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ENC2022-0051
ta Qwkrdu -- Gr.MafibeDFSEWr— 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: 6/30/2022 LOCATION OF CONSTRUCTION (Street address or Description): DESERT CLUB AND BERMUDAS BY MAIN ST PURPOSE OF CONSTRUCTION: OVERLASH FIBER USING EXISITNG CONDUIT DESCRIPTION OF CONSTRUCTION: FOR CHARTER; PID3572106 OVERLASH FIBER USING EX CONDUIT DIMENSION OF INSTALLATION OR REMOVAL: 0 APPROXIMATE TIME WHEN WORK WILL BEGIN: 7/8/2022 TIME OF COMPLETION: 7/8/2022 ESTIMATED CONSTRUCTION COST: $3,000.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS: In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify 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. UNITED FIBER COMM - CRYSTAL PENA 4280 LATHAM ST RIVERSIDE, CA 92501 Name of Applicant (please print) Business Address COCHRAN COMMUNICATION CONST 72230 VARNER RD THOUSAND PALMS, CA 92276 Name of Contractor and Job Foreman Business Address 478543 0000865 Contractor's License No. LANDMARK AMERICAN INSURANCE COMPANY Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION TRAFFIC CONTROL $673.00 TECHNOLOGY ENHANCEMENT FEE $5.00 TOTAL: $0.00 City Business License No. LHA141740 Policy Number PERMIT NO: ENC2022-0051 DATE ISSUED: 6/30/2022 EXPIRATION DATE: 6/30/2023 BY: AMY YU WORK INSPECTED BY*: PERMIT COMPLETION DATE*: APPLIED ONLINE Signature of Applicant or Agent (951)742-5836 Telephone No. (760)218-8693 Telephone No. *If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. T4,!t 4 4a" PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 5/16/22 Tract No: M Project Name: PID# 3572106 Vicinity: CALLE TAMPICO & AVENIDA BERMUDAS TO DESERT CLUB DR & CLL ESTADO Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.)= OVERLASH FIBER USING EXISITNG COND Description of Construction (i.e.: See Plan Set No. 01234 OVERLASH FIBER USING EXISITNG CONDUI Dimension of Installation or Removal: Approximate Construction Start Date: 7/8/22 41 Approximate Construction Completion Date: 7/8/2 Estimated Construction Cost: $ Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and placing permanent resurfacing and or replacing improvements Contact Name: ARTEZ HINTON/CHARTER phone Number1951) 406-1696M Name of Applicant/Owner: CRYSTAL PEnA/UFC Applicant Address: '7337 CENTRAL AVE RIVERSIDE, CA 92504 Applicant Telephone Number: (951) 742-5836 Applicant E-mail Address: PERMITS@UNITEDFIBERCOMM.COM Name of Contractor: Cochran Communication Construction, INC Contractor Address: 72230 Varner Rd Thousand Palms, CA 92276 Contractor Telephone Number: i760) 218-8693 / Paul Bozarth Contractor State License Number: 478543 Contractor City Business License Number: �0000865 Contractor E-mail Address:laulb@cochrancommunication.com ►A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED Applicant or Contractor General Liability Insurance Coman S & L RISK MANGEMENT AND INSURANCE SOLUTIONS Applicant or Contractor General Liability Insurance Policy Number: LHA141740 Office Use Only: I I Office Use Only: Inspection Fee: Assigned Permit Number: Permit Fee: As -Built Deposit:_ Dust Control Deposit: Credit Amount: Approval Date: Expiration Date: Issue Date: Administrative Authority: TOTAL FEE DUE: Forms & Applications/Application fo A SEP 74 r _ _.1 OL x F INC Y 7' 1._ Y • J Y C ' vw r . ■ may. �•+ Y r �+• - i - TRAFFIC CONTROL PLAN GENERAL NOTES A Traffic Control Permit is required for all work within the public right of way. Traffic control permits shall be obtained from the City of La Quinta Department of engineering prior to the start of any/all work. Responsibility to Maintain Temporary Traffic Control Devices It is the responsibility of the contractor to maintain temporary traffic control devices throughout the course of the project to the satisfaction of the Engineer. The contractor shall be responsible for any defective work, materials or equipment corrected, repaired or replaced within three (3) hours after notification by the Engineer. If the contractor is not capable of making such repairs and/or adjustments to the satisfaction of the Engineer within this time frame, the Engineer will order City or other qualified Engineers or technicians to make immediate repairs and/or adjustments. The contractor will be charged the entire cost of the work performed by City or other qualified personal (if paid by the City). The work