TC2017-0051Twit 4:4v Qamro
OrIn
ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
See below for Finance Revenue Codes
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.
DATE: 8/31/2017 .
LOCATION OF CONSTRUCTION(Street address or Description): EISENHOWER MEDIANS
PURPOSE OF CONSTRUCTION: COVERT TO DESERTSCAPE
DESCRIPTION OF CONSTRUCTION: HORT TECH / LANDSCAPE EISENHOWE MEDIANS
DIMENSION OF INSTALLATION OR-REMOVAL: LANDSCAPE CONVERSION
ROXIMATE TIME WHEN WORK WILL BEGIN: 8/11/2017 TIME OF COMPLETION: 8/15/2017
ESTIMATED CONSTRUCTION COST: . (Including removal of all obstruction, materials, and debris, backfilling;compaction and placing
permanent resurfacing and/or replacing improvements)•
COMMENTS:
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify theAdminustrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760)777-7097. To
.submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at least twenty-four
(24) hours prior to the anticipated inspection.
Comply.with all applicable City Ordinances, the terms and conditions of the permit and all appli
and to pay for any additional replacement necessary* as the result of this work.
Signature of Applicant or Agent
HORT TECH LLC P 0 BOX 3284 PALM DESERT, CA 92261 (760)360-9000
Name of Applicant (please print) Business Address Telephone No.
HORT TECH LLC P 0 BOX 3284 PALM DESERT, CA 92261 (760)360-9000
Name of Contractor and Job Foreman Business Address S Telephone No.
897481 S 0005386
Contractor's License No. . City Business License No.
ZURICH AMERICAN INS CO
Applicant's Insurance Company
Finance Revenue Code
PERMIT INSPECTION
TRAFFIC CONTROL ONLY- 2-5 DAYS $608.00
TECHNOLOGY ENHANCEMENT FEE $5.00
TOTAL: r $613.00
G1A023293801
Policy Number
PERMIT NO: TC2017-0051
DATE ISSUED: g/jjg 7
S
EXPIpOçJ DATE:
IW
I V
BY*:
PERMIT COMPLETION DATES:
5 If the work is covered by a Subdivision Improvement Agreement,
Subdivider* shall request final acceptance Of improvements from the
ICity Council.
. I
City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number TC2017-0051
The following shall always appli':
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.
10 RI NOTIFICATION: Permittee shall notify the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting
construction.
0 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.
0 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 ('h") to one foot (1').
El 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.
El 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 1A") of A.C. paving on ( N/A" ) of class ("N/A")
aggregate base.
0 R9 SIGHT CLEARANCE: Sight Clearance of six-hundred feet (600') in all directions shall be assured and maintained at all
times.
RIO 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
0 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 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 straight edges shall be corrected.
0 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.
El 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-SOD temporary paving shall be placed after a
maximum of three-thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no
case shall the placement of the temporary pavement exceed a five (5) day limit.
R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
three inches (3") of SC-800 shall be placed immediately. A permanent patch of Asphalt Concrete surfacing per City of La
Quinta Standard 600 shall be placed no later than (** 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.
0 R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished
by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It
shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The
stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes
necessary to restrict traffic, the work shall be restricted to a maximum of five-hundred feet (500') at any one time. Adequate
signs, flagmen and or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or
equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method.
Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California,
dated January 1973.
PERMIT NO. TC2017-0051
Hort Tech Landscape / Median Landscape Conversion! La Quinta Resort;
Eisenhower Drive from Ave. 50 to Fernando
In addition to the standard permit conditions, the following shall apply:
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.
Hort Tech Landscape, hereinafter referred to as "Permittee", shall be responsible for providing
continuous dust and erosion control.
This permit or copy of it shall be on the work site for inspection during the actual work performed.
Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
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.
Note: Construction work (including setting up traffic control devices) is not permitted on any
Arterial street (ie any 4 lane street) before 8:30 a.m. and after 4:30 p.m.
Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3
p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact
the City Traffic Maintenance Technician at (760) 777-7070 if signal operation at the intersection is to be
altered in any way.
