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ENC2022-0047
owkra 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: 5/19/2022 LOCATION OF CONSTRUCTION (Street address or Description): AVE 54 EAST OF MADISON ST PURPOSE OF CONSTRUCTION: INSTALL IRRIGATION LATERAL TO MADISON GOLF COURSE DESCRIPTION OF CONSTRUCTION: FOR CVWD: MADISON CLUB AVE 54 METER CONNECTION PROJECT DIMENSION OF INSTALLATION OR REMOVAL: APPROX 150 LF of 12" C909 PIPE IN ROW APPROXIMATE TIME WHEN WORK WILL BEGIN: 5/16/2022 TIME OF COMPLETION: 7/25/2022 ESTIMATED CONSTRUCTION COST: $713,000.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS: CITY OF LA QUINTA WILL INVOICE THE PERMITTEE FOR TIME AND MATERIAL EXPENSE TO BE DETERMINED 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. CVWD Name of Applicant (please print) WEKA INC - JARED HIMLE P 0 BOX 1058 COACHELLA, CA 92236 APPLIED ON ETRAKIT Signature of Applicant or Agent (760)398-2651 Business Address Telephone No. 236 W ORANGE SHOW RD SAN BERNARDINO, CA 92408 (909)425-8700 Name of Contractor and Job Foreman Business Address 670100 Contractor's License No. XL INS AMER INC Applicant's Insurance Company Finance Revenue Code TOTAL: $0.00 Telephone No. 766899 City Business License No. NPC100589400 Policy Number PERMIT NO: ENC2022-0047 DATE ISSUED: 5-19-2022 EXPIRATION DATE: 5-19-2023 BY: AY WORK INSPECTED BY*: PERMIT COMPLETION DATE*: *If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. IMPORTANT NOTICE Acknowledge receipt on this form COACHELLA VALLEY WATER DISTRICT Specification No. 2020-73 Date: October 12, 2021 Addendum No. 1 File: 0322.12 To all prospective bidders under Specification No. 2020-73 for: MADISON CLUB - AVENUE 54 METER CONNECTION PROJECT Specification No. 2020-73 is hereby changed and/or clarified as follows: A. SCHEDULE OF PAY ITEMS: The following changes are made to the Schedule of Pay Items: 1. The Schedule of Pay Items has been replaced. The revised Schedule of Pay Items has been posted to PlanetBids. B. SPECIAL CONDITIONS: The following changes are made to the Special Conditions: 1. Replace Part 1.3, Description of the Project, in its entirety with the following: A. The Project consists of the items set forth below and related facilities. The project consists of furnishing and installing approximately 380 LF of C909 PVCO pipe, including valves, fittings, restrained joints, surface restoration, and all appurtenances, complete and in place; furnishing and installing one meter vault, including all fittings, valves, appurtenances, and equipment; furnishing and installing one control valve vault, including all fittings, valves, appurtenances, and equipment, furnishing and installing lake discharge piping, and furnishing and installing one plug valve vault, including all fittings, valves, appurtenances, PVC pipe, and equipment. Work shall also include protecting in place or removing and replacing all existing utilities and private and public improvements, including, but not limited to, berms, curbs, gutters, concrete pavement, asphalt concrete pavement, walkways, sidewalks, golf cart pathways, trees, cross gutters, spandrels, driveways, slopes, mail boxes, landscaping irrigation facilities, traffic striping, signs, fences, trees, and walls. This project does not require disinfection of the pipelines. 2. Contractor shall perform his work to minimize impacts to the Club, its guests, HOA, and residents. Specification No. 2020-73 Addendum No. 1 Page 1 3. All PVCO and PVC pipe shall be blue or with blue polyethylene encasement in accordance with AWWA C105 Standard, stenciled with "CAUTION RECLAIMED WATER - DO NOT DRINK" or approved equal. 4. Contractor is advised that Madison Club will bring electrical service and lake level controls to the Control Valve Vault. Electrical service shall be single phase, 240V. Contractor shall select valve actuator accordingly. 5. Within Madison Club, Contractor shall backfill trenches flush with adjacent ground. All landscape will be restored by others. 2. Replace Part 1.13, Schedule Constraints, in its entirety with the following: Project must be completed by June 30, 2022. Work on private property (within Madison Club) shall not commence before May 2022 without prior approval by Madison Club. Work in public right-of-way (City of La Quinta) can be completed before work on private property. 3. Replace Part 1.20, Permits, in its entirety with the following: A. Contractor shall obtain the encroachment permit from the City of La Quinta for work within public right-of-way during construction. Permit work includes: 1. Contractor shall provide a traffic control plan for work in public right-of-way for review and approval to the City of La Quinta. All traffic control plans shall be stamped and sign by a registered Civil or Traffic engineer. 2. Contractor shall replace in kind any and all pavement and landscaping damaged by construction activities within public right-of-way. C. CONSTRUCTION DRAWINGS: The following changes are made to the Construction Drawings: 1. Replace the Construction Drawings in their entirety with the enclosed Construction Drawings as part of this Addendum No. 1. Revisions are identified as Delta "1" with revision clouds. Cl. If you have given your copy of the Specification to someone else, please forward this action notice also. CIL The proposal submitted must be in accordance with this notice. Acknowledge receipt of this notice on PlanetBids. Failure to acknowledge this notice may result in rejection of your eBid. Attachments: Construction Drawings umji oua-aAcf Carrie Oliphant, P.E. Director of Engineering Specification No. 2020-73 Addendum No. 1 Page 2 30 ork rea traffic ontrol andbook Work On Shoulders 6-1 1 only (:A Ml1TCD TA.3 (Modifiedl Work Area Traffic Control Handbook W20-1 Mid Block Right Lane Closure NOT TO SCALE 32 Work Area Traffic on�rol Handbook Mid Block Left Lane Closure C30 r G20-2 (optional) W4-2 (LT) C20 (LT) W20-1 TEMPORARY TRAFFIC CONTROL PLAN DIMENSION GUIDELINES SPEED MPH (2) MPH Dimension A/B/C ADVANCE WARNING SIGN SPACING (5) Ft Dimension L MERGING TAPER LENGTH ft Dimension L/2 SHIFTING TAPER LENGTH ft Dimension L/3 MINIMUM SHOULDER TAPER ft Dimension "E" BUFFER SPACE (&A) and FLAGGER STATION STOPPING SIGHT DISTANCE (4-B) (0%) (-3%a) (-6%) ft MAXIMUM CHANNELIZER TAPER SPACING (3) ft MAXIMUM CHANNELIZER TANGENT SPACING (3) ft MAXIMUM CHANNELIZER CONFLICT SPACING (6) ft 25 100 125 65 45 (155) (160) (165) 25 50 12 30 250 180 90 60 (200) (205) (215) 30 60 15 35 250 245 125 85 (250) (260) (275) 35 70 17 40 250 320 160 110 (305) (315) (335) 40 80 20 45 350 540 270 180 (360) (380) (400) 45 90 22 50 350 600 300 200 (425) (450) (475) 50 100 25 55 500 660 330 220 (495) (520) (555) 50 100 25 60 500 720 360 240 (570) (600) (640) 507"T 100 25 65 500 780 390 260 (645) (685) (730) 50 100 25 (1) Work on Freeways and Expressways shall meet the Caltrans Standard Plans and Standard Specification requirements. (2) Posted Speed or observed operating speed (whichever is greater). (3) Channelizer spacing shall be reduced by half at areas where work is taking place on curves or areas of head-on conflict. (4-A) Buffer space may be inserted in low -speed urban areas and should be inserted in high-speed urban and rural areas. (4-B) The Stopping Sight Distance should enable Road Users to see the Primary Flagger Station and safely stop. (5) Sign spacing in rural areas should be 500 ft. (6) '* Table 61F-101(CA) it W U 0 a 0 0 LIJ N 00 0 0 W 0 0 M w z W O m W 0 j L6 I N 0 Z W m I N N Ln I N Z 3 0 SAN BERNARDINO CO. OSAN BERNARDINO I __ - - - - - - - - - - - - - - - L- - - -- -- -- 60 - --- - RIVERSIDE - 91 60 10 - 111 215 PALM SPRINGS INDIO 10 15 LA QUINTA ORANGE CO. THERMAL o NEWPORT BEACH RIVERSIDE CO. PROJECT o V_ALERIE - - O TEMECULA VICINITY -------------- - - -- --- SALTON SEA 15 SAN DIEGO CO. 86 'lllllMllll' • VICINITY MAP NOT TO SCALE THE MADISON CLIP � N I MADISON < AVENUE 4 STREETLj Ld APPROX. 