performed by City or other qualified personnel will in no way waive maintenance responsibilities of the contractor. Restoration of Traffic Control Devices The applicant is responsible for restoring to original condition all striping, legends, signs and any other existing traffic control devices at the end of the work shift and at the end of the project. This includes any traffic control devices damaged by any means or rendered ineffective. Replacement or repair shall be per current City Standards. Plans and Specifications Contractors are required to have a copy of the permit, plans and specifications at the work site at all times. This includes any approved traffic control plans, detour plans, or any referenced plans from the WATCH manual, the CATTCH manual or the MUTCD. Any contractor failing to have these items will be shut down. Q cc CD A^ re VICINITY MAP Old Town -' Avelnida la Fonda UNITED FIBER COMMUNICATIONS INC Avenida la ORK AREA N.T.S. Charter Spectrumoo, SUGGESTED ADVANCE WARNING SIGN PLACEMENT ROAD TYPE DISTANCE BETWEEN SIGNS* A B C URBAN (LOW SPEED) 25 MPH OR LESS URBAN (HIGH SPEED) MORE THAN 25 MPH TO 40 MPH 100 100 250 100 250 250 URBAN (HIGH SPEED) MORE THAN 40 MPH RURAL 350 500 350 500 350 500 EXPRESSWAY / FREEWAY 1,000 1,500 2,640 *- DISTANCES SHOWN IN FEET. THE A DIMENSION IS THE DISTANCE FROM THE TRANSITION OR POINT OF RESTRICTION TO THE FIRST SIGN. THE B DIMENSION IS THE DISTANCE BETWEEN THE FIRST AND SECOND SIGNS. THE C DIMENSION IS THE DISTANCE BETWEEN THE SECOND AND THIRD SIGNS. (THE "FIRST SIGN" IS THE SIGN IN A THREE -SIGN SERIES THAT IS CLOSEST TO THE TTC ZONE. THE "THIRD SIGN" IS THE SIGN THAT IS FURTHEST UPSTREAM FROM THE TTC ZONE.). TEMPORARY TRAFFIC CONTROL PLAN DIMENSION GUIDELINES SPEED "S" MPH (2) DIMENSION A/B/C ADVANCE WARNING SIGN SPACING (5) DIMENSION L MERGING TAPER LENGTH DIMENSION L/2 SHIFTING TAPER LENGTH DIMENSION L/3 MINIMUM SHOULDER TAPER DIMENSION BUFFER SPACE (4-A) AND FLAGGER STATION STOPPING SIGHT DISTANCE (4-B) (0%) (-3%) (-6%) MAXIMUM CHANNELIZER TAPER SPACING (3) MAXIMUM CHANNELIZER TANGENT SPACING (3) MAXIMUM CHANNELIZER CONFLICT SPACING (3) MPH ft ft ft ft ft ft ft 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) 50 100 25 65 0) 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 in 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 6F-101(CA) LEGEND I TRAFFIC CONE • FLASHING ARROW BOARD STRIPE SOLID CURB & RAISED MEDIAN I TYPE 1 BARRICADE FLAGGER •-t STRIPE DASHED PAINTED MEDIAN --------- SIGNALIZED INTERSECTION BIKE LANE CROSSWALK &LIMIT LINE WORK ZONE BIKE LANE DASHED BOUNDARY LINE —••—••—••—••—••—••—••— 0 4RUr t�s'�0 ONU�q��` C� V� 0yG C04B055 Exp. �Z•31-ZZ Ac,W_ signed 6/28/2022 sc 6788 PROJECT: 3572106 ADDRESS: 51100 AVE NIDA NAVARRO LA QU I NTA, CA 92253 REVISIONS: DATE: 06-28-22 ENGINEERING SERVICES DIRECTION OF TRAFFIC --► SIDEWALK CONCRETE PATCH 1 OF 3 DESER T CL SIB DR 2 5 MP CA, END ROAD G20-2 I RV/1V VVVRR( G20-2 ROAD WORK AHEAD W20-1 / DESERT CLUB DR 25 MP w 1 1 Y 0 o END ROAD ROADWORK WORK AHEAD G20-2 W20-1 ORKI-�D 0 a � 4— FT w cn a • • J w • cn 4— RAISDMEDIAN O 1 2' SHOULDER CLOSED • C30A • ROAD WORK • AHEAD • W20-1 • 100' d c r DIRT SHOULDER CLOSED C30A END ROAD WORK G20-2 MATCHLINE A -A CONTACT PROPERTY OWNER(S) 72 HOURS PRIOR TO START OF WORK AN INDIVIDUAL WILL BE ASSIGNED TO MAINTAIN THE CONES WHILE THE WORK ZONE IS IN PLACE CONTRACTOR TO PROVIDE ACCESS TO DRIVEWAYS AT ALL TIMES TEMPORARY "NO PARKING" SIGNS SHALL BE INSTALLED AT LEAST 72 HOURS BEFORE ENFORCEMENT. Charter PHASE 1 OF 3 NOTE: WORKING HOURS MONDAY - FR/DAY 9: 00 A. M. - 3: 00 P. M. %wo Nano# ispectrum UNITED FIBER COMMUNICATIONS INC ENGINEERING SERVICES WORK DURATION: 7-2 DAYS MATCHLINE A -A END p DWORK 20-2 4— N 100,---1 ROAD WORK AHEAD W20-1 END ROAD WORK G20-2 o a O w RAISEDMEDIAN c� 0 0 W; OD C 00 n O IT X, SHOULDER CLOSED C30A ROAD WORK AHEAD W20-1 END ROAD WORK G20-2 W1-6(L) NARROW LANE C12 ROAD WORK AHEAD W20-1 ¢ Y 4- Q w w w LANDSCAPE 1 DESER T CL SIB DR 25 MPH LEGEND TRAFFIC CONE • FLASHING ARROW BOARD STRIPE SOLID TYPE 1 BARRICADE FLAGGER STRIPE DASHED r SIGNALIZED INTERSECTION 0 BIKE LANE WORK ZONE BIKE LANE DASHED DIRECTION OF TRAFFIC --► SIDEWALK signed 6/28/2022 sc 6788 CURB & RAISED MEDIAN PAINTED MEDIAN CROSSWALK & LIMIT LINE BOUNDARY LINE CONCRETE PATCH SCALE NORTH 1 "-40' DESERT CLUB DR 25 MP PROJECT: 3572106 ADDRESS: 51100 