The permittee shall submit inspection requests by calling the City Inspection Hotline at (760) 777-7097
before 1:30 p.m. and at least twenty-four (24) hours prior to the anticipated inspection.
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.
The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts
provided in Engineering Bulletin for Indemnification & Insurance Requirements. 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.
Special Conditions Page I of 3
PERMIT NO. TC2017-0051
Hort Tech Landscape / Median Landscape Conversion! La Quinta Resort;
Eisenhower Drive from Ave. 50 to Fernando
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 permittee 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. A minimum of two (2) travel lanes of paved surface shall
be maintained at all times.
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.
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.
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.
No excavation is anticipated in the Scope of Work or within this permit.
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.
No excavation is anticipated in the Scope of Work or within this permit
Special Conditions Page 2 of 3
PERMIT NO. TC2017-0051
Hort Tech Landscape / Median Landscape Conversion! La Quinta Resort;
Eisenhower Drive from Ave. 50 to Fernando
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.
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:
No asphalt work is anticipated within the scope of work or this permit.
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 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, 5 lh Edition" or latest, in the installation of all appurtenances abutting
and within the public street right-of-way.
Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City
has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets
not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a
restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants
permission to use the street to deliver street construction materials and/or equipment.
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 3 of 3
0 z
I
'C
RI CERTIFICATE OF LIABILITY INSURANCE
DATE(MMlDDfYYYY)
0810112011
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(Ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUB ROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
PRODUCER
Aon Risk Insurance services West, inc.
Los Angeles CA Office
707 Wilshire Boulevard.
Suite 2600 .
CONTACT
PHONE 866) 283-7122 I (800) 353-0105 (NC.No.EXt)
EMAIl.
ADORESS
INSURER(S) AFFORDING COVERAGE NAIC Los Angeles CA 90017-0460 USA
INSURED
Mort Tech, LLC
P0 Box 1284
Palm Desert CA 92261 USA
INSURER A. zurich American Ins Co 16535
INSURER 0: American Guarantee & Liability Ins Co 26247
INSURERC:
INSURER 0:
INSURER E:
INSURER F:
UDAI CERTIFICATE NUMBER: 570067831566 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REOUREMENT, 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
BIER
LYR TYPE OF INSURANCE
X COMMERCIAL GENERAL UABIUTY
.tU EDEI
wvo POLICY NUMBER
G1A023293801
pouc'r EFF
itin=
POLY EXP
________
J!L7
LIMITS_________________
EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED
PREMISES Me oocurmnce) pR____________________
$1,000,000 cLAIMs.MADE [] OCCUR
MED EXP (My one pemon) $10,000
PERSONAL&ADV INJURY $1,000,000
OEPFLAGGREGAIE LIMTTAPPUEB PER: GENERAL AGGREGATE $2,000,000
PRODUCTS - COMPIOP AGG $2,000,000 POLICY [] [] LÔC
-
IOTHER
A AUTOMOBILE LIABILITY - - GLA 0232938-01 05/01/2017 05/01/2018 COMBINED SINGLE UNIT
Ea
$2,000,000
BODILY INJURY( Per person)
X ANVAUTO
BODIL Y INJURY (Per accident)
- owo SCHEDULED
- AUTOS ONLY LJAUTOS
NON-OWNED HIRED AUTOS
ONLY AUTOS ONLY -
*
PROPERTY DAMAGE
(Per accident)
X UMBREUAUAB I
EXCESS LIAB
I OCCUR
CLAIMS-MADE
-
- AUCO23302603. 05701/201 05/01/2018 EACH OCCURRENCE $5,000,000
AGGREGATE $5,000,000
CEO I IRETENTION
A WORKERS COMPENSATION AND - - #c023293902 05/01/2017 JS/01/201$ x 1 PER STATUTE ( IFR _____ EMPLOYERS' UABfl.ITY YIN
ANY PROPRETORI FARThERI EIECUTWE 0
E.L. EACH ACCIDENT $1,000, 000
E.L. OISEASE.EA EMPLOYEE $1,000,000 OFFICEPIMEMBER EXCLUDED?