2500' ® (® END OF S'LY SIDEWALK) A 111111jpp' INDEX MAP NOT TO SCALE EASEMENT LIST No. DOCUMENT DATE SHEET NUMBER RECORDED NUMBER 1 MB 388157-79 2 APN LIST REFERENCE DWGS ASSESSOR'S SHEET No. PARCEL NUMBER NUMBER 1 779-480-012 2 2 779-480-017 2 No. CVWD DRAWING NUMBER SHEET NUMBER 1 16435 2 2 33979 2 3 33980 2 4 33985 2 5 35190 2 6 35208 2 IN THE CITY OF LA QUINTA COUNTY OF RIVERSIDE, STATE OF CALIFORNIA MADISON CLUB -AVENUE 54 METER CONNECTION PROJECT SPECIFICATION No. 202Om73 LOCATED WITHIN PORTIONS OF SECTIONS 10 AND 15 TOWNSHIP 6 SOUTH, RANGE 7 EAST SAN BERNARDINO MERIDIAN COACHELLA VALLEY WATER DISTRICT BOARD OF DIRECTORS DESIGN FLOW RATE= 1,345 GPM CVWD SHALL OWN, OPERATE, AND MAINTAIN THE NON -POTABLE WATER PIPELINE AND APPURTENANCES BETWEEN STATION 10+01.0t AND STATION 10+93.00. THE MADISON CLUB SHALL OWN, OPERATE, AND MAINTAIN THE NON -POTABLE WATER PIPELINE AND APPURTENANCES BETWEEN STATION 10+93.00 AND STATION 13+73t. SHEET INDEX SHEET NUMBER DRAWING NUMBER DESCRIPTION 1 44468 TITLE SHEET 2 44469 PLAN AND PROFILE - STA.9+84.0t TO STA.13+72.9t 3 44470 VAULT DETAILS 4 44471 MISCELLANEOUS DETAILS MATERIAL LIST AND QUANTITIES A ITEM NUMBER DESCRIPTION QUANTITY 1 12" PVCO C909 (PC235) PIPE 375 LF 2 CVWD METER VAULT AND ASSOCIATED EQUIPMENT AND FITTINGS 1 EA. 3 CONTROL VALVE VAULT AND ASSOCIATED EQUIPMENT AND FITTINGS 1 EA. 4 CVWD PLUG VALVE VAULT AND ASSOCIATED EQUIPMENT AND FITTINGS 1 EA. 5 12" x 90' DI BEND 3 EA. 6 12" x 45' DI BEND 1 EA. 7 12" x 22.5' DI BEND 3 EA. 8 12" x 11.25' DI BEND 5 EA. 9 12" BURIED PLUG VALVE 3 EA. 10 LAKE DISCHARGE PIPING 1 EA. 11 18" PVC C900 (DR18) PIPE 40 LF JOHN P. POWELL JR. CASTU LO R. ESTRADA JOHN AGUILAR ANTHONY BIANCO PETER NELSON J.M. BARRETT Miffed e"t 719.,lNllV GAS SOUTHERN CALIFORNIA GAS COMPANY 1981 W. LUGONIA AVENUE REDLANDS, CA 92374 (909) 335-7507 TELEPHONE FRONTIER COMMUNICATIONS 295 N. SUNRISE WAY PALM SPRINGS, CA 92262 (760) 778-3621 LEGEND PRESIDENT VICE PRESIDENT GENERAL MANAGER CABLE TELEVISION SPECTRUM 41-725 COOK STREET PALM DESERT, CA 92211 (760) 340-1312 ELECTRIC SOUTHERN CALIFORNIA EDISON 36-100 CATHEDRAL CANYON DRIVE CATHEDRAL CITY, CA 92234 (760) 202-4248 WATER/SEWER/IRRIGATION COACHELLA VALLEY WATER DISTRICT (CVWD) 75-525 HOVLEY LANE EAST PALM DESERT, CA 92260 (760) 398-2651 SYMBOL DESCRIPTION SYMBOL DESCRIPTION EXISTING UTILITIES EXISTING CONCRETE EXISTING STORM DRAIN CN CABLE TELEVISION • EXISTING POWER POLE ----T---- EXISTING TELEPHONE OE ELECTRIC pp EXISTING EDGE - — w — - EXISTING WATERLINE OG GAS OF PAVEMENT - -RC�W- - EXISTING RECYCLED WATER IRR IRRIGATION ---CAS EXISTING CABLE TV R74W EXISTING RIGHT-OF-WAY O SEWER — -E - — EXISTING ELECTRICAL Aiii -M7- FUTURE RIGHT-OF-WAY OT TELEPHONE ---f3--- EXISTING GAS ( ROAD CENTERLINE O TRAFFIC — - � - — EXISTING SEWER PROPOSED PIPELINE ®N UNKNOWN EXISTING VALVE O WATER ®� PROPOSED VALVE ABBREVIATIONS ACP ASBESTOS CEMENT DN. DOWN MB MAIL BOX SMH SEWER MANHOLE PIPE EMH ELECTRICAL MANHOLE MH MANHOLE TEL. TELEPHONE AV AIR VALVE FH FIRE HYDRANT OH OVERHEAD TMH TELEPHONE MANHOLE CENTER LINE FL/t FLOWLINE PB PULL BOX LINK UNKNOWN CB CATCH BASIN F/O FIBER OPTIC R.J. RESTRAINED JOINTS LINO UNLESS NOTED OTHERWISE CML&C CONCRETE MORTAR LINED AND COATED GS GAS SERVICE RT. RIGHT VCP VITRIFIED CLAY PIPE PIPE HPI HORIZONTAL POINT R/W RIGHT-OF-WAY VPI VERTICAL POINT C.O. CLEAN OUT OF INFLECTION OF INFLECTION SDMH STORM DRAIN CP CONTROL POINT LF LINEAR FEET MANHOLE WS WATER SERVICE DI/DIP DUCTILE IRON/ LT. LEFT SL SEWER LATERAL ( ) ELEVATION BASED ON DUCTILE IRON PIPE RECORD DRAWINGS GENERAL DISTRICT NOTES FOR NON —POTABLE WATER 1. ALL MATERIALS AND CONSTRUCTION SHALL CONFORM TO THE STANDARD SPECIFICATIONS FOR THE CONSTRUCTION OF DOMESTIC WATER SYSTEMS (STANDARD SPECIFICATIONS) OF THE COACHELLA VALLEY WATER DISTRICT (CVWD). 2. UNLESS MODIFIED BY THE STANDARD SPECIFICATIONS, THE STANDARDS OF THE AMERICAN WATER WORKS ASSOCIATION SHALL APPLY TO ALL MATERIALS AND CONSTRUCTION METHODS. 3. ALL WORK SHALL BE INSPECTED BY CVWD. THE CHARGES FOR INSPECTION SHALL BE IN ACCORDANCE WITH CVWD'S REGULATIONS AND STANDARD SPECIFICATIONS. 4. WORK PERFORMED WITHOUT INSPECTION SHALL BE REJECTED. 5. THE SEPARATION BETWEEN WATER AND SEWER FACILITIES SHALL BE AS SPECIFIED IN CVWD STANDARD DRAWING NO. W1. 6. CONTRACTOR SHALL CONTACT CVWD'S CHIEF INSPECTOR AT LEAST 48 HOURS PRIOR TO START OF CONSTRUCTION TO ARRANGE A PRECONSTRUCTION CONFERENCE. 7. THESE PLANS MAY BE SUBJECT TO REVIEW AND/OR REVISION BY CVWD IF CONSTRUCTION HAS NOT BEGUN WITHIN 12 MONTHS FROM DATE OF APPROVAL AS SHOWN IN CVWD DRAWING APPROVAL BLOCKS. 8. CONTRACTOR SHALL SUBMIT TO CVWD A LIST OF MATERIALS TO BE USED PRIOR TO THE PRECONSTRUCTION CONFERENCE. ONLY MATERIALS ON THE APPROVED LIST MAY BE USED. LIST SHALL INCLUDE QUANTITY, MANUFACTURER, MODEL, SIZE AND OTHER PERTINENT DATA. 9. CONTRACTOR SHALL SCHEDULE HIS CONSTRUCTION ACTIVITIES DAILY WITH CVWD'S CHIEF INSPECTOR BETWEEN 3:30 P.M. AND 4:30 P.M. FOR THE FOLLOWING WORKING DAY. IF CVWD IS UNABLE TO PROVIDE AN INSPECTOR OR INSPECTORS, CONTRACTOR SHALL RESCHEDULE ITS WORK FOR ANOTHER TIME. 10. IF CONTRACTOR ELECTS TO CANCEL SCHEDULED WORK WITHOUT NOTICE TO CVWD, CONTRACTOR SHALL BE CHARGED ONE HOUR OF INSPECTION TIME FOR EACH DAY OF OCCURRENCE. 11. CONTRACTOR SHALL CALL UNDERGROUND SERVICE ALERT AT 1-800-422-4133 AT LEAST TWO WORKING DAYS PRIOR TO START OF CONSTRUCTION. 12. CONTRACTOR SHALL OBTAIN A CONSTRUCTION ENCROACHMENT PERMIT FROM CVWD 30 DAYS PRIOR TO COMMENCING CONSTRUCTION FOR CONNECTIONS TO MAINLINE. 13. CONTRACTOR SHALL OBTAIN AN ENCROACHMENT PERMIT FROM THE CITY OF LA QUINTA PRIOR TO BEGINNING ANY WORK. CONTRACTOR SHALL PERFORM ALL WORK IN ACCORDANCE WITH THE PROVISIONS OF SAID PERMIT, DRAWINGS, AND SPECIFICATIONS. 14. CONTRACTOR SHALL PROTECT IN PLACE OR REMOVE AND REPLACE ALL EXISTING UTILITIES AND PUBLIC AND PRIVATE IMPROVEMENTS INCLUDING, BUT NOT LIMITED TO, ALL BERMS, CURBS, GUTTERS, WALKWAYS, SIDEWALKS, CROSS -GUTTERS, SPANDRELS, MEDIANS, TRAFFIC STRIPING, TRAFFIC LOOPS, DRIVEWAYS, BIKEWAYS, TRAILWAYS, GOLF CART PATHS, STORM DRAINS, LANDSCAPING, LANDSCAPING MATERIALS, LANDSCAPING IRRIGATION SYSTEMS, GRADED SHOULDERS, DRAINAGE SWALES, SLOPES, WALLS, AND FENCES. CONTRACTOR SHALL CORRECT OR REPLACE ANY DAMAGED UTILITIES OR IMPROVEMENTS AS PART OF THE CONTRACT WORK AND AT NO ADDITIONAL COST TO CVWD. 15. ALL ABOVE GRADE APPURTENANCES (i.e. AIR VALVE ASSEMBLY, PIPING, ETC.) SHALL BE PAINTED PURPLE (PANTONE No.522). 16. ALL BURIED DUCTILE IRON FITTINGS AND APPURTENANCES SHALL BE WRAPPED IN POLYETHYLENE ENCASEMENT (V-BIO) IN ACCORDANCE WITH AWWA C105. IF POLYETHYLENE ENCASEMENT BECOMES DAMAGED, CONTRACTOR SHALL IMMEDIATELY REPAIR ALL HOLES, TEARS, AND RIPS IN POLYETHYLENE ENCASEMENT. C.V.W.D. DRAWING APPROVAL DATE Checked: SEPT. 24, 2021 PROJECT ENGINEER DWG. No. Recommended: 44468 DIRECTOR OF ENGINEERING REVISIONS: DATE I APPR. BASIS OF BEARING: BENCHMARK: SCALE COACHELLA VALLEY WATER DISTRICT SHEET THE BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF AVENUE 54, BEING N.89'46'56"E. CITY OF LA QUINTA BM 440 � N/A PER TRACT NO. 33076-1, M.B. 388/57-79 RIV. CO. REC. FDITY OF LA IA. BRASS DISK STAMPED W/ �0��0$psS/pNA� IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA - -- I IEGER. �X STEWART FIELD BOOK THE ELEVATION DATUM FOR THIS SURVEY IS BASED ON NGVD 29+500 SFT. NGVD29 ELEVATIONS PER PUNCH MARK. BM AT THE INTERSECTION CITY OF LA QUINTA CONTROL SURVEY MONUMENT RECOVERY DATA ADJUSTED MARCH 2O08. ON MADISON ST. AND AVE. 54, ON THE ticy�� �, G, N/A MADISON CLUB — AVENUE 54 METER CONNECTION PROJECT T.M DIAL TOLL FREE NORTHWEST CORNER OF A CATCH BASIN z DESIGN 260 FT SOUTH OF THE SOUTHEAST CURB W No. 65361 SS 811 RETURN BCR. 3602 University Avenue • Riverside, CA 92501 * www.kriegerandstewart.com 951 • 684 • 6900 DRAWN TITLE SHEET OF 4 SHEETS AT LEAST TWO DAYS ELEVATION 3 4NGVD 0 REVISED PER ADDENDUM No.1 10/08/21 SS �f�Tf pFfCA\EAPPROVED BY(yam TMW 324-35.22 BEFORE YOU DIG ELEV=(—)9.35'(NGVD29)+500' UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA SYM REVISIONS DATE BY 65367 09 24 21 CHECKED REGISTERED ENGINEER No. DATE � � SS LOCATED WITHIN PORTIONS OF SECTIONS 10 AND 15, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SBM PROJECT No. DRAWING No.44468 TYPICAL PIPELINE TRENCH NOTES: II (U� 0 0 N 00 0 1-1 Q O 0 V) Cn z W O m W O j N N to I N Z W N (11 I N N Ln I N r� Z 3 0 9 EXIST. IRRIGATION VAU LT - - +RR-- CP 102 FD. 1.25" IP RCE 26401, FLUSH x N.2182536.5780 E.6562585.0220 ELEV. 490.77 0 STA. 10+01.Of CONNECT TO EXISTING 18" IRRIGATION PIPELINE PER A DETAIL 4, SHEET 4 ti STA.10+73.00 HPI 90'00'00" RT. (90- DI BEND) STA.10+93.00 HPI 90*00,00" LT. (90- DI BEND) A EXISTING 18" WATER PER CVWD DWG. No.35208 EXISTING 18" WATER PER CVWD DWG. No.16435 EXISTING 18" IRRIGATION LATERAL 121.6-0.6 PER CVWD DWG. No.35190 04 0 1 0 0 00 Z a I IP 1 (P L 12, ISHFETI 3 1. TRENCH SIDES SHALL BE SLOPED OR SHORED IN ACCORDANCE WITH CAL OSHA CONSTRUCTION SAFETY ORDERS FOR TRENCH DEPTHS 5' AND GREATER. 2. ALL EXISTING PAVEMENT SHALL BE SAWCUT PRIOR TO TRENCHING, AND WHERE TRENCH SIDES SLUFF AND PAVEMENT BREAKS AWAY, IT SHALL BE SAWCUT PRIOR TO PERMANENT PAVEMENT REPAIR. 3. PIPELINES SHALL NOT BE IN CONTACT WITH OR REST AGAINST OTHER UTILITY FACILITIES. 4. OVEREXCAVATION OF UNSUITABLE MATERIALS SHALL BE PER SECTION 31 23 17. ■■I■■■■■111■■JI I■■■■I■■1■■■■■■■■■■■lil■■■■I�■■■■Y�lii�l■i�Viii�i�■Iii���iYW��ii�■■■■■■■■■■■■■■■■■■■■■SAWCUT, REMOVE, AND REPLACE AC PREPRI 11"- .