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TC2017-0053
VI It t 2u1nZt' fifl ---cEMqDffERT- ENCROACHMENT PERMIT - ?LNOV 0 2 2O17 PUBUC WORKS CONSTRUCTION CITY OF LA QUINTA For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS. 10/30/2017 OF CONSTRUCTION(Street address or Description): VARIOUSi.00ATIONS; SEE ATTACHED UST PURPOSE OF CONSTRUCTION: DIRECTIONAL SIGNS FOR BIKE RIDE EVENT DESCRIPTION OF CONSTRUCTION: 7TH ANNUAL PALM DESERT CENTURY BIKE RIDE DIMENSION OF INSTALLATION OR REl&OVAL - APPROXIMATETIME WHEN WORK WILL BEGfti: 11/9/2017 TIME OF COMPLETION: 11111/2017 ESTIMATED CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS: THIS PERMIT IS FOR SIGNS WITHIN THE CITY OF LA QUINTA LIMITS ONLY. 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 emp!oyees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and ar151ng 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 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 applicable rules and regulations of the City of and to pay for any additional replacement necessary as the result of this work. .Cd- ___ - N-21 - .- ___ Signature of Applicant or Agent JAMES E KNIGHT 3840 ELIJAH COURT, UNIT 811 SAN DIEGO, CA 92130 (858)692-6220 Name of Applicant (please print) Business Address Telephone No. SHADOW TOUR, LLC 3840 EUJAH COURT, UNIT 811 SAN.DIEGO, CA 92130 (858)692-6220 Name of Contractor and Job Foreman Business Address Telephone No. AEC426 N/A Contractor's License No. City Business License No. STARR INDEMNITY AND LIABILITY COMPANY 1000107671 - Applicants Insurance Company Policy Number Finance Revenue Coda PERMIT INSPECTION TRAFFIC CONTROL ENHANCEMENT FEE TOTAL: 'PERMIT NO; 1C2017-0053 DATE lSSUED:.L2? EXP DATE: WORK INSPECTED BY: - PERMIT COMPLETION DATES: - *If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: Sep 5,'17 Tract No: n/a Project Name: 7th Annual Palm Desert Century Bike Ride Vicinity: Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) n/a Description of Constiuction (i.e.: See Plan Set No. 01234) n/a Bicycle Riders using Public Right-of-way on Jefferson St, per route map. No road or lane closure. No other event elements. Dimension of Installation or Removal: n/a Approximate Construction Start Date: Signs placed Thu, Nov 9. Ride: Sat, Nov 11, 8-5 pm Approximate Construction Completion Date: Event concludes 5:00 P.M. Sat, Nov 11, '17 Estimated Construction Cost: $ n/a 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: James E. Knight Phone Number: 858-692-6220 Name of Applicant/Owner: James E. Knight Applicant Address: 3840 Elijah Court, Unit 811, San Diego, CA 92130 Applicant Telephone Number: 858-692-6220 Applicant E-mail Address: jeknight2©aol.com Name of Contractor: same as contact Contractor Address: same as contact Contractor Telephone Number: same as contact Contractor State License Number: n/a Contractor City Business License Number: n/a Contractor E-mail Address: same as above 10- A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED Applicant or Contractor General Liability Insurance Company: Starr Indemnity and Liability Company Applicant or Contractor General Liability Insurance Policy Number: 1000107671 Office Use Only: Office Use Only: Inspection Fee: Assigned Permit Number: Permit Fee: Approval Date: As-Built Expiration Deposit: Date:_________________ Dust Control Issue Deposit: Date: Credit Amount: Administrative Authority: TOTAL FEE DUE: I )riuI( :hkII? - 1-nrmQ N. AnnhIr'tIrinc. .nnIirtirn fnr I-rmi? nntri M- 1h- Amy Vu From: Jim Knight <jeknight2@aol.com> Sent Thursday, August 31, 20173:51 PM To: Amy Vu; Bryan McKinney Subject: S 2017 Palm Desert Century Recreational Public Bicycle Ride Encroachment Permit Attachments: Al. City of La Quinta.pdf, Cert City of La Quinta.pdf, .2017 PDC Strip Map.pdf, 2016 City of La Quinta Approved Permit FINAL; 2015 City of La Quinta Approved Permit Final Hi Brian & Amy, RE: 7th Annual 2017 Palm Desert Century Bicycle