(Mendatofy In NH) . El N IA
El. DISEASE.POLICY LWT $1,000,000 describe under
DRIPTCN OF OPERATIONS below - _________ ________
-
DESCRIPTION OF OPERATIONS S LOCATIONS /VEHICLES (ACORD idi, Mdlttonal Remarks Schedule. maybe attached If mor, apace Is required)
RE: All landscape operations. City of La quinta is included as Additional Insured in accordance with the policy provisions of
the General Liability policy.
CERTIFICATE HOLDER
City of La Quinta
PC BOX 1504
78-795 calle Tampico
La Quinta CA 92247 USA
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
-
POLICY PROVISIONS.
AIJTHORID REPRESENTATIVE
nor 9L 7AJ
@1988-2015 ACORD CORPORATION All tlhtsreservéd.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Additional Insured - Automatic - Owners, Lessees Or ZURICH
Contractors
Policy No. Eff. Date of Pal. Exp. Date of Pol. Eff. Date of End. Producer No. Md'l. Prom Return Prem.
OLA 0232938-01 05101/2017 05/01/2018 05/01/2017
This ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.,.
Named Insured: MONARCH LANDSCAPE HOLDINGS, LLC
Address (including P Code):
550 S Hope Street, Suite 1675:
Los Angeles, CA 90017
This endorsement modifies Insurance provided under the:
Conitiercial General L.bilfty Coverage Pail
A. Section II -Who Is An insured is amended to lncltide as an additional Insured any person or organization whom you
are required to add as an additional Insured on this policy under a written contract or written agreement. Such person
or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal
and advertising injury" caused, in whole or in part, by:
Your acts or omissions; or
The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations or "your work" as included in the "products-completed operations
hazard", which Is the subject of the written contract or written agreement.
However, the insurance afforded-to such additional insured:
S
Only applies to the extent permitted by law; and
Will not be broader than that which you are required by the written contract or written agreement to provide for
such additional Insured.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
This insurance does not apply to: .
"Bodily Injury", "property damage" or "personal and advertising injury" arising out of the-rendering of, or failure to
render, any professional architectural, engineering or surveying services including:
The preparing, approving or-failing to prepare or approve maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; or
Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing In the supervision,
hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily
Injury" or "property damage", or the offense which caused the "personal and advertising injury", Involved the
rendering of or the failure to render any professional architectural, engineering or surveying services.
U.a-1175-FCW(04/13)
Page lot 2
dncludes copyrighted material of Insurance Services Office, Inc., with its permission.
C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Sult'of. Section IV—
Convmrclal General Liability Conditions:
The additional insured must see to It that:
We are notified as soon as practicable of an "occurrencer or offense that may result in a claim;
We receive written notice of a claim or TMsult"as soon as practicable; and
A request for defense and indemnity of the claim or "suite will promptly be brought against any policy issued by
another insurer under which the additional insured may be an insured In any capacity. This provision does not
apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement
requires that this coverage be primary and non-contributory.
D. For the purposes of the coverage provided by this endorsement:
1. The following is added to the Other Insurance Condition of Section IV - Commercial General Liability Conditions:
Primary and Noncontributory Insurance
This insurance is primary to and will not seek contribution from any. other insurance available-to an additional
insured provided that:
The additional insured is a Named Insured under such other insurance; and
You are required by written contract or written agreement that this insurance be primary and not seek
contribution from any other insurance available to the additional insured.
2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV—Conimercial
General Liability Conditions
This insurance is excess over:
Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional
insured, in which the additional insured on our policy is also covered as an additional insured on another policy
providing coverage for the same"occurrence", offense, claim or "suit". This provision does not apply to any
policy in which the additional insured is a Named Insured on such other policy and where our policy is required
by a written contract or written agreement to provide coverage to the additional insured on a primary and non-
contributory basis.
E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement
showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to.
that identified additional insured.
F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to
Section III - Limits Of Insurance:
The most we will pay on behalf of the additional insured is the amount of insurance:
Required by the written contractor written agreement referenced in Paragraph A. of this endorsóment; or
Available under the applicable Limits of Insurance shown in the Declarations,
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown inthe Declarations.