-ME 1■dl I■■■■I■■1■■■■■■■■■\■111■■■II■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ - - '' •' ��!■�111■■I Ili■■■I■■1■■■■■■■■I\\■111111■■II■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ .'' ONLY)IPE •. , ..STANDARD ... ■■I■■■■I■Illd■r■I■■■■I■■1■■■■■■!:11\\\111■■It■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ -SUITABLE ■■I■■■■1■111■■■■I■■■■I■■1=■■■■■I■■1\\\111■11■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ LOCATOR ' - - . - . ■■I■■■��■111■■■■I■■\ \I■■1■■■■■■■■1�■1�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ PIPE REFER - REPORT . 0■I■■■ilrlll■■■■■■■ 1%ulmXIMUM LIFT THICKNESS r,.._.L ON,L.,. 1--�t'0������. rM 1n U \, v 10 11 12 13 10' WIDE MULTI -USE TRAIL EASEMENT TO EMERGENCY VEHICLE ACCESS ROAD CITY OF LA QUINTA AND CVWD UTILITY EASEMENT PER PER M.B. 388/57-79 M.B. 388/57-79 MEXI$TjNG 12" SEWER PER CVWQ DWG. �, I o.3t� .. j X . x A x - _ r \\M TI G WAT 'L I 711 D No. 9 9 I I W III w� 0 I D - I'I I EX S . �r VA L I II :III III I I ,P 0 T P C TI o I X k �I I , lb EXI$TINGV '18 a6 I� � PER CVWb W t o o No.33980 - ERGENCY E CVWD U L 4 3 388 - i I a I.. 20' WIDE LANDSCAPECCID109 AVENUE54 388/57N 79 ER M.B. PHOTO ID PNT T Q ELEV. 494.71 BASIS OF BEARING: THE BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF AVENUE 54, BEING N.89'46'56"E. PER TRACT NO. 33076-1, M.B. 388/57-79 RIV. CO. REC. THE ELEVATION DATUM FOR THIS SURVEY IS BASED ON NGVD 29+500 SFT. NGVD29 ELEVATIONS PER CITY OF LA QUINTA CONTROL SURVEY MONUMENT RECOVERY DATA ADJUSTED MARCH 2O08. T.M. DIAL TOLL FREE 811 AT LEAST TWO DAYS BEFORE YOU DIG UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA k 10 M ne-TIM1 Row-mm MNO ■ KIN ■1 N ■ . I-u■I M R39■1915■M RS LAKE z PROPOSED 12" PVCO C909 PC235) NON -POTABLE WATER PIPELINE PIPELINE DATA No. ** DELTA/BEARING R T L 1 N00' 13'04"W - - 72.0'f 2 N89'46'56"E - - 20.00' 3 N00' 13'04"W - - 101.00' 4 N23.37' 16"E - - 178.9'f SEGMENT SLOPE LENGTH S1 S=+0.0000 5.0f LF S2 S=-0.4375 8.00 LF S3 S=-0.0020 59.00 LF S4 S=+0.0000 20.00 LF S5 S=-0.0020 174.00 LF S6 S=-0.2149 49.00 LF S7 S=+0.0000 14.00 LF S8 S=-0.2167 30.00 LF S9 S=+0.0000 9.00 LF S10 S=+1.0256 3.9± LF ® NOTES: 1. PROPOSED CVWD METER VAULT PER DETAIL 1, SHEET 3. 2. PROPOSED CONTROL VALVE VAULT PER DETAIL 2, SHEET 3. Q1 3. PROPOSED CVWD PLUG VALVE VAULT PER DETAIL 3, SHEET 3. HORIZ: 1 "=40' VERT: 1 "=4' U) 04 �\ �\ _ . 3' 12" 12" 3' CL v o --TRENCH BACKFILL, SUITABLE NATIVE MATERIAL (SM/ML), 90% RELATIVE COMPACTION MINIMUM (ASTM D1557); REFER TO GEOTECHNICAL REPORT FOR PROPOSED 12" PVC MAXIMUM LIFT THICKNESS C900 (PC235) PIPELINE PIPE ZONE BACKFILL, PLANT MANUFACTURED SAND (SP) WITH _ Z A MINIMUM SAND EQUIVALENT (SE) `D OF 30, 90% RELATIVE COMPACTION MINIMUM (ASTM D1557) 3" MIN. 24" MIN. PIPE BEDDING, PLANT MANUFACTURED SAND (SP) WITH 30" MAX. A MINIMUM SAND EQUIVALENT (SE) OF 30, 90% RELATIVE COMPACTION MINIMUM (ASTM D1557) PIPELINE SUBGRADE COMPACTED TO 90% RELATIVE COMPACTION (ASTM D1557) TRENCH IN PAVEMENT (CITY OF LA QUINTA, 0111111164 WARNING TAPE (POLYVINYLCHLORIDE PIPE ONLY) LOCATOR WIRE TOP OF GROUND. BACKFILL AND COMPACT FLUSH (POLYVINYLCHLORIDE WITH ADJACENT GROUND SURFACE. RESTORE PIPE ONLY) GROUND SURFACE TO MATCH ADJACENT GROUND. \����/%� //\/77 w - TRENCH BACKFILL, SUITABLE NATIVE MATERIAL (SM/ML), 90% RELATIVE COMPACTION MINIMUM (ASTM D1557); REFER TO GEOTECHNICAL REPORT FOR a MAXIMUM LIFT THICKNESS 0 PIPE ZONE BACKFILL, PLANT N MANUFACTURED SAND (SP) WITH A MINIMUM SAND EQUIVALENT (SE) PROPOSED 12" PVC - OF 30, 90% RELATIVE COMPACTION C900 (PC235) PIPELINE MINIMUM (ASTM D1557) BEDDING, PLANT _----PIPE MANUFACTURED SAND (SP) WITH A MINIMUM SAND EQUIVALENT (SE) 3" MIN. ���� OF 30, 90% RELATIVE COMPACTION 24" MIN. \ MINIMUM (ASTM D1557) 30" MAX. -PIPELINE SUBGRADE COMPACTED TO 90% RELATIVE COMPACTION (ASTM D1557) TRENCH WITHIN MADISON CLUB GRAPHIC SCALE _ 40 0 20 40 80 ( IN FEET ) N.T.S. C.V.W.D. DRAWING APPROVAL DATE Checked: SEPT. 24, 2021 PROJECT ENGINEER DWG. No. Recommended: 44469 DIRECTOR OF ENGINEERING REVISIONS: DATE APPR. BENCHMARK: - SCALE COACHELLA VALLEY WATER DISTRICT SHEET CITY OF LA QUINTA BM 440 1 "=40'H, 1 "=4'V FD. 3 1/2"DIA. BRASS DISK STAMPED X%O ESsloi, 0 �\ KRIEGER & STEWART FIELD BOOK IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA PUNCHOF LA MA K4UBMAAT THE INTERSECTION c��``O���Sp S�.�,1�'y � � � �� � Co aul,�Snatt"a N/A MADISON CLUB - AVENUE 54 METER CONNECTION PROJECT ON MADISON ST. AND AVE. 54, ON THE DESIGN NORTHWEST CORNER OF A CATCH BASIN z 260 FT SOUTH OF THE SOUTHEAST CURB W No. 65367 � SS 2 RETURN BCR. C 3602 University Avenue • Riverside, CA 92501 PLAN AND PROFILE www.kriegerandstewart.com 951 • 684 • 6900 DRAWN STA.9+84.Of TO STA.13+72.9f ELEVATION = 490.65' s �` � OF 4 SHEETS ELEV=(-)9.35'(NGVD29)+500' Q REVISED PER ADDENDUM No.1 10/08/21 SS f�T y�\jum TMW E OF CAl\E�� APPROVED BY 324-35.22 SYM REVISIONS DATE BY 65367 09 24 21 CHECKED REGISTERED ENGINEER No. DATE SS LOCATED WITHIN PORTIONS OF SECTIONS 10 AND 15, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SBM PROJECT No. DRAWING No.44469 1:7�.��:7e11��e1■�1[�71��� ELEVATION PLAN IIIIIpIIIIII ® MATERIAL, EQUIPMENT, AND WORK DESCRIPTIONS FOR DETAIL 1: 1. 12" FLANGED MCCROMETER ULTRA MAG FLOW METER, MODEL UM06 (OR APPROVED EQUAL) BATTERY POWERED WITH REMOTE INDICATOR IN CFS, TOTALIZER ACRE-FEET. 2. 6'-6" LONG x 5'-0" WIDE x (DEPTH AS REQUIRED) PRECAST CONCRETE VAULT WITH DOUBLE LEAF SPRING ASSISTED GALVANIZED TRAFFIC RATED COVER. PRECAST FLOOR SHALL BE SLOPED AT 2% MINIMUM TO DRAIN. 3. 12" 90' DI BEND, FLANGED x FLANGED. 4. RESTRAINED DI FLANGED ADAPTER FOR PVCO C909 (PC235) PIPE. 5. THRUST BLOCK PER STD. DWG. W-19. 6. REMOTE WATER SPECIALTIES METER READOUT, MODEL FC-101-00-M-RM25 MOUNTED ABOVE GRADE IN NEMA 3R ENCLOSURE. CVWD TO FURNISH ENCLOSURE. CONTRACTOR TO INSTALL STANCHION, ENCLOSURE, AND METER READOUT. INDICATOR IN CFS AND TOTALIZER IN ACRE-FEET. FIELD VERIFY EXACT LOCATION WITH CVWD PRIOR TO INSTALLATION. 7. 12" GEAR ACTUATED, 2" OPERATING NUT, DIRECT BURY PLUG VALVE WITH VALVE BOX PER CVWD STD. DWG. 1-46. 8. PROVIDE 12" HOLE WITH PVC SLEEVE TO SERVE AS SUMP. 9. PEA GRAVEL WRAPPED IN FILTER FABRIC. 10. 12" PVCO C909 (PC235) PIPE. 11. SET PRECAST CONCRETE VAULT ON 3/4" GRADED CRUSHED ROCK BASE COMPACTED TO 95% RELATIVE COMPACTION, MINIMUM. 12. LINK -SEAL MODEL "C", SIZED TO FILL VOID BETWEEN PIPE AND VAULT. 13. PIPE SUPPORT PER DETAIL, SHEET 4 (PS2). 14. 12" INLET TYPE GRATE. 15. ALUMINUM WALL MOUNTED LADDER WITH 42" TELESCOPING LADDER EXTENSION AND POST. 16. STAINLESS STEEL 4 POINT WALL MOUNT BASE FOR DAVIT, TUFF BUILT PRODUCTS MODEL No. 30053 OR APPROVED EQUAL. PROVIDE STAINLESS STEEL MOUNTING HARDWARE IN ACCORDANCE WITH MANUFACTURER'S REQUIREMENTS. CONTRACTOR TO COORDINATE LOCATION WITH DISTRICT PRIOR TO INSTALLATION. CVWD METER VAULT DETAIL N.T.S. 478.1 f TOP OF VAULT 477.9f EXIST. GS RESTRAIN ALL JOINTS 24" FLOW L 471.00 FL st 00 J o o J N p N n Z r Q U 476.5f EXIST. GS _' (4 O3 (TYP.) 471.00 FL O� oO noaoo 00� Do 04 ELEVATION F'-n" PLAN0000 ® MATERIAL, EQUIPMENT, AND WORK DESCRIPTIONS FOR DETAIL 20 1. FLANGED PLUG VALVE MANUFACTURED BY DEZURIK (OR APPROVED EQUAL) WITH ELECTRIC MOTOR ACTUATOR (ONE PHASE, 240V), MANUFACTURED BY AUMA (OR APPROVED EQUAL). CONDUITS, CONDUCTORS, AND LAKE LEVEL CONTROLS TO BE FURNISHED AND INSTALLED BY OTHERS AS PART OF A SEPARATE PROJECT. CONTRACTOR TO COORDINATE VALVE INSTALLATION WITH THE CLUB AND CVWD. 2. 8'-0" LONG x 6'-0" WIDE x (DEPTH AS REQUIRED) PRECAST CONCRETE VAULT WITH DOUBLE LEAF SPRING ASSISTED GALVANIZED TRAFFIC RATED COVER. PRECAST FLOOR SHALL BE SLOPED AT 2% MINIMUM TO DRAIN. 3. PIPE SUPPORT PER DETAIL, SHEET 4 (PS2). 4. RESTRAINED DI FLANGED ADAPTER FOR PVCO C909 (PC235) PIPE. 5. PROVIDE 12" HOLE WITH PVC SLEEVE TO SERVE AS SUMP. 6. PEA GRAVEL WRAPPED IN FILTER FABRIC. 7. 12" PVCO C909 (PC235) PIPE. 8. SET PRECAST CONCRETE VAULT ON 3/4" GRADED CRUSHED ROCK BASE COMPACTED TO 95% RELATIVE COMPACTION, MINIMUM. 9. LINK -SEAL MODEL "C", SIZED TO FILL VOID BETWEEN PIPE AND VAULT. 10. ALUMINUM WALL MOUNTED LADDER WITH 42" TELESCOPING LADDER EXTENSION AND POST. 11. 12" INLET TYPE GRATE. 12. HINGED SPRING ASSISTED COVERS, DOUBLE LEAF, PARKWAY RATED, ALUMINUM WITH STAINLESS STEEL SLAMLOCK AND OVERSIZED RECESSED PADLOCK HASP, MODEL THD MANUFACTURED BY U.S.F. OR APPROVED EQUAL. 13. STAINLESS STEEL 4 POINT WALL MOUNT BASE FOR DAVIT, TUFF BUILT PRODUCTS MODEL No. 30053 OR APPROVED EQUAL. PROVIDE STAINLESS STEEL MOUNTING HARDWARE IN ACCORDANCE WITH MANUFACTURER'S REQUIREMENTS. CONTRACTOR TO COORDINATE LOCATION WITH DISTRICT PRIOR TO INSTALLATION. CONTROL VALVE VAULT DETAIL N.T.S. 1 m W C RESTRAIN All JOINTS ELEVATION PLAN ® MATERIAL, EQUIPMENT, AND WORK DESCRIPTIONS FOR DETAIL 3: 1. EXISTING 18" PVC PIPELINE (TO REMAIN IN SERVICE). 