Ride, Sat, Nov 11, '17 Ijust tried calling both of you, but you are on vacation. I lefi.a v/rn for Brian. Brian: The event route and operations remain identical to 2015 & 2016. The Palm Desert Century bicycle ride pases thiough La Quinta, on. Jefferson St, but has no dismounted elements (Rest. Stops), nor do we need any Lane or Road Closures. . Shall we proceed with the same Encroachment Permit (thru Amy Yu) as 2015 & 2016 (attached)? Please provide link to Public Works Dept Encroachment Permit Application. Amy: L.will submit the Encroachment Permit Application when I have the. download link. Attached are the Insurance documents & Route Strip Map. Attached are 20 15 & 2016 Approved Encroachment Permits Below is the Route Signage Plan: Route Signage Placement: Jim Knight will personally place all Signs & Cones with one volunteer on Thu, Nov 9th, '17. Signs & Cones will be removed by 5:00 P.M. Sat, Nov 11th, '17. Route Signage Locations: Ave 48, Northwest side of Jefferson, near intersection Sign/Cone: "20-Mile Turnaround" Ave 52 Traffic Circle Northwest corner of Jefferson & Ave 52 - 3 Signs/Cones: "Red Zone Ahead", "Ride Single File", "Riders Merging Left" about 50m apart Southwest corner of Jefferson & Ave 52 - Sign/Cone: "End Red Zone" Southeast corner corner of Jefferson & Ave 52 - - 3 Signs/Cones: "Red Zone Ahead", "Ride Single File", "Riders Merging Left" about 50m apart S-i Jefferson & Ave 52, Northe aistcomer. - Sjgn/Con. "End Red Zone" Jefferson & Ave 54,Northwest corner -Sign/Cone Left Turn Arrow Jefferson & Ave 54, Northeast corner -Sign/Cone: Right Turn Arrow Ave 54 & Monroe St, Southwest corner -Sign/Cone: Right Turn Arrow Ave 54 & Monroe St, Southeast corner -Sign/Cone: Left Turn Arrow Monroe St & Airport, Southwest corner '-Sign/Cone:. Left Turn Arrow : •. Monroe St & Airport, Northeast corner -Sign/Cone: Right Turn Arrow Many Thanks! . -Jith S Jim Knight • • • Managing Member • S • • Shadow Tour, LLC • Website: ShadowTour.com Email: jeknight2@iao1.com Direct: 858-692-6220 5 3840 Elijah-Court, Unit 811 San Diego, CA 92130 2 PERMIT NO. TC2017-0053 7th Annual Palm Desert Century Bike Ride /Temp Directional Signs for Event IVarious Locations; See Attached List In addition to the standard permit conditions, the following shall apply: 1. The applicant shall be available during the event by phone at(858) 692-6220. 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. Shadow Tour, LLC (James Knight), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 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 November 11, 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 (CalTrans), 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 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 without Public Works Director approval. Special Conditions Page 1 of 2 PERMIT NO. TC2017-0053 7th Annual Palm Desert Century Bike Ride /Temp Directional Signs for Event /Various Locations; See Attached List 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 Applicant or.Contractor shall furnish the city satisfactory evidence of insurance in the amounts provided in the Engineering Bulletin on 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. The applicant shall provide informative message board(s) informing the commuters using the affected roadways of possible traffic delays due to the Street closures and time of the event. The message board shall be provided for the commuters 48 hours prior to the start of event. 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 14.16.3 70 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, casts or expenses. in law or equity that may arise out 6 work under this permit. Special Conditions . Page 2 of 2 ARD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICA'lE'OØESNOT.