All other terms and conditions of this policy remain unchanged.
U.GL-1175-FCW(04/13)
Page 2 at 2
Includes copyrighted material at Insurance Services Office, Inc., with its permisiion..
Coverage Extension Endorsement ZURICH
Policy No. Eff. Date of Pol. Exp. Date of P01. LEff. Date of End. Producer No. Md'l. Prem Return Prem.
IGLA0203293801 05101/2017 05/01/2018 05/0112017
THIS 5 NDORSEM8NT CHANGES JHE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Business Auto Coverage Form
Motor Carrier Coverage Form
A. Amended Who Is An Insured
1. The following is added to the Who Is An Insured Provision in Section II - Càvered Autos Liability Coverage:
The following are also "insureds":
Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts
performed within the scope of employment by you. Any employee" of yours is also an "insured' while
operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your
permission, while performing duties related to the conduct of your business.
Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or
borrow to transport your clients or other persons in activities necessary to your business.
Anyone else who furnishes an "auto" referenced in Paragraphs A.1 .a. and A.1 .b. in this endorsement.
d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract
or written agreement with you executed prior to any "accident", including those person(s) or organization(s)
directing your work pursuant to such written contract or written agreement with you, provided the "accident"
arises out of operations governed by such contract or agreement and only up to the limits required in the
written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less.
2. The following is addedto the Other Insurance Condition in the Business Auto Coverage Form and the Other
Insurance - Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form:
Coverage for any person(s) or organization(s), where required by written contract or written agreement with you
executed prior to any 'accident", will apply on a primary and non-contributory basis and any insurance maintained
by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond
the terms and conditions of the Coverage Form.
B Amendment - Supplementary Payments
Paragraphs a,(2) and a.(4) of the Coverage Extensions Provision in Section II - Covered Autos Liability
Coverage are replaced by the following:
(2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations). required because of an
"accident" we cover. We do not have to furnish these bonds.
(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a
day because of time off from work.
U-CA-424-F cw (04-14)
Page 1 of 6
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
C. Fellow Employee Coverage
The Fellow Employee Exclusion contained in Section II - Covered Autos Liability Coverage does not apply.
D. Driver Safety Program Liability and Physical Damage Coverage
The following is added to the Racing Exclusion in Section II - Covered Autos Liability Coverage:
This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not
limited to, auto or truck rodeos and other auto or truck agility demonstrations.
The following is added to Paragraph 2. in the Exclusions of Section III - Physical Damage Coverage of the
Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV - Physical Damage ,
Coverage of the Motor Carrier Coverage Form:
This exclusion does not apply to covered "autos"- participating in a driver safety program event, such as, but not
limited to, auto or truck rodeos and other auto or truck agility demonstrations.
E. Lease or Loan Gap Coverage
The following is added to the Coverage Provision of the Physical Damage Coverage Section:
Lease Or Loan Gap Coverage
In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered
"auto", less: .
Any. amount paid under the Physical Damage Coverage Section of the Coverage Form: and
Any: .
Overdue lease or loan payments at the time of the "loss";
Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;
Security deposits not returned by the lessor;
Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the
loan or lease; and S
Carry-over balances from previous leases or loans.
F. Towing and Labor
Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following:
We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is
disabled. However, the labor must be performed at the place of disablement.
G. Extended Glass Coverage
The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section:
If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and
is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass
repaired rather than replaced. .
H. Hired Auto Physical Damage —increased Loss of Use Expenses . . .
The Coverage Extension for Loss Of Use Expenses In the Physical Damage Coverage Section is replaced by the
following:
Loss Of Use Expenses
For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for
loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We
will pay for loss of use expenses if caused by:
u-cA424-F CW (04-14)
Page 2 of 6
Includes copyrighted material of insurance Services Office, inc., with its permission.
Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered
"auto"; S
Specified Causes Of- Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided
for any covered "auto; or
Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto".
However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000.