2. EXISTING 16" CONCRETE PIPE (TO REMAIN IN SERVICE). 3. 18" PVC C900 (DR18) PIPE (TO REPLACE EXISTING 16" CONCRETE PIPE). 4. EXISTING 18" FLANGED VALVE. 5. 18" FLANGED PLUG VALVE MANUFACTURED BY DEZURIK (OR APPROVED EQUAL), MANUALLY OPERATED, WITH 2" OPERATING NUT. 6. 6'-6" LONG x 5'-0" WIDE x (DEPTH AS REQUIRED) PRECAST CONCRETE VAULT WITH DOUBLE LEAF SPRING ASSISTED GALVANIZED TRAFFIC RATED COVER. PRECAST FLOOR SHALL BE SLOPED AT 2% MINIMUM TO DRAIN. 7. RESTRAINED DI FLANGED ADAPTER FOR 18" PVC C900 (DR18) PIPE. 8. LINK -SEAL MODEL "C", SIZED TO FILL VOID BETWEEN PIPE AND VAULT. 9. 12" INLET TYPE GRATE. 10. ALUMINUM WALL MOUNTED LADDER WITH 42" TELESCOPING LADDER EXTENSION AND POST. 11. STAINLESS STEEL 4 POINT WALL MOUNT BASE FOR DAVIT, TUFF BUILT PRODUCTS MODEL No. 30053 OR APPROVED EQUAL. PROVIDE STAINLESS STEEL MOUNTING HARDWARE IN ACCORDANCE WITH MANUFACTURER'S REQUIREMENTS. CONTRACTOR TO COORDINATE LOCATION WITH DISTRICT PRIOR TO INSTALLATION. 12. TRANSITION FROM PVC PIPE TO CONCRETE PIPE PER STD. DWG. I-48. 13. PIPE SUPPORT PER DETAIL, SHEET 4 (PS2). 14. PEA GRAVEL WRAPPED IN FILTER FABRIC. 15. PROVIDE 12" HOLE WITH PVC SLEEVE TO SERVE AS SUMP. 16. SET PRECAST CONCRETE VAULT ON 3/4" GRADED CRUSHED ROCK BASE COMPACTED TO 95% RELATIVE COMPACTION, MINIMUM. A CVWD PLUG VALVE VAULT DETAIL N.T.S. C.V.W.D. DRAWING APPROVAL DATE Checked: SEPT. 24, 2021 PROJECT ENGINEER DWG. No. Recommended: 44470 DIRECTOR OF ENGINEERING REVISIONS: DATE APPR. BASIS OF BEARING: BENCHMARK: SCALE COACHELLA VALLEY WATER DISTRICT SHEET THE BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF AVENUE 54, BEING N.89'46'56"E. CITY OF LA QUINTA BM 440 AS NOTED PER TRACT N0. 33076-1, M.B. 388/57-79 RIV. CO. REC. FDITY OF LA IQUINTASBENC MARK" W/ �0��\Sk S pNA� IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA - -- IEGE�. & TEVV �.�.T FIELD BOOK THE ELEVATION DATUM FOR THIS SURVEY IS BASED ON NGVD 29+500 SIFT. NGVD29 ELEVATIONS PER PUNCH MARK. BM AT THE INTERSECTION CITY OF LA QUINTA CONTROL SURVEY MONUMENT RECOVERY DATA ADJUSTED MARCH 2O08. ON MADISON ST. AND AVE. 54, ON THE tip`' cy�� ���, G, ��o �o���oo� N/A MADISON CLUB - AVENUE 54 METER CONNECTION PROJECT T.M DIAL TOLL FREE NORTHWEST CORNER OF A CATCH BASIN z DESIGN 260 FT SOUTH OF THE SOUTHEAST CURB W No. 65367 SS 811 3 RETURN BCR. C 3602 University Avenue • Riverside, CA 92501 * www.kriegerandstewart.com 951 • 684 • 6900 DRAWN VAULT DETAILS OF 4 SHEETS AT LEAST TWO DAYS ELEVATION 3 4NGVD 0 REVISED PER ADDENDUM No.1 10/08/21 SS �f�Tf pFfCA \Eo���� APPROVED BY TMW 324-35.22 BEFORE YOU DIG ELEV=(-)9.35'(NGVD29)+500' UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA SYM REVISIONS DATE BY 65367 09 24 21 CHECKED REGISTERED ENGINEER No. DATE SS LOCATED WITHIN PORTIONS OF SECTIONS 10 AND 15, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SBM PROJECT No. DRAWING No.44470 4'-6" SQ. II W U O Q r O LIJ N Co O O W 0 m Cn W O QC W O j L6 I N Z W m I N N Ln I N z 3 0 9 2 7 3 5 9 O LEGEND: EXISTING 18" PVC IRRIGATION PIPELINE O 18"x12" FLANGED TEE. O 12" PLUG VALVE. O 12" TEST PLATE. O 12" FLANGE x MJ ADAPTER. NOTES: 12" PVCO C909 (PC235) PIPELINE WITH RESTRAINED JOINTS. O THRUST BLOCK PER STD. DWG. W-19. O8 TEMPORARY 2" TOP OUTLET FOR TESTING. CONNECTION TO EXISTING 18" IRRIGATION LINE WITH 3' PVC SPOOL PER STD. DWG. 1-40 AND TRANSITION TO EXISTING 18" PVC PIPE PER STD. DWG. 1-48. 1. PRIOR TO CONSTRUCTION, CONTRACTOR SHALL EXCAVATE AND EXPOSE EXISTING 18" PIPELINE AT THE CONNECTION POINT TO DETERMINE ITS EXACT LOCATION (HORIZONTAL AND VERTICAL), DIAMETER, AND MATERIAL. 2. PRIOR TO CONNECTION WORK, CVWD WILL DEWATER EXISTING 18" IRRIGATION PIPELINE. THEREAFTER, CONTRACTOR SHALL BEGIN 12" PIPELINE CONSTRUCTION WITH INSTALLING 18"x12" TEE, 12" PLUG VALVE, AND 2" TEMPORARY TOP OUTLET FOR TESTING. 3. CONTRACTOR SHALL END 12" PIPELINE CONSTRUCTION BY INSTALLING A TEMPORARY BLIND FLANGE AT LAKE DISCHARGE PIPING. ALL JOINTS SHALL RESTRAINED. 4. AFTER 12" PIPELINE HAS BEEN TESTED BY CONTRACTOR AND ACCEPTED BY DISTRICT, THE CONTRACTOR SHALL REMOVE TEMPORARY 2" OUTLET, PLUG 2" TOP OUTLET, AND REPLACE TEMPORARY BLIND FLANGE WITH 12" RING FLANGE PER DETAIL 5 HEREON. 5. CONTRACTOR SHALL FURNISH ALL SURVEYING AND MEASUREMENTS REQUIRED TO DETERMINE EXACT LOCATION, DIAMETER, AND MATERIAL OF EXISTING 18" PIPELINE AT CONNECTION POINT. im CONNECTION DETAIL AT STA.10+01.0± 12" MINIMUM 466.8f WS Q PROTECT —IN —PLACE EXISTING LAKE LINER rn N J r_ 11 00 Q 00 V #4 BAR (CONT. TYP.) nT © 12" O.C., EA. WAY, CENTERED IN SLAB SECTION A —A Q' PROVIDE 2" CLEAR BETWEEN / REBAR AND PIPE c EXISTING GROUND 7 — — — — /__ ® MATERIAL, EQUIPMENT, AND WORK DESCRIPTIONS FOR DETAIL 5: 1. 12" x 45' DUCTILE IRON FLANGED BEND. 2. THRUST BLOCK PER STD. DWG. W-19. 3. 12" x 90' DUCTILE IRON FLANGED BEND, EPDXY COATED. 4. 316 STAINLESS STEEL WIRE MESH WITH 0.120" DIA. WIRE AND 2" SQUARE OPENINGS. INSTALL WIRE MESH BETWEEN FLANGES. 5. 12" RING FLANGE (1/2" THK. STEEL) WITH 316 STAINLESS STEEL FLANGE BOLTS. 6. COMPACT SUBGRADE TO 95% RELATIVE COMPACTION (MINIMUM 2'-0" BENEATH PROPOSED CONCRETE SLAB). 7. 12" DUCTILE IRON FLANGE x FLANGE SPOOL, EPDXY COATED. LAKE DISCHARGE DETAIL PIPE STANCHION SADDLE WITH_\ U—BOLT, ANVIL FIG. 265. PIPE STANCHION SADDLE WITHOUT U—BOLT, ANVIL FIG. 264 OR EQUAL (1) INSTALL 1 /2" BOLT ON U—BOLT SUPPORTS (DRILL THROUGH SUPPORT) 1 /2" THK. BASE PLATE 3/4" NON —SHRINK, NON— METALLIC GROUT CONCRETE SLAB 7" 1 1 /2" TYP. I�I G -4- 5" 5" BASE PLATE U—BOLT (ANVIL FIG. 265) DIA. "B" THREADED COUPLING TO PERMIT ADJUSTMENT SCHED. 40 STL. RISER PIPE DIA. "A" (MIN.) �/4 V 1 /2" DIA. S.S. WEDGE ANCHORS, 3" MIN. EMBEDMENT, (TYP.) TYPE PS1 — WITH U—BOLT PIPE SIZE A B 8"' 10" 12" 4" 1 3" 18" 6" 131/2„ TYPE PS2 — WITHOUT U—BOLT PIPE SIZE A B 8" 10" 12" 3" 2 1/2 " 18" 6" 3 1/2 " NOTES: 1. WHERE LOCATED UNDER FLANGE OR VALVE USE PS2 SUPPORT WITH SADDLE RADIUS TO MATCH FLANGE OR VALVE BODY. SADDLE SHALL BE CAST IRON OR FABRICATED STEEL. 2. UNO, PIPE STANCHIONS AND ACCESSORIES SHALL BE HOT DIP GALVANIZED (HDG). PS1 - PIPE STANCHION WITH U-BOLT PS2 - PIPE STANCHION WITHOUT U-BOLT N.T.S. k i I N.T.S. k i I N.T.S. 40V p CVWD PLUG VALVE VAULT LOCATION EXHIBIT N.T.S. C.V.W.D. DRAWING APPROVAL DATE Checked: SEPT. 24, 2021 PROJECT ENGINEER DWG. No. Recommended: 44471 DIRECTOR OF ENGINEERING REVISIONS: DATE APPR. BASIS OF BEARING: BENCHMARK: SCALE COACHELLA VALLEY WATER DISTRICT SHEET THE BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF AVENUE 54, BEING N.89'46'56"E. CITY OF LA QUINTA BM 440 AS NOTED QT . PER TRACT NO. 33076-1, M.B. 388/57-79 RIV. CO. REC. FD. 3 1/2"DIA. BRASS DISK STAMPED 9 0 I� VV FIELD BOOK IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA "CITY OF LA THE ELEVATION DATUM FOR THIS SURVEY IS BASED ON NGVD 29+500 SFT. NGVD29 ELEVATIONS PER PUNCH MARK�UBMAAT THE INTERSECT/ ION������$A S'4.��4�y � , N/A MADISON CLUB — AVENUE54METER CONNECTION PROJECT CITY OF LA QUINTA CONTROL SURVEY MONUMENT RECOVERY DATA ADJUSTED MARCH 2O08. ON MADISON ST. AND AVE. 54, ON THE T.M DIAL TOLL FREE NORTHWEST CORNER OF A CATCH BASIN z DESIGN 4 260 FT SOUTH OF THE SOUTHEAST CURB W No. 65367 SS 811 RETURN BCR. C 3602 University Avenue • Riverside, CA 92501 www.kriegerandstewart.com • 951 • 684 • 6900 DRAWN MISCELLANEOUS DETAILS of 4 SHEETS AT LEAST TWO DAYS ELEVATION 3 4NGVD 0 REVISED PER ADDENDUM No.1 10/08/21 SS �f�Tf or CA\EoAPPROVED BYjum TMW 324-35.22 BEFORE YOU DIG ELEV=(-)9.35'(NGVD29)+500' UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA SYM REVISIONS DATE BY 65367 09 24 21 CHECKED REGISTERED ENGINEER No. DATE � � SS LOCATED WITHIN PORTIONS OF SECTIONS 10 AND 15, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SBM PROJECT No. DRAWING No.44471 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2022-0047 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 three inches (Y) 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 ( 5 ) 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. PERMIT NO. ENC2022-0047 For CVWD — Madison Club Ave 54 Meter Connection Project /Install Irrigation Lateral to Madison Golf Course/ Ave 54 East of Madison St 1. The permittee may only work at night if approved by the City Manager. Night work may be halted if the city receives complaints about the work. 2. All sub -contractors working under any annual blanket permit must have the following documents on file at the Public Works Department 2 weeks prior to start of construction: a. General Liability Insurance Company and Policy Number b. City Business License c. Contractors State License Number The sub -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. 