AVE NIDA NAVARRO LA QUINTA, CA 92253 REVISIONS: a a DATE: 06-28-22 2 OF 3 SCALE NORTH 1 "-40' PHASE 3 OF 3 WORKING HOURS MONDAY - FRIDAY 9: DD A. M. - 3; OO P. M. WORK DURATION: 7-2 DAYS CONTACT PROPERTY OWNER(S) 72 HOURS PRIOR TO START OF WORK AN INDIVIDUAL WILL BE ASSIGNED TO MAINTAIN THE CONES WHILE THE WORK ZONE IS IN PLACE CONTRACTOR TO PROVIDE ACCESS TO DRIVEWAYS AT ALL TIMES TEMPORARY "NO PARKING" SIGNS SHALL BE INSTALLED AT LEAST 72 HOURS BEFORE ENFORCEMENT. UNITED FIBER COMMUNICATIONS INC ENGINEERING SERVICES Charter Spectrum G20-2 END 2 5 MPH ROAD WORK AHEAD W20-1 O O ROAD WORK �P SIDEWALK }� LANDSCAPE � V RAISED MEDIAN � m v • ANDSCAPE • • • 250' �9 �O S� ROAD y WORK qF AHEAD W20-1 ROAD WORK AHEAD W20-1 TRAFFIC CONE • FLASHING ARROW BOARD TYPE 1 BARRICADE FLAGGER SIGNALIZED INTERSECTION 0 WORK ZONE DIRECTION OF TRAFFIC --► ONLY R3-5R 1 0 END ROAD WORK G20-2 Y J Q W 11 WO NE CONE MOUNTED SIGN ylW20-1 R3-2 ROAD WORK 7100' o 4— N END ROADWORK W1-6(R) G20-2 IN R3-2 LANE CLOSED C30 (CA) 0 W =ROADORK ROAD w WORK G20-2 AHEAD W20-1 d a 0 � o N RAISED MEDIAN 25 MP � LEGEND STRIPE SOLID '-' STRIPE DASHED BIKE LANE BIKE LANE DASHED SIDEWALK CURB & RAISED MEDIAN PAINTED MEDIAN CROSSWALK & LIMIT LINE BOUNDARY LINE CONCRETE PATCH a a 4 O9?,OF ESS�Q 0 t4 ON(j � Q�� G m C046055 Exp. 11-3p22� � �F CA signed 6/28/2022 sc 6788 PROJECT: 3572106 ADDRESS: 51100 AVE NIDA NAVARRO LA QUINTA, CA 92253 REVISIONS: DATE: 06-28-22 3 OF 3 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2022-0051 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. 1. 2. 3. 0 5. W 7. PERMIT NO. ENC2022-0051 For Charter; Cochran Communications/ Overlash Fiber Using Ex Conduit / Desert Club Dr and Avenida Bermudas by Main St In addition to the standard permit conditions, the following shall apply: Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all work shall be performed in accordance with the latest edition of the Standard Specifications for Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the actual work performed. The permittee shall submit inspection requests by calling the City Inspection Hotline at (760) 777-7097 before 1:30 p.m. and at least twenty-four (24) hours prior to the anticipated inspection. Charter and/or Cochran Communications Construction Inc. (Paul Bozarth), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. This permit is for proposed fiber to be installed within the R/W only. The permittee shall obtain written approval from the private land owner for any work or improvements on private property. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for further modifications as it relates to any sight distance concerns and/or improvement plan requirements as required by the City Engineer. 8. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (i.e. any 4 lane street) before 8:00 a.m. 9. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the City Traffic Signal Maintenance Division at (760) 777-7070 if signal operation at the intersection is to be altered in any way. Special Conditions Page 1 of 5 PERMIT NO. ENC2022-0051 For Charter; Cochran Communications/ Overlash Fiber Using Ex Conduit / Desert Club Dr and Avenida Bermudas by Main St 10. 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). On Collectors to Arterial Streets, the permittee must submit a traffic control plan which shall be from or prepared under the guidance of the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). Traffic Control plans not from the CA MUTCD or the WATCH shall be signed and stamped by a civil or traffic engineer registered in the State of California. It shall be the Permittee's responsibility to appropriately detour and barricade all construction sites. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall be maintained at all times. 11. The permittee and/or contractor placing engineered fill must provide adequate time and safety for the Geotechnical Engineer of Record to perform soils testing during engineered fill placement. The testing frequency shall be determined by the Geotechnical Engineer of Record such that the fill can be determined to be placed according to the city approved plans. 12. 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. 13. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, a letter from any owners of the driveways/access ways that will be closed down due to the construction. The letter must be approved by the city and at minimum state from the owner the following: A. Approval of the construction B. Plan identification C. Time Frame of Closure D. Alternative Routes 14. Any land on which Williamson Act contracts apply shall remain undisturbed. 15. The permittee shall place temporary no parking signs along the parking area affected by the construction. The signs shall be placed along the area 48hrs prior to the start of closing the area, and removed immediately after the construction completion date. 16. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 811. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. Special Conditions Page 2 of 5 PERMIT NO. ENC2022-0051 For Charter; Cochran Communications/ Overlash Fiber Using Ex Conduit / Desert Club Dr and Avenida Bermudas by Main St 17. 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. 18. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for proper sight distance requirements per guidelines in the AASHTO " A Policy on Geometric Design of Highways and Streets, 5th Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 19. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random trench compaction testing performed by a city approved material testing firm. If the inspector's phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Associate Engineer at 777-7047 to determine the city inspector's phone number. The inspector shall determine the number and location of the test location/s. The above testing does not relieve the permittee's responsibility for future repairs due to settlement at and near the locations of the work area. Materials testing must be performed under direct supervision of a California Registered Civil Engineer. 20. The issuance of this permit and the City approval of the related construction improvement plans do not provide a vested entitlement for all design parameters that may have been utilized for the plans. As such, plans approved for this permit may be "at risk" for further modifications as it relates to any follow up improvement plan requirements as required by the city or existing errors & omissions by the architect or engineer of record. 21. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, the name of the City approved contractor, who shall submit to the City the following items: a. General Liability Insurance Company and Policy Number b. City Business License c. Contractors State License Number 22. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts provided in Engineering Bulletin for Indemnification & Insurance Requirements. This insurance shall be kept in full force and effect at all times by Applicant or Contractor during the prosecution of the permitted work and updated Certificate of Liability Insurance shall be submitted to the City. Each policy shall name the City as an additional insured. 23. The permittee shall haul all offsite debris to a certified landfill. Prior to hauling debris, the permittee shall inform the City (Inspection staff or 777-7047) of the name and location of the certified dump site. 24. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the Public Works Department, a traffic control plan for review and approval prior to start of construction or parking on the paved R/W. Special Conditions Page 3 of 5 PERMIT NO. ENC2022-0051 For Charter; Cochran Communications/ Overlash Fiber Using Ex Conduit / Desert Club Dr and Avenida Bermudas by Main St 25. If traffic lanes are closed on an any Arterial street (any street with more than 2 lanes) within the City of La Quinta right of way, The permittee is required to provide an informative message board (approved by the City Engineer). It shall inform the commuters using the affected roadways of possible traffic delays, time of construction, and if possible alternate routes. The message board shall be provided for the commuters 48 hours prior to the start of traffic delays. The board does not have to be electrical or solar powered. 26. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1(part), 1982), backfill compaction within street rights -of -way shall conform to Section 306-1.3 of the latest edition of the Standard Specifications for Public Works Construction (SSPWC), except as otherwise specified herein. Native material may be used as backfill material provided that minimum compaction, achieved in the manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no water densified compaction via jetting or flooding or other means shall be allowed. It shall be the Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all times during backfill operations. Backfill compaction shall be achieved by the following conditions: A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material, such material shall be removed to the limits directed by the Geotechnical Inspector and/or the City Inspector and the resulting excavation backfilled with pipe bedding material. B. Backfill materials shall be brought to or maintained at appropriate moisture content for compaction. The appropriate moisture content range shall be established at the onset of the project and ensured prior to use of the materials through progress testing on the stockpiles. C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector. Compaction shall be tested at random depths at approximate three-foot vertical intervals as backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth of lift that can be compacted. D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall be taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory completion of this portion of trench, the City Inspector shall establish the maximum lift thickness to be compacted for the remainder of the project. E. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of backfill, per 300 linear feet of open trench, at randomly selected locations within the open length of trench. F. The depth of the randomly selected compaction tests shall also be randomly selected except that where multiple tests are required in a given length of trench, the tests shall be no closer than three feet (vertically) from each other. Special Conditions Page 4 of 5 PERMIT NO. ENC2022-0051 For Charter; Cochran Communications/ Overlash Fiber Using Ex Conduit / Desert Club Dr and Avenida Bermudas by Main St G. If any compaction test fails, previously placed backfill (in the same length of open trench or previous lengths of trench) which is represented by the failing test (as determined by the City Inspector), shall be tested for compliance with compaction requirements. H. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all test results shall be furnished to the City Inspector. 27. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if within the existing travel way, at the end of every workday as directed by and to the satisfaction of the City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight; however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length, open overnight at a point where construction will begin the next day, provided that this length of trench is completely covered by steel plating. 28. All landscaping, irrigation, decorative rock, decorative concrete, lighting, sidewalk, etc., shall be replaced to its original condition. 29. Access and egress to all local properties shall be maintained at all times. 30. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed under this permit with an approved dust control treatment. Soil stabilization shall be done immediately after completing the operation. 31. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment. 32. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 33. 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. 34. If it is the intent of the permittee to cut the pavement and have it restored by a third party, the permittee shall postpone cutting the pavement until the intended third parry has acquired a permit from the City to perform the required restoration work. Special Conditions Page 5 of 5 / A�� "® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06110/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marsh I U.S. Operations MARSH USA INC. HOEFA NNo 966-4664 540 W. MADISON AIC Ext : (866) AIC No), E-MAIL ADDRESS: 9 q Chica o CertRe uest marsh.com CHICAGO, IL 60661 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Steadfast Insurance Company 26387 CN102898337--GAW-22-23 FC650 GAW INSURED Frontier California Inc. INSURER B : Zurich American Insurance Company 16535 INSURER C : American Zurich Insurance Company 40142 401 Merritt 7 INSURER D : Norwalk, CT 06851 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-010079173-05 REVISION NUMBER: 2 