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: Ifthecertlflcate holder Is an ADDITIONAL INSURED, the pollcy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require anendorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ed Moore Hcm Event Insurance Services, Inc. 1407 Foothill Blvd #228 r1ui. Eati: (866)866-7090 . No): (866) 496-5968 EMAIL A DRESS. edhcmeventinsurence.corn INSURER(S) AFFORDING COVERAGE NAIC # La Verne, CA 91750 INSURER A: Starr Indemnity and Liability Company Phone (866) 866-7090 Fax (866) 496-5968 INSURED INSURER B: United Slates Fire Insurance Company INSURER C: Imperial Valley Desert Museum Society and Shadow Tour, LLC INSURER 0: 3840 Elijah Court Unit 811 INSURER E: San Diego, CA i INSURER F: COVERAGES CERTIFICATE NUMBER: 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT To ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL RIS& UBR vy' POLICY NUMBER POLICY EFF 'MMIDDIYYYY POLICY EXP MMIDDIYYYY) UNITS A GENERAL LIABILITY ) COMMERCIAL GENERAL LIABILITY E] o CLAIMS-MADE R OCCUR o GENL AGGREGATE UMfl' APPLIES PER: _D V V POLICY ] DLOC . 1000107671 . 0210212017 02/0212018 EACH OCCURRENCE s 1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000.00 MED EXP (Any oneperson) $ - PERSONAL & ADV INJURY S 1,000,000.00 GENERAL AGGREGATE S 2,000,000.00 PRODUCTS - COMP/OP N3G $ 1,000,000.00 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED o SCHEDULED AUTOS y IJ HIRED AUTOS J AUTOS p -- y AUTOS i—i ri NON -OWNED 1000107671 02(0212017 02/02(2018 MDJINGI.E LIMIT 1,000,000.00 BODILY INJURY (Per person) $ BODILY INJURY (Per accideil $ PROPERTY DAMAGE (Per 5 S - [J UMBRELlA UAB 0 OCCUR E] EXCESS LIA13 0 CLAIMS-MADE - - EACH OCCURRENCE S AGGREGATE S 0 DED 0 RETENTION S - WORKERS COMPENSATION AND EMPLOYERS! LIABILITY YIN ANY PROPRIETORIPARNERIEXECIJflVE OFFICERIMEMBER EXCLUDED? r—i (Mandatory In NH) It yes. describe under DESCRIPTION OF OPERATIONS below NI A - - fl WC STATU- 1:1 0TH- L_J TORY UMTS ER EL EACH ACCIDENT S EL DISEASE - EA EMPLOYE S E.L. DISEASE - POLICY UMIT $ B Excess Medical U5721058 02(02(2017 02/01/2018 each person $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. AddItional Remarks Schedule. If more space Is required) Event; 7th Annual Palm Desert Century Date; November 11, 2017 Certificate holder is added as additional insured. Coveage provided under master policy held by the Bicycle Ride Directors Association of America, . CERTIFICATE HOLDER CANCELLATION City Of La Quinta its officers, agents and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988.2010 ACORD CORPORATION. All 'rights reserved. ACORD 26 (2010I05) QF The ACORD name and logo are registered marks of ACORD Issued by: Starr 'lndemnity,and Liability company Policy Number 1000107671 Issued to Imperial Desert Museum Society and Shadow ToUr, LLC Effeetive.Date: 11/11/17 COMMERCIAL GENERAL LIABILITY* THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED- STATE OR POLITICAL SUBDIVISIONS PERMITS. This endórsemeñt 'modifies insurance. prov.ided.under:the:following: COMMERCIAL GENERAL LIABILITY COVERAGE PART .SCHEDULE STATE.OR POLITICAL SUBDIVISION: City of La .Quiritá, it's öfficérs,àgents:aiid nIOy.èès.. WHO'IS AN INSURED (Section ll).isamendedibinclüde asan insuredany iateor politil subdivision shown in the Schedule, subject to the following provisions 1 This insurance applies only with respect to operations performed by you or on your behalf fOr'biäh'the state or political s'ubdivision has issued a.permit. 2. This insurcd.40es.notapplyto: a "Bodily injury," "property damage," "personal injury," or "advertising injury" arising out of operations performed for the state or municipality, or b "Bodily injury" or "property damage" included within the "products-completed operations hazard" CG *20 12 1185: t QU&t See below for Finance Revenue Codes ev - .