3. All work shall be performed in accordance with the latest edition of the Standard Specifications for Public Works Construction (SSPWC). 4. CVWD and/ or Weka, Inc., hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 5. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 6. The permittee must obtain City approval and shall place temporary no parking signs along any parking area disrupted by construction work. The signs shall be placed along the area 24 hours prior to the start of closing the area, and removed immediately after the construction completion date. 7. 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. Unless authorized by the City Engineer, 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 Technician at (760) 777-7070 if signal operation at the intersection is to be altered in any way. Special Conditions Pagel of 3 PERMIT NO. ENC2022-0047 For CVWD — Madison Club Ave 54 Meter Connection Project /Install Irrigation Lateral to Madison Golf Course/ Ave 54 East of Madison St 8. Prior to performing construction work and closing any lanes in the Public Right of Way, the permittee shall call the City at (760) 777-7097 at least 24 hours prior to work and submit an inspection request. 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. 10. Traffic control plans will not be required to be submitted in advance, but the traffic control plan shall be reviewed and approved by the City prior to starting any construction. 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 with 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 Manual). 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 version of the CA MUTCD or the latest edition of the WATCH Manual. 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. A minimum of two (2) travel lanes (one in each direction) of paved surface shall be maintained at all times. When work does not permit two travel lanes, one travel lane of paved surface and an appropriate number of flagmen shall be maintained at all times. When planned work does not permit maintaining vehicular travel, CVWD shall submit a street closure/detour/traffic control plan 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) to the City for review and approval one week prior to starting construction. 11. 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. 12. 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. 13. 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. Special Conditions Page 2 of 3 PERMIT NO. ENC2022-0047 For CVWD — Madison Club Ave 54 Meter Connection Project /Install Irrigation Lateral to Madison Golf Course/ Ave 54 East of Madison St 14. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 15. Access and egress to all local properties shall be maintained at all times. 16. Permanent asphalt pavement replacement within City right-of-way shall be completed no later than seven (7) days after the completion of the work. Where CVWD has a developer installation agreement for replacement of improvements within private right of way, CVWD shall provide a drivable surface until such time as the developer can replace their improvements. 17. Permittee shall permanently stabilize any previously stabilized 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. 18. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 19. 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 CERTIFICATE OF LIABILITY INSURANCE DATE 05/11/2022Yv) 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 CA LIC OB29370 1-925-244-7700 CONTANAME: CT Certificates Department Edgewood Partners Insurance Centers (EPIC) PHONE FAX A/C NoExt:925-244-7700 AIC No: 925-901-0671 [Inland Empire - Branch ID 14542] E-MAIL P.O. Box 5003 icbrokers.com EPICcerts@e ADDRESS: EPICcerts@epicbrokers.com AFFORDING COVERAGE NAIC # INSURERA:XL INS AMER INC 24554 San Ramon, CA 94583 INSURED INSURER B:XL SPECIALTY INS CO 37885 Weka, Inc. INSURER CGREAT AMER INS CO 16691 INSURER D: LIBERTY INS CORP 42404 236 W. Orange Show Road #114 INSURERE:NAUTILUS INS CO 17370 INSURERF: San Bernardino, CA 92408 COVERAGES CERTIFICATE NUMBER: 65427207 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/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X NPC100589400 05/01/22 05/01/23 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE TO RENTED Ea occurrence) PREMISESccurrrence $ 100,000 X MED EXP (Any one person) $ 5,000 BI/PD Ded: $1,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 � PRO - POLICY LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY X X NBA100589500 05/01/22 05/01/23 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY C UMBRELLA LIAB X OCCUR TUE309919003 05/01/22 05/01/23 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE /N OFFICER/M EMBER EXCLUDED? (Mandatory in NH) N / A X WC7Z91467250072 05/01/22 05/01/23 X STATUTE ERH 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 E Pollution Liability CPL203750110 05/01/22 05/01/23 $10,000 DED 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) #ENC2022-0047 / RE: Encroachment Permit / ADDITIONAL INSURED: City of La Quinta, for ongoing and complete operations *This certificate supersedes and replaces any previously issued certificate CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of La Quints THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico AUTHORIZED REPRESENTATIVE, La Quinta, CA 92253 C�y//�/, ..� USA © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD GBarragan-IE 65427207 ENDORSEMENT # This endorsement, effective 12:01 a.m., forms a part of Policy No. NPCIO0589400 issued to Weka, Inc. by THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions XI 2010-1001 (Ed. 0413) © 2013, XL America, Inc. Page 1 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission This insurance does not apply to "bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions remain unchanged. XI 2010-1001 (Ed. 0413) © 2013, XL America, Inc. Page 2 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission ENDORSEMENT # This endorsement, effective 12:01 a.m., , forms a part of Policy No. NPC100589400 issued to Weka, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization: Location And Description of Completed Operations: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) XIL 2037-1001 (Ed. 0413) © 2013, XL America, Inc. Page 1 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products - completed operations hazard". All other terms and conditions remain unchanged. XIL 2037-1001 (Ed. 0413) © 2013, XL America, Inc. Page 2 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission NPC 100589400 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 19:1R24ZI1191:&l4kyi1411, 1119181:/_1k,[r 2M0:I:110711111[WMallill:f_ -4:8NA_19]111IDEAN=111111J11111MIN PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 ENDORSEMENT# This endorsement, effective 12:01 a.m. , forms a part of Policy No. NPC100589400 issued to Weka, Inc. by THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY XL Plus Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. The following listing is a general coverage description only. Limitations and exclusions may apply to these coverages. Read this endorsement carefully to determine rights, duties, and what is and is not covered. A. Reasonable Force — Bodily Injury or Property Damage B. Damage To Premises Rented To You Extension • Perils of fire, lightning, explosion, smoke, aircraft or vehicles, riot or civil commotion, vandalism, leakage from fire extinguishing equipment or water damage • Limit increased to $300,000 C. Aircraft Chartered with Crew D. Non -Owned Watercraft E. Personal and Advertising Injury — Assumed by Insured Contract F. Increased Supplementary Payments • Cost for bail bonds increased to $5,000 • Loss of earnings increased to $1,000 per day G. Broadened Named Insured H. Blanket Additional Insured — Managers or Lessors of Premises I. Blanket Additional Insured — Lessor of Leased Equipment J. Injury to Co -Employees and Co -Volunteer Workers K. Knowledge and Notice of Occurrence or Offense L. Unintentional Omission M. Liberalization N. Blanket Waiver of Subrogation O. Incidental Medical Malpractice Injury P. Extension of Coverage — Bodily Injury Q. Coverage Territory Form XIL 436 1208 © 2008, XL America, Inc. Page 1 of 8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. A. REASONABLE FORCE — BODILY INJURY OR PROPERTY DAMAGE Exclusion a. Expected Or Intended Injury of Part 2., Exclusions of Coverage A. Bodily Injury And Property Damage Liability of Section I — Coverages is deleted in its entirety and replaced by the following: [This insurance does not apply to:) Expected or Intended Injury or Damage "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. B. DAMAGE TO PREMISES RENTED TO YOU EXTENSION 1. The last paragraph of 2. Exclusions of Coverage A. Bodily Injury And Property Damage Liability of Section I - Coverages is deleted in its entirety and replaced by the following: Exclusions c. through n. do not apply to damages to premises while rented to you, or temporarily occupied by you with permission of the owner, caused by fire, lightning, explosion, smoke, aircraft or vehicles, riot or civil commotion, vandalism, leakage from fire extinguishing equipment or water damage. A separate limit of insurance applies to this coverage as described in Section III- Limits of Insurance. 