I. Personal Effects Coverage
The following is added to the Coverage Provision of the Physical Damage Coverage Section:
Personal Effects Coverage
a. We will pay up to $750 for "loss" to personal effects which are:
Personal property owned by an "insured"; and
In or on a covered "auto".
b. Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of:
The reasonable cost to replace; or
The actual cash value.
c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered
"auto". No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of
the following:
S
Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other
documents of value.
Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches,
precious or semi-precious stones.
Paintings, statuary and other works of art.
Contraband or property in the course of illegal transportation or trade.
Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment.
Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss".
J. Tapes, Records and Discs Coverage
The Exclusion in Paragraph B.4.a. of Section lii - Physical Damage Coverage in the Business Auto Coverage
Form and the Exclusion in Paragraph B.2.c. of Section IV - Physical Damage Coverage in the Motor Carrier
Coverage Form does not apply.
The following is added to Paragraph l.a. Comprehensive Coverage under the Coverage Provision of the
Physical Damage Coverage Section: .
We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic
equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices:
Are the property of an "insured"; and
Are in a covered "auto" at the time of "loss".
The most we will pay for. such "loss" to tapes, records, discs or other similar devices is $500. The Physical
Damage Coverage Deductible Provision does not apply to such loss".
U-CA-424-F CW (04-14)
Page 3of6
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
K. Airbag Coverage
The Exclusion in Paragraph 8.3.a. of Section (II - Physical Damage Coverage in the Business Auto Coverage Form
and the Exclusion in Paragraph 8.4.a. of Section IV - Physical Damage Coverage in the Motor Carrier Coverage
Form does not apply to the accidental discharge of an airbag.
L. Two or More Deductibles
The following is added to the Deductible Provision of the Physical Damage Coverage Section:
If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you
by us, the following applies for each covered "auto" on a per vehicle basis:
If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or
If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it wilF be reduced by
the amount of the smaller (or smallest) deductible.
M. Physical Damage - Comprehensive Coverage. Deductible
The following is added to the.Deductible Provision of the Physical Damage Coverage Section:
Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to
Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations,
whichever is greater.
N. Temporary Substitute Autos - Physical Damage
1. The following is added to Section I - Covered Autos:
Temporary Substitute Autos - Physical Damage
If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following
types of vehicles are also covered "autos" for Physical Damage Coverage:
Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered
"auto" you do own but is out of service because of its:
Breakdown; . .
Repair,
Servicing;
"Loss"; or . .
5, Destruction. . S
.2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section:
Temporary Substitute Autos - Physical Damage
We will pay the owner for "loss" to the temporary substitute "auto" unlss the "loss" results from fraudulent act or
omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other
party.
The deductible for. the temporary substitute "auto" will, be the same as the deductible for the covered "auto" it
replaces. . . .
0. Amended Duties in The Event Of Accident, Claim, Suit Or Loss
Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following:
a. in the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice
of the "accident", claim, "suit" or "loss". However, these duties only apply when the accident", claim, "suit" or
"loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited
liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any
U-CA-424.F CW (04.14)
Page 4 of 6
Includes copyrighted material of Insurance Services Office, Inc.. with its permission.
agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate
the insurance afforded by this policy.
Include, as soon as practicable:
How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written
notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit";
The "insured's" name and address; and
To the extent possible, the names and addresses of any injured persons and witnesses.
If you report an "accident", claim, "suit" or "loss"to another insurer when you should have reported to us, your
failure to report to us will not be seen as' a violation of these amended duties provided you give us notice as soon
as practicable after the fact of the delay becomes known to you.
P. Waiver of Transfer Of Rights Of Recovery Against Others To Us
The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition:
This Condition does not apply to the extent required of you by a written contract; executed prior to any "accident" or
"loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only
applies to the person or organization designated in the contract.
Q. Employee Hired Autos - Physical Damage
Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other.
.lnsurance - Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced
by the following:
For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own:
Any covered "auto" you lease, hire, rent or borrow; and
Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or
elected or appointed official with your, permission while being operated within the course and scope of that
"employee's" employment by you or that elected or appointed official's duties as respect their obligations to you.
However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto".
