER REQUESTS THAT THE TRAFFIC
SIGNAL AT DESERT CLUB & CALLE TAMPICO BE PLACED IN RED
FLASH WHILE THIS TRAFFIC CONTROL IS IN PLACE. THE
CONTRACTOR SHALL CONTACT THE CITY TRAFFIC SIGNAL TECH.
KRIS GUNTERSON AT 760-777-7070,
THE OFFICER AT LA FONDA & MAIN ST., THE BEGINNING OF THE
PARADE, WILL MOVE TO MAIN ST. & AVD BERMUDAS AFTER THE
PARADE HAS STARTED. THE OFFICER AND THE OTHER OFFICER
ALREADY STATIONED THERE WILL HELP FLOATS NEGOCIATE THE
LEFT TURN FROM END OF THE ROUTE TO DISBURSE.
WEk
NO SCALE
350F1L-:;
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NOTES:
AVD. BERMUDAS
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BUS STOP
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9 off, 275'
SEE NOTE 9
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Traffic Coi*ol Plan for
Homecoming Parade
a
P,ne Corlbaclor
La Quinta High School
Traffic Control DesIflur by Prepared By
Tops N Barricades, Inc. Ron Fifield
P,onA Speed llrml Date
(800)852-TOPS XX 9/06/17
lot
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RevIvoed By Dale
POLICE OFFICER OR VOLUNTEER
PncyrJt Number
Pending
Contact
Cfleded By
Shoot Numbof
1 REV
PERMIT NO. ENC2017-0003
fraffic Control for La Quinta High School Homecoming Parade / Main St East of
Desert Club Dr (Permit for City Streets Only)
In addition, to the standard permit conditions, the following shall apply:
The applicant shall be available during the event by phone at (760) 772-4150 x 25101.
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.
Desert Sands Unified School.District (Stephanie Smith), 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:
The permittee shall remove all signs immediately after the completion of the event. Sign removal
should be accomplished by the completion of the event on October 25, 2017.
The Permittee shall contact the City Traffic Signal Maintenance Division at (760) 777-7070 if signal
operation at the intersection is to be altered in any way.
The permittee is responsible for obtaining a valid separate permit from the California Department of
Transportation Department (Callrans), other City, or County jurisdictions if any of the work or traffic
control devices extend into the CalTrans, other City, or County right of way.
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.
Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), at
residential streets, advance warning signs and traffic control shall be installed and maintained in
accordance the latest edition of the California Manual of Uniform Traffic Control Devices (CA
MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH).
On Collectors to Arterial Streets, the pennittee must submit a traffic control plan which shall be from or
prepared under the guidance of the latest edition of the California Manual of Uniform Traffic Control
Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH).
Traffic Control plans not from the CA MUTCD or the WATCH shall be signed and stamped by a civil
or traffic engineer registered in the State of California It shall be the Permittee's responsibility to
appropriately detour and barricade all construction sites.
Pursuant to Section 14:16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street
closures shall not be permitted without Public Works Director approval.
Special Conditions ' - - Page I of 2
PERMIT NO. ENC2017-0003.
fraffic Control for La Quinta High School Homecoming Parade I Main St East of
Desert Club Dr (Permit for City Streets Only)
Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 811.** 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.
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.
The Applicantor Contractor shall furnish the City satisfactory evidence of insurance in the minimum
amounts provided in the Engineering Bulletin for Indemnification & Insurance Requirements. Limits
are subject to review but in no event less than the following:
- Commercial General Liability: One million dollars per occurrence and two million dollars general
aggregate
- Workers Compensation: One million per accident .
- Business Auto: One million dollars per accident S
This insurance shall be kept in full force and effect at all times by Applicant or Contractor during the
prosecution of the permitted work and updated Certificate of Liability Insurance shall be submitted to
the City. Each policy shall name the City as an additional insured.
The City of La Quinta reserves the right to require modifications of the work be made at permittee's
sole cost for proper sight distance requirements per 'guidelines in the AASHTO "A Policy on
Geometric Design . of Highways and Streets, 5th Edition" Or latest, in the installation of all.
appurtenances abutting and within the public street right-of-way.
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 to Section 306-1.3 of the latest edition
of the Standard Specifications for Public Works Construction (SSPWC), except as otherwise
specified herein. . .
No excavation or backfill will be required on this project. Reapply if excavation is required.
All landscaping, irrigation, decorative rock, decorative concrete, sidewalk, lighting, etc., shall be
replaced to its original condition.
Access and egress to all local properties shall be maintained at all times.
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. .. .
The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
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 2 of 2
Mt Tar4441
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT
Date:
Tract No Project Name: QHS Ing'Pataft
VicinityL TI
Purpose of Construction (i.e.: Rough Grading, Mite Street, etc.1fl4 lt!fflc COfltrOlb J
épatlow Main Stieet 1
Description ofCojtnjqion,(ieSee Plan Set No. 0123411
Approximate Construction Start Date: [101251W
Approximate Construction Completion Date: 00125M7-
Estimated Construction Cost: St
Eslimelvd Construction Con shell include the rcnl of all obetructions, materials. end debrü, beck-ftlluig, compaction and
Placing peruncnt resaufsdng end or replacing improvements
Contact Name: mfth ----!Phone Number T150 . I
Name of Applicant/Owner: Istlolarlie SuWMtMiDiétorL.QHS
Applicant Address: 179255 A9fl53
Applicant Telephone Number: -772-4150 W 25101
Applicant E-mail Address MwatwsodSAG --
Name of Contractor: [Fçp rl --
Contractor Address: M504)qâkaón&Ió CA; awl " -
Contractor Telephone Number: BOB**=_TOPS
Contractor State License Number: l7464'
Contractor City Business License Number: i103875
-
Contractor E-mail Address:[ 1
A COPY OF THE CURREtiT INSURANCE CERTIFICATE MUST BE PROVIDED 4
Applicant or Contractor General Liability Insurance Compaiy: - -
Applicant or Contractor General Liability Insurance Pçy Number:
C-
Office Use Only:
Inspection Eee
Permit Fee:
As-Built
Deposit.