2. This insurance does not apply to damage to premises while rented to you, or temporarily occupied by you with permission of the owner, caused by: a. Rupture, bursting, or operation of pressure relief devices; b. Rupture or bursting due to expansion or swelling of the contents of any building or structure, caused by or resulting from water; or c. Explosion of steam boilers, steam pipes, steam engines, or steam turbines. 3. Paragraph 6. of Section III- Limits of Insurance is deleted in its entirety and replaced by the following: 6.a. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises while rented to you, or temporarily occupied by you with permission of the owner, caused by fire, explosion, lightning, smoke, aircraft or vehicle, riot or civil commotion, vandalism, leakage from fire extinguishing equipment or water damage. The Damage To Premises Rented To You Limit will apply to all damage proximately caused by the same "occurrence", whether such damage results from fire, explosion, lightning, smoke, aircraft or vehicle or riot or civil commotion, vandalism, leakage from fire extinguishing equipment or water damage or any combination of any of these. b. The Damage to Premises Rented to You Limit will be the higher of: (1) $300,000; or (2) The amount shown on the Declarations for Damage to Premises Rented to You Limit. Form XIL 436 1208 © 2008, XL America, Inc. Page 2 of 8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 4. Paragraph 9.a. of the definition of "insured contract" under Section V- Definitions, is deleted in its entirety and replaced by the following: ["Insured contract" means:] a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, aircraft or vehicle, riot or civil commotion, vandalism, leakage from fire extinguishing equipment or water damage to premises while rented to you, or temporarily occupied by you with the permission of the owner is not an "insured contract". 5. This Article B. does not apply if coverage for Damage to Premises Rented to You of Coverage A. Bodily Injury And Property Damage Liability of Section I — Coverages is excluded by endorsement. C. AIRCRAFT CHARTERED WITH CREW 1. The following is added to the exceptions contained in Exclusion g., Aircraft, Auto or Watercraft in Part 2., Exclusions of Coverage A. Bodily Injury And Property Damage of Section I — Coverages: [This exclusion does not apply to:) Aircraft chartered with crew to any insured. 2. This Article C. does not apply if the chartered aircraft is owned by any insured. 3. The insurance provided by this Article C. shall be excess over any valid and collectible insurance available to the insured, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by you to be excess of this policy. D. NON -OWNED WATERCRAFT 1. The exception contained in Subparagraph (2) of Exclusion g. Aircraft. Auto or Watercraft in Part 2., Exclusions of Coverage A. Bodily Injury And Property Damage Liability of Section I — Coverages is deleted in its entirety and replaced by the following: (2) A watercraft you do not own that is: (a) 50 feet long or less; and (b) Not being used to carry persons or property for a charge; 2. This Article D. applies to any person who, with your expressed or implied consent, either uses or is responsible for the use of the watercraft. 3. This insurance provided by this Article D. shall be excess over any other valid and collectible insurance available to the insured, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by you to be excess of this policy. E. PERSONAL AND ADVERTISING INJURY —ASSUMED BY INSURED CONTRACT 1. Exclusion e. Contractual Liability in Part 2., Exclusions of Coverage B. Personal And Advertising Injury Liability of Section I — Coverages is deleted in its entirety and replaced by the following: Form XIL 436 1208 © 2008, XL America, Inc. Page 3 of 8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. [This insurance does not apply to:) e. Contractual Liability "Personal and Advertising Injury" for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages: 1. That the insured would have in the absence of the contract or agreement; or 2. Assumed in a written contract or agreement that is an "insured contract"; provided the "personal and advertising injury" is caused by an offense which occurs subsequent to the execution of the contract or agreement. 2. Subparagraph f. of the definition of "insured contract' Section V.- Definitions is deleted in its entirety and replaced by the following: f. That part of any other contract or agreement pertaining to your business, including an indemnification of a municipality in connection for work performed for a municipality, under which you assume the tort liability of anther party to pay for "bodily injury", "property damage" or "personal and advertising injury" to a third party or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. 2. This Article E. does not apply if Coverage B. Personal And Advertising Injury Liability is excluded by endorsement. F. INCREASED SUPPLEMENTARY PAYMENTS Subparagraphs 1. b. and d. of Supplementary Payments — Coverages A And B of Section I - Coverages are amended as follows: 1. In Subparagraph b., the amount we will pay for the cost of bail bonds is increased up to $5,000. 2. In Subparagraph d., the amount we will pay for a loss of earnings is increased up to $1,000 a day. G. BROADENED NAMED INSURED 1. The Named Insured in Item 1. of the Declarations is as follows: The person or organizations named in Item 1. of the Declarations and any organization, other than a partnership or joint venture, over which you maintain ownership or majority interest on the effective date of the policy. However, coverage for any such organization will cease as of the date that you no longer maintain ownership of, or majority interest in, such organization. 2. This Article G. does not apply to any person or organization for which coverage is excluded by endorsement. Form XIL 436 1208 © 2008, XL America, Inc. Page 4 of 8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. H. BLANKET ADDITIONAL INSURED —MANAGERS OR LESSORS OF PREMISES 1. Section II -Who Is An Insured is amended to include as an insured any person or organization with whom you have agreed in a written contract executed prior to loss (an "additional insured"), but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises leased to you, subject to the following provisions: a. Limits of Insurance. The Limits of Insurance afforded to the "additional insured" shall be the limits you agreed to provide, or the limits shown on the Declarations, whichever is less. b. The insurance afforded to the "additional insured" does not apply to: (1) Any "occurrence" that takes place after you cease to be a tenant in that premises; (2) Any premises for which coverage is excluded by endorsement; or (3) Structural alterations, new construction or demolition operations performed by or on behalf of such "additional insured". 2. The insurance afforded to the "additional insured" is excess over any valid and collectible insurance available to such "additional insured", unless you have agreed in a written contract for this insurance to apply on a primary or contributory basis. I. BLANKET ADDITIONAL INSURED — LESSOR OF LEASED EQUIPMENT 1. Section II -Who Is An Insured is amended to include an "additional insured" (as defined in Article H. above), but only with respect to their liability arising out of maintenance, operation or use by you of equipment leased to you by such "additional insured", subject to the following provisions: a. Limits of Insurance. The Limits of Insurance afforded to the "additional insured" shall be the limits which you agreed to provide, or the limits shown on the Declarations, whichever is less. b. The insurance afforded to the "additional insured" does not apply to: (1) Any "occurrence" that takes place after the equipment lease expires; or (2) "Bodily injury" or "property damage" arising out of the sole negligence of such additional insured. 