R. Unintentional Failure to Disclose Hazards
The following is added to the Concealment, Misrepresentation Or Fraud Condition:
However, we will not deny coverage under this Coverage Form if you unintentionally:
Fail to disclose any hazards existing at the inception date of this Coverage Form; or
Make an error, omission, improper description of "autos" or other misstatement of information.
You must notify us as soon as possible after the discoveiy of any hazards or any other information that was not
provided to us prior to the acceptance of this policy.
S. Hired Auto —World Wide Coverage
Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following:
(5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or' less,
T. Bodily Injury Redefined
The definition of "bodily injury" in the Definitions Section is replaced by the following:
"Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish,
resulting from any of these at any time. Mental anguish means any, type of mental or emotional illness or disease,
S u.cA-424-F CW (04-14)
Page 5ol6
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Expected Or Intended Injury .
The Expected Or Intended Injury Exclusion in. Paragraph B. Exclusions under Section II -.Covered Auto Liability
Coverageis replaced by the following:
.
Expected Or Intended Injury S
"Bodily injury" or "property damage" expected or intended from the standpoint, of the "insured". This exclusion does
not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or
property.
Physical Damage -Additional Tempoary Transportation Expense Coverage
ParagraphA.4.a. of Section III —Physical Damage Coverage is replaced by the following:
4. Coverage Extensions
a. Transportation Expenses
We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you
because of the total theft of a covered "auto" of the private passenger type. We will pay only for those
covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will
pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and
ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its
"loss".
Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto
The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section:
In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or
"auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost
of the replacement "auto", excluding tax, title, license, other fees and any afterrnarket vehicle upgrades, up to a
maximum of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative
fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease
agreement.
To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of
propulsion power. The other source of propulsion power must be électnc, hydrogen, propane, solar or natural gas,
either compressed or liquefied. To qualify as an "auto" powered by an alternative -fuel source,. the "auto" must be
powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by
biofuel, gasoline or diesel fuel or any blend thereof is.not an "auto" powered by. an alternative fuel source.
Return of Stolen Automobile
The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section:
If a covered auto is stolen and recovered, we will pay the cost of transport to return the auto to you. We will pay
only for those covered autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage.
All other terms, conditions, provisions and exclusions of this policy remain the same.
U-CA-424-F CW (04-14)
Page 6 of 6
Includes copyrighted material of insurance Services Office, Inc:, with its permission.
Phone Number:
Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.)__________________
C1L- 3cc
Description of Construction (i.e.: See Plan Set No. 01234)
Dimension of Installation* or Removal:
Approximate Construction Start Date: .. g
Approximate Construction Completion Date: 1
Estimated Construction Cost: $
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:7 ne-
Name of Applicant/Owner:
Applicant Address:
Applicant Telephone Number: i to — p - 00 O
Applicant E.rna11 Address:ç
Name of Contractor: \-
Contractor Address: V. o.
Contractor Telephone Number: O - i5(€.a -'fX1) -
Contractor State License Number: 3
Contractor City Business License Number: QOQ5?,(o
Contractor E-mail Address: yjcq Xrk& sCcQe. cOi'
10- A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST-BE PROVIDED .4
Applicant or Contractor General Liability Insurance Company:.
Applicant.or Contractor General Liability Insurance Policy Number:
&4OVS7A3D
Office Use Only:
Inspection Fee:
Permit Fee:
As-Built
Deposit:
Dust Control
Deposit:
Credit
Athount:
,.(y4 I. r;t l)lll
Office Use Only:
Assigned Permit Numb e1110fl
Approval Date:
Expiration.
Dale:
Issue
Date:
Administrative Authority:
EISENHOWER DRIVE
SEE IRRIGATION LEGEND ON SHEET 1-4
TI
Lu z
—J
x C.,
I-
4 21
z
L
flEtFWMJRACE FOR MEl)
FAN PALMS 1010) (AISlES;
MUBAtERS EU) IUICMt PU)
---- EISENHOWER
1.15
EISENHOWER DRIVE
SEE IRRIGATION LEGEND ON SHEET I-4