---GrMqaoP*r— ENCROACHMENT PERMIT PUBLIC WORKS CONSTRUCTION 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: i,QL0LZPi7 - LOCATION OF CONSTRUCTION(Street address or Description): VAWOU.S LOCATIONS; SlE AT[ACUED LIST PURPOSE OF CONSTRUCTION: DIRECTIONAL SIGNS DESCRIPTION OF CONSTRUCTION: ?Tl4 ANNUALPALM.DESERT CENTURY RIKF RIDF DIMENSION OF INSTALLATION OR REMOVAL: APPROXIMATETIME WHEN WORK Will. BEGIII: 1/2G17_TIME OF COMPLETION: fl/jjL2017 CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing resurfacing and/or replacing Improvements) THIS PERMIT IS FOR SIGNS WIThIN THE CITY OF LA QUINTA UMITS ONLY. in consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, itsauthorIed agents, officers, representatives and emp!oyees, harmless from and against any and all penities, 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 at (760) 777.7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 7777097 prior to 130 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 applicable rules and regulations of the City of and to pay for any additional replacement necessary as the result of this work. L-~ Signatuie of Applicant orAgent JAMES E KNIGHT 3840 EWAH COURT, UNIT 811 SAN DIEGO, CA 92130 (858)632-6220 Name of Applicant (please print) Business Address Telephone No. SHADOW TOUR, LLC 3840 ELIJAH COURT, UNIT 811 SAN DIEGO, CA 92130 (858)692.6220 Name of Contractor and Job Foreman Business Address Telephone No. AEC426 N/A Contractors License No. City Business License No. STARR INDEMNI1Y AND LIABILITY COMPANY 1000107671 Applicant's insurance Company Policy Number - Finance Revenue Code - PERMIT INSPECTION. TRAFFIC CONTROL $304.00 TECHNOLOGY ENHANCEMENT FEE $5.00 TOTAL: $309.00 PERMIT NO: TC2017-0053 DATE ISSUED: 11-2-17 EXPN DATE: LOF LL _ WORK INSPECTED BY*: PERMIT COMPLETION DATES: the work is covered by a Subdivision Improvement Agreement, ,divider shall request final acceptance of improvements from the yCouncil. - Ta I f Ot 449~ P 1: UBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: Sep 5,'17 Tract No: n/a Project Name: 7th Annual Palm Desert Century Bike Ride Vicinity: Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) n/a Description of Constiuction (i.e.: See Plan Set No. 01234) n/a Bicycle Riders using Public Right-of.way on Jefferson St. per route map. No road or lane closure. No other event elements. Dimension of Installation or Removal: n/a Approximate Construction Start Date: -Signs placed Thu, Nov 9. Ride: Sat, Nov 11, 8-5 pm Approximate Construction Completion Date: Event concludes 5:00P.M. Sat, Nov 11, '17 Estimated Construction Cost: $ n/a Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back-tilling, compaction and placing permanent resurlacing and or replacing improvements Contact Name: James E. Knight Phone Number: 858-692-6220 Name of Applicant/Owner: James E. Knight Applicant Address: 3840 Elijah Court, Unit 811, San Diego, CA 92130 Applicant Telephone Number: 858-692-6220 Applicant E-mail Address: jçght2©aol.com Name of Contractor: same as contact Contractor Address: same as contact Contractor Telephone Number: same as contact Contractor State License Number: n/a Contractor City Business License Number: n/a Contractor E-mail Address: same as above 'A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED 4 Applicant or Contractor General Liability Insurance Company: Starr Indemnity and Liability Company Applicant or Contractor General Liability Insurance Policy Number: 1000107671 - Office Use Only: Inspection Fee: Permit Fee: As-Built Dcposit Dust Control Deposit: Credit Amount TOTAL FEE DUE: Office lice Only: Assigned Permit Number: Approval Date: Expiration Date: Issue Date: Administrative Authority Amy Yu From: Jim Knight <jeknight2@aol.com> Sent Thursday, August 31, 2017 3:51 PM To: Amy Vu; Bryan McKinney Subject: 2017 Palm Desert Century Recreational Public Bicycle Ride Encroachment Permit Attachments: A! City of La Quinta.pdf; Cert City of La Quinta.pdf; 2017 PDC Strip Map.pdf; 2016 City of La Quinta Approved Permit FINAL. 