2. The insurance provided to the "additional insured" is excess over any valid and collectible insurance available to such "additional insured", unless you have a written contract for this insurance to apply on a primary or contributory basis. J. INJURY TO CO -EMPLOYEES AND CO -VOLUNTEER WORKERS 1. Section IF Who Is An Insured is amended to include your "employees" as insureds with respect to "bodily injury" to a co -"employee" in the course of the co -"employee's" employment by you, or to your "volunteer workers" while performing duties related to the conduct of your business, provided that this coverage for your "employees" does not apply to acts outside the scope of their employment by you or while performing duties unrelated to the conduct of your business. Form XIL 436 1208 © 2008, XL America, Inc. Page 5 of 8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 2. Section II — Who Is An Insured is amended to include your "volunteer workers" as insureds with respect to "bodily injury" to a co -"volunteer worker" while performing duties related to the conduct of your business, or to your "employees" employment by you, provided that this coverage for your "volunteer workers" does not apply while performing duties unrelated to the conduct of your business. K. KNOWLEDGE AND NOTICE OF OCCURRENCE OR OFFENSE The following is added to Paragraph 2., Duties In The Event of Occurrence, Offense, Claim or Suit of the Section IV - Commercial General Liability Conditions: Notice of an "occurrence" or of an offense which may result in a claim under this insurance shall be given as soon as practicable after knowledge of the "occurrence" or offense has been reported to any insured listed under Paragraph 1. of Section II -Who Is An Insured or any "employee" (such as insurance, loss control, risk manager or administrator) designated by you to give such notice. Knowledge of any other "employee(s)" of an "occurrence" or of an offense does not imply that you also have such knowledge. Notice shall be deemed prompt if given in good faith as soon as practicable to your workers compensation insurer. This applies only if you subsequently give notice to us as soon as practicable after any insured listed under Paragraph 1. of Section II — Who Is An Insured or an "employee" (such as an insurance, loss control, or risk manager or administrator) designated by you to give such notice discovers that the `occurrence", offense or claim may involve this policy. L. UNINTENTIONAL OMISSION The following is added to Paragraph 6., Representations, of Section IV- Commercial General Liability Conditions: The unintentional omission of, or unintentional error in, any information provided by you shall not prejudice your rights under this insurance. However, this Article L. does not affect our right to collect additional premium or to exercise our right of cancellation or nonrenewal in accordance with applicable state insurance laws or regulations. M. LIBERALIZATION The following is added to Section IV -Commercial General Liability Conditions: Liberalization After the issuance of this policy, if we adopt a change in our forms or rules which would broaden the coverage provided by any form that is a part of this policy without a premium charge, the broader coverage will apply to this policy. This extension is effective upon the approval of such broader coverage in your state. Form XIL 436 1208 © 2008, XL America, Inc. Page 6 of 8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. N. BLANKET WAIVER OF SUBROGATION The following is added to Section IV -Commercial General Liability Conditions: Waiver of Subrogation We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of premises owned or occupied or rented or loaned to you; ongoing operations performed by you or on your behalf, done under a contract with that person or organization; "your work"; or "your products". We waive this right where you have agreed to do so as part of a written contract, executed by you prior to loss. O. INCIDENTAL MEDICAL MALPRACTICE INJURY 1. For insurance applicable to this Article O, the definition of "bodily injury" in Section V - Definitions is amended to include, "Incidental Medical Malpractice Injury". 2. The following definition is added to Section V- Definitions: "Incidental medical malpractice injury" means "bodily injury", mental anguish, sickness or disease sustained by a person, including death resulting from any of these at any time, arising out of the rendering of, or failure to render, the following services: a. Medical, surgical, dental, laboratory, x-ray or nursing service or treatment, advice or instruction, or the related furnishing of food or beverages; b. The furnishing or dispensing of drugs or medical, dental or surgical supplies or appliances; c. First aid; or d. "Good Samaritan Services". As used in this Article O., "Good Samaritan Services" are those medical services rendered or provided in an emergency and for which no remuneration is demanded or received. 3. Paragraph 2.a.(1)(d) of Section II -Who Is An Insured does not apply to any registered nurse, licensed practical nurse, emergency medical technician or paramedic employed by you, but only while performing the services described in Paragraph 2. above and while acting within the scope of their employment by you. Any "employees" rendering "Good Samaritan Services" will be deemed to be acting within the scope of their employment by you. 4. The following exclusion is added to Paragraph 2. Exclusions of Coverage A. — Bodily Injury And Property Damage Liability of Section I — Coverages: [This insurance does not apply to:) Willful Violation of Penal Statute Liability arising out of the willful violation of a penal statute or ordinance relating to the sale of pharmaceuticals by or with the knowledge or consent of the insured. 5. For the purposes of determining the applicable Limits of Insurance, any act or omission, together with all related acts or omissions in the furnishing of services described in Paragraph 2.a. through 2.d. above to any one person, will be considered one "occurrence". 6. This Article O. does not apply if you are in the business or occupation of providing any of the services described in Paragraph 2. above. Form XIL 436 1208 © 2008, XL America, Inc. Page 7 of 8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 7. The insurance provided by this Article O. shall be excess over any other valid and collectible insurance available to the insured, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by you to be excess of this policy. P. EXTENSION OF COVERAGE — BODILY INJURY The definition of "bodily injury" Section V- Definitions is deleted in its entirety and replaced by the following: 3. "Bodily injury" means bodily injury, mental anguish, mental injury, shock, fright, disability, humiliation, sickness or disease sustained by a person, including death resulting from any of these at any time. Q. COVERAGE TERRITORY The definition of "coverage territory" Section V- Definitions is deleted in its entirety and replaced by the following: 4. "Coverage territory" means anywhere in the world. This insurance does not apply to: a. "bodily injury" or "property damage" that takes place; or b. "personal and advertising injury" caused by an offense committed outside the United States of America (including its possessions and territories), Canada and Puerto Rico, unless a "suit" on the merits (to determine the insured's responsibility to pay damages to which this insurance applies) is brought in the United States of America (including its possessions and territories), Canada or Puerto Rico. This insurance does not apply to damage, loss, cost or expenses in connection with any "suit" brought outside the United States of America (including its possessions and territories), Canada or Puerto Rico. Form XIL 436 1208 © 2008, XL America, Inc. Page 8 of 8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICY NUMBER: NBA100589500 XIC 421 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XL PLUS BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM COVERAGE DESCRIPTION A. Temporary Substitute Auto Physical Damage B. Who Is An Insured 1. Broad Form Insured 2. Employees As Insureds 3. Additional Insured By Contract, Agreement or Permit 4. Employee Hired Autos C. Supplementary Payments D. Amended Fellow Employee Exclusion E. Physical Damage Coverage 1. Rental Reimbursement 2. Extra Expense — Broadened Coverage 3. Personal Effects Coverage 4. Lease Gap 5. Glass Repair —Waiver Of Deductible F. Physical Damage Coverage Extensions 1. Additional Transportation Expense 2. Hired Auto Physical Damage G. Business Auto Conditions 1. Notice