Dust Control
Credit
Am:
TOTAL FEE DUE:
Office Use Only:
Assigned Permit Nurnbe43JC7J)f7QO
— Dew-
Expiration
Dale;
Issue
Dale:
Administruilve Authority.
Southern CaIifor1t'a keLiEF -s Issue Date
CERTIFICATE OF COVERAGE 9/13/2017 I
ADMINISTRATOR: LICENSE # 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
Keenan & Associates AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
4204 Riverwalk Parkway Suite 400 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Riverside, CA 92505 AFFORDED BY THE COVERAGE DOCUMENTS BELOW.
ENTITIES AFFORDING COVERAGE:
951-715-0190
www.keenan.com ENT1TYA Southern California ReLiEF
ENTITY B: COVERED PARTY:
Desert Sands Unified School District
Riverside Schools' Insurance Authority ENTITY C:
47-950 Dune Palms Road
La Quinta CA 92253 ENTITY D:
ENTITY E:
THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE
AFFORDED HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS.
MEMBER
ENT
LTR TYPE OF COVERAGE COVERAGE
DOCUMENTS
EFFECTIVE!
EXPIRATION DATE
RETAINED LIMIT
I DEDUCTIBLE LIMITS
A GENERAL LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE
IVf GENERAL LIABILITY
MADE OCCURRENCE ICLAIMS SCR 00101-31 7/1/2017 $ 50,000 $ 1,000,000
(1GOVERNMENT CODES 7/1/2018
(.1 ERRORS & OMISSIONS
II
A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE
SCR 00101-31 7/1/2017 $ 50,000 $ 1,000,000
(HIRED AUTO 7/1/2018
(JANYAUTO
NON.OWNED AUTO
GARAGE LIABILITY
AUTO PHYSICAL DAMAGE
A PROPERTY SCR 00101-31 7/1/2017 $ 25,000 $ 250,250,000
ALL
RISK 7/1/2018 EACH OCCURRENCE
EXCLUDES EARTHQUAKE & FLOOD
I I BUILDER'S RISK
A STUDENT PROFESSIONAL LIABILITY
SCR 00101-31 7/1/2017 $ 50,000 $ Included
7/1/2018 EACH OCCURRENCE
WORKERS COMPENSATION ( j WC STATUTORY LIMITS I I OTHER
EMPLOYERS' LIABILITY $
$
E.L. EACH ACCIDENT
$ EXCESS WORKERS COMPENSATION $ I EMPLOYERS' LIABILITY E.L. DISEASE - EACH EMPLOYEE
$
E.L. DISEASE - POLICY LIMITS
OTHER $
$
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIRESTRICTIONSISPECIAL PROVISIONS:
La Quinta High School Homecoming parade In the City of La Quinta- Main Street on October 25, 2017 from 5:00 pm to 8:00 pm.
$2,000,000 annual aggregate, as requested by contract,
CERTIFICATE HOLDER: La Quinta HS Homecoming Parade 10/25/2017 CANCELLATION......SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE
CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING ENTITY/JPA
City of La Quinta WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE
78495 Calle Tampico HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL
La Quinta CA 9253
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ENTITY/JPA, ITS
AGENTS OR REPRESENTATIVES.
John Stephens AUTHORIZED REPRESENTATIVE
37684165 1 DESERSAN 1 17/18 Super Pool P&L I Susan Bissonnette 1 9/13/2017 10:00:55 AN (PD'?) I Page 1 of 3
DISCLAIMER
The Certificate of Coverage on the reverse side of this form does not constitute a contract between the issuing
entity(ies), authorized representative or producer, and the certificate holder, nor does It affirmatively or negatively
amend, extend or alter the coverage afforded by the coverage documents listed thereon.
37684165 1 DESERSAN 1 17118 Super Pool Pal, I Susan Bissonnette 1 9/13/2017 10:00:55 AM (PD!) I Page 2 of 3
ENDORSEMENT
ADDITIONAL COVERED PARTY
COVERED PARTY COVERAGE DOCUMENT ADMINISTRATOR
Desert Sands Unified School District SCR 00101-31 Keenan & Associates
Riverside Schools' Insurance Authority
Subject to all its terms, conditions, exclusions, and endorsements, such additional
covered party as is afforded by the coverage document shall also apply to the following
entity but only as respects to liability arising directly from the actions and activities of the
covered party described under 'as respects" below.
Additional Covered Party:
City of La Quinta
7a495 Calle Tampico
La Quinta CA 92253
La Quinta High School Homecoming parade in the City of La Quinta- Main Street on October 25, 2017 from 5:00
pm to 8:00 pm. $2,000,000 annual aggregate, as requested by contract.
The City and its officers and employees are listed as additional covered parties.
Authorized Representative
Issue Date: 9/13/2017
37684165 1 DESE3SAN 1 17/18 Super Pool P&L I Susan Bissonnette 1 9/13/2017 10:00:55 AM (PD?) I Page 3 of 3