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ENC2022-0033owkra G F M ofibe 1)I.M-I I- — 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: 4/14/2022 LOCATION OF CONSTRUCTION (Street address or Description): 81345 AVENUE 54 PURPOSE OF CONSTRUCTION: TRAFFIC CONTROL FOR REVOLVE EVENT DESCRIPTION OF CONSTRUCTION: TRAFFIC CONTROL AND STREET CLOSURE FOR REVOLVE EVENT DIMENSION OF INSTALLATION OR REMOVAL: SEE TRAFFIC CONTROL PLANS APPROXIMATE TIME WHEN WORK WILL BEGIN: 4/16/2022 TIME OF COMPLETION: 4/17/2022 ESTIMATED CONSTRUCTION COST: $100,000.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) N197► 1AA 1:11►r161 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 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 La Quinta and to pay for any additional replacement necessary as the result of this work. ROBERT BADGLEY Name of Applicant (please print) ROBERT BADGLEY 535 N HARPER AVE LOS ANGELES, CA 90048 Business Address 535 N HARPER AVE LOS ANGELES, CA 90048 Name of Contractor and Job Foreman Business Address AEC1170 Contractor's License No. FIREMAN'S FUND INSURANCE COMPANY Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION TRAFFIC CONTROL $673.00 TRAFFIC CONTROL PLAN REVIEW $166.00 TOTAL: $0.00 LIC-770068 City Business License No. UST022222210 Policy Number PERMIT NO: ENC2022-0033 DATE ISSUED: 4-14-2022 EXPIRATION DATE: 4-14-2023 BY: V WORK INSPECTED BY*: PERMIT COMPLETION DATE*: APPLIED ON ETRAKIT Signature of Applicant or Agent (323)788-5304 Telephone No. (323)788-5304 Telephone No. *If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. N CMS 3 & 4 SHOULD BE POST AT LEAST 2 DAYS IN ADVANCE WITH w a THIS MESSAGE TO NOTIFY THE s SPECIAL LOCAL TRAFFIC OF THE CLOSURE NO SCALE FV NT L. 4C $,VF54 CLOSE , r AVE 54 CLOSED ACCESS 11�- co ui d Z 2 R R'11-2 RI-1 W20-2 7xw7aWc R7.1 M4-10 R4� JCLOSED 410 1 EX INe RETpU R Y �RRI-1�; '...AHEAD XIBTING ' MISTING600�' JV AVE 54 15 xG EXi nE:c FMCLOSED V At THOW 7*PAFM 00' 500' R7-1 R1-1 p R1.1 M4-10 EXISTINGfi'fiilnitl EXISTING R 1 Wa -a R -, m EXISTING iJ00t EX1s TING xXISTINc W R9�z ON LY ONLY R7-1 y G E 1 GRIFFIN EXIgT NG RANCH a MERV ESTATES EVENT O CMS 3 GRIFFIN EASTROUND RANCH AVE 54 CLOSED PARMUG ON 500' ■ ..� JEFFERSON SPECIAL EVENT EASTBOUND AVE 54 CLOSED Irr MERV GRIFFIN. WAY bC24S77 N, NQ S `P� CIVIL. �rf ��CAtiffl��`� Z` ACCE USE AYE54 G 4 1 CONES SPACED AT MAXIMUM 50' APART IN TAPERS CONES SPACED AT MAXIMUM 100' APART ON TANGI POST ADDITIONAL NO PARKING BETWEEN EXISTING NO PARKING SIGNS PLACED FOR THE CONCERTS —� SHUTTLE ROUTE POLICE OFFICER ReY*M By flab Pernik Number Pend ing Traft Cmw Plan br Revolve Offsite Party Paw GoRf wbr collw ReVision Rob (323) 788-5304 Tmft CmW D@Wp by Pf"rw k Bey Tops N Barricades, Inc. Ron Fifield Phan SPead DO sheet Number (800)852-TOPS 50 3/08/22 1A NOTES: 1, ALLTRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH REVISION 6 OF THE 2014 CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (CALIFORNIA M,U T,C,D,) 2, 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. 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10' (12' TYP) TRAFFIC LANE WIDTH ATALLTIMES. 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. 6, THIS TRAFFIC CONTROL SHALL BE IN PLACE AT LEAST 2 HOURS BEFORE EVENT UNTILABOUTA HOURAFTER THE EVENT HAS ENDED. MAIN EVENT HOURS ARE 1 PM TO 8 PM ON SATURDAY AND SUNDAY THERE WILL BE RAFTER CONCERT PARTY ON FRIDAY, SATURDAYAND SUNDA`r FROM 11 PM TO 5 AM FOR 500 PEOPLE.TRAFFIC CONTROL IS NOT EXPECTED TO BE NECESSARY FOR THE SMALLER PARTIES, 7, ALL TRAFFIC CONTROL DEVICES SHALL BE RETRO-REFLECTIVE AND ALL BARRICADES SHALL BE EQUIPPED WITH FLASHING LIGHTS. 8. BIKE LANE TO REMAIN OPEN AT ALL TIMES. NO SCALE M aa yAVE. yy X. h.' '4'• — THE �} HIDEAWAY EXISTIN Lu .. L T4 i yT EXISTING EXISTING za C24577 � � Cf1U'r"'- � NOTES 1. ALLTRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH REVISION 6 OF THE 2014 CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (CALIFORNIA M.U.T.C.D.) 2, TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED, ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETYAND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF LA QUINTA REPRESENTATIVE. 3 THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. 4 CONTRACTOR SHALL MAINTAIN A MINIMUM 10' (17 TYP,) TRAFFIC LANE WIDTH AT ALL TIMES. 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED ATALL TIMES. 6. THIS TRAFFIC CONTROL SHALL BE iN PLACE AT LEAST 2 HOURS BEFORE EVENT UNTILABOUT A HOUR AFTER THE EVENT HAS ENDED. MAIN EVENT HOURS ARE 1 PM TO 8 PM ON SATURDAYAND SUNRAY. THERE WILL BE RAFTER CONCERT PARTY ON FRI DAY, SATURDAYAND SUN DAY FROM 11 PM TO 5 AM FOR 500 PEOPLE.TRAFFIC CONTROL IS NOT EXPECTED TO BE NECESSARY FOR THE SMALLER PARTIES. 7. ALL TRAFFIC CONTROL. DEVICES SHALL BE RETRO-REFLECTIVE AND ALL BARRICADES SHALL BE EQUIPPED WITH FLASHING LIGHTS. 