Of Occurrence 2. Waiver Of Subrogation 3. Unintentional Failure To Disclose Hazards 4. Primary Insurance H. Bodily Injury Redefined I. Extended Cancellation Condition XIC 421 1013 © 2013 X.L. America, Inc. All Rights Reserved. Page 1 of 6 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. A. Temporary Substitute Auto Physical Damage SECTION I — COVERED AUTOS, C. Certain Trailers, Mobile Equipment And Temporary Substitute Autos is changed by adding the following: If Physical Damage coverage is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physical Damage coverage: 1. Any "auto" you do not own while used with the permission of its owner as a temporary substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair; C. Servicing; d. "Loss"; or e. Destruction. B. Who Is An Insured SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is changed by adding the following: 1. Broad Form Insured For any covered "auto", any subsidiary, affiliate or organization, other than a partnership or joint venture, as may now exist or hereafter be constituted over which you assume active management or maintain ownership or majority interest, provided that you notify us within ninety (90) days from the date that any such subsidiary or affiliate is acquired or formed and that there is no similar insurance available to that organization. However, coverage does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization. 2. Employees As Insureds Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow, in your business or your personal arrairs. 3. Additional Insured By Contract, Agreement Or Permit Any person or organization with whom you have agreed in writing in a contract, agreement or permit, to provide insurance such as is provided under this policy, provided that the "bodily injury" or "property damage" occurs subsequent to the execution of the written contract, agreement or permit. 4. Employee Hired Autos An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. XIC 421 1013 © 2013 X.L. America, Inc. All Rights Reserved. Page 2 of 6 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance, b. is replaced with the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". C. Supplementary Payments SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments is changed as follows: Item (2) is deleted and replaced by the following: (2) Up to $3,500 for 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. Item (4) is deleted and replaced by the following: (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. D. Amended Fellow Employee Exclusion SECTION II — COVERED AUTOS LIABILITY COVERAGE, B. Exclusions, 5. Fellow Employee does not apply. The insurance provided under this Provision D. is excess over any other collectible insurance. E. Physical Damage Coverage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage is changed by adding the following: 1. Rental Reimbursement a. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". No deductibles apply to this coverage. b. We will pay only for those expenses incurred during the policy period beginning twenty-four (24) hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: XIC 421 1013 © 2013 X.L. America, Inc. All Rights Reserved. Page 3 of 6 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 2. 3. 4. (1) The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and return it to you. (2) Thirty (30) days. Our payment is limited to the lesser of the following amounts: (1) Necessary and actual expenses incurred. (2) $50 any one day per private passenger "auto"; $100 any one day per truck; $1,500 any one period per private passenger "auto"; $3,000 any one period per truck; or Higher limits if shown elsewhere in this policy. d. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under the Physical Damage Coverage Extension. Extra Expense — Broadened Coverage We will pay for the expense of returning a stolen covered "auto" to you. Personal Effects Coverage If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto" is stolen, we will pay, without application of a deductible, up to $500 for "personal effects" stolen from the "auto". As used in this endorsement, "personal effects" means tangible property that is worn or carried by an "insured". "Personal effects" does not include tools, jewelry, money or securities. Lease Gap In the event of a total "loss" to a covered "auto" shown in the Declarations, we will pay any unpaid amount due on the lease or loan for a covered "auto", less: The amount paid under the Physical Damage Coverage Section of the policy; and b. Any: (1) Overdue lease/loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchases with the loan or lease; and (5) Carry-over balances from previous loans or leases. XIC 421 1013 © 2013 X.L. America, Inc. All Rights Reserved. Page 4 of 6 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 5. Glass Repair —Waiver Of Deductible No deductible applies to glass damage if the glass is repaired rather than replaced. F. Physical Damage Coverage Extensions SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions is amended by the following: 1. Additional Transportation Expense Sections a. and b. are amended to provide a limit of $50 per day and a maximum limit of $1,000. 2. Hired Auto Physical Damage The following section is added: Any "auto" you lease, hire, rent or borrow is deemed to be a covered "auto" for physical damage coverage. The most we will pay for each covered "auto" is the lesser of: (1) the actual cash value; (2) the cost for repair or replacement; or (3) $50,000, or higher limit if shown on the Declarations for Hired Auto Physical Damage Coverage. For each covered "auto" a deductible of $100 for Comprehensive Coverage and $1,000 for Collision Coverage will apply. G. Business Auto Conditions SECTION IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions is changed by the following: 1. Notice Of Occurrence Section 2. — Duties In The Event Of Accident, Claim, Suit Or, Loss, a. is changed by adding the following: If you report an injury to an "employee" to your workers' compensation carrier and if it is subsequently determined that the injury is one to which this insurance may apply, any failure to comply with this condition will be waived if you provide us with the required notice as soon thereafter as practicable after you know or reasonably should have known that this insurance may apply. 2. Waiver Of Subrogation Section 5. Transfer Of Rights Of Recovery Against Others To Us is changed by adding the following: However, this Condition does not apply to any person(s) or organization(s) with whom you have a written contract, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under such contract with that person or organization. XIC 421 1013 © 2013 X.L. America, Inc. All Rights Reserved. Page 5 of 6 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions is changed by the following: 3. Unintentional Failure To Disclose Hazards The following condition is added: Your unintentional failure to disclose all hazards as of the inception date of the policy shall not prejudice any insured with respect to the coverage afforded by this policy. 4. Primary Insurance Condition 5. Other Insurance is changed by adding the following: For any covered "auto" this insurance shall apply as primary and not contribute with any other insurance where such requirement is agreed in a written contract executed prior to a "loss". H. Bodily Injury Redefined SECTION V — DEFINITIONS, C. "Bodily injury" is replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by a person including mental anguish, mental injury, shock, fright or death resulting from any of these at any time. Extended Cancellation Condition COMMON POLICY CONDITIONS (Form IL 00 17), A. Cancellation, 2.b. is replaced by the following: The greater of sixty (60) days or the time required by any applicable state amendatory endorsement before the effective date of cancellation if we cancel for any other reason. All other terms and conditions of this policy remain unchanged. XIC 421 1013 © 2013 X.L. America, Inc. All Rights Reserved. Page 6 of 6 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA We have the right to recover our payments from anyone 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. Schedule [Additional premium is a percent of the California Manual Workers Compensation premium. Subject to a minimum premium charge of $ 250] Person or Organization Job Description Where required by contract or written agreement prior to loss and allowed by law Issued by . For attachment to Policy No. WC7Z91467250072 Effective Date 5/2/22 Premium $ Issued to WC 04 03 06 R1 Page 1 of 1 Ed. 08/2013