2015 City of La Quinta Approved Permit Final Hi Brian & Amy, RE: 7th Annual 2017 Palm Desert Century Bicycle Ride, Sat, Nov 11, '17 71 I just tried calling both of you, but you are on vacation. I left a v/rn for Brian. Brian: The event route and operations remain identical to 2015 & 2016. The Palm Desert Century bicycle ride passes through La Quinta,.on.Jefferson St, but has no dismounted elements (Rest. Stops), nor do we nee4 any Lane or Road Closuies. . . . Shall we proceed with the same Encroachment Permit (thru Amy Yu) as 2015 & 2016 (attached)? Please provide link to Public Works Dept Encroachment Permit Application. Amy: 1 will submit the Encroachment Permit Application when I have the download link. Attached are the Insurance documents & Route Strip Map. Attached are 2015 & 2016 Approved Encroachment Permits Below is the Route Signage Plan: Route Sijnac P1acncnt: Jim Knight will personally place all Signs & Cones with one volunteer on Thu. Nov 9th, '17. Signs & Cones will be removed by 5:00 P.M. Sat, Nov 11th, '17. Route Sinao Locations:. Ave 48, Northwest side of Jefferson, near intersection - Sign/Cone: "20-Mile Turnaround" Ave 52 Traffic Circle . . Northwest corner of Jefferson & Ave 52 -3 Signs/Cones: "Red Zone Ahead", "Ride Single File", "Riders Merging Left" about 50m apart Southwest corner of Jefferson & Ave 52 - Sign/Cone: "End Red Zone" Southeast corner corner of Jefferson & Ave 52 - 3 Signs/Cones: "Red Zone Ahead", "Ride Single Pile", "Riders Merging Left" about 50m apart 1 Jefferson '& Ave 52, Northeast corner - SgnJCone: "End Red Zone" Jefferson & Ave 54,Northwest corner -Sign/Cone: Left Turn Arrow Jefferson & Ave 54, Northeast corner -Sign/Cone: Right Turn Arrow Ave 54 & Monroe St, Southwest corner -Sign/Cone: Right Turn Arrow Ave 54 & Monroe St, Southeast corner -Sign/Cone: Left Turn Arrow Monroe St & Airport, Southwest corner -Sign/Cone: Left Turn Arrow •. • . . Monroe St & Airport, Northeast corner • -Sign/Cone: Right Turn Arrow Many Thanks •• . Jim Knight * Managing Member Shadow Tour, LLC . Website: ShadowTour.com Email jekmght2ao1 corn Direct: 858-692-6220 5 3840 ElijahCourt, Unit 811 • San Diego, CA 92130 -2' .,... PERMIT NO. TC2017-0053 7th Annual Palm Desert Century Bike Ride hemp Directional Signs for Event IVarious Locations; See Attached List In addition to the standard permit conditions, the following shall apply: 1. The applicant shall be available during the event by phone at (858) 692-6220. 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. Shadow Tour, LLC (James Knight), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 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 November 11, 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 (CalTrans), 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 § I (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. 9 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 § I (part), 1982), Street closures shall not be permitted without Public Works Director approval. Special Conditions Page 1 of 2 PERMIT NO. TC2017-0053 7th Annual Palm Desert Century Bike Ride /Temp Directional Signs for Event IVarious Locations; See Attached List 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 Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts provided in the Engineering Bulletin on 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. The applicant shall provide informative message board(s) informing the commuters using the affected roadways of possible traffic delays due to the street closures and time of the event. The message board shall be provided for the commuters 48 hours prior to the start of event. 