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/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X GLO028599205 06/01/2022 06/01/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X� OCCUR DAMAGE TO TED PREMISES('a ctcur ence)$ a occurrence) 500,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ PRO- JECT ❑ LOC X PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY BAP 0285990 05 06/01/2022 06/01/2023 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N/A X WC 0285988 05 (AOS) WC 0285989 05 (W) 06/01/2022 06101/2022 06/01/2023 06101/2023 X STATUTE OERH 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 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of La Quinta, its officers, officials, employees, and agents shall be named as Additional Insureds as respects the General Liability policy where required by written contract. Coverage under the General Liability policy shall be Primary and Non -Contributory to any other insurance available to the Additional Insureds where required by written contract. CERTIFICATE HOLDER CANCELLATION City of La Quinta SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 78-495 Calle Tampico THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN La Quinta, CA 92247 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102898337 LOC #: Chicago ,a`oRo ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARSH USA INC. NAMED INSURED Frontier California Inc. 401 Merritt 7 Norwalk,CT 06851 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance CONTINUED FROM DESCRIPTION SECTION: Waiver of Subrogation in favor of the Additional Insureds shall apply to the Workers' Compensation policy,as permitted by law where required by written contract. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 Additional Insured — Automatic — Owners, Lessees Or ZURICH Contractors Policy No. Eff.Dateof Pol. Ex,Deteof Pol. Eff.Dateof End. Producer No. Addl Pre. Re.. Po,.. GL00285ee2-05 05/012022 ubmi2023 18232000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: FRONTIER COMMUNICATIONS PARENT, INC. Address (including ZIP Code): 401 MERRITT 7 NORWALK, CT 06851 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products -completed operations hazard", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U-GL-1175-F CW (06113) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., wiM its permission. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or"suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. you are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III— Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U-GL-1175-F CW (06113) Page 2 of 2 Induces copyrighted material of Insurance Services Office, Inc., wiM its permission. Other Insurance Amendment — Primary And Non- 9 Contributory Z U RI CH Policy No. EfF.Dateof Pol. E,p Deteof Pol. ER.Dateof End. Producer No. Addl. Pre. ae.. Pre.. GLU0285992-05 05/012022 O6/012023 18232000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address (including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. r1-GL-1327-13 cw (04113) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., wiM its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below Is required only when Oils endorsement Is Issued subsequent to prepaMlon of the policy.) Endorsement Effective 6/1/2022 Policy No. WC 0285988-05 Endorsement No Insured: Frontier Communications Parent, Inc. °ate` PR1��5 $71 Insurance Company: American Zurich Insurance Company Countersigned by ll WC 00 03 13 (Ed. 4-84) 0 1983 National Council on Compensation Insurance. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective 6/1/2022 Policy No. WC 0285989-05 Insured FRONTIER COMMUNICATIONS PARENT, INC. Insurance Company ZURICH AMERICAN INSURANCE COMPANY Endorsement No. oovuslenm an, L Ik''/Ol.Alrt. naeczwsnccaec... WC 00 03 13 (Ed. 4-84) 0 1983 National Council on Compensation Insurance. June 10, 2022 Frontier Communications Parent, Inc. 401 Merritt 7 Norwalk, CT 06851 Subject: Frontier Communications Parent, Inc., Certificate of Insurance To Whom It May Concern: Regarding the Certificate of Insurance you may have previously received for the above referenced insured, please disregard and destroy this certificate. The attached Certificate of Insurance replaces this. Should you have any questions, please contact our office by replying to this email. Regards, Marsh USA, Inc. U.S. Centralized Services