8. BIKE LANE TO REMAIN OPEN AT ALL TIMES, MATCH TO SHEET 1 (�R1�.1�7 - - W c�IMF �x G � 1 � SILVER ROCK'. MAINT. YARD' VE. 54 RM STOP G a i� R1.1 �x G PGA BLVD. POST NO PARKING ;;�;.48 HOURS IN ADVANCE PGA WEST MAINT. YARD SHUTTLE ROUTE POLICE OFFICER I+ed By Data Pending Revolve Offsite Party Prime Caitraft Card Revision Rob (323) 788-5304 Tffi6c CWdrW 1388W by Prepared By Chs" By Tops N Barricades, Inc. Ron Fifield Plane speed UmH I sham Number (800)852-TOPS 50 3/08/22 2 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2022-0033 The following shall always apply: ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's right of way ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any paved surface unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operation in paved areas. If the existing pavement is scarred, spalled, or broken during the term of this contract or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation. CARE OF DRAINAGE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe, steel culvert and concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains shall be kept free of debris at all times for proper drainage. RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill. DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The following shall apply when indicated: ® R1 NOTIFICATION: Permittee shall notify the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting construction. ® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the permittee. ® R3 UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the proposed work site. The permittee shall notify all concerned utility companies of the proposed work. ❑ R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced with ( ** N/A ** ) inches of A.C. paving placed on ( ** N/A ** ) inches of ( ** N/A ** ) aggregate sub -base course having an "R" value of not less than ( ** N/A **) and in conformance with the City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. ❑ R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of one-fourth inch ('/d') to one foot (1'). ❑ R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by a licensed engineer. ❑ R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (** N/A **) feet shall be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207. ❑ R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be two and a half inches (2 ''/2") of A.C. paving on (** N/A **) of class (** N/A ** ) aggregate base. ® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all times. ❑ R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the manufacturer's specifications. City of La Quinta ® R11 COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. ❑ R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly, replaced by a licensed civil engineer 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. ❑ R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction material is actually on the work site. ❑ R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes of producing and adequately consolidated backfill. Ant material which the City of La Quinta deems unsuitable (spongy or saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced by an approved sand or gravel. ❑ R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts not greater than three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway. ❑ R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the trench before flooding or a maximum of five feet (5) lifts where trenches are of excessive depths. Care is to be exercised that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall not be less than ninety percent (90%) or equivalent to the surrounding ground, whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuos. ❑ R18 COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one - thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ❑ R19 COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ❑ R20 TEMPORARY PAVEMENT REPAIRS: After completion of Backfill and compaction operations, a temporary patch consisting of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no case shall the placement of the temporary pavement exceed a five (5) day limit. ❑ R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of two inches (2") of SC-800 shall be placed immediately. A permanent patch of ( 4 ) inches of A.0 surfacing placed on a ( 6 ) inch ( crushed ) aggregate base shall be placed no later than ( 1 ) days after completion of temporary road repair. ❑ R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as determined by the City Engineer. ❑ R23 STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon completion of permanent repairs. ❑ R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate signs, flagmen and or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. 1. 2. 3. El PERMIT NO. ENC2022-0033 Mery Griffin Estates Revolve Event / Traffic Control and Street Closure/ Ave 54 East of Madison St (No asphalt or earthwork permitted) 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. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the actual work performed. 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. Team Revision Inc. (Rob Badgley), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 5. 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. 6. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 7. 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 Signal Maintenance Division at (760) 777-7070 if signal operation at the intersection is to be altered in any way. 8. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1 st 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) neither before 8:30 a.m. nor after 4:30 p.m. 9. 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. Special Conditions Pagel of 3 PERMIT NO. ENC2022-0033 Mery Griffin Estates Revolve Event / Traffic Control and Street Closure/ Ave 54 East of Madison St (No asphalt or earthwork permitted) 10. The permittee must maintain proper stopping and sight distances for the vehicular traffic users using the public right of way. 11. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts provided in the 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. 12. 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. 13. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the Public Works Department, a traffic control plan for review and approval prior to start of construction or parking on the paved R/W. 14. 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. 15. 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. 16. The permittee shall not encroach upon private property without prior written approval (submit to the Public Works Department, attention to the Associate Engineer) of the private land owner whom is being encroached upon. 17. All landscaping, irrigation, decorative rock, decorative concrete, sidewalk, lighting, etc., shall be replaced to its original condition. 18. Access and egress to all local properties shall be maintained at all times. Special Conditions Page 2 of 3 PERMIT NO. ENC2022-0033 Mery Griffin Estates Revolve Event / Traffic Control and Street Closure/ Ave 54 East of Madison St (No asphalt or earthwork permitted) 19. 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. 20. 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. 21. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 22. 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 TEAMREV-01 MFERGUSON ACORO CERTIFICATE OF LIABILITY INSURANCE DAT D/YYYY) 4/12/212/2022 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 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 License # OH18131 CONTACT NAME: PHONE HON o, Ext): (818 933-2700 FAX 818 933-2701 ) (A/C, No):( ) Momentous Insurance Brokerage, A Marsh & McLennan Agency LLC Company 5990 Sepulveda Blvd., #550 Van Nuys, CA 91411 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Fireman's Fund Insurance Company 21873 INSURED INSURER B: American Automobile Insurance Company 21849 INSURER C : Team Revision Inc. INSURER D : 535 N Harper Avenue Los Angeles, CA 90048 INSURER E 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM DD W POLICY EXP MM DD YYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X X UST022222210 12/17/2021 12/17/2022 DAMAGE TO RENTED PREMISES Ea occurrence 300,000 $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 7 PRO- LOC PRODUCTS-COMP/OPAGG $ 1,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO X UST022222210 12/17/2021 12/17/2022 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 X AGGREGATE $ 4,000,000 EXCESS LIAB CLAIMS -MADE UST016164211 12/17/2021 12/17/2022 DED RETENTION $ $ B WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? �Y (Mandatory in NH) N / A X SCW0206742101 12/17/2021 12/17/2022 X PEA STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ A Crime/Empl Dishonest UST022222210 12/17/2021 12/17/2022 ded $1,000 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Parking Lot corner of Avenue 54th & Jefferson Street, La Quinta The City of La Quinta it's appointed and elected officials, officers, employees are included as additional insured for claims resulting in the negligence of the named insured operations as required by written agreement. Coverage is primary and Non Contributory Waiver of Subrogation applies CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of La Quints y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico La Quinta, CA 92253 AUTHORIZED REPRESENTATIVE %},/.K� ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TEAMREV-01 MFERGUSON ACORO CERTIFICATE OF LIABILITY INSURANCE DAT D/YYYY) 4/12/212/2022 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 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 License # OH18131 CONTACT NAME: PHONE HON o, Ext): (818 933-2700 FAX 818 933-2701 ) (A/C, No):( ) Momentous Insurance Brokerage, A Marsh & McLennan Agency LLC Company 5990 Sepulveda Blvd., #550 Van Nuys, CA 91411 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Fireman's Fund Insurance Company 21873 INSURED INSURER B: American Automobile Insurance Company 21849 INSURER C : Team Revision Inc. INSURER D : 535 N Harper Avenue Los Angeles, CA 90048 INSURER E 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM DD W POLICY EXP MM DD YYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X X UST022222210 12/17/2021 12/17/2022 DAMAGE TO RENTED PREMISES Ea occurrence 300,000 $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 7 PRO- LOC PRODUCTS-COMP/OPAGG $ 1,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO X UST022222210 12/17/2021 12/17/2022 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 X AGGREGATE $ 4,000,000 EXCESS LIAB CLAIMS -MADE