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 er guidelines in the AASHTO " A Policy on Geometric Design of Highways and Streets, 5' 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, decoratWe concrete, sidewalk, lighting, etc., shall be replaced to its original condition. Accessand 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, casts or expenses. in law or equity that may arise out of work under this permit. Special Conditions Page 2 of 2 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CEfl1F1CA1E11ESIIIOT?AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 11Y 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: lithe certificate holder Is an ADDITIONAL. INSURED, the pollcy(ies) must be endorsed. If SUBROGATION 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 , Ed Moore Hcm Event Insurance Services, Inc. (856)866-7090 I. (666) 496-5968 1407 Foothill Blvd #228 DIMES odDhclnevonhlnsurnnce cocn ___________ INSURERLSJ AFFORDING COVERAGE NAIC# La Verne, CA 91750 INSURER A: Starr indemnity and Liability Company Phone () 866-7090 Fax (§L6),496-5968 INSURED INSURER B: United States Fire Insurance Company INS C': Imperial Valley Desert Museum Society and Shadow Tour, LLC INSURER 0: 3840 Elijah Court Unit 811 INSURERE San Diego, CA 92130 iNSURERF: UVt1ALiE - GIZK NUMBER: 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 REQUIREMENT, TERM OR CONDITiON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTIR TYPE OF INSURANCE AOOI. t IU8R POLICY NUMBER POLICY EFF MMIDQYY POLICY EXP 'LMMIDDIYYYr - -. LIMITS A GENERAL LIABILITY J COMMERCIAL GENERAL LIABILITY 0 CL-AIMS-MADE OCCUR . GEIrL AGGREGATE LIMIT APPLIES PER D POLICY ) OLOC . Y Y 10001 76fl 0210212017 0210212018 EACH OCCURRENCE (Es occurrence) S 1.000.000.00 $ MED EXP (Any one poison) PERSONAL & ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE s 2,000,000.00 PRODUCTS- COMPIOP AGG s 1,000,000.00 _ — A _p AUTOMOBILE LIABILITY ANY AUTO 0 o SCHEDULED AUTOS , HIRED AUTOS ) 0r4ED - - : , - 1000107671 02102/2017 0210212016 SINGLE LRiIIT ,000,000.0o BODILY INJURY (Per person) $ BODILY INJURY (Per accilent $ OAMAGE $ . $ UMBRELLA UAB 0 OCCUR F] EXCESS hAD 0 CLAIMS-MADE - p..S - ________ ________ EACH OCCURRENCE S AGGREGATE S 0 OW 0 RETENTION _________________ - WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARThERIEXECUTIvE OFFICERIMEMBER EXCLUDED? '' ri (Mandatory In Nil) U If es. desCriIe under DESCRIPTION OF OPERATIONS bete N I A ' -- — . fl WC STATU. ( 0111. -EL EACH ACCIDENT 5 EL DISEASE - EA EMPLOYE S. E.L. DISEASE- POLICY LIMIT S B Excess Medical US721058 02102/2017 02/01/2018 , each person $25,000 DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES (Attach ACORD 101, AdditIonal Remarics Schedule, If more space Is requwed)' ' Event; 7th Annual Palm Desert Century Date; November 11, 2017 Certificate holder is added as additional insured. Coveage provided under master policy held by the Bicycle Ride Directors Association of America, tCK I IrllR I E I1lJI.4JI , LMIIR.ELLR I KiN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - City Of La Qulnta -. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. its officers, agents and employees I ..- AUTHORIZED REPRESENTATIVE - ) I988.2010 ACORD (ORPORATION. Aliflghts reserved. ACORD 25 (2010/05) QF The ACORD name and logo are registered marks of ACORD Issued by: Staff Indemnity and Liability Company Policy Number: 1000107671 Issued to- Imperial Desert Museum Society and Shádów Tour, LLC Effective Date: 11/11/17 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY.'PLEASE READ IT CAREFULLY. ADDITIONAL, INST.RFD- STATt OR POLITICAL SUBDIVISIONS - .PEEMITS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE STATE. OR POLITICAL-SUBDIVISION: City of La Quinta, it's officers, agents and employees. WHO IS AN INSURED (Section II) is amended to include as.an insured any state or political subdivision shown in the Schedi1e, subject to the following provisions: 1. This insurance applies only with resped to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. 2: This insured does not -apply to: "Bodily injury," "property damage," "persOnal injury," or "advertising injury" Arising out of operations performed for the stal&or municipality, or "Bodily injury" or "property damage" included within the "products-completed- operations hazard." CG 20 1211 85