UST016164211 12/17/2021 12/17/2022 DED RETENTION $ $ B WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? �Y (Mandatory in NH) N / A X SCW0206742101 12/17/2021 12/17/2022 X PEA STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ A Crime/Empl Dishonest UST022222210 12/17/2021 12/17/2022 ded $1,000 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of La Quinta it's appointed and elected officials, officers, employees are included as additional insured for claims resulting in the negligence of the named insured operations as required by written agreement. Coverage is primary and Non Contributory Waiver of Subrogation applies CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of La Quints y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico La Quinta, CA 92253 AUTHORIZED REPRESENTATIVE %},/.K� ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Workers' Compensation and Employers' Liability Insurance Policy Waiver of Our Right to Recover From Others Endorsement WC 00 03 13 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Insured Team Revision Inc. Policy Number UST022222210 Producer Momentous Insurance Brokerage Effective Date 12-17-2021 5990 Sepulveda Boulevard Suite 550 Van Nuys, CA 91411 USA Schedule The City of La Quinta it's appointed and elected officials, officers & employees 78495 Calle Tampico La Quinta, CA 92253 We have the right to recover our payments from any- one liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy Secretary /2- 02 President I,- Pull"- W C000313 4-84 Copyright 1983 National Council on Compensation Insurance Allianz ili Blanket Additional Insured Endorsement — ENTGL 019 01 19 Policy Amendment — Commercial General Liability This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name of Additional Insured Person(s) or Organization(s) Person's or organizations as described in this endorsement (Information required to complete this Schedule, if not shown above, will be shown in the Declarations) I. Who Is An Insured It is agreed that Section II — Who Is An Insured is amended to include the following: The Certificate of Insurance holder and/or any other person or organization when you have agreed in writing in a contract or agreement that such Certification of Insurance holder or such person(s) or organizations(s) be added as an additional insured. However: A. Such person(s) or organization(s) is an insured only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations. B. A person's or organization's status as an additional insured under this endorsement ends when your operations under the contract or agreement with such additional insured are completed. This insurance does not apply to any occurrence that takes place after all work on the project stated in the contract or agreement has been completed. However: 1. The insurance afforded to person(s) or organization(s) that qualify as additional insureds under this endorsement only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. II. Limits of Insurance For the purposes of coverage provided by this endorsement, Section III — Limits of insurance is amended to the extent necessary to include the following: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of such additional insured is the amount of insurance: A. Required by the contract or agreement; or B. Available under the applicable limits of insurance shown in the Declarations; whichever is less. Any payments we make under this endorsement will be part of and not in addition to the applicable Limits of Insurance shown in the Declarations. III. All other terms and conditions of the policy remain unchanged. ENTGL O19 61 19 Copyright ® 2019 Allianz Global Risks US Insurance Company. Al rights reserved. Includes copyrighted material of Insurance Services Office, Inc, with its permission. Rage 1 of 1 Allianz ili Blanket Waiver of Subrogation Endorsement — ENTGL 020 01 19 Policy Amendment — Commercial General Liability This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name of Person(s) or Organization(s) The City of La Quinta it's appointed and elected officials, officers & employees 78495 Calle Tampico La Quinta, CA 92253 (Information required to complete this Schedule, if not shown above, will be shown in the Declarations) I. Waiver of Subrogation Condition It is agreed that the Paragraph 8. Transfer Of Rights of Recovery Against Others To Us of Section IV — Commercial General Liability Conditions is amended to the extent necessary to provide the following: We waive any right of recovery we may have against the persons) or organizations) described in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with such person(s) or organization(s) and included in the products -completed operations hazard. This waiver applies only to the person(s) or organizations) stated in the Schedule above and will not be broader than that which you are required to provide in the contract or agreement with such persons) or organization(s). II. All other terms and conditions of the policy remain unchanged. ENTGL 020 01 19 Copyright ® 2019 Allianz Global Risks US Insurance Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc, with its permission. Page t of 1